HomeMy WebLinkAbout25937-zFORM NO. 4
TOm OF MOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27321
Date: 09/27/00
T~IS ~RTIFIES that the building ADDITION AND ALTERATION
L~ation of Property: 8905 GREAT PECONIC BAY BLVD LAUREL
(HOUSE NO.) (STREET) (HAMLET)
~o%mt¥ Tax Map No. 473889 Section 126 Block 4 Lot 17.1
Sub~ivielon Filed Map No. __ Lot NO. __
conforms substantially to the Application for Building Permit heretofore
file~ in this office dated JUNE 14, 1999 pursuant to which
~ilding PeZ~it No. 25937-Z dated AUGUST 11, 1999
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
ie RENOVATE & ALTER EXISTING TWO FAMILY DWELLING TO A ONE FAMILY
DWELLING & PORCH ADDITION AS APPLIED FOR.
The certificate is issued to JAMES & JANET D'ADDARIO
(OWNER)
of the aforesaid building.
SuF~LKCOUNTE DEPA~T~NTOF~EALTHAPPROVAL
EI~-£~CAL ~TIFICATE NO.
PL~MBEP~ ~ERTIFI~ATION DA'£~ 04/25/00
N/A
N520352 04/04/00
PEDNEAULT ASSOC., INC
//Aut~r ized Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25937 Z Date AUGUST 11~ 1999
Permission is hereby granted to:
JAMES & JANET D'ADDARIO
8905 GT. PECONIC BAY BLVD.
LAUREL~NY 11948
for :
RENOVATE AND ALTER AN EXISTING 2 FAMILY DWELLING TO A 1 FAMILY
DWRT.?.ING AND ADD A PORCH ADDITION AS APPLIED FOR.
at premises located at 8905 GREAT PECONIC BAY BLVD
County Tax Map No. 473889 Section 126
pursuant to application dated JUNE
Building Inspector.
LAUREL
Block 0004 Lot No. 017.001
14 1999 and approved by the
Fee $ 75.00
Rev. 2/19/98
ORIGINAL
TOWN 01*' SOUTIIOI,D
BUILDING 1)EPARTMENT
TOWN llALL
FOR CERTIFICATE OF OCCUPANCY
This application must be filled 5n by typewriter OR ink and submitted to the building
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topograpbic features.
2. Final Approval from Health Dept. o1: water supply and sewerage-disposal(S-9 form).
3. Approval of electricai installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existiug buildings (prior Lo April 9, 1957) non-co~forming uscs, ~r buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
uausual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy~_~.~dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling25q~_~.O Swimming pool $25.00, Accessory building $25.00,
Additions to accessory Building $25.00. Businesses $50.00.
2. Certificate of ~ccupancy on Pre-existing Builain~ - $100.00
3. Copy of Certificate of Occupancy - . .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
oo
Date --
New Construction ......... ''F_~ Old Or Pre-existing~ ~ ~-~ ~Lq~Building ............. ] '.~i~
Location of Property.''..~..~.~..~.. ..... ......~....~.O_%.~..~..~.._.. ........ . ............
House No. Street Hamlet
Onwer or Owners of Property · -'
County Tax Map No 1000, Sytion .............. Block ................ Lot ......................
Subdivision ....... ~Y.~. ....... Filed Map .~./.~..Lot ....
Permit No..~.f~..~.'7. ~ .. . .Date Of Permit ............ .... Applicant..~~..~.-~-. -~-~.-~'']~.-.--. -
Health Dept. Approval ....... ..~.~..-. .Underwriters Approval.j/~jO~L
'Board Approval
Planning .....
Request for: Temporary Certificate ........... Final Certicate .......
Fee Submitted:
PEDNEA UL T ASSOCIA TES, INC.
1615 NINTH A VENUE, BOX 205
BOHEMIA, N.Y. 11716
Phone: (631) 467-8477 Fax: (631) 467-6905
A ICA 'S LAB!
Prepared Exclusively For'
LAB#: 00040433 SAMPLE ID#: 00040433-001
JOHN A. LEE & SONS
136 OAKWOOD AVENUE PROJECT ID: 8905 PECONIC BAY BLVD.,LAUREL
BAYPOR'I,NY 11705 ~AMPLE ORIGIN: KITCHEN SINK G/W PIPE
631-472-0017
MATRIX: SOLID
pERMITgr259372 _ ~ _
REI~EASE
COLLECT DATE DATE RECEIVED REPOR:T
4/25/00 4/25/00 4/3b/00 4/3Q~!0
PARAMETER
EPA 200.7 0.04 %
Lead
in
Solder
John Pedneault Page 1 of 1
Lab Director NYS ELAP #10224
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ~I~AL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG,
[ ] FOUNDATION 2ND [ ] I/NSULATION
/
[ ] FRAMING [/./] FINAL
[ ] FIREPLACE & CHIMNEY
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUG~LBG.
[ ]~LATION
[ I/~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG Z
.,..^u OF .L;CTR,C,TY
40 FULTON STREET, NEW YORK, NY 10038
" ..... APRIL 04,2000 19834000/~ N 520352
Date Application No. on file
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
DA DARIO, 8902 PECONXC BAY BOULEVARD, ~%TTITUCK, NY
OUT
in the fotlowing tocation; Basement 1st FI. 2nd Ft. , Section Bloc~~D Lot
· . I~IA~CI'I 30 f 2000 and found to be in compliance with the National Electrical Code· .
' FIXTURE~ RANGES · OVENS DISH WASHERS EXHAUSI FANS
FIXTURE
OUTLETS RECEPTACLES FLUORESCENT OTHER
21 31 2
DRYERS
SYSTEMS
NO, OF FEET
E
OTHER APPARATUS:
Pt%DDL~ FANS- 2
2 1/2 TON A/C-1
MOTORS:l-2.5 H.P. ,1-F H.P.
PANELBOARDS, 1-i CIR. 60
G.F.C.I,-9
s E
NO. OF CC COND
PER ~
R V C
AW.G
OF CC COND
A, WG
OF HI-tEG
OF NEUTRAL
2/0
BRITE sTAR ELECTRIC
206 GREELEY AVE.
SAYVILLE, NY, 11782
This cediflcate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
To~vn Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTttOLD
Fax (516) 765-1823
Telephone (516) 765-1802
April 24, 2000
James & Janet D'Addario
~5 Woodlands
Old Westbury, NY 11568
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
.... Xx An apPiica~t:ion,,fo~.~Certificate of Occupancy is
not on file. (~E~losed)
No Underwriters Certificate on file.
f?, XX ~'Th~,c~e'c~ ls,~ (not on file.)$2§.00
No Health Department Approval on file.
No final inspection has been made.
EX ~No~,p~,umbe~',¢SU~d'e~ Certificate on file.
~ .... '" (All permits involv~ng plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25937-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
]
FOUNDATION 1ST [~'~] R/OUGH PLBG.
[ ] FOUNDATION 2ND [~/]' INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTIO?
[ ] FOUNDATION 1ST [//J ROUGH
PLBG.
[ ] FOUNDATION 2ND
[ ~]/FRAMING
[ ] INSULATION
[ ] FINAL
[]FIREPLACE&CHIMNEY
REMARKS:
INSPECTOR
ION REPORT DATE
.D INSPECT
~0~DAT I~ON (IST)
~O~AT~OU (2~) ~:
~o~ ~
CODE
ADDY'rI'ONAL COt.~[ENTS:
· POP~ NO. !
TOI~ OF SOUTltOLD
BUILDING DEPARTHENT
TOI~N HALL
SOUTHOLD, N.Y. 1197 !
TEL: 765-1802
Di~pp~tn~d a/c ...................... ...... .... . ·
BOARD OF liEALTR . ~ ..........
3 SETS OF PLANS//~K~ .............
SURI/E¥ ...... ¥ ................ '.
c~cK :~. toO, .~. ................
SEPTIC FORH ...................
NOTIFY: ~ ~'~ O~.~-
CALL .'~.'. ~.~.. ....
HAIL TO:
.~.~...~... ~.'/~. ..............
.O~o.~-U..~..~..x t.q.~7.
APPLICATION FOR BUILDING PEP, tilT
INSTRUCTIONS
a. This appli~a~ia~ nnmt be couple!ely filled in by type~it~r o~ 'in 'ink and suhuitted to the Building Inspector
· ' 3 sets of plses, accurate plot plan to scale.. Fee according to schedule.
b. Plot plan dx~ing location of lot and of buildings on pr~mises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of laymt of property mst be dr~m an the dingran ~nieb is part of
this ap01icat lan.
c. Tee ~ork covered by this application my not be ec~mnced before issuance of Buildi~ Permit.
d. Upon appio~al of this application, the Building Inspector will isstm a Building Pemit to the applicant. Such
permit shall be.lmpt an ~ premises available for inspection thro~hout the x~ork.
e. No beilding shall be oceu~ied or used in ~nole or in part for any purpose ~natever until a Certificate of
Occupancy shall have been granted by tim lhilding Inspector.
/IIPI~ICATHlt IS Rl~z~t ~ to the Building Department for the issuance of a Building Pemit pttranant to the
Building Zone Ordinanoe of the To~n of 8onthold, Suffolk County~ ~ York, and other applicable L~s, Ordiasoces'or
Ik~ulatioas, for the construction of buildings, edditiorm br altarations~ or for res~val or demolitian~ as herein
described. Tee applicator agrees to cc~ply ~ith all applicable la~, ordinancas, building code, housing code,
regulations, and to a&alt authorized inspectors on premises and' in building for necessary inspections.
(Signature of appllcent, or name, if a carperation)
(ltailing ~klreas of applleant)
State ~/~ether appliemqt is mr, lessee, agent, , engincer,.ganeral contractor, electrician, plmber or buildm
(as on the tax mi1 or lata~t deed)
If applleant i~ la corporstlon, ~iganto~ of duly authorized offleer.
(l~e and title o[ corporate offieer)
Builders License No ..........................
Plt~bers License No ..........................
Electrici~s License No ......................
Other Tra~'s License No .....................
!. Ix~ation of land on ~/nich proposed ~,~rk will be dese ..............................................................
........................ ..................................
ltonse limber Street tl~let
o~pNo..~....,~0 ~tion .Lz..~ ......... ~l...~ .... ..~ ......... ,~.~°t .x.7.:.t ........ x.Z.. ~'"
Subdivision .
2. State existing use aral ocCUpancy of premises and interaled use and occupancy of proposed construction:
~. ~i~ting .~ ~ oc~ ...;t..~..~...~-e~.~qo...c~..-- ........................................
b. Inteeded use and occupanc~ .... t ·..~7. -~. -~.: .k~ ~-~* ' ' ......
(Reseription)
(to be paid on filing this application)
5. If d~elling, n~ber Of d~elllng onits ............ lx~mber of d~elling traits on each floor ................
If garage, r~er of cars
6. If business, connercial or nd occupancy, specify on,ute and extent of each type of use
tleight ,~.7..~ .... i Iq~aber of Stories
Di~enslons of s~ne structure th alterations or ndd~twns-' Front ............... Rear ...............
Beptl 'ght lx~l~r ~ Sto les
8. Dimensions of enti~e se~ construction: Front ,...............~ Rear .............. Depth ...--~ .....
Beight .... ~-~:~ ............... I!. lla~ber of Stories .... [ ..................
II. Zone or use district in ~hich premtses are situat~l '*
12. 9ocs proposed constmctlon v~ol~te any zoning la~, ordinance or rngulation: . .~1:> ..................
I~. l~ill lot be rngraded ...~'~.9...i .......... ~lill mss fill be re,attend frc~ premises: 1~8 hD
e ' .
Ra~e of Contractor ' ~klress Phone No
15. Is this property within 300 fse~ of a tidal mtlsed? * ~ .......... NO ..........
PLOT 1) I A~RAI~
l~cate clearly and d~stinctly all buildlngs, ~hether existing or proposed, and indicate all set-beck dhmnsions
fr~a property lin~s. G~ve street and block ~,,~her or dascription according to deed, and sho~ street nares ~d indicate
~hother interior or corser lot. !
~rAl~ I~F 1~
G~I~ {~ .......................
(1~ ~ i~ ~i~ing ~t~set)
..... .... ...... : ...................................................
(~tr~tor,~, ~o~rate officer, e~c.) .
of ~id ~r or ~rs, ~ is ~ly ~thori~ to ~rfom or I~ ~r~o~ tim ~ig ~ ~ to ~ ~ file Offs
a~lication; ~at ail - " '
statmnts.cmt~t~ in ~is a~li~atim am t~ to ~e ~st of his ~1~ a~ ~liefj a~
that ~ m~ will ~ ~r[o~ in tim ~r ~t forth m ~e a~ti~tim fil~ ~.
SURVEY OF: LOTS :1, II ~t 12
AN,~ PART OP LOTS I0,
"MAP OF PROF~RTT' OF A. L. OOP~IS"
FI! Fr~ AU~. 14, Iq2q A5 PILE )) :21
SITUATE..
NOT~:
· MONUI"~NT FOUND
PIF'~ FOUND
AREA = 54,06"/5t= OR 0.-/8 Ad. RES
®t:~.APHIC, 5GALE I": ~'
Pond
S87°04'10"E ~ 147 96'
I
/
SUFFOLK COUNTY TAX ~*
I000 - 126 - 4 - I-/.I
JAMES ID'AOOARIO
JANFzT D'AODARIO
N
+
W '~z E
S
,.,-.,-.-,. N.Y.C. LIC. NO. 50202
JOHN C. EHL~ S'L'AND SUPVEYOR
6 EAST NASN STREET
~IVERHEAD, N.Y. Jlg0J
369-8288 Fax 369-¢~87 REFERENCE ~ 99-~1
5UP-.VE'r' OF LOT.~ ~ II ~ 12_
AND PART OF: LOT.~ lO, ID ~ ~l
"HAP OF F~a2PE~Th' OE A. L. ~Ok~N~"
Fl! Eo ~. 14, Iq2q A~ FILE # 21
51TUATE: LAUREL
TOINN OF ~5Ot)THOLP
5UPt=OLK CTx2UNTY, Nh'
NOTES:
· MONUHENT I=OIJNID
0 PIPE POUN~
:]'CCCC]]C- HEDGE
APJEA = D4,0&I SF OP. 0]8, AC, P-E~5
From PI~M Ponel 461 Pob¢ Mo~ 4, Iqq¢
~PHIO ~OALE I"= DO'
#1
Pond
~URVEYEP 02-OD-qq
AHENDEP
~t=OLK GOUN~r' TAX ~
I000 - 12& - 4 - Iq.I
GERTIFIEE~ TO:
JAMES D'ADDARIO
JANET D'ADDARIO
N
S
JOHN C. EHLERS LAND SURVEYOR
6 EASY MAIN STREET
RIVERHEAB, N.Y. 1~90J
369-8288 Fax 369-8~87
N.Y.S. LTC NO 50202
REFERENCE # 99-1~1