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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