HomeMy WebLinkAbout20850-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22870 Date FEBRUARY 10, 1994
THIS CERTIFIES that the building ALTERATION
Location of Property 2213 INDIAN NECK LANE PECONIC NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 86 Block 5 Lot 10.1
Subdivision Filed Map,No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 16 1992 pursuant to which
Building Permit No. 20850-Z dated JULY 28 1992
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ALTERATION & RENOVATION TO EXISTING ONE FAMILY DWELLING AS
APPLIED FOR. .
The certificate is issued to JOHN DeGENNARO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-038724 - DECEMBER 20, 1993
PLUMBERS CERTIFICATION DATED JAN. 21, 1994-H. SMITH PLUMB. & HEATING
~ , Build ng Inspector
Rev. 1/81
FORM X0.9
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°N9 208502 Dote 8 19. . ,
Permission is hereby granted tow • 2 '
4elf
. v.. L.....
21.
to .e.. . .......~1....0~2 . C%%~;1~' .
/
at premises located at ..................vZ~ .....l.r r L~
.
County Tax Map No. 1000 Section a...& ......~.............DBlock Lot No......(.......
pursuant to application dated e i . ......1.. (a......, 19.$&~ond approved by the
Building Inspector.
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Fee $..,~d.e/~..
I
40
Building Inspector
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f
Rev. 6/30/80
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Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in 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 topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual 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 - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction....... ..2Old Or Pre-existing Building.
Location of Property. ~.d..~ h1 J6)H..0... >...C6D....!Y .
House No. Street Hamlet
Onwer or Owners of Property..:S(o),~ 1,4 .y!~
County Tax Map No 1000, Section . ......Block.....9(~? .......Lot...5.. U
Subdivision...... ...........................Filed Map............ Lot....
D.Q
Permit No. Date Of Permit ................Applicant.
l ~l ( ~:~4/1G!Y~~l!l~S(
Health Dept. Approval ..........................Underwriters Approval ...Y . ~
Planning Board Approval
Request for: Temporary l1Certificate Final Certicate...........
Fee Submitted: $.....v:
C~ ec•~ ~yK 2
Ca O APPTJCANT « .
H. SMITH PLUMBING & HEATING, INC.
MAIN ROAD
SOUTHOLD, N.Y. 11971
(516) 765-3690 1
C E R T I F I C A T I O N
Date January 21. 1994
Building Permit No. 2085OZ
i
Owner John DeGennaro
Plumber: H. Smith Plumbing & Heating, Inc.
,
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
~I
civo
ry P. Smith
Sworn to before me this
21st day of an ua v ,
19 94
~19 tea/ ?P C ~P,
Notary Public, Suffolk County
Notary Public
BERNADETTE L. TAPLIN
NOTARY PUBLIC #4944893
State of New York
Residing in Suffolk County
commission Expires Sept. 30, 1995
r
l
THE NEW YORK BOARD OF FIRE UNDERWRITERS!,'.- ~PACS~r°~""n
34420 SURIkAU OF ELECTRICITY •'L.,.,.,i,. "'4 1'
BS JOHN STREET, NEW YORK, NEW YORK 10038 s
Date DECEMBER 20,1993 4ppur.aaonNa..mjgi# 78033792/92 H 038724
THIS CERTIFIES THAT
only the electrical equipment as, described below and introduced by the applicant named on the above application rI mber in the prembae q/ .
" It E
JOHN DeGENNARO, 2213 INDIAN NECK LANE, PECONIC, N.Y.
In thefollowinR location; ® Basement ® ?stFt. ® 2nd Fl. GAR/ATTIC/OUT AmtiodMach r LoF.
was examined on DECEMBER 16 , 19 9 3 anvi• foand to be in compliance with the National Electrico! Code. ,
NXTURE ECBTACUS fW17CHE5 FIXTURES RANGES tXUOKINGOWKi OVENS . DISHWASHE EXHAUST FANS
OUTLETS INCANDESCENT ElUOI1FSCtm OTNER AMT, K. W., AMT. K. W. AMT. E.W. AMT. K. W. AMT. , x F.,
36 35 28 32 4 1 8,6
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SF[CIAL REC•Fi TIME CLOCKf Hu UNITHEATERS MULTI-OUTLET DIMMERS'
AMT. K. W. OIL N. F. GAS H. F. AMT. No. A W. o. AMT. AMA. W. AMES. TRANS. AMY. N. A. SYSTEMS AMT... W.itt3'
:NO. OF FEET
1 F 1 2112 DIS i'~ 30'
, ys
SERVICE DISCONNECT MITER S , 3 . E It V . 1 C , ? t E t f i' e °
AMT. AMF. IYAE EOUI?. e X 7w IN Jw 3Z Sw 130 sW f~C~C D. A. • COirD OF IILLEG 4 A W G. rA7 M NEUT
RALS A. W.
OF w LEO• - OF NEUTRAL
1 200 CB 1 Ks „ ~/.0 Tl fq, it l ik
OTHER APPARATUS, - , • u . & _ 5 n d d .
.x `A Av ak ~r?w» `I`I i°
JACUZZI-1 a" .4.. Ef, ~@I~ ~€u ,gs
HOTORSti-1 H, P.,6-F H.P.
G.F.C.It-18
SMOKE DETECTORt-3
TRACK,LIGHTINGi-20
< f ~
JOHN DeGERNARO
22 BRIDGE LANE
PT.JEFFERSON, NY, 11777 GOMM MANAGER;„' ,
,1 a a n
Per
this certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be i tified by the credentials.
i
ENERGY CODE REVIEW
(non-electric)
7814 (Part 5) 6,000 degreeedays
For v oJ/2/~JQ hil aPer Dwgs [Jts ~A ~Zr 7Cr, i
2 n / JT`'~1 Gr s y, /jam ~Pr / Dated
Envelope Component R-Value
Exterior Wall R-18
Roof/ceiling R-19
Floor R-19
Foundation Wall R-10
Slab Edge Insulation R-10
Glazing R-1.7
Entrance Doors R-2.5
All IIVAC Equipment to meet requirements of 7814.11
All HVAC Contre3~Systems to meet requirements of 7814.12
All Duct Systems to meet requirements of 7814.13
All Ventilating Systems to'meet requirements of 7814.14
All Piping Insulation to meet requirements of 7814.15
A11 SerVice Water Heating System and Equipment to meet
requirements of 7814.21
All Electric System to meet requirements of 7814.31
To the best of my knowledge,
belief, and professional
judgement, these plans are
in compliance with the code
of NEy Y
y1~~NC~ . TU~Ar
T
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p,':..::.~, q~-W 7 <P.'1 ~~:::2i'~`;~'.i•_ .«at ~J~d 0324647
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JUL L G p
4.M 1
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i5r
Non-Jurisdiction
.May,, 22,, 1992
Mr.'John De Gennaro
2213'Indian Neck Lane
Peconic NY 11958
RE: SCTM # 86-5-10
Dear Mr. De Gennaro:
After an on site inspection the Southold Town Trustees found
that the 7' X 12' addition and a second story to the existing
home is non-jurisdictional as per map submitted "May 18, 1992.
Please note.that the Trustees request that drywells be used to
contain roof runoff.
If you have any questions please call our clerk at 765-1892
Very truly yours,
John M. Bredemeyer. III President, Board of Trustees -
4 U
TOWN
NeW York State Department of Environmental Conservation
.Building 40-SUNY, Stony Brook, New York 11790-2356 r ~L
/ Re:
x/777 Oj'~/'~T~homas C. Jorling .
Commissioner
Dear ~L
A review has been made of your CeKe~~ Cc /tier xBC ael ira`. c~-x®t~
et. "sfs 2y a .~~oC~Z+n w, ~ .eVzS
S - r7al
/O ' Gamic ct`""~
Based on the information you have submitted the New York State
Departmerit of Environmental Conservation has determined that the
`parcel, !project is:
Greater than 300' from inventoried tidal wetlands.
Landward of a substantial man-made structure
greater than 100' in length which was constructed prior to
9/20/77.
2'1r Landward of the 10' above mean sea 1 vel elevation V.o tour on a
gradual, natural slope.
~ 9Z
Landward of the topographic crest of a bluff, cliff or dune
which is greater than 10' in elevation above mean sea level.
Therefore, no permit is required under the Tidal Wetlands Act
(Article 25 of the Environmental Conservation Law). Please be
advised, however, that no construction, sedimentation or disturbance
of any kind may take place seaward of the 10' contour or topographic
crest without a permit. It is your responsibility to ensure that all
necessary precautions are taken to prevent any sedimentation or other .
alteration or disturbance to the ground surface or vegetation in this
area as a result of your project. Such precautions may include
providing adequate work area between the 10' contour or topographic
crest and the project (i.e. a 15,1.to 20' wide construction'area)'or
erection of a temporary fence, barrier, or hay bale berm.
Please note that any additional work or modification to the project
as described, may require authorization by this Department. Please
contact this office if such are contemplated.
Please be further advised that this letter does not relieve you of
the responsibility of obtaining any necessary permits or approvals
from other agencies.
Very truly yours,
16
JUL. Deputy Regional Permit
Administrator
vaxrwxveex.m,.. „avs.:~., ~".r.a;;.Y1eL"g,,,,...v5: ......,'k .v 7._-..
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ } ROUGH PLBG.
[ } FOUNDATION 2ND [ ] INSU TION
[ ] FRAMING INAL
REMARKS:
` e
DATE INSPECTO
U-1- J
,~oes--b
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ FINAL
REMARKS:
-ze
DATE l •~t INSPECTOR ~Gi~/
-7 1,
pppp-
eszl-~
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ NSULATION
[ ] FRAMING ] FINAL
REMARKS:
f
DATE L~ INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST (?RO/ UGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ 4/F'RAMING [ ] FINAL
REMARKS:_ -~ic.Q?~
DATE !~p L INSPECTOR
i Lc:` J :::z .1J:i `°'~IJ..:... jl ~i:5'(i•t L N 7S i' J~•~•
1 O
voly
7OUIIDATIO t) y
~N
7OUNDATION (2nd)
R!
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LOUGH FRAME &
-PLUMBING I
m
INSULATION PER N. Y.
I y
STATE ENERGY II
CODE
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FINAL
zt:
ADDITIONAL COMMENTS: x ~j-
xro SGS- ;
x p_
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H
t` BOARD OF HEALTH
~i FORM NO. 1 3 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY
JUG. 1 6 BUILDING DEPARTMENT CHECK .
TOWN HALL SEPTIC FORM
I - . SOUTHOLD, N.Y. 11971
TEL.: 765-1802 HO IFY: ''ryry qyC
CALL
Examined 19 ..//.~~yy. MAIL TO:
Approved 19/..~1'ermit No. " " " " " " " " '
.
Disapprov ?dalc . . .
I ,
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date 1v f / 197:2
i INSTRUCTIONS
a. This application must be completely filled in by typewriter or' in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspeptti/ons.
......1.~'(OW . ~~4'T.%W!. , .B.c~.4
(Signature of applicant, or name, if a corporation)
F'19 t toes ....8 elute oCt)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
-4eel"Yoe ..............(f.......................................................................
Name of owner of premises . jO.!'r#... P~4`.4 V ~A!2a
(as on the tax roll or latest deed)
If appl' ant is a corporation, signature of duly authorized officer.
.
(Name and title of corporate officer)
Builder's License No.
Plumber's License No. ........a1/,4
Electrician's License No. .....AJIA
Other Trade's License No. P1/4
1. Location of land on which proposed work will be done .
......2?f ..~./;ce~ PG4
House Number Street Hamlet
County Tax Map No. 1000 Section Block ~F......... Lot .
Subdivision Filed Map No. Lot.:.............
(Name)
2. State existing use and occupancy of premises and intended use and ocncuupancy~ of proposed construction:
a. Existing use and occupancy ..........Qat/
b. Intended use and occupancy ........6400 ....YK-Awrb( ..pz..4 01~ • • .
A
3. Nature of work (check which applicable): New Building Addition ...+i..... Alteration .
Repair / . . . . . . . . . . . . . Removal . Demolition Other Work
yy
(Description)
4. Estimated Cost °l°. ~v. Fee e4~ .
(to be paid on filing this application)
S. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars .
6. If business, commercial or mixed occupancy, specify natur and extent of each type of use .
Height ....a.i~ . . .g. . . . N structures, if any: Front Rear , , , . , , Depth . Z. , • . , .
Dimensions of ber of Stories .
Dimensions of exi tin with alterations or additions: Front ......,"1 Rear , , , , , , , , , , , , , , , ,
Depth ale............ Height .....49 Number of Stories ~
ti
8. Dimensions of enre newt construction: Front ......7 , Rear Depth ...Ce:-
Height .2at Number of Stories P-
10. Date of 9. Size of lot: Front 1~ Rear
Depth So 14. Adr......
district in which • ' ' • • Name of Former Owner . . .
11. Zone or use Purchase
.^premises . ~are situated .....,>:4, 7%rKG( .
1
13. Will 2. Does proposed construction violate any zoning law, ordinance or regulation: N.. 4 .
14. Name lot regraded ' ' ' ' ' ' • • • Will excess fill be removed from premises: Yes No
Address ZZ ~3~!!apE '~-e:qC , Phone No. 3.3(.`'lk y4
Name of Architect Address aT 'I.'€.011*Phone No.. .
Name of Contractor Joh-e. $S"A`AP!..404PA404K. Address. e }so. a29Kwaar ,c Phone No..7H.J' /.,rf.,( , , ,
5. Is this property within 300 feet of a tidal wetland? *Yes.... No.........
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
~I
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STATE OF NEW YORr, S.S
COUNTY OF .......u7~Fbc 1 S
o h ...O j? r22r+pi `
. I . I being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He isthe..... AM- _fL
fr/,~F
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith. .
Sworn to before me this /
• ................~~,~dayof.J ..e {G/k.y+.......... 19
Notary Pu lic, ...S0 Folintitounty
ARNADVIE L. TAPUN
Gl
hATARY PUBLIC #4801193
' •
State of New York or
1 Residing in Sulfolk County (Signature f applicant)
Commission Expires sapt.3a, WL4
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{2 ° PLUMBING 34o4g ilNr36rcl.~..s
ALL PLUMBING WASTE
{ & WATER ~LIpNES NEED h' i
v Tt!'' _ NJRE COVERING „ / 2x JR-
, fZ"IJ~otrzo~ac APPR EDASNOTED DATE: ~elP.x a,~B~vz ~+,r~sr~,y~BY: ~z
rP , w `l2° Ate P'-'+' FEE:
NOTIF BU1'~ ILDING DEPARTMENT AT 765-1802 9 AM CT 4 PM FOR THE
\ Y40.TC5 FOLLOWING NG INSPECTIONS: i
1. FOUNDATION - TWO REQUIRED P' ~(~viwt
FOR POURED CONCRETE Move
2. ROUGH - FRAMING a PLUMBING ws z}e v 3, INSULATION c
OCCUPANCY OR FINAL - CONSTRUCTION MUST
USE IS UNLAWFUL BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET
II THE REQUIREMENTS OF THE N Y.
WITHOUT CERTIFICATE
sue; OF OCCUPANCY ~y 'SyJ y.+gTYFcGK STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR II2 GpX
PST DESIGN OR CONSTRUCTION ERRORS k 1
27 Gu1L$ CO.y%~Nppc i ~
.2 Ali S
LOOK
i o; . ( purrs of If copper tubing is use II
for. forr water distributing
U {f - ~,~e Ifor w Ffetem; piping shall be I
y ~ of ty Of types K or L only ' ;
I I F I TERS UNDERWRITER RED TIFICATE
y- UNDER
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