HomeMy WebLinkAbout28414-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-29808 Date: 10/30/03
THIS CERTIFIES that the building ALTERATION
Location of Property: 445 WHITE EAGLE DR LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 127 Block 9 Lot 26
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 23, 2002 pursuant to which
Building Permit No. 28414-Z dated MAY 23, 2002
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 INSTALLATION OF A GAS FIREPLACE IN AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to KENNETH & SANDY RAGOZZINE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEAT TH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1174009 10/23/03
PLUMBERS CERTIFICATION DATED N/A
or' ed Signature
Rev. 1/81
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5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY 5
fj 40 FULTON STREET -- NEW YORK, NY 10038 r55j
CERTIFIES THAT 5
5 Upon the application of upon premises owned by
J SANDY RAGOZZINE SANDY RAGOZZINE c5
C5J WHITE
EAGLE194LAUREL, Y 148 DRIVE N9DRIVE
LAUREL5
�5 5
PLocated at 445 WHITE EAGLE DRIVE LAUREL, NY 11948 rj
C� 5
5 Application Number: 1174009 Certificate Number: 1174009 5
CC5 Section: Block: Lot: Building Permit: BDC: NS11 S
TDescribed as a Residential occupancy, wherein the premises electrical system consisting of S
5 electrical devices and wiring, described below, located in/on the premises at: �]
5 First Floor, 5
5 5
55 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
5 found to be in compliance therewith on the 23rd Day of October,2003. 5
5 Name OTY Rate Rating Circuit Type
5 Miscellaneous C5
5 1-gas fire place burner 5
rj with fan 5
5 5
5 5
5 5
5 5
5 5
5 sea, 5
5 of 5
5 1 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 5
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i F TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT a .-
FORMER WNER N E ACR.
Q.92
ax I n o,aE ' S W TYPE OF BUILDING
Y (
RES. (C7 SEAS. VL FARM COMM. CB. MICS. Mkt. Value
t
LAND IMP. TOTAL DATE REMARKS
I Q - 1 n lfietd
I SCNj '7goo I Boo 212Zoo Co �a�a05
Tillable G _ FRONTAGE ON WATER
Woodland ' 5 FRONTAGE ON ROAD
Meadawland ?f<'a DEPTH
House Plot BULKHEAD
Total
October 1, 2003
1
All Seasons Gallery
119 Rocky Point Road
Middle Island, New York 11953
Dear Sir/Madam:
I am presently in the process of obtaining a building permit through the Town of Southold for the
installation of the gas fireplace that was installed by your establishment in June of 2002. In order
that the process be commenced, building inspector Gary Fish from the Town of Southold has
requested that a representative from your establishment contact his office so that he may address
some concerns.
On 9/3/03 a representative from your estab!ishment named Steve stated that he would give Mr.
Fish a call reference to speaking to the building department.
On 9/16/03 1 contacted the building department to ascertain if they had been contacted by All
Seasons. I was advised that no representative had called or left a message. I was advised that
Mr. Fish has voicemail and no message was left to date. On this date, I did leave a message for
Mr. Fish and was contacted by him the same day and he stated that he had not received a phone
call from All Seasons.
On 9/17/03 contacted All Seasons and spoke with Steve. Steve stated that he had left messages
for Gary Fish and has not been able to contact him as of this date.
On 10/1/03 1 Contacted Gary Fish and was once again advised that still to this date he had not
received a phone call from All Seasons. I advised him that I would be sending you a certified
letter and would also send him a copy to be filed in my case jacket.
At this time, I am once again requesting a representative from All Seasons Gallery contact the
Town of Southold Building Department and speak with a Mr. Gary Fish in order that I may
proceed forward in the obtaininga Certificate of Occupancy for the installation of the gas fireplace.
I will recontact Mr. Gary Fish on October 14, 2003 to see of any progress has been made.
If you have any questions please feel free to contact me or my husband . Telephome# (631) 298-
1808.
Sincerely,
Kenneth & Sand Ragozzine
Sud�) -Itaw-a--
Cc: Mr. Gary Fish
Town of Southold Building Deparment
Tel#765-1802
Bldg. Permit 28414Z
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5. So "LOG E RA,S, a. E.
, OYL111LtGYLC� C.YLQE�2ES2
J/ I ACEC Member
Supporting Excellence
In Engineering
UNION SQUARE a 727 UNION AVENUE a RIVERHEAD, NY 11901
October 20, 2003
Mr. Gary Fish
Town of Southold
Building Department
Main Road
Southold, New York 11971
Re: Ragozzine Residence at 445 White Eagle Drive, Laurel,
Town of Southold,N.Y.
Dear Sir:
I have inspected the natural gas-fired, zero-vent fireplace at the above referenced residence and
found that the fireplace and surrounding structure are in conformity with State and Local codes and
ordinances. Based upon my visual inspection of the installation, I hereby certify as its conformity
to such laws and ordinances, and affix my seal heretofore.
If you have any questions concerning this matter,please call us at your convenience.
Very truly yours,
E.S. KALOGERAS, P.E. +� of y
CONSULTING ENGINEER `R P s. Kq c QV
J J.
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E.S. Kalogeras, P.E. NF., 1n 6 w��i
^4�f3Slo NAI''NG
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cc: Mr. & Mrs. Ragozzine
TEL: (631) 722-4040 • FAX: (631) 722-4004 E-mail: Lkalogeras@msn.com
CH K
Applicant, /J4 S Date
Owners Name: _ ZZ�-rQ _ Reviewed;
a
Architect/ Date
Engineer: Submitted:
SCTM M: {
District: 100Section: /a- 7 1310ck- Lo(.
Project p �j Subdivision
1.ocalion: � " _C�a� .—ltXrL 7 ,tt�.�.� Names_-_ �
ccrormation. JY s Required
O
Single & wparale
e Nol ----
- Req_
Zoningllistria n of siu:'. 27 ,^_Acmnl:__ `r'����_1 1Lol coverage _I'mpus<JYJ r/ �
Req- _ Rey-
((4oni Pard Proposed ,,,/„_I (side Yard I'roposW nJ [Rear Yard Prorros�0. 1
Project Description:
r
AGENCh'..PERNIITS Permit .
REQUIRED FOR REVIEW N.A. NIO YES Number
Suffolk County Health Dept.
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval:
Flood Plane Elevation???
Flood Zone:
Notes:
:765-1
BUILD DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: O�c
DATE ® INSPECTOR —/�L
FIELD INSPECTION REPORT DATE COADIENTS
b
FOUNDATION (IST)
FOUNDATION (2ND)
z
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ROUGH FRAMLNTG& H
PLUMBING
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INSULATION PER N.Y. y
STATE ENERGY CODE
FINAL CIO
0 �s
ADDITIONAL CONIlMM
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
-
Survey
(631) 765-9502 Survey r/
PERMIT NO._ o� l cheeky
Septic Foran
N.Y.S.D.E.C.
Examined 3 20 E»- Trustees
Contact:
Approved 20_0,>,
Mail to:
Disapproved a/c
Phone:&9� 9-0 $�
Expiration r � 20 Q3
Cr l i t g rid .�
JI,{6 MAY 2'3 20 E APPLICATION FOR BUILDING PERMIT
ot_PT. 5l a 3 2C Oa
T^'.'ttt '�F SnUTNOLD "
INSTRUCTIONS Date_
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 waterways.
c. The w,,tk covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application the Building Inspector will issue a Building permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the
property have been enacted in the interim,
addition six months. Thereafter, an �e Building required. may authorize,in writing the extension of the permit for an
APPLICATION IS permit shall be required,
Building Zone Ordinance of the MRT own of DE t Southold, Builgo�ou County, }for
the issuance of a Building Permit pursuant to the
Building
Zo, for the construction of buil York, and other applicable Laws, Ordinances or
applicant agrees to comply with all �,additions,or alterations or for removal or demolition as herein described. The
mP Y applicable laws,ordinances,building code,housing code,and regulations and to admit
authorized inspectors on premises and in building for necessary inspections,
OCCUPANCY OR sanak., RQgEx�,4 t
UNDERWRITERS CERTIFICATE (S�auue of apPh t or if a corporation)
REQUIRED USE IS UNLAWFUL R 8OX 34y �aure,l NY /1g49
WITHOUT CERTIFICATE
OF OCCUPANCY address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general condactor, electrician plumber or builder
o LL) AP R VED AS NOTED
Name of owner of premisesnn Sctr)d zJLR
2a n
If applicant is a corporation, signature y ( on the tax roll or ep BUILDING DE ARTMENT AT
tP gnature of duly authorized officer 765-1802 9 AM TO 4 PM FOR THE
(Name and title of corporate officer) 1F.OFOUNDAT ONE-TIWO REOlJIRED
FO RPOUREDCONCRETE
Builders License No. 2 ROUGH - FRAMING & PLUMBING
Plumbers License No. a INSULATION
Electricians License No. 4. FINAL - CONSTRUCTION MUST
Other Trade's License No. BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
1. Location of land on which pr?posed work will be done: THE E O CONSTRUCTION
OF THE N.Y.
STATE CONSTRUCTION & ENERGY
4 4 Wh i+e =Q Je rl ve t_Q u r C DES. NOT RESPONSIBLE FOR
House Number Street Hamlet
County Tax Map No. 1000 Section Jar] Block OI Lot a (�
Subdivision (-srt lr p r,, Vi r u t EStir�P S
(Name) Filed Map No. Lot
a Co
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy. 1'e5 I C)e r-) 1-10,
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work Go--) -F!re_, I Q C 2,
(Description)
4. Estimated Cost `9 70 017, Fee
(To be paid on filing this application)
5. 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 nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth I Height Number of Stories ''
S. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front Rear Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated `
12. Does proposed construction violate any zoning law, ordinance or regulation?YES_NO
13. Will lot be re-graded? YES_NO Will excess fill be removed from premises?YES_NO`
14, Names of Owner of premises Address Phone No.
Name of Architect Address_ Phone No
Name of Contractor Address Phone No.
15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO ✓
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, A.E.C. PERMITS MAYBE REQUIRED. ,.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF
.L NMxe 4MLp }
being duly sworn, deposes and says that(s)he is the applicant
(Name o mdividu .S oonlract),above named,
(S)HeisYhe �w'ner, =,1
(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.
Swom to before me this
day.6t ,
Notary Public ."„ i 660-nP
+; ia ) Y bi f,. S tllreo t
JOYCE M.WILKINS
Notary Public,State of New York
No,4952246,Suffolk Co my
Term Expires June 12, r'00-1
i
i Dw_ELLING UNDER r!%:Ncrprlrrinpf 1MPRp'JcD f:EKlir iED 10:
NO WELL OR SA.NIFARY PRESENTLY WELL IN REAR YARD, SANITARY IN REAR PER OWNER, ACE BUILDERS
EXACT LOCATIONS UNAVAIL48LE
WHITE. EAGLE DRI V f
.p.ac eaan'o CASZUZN/T MU%GR SuESURFACE STRUCTuR S H£COKOtO OR UNRECOHOEO
fOl.*25,32�3342"E{700.56�� /l�c� 900_G� 100.00 ARE THE NOT pFw1�EJRtUNN-sS PM9CALLY ENDENT ON 7fE PND41S£5 AT
C D A 00.00 x. a- G �,00 06.00/ BC 99.61 C[DLWPZTS 'GL^` HEREON .SH4LL RUN ONLY " 7H£ PERSCM(S) ,
11 U^9 99.61 TO ,9 p/ WNOM THE SUR✓EY IS PQrPARED. AND ON H(5 BEwF TO ME anE COY-
PANY, GOVERNMENTAL AGENCY AND !ENDING WSTRUTIONS LISTED HEREON.
AND Rl THE ASSIGNEES OF ME LE.40/NC INSTTTUTTON. GUARANTEES ARE
FENCE �� �- NOT Mt&SFERABLE TO ADC•RaWL INSTM�S OR SUBSEQUENT OitiNERS
ME OFFSE/S (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO
THE PROPERTY TUNES ARE FOR A SPEC1FiC PURPOSE AND US£AND TIIERE-
0.4' W -- FORE ARE NOT INTENDED 70 CU/DE NE ERECTION OF FENCES REfA1NlNG
f \W a�Pr \ �� i 390.96' oTH�PAIMS Rr.,:G AREAS ADD,^;Gr.s g•rwxGs AND
2 r2l DEEP'cx W
i 2 p JOB NO. F2418
MAP NO. 7770
a a6�6k' Z FILED:AUG. 30, 1984 {,p�,,
REVISIONS:
w cV \ o 'CAR. V a I S.C.D.H.S. ENDORSEMENTS
a PROPOSED
It:S
w? q' 38' x 573' t
22 w DOWELLING f 2 -�
U \
OBJ ry OZ3 W
! . `
4 105
� O
license no. 050149
SURVEY OF
ro g 03 Q LOT 28
IN
0-N PROPOSED WELL �� L5W MAP OF
4� AMINTA/N FOD' AIN.
Q: N c PAoe?70N FRO}A �� �
2 ^ EX57/NG �, PROP. N 2 I GOLDEN VIEW ESTATES
SANITARY SY5\. T LOT 26 1 h
i O SITUATE AT
3 Z i'1Vy 3 LAUREL
TOWN
2oD't 1 , TOWN OF SOUTHOLD
FExcE o 1 SUFFOLK COUNTY, NEW YORK
FE
E
p,B• N SCALE' 1"=50' DATE.- .NOVEMBER 61 1999
-CDNc. MON. ""- -- -" SC.TAJ. DIST, 1000 SEC. 127 eLK.09 LOT25
N32'33'42"W
185.95
LAM1'D NOW OR FORME-PLY -^ALLIN RASW- ILER
TES T H'J__
rr rn 1
Tut '6lr;tqu� fZV
6 & CAM j ric .an Bos N.Y.j ',46
CLAY i (516) A?8-5330
11AREA; 40,432 Sq.Ft. = 0.928 Ac _B j ;SND Mom E Charast. L.S.
Succavors to
EL vf, u�NS ARE.IN ASSUMED DATUM. pour 0.:nafizo. L.S. RO art A. KcrL LS.
iri ✓FFAC Y Cv✓GNI ✓i'irIN ,iUu reel. _I"l _ I �.-ao.1 r.-.O.�
Vus
50 7/811293MMI ——] 50 7/8(1293MMj
40[1014MM] 40[1014MtA
20 5/8(524MM] --+ 20 5/8[524MM] - —� 38 [965MM] 34 5/8[879MM]
17 1/4[437MM]- — 17 1/4[437MM]
36 1/8[916MM] -----'
+ t 41 1/8 [1044MM]
ELECTRICAL
ACCESS'
72[1828MM] �
T2[1828MM] 8 5/8[219MM]1/2[13MMj 1/2[13MM�s ]
V
[ 1 ] 36[914MM] T
O d 26 718[682MM]
!r ---� 28 1/2[724MM] }
14 [362MM] ---f 3 112[9oMM]
GAS
ACCESS
21 [55MMJ 12 3/4[323MM]
21 1/2[548MM] v.:,, ... .. ..
518 [219MM]
6 7/8174M 11 5/8 [297MM]
AM
[ 38
SPECIFICATIONS
in
Height Front Width Back Wildth Depth
Model Glass BTU�
� i
p ~ 22[559MM]
6000TRXI i Size
Actual Framing Actual Framing Actual Framing Actual Framing
Inches 38 38 12 411/8 42 281/2 42 211/2 22 36 x 24 3/4 20-40,000
42 [1067MM]
Referee c chemosis only.We=om=nd>mtlg individual umts at iruyal atm t
bra me wo rK
01/2002 HEAT-N-GLO A-4