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Home My WebLink About28099-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29424 Date: 05/07/03 - THIS CERTIFIES that the building ALTERATIONS Location of Property: 6825 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 10 Lot 17 Subdivision Filed Map No_ Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 20, 2002 pursuant to which Building Permit No. 28099-Z dated FEBRUARY 21, 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 ALTERATIO14S TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM A & MARGERY A CAGGIANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 110537 04/29/03 PLUMBERS CERTIFICATION DATED 04/17/03 H2M LABS, INC A5Aorized Signature Rev. 1/81 1 FORM NO. 3 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) PERMIT NO. 28099 Z Date FEBRUARY 21 , 2002 Permission is hereby granted to : BREWI, ORENZOW & GONZALEZ 6825 PECONIC BAY BLVD LAUREL,NY 11948 for ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR WITH FLOOD PERMIT at premises located at 6825 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 126 Block 0010 Lot No. 017 pursuant to application dated FEBRUARY 20, 2002 and approved by the Building Inspector to expire on AUGUST 21, 2003 . Fee $ 325 . 00 A h i /gnature COPY Rev. 5/8/02 i Form No.6 TOWN OF SOUTHOLD /r 2 37(1!1? BUILDING DEPARTMENT - -- _ ^.._j TOWN HALL ` 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Department with the following: A. 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 10,o 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: L Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 Date. 23 �Wo New Construction: Old or Pre-existing Building: V, (check one) Location of Property: aS /"nICDA)/C A4V -&(ID /_/tUACL House No. Street n Hamlet Owner or Owners of Property: bo It WA41 M A60K C-A6(,1 0 Suffolk County Tax Map No 1000, Section /16 Block Lot 17 Subdivision Filed Map. Lot: Permit No. _2-go 9 Date of Permit. Applicant: 425346lJ I Health Dept. Approval: Underwriters Approval Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ t �� 3�� cant atnre U2M "U%q INCe 575&WFObv Road,McMile NY 11747 (631)6943010.FAX(631)4208436 NYSDOH ID#10478 LABORATORY RESULTS HARRY GOLDMAN WATER TESTING Lab No. : 0304169-007A Sample Information... MAIN ROAD MATTITUCK,NY 11952 Type Solder Origin : Dist. Attn To 631-298-4640 Routine Federal ID Client ID. : MARGERY CAGGIANO Collected :4/42003 9:20.00 AM Point No: 6825 PECONIC BAY BLVD,LAUREL Received :4/42003 3 3500 PM Location: SOURCE(KS)(2809911000-126-10-17)NEW Collected By :JD99 LINES Copy : Original cc Parameters) Results Units Limit Method Number Analyzed Lead <0.01 % 0.2 SW6010A 4/11/20032:08:00 AM Result(s)reported meet(s)Regulatory Limd(s) Result(s)flagged Neth * Exceed Regulatory Limit(s). Limit noted. Date Reported : 4/17/2003 Page 1 of 1 Laboratory Manager LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. 670 MIDDLE COUNTRY ROAD Application No.: 110537 ST. JAMES, NEW YORK 11780 Permit Number: 280992 (631) 265.3075 Block: Lot: Fax(631) 265-6057 Section A Owner: Wm. & Margery Caggiano gent: Wm. & Margery Caggiano Address: 6825 Peconic Bay Blvd Address: 6825 Peconic Bay Blvd tY Munici ali Laurel NY Laurel NY Municipality : License#: direct OwnerPhone: Agent: No. ITEM SIZE No. ITEM SIZE No. ITEM SIZE 32 Switches: 0 SubFeeds: 0 PooISAbVBIO: 41 Receptacles: 0 Timers: 0 PoolslnGround: 7 GFCI Devices: 1 Transformers: 0 Pools Filter: 0 Dimmers: 2 ACEqulpmentCentral: 20/30 0 Pools Lights: 42 MedlumBaseFixtures: 0 ACEqulpmentWlndow 3 CO Detectors: 0 FluroescentFixtures: 0 MotorsbyHP: 0 Disposal: 0 HID: 0 Generators: 0 Metal Halide Lamps: 1 RangeOvenCookTop: 1 WhlrlpoolHotTub: 0 RefrigUnits: 1 DryerElectric: 1 Microwave: 0 WalkinBox: 2 ExhaustFans: 0 WaterHeaterElectric: 0 ExhaustUnit: 9 CellingFans: 7 SmokeDetectors: 0 SteamShower: 1 DW: 0 TrackL[ghtingStrip: 0 BreadWarmers: 1 Laundry: 0 ElectrlcHeat: 0 GarbageDisp: 1 HeatingEqulpMotors: 0 PumpMotor: 0 CentralVac: 0 ExitSlgns: 0 Disconnects: 0 ChandellerLifts: 0 EmergencySigns: 0 FutureOutlets: 0 ElevatorLifts: LOCATION OF WORK: [/]Basement I]FirstRoor W SecondFloor [ Outside ❑ Addition ❑ Survey ❑ New Const. Comments Renovation of Residence Wiring Complete Rough 4/16/02 Final 7/12/02 Certificate Updated 5/07/03 Previous /Additions Owner Suzanne H. Connell OH ❑d UG ❑ Amp: 2200 Phase: 1 Volts: 240 Wire CU Conductor 2LQ #of 1 Temporary ❑ Type: Size: Meters: Member I.A.E.I. Electrical Certificate Certificate No. 110537 LONG ISLAND ELECTRICAL INSPECTION SERVICES, INC. THIS CERTIFIES THAT OUR L A DISTRICT Certificate Issued on: 4/29/03 INSPECTOR CONDU DAN NS CTION OF THE Issued to Wm. & Margery Caggiano ASIA LLATLE OIONI N RI ED EL N AND IS Address: 6825 Peconic Bay Blvd COMPLIANT WI HE UR E NATIONAL Laurel NY ELECTRICA OD . W m. & Margery Caggiano 6825 Peconic Bay Blvd Laurel NY IAEI Certified Inspector BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: z /z1 /01 4� .DATE SUBMITTED:-2 /tea /Ol APPLICANT NAME uurµ wwl w SCTM# DISTRICT: 1,000 SECTION:_12d,BLOCK: to LOT: I ? X STREET: � K« y c vr7 CITY: / qu2EL- SUBDIV. NAME: PROJECT DESCRIPTION: ARCHITECT/ GINEER: f E�� FAST TRACK? X� SINGLE & SEPARATE CERTIFICATION-REQUIRED? NO NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time atter 7/L ZONING DISTRICT: it2-yb CONFORMING? _ n/O G ffr47l� eS� /�GL�/- u�/� t s/ G✓o 12�. REQ. LOT SIZE: ACT. LOT SIZE: REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE REQ. REAR PROP. REAR WATER FRONT? 'Vo DESCRIPTION: PANEL #: 413e�, FLOOD ZONE:A6 6 , AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REOUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #):_DTE: / / PERMIT#:R10- NEW YORK STATE DEC: PRE-Dec 9nn5 YES o O SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES O NYS ENERGY: YES OR Co): EGRESS (18 H min.? 4 sq total)___-`VENT (SQ. FT. x 4%) ✓ LIGHT(SQ. FT. x 8%)�_ BUILDING PERMITS OPEN/EXPIRED: BP 5�4g jQ Z/C/0 Z- 4411 ACty HAVE PRE CO'S : Y O BP -Z/C/o Z- NOTES: FEE STRUCTURE: FOUNDATION: 1 SF FIRST FLOOR : 33 SF SECOND FLR : ,g F INIT OTHER TOTAL TOTAL: 1100 SF FEE FEE FEE 'OT( 1 ( 9p SF)- CaN j SF)= ago SFX$ . 20=$ ')5- +$ 1 TD +$ _ $ .,2' 1-- 4100 - �c moa, ybAz,r•1 T sZ, suiwiNc DE". INSPECTION [ ] FOUNDATION IST ( ] ROUGH PLBO. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 262 tt z zoa�/ 00, ®r or ,l DATEj4,p,4p' 1a�NSPZCT0 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ UGH PLBG. [ ] O NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE Z111(0 ZO2`� INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLB [ ] ,FOUNDATI ND [ ] INSULATIO w [ ] FRAMI9� [ ] FINAL [ ) FIREPL E A CHIMNEY / REMARKS: DATE E V INSPECTOR J/ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROULOG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: C L / G DATE 7 � ® Y INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE d� INSPECTOR 40f f� 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSyLATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS m FOUNDATION(1ST) - a ------------------------------------ r FOUNDATION(2ND) - F.- IF z a � z ROUGH FRAMING& a PLUMBING y Br INSULATION PER N.Y. — ) m STATE ENERGY CODE m dc c..,!5ss- M1 / 7 FINAL ADDITIONAL COMMENTS - -- - -- -- - r?m 0 O z — x m I v — — x 0 cn TOWN OF SQUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying 9 TOXVN HALL 1-`Board of Health SOUTHOLD, NY 11971 ./sets of Building Plans TEL: 765-1802 Survey PERMIT NO. Check peptic Form i N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved . 20 Mail to: Disapproved ac Phone: Building Inspector ni PPLICATION FOR BUILDING PERMIT 2002 i l� Date 13 Z --' ')o 62 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 waterways. 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 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 a Certificate of Occupancy is issued 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 inspections. tSignaKre of ap t t or name, if a corporation) //6hS Ai Al T//TII0K/IVY 1195� (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Doak--R Name of owner of premises B k EW I 1 OR J!F&1 z o Uhl 1 G o Al Z/}I EL (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: / 68 .2T- Pcconi 8AJ 8/ vb. L � Ul` E House Number Street J / Hamlet County Tax Map No. 1000 Section / � G Block / 0 Lot / Subdivision Filed Map No. Lot (Name) 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 oecupancy'j E-112 2e— 3. Nature of work (check which applicable): New Building Addition Alteration_ Repair ,J Removal Demolition Other Work (Description) l'. Estimated Cost �nenX.�.zD.,n0 � . no 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 1 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 Height Number of Stories 8. 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 C O n1 N e 1 l. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: N m 13. Will lot be re-graded td o Will excess fill be removed from premises: YES IS 14. Names of Owner of premises �R E u)l Address 11 UE N N KA.A117f Phone No. 6 31-2-98- I D 1'R Name of Architect Address Phone No Name of Contractor Address Phone No. 1-5. Is this property within 100 feet of a tidal wetland? *YES NO f • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. ><�. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NENV YORK) SS: COUNTY OF ��t ) G C R A R`D 111 (1 ElA7 l being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the W N L (— (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 of 200d- Notary 0Gc2Notary HECERE D.HORNE Si ture of A ' am Notary Public. State of New York No.4951364 Qualified in Suffolk Coun�j - ;ssion Expires May 22, OCJO -5� UNDERWRITERS CERTIFICATE REQUIRED QBov�GEN��EscppRNGcoaE' 11A of OCCUPANCY OR Ai EMu, EtlD aUSE IS UNLAWFUL REQ c`p1EBu�1U WITHOUT CERTIFICATE B ' OF OCCUPANCY c i - � conllmxWmt' "4B• DA o21 35x5E — 3e su 3ekcanr� ( u�01D EPREVENTION pp IFYBUILDING iiPART 765.1602 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: L FOUNDATION • TWO REQUIRED q FORpOURED CONCRETE .- ING 2. ROUGH - FRAMING i PLUMB S INSULATION S" ' s I 4. FINAL • CONSTRUCTION MUST r ; N y-� BE COMPLETE FOR C-0- ALL .0. ALL CONSTRyCT10N SHAM TH MEET 1 4-THE REQUIRE OF THE N.Y. , N ` -YSTATE CONS S ENERGYnil 1 3 � DES. NOT,f�FSObi NSIBLE FOR 3 GN 011 CQI�67R � •,' UP 5'/4 I, JI S.�I)PI.E 2x�yNps M V C6LUML1 T 2H" x 24"x 12" P� T'mT�q OIRFr'T�Y Ec�-0,-{ P.fnF•�^�i N' IL " �- x00 54x 56 _64so GP•SEMENt MEW- 1 Q 'A4 1. Nr--Hl Top. � gupE2.S S�NyLE. 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