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Home My WebLink About31828-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32151 Date: 01/22/07 THIS CERTIFIES that the building 2ND STORY ADDITION Location of Property: 5655 (HOUSE NO.) County Tax Map No. 473889 Section 86 INDIAN NECK LA (STREET) Block ~ PECONIC (HAMLET) Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 2006 pursuant to which Building Permit No. 31828-Z dated MARCH 7, 2006 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 SECOND STORY ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JACK J & CHRISTINE GISMONDI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2095227 12/08/06 PLUMBERS CERTIFICATION DATED 12/28/06 CUTCHOGUE EAST PLUMBING Signature Rev. 1/81 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. 31828 Z Date MARCH 7, 2006 permission is hereby granted to: JACK J GISMONDI INDIAN NECK LANE PECONIC,NY 11958 for : CONSTRUCTION OF A SECOND STORY ADDITION AND ALTERATION ONLY TO AN EXSITING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 5655 INDIAN NECK LA PECONIC County Tax Map No. 473889 Section 086 Block 0006 Lot No. 014 pursuant to application dated MARCH 6, 2006 and approved by the Building Inspector to expire on SEPTEMBER 7, 2007. Fee $ 247.80 /~. (/ i ~ ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 73'1 -c2 1; if? 7 7 C{ - 8'5 q 7 . . , APPLlCATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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 I % 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 (pdor to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and nnusualnatural 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 ofCertificalc of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Ceriilicale ot Occupancy - ResldenlIal $15 00, Conllnercral $15.0~ J I \ Date. ---14-~€,J Db New ConstmclIor1" 01 ~r Pre-e istmg Building' V _ (check one) Location of Property: 5 h~ ~e House No. _ Street Owner or Owners of Propelty: .Ja.eJc---f- C,hxtc::;-b~ Suffolk County Tal' Map No 1000, Section -?3Ia.__ Hamiel Gs' rn6rcL~ Block ----b.-'~ LOI_H- _ Subdivision -------------- ---------~-------------- ._ Filed !liap. Lot: Permit No. .:3 I oJ"8'".,__'._m [)~c,/.pern.l,it.-- Health Dept. Approval: IILf '4 Planning Board Approval: ___ J/l!j d Request for: Temporary Certificate ._ Applicant:. Undcrwril ers Approval: Final Certificate:~. (check one) atl~ 11A~ Signature Fee Snbmitted: $ ~'11~~~ CO ~ 3';< 1St 'I, ~. 'lL-~-1 ;'I!i.~1!I f ~ ~ I ~BY- THIS CERTIFICATE OF COMPLIANCE THE ~ I I NEW YORK BOARD OF FIRE UNDERWRITERS I II'... ~ BUREAU OF ELECTRICITY ~ ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ I ~ CERTIFIES THAT ~ ! ~ ~ r ~ Upon the application of upon premises owned by ~ 11 S.J. O'CONNOR ELEC. CONTR. JACK & CHRISTINE GISMONDI I 1 ~ 1195 SHIPS DRIVE 5655 INDIAN NECK LANE ~ I ii!I SOUTH OLD, NY 11971 PECONIC, NY 11958 ii!I 11 ~ ~ I ~ Located at 5655 INDIAN NECK LANE PECONIC, NY 11958 ~ j;; i Appr.",,, Nomb,,, '"'''' .. . ,"""".., Nom"''' '"'''' I I Section: BlOCk:. Lot: Building Permit: ;:) I "8' d ';;C: ns11 I ~ Described as a Resldenl1aI1200-1799 square ft. occupancy, wherein the premises electrical system consisting of ~ ~ electrical devices and wiring, described below, located in/on the premises at: ~ ~ Basement, First Floor, Second Floor, Outside, ~ ~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed ~ , ~ herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ ;. ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ 1! ~ authority having jurisdiction, and found to be in compliance therewith on the 8th Day of December, 2006. ~ I ~ Name OTY Rate Ratinl! Circuit ~ ~ ji I :;~~;~I:n:::Ssecond 1100r ~r I .1 ~ AS larm and Emergency Equipment 0 b'd ~ ., ~ ensor 1 Car on Monoxl e ~ 11 ::;:~:;;~ ..<Aoo=o"o : : ::":' ~ 1/'1/ Db I .(i ~ Wiring and Devices ~ r:: ~ putlet 7 0 Fixture ~ I ~ Fixture 7 0 Incandescent ~ ~ Outlet 28 00 General Purpose ~ ii!I Receptacle 14 General Purpose ii!I I ~ 'w'"", " " G~PP' ""mO" I ~ Receptacle 2 0 20 amp Laundry ~ l ~ Paddle Fan 5 0 ~ ...'.... ~ Receptacle 1 0 GFCI ~ ..~~ ~ ~ l ~ I Phase 3 W Service Rating 200 Amperes ~ I ~ Continued on Next Page 1 of 2 ~ f I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I II!I.I!I ~ '.. "I. .. ~ [iJ.[iJ l ~ . . 8"9' THIS CERTIFICATE OF COMPLIANCE THE ~ '~ NEW YORK BOARD OF FIRE UNDERWRITERS ~ , ~ BUREAU OF ELECTRICITY ~ 'j ~ 40 FULTON STREET - NEW YORK, NY 1 0038 ~ .1 ~ CERTIFIES THAT ~ 1 ~ ~ . ~ Upon the appl ication of upon premises owned by ~ t ~ ~ I ~ S.J. O'CONNOR ELEC. CONTR. JACK & CHRISTINE GISMONDI ~ I ~ 1195 SHIPS DRIVE 5655 INDIAN NECK LANE ~ ! ~ SOUTHOLD, NY 11971 PECONIC, NY 11958 ~ 'Ii ~ 5655 INDIAN NECK LANE PECONIC, NY 11958 ~ F.!l Located at F.!l J ~ 2095227 2095227 ~ ~. ~ Application Number: Certificate Number: ~ i ~ Section: Block: Lot: Building Permit: BDC: n511 I~ I F.!l Described as a Residential 1200-1799 square ft. occupancy, wherein the premises electrical system consisting of . ~ electrical devices and wiring, described below, located in/on the premises at: ~ I ~ Basement, First Floor, Second Floor, Outside, ~ '-~'~' ~ ~ @J A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed F.!l 'illl, @J herein, was conducted in accordance with the requirements of the applicable code and/or standard ~ 1'1,::1 ~ promulgated by the State of New York, Department of State Code Enforcement and Administration, or other ~ " @J authority having jurisdiction, and found to be in compliance therewith on the 8th Day of December, 2006. @J , ~ Name OTY Rate Ratin. Circuit ~ ~ ~ Service Disconnect: 1 200 cb ~ ~ Meters: 1 ~ ~ ~ ~ = ~ = ~. ~ ~ j ~ ~ I = ~ \ = ~ ~ ~ ~ ~ I: ~ ~ I ~ ~ ;. .. ~ seal ~ I,: ~ ~ f~ 20f2 ~ !.I' I TM'; ,",m"" ""' "" be .,- '"'"Y w~ ,"d ,,,.lido'" ,,' ~ l~ p~oc,"l. o'red ="'~ ","00 'M'''''' I ._ [iJ . T own Hall, 53095 Main Road P. O. Box 1179 Southold, New Yall< 11971 Fax (516) 765-1623 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTH OLD . 3 2007 C E R T I F I CAT ION DATE: I Z/Z<5/tJ6 . 'I l. Building Permit No. 3 I ~ Z. ~ -1- G ;5morJ.; (please print) Plumber: ,J4C.\( G 'SlIl,,-J; /(1/1~ue (;- (please print) Owner: f- trf I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this c2~ day of ~ Notary Public I /~A= yt~ county '>"UlAN ~, NAGY NolalY lIubllo ltale 01 New York No. 4896735 Qual"led In Suffolk County Commission expires May 20~ 1:'J ~t-> JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 '~I -~ -r,"7" rn-:-;'T~.I ... ! ." ",' ~' ".'i _ " ,~ 1 n i,1 , 5 , If; -...;." _.__--1..;...,,_~ -. p _'_;_;:';)L~t To: Town of South old Building Dept. Date: May 2, 2006 Re: Insulation Inspection Gismondi 5655 Indian Neck Rd. Southold, NY 11971 Permit#31828 To Whom It May Concern: After an Insulation inspection was preformed on the above property, it is deemed that all Insulation was installed correctly, and meets all building codes. Any other questions please call. . JAMES J. DEERKOSKI, P.E. JUL 5 260 Deer Drive , L Mattituck,N.Y.11952 ___,~ (631) 298-7116 ~ To: Town of South old Building Dept. Date: June 26, 2006 Re: Insulation Inspection Gismondi 5655 Indian Neck Lane Peconic, NY Permit #31890 To Whom It May Concern: After an Insulation inspection was performed on the above property, it is deemed that all Insulation was installed correctly, and meets all building codes. Any other questions please call. ,:j ~! " ";, r;' r , ' r PR 24 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 I i l L_~,. ',V"."' Date: April 20, 2006 To: Town of Southold Building Dept. Re: Framing/Plumbing/Strapping Inspection Gismondi 5655 Indian Neck Rd Southold, NY 11971 Permit # 31828 To Whom It May Concern: After a Framing, Strapping inspection was preformed on the above property, it is deemed that all work performed was completed to plans and meets all state and local codes. A Plumbing Inspection was also performed on this structure with a pressure test on the copper and the vent stack being filled with water to the roof. Any other questions please call. '''''- \ \ \ \ Si~erelY \ ~. " , '" ,\\~ James}, 6ee oski ~ 3/flPc TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~ULATION [ ] FRAMING I STRAPPING [PiNAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ..... DATEir~ INSPECTOR FIELD INSPECTION REPORT DATE FOUNDATION (1ST) I FOUNDATION (2ND) UJ,uL , ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE COMMENTS tf" A ,)1 1",- /A" v . i ".-:i .~~ .k ---;/k-- A Y-o( ~ // /rMJ&;' ~ Cc:J " //.// /"'A -F. '-- ~. p ~;~ Gz....JI. ( / / FINAL . "P'., l .4-~ f . / ADDITIONAL COMMENTS 57;71L <::::.h - . r .. ~ ...-- to '0 l'u ~.CJb a - ",<3-1&.;. f.--....n ~. 17 s.-- f"> ~I ..-..Jl I ~...L"(-,,..~\; u U '-.-) I v ", . ~ '. ~.." -"" c!>~ 'f-J... oQ:;;; +- J:.~ """ 'T~ z o If\ . G' V\ VI ~ gg "" \\"" ) t ? ~~ t"" t:~ ~ p [, r ()) (j\' '. 3 00 ::E 7. z D!ll - , I 91 r. 7\"" :< .." ...0'" , ~ " "" ... , 0 o z -...J ::I:I "" Z ~ <----"" --= -:p~ .." ;-l ENERGY CODE CALCULATIONS . CHAPlER5 SECTION 501 ' Detached One and Two Family (For Non-Electric Reat) For: JlHA J a /s"'.~ Ji :t..!,... Nfd. I.~~( p~, ."/t III~ Design Criteria 5750 Degree Days ZonellB Per: ,? J fir- J. - A~.'1 j.JJ>,6<v J I Dated: t?~v '/1:>/0' SUBSYSTEM AREA DESIGN CODE DESIGN CODE ''U'' <ell" UA UA Exterior Walls 832 O./O7l/ 0.14 B tt. 3"1 //I..lIB . Ceiling Roof 70b 0.(:73 0.031 1/ . 113 'z.). 81' Floor Over Unheated Space 0.05 Healed Slab On Grade 6.5 Unheated Slab On Grade 4.5 . Basement Wall 0.1 Crawl Space Wall 0.06 liD /.5' 1;18,3'1 . NOlES Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 501 The mechanical systems and equipment including: HV AC Equipment, HV AC Systems, Dnct Systems, Ventilation Systems and Insulation of Piping Systems to meet requirements of Section 503 To the best of my knowledge, belief, & professional judgement, . these plans are in compliance with ,the code. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/So r j,i .'\/ /;, "I "fhi] 6 I I ' L ' 'j thold/ PERMIT NO. -!ti".eJrp Expiration ,20 1- . BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Bo~ approval Survey ,/ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Examined Approved Disapproved ale Mail to: 11- Phone: ?l6 - 51/)- / 7 3' 7 , " Building Inspector \ '" APPLICATION FOR BUILDING PERMIT Date ,20_ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or ,eas, 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 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, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 South old, 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. .~~/;uv ~6/~.1 (Signature of applicant or name, if a corporation) PO. sex /63}!- . p,n hllTT/ ll(~/:.t i?"Y //..J ~ (MailIng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofprernises .:!/lCj:: ,1 63lsI70/!//lJ/ (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. 21- g /1 -II Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: ~6 ~S- /A/~/IJIV IV5ct... );'IJ/ House Number . Street ~6c.olV/C Hamlet County Tax Map No. 1000 Section Subdivision 'X,{; Block Db Filed Map No. Lot 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 occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work ~ Alteration (Description) 4. Estimated Cost go 0120 Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 2.. It ' Height Number of Stories Dimensions of;ame structure with alterations or additions: Front Z '1/ Depth ~~ I Height Number of Stories Rear .z f.t I Depth ( 'd{/ Rear ~r / 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front ~N , Rear 8j { Depth 3 6 S'~ 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_ 5'l>SO /M}!I/JV Address ~a L/V . ~ Phone No. Address Phone No Address 17.0 <2JVI< /CJ'I- Phone No. / /(;3// ~3~ -~273 /"'f H'IIIIVV,/1I'I ,f'lfl.- ~ 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 X * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 14. Names of Owner of premises Y/JC{C:- rr/shOJJ?>; Name of Architect v Name of Contractor 5' 5i~L02JOWS{Q) 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) ~ {7// //, 1S: COUNTY O~v.J ~:~( 2 i,"'lJl being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~ (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 J;:f>re me thi~ L . . ';}3 day of ~)U-~ 5E.t~mr' ~ ' Notary Public 20 t/?- )> Signature of Applicant r 71(; I:lUSAN J. NAGY NNotary Public State of New YOlk 0.4896735 Qualffled In Suffolk County Commission expires May 20 Qj ~ --- O W. RO~D / R. . ... I W/~~!.'"~E :::::::--- ..- IWD ,U1' 20 N8 ~.~~ w~ _ .., o.H. U~ ~... tIE ~ ~ ~ . III ~ . 0) Q l1) " Q ~ ~ ~ ; ~ . ~ .. 8 Q .... ~ ~ ;to 10; ~ 0 ~ .... ~ ii: ,.. ~ .~) 0 I ~ ~ s: -' .. ~ ~t>~~ O~ , :g ~ SURVEY OF PROPERTY A T PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 86 - 06 -' 14 Scale 1" = 40' May 21, 1990 M~' ~ ~003 I prDf' r;Lec-l:) OCT. 25r. 2005(bldng 10c.J FEB. 10,2006 IDECK) !g 'l: .... (j ~ ~ ijj O/J 17.G~/~ II.g:_~~ !g ~:5 0... ~- ~ (5 -... ./ , ; AREA = 32,977 sq. ft. ~ , , ...' CIli . . \ i\ ~ S l') 11>.' FND Q ~, \ li~N 1.0'. ~ , , . \ , a , I II'" o LV! fND. 46.1.:- 21' 20 . o ~./ Plr:fw '/J 5 1 0::. Q. . II ~OAO 3' ,40 53:10.39 N~Ct< lNOlAN . ANY AI.. tERA TJOH OR ADDITION TO THIS SURVEY IS A VIOLA TlON 01...,..'.... 7209 OF THE NEW YORK STATE EDUCATION lAW. EXCEPT AS PER SECTION 7209 - SUBDIVISION 2. All CERTIFICA TlONS ~CIH ARE VAll) FOIl THS MAP AND COPIES THEREOF ONLY IF SAD WAI' OR COI'fES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1fHC)$E _ Tl.flE APPEARS HEREON. ~~~ N.r.S. LlC. NO. 49618 'E:CONIC IS 'E:YORS, P.c. (631) 765 - 5020 FAX (631) 765 - /797 P. O. BOX 909 /230 TRAVELER STREET SOUTHOLD, N.)'. 1/971 ,