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Home My WebLink About31890-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-321S2 Date: 01/22/07 THIS CERTIFIES that the building SWIMMING POOL WITH DECK Location of Property: 5655 INDIAN (HOUSE NO.) County Tax Map No. 473889 Section 86 NECK LA (STREET) Block L- PECONIC (HAMLET) Lot 14 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 4, 2006 pursuant to which Building Permit No. 31890-Z dated APRIL 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 ABOVE GROUND SWIMMING POOL WITH DECK SURROUND ATTACHED 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. 3020620 01/17/07 PLUMBERS CERTIFICATION DATED N/A ~/~t~., 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. 31890 Z Date APRIL 7, 2006 permission is hereby granted to: JACK J GISMONDI INDIAN NECK LANE PECONIC,NY 11958 for : CONSTRUCTION OF AN ATTACHED DECK WITH SWIMMING POOL AS APPLIED FOR, FENCED TO CODE 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 APRIL 4, 2006 and approved by the Building Inspector to expire on OCTOBER 7, 2007. Fee $ 300.00 ~,:~ f21L. ! Authorized Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of properiy 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 Bnilding Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Ccrtificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning pool $25.00, Accessory building $25.00, Additions to accessOlY building $25.00, Businesses $50.00. 2. Celiificate of Occupancy on Pre-existing Building - $ I 00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $ 15.00, conlln::::.1 $ 1.5.00 II t~ {) b New Construction: Old or Pr~-existing ~uil~inf 'f:a. (check one) Location of Property: _"')(P 55 IMa--h ~_ i'lO _Pe..LOIl 1/ _ HOllse No. Street Hamlet 'S~. Owner or Owners of Property: Suffolk County Ta\, Map No lOGO, Section _~___ Block __ 0 ILl -------.- Lot SubdivisiOJl _ FrIed Map. _____ Lot: p","" No _:3J1$ '10_ '}'''' p"""'_ _ _ A""I"""'_ Health Dcpl. Approval: _.-& . u Underwriters Approval: PlarUling Board Approval: . Request for: Temporary Ceriificate Final Certificate: -A- (cbeckone) C,f-Ik~' f(APPlicant Signature , ?J~ . Fee Submitted: $ ~.')I(,~~ co-'l..3~J5~ ii!IE!IE!~~~ii!IE!IE!~~l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I ~~~~~~l!I l!IE!ffi!~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: I Section: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I l!I ii!IE!IE! BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by O'CONNOR, STEPHEN 1195 SHIPS DR SOUTHOLD, NY 11971 JACK & CHRISTINE GISMONDI 5655 INDIAN NECK LN PECONIC, NY 11958 5655 INDIAN NECK LN PECONIC, NY 11958 3020620 Certificate Number: 3020620 Lot: Building Permi!: BDC: n511 Block: Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located inion the premises at: Outside, PooVSpa, 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 andlor standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 17th Day of January, 2007. Name OTY Rate Ratin. Circuit ~ Appliances and Accessories PooV Spa Bonding Pool Heater Time Clock/Switch o o o Gas Wiring and Devices Switch Receptacle Receptacle 20 amp General Purpose GFCI PooV Spa o o o (Swimming Pool): This certificate covers compliance at the date of inspection only. Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person. seal I of 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. 3 JP?o TOWN OF SOUTH OLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~TION [ ] FRAMING I STRAPPING [t-fFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ( INSPECTOR 3J'l'fbZ- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [XFINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ~~~ . , ~ > ~ ~~.~~A-~j ~ ~)I/)9i) ,1 _~~"i'A~ DATE //"'~7~d'h INSPECTOR ~ ~ To: Town of Southold Date: June 29, 2006 Re: Foundation Inspection Gismondi 5655 Indian Neck Rd. Peconic, NY Pennit# 31890z To Whom It May Concern: JAMES]. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-5506 r:----____ /Ir::! f (C~----.- '.1 '.r .'J' II, n I'':' ! "" ,'---~.,' ! '...J,' ,I ': i' ;,,1, ! /29 I ;. I \,,-- I -_.--~, TIlls letter certifies that a first foundation inspection was preformed on the above mentioned deck and was all done correctly, and meets all state and local codes. Any questions please feel free to call. FIELD INSPECTION REPORT DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL COMMENTS ~ ( ../~J1 '-..c '" J/",j).-<- .) / /' \ (~AJi' J ~. \\,f}'7, ~ 'r-' ~~ _. C-/- "..:r- v fIrft/ ~,._ V - -...... '.." \)Jl'<l 02i~ \\ ::l CI '!to H, W ~~'t-- ~ l'<l~ Z ~ q (\~ U'ii::l ,r, l'<l v~.., j\ f. tl - :-, '" fln ~noJ ~ If \ /"l.o. i:A ( Pn 111 rJ.-. .- '<A ~.;.,'P1 ". I Y<{I 'r;~ A~ ('~'{'./J , //;/. Ch~ ,t/ / A . .P r --..:- --! ~ ~ / b / / . ADDmONAL COMMENTS {;-~~Oh i&-'r!. r'F CeA/. ,Az', J.,d- /2... .V - " - .~ 6/f" V/ /.# (/'~ ~ , -, o 0\ -, ~ ..0 ~~ -. z m " ~I .Q " . .....l'<l o ~ . ... ~~ \ >-l o ... ......)~ 7= ~ ->-l 1>; l'<l .." ~ .........:".,."",'.-'-1".=, \ ..- o (-\ 11 ' ) ...,. .,>._.'~ ~ . .. . . R.O;.VI(. ..~, WID~ ~~E 20~' .... _wst'" .... '--.~""=-' ...'~ - m -. ~~ --::::::=-:=-::: ~ ~ ~ ~ ~ ~ SURVEY. OF PROPERTY AT PECONIC TowN OFS()UTHOLO SUFFOLK COUNTY, -N.Y. . . 1000 - 86- 06 - 14 . Seal., 1" = 40' May 21. 7990 .. ~ '" ~ J , . :.. II: ,. '" .. " ~ c c Ii ~ ;:j. ;;l .. ~ ~:s_ ,}, ~~ ~ '" X". ~. <:l ~ ~, ii: AREA ::: 32.977.q. 'ft. \ .~ .-- 0 ." \II " , ~ l!> I '1-1'0/;)... , ./jd'N;f(~d . ~ ,. \ ~ .. 0 , , , , \ '\ . '6 ..\--,.\ i;\ \. , , \ \ . .. ~ ~ ~ ',l!1. ~ '" ci 9: ; 0" 'Ii ftli"4~'fA. 21' 2 b$" ..'/I -S . J S' ..0 . ^o ..t,O'" . ~Or NEe\< <- . 1 NO\.AN l. ."...'.. CERTIFIED TO' . .. . SECVRIT'Y 'TlttE & GUARANTEE COMPANY . JACK .J.GJS4;fONDf . CHRISTINE' GISMONDI I I , It- .r.s"LIC. NO. .~:;"-.dMoa_lrithibe.~: h ~LJALs.~"""r:;~~ ~~-:~~"'- "f:::YOrlt-su,'::f1:; ~ ',.'t.., "... :_..~....:_',....._'''''"!I.:;.. :':;'..;I{:';~' ~~-",.i~,". -----~_.~ ~,,-........... ~...,.. .' ....;-,.1<';",.... ....'-..,........ ,..".,..... ~--------.-__N._._______.,_.~__ TOWN OF SOUTJ :OLD BUILDING D,PAITMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health ./ 4 sets of Building Plans Planning Board approval ~urvey ;- Check_l C;O. 00 Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to:b:~ ~t1l~~ ) )<)58 5b<:;') .4d<--. _l~ (O'I-iC Phone: (.,"3/ 73 tj J. b1'l 71t.(-~C;l Le~ Approved Disapproved alc ,20_ ,20 ~ II(~ f/~ - Examined --~_......-- , c: [.; [~ '"\ "\,'; ~(JJL , Building Inspector Expiration ,20_ " :APPLICATION FOR BUILDING PERMIT \ :.~ Date 2- ;).7 ,200b 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 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 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 issnlmce or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the p,~perty have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an ac;pition 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 re lations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ 00SS- ALL CONSTRUCTION Ml!Bf THEREQUIREMENT.~ )FTHE State whether applicant is owner, lessee, agent<OOt$()It,NIlW~~end.contractoAPi'R~' E~BfEl) builder ot)J I\P / DATF' ~,h/t."" ~ 3/~t) c-:- ,'; bY f'WL "IMMEDIA TEL Y" ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "WATER" (Signature of applicant or name, if a corporation) u. eel-:: L (Mailing address'of applicant) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Name of owner of premises '\ ( (As on the tax roll or lates .~~ 2 8 A~;' If applicant is a corporation, signature of dul~&ill~ICAT~ FOLLOWING Ii"", " I REQUIRED 1. FOUNDATIC:-:. ',FiECU'c,EQ (Name and title of corporate offict(}CCUPANCY OR FOR ~OUF~E"':,, ',"tiE ." UNLAWFUL 2. ROUG ~ - , ~.".'"G " P_v~do,NG USE IS 3 If'''''' .~"" . . ,'~.....,-,..." 11L..J, TIFICATE 4. FINAL . cc~c:nc~ MUST BE COMPLE" , C.~. f'\[: oc~y ALL CONSTRUCT-", 3Hf'U "~EET TI-IE vr:: --~ REQUIREMENTS 0, iH? CCJE~ OF NEW YORK STATE. NOT REl'ONSIB,.E FOR DESI L: CONST U ~rs. Hamlet RETAIN 3Tb~rlA~ :~~F PURSUANTTO GTION 45 tac . OF THE TOWN CODE. " _ I FeR THE 1. Street House Number County Tax Map No. 1000 Section Subdivision ~) ( D(J Block to Filed Map No. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed co~tru~on: a. Existing use and occupancy res \ rill /)' /' /J b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Alteration Other Work pm \ f- ~ (Description) 4. Estimated Cost 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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner II. 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 L Will excess fill be removed from premises? YES 1 NO_ t. Phone No. Phone No Phone No. r- 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L * 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 L * IF YES, D.E.C. PERMITS MAY BE REQUIRED. ..VJ3.... Ai03MMt" 16. Provide survey, to scale, with accurate foundation plan and distances to proPer3Y;Mr~': .' ':laOJ0iI13 1-10;-' ..' '/0:) iIlOQU 17. If elevation at any point on property is at 10 feet or below, inU!>tprq.vide topograpliiijj[T da:~a aR<9itUy. .,',. STATEOF~~/~~~. COUNTYO~ ' 011.1.",1-, cP r.; 5~, . being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, D..OM t>u- (Contractor, Agent, Corporate Officer,.etc.) "'I ,."". f~' of said owner or owners, and is duly authorized to perform or have performed ~~d work and to make and file this application; that all statements contained in this application are true to the best of his knowlOOgeiand belief; and that the work will be performed in the manner set forth in the applica1;i<;JO filed therewftlhY J. (S)He is the . , Sworn to before me this .;:l Pi' day of , .~,.. >1 fol \..." '" ,j 20~ , bUSAN J. NAGY Notary Pu~lIc State of New York No. 4896735 Qualnled; II,tS!l1folk County .. '. c,~m.m~mn:~Plres May 20 "-7 T