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Home My WebLink About32148-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32809 Date: 12/27/07 THIS CERTIFIES that the building PORCH ADDITION Location of Property: 6725 GREAT (HOUSE NO.) County Tax Map No. 473889 Section 126 PECONIC BAY BLVD (STREET) Block 10 LAUREL (HAMLET) Lot 19 Subdivision Filed Map No. Lot 1110. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13, 2006 pursuant to which Building Permit 1110. 32148-Z dated JUNE 21, 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 PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DEBORAH SEIDENBERG (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DBPAR'l'MBlIIT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3044279 08/30/07 N/A PLUMBERS CERTIFICATION DATED ~<~ Rev. 1/81 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: 1. Final sW"Vey 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 2/1 0 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: I. 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 I. 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 I Date. I'L / ~ /07 New Construction: Old or Pre-existing Building: V (check one) (.7ccv Nlc..... \?'o...y (3 { //0 ho..ve.c:.A IJ if Street /I Cf '78 Hamlet Location of Property: r; 7;1 J House No. Owner or Owners of Property: Y}/I 1""- s'el deN bP"'5 I 7. (;, Block I 0 Lot 1<1 Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ {<-( ~ Date of Permit. lv/A- 12/20~( Filed Map. Lot: Applicant: f<tJS~e....-l/ WL;(,I:Jo..1MStJ!J Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate --- Fee Submitted: $ fJ ':::l 1 C9 () Underwriters Approval: Final Certificate: / (check one) ewe-. 7 J 51O~ COt 3:J.'iro7 (A~ W~ Applicant Signature l!lii!fr,!~~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: ~ ~ ; ~ ; ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ; ~ ~ I /~, - /0 - /9 . ~ii!fr,!~1!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ 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 SMITIY'S ELECTRICAL CONTRACTING 24 COTTAGE DR FARMINGVILLE, NY 11738 MR I MRS SEIDENBERG 1625 PECONIC BAY BLVD LAUREL, NY 11948 6725 PECONIC BAY BLVD LAUREL. NY 11948 3044279 Certificate Number: 3044279 Section: Block: Lot: Building Permit: I} BDC: ns11 Described as a occupancy, wherein the premi~ ~!c~~" J;>t?n; Icj;~ting of electrical devices and wiring, described below, located inion the premises at: Detached Garage, PorchlDeck, 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 30th Day of August, 2007. Name OTY Rate Ratin. Circuit ~ Miscellaneous detached garage & screened porch Panels 50 4 Wiring and Devices Receptacle Switch Fixture Receptacle Paddle Fan 6 0 13 0 19 0 2 0 2 0 General Purpose General Purpose Incandescent GFCI seal I of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ ~ii!fr,!ii!fr,! 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. 32148 Z Date JUNE 21, 2006 permission is hereby granted to: DEBORAH SEIDENBERG 6725 PECONIC BAY BLVD. LAUREL,NY for : CONSTRUCTION OF A PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 6725 GREAT PECONIC BAY BLVD LAUREL County Tax Map No. 473889 Section 126 Block 0010 Lot No. 019 pursuant to application dated JUNE 13, 2006 and approved by the Building Inspector to expire on DECEMBER 21, 2007. Fee $ 150.00 ~~ Authorized Signature ORIGINAL Rev. 5/8/02 - ~co t .r, ~'<1 r.P':~OJ O"'G,\. u.." "'- .~. ' , ',.JI~, ""~\,., , , , ")- ~ ~ 'ti r ti\~ U1 ..., ~ ~ ~ . 4.. U') . ';t.. ~ ": o ~~\ \ ~~ z ~ -.,; -.,; \~ u.. - bl I if -;d<95 ,. 'l~as l :BJ'(!:JS 9CL - OOOi ):J >l70::1:1nS , :dO NM 01 0, ~~ \S\--b .;. "b ~ V"~ ~L.-~ ~,6." "b 0- 4:J ~,&. ~ dt: "<"~ ot.!.> .". ~~ ~~ G '":1.- A )~ If') <\ "..~~y '\.. ~~ ~ '0 "'~ .~ ~~ ~ M~O 4rl'~f ~fPr .~ 'b~'4 oc,r;,; A .~. ~ ). ~\O\ f~~+ .,0' ./>' ~t' <] f..~ ,&0 .e. ~'~.6b .p~j,\'\O~.fl '\ ~ -t~ \\^\rP' ~'\to ~ '0 '!if.~ <7 .6bt "",:; '-~ ~~ (:) . <j;.'0 ~~ \ \ . \ \ /' '" , // ~ ;) d--.I + 'l Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING t><(FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONS'IRucnoN [ ] FIRE RESISTANT PENEmATION REMARKS: ~~ ~~{) ~0k~ i2~~,~)~d, lQ-~7 ~o7 DATE INSPECTOR ~~ J;t--(tr :2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION ~FRAMINc:' I ~RAPmlG [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ '. f~ ~ r~~ ~ ~ Ok:. DATE 7..- p.... 7 ~ P' fa r INSPECTOR ~r~ !J~/tf l ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION M FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: L~~, ~ '0 ~ DATE 1,--/} ---fJ , INSPECTOR ~~ - FlELI1 INSPECTION REPORT FOUNDATION (1ST) ------------------------------------ I FOUNDATION (ZND) . . ROUGH FRAMING & PLUMBING I . INSULATION PER N. Y. STATE ENERGY CODE FINAL . '. , r . . DATE . , -4.Ji. I-DA, J ' J ~'1 J:~ , U COMMENTS J . UJ... V~ .-~ .J:.._ 0('''' 'It NJ h:;.~ '~~~ ~ . A /~ . lIJ . / 1'j/J,t1,)'/ Yk- ~ ~ tf7 " . -~A A .~, ..J, ()r.. ,rj. 111-:"'1~ ,7 1- <-.fI .u ~ A"'./J-- .'h.fliIk\,pv. v . ADDmONAL COMMENTS .2: o f/~ '/,J ~. ~~ . ~ ~ -Q (T1 g z. l~ ~ D 1;; '- .., ~ n k, /::::> //.,:::6"11 . - /~ .-,", . . . fI ~ !( \) . 1: .~ r . ~. 3 . co z; 00 ~ D o :E z m. ;:a - v~ ... <p .... - ~ ~ ~ == 2--~ ~~ I:l t"l ... :-l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ ? riff f C:: . BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: PERMIT NO. Examined Approved Disapproved ale /11,)../ ,20 IJb ~/ ,2Q?-' Expiration 11' ,}j, 2012,Z ~_.._-........ Mail to: f."j-=>,. '5e II Phone: 6 y wltll<.A.II0&CJ 'f ~'"S 'f ~oS- /c..L<~~ ~uilding Inspector ~JN I 3 L_ o " APPLICATION FOR BUILDING PERMIT T: -.'~1. , c. -l Date 6/ ;y lOb.. ,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 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 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 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. e~ J~J~ (Signature of applicant or name, if a corporation) 10 /fl6.1f;~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder G e...vV e...foJ CO 'V -+ (eA..C!.- -l-o I-- Name of owner of premises 0 <': ~ ;, r- c.l.. ~ S.c.1 d -elL to CO' r Y (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builaers License No. Plumbers License No. Electricians License No. Other Trade's License No. 65"S-~ S~ H '3 5' 3-:;l L/ .... f'Y1 f> 1. Location of llwd on whic)j) proposed work will be done' , G 7;;4 ~ f/c:..c OvJlc.- '~l 13.1 t/G- House Number Street lo-.vt-c..f Hamlet Nl( County Tax Map No. I 000 S~tionl:::< b Subdivision (Name) Block I 0 Filed Map No. -:(.. Lot Lot 1'7 ] State e~isting use and occupancy of premises and internlcid use and occupancy of proposed construction: a. Existing use and occupancy- r<-'Sl cl -e1J (.. -e.. b. Intended use and occupancy r-~ S I J LIAr- 't..- - LJC vJ P t'l ~~ h.. 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work Alteration (Description) 4. Estimated Cost "35 .. OCJU Fee f' .. , ~ ; ' ~ 1 {':;"f\ ,Ji. _Ji \; S. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this llpplication) Number of dwelling units on ea"h floor, 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. , ,., ,. It 7. Dimensions of existing structures, if any: Front 'J. t. . 6 Rear'Z....' 6 Depth Height I (7 , Number of Stories t 'I-c..... , , €( t. 7 r Rear I 'I ~ Depth I 'i Dimensions of ~ame structure with alterations or additions: Front Depth ~ C1. 7 'r Height I b I Number of Stories " ' 8. Dimensions of en~ire new construction: Front '2.tP Rear Height to, y " Number of Stories I I 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_ NOL 13. Will lot be re-graded? YES_NO ~ Will excess fill be removed from premises? YES_NO ^ 14. Names of Owner ofpremises:;-.f,' %IAer-bel'; Address ~578' P"t e...ck #.~ Phone No.Btb....X N'l AI %-(? Name of Architect /.... S:..J r')to... Address I ;1. ~ l-bJJ{~ t<< Phone No fker ~t N,r Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO.1S.- * 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. 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. ST ATE OF NEW YORK) SS: COUNTY OF ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the R J 'S 3C) I fA) I 1 ) (CA. 1M Sow (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 J$ before me this /3 day of J)nJ fJ Notary Public 20~ t~ tJ~ Signature of Applicant ,...". . ~"A.AS I<E\IIN POOlAS ,,' (,f tWw York Nc*Iy'PubID, Sllat8 of New York ";'009 No.01081l12OO8 , ',. County 0 -. din 8uItlIk Counly ",.'\;lgUlt22, 200frOOllllllllelon Exphes AugUlt22, 100I ....... -.v'..... .,.. ~ :!$$IV': ,_ LOUIS J. SANTORA, A.I.A. ARCHITECT 5 BETHPAGE ROAD COPIAGUE, NY 11 726 631-254-0930 June 20,2006 Town of Southold Building Department 53095 Route 25 P.O. Box 1179 Southold, New York 11971 -~ ii, : : 'I' 2 J ' [l'iLL ",1:" ,": "', -y' i- T '\~_---,"-_..:~,-.:..j_:~;,)LD c,._' Re: SEIDENBERG RESIDENCE 6725 PECONIC BAY BOULEVARD LAUREL, NY NEW REAR PORCH Dear Sir or Madam: Please note that the new porch addition is designed for a 120 mph wind load as per the NYS Residential Code. Please do not hesitate to contact me if you shall need any additional information Sincerely; Louis J. Santora, A.IA Architect . - / Jc, - TOWN OF SOUTHOLD .fIOPERTY cJ OWNER STREET (.P-eC:d~ ,.c N, Fk.cM/~13~ Blvd. RES. '210 SEAS. VL. LAND IMP. S-O 0 ~').. 00 {l :3 1 "6 'SDD "+000 FARM TOTAL DATE VILLAGE RECORD CARD . ,41- y DISTRICT &1.111. , LOT If CJI--e..v ACREAGE '1~ ..(PiP TYPE OF BUILDING ! ~.t,-U,-<- I CB. I MISC. I Est. Mkt. Value E .-r: r~~ 'J..IIK w. I 'COMM. , IND. REMARKS AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value FRONT AGE ON ROAD 'II uo Tillable 1 BULKHEAD Tillable 2 d..-C) DOCK Ti liable 3 Woodland --- --- Swampland Brushland House Plot q Total I I ! , , , lI. I -- I i i I I.' \~ i I - _t-_. ! ! , , I - I. I...' ~ I , 1 CO , , i I I i - I , '.' <'~ - : , ' I i J~ 1,.- 'lA ~< ~ ;/ IU i I I I f--+ i I I , <J I I T ! 1 , I Fyi Bath ........ ->." ;.: ~ { t Bldg. Faundatian xtensian :Lou. X R,Lt ~2.4- I 2 ~ \ q,72. Basement ~ I ~7~ \\70 xtension ~~,- (p 'l'\ 12, . 312- I I Ext. Walls I- xtensian I Fire Place (",r -i-.. I 1/);' (J 1~6 i cUI4/V! I ~ 'j..-rV .,-~~-t- 1 Parch reezeW<JY iarage -:: 3 1)- I .j-O Ir~ ). B. ~ lco g- ") " 'S "!"!to (2(~) . . Roof Type Flaars ") I _,t,.......__,~,(., Interior Finish " i'l) ';' < . ~.uf.'-vt c. "'0<.1< -' ~ I: t Heat l 0', c. 1<---- I I j Rooms 1 st Floor Rooms 2nd Floor Dormer , ,/ ;If W.:_; -j"~fl , i .' ,L,,,~3 LA.,.~' ",-- k,~\'t'j~ ~ ---- I -' I~.\ . , _..----: .