Loading...
HomeMy WebLinkAbout34120-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPkNCY No: Z-33485 I~te: 01/12/09 T~IS C~RTIFIES that the building INTERIOR ALTERATIONS Location of Property: 2675 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Ta~ b~ap No. 473889 Section 86 Block 5 Lot 13 subdivision Filed ~4ap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 2008 pursuant to which Building Pemit No. 34120-Z dated AUGUST 22, 2008 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 INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. ~e certificate is issued to DEBORAH PONTINO ( OWNER ) of the aforesaid building. S~I~LK ~IIN~T"f DBPART~qT OF ~LR]{ APPR0%~AL N/A ELRL-i~ICAL C~RTIFICJ%~ NO. 4010588 12/29/08 pL~4B~ C~ltTIFIC-ATION DATED 12/10/08 CUTCHOGUE EAST PLUMBING Aut orized Signature Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOV~N HALL 765-1802 / buDG DEPT. / ~N A?PL[CA~ION FO~ CERTI~ECATE OF O~~ ' A. For new building or new use: 1. Final su~ey of propeay with accurate location of all bnildings, propeay lines, streets, and unus~l natural or topo~ap~c fea~res. 2. Fi~l Approval kom Health Dept. of water supply and seweragedisposal (S-9 fo~). · 3. Approval ofelecthcal installation from Board of Fire Unde~dters. 4. Sworn statement from plmnber cenifying that the solder used in system contains less than ~I 0 of 1 5. Co~ercial building, industhal buildiog, multiple residences and similar buildings aud installations, a ceaificate of Code Compliance from architect or engineer responsible for the building. 6 Submit Planing Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming nses, or buildings and "pre-existing" laud uses: 1. Accurate su~ey ofprope~y showing all propet~y lines, streets, building nod unusual natural or topographic features. 2. A properly completed application and consent to inspect si~ed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspecto~ shall state the reasons tl~erefor in whting to the applicant. C. Fees 1. Ceitificate of Occupancy New dweli lg $25 00, Additions to dwelling $25.00, Alterations to dwelling $25.00, ' Swi~mning pool $25.00, AccessoFy building $25.00, Additions to accesso~ building $2500, Businesses $50.00 2. Cmlificate of Occupancy oa Pre-existiug Building - $100.00 3. Copy ofCe~ificateofOccupaucy_ $ 25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15 00, Connnercial $15.00 New Construction: Location of Propet~.y: House No Owner or Owners of Property: _'~4o 6 Suffolk C6unty Tax Map No 1000, Section Old or Pre-existing Building: Street lock _ {check one) Hamlet Lot 0 1 ~ Subdivision __ Filed Map. __ __ Lot: Peru, it No. ~/aW ~ ,Dale of Pennit~/,/~ ~:, _ Applicant:~~.j~.,wF Health Dept. Approval: ~ - ~ Undenvriters Approval: Plm~ng Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~_O''/ . Final Certificate: J (check one) 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 DOROSKI ELEC. INC DEBORAH PONTINO P.O. BOX 781 2675 INDIAN NECK LANE CUTCHOGUE, NY 11935, PECONIC, NY 11958 Located at 2675 INDIAN NECK LANE PECONIC, NY 11958 Application Number: 4010588 Certificate Number: 4010588 Section: Block: Lot: Building Permit,. * BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First 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 Enfor~tr~ent and Ad[~inis~ration. or other authority having jurisdiction, and found to be in compliance therewith on the Day of uecemner, 20175. Name ~ Rate Ratin~ Circuits Type Alarm and emergency equipment Sensor 1 0 0 Carbon Monoxide Sensor 2 0 0 Smoke Appliances and Accessories Dish Washer 1 0 1 2 KW Exhaust Fan 1 0 F.H.P Furnace 1 0 Oil Service Service Disconnect: I 200 cb ServicelPhase3w Service Rating200Amperes Wiring And Devices Fixture 3 0 Fluorescent Fixture 14 0 Incandescent Outlet 17 0 Fixture Outlet 48 0 Gen, Purpose Paddle Fan 2 0 Receptacle 1 0 20a-laundry Appliance Receptacle I 0 30a D~.er seal Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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 DOROSKI ELEC. INC DEBORAH PONTINO P.O. BOX 781 2675 INDIAN NECK LANE CUTCHOGUE, NY 11935, PECONIC, NY 11958 Located at 2675 INDIAN NECK LANE PECONIC, NY 11958 Application Number: 4010588 Certificate Number: 4010588 Section: Block: Lot: Building Permit: * BDC: ns11 Residential Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First 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 authority having jurisdiction, and found to be in compliance therewith on the29th Day of December, 2008. Name TQ .T_Y. Rathe Rating Circuits ~ Receptacle 5 0 GFCI Receptacle 32 0 Gen, Purpose Switch 26 0 Gen, Purpose seal 2 or 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLO CERTIF! CATION Permit No. (p.ease print. ! certify that the 8older used in the water contains less than 2/10 of !% FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34120 Z Date AUGUST 22, 2008 Permission is hereby granted to: for : DEBORAH M. PONTINO 2675 INDIAN NECK LANE PECONIC,NY 11958 INTERIOR D~LTERATIONS TO EXISTING SINGLE FAMILY DWELLING INCLUDES N EW ELECTRIC SERVICE AND PLUMBING AS APPLIED FOR. (REAR DECK NOT INCLUDED) at premises located at 2675 INDIAN NECK LA PECONIC County Tax ~ap No. 473889 Section 086 Block 0005 Lot No. 013 pursuant to application dated AUGUST 15, 2008 and approved by the Building Inspector to expire on FEBRUARY 22, 2010. Fee $ 295.20 Authorized Signatur-~ ORIGINAL Rev. 5/8/02 Date: To: Re: JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattimck, N.Y. 11952 (631) 298-7116 August 20, 2008 }¢.i1'~ ?. I ' ~' Town of Southold Building Dept. Energy Code Pontino Southold, NY To Whom It May Concern: This letter states that the above mentioned Project will have R30 insulation being installed in all the ceilings, and R15 insulation being installed in all the wall cavities. A Energy Calculation is not needed for this struclure since it is an existing structure that no "Substm~tial alterations" are being performed as defined in Sec 101.4.4.2 of the "2007 Energy Conservation Construction Code of The State Of New York". Any questions please feel free to call. '~ Sincerely TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. ] INSULATION [~L~FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE / :;Z_-~e- O ~' iNSPECTOR~~___ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ~ROUGH PLBG. [ ] FOUNDATION 2ND j~INSULATION [ ] FRAMING / STRAPPING [ ] FINAL []FIREPLACE&CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ~ FIRE RESISTANT PENETRATION REMARKS: .__/~__~~ DATE FO~AT~ON (~ST) ~ ~ STATE ENERGY CODE ~DI~ON~ CO~S Z TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET ~6'"f ~ cV~LAGE DIST. SUB. LOT ' ~ ~ ~ a ~ S W ~PE OF BUILDING ~ES.i~/~ S~S. VL. FAR~ COMM. CB. ~ISC. Mkt. Volue ~ND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION N~ NORMAL BELOW ABOVE [illoble 2 ~oodland ;wempl~nd FRONTAGE ON WATER ~rushlend FRONTAGE ON ROAD ~ouse Plot DEPTH ~. / ? 0 ~ - BULKH~D 'oral DOCK M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage Pa~io Total COLOR TRIM ~Ibundotion Basement Ext. Walls Fire Place Type Roof ~creotion Roorr Dormer Driveway Bath ,,~ Dinette Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor TOWN OF SOUTHOL/) BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southol~ Examined Approved Disapproved a/c Expiration IO 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 Survey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector ~PPLICATION FOR BUILDING PERMIT !q I 5 .~.'i Date .~k)C~-. [[ ,20D~ ! , '1 INSTRUCTIONS a. This appti??!on MUST b~?ly filled ~ by t~ew~tcr or in i~ ~d submitted to thc Building ~spcctor with 4 sets ofpl~;~.plot pl~ to scale~e~ accor~g to schedule. b. Plot pl~ show~g location ofI6( ~d of build~gs on premises, relations~p to adjoin~g promises or public streets or ~eas, ~d wate~ays. c. ~e work covered by this application may not be co~enced before issu~ce of Building Pemit. d. Upon approval of tbs application, the Building ~spector will issue a Building Pe~it to the applicant. Such a pe~it shall be kept on ~e premises available for inspection ~oughout the work. e. No building shall be occupied or used in whole or ~ p~ for any pu¢ose what so ever until the Building hspector issues a Ceaificate of Occupancy. f. Evew building pemit shall expire if the work authorized has not co~enced within 12 months a~er the date of issu~ce or has not been completed within 18 months ~om such date. If no zoning amendments or other re~lations affecting the propeay have been enacted ~ ~e ~tefim, the Building ~spector may authorize, in writing, the extension of ~e pemit for an addition sk months. Thereaier, a new pemit shall be mquked. ~PLICATION IS HE,BY M~E to the Building Depa~ment for the ~suance of a Building Pe~it p~suant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re~lations, for the construction of buildings, additions, or alterations or for removal or demolition as heroin described. The applic~t agrees to comply with all applicable laws, ordin~ces, building code, housing code, and m~lations, and to admit authorized inspectors on premises and in building for necess~ inspections. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ~-1") lf~ I~ }YE) t,,} -l'i t~ O (As on the tax roll or latest deed) If ~pli~~f duly authorized officer (Name and title of corporate officer) Builders License No. ~ ~ ~'~ ff 1 Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Bloc Filed:;Mal~ No. ! State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy -~l,'d~d....~ FAmatc,'q k b. Intended use and occupancy 3. Nature ofwork_(check which applicable): New Building Addition Alteration Repair V/ Removal Demolition. ,Othe. r, Work ~ 'v~zD~,~r'~z~rtk- ~ [9 [W..t. ndo,~ (Description) 4. Estimated Cost 7 (To be paid on filing this application) 5. If dwelling, number of dwelling units M/k Number of dwelling units on each floor N) A-- If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. NJ Ar · 7. Dimensions of existing structures, if any: Front Height Dimensions of same structure with alterations or additions: Front lq o c~g~- Rear Depth ~ Height l, Number of Stories ~ ' 8. Dimensions of entire new construction: Front k) 0 IqC--¢O &~:~o. Rear Depth Height Number of Stories 9. Size of tot: Front l '~ r2'' 3D Rear t (~ (t ~qZ)- Depth .2 OD , 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated (>-,-~-%t O GaT ~ A, 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO V' 13. Will lot be re-graded? YES NO ¢,/ Will excess fill be removed from premises? YES NO L/ 14. Names of Owner of premises~>e'~, t~o~-ffa O Address Phone No. 4"1'-/ Name of Architect Address Phone No Name of ContractorU;:~., ~K4"C, It~. Address ~o ~ ~c~ Phone No. ~S4 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO v * 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 c/ * 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. STATE OF NEW YORK) SS: COUNTY OF ~ ~'-'~'O OW~ ~,O (~(~ t'~ 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 pertbnn or have performed the said work and to raake and file this application; that all statements contained in this application are tree 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 before me this /./f .day of ~{,.f ~bt~/ 20 (_// - )' N~tary Pub"}ic UNDA 8. CARL8ON NOla~f .P. ubllc, State of New Yodl No. 01CA6137t 75 13ualified in Suffork County (30mini.ion Expires Nov. 14, ~0.,~' ~~~licant 5'11" SupPORT MULLION~ PROJECT NAME: PONCHO RESIDEI~E PROJECT LOCATION: 2675 INDIAN NEC~ LANE USE & OCCUPANCY: SINGLE FAMILY DETACHED HEIGHT OF NEW CONSTRUCTION: NO NEW STRUCTURE SQ. FT. OF NEW CONSTRUCTION: 133 S~FT. iDECK]NG 'TYPE OF CONSTRUCTION: WOOD' FRAME / MASONRY DESIGN CRI i bRIA - PRESCRIPTIVE DESIGN AS PER AF&PA WOOD FRAME CO~NSTRUCTION MANUAL FRAMING ELEMENTS AS SPECIFIED ON PLANS d_UMBER SPECIES: #2 OR BE'FTER DOUGLAS FIR FOR FRAMING MEMBERS #1 S. YELLOW PINE (ACQ) IN CONTACT W/GRADE 3/4' CDX PLYWD. SUBFLOOR DECKING AS SPECIFIED ON PI_~S DESIGN LOAD CALCULATIONS MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS (IN POUNDS PER SQUARE FT.) DECKS 40 CRITERIA FOR CALCULATION OF DEAD LOAD WqLL BE ACTUAL WEIGHTS OF MATERIALS REFERENCED TO /~I./L ARCHITECTURAL GRAPHIC STANDARDS. "6.coNTINIUED FROM PREVIOUS PAGELI. ' I EXPOSURE & UPLIFT CATAGORY iS "C' - URBAN AND SUBURBAN AREAS. 7. NO WINDOW'REPLACEMENT " -8. NO STRUCTURAL CHANGES TO ROOF " 9. NAILING SCHEDULE: BUILT UP HEADERS 16D @ 16" D.C. EA. SIDE 1/2" PLYWD FLOOR SHEATH 6- 6D (12 FIELD) 10,MEANS OF EGRESS: THIS STRUCTURE WILL NOT BE ALTERED IN REGARDS TO EXISTING EGRESS. 11. PLUMBING RISER DIAGRAM SEE ATTACHE~ SHEET. 12. LOCATIONS OF FIRE ALARMS ARE NOTED ON Aq-FACHED pLANS. ,, ,, nOTE: ALL WIRING WlU_ BE BROrdGHT UP TO CURRENT CODE STANDARDS AND AN UNDERWRITERS CERTIFICATE WILL BE PROVIDED. I EXIST;2 X4 WALLS INSUL'. WI R-t5 BA'I'I' INSUL. &-ADD -1/2" ,.EXIST ,-EXIST -PONTIN'O '- 2:X-8 HEADER ' 2XSHEADER FIRST FLOOR ENViRONMENT-EAST-INC. 8.7.08 1/4" = 1'-0" REV. 8.25.08 REV. 9.30.08 EXJETING PORCH - NO CHANGF_.~ EXIST EXIST -EXIST -F..XiST J u J_ EXIST. 5'/4 DECKING ON 2 X 8 , ~ ~" oc ^c~ ~o,s~ t _ -~L-~. BOLTS 4 X 4 AC~ POST ~-- "~'X~ /.~/~ ~ 10'~,, SONOTUBE -~ WN~ ~ou~. CONC. ~. KIT, SINK ~ T-0-E~, -"-- TO EXIST. SEPTIC 1~'-3 5/8' f THREE 10" DIA. SONOTUBES POUR. CONC. FTGS. TO 36" BELOW GRADE. 2- 2X 10 ACQ.GIRDE,w. EXIST i -EXIST 14'-6 1/4' jEXIST. 2 X 4 WALLS INSUL. W/R-15 8ATT INSUL. & ADD 112' SHEETROCK REMODEL EXIST. BATHROOM & REPLACE PLUMBING WITH NEW AS NEEDED. EXIST IRCASE I EXIST I I EXIST I I~ I'' EXISTING PORCH * NO CHANGES ENVIRONMENT EAST lNG. 8.7.08 1/4" = 1'-0" EXIST EXIST EXIST I EXIST. PORCH EXIST 2 X 8 HEADER W TUB ADD C~.08ET EXIST. 2 X 4 W~LS WJ R-l ~; J3ATT INSUL & ADD I/2" SHEETROCK 2.2 X 8 HEADER EXIST EXIST EXIST EXISTING PORCH-NO CHANGES PONTINO RE: FIRST FLOOR ENVIRONMENT EAST 1NC. 8.7,08 1/4" = 1'-0" REV. 8,25.08 REV. 12.3.08 REV. 9,8,08 REV. 9,9,08 NCE EXIST EXIST NO CHANGES EXIST I } } EXIST. PORCH r