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Home My WebLink About34431-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33931 Date: 09/02/09 THIS U~TIFIES that the building ALTERATION Location of Property: 6130 INDIAN NECK LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 5 Lot 17.6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 5, 2009 pursuant to which Building Permit No. 34431-Z dated FEBRUARy 11, 2009 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 MINOR ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CYRILLE & KATHLEEN BRIANCON (OWNER) of the aforesaid building. SUFFOLK CO[~TYDEPART~E~T OF N~J~THAPPRO~-AL N/A EL~-rKICAL C~'FIFICATE NO. 10875 08/13/09 PLU~BER~ CERTIFICATION DA'r~u N/A A~horized Signature Rev. 1/81 Form No. 6 TOWN OF SOUTIIOLD 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 tbllowing: 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 1% 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 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. Te~nporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Old or Pre-existing Building: (check one) House No. Street Owner or Owners of Property: {q,~ ~,j..~ ~> I~t,O.~r- O~ Suflblk Couuty Tax Map No1000~S~ection O/t~ Subdivision Permit No. 5[ 4 ~ 3 I ' 2" Health Dept. Approval: Date of Permit. fL/II / 0 ~ Hamlet Block 05 Lot I?. ~ Filed Map. Lot: Applicant: 0_,o n.a,~,3~ t~ O,.tPtMC.,,obl Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Vt (check one) Fee Submitted: AUG 2 8 2009 BLDG, DEPT. TOWN OF SOLITHOtO OLK BUREAU of ELECTRICAL ~NSPECIOR$,i~C 40 Nottingham Drive, Middle Island, NY 11953 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Peconic Building Solutions August 13,2009 10875 Certificate No.: Final Inspection Date: Building Permit No.: 10875 August 13,2009 Suffolk County Tax Map No.: This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: Cyrille Briancon Site Location: 6130 Tndian Neck Lane, Peconic, NY 11958 Owner's Address (if different): [] Residential [] Indoor [] Basement [] Commemial E~ Outdoor [] First Floor ~] New [] Renovation [] Second Floor [] Addition ~ Survey Other: INVENTORY Single Phase Heat Duplex Recpt Three Phase Hot Water GFCl Recpt Main Panel AC Cond Single Recpt Sub Panel AC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock GFCI Breaker Heat Pump Electric Heat Other Equipment: [] Service [] Shed [] Pool [] Hottub [] Attic [] Garage Ceiling Fixture HID Fixtures Wall Fixture Smoke Recessed Fixture 6 CO Detect Flourescent Pumps Emergency Time Clock Exit Fixtures TVSS Pool Lurninaire Exhaust Fan The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: Peconic Building Solutions Inspected By: Gene Surdi License No.: nla Date Of Certificate: Aug 20,2009 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34431 Z Date FEBRUARY 11, 2009 Permission is hereby granted to: C BRIANCON (HEATER FAM. TRUST) 6130 INDIAN NECK LA. PECONIC,NY 11958 for : MINOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at PECONIC County Tax Map No. 473889 Section 098 0005 Lot No. 017.006 pursuant to application dated FEBRUARY 5, 2009 and approved by the Building Inspector to expire on AUGUST 11, 2010. 6130 INDIAN NECK LA Block Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION ~FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ [ ]FIRE RESISTANT CONSTRUCTION [ [ ] ROUGH PLBG. ~NSULATION [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION ~STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE ~;EI,D INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) , /~ FOUNDATION (2ND) PLUMBING INSULATION PER N. Y. STATE ENERGY CODE F~AL ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~'~/~ , 200~ Approved 4/O , 20 0 ~ Disapproved a/c Expiration ~( / / D ,20 fro FEB 5 200g BLDG. DEPI. TOWN OF SOUTHOLO PERMIT NO. ~5t .~ 6,~ 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 Flood Permit Storm-Water Assessment Form Contact: Phone: 7&~ ~(~ ~~ Inspector PPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ~r2 ~ ,20 O~ 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 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. (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 ~t~ (l' I 1< ~'d'r:a. lqCor3 (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. Location of land on which proposed work will be done: House Number Street Hamlet Block ~' Filed Map No. County Tax Map No. 1000 Section q~ Lot 17. ¢ Subdivision Lot 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_ Addition Alteration -~ Repair Removal 4. Estimated Cost q~/~/ 5. If dwelling, number of dwelling units If garage, number of cars Demolition Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 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 Number of ~Stdnes .... Depth Height / '" 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Size oflot: Front /o3.'~, c9 O- ' Rear I '~9, I~' Depth 10. Date of Purchase ~>~O0g Name of Former Owner 11. Zone or use district in which prmnises are situated 12. Does proposed construction violate ,a~ zoning law, ordinance or regulation? YES NO .X 13. Will lot be re-graded? YES NO/ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland. YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B_,.E/REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * 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. 18. Are there any covenants and restrictions with respect to this property? * YES NO~- · IF YES, PROVIDE A COPY. STATE OF NEW YORK) _ ,~ ,.,SS: COUNTY OF },~)~1~64~ ~O,./g4" being duly sworn, deposes and says that (s)he is the applicant (Name of ihdividual §igning contract) above named, (C~on~l to~r, Ag C0NNIE O BUNCH Notary Puhlic. Stata of New (S)He is the _ No. 011tU~m~n~n ent, Corporate Officer, etc.) ¢omm~a!m~ in. Soffol~-~nl¥ sion t.~4olr~ April 14, ~0 .) 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 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. Notary Public DArE dAN 3,19~3 THE TITLE GUARANTEE COMPANy ,hone (631 ) 765-1802 ~x (631 ) 765-9502 Tow____ n of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: 8.C.T.M. #: · Disfrlct Section Block THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PI_~_' C~-~l wriED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK, !tpm Number (NOTE: A Check Mark (,~) for each Question is Required for a Complete Application) Ye._~s N.._~o 1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2"} Inch Rainfall on Site? (This item will include all ran-off created by site cleating end/or construction activities as well as all Site ~ I__i Improvements and the permanent creation of impe~/io~s surfaces.) / 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowi 3 Will this Project Require any Land Filling, Grading or ExcavaUon where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Mateda within any Pamel? 4 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feet of Ground Surface? I ! " 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a We and or Beach? 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fi/teen (15) feet of Vertical Rise to One.endred,ti0',of.odzontal Distance? I--I 7 Will Driveways, Parking Areas or other impervious Surfaces be Sloped to Direct Storm-Water Rea-Off into and/or in the direction of a Town right-of-way? 8 Will taiS Project Require the Placement of Matedal; Removal of Vegetation and/or the Construction of r~ any Item Within the Town Right-of-Way or Read Shoulder Area? __ (This item will NOT include the Installation of Driveway Aprons.) 9 Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain of any Watercourse? NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm.Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permit! EXEMPTION~ Does this project meet the minimum standards for classification as an Agticulturel Project? Note: ~fY~UAnsWeredYest~th~s~uest~n'aSt~rm~Water'Grad~ng'Dra~nage&Er~si~nC~ntr~P~an~sN~TRequ~redI Yes No STATE OF NEW YORK, '"' "~' '" '~'"li~ '~?~'"~"~"" '~ "*~ *.7~'~i,., ,,~e , a',~ua~ s~n,~'V'" .................... being duly sworn, deposes and says that he/sbe is the applicant for Permit, That I, CONNIE D. BUNCH ~..- ./) ..... Notmy Public. State of New York And mat he/she is the ............................... !...,~.....D.../.~. NO. 01BU6185050 · o~.. Co. ~o ^ '""-' ...... .'_"**":"::'*'" .~[Ifla:tlrrS~ff011i'C0tlMy .................... ~ . . ~e,. ,~onoo~te tm,cer. ~,c~;ommlss~on Expires April 14, 2'0 ] ~ Owner and/or representative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to ma}.e 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 herewith. Sworn to before me this; FORM - 06107 TOWN OF SOUTHOLD COMPLATNT REFERRAL FORM Location of Complaint: ~/' ~m ~'~?~,~,,.e-~ /..~./'~ (_.~,;, SCTM# Property Owner: ,/-;Je',r~'¢ /c,,,,/,.,~'~, ?'~'~--~r-/x~'~,-~. ¢~.~ Phone Address: NATURE OF COMPLAINT: ACTION TAKEN: Optional: ~.,~r~(~ ~_~ ~ Complainant: o ~ ~ By Phone Address Phone; Repo~ Taken By: ~ ~ ~ ~ o~ ~ ~ ~ Date: Date Referred to Code Enforcement: ~/~/n~ In Person SITE INSPECTION REPORT/DATE: CODE ENFORCEMENT REPORT ACTION/DATE: BPX07 *** Complaints and Misc Letters *** 2/24/09 .10:29:48 SWIS: 473889 PARCEL: 98.-5-17.6 OWNER: HEATER GUY C & VIVIAN ADDR: PO BOX 334 PECONIC NY COMPLAINT NBR: LOCATION: INDIAN NECK LA LOCATION NUMBER: 6130 COMPLAINTANT DETAIL OF COMPLAINT AND ACTIONS: ANONYMOUS EXTENSIVE INTERIOR STRUCTURAL WORK BEING DONE (CATHEDRAL CEILINGS) 1043 COMP. DATE 2/23/09 PLACE IN TICKLER: OPEN/CLOSED: - STATUS/DISPOSITIOn: REVIEW DATE: 0/00/00 SHORT DESC: COURT CASE: ~ ACD DATE: 0/00/00 ADD/CHG/DEL: CHANGE F8 = Notice Pursuant to Chapter 90 of Code Fl=NEXT F3=Exit E5=Stop Work Order F6=Unsafe Bldg Letter F12=mrior 5RIANCON RESIDENCE 2 2, 3 \, E OF CEILING HEIGHT CHANGE @ JG" O.C TO REMAIN DINING BOOM L LIVING R,OQM EXISTING ENTRY POYE[~ "0 C TO P~MAIN PORCH PARTIAL FLOOR PLAN h, = I '-0" SCALE: 4 ELECTRICAL SYMBOLS: OPEN TO PIR~T PLO0X i ROOM BELOW ~ I G" O,C. TO REMAIN PITCI lED PITCI lED ~PARTIAL FLOOR PLAN SCALE: 4 WALL LEGEND: NEW CONSTRUCTION ' INTERIOR WALL - NEW CEILING INTERIOR ELEVATION h, I' 0" SCALE: 4 = - J~EQIJIAED MEETTHEREQUI,:L, ::VSC,,,,c CODES OF NEI, .... ' SI'A',L FOR OCOUPANC / OR USE i$ U~x~i..AWFUL !'VITbiOUT PAGE ATTIC POP, CH LIVING ROOM WASEMENT "EXISTING BUILDING SHELL, SHEATHING. ROOFING ¢ 51DING TO REMAIN PORCH NEW 2"X4" C J ~ LIVING ROOM WABEMENT q H7 CONNECTOR ~FPICAL) 5ECTION "Al' (shown as exlst:mgl h, = I '-0" SCALE: 4 SECTION "A" (wd:h proposed celhng_chaneje) n, = I ' 0" SCALE: Z GENERAL NOTES; ELECTRICAL NOTED: FRAMING NOTED: FLOOR PLAN NOTED' DESIGN LOAD CALCULATION5 MINIMUM UNIFORMLY DISTRIBUTED LIVE LOADS TADLE R3O I .C ALLOWABLE DEFLECTION OF STRUCTU~L MEMEDER~ STRUCTURAL MEMBER. ALLOWABLE DEELECTION Rafter5 having 51o¢e5 greater U I 80 ~han $/I 2 WlH1 no Finished ceiling CLIMATIC TERMITE MODERATE DECAY 5LIGHT TO MI~E~E~,',;¢~ WINTER DESIGN TEMP. Ii ~c~ sn~ZL~ UN~* *~ *Z* M**U~% LAYM ENT ~QUI~D ~R~GlfilCAT'O ~ FLOOD HAZARDS PAGE. 2