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Home My WebLink About35199-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 6/9/2011 CERTIFICATE OF OCCUPANCY No: 34990 Date: 6/9/2011 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 910 OAKWOOD DR. SOUTHOLD, N.Y. 11971, SCTM #: 473889 Sec/Block/Lot: 70.-12-27 Subdivision: Filed Map No. conforms substantially to the Application for Building Permit heretofore 12/2/2009 pursuant to which Building Permit No. 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: Lot No. filed in this officed dated 35199 dated 12/7/2009 gas fireplace as applied for. The certificate is issued to Jerdan, John& Fore, Donna (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 35199 5/16/11 A~j~ed Sigt{ature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PEIAMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35199 Z Date DECEMBER 7, 2009 Permission is hereby granted to: CHRIS LAMENDOLA 910 OAKWOOD DR SOUTHOLD,NY 11971 for : INSTALLATION OF A GAS FIREPLACE AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 070 pursuant to application dated DECEMBER Building Inspector to expire on JUNE 910 OAKWOOD DR SOUTHOLD Block 0012 Lot No. 027 2, 2009 and approved by the 7, 2011. Fee $ 200.00 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: 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 o f 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 oompleted 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 o£Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Date. Old or Pre-existing Building: Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section 7dY Block (check one) Subdivision Permit No. ~/,~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ Filed Map. DateofPermit. /r~ - 7~~? Applicant: Underwriters Approval: Final Certificate: Hamlet ~ot ,,~7 Lot: ",~ (c[W~k one) Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 Fax (631 ) 765-9502 ro.qer, richort~.town.southold.ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Jack Jerdan Address: 910 Oakwood Dr City: Southold St: NY Zip: 11971 Building Permit Cf: 35199 Section: 70 Block: 12 Lot: 27 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Diversified Power Corp License No: 32849-me SITE DETAILS Office Use Only Residential ~ Indoor ~ Basement ~ Service Only ~ Commedcal Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: 1-20a circuit for gas fireplace Ceiling Fixtures [~ HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~.~ CO Detectors Fluorescent Fixture ~.~ Pumps Emergency Fixtures[~I Time Clocks Exit Fixtures L.~ TVSS Notes: Inspector Signature: Date: May 18 2011 81-Cert Electrical Compliance Form 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ]FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY D.&.TE /~/~,~'~ INSPECT~ ~~ TOWN OF SOU~TH~D~ILDING DEPT. I NSPECTTO N~~ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ILATION [ ] FRAMING / STRAPPING [ ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]F~m~Jm'co~ [ ]FIm~.mS~ST4MT~m.L='r~'rmo. REMARKS: // DATE INSPECTOR~' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] RRB RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ~ ELECTRICAL (FINAL) REMARKS: DATE/--~~ INSPECTO~ F~-I.D I~ N REPORT DATE COM1VIENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUM~iNG TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined />/7 ,20 0fl Approved /~Q-/? , 20 O fi Disapproved a/c Expiration J/7 ' 20///` PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health ~ts of Building Plans Planning Board approval t/'SCurvey ~. Check ~:~, C)~) Septic Form N.Y.S.D.E.C. Trustees Flood Pemit ~Water Assessment Fora Contact: Phone: ~ Building Inspector tPPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 se'~s 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. fi 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, if a 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 [ b/td,,'t.d~7 "~. ~' ~-~"///~/"/~ ~-'~'"~}, (As on the t~x 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. ~/~, r~, dJ~q,W t~?~a'/~ -- Electricians License No. Other Trade's License No. Locat. j,on of land on which,proposed work wil~ be done: House Number Street County Tax Map No. 1000 Subdivision Section 69 Hamlet Block Filed Map No. Lot Lot 2. State existing use and occupancy of premises .a~l intended use a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost /¢O-~r~. ,-----'- Fee 5. If dwelling, number of dwelling units If garage, number of cars and occupancy of proposed construction: Addition Other Work Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Height. Number of Stories Dimensions.et s. ame structure with alteratioj,~s or additions: Front Depth _D.~r'"q ~ Height _'D,~r~ ~ Number of 9. Size of lot: Front ! 0. Date of Purchase 8. Dimensions of entire new construction: Front Height Number of Stories Rear 11. Zone or use district in which premises are situated Name of Former Owner Rear Depth _Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ 13. Will lot be re-graded? YES NO ~g~Will excess fill be removed from premises? YES__ 14. Names of Owner ofpremises~/-~ ~-~,e~:~--' Address qr',0 t~,t/~zo~,~ &Phone No. Name of Architect Address Phone No Name of Contractor dr,,t,',W~g;,'& Address :5"J0,,~ Phone No. NO X' 15 a. Is this property within 100 feet ufa tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ufa tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. :NO NO/---_ 16. Provide survey, to scale, with accurate tbundation 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) OU TY o rr !C,s: ~"WO¥~.~ L,., ~"~F~l~t,~ being duly swum, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (SOs 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 tree to the best of his knowledge and belief; any, that the work will be performed in the manner set forth in the application filed therewith. Swum to before me tkis. V Notary Pt~lJ}i~ ' Lor~*,ln* ~P,o*~ Signature of Applicant NOTARY POBI-IO~ ~ No. 01 ¢oramisslon F. xplt~ Malt k~, /p-~-?a-/z-z?TOWN OF SOUTHOLD PROPERTY RECORD CARD ~-/'~ ~FoRMEI~(~WNER · h ,i , N E ACR. J ~ES. ~ S~S. ~ FA~ COMM. CB. MISC. Mkt. Value ~N D IMP. TOTAL DATE REMARKS FA~ Acre Volue Per Volue ' / '/ / ( Acre Tillable 1 Tillable 2 Tillable 3 W~dland Swampland FRONTAGE ON WATER BruShland FRONTAGE ON ROAD /~ ~ ~ ~ ~' ~ BULKH~D Total M. Bldg. =.xtension Extension Extension ' Porch Breezeway !Garage Patio O.B. Total 70.-12-27 9/09 COLOR TRIM '1~11'i I I ~~,"i-4~.1 I'11 I I I I I Foundation asement ~<t. Walls Fire Place Type Roof f~ecreation Roon, Dormer Driveway Bath Floors Interior Finish Dinette LR. Heat ~'~/' ,Z) DR. Rooms 1st Floor BR. Rooms 2nd Floor FIN. B. M. Bldg, Extension Foundotion COLOR 05-03-11;12:52 ; 15162952~3a ; # 1/ 2 To~m Hall Ampex ~487~ M~u Ro~i Soud~old, NY llgTI-0~ Tclct~o~:e (~al) 765-150~ fooler.fiche r tC~o,~n ?~ u~d .nv'. us BUILDING DEPARTMF_,NT TOWN OF SOUTHOLD A~PUCAT[ON FOR ELECTRICAL INSPECTION REQUESTED BY: compa.y N.me: Li~nse No.: JOBSI~E I~FORMA~ION: (~lndi~tes required information) 'Name: *Address; ~10 *Cross Street: *Phone No_: Permit No.: Tax Map District: 1000 Section: Block: t ~. Lot: *BRIEF DESCRIPTION OF WORK (Please Print Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Information (If needed] 'Service Size: I Phase *New Service: Re-connect Additional Information: Rough In Final 3Phase 100 150 200 300 350 400 Other Underground Number of Meters Change of Service Overhead PAYMENT DUE WITH APPLICATION N/F CATANIA N 85'05'30"E 63,48' GARAGE CONC O~ S 83'0~ N/F ST~MMEL., PEET£RS SURVEY OF DESCRIBED PROPERTY CONC SITUATE P/NE NECK, TOWN OF SOUTHOLD ' SUFFOLK COUNTY, N.Y. OAKWOOD DR/VE SURVEYED FOR: DONNA M, FORTE JOHN L. JERDAN TM# 1000-070-12-027 GUARANTEED TO: DONNA M. FORTE JOHN L; JERDAN COMMONWEALTH LAND TITLE INS. CO. SUN TRUST MORTGAGE, INC. SURVEYED; 18 APRIL 2008 SCALE i"= 50' AREA = 16,114 S.F. OR 0.370 ACRES SURVEYED BY STANLEY d. ISAKSEN, JR. P.O. ~30X 294 NEW ~UF~-OLK. N.Y. ,i ~956 / NFS Li~. No. 49273 Installation Options: · Residential or Mobile Home · Straight or Corner Placement · Flush or Recessed Face · Raised Hearth or Flush To The Floor · Internal or External Chase · Horizontal or Vertical Vent · Bedroom Approved · Outside Fireplace- s~ Damp S~andard in Owner~ Manual Testing Tested and listed by OMNI-Test Laboratories, Inc. - Report # 028-F-59-5 ANSI Z21.88b-2003 Dimensions Top Vent Configuration 8" Diameter vent This s'~p is ¢ound 0nly on the 864 HH. Optional "Extra Room Power Heat Duc~ Connection 41" Weight: 225 Lbs. * Includes the required 1/2" clearance Minimum Framing Dimensions - Rear Ven A - Minimum I/2" clearance 13 - Minimum I" clearance C - 7-I/2~ approximate, vades due to vent installation D - Most installations use: - 6" vent section for 2 x 8 wails ~ 4" vent section for 2 x 4 wafts B A Route the electrical line to a position at the left rear of the fireplace (included with fireplace) Vent clearance (8' dia. vent): 1 ~ to the sides. 1 ' below and 3' above the vent to combustibles 30-3/4" 48" Min. 41-1/4"~ Minimum enclosure height = 49" Minimum Framing Dimensions - Top Vent Route the electrical line to a position at the left rear of the fireplace 41-1/4" Minimum enclosure height = 49" The on/off switch/thermosrat wire (if used) should be routed to a location near the right front of the t~replace 15-1/2" 48" Min. Note: Improper installation of your gas appliance or failure to operate it in accordance to the guidelines detailed in the Installation Manual may negate your warranty and endanger your home and family, Installation information is available on our website at www, fireplacex,com. ~/e recommend all Fireplace Xtrordinair appliances be installed and maintained on an annual basi N Wood Deck Wood Framed Residence 10.47'- New Fireplace SURVEY BY: Stanley J. Isaksen, Jr. April 18, 2008 Scath 1 ' = 20' SCTM# 1000 - 070 - f 2 - 027 O Eastern Elevation Scale: 1/2" = Southern Elevation Scale: 1/2" = 1'-0~' I I Scope of Work * Remove existing windows in south wall of living mom. * Frame opening as shown in these plans far stove enclosure. * Install Fireplace Xtmdinaire Model 864TRV m opening in accordance with manufaclurer's installagon instruchons. Installed two new windows. Windows must General Notes: 1 - Occupancy classification - Res~dengal Group R-3 2- Typo 5 - Wood framed construction to be uglized. Window Notes 1 - Windows are to be wood with double pane insulating high-performance Iow E glass with a max. U value of 0.34. 2 - Windows and doom am to conform with the Allowable Air Infil~gon Rates specified in section 502.1.4.1 m the New York State Energy Conservation Construction Code. 3 - Windows are to be equipped with removable plywood panels as shown in detail on this drawing or shall meet the requirements of ted Large Missde Test of ASTM E 1996 for 120 mile per hour wind loads. Electrical Notes: 1- All electrical work shall be installed by a licensed electrician. 2 - All elect6cal work shall be in accordance with the National Electtic Code, Gas Notes: 1. All gas piping and matedal shell be in accordance wgh the Res~deogal Code of New York Slate and the Fuel Gas Code of New York State. Simpson H Simpson Strop Stud tE R-21 IsEulahon in Roof R-21 Insulation in Walls 2x6 Studs 16" DC ~ 2x8 Joists 16" DC R-21 Insulation in Floor Wall Section Detail Scale: 1/2" = 1'-0" 2 X 8 Header pthce (TY~) (TYP) DETAIL A - ~'PICAL A~TACHMENT OF PLYWOOD OPENINGS PROTECTION TO WOOD-FRAME BUILDING Alternate to 120 MPH Certified Window Installation Plywood Panel Window and Door Protection for Wood Framed Buildings LIGHT WOOD~RAME WALL / PLYWOOD OPENINGS PROTECTION; THICKNESS DEPENDS ON WINDOW OPENING WIDTH ti) NOTE: IN LIEU OF SCREW#S, LUGS WI~ NUTS AND WASHERS MAY BE USED Plan View Scale: 112" = 1'-0" SIMPSON LSTA36 STRAP Typical Window and Door Header Strapping Detail Each Corner NTS Scale: 1/4" = 1'-0" Drawn by: JJC Date: i ' ;ONS'r~" ,], ,?~ SHALL , ;iEREQU':; ,, ~,!T,SOFTHE UNDERWRtTER? '~" i ~" Condon Engineering, Forte/Jordan 1755 Sigsbee Road Residence t Mattituck, New York 11952 910 Oakwood Drive (631) 298-1986 Southold, New York