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HomeMy WebLinkAbout37041-Z yIFFp Town of Southold Annex 1/24/2014 P.O. Box 1179 54375 Main Road z t. Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 36728 Date: 1/24/2014 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 2675 Indian Neck Ln, Peconic, SCTM 473889 Sec/Block/Lot: 86.-5-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/23/2012 pursuant to which Building Permit No. 37041 dated 3/6/2012 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: ALTERATIONS AND BILCO DOOR TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Pontino, Deborah (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED o ' Si ature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE s SOUTHOLD,NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit 37041 Date: 3/6/2012 Permission is hereby granted to: Pontino, Deborah 2675 Indian Neck Ln Peconic, NY 11958 To: Addition to a Single Family Dwelling; Exterior Basement Entrance (Bilco Door), as applied for. At premises located at: 2675 Indian Neck Ln, Peconic SCTM # 473889 Sec/Block/Lot # 86.-5-13 Pursuant to application dated 2/23/2012 and approved by the Building Inspector. To expire on 9/5/2013. Fees: CO - ADDITION TO DWELLING $50.00 SINGLE FAMILY DWELLING - ADDITION OR ALTERATION $200.00 Total: $250.00 B ding Inspector Form No. 6 TOWN OFSOUTHOLD. BUILDING DEPARTMENT 'CYO S b TOWN HALL C 14 765-1802 D 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 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 epmpleted 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 $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 of Occupancy - Residential $15.00, Commercial $15.00 / Date. 3- New Construction: ? Old or Pre-existing Bu~ilding/: (check one) Location of Property: ?!p 2dd /lp~G~ lax, Ld7uC House No. Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section `t (0 Block `j Lot / Subdivision Filed Map. Lot: Permit No. 3170 LL / Date of Permit. 3 - / a1 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: l~ (check one) Fee Submitted: $ S6 Applicant Signature ~ 7 z> TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION XFOUNDATION 1 ST [ ] ROUGH PLBG. XFOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: L c DATE 3 7 INSPECTOR o~~,OF SOllry~ o* TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [V] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ( ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: -7 DATE L13 INSPECTOR ~ ho~,~pF SO4lyy6 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . [ ] FOUNDATION 1 ST [ ] RO=LATION [ ] FOUNDATION 2ND [ ] I [ ] FR AMING / STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE INSPECTOR FIELD INSPRCTION REPORT DATE coub ENTS ~ro FOUNDATION (1ST) Q FOUNDATION (2ND) ~o LL~ ROUGH FRAMING & ~v PLUMBING INSULATION PER N. Y. y STATE ENERGY CODE FINAL ADDITIONAL COMMENTS i $ 114 S6 M z n • TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 7 Survey www. northfork.net/Southold/ PERMIT NO. / D I Check Septic Form 3-6 N.Y.S.D.E.C. Examined 20 Contact: Trustees Approved, 20a- Mail to: q Phone: 7) _ ( l Expiration _,20 1,3 D Building Inspector FEB 2 3 2012 PP ICATION FOR BUILDING PERMIT BLDG.DEPI TOWN 01 SnW HOLD Date o~ 02 3 201 E 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 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. l Pp ry\ ball- ~gT ti C-- Signature of applicant or name, if a corporation) Pe o~J / (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises tix1 d (As on the tax roll or latest deed) If applicant is a corporation, signature of duly author' ed officer (Name and title of corporate officer) yyJJ Builders License No. S S J H- Plumbers License No. N \ 1~ Electricians License No, Other Trade's License No. 1. Location of land on which proposed work will be done: a6 7S -1'0\ n4j X e) 64-t3 ~P C6 tOr L House Number Street Hamlet County Tax Map No. 1000 Section I rG Block S Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of remises and intended use and occupancy of proposed construction: a. Existing use and occupancy 0.1 2 ? ~7y,:~, , I L R14- ti C- b. Intended use and occupancy s, jed 14 r'am i Qe-Q IOb AJ<2_ I L?)(t ~J6,Qoe.AV41&Vt 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work _ (Description) 4. Estimated Cost ZT 6 © Fee ! (To be paid on filing this ,p l ion) 5. If dwelling, number of dwelling units tV Number of dwelling units on each floor If garage, number of cars / / 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. It/ IA- 7. Dimensions of existing structures, if any: Front Rear / O! O Depth y~ O U Height A 5 = Number of Stories Dimensions of same structure with alterations or additions: Front v to Cti4*S1 Rear ,cl Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front ~7 a '3 U Rear (fe . cl Depth CKl 10. Date of Purchase Name of Fortner Owner 11. Zone or use district in which premises are situated PS Pty r.Q -L_ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO-K- 13. Will lot be re-graded? YES NO--y Will excess fill be removed from premises? YES NO_-~- 14. Names of Owner of premises e b Po OA- WO Address 0675 Zu+~ ~s~ (/GCS Phone No. 73 V -,(Z Name of Architect Address Vee-OIJ - C-- `1 Phone No Name of Contractor E-V V r aA.1 me &6KT --i41L Address loP)a:4 1q-2 Phone No. 73 V - 7 Lq/ 7 0, COU, 0`( 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * 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 V * 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 1 ~+-,j being duly swom, deposes and says that (s)he is the applicant (Naindividual signing contract) above named, (S)He is the (Contractor, ent, 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 to before me this ~Yl day of r OL(J .t.~ 20 Notary Public Signature of A t CONNIE D. BUNCH Notary Public, State of New York No. O1 BU61 SM50 Qualifled in Suffolk County Commission Expires April 14, 2 ~~1 Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM Xg PROPERTY LOCATION: s.aT.Lt s: THE FOF I,OWINO ACTIONS MAY REQUIRE THE EM ISSION OF A I --j STO ' KNOM [k. a ra r 1-s r ° C0- r~rryL rAsl ' - Owat Seca" frock Lot G F UU MI T A W.$1 (3R~~i 8$T" 11 U THE §'T ILTE OF NEEWTUM Itam Number. (NOTE A Check Mark (.f) for each Question Is Required for a Complete Application) Yes No WW this Project Retain AN Stone-Water Run-Off Generated by a TWO (7) Inch Rainfall on SRe? - - - - - - - - - a (This Item will include all run-off Created by site clearing NxUbr construction activities as well as all Site Improvements and the permanent creation of Impervious surfaces.) I~-1 1 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 WawFkwA 3 Will Oft Project Require any Lard Filling, Grading or Excavation where there Is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Materiel within any Parcel? F-1 - 4 WIN this Application Require Lard Disturbing Activities Encompassing an Area In Excess of ~ - Five Thousand (5,000) Square Feet of Ground Surface? - rJ 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 Weiland or Beach? - 6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertleal Rise to ? - One Hundred (100') of Horizontal Distance? ff1---~~~r 7 Will Driveways, Parking Areas, or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off - Into and/or In the direction of a Town right-of-way?- WSI this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road 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 Cheek Mark In the Box, a Storm-Water, Grading, - - Drainage & Erosion Control Plan Is Required and Must be Submltted for Review Prior to Issuance of Any Building Permid EXEMPTION: - Yes No Yes No Does this project meet the minimum standards for classification as an Agricultural Project? Note: N You Answered Yes to this Question, a Stomr-Water, Grading, Drainage & Erosion Control Plan Is NOT Required, --------------------------------------------------STATE OF NEW YORK, - COUNTY OF SS Tlrat f, . UL4.....S .~IZ• A...Na' . being duly swum, deposes and says rat for Permit, (NemeakKIMkIUal rgnkg OowereM 61 Notary PIIANI:, State of New York And that he/she is the No. 01BUB185050 QuepNA&M-811go(k ( er, cenkaaor. Corporate Oftw. a0ommiesion E,(pires April. Owner and/or representative of the Owner of Owner's, an 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 hue 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; day of . Y. k!.,`. , 20.1. Votary Public ^ -L (Sgr~rueanppkanq Tea~irti~l g pie Paaet k (Szaaxt1hg Ye Time 9 Environment East, Inc. 2855 Indian Neck Lane r~ P.O. Box 197 Peconic, New York 11958-0197 L? 631-734-7474 Fax: 631-734-5812 Ilk/ IC I r . r Pontino Silco basement entrance Bilco foundation will consist of 8 courses of 8" cement block on 8 x 16" footings covered with trowel grade damp proofing to grade. D ECE~YE MAR 6 2012 D ei oc PEN TOW%OFSO[uHgjP Z d ZL89b£L L£9 OU13Se33uawuwinu3Apnr eZZLOZLgo jeW k a p~ Environment East, Inc. 2885 Indian Neck Lane a P.O. Box 197 Peconic, New York 11958-0197 1 J` a - 631-734-7474 1 Fax: 631-734-5812 August 26, 2013 Southold Town Building Dept. P O Box 1179 Southold NY 11971 RE: Permit 37041 To Whom It May Concern; At the request of the property owner, Deborah Pontino, we are requesting the above permit for work at 2675 Indian Neck Lane, Peconic be extended. If there are any additional fees required, please contact us at the above numbers. Thank you for your anticipated help. incerely, Or( ~ Judy Mc fee i; 1 Office manager F ,~I~il ilk !I '1 AUG 29 I .i 2013 Twt x9e Environment East, Inc. 2885 Indian Neck Lane { P Box 197 Peconiq New ew York 11958-0197 631-734-7474 y Fax: 631-734-5812 December 4, 2013 Southold Town Building Dept. PO Box 1179 I Southold NY 11971 Re: Permit # 37041 Pontino Residence ' _J To Whom It May Concern: Ms. Pontino would like to add the addition of a foundation under the existing porch that doesn't have the Bilco door to the above permit as shown on the enclosed plans. If there are any questions or additional fees please let me know. Sincerely, j Judy McAfee ANY ALTERA77ON.OR ADDI77aN TO THIS SURVEY IS A WOLA77AN tAt PONoNO ~TnAS PER SEC77ON iio9YSSUBDSH aV 2. AAA~T7RCnnONS Mp,RTM HEREON ARE VAl1D FOR THIS MAP AND COPS THEREOF` ONLY /F N SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR, SURVEY OF PROPERTY WHOSE SIGNATURE APPEARS HEREON. AT PECONIC TOWN" OF SO.UTHOLD SUFFOLK COUNTY, N. Y. N 1000-86-05-13 \ SCALE. 1`=30' . S88 0T30`E AUGUST 26, 2008 166.74 ---0 NTf _N C> ~SI DAN SOD F7ELD PLOT _G - =a _ E_._, t?ECt~ _ N LA CT \ EDP SOD Fl D a Z stiD n SOD F7aD n '4g ZS ~ \ \ _ Z e,Olm \ e2.3' 2 SNS£ eJ 40-d N 75"r + FR 1. O N 1 ti~~•C~9~FouN9/, N 9 w ° EAIS77NG LOT COVERAGE V ON~ R C) O 0o EX/S71NG HOUSE & PORCH=1, 502 SO. Fr 1,502 / 32,949 x 100=4.6% n ~ \ unurr 1 ~ F unurr ---p N88'41'12`W 173.30' N.Y.S. LIC. NO. 49618 PaE YQRS, P. aRokzv AVH.44rD&WWr wargn~wAr 2DI'FAX'(631) 765-1797 AREA=32,949 SO. FT. so T770LDN. Y. S TREE T 108-190 ~ , '1 t,'~~ . S,. y~ ~ ~ , ~A ~ ~ _ ~ - _ - s~ , i. £2 4 _ _ _ M1 ` ~ ~ 1. l i t t w 1 1, t ' A3cy~~• 1 d° Owl r f r. ` r. ~ 6 e.., i S 1' :r .Y~~ ~•~t ua. ' t - ~ Y. n t f f,.. r}ry'' ~ t~ ~ r t `"~,i %t'k i r ,,F ,gyp' p~~""0' ~ ~ ~ , lr ~ A~ ,~y„ ! ~ ~ r( - 1 ~ '!jam: ~y - ~u ~i l aj+f ~ ~~,4. r„ ~ ~ ca ~ s ~ ~ ` _ - _ . - 1 k. t rtX 'y ~ ,:i. ~f. 1. y ` _ n Am- ~iq ? ~ ~ f:~W. _ 7 y; • is y~ ~ y i ..1~ R p~ ~ C~ ~ ~ i~~'~£ i 1 s. ~ F, F 1 4 ~6'ii- ~ ~~~b, e~ - ~f ~ - F.~ ~a ~ z r. a _ ~r.. II • - -I f rt" - ~~ip ' \ y'. • i ` ~ .f 4' FAY ~ `~F l 1 i •4 a - a,r' r ~ _ ° YIrS~` L-4 : a '.4 f.. _ Ab. _ ~_t F~,~ ~ Yom. 'G. r ~ } _ ~ ' t _ A _ ~ } r~. - _ - gym.:' - ~ 1 SILL SEALER EXIS .FRAM G & TERMITE SHIELD -CONC. F G. 36" BELOW GRADE L _ I MOST MOST EAST ' o EXIST. LAUNDRY ROOM F] PARTRY - - i ? D STORAGE i In ' BEDROOM H - O - 67 ' O i TUB GATHFUM ' E1QSf. CLOSET i APPROVED AS NOTED a N S DATE ~~^I yB.P. r70 Sul f r. THE EXIST. ;E 'F PONTINO RESIDENCE PORCH REPLACE ANEW CE EXISST. CDOOR ELIATR D01 COMPLY WITH ALL CODES OF F F NEW YORK STATE & TOWN CODES 1 a -rul zEO FIRST FLOOR PLAN AS REQUIRED A F = OURED CJNCNE- ENVIRONMENT EAST INC. z cy _ FR Jv1iNC P_UMSi%G, 8.7.08 1/4"= l-W OLCTOWN ZB ST, RAPPING ELECTRICAL & CAULKING ADD NEW MASONRY FTG. 0 3. INSULATION REV. 8.25.08 REV. 11.10.08 EXIST. PORCH AS NEEDED SCUT T PLANNING BOAR 4 FINAL - CONSTRUCTION & ELECTRICAL REV, 9,8,08 REV. 3.5.12 SOU TO RUSTEES MUST BE COMPLETE FOR C.O. REV. 9.9.08 ALL CONSTRUCTION SWILL MEET THE . DEC REQUIREMENTS OF THE CODES OF NEW YORK STATE NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. EXIST MGST MOST MOST HOSTING PORCH i EXIST EXIST EXIST E7T7 o E=. LMRC YROOM W F D Pmfrw oemwm#f o o . TUB EMT. CLOSET Ff - - - - - - - - - - - - - i -1'. D AS NOTED a 5-6-la- B P # 370 s . COWIPLY WITH ALL CODES OF o, vo Br--~ NEW YORK STATE 8 TOWN CODES DEPARTMENT AT PONTINO RESIDENCE EXIST. AS REQUIRED TO 4 PM FOR THE PORCH ADDNEWBILOODOORTO REPLACE EXIST. CELLAR DOOR "ECT'QNS FIRST FLOOR PLAN OLD TOWNZBA ti - TWO REQUIRED D CONCRETE ENVIRONMENT EAST INC. SOUTHOL NINA BOARD fa,NG. PLUMBING, 8.7.08 1/4"= l -W $OU TOW USTEE :vG ELECTRICALS CAULKING Y EEST PO NEETMD@ ,jLATION REV. 8.25.08 REV. 11. 10.08 Y.S. DEC ',AL - CONSTRUCTION S ELECTRICAL REV. 9.8.08 REV. 3.5.12 - IdUST BE COMPLETE FOR C.O. REV. 9.9.08 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. EXIST EXIST EXIST EXIST EXISTING PORCH /