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Home My WebLink About39755-Z `,��Q\O eo,-- Town of Southold 12/30/2015 to P.O.Box1179 c€ i ' 53095 Main Rd '1,-VA ��0� '1i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38006 Date: 12/30/2015 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 180 Wicks Rd,New Suffolk SCTM#: 473889 Sec/Block/Lot: 110.-8-21.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/11/2015 pursuant to which Building Permit No. 39755 dated 5/11/2015 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 front stoop addition(as built)to an existing one family dwelling as applied for. The certificate is issued to Pezzino,Peter&Sabrina Family Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39755 1/31/2013 PLUMBERS CERTIFICATION DATED 12/17/2015 / Hi-Tech Plumbing A 0 thie44 StFFo��;•._ TOWN OF SOUTHOLD 4'• 4d) y'� BUILDING DEPARTMENT i y =) TOWN CLERK'S OFFICE • 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#: 39755 Date: 5/11/2015 Permission is hereby granted to: Pezzino, Peter 204 Biltmore Blvd Massapequa, NY 11758 To: 'As Built', Alterations to a Single Family Dwelling; Living Room, Kitchen, Dining Room, Bath, Utility Room, Mud Room, Entry Hall, Windows, HVAC, Insulation, as applied for. Replaces BP# 37453 At premises located at: 180 Wicks Rd, New Suffolk SCTM # 473889 Sec/Block/Lot# 110.-8-21.1 Pursuant to application dated 5/11/2015 and approved by the Building Inspector. To expire on 11/9/2016. Fees: PERMIT RENEWAL $568.00 Total: $568.00 I •i • Inspector - '- TOWN OF SOUTHOLD ,, sioco,,.0 r�� (may;cf, BUILDING DEPARTMENT y TOWN CLERK'S OFFICE '.#4,9, ›4 ' 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#: 37453 Date: 8/17/2012 Permission is hereby granted to: i Peter Pezzino 180 Wicks Road New Suffolk, NY 11956 To: 'As Built', Alterations to a Single Family Dwelling; Living Room, Kitchen, Dining Room, Bath, Utility Room, Mud Room, Entry Hall, Windows, HVAC, Insulation, as applied for. At premises located at: 180 Wicks Road, New Suffolk SCTM # 473889 Sec/Block/Lot# 110.-8-21.1 Pursuant to application dated 8/7/2012 and approved by the Building Inspector. To expire on 2/16/2014. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION 12 $1,136.00 CO-ALTERATION TO DWELLING .$-59 00 Total: $1,186.00 rev ) 5-'46).co / ,,,, c:gea..)....._ � � � . Buil.ing Inspector 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 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$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. New Construction: Old or Pre-existing Building: (check one) Location of Property: ) I i\C..t 0 8 fi House No. ��1�-' ., Street Hamlet Owner or Owners of Property: P�' -1-- C 6 �i Pc-023a0 Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. � 5 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ Applicant Signature �'°� --. , FFOC Town Hall Annex ' ,#'.�p� ` �c4G.'. Telephone(631) 765-1802 54375 Main Road t o •t Fax(631) 765-9502 P.O. Box 1179 . �,1 Ns Southold, NY 11971-0959 '\9* *0 0'11' roger.richerttown.southold.nv.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Peter Pezzino Address: 180 Wicks Rd A City: New Suffolk St: NY Zip: 11956 Building Permit#: 39 755" 37453 Section: 110 Block" 8 Lot: 21.1 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Rocky Point Electric Inc License No: 32644-me • SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 ph 150a Heat gas Duplec Recpt 19 Ceiling Fixtures 6 HID Fixtures Service 3 ph Hot Water GFCI Recpt 6 Wall Fixtures 3 Smoke Detectors 3 Main Panel 150a NC Condenser 1 Single Recpt Recessed Fixtures 14 CO Detectors 1 Sub Panel 100a A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances dw Dryer Recpt Emergency Fixtures Time Clocks Disconnect 150a Switches 20 Twist Lock Exit Fixtures TVSS Other Equipment: 150a underground service, 1-paddle fan, 1-exhaust fan, 4-ARC fault circuit breakE Notes' Inspector Signature: AteDate: Jan 31 2013 Electrical_Certificate.xls FR9ri SnLITI-CLD TOWN PLANN NS BOARD FAX : 631 765 3136 N . 18 2031 SPrl ,gro ezr4, 4AUg Town Hail,53095 Main Flood ;44- Fax(516)755-1023 P. 0. L34:”/1179I 3Q/e Tolaphona(5161 765-1602 fot • sv. Southold,New VlStic 11971 • • OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION DATE 2,/b 7)124/j-- - . , 39 Building Permit No. • Owner:. 9zA ( 9e.I:7-V)0 (please print) Plumber: (please print)\' I certify that the solder used in the water supply system contains leas than 2/ip of L% lead, • • (PIumberS gignature) • HARD FEWN Wry PubW,Stale of New York No,8IFE4904.551-SARCOMA( Sworn to before me this Tem Expbas Sept 8, day of 1Tet , 14. L Notary Public, (6,d) ie( / County Lp DEC 30 2015 bt-it {0, tr 7o��F S0(/T�ol, 86 •-p -�� / Ape TOW 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 [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: _ _4 ��•1 i � dett4-4-7-z.ni /4169,-)6 p4-7-az---, DATE 32 / v INSPECTOR ,o• ` 37y9c3 — TOWN ''' OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECT)ON [ ] FOUNDATION 1ST [krROUGH PLBG. [ ] FOUNDATION- 2ND ' [ ] INSULATION [ ] FRAMING/STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: �11 c � l DATE l INSPECTOR _ „ ofs0012.__., „ei,o.cf-t\s, i* Lsc4”' _Si 411 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 [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE `ia J l2� INSPECTORS 9-76- ,,,,,,,,,,,, Of SOpt,5olo`, !COUN1V, ft N �� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ' [ ] ROU H PLUMBING [ ] FOUNDATION 2ND [ ] SOLATION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: GM S,r(,(��+,, / -. l �,� U 4P1A6 /--ccs r \R &r L ,d,=& DATE /, 4/1/e INSPECTOR 7C'f-7 FIELD INSPE ON REPORT DATE , COMMENTS ,._. ula I� ' FOUNDATION(1ST) ' T • �, 't • FOUNDATION(2ND) 4- ' 94,/ '.2'.. i'il.........164-(1.....4.41.#,,t; /1Py...41 • ROUGH FRAMING& • c y PLUMBING 0 INSULATION PER N.Y. ° STATE ENERGY CODE • •• • /( ' MIN. ."-Ci kJ , sem, 4..., __ +? 4 . 17:1'.* FINAL , ME ,g,,,_, -41/4e. --_-4. (-`441---:- •7---"7 7, ,..4-4--t-E--? - (at 7 --,--)7.7-_,4,43 • . ,. . . ______ ADDITIONAL COMMENTS AL k,1 .e -s\9 i)d1. �1� )-\a, q9-)() �qo 6 ` 5� �' 1/11-712- Imo- (.4<,e - 6K' i-- C) z ((5/ (5 6;41ft 6-42.,,e_.- dfc ce-gr___ ---(43, -1 l-1 J rl re4P1Pi 3.71-15, Slog 00 4* 51(0 tee-i} g 1 1 cii ) • • . > ,ti e tt 1 TOyWN'OF SOUTHOLD ��a L, lion SUILDINt � • NG PERMIT APPLICATIQCHECKLIST BUILDING DEPARTMEN ,,ppPDo you have or need the following1befti.•e applying? TOWN HALL � , - Board of Health SOUTHOLD, NY 11971 � ��) 1 ,�1/'' ' 4 sets of Building Plans TEL: (631) 765-1802 - --- a ' W 4�Li1 U`v Planning Board approval FAX: (631) 765=9502 ,, 7/. ....5--3 Survey SoutholdTow•n:NdrfhFork.net PERMIT NO.: / Check Septic Form N.Y.S.D.E.C. , Trustees , ' j C.O.Application , - �y- ! ,� 1�a' ' Flood Permit ' Examined Q LS ,20 /O� Single&Separate RECEVUEB Storm-Water Assessment Form f Contact: - Apprbdea Y �,20 l AUG - 7 2012 Mail to: "lee S^c Fl wPf/2�z >��is;�c BLDG.DEPT. ' - - o l—.�¢_ o TOWN OF SOUTHOLD Phone:' !/(/ r Expiration — i‘5, ,20 / — , - c.....,,,f(re "6„( Building Inspector APPLICATION FOR BUILDING PERMIT ' Date 00- /Z , 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 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. Everybuilding permit shall expire if the work authorized has not commenced within 12 months after the date of iskiance dr hasnofbeeri completed within 18 months from such date. If no zoning amendments or other regulations-affecting the property ha'e`been enacted in the interim,the Building Inspector may authorize,°in-wi•iting,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. nit< k c JCilludire-77- (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, age t, architect, e gineer, general contractor, electrician,plumber or builder Name of owner of premises '1 , {c P ` ® ' (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. . 1. Location ff land on which proposed work will be done: / w/GSC,r K0 /vim Sv Lg. - , House Number , Street Hamlet County Tax Map No. 1000 Section /1 4' Block 40 O Lot Z I. I Subdivision . Filed Map No. Lot ,-- �' -- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,S/A) CG,. ff} ''1 /C j /2e, �� ( 1' N b. Intended use and occupancy IA/t AI ted r../4,___ '37.12w G, dZ eo-7/ n fG 3. Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work New g yjc9 j3 4 doa/ry f/J5-ac*77a.✓ilepv,O—`---(Description) 4. Estimated Cost . ..- Fee. Pi i)e .rit' f, NF�.J a it 4 c q '(To be paid on filing this application) 5. If dwelling, number of dwelling units ' , Number of dwelling units on each floor & J2,fow If garage, number of cars , ,F 4(, ..OO 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. I'' PC/�TI>1� 7. Dimensions'of ekistrng structures, if any: Front_ `, .. ,_,__Rear._i Depth, Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth - Height Number of Stories 8. Dimensions of entire new construction: Front' Rear Depth Height Number of Stories 9. Size of lot: Front ` Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated f-e 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NOP( Will excess fill be'removed from premises? YES NO 14. Names of Owner of premises P-..:7-E: Pd ZZi1° Address Phone No. //7e rrG8-33 Name ofArchitect A.,A,P/G ,)" -i-il,virn,r Z- Address Phone No 7_?4 42 //_ Name of Contractor Address Phone No. 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 Pc * 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 QA * IF YES, PROVIDE A COPY. STATE OF NEW YORK) , SS: , COUNTY OF .Si1 69) - , kLr< being duly sworn, deposes and says that(s)he is the applicant (Name o individual signing contract) above named, ' ' CONNIE D. BUNCH ' (S)He is the 4e0Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County (Contractor,A ent�orate Officer, o?nmiasion Expires April 14,2 LL 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 thins 1 3----1-1- day of 19'1n 20 /a-- / Notary-Public �� ` •" Signatur- Pplicant 1� • Town of Southold - Chapter 236 - Stormwater Management 'i SWPPP - Storm Water Pollution Prevention Plan Assessment Form GENERAL INFORMATION: (All Requested Information is Required for a Complete Application) I APPLICANT NAME: Owner-Agent-Consultant-Contractor or Other(Circle One) PropertyOWNER p1Different th n Applicant) i • mA4 (Cww4 7 P Eoe rcZZ,doa P.a. 8"x 9/33 c�T�No 6uE Q p Telephone : 73 4. 4,LpJ Faxfk // Telephoned //7�O z4��j� I Fax#: •: I JE-Maik �7f�S�$rG`11 G�t� Op*o47l:Ac..'a.1 E-Mail: 1 Property A` : Brief Description of Construction Activity,Proposed Structural BMPs,Soil ! S.C.T.M.ik 1000 I I, or v., I Stabalization BMPs,Project Scope and/or Sequence of Construction Activity District Section Mock tot f (Pladde 11dd1talat Pages as Needed) Name of Contractor and/or Contact Person Responsible for Implementation of SWPPP: N jw cur/Al 00'V j 5/pity N /t i �C Ste/ Address: -_g_ a �� j� l�-1 _�[IL�GS'l _- ' ! [ I cBlg LZ C3I Grp -�j,Ar2?�j t _1__ l C_C/� _ Telephone#: 5// 66 Z 43n I Fax#: --fj /�r .r /w� r �-/ I E-Mal: 7 1O -/ `�— -f LN_3L ��i__/ L. -=S •1 !/ 1 I, -- f A_C_ tc-�; I • Name of Persons Responsible for Installation&M�Intenanee of Erosion Control Practice: _ - /t -L i) II I eAddress: ®i7 L PL/1/�G - Telephone d: Fax 0: f ) E-Mail: 'Total Area of Al( Total Area of Land Clearing Project Parcels: and/or Ground Disturbance: (SF-/Aces) (SF lAnee) Project Duration: Start End ,__- - — — (Anticipated) Date: Date: -' -__ "" ' (Number or Calendar Days) __ -- - -. Will this Project Disturbe five(5)or More Acres at I I I VA I I Any One Time During the Proposed Development? Yes ` o If YES:Please Answer the Following! ----_--• - I F l a. Does the Applicant have a Qualified Inspector OnI14c? Staff To Conduct the Required Inspections? Yes I No b. Does the SWPPP Indicate Flow Frequently the Site I No •List the NAMES or description of all Potentially Impacted Waterbodies andfor Wetlands: < Inspections will Occur and for What Period of Time? Yes IV 0#t/g c. Does the SWPPP Adequately Identity All Temporary and/or Permanent Soil Stabalization Measures? es r N d. Does the SWPPP Adequately Identify a Complete - - --- - Project Phasing Plan? Yrs ;• i e. Does the SWPPP Indicate Additional Site Specific Status of Impacted Walerbody:leg.TMDL,303(d)Listed,Impaired_) is I Practices that Will be Utilized to Protect Water Quality? Yes N 1 ____ , I , f. Has the Applicant Submitted a Completed DEC Notice - - - Sound, - -- -- f Of Intent and SWPPP Acceptance Form for Review I—� I 19 Type of Impacted Waterbody leg.Lake,Creek,Bay,Pond, FreshwaterWetlantL) , � by the Town of Southold? Yes No' STATE OF NEW YORK, ' COUNTY OF... .) '(-Y SS ; That I,.. A,of"xxfivlrk,al signingi.`:'6 �., r." being duly sworn,deposes and says that he/she is the applicant for Permit, , And that he/she is the _ • (Owner,Contractor,Agent,Corporate Officer,etc.) t I I Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to I I 1 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 herewith- E ` Sworn to before me this; day of 20 [Notary Public: SWPPP Assessment FORM: 03-12 (s,gnature �ec...,e/0 .v_ � E of *r Town Hall Annex ; - - Telephone(6311765-11802 WM Main Road �; racer rich e t Yyr111? l.nv.us • P.O.Hon 1179.. . Southold.NY 11971-0959 • BUILDING DFPArTMF.NT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION • REQUESTED BY: %77z/L Date: o? // f pang Name: -RociC.y orA i • Name: 77724,e- -!trvfo.� am'/ . License No.:: 3 a .(oc Vr Address: TO = ( 64-NS- Pi•• -y. )177 r • Phone No.: 65 I 31 tl— LI( ,5 9 / JOBSITE INFORMATION: (*indicates required information) *Name: TETE. z2 T O • *Address: i wtcx c - • . i/33 �u 1 *Cress Street: *Phone No.: 9/ s '' Permit No.: Li `a.3 Tax•Map District 1000 Section: ,110 Block_ ' Lot: l> ) *BRIEF DESCRIPTION OF WORK(Please Print Clearly) f OJe R ,t'O(//-ZEO,t) fft JET u 6V - 4-7 (Pieese Circle An Thst Apply) '{f 9I. /oC *1s Job ready for inspection: YES I NO Rough In nal *Do-you need a Temp Certificate: YES! NO • Tempinformation(If rteededj *Service Size: 1 Phase 3Phase 100 150 200 300 360 400 Other *New Service: Re-connect Underground Number of Meters Change of Service Overhead Additional information: PAYMENT DUE WITH APPLICATION XF v ra-oiI - zt/1C AP I `�.— 824Reieteskfor Econ form "� DwELLJA,6,B. e * 3 7 ,53 f ,oj. . He37Sf1 BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted: g 7�O� Date Reviewed: . lc-1°L Applicant: / (a Owner: ff--927Z-- eW4-,-6- A � �' Architect��: 0) ,�4 Estimated Cost:cir SCTM# 1000 - 110 -_ 7 - ? ( i 1 Subdivision: ' Zone: K- -4 Conforming? iti° o ,) Property Address: / YO V"VL.c- City:✓�� J/ Pre COs? Building Permits (Open/Expired): BP -Z/ /O Z- ,Info: BP -Z/C/O Z- ,Info: BP -Z/C/O Z- , Info: BP -Z/C/O Z- ,Info: BP -Z/C/0 Z- ,Info: Single& Separate Search Required? Y d N etermination: — STo1J Yi4,7EP.-RUN-ca.FF c( REQ. Lot Size: 1 000 ACT. Lot Size: / " a ' - 'REQ. Lot Cov. ao% ACT. Lot Coy. REQ. Front ACT. Front REQ Side ACT. Side REQ. Rear - PROP. Rear \ B L., *! ,ACT. Height Reg, .80TH SIDES A C T Project Description: $ , , � ,le , ,, o iiii,A4,e,„,, ,, -,....3511A,Lee,,k,u f , # A_c, , ... , , .) ,..._ „,.. If yes, water body:- ---� Panel# Floc), Zgne: Bulkhead/Bluff Distance: ADDITIO SAL APPROVALS REQUIRED ALAN S(0 SIGNED, SEfILED OKSuRVEY d Suffolk County Health: Y o-. If yes, *Bed#: *Date: _/ /_*Permit#: Town Septic: Yel - If no, certification required: Y or N Received: Y or N By: NYS DEC: PRE-DEC 911/75 Y o6)Date: / / Permit#: - or NJ Letter- Notes: Southold Trustees: Y o6- Date: / / Permit#: or NJ Letter-Notes: Southold ZBA: Y o0- Date: / / Permit#: -Notes: Southold Planning: Y NG Date: 7 / Permit#: -Notes: Town Landmark C of A: Y olTE: / / *NYS CODE Compliance(page 2): Y or N CONTRACTOR kicen DISC-BALI TY LIf1-BIL.I TY Wog IC,y /S coAl PN34-r/OAl ' ' d(P Notes: Fee Structure: DWL.LIAJ G, Calculation: ,I�a�S, • rr Foundation: SF -)' ''-, i' ,, qg® X $ , g'°' =$ 3 b Y , 0 0 First Floor: 7d-0 SF ? 0 S.F X 4., '740: +Initial Fee: $ ?-0 C F d 0 Second Floor: SF - 9., o o +Additional Fee ( ): $ Other: SF - 1 0 0 , 00 '74T L. SF X$ , =$ Total: SF ` 8-1-ilte X 12. , o o , $94,00 +Initial Fee: $ / ��°L it0 tZ ^+Additional Fee (`°44-0u)-60: $ 51.41 0 0 p C�rt�ill `C of o FEES �0,0�X _ ` n1 J�vw�- t 00 A S BUZ ji : $ L % • • NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPHIC DESIGN CRITERIA: Ground Snow Load:20 Wind Speed: 120MPH Seismic Design Category:B Weathering: Severe Frost Depth: 36" Termite: M-H Decay: S-M Design Temp: 11 Ice Shield Underlay: YES Flood Hazards: USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPTIVE FULL FRAMING DESIGN ELEMENTS: Y/N HEADERS: YIN WALL STUDS: Y/N GIRDERS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS:Y/N ROOF RAFTERS: Y/N LUMBER SPECIES AND GRADE: Y/N WINDOW AND DOOR SCHEDULE: •MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: YIN VENT 4%: YIN NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGRESS: Y/N PLUMBING RISER DIAGRAM: Y/N LOCATION OF TIRE PROTECTION EQUIPMENT: Y/N TRUSS DESIGN Y/N CERTIFICATION: Y/N ENERGY CALCS: N (RESCNECI) ?- •0 TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) \-1-\VL- Southold Town Building Department �,rosp$vFFot' coG P.O.Box 1179 Permit#: 37453 • `,'ate fes' 53095 Main Rd ' 4 Southold,New York 11971 Permit Date: 8/17/2012 � cf, 46' ao�`�+' (631)765-1802 Expiration Date: 2/16/2014 1 '� ' Parcel ID: 110.-8-21.1 BUILDING PERMIT RENEWAL LETTER Dated: 4/14/2015 Applicant: Schwartz, Mark Location: 180 Wicks Road,New Suffolk Work Description: AS BUILT ALTERATION 'As Built',Alterations to a Single Family Dwelling; Living Room, Kitchen,Dining Room, Bath, Utility Room, Mud Room, Entry Hall,Windows, HVAC, insulation, as applied for. A FEE OF $568.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. ZGN Bi 141,nore. 11 Owner: Peter Pezzino M 615S4p-ctua. NY ' Address: 180 Wicks Road ii 75S-- 7z°Li New Suffolk,NY 11956 I The permit listed above has expired. No work is permitted or authorized beyond the expiration date. Please submit the above fee made payable to the Town of Southold. Mail to the Town of Southold Building Department, P.O. Box 1179, Southold,New York 11971 \-----7-0—E-')cwiik, Ri MAY 112015 BLUr DPI TOV,IN U.,01;1t101.D THANK YOU, SOUTHOLD TOWN BUILDING DEPT. Date 7 30 - /2 File# TOWN OF SOUTHOLD COMPLAINT REFERRAL FORM Location of Complaint:/$0 4JDD 1efcS/I D •D e,0 5u1 /ki SCTM # //0, - ?-d1, / Property Owner: MARTHA L . 1 /E',.6 L Phone 73V- /39O Address: P.O. ) ox (P .5.- Alaw SurcoL/') , VI• 11q5G, NATURE OF COMPLAINT: arrrri,u,2 84.4"/26 iivs/i.") - 13.1 1)/),J,5 - AU ACTION TAKEN `/5 /a1 W-4`11-4 -) e f 4_, 'FtV/ / y - 9r?'1W2- -4M, 0-e G ) 4 t CJj7 � � ,1,5- /A p , P 2—) eke-ef, Optional: Complainant: By Phone Mail In Person Address Phone: Report Taken By: Date Date Referred to Code Enforcement: CODE ENFORCEMENT REPORT SITE INSPECTION REPORT/DATE: ACTION/DATE: , 4 T.m 3 ._ ,. ' ,t �,r .,.5,. _ b , �.v p� „ sia "_C,s,.... e „ 0 p w-. , s s , ' .'' ' t•:.''- ili.ii:'*4' — -' a '' ,. ,. F ): f *� ..,: e x 1. n`= .,� '- r �..., <,-- .... �.& .' .Ess-. 'o, '.� -- I TOWN OF SOUTHOLD PROPERTY RECORD CARD Go�- 1/o _ 8 -aL Yr- y OWNER / AGi df� STREET/ )g-C1 s{o VILLAGE It/$.470!_ DISTRICT SUB. LOT ' —Ma Yf Ji '�- . .4el RI 806.4 /Uewh dyr bEcit. , FaRR OW_ptER N p E II, r, ACREAGE od Z S W TYPE OF BUILDING /:T�Or.f7`�!/e.,jt rt(/f, 0a�se1—G�ti.wol( oh = 1e/�e/ / ��Lt.�` ( 21 SEAS. VL. FARM COMM. I IND I CE. I MISC. I Est.Mkt Value AKr.•- Ta74r.... LAND IMP. TOTAL DATE REMARKSs/Q/�/3//(J,Ad�49?a Q d OF/,e,),_e n i T f34e v Pr r/ y a / l0 0 / ?O d , .2_,/2/ Se/01(.2)Pwa-e/f 14,640, .f.'7141 .,j- %a /ie.6el -3 do /?e,6' az�.r, Y/Ver I a— d/r///n4a///to dC.%�ek/1 ) .I Tie i L oc - ‘ 6 6 / 9t50 ,2"--0 6 / //y72 AGE BUILDING CONDITION NEW • NORMAL BELOW ABOVE FRONTAGE ON WATER Form . Acre Value Per Acre Value FRONTAGE ON ROAD /06,(.44 o. �/rakr/p�a c/ & �1.4S Tillable 1 - I BULKHEAD Tillable 2 I DOCK Tillable 3 Woodland Swampland Brushlond '~'"*� •-souse Plot Total -1-- . c — •— E I! • : I i ! r I 1 I 1 I 1 t '�/ . • , �{L I, 1 — rpt ii i �L.__ i//._ i i • r I • } I , • � ` ' I / Bldg. i X �/ I qiii j 6�Glundotion L i Both • i :t silo 4 Y G t,C 1 S meet Floorsr)/4�4Ii. WallsInteriorFinshttekefeirt Cf ctension I Flre PlaceNeat! I1Porc:4„..2,,,,1,..,__‘4.0 Roof Type /� // j Porch Roams 1st Float ✓ I eezeway Patio Rooms 2nd Floor age ��ll EG V"ewoy Do rmer 1 i //b J I SURVEY OF PROPERTY N AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-110-08-21.1 SCALE: 1'=20' 04 JUNE 14, 2012 4y 732 87, 7 irICxs ip 6 0 E �IA'N 4NK oo f 4'o 4f cc ti4 100.0 p, >. p 619• ' fin Q J'S ,.......3 O O 9' W '' /04 42)4Y it I 4. STDRY 8 645. F H 4. , o , 10 p. I1-, .? F I�l• 6j a OONC7jei, F_ cr f \ 1,.., Z Ou 2 .Qt' L., Q. 24. o (t-- 2\ i 1070030.s o to 4 o�E" _ 22g, /o 2 bq£�,� (D N73 14 N 226 ct q. 04• 0Ft �RA41SfY RfVpCABCf 10Rf X04 fU,� �Usr 65 \� N/0/F Jfrp-i fY cRq CERTIFIED TO '"w0 PETER PEZZINO �EOF NE�yPC ADVOCATES ABSTRACT, INC. c, �1 MET„,�4- * �c k.•,3''' ,.3. 2.kAREA15,000 SQ. FT. . . . 16O. NO 49618 ANY ALTERA 71ON OR ADDITION TO THIS SURVEY IS A NOLA TION /ECONIL ii/RGEYORS, P.0 OF SECTION 72O9OF THE NEW YORK STA TE EDUCATION LAW (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL C£RTIFICA DONS P 0 BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR I =MONUMENT 1230 TRAVELER STREET 12-200 WHOSE SIGNATURE APPEARS HEREONSOUTHOLD, N.Y. 11971