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HomeMy WebLinkAbout40319-Z 'r �g�yFF It : - Town of Southold 4/1/2016 P.O.Box 1179 c€, 4 ) t ovr° 53095 Main Rd `'#al Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38197 Date: 3/31/2016 THIS CERTIFIES that the building ALTERATION Location of Property: 725 N Sea Dr, Southold SCTM#: 473889 SecBlock/Lot: 54.-4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/24/2015 pursuant to which Building Permit No. 40319 dated 12/3/2015 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: INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING, AS APPLIED FOR The certificate is issued to Licul,Pino&Trona of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40319 03-22-2016 PLUMBERS CERTIFICATION DATED 12-09-2015 Marrantino Autho ed igna re {`soFo --- TOWN OF SOUTHOLD ; `0' 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#: 40319 Date: 12/3/2015 Permission is hereby granted to: Tews, Otto 725 N Sea Dr Southold, NY 11971 To: construct interior alterations to an existing single family dwelling as applied for. At premises located at: 725 N Sea Dr, Southold SCTM #473889 Sec/Block/Lot# 54.-4-9 Pursuant to application dated 11/24/2015 and approved by the Building Inspector. To expire on 6/3/2017. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 otal: $250.00 Building 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. N0V t; 6o�14, 090/5 New Construction: Old or Pre-existing Building: ✓ (check one) Location of Prop ert 7,2 5 N1, S EA b E N E i S OUTWOLA NI I ICI-7 i House No. Street Hamlet Owner or Owners of Proper IR EN A A- P 1 N 0 LL C U(. Suffolk County Tax Map No 1000, Section 5 4 Block 4 Lot q Subdivision Filed Map. Lot: Permit No. 4O31 Date of Permit. Applicant: frena d'PI Nb 1,101 L Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5o�� V 44:-/ Applicant Signature �•,��&BOG SOLIA " Town Hall Annex �� �® lO : Telephone(631)765-1802 1416 ilk 54375 Main Road ; Fax(631)765-9502 P.O.Box 1179oA�� Southold,NY 11971-0959 ;fly . . -.. e roper.richertl�town.southold.ny.us • = COUi r(*C,•�� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Tews (Pino) Address: 725 N Sea Drive City: Southold St: New York Zip: 11971 Building Permit#: 40319 Section: 54 Block: 4 Lot: 9 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: M. Gaudio Electric Inc. License No: 3970-ME SITE DETAILS Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 4 Wall Fixtures 2 Smoke Detectors Main Panel NC Condenser Single Recpt Recessed Fixtures 11 CO Detectors Sub Panel NC Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances DW Dryer Recpt 30A Emergency Fixtures Time Clocks Disconnect Switches 7 Twist Lock Exit Fixtures TVSS Other Equipment: 3 - Exhaust Fans Notes: Inspector Signature: C --1-4--- Date: March 22, 2016 Electrical 81 Compliance Form.xls Town Hall Annex % Telephone(631)765-1802 54375 Main Road N _ Fax(631)765-9502 P.O.Box 1179 ` Southold,NY 11971-0959 ` - Y •l � ►+• BUILDING DEPARTMENT TOWN OF SOUTHOLD � � _! !I DEC 1 5 2015 J TOViP 0' '00[,10'_O CERTIFICATION Date: 1/� Building Permit No. 63 I I Owner: PI n b L I Gu L (Please print) i �1 r / C) Ar L. ' ,ol d PC"F '6 c°re r Plumber: f J (P ease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ,/ —_— atu Sworn to before me this day of�sZ_ ().,szr, 20 kc Notary Public, S -- County LAURA A.PINTAURO Notary Public,State of New York No.01 P15071525 Qualified in Suffolk County C/v' Commission Expires January 13, — * TOWN OF. SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: RekiLe.7t— efbt)—cgice_, DATE (� S INSPECTOR (40 ��� 1 o� Of SOUlyolo\ oQ�% o�yc0U NiY,�,�,�i' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION- [ ] FOUNDATION 1ST [ ‘UGH PLUMBING [ ] F9UNDATION 2ND [ ] INSULATION [ vrFRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY. [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLA • N [ ] CAULKING REMARKS: % ®4, DATE /27/05— INSPECTOR 914.3 /7"Th--,— ts\, • 0 " TOWN OF SOUTHOLD BUILDING-DEPT. " 765-1802 INSPECTI9N : [ ] FOUNDATION 1ST UMBING [ ] FOUNDATION 2ND N [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: � tit/� DATE---(14-Hil 2- INSPECTOR 1 -3/'' ? .-- _ ''''4-iiiii-- 4* IV: ;* cf *1 ' G d TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] IN ION [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION .ii ] CAULKING REMARKS: It__ CO , . 1� r ` DATE 3 / /6 INSPECTOR ..-" -0-4-fl ,,,,oF so,,Tyolo p —� �'YOOUHiY,7 s ( �,,, Y `- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) JN ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE 1/77°//4. INSPECTOR FIELD 7N SPECQN MORT DATE EN'TS FOUNDATION(1ST) , _ , . - .. ..,, ' . _, . . . , r 1C)3(('♦♦ ..r..d.w.w.w..r�.r. • , .. . . '' , .1 - . . ,. - 1 . A • FoUNDiTION(2ND) - •. . .. . . yy . • .2/191 1j'6` 1, y :-_ - -. 'ir tom... ..-a `I O . . MI i ROUGH FR. MINg& MI PLUMBING • . INSULATION PER N.Y. ', . STATE EI*TE12.GY C0T}E . ' . , . . . 0\_ • • .. . ild2Vall •11111161111111111 • , . . , .. ..., ........ . . . . . ,m. . .. . .. .. ___ , .....,.. . . .. .. . . • . . . .. ___.. s.,.,..4.........,..„..................,.......:„....„................. A.13`D + +�' Vii' 1 TS Pa-3- is ,, a.,00 eO ' ; I' a337o. ;,�'`' 0 1' / s 5rt 0 , ( , .r o z-c --C�S ' o 0 0 '..t . . . •�_ ' , 1. rn • 6 ,.,��i, •. 1 Al IA\ it A.-_ . � ,,... r ` . . f . i . .. I .. _. 1 ,. �. . '.1 i_ ,,1 rot, 1. I • _ . ,-• :- . : k - • e ': . .,..1.. " • • 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 PlansllOI 1 i� TEL: (631) 765-1802 _ Planning Board approval FAX: (631) 765-9502I Survey SouthOldTown.NorthFork.net ' . PERMIT NO. /03/l'a • Check app .4-- e o Ca-- `-t co w Septic Form -E.+) N.Y.S.D.E.C. Trustees �-.� `C I C.O.Application � � � i 1, Flood Permit Examinedei, ,20 � I Single&Separate NOV 2 4 2015 1.�/ Storm=Water Assessment Form 3 ) I Contact: Approved . . ,20 — — `=„, G f-F'1 ----� I IC I'�tii to Irega �I CU I Disapproved a/c -- Phone: 51(p- 3(01'14b5(0 Expiration ‘11 ,20 /7- Building Inspector APPLICATION FOR BUILDING PERMIT Date NON( oil , 20 b • 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:Eyery:building permit shall expire'if the work authorized has nacommenced 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 permitcshallbe 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. ) .6/6.-j ( ignature 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 ?l00 A. liza ft LI ChLL (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. I. Location of land on which proposed work will be done: "ia5 N: SER DRNE S6u7Npl,D , N`J. _, 1lgl1 ` , ' • House Number - Street H-'•/1'1, ' •-` '''` 'H` Hamlet An,.1, i!' ii,=:k �.TP,, `.:,5:S,1” ,•i s - . 11i"t;0C1'.;W tJ"1 •?b^, County Tax Map No. 1000 Section 5 u,,Tv,,;o:,;:_Block:i:, ttt`"',i'E`-%'k Lot 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 # Stn to -Para ,/ ck W e 1 Um C b. Intended use and occupancy S tie & rni lc/ d we 1119 3. Nature of work(check which applicable): New Building Addition Alteration / Repair Removal Demolition Other Work (Description) 4. Estimated Cost 4$ 16,000 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units I Number of dwelling units on each floor I If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. NIA 7. Dimensions'of existing structures, if any: Front Rear Depth Height Number of Stories 1 Dimensions of same structure with alterations or additions: Front SAwtE Rear S,\-i.q Depth SASE Height 3i1t4C Number of Stories 1 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 11-23" 15 Name of Former Owner OTD A- IAARIE T I;int S 11. Zone or use district in which premises are situated 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 ✓ 705 N.SEA Deni£ 14. Names of Owner of premises Plnb +'frena LICU1-Address SDI/MOLD. NY Phone No. 516'533 51038 Name of Architect Address Phone No Name of Contractor D IrpenSIDf2( COneepIs Int Address 3'7 'Newtown 12d Phone No. 6110-347 go- PlAiNvielo,Mi 1181,3 s this property within 100 feet of a tidal wetland or a freshwater wetland? *YES vNO YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES 7 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 OFS ) Tie ' C. LI C l 1 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the 0v3f-C. Con ra• . ,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 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 c -{ ` day of N()Vern6r . 2015 ' ayeA TRACEY L. DWYER j W NOTARY PUBLIC,STATE OF NEW YORK X N0.09DW63txiyoo .- Signatur of Applicant Notary Publi QUALIFIED IN SUFFOLK COUNTY f COMMISSION EXPIRES JUNE 30,2218. IIff 4 O�O\ Town Hall Annex * irre ►►n(S31)70.5-18020`'/ 54375 Main Road • 1 {631f 765-' i !' 1/ 1 P.O.Box 1179 : G Q ,1 ro•er.rich-n • i� f1. • •.,: us — I , Southold,NY 11971-0959 �� �� �l�roUNTi, �ffff� L - DEC 1 5 2015 -j) , BUILDING DEPARTMENT BLDG DEPT ~� TOWN OF SOUTHOLD TOWN OF sourf GLD APPLICATION FOR ELECTRICAL INSPECTION REQUESTED BY: Afr-7-10 6,4u to Date: Company Name: 6Avbro E -1cne�c iNc Name: A'1R7 -g 6,4 p0 • License No.: 3 9 74—Ai E • Address: 7 .ef/rchf/A4 ®®S 7- c,v, 6- f t) cd v£, ,U y r s-Ya Phone No.: ,s-/6- ? -r-O ?a-,s— JOBSITE INFORMATION: (*Indicates required information) *Name: P1 No e REISA SICU L *Address: 795 N. Sea be Soup-tab, NV I l i *Cross Street: ten rnl ROO.d 'Phone No.: 5-D-35143. CPino 's Ceti). - Permit No.: #40 314 Tax•Map District: 1000 Section: 54 Block: y Lot: 9 'BRIEF DESCRIPTION OF WORK(Please Print Clearly) • Please Circle All That Apply) 'Is job ready for inspection: YES/66) Rough In Final Do.you need a Temp Certificate: YES emp Information(If needed) Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other New Service: Re-connect Underground Number of Meters Change of Service Overhead ►dditional Information: - PAYMENT DUE WITH APPLICATION P� d pec 61-)0 pclV .82-Request for Inspection Form h 1-6// � v� TOWN (*F SOUTHOLD PROPERTY RECOlt:!:'' CAR* 53 , /.::,,,,, _. ....5--'!:.,e----4Z— 9 OWNER . STREET 7 '2_ •••• VILLAGE DISTRICT SUB. LOT 7 _.......) ,-, e----- A‘fre., 43-14,11,411 (.- FORMER OWNER NE A , ....*.,ACREAGE ,9, x,ee .. .- - --c-rei -/.-/./. ot-in.:,:ar'j; . 4•7.9 6 . w TYPE OF BUILDING 4„/,,,,,,, ,,-,,,,,,,,,..-.,,, 6--i•-• 7-A..... „-_,_„d;7 RES. L. / 0 ( SEAS./ VL. - FARM j COMM. IND. . CB. MISC. LAND IMP. TOTAL DATE REMARKS 34Le .- zcs 066. - 7a- 6' / '. - ,,f...-4 , --,-- --- -1 c, ra .. _ ____: a o-o 1.0" i d 1,9, 72, ti 61-z-e., all-d• ,.. .. .., -,.,. •:,, 0 ,:5 ;.). g ° 2) til' 67 ° 4) 41611116A3: fi 1 i/C? J.3 71249‘15, ck.Wd 4 d9 e...--- 2 6 .•., 0 •7/6- 2--?/ - /O 49- 90 • a?"9/5?-'1-J .,%1 te.66.-la te-4-46/0/.9.s (44);odowc AGE 4/(0 6,---o / BU,I Lp I NG CONDV),(2)11/ -- //ci i — AO C .. .. „, L. NEW , NORMAL BELOW ABOVE //4„/ 601/1 -,e,r tfr- 33/42_ ...,..piaces tsr-e- 1 9 LiciL 7='-':71afAY;71)C4Z:Tde Farm Acre Value Per Acre Value Go -39404, Tillable 1 ..;16,,v7/7"" . /64):( 0 •.Z a .?---1- 2_(:),c) 0 Tillable 2 • Tillable, 3 Woodland 1 W ? , Swampland c.‘.... ....4z.., ........ ... .• Clft2' ____ - , Brushland House Plot I------ '\ ' Total 0,--- -----'- ---,-.---, , - --,:, 1 - . .,,.. ..-...-'n71••••, e.N.';;;I:.,,, •-tr.tt, -w.;•.- , '.. •6+;„ .s,-Sn'.,'-'7, „;W:)",,i -.4:..-,,,. -4:7/.7., 4,,•eir'iz, Slr, 4 ,-Sr;.4, .c.<0 7.4', ,,,,,,R,.-,. 4,74> -ri- „54,,,,r4,. . ,,..,--m-c.„,., „,,,,-,,K r, .‘,..m., , . ••••::-`'5. -.."-?-i_ '..'';,1".1''''`e49-e-,,,,-; --7,4..,',./,-'•,--.1.'.,4'.•:''''''.'444.-v.,*-S --v,-• .?."-44,41:_fr'0...m4,ie) ' '1":''','9v.4.,,,,,,p-s ''',.......vv,-..----Y-:P.,,,,„:,,,Y.N. . .,-w,,,,--da,-,..'..-.-‘-. .,::,,,0,-..ii.,-+ ,.---..:' N.'.1``...4,vf_.,'''. .....4.'''.14 4...,.."......1.•-ty`.,"„Vc.,,,,N...,,. .•,„--4,4',...,...4-4,::,v.,,,-',-4.0',.:‘,•"..„. - -s:&,,NNy.,:,1 -. .,„ ,.(.41„-,,-. , y,,pts . :.• st,dvele 4,0 4 p- ,•44toee...' ,,,,,,r,N9 ,,,,A!..01', , ..,.4,1,...,.,4,.....p ,,r4 4....ymts..,. ..,. „,,,,,),.: sw .,.....6,1/44., ..,,...„., _ • NA.... „,..i..z....,%•,,44,._ 4.1....„..„- t.;•_.,.m„.8-,.;.•,,,... iilvt.,",-,40,3m ..„,*, •v::/ •,•-c44 ..,,,!•,,zd,,,‘,„A,...ip.i,,vw.i,si,ort,,, , 0.,./•...4.;, -„,,,,,,i,..s,.^ , Az 4'"M•i'14',AO':. 4.7 ..:1' 't 4,4.1.i•7- 4.,'k ii ..ft5'tl..0-4-",-1:M•s=.•tal-*1! % U."-...- •"'--• .•'-7'......-,',•,. •,.'ea. 44.\tunk. -: ‘‘t s'tan' ':'''t .).ruilh.''....:'1.V""ao'''•4Y.:',...,'•ii-Vi.,"..,,,,,/t .."noft..t.t...,..4.,.....•A----ft,11.144 ,ft.' tif:',:i.....3,,' .:1R-e,--:'-'.: • , _ -, . 2 ... 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MATTEO GAUDIO - ' ' This certifies that the • BUSINESS HANE M GAUDIO ELECTRIC INC ' r - bearer IS duly • • licensed by the License Number Date!mod - County of Suffolk 3970-ME 02/01/1990 ,-4 /&-, , , — commissioner I EXPIRATIONDATE 02/01/2016 I „ — ' Jr c' • A ® /Y CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYY) 11/23/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES'NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTKristin North NAME Baldon Group, Inc. PHONE Fxt). (631)289-8822 FAX 631)(631)289-8833 1 South Ocean Avenue, Ste 206 ADDRESS INSURER(S)AFFORDING COVERAGE NAIC# Patchogue NY 11772 INsuRERA:Scottsdale Insurance Co. 41297 INSURED INSURER B ACE American Ins. Co. 22667 Dimensional Concepts, Inc. INSURER C• 37 Newtown Road INSURER D INSURER E Plainview NY 11803 INSURER F• ' COVERAGES CERTIFICATE NUMBER:15-16 GL/XS Master Cert REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSR WD/Y VD POLICY NUMBER (MM/DYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 10O 000 X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ r A CLAIMS-MADE X OCCUR CPS2175791 3/18/2015 3/18/2016 MED EXP(Any one person) $ 5,000 X Contractual Liability PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIESPER PRODUCTS-COMP/OP AGG $ 2,000,000 —1 POLICY IT'l JE a pi LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ _ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 N10836554002 3/18/2015 3/18/2016 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITYy/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) I 1I ' I I ^ 1 I I� DEC ® 3 2015 IDi- ,, t" CERTIFICATE HOLDER CANCELLATION (----- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Southold ACCORDANCE WITH THE POLICY PROVISIONS. 53095 Main Road P.O. Box 1179 AUTHORIZED REPRESENTATIVE Southold, NY 11971 Thomas Donohue/KRIS �� � , iib I ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSD2R romnnst m The arripn nmmc nnri Innn orn rcnicfcrcrl morlrc of A(:fPIl NYSIFc New York State Insurance Fund Workers'Compensation&Disability Benefits Specialists Since 1914 8 CORPORATE CENTER DR,2ND FLR,MELVILLE,NEW YORK 11747-3166 Phone (631)756-4000 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE r :( r� ;lv,rl � AAAA^^ 113244031 DEC s 3 2015 u;l DIMENSIONAL CONCEPTS INC 37 NEWTOWN ROAD PLAINVIEW NY 11803 POLICYHOLDER CERTIFICATE HOLDER DIMENSIONAL CONCEPTS INC TOWN OF SOUTHOLD 37 NEWTOWN ROAD 53095 MAIN ROAD PLAINVIEW NY 11803 P.O BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE H1443 116-7 120758 02/23/2015 TO 02/23/2016 11/22/2015 • THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1443 116-7 UNTIL 02/23/2016, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW, AND, WITH RESPECT TO OPERATIONS OUTSIDE OF NEW YORK, TO THE POLICYHOLDER'S REGULAR NEW YORK STATE EMPLOYEES ONLY IF SAID POLICY IS CANCELLED,OR CHANGED PRIOR TO 02/23/2016 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 10 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE INSURED CORPORATION. PINO LICUL AND IRENA LICUL OF DIMENSIONAL CONCEPTS INC(A TWO PERSON CORP) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https.//www.nysif com/cert/certval.asp or by calling(888)875-5790 VALIDATION NUMBER:726184742 U-26 3 deNib (.---"-----m—--;--.E..L''' ''- 'Fib'...•.....-....-- LONG.--11111171 0 SOUND - A ways on Point, I - - N • I 46°23'53., E, 110 SOUTH 4th STREET 100.00'f— (ALONG Lindenhurst, New York _ CATER) • MJScalice@mjslandsurvey.com , I— HIGH WATER MIK P:631-957-2400 F:631-226-2400zo I o' ® -- — j 27E9' SURVEYED BY R B DRAWN BY R S JOB NO S15-o658 I I I SURVEY OFPROPERTY o u, SITUATE rn I o SOUTHOLD, TOWN OFSOUTHOLD o I Ico SUFFOLK COUNTY, NEW YORK o 0• Suffolk Tax Map No.: 100o-540o-40o-90 N DATE SURVEYED:09-10-2015 I I SCALE:1"=30' I ci a I I I I sift' I 604' EL °i WOOD D 10.05' III I IIII _7,01 I I I / / F'1 S2' 26.3' ////// (^' 7 SES' 4 4R =10 , GAR ' >s;, J / MI 1�92, ,," '•Y - WW1DECK 30.1' 7.84', = 44 7' i-J —\ �' ( r \\11 r \ I Vii, 3. I 5 ' I 1 \ 59 I LII DEC - 3 2015 5 '' 43 \ i. I --- I 1---- SONG I .5.2 P1 I I I %:• 8.8' y b ads' 8.5' I ,,,,c„ , _ 8.9' I.- \ ,,....„ ..,.. bo I C4.D co N• C o � I b o I p�, I I w co I 5 06' I P1 488' A. 0 p I I I 492 I I g 67q.00' •• ••••• POST&RAIL FE / 0.5'N __.. ® 0.7'N �N. I',, UD S 39°24'00" W 100.00' l. qq,,,, ,( �F-OF N Ell/ 6 0a5' 618 8.4J' !\�`T`P�� J S'9(O�'� NORTH SEA DRIVE I ,, •a *ALL ELEVATIONS REFER TO NAVD88'DATUM REVISIONS UPDATES . ADDITIONS OF '0, 050affitk * DATE: DESCRIPTION: CHECKED BY: iS(c`O LAND Sv0' 2 (IRFCKFFI RY• (1) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUB—DIVISION 2, OF NEW YORK STATE EDUCATION LAW (2) ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOS SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND Cr) SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED, TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY, AND TO THE F LENDING INSTITUTION LISTED ON THIS BOUNDARY SURVEY MAP (4) THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED IF ANY 0 UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY (6) THE OFFSET (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A Z SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS, ADDITIONS TO BUILDINGS, AND ANY OTHER TYPE OF CONSTRUCTION (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY. (8) THIS SURVEY WAS PERFORMED WITH A SPECTRA FOCUS 30 ROBOTIC TOTAL STATION APPROVED AS NOTEDcomt .1 'vim r''i'' ' ALL COnPS OF DATEIZ- � �rC.P.# .. NEW YORK STATE & TOWN CODES AS REQUIRED 4 ' F NO 1 UFY BUILDING D ING DEPARTMENT AT -S l7 L R.NVI 765-1802 8A;: 10 4PM FOR THE _- I Ii�LC'TOWN PL4N 6ARD FOLLOWING INSPECTIONS: �"` — _ 1. FOUNDATION - TWO REQUIRED __. ,,I I-iULO TU'zie FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONI' T iUCTION MUST BE COMPLETE FOR CO. ALL CONSTRUCTION SHALL MEET THE OR REQUIREMENTS OF THE CODES OF NEW tw PANCY YORK STATE. NOT „ESPONSIBLE FORq IS UNLAWFUL DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE OF OCCUPANCY i> . 1MENSIONAL ONCEPTS INC. General Contracting 8z-) Construction Management 37 Newtown Road Plainview, New York 11803 P: 516-367-4057 F: 516-367-4058 SCOPE OF WORK Irena&Pino Licul November 24, 2015 725 N. Sea Drive Page 1 of 2 Southold,NY Section-54 Block- 4 Lot- 9 MISCELLANEOUS Remove existing siding and install new Install new roof over existing Replace all surface mounted light fixtures Install new electrical devices and plates throughout. Install new carpeting Paint interior KITCHEN Remove existing flooring, paneling and cabinets and appliances. Relocate sink to island cabinetry and add dishwasher in island cabinetry. Install new ceramic tile floor, cabinets and appliances. Install new hood over stove and vent through roof. Confirm all electric is to NY State code if not run wiring to accommodate. ENTRY Remove existing flooring and paneling. Install new ceramic tile floor. Paint walls. MAIN BATH Remove all plumbing fixtures and tile. Convert tub to shower and relocate sink and toilet(see drawings). Install new tiles on floor and walls. Install all new plumbing fixtures and vanity. Irena& Pino Licul November 24, 2015 725 N. Sea Drive Page 1 of 2 Southold,NY Section-54 Block-4 Lot- 9 MASTER BATH Remove all plumbing fixtures and tile. Remove wall between bathroom and Master closet to create new shower in Bathroom (see drawings) Install new wall mounted toilet and sink. Install new ceramic tile on floor and walls. LINEN CLOSET Run piping to install stackable washer and dryer. Relocate washer and dryer from garage to Linen Closet. PINO LICUL (516)523-5638 W-0" 3'-8" 4" 2.-0" I I ! I I I SECTION-54 J / BLOCK-4 / LOT-9 p ❑ o SHOWER CURB ������, T-0" ❑ 0 T-0" L- r- DIMENSIONAL _ DIMENSIONAL CONCEPTS,INC. 37 Newtown road Plainview,NY 11803 P:(516)367-4057 F:(516)367-4058 CLIENT*IRENA&PI NO LICUL 725 N.SEA DRIVE SOUTHOLD,NY 11971 _ WALLS TO BE REMOVED F� NEW WALLS DATE:NOVEMBER 24,2015 EXISTING CONDITIONS NEW FLOOR PLAN PROJECT:MAIN BATHROOM r�� ti 4-0, ` 3'-6" 3'-6" I — I — I - p 9 SECTION-54 p p 0 p BLOCK-4 0 to LOT-9 7.1 MASTER BATH a MASTER BATH 9 ID SHOWER CURB tolllM1lIMIr.IlI MASTER N k BEDROOM CLOSET — en WASHER/DRYER EXISTING LINEN CLOSET k Z,9" 2,-9" DIMENSIONAL CONCEPTS,INC. / 37 Newtown road Plainview,NY 11803 P:(516)367.4057 —.............A..........— F:(516)367-0058 plir CLIENT:IRENA&PINO UCUL 725 N.SEA DRIVE SOUTHOLD,NY 11971 _ WALLS TO BE REMOVED ® NEW WALLS DATE:NOVEMBER 20,2015 PROJECT:MASTER BATH/LAUNDRY EXISTING CONDITIONS NEW FLOOR PLAN yo319 tr. rl 2'-4 7/8" 3" 4'-1/2" 3" 2'-4 7/8" II II (2)113/4"LVL Andersen Andersen Andersen CW145 P4045 CW145 32" Pino&Irena Licul 725 N Sea Drive Southold,NY 11971 (3)2X4 At (2)2X4 (2)2X4 (3)2X4 At End Of Between Between End Of Header Windows Windows Header DATE•February 5,2016 Master Bedroom Window NES w - / 1• , ...4.-4..,-....... vv... ••".....".-•.'"*"."1"-,: •-•:------, rill - ,- - , r--r:::;_ -- ,,,,,,,,- 1, ii. 4 :4•4,, t40, ii Iiiil , ._ 1,",' :'it ! 1 ''i:••;-:....,••,•:•,,,,t • 10,..„:.....!,,......j....H ...-••,..,.,-• ,. . -.1 7 ' f i ?v t • • y