HomeMy WebLinkAbout37041-Z -r-
FFO4� Town of Southold Annex 1/24/2014
P.O.Box 1179
2
54375 Main Road
co
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
v
o ' d Sig6ature
s �xc TOWN OF SOUTHOLD
o� �G BUILDING DEPARTMENT
y TOWN CLERK'S OFFICE
o . 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 915/2013.
Fees:
CO -ADDITION TO DWELLING $50.00
SINGLE FAMILY DWELLING -ADDITION OR ALTERATION $200.00
Total: $250.00
Bi ing Inspector
Form No.6
TOWN OF SOUTHOLD. �
BUILDING DEPARTMENT �' V
TOWN HALL
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 spmpleted 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- $100.00
3. Copy of Certificate o€.Occupancy-$_25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy -Residential $1 _00,Commercial$15.00
Date. 3.. a
New Construction: Old or Pre-existing Building:. (check one)
Location of Property: .' jhGI`In lalte-
House No. Street Hamlet
Owner or Owners of Property: -
Suffolk County Tax Map No 1000, Section ` (o Block Lot /
Subdivision Filed Map. Lot:
Permit No. 3 7D 1 / Date of Permit. 3 /of Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $
Applicant Signature
OF SO(/r�olo
LO
�yc
ourm,
TOWN OF SOUTHOLD BUILDING DEPT.
765-1602
INSPECTION
XFOUNDATION IST [ ] ROUGH PLBG.
XFOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
e
L
DATE ( — INSPECTOR
so
• �o
COU ,N
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
-- INSPECTION
[/] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
DATE ,.Y .C`�. � INSPECTOR
3-2 qf SOUIyo
o�'y00UNT'I,N�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH G.
[ ] FOUNDATION 2ND [ ] I LATION
[ ] FRAMING /STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: C2 �i
DATE ('la3 O INSPECTOR % �"
FIELD R[SPEMON REPORT DATE COMMENTS
, Wb
FOUNDATION(IST)
. O•
t �
FOUNDATION(ZND)
� O
ROUGH FRAWQ& H
PLUMBING
INSULATION PE]t N.Y.
STATE ENERGY CODE
' 4
zz
FINAL
ADDITIONAL COMMENTS
n� O
A
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`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 3 �rJ� (�I Survey
www. northfork.net/Southold/ PERMIT NO. (( I Check
Septic Form
N.Y.S.D.E.C.
Trustees
Examined 3 -6 ,20 Contact:
Approved 3 ,20 ' Mail to:
(� Phone:
Expiration / '— '20 �� _
Building Inspector
FEB 2 3 2012 0
PP ICATION FOR BUILDING PERMIT
BLDG.DEPT.
TOWN OF SOUTHOLD Date //� �j , 20 /L-,
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.
yt lab tJ rri
Signature of applicant or name,if a corporation)
Pe Cc7J C_ jQ ?If 6-
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly autho�e� icer
(Name and title of corporate officer)
Builders License No. S S"-5-6 H=
Plumbers License No. `N N
Electricians License No. 1.� Y�-
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section Block S Lot
Subdivision Filed Map'No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 0, gq/tnn I L �C� ► P n.C-
b. Intended use and occupancy S Jet 14 jf44n i
3. Nature of work(check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
_ (Description)
4. Estimated Costs 6 d Fee
/ (To be paid on filing this ap lication)
5. If dwelling, number of dwelling units 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. IA-
7. Dimensions of existing structures, if any: Front `f/ �(� Rear____qL O Depth �O
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear Ocl(24
Depth Height Number of Stories
8. Dimensions of entire new construction: Front �� Rear Depth
Height Number of Stories
9. Size of lot: Front �7�. 3 0 Rear (e6 ,q y Depth LJQC�
10. Date of Purchase Name of Former Owner /
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_
13. Will lot be re-graded? YES NO )�Will excess fill be removed from premises? YES NO_�-
14. Names of Owner of premises_D e b po K) -WV Address t96 75�rtib,A,-t/e64 Phone No. -73 V-G �L
Name of Architect Address Pc 'C' `f Phone No
Name of Contractor EN U i am o yw _J4vc__ Address G h R_-,62�e 19 7 Phone No. �73 V - 7 V 7`4
PF c 0-101 tj'(
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 !/
* 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
being duly,sworn, deposes and says that(s)he is the applicant
(Name of individual 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 applicatiori;-
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
day of 20
Notary Public ";-1--ga t
CONNIE D. BUNCH
Notary Public,State of New York
No.01 BU6185050
Qualified in Suffolk County
Commission Expires April 14,2���-
d� � Town. of South-old
"� Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM
x4 1Ay' PROPERTY LOCATION: S.C.T.M.#: THE FOLL
OWINGr rACTIONS MAY REQUIRE THE SUBMISSION OVA
I I > STORM-WATER GRADING,DRAINAGE AND EROSION CONTROL PLAN
—_——— ——District Section —Block- — Lot ——CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE-OF KNEW YORK.—
Item Number. (NOTE A Check Mark(4)for each Question is•Required for a Complete Application) Yes No
----------------
Will this Project Retain All Storm-Water Run-Off Generated by a.Two(2")Inch Rainfall on SRe?
(This Item will include all run-off created by site clearing and/or constructlon activities as well as all Site
Improvements and the permanent creation of impervious surfaces.}
,Z 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 WaterFlowl — EJ .
3 Will this Project Require any Land Filling,Grading or Excavation.where there is a change to the Natura[
Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? —
4 Will this Application Require Land Disturbing Activities Encompassing an Area In Excess of
Five Thousand(5,000)Square Feet of Ground Surface?
5 Fs there a Natural Water Course Running through life Site?
Is this Project within the Trustees jurisdiction or within One Hundred.(100')feet of a Wetland or Beach? El
—
6 Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen(15)feet of Vertical Rise to
One Hundred(1001)of Horizontal Distance?
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?* El
Will 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.) 0
9 Will this Project Require Site Preparation within the One Hundred(100)Year Floodplain of any Watercourse?
NOTE: If Any Answer to Questions One.through Nine is Answered with a Check Mark in the Box, a Storm Water,Grading,
—— Drainage&Erosion Control•Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl
----------------------
EXEMPTION:
Yes No
Does this project meet the minimum'standards for classification as an Agricultural Project?
Note: If You Answered Yes to this Question,a Storrs Water,Grading,Drainage&Erosion Control Plan is NOT Required! _
—————————————————
RK, --------------
STATE OF NEW YOCOUNT(Y�OF....:............................... ........SS
• • •••• being duly swom,deposes and says lha
.... . .. Wfto "Wkwt for Permit,
(Name of individual signing Document) Notary Pabiio,State Of New York
And that he/she is the .......................................... No.01 BU6185050
....... ....................................................Quain-
Stiffolk G4irrmty.......... ...
( e,Co. ;A t,corporate Officer.et®ommir3aion Expires
i xp 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 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.
Swom to before me this;
............: ...............day of. � :••:. •E... . ........ 20. �
CP '
VotaryPublic. .............................:............................................................
.•••(SlgnatureofApprcant) .................
41
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Environment East, Inc.
- 2885Indian Neck Lane
P.O. Box 197
Peconic, New York 11958-0197
_ 631-734-7474
Fax: 631-734-5812
/nateA, - 12zi2.
C2�
wry -TAR, ae'". ��r�cv-
Pontino Bilco 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.
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MAR 6 2012
BLDG.DEPT. j
TOWN OF SOUTHOLD
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Environment East, Inc.
2885Indian Neck Lane
T P.O. Box 197
Peconic,New York 11958-0197
631-734-7474
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.
ncerely,
)ji&uMc fee
°in
Office manager
C EU
• . I 1.1
' AUG 2 9 2013
BLDG. DEPT.
TOWN OF SOUTNOLD
_Pmote-*g Pait
(Staw@&g 4e F6irme
= Environment East, Inc.
2885Indian Neck Lane
P.O. Box 197
y Peconic, New York 11958-0197
631-734-7474
Fax: 631-734-5812
December 4, 2013
S '
Southold Town Building Dept.
P O Box 1179 �.i �. = M13
Southold NY 11971
Re: Permit#37041 Pontino Residence
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,
Judy McAfee
• .RJR. - - ..
ANY ALTERATION,OR ADDITION TO 7H/S aUK'TY.IS A WOLA71ON
P
OIF PON��O �EPT AS PER SEC77 N 7209C 71ON 7209OF THE NEW YSUBDIIWS70�7UALL•CERTIf7CA710NS
NR�A HEREON ARE VALID-FOR THIS MAP AND COPIES THEREOF ONLY IF �e
j M SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF.THE SURVEYOR SUI LD V�G Y OF.- PROPERTY
D OPElI.D
T Y
N JOHN WHOSE SIGNATURE APPEARS HEREON.
A T. PECONIC
TOWN. OF SO.UTHOLD
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SUFF'OLK COUNTY, MY
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APPROVED AS NOTED. S A]
' ��r �70 N G S
DATE' B.P. #
NOTIFY S"ILD',IG. F_Rh.RTMEy4r A PONTINO. RESIDENCE SST.
765 ,8G2 8 AF I C) 4 ?;,�j FOR THt PORCH ADD NEW BILCO DOOR TO
REPLACE EXIST.CELLAR DO(
COMPLY WITH ALL CODES OF
NEW.YORK STATE & TOWN CODES t. '--�� `�=�" IREQUIRED FIRST FLOOR PLAN
AS REQLIIRED'A FOR poURFD CONCRETE ENVIRONMENT EAST INC.
2. ROUGH-FRAi'v1ENG,PLUMBING, 8.7.08 1/4" = 1'-0" �
>MHOLDTOWN ZB STRAPPING,ELECTRICAL&CAULKING N ADD NEW MASONRY EDEFTG Q
�- 3. INSULATION REV. 8.25.08 REV. 11. 0.08EXIST.PORCH AS NEEDED
11AT PLANNING BOARD 4. FINAL-CONSTRUCTION&ELECTRICAL REV. 9.8.08- REV. 3.5.12TO RUSTEES MUST BE CoINPLETE FOR C.0• REV. 9.9.08
ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW
PORK STATE NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
EXIST EXIST EXIST EXIST
EXISTING PORCH V
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EXIST EXIST EXIST
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C- B.P. # 7
COMPLY WITH ALL CODES OF
►" avD, c,oBY
NEW YORK STATE &TOWN CODES IiN TO DEPARTMENT AT
THE PONTINO RESIDENCE EXIST. TO
AS REQUIRED PM FOR PORCH ADD NEW EXIST DOOR R
RETO
PLACE EXIST.CELLAR DOOR
. �SPECTIONS: FIRST FLOOR PLAN
OLD TOWN ZBA �� ��` SON -TWO REQUIRED
NINGBOARD -ED CONCRETE ENVIRONMENT EAST INC.
7.Y.S.
OL [ yM!NG,PLUMBING, S.T.O8 1/4" _ �-O" N ADD NEW MASONRY FTG.Q
d DPiNG. ELECTRICAL&CAULKING
TOWN TRUSTEE t5 INSULATION REV. 8.25.08 REV. 11.10.08 EXIST.PORCH AS NEEDED
DEC 4. NAL CONSTRUCTION &ELECTRICAL REV. 9.8.08 REV. 3.5.12MUST BE COMPLETE FOR C.O. REV. 9.9.08
ALL CONSTRUCTION SHALL MEET THE N
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
EXIST EXIST EXIST EXIST
EXISTING PORCH