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Home My WebLink About29598-ZFORM NO. 4 TO~J OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N_Y. CERTIFICATE OF 0CCUPA~CY No: Z-30447 Date: 09/20/04 THIS CERTIFIES that the building ALTE~TIONS Location of Property: 1980 DELMAR DR LAUREL (HOUSE NO.) (STREET) (~3~ILET) County Tax Map No. 473889 Section 127 Block 4 Lot 20 S~fodi~-ision Filed Map No. __ Lot No. __ conforms substantially to 5ke Application for Building Permit heretofore filed in this office dated JULY 23, 2003 pLLrsua~t to which Building Permit Mo. 29598-z dated JULY 23, 2003 was issued, and conforms to all of tke requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is INTERIOR ALTERATIONS TO EXISTING SINGLE F~ILY DWELLING AS APPLIED FOR. The certificate is issued to THO~S J & BARBAP~ J BALL (O~ER) of 5he aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALT~ APPROVAL N/A EI~EC~I~IC_AL CERTIFICATE NO. 62200C 08/26/04 PLI~4~ERS CERTIFICATION DATED 09/16/04 TEO~LAS BALL Rev_ 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) 29598 Z Date gULY 23, 2003 Permission is hereby granted to: THOMAS J & BARBAP~A J BALL 1980 DELMAR DRIVE LAUREL,NY 11948 for : INTERIOR ALTEPATIONS AS APPLIED FOR. THIS PERMIT REPLACES BUILDING PERMIT ~27493. at premises located at County Tax Map No. 473889 Section 127 pursuant to application dated JULY Building Inspector to expire on JANUARY Fee $ 150.00 1980 DELMAR DR LAUREL Block 0004 Lot No. 020 23, 2003 and approved by the 23, 2005. ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall South01d, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) .PERMIT NO. 27493 Z Date JTJLy 24, 2001 Permission is hereby granted to: THOMAS J & BARBAP~A J BALL 1980 DELMAR DRIVE LAUREL,NY 11948 for : INTERIOR ALTERATIONS AS APPLIED FOR at premises located at' 1980 County Tax Map No. 473889 Section 127 pursuant to application dated APRIL Building Inspector. DELMAR DR LALYREL Block 0004 Lot No. 020 27, 2001 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING,DEPARTMENT 765-1802 ~PPLICATION FOR CERTIFICATE OF OCCUPANCY This appfiqahon must be filled in by typewriter or iak and submitted to the Building Department with the followLng: A. F~,~ew building or new use: ~ Final survey of propetW with accurate location of all building, property lines, streets, and unnsuaI natural or x'~6~ographic features. ~_,.~Final Approval fi.om Health Dept. of water supply and sewerage-disposal (S-9 form). ~Approval of electrical installation from Board of Fire Under~a'iters. 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 m~d similar buildings and installations, a certificate of Code Compliance from archkect or enl~ecr respoasible for the building. 6. Submit PtarmingBoard Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957)non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey ofpropen'y showing all propertT lines, streets, building and unusual norm'al or topographic features. 2. A properly compl'eted applic~qtion and consent to Lnspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons fl~erefor in writing to the applicant. New Con~tmction: Location of Property_ 1. Certi~eate ~f ~ccupancy ~ New d~ve~ing $25~ Additi~ns t~ dwe~ing $25.~ A~tera~ons t~ dwe~iag $25.~ SwLmming pool $25.00, Accessory building $25_00, Additions to accessory_ building $25.00, 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 Old or Pre-existing Building: 5-~ (check one) House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Suba, sion Permit No. Health Dept. Approval: Planning Board Approval: Street Hamlet Block /-"/ Lot ,-~ ~/ Fi edMap. S-'¢ lot: Request for: Temporary Certificate Underwriters Approval: Final Certificate: (check one) Fee Submitted: $ TowaHall, 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 Fax (631) 765-9502 Telephone (63 L) 765-1802 BUILDING DEPARTMENT TO'tN OF SOUTHOLD CERTIFICATION Date: ~ ~ /5 / _2 ov ff' Building Permit Owner: -~X/a ,.~ Plumber: (Please print) (Please print) I certify that the solder used irt the water supply system co~s Jess than 2./10 of 1% lead. (Ph~ers Signatm-e) Sworn to before me tiffs 20~ , ~ NOTARY PUBLIC, Stat~ of Ne~z York Notary Public, _~ ~County Issue Date 8131,'2004 Electrical Inspection Certificate Electrical Inspection Servi~e, Inc. Application 375 Dunton Avenue 622000 East Patchogue, NewYork 11772 (631) 286-6642 Issued To: Thomas Ball Street: 1980 Delmar Dr. Village: Laurel Section: Block: --~On~tor:. Thomas Bail (L) Zip: 11948 Town: Southold Lot: ...... Lic.~ 2-520-E Was examined and found to be in compliance w~h the Na~onal E]eclz,:as] Code. ~] Commercial [] NVDefects [] Pool [] lstFIoor [] Indoor [] Basement [] HotTub [] Residential [] Dec Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey Switches Receptacles F-rx~res 20 15 35 Dishwasher Washer/Amps Dryer/Amps 1-20 1 20 1 30 Furnace Oil Gas Circulators x x 2 Meter Amps Phase UG/OH JacuZzi ~ 200 1 / Bldg. Permit: Other Equipment 200amp panel with main breaker central vac 20/120V jacuzzi 20/120V dishwasher 201120V GFI Heaters A/C Fans 7 7 Oven Range/Amps Microwaves 1 50' Smoke Detector Bell Transformer 7 Television CO Detector President ....... Rough ~rlspecUon: 04/23/2002 Inspector. Ed Scovelli Final ~specJ~on: 08/26/2004 II~: John Mc Mahon I~1 This cert~cate must not be altered in any manner. Inapectms may foe ider~,~ed by their crede~i~als. Ill BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: ~/~2¢/01 .DATE SUBMITTED: z/ / ,~g/01 SCTM# DISTRICT: 1,000 SECTION; (2 ~ BLOCK: 4 LOT: :STREET: Iq~° "~n_~-x~,~ ~'~-. CITY: PROJECT DESCRIPTION: /~ SUBDIV. NAME: ARCttlTECT / ENGINEER:(~)t-~ ~ ~ m FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? ,qo NOTES: LOTS 40j~0OSF -100-24. Lo t recognit/on -(CREATED before June 30, 19837, UNDERSIZED LOTS FROM J_~.1997 100-25. Merger.(A nonconfonrdng al any tkne a[mr 7fl/83) ZONING DISTRICT: :~- c~o CONFORMING? 1LEQ. LOT SIZE:~/o, ~ a o ACT. LOT SIZE?¢2g;iLEQ. LOT COV. REQ. FRONT ~/~ PROP. FRONT ~,/~ REQ SIDE REQ. REAR ,v/~ PROP. REAR /V~ DESCRIPTION: FLOOD ZONE: )( , WATER FRONT? PANEL #: AGENCY PERMITS REQUIRED FOR REVIEW APPRQ,VALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or~Q,)(BED #): DTE: NEW YORK STATE DEC: PRE-DECg/1/75 YES or! SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN KISTORICAL PRE (SPLIA): YES or EGRESS(lgHmin.?4sqtotal)_~ VENT(SQ_FT_x4%) dd//~ BUILDING PERMITS OPEN/EX~IRED: BP '-Z / C/0 Z- HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- NOTES: / /__ PERMIT #:R10- LIGHT (SQ. FT. x 8%) ~/~ FEE STRUCTURe: 'OT( SF5- ( FOUNDATION:_ ~ SF FIRST FLOOR : ~ SF SECOND FLR : SF omc~)~4 TOTAL: ~ SF SF)= SF X $__ =$ INIT OTHER FEE FEE +$ +$ = $ TOTAL FEE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [~ INSULATION [ I FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~ ROUGHPLBG. [ ] FOUNDATION2ND [ ]iNSULATiON ~,[ ]FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DA'I~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ULAT!ON / [ ] FRAMING [~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE [otn~loN (IST) INSOLATION PER N. Y. CODE n - ~ IA~OIT~0~AL ~.O~S: TOWN HA.LL: ~:'"' ;~ :' ~: TEL: 765-1802 ~_ ........... ~ ~ Disappro~rd ~./c ~z Do you ~ve or n~d ~¢ foH~g, befo~ applying Bo~d of HoM~ 3 sets ofBuiM~ng Phns S~ey. Check S~fic Fo~ N_Y.S.D.E.C. ': ~ T~st~s Contact:· BuildinfflnsPectorc~ Mail to: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application MUST be completely filled in by/ypewriter or in'ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale_ Fee according to schedule.. b. Plot plan showing location of lot and of building~ 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 Perrmt. 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 throughogt'the work. e. ,No building shall be occupied or used in whole or i~ par} for any purpose wh,xt-so-ever until a Certificate of Occupan is issued by the Building Inspector. ..&,a~LICATION IS HEREBY MADE to the Building. Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of $outhold, Suffolk. County, New York, and other applicable Laws, Ordinances or Regulations, for the cbnstsuction of buildings, additions, or·alterations or for removal or demolition as herein described. The applicant agrees to cohuply with all applicable laws, ordinund.es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. /~ . ($ignatur~:~f appl/cant or name, if a corporation) (Mailifig address of aptplicant) State whether applicant is owner, lessee, agent, architect, ¢ngineer, general contractor, electrician, plumber or builder Name of owner ofpi-emises (as ~n 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. ,2. oo 7 .P 1. Location of land on_which proposed work xvill b~ done: /9 '" House Number Street Hamlet County Tax Map No. I000 Section /.2 7 ~_ ' Block Subdivision Z. frt~Q_,_~/_ COu,,y'7'~/. Ed'?-,~-"~il~ci Map No..~ Lot Lot Z./~ 1. Sta~e ex[sfihg ~se arid, occupancy o~ premi~ ani:l intended use and occupancy o f prb)b.' ~k~[ hons~0¢: ,. a. I~xl~ting use ~d occupancy b. Lntended use and occupancy 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work Estimated Cost c~.5" o ca Fee If dwelling, number of dwelling units If.garage, number of cars _Alteration_~ (Description) (to be paid on filing fi'dS application) Number of dwelling units on each floor ,. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any:. Front ~O Rear '~CJ _Depth ,~. Height ,,~ -~ Number of Stories .~, Dimensions of same structure with alterations or additions: Front' ~'f..7 Rear Depth _~ ~ Height ~-* 7 Number of Stories -~ Dimensions of entire new construction: Front Height Number of Stories Rear .Depth Size of lot: Front er, ff~ w, Rear /~F"O Depth 0. Date of Purchase ~ --/'O~'--OO Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning Iaw, ordinance or regulation: 3. Will lot be re-~aded /%/0 Will excess fill be removed from premises: YES NO 4. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor O~-/V'~'~ Address/~ ~r): ~e/,,, ~,-/),-Phone No.~O,.~,~- ~'O~- / 5. Is this property within 100 feet of a tidal wetland? *YES NO' J~ · IF YES, SOUTPIOLD TOWN TRUSTEES PERMITS MAY BE REQUI~ED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at an3' point on property is at I0 feet or belo}v, must proyide topographical data on survey. TATE OF NEW YOtLK) SS: :OU14TY OF ) /"~'a,,,~'[' ~O / ] being duly sworn, deposes and says that (s)he is the applicant ('Name of individual signing contract) above named, 3)He is the ' (Contraotor, Agent, Corporate Officer, etc.) f said ovrner or ov. mers, and is duly authorized to perform or have performed the said work and to make and file this application; tat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. /,~a~Jr Public JOYCE M. WILKINS Notary Public, State of New York No. 4952246, S u~alk County Term Expires June ~2. c~O02 PROWDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING ALTERATION W'OPJ~ DEVICES AS TO PART. 902.6(K) N.Y, STATE BUILDING CODE. PLI.JM~NG ~ PLUMBING WASTE & WATER ~UNES NEED, T~S~NG mmo~E'covsRme FIRST FLOOR · If copper tubing is used for w~ter distributin0 system; piping sheet be of t,/pe$ K or L only UNDER'vlIT~ZER~ CEmEICATE PLUMBER CERTIFICATION #1 Remove exist/rig wSndow and install 6-0 x 6-8 Anderson sliding door. #2 Remove door and install 2-6 x 6-8 exterior door in laundry rooln. #3 Remove old window and install 2-0 x 2-11 casement window in kitchen. #4 Remove d0ubte htmg window in laundry room and instal1 1-9 x 3-4 casement window. .ON LEAD CONTENT BEFORE #5 Install new non support partition walls for CERTIF/CATE OF OCCUPANCY SOLDER USED/N WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 o.~.~FLEAD. laundry room and bark #6 Install' ptuml~ing ~or htl bath and laundry room. #7 Electrical work to meet NEC and Southotd Town Codes. SECOND FLOOR: #8 Remove existing Bath window and install 2-0 x 3-4 casement window, #9 Remove bath door and install 2-0 pocket · ~ r~;:':~ .. ~ , e '~ pocket door. · . ..i.~5~. ~2 C~J~ # I0 Replace ~b,si~ ~d toilet in ehstmg ~1 ba~_ ~9~2f.. ~ D~'qff2 fill Frame out 8' closet D~T .~ ~ ~12 hstall plumbing for new Full bath.(see 765-1802 9 A¢~I TO 4 PM FOR THE FOLLOWING 1[4SPECTIO~IS: 1. FOUNDATIOt'4 ' l'WO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAI~liNG & PLUMBING 3. h,~ S g LA'nON 4. FINAL - CONSTFiUCTJON ~UST BE COMPLETE FO~ ak~ CONSTRUCTION SHALL MEET T~E REqUiREMENTS OF THE STATE CONo,EUC,,O~ A E~E~GY COgES. BlOT RESPO~S~BLE DESIGN OR COHST~U-CTJOt~ ERRORS USE IS UNLAWFUL JiTHOUT CERTIFICATE ~ ~QD ~t,,'R1T~$ CERT(FiCATE