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Home My WebLink About30758-ZFORM NO. 4 TO~[ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30624 Date: 12/09/04 THIS CERTIFIES that the building ADDITION Location of Property: 1700 DELMAR DR LAUREL (HOUSE NO.) {STREET) (H3~MLET) County Tax Map No. 473889 Section 127 Block 4 Lot 18 Subdivision Filed Map No. __ Lot No. conforms substansially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 2004 pursuant to which Building Permit No. 30758-Z dated NOVEMBER 5, 2004 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 "AS BUILT" DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARILYN & HERBERT G. PARMENTER, (OWNER) of the aforesaid building. JR. SUFFOLK COUIFI~f DEPARTMENT OF ~EALTH APPROV~-L ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30758 Z Date NOVEMBER 5, 2004 Permission is hereby granted to: M & H PARMENTER JR 1700 DELNLAR DR LAUREL,NY 11948 for : "AS BUILT" DECK ADDITION TO AI~ EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1700 DELMAR DR LAUREL County Tax Map No. 473889 Section 127 Block 0004 Lot No. 018 pursuant to application dated NOVEMBER 1, 2004 and approved by the Building Inspector to expire on MAY 5, 2006. Fee $ 300.00 ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPfi~RTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUtANCY This application must be fdled in by typewriter or ink and submitted to the Building Department with the following: A. For new b,ildlng or ,ew u~e: 1. Finai sm:'ey 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 (8-9 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 sinfilar buildings and installations, a certificate of Code Compliance flora architect or engineer responsible for the building. 6. Submit Planning Board 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 of property showing all propetty lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to impect signed by the applicant. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. New Construction: Location of Property: House No. or ofProp ty:/4e' .B Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Ocenpancy on Pre-existing Building - $100.00 3. Copy of Certificate ofO~ugancy - $.25 4. Updated Certificate ofO~upm~cy - $50.00 5. Temporary Certificate c £ Occupancy - Residential $15,00, Commercial $15.00 Old or Pre-existing Building: X (check one) Street Hamlet Suffolk County Tax Map No 1000, Section Subdivision ~'-/~0~/., ~OUM"/"'Rx( ~"~'T'~'7-'~'-~ Permit No. Date of P*rmit. Filed Map. Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: To: q'om~ of Soufl~old JAMESJ. DEERKOSKI, P.E. 260 Deer Drive Matfituck, N.Y. 11959 (631) 298-7116 Re: Deck Inspection P,'uTne nrc r Rcsidcnce Dehnar Dr Matfituck, NY 11959 Pernfit# 30758Z To X~q~otn It May COIICelTI: Ail Inspection was made on the above mentioned deck, and it is deeined fllat the Ibofings supporting this structure are sufficient to support tim loads that ;~411 be placed upon it and is safe to its occupm~ts. Any Questions feel li'ee to call. ~s'ki P.E. Engineer: ~ " Submiltcd: ? SCTM #: I)is~ri~:t: 1.000 $¢cfio,: . /)7 Block: _ ~ Loc I~_ Ih-ojecl ,..o~,io,,: I?~ ~ ~. ~~ ~,~,~,~o,, Single & [eparalr Required lyes ! Req. Number Suffolk County Health' Dept. Now York St~ D. E: C. Town Trust. s Town Zon!n£ Board appwval: Town pl:innlng Board approval: Flood Piano Elovafion ??? 765-18O2 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [, ] INS~U~TION FRAMING [~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ~ INSPECTOR FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) ~..~ FOUNDATION (2ND) 7 PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ~D~ON~ COUNTS TOWN OF ~OU~HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 v~,. northfork.net/Southold/ Examined Approved Disapproved · c PZaMIT NO. 7, F Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health --4 se~s of Building Plans Planning Board approval '~Sun,ey_ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT ---'EI- ... -, __J Date '7~'//- / ~ ,20 O f 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 covef6d 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 T6wn of So,uthold, 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, honsi~g code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ - - (Signature ~Jf apphcant or name, ff a corporation) (Mailing address of applicanO State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (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. Location of land on xvhich proposed work will be done: House Number Street Hamlet County Tax'Map No. 1000 Secti.~g J ~7 Block 4 Subdivision,L~0~-k, ~DUM[~¥ ~-5"T-'A['T'~".~ Filed Map No. (Name) Lot 18 State existing use and occupancy ofprem~ises and intended use and occupancy ofprop, osed consm~ction: - a. Existing use and occupancy ,~d) ~C ~ O A) ~ ~7,~ ~ ~ ~ ~ ~ 0 b. ~tmdedme~doccup~cy~ 511 I Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ,~ (~)~) ~ If dwelling, number of dwelling units If garage, number of cam Addition ~ Other Work l '? h~ (To be paid on filing this application) Number of dwelling units on each floor Alteration (Description) 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front 10. Date of Purchase ~ "o~a~-~ ~7 Rear .Depth n eofFormerOw er ge: 11. Zone or use district in which premises are situated 12. Docs proposed construction violate any zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-graded? YES NO ~Will excess fill be removed fi.om premises? YES__ NO__ ' 4. Names of Owner of prem,ses H, ~ l/.~ ~t~.~ ,Xtff.,~d~ess~Phone No. ~ ~o° - ;~'~3[ Name of Architect Ad-dress Phone No 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 3~ * 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 (~ W /Q ~' ~6 (Contractor, Agent, Corporate Officer, e~e.) 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/ D/-~ y~ 20o~ Signature of Applicant REVISIONS I..0f 49 b0f YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W. YOUNG HOWARD W, YOUNG §URVEY FOR: HENRY SPRECKELS 8~ JOHANNA SPRECK~ LOT NO. 48" LAUREL COUNTRY F_~~ [- ~ un c L. tr QUITY ~TRAC'F.[~, · '" "r°wN°~SOUTHOLO I ' " 4~ '~'""' '-- ........ SOUTHOLO I k""'C,~~ .*i:o ,/ = ,'--' ,,.o I ',,.,.,.,-.,o.,,,~ J NO...,,,:~