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HomeMy WebLinkAbout30871-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30794 THIS CERTIFIES that the building ACCESSORY Date: 02/25/05 Location of Property: 865 WHITE EAGLE DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 9 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 28, 2004 pursuant to which Building Permit No. 30871-Z dated DECEMBER 29, 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 ACCESSORY HOT TUB AS APPLIED FOR "AS BUILT". The certificate is issued to DONN-PAUL DELANE (OWNER) of the aforesaid building. SUFFOLK COUN'T'Y DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 6080 11/02/04 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A i Authorized Signature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30793 THIS CERTIFIES that the building ADDITION Date: 02/25/05 Location of Property: 865 WHITE EAGLE DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473689 Section 127 Block 9 Lot 23 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 28, 2004 pursuant to which Building Permit No. 30871-Z dated DECEMBER 29, 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS The certificate is issued to DONN-PAUL DELANE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED uthorized Signature Rev. 1/81 . Form No. 6 .TOWN OF SOUTHOLD BUILDING DEPARTMENT FEB 2 5 f TORN HALL V 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by tyl)ev.Titer or ink and submitted to the Building Department with the folio .,ing 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 I. 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 $50.00. 2. Certificate of Occupancy on Pre-existing Building - _$ 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: VZ (check one) p/ Location of Property: _ O (OS wh i k )SQq l e �W , L Q u re - House No. Street Hamlet Al Owner or Owners of Property: L nrl - f Qt -1 `( T LO -1't 1(�, Suffolk County Tax Map No 1000, Section / CZ % Block O U O 9 Lot ea 3 Subdivision �D �C��J 1 Vl V i e A-) FS r ce-t -S Filed Map. 7776 %76 Lot: 0?3 Permit No. 3 D 2") I Z Date of Permit. 2-9 OL( Applicant: Uon n — —pa a4 Qf? Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 5-6 �-Q-E` • �P i 7.7 Cc C),? y / (c,o) Final Certificate: V (check one) A-_ pa's Applicant Signature Form No.6 TOWN OF SOUTHOLD BLIILDING DEPARTMENT FE$ 2 § TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by h,'pewriter or ink and submitted to the Building Department with the follmk ing: 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 $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 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) pt0 Location of Property: O wjh l #— FaQ 1 e b'. House No. Street Hamlet Owner or Owners of Property: b 17 f'1 — a U_ I �rk L —, t >✓ Suffolk County Tax Map No 1000, Section / a % Block &)6,9 Lot Qo� .3 Subdivision t 50 �C� %1 h'/ V l Filed Map. 7770 Lot o?_,� Permit No. 3 U 7 Z Date of Pernut. Z 9 d`f' Applicant: �0✓) ! — Q.� L/ i Qin Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ �(U CO -?- 30,293 Final Certificate: / (,f .o ) (check one) Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30871 Z Date DECEMBER 29, 2004 Permission is hereby granted to: DONN-PAUL DELANE 865 WHITE EAGLE DR LAUREL,NY 11948 for : INSTALLATION 0f' AN "AS BUILT" DECK AND HOT TUB AS APPLIED FOR at premises located at 865 WHITE EAGLE DR LAUREL County Tax Map No. 473889 Section 127 Block 0009 Lot No. 023 pursuant to application dated DECEMBER 28, 2004 and approved by the Building Inspector to expire on JUNE 29, 2006. Fee $ 600.00 Authorized Signature ORIGINAL Rev. 5/8/02 Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street • Center Moriches, New York 11934 • Tel: 631-878-3500 • Fax: 631-878-3764 Application: 6080 Date: 11/2/04 Issued to: DeLane Address: 865 White Eagle Dr Village: Laurel By: Delane Electric License#:4354-E was examined and approved up to the above date and was in compliance with the NEC Attic 1st f=loor Residentiai❑x P10d Det Garage Basernent 2nd floor C nTlerdal Hot Tubes Addition This certificate must not be altered in any manner Switches Receptacles Fixtures G.F.I. Range Hood Whirlpool Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide Furnace Oil Gas Heat Zones Smoke Bell Detectors Transformers Meter Amps Phase Motors Other Equipment: 1 -Outdoor Hot Tub -50A 1-GFCI Disconnect Out,Res -307 "7IZ 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION IST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING KFINAL [ ] FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT I DATE COMMENTS FOUNDATION (1ST) ------------ b--------------------- W ro 5�r -� l u _ - .�` F, FOUNDATION (2ND) t --- - - z ROUGH FRAMING & PLUMBING 0 (J\ 2 m INSULATION PER N. Y. STATE ENERGY CODE �a � 3 r — — FINAL ADDITIONAL COMMENTS m 7- 0 O z - eZ v m 7- 71 z O D o �z x 2 a r y x 0 ro TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. i'f�, Examined , 20 GY { Approved 20 L>� Disapproved a/c Expiration L , 20 oc- BUILDING PERMIT APPLICATION CHECKLIST Building Inspector Do you have or need the following, before applying? Board of Health 3 sets of Building Plans !- Planning 116 ard approval Survey V/ Checko I Septic Form N.Y.S.D.E.C. Contact: Mail to: ra L A4 Phone( 8)70 -7l y00 {' 2 8 2004 APPLICATION FOR BUILDING PERMIT Date 20� INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. V 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. �c.Q (Signature of applicant or name, if a corporation) C /1t,' 1 i 1 � c ��t'a✓1 (Mailing address of applicant State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises y� _ �AU U� LJ_ J (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. 437c( Other Trade's License No. 1. Location of land on which proposed work will be done: 1. House Number Street Hamlet County Tax Map No. 1000. -Section—-o1—Block q Lot 93 Subdivision aQ Id eYl V leAL E3C aL eS Filed Map No. `1-1-1 In Lot ') 3 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Workq rlw.. P�l� 0 k1��(Descnption) 4. Estimated Cost Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. I£ business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Rear 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 PC-- , , 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—A,` 14. Nantes of Ownci of premises address Phone No. Name of Architect Address 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 a D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO__te!-- * 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 S VI�YP 1Y� being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, 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 .;IP" day of v( 20DI — Notary Public UELW Y. MOM NOWy hilt, &W 01 No Yak Na+909712 OA" N 9ullok owdy cwmb" eon Oct. 19, a� Signature of Applicant LOT AREA= 40,112 sq. ft. I 603.00' i N OD O O X 0 Q0 V 0 O C WHITE EAGLE DRIVE S 32'33'42"E 184.00' At 4.0 Dewed Pooh P 7.2= GAR.1-7117 les Ct — 2 SMFR. DWELLING o C.E ahem link wood 1e "°x �"°` x — woo ahaln Ilnk 23.7' 24' k' 3' X as IN OO ND 3; 40 Q X 01 X085. o n _X—x - ALX—X�X— N 32'33'42"W 184.00' LRd'.'L•::aYd:77Ia:77:77:� : � y>rd:� Tiie existence of right of ways and or easements of record, if any, not shown are not euarantPP.t Im orram in oubwq" rrRr NMWOr nor 7 E awmuo lo M PR0Pr11Y LOO AAE FOR A !1101M FUN OE AO OE Mr 71406OE AE NOT adaoen TO OM TK OIrC1 OF f1010M 111911111110 rales FOEA FIRIM RAMIRIO ARM AYOOI 10 OIAOarI OA .MY 071E1 mmORMW 1O1NOFRO® Ah WW ON A03491 70 71E allR1EY E A g01,aW 0► O6'IIOr nw OF 71r NO raRR salE mllfJ01011 LOIN. 0111111111m WWW Marr SMIL 1401 01LY It TE FO FM rat TE r P11WM ASD 011 HIS NOW 70 THE 101E OOONIY, e0140000aIGL pY Mo 11E111111 amINOOr LARM 09OI. An l0 1K AEE12011 OF 11E �OrI11111111L OIIN11r1® AIM 10r 1r11OarYARS 10 AOO111a1.L Nm11OE TE OOMMY W1 WIN OOMIq 704E We fEETOMI OO® ML OR ODL NOL Nor E o01E7Em is E A WAD 714E OW7 CERTIFIED ONLY TO: DONN —PAUL and PATRICIA DE LANE f'(,,_,xdc F _T N.Y. LK:: No. 048992 HAROLD F. TRANCHON JR. PENN. LIC. No. 21155–E 5 JOB No. 02-107 FILE No. GOLDEN VIEW ESTATES SURVEYED FOR LOT NUMBER 23 MAP OF GOLDEN VIEW ESTATES SITUATED AT LAUREL TOWN OF SOUTHOLD – SUFFOLK COUNTY N.Y. SCALE 1' = 40' DATE 3-21-2002 FILED MAP No. 7770 DATE 8-30-1984 TAX MAP No. (REF oNLY) 1000-127-9-23 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR 1866 WADING RIVER–MANOR RD. WADING RIVER, NEW YORK, 1T792 631-929-4695 m EXI5TI1gG HOUSE--- --------------- ----------------------------------------- ----------- -=- ZK8 LEDCER ----- �'. SOL -ED TO 9LDG. U U I Q iYF. 6X6 P067 ANCHORED TC 12"XI^" C014C. FTG. n 1 3 BELOW GRADE BJDXB_SII ----- ------------------- -------- _ _____ TYP-4x4 F06T - ANCHORED To 1 12"X12" CONIC, FTS r 3' BELOW _RADE 1 _rn _2x8 GIRDER I_, 1 I101, FOUNDATION PLAN 14 t,,,O le e- /ham ' /cYv-e_V vp ,-e perej, DECK BUILT PRIOI, 2003 FLOOR PLAN ISUNDERWRIELWInEDATIFICATEI 565 WHITE EAGLE Fc-. I of 2 October 14, 2004 FE P1 F IE 3 IPANCY OR S UNLAWFUL JUT CERTIFICATE 3CUPANCY APPROVED AS NOTED 'Y �- _ � y IP.k :. Loo___ Pr� FPARTMENT - - . : 'M FOR T ONS: - REQUIRE v c_ FETE PLUMBII ION MUST _.0. SHALL MEE CODES C -ONSISLL JI,6T',_, TION ERF oCALE I JD/MH I/4" = Ib' REAR ELEVATION GIRDER/HEADEF POSTICOLUMN (POST-TO-GIRDER/HEADER CONNECTION IACATION USP NUMBER DESCRIPTION APPLICATION 1414 SOLIIJ COLUMN PBS44 / PBSLh4 / KCh4 POST CHP ANCHOR APPLY TU FACI-I COLUMN GxG SOLID COLUMN PBBGG / PBSECG / KC66 POST CAP AItlCHOR APPLY TD EACH COLUMN HOLLUW CUWMN SIMPSDN STRR1/2 HC ANCHOR APPLY TO EACH COLUMN _PMU ER LEE TO HOUSE - I", EIA GALV, 5 Wi WASHERS G FLASHING TUCKED UIJDER / TOP PIECE OF SIDING AND j LAPPED OVER FIRST CONTIN / PIECE OF SIDING BELOW / b2" DIA. LAG BOLTS W/ WASHERS / CONNECTED TO BLOC CW, 16" OC FLOOR FRAMING ' �r 2x JOISTS BLOCKING FOR"JOIST RANGER LAG UOLTS p RIMJOIST/RDS DECK/PORCH LEDGER CONNECTION LEFT ELEVATION 4" MAX 11�A� RIGHT ELEVATDON 4" DIA MAXIMUIN z m STAIR FRAILINS DECK RUILT PRION 2003 T' DI. 4"MAX