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Home My WebLink About33026-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33277 Date: 09/18/08 T~IS CERTIFIES that the building SINGLE FAMILY DWELLING I~)cation of Property: 470 LAUREL CT LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 4 I~Dt 24.11 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAy 4, 2007 pursuant to which Building Peri, it No. 33026-Z dated MAY 11, 2007 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 NEW SINGLE FAMILY DWELLING WITH PERGOLA AS APPLIED FOR. The certificate is issued to WALTER & NANCY JACOB (OWNER) of the aforesaid building. SBF~)LK CO~Y DEPART~T OF H]~kLTE ~PPRO~KL R10-07-0043 09/12/08 ELEC~RIC~kL C~TIFICATE NO. 4012300 09/15/08 ~L~ UF~{TIFICATION DATED 05/29/08 RIDOLFI PLUMBING HEATING Rev. 1/81 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: l. Final survey of property with accurate location of ail buildiugs, prope~%, lines, streets, and unusual natural or topographic features. 2. Final Approval fi'om Itealth Dept. of water supply aud sexverage-disposal (S-9 form). 3. Approval of electrical installation fi-om Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/I0 of 1% iead. 5. Colrunercial building, iudustrial buildiug, multiple residences and simila~ buildings and installations, a certificate of Code Compliance fi'om architect or engineer responsible fbr the building. 6. Submit Planning Boald Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-couformiug uses, or buildings and ' , pre-ex sting lan(us~s 1 Accurate smwey oflxopetU.' showing all lxoperty lines, stieets, building a~d uuusual mmnal m opographic features. ' 2. A properly completed application and consont to mSl>C~ci si~mcd b3 the applicant ]('a ( erlificate of Occupaic3 i> denied, the Building Inspectoi shall slate tiao ~eascxis d~e~efbr in wnting to tim applicant C. Fees I Ce~tificateofOccupancy Ncx~ dwelling $?S II0, Addititx/s~<~clx~cllmg$2500, Alle~atio~ls to dwelling $25 0ti. Swinmfiug pool $25.00, Accessoi 3' building $25 0(). Additions lo acccsso~ y Imildiug $2500, Businesses $5000 2 Celtificate of Occupancy oil Pic exislmg 13uildmg $100 00 3. Copy ofCertificatcofOccupancy - $25 4. Updated CertificateoiOccnpancy- $5000 5. Temporary Cmntificate of Occtqvancy F, esidc:lxtial $15 00, (onulqcrcial ~150(I New Construction: ~ Locatiou of Propel~y: ~ 70 Old or Pre-cxistnig Building: Laurel aur¥ Housc No St~cei (check one) Hamlet Suffolk C6unty Tax Map No 10O0. ,Section 1~5 Block O~_ Lot ~q~ [[ Subdivision .... Filed Map. Let: Permit No Health Dept Approval: Plmming Board Approval: Request for: Temporary Certificate Fee Subnfitted: $ 7P 7 (check one) A-p~t'~ignature 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. 33026 Z Date MAY 11, 2007 Permission is hereby granted to: JACOB 470 LAUREL COURT LAUREL,NY 11948 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 470 LAUREL CT LAUREL County Tax Map No. 473889 Section 125 Block 0004 pursuant to application dated MAY Building Inspector to expire on NOVEMBER Fee $ 3,066.40 ~S,/~ Lot No. 024.011 4, 2007 and approved by the 11, 2008. ORIGINAL Rev. 5/8/02 TOWN OF .SOUTHOLD BUIL1)ING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined ,20 Approved ,20 Disapproved Wc Expiration ,20 PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to:V Phone: Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ,20 0 7 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. licant or name,~a corp:ratio:; PO ~2'~OX ( M~ail .r~. g~ s~o f~a~ li/c ant~)''~ ' l'{7 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises [,~O. I~Le(' Io. 3~CO~ (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. 1. Location of land on which proposed work will b,e done: House Number Street County T~ Map No. 1000 Section ~ Subdivision kaoCgl Hamlet Block ~ L~ Lot Filed Map No. I (57 I~ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction*." a. Existing use and occupancy ~'O,f...~vx4' LaY Intended use and occupancy Addition Other Work Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cog~f// ~_'~---9~ O / o~r~b If dwelling, number of dwelling units If garage, number of cars 3 Car ~ac~e~ Alteration (Description) Fee (To be paid on filing this application) .... Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front N Height. Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth Height_ 8. Dimensions of entire new construction: Front Height Number of St ot e's 9. Size of lot: Front i ~Tr0 5- Rear 10. Date of Purchase Number of Stories Rear Depth Rear Depth Depth Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate anything law, ordinance or regulation? YES. NO ~/ / 13. Will lot be re-graded? YES NO V Will excess fill be removed from premises? YES NO i~O~'~a~.. ~x~c~ Po Oo~ 758 ;Iq'IT ~51- 7a~D-501,5'- 14. Names of Owner of premises aa,~.os~ Address Jos~¢5oor~. ~¥ , Phone No. Name of Architect Oaa tk~x.O~ Address fO~ b~/~:f'e~'mb~l~;~PhoneNo (o~t° 55~- 0It@el 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 ~' * 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 ) /-- ~'//~k_-'T-~' r~"'~-~-,~ ~ being duly swam, 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 tree 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. Swam to before me this - lb/4m dayof ~a a r c/,? 200¢ LINDA SIEDLECKI NOTARY PUBLIC-STATE OF NEW YORK NO. 01516110594 Qualified In Suffolk County Commission Expires June 01, 2008 /~ature of Applicant TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. , [ ] FOUNDATION 2ND [ ] INSULATION /~- [ ] FRAMING / STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE REMARKS: DATE ~-/T'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~FINAL ,,~ / [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING ~ FINAL /~: [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ [ ] ROUGH PLBG. [ ] INSULATION [~FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] INSULATION ~'~FINAL ] FIRE SAFETY INSPECTION ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: F~_~ .~ ~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ [ ] ROUGH PLBG. [~)~INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION INSPECTOR '~~h~ DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~NSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ~REMARKS: ~)l~ DAT~ /~-- ~-~- ~ 7' ~.SP~CTOR ~"~'~- ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION ~ STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~ ~'~ ~ ~r~ ~ ~: ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ]FOUNDATION 1ST ~'ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION ~ STRAPPING [ ]FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: '~ ~ ~~'~"~"'--'~--' ~ ~.~ ~ ---'~ ~/ / ~.-., {.~ ~' ,fl A ,?' . ~/~_ . DATE //~ ~ ~ INSPECTOR ' ' '~ 33o Z TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST ~'ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING / STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: ~,:-0 ~- r/l, ~ I ~-~ ~'-- TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRERESISTANTCONSTR~.~.I.,~OI~.:_~ ] FIRE RESISTANT PENETRATION REMA.RKS: DATE 7 INSPECTC TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND ~FRAMIN~ [ ] FIREPLACE & CHIMNEY [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION OUNDATION1ST [ ] ROUGH PLBG. ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION [ INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION ~'LELD INSPECTION REPORT ] DATE I COMMENTS FOUNDATION (1ST) .- ...................................... ~:~_;, ~,,~.?~¥~~ ~ ~ ~ i ~DITION~ COmJTS ' BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT · -- Upon the application of upon premises owned by PO BOX 758 PO BOX 758 JAMESPORT NY 11947 JAMESPORT, NY 11947 Located at 470 LAUREL CT LAUREL, NY 11948 Application Number: 4012300 Certificate Number: 4012300 Section: Block: Lot: Building Permit: . BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Attached Garage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 15th Day of September, '~008. Name QTY Rate Rating Circuits TYl~ AdditionalCharges as built-2007 Alarm and emergency equipment Sensor I 0 0 Carbon Monoxide Sensor 6 0 0 Smoke Appliances and Accessories Air Conditioner 2 0 Above 1500 BTU Cooking Deck I 0 30 Amps Dish Washer 1 0 1,2 Exhaust Fan 3 0 F.H.P Furnace I 0 Oil Hydro Massage Tub (Therapeutic) 1 0 Oven 2 0 9.0 KW Service Service Disconnect: 0 150 cb Service1 Phase3w Service Rating300Amperes Wiring And Devices Dimmer 12 0 120 V seal Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by WALTER JACOB WALTER JACOB PO BOX 758 PO BOX 758 JAMESPORT NY 11947 JAMESPORT, NY 11947 Located at 470 LAUREL CT LAUREL, NY 11948 Application Number: 4012300 Certificate Number: 4012300 Section: Block: Lot: Building Permit: . BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Attached Garage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated the State of New of State Code Enforcement by York, Department and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the tsth Day of September, 2005. Name OTY Rat{: Rating Circuits TYl~ Fixture 9 0 Low Voltage Fixture 102 0 Incandescent GFCl Circuit Breaker I 0 Outlet 111 0 Fixture Outlet 125 0 Gert, Purpose Paddle Fan 4 0 Receptacle 1 0 20a4aundry ,Appliance ReceptacJe 9 0 GFCl Receptacle 87 0 Gert, Purpose Switch 69 0 Gert, Purpose seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ElY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by WALTER JACOB WALTER JACOB PO BOX 758 PO BOX 758 JAMESPORT NY 11947 JAMESPORT, NY 11947 Located at 470 LAUREL CT LAUREL. NY 11948 Application Number: 4012300 Certificate Number: 4012300 Section: Block: Lot: Building Permit: . BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Attached Garage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 15th Day of September, :1008. Name QTY Rate Ratin~ Circuit~ Tyne Amount AdditionalCharges as built-2007 $0.00 FUEL SURCHARGE $5.00 OVERNIGHT FEE $25.00 Alarm and emergency equipment Sensor 1 0 0 Carbon Monoxide $0.00 Sensor 6 0 0 Smoke $0.00 Appliances and Accessories Air Conditioner 2 0 Above 1500 BTU $0.00 Ccoking Deck 1 0 30 Amps $0.00 Dish Washer 1 0 1.2 KW $0.00 Exhaust Fan 3 0 F.H.P Furnace I 0 Oil $0.00 Hydro Massage Tub (Therapeutic) 1 0 $0.00 Oven 2 0 9.0 KVV $0.00 Service Service Disconnect: 0 150 cb ServicelPhase3w Service $0.00 Rating300Amperes Wiring And Devices Dimmer 12 0 120V 5ec3[ $0.00 Fixture 9 0 Low Voltage $0.00 Continued on Next Page I of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW NY 10038 CERTIFIES THAT Upon the application of upon premises owned by WALTER JACOB WALTER JACOB PO BOX 758 PO BOX 758 JAMESPORT NY 11947 JAM ESPORT, NY 11947 Located at 470 LAUREL CT LAUREL. NY 11948 Application Number: 4012300 Certificate Number: 4012300 Section: Block: Lot: Building Permit: * BDC: ns11 Residential Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, At~ached Garage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to~:)T~,in ~,~o~pliance therewith on the ]~tb Day of September, 2008. Name Ratin~ Circuits -Tvoe Amount Fixture 102 0 Incandescent $0.00 GFCl Circuit Breaker I 0 $0.00 Outlet 111 0 Fixture $0.00 Outlet 125 0 Gan, Purpose $0.00 Paddle Fan 4 0 $0.00 Receptacle I 0 20a-laundry Appliance $0.00 9 0 GFCl $0.00 Receptacle 87 0 Gan, Purpose $0.00 Receptacre Switch 69 0 Gan, Purpose $0.00 Invoice Total $270.00 seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. CERTIFICATION (P/ease print) I certify that the solder used in the water supply system contains mess than 2/10 of 1% lead. /~/umbers Signature) ~efore me,this ~) day of.z:~'~, 2008 ~lnl~ Datc: Septembcr 16, 2008 JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Building Dept. Footing/Strapping/Framing/Vt nting/Plumbing/Insulafion Inspections Walter Jacob 470 Laurel Ct. Laurel, NY Permit# 33026 To Whom It May Concern: This lel~er certifies that all wind strapping on thc above mentioned project is h~ tact, and meets all state and local building codes. A Footing inspection was made on interior and exterior footings and these footings were installed correctly. A Franfing/Plumbing/ Insulation Inspection was also Pcrtbrmed on tiffs Structure, m~d all framing, Insulation, and Plumbing was done correctly and also meets all state and local building codes. A pressure test was also performed on the waste/water plumbing systems. Also the ventilation holes were checked in the cathedral area and around the skylights and these holes were drilled in the proper locations. Any questions please feel free to call. Sincerely James,. eerkoski P.E. Erosion, Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does this project meet the minimum standards tbr classification as an Agricultural Project. Note: If you answered Yes to any of the above, a Storm-water, Grading, Drainage & Erosion Control Plan is not required. ACTIONS REQUIRING THE SUBMISSION OF A STORM~WATER, GRADING~ DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (,/) for each questmu is required for complete application) Will this project retain all Storm-Water Run-off generated on Site? (This will include all mn-off created by site cleanng and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Will this application require land disturbiug activities encompassing an area of five thousand (5,000) square feet of ground sm'face or more? Is there a Natural Water course mmm~g through thc site or is this project within One hundred (100) feet of wetlands or a beach? Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance'? Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? Yes 1~o Will this application 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? I I (This item does not include the installation of driveway aprons.) b~l -- site preparation within the one hundred (100) year floodp ain of any watercourse? 8. Will there be Note: If any answer to questions ~ne through eight 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 permit. COUNTY OF ss That I~.['~ .}r~ .{~-~.~ .. ['57~{ ~.. be/rog duly sworn, ~eposes and says that he/she is the applicant for Perm/t, (Name of individual signing Document) And that He/She sthe ~ ~ t~ "~-~('-"~[ Owner and/or representative of the Owner or Owner's, 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 tree to the best of his h~owledge and belier; and that the work sill be performed in the manner set lb~th m the application filed herewith. Sworn to b~f~o[e me tiffs; \ [~ ~ -. ~ ~ ........... ~ ......... da}~~~'~ 20~ ~ NotaB~RPSu~IRicA, ~tNatNe of New York ~ ~Q~gnature of AJ~licaut) ........... No. 4855805 Qualified in Suffolk Couaty*.~. ~ Commission Expires April 14,~---2 L, Town Of Southold P.O Box 1179 Southold, NY 11971 Date: 05/04/07 * * * RECEIPT * * * Transaction(s): 1 1 Septic Permit - Construct - Resid. Reference 3706 Subtotal $10.00 Check#: 2118 Total Paid: $10.00 Name: Jacob, Walter Po Box 758 Jamesport, NY 11947 Clerk ID: BONNIED Internal ID: 3706 SCDHS Ref# RI0-07-0043 ~0 °~0'50 ~ 1~. ~ ~ DRYWELL · --~ ROOF AREA - 4500 SO. FT '~ 4500 ~ 0.17 x I ~ 765 CU. FT ~ ' 7'65/E25 - 34VF PROVIDE 4 ~Y WELLS 6'~ ~ 9'~EP OR EOUAL AREA OF DRIVEWAY ON LOT = 3870 s~ll. ANY AL TERA TION OR ADI~TION TO THIS ,SURVEY IS A VIOLA TION OF SECTION 7EO~ OF T~E NEW YORK STATE EDUC, A TIDN LAW, EXCEPT AS PER SECTION 720g - SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SI~VA TURE APPEARS HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW TERM ' AL TERED BY ' MUST BE USED BY ANY AND ALL SURVEYORS UTIliZING A COPY OF ANOTHER SURVEYOR'S MAP. TERMS ~-.ICH ' INSI~ECTED ' AND · BROUC~YT - TO ' DATE ° ARE NOT IN COM~EANCE WITH THE LAI¢. & la.e. LOT 1~ vAqA~?r - Z .180,00, · AREA = 30,885 sq.' ft I om lomifiar wilh lhe STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES end will abide by lhe conditions se/ forlh /herein and on /he permil 1o conslrucL SEPT. 5, (REV/S/ONS) SURVEY OF PROPERTY A T MA TTITUCK TOWN OF SOUTHOLD, N. K SUFFOLK COUNTY, N K ~000 - 125 - 04 - 24.~ SCALE.. 1" = 30' SEPT. 25, 2002 APRIL 16, 2007 AUG. ~.0~ ~007 ( FNDTN LOC. ) AUG. 23, ~007 (CERTIF~'A T/ON) ' ~ 2uUGG..,~, ~008 (FINAL)' 2008 (ADDITIONS) 4,/ ~ CERTIFIED ,TO , I ~-1~"~.. WAL TEl' P. JACOB, / ~ ~ I ~E~ SA VING BANK, shown hereon .re from field ~o~~ rh~ ~~ end or from dele obldned Uom others. ~ ~ E~o, ~o~s,,~.c. SO~ 11971 NOTE' LOT NUMBERS REFER TO 'MAP OF LAUREL LINKS" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON NOV. ~$, 2001 A'S FILE NO. 1071Z LIC. NO. 49618 (651) 765 - 1797 I'REE T · 02- 298 10' PICKETS TOP 6' ~SUPPORT DEAM 10' PAST THE POST 2x8 ACQ FLOOR JOIST 16' 5/4' DECKING-- ABU44 ABJUSTADLE AND STANDOFF PGST DASE(SIMPSGN POST JOIST ACQ GIRDER TD POST CARRIAGE ~OLT DECK DECKING-BENCH-PERGnLA DETAILS PRaPI3SE]3 FBUNDATIBN PLAN ~///////// -- / ///////////// ///////////// ///////////// / / CONTRACTOR TO / / / m ALSO PROVIDE / / PRICE CON$IDERINO// / / / THE HATCHED AR£A/ / / -- ///////////// /////~///// ///// ///// ///////////// ///////////// L SURVEY OF LOT i 8 MAP OF LAUREL Li?KS ~'iTL(477D A T MATTITUCX TOWN OF SCUTHQLO SUF:OL~ COUNT'C NEW YORK AP~L 27, 2005 AREA = 50,885.37 sc~. 0,709 Jos h A~ Ingegno Land Surveyor ROOF AREA ~ 4500 $O.FT 4500 x 0.17 x I = 765 CU, FT 765/225 - $4VF PROVIDE 4 DRY F/ELLS $°~ ~ 9'DEEP OR EOUAL ANY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SECTION 7209 OF ~ NEF/ YORK STATE EDUCATION LAF/. EXCEPT AS PER SECTION 7209- SIJ~DIVlSION 2. ALL CERYIFICA TION$ HEREON ARE VALID FOR T~S MAP AND COPtE$ THEREOF ONLY IF SAID ~ OR COPIES BEAR THE &CPRF,~SF--D SEAL OF THE SURVEYOR F/HOSE ~ TUR£ A,~°F--.AR$ HEREON. ADDITIONALLY TO COMPLY WITH SAID LAW TE)~M ' ALTERED BY MUST BE U~ED BY ANY AND ALL SURVEYORS UT~.IZIN~ A COPY OF ANOTHER SURVEYOR'S M.4P. TF_RM~ ,~JCH · ~IE~CTED ° AND ' J~l~UCV4T - TO - DATE ° ARE NOT ~1 COMPLIANCE WITH 774E LAF/. /~0o00' · AREA = 30,885 sq. ft. DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and w.,ill abide by lhe condilion$ sel forth lhereln and on the perrnll 1o conslruct. SURVEY OF PROPERTY A T MA TTITUCK TOWN OF SOUTHOLD, N. Y. SUFFOLK COUNTY, N. Y 1000 - 125 - 04 - 24. 11 SCALE: 1" = 30' SEPT. 25, 2002 APRIL 16~ 2007 AUG. ;ZO, ~007 ( FNDTN LOC. AUG. _P3, 2002' (CERTIFICATION) The I&cotions of wells ond cesspools. shown hereon ore from field observolions ~nd or from dele obleined from olhers. NOTE, LOT NUMBERS REFER TO 'MAP OF LAUREL LINKS' FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON NOV. ~$~ ~001 AS FILE NO. 1071~ CERTIFIED TO , F/AL TER P. JACOB, ULSTER SAVING BANK, FIDELITY NATIONAL TITL~E INSURANCE COMPANY /~ECONIC I651) 765 - 50L~~-~A 797 P. O. BOX 909 1230 TRAVELER SOUTHOL~ N.Y. I1~ 02- 298 +. ANY AL TERA T/ON OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SECTION 7E09 OF ~ NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209 ' SUBD(VISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND CORTES THEREOF ONLY iF' SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR WHOSE SIC4~4 TURE APPEARS HEREON. LOT ~ VACAHT ADDITIONALLY TO CO~ff=L Y N~TH SAID LAW TET~M ' ALTERED BY MUST BE USED BY ANY AND ALL SURVEYORS UTff-IZING A COPY OF ANOTHER SURVEYOR'S I~. TF~ ~{JCH ' INSPECTED ' AND · BROUC~HT - TO - DATE ° ARE NOT IN CO~NCE WITH THE LAW. · AREA = 30,885 sq. ft. The locations of we/Is and cesspools. shown hereon are from field observahons and or from data oblained from others. NOTE, LOT NUMBERS REFER TO 'MAP OF LAUREL LINKS" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON NOV. 23, 2001 AS FILE NO. 10712 I om /am/flor witfl lhe STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SE~/AGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and will abide by lhe conditions sel forth lhereln and on the permit to conslrucl. SURVEY OF PROPERTY A T MA TTITUCK TOWN OF SOUTHOLD, N.Y. SUFFOLK COUNTY, N. Y. 1000- 125- 04 - 24.11 SCALE.. 1" = 30' SEPT. 25, 2002 Oct. I, 200,~ (CERTIFICATIONS) OCT. 25, 2002 ( revision OCT. CERTIFIED TO, PEC~IC ABSTRACT~ INC, FIRS~ AMERICAN TITLE INSURANCE CQMPANY QF NEW YORK ANDREW WEXLER DANIEL J. WEXLER /AECONIC ~YOR~*~...-~:~?.'~ P. O. BOX 909 1250 TRAVELER STREET ' SOUTHOLD, iV. Y. 11971 02- 298 II Montalvo Construction Group, ]:nc. August 29, 2007 Southold Building Department PO Box 1179 Southold, NY 11971 Re: Permit No. 33026 Lot//18, Laurel Court Laurel, NY 1 I948 Enclosed please find the foundation survey for the above referenced property. I will follow up with your office in a couple days to see if it is okay for us to proceed. If you have any questions, please feel free to contact me at 631-965-5425. Thank you. Kerrilynn Villafane Montalvo Construction Group, Inc. enclosure