HomeMy WebLinkAbout22136-ZFORM NO. 4
TOWi~ OF SOUTHOLD
BUILDING DEP~RTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33320
Date: 10/06/08
THIS CERTIFIES that the building SINGLE FAMILY RESIDENCE
Location of Property: 3600 DELMAR DR L~UREL
(HOUSE NO.) (STREET) (HAMLET)
County Tax b~ap No. 473889 Section 125 Block 4 Lot 17
Subdivision Filed Map No. Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated pursuant to which
Building Permit No. 22136-Z dated JUNE 17, 1994
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 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to EDWARD & SHARON O'NEILL
(OWNER)
of the aforesaid building.
S~FOLK COL~"f DEPAR~4EIqT OF H]~ALTH
BLEC'~RICAL CERTIFICA~ NO.
PLI]MBERS C~ERTIFICATION DA~D
N/A
N/A
N/A
Rev. 1/81
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 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.
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and conscnt to inspcct 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 ofOccupaucy - Residcutial $15.00, Commercial $15.00
New Construction:
Location of Property:
Old or Pre-existing Building:
House No. Street
Oxw~er or Owners of Property: ,~"'~0 D./'/~I0 ~'- ,~/&/ZcSt~-~gA,]
Suffolk County Tax Map No 1000, Section /o20~. - ~'/--/' 7 Block
(check one)
Hamlet
Subdivision ~ V~-~ ~_~,,MT"',~y~-~r57'~7~,...~ ..... Filed Map..-~'~ ~,, Lot:
PennitNo.
o2g/3 Dateofeermit.~-/?- 7'7 Applicant: dP
llealth Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ .~_.~'--,?~-?
Final Certificate: / (check one)
Applicant Signature
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. 22136 Z
Date JUNE 17, 1994
Permission is hereby granted to:
EDWARD & WF O'NEILL
PO BOX 441
LAUREL,NY 11948
for :
CONSTRUCT A DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED
FOR
at premises located at 3600 DELMAR DR
County Tax Map No. 473889 Section 125 Block
pursuant to application dated N/A
Building Inspector to expire on DECEMBER 17,
LAUREL
0004 Lot NO. 017
and approved by the
1995.
Fee $ 75.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAL).
SOUTHOLD, N.Y.
No
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
.............. .............................
22136 Z
Permission Is hereby granted to:
. ...~7/~.~. ~.<,). ........ ~:..... ~.:...-ff.~.-.~ ......................
..... ../. c.,......~.....¢...~/.. ............................................
~~ ....... ~../.., ...... ././.~./.z ........... ,......:
· '""25 ...... 5) ~, .~,~, ~
to ........ ~.r.~. .......................................... ~ ................................................... ~ ...........
,~. ........... ~.A~..x.. .......... ~;~ ............. ~./,/~.~ ........ ~ ....... ~~..
atpre~s,o¢o,edat 3~ ~,,,4~ ...J.....4.....~..z<.,. ..........................................
Coun~Tox Map No. lO00 Section..~,.-.~..,..,~... ............ Block .......... ..~...~..., ..... Lot No ..... ../~....~., ...............
pursuant to application dated .............. .~./..2. .......................... 19.....~...~...., and approved bythe
Building Inspector.
Rev. 6/30/80
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
,,pro,ed ....
Disapproved a/c .....................................
BOARD OF HEALTH
3 SETS OF PLANS ..........
SURVEY ...................
CIIECK ....................
SEPTIC FOR~I ..............
NOTIFY:
CALL ...................
MAIL TO:
. ( B)xild~a'g In ~p ect or )
APPLICATION FOP, BUILDING PERMIT
Date . ' ............ 19...
INSTRUCTIONS
' a. This application must be completely filled in by typewriter or in ink and submitted to tlie Buildh'~g Inspector, with 3
.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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 .
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is,,xowner,, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nameofownerofpremises ~ ~-' r' / ' -: (,~'; ' . ~ '~ ~ ' ~
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
I. Location of land on which proposed work will be done.
........ ~ ................. '.~...~..~ .... , - , ,~-,', ,,, , ,. , ,
I'louse Nuill her Street Hamlet
County Tax Map No. 1000 Section .....': .L...... ........ Block ' 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 .....................................................................
b. Intended use and occupancy ............. : ....................... :,.,.,~y.~ ~ ~/~,~:~.~[~q.
3. Nature of work (check which applicable): New Building .......... Addition .. ~'. .
Repair .............. Removal .............. Demolition .............. ' .... Alteration .........
Other Work .........
- (Description)
4. Estimated Cost ..................... Fee ... '
(to be paid on filing thisfip~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 J~lu~e .....................
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth...' ............
Height ............... Number of Stories ..............
Dimensions of Same structure with alterations or additions' Froni ....... ~ ....................... ' ..........
Depth ...................... Height ................. Rear ..................
...................... Number of Stories ......................
8. Dimensions of entire new construction: Front · Rear Depth ....
Height ............... Number of Stories. ' .........................
9. Size of lot: Front Rear.. : ........ Depth ..............
I0. DateofPurchase ......~: - ' ~/ . . . Name of Former Owner --: ~ ~ . <- :~'
11. Zone or use district in xvhich premises are situated ........
Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be regraded / ' ' ' ' :~' ..........................
...... : ..................... Will excess fill be removed from premises: Yes ~N~
14. Name of Owner of premises , ' ,
Name of Architect .............. '. ]. -Address ..:............ ....... Phone No.. .........
....... Address ................... Phone No ............
Name of Contractor .... .~ ...... '. -' .. ;;'. ,'. Address · -'., ......... Phone No ............ ...
15. Is this property within 300 feet of a tida~ wetland? *Yes ........ No...~ ....
· If yes, Southold Town Trustees Permit may be required.
· .-. PLOT DIAGRAM
Locate dearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK=
COUNTYoF s.s
............................................... being duly sworn, deposes ~d says that he is the applicant
(Name of individual signing contract)
above named.
He is the .........................................................................................
· (Contractor, agent, corporate officer, etc.)
.~c 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
................. day of. /l~,,q,k' ~..,.~'
Notary Public ....... · .......... "'~..Q~- ./.?.-.~.~..'~. · Count
0 AltY I~"I~.$?AIg OF ~ YO"~ ~, - (Signature ;i
Commission Expires/goV~ ~1,19~
FOUl.., ~TIOI.! (2nd)
ROUGH FRAME &.
/"' :,~¥~' ."!' ~/'PLUHBING
I{4SULATIOH PER N.
STATE ENERGy
{{
CODE
'FI~;AL
ADDITIO~IAL COM~IE}ITS:
""' - 2 1994 ..,
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
· (B~ild~ InSpector)
APPLICATION [:OR BUILDING PERMIT
BOAgD OF HEALTH .........
3 SETS OF PLANS
SURVEY
CIIECK ....................
SEPTIC FORH ..............
NOTI PY =
CALL ...................
HAIL TO:
· ' Date - ' 19 '
INSTRUCTIONS ' '
~Heation must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
plot plan to scale. Fee according to schedule.
;sets of
O~::~..~.b. Plot Plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn the diagram which is part of this appli-
cation. ~ -." · on
/~i~i~! c' '. Th~ work covered by this application may not be commenced before issuance of Building Permit. '
,::.~ d. Hpo~ ~approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
~shall be kept on thc premises available for inspection throughout the work.
, e. No building shall .be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to thc Building Department for thc 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 ~sl~ections. /] . _ · ~ ~
,:, ;:. ~ (Signature of applicant, or name, if a corporation)
. ..
(Mailing address of applicff~tit)
State whether applicant is~lessee, agent, architect, en~neer, 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)
.B flder s License No ..........................
Plumber's License No ...... ' .' .............
Electrician,s License No ....................... ,
--Otb'er Trade's License No ......................
I. Location of land on which proposed work will be done.
Street . Hamlet 6/ ....... '
County Tax Map No. ]000 ScctJon · ................. Block ................ Lot .........
Subdivision ..................................... Filed Map No ............... Lot
(Name) ...............
2. State existing usc and occupancy of premises and intended usc and occupancy of proposed construction:
a. Existing use and occupancy '
3. Nature of~v6rk (check which applicable): New Building ..... Addition....~..'~Q~.~~'AJ-ie~ation ..
Repair ....... .- ...... Removal .............. Demolition .............. Other Work ..........
4. stimated Cost ' _~t. 0OO e__ a,~- (Description)
......... ............................ ....... ...... · .................
' -- (to be paid on filing this appli~ion)
5. If dwelling, number ofdwe ling units... ~..~ ...... Number of dwelling units on each floor~.~ ......
. Ifgarage, numberofc~ .... ~... .~
If business, commercial or mixed occupancy, specify nature and extent of each typ~;~ .
7. Dimensions of existing structures, if any. Front '~ ' ' ...................
Height .~ .... -, · ' ............ :.. Rear ..~... Donth ~
.......... mum der o f Stories ...... ' ..... ~' ................
. D~ensi6ffs of same stmct'ure with alterations or additions: Front " ............
Depth. '~k , .... · ................ Rear ..................
- .............. ........ ...... ............. .........
8. Dm~en~ fe tire new constmct ont~ .... Rear ............... Depth ...... '.....
Hei~ht'~ ~ ......
~ ~. ~ ..-.~- r .......... ~umoer ot ~tones .... ~ .... . .
~' ~zegflot: Front .... ~ ~, 'Y'~' ~ .......................................
~0. mte~?~ha~, Za~'~/': ?~gg': ........ ~"ff' ~' ~' .... c ..... ~h~.~..~ ............
I1 Zo ' '~ -- · . '.' ". ..... . .............. ameo:romeruwner .~ .....
·.~ ne.~aed:stnct m winch prem~sesare situated ...... ..... . ~' . · · ·
12' ~D°es Pmp°sed C°nstruction violate an zonin '
13.~Will Iht ~, ~.~ ~ y g law, ordinance or regulahon .... ~.
14~N~'~*~ - . ~ .~ ,A; 'e',; .......... Will excess fill be removed from remises' Yes
J~~Architect .. ~ ........ -,~- ...... ~,~-~'.~ .... rhone No.~V .~.~3 .~.
. . ~
STATE OF NEW YORK
COUNTY OF ..-~-..o...~..~...~'5.... S.S
'' '~' '~' '~"'~'~'"b)' ' ' '~': ' ' ''~' ~' "~' '~?' '~'~' being duly sworn, deposes and says that lie is the applicant
- (Name of individual signing co;~;a'c'ti ..........
above nafned..
He is the ...................
(Contractor, agent, Corporate officer, etc.)
~'g 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.·
Swom to before me this '
'~/~'~- ' of /~'~,P" .......... 19
',/otary Public, · .--~'~c-,'~,':~'~A-/' ,.. .
~ ' ~mml~l~plrel~o~ 1~ q~ .::
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ~ ~SULATION
[ ~J FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~/ll ~l~ ~INSPECTOR .~~~
L
COLOR
Extension
Extension
Poich
Rorch
Garage
Patio
T~oI
Foundation /oc~ Both Dinette
Basement rO L t~ Floors b ~ ~ K.
Ext. Walls Interior Finish LR.
Fire Place
Type Roof
Recreation Room
Dormer
Heat
Rooms 1st Floor
Rooms 2nd Floor
6riveway
DR.
BR.
FIN. B
TOWN OF SOUTHOLD PROPERTY RECORD CARD ,/'S-?
S W ~PE OF BUILDING
'
~1~ ', FR~TA~E ON WATER
W~ FRONTAGE ~ ROAD 1~ '
~ P~ BULKH~D
PLAN VIEW
CUSTOMER -- ED
DATE 05/B8/84
O'NEILL
REF E£089345
30'
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
Load and support :
Your deck WTJl support a 43 PSF iTve load.
beJow-ground post support.
Posts have
geck and post height:
You se]eared a height oF 36' From the top aF decking to
Level ground. ThepeFop~ the top oF the deck support posts
will be B7.25~ above level ground. Your salesperson can
provide information For uneven or sloped 9round.
Set jois±s on top oF beams, ~6~ center to can±er.
Be sure to Follow the deck construction detail available From
your store salesperson.
Note : The design requires Knee braces, beam splices and bridging
between joists. Your- materials Lis~, includes the necessary items.
The suggested dest9n ts not a F~nlshed butldln9 plan. You are
responsible For all measurements being correct, For veniFylng that
the design (and any substltut~ons or modifications that you make)
meets cji local building codes and pequlpemen~s. To verify that
the suggested desigB and eny substltutlons on modi~ice~ions, ~s
consts~en$ w~h conditions a~ She construction si~e, nevlew ~he
design wlth your architect. A~so consult your architect Fop proper
consEpuc~on end use o¢ materials in ~he s~ructune.
APPROVED AS NOTED
FEE:~~By:
NOTIFY BUILDING DEPARTMENT AT
765-1~2 9 ~ TO 4 ~ FOR ~E
FOLLO~NG INS~NS:
1, FOUNDATION - ~0 REQUIRED
FOR ~URED
2. ROUGH - ~MING & ~UMBING
3. INSU~ON
4. FINAL - CONSTRUCTION MUST
BE COM~ ~R C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF ~E N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTR~ON ERRO~