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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~