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HomeMy WebLinkAbout34196-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~TMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33323 Date: 10/04/08 THIS CERTIFIES that the building ADDITION Location of Property: 355 DELMAR DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 128 Block 3 Lot 6 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 2008 pursuant to which Building Permit NO. 34196-Z dated OCTOBER 1, 2008 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 AN EXISTING ONE FANILY DWELLING AS APPLIED FOR. THe certificate is issued to PAUL 0 PAASCH of the aforesaid building. ( OWNER ) SIJFFOLKCOI31~TYDEPARTI~E~r OF }~gALTH~PRO%rAL EL~-rKICAL CERTIFICA~ NO. PL~EP.S CERTIFICATION D~r~u N/A N/A N/A Rev. 1/81 ~ , ' TOWN OF SOUTHOLD - -- / <~, ,'k BUILDING DEPARTMENT C) ~ x~ ; TOYVN HALL . /~c:/~ ~ ~ ~ ~APPLICATION FOR CERTIFICATE OF OCCUPANCY ~' *~is a~icat~ .b filled in by typewriter or ink and submitted to the Building Depaament with the following: ~y~lding or new use: X~~~xl. F~ su~ey of propeay with accurate location of all buildings, propeay lines, streets, and unusual natural or ~pographic f~atures. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fo~). 3. Approval of electrical installation from Board of Fire Unde~dters. 4. Sworn statement from plumber ceaifying that the solder used in system contains less than 2/10 of 1% lead. 5. Co~ercial building, industrial building, multiple residences and similar buildings and installations, a ceaificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Pla~ing 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 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. Co 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 Old or Pre-existing Building: Date. £ New Construction: Location of Property: House No. Owner or Owners of Property:~ ~ k Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~ /~ ! ?~ -~. Health Dept. Approval: (check one) Street / 2 ~ Block ~:~ O O Filed Map. Date of Permit. ,/O/~O ~' Applicant..~ ~,__ Underwriters Approval: Hamlet Lot 0 ~ ~ Lot: 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. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34196 Z Date OCTOBER 1, 2008 Permission is hereby granted to: PAUL O PAASCH 355 DELM3LR DRIVE LAUREL,NY 11948 for : "AS BUILT" DECK ADDITION AS APPLIED FOR at premises located at 355 DELMAR DR LAUREL County Tax Map No. 473889 Section 128 Block 0003 Lot No. 006 pursuant to application dated SEPTEMBER 29, 2008 and approved by the Building Inspector to expire on APRIL 1, 2010. Fee $ 400.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved a/c Expiration ~/[ ,20 [0 Building Inspector 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 Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date 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 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 a~er 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name o f owner o f premises'~ 0,6 (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 LicenseNo. Plumbers LicenseNo. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision Hamlet Block Filed MapNo. Lot Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed ~onstmction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration Other Work ~' (Description) .,,, ~,' (To be paid on filing this application) Number of d~velling upits 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 Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear Dimensions of entire new construction: Front Height Number of Stories Rear .Depth Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 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__ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * 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. No/ 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF ) ~{/t/ C~'~O'~ ~-~ ~x'''-~ 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 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. -- -' * *. ~0. 01T06190696 Signature of Applicant Notary IJuDllC ~ Qualified n Suffolk County , ,., uommission Expires July 28, 20 [ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ROUGH PLBG. INSULATION FINAL FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: DATE / L~ ~- ~ ~' ~) ~' INSPECTOR ~m~,~) ~SrEC~ON R~'ORT [ D~TE ! CO~TS ~ FO~ATION (1ST) ~ FOL~DATION (2ND) -. ROUGH F~G & ~ ~ ~ PLU'~G ~ ~S~ATION PER N.Y. --~ ~ STATE ENERGY CODE N F~ ~DITION~ COUNTS ~ TOWN OF $OUTHOLD /o o J /~ ,~ ,~ _ (. PROPERTlr' IL~.~IlD CARD bWNER STREEi'~) .._.~.~ VILLAGE DIST. ~UB./ LOT,~,~,. ~ F~ER ~NER N E ACR~o, J ~ ~ ~ S W ~PE OF BUILDING ;~.~0 S~. VL I FARM CO~. CB, MICS. Mkt. Val~ ~' / I~ II~e , F~T~E ~ ~TE~ '~1~ F~T~E ~ ~D /~,~ / ~ P~ BULKH~D COLOR Extension ~ Pokh Ilorch Foundation Walls Both Floors Interior Finish Dinette Fire Place Type Roof Recreation Room Heat Rooms 1st Floor Rooms 2nd Floor Driveway LR. DR. BR. FIN. B ilorch Basement I:xt W. ll~ ~ ~Dinette / Z N 70° 06' 20" E 200.00~ ~ ~' " ~ O~ ~~ ~ ~ 0 ..... ~ ~ ?LUMBING ~ ~ 3. INSULATiON .-~ SITE PLAN ~. FINAL- CO"!Sc~ '~' ~ ~--, ~ I OCCUPANCY OR < ALL CONSTRUCTK)N SHALL USE IR 1 !'," ~ ' E)_ MEET THE RFO~:'" -' 'E CODES OF ......... d~'. '~ ,. )RAWN: JOHN R. NEITE~ JOB ~: 114 * SITE DRAWING IS BASED ON INFORMATION TAKEN DATE: 9- 23-08 FROM SURVEY DATED 9-8-01 BY ~WI~HONY W. SHEET NUMBER: LEwANDows~ ~ SURVEYOR As PRo~D TO ~q O T E: NORTH FORK DRAFTING BY PAUL pAASCH (OWNER) * IN NO CIRCUMSTANCE SHALL NORTH FORK DRAFTING BE OE RTIFIOATION 0 F ~S?ONSmLEFOR~mS~O~ONOR ~AILING&CONNEOTIONS THESE ARE AS BUILT DRAWINGS INCONS~S%NCmSO~SUR~¥ REO~I~E$, DECK WAS CONSTRUCTED PRE HIGH WiND CODE OF 2003f OHLYANDS~LNOTEECONSIBE~BALEOALB~NT HOMEOWNER CONFIRMS PRE EXISTENCE 42' 0" 54' 0" 14'-0" 2"X8" ACC LEDGER t. AG BOL'TED ,,TO HOUSE @ 24 OC-'"J r~"X6" DECKING 2"X8" ACC BJ © 16"0C W/HANGERS TO LEDGER EXISTING ELEVATION ~"XB" ACC SCALE: .Y4" = 1'-0" GRADE 2"x8" ACC DJ ~, 16"0C GIRDER X6" ACC POST ON 10" PC PIER 4"X4" ACC POST 8' OC SECTION A-A SCALE: ~" = 1'-0" TO2"XS"HOusEACC ©LEDGER24" ocLAG BOLTED/ EXISTING HOUSE / (2)2"XS"ACC GIRDER I ~"X6" DECKING 34'--0" I 4z o" ~-" SCALE: ~" = 1'-0" LLI DRAWN: JOHN R. SCALE: AS NOTED JOB ~: 114- DATE: 9-23-08 SHEET NUMBER: