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Home My WebLink About34455-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33604 Date: 03/19/09 THIS U~KTIFIES that the building ADDITION Location of Property: 7125 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Bl~k 10 LOt 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 9, 2009 purs-~-t to which Build/ng Permit No. 34455-Z dated FEBRUARY 24, 2009 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 FAMILY DWELLING AS APPLIED FOR The certificate is issued to JAMES F DRUCK III & WF ( OWNER ) of the aforesaid building. SUFFOLK COU~TYDEPARTMENT OF HKALTHAPPROVAL RI~-rKICAL tu~KTIFICATE NO. PLIERS CERTIFICATION DA'r~u N/A N/A N/A /~~Au:horize~ Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD 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: 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 preperty lines, streets, building and unusual natural or topographin £catures. 2. A properly completed application end 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 - Residemial $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: ~ LocationofProperty: "2~[ Z~'House No. ~DeC°N'x('C-~ Str~ee ~[~- Omer or Own~ ofemp~: ~a~A ~ ~ &~ o~ ,~ Suffolk Co~ty T~ Map No 1000, S~fion ~ ~ ~ ~ Bl~k SuMivision Pe~itNo. ~~ DateofPe~t. ~-2~o7 Health Dept. Approval: Planning Board Approval: Request for: Tempormy Certificate Fee Submitted: $ C>~--- --~ (checkone) Hamlet Lot ~l) Filed Map. Lot: Applicant: ~a~e~,~r~ 3~.,ce~g t~r~,c ~-~ Underwriters Approval: Final Certificate: (check one) ~/' Applicant ~ignature · 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. 34455 Z Date FEBRUARY 24, 2009 Permission is hereby granted to: for : "AS BUILT" JAMES DRUCK PO BOX 355 LAUREL,NY 11948 DECK ADDITION AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 126 pursuant to application dated FEBRUARY Building Inspector to expire on AUGUST 7125 GREAT PECONIC BAY BLVD LAUREL Block 0010 Lot No. 013 9, 2009 and approved by the 24, 2010. Fee $ 400.00 / Author£z~d Signature Rev. 5/8/02 ORIGINAL FIELD INSPECTION REPORT I DATE ] COMMENTS FOUNDATION (IST) FO~DATION (2~) PLYING ~S~ATION PER N. Y. STATE ENERGY CODE F~ ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 119.71 TEL: (631) 7654802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~jLn~ , 20 ~)~ Approved Disapproved a/c Expiration 6~/2-( ,20/(~) FEll - 9 2OO9 8LOG. DEPI'. TOWN OF $OUfNOLD a. This application lVlu~ 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 Survez Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: Building Inspector PLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS pletely 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 aRer 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) L%'C Ctq,.AW bL- iTfl cut C E R,lY (/{¢ (Mailing address of applicant) State whether applic~t is owner, lessee, agent, ardB~tect, en~neer, gener~ contractor, elecmcl~, plumber or builder (As on the t~ roll or latm'fleeaF' "--~~ ' If applic~t is a co¢oration, si~amre of duly authorized officer ~--/~... , ~, ' ' ~ ::?'/ A'~ (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. ALL CONe'~"'~ ..... ' ~ ~ [ qLf~LL 1. Location of land on wh, ich proposed work will be done: House Number ~reet County Tax Map No. 1000 Section Subdivision ':-. ' , .... ; ~ ;i ,_: Lb~,?FiG BF" ';',,, r; c- C~, ...... :~: ', , ,3. ALL ¢"~:v c,,:;,LL MEET THE / D~ ~ CONSTRUCTION ERRCV3. Bbck o~ ~ ~ Lot ~ii~d Map No. 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 ~ ctC-~c{ t2a-z,t~ /3f ~(f ~' ~ ~ 3. Nature of work (check which applicable): New Building. Repair Removal Demolition 4. Estimated Cost Addition Alteration Other Work (Description) l-o~[tc~J' [,~ ~ Fee (To be paid on filing this apl~lication) If dwelling, number of dwelling units N ~k Number of dwelling traits on each floor Al If garage, number of cars N Ar If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front 7_7- ~ Rear :~, ~ .Depth Height Number of Stories ~ _ Dimensions of same structure with alterations or additions: Front i i ':' ........ Rear Depth Height Number elf Stories D ~r .... 8. Dimensions of entire new construction: Front [~;~ Rear ! ~"~'~ Depth [~' Height 6"o.,loov~ ~,,-,.A...,__ Number of Stories /V/~ { l ...... : ......... t 9. Size of lot: Front (,,O. /.-n~t Rear 6 0, o >r' Depth qO~,.ff~c[i' - 10. DateofPurchase ~0',J, 1~o~/ 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 13. Will lot be re-graded? YES __ NO__Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises av~ ~e,,~. f,. ~d-~ddress q tZx-/~ecad. ~ 4/4/Phone No. g 3(. 27o'~-~e! ~ Name of Architect h4k- Address Phone No Name of Contractor ~ Ik-- Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO fq5 * 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. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. STATE OF NEW YORK) COUNTY O~: __NO ><~ CONNIE D. BUNCH Notarj Public, State of New York No. 01BU6185050 Oualifim:l in Suffolk County , ..~ Commission Exnires Aofil 14. 20 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. Sworn to before me this_- C~.~ day of f'~/'ct.4 g~,v~ 20 O (~ Notary Public CONC MON OVER~ LINE 5.8'- CORNER ON SURVEY OF DESCRIBED PROPERTY SITUATE LAUREL, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.¥; SURVEYED FOR: JAMES FREDERICK DRUCK III MARGUERITE KELBAUGH DRUCK TM# 1000-126-10-013 GUARANTEED TO: JAMES FREDEREICK DRUCK Ill MARGUERITE KELDAUGH DRUCK GUARANTEES INDICATED HERE ON SHALL RUN ONLY TO THE PERSON FOR ~HOM THE SURVEY IS PREPAREO, ANO ON HIS BEHALF FO THE RESIDENCE STOCKADE FENCE WOOD WALKWAY SURVEYED: 22 MARCH 2005 SCALE 1"= 30' AREA - 21,158 S.F. OR 0.485 ACRES SURVEYED BY STANLEY d. ISAKSEN, JR. P.O. BOX 294 NEW SU,~FOLX. N.Y. 11956. ~/NYS Lic?N~ ~49273 05R1392