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Home My WebLink About36993-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 8/1/2012 CERTIFICATE OF OCCUPANCY No: 35852 Date: 8/1/2012 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: RESIDENTIAL ALTERATION 4715 Great Peconic Bay Blvd, Laurel, Sec/Block/Lot: 125.-4-24.23 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/8/2012 pursuant to which Building Permit No. 36993 dated 2/13/2012 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: alteration to basement for recreations room in existing one family dwelling {caretakers house) and hot mb as applied for. The certificate is issued to Laurel Links Cntry Club (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 36993 5/9/12 & 7/16/12 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36993 Date: 2/13/2012 Permission is hereby granted to: Laurel Links Cntry Club PO BOX 307 Laurel, NY 11948 To; Alteration to a Single Family Dwelling; (Finished Basement) Recreation Room, as applied for. At premises located at: 4715 Gmat Peconic Bay Blvd, Laurel SCTM # 473889 Sec/Block/Lot # 125.-4-24.23 Pursuant to application dated To expire on 811412013. Fees: 2/8/2012 and approved by the Building Inspector. CO - ALTERATION TO DWELLING SINGLE FAMILY DWELLING - ADDITION OR ALTERATION Total: $50.00 $545.60 $595.60 Buil~ling Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Tiffs application must be filled in by typewriter or ink and submitted to the Building Department with the followiT~// A. For new building or new use: , ]. Final survey of property with accurate location of all buildings, property lines, streets, and unusual uatural 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 systeln contaius less than 2/10 of ~% lead. 5. Commercial building, iudustrial building, multiple residences and similar buildings and installations, a certificate &Code Compliance from architect or engineer responsible for the building. 6. Submit Plamfing 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: I. Accurate survey of property showing all property lines, streets, building and unusuat natural or topographic features. 2. A properly completed application and conseut to respect signed by the applicant. [fa Certificate of Occupancy is denied, the Building Inspector shall state the reasons lherefor in writing to the applicant C. Fees I. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swhnufing pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupaucy on Pre-existing Building- $100.00 3. Copy of Ce~xificate of Occupancy - $.25 - - 4 Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $[5.00 New Construction: ~/ Old or Pre-existing Building: Lo ation of Property: ~/'~/'~% /~Y)L~ ~ ' House No. Str~t~ OWner °v Owners °f Pr°pe~Y: ~11~ o~ ~~ Suffolk CounW T~ Map No 1000, S~tiou /~ ~ Su[division Date of Permit._ Permit No. '-~ C~ 3 Health Dept. Approval: Plannh~g Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~-'~- d~ (check one) Hamlet Block /-7/ Filed Map. Applicant: Lot: Underwriters Approval:. Final Certificate: ~ -- _ (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765 1802 Fax (631 ) 765-9502 ro.qer, richert~,town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTItOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Laurel Links Address: 4715 Peconic Bay Blvd City: Laurel St: NY Zip: 11948 Building Permit #: 36993 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Rocky Point Electric LicenseNo: 32644-me SITE DETAILS Office Use Only Residential ~ Ind°°r l~ Basement I~ Service Only [~ Com merical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 3 ph Hot Water GFCI Recpt Main Panel A/C Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: Ceiling Fixtures RWe~ I~1 ~is;~ r ~iSxt u r es ~ Fluorescent Fixture ~ xi;e~igx:: rCeYsFiXt u r es~ HID Fixtures Smoke Detectors CO Detectors Pumps Time Clocks TVSS 3-dimmers, 1-smoke/carbon combination, 3-baseboard electric heat Notes: Date: May 9 2012 81-Cert Electrical Compliance Form.xls Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 ro.qer, richert~town southo d ny us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION ssued To: Laurel Links Address: 4715 Peconic Bay Blvd City: Laurel St: NY Zip: 1194~ Building Permit #: 36993 Section: Block: Lot: WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE 3ontractor: DBA: Rocky Point Electric LicenseNo: 32644-me SITE DETAILS Office Use Only Residential R Ind°°r ~ Basement [~ Service Only~ Corn merical Outdoor 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Servicelph ~ Heat ~ DuplecF~ecpt ~ Service 3 ph Hot Water GFCI Recpt Main Panel NC Condenser Single Recpt Sub Panel NC Blower Range Recpt Transformer Appliances Dryer Recpt Disconnect Switches Twist Lock Other Equipment: supply GFCI protected power to self contained hot tub Ceiling Fixtures ~[~[~ HID Fixtures Wall Fixtures I I Smoke Detectors Recessed Fixtures CO Detectors Fluorescent Fixtur¢~s[~ Pumps Emergency Fixture Time Clocks Exit Fixtures I I TVSS Notes: Inspector Signature: Date: July 16 2012 81-Cert Electrical Compliance Form.xls TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND ~~STRAPPING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) DATE REMARKS: ~ ~/_.~ -~/,~Z__ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [~LECTRICAL (ROUGH) [ REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ELECTRICAL (ROUGH) REMARKS: INSPECTION I ]~t/,] iNSU LHA. i.~L;NG' [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (FINAL) DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTIO# [ [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION ]FIRE RESL~rANT PENETRAllON REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING / STRAPPING [~AL [ ] FIREPLACE & CHIMNEY [ ] FIRE S~:ETY INSPECTION [ ] ZR~ R~r~rr coNsmucn~ [ ] ~E RE~STAgr PB~ETRA'n0N REMARKS: DATE INSPECTOR~-;~/ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING / STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION ] ELECTRICAL (ROUGH) REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~]- ELECTRICAL (FINAL) DATE iNSPECTOR~~~-~ INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ]FRAMING/STRAPPING [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ [ ] ROUGH PLBG. [ ]/~NSULATION [ ~ FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) REMARKS: /// ,~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 DATE ~ , I , u " ~ "~ FOUNDATION (1ST) ~_~ FOUNDATION (2ND) ~ . ROU(~H FRAM:lNG & ~ , , ~, ,, ,~, ,.~~~ . ~S~ON 2~N. Y, ' ~ 7' '/ //~p~ ~ ~-~. ~ ~ ' 5~ TOW?,~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Disupp~ FEB - 8 2012 BLDG DEPI, TOWN OF ~OUT~OtDI 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 C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled in b? typewriter or m ink and submitted to tbe Buildiag Inspector willl 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 al'cas, and waterways. c. The work covered by this applicalion may not be commenced before issuance of Bailding Permit. d. Upon approval of this application, tl~e Buildin~ Inspector will issne a Bnilding Permit to tile applicant. Such a permit shall be kept on the premises available for inspection throaghoul l[le work. e. No building si~all be occupied or used in whole or in part for any purpose what so ever until ti~e Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work amhorized has not commenced within 12 months after tile date of issuance or [las not been completed within 18 months from sucl~ date. If no zoning amendments or otiler regulations affecting the property have been enacted in the interim, tile Building Inspector may authorize, in writing, tile extension of the permit for an addition six months. Thereafter. a new permit shall be required. APPLICATION IS HEREBY MADE to the Boildmg Department for tile issuance ora Building Permit pursuant to tile Buildin~ Zone Ordinance of the Town of Southol& Snffolk Coonty. New York, and other applicable Laws, Ordinances or Regnlations, for tile 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 corporatiou) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (As on the tax roll or latest deed) ' Il' applicant is a corporation, signature of dui3 authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: ltouse Number Street / Hamlet CountyTax MapNo. 1000 Section I2'''~''~ Block y Lot c>~(-/r~,:;,h- 3 Subdivision Filed Map No. Lot ,~ State existing use and occupancy of premiss and i, ntended use and occupancy of~roposed a. Existing use and occupancy ,.S//Lid,~-- 7~-,4/////'(_c/ /'c'/c~_/~ / 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 Addition Other Work Fee construction: Alteration (Description) (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, ~f any: Front Rear Depth Height_ Number of Stories Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated c/~57 ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES sox 13. Will lot be re-graded? YES NO~_Will excess 1ilI be removed fi'om premises? YES NO 14. Names of Owner of premises /~/£ ~ (~ ~1~-/Address Phone No. Name of Architect //~7 .~v~ ~c J~c'/-/z~/CZ,7~Address Phone No /o>~ Name of Contractor Address Phone No. 15 a. Is this property within 100 feet cfa 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 cfa tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 1 6. 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 5WF~/x~ ~ ,//~/~ k.~_}(~'7./TL/-4~'5/2~7~._~~ ' being duly sworn, deposes and says that (s)l~e is the applicant (Ngme of individual signing coutract) above nan ed, CONNIE D. BUNCH (S)He is the , ,/~ ~t7 ;7'~ NotaryNc.PUblic'01 ~U61State~-r't3- rm°f New York (Contractor, Ag~n~ C'orpor~te Officer, etc.) 9ualified in Suffolk Coun~ ~., Commission Expi~ee April 14, ~ of said owner or owners, and is duly authorized to perlbrm or have perfbrmed the said work and to make and file this application; that all statements contained in tiffs application are true to the best of bis knowledge and belief; and that the work will be performed in the manner set forth in tbe application filed therewith. Sworn to before me tb~L. ~ day ofF-~/.A.,4 Ot,,t%, 20]..~ Notary Public Signatut tpplicant LAND IMP. ~2~ TOWN OF SOUTHOLD PROPERTY RECORD CARD , ~ TOTAL DATE FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD TILLABLE WOODLAND¢~, MEADOWLAND HOUSE/LOT TOTAL OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD --~ ~--R~ E T q"'7 ~ ~- I VILLAGE DIST. AC.. /~,-'/ REMARKS TYPE OF BLD. ~&Q~f~ L_ii~C CJ~ ~'-~c - PROP. CLASS_,~5--~ LAND IMP. TOTAL DATE ~o o ? 0 o SUB. FRONTAG~E ?~ WATER1 ~"ONTAGEONROAD / DEPTH BULKHEAD TILLABLE WOODLAND MEADOWLAND HOUSE/LOT TOTAL V LLAGE TYPE 0 LOT ) S RES. ;EAS. FARM LAND IMP. TOTAL DATE o aa / 0 O0 AB< NEW : ~'~, ~ FARM Acre Value Per Value / --/.~.~.~ Acre ~ ~-/ 5.,/3/ Tillabh Tillable 2 W COMM. CB. MISC. 'Mkt. Value jO0 Woodland swampland Brushland · .House Plot Total // M. Bldg. Extension Extension Extension Porch Porch Breezeway Garage COLOR Patio O.B. lasement ~xt. Walls Fire Place Type Roof Recreation Dormer Driveway Bath F/../// Floars IZ~ Interior Finish Heat (~ 1st Floor Rooms 2nd Floor BR. FIN. B. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER !STREET /~j~C) VILLAGE FORMER' OWN,E? ~,x~' ,~..~ & Y'6 1 ~ ~ N - ~ E ~ ,s. /~ s~s. w. ~ -- '~,~M ~ 'co~.c~. :~cs. LAND Tillable Woodland IMP. TOTAL DATE REMARKS 455 Meadowland House Plot TotW DIST. SUB. LOT TYPE OF BUILD NG Mkt. Volue 0 I/ / ' I/ . WAT? "RO,'~ Q.N , ~, 7 "d',-c&'? /o.. ? .o Extension i, 125.-4-24.23 Caretaker house 10/10 Bath Floors ExtenstOn , ' ~zf~-~ . ~ ~ I / LL / ~ 'Fire Place t~sion~V~_ ~ .... ~;ch -- Roof Typ~~ /~ .... ~5~0~ ~- ~ Porch ~m, 1st Floor no.~ ~ IoxlS=/~O~~~~~ IRooms2ndFIoor ~ ~" ~ ~tpatio ~,~t+ ~* ~ ~ 7~ _~:~ ~ Dormer - - ' , ~ ~ /~ ~ ~ Orivewoy Garage ~DX~ ~ 2 ~~ -- /~oc -/~--'-/-.~1 TOWN OF SOUTHOLD OWNER STREET FORMER OW.N ER~d' O LES. I SEAS. IMP. LAND NEW 7~ £~-~ NORMAL FARM t 4kz~Od Acre Tillable 1 PROPERTY RECORD VILLAGE Tillable 2 Tillable 3 Woodland Swampland Brushland House Plot VL. TOTAL CARD DIST. SUB. . ACR. I TYPE OF BUILDING ft ~ING CON FARM .~C~ COMM. cB I MISC' Mkt. Value DATE REMARKS LOT 125.-4-24.23 Caretaker house 10/10 xtension xtens[a~~ Foundation Ext. Walls Porch Both ~ ~/Z. Floors interior Finish ~/~ H.eot __~_,~ Roof Type Driveway Porch Rooms 1st Floor Rooms 2nd Floor Dormer BUILDINO Dl!l%tl~Mll~ TOWN OF ~OUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Phone No.:. TOW~,' OF ,SO(; [~0[ D [ I Tax.Map District: 1000 Section: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) JOELSITE INFORMATION: (*indicates required information) . · Bloc~: Lol: {emro cax~ A~ That ~) *Is job ready for inspection: *Do-you need a Temp Certificate: YES / NO Rough In YES I NO 150 200 300 350 400 Other Number of Me~s Change of gewice Overhead PAYMENT DUE WITH APPUCATION Temp Informatimt (If needed] *SefVica SiZe: 1 Phase 3Phae,e 100 Addltienal Information: ~.. .82-.~ for fnapectlon Fe~m ' 03/23/2012 06~00 6312091780 ROCKY POINT ELECTRIC PAGE 01/01 TOWN OF ~.u~ON F~.~L~~ INsPEcTION JOBSITE INFORMATION: (*Indicates required information) *Ne=e: ~- ,~'~,~'~'-/- /__.~'/.//c~ *ndckw.: /-//TX.~' ~_¢.9,o,.~¢. ~4~x' '/-~/ ~. .... '"i:~'~ne No.: ...... ...,¢/..~ ~- ~? gO ' '.._ .... " · flgRIEFI~SCRIPTIONOFWORK(PleaaeI:~tt~) · .~='.]~-',4./..,,~,,/.,./_ . _ ~b-Flu need a 'l'emP C, eiiI.: . YF.~I NO. YESI NO Final Temp Information (~- needed) "ServiceSlze: IPhase ~tase 1~ 150 2~0 ~ '~O .4ce ~ AddIenal Infomwtion: PAdmINI' DUE WITH APPLICA11ON Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 30, 2012 Laurel Links Country Club PO Box 307 Laurel, NY 11948 Re: 4715 Great Peconic Bay Blvd, Laurel TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: **NOTE: Please submit specs for HOT TUB so we can amend the building permit. __ Application for Certificate of Occupancy. (Enclosed) J Electrical Underwriters Certificate. (contact your electrician) **For HOT TUB A fee of $50.00. __ Final Health Department Approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 36993 - Alteration BUILDING PERMIT EXAMINER CHECKLIST *Date Submitted: Date Reviewed: . · tklg, agin~: ~//~ _ Estimated Cost: -- SCTM# 100O -- j~..~"-- q ' ~L.~--, ~.~ Subdivision: - Zone: --Conforming?_ Building Permits (Open/Expired): BP -Z/C/0 Z-__ Info: BP -Z / C/0 Z- , Info: BP -Z / C/0 Z-__ Single & Separate Search Required? Y o N~etermination: REQ. Lot Size: REQ. Front ACT. Front ACT. Lot Size: REQ Side ACT. Side BP -Z / C/0 Z- , Info: BP -Z / C/0 Z-__, Info: REQ. LOt Coy. ~om~ ACT: Lot Coy. __ REQ. Rear PROP. Rear __ REQ. Height 3~t ACT, Height. R~. Bo"ri4 $11~5 ., A CT ~aterfront? Y o~ ~ ~ If y~, water body: ~ Panelg Flood ~ne: Bul~ea~BluffDistance: ' ~DITIONALAPPROVALS ~QUI~D ?Ln~(~) $1~N~B~ ~¢Ak[b ~u~V~Y oR 5'ITE P~N Suffolk County Health: Y or~ If yes, *Bed~: *Date: / / *Permitg: Town Septic: - If no, certification required: Y or N Received: Y or N By: ~S DEC: ea~c~nns Y or~- Date: / / Permit ~: or NJ Letter - Notes: Southold Trustees: Y or~- Date: / Permit g: or NJ Letter - Notes: Southold ZBA: Y o~- Date: Permit ~: - Notes: Southold Plauning: Y or~- Date: / ~/ Permit ~: - Notes: Town Landmark C of A: Y o~TE: / / *~S CODE ~ompliance (page 2): Y or N Notes: ~_~ .~ ~ ~ 7k ~~~ Fee Structure: Calculation: Foundation: }z~¢ SF First Floor: SF + Initial Fee: $ Second Floor: SF + Additional Fee ( ): $. Other: .~,_ SF SFX$, =$ ~'~-- SF + Initial Fee: $ Total: + Additional Fee ( ): $ AS BUILT FEE NEW YORK STATE CODE COMPLIANCE CHECIrd~IST CLIMATIC/GEOGRAI~HIC DESIGN CRITERIA: Ground Snow Load: ~0__ Weathering: Severe__ . Frost Depth: 36"__ Design Temp: 11 __ Ice Shield Underlay: YES USE/OCCUPANCY CLASS~ICATION: · HEIGI)T/FI1LE AREA: TYPE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESC1L[PTIVE FULL FRAMI?NG DESIGN ELEMENTS: Y/N HEADERS: YfN WALL STUDS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: LLrIM[BER SPECIES AND GRADE: Y/N Wind Speed: 120MPH Seismic Design Categoryi Termite: M~H Decay: ~ Flo~d Ilazai'ds: GIILDERS: Y/N ROOF RAi?TERS: ¥/N WDqI)OW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N x~rENT 4%: Y/N NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGPdESS: Y/N PLUMBYNG IL1SER DIAGRAM: Y/N LOCATION OF FIlLE PROTECTION EQUIPMENT: Y/N TRUSS DESfGN: CERTBFICATION: Y/N ENERGY CALCS: Y/N (R E S ¢II EC K~ TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE) SEE~ INSET 'A' DELMAR DRIVE 29944' 19'¢4'2p" W L~ Maintenance ~ Building INSET 'C' SCALE: 1"=40' 6270' IN ' N 265 3~* DELMAR DRIVE SURVEY FOR . AUREL LINKS LOT 50 "LAUREL !INKS" At Mottituck, Town of Southold Suffolk County, New York · .[ ,.[ EXISTING DECK ~'~ ~ OF OGGU~ANGY _ Compliance Ce~flcate ' ~ K STATE & TOWN AS BEQUI~ED~ ELECTRICAL ~-~ ~"~"~'~ S~NOLDTOWN~ .,~ .:D AS NOTED .... ~.,~ B~~ ~P~N ,,,, TO4PM FOR THE ...... ~' I I I