HomeMy WebLinkAbout37593-Z ll=~~
Town of Southold Annex 6/24/2013
~ P.O. Box 1179
- 54375 Main Road
~
p~ Southold, New York 11971
~ }.~1a4`
CERTIFICATE OF OCCUPANCY
No: 36314 Date: 6/24/2013
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 3365 DELMAR DR LAUREL,
SCTM 473889 Sec/Block/Lot: 125.-4-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11 /30/2010 pursuant to which Building Permit No. 37593 dated 10/23/2012
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:
"as built" furished basement (non-sleeping) in an existine one family dwelling as annlied for
The certificate is issued to THEODORE J. & KATHY MAHER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37593 11/26/12
PLUMBERS CERTIFICATION DATED 11/15/12 37593
ut riz Signa re
~ny~
~e 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 37593 Date: 10/23/2012
Permission is hereby granted to:
THEODORE J. 8~ KATHY MAHER _
P.O. BOX 656
_ _ _
LAUREL, NY 11948
To: "AS BUILT" BASEMENT ALTERATION AS APPLIED FOR.REPLACES EXPIRED B.P. #
36104
At premises located at:
3365 DELMAR DR LAUREL
SCTM # 473889 _
Sec/Block/Lot # 125.-4-8
Pursuant to application dated 11/30/2010 and approved by the Building Inspector.
To expire on 4/23/2014.
Fees:
PERMIT RENEWAL $548.00
CO -ALTERATION TO DWELLING $50.00
Total: $598.00
- -
` Building Inspector
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. 36104 Z Date DECEMBER 20, 2010
Permission is hereby granted to:
THEODORE J & KATHY MAHER
3365 DELMAR DR
LAUREL,NY 11948.
for
"AS BUILT" BASEMENT ALTERATION AS APPLIED FOR
at premises located at 3365 DELMAR DR LAUREL
County Tax Map No. 473889 Section 125 Block 0004 Lot No. 006
pursuant to application dated NOVEMBER 30, 2010 and approved by the
Building Inspector to expire on JUNE 20, 2012.
Fee $ 1,096.00
Autho ized Signature
ORIGINAL
Rev. 5/8/02
Roan No.6
TOWN OF SOUTHOLD
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 Apri19, 1957) non-conforming uses, or buildings and pre-existing" land uses:
I . 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.
C. Fees
L Certificate of Occupancy -New dwelling $SO.OQ Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
' 3. Copy of Certificate of Occupancy - $.25
4. Updated Certificate ofOccupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00
/D'ale. ~~/30/Z.DI U
New Construction: Ol\d or Pre-existing Building: V (check one)
Location of Property: 3 3 ~ 5 J ~ yl/1 j.~, j~ ~ t V ~ J ~ v ~
House No. Street /`Hamlet
Owner or Owners of Property: T~1.1 y ~ ( 1~ ~ U U +ti $ A ~ L /tom
Suffolk County Tax Map No 1000, Section / Z 5~ Block `7 Lot i/o
Subdivision ~ fi U r1~6 (i b U ti' 1
n y Filed Map. Lot:
Permit No. Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
I-~
Fee Submitted: $ SG.
l/~ " C
Applicant Signa u e
~o~~pF SOUTyolo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road ~ ~ Fax (631) 765-9502
P.o. Box 1179 ~ e roger.richertCa)town.southold.ny.us
Southold, NY 11971-0959 ~
~~'`OOUNT'I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Theodore J Maher
Address: 3365 Delmar Dr City: Laurel St: NY Zip: 11948
Building Permit#: 37593 Section: 125 Block: 4 Lot: 6
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built DBA: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement X Service Only
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic Garage
INVENTORY
Service 1 ph 100a Heat Duplec Recpt 8 Ceiling Fixtures 1 HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures 7 Smoke Detectors
Main Panel A/C Condenser 1 Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower 1 Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 4 Twist Lock Exit Fixtures TVSS
Other Equipment: mOVe S@fVICe panel, 4-combination smoke/co detectors, 1-exhaust fan
Notes:
Inspector Signature: Date: Nov 15 2012
81-Cert Electrical Compliance Form.xls
yUFFD(,p
Town Hall, 53095 Main Roae ~ ` Fax (631) 765-950?
P.O..$ox]]79 'I'ulaphone(631)765-11;02
Southold, New York ] 1971-0959
BUILDING DHPART'IvIF,N'C
rrowx o~ souxxor,n
CEIiTIF'ICA'I'.IO]V
r~.tc~::__ ~ t I a..~_l
Building Permit No. 5 ~ 3
Owner: led 1 `Q~~.C__
(Tease llrit]t)
PluTl]ber: ~'7~c-~- ISM O C ~ ~ ~ ~hL-
(Please prinQ
I certify that the solder used in the water supply :;ystenl colittins less tl]an X10 of 1`%v
lead.
(1>autl] c:ls Signature)
Sworn tot /before me this Z ~ ~
day 0f ryd
?L~IS~ 7O~_ SUSAN EHRLICN
NOTARY PUBLIC-STATE OF NEW YORK
' Q^~ No.OlEH607S471
\Illl Gualltled In Suffolk County
My Commlctlon Ezplrsr' April 22. 2014
Notary Public, Sh~ph,~ Cow]ty
T'd Z0S6 S9L T69 9NIQ~Ifll3 tI~OH1f10S WdZb:LO 90. 60 9flti
~o~~,oF sooTy~o
p~~j
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING /STRAPPING [ ]FINAL
[ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUC110N [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ELECTRICAL (FINAL)
REMARKS:
c~
DATE l~ / INSPECTORS'
l
~ ~~~3 #
~oF~,~#
TOWN OF SOUTNOLD BUILDING DEPT.
765-1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] IN ATION
[ ]FRAMING /STRAPPING [ FINAL
[ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARK .
mil, ~
,c _ ~
` - ~
DATE 3 INSPECTOR
~ ~o~+Of 3W/ly_
*
TOWN OF SOUT410LD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] I ULATION
[ ]FRAMING /STRAPPING [ FINAL
[ ]FIREPLACE & CHIMNEY ( ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
. Gv~.,.~cv---
L'•'~-2.
DATE !O / ~ / INSPECTOR ~ 'v~
FIELD aN REPORT DATE COMMENTS. s
W ro
FOUNDA'iTON (1ST)
~ x
FOUNDATIOPI(2ND) ~ ~ ~
1
~ x
o
~~J
l~
ROUGH FRAMING & ~ y
PLUMBING ~
f
(0
INSULATION PEA N. Y. y
STATE ENERGY CODE
3 Y ~
t
FINAL
~v /
ADDITIONAL CO NTS
Yhu
C O tLc
~f e~ry~6i~- it 15 Pc. z
m
3
w
i ~
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e
TOWN DF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BLIIL~ING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. 3 ~ ~ O Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined ~ ~ , 20 ~ ~ Storm-Water Assessment Form
Contact:
Approved ~ ~ ~ ~ , 20 ~ ~ Mail to:
~BieaPpeeoed-sic
Phone:
Expiration22 ~o ~ gyp, 20 ~
D 6 l59 ~ I V L. Building Inspector
D APPLICATION FOR BUILDING PERMIT
NOV 3 0 2010
Date ~.~.~0 ,20~d
BtOG INSTRUCTIONS
10WN OF SOUTHOLD
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 after 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 o name, if a corporation)
' ( ingad e f plicant) l`Q~y
State whether ap licant is owner, lessee ent, architect, engineer general contractor, electrician, plumber or builder
AGi )
Name of owner of premises ,E l
(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 License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street ~ T- Hamlet
l S y G
County Tax Map No. 1000 Section ~}dd Block ~j Lot
Subdivision Filed Map No. Lot
Y
2. State existing use and occupancy of premises and intended use and occ pancy of proposed construction:
a. Existing use and occupancy GJI'h~B
~~-I f
b. Intended use and occupancy ~1 F~V~J ~,~t1,n l I~ 19~~~
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work ' ~cJ I VT~~ ~1?~ii~
(Desc p ~ n)
4. Estimated Cost .A . Fee
- (To be paid on filing this application)
5. If dwelling, number of dwelling units _~Number of dwelling units on each floor
If garage, number of cars # ~~d~!) C 1 STit~J
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. N. r4. .
, u , ~t ~ u
7. Dimensions of existing structures, if any: Front S ~ - I O Reaz - I.O Depth ~
Height ~>Tf~L Number of Stories I ~T®t~~
Dimensions of same structure with alterations or additions: Front GiS~.e~-c ~ Rear ~.w~ t$
Depthf?~.+-G~ Height ~ Number of Stories
8. Dimensions of entire new construction: Front N • ~ • Reaz t--~ • Depth ~ •>4
Height N • Number of Stories tJ-.a
t ~ ~
9. Size of lot: Front l ~r/
: 47/ Rear ~ ~ r7- v t~ Depth 1 ~ O. ~ O
10. Date of Purchase ~ 'T/7 l Name of Former Owner y/ W t-' ~ ~ 1?-t~ls0~
11. Zone or use district in which premises aze situated ~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO
13. Will lot be re-graded? YES N-RIVO_Will excess fill be removed from premises? YES_ NO_
14. Names of Owner of premises"f•~2~ b ~~--Address 1~~~.. N t one No. I - °I 17 - GGr 3 - ~8 t
Name of Architect F~,~,a~ rJ~'~-o Addressd?s. ¢,rix~~ Phone No ~ • I t
Name of Contractor ~ , Address f'"'°`TT' I • •Phone No.
~~q~iv
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES NOJ~
* 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 NO~
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY r
being duly sworn, deposes and says that (s)he is the applicant
(Name of individual si ni g contract) above named,
(S)He is the Bz~£e5:~
(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 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~~t/o before me this ~~yy""'
~a 1y1. day of /za~yr9{1~?/ 20 I
onocHE i.ORn!INE
Notary Public Notary Public, State Of New York Signatur of pplicant
No.01C05792800
Qualified In Suffolk County~^,,
Commission Expired ~"'P 30 o20/U
~e~~~ Town of Southold
Erosion, Sedimentation & Storm Water Run-off ASSESSMENT FORM
pROPER'rY LOCAtgN: s.srx t THE FOLLOWING CTIONS MAY REQUIRE THE SUBMI lON OF A
,,tr~~ ~ p~, osro toNflto
7P~ 1>Ts?ki" ~ ~ cFRre~e~~4R~IDRIO, DRAINAGE D ?1~A11
arr~asrvnwr. rn THB STATE OF NEW YORK
SCOPE OF WORK -PROPOSED COIVSTRUCTiON ITEM # / WORE A~SF.S611~Pf Yes No
a What k Rte Total Area of the Project Patceb?
QltckMe Total Arm d aq Parcels bceted wPoMn ~ ~ ~ Plojact Retain M Slorrn•VJater.Rtst-OH
gte Scope of Wok for Proposed Cortstrudton) 6ertereiad trY a Two Ct'j kpir RaAdaPo on 8Poa?
b Whetis the Total Arne of Lend Cleedrg (SF.FAass) fRtls Poem wi klchldo aPo narolf.aealed by site ?
andtar Grgptd Dbkpbertce fortlle proposed B IlrtcUor Ixlmtrlxdton atdlrDea as wet as al
corM6uctlort 3Poe tmProverrtents eltdihe permanent creeilon of
(9F.rAUas) 1rrKrervioueaurfeces.)
1xEOVIDE BBILF PROJFGI' DES(~In•'1'ION tNwaMAbMpW papas«xrstey 2 Does the 8)Da Plan arldfar'Swvey SFNrW Al Pfoposad ~ D
Itarrt
~ Yrdude aN Prate
posed G~iadda Cryarrges'end
Skpea Contro4rtg Surface Water Row. -
1 / ~ ~ / 0 ti L 6/f-A 7 d N ~ 8 aD~
easaddfrneneaorad describe the aro~on /
control sb eroelon and a0orm water~dlxhergas.bTltls y
item mtbtbe nrelrtmkmd tlrwgiput the F~Idre
CortslYUCtlon Period.
- ~ ~ ~ Project Requtre.any Land flYNg. Grading or
Fxcavalbn where Otero b a change to itre NaNrdl
. ~ EtdSWg Grade Mvolv6rg more than 200 Cubic Yards
of Matelot waMn airy Parcel?
5 WB this Applicafbn Requke Land Dkaub(ng Actlvitles
Encanpassing an Area in Excess a Flva Thousand
. (S.000~S.FJ Square Feel a Greund Surfaee4
' 6 Is there a Natural Water Course Runrltng thragh.the
Site? Is tMs Project witldrt the Trustees juris<pctlort
Oarrml OEC SINPpp Raarriraraents : a wPohF l'hm Hundred (1007 feet of a Wetlarui a
Suam6sbn a a swppp 6 mgwred k» as Cerutnkuon emddes krvoNkg sod Reach?
dbMDSioraona p)«mom aoms; kwkgk~g~dkWrtuxioes erase elan one aomthat WAttltere be site
era part afararyer.ooaunm pYn amt udp uMmakry dr:bm arramore aweadlerM; 7 Preparation on Exislin9 Grade Slopes I
. . btlidrg Oerobwxbn x1Nld» Im"ndna sor tlbnubeaoea a Tess tlrn one (9) awe where Exceed FTQeen (15) feet of VeNgl Rlse [o -V/
.era DEC Ass detarmtnad that a SPDES pema rs reQW!ed ror arorm warerdiea,sryas.. One Hundred (7007 of Horaontel.DistanceT
. ~ l swppps slw orator. Mingnum ttaquksmenb am spoES cerrrN pomp $ WB DrNewaYs. Paldrg Areas a other kn
t«Sbmrwal«Dkoharnas poor Conshudion aeaapy-permp No. tipi-10.007 Staleoes be
7.'IM-swpPP aAMl ke terapared pAOrbtne sutmdeelatAa NOI.TM NOl alrllM ~ Sklpedbpirecd SbrnrWeter Rutt-0a ]C
aubrMMdblAe Oaparkrrrd pbrbaroammenpmemdowrblcw.tadMy. brio lnNarNlhe dlrectlortofeTaam dghtoiway!
raqukad.PaMsa~rkttcabr~mu~ aidisirnenrowaratnracdw..ta.lrm 9 WBinsPrOJectRequke~dbPleoMOemo/bWtwtal,
nwraameM9rrwYonarroikeusedruWr Rembvalo/YagelellpntprdlatlreConstrucgonato
conbtdedb aura ae poaularde b eban urM dpdrryp sad b apMS Item WPoM the Town a Road ~
eargMneawMtlorlensandomdpabawe0armp.baddltlon,tMttwpppaltM Area?fro.em.wxor 3hoWder
a.slraaownwerNp'drw,~vaparoawNdtmarNe.m~ect.dbapeaua ~ a «AA.:.,.waaea
AMSYYPPAVwt ArryAmwbOireaena Orr auugh NnabAmrrwnd uaha CMdr Mork
rdquYa ar~ebmraalx Ina 9aa and tltaporr4aoYoa WdhmihrrebkMaakn aAaaaf.BlAwbarq
awrpwrMallM M'pnpaeed byaqualYNd~Probetlsnal t.krrtndbNSwYadt aabrm•Waler,W'adlnB.OmtnaW a6wbn Oa~aol'PpmbRaquNdbptlrTOwna
' tlmlls lwrmledpeeDlabtlts prYtobba and pmgiweaSpmVlrakr MartapwnntL Southold and MrNtAa eabrrdlbdforpavlaa Prlarbisurnea dAny>bpdfa9YaaML
(NOtfi: ACAWtWktJ)ralbMawbratl~OUeMbnpn4aad kr•IkeaMallppaWr)
STATE OF NEW YORK, Notary pubNg, &ete d Nttw Yak
COifNT1' OF . s!^
T~S.~? SS No. Ot BU8100060
~1 'l _ SuMoMc
being duly awom, d .
That I, .....r± ~
~ 8oa~oou~'mbnij~ ~ eP~s and says
that hsh~ ~pp
~t~y r
6
And that hr/she is the
Ibarrr,danLecbr;AOSriLCarpwateonlcer,.Oni
Owner and/or represmrtative of the Owner or Owners, and u duly authorized to ptaf'orm orhave performed the said work and m
make and file this application; that all statements contained in this applit~tion are taste to the best ofhis knowledge and belieF, and
that the xrork wr71 be performed in the manner set forth in the application filed herewith.
Swom to before me this;
......a.~3...~:~..n....,.,....~.........day/oaf..~/Ci~V~?;1;..........,2(L.~Q
Notify Public:.? :!.l.!
:~P../...a....K:...) t~S. ~1..(~ '
(shaaa.e a M
FORM - 06110
Town Hall Mhe: ~ ~ Tdepi+One (68U 7G4-ISDE
L1,375 Mail A'ood p
P.O.Baac 1179 E4S391'.r~OW SOl! .mLUS
' NY 11971-095'4
Y
. BUII.DINGDEPAAfMFiVT
• TOW1~T OF SOI)'P1EK)LD
• - APPLICATIa!N FOR ELECTRICAL INSPECTION
• Maur=sTl:D e~~: :
•f/~o~ o~(.~ J lylA%16 K.. Date: ; ~ 30~ Z o,. o
Company. Marne: J J fv L ti, L
I ~
ame: _ ~J a; IC W R
~iddress: ~ 0. S o x 3 0 o v a N` 9
Phone No.: Si cf t'f 6 ~ -
JOBSITE INFORMATfOfd: ~`Indicates. required information)
"Marne: 1 N 6 0 o n +E J Yj?A I-1 a r~-
*Address: 33 6 S 6L Yyi q n..!)K. ~ v~ q u n_ 6 N// ~
. • `Cross Street: G' i N A $1 ,
'Phone No.: v3 I - Z ~i ~ $ ! Z
PBmtit No.: - .
Tax Map [NaMet: .1000 Section: . ~ Z dG Lot: b
"BRIEF DESCRIPTION OF illfOt~ (Please Print Clearly} • -
• . (per .r~r+cle alI Thad Apply} .
*la jrib ready for inspection: -YES N0: Rough In' ~ - FInaJ-
"Dbyou need a Temp Certificate: YES / NO ~ .
Temp -Mfotmafion (tf needed} . '
*Sefvlce Size: 1 Phase. 3Phase 100 150. 200 30Q' 350 40U Other
`New Service: Re-connect Underground Number of Meters Change of Service Overhead
Addttionaf fnfonnation: PAYMENT DUE UVITIt APPLICATION
J ~`~6~, ~ SECB
PROFESSIONAL ENGINEER
1725 HOBART ROAD / PO Box 818 SOUTHOLD, NEW YORK 11971
TEL: 831.785.2954 FAX: 831.814.3518 a-mail: joseph~flschetti.wm
Date: 18 June 2013
Reference: BP#37593
Gary Fish, Building Inspector D
Town of Southold D
Main Road ~~p ~ g 2019
Southold, NY 11971
RiDG_DFPi.
TAW:; e~ ~p;!IIiOID
Dear Mr. Fish,
I inspected the basement alteration at 3365 Delmar Drive in Mattituck on June 171h and
specifically the following:
1. Egress window and well
2. Plumbing for the basement shower bath
3. The blown in insulation on the basement walls -Minimum required R-5
I certify to the best of my knowledge the basement alteration has been completed in
accordance with New York State Building Codes.
,~oF Nl=gr
y
. -
>
~O~~pf SO(/Tyolo
Town Hall Annex yy Telephone (631) 765-I R02
54375 Main Road T ~ Fax (631) 765-9502
P.O. Box 1179
Southold, NY 11971-0959 ~
~~y~0UNT1,~~
June 21, 2013
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Theodore & Kathy Maher
PO Box 656
Laurel, NY 11948
Re: 3365 Delmar Dr, Laurel
TO WHOM IT MAY CONCERN:
The Following Items (if Checked) Are Needed To Complete Your Certificate of Occupancy:
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (contact your electrician)
A fee of $50.00.
Final Health Department Approval.
PlUmberS $Older Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees # ass-~se2)
Final Planning Board Approval. (Planning # ~s5-~s3a)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept
BUILDING PERMIT: 37593 - "As Built" Basement Alteration
_ _
n.r, ~ 3~~0~
BUILDING PERNIIT EXAMINER CHECKLIST *Date Submitted: 30 ~O Date Reviewed: ~°2 =3~~
applicant: ~E~ 0'1 f~ ~El~L Owner: ~
~t'chitec T~tr~ineer: ~~~'-0-- Estimated Cost:
;CTM# 1000- ~ a-S_~_ 6 Subdivision: Zone: hen Conforming?
'roperty Address• 33 d~ Gi ~Q,. n ~ ~
ty: Pre COs.
3nilding Permits (Open/Expired): BP -Z / Go z- Info: BP -z / Go z ,Info:
IP -Z / GO Z- ,Info: BP -Z / GO Z- ,Info: $P -Z / GO Z- Info:
single & Separate Search Required? Y or N Determination:
tEQ. Lot Size: ACT. Lot Size: REQ. Lot Cov. ACT: Lot Cov.
tI3Q. Front ACT. Front RFQ Side ACT. Side REQ. Rear PROP: Rear
tBQ. Height . ACT. Height tZ e ~ , Bo# SIDES A C T
'roject Description:
Naterfront? Y or N?
f yes, water body: Panel# Elood Zone: Bulkhead/Bluff Distance:
,DDITIONAL APPROVALS REQUIRED
iaffollc County Health: Y or N - If yes, *Bed#: _ *Date: / *Permit#: Town Septic: Y or iJ
- If no, certification required: Y or N Received: Y or N By:
dYS DEC: pggnec vnns Y or N -Date: / / Permit or NJ Letter -Notes:
iouthold Trustees: Y or N -Date: / / Permit or NJ Letter -Notes:
iouthold ZBA: Y or N -Date: / / Permit -Notes:
iouthold Planning: Y or N -Date: Permit -Notes:
Coven Landmark C of A: Y or N DT,E(p~_/ /_n ~2 *NYS CODE Compliance (page 2): Y or N
Qotes: ~~~0 ` Jac ~aC l!a"°Rrw.'a~"'~ - Q -
d- ,~-~e -~e-~a-
~
r a--i3 - a
+ee Structure: Calculation: ,1
Foundation: ~ ~o SF 7o SF X $ ~ I o 3 , 0 0
First Floor: SF + Initial Fee: $ a-o o . O o
second Floor: SF + Additional Fee Lam: $
ether: SF SF X $
Cotal: SF ~ + Initial Fee: $
I~ + Additional Fee $ S'
f`- $ , ~
NEW PORK STATE CODE COMPLIANCE CHECI{LIST
CLIMATIC/GEOGRAPHIC DESIGN CRITERIA:
Ground Snow Load: 20_ Wind Speed; 120MPH Selsmlc Design Category: B~
Weathering: Severe Frost Depfh: 36" _ Termite: M-H_ Decay: S-M '
Design Temp: l l _ ~ Ice Shield Underlay: YE6 ~ Plood Hacards:
USElOCCUPANCY CLASSIFICATION: '
• HBIGI~T/FIRE AREA: '
TYPB OF CONSTRUCTION:
DESIGN CRTI'ERIA: ENGiNEBRED/PRESCILIPTIVE
FULL FRAMING DESIGN ELEMENTS: Y/N
READERS: Y/N WALL STUDS: Y/N GIR.DERSa Y/N
CEILING JOISTS: YM FLOOR JOISTS: Y/N ROOF RAFTERS: Y/N
LUMBER SPECIES AND GRADE: Y/N
WINDOW AND DOOR SCHEDULE:
IVIISSLE TEST REQUIREMENTS: Y/N -
EGRESS 5.7 S.F.: Y/N i
LIGHT 8%: Y/N
~~ENT 4%: Y/1~I '
NAILING/CONSTRUCTION SCHEDULE: Y/N
MEANS OF EGRESS: Y/N
PLUMBING RTSER DIAGRAM: Y/N
LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N
CIrRTIEICATION: Y/N
ENERGY CALCS: Y/N
TOTAL COMPLIENCE? Y/N (RETURN TO PAGE ONE)
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O O e~ W
o g -D34• RHVISIONS YOUNG da YOUNG
E \ ep34p~w for 23 APR. R, 1873 400 OSTRANDER AVENUE. RIVERHEAD, NEW YORK
q ~ r~11 JULY 2,1973 ALD6N w. YOUNG NO WARD W, YOUNG
_ R ,IDLY 23,1973
llen.~~~nu~ LNOIIYG MiD iMDlH11YLYON
~ra LAND YYNYLYOR. M.Y.9. UC. NO. 13Mn N.Kt 4C. MO. e6BG3
"C/~j. SURVEY FOR:
!jz INLAND HOMES,INC. .1t oc n
LOT N0. 24,"LAUREL COUNTRY E Afi P D W eH, `Q
a_ K / `T oG
S,(REET °T LAUREL scum µR co.
TOWN OF SOUTHOLD s~, 't'p4 3
G I SUFFOLK CO., N. Y. w
ALE` t° c 40~ DA7i` MAR.12, 1973 -218
NETIOEM DS N16
NOTE
ELECTRICAL LEGEND
DOOR SCHEDULE
iEMENT
HEIGHT:
)OOR MATL,
VOOD
VOOD
VOOD
::)PERATION;
_EFT
:{IGHT
.OGATION:
~ASEMENT
~ASEMENT
~ASEMENT
¥OOD LEFT ~ASEMENT
rOOD LEFT ~ASEM ENT
F
WINDOW SCHEDULE
ALL WINDOWS EXISTING
BASEMENT
AWNING SIZES
tOUGH
)PENING
¥1DTH
ROUGH
DpENING
HEIGHT
UNIT
CASEMENT-EGRESS
BEDROOM
(EXISTING)
BEDROOM
(EXISTING)
BATHROOM
(EXISTING)
O@D
DINING ROOM
/ //
*%11
BEDR'OOM /
(EXISTING)
KITCHEN
(EXISTING)
FOYER
(EXISTING)
PROV, 5/8" F,R. SHEET ROCK
> ~4~,F~AG E CEILJNG AND WA[J-S,
GARAGE
(EXISTING)
FINISHED BASEMENT
4'-9" X 14~-0''
(EXISTING)
EXISTING FIRST FLOOR PLAN
AREA = 1,448 SQ, FT.
BOILER RM.
4~-9" X 14'-0"
(EXISTING)
[] [] D []
UP
4R
BATHROOM
/~'~ MIN. ELEC. CLOS.
FIN. C (EXISTING)
i-F/- (S SIDES)
3' BASEMENT
SECT. THRU FOUNDATION
UP
9R
EXISTING FOUNDATION PLAN
]
AREA ---- 955 SQ, FT.
EXISTING WALL TO REMAIN
NEW RETAINING WALL FOR EGRESS WINDOW,
"AS-BUILT" WALL
DRAWING LIST
FOUNDATION PLAN
NOTE
C01ViPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
~N~ ...... o CF
AS REQUIRED A~D ..........
SOUTi~g TOWN ZB,'1,
ELECTRICAL
INSPECTION REQUIRED
PLUMBING
ALL PLUMBING WASTE
& WATER LINES NEED
TESTING'BEFORE COVERING
PL UMBE[~ C ER TIFIGA TION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 OF 1~ LEAD.
APPROVEDA$ NOTED I
DATE ~J
FEE BY:
NOTIFY BUILDING DEPARI~ENT,
765 ;802 8 AM TO 4 PM FOR
FOL~OWNG iNSPECTIONS'
I FOUN,r.}ATION. TWO R
FOR POURED CONCRETE
2 ROUGH - FRAMING, PLUMBING,
STRAPPING ELECTRICAL&
OFFICE SET
4.27.07
SITE SURVEY
MAP OF LOT NO. 24
FOt~
INLAND HOMES INC.
$ITUATEI~ AT
LAUREL, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C.T.M.# ~-Oq::Sr-2q~'
At]EA = 24,807 $.F.
INFORMATION TAKEN FROM SURVEY pREPARED
BY YOUNG ~: YOUNG, RIVERHEAD, N.Y.
MARCH 12, 197.5 N.Y.S. LiC. NO. 4589.3
m
m
SCALE:
1'= 20'
DWG. NAME:
SITE P~N