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Home My WebLink About40845-Z FOin Town of Southold 10/13/2017 a P.O.Box 1179 a' T 53095 Main Rd �4, �� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39290 Date: 10/13/2017 THIS CERTIFIES that the building ACCESSORY Location of Property: 1505 Delmar Dr, L aurel SCTM#: 473889 Sec/Block/Lot: 127.4-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/13/2016 pursuant to which Building Permit No. 40845 dated 7/20/2016 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: ADDITION TO AN EXISTING ACCESSORY SHED AS APPLIED FOR - The certificate is issued to Niecko,Bernard of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED th rized Signature gU atx TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE og • o� 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#: 40845 Date: 7/20/2016 Permission is hereby granted to: Niecko, Bernard 1505 Delmar Dr Laurel, NY 11948 To: construct an accessory shed addition to an existing 100 square foot shed (original 10X10 - didn't require permit) as applied for. At premises located at: 1505 Delmar Dr, L aurel SCTM # 473889 Sec/Block/Lot# 127.-4-10 Pursuant to application dated 7/13/2016 and approved by the Building Inspector. To expire on 1/19/2018. Fees: ACCESSORY $132.00 CO -ACCESSORY BUILDING $50.00 Total: $182.00 --'Building Inspector Form 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 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. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,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 of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: /'6-6-5- -,E L map- NIV House No. Street Hamlet Owner or Owners of Property: 66RA)P RI �, WLd �o40F{t5s A , dlE 49 [--Suffolk County Tax Map No 1000, Section /,7 Block J4 Lot /0 Subdivision kPotA61- 6S�q�rs Filed Map. G Lot: Permit No. k_(0 b �5 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 5b Applicant Signature D �l ��,oF soulyo - ti0 l0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] ,FOUNDATION 2ND [ ] INSULATION [ FRAMING STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] EL TRICAL (FINAL) REMARKS: A-cy o� ; d Irl\ o v 001AL-6 DATE bel/3 INSPECTOR o� �IS pF Ol/ly�! H O i OOUMV,�c� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL 54Q) [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: ad DATE O INSPECTOR FIELD DA= FQUND4ftON (1ST} l FOUND,#TXQN (M) iY I fi1L X11 5' oil c ROUGH FR4NMiQ& PLUMB 'G ' H INSULATION PES.N,Y. , STATE ENERGY CODE FINAL , rw • ' , • , • , 1Y1 v m r . TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? ' TOWN HALL d of Health SOUTHOLD; NY,11971 4 set of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502• Sur ey SoutholdTown.NorthFork.net PERMIT NO. lJ Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact: Approved ,20 Mail to: Disapproved a/c one: X031=315 Sac% ira ' , CC-eC� DLs D Buildirig`Inspec r JUL 13 2016 APPLICATION FOR BUILDING PERMIT BUILDING DEPT. Date JGt 6 , 20 f TOWN OF SOUTHOLD 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 after thedate 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 theTownof 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�o� JFC/n ,e , �.Ati1� L��119s (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Ow nSeR Name of owner of premises -Bfrg It7ma J:�j Amd _)>01,onf S M, 41 Ec*a (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. DW06< Plumbers License No. " Electricians License No. Other Trade's License No. 1. Location of land on which proposed lwork,willzbe done: House Number 'Street Hamlet County Tax Map No. 1000 Section I Block Lot 10 Subdivision 444 q i�-', L Lo ur%+At r-s4R-kS Filed Map No. SOL Lot It, 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 6-s/dow)C,E b. Intended use and occupancy SIv2Fl•ge sh g. 3. Nature of work(check which applicable): New Building —Ad dit'6 A Alteration Repair Removal Demolition Other Wor (Description) 4. Estimated Cost Fee (To be paid on filing this application) 5.\If dwelling, number of dwelling units Number of dwelling units on each floor If\g.arage, number of cars 6. If businbss, commercial or mixed occupancy,`specify nature and extent of each type of use. 7. Dimensions of existing structures,,if any: Front Rear Depth Height _ \ Number of Stories \ Dimensions of same�t(ucture with alterations or additions:,Front } ► 1 ear - f Depth \, Height `'Number of Stories--' i 8. Dimensions of entire new const ru ion: Front Rear Depth Height N ber of Stories 9. Size of lot: Front Rea 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 Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO x * 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 NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF `ahtK� (:?�>`y-fl c d N�e C [t0 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 6Uj (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. TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO. Sworn to efore me this IN SUFFOLK QUALIFIED N SUFFOLLKK COUNTY day of 20j�_ COMMISSION EXPIRES JUNE 30 bi q am,, Notary Public Signature,of Applicant STOIKIWWA Scott A. RussellsV ;�Jf SUPERVISOR }� �, ,� i SOUTHOLDTOWNHALL-P.O-Box 1179 4 t� �� v�s Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 ` V CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF THE FOLLOWING: (CHECK ALL THAT APPLY( Yes No ❑[� A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑[ B. Excavation or f illing involving more than 200 cubic yards of material within any parcel or any contiguous area. C Site preparation on slopes which exceed 10 feet vertical rise to F7,1100 feet of horizontal distance. i ❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ; El( i E. Site preparation within the one-hundred-year floodplain as depicted - ?------ :: =..:_en=F I-Map 4-any-wat-er-c--nurse: ®( F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. S.C.T.M. 1000 Date. APPLICANT_ (Property Owner,Design Professional,Agent,Contractor,Other) D-tr ct PrP c NAME Section Block Lot I_r� 7Gr.�n, -.:<. i��i' LitIlLD1 G DLPARTNIENT USE UNL;' Contact Intornutwn: l0'7 1 � � 15� �� 7d �mc mnncr Reviewed By: SIP // - - - - - - - - - - - - - - - - - — Date: -1,- -3—) b Property Address / Location of Construction Work: — — for processing Building Permit. r1(n�l/ _0//Approved — Stormwater, Management Control Plan Not Required ElStormwater Management Control Plan a Required. (Forward to Engineering Department for Review) FORM ° SMCP -TOS MAY 2014 `;+A i�faws c,r,,u{Aw.�r�vir�eaa 6a 4ai'v"[i2a4L".V3fJViti.}SG{EI�'j7G1°'s.71'�lY�ti1S 11(:lIl' G 'CD�CT�'� '1' a;��.','�;ft�tjl'CT';;•,; "r" ;`1,-t __ { fl:,v .F. Y,a" ,u,' �:.EY i 4' v Y', ;Y�•rt yl„i:,�:,.,y tv. - atenoi or,c,osn(yr'lot. DO z - - • _ - - .Mr;:.w.---^t� - _ - --fig` - - p,�� - - -=i TATE OF 9F 01>1>1r r ' OUNTY OFA :� .�:1r � S.5 2��-1'4 - e4'4) being duly sworrideposes,and says that;he-is the applicant.,_., `=(P �sne of individual sig ry it*contY`act ; . Bove named. e is the . . . . . . . . . . . . . . . . . . . -01';-$',,.9 . . . -. _ (Contractor,agent, corporate officer .etc:) f said owner or owners, and is duly authorized to perforin or have performed the said' work and to make m"id tle'this )plication; that all statements contained in this application are true to the best of his knowledge and belief;and thAt the -ork will be performed in the manner set forth in the application filed therewith. worn to before me this day of. . . . . .-Zjf� . . . ., 19 :q otary Public, . . , �'.� � c ..:`•) �� - County V��@=�`_1�.�'atil4sE �¢ �''.:'��'•'- `y � ;• C.•t ti tPUBLIC,Side of Fts Vt 52.81259%SO& (Signature of applic.�It) rnrm Expires Jis1c,. j os& N% S N_ CT ' m Ll � N W W N ' 12 rn _ L.pt 1 � 9°•0° < 1 , 'I023 4 +a N f I I 91 A3; ./ /Jta •0�4 G N J CO Z *�// � •T gam_-��B��/ . on o u W W / C w (T) _ / ell G3 0 2383 SQ f i 1 o 190.0 . Iw. S•.7102314O10 NO rE: ��yy ^ ■= MONUMENT REVISIONS YOUNG & YOUNG SUBD/V/S/ONMAPF/LED MAY 9, 1972 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK /N rHEOFF/CE OF rHECLERK JUNE 16,1972 OFSUFFOLKON✓UNE22J/970 JULY 13, 19-12 ALDEN W. YOUNG HOWARD W.YOUNG PROFESSIONAL ENGINEER AND LAND SURVEYOR ASMAPN0.5486. AUG.14,19 72 LAND SURVEYOR, N.Y.S. LIC. NO. 12845 N.Y.S. LIC. NO.45893 P'AUTHORIZED ALT-&TION OR ADDITION AUG 22,1972 C. It'IS SURVEY IS A VI-IATION OF SURVEY FOR: LCTI. 75C9 OF THE NEW YORK STATE A.1 �ucAn.,r+ BERNARD F. NIECKO a DOLORES N IECKO . OF N � -F THIS SUkV0 MAP NOT BEARING LOT NO.11,11 LAUREL COUNTRY ESTATE F ro ."YOB'S INk•D :SAL OR P�I) W L ALI NOT BE CONSIDERED BE A VA.j. f•UE COPY. O �G UAPANTEES INDICATCD IIE}:FON SHALL RUN AT GUARANT if TO: G� .'LY TO THE PERSON FOR WnUM THE SURVEY LAUREL RIVERHEA INGS - • ID. A'D ON HIS BEHALF Ii ME •~ ' I MVERNMENTAL AGENCY AND TOWN OF SECURITY IT ES Y CO. -•• LSTEDHLREON, AND SOUTHOLD 1,. A '•JfS OF Ld LENDING INSTI- �1..: A ANTEES ARE NOT TRANSFELACLE BY O ADI,.61-"-L INSTITUTIONS OK SUBSEQUENT SUFFOLK CO., N.Y. •t WNERS. SCALE_�to _m E DATE NO. COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES QF= AS REQUIRED AM5ee�4DiTll-- —n N PLK,7 ARD 717M T Tow MSTF-0 —Q 50he d ass ' cp ?I N(. Ce L 47% Ap VED AS N DAT B.P.it c�cb,61 e * * FEE: -7 D�FPA9—T70NT AT NOTI B ty 1�I-M 765-1802 8 AM TO 4 Pfd FOR THE FOLLOWING INSPECTIONS: 14 p -1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH = FRAMING & PLUMOING I 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL M[-ET THE REQUIREMENTS OF THE CODES OF NEW YORK RECOQ STOATRUCTION IERRORS. DESIGN