HomeMy WebLinkAbout42883-Z Q��FF011r, Town of Southold 11/8/2018
g� P.O.Box 1179
a
y 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40032 Date: 11/8/2018
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 3245 Delmar Dr, Laurel
SCTM#: 473889 Sec/Block/Lot: 125.4-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/12/2018 pursuant to which Building Permit No. 42883 dated 7/20/2018
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"FINISHED SECOND FLOOR IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Janis,Kerry&Andrew
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42883 11-01-2018
PLUMBERS CERTIFICATION DATED 10-22-2018 Joe Ha dy
\VA�
t o ' ed Signature
o�SaFFo,��o TOWN OF SOUTHOLD
�a BUILDING DEPARTMENT
y z 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#: 42883 Date: 7/20/2018
Permission is hereby granted to:
Peconic Land Trust Inc
PO BOX 1776
Southampton, NY 11969
To: as built" alterations to an existing single family dwelling as applied for.
At premises located at:
3245 Delmar Dr, Laurel
SCTM #473889
Sec/Block/Lot# 125.4-7
Pursuant to application dated 7/12/2018 and approved by the Building Inspector.
To expire on 1/19/2020.
Fees:
AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $875.20
CO -ALTERATION TO DWELLING $50.00
$925.20
i ding Ins a for
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$15.00
Date. 7/1111 5
New Construction: Old or Pre-existing Building: (check one) /
Location of Property: 3 e2 Y Ate'e Ima�C &Z/JC L Q u/L
House No. Street Hamlet
Owner or Owners of Property: jV,0 LC t lqn dr<<J J;S
Suffolk County Tax Map No 1000,Section / S Block y Lot V
Subdivision Filed Map. Lot:
2
Permit No. A!� J Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:$
cJ ,
Applicant Signa re
X31 - 2e3 -31c-6
ho�tpF SO!/l�ol
Town Hall Annex Telephone(631)765-1802
54375 Main Road CO- Fax(631)765-9502
P.O.Box 1179 Q
Southold,NY 11971-0959 �� • �o roper.richert(aD-town.southold.ny.us
�y�4UNTY,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To Kerry Janis
Address: 3245 Delmar Dr City: Laurel St: New York Zip: 11948
Building Permit#. 42883 Section 125 Block 4 Lot: 7
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 Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor X Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt, Emergency Fixtures Time Clocks
Disconnect Switches Twist Lock Exit Fixtures TVSS
Other Equipment: "AS BUILT" "ELECTRICAL SURVEY" "NO VISUAL DEFECTS"
Notes: 1 new GFCI recpticle in second floor bathroom No visual defects on the first or second floor
Inspector Signature: Date: November 12018
81-Cert Electrical Compliance Form.xls
Telephone(631 765-1802
Town Hall Annex P �
54375 Mnln Mond p r � 0
P.O.Box 1179
Southold,NY 11971.0959
OCT 2 9 2018
BUILDFNC3 DEPARTMENT
TOWN Or.SOUTHOLD RUMD-RiO DL'PT'
TOWN OF 3003
CERTIFICA110N
Building Permit No..
Owner.-PC otc LuIA
(Please print)
Plumber -
(P]. pr,in
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead,
M-�(Plttmbers Slgnatur� -- �-
Sworn )efore me this
day of _ , 20,(�
V l-�
Notary Publi , iuunty
DONNA SMITH
NOTARY PUSUC,STATE OF NEIN YORK
No.01$MS179361
Queilfierl In Suffolk County
My Commission expimr retoml'er 24,2019
OF SOpT�OIo
* TOWN OF SOUTHOLD BUILDING DEPT.
•
765-1602
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ l FRAMING /STRAPPING [ FINAL kf�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY I SPECTIONs
[ ] kTx
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: 14 c"- gwtt-,,-
iLsi-f I C., 1%, lu i fr, -
v WAS%, l&4 . - u V414,
DATE 9 INSPECTOR
FIELD INSPECTION REPORT7DATE COMMENTS
FOUNDATION (1ST)
------------------------------------
'FOUNDATION (2ND) '
O
ROUGH FRAMING&
PLUMBING �y N
rl
INSULATION PER N.Y.
STATE ENERGY CODE
FINAL
ADDITIONAL,COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING 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 Q� Survey
South oldtownny.gov PERMIT NO. 2� Check
Septic Form
N.Y.S.D.E.C.•
Trustees
C.O.Application
Flood Permit
Examined ,20 Single&Separate
Truss Identification Form
Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c 6gm, e 4-- i}
1nc)ar
Phone:_ to31 -73A -!o 1-06
Expiration ,20
D �' VIE Buildin Inector
i'
` JUL 12 2018 LICATION FOR BUILT} G PERMIT
Date Jo , 20
BUILDING DErr. INSTRUCTIONS
TC?`'VTJ(?7 N ,T7..r �JLA
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 throughoufi 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 appll0nt or name,if a corporation)
Pesonic +i-c V-
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premisesJa
� --- Q0 dre c..1 n;s
(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:
32-Yg- hde(max- A2iue-
House Number Street Hamletc -, l;-pots
County Tax Map No. 1000 Section $ Block
i
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancypI�_ m i Hca
b. Intended use and occupancy
3. Nature of work (check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work ff�T
(Description)
4. Estimated Cost � l�,�M 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 2-
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Nik ..
7. Dimensions of existing structures, if any: Front ° ' Rear Depth
Height Number•o Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number ofGppS•tgriest.,, ti
8. Dimensions of entire new construction: Front Rear 4 s i y Depth
Height Number of Stories' r°
• 9�j}
9. Size of lot: Front -�r--cg4Rear Depth
10. Date of Purchase ,2a. ao I F Name of Former Owner aconic� L�-noQ Tua-� c.
11. Zone or use district in which premises are situated R-A
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO
13. Will lot be re-graded? YES NO_ c�Will excess fill be removed from premises? YES NO X
Ahdrew I&I 115
14. Names of Owner of premises Address '2 1-4 i-- M- Or- Phone No.
Name of-Architect Vi=m Lk46 m r, Address Phone No A!,l-7, j -6,46
Name of Contractor Address t'tG !"1 U`7-, NTPhoneNo.
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 NO_ G�
* 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 X
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFS� f4olk )
6 C+tz r�c S • (�2.�c being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)He is the 44e,t-,�-
(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 wi H be
performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of 20 f
BER
Not& olk County Signature of Applicant
Pires 0 3.201!
J`t-1
$uFFQLk BUILDING DEPARTMENT - Electrical Inspector
�p TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
rc'.f- • p�� Telephone (631) 765-1802 - FAX (631) 765-9502
roger.riche r-tna town.south old.ny.us
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY:' - - - - - Date: -
Company Name: A ' � 'Gee a
Name:
License No.: email: �o ��e doLJ'k-p-, - g�:
Address: � � , o AJ 9
r
Phone No.: 63
JOB SITE INFORMATION: (All Information Required)
Name: G K'err'y '..yo a�
Address: S et-m&r b i- ✓ j re
Cross Street:
Phone No.: 3
Bldg.Permit#: �. email:
Tax Map District: 1000 Section: Block: Lot:
BRIEF DESCRIPTION OF WORK Please Print Clearly)
Circle All That Apply:
Is job ready for inspection?: <a/ NO Rough In Final '
Do you need a Temp Certificate?: YES ro�D Issued On
Temp Information: (All information required).
Service Size 1 Ph 3 Ph Size: A # Meters Old Meter#
New Service- Fire Reconnect- Flood Reconnect- Service Reconnected - Underground - Overhead
# Underground Laterals 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
AP
OCT 9 2018
l
RequOSY fabrinspe0hion ort u�'S
SOUTyoI
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179 G •
Southold,NY 11971-0959 'Q
�yCDUNT
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
September 19, 2018
Peconic Land Trust
PO Box 1776
Southampton NY 11969
Re: 3245 Delmar Dr, Laurel
TO WHOM IT MAY CONCERN:
The7EIectrical
wing Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
Underwriters Certificate
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.
Final inspection by Building Dept.
Final Storm Water Runoff Approval from Town Engineer
BUILDING PERMIT — 42883 — "as built" alterations
Kerry Janis and Andrew Janis
3245 Delmar Drive
Laurel NY 11948
May 22, 2018
Town of Southold
Building Department
Southold,NY
Re: Premises: 3245 Delmar Drive, Laurel NY 11948
We are the owners as of the date of this letter of the above premises.
We designate Peconic Land Trust, Incorporated as our agent in connection with the signing and
filing of an application for a building permit and application for a certificate of occupancy and
any and all forms in support thereof and authorize Peconic Land Trust to file same with the
Town of Southold Building Department.
t
erry Janis
drew J s
S A M U E L S &
S T E E L M A N
July 11, 2018
Southold Town Building Department
Main Road
Southold, NY 11971
�g�LDII�D�3�i
Re: 3245 Delmar Dr. ,� '
Laurel, NY
SCTM#1000-125-04-07
This Building Permit Application is for the installation of new egress windows on the Second
Floor and to legalize an existing Second Floor with a new Certificate of Occupancy. Currently
the house has a Certificate of Occupancy from 1973 but the original Building Permit Plans
show the Second Floor as being unfinished.
Please find the following information:
1. Building Permit Application
2. Letter from Current owner designating Peconic Land Trust as applicant
3. Application for Certificate of Occupancy
4. Four (4) sets stamped Construction Drawings
5. Survey with Suffolk County Health Department stamp
6. REScheck Version 4.6.4 Compliance Certificate
Please review the enclosed and get back to me with any questions. If application is complete,
please prepare a BUILDING PERMIT, and contact my office with a total fee.
Tha you,
cy an, A.
Enclo res
ARCHITECTS
25235 MAIN ROAD
CUTCHOGUE,NEW YORK 11935
(631)734-6405
FAX(631)734-6407
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REScheck Software Version 4.6.4
Compliance Certificate
Project 3245 DELMAR DRIVE
Energy Code: 2015 IECC
Location: Southold, New York
Construction Type: Single-family
Project Type: New Construction
Conditioned Floor Area: 601 ft2
Glazing Area 6%
Climate Zone: 4 (5572 HDD)
Permit Date:
Permit Number:
Construction Site: Owner/Agent: Designer/Contractor:
3245 DELMAR DRIVE Nancy Steelman
Laurel, NY 11948 Samuels and Steelman Architects
25235 Main Road
Cutchogue, NY 11936
631 734 6405
o e o o-
Compliance: 2.4%Better Than Code Maximum UA. 83 Your UA 81 Maximum SHGC- 0.40 Your SHGC: 0.32
The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules.
It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home.
Envelope Assemblies
Gross Are�a,'
Cavity 'Coht.
Ceiling 1: Flat Ceiling or Scissor Truss 601 24.0 7.0 0.032 19
Wall 1:Wood Frame, 16" o.c. 253 11.0 7.0 0.054 12
Window 1:Wood Frame:Double Pane with Low-E 10 0.280 3
SHGC: 0.32
Window 2: Wood Frame:Double Pane with Low-E 10 0.280 3
SHGC: 0.32
Window 3:Wood Frame:Double Pane with Low-E 10 0.280 3
SHGC: 0.32
Wall 2:Wood Frame, 16" o.c. 151 11.0 7.0 0.054 8
Window 4:Wood Frame:Double Pane with Low-E 7 0.280 2
SHGC: 0.32
Wall 3:Wood Frame, 16" o.c. 253 11.0 7.0 0.054 12
Window 5:Wood Frame:Double Pane with Low-E 7 0.280 2
SHGC: 0.32
Window 6:Wood Frame:Double Pane with Low-E 7 0.280 2
SHGC: 0.32
Door 1: Solid 15 0.460 7
Wall 4:Wood Frame, 16" o.c. 151 11.0 7.0 0.054 8
Project Title: 3245 DELMAR DRIVE Report date: 06/27/18
Data filename: C:\Users\Ural\Desktop\Peconic Land Trust Mattituck.rck Pagel of 2
Compliance Statement: The proposed building design described here is onsistent with the building plans,specifications,and other
calculations submitted with the permit application.The proposed build' g has been d si ned to meet the 2015 IECC requirements in
REScheck Version 4.6.4 and to comply with the mandatory requi is listed in the Scheck I spection Checklist.
bCS
ame-Title Si ature Dat
Project Title: 3245 DELMAR DRIVE Report date: 06/27/18
Data filename: C:\Users\Ural\Desktop\Peconic Land Trust Mattituck.rck Page 2 of 2
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