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HomeMy WebLinkAbout36667-Z 7 TOWN OF SOUTHOLD o�g�FFO(,�Co BUILDING DEPARTMENT co TOWN CLERK'S OFFICE o SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMIS S WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 36667 Date: 9/6/2011 Permission is hereby granted to: Clanton, Ralph & Clanton, Karen 2780 Delmar Dr Laurel, NY 11948 To: above ground swimming pool fenced to code At premises located at: 2780 Delmar Dr, Laurel SCTM # 473889 Sec/Block/Lot# 125.4-11 Pursuant to application dated 8/19/2011 and approved by the Building Inspector. To expire on 3/7/2013. Fees: SWIMMING POOLS -ABOVE-GROUND WITH REQUIRED FENCING $250.00 CO - SWIMMING POOL $50.00 Total: $300.00 Building Inspector Form No.6 AUG 1 9 2011 TOWN OF SOUTHOLD: BUILDING DEPARTMENT TOWN HALL BLDG.DEPT. 765-1802 TOWN OF SOUTHOLD 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). 1 Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2110 of IWlead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible€or the building. 6: Subnut 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"laird 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 S15.00, Commercial$15.00 Date. New Construction: 4 'Old or Pre-existing Building: ' (check oneI Location of Property: t=2- House No. p (Street a- r Hamlet Owner or Owners of Property: 1 � Suffolk Bounty Tax Map No 1000, Section {Block .-( Lot 1 Subdivision 2/ / / Filed Map. Lot:. Permit No. J�P�Pc n. Date of Permit. Applicant: health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted:$ So Annliranf CivnatnrP OF SOpj�olo 3 66 7 * . a �y�OUPli`I,�� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [c ] ELECTRICAL (FINAL) REMARKS: �� r P O ` duek DATE —INSPECTOR FIELD INSPECTXON REPORT DATE COMMNTS w FOUNDATION(1ST) FOUNDATION(2ND) 0 ROUGH FRAMING& A H PLUMBING �0 ' Cq INSULATION PER N.Y. G y STATE ENERGY CODE r y V FINAL J ADDITIONAL COMMENTS 0 C m z 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 Survey SoutholdTown.NorthFork.net PERMIT NO. p Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form ' Contact: Approved ,20� Mail to: Disapproved a/c r/ Phone: G'7 �e Expiration 2013 (�J 7p /� 04 �17 K U E Building Inspector 1 9 20MAPP TION FOR BUILDING PERMIT Date 20LDG.DEPT. INSTRUCTIONS 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. i 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. CCU�P N\110k�i� )R & Z r/_—2� 1 t$p I t ! 1" �' 'C � �9 �k. l ( �lA ` (Signature of applicant or name, if a corporation) Tj-1 C4 ' C ~€ . ENIJfON COMP'LETIONCLOSE POOLTO DE BEFORE WA:T>_R f dd(Mailing address o applicant) �_r' 1 ?SGUPANCY ppli ) State, whether applicant is owner',jessee, agent, architect, engineer, general contraAipp e9iAi&NjyTSBr or builder DATEName of of owner of premises (As on the tax roll or la .18617UILLANU g AM TO 4 PM FOR THE If applicant is a corporation, signature of duly authorized officer FOLLOWING INSPECTIONS: 1. FOUNDATION-TWO REQUIRED (Name and title of corporate officer) FOR POURED CONCRETE Builders License No. 2. ROUGH-FRAMING,PLUMBING, Plumbers License No. STRAPPING,ELECTRICAL&CAULKING 3. INSULATION Electricians License No. 4 F'NAL - C0N1STR'!CTiC" .R E'.FC�P!%CAL Other Trade's License No. 1. Location of land on which proposed work will be done: Y�;�K �;, PON 7 8D �EL M 4NL W l V� �fi-�'+2cL DESIGN Oa QQN6TRJC T 10N House Number Street Hamlet ELECTRI County Tax Map No. 1000 Section �S Block �" Subdivision Filed Map No. o 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupanc tq(Lk L L V D2 t r2©VDJD \il I e, I--rb/- 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work (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 garage, number of cars 6. If business, 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 structure with alterations or additions: Front Rear Depth Height Number of Stories 8. ensions of entire new construction: Front Rear Depth eight SY " Number of Stories 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 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. Naive 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 * 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`fe:e1 o .bel''ow,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). COUNTY OF r,. being duly sworn, deposes and says that(s)he is the applicant (Name of individual: gnixig�,coittract){above named, CONNIE D.BUNCH Notary Public,State of New York (S)He is the -.N No.01BU6,185050 c; or;Agent, Corporate Officer, etc ) Qualified in SWolk ires A w�- "•; u!U`` .- -i?.. r'` .j:J' ? ._j is ?v Commission Expires pril.l�6,2 of said owner or owners,and is`duly autliorized 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 to before me thi day of 20 Notary;Public Signature of Applicant ' E Town of Southold: Erosiony Sedimentation & Storm-Water Run-off ASSESSMENT FORM o , PROPERTY LOCATION: S.C.T.M.ilk THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Cl�j STORM-W TER,GRADING,DRAINAGE AND EROSIQN CONTROL PLAN e lii—itr etet 3 ceon n —C'— CERTIFIED BY A DESIGN.PROFESSIO AL IN THE STATE OF NEW YORiK. SCOPE OF WORK - 'PROPOSED CONSTRUCTION NEW / WORKASSESSMEN'I' Yes No a. What is the Total Area of the Project Parcels? Will this Project Retain All Storm-Wafer Run-Off(Induce Total Area of all Parcels located within Generated by a Two(21 Inch Rainfall on Site?Me Scope of Work for Proposed Construction) b. What its the Total Area of Land Clew (S.F./A—) (This.item will include all Itln-off Created by site Clearing clearing and/or construction activities as well as all — ❑ and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? impervious surfaces.) PROVIDE BRIEF.PROJECP mcREmoN 1Prww.Ado- Pages as Needed) ? Does the Site Plan and/or Survey Show All Proposed / Drainage Structures Indleating Size&Location?This Item-shall include all Proposed Grade Changes and • - - yy 6kvy oh o O L Slopes Controlling Surface Water Flow. I 3 Does the Site Plan and/or Survey describe the erosion / II and sediment control practices that will be used to ✓ control Fite erosion and storm water discharges. This — item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or � Excavation•where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Material within-any Parcel? rj Will this Application Require Land Disturbing Activities / Encompassing an Area in Excess of Five Thousand. El (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the / Site? Is this Project within the Trustees jurisdiction r/ General DEC SWPPP Requirements: or within One Hundred(100')feet of a Welland or. i Submission of a SWPPP is required for all Construction activities Involving soil Beach? I disturbances of one(1)or more acres; including disturbances of less than one acre that 'T Will there be Site preparation on Existing Grade Slopes i are part of larger common plan that will ultimately disturb one more acres land; . Which Exceed Fifteen(15)feet of Vertical Rise to including Construction activities involving sot disturbances of lesss a Than one(1)acre where One Hundred(100' El the DEC has determined that a SPDES permit is required for storm water discharges. )of Horizontal Distance? ! (SWPPP's Shall meet the Minimum Requireents of the SPDES General Permit 8 Will'Dnveways,Parking Areas or other Impervious I for Storm Water Discharges from Constructs n activity-Permit No.G13-040401.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the NOI.The Not shall be into and/or in the direction of a Town right-of-way? subrnilted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement OfMaterial, [D / required,post-construction storm water management practices that will be used and/or Removal of Vegetation.and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure (tern Within the Town Right of--Way or Road Shoulder compliance with the terms and conditions of this permit In addition,the SWPFP:shal A fea?M"Item Will Nor include the Insiaratim of 'identity.potentiai sources of pollution which may reasonably be expected to affect the � y "�) i quarry of storm water discharges. NOTE, If Any Answer to QuestlemAdrt through Nino is Answered with a Check Mark 3.AD SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance 13 between 5,000•SF.&1 Acre in area, ' component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water.,Grading,Drainage&Plosion Control Plan is Required by the Town W that Is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review prior to Issuance of Arty Building Permit (NOTE A Check Mark(.1)andfor Answer for each question is Required for a Complete Apprreation) STATE OF NEW PORK, C �. Notary Publlo,State of New York COUNTY OF ..................SS No.01 BUt3,1850SA , Qualified in Suffolk County /fiat I..................................................... being duly sworn,deposes and saRtHB A@ KlfflnUVcr;nt1 fdr�eYlfili, (Name of Individual signing Dociirrient). And that he/she is the ......................................... i (Oivrier,Coiilrector:i►gerd;Corpoiale officer et¢j•.••••.......•..•...........••.•..•....•...........•.•........ Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to i 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 herewith. Sworn to before rlie this; II j .........................day of :. 2(}..F..1 Notary Public: .... .................. ........ ....................................................... (Signature of Applicant) FORM - 06/10 L Southold Town Building Department ��O�g11FFOt,�coG P.O.Box 1179 Permit#: 36667 3 54375 Main Road two • Southold,New York 11971 Permit Date: 9/6/2011 (631) 765-1802 Expiration Date: 3/7/2013 Parcel ID: 125.4-11 BUILDING PERMIT RENEWAL LETTER Dated: 10/18/2013 Applicant: RALPH&KAREN CLANTON Location: 2780 DELMAR DRIVE LAUREL Work Description: ABOVE GROUND POOL above ground swimming pool fenced to code A FEE OF $125.00 IS REQUIRED TO RENEW THIS BUILDING PERMIT. Owner: RALPH&KAREN CLANTON Address: 2780 DELMAR DRIVE LAUREL,NY 11948-1845 The permit listed above has expired. Please contact our office as soon as possible to begin the renewal process. All work on the project must stop on the expiration date. No work is permitted or authorized beyond the expiration date. THANK YOU, SOUTHOLD TOWN BUILDING DEPT. 29 50 E. 12 4A4 -- w t 39 3 Lot � Area = 24, It5 sq. ft. ire ' 0 r I uj r ®� II , � t 0 +44.s' _ 7.4' ry Ara9 v a rn i s'f O�^y n CV ^a+ 7�ra►n tr 6to N a a •.i _ __ A X 7 a ! 1 M ! � � I 66.54t I ' ! R 2304. 68' L. = 124. 52 t AA pR ! v .F Echelon 54 Above Ground Pool � Page 1 of 2 x « a E, 3.»,s� . .�✓�s �,� _ z, vim,- °`� ''F. ..M,.,r�� r �`r�:,�`�"�f :� �,^ v y ug a ay' — �' tic'�r� e� ,� �c �._}''� o e t c. � � ✓II '�•� s ki F m ' ROUND BEAUTY & STRENGTH 15ft 12 The Navigator 54 offers 8" Extruded Aluminum Top Ledges plus 6.5" 18ft 12 Extruded aluminum uprights to.give this pool incredible strength. This pool offers an elegant design and a Yardmore Buttress-Free support 20ft 15 system on ovals to truly enhance the look and maximize the space of 24ft 1� yourbackyard. 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