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Home My WebLink About29048-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33116 Date: 06/23/08 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property: 170 ORCHARD ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 25 Block 3 Lot 3.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 2003 pursuant to which Building Permit No. 29048-Z dated JANUARY 2, 2003 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 FIREHOUSE CONVERTED TO A ONE FAMILY DWELLING WITH PERGOLA ADDITION. THIS CERTIFICATE OF OCCUPANCY UPDATES CERTIFICATE OF OCCUPANCY #29687 ISSUED 9/4/03 . The certificate is issued to GINA M MAXWELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1150628 07/15/03 PLUMBERS CERTIFICATION DATED 04/09/03 KING PLUMBING & HEATING u or' ed Sigriature Rev. 1/81 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, 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. �,-a3 -c) New Construction: fOld or Pre-existing Building: (check one) � Location of Property: / -2O ()rc&, 'GY S"�. D2u/C/ House No. Street Hamlet � n G Owner or Owners of Property: I ((V) 'tr, \t, / L,)el Suffolk County Tax Map No 1000, Section 5 Block Lot Subdivision Filed Map. Lot: Permit No. C7 Date of Permit. / Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check ork) GILT Fee Submitted: $ co 33 Q's U q\A S 1 Applicant Signature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29686 Date: 09/04/03 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property: 170 ORCHARD ST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 3 Lot 3 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 2003 pursuant to which Building Permit No. 29048-Z dated JANUARY 2, 2003 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 PERGOLA ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GINA M MAXWELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1150628 07/15/03 PLUMBERS CERTIFICATION DATED 04/09/03 KING PLUMBING & HEATING Authoriz Signature Rev. 1/81 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. 29048 Z Date JANUARY 2 , 2003 Permission is hereby granted to : GINA M MAXWELL BOX 553 ORIENT,NY 11957 for ALTERATION OF NEW SLIDING DOOR TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR REPLACES EXPIRED BP 26777Z at premises located at 170 ORCHARD ST ORIENT County Tax Map No. 473889 Section 025 Block 0003 Lot No. 003 . 001 pursuant to application dated JANUARY 2 , 2003 and approved by the Building Inspector to expire on JULY 2 , 2004 . Fee $ 251 .40 uthorized Sic natu' e COPY Rev. 5/8/02 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. 26777 Z Date SEPTEMBER 14 , 2000 Permission is hereby granted to: GINA M MAXWELL BOX 553 ORIENT,NY 11957 for ALTERATION OF NEW SLIDING DOOR TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.W/ 9/25/01 AMENDMENT OF INTERIOR RENOVATION AS APPLIED FOR. at premises located at 170 ORCHARD ST ORIENT County Tax Map No. 473889 Section 025 Block 0003 Lot No. 003 . 001 pursuant to application dated JULY 3 , 2000 and approved by the Building Inspector. Fee Authorized Signature COPY Rev. 2/19/98 i rJ�rJ�rJ�rJ�rJ�cPrJ�i PPC C! E!PcPEJ�rJ�rJ@J�rJ�rJ�rJ�rJ�cPrPrJarJ�PrJ�r�rJr��PcPrJr�rJ�rJ�cPrJ�rJ�rJ�r�r�rJ�rJ�cPrP�J�rJ�rJ�rJ�rPr1rJrJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�r� O 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY C5 55 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 REP ELECTRIC MAXWELL LSJ P.O. BOX 635 170 ORCHARD STREET L5J MATTITUCK, NY 11952, ORIENT, NY 11957 5 Located at 170 ORCHARD STREET ORIENT, NY 11957 5S Application Number: 1150628 Certificate Number: 1150628 5 Section: Block: Lot: Building Permit: BDC: NS11 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: 5 First Floor,Outside, , 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 rj found to be in compliance therewith on the 15th Day of July,2003. rj 5 Name OTY Rate Rating Circuit Type 5 5 Miscellaneous 57 5 FINALED 7-15-03 C� 5 5 INSP. R.RICHERT 5 Alarm and Emergency Equipment 5 Sensor I Carbon Monoxide 5 5 Sensor 3 Smoke 5 5 Appliances and Accessories 5 5 Oven 1 120 KW 5 Exhaust Fan 1 F.H.P. C5J 5 Wiring and Devices 5 Fixture 28 General Purpose 5 5 Receptacle 36 General Purpose 5 5 5 Switch 24 General Purpose 5 Fixture 25 Incandescent 5 Fixture 3 Fluorescent 5 Receptacle 2 GFCI 5 seal 5 Receptacle 1 30 AMP Special 5 Dimmers 7 600 W 5 Continued on Next Page 1 of 2 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicat''ed. 5 5 5 NI rJ�rJ�r PLPL rJ'rJ'rJ'r PLPr ncPr rL3rC3 r PLrE. rJ�rJ�r nrlorJrJrJrJrJrJrJ�rJcJcncPrJr�rJrJ arJ�rJ�rJ�rJrPrlrrrrrJrJrJrJ r�rJ�rJ�rJ� 21VOL3PLo o �ls�l�n�n�n�n�nrnrrrrs��rnVs�s�l�I�l�l�nrnnrn�nrnnssssss�LPLPLPLPLPdra0nrnn00MMR0 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE rS NEW YORK BOARD OF FIRE UNDERWRITERS 5 SBUREAU OF ELECTRICITY 5 rj 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 5 5 REP ELECTRIC . MAXWELL 5 P.O. BOX 635 170 ORCHARD STREET 5 5 MATTITUCK, NY 11952, ORIENT, NY 11957 55 �5 Located at 170 ORCHARD STREET ORIENT, NY 11957 5 7c Application Number: 1150628 Certificate Number: 1150628 r� 5 Section: Block: Lot: Building Permit: BDC: NS11 Cr 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: First Floor,Outside, 5 55 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,Was 5 5 found to be in compliance therewith on the 15th Day of July, 2003. S 5 Name QTY Rate Ratine Circuit Tyne 5 Paddle Fan 5 5 5 Lighting track 19 5 5 X15 5 5 5 �5 5 5 5 � 5 5 5 5 seal 5 5 5 5 2 of 2 5 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 5 ' 5 (@jrfflC3PrPLJ-L3 J'rJLPLjrJr�rJrJrJrJrJrJr�rJrPrPrJrJrJrJ�rJ�rPrJrJ�rJcP�JrJ�rJ�rlrJrJ�Pr�rJ�rJrJrPrJrJrJrJrlrJ�r1rnrJr�rJrJ�rJ rJ�rJ�rJrJ�PcP O THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1185152 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER''23,2001 Application No. on file 13223501/01 N 574048 THIS CERTIFIES THAT only the ebctrical equipment as described below and introduced by the applicant named on the above application number is in the premises of G MAXWELL, 170 ORCHARD, ORIENT, NY ih the following location; ❑ Basement ® 1st FL ❑ 2nd Fl. OUT Section Block Lot was examined on OCTOBER 04,2001 and found to be in compliance with the National Electrical Code. FIXTUREFIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPUCIES SWITCHES INCANDESC111M FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. N.I. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT.j TIME CLOCKS BELL UNIT HEATERS M SYSTEMS T DIMMERS AMT. K.W. OIL N.P. I GAS N.P. AMT. NO, A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. X.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V 1 C E METER NO. CC GOND. A.W.G. A.W.6. A.W.• I• TYPE EQUIP. 1•4YUff@3W J R JW J•AW PER• OF CC.COND. NO.Of MI-LEG Of NI-LEG NO.OF NEUTRALS Of NWT.AL 1 .200 CB 1 1 2/0 1 2/0 OTHER APPARATUS: r REP ELECTRIC LIC.#4727—I ( L P.O. BOX 635 MATTITUCK, NY, 11952 GENERAL MANAGER 11 Per This oarlMoatd must not be altered In any manner;return to the office of the Board If Incorrect.Inspector may be Identified by their credentials. \ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. OgUFFO(�- 5�=a — 3 2003 Z Town Hall,530 Mai$ 6z" '"`i.0 p , Fax(631) 765-9502 P.O. Box 1179 �' Q� Telephone(631)765-1802 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. D Owner: t=c- C— (Please print)/ Plumber: {� ( (Please print) I certify that the solder used in the water supply system contains less than 2/10 of I% lead. q (Plu b s Signature) Sworn to before me this 1 day of 2003 Notary Public, a County CLAIRE L.GLEW Notary Nob01L4te of New 379S05 York Qualified ines folOwevc t 6 Commission Exp Form No.6 �� / TOWN OF SOUTHOLD BUILDING DEPARTMENT 9 Tnq I TOWN HALL 765-1802 APPIJCATION 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 na'ural 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling$25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building$25.00, 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 C New Construction: Old or Pre-existing Building: V (check one) Location of Property: —E—C ( r-c h� —Si— Lfl)1 House No. Street Hamlet Owner or Owners of Property: I nCk �C. Suffolk County Tax Map No 1000, Section �;L� Block Lot �- Subdivision Filed Map. Lot: Permit No. �dO"e of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: �_ (check one) Fee Submitted: $ o� Applicant S6gnature FF01/r Town Hall,53095 Main Road P.O. Box 1179 W Z Southold,New York 11971 • Fax(516)765-1823 �j. ao- Telephone(516)765-1800 LAND PRESERVATION COMMITTEE TOWN OF SOUTHOLD To: Southold Town Building Department From: Southold Town Landmark Preservation Commission Dated: February 22, 2001 Re: Former Fire House (170 Orchard Street— Orient) SCTM #1000-25-3-3.1 Building Permit No. 26777Z SPLIA#OR 54 The Landmark Preservation Commission has reviewed the building and the architectural plans for adding a pergola on the east side of the existing building. The materials to be used for support columns and for open rafters were examined and the appearance of the pergola from the street was pictured. This addition is consistent with the design of the building and the streetscape. The Landmark Preservation Commission endorses the addition and recommends its approval. cc: Southold Town Zoning Board of Appeals n BUILDING PERMIT REVIEW CHECK LIST J/ DATE REVIEWED: i 1-9,K 10/ APPLICANT NAME: /" -- // DATE SUBMITTED SCTM# --- DISTRICT: 1,000 SECTION: BLOCK: 3 LOT: 3.60/ PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTION: ADD AL ACC OR N/D: / 4Y s &e r <— �/C /.� a ..-w f ,�. r , J STREET: /7o Or �a J < CITY: SUBDN. NAME: ARCHITECT/ENGINEER: / a- Y FAST TRACK: YES o N SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES NO NOTES: DOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED L OM JAN.1997 100-25.Merger.(A nonconforming at anytime after 7/1/83 ZONING: PERMIT ESTIMATE AMOUNT:—$ .00 PERMIT USE: EXISTING: INTENDED: ZONING DISTRICT: R40, R80, ACS CONFORMING: YES OR NO REQUIRED LOT SIZE: SOFT. WHERE ACTUAL LOT SIZE FROM?TAX CARD ACTUAL LOT SIZE: SQFT. REQUIRED REQUIRED REQUIRED FRONT:_' PROPOSED:_ SIDE YD: I/ ' PROPOSED: '/ REAR: 'PROPOSED: LOT COVERAGE: ALLOWED: % EXISTING: sf_% NEW: sf_% TOTAL: Sf_% CORNER? YES OR NO WAT ER FRONT? YES OR NO DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: FLOOD ZONE: , AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APPLICATION TOWN SPETIC PERMIT: YES or NO SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE:_/_/_ PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or NO SOUTHOLD TOWN TRUSTEES: YES or NO TOWN ZONING BOARD APPROVAL: YES or NO TOWN PLAN. BOARD APPROVAL: YES or NO NYS ENERGY: YES OR NO EGRESS: VENT: SLIGHT: NOTES: i i FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR SF SECOND FLR SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE T( SF)- (,_SF)— SFX $ _$ +$ +$ M-1802 BUILDING DEPT. 1 NSPECTION [ ] FOUNDATION IST [✓�OUGH PLBG. [ ] FWNDATION 2ND [ ] INSULATION [ ✓]/FRAMING [ ] FINAL [ ] FIREPLACE& CHIMNEY REMARKS: DATE ® INSPECTOR M-1802 BUILDING DEPT. INSPECT10 [ ] FOUNDATION IST ROU PLBG. [ ] FOUNDATION 2ND [ : SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY ARKS: �� 7 L 'U DATE � D1/ INSPECT? 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIJANE C� REMARKS: DATE INSPECT -- _ - - --it - - _ II UNDATION ( IST) u n a a u u u UNDATION_==---ND) II u u UGU FRAME 6 PLUMBING �� II "SULATION PER N. Y. it STATE ENERGY u----il CODE u ---------------=----- ---- - ----____ -------- ILL_ II II iI II it -�1 FINAL ri I n „ _ ADDITIONAL COMMENTS: _ ,17 /JC«J doO rj �c az l�c...c�.{J•f�� ..e.C�'_�� E» �...�ter.. --- —,cam 2J6 f&2 �.�. _ � Z 0 BOARD OF HEALTH . . . . . . :. . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . ' TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 DEC ... . . . . .. . . . .. . . . . . . . . . . . . . TEL: 765-1802 TRUSTEES . . . . . .. . . . . . .. .. . . . . . . ) NOTIFY: q Ioc(A. ID'C 6 CALL . . . . . . . . . . . . . . . . . . Examined...L! 2@.Q.J'' / r-� MAIL TO: . . . . . . . . . . . . . . . . . Approved..... 3�........ .ao0-L. Permit No. 10�. /.�..... ............................... Disapproved a/c .................................. ........I...................... Za.*—** ................ (Building Inspector) 3 n� t(5 APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . . 20. . ^ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspecto 3 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 giving a detailed description of layout of property mast be drawn on the diagram which is part this application. 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. Su 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS 11MBY MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Tam 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 nese7 ry in S. . ' a .. . ture of applicant, or name, if a corporation r�ox� ..Qlu4!t7 ff14/ n95 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui QLl17l OJI .........................................M......`.'.1................................................................... Name of owner of premises .....q.i.na...'.! 5^.'. ............................................................ / (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nae and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... I. TvcaClon of land on which proposed work will be done............................................................ /7u ................... ��c/44W Sit r � // 95�... ....... ....... ...................................... House Number Street .• Hamlet County Tax Map No. 1000 Section ...I??.S. ...... Block ....:�......... Lot ...3.: t ......... Subdivision ...................................... Filed Map No. ............... Int ............... (Name) 2. State existing use and occupancy ofs and int use '7A oc 9un�ancy of sed construction: a. Existing use and occupancy ..'�.'��4 proposed Ip int use GL -C�Lr� ............................... b. Intended use and occupancy ....................... ...... ...... ............... Nature of work (check Aiich applicable): New building .......... Addition .......... Alteration .......... ` .... Demolition Other Work Repair ............ Reroval ....... ............ .................. ............... pj�Jy 41 (Description) EstimatedCost ..li'!`.. ............... fee .............................................. (to be paid on filing this application) If dolling, number of dwelling units ............ timber of dwelling units on each floor ....... Ifgarage, number of cars ...................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... N,mber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .................... timbet of Stories ............... Dimensions of entire new construction: Front _ Rear ........... De ......� ^M � height ......................... timber of Stories ..................... Sizeof lot: Front .................... Rear .................... Deptlh .................... 0. Date of Purchase ..................... Name of Former Owner ........................................ I. Zone or use district in which premises are situated .............................................................. 2. Does proposed construction violate any zoning lav, ordinance or regulation: ........................ 3. Will lot be regraded .................... Will excess fill be removed from premises: YES NO 4. Names of Owner of premises ........................... Address .............................. Phone No. ............. Nam of Architect .................................... Address .............................. Phone No. ............ Nae of Contractor .................................... Address ...............................Phone No. ............ 5. Is this property within 300 feet of a tidal wetland? * YRS .......... NO .......... *IF YES, SOUL M 1Udi TRU MS PM41T HAY EG MQMRM. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions ircm property lines. Give street and block amber or description according to deed, and show street nacres and indicate dhether interior or corner lot. j n 5 AVYa SI,cG 9 9/coo GYozr-z_. rAir•, of Nov mux, ( OUNly OF ... 4.C1.9 I Ic;....... SS /u rtr wC I (......................being duly sworn, deposes and says thacihe is the applicant Name of individual signing contract) '.rove named, ' is_.Lhe ................................................................................................... (Contractor, agent, corporate officer, etc.) said vmer or owners, and is duly authorized to perform or have performed the said work and to make and file this hpl.ication; that all statemnts contained in this application are true to the best of his knowledge and belief.; and at the work will be performed in the manner set forth in the application filed therewith. urn to before me this day of .J:a Notary Rhbls�. .. .20.c.S .. lic Signature of Applicant) c w*wm Ewkes 9IiD OD "Zo-10.:_`off-covutalc R~pfda uoa_� • ra•• �" - —V art 1y= ,�o!' i�;.ia,. `l'9F ,�kt-r _.rt_ •,1, �n•�r .,�i;�,� .. c�r'1s2� n [ '.�, ^+` ' <'• t tY•t; y , 2,' ny._,y�C�_ - w 1. ^x fr9t{�f� K.':' •.. .Ck::`.Y�'�+J e. ..�. � .µu a r:3�t� _i.�i' nl''. , 7 '�E>• fit..�• tip+• .t Z .l• .:i '� --,[. �i• C.': S X � /'tom r.�. ./,�, y� �Y'•.sTi4 J� � a. a "'' -_ .,:�` 2 � J.: 5.76 1 ^ :-• pIOGXjO�^ 117)1 � a �v J r • I _ �`, ;•z Lei i L,a `. � J j; =r,;:•.• cue," IL p A - Act tr_� � J CPLD a��d 1 'r'�y a.� �.it :'�t•1'':' �I. �� \J/ 1`VC—J � Y �• i ♦ Il��,�l/I..� LiL �.-76-t -��JVyxl, •J 0.42 1&a T wellirr�rer Fo��rtr::v i bfias of tris s,c+rey nap est[aOng 1. 6uorcrrrteed fq �tr'st ArrreYitart :M13,a�,n"„ : mac;;.b:a SCd�es 3� a!". ti .. enhy:aaC se�1�t:aq ; t0 be.i�rafld V1M CCS�' •�.}•� �. y� y_F,74-,de � /�Q�� uf'�IIfGC i �''d ,- , Guaame�s lnfeai�hereon59-Ap r n y t. ►T d d= J u r✓t ed:M cr<� •'�49�,�.:•, ' ,:: D y. omy to".pe.mon for.%+xzn:ft* t-�:;lOOY,� ?�.3 ..y.�%7*.��,',,��,, 4� r <'i�.jr. +Y „i>`,S- `��• � 1'..-•S�'. , I M.,. ••• �y�fy,,[� �-?'••»�i'� � ..y� .y .�•4. :h D►e7ar ar�d on his befaII n tha.' �'?.� t:. ..��._. ..� .. r _.'r23s�-;.�r..��;..�..'�t}.•*. .. :'�►a!��v:t.,r�-. �yF.'ry w• t� `at+ .rt• ,f_Y �,�t 7.:'i� �l� QST` t: �( 'f1.1j t.e�tw�t'N..O CC111M fnEfl'L'1. �!'r. ZI�Q?7C rsi�i•rrY%'i�!11`f/�1��y7`ii�i' F!'r'-•.<�: _ 4. let:+Ns" .-a .c,i ..-,.a;�.,A, '+9:-4Cvet� s� N`,.,,-.-`F ppI� LL aid aa� L,g GINA MAXWE APPROVED AS NEED -1 DATE: /y i B.P. #a 7 / FEE _ BY: 170 ORCHARD cSTREET ORIENT NY. NOTIFY BUILDING DEPARTMENT AT 785-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS. T T� T? RIDING FOUNDATION - TWO REQUIRED PLAN lIOD NEW RIDING DOOR. FOR POURED CONCRETE 2. ROUGH ' FRAMING & PLUMCING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENUM CODES. NOT RESPONSIBLE FON DESIGN OR CONSTRUCTION EMOIIB D01, 1 7/8" R 11 7/8" IAL. I ANE7Cl2SF;Po IZ-0 H b-N fill Dpa2� + .F a'p� INFUL �RTIFICA r - i I �JNcy I I PROVIDE WRINGS FOR EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF I OVGI2111;nD 000QN.Y. STATE BUILDING CODE. � I [" i 2X4 R RANIE' o I I r PROVIDE SMOKE-DETECTING O ALARM DEVICES AS TO PART.721.1 TIWO oSTOQY WOOD MAME BLO. N.Y.S BUILDING CODE. OUNDERINRITERS CERTIFICATE 2X14-16" OC. TYD. I p REQUIRED X14 16" OC, l CD MCOUND FLOOD � I = 1 cc Fc (STIA"A I BIA"AM SUDDORT DBI,.I,VI,. AND (STEEL I BEAM 0 I (514, 11, 1 BEAM oSUDDOPT TYD. NEW SLIDER RGA. OPG. FIRST FLOOR. SCALE 1 /411- 11 CONC. SLAB AND FOUNDATION v v TfEMI v TYPICAL TIIROUGII 6SECTION. v NOT TO SCALE. o - ick 26»� z 7 d�ia`f • GINA MAXWELL 11 a. 170 OPCIIARD STREET ORIENT NY. PLAN FOR NLN SLIDING DOOR. AMEND PERMIT #26777 TO INCLUDE THE FOLLOWING NEW WINDOW MULLION UNDP AND REMOVE, EXISTING FRONT DOOR AND OVIR) HEAD DOOR SND INSTAI, A'4:W INIPANCV DOORS NEW MARVIN Mlll.lh)A UNIT � IT1, 1 '7/0" X 117/h" LV I. _i-WIIIIi030 - ---- ANI )IJ L41;M1 I'-lI X b-h ,41,11 56.12 I � NEI% i"'I'IW 1, $i 51.II5 WO, )I) IlAl')Ia5I�.1AV.1.4 f i i I I I N'6_W 1.X6 fI2AMI: WAI.I.,h R-N M) � I HL'-)IW; '50'X10' 0VI:QIIFAA)0I? R6:NI0VrPAI6:AhI:l- 10 J2IAAIN ANI) I?I:ILl1hl: I'I2AMKII IN YOQ N11W DoOt2 ft WINI)oW 3X4 FRAME I r az°do's's° s1 1,1n w i xi O RAI1E1) PANT h0012.S TWO eSTORY WOOD FRAME BLP. T r I � o )X 14- 16" OC. TY'D. I D 3X14 16" OC, � I 81COUND FLOOR II %13V i" 'I'lIL'IC x01'ln W0A0[) I'Ad'IfLS � ¢ nI � � I � eS'PIiIsL I BlIAM SUPPORT 6:XItiTINk: IIIIADE12IJI11.ACID WITH I H DBL.LVI,. — MI. 1 .j/4°X a 7/n° LVI. I � AND S'ITTL I BEAM_ 5'I'b11;L I BEAMSUDDORT TYD. xi.n1lN�: n�xSl� IZLM� vlD 501_0" WALL LIGAND ° �+ 7 71 �I��77 �y � NI�:W FIPoST FLOOR.. NEW SLIDER RG11. OPG. - -"- IXII'I'IN6 P M )UP - - -- -- SCALE 1 /4"A ' 6;XI1'fIN�: CONIC SLAB AND FOUNDATION. a v TYPICAL THROUGH SECTION. a NOT TO 6CALE. i F,__ _____7 GINA MAXWELL - SEP 11119 t011 170 ORCHARD BLDG. DEPT. T^1VFSDPT, 65TREET ORIENT - I�I1f�,l - -- - - PLAN i - - L MNg NEW RIDING DOOR. I NEW WINDOW AMEND N �I ET.I� #26 77 TO INCLUDE THE (FOLLOWING -- .- _- OVE EXI8 ING FRONT DOOR AND OVERHEAD DOOR — 1''AND INRAL NEW ENTRANCE DOO eS EW 8DIRAI, SFAIRIS-ANDijXi)A*DzJul4)-,nz" , I � I 1 4- NEW MARVIN MULLION UNIT 3-WDM030 DBL. 1 7/8" X 11 7/8" LVL. Y ANDERSEN 1-2-0 X 6-8 SLIDER., W 3"THICI( SOLID WOOD RAISED PANELS � 6 0 C_A I d j NEW X6 FRAME WALL& R-19 TYP. w I EX18TING eSTHDIO H TR I. zxtzl r �E MNG 90'X10' OVERLIE VEM EADOOR REMOVED/HEADER 'r0 FMAFN ANDA b I NE SPIRAI. STAIRS" �( ' .OPG. FRAMED IN FOR NEW DOOR Ce WINDOW I j 1 I I 1 2X4 FRAME L _ 4 42"XI013" SOLID WOOD F - h1' p . - :AiUMD PANEL DOORS g'� V 0 �'VMn W001 E BL \\ I � I I 2X14-16" OC. 'I'YP. I I ,�.- � ' - �h I I, ONE s'rorzv Wool) � 2X14 161f OC, + O / l'RnMh RhMOVGD I• r I SII J_ HCOUND FLOOR I • NEW 3" THICK SOLID WOOD PANELS w i i C p ,4Me�dMen-7L OCCUPANCY OR 6-_-TIN_c- ___ I n APPROVED AS NOTED USE IS UNLAWFUL xISHEADrzLnCED TH I — EXISTING BED RM. Erz sPWITHOUT CERTIFICATE I BL, 1 3/4"X 11 7/8" LVL. a I I ; � � 71G 777 2 ( - - - r T r 1= r ii r w o !o(-gOFEE: BY." OF OCCUPANCY ' STEEL I BEAM eSllhhORT - ! I 1 I -I I n. 1 I/rt I _ �� I H /� O NOTIFY BUILDING DEPARTMENT AT I 4_ L b �c 'n 765-1802 9 AM TO 4 PM FOR THE DBL.I,VI,. � ,_ ' � ., AND �'IEEL I BEAM Exi�lrlNc TAI a5 rn;e�ov / z n —til \ 1 — — FOLLOWING INSPECTIONS: f .,�\ 71 e _ 1 FOUNDATION - TWO REQUIRED r EXISTING DOOR RE ( WE 15- I —� � I �� ' TEE , I BEAM VIIhhORT T Ej TING BE RM. I _ '� 2. ROUGH - FRAMINGFOR POURED RETE & PLUMBIbI(_ 3. INSULATION LG. A 1 `I 4. FINAL - CONSTRUCTION MCG' �OSr 2C-30 = 600, BE COMPLETE FOR C.O. I/�� SLC -_/1� ALL CONSTRUCTION SHALL MFEI THE REQUIREMENTS OF 1;11= NY Crcv�L/ STATE CONSTRUCTION & En -rrv; V j50'-0" CODES NOT RESPON-1W, ' ---- — DESIGN OR CONSTRUCTIpr - ----- — - WALL LEGAND FIRST FLOOR. UNDERWRITERS CERTIFICATE PLUMBING REQUIRED ALL PLUMBING NEED 7��7 �+ 7� 7��•I �-t � NEW - _- &WATER LINES NEED NEW RIDLI P 1 G11. Of) s. _ __ __ ( TESTING BEFORE COVERING _ __ _ hXISTING RC•MOVED SC A L17 1 /`tn—q I PROVIDE — C'71.11 14 1 SMOKE-DETECTING ,EXISTING ALARM DEVICES PROVIDE ANTI-SCALD AND/OR AS TO PART. 721.1 THERMAL SHOCK PREVENTING N.Y.S BUILDING CODE. DEVICES AS TO PART. 902.6(K) N.Y.STATE BUILDING CODE. If copper tubing Is used for water distributing _ — system;piping shall be J Py -rLh y�� r�Ys6C and �w I of types KorLonly CONC. eSLAB AND FOUNDATION. na PROVIDE OPENINGS FOR a o EMERGENCY ESCAPE AS _ REQUIRED BY PARI 714 OF N.Y. STATE BUILDING CODE. v PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE TYPICAL THROUGH QSECTION. „ CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT v I -NOT TO e5CALE. EXCEED 2110 of 1% L&0. C