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Home My WebLink About26248-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27863 Date: 08/10/01 THIS CERTIFIES that the building ALTERATION Location of Property: 757 ORCHARD RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 66 Block 2 Lot 10 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 6, 1999 pursuant to which Building Permit No. 26248-Z dated JANUARY 6, 2000 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 ALTERATION AND REPAIRS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MONA E STOLZ TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 08/06/01 PLUMBERS CERTIFICATION DATED N/A Authorized Si ature 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. 26248 Z Date JANUARY 6, 2000 Permission is hereby granted to: SUFFOLK COUNTY (STOLZ) 757 ORCHARD RD SOUTHOLD,NY 11971 for ROOF ALTERATION, REPAIR AND WINDOW REPLACEMENT AS APPLIED FOR. at premises located at 757 ORCHARD RD SOUTHOLD County Tax Map No. 473889 Section 066 Block 0002 Lot No. 010 pursuant to application dated DECEMBER 6, 1999 and approved by the Building Inspector. Fee $ 75 .00 Author ed signatfure ORIGINAL Rev. 2/19/98 Form No. 6 ' TOWN OF-SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1.802 �� APPLICATION FOR.-CERTIFICATE OF OCCUPANCY A. This- application must be filled in by typewriter OR ink and submitted 'to the building inspector with. the following: 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 o� 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 buildin; 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. i $• For existing buildings (prior to April 9; 1957) non-conforming uses, or buildings an( "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 a.consent to inspect signed by the applicant. If a Certificate of Occgpancy 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 $25.90. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - Z�i 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, ommercial $15.00 Date .. . . .. . .. . New Construction. . Old Pre-existin B ilding... .. . ... . .. . ... . Location of Proper y.l. ...4:... . .. . .. ..... . . .. .. ... House No. �a . Street .Hamlet • Onwer or, Owners of Property... .. . . . �L.�.;:.:. ... . . . . . . .. . . .. .. . . . . . . . . . . County Tak Map No 1000, Section. . . .(�. . . . . .Block. . , i:�..Z� . . .Lot. . . f:� . . . . . . .. . Subdivision. . .. . ...o . . . . . . . . . . ... . .. . . . . . . . . . .. .Filed Map. . . . . . . . . .Lot. . . . . ..-. .. . . . . . . . . . Permit No. . . `.t. .. .. . . .Date Of Permit �C> .A licant. . . . . . . ; . . . . ./. . :4. . . ... . . pp . . . . Health Dept. Approval. .. . . . . . . . . . . .. . . . . . .. . .•Underwriters Approval. . ... . . . . . .. . .. . . . . . . . . . Planning Board Approval. .. . . . . .. . . .. . . . .. .. . . . . . Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . . . . . . . . . . iee ubmitted: $. GS7,9(3� ... . . .. . . . .f'.. .1. . . :. .. . . . . . . . . . . . . . . . �d F�StOLz �Ust t O�Og�fFO�,�cOG C2 W Town Hall,53095 Main Road Fax(631)765-1823 P.O.Box 1179 �fi �� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 24, 2001 Mona E Stolz 3423 Riverbend Drive Ann Arbor, MI 48104 TO WHOM THIS MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) _X_ No Underwriters Certificate on file. xx The check is (not in file)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26248 -Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. .I.-1 Lam_ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH P BG. [ ] FOUNDATION 2ND SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR Axt� 4L yrs-zaoz BUILDING DEPT. INSP CTION � [ ] FOUND ON IST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ RAMING [ ] FINAL [ j FIREPLACE 8 IMNEY REMARKS: J ff i/tl-� DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. i [ ] FOUNDATION 2ND [ ] 1 CATION I 1 FRAMING [ FINAL [ ] FIREPLACE CHIMNEY REMARKS: � G� DATE � � INSPECTOR FIELl YNSPECTION REPORT_ DATE _ COMMENTS f -----__---------------=-=-x---- __=====aa====a=a==========c=�=x= DoII II H FOUNDATION OST) Iir —............ � - FOUNDATION (2ND) — ----------------------- -- II --- II -JI x ROUGH FRAME & PLUMBING it ii i ii I� JiLJ u ---------_---- INSULATION PER N. Y. I ii STATE ENERGY I_-- —u CODE lu------ii u ;i A � H II jj � a 11 jj i FINAL n u aaaasassx�sx--xsxsxa--- xasssasassxs�sas-s------ass=ax=s==xx-s-srxsss------=s ADDITIONAL COMMENTS: (\� axxassassaosaaaa=asssccxxsssssxsaxsasassssoaasssaamsssxa-xaass=assssssasa=as=e=as=c=ssa= /'7 1 N QCJ O x � Z as b H . .. . . . . . . . . . . . . BOARD OF HEALTH . . . FORM NO. 1 3 SETS OF PLANS . . pEC — 61999 s {, t TOWN OF SOUTHOLD SURVEY ... . .. ... . . . .. .. . . . . . . .. b BUILDING DEPARTMENT CHECK . .... .. .. ..... .. ... . . .. .. TOWN HALL SEPTIC FORM .. .. . .. . . . . .. . . .... SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . �►5~ J-5.7-V. . . . . FDi3ed ...•..�... Q� MAIL TO: .... . . .. .. . . . . . . . . . . Permit No. ................................... a/c .................................. ................................... ...................................................... ;...� ....�1ui1ding.Yt�r) .. APPLICATION FOR BUILDING PERMIT Date. . . . .. . . . . . . . . . . . 19. . . . INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 must be dram on the diagram which is part of 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. Such permit shall be kept on the premises available for inspection throu&mt 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. APPLICAn(V IS MW MADE to the Building Deparhnent 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. o hn..!(C!`: nt:. ld ::- z�:�,-�......... (Signature of applicant, or name, if--__a corporation) AP. ..0.4%k"Q41..IOffi 1.rQ�`a l t „AVIV (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildem .......................................gmArr..�c>... mi4. s. A!..................................................... Name of owner of premises ........./2 enir J !::...�..�O nC�,, cJ.��L ... �.u:�.4. .�.............. (as on roll or latest deed) If a licant is a corporation, signature of duly authorized officer. .. .................... ( and title of corporate officer) Builders License No. �.Z.7 :. ....... Plumbers License No. .....�Ns+.,V. ...... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. .......... 7. .�.......� .0 ...!�o�c.�de .........................qft. ffi�� ..................... House r Stree//t //�� Hamlle�.-ei ' ? County Tax Map No. 1000 Section ....17?. ...... Block ......�....... Lot ...../r...... Subdivision ...................................... Filed Map No. ............... lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................... ...f.i.4 Ll � ..V [N�In ............................ ��0 ` 1Tl*-� cyl liC,! //1nb. Intended use acd occupazhcy l.l. ...l.................. .........1...r............................ SWAUAH139A" *WwvWloOW U9 YfiATM ,'..1X.,T M11A.>wN¢��WWT ). Nature of work (dxcic which applicable): New Building .......... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. 4. ' A (Description) Estimated Cost .....�60 d' .................. fee .............................................. (to be paid on filing this application) 5. If duelling, number of dwelling units ............ Number of dwelling units on each floor ................ Ifgarage, comber 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.......i..t..... Rear ..../ ........ Depth ...V:W......... Height ......... Q.............. Number of Stories .....t............. Dimensions of same structure with alterations or additions: Front .....!V...... Rear ... ......... Depth .......4.0 .......... Height ......l/a.i......... Number of Stories .....I ......... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height .........Y.............. 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 situated1G(.l......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ 13. Will lot be regraded JAIR.......... Will excess fill be removed from premises: YES NO 14. Names of Owner of premises8q 0P1Z ... Address 'Phone Yl��blul Name of Architect &d1 L).4A flvrGl.- tAG4(.� Address Phone No.741':�i4 2.. Name of ContractorTM!L"41.6` . .. Address /3fCk ?�o�; ^�%!1C7�!!tC;; Phone No. ?loaf;-ATX... 15. Is this property within 300 feet of a tidal wetland? * YES .......... *IF YES, SQTMD 1W T1iUS1F8S PERMf MAY BE ice. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block mmber or description according to deed, and show street names and indicate whether interior or corner lot. SWE Or, rLW YURK, OOUNIX O[' &f-fDac............ SS ..........................................................being duly sworn, deposes and says that he is the appl.i.carcit (Name of individual signing contract) above named, hug. Ileis Lire .................. M,�lffi,; ....................................a........................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to naive 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 this ..6P ........day of . .. .:.......19.. .. Notary PubtCi _ 9ETilASTATM .Signature of Applicant) ft 8T000aS173. ftk 1� TQM EaNpi�a,Aan�i. BUILW-N-G -' IMfrI'-REVIEW CHECK LII ApplicanU _ Date • Reviewed: d0 Owners Name: - ---- ArchitecU Date Engineer: ----------- — Submitted: SCTM n- District: District: 1.000 Section: Block: � Lot: Project Subdivision Location: 's Sin&le&separate Required certification: (Yes/No) - Req Req. Zoning District [t.ot siu _Amal_ [l.ol covcragc Proposcd J Req RW Req [Front Yard Proposed [Side Yard Proposed ] [Rear Yard Proposed Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes:. BUILDING CONSTRUCTION NOTES: 9' • 'ti " F' 1. AS omdaoWfmwakirD ooloplywlbYNow Ydk&rkeu0dlq OmebeelbNCo6dwllYYngNLemrbdarq depmmam,«wcandw gdmmmm ddndtlwbrbrdJotWfmkat a 2 ABwmk6➢ooglywtlbOwNwY«tSY«9eMCMI& EXISTING EXISTING A it"Rbe Y camnabhrupoWl to robokdo II,des"rdgpofm'd odad I lmwW&wIRbrgrdib ' WINDOWS WINDOWS eodfoiw dwtllrngdaedbyY BlreBopOrpmmmel 12 B, bAdMeOd«Mdpipirymae piwdbymde. t ; WRIFY HEADER C. Allwbdmre,dw eOb,oProlndM m.eWIMowlDaddwer6rabippd. - +,:,,y �1 �8 +/- ROOF PITCH (2)2.8 NEAaER WNINUM 3. horideom adodwedoem cub eo«,bmbdkdbamaa faoeide emafmdwrfomlaae bapdodwre. AHderldosaeb be dko*wbed b dry dm**W mdYr bi 'II +kI 41 i�l o RIDGE VENT 4. 9odhrrYNauaym�k krYwpn'Ybaofaon6WioN. {JIOYY CaoYeolor eMlRAli(/NldbldodemdaewdYlUe/b1Ae of ,. PROVIDE NEW 'A r.. 25 YR. ARCHITECTURAL TURAL GRADC ROOF SHINGLE omm'mtlmmddakmbn Rykeriamampamik fbr reybhrpewbbwwddrpd«IDpaoreL ' 2x4-16' oc 'a� �w (2) 1-3/4" x 11-7/8" LVL�� WALL TO RAFTERS 1 I,. F p RIDGE BEAM �' K n .v ABOVE BATHROOM oc rno 15 FELT 5 Ib wit gab F dnrwiop AND CLOSET WALL NW w / —1/2" CDX EXT ROOF SHEATHING ' 6. TIN dWb@nwmo NeelrYaooMetofo mam" my. BedMUNdbobsM odbb*Cmwnwo*k +'v 2x10-16" oc RAFTERS , mewmmaiabdaaahuo0m Tbe«{blfA�mlbWAnlFaYgIMARY4riprioMdlllleld (. I mrleeklyd 1fOrehlor4 VeedYtlae,Y wow adagrbmemapddoeBy ' �� t 1 / eon*wb Flodo4HeMLF Omd10miq, III T v� aaaWrdinYmdmwiup. (3) 2x4 POST _ (2) 1-3/4" x 11-7/8_LVL RIDGE BEAM_ 3 2x4 POST c j� (3) 2x4 POST \� 7. Bkolrb oaMlaMimYbaaofo®b YNMWW SbotrbCode.NawYadc 90w Co6,dLIPA TO RIDGE BEAM LLJ TO RIDGE BEAM t0 RIDGE BEAM ti _ M1 (3) 2x4 POST T _-1 BEAR ON CONCRETE .� II , F' I BEAR ON CONCRETE TO RIDGE BEAM BEAR ON CONCRETE - I I D. F'bddgkb000b®bYComgdlndBmMiDlFmlmmtngob�mY.dNlB Oodr. 4L '� 6" FASCIA BEAR ONCONCRETE o PROVIDE NEW] 9. AS hr[proAdor egtlperetrbll belrWYdhramdmawNhNYB(kdeeedmmdlgmm pedBeWar. " 2:4-16' ac R-30 INSULATION N z3 GABLE WALL HURRICANE CLIP 12" VENTED SOFFIT 10. AOeketrbddmxhR*Yegoipmwfpbbe elmmdbPiDtA aegeleemmti dNYSOmbmngond SEE SOFFIT FASCIA DETAIL � G 0 —DSL 2x4 / N I REMOVE EXISTING o II ' FLAT ROOF SYSTEM j� x� I I TOP PLATE 11. 1.1ea1mba OfPra�0ar1 v ; FXISTING H0 1SF AND CEILING JOISTS oat 'L I BfemrPlrrdu cf&mpbw Yawry/I 0dr/bmlewe *DdmbYlb*ftdeMeod DtWftdDm*p-md .a MATCH EXISTING CEDAR SHINGLES REMOVE EXISTING 1 dwkdwfamdmbdadko4 aor otmr.reabYlYbmleNOa'OmerhWydeM BedDMie{dE11hd{Wd Q 0 FLAT ROOF SYSTEM 1 R-13 INSULATION dredrdhmmeh0emrredYbW YdprNn]e«rrdrtedmddoo*oL !e;l I� AND CEILING JOISTS I 15p FELT '� I MATCH EXISTING SHEATHING 12. ABefomeoatpkmdWwakWwmpmbmd drlWMimpydpbtkw. Nopirmgbonpad«edarwamtlNow (�^y+y�n. 111 VEMFY HGMR 2x4-16" oc widbmwrkwapmidos (2)2 00 WMNUPUER .a 2.4 SHOE 13, 0111 Coradwoomvow los'rYr godfongeYdrY dr Y coMmGwmabrfaadmrndrbmwm.mA /'1 I � a"�,y�' EXISTING FLOOR JOISTS �••f IIS i, R_79 14. AooywoeofdawrdmlFydoworwlbwieWAof*WMwibW6pwbxbWmopkcd dolwngyma{ra.mA -- INSULATION GRADE T"sB�DaprbleoKDBC.eh EXISTING WINDOWS EXISTING CRAWL SPACE 1.6,- CODE CObfpLiANCB:EXISTING P-QRC A 16- x 8" CONCRETE FOOTING 1. 1J&Repuwomk Wbbbleq «wept frkWA=AsIhmald V*ogmlfu 9%off iIi l^X- v)`'�r ',y "?1 S'-0" BELOW FINAL GRADE (IYP ) ir../ �e,"r, INSURE ALL FOOTINGS y rt .i , 2. ml0rka 14gabemeeY: .- BEAR ON UNDISTURBED ' — -19-----___ A HeDOrMeapeal eto¢DlkbwdDApmw leObveMWvmtOrimRmlb4%offoarmRm SOIL mec8reloalrmlSMlm INv M Tam. pneify (2) oYNyar Rre ' B. d3bbwr mlddClNmeobrkr r'wWtlaa ' ' C. Brkowe« m23 CPbfineddoY veedkaiaa r D. ADYf YDeO"&vc lyloeWdm. . , 3. @ir eLll be4 eetmYiwmwllhamYimwdfsmdmopid"deemlbrw ImNod R TION A errday (witi ww• FIRST FLOOR PLAN CROSS SEC er42"eDar eekmd f oar. _ ALL EXTERIOR WALLS ARE TO BE INSULATED WITH R-13 INSULATION 4, dmiwe0tabll 6e 36"widdMelamm,7•d"ok«. i PROVIDE R-19 INSULATION IN '"I'"J FLOOR 'I ALL RAFTERS ARE TO BE lA1 i3 INSULATED WITH R-30 INSULATION. I�IPROVIDE CONTINUOUS RIDGE VENT PROVIDE SOFFIT VENTS IIj +1 w 1 e Tao I rr , PPROVED AS NOTED DA r .1 o-, I FEE: 5.0'l7 BY: UILDING DEPA E T A NOTIFY a E -� PM FOR THE PROVIDE v, 4 To 768 180 z e AM FOR . , : INSPECTIONS: NG FOLLOWI . ,�. \ \ EMERGENCY ESCAPE At DATION - TWO REQUIRED, ISI �1L 1 FOUNDATION • . :" v'A1 ,1 --- - FOR POURED CONCRETE REQUIRED BY PART. 714 OF 2. ROUGN - PRIMING i PLUMBING N.Y. STATE BUILDING CODE. 3. INSULATION 4 FINAL - CONSTRUCTION MUST , REMOVE EXISTING BE COMPLETE FOR C.O. WINDOW ALL CONSTRUCTION SHALL MEET �p,�^ � REPLACE WITH NEW THE REQUIREMENTS OF THE N.Y. IVfRI Y„AL� STATE CONSTRUCTION B ENERGY p� -- -- _ A 51,, AWNING WNDOW - 2� � FOR li RESPONSIBLE CODES. NOT R TRUCTI I DIMEtrGSIS)NS Q ;' (VERIFY IN FIELD) ICIN DESIGN OR CONSTRUCTION ERRORS GOIVDITk1Nt w REPAIR / REPLACE ' , -- -_ SIDING AS REQUIRED - = OCCUPANCY OR : G M X - -- - - r' r --- USE IS UNLAWFUL WITH CERTIFICATE ` OF OCCUPANCY sIECa mtCl' - .'1 • ` I —_. - UNDERWRITERS CERTIFICATE `ROOF REQUIRED - J _ AAIYERA FLAN FRONT ELEVATION SIDE ELEVATION �C o COPYRIGHT EAST END DRAFTING & DI5SIGN J7,7'7J7,7'7 .^I ALL FLOOR PLANS AND ELEVATIONS ARE PROTEC, Tgp UNDER FEDERAL COPYRIGHT LAW. I