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HomeMy WebLinkAbout23091-z 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 f 9 f Date.............................. / ......... 19.✓..4` N2 23091 Z Permission Is hereby gr ted to: 1.0..... ........ ..... a .. . .... .. ..... ... ..................... to ..... . ............................... .. .. . ... .... .. . �. .. ......... ..... .... .,..,.. .. ...................... .......................... . ... ,..- .... .... ......2 .. ................................................................................ ............................... at premises located at......1..1s•%.L25 .. ..J................................. .. ..... . ............. .. .. ... . ... ........... .................................. County Tax Map No. 1000 Section ..... ..�....... Block........ ....... Lot No. .. .�.. ............. pursuant to application dated ............. .......CP......r.a.....•••••••••, 19.. and approvedbythe Building IInsp'ecctor ...... ...... . .L........ .... .......... . Building Inspector Rev. 6/30/60 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24348 Date MAY 13, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 11292 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 13 Lot 9.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 18, 1995 pursuant to which Building Permit No. 23091-Z dated OCTOBER 31 1995 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT UNGERLEIDER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-384562 - APRIL 30, 1996 PLUMBERS CERTIFICATION DATED MAY 7, 1996-MIKE JACOBI Building' Inspecto Rev. 1/81 i Form No. 6 ( M TOWN OF SOUTHOLD }� U BUILDING DEPARTMENT TOWN HALL 765-1802 s MAY 10 1996 BLDG.DEPT. APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OFSOUTHOLD j A. This application must be filled in by typewriter OR ink and submitted to the building pector with the following: for new building or new use: effFinal 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) . Approval of electrical installation from Board of Fire Underwriters. >62 Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 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 a 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - : -254. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . �j �SR. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing /Building. . . . . . . . . . . . . . . . . /� e ;�'.4T• C`.L.ef. . °. T !/r2 Q � •v1 •4`,'�. • . �!I. . . . . . . .+J. . . . . . . . . . . . Location of Property. ( Hamlet House No. // Street Onwer or Owners of Property.��`{..�• • •v`V". " " " " "q" " " " County Tax Map No 1000, Section. . . 3�. • • • •.Block. . . 3. . . . . . . . .Lot. . 1. . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �7° • .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. ` . . . . . . . Fee Submitted: $. . . .� Sl. . . . . . . . . . . . . . . . . . . . eo � Qq 3 ' PLICANT � o 9/ i,;,� GAINES CONSTRUCTION 541 Manor Lane Riverhead, New York 11901 516.722.5446 � � G/ase C - 0 s . Zjo� L. r� 7 t,— f CG. ri �� G4Tt �L� 4�'' f / /cf'-�' CGsTi �iGlrTG .f a ✓�q® �iG Oh, fi- /� i p � / ,, z c Q C G-e.- Gni h ���/� G fa G' a •1•w o ". .!-c, /if �A o A. 71- n e- \� ✓/( G�'?/' GAY�T Yrs ,'��� D l-1�A-41-r� /moo =�o�OSpFFD(X�OGyA Town Hall, 53095 Main Road y x Fax (516) 765-1823 P. O. Box 1179 ® Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N 7 DATE: Building Permit �� � No. / t 11 Owner: P1 r q- y �eCp c//\ -e 1J �4— (please print) Plumber: (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 2C 1 (Plumbers gnature) Sworn to before me this day of �k199(0 D M (� Notary Public, County V I! MAY -T ggs «!!)) ROBERT 1.SCOTT,Jfl:"" - � BLDG.DEPT. NOTARY PUBLIC,State of N. TOWN E OLD No.4725089.Suffolk Cou Term Expires May 31, 1 0 x 14 I. M9 m �C.� NO � C�7JOM N z 0 �O C1 ffi x CA m y p C! a N yy n 8166 •� f.. .b N ~ r s o c_In - i to m ci"n MW o Ln to O Z tD = m � CD A P lD ni-: _ EphQ C N c s - T R y y Oro O y T zm z o N T N C o ,Ii o t m s A, ®ul ^ Sm 0 MC OD a RL Z0 o N . o N ' s a CJ o a mm z m ys b m 0.ZE . Mw 0 [!1 Mt of c r o• o � n � 8 � yf.-• I.L1H' � � f yy �Q w n x C. N m l0 C C R m Z A m N j. we D 0 W / N^ A D7 v rn o w g oll 3 a - R Vi;O N o �'' a W A • ti {li mc N ,a Ch q m P R _ c r m£ — 9a z N ID We eurveY N a VIDUM M ' 'Section]208 of dte New YakBMy '. L F_eucatWn law. COPIB60�fhissumey Te01101 tp 1 71018nd SurveY0fe ifted Sal Of f{.. ( !q V*,HTn Or�.FA''WAY embossod seal ahau ndbe W oe a valid true dopy. ,. indicatedhereonahee ' o�iy to the Person lir whd 1tlw a "+ isxswrae,and pnhi6 behaeto Ne' . ,50N nod roc;ary gow:mmentel ayenCy Iertl.n7,rsx.a:.cn listed lwreoneM, .'' ((4 cif i tot :G,.uvn:e sarer sttrraaenaro� { to odSilanalaWautionsa }�5 a ++ MEQ PP 0 P , K r ley POW. L _._ All to 44 L } N 4 L " y hp zecaAw soars �Q C>50 aR.�,.,, MCS' vPON 44 ° rrPa �� � .. ��.a t✓* �'JF� ^'rrYYYs ,i 4'b(', s ' PF—C04 r4W, M AP VArA I *.'K.YJ:" I'�r.�^y K ryt f QIP ,�'� . . _ ,`.:; r=•. .. , - ,,. - _ �,F�� 4,1 -v ••�sYY�rw�JwWu�Nyswnwwr4i�F�rvww�wd�.wrw�*r.n.v.�+wM�M+'�w.,.«�rM+%Ir- i FeuoanEdwavon LA olthe N8W1'pft z,�b, taw. 3 ,;vr S' j ( f CaPi8softhlssur"y Mej)"d` 1. 5AtLCp, HT OF NY Mobntl I.. , eyors bketl eeeiar MRf. 0 _ e+beas (ld 1,she,V. he�Py d f roboavahtl tNB oaPY. �/e,t I fi va Ycas intlioetetl hareew theq Nh ' f 4 a v(�{ry x�^ yl :h'e oersen turwhom thew," �w6l tis4 "E. A' x k= anQanhishahelft6Me- R,qT.-.. 44 gancygq. f t. yk ••"w' ` k ,-Iis:eU heaga Raz t oRl»bfWt�ies0 2 G''a�, f tv - ">•arn notkaaafeYebk . �• - ' MAS' F PO���. �"'"'a°°a�` to) y,' �_..�....,..,..._....._... ' r� a AT EAST Q 1 TOWN01 7dTH ,x " wy� l...J O GIN PQ12CM 0��� Y L - 491-t-AK DOOR. _A�' yp a-# a Mu T' w•.r a....e..,w.wya..,,,ga.w..,.n.. ,.,,wr.,5,.e., h.+•..+n+..-...-�^e�+.w�.�r v..wr-ew+' " . x n o��g0FF0(,��0 Gyp N y. Town Hall,53095 Main Road p • Fax (516)765-1823 9y'rlpl �� Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 9 , 1996 Samuels & Steelman 25235 Main Road Cutchogue, NY 11935 Re: Robert Ungerleider - SCTM#1000-31-13-9 . 1 Prem: 11292 Main Road, East Marion 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) xx No Underwriters Certificate on file. xx The check is not on 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 # 23091-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INS [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: &1 �4� v4` DATE INSPECTOR i � 309 765-1802 UILDING DEPT. SPECTION [ OUNDATION IST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE S CHIMNEY REMARKS: r DATE ! INSPECTO �, I� l _ � '�, i� -�,_. �,,_.�IL.....__.._._..�.- -_-__- - --- ��...........,.� -,m......�... .�...� �..�w... ' �y `'.�, t 1 033 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ 71NStLATION GH PLBG. FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: c� DATE INSPE M-1802 BUILDING DEPT. INSPECTION [ J FOUNDATI -7ST [ ] ROUGH PLBG. [ ] FO DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ J FIREPLACE & CHIMNEY J REMARKS: / o�'/ e, h mss. A/� ---- Q DATE all A6 INSPECTOR ! 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ OUCH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ) FINAL ( ] FIREPLACE & CHIMNEY REMARKS: DATE 4allw INSPECTO M-1802 B DING DEPT. SPECTION el FOUNDATION 1 ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ) INSULATION [ ] FRAMING [ ) FINAL [ ] FIREPLACE A CHIMNEY ARKS: �`IP i DATE I /7 f� INSPECTOR C DD la-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ } INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC & CHIMNEY REMARKS: 11/ © �<� �-dc DATE INSPECTOR ' yJ F[rLn *N F;1,:•Cu KGP(?RT DATE _ C(Mr1f;N1'S - % rouNnn'rroN ( 1sr) --- ii---- - $ - - — -- ii. - - ----fly- /- - --- ,�< �/��� ."'_. ✓x?ua�' ---. ... POUNnA'rioN (2ND) -- I f---------I� --------CSC----- �- ----- - � ---- --------------- It011611 FRAME* 6 PLUMBING ------------ II � T NSOLATION PER N. Y . STA'I'Ii liNii (GI Y I --_____ - � - - - - -- - - - --- -----._ 1 -------- -- - -------- -- ----- -- --- ��,., CODE it--- - ----�a-��--�- -- --- ----- PTNAL - I ------II—'--------------------'- ------- AODITIONAi. COMMENTS: ------------------------------C'4 H H \ O z zi r ------ ------------------ o cn ^ ._.- __ _. .. _. _ ,..-- - ---.....---'------------ - -'-- _ ._-__- - ---- ------ ---_. __. __.------ d Til I c .... ._....._.__......«.,. _..«_..,_..�___. ._ � G•�I - i SCO• ~�}`?1 �.!d ,-idv`! �;�?i'^� �._!?"i� �N. S OV 71S',b'rn' "re7i�Nr3 GAJ- •��:�..i. (G(�' �-\\ r" .r .��,1 .t7 apS ONY)pSs - <„'Cti9yZ OJM' hJ'4JG "` N19 �� ISi 1 7�Mol ly T A. 1 ND ManbOelpslo GuDpPwul lsugPPPe of ' el4ewpum lou ew s"meng'uollnt YwuIBNPueleWlo saeuBi66oayl el � w e ' pue umaq Pontes IWI BUIPuol �`• pue Axaw pWwAMMW5''AMdwoo eM nog w Meopa9ewdetd8 AeiuneplWp4%llllpJattend plot Nuo PMOPleuoaeiloule4e111"P"spWo toleespeMt4f.m"epueleN Buyep wudeWAwmsl411oseldoo 'Mel uolisPnPil A , OMS MOA MN Wtoe W(WS ,,.,..« ...—...«........._,._...�__._—. �>� uowPPelo e?Peleye PM04weu(I �gOFFO(�- Albert J. Krupski, President 019,0� �Gy Town Hall John Holzapfel, Vice President 0 53095 Main Road William G. Albertson y x P.O. Box 1179 Martin H. GarrellOy �� Southold, New York 11971 Peter Wenczel '�0( �O Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 26, 1995 Samuels & Steelman, Architects Nancy Steelman 25235 Main Road Southold NY 11935 Re: GRUEN UNGERLEIDER SCTM ##31-13-9 Dear Ms. Steelman, According to the information given, and a copy of the survey submitted to construct a one family residence, is out of the Wetland ordinance under Chapter 97 of the Town Code. Please note that any activity within the 75 ' of Wetland area will require an application from this office. If you have any questions, please call our office. Yours truly, Albert J. Krupski, . Jr. President, Board of Trustees AJK/djh CC. Bldg. Dept. CAC S A M U E L S & S T E E L M A N March 25, 1996 � Mr. John Boufis Building Department Town of Southold Southotd, NY 11971 Re: Fireplaces Ungerlielder Residence East Marion, NY Permit # 23O91Z Dear Mr. Boufis, Enclosed, please find a certification letter from Steven L. Maresca, Consulting Engineer, regarding the fireplaces at the Ungerlieder Residence. Yours Truly, Samu s & Steel I Architects - Nancy - t elman, RA ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (516)734-6405 FAX(516)734-6407 STEVEN L. MARES CA CONSULTING ENGINEER 188-07 W.MONTAUK HIGHWAY•HAMPTON BAYS,NY 11946•(516)728-9480•FAX(516)728-9484 March 19, 1996 Samuels 25235Main Road an Cutchogue, N.Y. 11938 MAR 2 6 Attn: Nancy Re: Review of Fireplaces UngerliederResidence East Marion, N.Y. Permit # 23091Z Dear Nancy: As per your request I have completed a review of the three fireplaces within the residence as referenced. The purpose of this review was to ascertain if the modifications made to the masonry was detrimental to the functioning of the fireplaces and chimney structure. The home has three fireplaces of various sizes connected to individual flues within a single chimney structure. Each of the flues is 9" square with paraged brick for a liner. The two chimneys on the north side of the chimney have had modifications to the hearth and the face of the chimney. These modifications do not effect the function of the fire box nor the chimney. The firebox on the south side of the structure has had some modification... Brick -has _been added_ to the.--sides—of-the firebox, --- creating a larger volume. I have reviewed this geometry and can certify that the chimney structure and flues can handle the increased loading from this firebox. This will complete my report. 9 O S, 1 es P.E. 4V 1 b�� MaN AO��� UneulhorireId ehomdon or Weldon .. .+..•:-r...w.w...+..,,...........M..-. ...:,,.....v.,,,..,....,`.....,....-..........,.......«n,....-.....+d..a»....,. +.Wt�aboiYLWl: o9 4-^'^o-^*" . '• Section 7208 ofiM NBwYalk Stat@ , - _ Eduaetion Lew, Copies of this surto map not bearing TV6'�{��`dA141� thelendwayohNked�eaox _ emba6ssdtMN NMN tf@tb@twnsklered Id lzlC -r o WAY tobeewdwwoom fC) MAN C3AL7 aum onryG�todtl empM axumeY is pmpand ondcnfdebel egtuthe tak0ompen owommonWapencrand �+ r � (� x lending lnstamlon,lleled hemonand �k.11 G/to ,Grp IV,47t V 50 F, t3 ,h tothe assipnestafuwlending M811- iWion.Guerentaea ete notimntfetable t_ _ '7t.�'J� � toaddidonel InstnWlons orUbsequent 4 MAP OF PROPL ..TY C POP- i } � r2 F . . et A ni LU M LEJ r . . > �# BIH 5TO � , M RiJ..thtCRYUA OF N vvv"'Q r 0 G� 0. 9 �oa> .. . 2.5 'LAND $� �I vep14 K BIW t�.�, tt�¢. rC 3 �(6 kC€�?rft 1 Ct{�k w �{� C �a p 1 Std ..dsrry f Vk�_R 7�T - F ay { Y p,( ,,$� � ♦�y� ti lop t ¢C S �t�' N � $ L `b3�Yv pe), x� f MA I Ye+'.3k?H..-m.:,wt.+..+..r'N+.r..M,.e.....,w..w,.....n,.,..•r.......,. .,. ..aw+.,,.e.,,.�a+r.,�».......�....rv,at..w..,x.J,+..,•e^vaw�?�i-y.+; � urn kv 11 . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i 1001093 BUREAU OF ELECTRICITY. F 85 JOHN STREET, NEW YORK, NY 70038 Date APRIL 30,1996 Application No.on file 11032096/96 N 384562 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant"mod on,the above application number in the premises of GRUEN-UNGERLEIDER, MAIN ROAD, POLE #285/108, EAST MAPIONV N.Y. in lhefollowinK/,motion; El Basement ® Ist Fl. ® 2nd Fl. 3FL/OU`1t Section Black Lot 11A was examined on APRIL 25,1996 and found to be in compliance with the National Electrical Code. FIXTUREECEPTACLES SWI7CHE5 FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUORESCENt OTHER AMT. I K.W. AMT. K.W. AMI. K.W AMT K.W AML H P. 11 21 15 9 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPICIAL R9C'PTj TIME CLOCKS I BELL I UNIT-HEATERS MULTLOUTLET DIMMERS AMT. K.W. OIL H.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. pMT. N P. SYSTEMS AMT. WATis NO.OF FEET ! 1 12r 1 30 5 600 f SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER Ip3W I03W 303W 3%AW NO,OF CC COND A.W.G. NO OF HIAEG AWG NO.OF NEUTRALS EQUIP, PER C. OF CC.COND. OF HI-LEG OF NEUTRAL IOTHERAPPARATUS: PADDLE FANS-2 MOTORS:2-F N.P. PANELBOARDS:1-15 CIR. 100 G.F.C.I:--7 SMOKE DETECTOR:-3 1 TRACK LIGHTING:--5 I F LL E DOROSKI ELEC, INC. LIC,#2941E GENERAL MANAGER 425 MONSELL LANE CUTCHOGUE, NY, 11935 Per ` This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ' ntified by their credentials. 1 k . COPY FORBUILDINGDEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE 'ALTERED IN ANY.MANNER. February S, 1996 Mr. John Boufis Building Department Town of Southold Main Road Southold, NY 11971 Re: Ungerleider Residence East Marion, NY Permit # 23091Z Dear Mr. Boufis, As requested in your foundation inspection at the above referenced project, we are enclosing a drawing of the as-built foundation at the bay window. This detail was approved by us, once we evaluated the existing conditions at the bay window. If we can provide you with any additional information, please call our office. Sincerely, Saand Steel n Architects R-B 1 3 1995 N/ncyStee a(0 {, SL!HC1IS,r„ . ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEW YORK 11935 (516)734-6405 FAX(516)734-6407 GAIN13S CONSTRUCTION 541 Manor Lane RlverheaJ New Yorh 11901 516.722.5446 I J� 4` 6,0 h C r.l �"f it .4 P�/rO r� o , ' N S A M U E L S & S T E E L M A N March 6, 1996 Mr. John Boufis Building Department Town of Southold Southold, NY 11971 Re: Fireplaces Ungerlielder Residence East Marion, NY Permit # 23091Z Dear Mr. Boufis, We are writing this letter to clarify our intent in altering the existing fireplaces, located in the Kitchen and Living Room of the Ungerleider Residence. The following is a brief description of the work being performed. LIVING ROOM FIREPLACE The existing masonry fireplace consists of a hooded masonry flue opening which projects approximately 4" from the side of the firebox. My client want to incorporate a wood mantel and slate surround on the front face of the fireplace. This requires filling in both sides of the firebox approximately one brick thick to become flush with the hooded masonry flue. The existing flue is adequate to handle this very minimal change in the depth of the firebox. In addition, we are removing the existing tile hearth which was placed directly on the existing wood floor, and wood framing. We are constructing a new 20" deep bluestone hearth on a concrete slab to meet code. ARCHITECTS 25235 MAIN ROAD CUTCHOGUE,NEW YORK 11935 (516)734-6405 FAX(516)734-6407 KITCHEN FIREPLACE The existing masonry fireplace is receiving new brick facing and a new hearth. The intended alternations are being done to resolve the problem of two different types of brick use in the original construction and to cover up a patched hole that was originally used for a metal flue pipe. The original fireplace did not have a hearth and we a constructing a new 16" deep brick and concrete hearth to meet code. If we can answer any additional questions, please do not hesitate to call. Yours Truly, S4 s & Ste an Architects /Nancy Ste Iman, RA 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . ! . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . , . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost ./�aOr100.4. . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, 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 . . .s3. . . . . . . . . Depth . 4i . . . • Height . . . . . .Z . . . . . . . Number of Stories . . .2ya: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . .9ar11C . . . . . . . . . Rear .5&Mee. . . . . . . . . . . Depth . . . . . . . . . . . . . . . . Height . .'A . .32, , , , , , , , , , , , , Number of Stories . . X21. . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . 9. Size of lot: Front . . . .��'`r+. 33. �' �1. '• • • .. • • ' • ' • • ' • ' ��o. . Rear . ./. . . . .�a. . . . . . . . . . . . . . Denth . . .r.7'. . . . . . . . . . . . . . . . . . 10. Date of Purchase . .JG J.7915 , , , , , , , ,,, , , , , , , , Name of Former Owner ��p{89�(�h . , }}�� . . 11. Zone or use district in which premises are situated . . .IS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .' 12. Does proposed construction violate any zoning law, ordinance or regulation: . .n. R . . . . . . . . . . . . . . . . . . . . � 13. Will lot be regraded . . . . . .W . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes 14. Name of Owner of premises U �N 1:7 . ' . . . . . Address .I.Joaes ST. . �' . .Phone No/21.3). . . . . . Name of Architect W34!�YL'�}'AM41I "Address2523.51"Wn CyWPhone No.73.4r-%(0 O.S. . . Name of Contractor . . . . . . . . . ... . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . 15. Is this property within 300 feet of a tidal wetland? *Yes. . )(. • • • No. . . . . . . . . *If yes, Southold Town Trustees Permit may be required. e�CGc2 � UYt�klb PLOT DIAGRAM J h Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. �a}lachc�l s�rl,� STATE OF NEW YORK., COUNTY OF . . . . . S'S 'Q • • • • / /��1(C• • • • •s7 �� /`/.!�!. . . . . . . . . . . . . . being duly sworn, deposes and says thabhe is the applicant (Name of individual signing contract) above named. $He is the . . . . . . . . . . • . , . . . . !c! . . . . . . . . . . . . . . . . . . . . . . .,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) if 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 mork will be performed in the manner set forth in the application filed therewith. iwo to before me this 5 . . . . . . . . . . . . . . . C�. . . . . . .day of. . �C�C'Zd`� . . . . . . . .. 19 4otary Pubkic, . _ Cou LINA FMICH Notary Pubtle,State of Now York No.4985883,Suffolk County (Signature of applicant) Term Expires Sapr3;199') BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLASIS . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOT I FY ; CALLi11�15 `almsia Examined , 19 MAIL TO : Approved 4�'. . " l , 10 Permit No � � — . . . . . ... Y . . . . . . . . . . . Disapproved arc . . . . . . . . . . . . . . . . )APLICATION �. . . . . . . . . . . . . . . . . . . . . . . i /�Building Inspector) TOWN O? FOR BUILDING PERMIT ' � Date .06T,. .15. . . . . .. 19 ,15 INSTRUCTIONS a. This application must be completely-filled in by typewriter or in ink and submitted to the building Inspector, with 3 ets of plans, accurate plot plan to scalae. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets >r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ;ation: c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applicatilon, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 .hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding 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. he applicant agrees to comply with all applicable laws, ordinances, buil ing code, h sing code, and regulations, and to dmit authorized inspectors on premiss and in building for necessa ections. . . . . . . . . . . . . . . . . . (Signatur applicant, or name, if a corporation) j 252WI. Rin . (Mailing address of applica ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . .I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vame of owner of premises . . C1rl�)d�r,. .,C'(f�"h�9�" '�'J �'f /'y �/ ��. , . , . , . . , , (as on the tax roll or latest deed 'f applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . (Name and title of co..orate officer) Builder's License No. . . . . . . . . .'. . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . .'. . . . . . . . . . . . . . . . Electrician's License No. . . , . . .I. . . . . . . . . . . . . . . . Other Trade's License No. . . . . . Location of land on which proposed work will be done. . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W12'17"2. . . . . I`'ts in .fid. . . . . . . . . . . . . . . . . . . . . . .jffa�r, , Harkin. . . . . . . . . . . . , . .. House Number Street Hamlet p County Tax Map No. 1000 Section' . . . . � . . . . . . . . Block . . . . . C) . . . . . . . . . Lot . . . . 4 .� . . . . . . . Subdivision . . . . . . . . . . . . . . . .(N� . . . . . . . . . . . . . . . . . . Filed Map No. . . . . .. . . . . . . . . Lot . . . . . . . . . . . . . . (Name) State existinguse and occupancy o1'premises and intended use and occupancy of proposed construction: P Y a. Existing use and occupancy ,1lc�nc�i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --// �,mrti m b. Intended use and occupancy A`01 ,/ NSIGLP�'1Gpi . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... . . . ... ... . : :... . . . . . . . . a a L FT� 6 EXI5TIf�IG aE^C) DD(? O WALL9 GEILINaa <7trIFN �EXIST. '�'NCtaW Z } TO REMAIN, rLELIraE EXIST �I.tT'R� �- EXISTING RGbF le D NAREAS WHE2E PATGHINGi W IS ;?6 LJIRFC OLE RJ NEY1I REMo.� T BELOW ry , v WNSreucToN < New "' Ci'"DR�cGE W� Z + L Ex -4,11 1 w o14 - To asE�ctir, VEAIFY ALL PV�VIDE. NEhI/i -PRO✓IIDE N�YJ r„1-1PFX.Y NEW W�+LL. MCWvr ,. Dlr'IEN51dr.. P5 PE2 MANLF W,P GY , DD.1i IN6L REMNE EE(15T LINES To EXIST SINk SINK ``=; ;:m" tti":.' r '� 121=Gii;IREMf'VTS, LANG f�-K r-54V1= - \ Fl7N WAL," 2 10::ATF. F5(57'� -- EXIST• wINR�WS 2EMA/E E>(IST- Ipor.]R� �• W'G' �T r,'ria '.�, ,/ "WINDOW". PA CH hV TER'AV CC P fd. LINAC E'If+ENT By N 1JD r-Lx �,x IST OPENINN I _ z LL WD FLI�9Pi/E Rel: _ —_ fi u Z " REU9E �iD`XIfYa � CIWNGEI�� J - ST E`SWING E� — G-G HT I o I- ,. 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REtCY.°7r (�j 'r0 N. "�,7HIZM, . OIJ � i W/5uZW1NI� 7 Lcs a, 17' p1.,7 �/ -� 'P@DrTZT6R a3uL��F�STToph_ TOWN OF S,.,'.;: IOLr, .✓ R o E RE-10VE EXIST \ 1LE E'RiFL EXIf3. 7ER R22R TRIM INFLL oFFlc E INGT^LL Nnh WINR�W, DCST T21M TO EXIST. OPENING y�/��. F REMX�� EXIST, EMNN. Pf+TcH sf P> e Il ------ �A< L 4 YYJE H./ t7 TO I ATG } j -PETER EX. CA3 _ O J '[� REL.EIVE NEW COR L � F El�i'CF I Z � R 2ELGY.ATE O ; for water INsr �N W r'�GK FPGING 41N5TALL I�EW ERIGK \ A5 R2ta'Q ADT. -- (D(15T. SNISHES-FkaLH copper tubing is used REUSE k�CIST kM H _ W RE L7✓E EXIST PFS 2F11�, REFINI`jH EX, 9 LL NEEW CHIMNE ( U p ��PLPTM � � N v loop FLOOR) Y" Orn; Piping shall be For', 2E20LTED MEr.H, To NE�J F>ATHR Of types K or L onlyZL /Z1,L. W Z (exlsrFINISHEs I'SH FX II o r • O ® L� 16�T F 3 AS 12F1,2'D. 2E.FINISH FX, -- -- 1G/7 1•-' PLUMBER CERTIFICATION r v N ON LEAD CONTENT BEFORE Wp FLS NE6J r , - To WATCH 1,J -- — CF,RTIFICATE OF OCCUPANCY R# WwGt�W SOLDER USED IN WATER yE EXIST. T121M PL.LIDAM;pl, SUPPLY SYSTEM CANNOT R RE3E t ALL PLUMRIPlG WASTE -_-�- -- r --------- } pE.D I�oOM �' I �R4''711� +M'2 &WATER LINES NEED 'fYCEED ZI7� of 9�o LEAD. FLUSH PME.B r FKISr PINIM3HE ) ESTING BEFORE COVERING n '� �'y �, ------ --- W (�X1st � /S" , A 7 N ¢ s Z 3 ��@I yRITERS CERiIfim Lip- REQUIRED JP REQUIRED As.P.pOTE® f % ��`, KEaAce ExlsT E ,r/\t� /y 1 T (� DATE: / -- X15rING N��S (TYP �• a FEE: By. REF''_AGE EXIST WD coL,To 'NA7 -'I-I EXIST �y - " S EGO NC.) tt NOTI YY BU�DEP RT T r-OL TO MhTGH DC ST, IN,I�CGA ST40 RANCaE�-- - b Q F+ F�QQ 2 �I--r SIV 765-1802 9 AM TO 4 — 2x/o cGATR- ' _ FOLLOWING INSPECTIONS: THE � (P"� U }-qJl+ ' 2i-� tf•_- N � • '/q•° = I '- O" 1. FOUNDATION - TWO REQUIRED -- _ FOR POURED CONCRETE c I p S` T " r 2. ROUGH - FRAMING 8 PLUMBING f 1�' 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ' I Fht EG2 I ALL CONSTRUCTION SHALL MEET REL15E IST; D--�'1EZ ' I THE REQUIREMENTS OF THE N.Y. --AI-ICON �• (^U PtE -�f t'Fg,. _ STATE CONSTRUCTION & ENERGY ECYaEOFTRIM �i~� STFF` ho�� CODES. NOT RESPONSIBLE FOR CWINLbW E D2 _ Y e, DESIGN OR CONSMUCTION ERRORS 'NP9LL News 51NK,P '\1 tY 4 G{I7; EX. PL G-lh i I F'LLJ��j INra GL DR C 017953-1 -✓ - DCIc,T '�'/�DER �; I-= kl2 ro>,Jr�az rP Twp H� N'. .,�. � - --- }I _ S_ "��I� �E:J 3h�V'H HAND- 'd✓Q� ? 7�d p _ __- __ __- _ _� Project cj<jl''f . NEW 61aG< -- L G I+�I�E3`wUSre I �l j e ��,Pl,�f p K4STuD5(F'l.'.-D Gt D2 CHIMNEY (ONO, A� � d® IS UN , 'yds. d-��fL I^VRE 6EAD ED -REIX_l LIE EXIST' Drawn By: -r 5 �srE LZ [D PArcH GE.�'� ITI p�-g�T - t�1TGfHEN cE1uNGC° D.R. Z EXIST: � " " � � - 5CI5T CHIMNE!y o EXIST - c EXI5T R9RMFr DORMER - --- ----> NEW 321cIc � 4^ CHIMNEY _ - RAGE TRIM Tt7 .acls . C:OaME2._O WCO[) SHINCaLE5TGaRMFRS EAiS"' a NEW — ®DE `r 7Z-H DIST. . EX72ND EXIST COR 1Ea2 - _-- --_--- W/ NEX CAFE+`"tlENT WINgob.IS JEn I Ef. 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