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Home My WebLink About25250-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26437 Date: 05/10/99 THIS CERTIFIES that the building ADDITION Location of Property: 695 YOUNGS RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 18 Block 1 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 26, 1998 pursuant to which Building Permit No. 25250-Z dated OCTOBER 20, 1998 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 ADDITION & RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANNE F KEATING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 04/27/99 PLUMBERS CERTIFICATION DATED 05/07/99 ROBT.VAN ETTEN PLUMBING Building Inspe for 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. 25250 Z Date OCTOBER 20 98 Permission is hereby granted to: ANNE F KEATING 160 WEST 71ST STREET NEW YORK,NY 10023 for CONSTRUCTION OF AN ADDITION TO AN EXISTING ONE FAMILY DWELLING AND RENOVATE SAME AS APPLIED FOR. at premises located at 695 YOUNGS RD ORIENT County Tax Map No. 473889 Section 018 Block 0001 Lot No. 005 pursuant to application dated AUGUST 26 98 and approved by the Building Inspector. Fee $ 75 . 00 Inspector ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 7 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir 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 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 buildi 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 a "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 applican 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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . x. .�7 . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . .. Old Or Pre-existing Building./. . . . . . . . . . . . . . . . . Location of Property. . . .-94r. . . .. 0.4 AJ.f . . l.G4>Jrid . . . . . . . . . . . . . . . . . . . . . . . . . House No. LL Street Hamlet Onwer or Owners of Property. hoc. . .�C G. . 1.�. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. Q,/.c;6 . . . . . . .Block.C.0.(- / . . . . . . .Lot. . . r. . . . . . . . . . Subdivision. . . . . ...r. . . . .. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No.v�S.�LS!a? . .Date Of Permit.C� /��. .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . .. . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . t/. . . . . . . Fee Submitted: $. . . .- . .2 !F. . . . . . . . . . . . . . . . . . . . . 6U,c. SG!9 7 APPLIC eo37 oFax(516)765-1823 Town Hall,53095 Main Road H Telephone(516)765-1802 P.O. Box 1179 - 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 DATE: Building Permit No. A owner: (please print) Plumber: /QobPrl l/t�� ,E7�"tzrJ 3ooS-!° (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this ? J day of 192Z Notary Public, County HELENE 0.HORNE Notary Public,State of Now York No.4961364 Qualified in Suffolk County Commission Expires May 22, 19 IAF `F P" PEf ' V SURVEYED- P T R,ENT � c mac'`1 r_- c� O I \./ •, 0 Lo ... _` i 1Y2 5T-Y,. f: I a 2IVZ , N 74 55 20 ' ti,WO 4"W -j4M " 1�M1Q�MI�IMt10111q° + rF ra ' c t°r+tDii!' iKMA�Imt4'rer I LA s _ � e UAQcAt*JaEO TO CHICAGO 11-LE INSUwANcC :�-a.� FLEET f QQT.iAGE lzoC sicyi VAS TIJ P.C. T 765-1802 BUILDING DEPT. INSPECTION [ ] FOU TION 1 ST [ ] ROUGH PLBG. OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE KS: DATE INSPECTOR 70-1802 BUILDING DEPT. INSPECTION [ ] FOUND ON IST [ !;]ROUGH PLBG. [ ] FOU ATION 2ND [ ] INSULATION [ MING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE �� INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ SULATION [ l FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR cl—6 765-1802 BUILDING DEPT. 114SPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REM RKS: oa DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]7"TION [ ] FRAMING [ L [ ] FIREPLACE & CHIMNEY REMARK ell Air DATE INSPECTO / 1 � .rte i �/,� �•%L�� / .� ...ami: • • • • i/ i 'i iL_ iii ��...�,�,��/�, f � / I i • II � -I • I-I OfflAill 1 11,15v lG' AUG 2C BOARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . Y� TOWN OF SOUTHOLD SURVEY . . . . _ _ • . . . • . . . .. . BUILDING DEPARTMENT CHECK: r�r`'' '''. "d`� t^ TOWN HALL SEPTIC FORtl . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NDTIFY lC�/� 1((�Vf� CALL . . 76S:5.77. Examined . . . 19 MAIL TO : . . . Approved . . . .XOX 19170 Permit No.c 4 0-? . . .. .. .. .. .. .. .. .. .. .. .. .. .. ... .Disapproved a/c ' ' ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J. B g I spect APPLICATION FO BUILDING PERMIT Date, . .Z: . . . . . .. 19 8 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 scale. 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 application, 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 �egulat:ons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Che applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to idmit authorized inspectors on premises and in building for necessary inspections. <�* * CII .. ..R . . . . . . . (Signature of applicant, nam�rporation). . . . . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . ve9 n o. c . . . . F, keQ ��.. (as on th ax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. Plumber's License No. Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . f. Location of land on which proposed work will be done. . . . . . . . . . . . . . J vy House Number V Street Hamlet County Tax Map No. 1000 Section . . . . . ../<9. . . . . . . . Block . . . . . . . , Lot . . . . S. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . .(Name. . . e). . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . '. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy �' k,, ,� l /. p) //:1ar..i.>lt 1�C.Cio�ci� AT2AHT3&�SI.13 qV/ t/ioYvE+,, tddt�t2,O`dt?l.''rsti.�,t�,t9. . . . . . . . . b. Intended use and occupancy .St ✓i �, `rt �C.Si��8eoul.taryx3:::,sT. �: 3. ;Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . >' Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . . . .,f e<1,G.r1. 0. ..... . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . (Description) . . . . . . . . . . . . . . . riptio . (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 natire and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . �8. . �:', Rear .a 6 ��'.'. Height Depth . 2C . tf , , , , , , . T� • �• • • • • • . . . . Number of Stories . . . . . . . . . Dimensions of same structure with alterations or additions: Front .2 �i.'.��!. . . . . . . . Rear . .d O.",C," Depth . .,a 8.'.4�r . . . . . . . . . . . Height . . . . .IJ- �. . . . . . . . . . . . . Number of Stories . . . ./.sr1, . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth Height . . . . . . . . . . . . . . . Number of Stories . p " " " " " " " 9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . .Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase " e ' ,/�4�9..3• • • • • • . • . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . /I/v . . . . . , , . . • • , • • , , 13. Will lot be regraded . . /YR . , , • , , • • , • . . , . • , , , , , , Will excess fill be rem9oved fro premises: Yes 14. Name of Owner of premises .Ah�<. ./�eq�L� s , , , Address �„�,S ,��OJ,•Qr�f Phone No. Name of Architect . .�S'u,so.h . �'vKw>' . . . . . . . . Address ,. ,9s,,�Qof., �il•,r�,;/, , phone No. Name of Contractor . ins/c.l: , o✓� . . . . . • . • . . . . . . Address :S. Is this property within 300 feet of a tidal wetland? *Yes, , , , , . No, *If yes, Southold Town Trustees Permit may be required. 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 number or description according to deed, and show street names and indicate whether interior or corner lot. n TATE OF NEW YPRK OUNNTTYY•, OF . . . S.S • • • • • • • • • • • • • . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) )ove named. / e is the . . . . . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. vorn to before me this � . . . . . . .day of. _;e— . . . . . . . . , 19 .lf )tary Public, County �Et1 ABETHASTATHIS NOTARY PUBUC.StftG1 NewYb* No.01 STt1008173.81AT 'C ' . . . . . . . .pplicant) . . . . . . . TTermJurm8. -- ( 1 nature of a pm FIW � z .r l Ir � � OQrl h level F~ I IPq E / � r � � OEM Firy I 1 '".40 tow, C L------------ -- EXIST DECK ABOVE 'I's eVEU ARCA,, . REFRAME 4 515TER %' 24'JyAb CAF. r`�cl— EXISTING STRUCTURE ABOVE A5 NECESSARY 5 NEW REINF GONG EX6 I # FTN6 4 FOUNDATION FOR FIREPLACE q0 — CHIMNEY I ryo —_EX6 BEAM1535yOP1- ---- Xo"— ----- BOh °F N LER E=� HYYDROPNEUMATIC HWH TANK SUSAN B. NEW 5"CONCRETE GARDNER, O RAT SLAB ARCHITECT 020 MIDAIDWAV PVIEW B19K, Rist ff0@90 NEW ELECTRIC P6 °24°2=3g3=9A4®® PANEL 9192-070-2090: IFAZ STOR TANK r N — -- NEw NEW MO Ex6 MPROVIDE ANPiTCA1.DAND/OR GRAWLSPAGE LSPACETNERNAE=NOCNPREVENTINO o ss^ DEVICESAtE0PAN1.y02.E(N) 6" NEW REINFORCED CONCRETE N.r.iTA1E DUUDINO CODE• FOOTIN6 4 FOUNDATION 2)2X8 --� OCCUPANCY OR m o 1'-2'If If eePPer tubing M wed L-------- for water distributing USE IS UNLAWFUL ----------- ----- system;piping WITHOUT CERTIFICATE c2, sXe -----------J °�m'°'K°rL°^'y OF OCCUPANCY REV 151 ONS ALIGN FEBRUARY 11 , 1998 10ISSUE DATE '-6"(EQUAL) 7'_q^t 10'-6"(EQUAL) ftUhIOIN6 APPROV DI NOTED _ POCKETS FOR NEW WOOD ALL/UIMU IAIAED O �, o HEADERS A5 NEC, aMIQERUNNf NEED DATE: B.P. N r �,�,e,� CELLAR TMON�Oi N ' "� FEE: ' t BY:� J CONSTRUCTION a NOTIFY BUILDING DEPART AT PLAN 1� PLUMBER CERTIFICATION 765-1802 a AM TO 4 PM THE CiL` LLAIi FLOOD PLAN ON LEAD CONTENT BEFORE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED SCALE: 1/4" • 1'•O" CERTIflCATE Of OCCUPANCY FOR POURED CONCRETE SOLDER USED IN WATER 2 ROUGH - FRAMING & PLUMBING 3 INSULATION SUPPLYSYSTEMCANNOT q FINAL - CONSTRUCTION MUST EXCEED 21I0 OF T%LEAD. BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. /� am STATE CONSTRUCTION & ENERGY •L UNDERWRITERS CERTIFICATE CODES. NOT RESPONSIBLE FOR ° REQUIRED DESIGN OR CONSTRUCTION ERRORS ° 0 U CN Env � �w V f0, . f � �I 0 r_ rfrkk / / EXG WIND RELOCATE RELOCATE EX6 996 Nikiva- �w~ TO REMAIN EX6 DOOR CLAWFOOT TUB TO REMAIN � I•�I O RESET L EX6 WC ET I I ® TUB EX6 EX EX6 ow R(9 A NO- BDRM GL E O A STAIR Vv Icy X 0 W/ MARVI EX6 WIND TILT-PAG BATH 2 EX WIND 4 STORMS STUDY ;1 o N - STH I - 4 STORM TO REMAIN m I of ----------- -------- EXIST HALL TO REMAIN - _ HALL �Lf 2x4 WD 4 -ODS ______DECK -` --- - -- ----e-- - -- 6LA55 ION 7'-0" 0 6' g"t o, g'_ 'I \ SEDWEPAR TLJV5 EX6 WIND WS j - 30x8 SHELF 4 0 W/ 1 /2" GB EA TO REMAII ; j ; ROD TYP i a -, NEW WI ON - � IV M FLUSH H -____-_-_--- L I 6' x4 BLUES'fONE _ HEARTH 17'_7^f g'-q"f 2 I J '-4" V-0" OF NEW P TOH FLOOR- ^ . - _g PATCH ; - -g -8 PI GAL 'H FLOOR A ( -r rF o D1NIN6 NEW WINDOW SUSAN Q. ilQ^ GARDNER, BDRM r BUILT-IN ARCHITECT BUILT-IN_, NEW BOOKCASE 920 BROADWAW SHELVES' CH ( GLiS GL 2 N ISI TO 2' -6"AF R1I+.�S' �'OLB�, Fl�f 9®®9® (2) 9"LVL DR P ST PO T_ 4"X4" J QI'ACS POST POST NEW EX6 WINDOWS FLO IN6 = H 4 STORMS m N la TO REMAIN NEW WINDOWS I LIVING RM �Hi �MMI ! I o it ,Ihi ; II REf KITOM , i , m �- REVISIONS 10 -6 (EQUAL) FEBRUARY 11 , 1998 /10"-6" (EQUAL) 7' 10'-6"_q^f ISSUE DATE EX6 WINDOW5-(2) NEW WIND RELOCATE NEW WINDOWS REPLACE SASH EX6 DOOR FIRST FLOOR & W/ MARVIN T46 FIR SECOND FLOOR TILT-PAG DECK I N6 CONSTRUCTION FIRST FLOOR PLAN 4 5TEP5 SECOND FLOOR PLAN PLANS SCALE: 1/4" • 1'-0" SCALE: 1/4" • 1'-0" 0 Aft P� FSO rArl %ffj No =wl NEWLINED MASONRY CHIMNEY A REPAIR Hoop TRIEX6 M ROOASF NECSHINGLES 4 EXE NINVOVi5t STORMS To REMAIN SA 1530 REFRAME ExS PORCH ROOF, pRoVIIVE NEW SHEATHING, ROOFING 4 TRIM To MATCH EX6, AS NEC NEW WINDOW - SUSAN B . - NEW NIN20H G RDINER , ARCHITECT T--- - 020 BMGAM W A [ iu0�0 REPLACE SASH H/ MAFVIN rMVW , JRR_�N-dI% M E@ TILT-PACS -77�MAoo A m.070-2990: IFAK EXIST it o O ----------------- -------------------------------------------- ------------------------------------- ------------------- I ------------ ---------------- --------- ----- ---------------------------- -------------------------------------------- ----- -------------------------- REVISIONS FF5RLJARY 1 1 , 1 q'15 I s5uF- PATE i';AST EAST "T SCALE' ELEVATION 0 Q