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HomeMy WebLinkAbout27294-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29151 Date: 12/26/02 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 2495 KING ST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 2 Lot 45 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 16, 2001 pursuant to which Building Permit No. 27294-Z dated MAY 15, 2001 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 & ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER ZBA #4890 DATED 11/20/00 . The certificate is issued to JAMES R & HELEN LECHMANSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 01/31/03 PLUMBERS CERTIFICATION DATED 12/18/02 RBT.VANETTEN PLUMBING i Authorized Sign ure Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29157 Date: 12/26/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 2495 KING ST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 2 Lot 45 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 16, 2001 pursuant to which Building Permit No. 27294-Z dated MAY 15, 2001 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 ACCESSORY GARAGE AS APPLIED FOR PER ZBA #4890 DATED 11/16/00 . The certificate is issued to JAMES R & HELEN LECHMANSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 01/31/03 PLUMBERS CERTIFICATION DATED N/A Authorized Signa re 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. 27294 Z Date MAY 15, 2001 Permission is hereby granted to: JAMES R LECHMANSKI 14 CENTRAL AVE GARDEN CITY PARK,NY 11040 for . ALTERATION AND ADDITION TO AN EXISTING SINGLE FAMILY DWELLING WITH NEW ACCESSORY GARAGE AS APPLIED FOR WITH TOWN ZBA 4890 , SEPERATE C/OS REQUIRED. at premises located at 2495 KING ST ORIENT County Tax Map No. 473889 Section 026 Block 0002 Lot No. 045 pursuant to application dated FEBRUARY 16, 2001 and approved by the Building Inspector. Fee $ 634 . 80 Authorized Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL '17 `x102 t 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC`Y- 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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 Date. E C. \vl - aD0;2 New Construction: Old or Pre-existing Building: (check one) Location of Property: 9 4 9 6r K 1 N G S House No. I Street ` Hamlet Owner or Owners of Property: [',. E L-E tmsKl Suffolk County Tax Map No 1000, Sectionq7_3.2 8 2 a- c OL Lot �5 Subdivision Filed Map. Lot:} Permit No. 7a q-7- Date of Permit.b_a fro i Applicant: A Ww\.n Health Dept.Approval: �T Underwriters Approval: Planning Board Approvals - Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ ��iC t TP Applicant Signature 6 � G30 7� C-0E-.2415 / - A � � � �- Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 17 2002 � 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$2 .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-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $15.00 Date. F_C. \`1 - aD0� New Construction: Old or Pre-existing Building: k (check one) Location of Property: 94 9 !� K l N G S I - ©121 E N i House No. I Street 1 e_ Hamlet Owner or Owners of Property: E b E. E L im S Suffolk County Tax Map No 1000, Section 3 $ a- c Lot Subdivision Filed Map. Lot:: Permit No. T j,'l Date of PermitA A O 0 j Applicant: A wwvo J Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) Fee Submitted: $ 610,�14)4 r b Applicant Signature 6 ar (930 7 � CD E-. T 15l LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER - P.O. BOX 162 Q n GREENPORT, N.Y. 11944 (631) 477-1652 2 A/0 // ��i� 5•�7�'/d ��Wh $vi / jg4A R°Ff �e ► 1/ewf� t ! f�jt jnS ..lc7'�oh j/e ins p�� {-c��hfa c[ / �peYt h9tb"o"� /Byt -fit' r/1� 6 �j�� J a ^ N Vf, v4 �h ac6Uvd//c"G� li CHt � �� t� G►.1/4h / W •r / Un �� r ^� trt bpi i3'�i1 s Re-V SOP Nfwr0 r,E r� 9� � R y{ x * v { cr 032254-1 �t1V V op9OFESS10NP n , : f APPEALS BOARD MEMBERS 00 Southold Town Hall Gerard P. Goehringer, Chairman 53095 Main Road James Dinizio, Jr. y Z P.O. Box 1179 Lydia A. Tortora • Southold,New York 11971 Lora S. Collins 'fj�C �O! ZBA Fax (631)765-9064 George Horning 1t Telephone (631)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD FINDINGS, DELIBERATIONS AND DETERMINATIONt MEETING OF DECEMBER 7, 2000 Appl. No. 4890—JAMES AND HELEN LECHMANSKI STREET & LOCATION: 2495 King Street, Orient 1000-26-2-45 DATE OF PUBLIC HEARING: November 16, 2000 FINDINGS OF FACT PROPERTY FACTS: Applicant's property comprises 11,812 sq. ft. on King St., Orient, with road frontage of 63 feet and depth of approximately 187 feet. It is improved with a frame house and a garage, having footprints of 642.75 sq. ft. and 254 sq, ft., respectively. BASIS OF APPEAL: Building Inspector's Notice of Disapproval, dated September 11, 2000, denying a permit to expand the house and the garage because the proposed construction would bring lot coverage to 22% whereas Code section 100-244B limits coverage to 20%. AREA VARIANCE RELIEF REQUESTED: Applicants request a variance authorizing expansion of the house and garage as proposed with lot coverage of 22.3%. REASONS FOR BOARD ACTION, DESCRIBED BELOW: On the basis of testimony presented, materials submitted and personal inspection, the Board makes the following findings: (1) Data noted on a survey by Anthony W. Lewandowski, dated July 24, 2000, indicate that the expanded house would cover 1757 sq. ft., or14.9% of the lot, and the expanded garage would cover 880 sq. ft., or 7.4%. Total lot coverage would be 22.3%. (2) Although applicants propose to expand the house substantially, its width viewed from King St. would not increase. The expanded garage, however, would be wider than the existing garage. Small lots are common in the area, as are accessory garages and barns. For these reasons, the increase in lot coverage authorized by the action set forth below will not produce an undesirable change in the character of the neighborhood or detriment to nearby properties. (3) The Board concludes that allowing applicants some relief from the 20% lot coverage limit, to give them somewhat greater flexibility, is not a substantial variance. (4) There is no evidence that the action set forth below will have an adverse effect or impact on physical or environmental conditions. (5) The action set forth below is the minimum action necessary and adequate to enable applicants to implement their expansion plan while preserving and protecting the character of the neighborhood and the health, safety and welfare of the community. RESOLUTION/ACTION: On motion by Chairman Goehringer, seconded by Member Collins, it was Page 2 — December 7, 2000 ZBA Appl. No. 4890—J. and H. LechmansId Parcel 1000-26-2-45 at Orient RESOLVED, to DENY the requested variance and ALTERNATIVELY to GRANT a variance authorizing a maximum lot coverage of 21%. VOTE OF THE BOARD: Members Goehringer (Chairman). Tortora, Collins, and Horning. (%Iembe- Umu�.was absent.) This Resolution was duly adoptod (4-0). 12L GERARD P. GOEHRINGER, EWAIRMAN ���OPPROVAL � 7?' �UJ Town Hall,53095 Main Road TFax(631)765-1823 P.O.Box 1179 BU . T Telephone(631)765-1802 Southold,New York 11971-0959 NOTICE O BUILDING DEPARTMENT TOWN OF SOUTHOLDDATE; September 11, 2000 TO Helen Lechmanski 14 Central Ave Garden City Park NY 11040 Please take notice that your application dated August 7, 2000 For permit for addition to one family dwelling and addition to accessory arage at Location of property 2495 King Street Orient County Tax Map No. 1000 - Section 26 Block 2 Lot 45 Subdivision Filed Map # Lot # Is returned herewith and disapproved on the following grounds proposed construction on lot 11,812 square feet not permitted pursuant to Article XXIV Section 100-244B which requires a maximum_ lot coverage of 20%. Proposed additions will have lot coverage of 2637 sq. ft. or 22% ---------------------------------------- Authorized Signature o��gpFFO(�.coG o� y� ti x Town Hall,53095 Main Road • Fax(631)765-9502 P.O. Box 1179 � �� Telephone(631) 765-1802 Southold, New York 11971-0959 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. C)j �� 1 Owner: Mee, �:e(' Wit JS b l (please print) Plumber: 92, -Ct / 3o o g>--f (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Swom to before me this day of 20 04S-- No 4S--No PCounty JOYCE M.WILKINS Notary Public,State of New York No.4952246,Suffolk County Term Expires June 12, Za'3 • EX/QT�.t/G�.P�E= Z✓j?�5.� • P.R�iEO Gypprye.= BdO�.� S3.o� LAjva- apt . '4yQ0�y t. H n � 7 � eases !,L alp nfwYo�i �7` h !3.0' .'k•L6 • J\ l+a�wrrt�.v�oe��vrxsd�v,�✓. ✓ f/ ' // >/ .�.sir�ddTo•./.�►,�.�,��.q•/Lt�te%��/�G�c✓ryl/rdu�rr�>�� Qtir,�r� E P�yrEo,/�yz9�2oo0 4PVrC•O'OV V'V11'L000 � tr B/Z a M[[d /G1Cb- � o� P. •��. Z6-CZ TOWN OF SOUTHOLD PROPERTY RECORD CARD OW:ER STREET VILLAGE DIST. SUB. LOT S ,(Cr-- 1'rN7- FORMER OWNER N E ACR. ,1n1le x ,a G S W TYPE OF BUILDING W o� 72-Am r,/ �l, s r. RES. a/6 SEAS. VL FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 6 S T G,� %LV XJ./.t lir.r a L a AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD �3 /D - - House Plot DEPTH BULKHEAD Total DOCK �. % i« 9'a' �f !,p�v i�'' ■n■■■ SSSS■■■ ■ ■■■ eA � ,-sa L�.., �; . •- SSSS■■ SSSS■ ■ ■ MIN s ._ ` �: SSSS■ ■■■■■�■�Nn ■■■ ■■■ .4 if ° MAI _�-- _; SSSS ■■■■■■■■■ ■_■■■■■■■■ ,� fw �i •-_ ,�,a �-� ■■■ ■SEEN SSSS■n■■■■ ■ NOON 15SE-20 No M ONE 0 mom No No ME ONIMME NOON Nmom NMEMOS NNNNN ■ ■ Interior Finish • M • • �i `3R�ao APPEALS BOARD MEMBERS uFFO� o��S �'�,0 Southold Town Hall Gerard P. Goehringer, Chairman 53095 Main Road James Dinizio,Jr. � P.O.Box 1179 Lydia A.Tortora W ae Southold,New York 11971-0959 Lora S. Collins ?, • �V ZBA Fax(631) 765-9064 George Horning 'f1Q� � Telephone(631)765-1809 BOARD OF APPEALS TOWN OF SOUTHOLD TOWN MEMORANDUM Imo,......... ... _....r.....; TO: Building Department Attn: Mike Verity, Principal Building Inspector FROM: Jerry Goehringer, ZBA Chairman I ws DATE: September 4, 2001 <-'-�---- - SUBJ: Exemption for Basement Stairwell (with Bilco or Similar Door) This will confirm that the Board of Appeals has always treated small basement entries with average sizes of 4x7'6" +- (with a Bilco or other) as exempt from the lot coverage requirements of the Code. Please apply the lot coverage exemption rule for standard types of small basement entryways (4' x 7'6" +-). Thank you. Lot coverage calculations would, however, include other larger (non-standard) types of stairs, such as underground hallways or stair extensions - which have been before the Board for lot coverage, such as 4x28' (ZBA Appl. on Sigsbee Road). BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: _5/4/01 ,cs.�t-,2.m D�y.� APPLICANT NAME; LECHMANSKI DATE SUBMITTED: 2/16/01 SCTM# --- DISTRICT: 1,000 SECTION:_26 BLOCK:-2 LOT:-45 PROJECT LOCATION AND TYPE OF PROPOSED WORK: PROJECT DESCRIPTION. wD wL wcc R N D: DECK �P,G�c "�1zao+ 44"Cl STREET:-2495 KING STREET CITY:-ORIENT SUBDIV. NAME:_ ARCHITECT /ENGINEER: /c• ralrLc FAST TRACK• ES RNO SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES oN NOTES: LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LO OM JAN.1997 100-25.Mergec(A nonconforming at any time after 7/1/83 ZONING: PERMIT ESTIMATE AMOUNT:_$ SO / .00 PERMIT USE: EXISTING: Sfy INTENDED:A, yc, s�,z ZONING DISTRICT: R40 80 C CONFORMING: YES OR NO REQUIRED LOT SIZE: SQFT. WHERE ACTUAL LOT SIZE FROM?TAxCARD ACTUAL LOT SIZE: //�/Z SQFT. REQUIRED REQUIRED REQUIRED FRONT:3�'PROPOSED: SIDE YD:10 V26 ' PROPOSED: '/ REAR:3�'PROPOSED:_ —,,9 LOT COVERAGE: OWED:% EXISTING: _% NEW: sf_% TOTAL:2t83 sf2/ % CORNER? YES OR WAT ER FRONT? YES o NO DESCRIPTION: FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: 469- FLOOD ZONE: X AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED INA ATION TOWN SPETIC PERMIT: YES o NO SUFFOLK COUNTY HEALTH DEPT: YES o (BED #): DTE: /_/_ PERMIT#:R10- AOVALS REQUIRED: NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or SOUTHOLD TOWN TRUSTEES: YDS or 0 %. TOWN ZONING BOARD APPROVAL: E or NO-) o TOWN PLAN. BOARD APPROVAL: YES 01QNo NYS ENERGY: ES R NO EGRESS: VENT: LIGHT: BUILDING PE TS OPEN/EXPIRED: BP -Z/ C/0 BP -Z/ C/0 NOTES:-.S/ I !r /� r< L�c f r.."u e— W /t sr c r/ .rr J of at L a G e 4 i r,r FEE ST UCTURE: FOUNDATION: &&DSIFx. FIRST FLOOR : / ¢g SF SECOND FLR G 2U SF INIT OTHER TOTAL TOTAL: 32 4 8 SF FEE FEE FEE .9rc Ar T( 32fq- SF)- &!�,j SF)= Z39k SFX $ •.zG =$ 421,u,,3+$ -+$ J0.20= $ 6_?9. A< ;),26 ".SDO X-.2-6 f S.2 n -/- 11011_1J11� 1 1 1 `'11 1 1�1� 1�_> �k- 1,i-JLJ I\ 1- Applicant/ ( / Date Owners Name: Reviewed: —------- -- Architect/ / Date p Engineer: � � ._ Submitted: _-7-00 SCTM fl: District 1.000 Section ��� 1310ck _� Lor Protea Subdivision Location of � � Kt —_ �L� ---- Name --- S ame --_-- ---- Single<t separate Required certification (Yes/NoZ— Rcq Rcq. r /.ovine Uislna 11.01 size Actual r 1 7/ 1 (Lot coverage ZU Pir�pusrJ_ 1 Rey Req Req. [Prom Yard Proposed. J [Side Yard Proposed_ 1 [Rear Yard Proposed —1 Project Description: AGENClUERMITS 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: / oo ✓ 2/of Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Notes.: Lte ��� S �a�s� Yc�•� �aa> CI-C O�OgOFfO(�-coG o� yl Fax (516) 765-1823 y Z Town Hall,53095 Main Road Telephone (516) 765-1800 O yC P.O.Box 1179 Southold,New York 11971 MAY i 5 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION TO: Southold Town Building Department, Attention: Bruno Semon FROM: Southold Town Landmark Preservation Commission DATE: May 15, 2001 RE: 2495 King Street, Orient � ( i'�'vL' Tax Map #1000-26-2-45 SPLIA #: None The Southold Town Landmark Preservation Commission has reviewed the submitted plans for the proposed addition to the house at 2495 King Street in Orient. While the house is not included on the SPLIA in- ventory to the best or our knowledge, it is surrounded by historic properties and because of this fact, we were asked to review the plans. We find the proposed addition to be reasonable ifi keeping with the historic nature of this house and the area in which it is located and therefore, endorse the issue of a building application. Thank you. eC h h" ,hs/' , 2073 STATE OF NEW YORK ) ss: COUNTY OF SUFFOLK ) rry c< !y being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at t2i5- l/,-! 4Cp,t 6fPtAeae / That on the `f day of "�^ s'� 2000 deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property located at SCTM# 1000- o< — 4 5 street address <RNP.2" kl,uel< ' D/eIeuT 'N. `1? Architect/Engineer P�- of nFwro Sworn to before me this e�Q�Nce day of"_x6000. -�07f Notary Public EIIEEN S Staee AN70 NOTARY PUBLIC, SRA Na 30.IP18018 NeN.Yprl, Qualt(�ed is Cciamia Z Eupire.N V cc: Applicant FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL DATE; Sotember 11, 2000 TO Helen Lechmanski 14 Central Ave Garden City Park NY 11040 Please take notice that your application dated August 7, 200 For permit for addition to one family dwelling and addition to accessory garage at Location of property 2495 King Street Orient County Tax Map No. 1000- Section 26 Block 2 Lot 45 Subdivision Filed Map# Lot # Is returned herewith and disapproved on the following grounds proposed construction on lot 11,812 square feet not permitted pursuant to Article XXIV Section 100-244B which requires a maximum lot coverage of 20%. Proposed additions will have lot coverage of 2637 sq ft or 22% A:Zriz S nature 765-1802 BUILDING DEPT. as lti� INSPECTION /IFOUNDATION DATION IST [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] RFIREPLACE CHIMNE7Y ARKS: l DATE O/ INSPECTOR � 14, M-1802 BUILDING DEPT. NSPECTION [ ] F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ) FINAL [ ] FIREP & CHIMNEY �i R MARKS: DATE OJ INSPECTOR K� i�yC� 765-1802 BUILDING DEPT. SPECTION F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( ] FIREPLACE & CHIMNEY REMARKS: _ 7 AV4 DATE / �f INSPECT zle� 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST [ ROUGH FLOG. [ ] F N 2ND [ ] INSULATION FRAMING [ ] FINAL [ ) FIREPLACE^,& CHIMNEY REMARKS: DATE, INSP M-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION ( ] FRAMING [ FINAL [ J FIREPLACE & CHIMNEY REMARKS: �x - 92"-�e DATE NSPECTO T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;/IN,0UUTION FRAMING � [ FINAL [ ] FIREPLACE & CRIMNEY REMARKS: �� � eo r DATE �/659l/�INSPECTOR 111111 �...� ' 11 1 1 1 /i / i ,. � r / , � � i ism• owl I� 1 1 f 11 ' i A // O/�IWARn� LPRIME 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: rA, 76 b� ,� Examined.....s1 g ., 20,0/. �i ILµ . . Approved......'"'`.l ......, Permit No. .e—.72 `� ................................... Ot �c o Disapproved a/c I. ........... .{ .. ....... ................................... ....�t'J ' �.�• .- .......................... .. HUIT~, (Buildig*Inspectr)........ no 'q APPLICATION FOR BUILDING PERMIT �- . . . ... . . . . 20. . . . INSTRUCTIONS a. 'this application must 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 drawn 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 permi- 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 Occ u,nancy shall 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 Building Zone Ordinance of the Town of Southold, Suffolk County, Newyork, 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 bai rsary in t' . . ,.7. . ... .... (Signature of applicant, name if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, /agent, architect, engineer, general contractor, electrician, plumber or builder .............................. , ............'.. .......................................�... ........... Name of owner of premisesC�//�zs. //1 / � 7,�/L,l;✓l,1 ��\.l........... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. Z 0. .`i—y A.I.... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done......................_........................... ............................. Z ...... /�Y.�:.. .! ...��1. ../.1 .I.....././..� .... Bapse Number street Hamlet County Tax Map 1b. 1000 Section 1QW4()...... Block .<7 ........... Lot ....!J:S...... 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 ........ ........................................ b. Intended use and occupancy .......�� IC.G�C 1..... ✓D ........................... • � t 3. N�Cure of work (check which applicable): New building .......... tddition Alteration ~� Repair ............ Removal ............. Demolition ............ Other Work ................................. /r0 ,Q � (Description) 4. Estimated Cost ... .�........ fee ........ ...................................... / (to be paid on Filing this application) 5. If duelling, nLo ber of dwelling units .!........ Number of dwelling units on each floor ................ . Ifgarage, number of cars ..........�....................... 6. If business, commercial or mixed occupancy, specify y 4 naatuye and extent of each Pe of use..//OA� 7. Dimensions of existing structures, if any: PYont.., ..1— .... Rear ...W..SZ.. Depth Height ...YW-- .oPo;........... Number of Stories ...I............... Dimensions of same structure with alterations or additions: Front .. Rear Deptlm .................... Height .................... Q tuber of Stories .. ....... ............... �y +L ,teaa 8. Dimensions of entire new construction: Front ..... ........ Rear ... :i�...... i)epttnZ?........ Height ....016P- ...... ..,... lumber of Stories ................. 6"-c- p2���� ��`4'6 9. Size of lot: Front ;ZC!. ....... Rear ..(5.y.(/.......... Dept) MY/ y 10. Date of Purchase ..,/ / ..!�.. Name of Former Owner//,/// CJ .. .4y�............. II. Zone or use district in which premises are situated ....of ................ ................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: /1 ................... 13. Will lot be regraded .... ........... Will excess fill be removed frun premises: tDj/6 14. Names of Amer of 'se:T/I,' r �./ 1�l1/.... Address .. p,�� ,J�'%G GG' • _ /�T�GG�II /!l!'�.......... Pt No.;�47 V� Name of Architect �G`Y GK. � ......... Address 1 ,0, /IfdOePl pt>am5e No �/..c!/V- Name of Contractor .��./Y .. ..frQ/,�....... Address�.�.. .%�.. .F�1Y�4+�::: /!f��jjYy4 ....Phone 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .......... *IF YES, 9QAIM MM TIaMMS PIIiNII'1' MAY BE RE!qIIRF.D. � PLOT DIAGRAM Icncate 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. SrNIE or wW , SS (... -.... ..... ......................................being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, Ileis the ............................................................ (Contractor, agent, corporate officer., etc.) '• ..•.. .�� �.�.� of 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 dhat the work will be performed in the manner set forth in the application filed therewith. %worn to /before me this ...... ......... Notary Public, .................... Yke Nwtlbaic (Signature of Appli.cant)'. � P )-lag >>a ,�.ea�}arco �•Rt Ev G�•P•s�Gc= 7Z4 LE s�x,vo,9Allv /C/C OAP N E w Y O�7 N spa✓ ,sot•.I4VIk6V1 LEC�I �/ ,E�i' 1;;b11W 4it/Oa/s�1.Ci ouriev�aQ� 'vr Tow.vo,� rsdto ,✓ ,o ��8 ,it-o✓yg o./"yz9'zoco D rC•�Yl v�x� J z000 .Qitdid //B/2 e.,=, O• vf4oVAV/•oW �X�71/.1/G�7dO3�' = to '�Z.7✓moi/�; • EX/�T%�/G G�•P.s�E'= 23���J� .Ok�t Ep G•�.P.�G�= 7ZG �•I� L3.0� ��t'S�o r�� •-'4 0 ����c'--' ��'� As �'e'er-z✓r.f ��. G`. bEo LANp,G lEwq� 9�j► 4 40f H o N s&W, foe.J T GECN ,ri rx�k - E •4.t/O .ri Loc�rrito.v��.¢/ yr Tow.vc.�J�T•�,t��i N. s! ,o��y 8 1404591 OdIp"XI.>'// >/ —�s�r�oTo�✓�+.o�►��i�E�ey�6�������uryl/.�+r,�xu�Ti>«1�+��,��- !�n,�ar�s ,rZEy�Ev�ea•�ey Z�;��/ ,PrrYr�Eo,/rxyz�Z000 Di97e' o_— /,f4-, e [o.w�.e y pt YTA iFtG ri l�s'lF CY To�v.s [v • . 2��(a..a .� Se ecKS q-s'.ecci "• l - ___ DATE 792 APPROVED AS NOTED FEE BY. NOT LDING '� - ---- - --- - - — 765-1802 FY SAM TO 4P PM DEPARTMENT ORTI11 --"" FOLLOWING INSPECTIONS. --- --- - I FOUNDATION - TWO REQUIRED FOR POURED CONCRETE k 2. ROUGH - FRAMING & PLUNIBINO ! _ _ — _• - - __ - - -- _- __ — — - ----"- -- - -- - 3. INSULATION - _ 4. FINAL - CONSTRUCTION MUS"i -- BE COMPLETE FOR C.O. ' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS O- THE NY STATE CONSTRUCTION & ENERGY -T- - CODES. NOT RESPONSIBLE FOR j DESIGN OR CONSTRUCTION ERROR!: Lq _ DO NOT PROCEED WITH (-J FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED- I � • I I-- — — — — — — — — — — —"� PROVIDE SMOKE-DETECTING ea, j. 1/41= I ^ • 0711 { I ALARM DEVICES W " h AS TO PART.721.1 m r9p^ N.Y.S BUILDING CODE. - h. PROVIDE OPENINGS FOR ii�rfflllll EMERGENCY ESCAPE AS o o" REQUIRED REQUIRED BY PART. 714 OF a 0 N.Y. STATE BUILDING CODE. 2 I - OCCUPANCY OR G' � a USE IS UNLAWFUL PROVIDE ANTI-SCALD AND/OR m WITHOUT CERTIFICATE THERMAL SHOCK PREVENTING w -- ---- F OCCUPANCY DEVICES AS TO PART, 902.6(H) N.Y. STATE BUILDING CODE. -- ------------ ----- ---...-- PLUMBING _ - _ ALL PLUMBING WASTE LINES NEED TESTING BEFORE COVERING PLUMBER CERTIFICATION " — ON LEAD CONTENT BEFORE ! — CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER --- ' - - __ -- -- — - -- ---- ---- SUPPLY SYSTEM CANNOT 1 '•—� - --- --- -- --- — _ - -- -- . --- _ _ _ -- EXCEED 2110 OF 1% LE<AL, r, H — ----- 1EssIGOa z�i3 ) �L If copper tubing is used : r for water distributirR system;Piping shall %a ' i - _ Y { i d dl ,p _ ; I ` I � 7777777 . fes _ 0322511 ��V LTi-✓ h4j 9�FESSIONP� n1 "'AAAddd � ' q J - a � Q ' �. - CCA - ^�X:(r- j6' A4• . —_--�^I r � . T _ , t gllCp C —��' E¢ DAMP S, � • LSA Ing ,6 ,f wj61+.t J2 Tflx Flo lam. \rAM � J r ue �3 m � F ti u 7 i ZL... 1 f�a" /'2 " 2 � F pP IlzQ VAS.. ti No°.ts o A.YEfT - '�FL$r� � 6As3µ . N-!' fI LAccass rID y I 1" a f. 0 n c Ek To RCN I l N i NF 032254 1 V [Y Op Fa L {)(lir FT— 'kA N ' N e ie9ae v Mt a �94 s_- QR_OtI IAC -44CQ4 Cf5E6t PcooL 6aD-6 w'$ w^ T)Iv1. a'. cc�an._ - �'•• Q J IMY6 S � � °UI - �A WA54}' ,:ROoM<. �` gY,�:._.L,_'e!"' .I '. - I •J� I p ' � �h7N2 � N^ t I 3ox- C- /c4 .,SS-_ > J r ' " - �� Aq to L, y gr .�IIFCkI-�'FF✓38 � 3,� r, ' A"@uk�M' •'ter".1M�,i+' 4; _ � n I I � I � GY'tJvTC7f, l�L.LE�S IE.I"1'O AT'1"IC. � .TO,r if1w.- er' 3zsy.es �"- - 'Ylj I' ICoJ Rewe f 7' L��. 3 21••ty3 1�8cyf� ".0%lSrl nlG fSY`.9Pvq., in PROVIDE PENINGS FOR rva srrorc'vrr_ fv 9� G x.I3T.4 . ' uc�l�t {�pd4 EMER Y ESGA869tµ - a REQUIR Y PART. F OF PROVIDE OP NGS FOR N.Y. STATI} WILDING CODE, I U' p,��NERGENI2ESCAPE AS r ?� R ? ULNEEI�1 'ARI 714 OF i vu CODE. 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