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HomeMy WebLinkAbout40456-Z %%Of sou I Town of Southold * P.O. Box 1179 �A io0 53095 Main Rd UNTI Vie'` Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45721 Date: 11/01/2024 THIS CERTIFIES that the building WINDOWS IN DWELLING Location of Property: 20615 Route 25 Orient, NY 11957 S ec/B to ck/Lot: 17.-3-10 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 02/01/2016 Pursuant to which Building Permit No. 40456 and dated: 02/10/2016 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: (2) window replacements to existing single family dwelling as applied for. The certificate is issued to: Andrew Zarnett ,Lindsay Pollock Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: 4uthorjud Signat �o�,�oFso�ryo(o TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT RENEWED (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL.COMPLETION OF THE WORK AUTHORIZED) Permit#: 40456 Date: 02/10/2016 Permission is hereby granted to: Renewal Date: 10/22/2024 Andrew Zarnett PO BOX 297 Orient, NY 11957 To: Alter existing single-family dwelling as applied for(window replacements). Premises Located at: 20615 Route 25, Orient, NY 11957 SCTM# 17.-3-10 Pursuant to application dated 02/01/2016 and approved by the Building Inspector. To expire on 10/22/2026. Contractors: Required Inspections: FRAMING/STRAPPING , Fees: Renewal Fee $125.00 Total $125.00 Building Inspector g�FFocK TOWN OF SOUTHOLD BUILDING DEPARTMENT co TOWN CLERK'S OFFICE oy.• o� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40456 Date: 2/10/2016 Permission is hereby granted to: Silverstone, David 25 Pine Ridge Rd Larchmont, NY- 10538 To: Alter existing single-family dwelling as,applied for(window replacements). At premises located at: 20615 Route 25, Orient SCTM #473889 Sec/Block/Lot# 17.-3-10 Pursuant to application dated 2/1/2016 and approved by the Building Inspector. "To expire on 8/11/2017. Fees: SINGLE FAMILY DWELLING ADDITION OR ALTERATION $200.00 CO -ALTERATION TO DWELLING $50.00 Total: $250.00 B ilding sp ctor Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets,and unusual natural or topographic features. 2. Final Approval from Health Dept.of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations,a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00,Commercial$15.00 D e. qA0 e? New Construction: Old or Pre-existing Building: (check one) , Location of Property: Sc&0-2 (1 N Qv c) (f7)Q_l�I.J House No. Street Hamlet Owner or Owners of Property: QL'u-) aA e-13 eTF Suffolk County Tax Map No 1000, Section "' Block Lot C CD Subdivision Filed Map. Lot: �" Permit No. $3qsb Date of Permit. Applicant: ��22G{k (�ej(.Q(/1 dC�Gal Health Dept.Approval: 1i Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) coo Fee Submitted: $ o pplicant Si ature ``,, ho��OE SOUIyOlo TOWN- OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION ' [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ . ] FOUNDATION 2ND [ - ] I ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL fVlnzzftj .0,V,5. ]. FIREPLACE & CHIMNEY [ ] .FIRE SAFETY INSPECTION [ .] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: S / cotes Ok- DATE /0-3/,?St INSPECTOR. �- ✓�✓ OF SO(/T c0UNT1, TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION -- I FOUNDATION 1ST [ ] ROUGH PLUMBING [ ] F NDATION 2ND [ ] INSULATION [V FRAMING /STRAPPING [ ] FINAL J [. ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOL ATIO [ ] CAULKI REMARKS: DATE �� INSPECTOR FIELD MPECT-m S EgO�x DAB lroup,&=N(1ST) FOUNDA,TIODT(2ND) cn to z ROUGH FRAN=Q& PLUMBING ;_._.._...:_ INaULATSON•PE1#.—N,Y. . H STATE BNEROY d4S�E' to 31•a n .( co I� D� 7 2 C.O. FINAL TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL: (631)765-1802 Planning Board approval FAX: (631) 765-9502 �v. Survey SoutholdTown.NorthFork.net PERMIT NO. (1 (Q Check Septic Form N.Y.S.D.E.C. Trustees C.O.Application Flood Permit Examined ,20 Single&Separate Storm-Water Assessment Form Contact:Approved V ,20& Mail to: aak Ua_17�1 Disapproved a/c Phone: '�e j[ Expirat ff-`, ,i20 �I J 7) I Buil inspector � l UI g FEB - 1 2016 APP ICATION FOR BUILDING PERMIT Date qt& ! , 20A INSTRUCTIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 a permit shall be kept on the premises available for inspection throughout the work. e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter,a new permit shall be required. 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,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. ' D (Signature of applicant or 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 premises A.)V (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. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which,proposed work will be done: 2.b &L E—�T i%ih 10 V_UR ID House Number Street Hamlet ti County Tax Map No. 1000 Section ;f °>Block`:.;;`.,.V. '.0i 5, Lot Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy QVS LizIl l�I b. Intended use and occupancy ( (10 lam ffl- 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work n 6� (D scription)8)�P1 n 4. Estimated Cost �� ( Fee �� (To be paid on filing hi 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 nature and extent of each type of use. r I 7. Dimensions of existing structures, if any: Front S- ( Rear 3F) Depth j 6 Height '}31 Number of Stories -2 Dimensions of same structure with alterations or additions: Front Rearms Depth 2 Height "}'�� 23 Number of Stories",, i - ..s 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase 0 ZO Name of Former Owner X2l-�Q L(Q 11. Zone or use district in which premises are situated lL' t U, 12. Does proposed construction violate any zo mg law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO V Will excess fill be removed from premises? YES NO - tbU�3 14.Names of Owner of premises A7'1A rl4tf� Address L l A(ta T( WC, Phone No.!I4-&0V—')LfDZ- Name of Architect ' . L ((,P.ritn1&[.� ( Address 1:h) l6 alb llgd4 Phone No 1031-4'1- - f6 L!5;- Name of Contractor_ Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? YES NO V * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY B QUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF. YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO * IF YES, PROVIDE A COPY. STATE OF NEW YORK) ((II SS: COUNTY OFF �l�•tv�� 666��( ��` ��QL,I(i�(�� l being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is 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 that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this 6) l day of -t�U>, 20 1�p Notary Publ TRACEY L,DWY �'SVfiaiure of Applicant NOTARY P BLIC,STA E OF 06900 NEW YORK QUALIFIED IN SUFFOLK COUNTY�`� NE 30, r:f)MMISSION EXPIRES JU 2�sn Scott A. Russell �0°S�F � � ST0]KIAWA'T]ER, SUPERVISOR rJ��j IMIA-N AG]ENHEN T SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Sou th o l d CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES THIS PROJECT INVOLVE ANY OF 'I')(3[lE 1F®1LLOWRNG: Yes No (CHECK ALL THAT APPLY) ❑ A. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑RrB. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑ C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑91D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. ❑VE. Site preparation within the one-hundred-year floodplain as depicted _.___. ._.. on--FIRM--Map of-any--watercourse:- . ---------- _. _.... ; .. ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a comple d Check List Form to the Building Department with your Building Permit Application. APPLICANT: (Property w i,Design Professional,Arent.Contractor,Other) S.C.T.M. : 1 000 Date: District i try i 0,6 k 0 t7( �t L . NAME: L l r Section Block Lot , p/ J FOR BUILDING I)EPAFt"I'�°ll (�'"f-Cal: O.Nl...l' '.`:`.; Contact Information: �1 � � V (oV Reviewed By: �i\ /J Date: Property Address / Location of Construction Work: — — — —0� — — — — — — — — — — — — — Approved for processing Building Permit. 12_©&(5 He-yL1.5 IZUFry) Stormwater Management Control Plan Not Required. — — — — — — — — — — — — — — — — — � � , �� ❑ Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM " SMCP-TOS MAY 2014 Jf ! wEt. F IRREVOCABLE TRUST AGREEMENT S 7'1 2'0p"E 94.94' a�► 1000-17-03-. 1004 c Naer soft ul ( WAVM 2S1 �/y� +� LLJamm Y(d.lib .i J (0) ce �4 z95.00 cauur�. 04 --w a+ TM MAIN ROAD S.R 9,5 SURVEY OF PROPERTY s" ucs"% ocAa� IN ORIENT TOWN OF SOUTHOLD rn gA l SUFFOLK COUNTY, N.Y. 1000-17-03-10 a mj j 1000-17-06-04 ••a �� SCALE 1'-50' i JANUARY II,2DI6 MAIN GOAD (SR 25) seem' a +moo ._—T.. +boo-wae-a `i au gaars mt � %,rn mwr ACR[oeair ,7 V +rme oro�iia,a / R�FAT A VANfLEg J� %0 s, J w"ram 1w �R �wuanr TOTAL-ODO-v-0e-04 AFEA.ppA®ea Fr.a I=AaW suml""an He iA'n"15-230 DESIGN CRITERIA: w WINDOW D a m REPLACEMENT GROUND SNOW LOAD - 45 PSF. AT THE LIVING AREAS AND DECKS - 40 PSF. / o Z SLEEPING AREA _ 30 PSF. lfb5� X WIND SPEED 120 MPH w SEISMIC DESIGN CATEGORY - B w U WEATHERING - SEVERE w FROST LINE DEPTH - 36" TERMITE - MODERATE TO HEAVYDECAY - SLIGHT z ICE SHIELD UNDERLAYMENT REQUIRED - YES RESIDENCE ORIENT, NY DESIGN IN ACCORDANCE WITH AMERICAN FOREST PRODUCTS WOOD FRAME CONSTRUCTION MANUAL 20615 MAIN ROAD FOR 1&2- FAMILY HOUSE - PRESCRIPTIVE DESIGN METHOD ARCHITECT WINDBORNE ITINN11111�111111111 Z FRANK LL 123 CENTRARA AVENUE L AVENUE 316 DEBRIS PROTECTION SCHEDULE 0 o ENPORT P.NY 11944 o GR , N NY T 44 PRECUT WOOD STRUCTURAL PANELS WITH A THICKNESS m TEL: 631-477 8624 OF MIN 7/16 INCH WITH 2-1/2 #6 WD SCREWS REPLACEMENT WINDOWS OWNERS SPACING: 12 INCHES, ARE TO BE PROVIDED TO COVER THE GLAZED OPENINGS OF THE PROPOSED EXTENSION 4 ANDREW S. ZARNETT & LINDSAY POLLOCK �I 21 ASTOR PLACE, #4D �F '•~ `'a�0 H ED AS 6t �e 10003 WINDOW SCHEDULE DAZE: g.P.# EET ELEVATION FE o o bD BY: PROPOSED WINDOWS ARE ANDERSEN PRODUCTS 400 SERIES. N0 IFY BUILDING DEPARTNr1E T AT _ 9 NO GRILLES, EXTERIOR: WHITE, PRE-FINISHED WHITE ON INSIW68 1802 8 AM TO 4 PM FOR THE GLASS TO BE HIGH PERFORMANCE LOW-E GLASS FOL OWING INSPECTIONS: o r SCREENS ARE PROVIDED FOR ALL WINDOWS 1. FOUNDATION - TYVO REQUIRED HARDWARE: SATIN NICKEL FINISH R POURED CONCRETE ' k__ Mark Size Description Quantk F OUGH - FRAMING & PLUMBING A TW18-DHP4242-18 PICTURE WINDOW . It]SULATION Q 4. FINAL - CONSTRUCTION MUST N E COMPLETE FOR C.O. o ALL CONSTRUCTION SHALL MEET THE OCCUPANCY OR REC UIREMENTS OF THE CODES OF NEW a USE i UNLAWFUL YO K STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE EXISTING WINDOWS TO BE REPLACED WA X D TU E WINDOW CD GENERAL NOTES CO��P�v `"IT" QED: (2) 1.75 x9.5 LUL EW = STAT 1. ALL WORK MATERIAL, AND EQUIPMENT SHALL BE IN RE :;_1~D AND CONDITIONS OF z ACCORDANCE WITH THE NEW YORK STATE UNIFORM � s BUILDING CODE, AND THE NEW YORK STATE ENERGY CONSERVATION CODE, AND LOCAL AUTHORITIES. T ELEVATION SO a DATE: 01/31/2016 2. ALL LUMBER SHALL BE GRA�E STAMPED DOUGLAS FIR- SCALE: 1 J8"=1'-0" LARCH STRUCTURAL GRADE 2 OR BETTER. n Run1 n rnia1nl T.R icT�ee Z 3. INSURANCE NECESSARY BOIPRo L PERMITS HEMI ENGINEER N�L�.DFC_� � STREET ELEVATIONS GENERAL NOTES AND OWNER. RE rAIN STORM WATER RUNOFF DESIGN CRITERIA 4. Do NOT BACKFILL AGAINST FOUNDATION WALLS PU ISUAINT TO CHAPTE DWG. NAME UNTIL FLOOR SYSTEM INSTALLATION IS COMPLETE, OF THE TOWN CODE. SCTM# = 1000-17-03-10 Cl Cl 5. THIS DRAWING IS AN INSTRUMENT PREPARED TO R IPlIMMITA 1. �A TOWN OF SOUTHOLD A-1 FACILITATE CONSTRUCTION AND SHALL NOT BE _ U I _ i _ I N _ �PP iI _�� _TIN ©Q DWG. NO CONSTRUED AS A CONTRACT BETWEEN BUILDER AND SUFFOLK COUNTY, NEW YORK OWNER.