HomeMy WebLinkAbout32443-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32510
Date: 08/06/07
THIS CERTIFIES that the building ALTERATION
Location of Property: 225
(HOUSE NO.)
County Tax Map No. 473889 Section 125
FRANKLINVILLE RD
(STREET)
Block 1
LAUREL
(HAMLET)
Lot 3
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
OCTOBER 20, 2006 pursuant to which
Building Permit NO. 32443-Z
dated
OCTOBER 20, 2006
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 KITCHEN ALTERATION (INCLUDING ROOF) IN AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to ROBERT H GERDTS & ANO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N 061528
09/25/98
PLUMBERS CERTIFICATION DATED
11/29/06 ROBERT H GERDTS
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Rev. 1/81
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This application must be filled in by typewriter or ink and submitted to tbe Building Departmeut with the ioiloWiug~
A. For new building or new use: L.... .
I. Final survey of property witb 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 tbat 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 tbe building.
6. Submit Planning Board Approval of completed site plan requirements.
.
..
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
, I
,
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 tbe applicant. If a Certificate of Occupancy
is denied, tbe Building Inspector shall state the reasons therefor in writing to tbe 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
\Ol\'ll~
Date.
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: . d.~'5 t=12.A-/...:J\{LI uJ 1I..L1: -v.o~ LA 19 e.~
Honse No. Street Hamlet
Owner or Owners of Property: ~'BEer t-I. ~ k-A-r I-lLeE.N k. G:Ei2. 't>\"S
SuffOlkcountyTaxMaPNOIOOO,%ction ld-5 Block ClCC/1 Lot OO?i
Subdivision 3~~l 10 (}oldY Filed Map. Lot:
Permit No. 2-4504- Z. DateofPermit.~APplicant: ~ '14 GE:.e.l5T'S
Health Dept. Approval: N [A Underwriters Approval: 1-\ 010 \ Sdf? - q ~S l1PlRE>
Planning Board Approval: 1\.\ l A
Request for: Temporary Certificate
Fee Submitted: $ ,..15-
Co ~ j;)..S' It)
Ykc::... '1~93Y
Final Certificate:
v
(check one)
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Applicant Signature
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T....." "_II, S3119$ M:aIo R*.
1'.0. 9tllC niP
SoQdIoId. New York U911.om
Pox (631) ~6S.UW
'I'.teph_ (6M) 71SS-1~
BUILDING DIWARTMBNT
TOWN OF SOUTHOLD
CER TIFICA TION
Building Permit No. '3d44- '3 -Z-
Owner: ~ f:-{. h-e:eh---r'5
(please print)
Plumber:~eR:l t.{. ~TS
(please print)
Date:~ 1"IFiP 00 dtXJh
,
I ceTtiJY that the solder used in the water supply system contains less than 2/10 of I % lead.
Sworn to before me this ~
day of NOo,(tMctr " 200CP
7fa~
I
Notary Public, Sol'/' lie County
CP~ l:t J1..u.~
(plumbers Signature)
NICHOLAS J. GUARINO JR.
Notary Public" State of New York
No.01GU6111410
Qualified in Suffolk County
My Commission Expires 06/14/2008
,; , " , ~ -- ',.,
THE NEW YORK BOARD
OF FIRE.UNDERWRITERS
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-PAGEl
SEPTEMBER
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ROBERT H. GERD'I~S, 225 FRANKLINVILLE ROAD, LAUREL, NY
.in ihefoll~w(ng)o~at{o:;';:,. J=lB~se~'4mt ,m ls~,F~~" t:r2nd, PI:,' , , .-. ,,' ";"'-' ,.- " ,', ' Sectlo~,:", '!J?~~k ':':.->
was exalriln~d on ;-SEPTEMBER 18, 1998 and found -to bdn c~niJi.llance with -the National Ble.ctrical Cafe.
ROBERT H GERDTS
P .0: BOX 1$4
LAUREL, NY, 11948
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; TJiI~ 'ceft!t1~~,t,e;,~~.fp,~f:b'~>~!t~r~,~;,' !n"Q,ny mO,nner;' r~tu.rrn9:t~~::~ffl~~,:"of:t,l1e"~~~i~ :If )_nd~:r~~~ti:'~~~p'~6tql~!J~~y!~~il~~n!.Itl~~!,~~:,~h~-'~['F~~~~~:~t,.~~I~;!:"
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___ :-~:ENERAt MANAGER
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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.
32443 Z
Date OCTOBER
20, 2006
permission is hereby granted to:
ROBERT H GERDTS & ANO
BOX 184 MAIN RD
LAUREL,NY 11948
for :
CONSTRUCT A ROOF ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR. THIS PERMIT REPLACES BP 23062.
MATT/LAUREL
at premises located at
225 FRANKLINVILLE RD
County Tax Map No. 473889 Section 125
Block 0001
Lot No. 003
pursuant to application dated OCTOBER
20, 2006 and approved by the
Building Inspector to expire on APRIL
20, 2008.
Fee $
75.00
k; ~ c:; p!.
I Authorized Signature
COpy
Rev. 5/8/02
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REVISIONS
U~AlJntOlllZOl "'l.-TERATIOJrI 011 ADDITION TO
nu~ ~Llllvrr IS .. vtOl.-",no,," Of" SE~TION
no. 01' Till: NEW YO!l~ STATt EDUCA"IOJrl
L.lW.
ROAD
cnl"1ES OFTH1SSUIIVE, MAP I'!OT REAI\IIlO
TI1EI.....'OSIJRVEYOIt'SlNK[OSE...I,.OfI
("'OSSED U.LLSHALLIWTM:COHSlctIlEO
TOfl(oI.,VAlIOtIlU[COPl:
CUA.IIO,HTEUINDICUEDHElIEOJrlSHA,LLRUIl
OWLY TO THt I"ERSON FOR WHOM THE
$ll!N[YtSPIIEPMIEO,ANDOIIHISIIEH.o.LF
TO THE TIll-E COllP4HT.{IOVEII....UTA.L
AllENPYAHOUND1Nl;llNSTITlIT1DNl.-19TtD
HEREC>N,A.HD 10 THE A,Sl9HEU OF THE
LENDING lN5TTlUT10H. OU"AIIA'HEU "'''''E
NOT TR"'NS~En.o..Lr TO A!Y.l''rlON.o.L
'''5T'TU''OI<S 0I'l Sl,l5S(OUUIT O""t~!.
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NOTES .'
l . ;: MONUMENT
2. SUFFOLK CO. TAX MAP
0/S7:/0OO SECr~ BL. 01 LO T DC
YOUNG & YOUNG
400 OSTRANDE.R AVENUE, RIVERHEAD, NEW YO
ALDEN W. YOUNG
PROl'"E&1I10rotAI.. i:rotG1NEER ArotO
I.....NO !!IURVEYOR, N.y.ti. LIe:. NO, 12e",5
AT
LAUREL
TOWN OF
SOUTHOLD
SUFFOLK CO,. N, y,
SCALE:
1";:40'
DATE:
APR. 2,1987
HOWAR
L"'NP IIU'
N.Y.ti. L)(
o.
87
~ _ l.....,
licensed Professional Engineer
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Steven James Kramer ';i
July 23,2007
Town of Southold
Building Department
Main Rd.
Southold, N.Y.
Re: Robert Gerdts Residence, Main Rd., Laurel
Dear Sir:
I have been asked to provide the Town of South old with an Engineering
Report, for a small 12' x 18.5' rehab, on the above referenced residential
structure. The rehab involved the removal of a flat roof system and the
installation of a new gable roof line. The original ceiling framing, in this
200 +- year old structure, was badly damaged and rotten. There has been no
extension or increase in the foot print of this home.
The location of construction involved the rear of the existing kitchen, on the
west side of the structure. This construction involved the elimination of the
old flat roof and framing and the installation of new studs, ceiling joists,
rafters as well as roofing materials. Replacement materials were modem and
none of the old rough cut materials were retained. In general this portion of
the home was stripped or gutted of old material and rebuilt. The foundation
and crawl space basement, under this construction, remains original.
The duration of time has been significant since work began. The original
permit was obtained back on Oct. 13, 1995 (#23062Z) and was renewed
twice since. Those renewals occurred on Nov. 24,1997 (#24504Z) and on
Oct. 20, 2006 (#324432Z) respectively.
120 Shore Rood West. Mt. Sinai, New York 11766 . (631). 473-2430
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I inspected the finished construction on July 17, 2007 and determineh-thaf
the construction is sound and weather-tight. The materials of construction
are listed below. Any question or requirements not covered by this
document, will be supplied upon request.
Framinl! Materials:
Walls 2" x 4" DF 16" OC
Joists 2" x 8" DF 16"OC
Rafters 2" x 8" DF l6"OC
Sheathings W'CDX
Insulation:
Ceiling 8" fiberglass
R-25
Walls 3.5" fiberglass
2.0" Celotex
R-J3
R-2
CombinedR is R-15
Floors (between joist)
Rigid Styro- foam
of' '......
JUL 2. 1 c~J7
Windows and Doors:
Windows are wood sash, true-divided light with combination Storms and
Screens.
Doors: 6.0' Andersen Slider
Electrical: Some minor electrical upgrades have occurred. An underwriters
Certificate has been obtained
It is my opinion that aU of the construction practice is acceptable and
consistent with the plan. I am certifying that the work has been
accomplished in a satisfactory manner, consistent with the New York
State Building Code, at the commencement of construction.
If, during your inspection, you require any changes or require any additional
information from me, please don't hesitate to contact me at 473-2430.
11f.~/ol
Steven Kramer, P.E.
Kramer Engineering, P.C.
:3 ~ J.{L-f- 3 ~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ;1/~f:c. 6'\...- tf, 11 , 'f;;
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INSPECTOR
~~
DATE
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST
[ ] ROUGH PLBG.
V ] INSULATION
[ ] FINAL
[ 1] ~DATION 2ND
[ fFRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS. ,;: ~ 4 '-'-fY~
l?~~:;; (tv! OU/(& ~
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DATE
INSPECTOR
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I NSULATlON PER N. Y_
STATE ENERGY
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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)
kWl v~~Y3 Date..:......({1!..d!~................., 19.9--{::
23062 Z
N~
Permission Is hereby gra.~.~~~.&6.e.fef:....ae.I?"D L$................
.....e.Q.(~......!../J...{..................................
........b:.~J..f.I,.~...lf..9...'f..f.... .
'o~~A-~~~.~.........
..~....~,.....~~"~~...~
....~.....~r....~.....L..............................................................
.......................,.,..............",...................,.",...........................",............,,.......................................",.........
~~.~.r~.~I~~~.;~~~;~~.~;...................................Jd..."i..'...'....k;;;;;<;;;,;;~.~&.,.............lJ2~.'.........................
............................................................A..~.~..::.....................".,.".".....,.,.,..""..',..,........
County Tax Map No. 1000 Section ....../.<?:, ,..,... Block ......I................, Lot No. ...~....................
pursuant to application dated ................ .......... ............~,~..,...." 19.9.Land approved by the
Building Inspector.
Fee $...:.74f...~,
Rev, 6[30[80
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAll
SOUTHOLD. N.Y.
BUILDING P~RMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~ 3d.~.N~
24504 z
Dote .....~g~.~!:I.?~.~.....?~........................... 19..'J.?....
Permission Is hereby grahted to:
ROBERT H & KATHLEEN K. GERTS
......................,............................................,.......................
BOX 184 MAIN RD
....................,..................................................,.....................
LAUREL NY 11948
........................1.................................,................................
to ..... !1.q~.f?I~\;l.~I..!!... ~qqF.... A\.;.T.~.~!!.T. ~ .q~.., Iq.. .~~.. .~.~. ~.f? I+.~.9... .Q.~.s.. f.!!.~ ~!" X.. .P.~f;!,,(.,1l'!i3
AS APPLIED FOR
........,........................................,............................................".,..,.......................,......................................
. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . '. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . ',' . . . . . . . . ... . . . . . .
. . . . . . ' ~ . . . . . . . . . . . . . . ~ . . . . . . . . . .', . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . .". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . .
........................................,'...............,.........................................................................................................
ot premises locatec;l at................. ..?:z.5..... .f..J:l~.~ ~.L,I~Y. I. L,-p~:... R.P.... ...................... ~.~ IT. !.L,!!.I,-!R.sh-....
.,........................,.....,.....................,............................................................................................................
County Tax Map No. ....~.?.;3.~!3.~...... Section ..}.?5........,..... Block .....9.9.9.*......... Lot No. .9.9.~................
pursuant to appllcotloll dated ....('l!O.~Is~.~!O.J:l...?~...............,......... 19......~.:?,..... and approvec;l by the
aulldlnglnspector.
F~e $........~.~....<?~~....
(REPLACES BP 823062-Z)
Rev. 6/30/80
Town Hall, 53095 Main Road
P,O, Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 13th, 2006
Robert H.Gerts
P,O, Box 184
Laurel, N,Y 11948
RE: 225 Frank1inville Rd, (Roof)
SCTM# 125 0001 003
Dear Mr, Gerts,
Please be advised that your Building Permit #24504 issued November 24th, 1997 has
expired, According to the Code ofthe Town of Southold, a Certificate of Occupancy
must be issued prior to use of the structure,
To renew your Building Permit, please submit a fee of$75,00 at that time we can
schedule an inspection by one of our Building Inspector's,
If you have any questions, please call us at 631-765-1802,
Respectfully,
SOUTHOLD TOWN BUILDING DEPT,
. FORM NO.1
BOARD or HEALTH ~.....
J SETS ~L.'NS '.........
SURVEY .....__...........
C" E C K .-11:..... _ , . . . . . . . . .
SEPTIC fORn .............
TOWN OF SOUTHOLD
BUILDING DEPARTMEN~
TOWN HALL
SOUTHOLD. N.Y. 11971
/ TEL.: 765-1802 1I0TI FY:
- , ~rcI/3 C:Jf/ / fl' '~ CALL ,..................
Exanllned.!.Y'............191.~ - U'I~SO~ 1-' HAIL TO: .11 /J .'
J . ,&:3otf,;;;'. ,/~fZ:J: n, ~Ja?-~
Al proved"f . 'cW{' '~1" 19... PermIt No. ......... 3).'-1,",,3 "'fQ~O~. .I~...... '.
Disapproveda(c ................................:..;. ~ LAlJl2.EL I1c(4~
ATION FOR BUILDING PERMIT
Date~ b~t')f.m~~19~'?'
INSTRUCTIONS
a. Th;s application must be completely filled in by typewriter or h\ ink and submitted to the Building Inspector, with 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 pubUc streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
~tiM. . .
d. The work covered by tltis 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
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 Occupancy
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, 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 andin building for neces~~~.insp~~t~~a.H~~................
(Sign ture of applicant, or name. if a corporation)
. ."PQ.... .~. .1.'34-)..,.A~~.l,..l.NV. .l.lQ4-B.
. . (Mailing address of applicant)
State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder.
e . . . .' .
..O\"o/,\,)..e......................................................................................
Name of owner of premises 1?o.OOg:r. .H.. .~. kml-:\~~. . '~" .G~g'l? ! ? . .. . . . . . . . . . .. . . . . . . . . . .
(as onthe tax roll or latest deed)
If applicant is a corporation, signature of duly authoriied officer.
......................,NIA..................
(Name and title of corporate officer)
Builder's License No. .. NIJ!i......,...........
Plumber's License No. . N.l.A. . . . _ . . . . . . . . . . . . .
Electrician's License No. N.I A . . . . . . . . . . . . . . . . .'
Other Trade's License No.Nl.tq . . . . . . . . .'. . . . . . .
I. Location of land on which prop.osed work wiII be done.
..... -...........................................
... .aa-s....... r.:~I\~l?-~I,I~,lV(u.,.~.. ;~!3-'!:?..... .\"'~Uf?g,I,..,-.... .................
House Number . Street Hamlet
. '.. \~ . t, =3 .
County Tax Map No. 1000 Section .... Y.~. . . . .. . . .. Block............ _ . . . .. Lot...................
Subdivision.. , . .. . . . . . .N. h~ . . . . . .. . . ... , . . . . . .. Filed Map No. ...N ll!t,. . .. .. Lot... .f\J.1 A. . . . . .
. ~~~ .
2, State existing use and occupancy of premises and intended use and occupancy of proposed construction:
E. . . A { .
a. xlsllJ1g use and occupancy '. . . .. ...........................
b. Intended use and occupancy ....A .'t... . . . . . . . . '. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
~ . . '. . .' ., . . '.' . . . . . . . . . . . . . . . . . . . . . . . .
9,
10.
II.
12,
13.
14.
,3. Nature of work (check which applicable): New Building.......... Addition.......... Alteration..../;.....
Repair .... >1':. . . . . . . . Removal. . . . . , . . . . . . .. Demolition .....':.......... Other Work. . . . . . . . . . . . . . .
~E'PL.Ac.E. E'l<.IST I J0G: St+E'b12COF W ITl-I 6.A6l-E ~ (Description)
4. Estimated Cost . ~ . \:~-:-.l$'ICCO . . .. . . . . . . . . .. . . . . . . . Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
, ,(to be paid on filing this application)' '
5. If dwelling. number of dwelling units.. . . . .1,. . . . . . . . NUlilber cifdwelling units on each floor. . . Nl.l9. . . . . . . .
If garage. num ber of cars ............. N. I~. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [" . . . . . . . . .. . . .
6. Ifbusin:,ss, co~'~erdal or mixed o.ccupancy, specify n~ture and extent oCeach tY4" oruse .....1\} A............
7. DunenslOns ot eXlstmg stmctures, If any: Front. . . ..40.,4-. . . . . . Rear .. AO!. . . . . . " Depth: .'36.c.fl. . . . .
Height ............;. . Number of Stories. . . . . : . . . . . . .~. . : . . '1' .',. . . . . . . . . : . . . . . . . .," . .,. .. .. .. .. .
Dimensions Ofrilln~ structure with alt~rations or 3jddilions: Front ... -:s }q. A....... Rear.. :$. .f:\: fl. . . . . . . .
Depth. . . . ";S, f1 R.......... HeIght. . . .$.1.1'\. A. . . . . . . . .. . , Number of Stones. . . . . . ~. . . . . . . . . . . . .
8. Dimensions of entire new cOnstruction: Front. . . . . . . . . . . . . .: Rear.. . . . . . . . . . . . . . Depth ...............
Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . ..
Size of lot: Fmnt . . . . . . . .letlJ - '1: . . . . . .. Rear...... \ WO. . . ; . . . . : . .. Depth _.. c;H.<:i. . . . . . . . . . . ~'I
Date of Purchase .......q, ~O.I-:tS........... Name of Fonner Owner .E:l>.rn.....y. n1.f.I.l.-Ic?~7
Zone or use district in which premises are situated. . . . : . .. . . . . . . . . . : . . . . . . . ",.JO . . . . . . . . . . . . . . . : . . . . . . .
Does proposed construclIon VIOlate any zolllng law, ordmance or regulallon: ................................
Will let be regraded ...... NO.. . . '1l6' . . . . .. . . Will excess fill be removed froli! premises: Yes @)
Name of Owner of premises~ . . : . . ~~'l?~ Address ~.I~I.("'AI)~llOne No. ~~~~:l. . . '
Name of Architect .............. &' . . . . . . . . . . Address. . . . . . . . . . . . . . .. . . . Phone No. . . . . . . . . . . ._. . . .
Name of Contractor ~~.~. ~" . . .~~~~. . . Address W.~x.\~.~~~Phone tJo. a':1~-:WfP.'1.
Is tillS property wltllln 300 feet of a tidal wetland? *Yes.... .... No..~....
. *If yes, SOUtll01d Town Trustees Permit maybe required.
PLOT DIAGRAM
15.
, .
Locate clearly and distinctly all buildings, whether" existing or proposed, and. indicate all set-back dimensions from
property line's. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot. . "
-:S E'E' A In~ eM Gb .
~TA TE.OF t-!EW YORK, . S.S
_OUN'I Y m . . . . . . . . . . . . . . . . .
. . . . . . . 'Ro.~~'":I. . . .8 , . .Q..t?!4-~~ . S. .. . . . . . . .. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
,bove named.
Ie is the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .o.LKJ. W ~.l?,... . . . . . . . . . . . . . . . . . . . . . . . . . . .'. .. . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
.f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplication; that all statements contained in this-application are true to, the best of his knowledge and belief; and that the
lork will be perfonned in the manner set forth in the application filed therewith. '
,worn to before me this
. . . . . . . cj2l:. -:':1--:. . . ... . .day of. . .~ . .. .,19. 1.S- ,
iotary Public, ........... ..J.. ,,,-.</.;;.......... County
'" ~'--"\
, ~~9 ~r-----~ ,', '
LINDA J. COOPER
Notary Public, State of New'yorIc
No. 4822563.. Suffolk County c? 6
Term Expires December 31, 19_
~ fU _, ./'1"--. '
.,......~....~........
(Signature of applicant) ,
, .
225 FRANKLlNVILLE ROAD, LAUREL
SCTM 1000,125,1,3
SCOPE OF PROJECT
1. Change existing shed roof of kitchen "el" to gable roof with ridge running north-south.
2. Footprint, foundation and floor assembly remain unaltered.
3. Remove portion of timber frame (post and beam) increasing span and replacing with
a "laminated" beam or steel beam.
4. Reframe existing walls as necessary to support changes in load bearing and
installation of two new windows and one door.
5. Interior kitchen remodel i.e. interior finishes, cabinets and appliances.
OCCUPANCY OR
~S~ IS UNUWVFUL
,'IVI1HOUT CERTfFlCA TE
Oc Ofi''''UO jIj ~ y
,,~ "Vv g- ~lW't3CY
UNDERwRITERS eERTIF.
REQU/RlO
3?'iV
APPROVED AS N01~ 300'z .L
DATE: ~91p#6.p.~:~
FEE' 7~ BY: T
NOTIFY BUILDING DEPA M FOR THE
760-1BD2 9 AM TO 4 P
FOLLOWING INSPECTIONS: REQUIRED
1 FOUNDATION - TWO
. FOR POUREFDRAC:~~E~ PLUMBING
2. ROUGH .
3. INSULATION CONSTRUCTION MUST
4 FINAL .
. BE COMPLETE FOR C.O.
AL\. CONSTRUCTION SHA~EM~E:
THEREQUIR:';:~~~~O~F lk ENERGY
ST~:S CO:OT RESPONSIBLE FOR
~~IGN OR CONSTRUCTION ERRORS
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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)
20, 2006
PERMIT NO.
32443 Z
Date OCTOBER
permission is hereby granted to:
ROBERT H GERDTS & ANO
BOX 184 MAIN RD
LAUREL,NY 11948
for :
CONSTRUCT A ROOF ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR. THIS PERMIT REPLACES BP 23062.
at premises located at
225 FRANKLINVILLE RD
MATT/LAUREL
County Tax Map No. 473889 Section 125
Block 0001
Lot No. 003
pursuant to application dated OCTOBER
20, 2006 and approved by the
Building Inspector to expire on APRIL
20, 2008.
Fee $
75.00
~-. c:lL
.A"-.lL. ...
I Authorized Signature
COpy
Rev. 5/8/02
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