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Home My WebLink About33336-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: OS/28/08 No: Z-33050 THIS CERTIFIES that the building WINDOW REPLACEMENT (STREET) Block 2 ORIENT (HAMLET) Location of Property: 24145 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 18 Lot 29.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 2007 pursuant to which Building Permit No. 33336-Z dated AUGUST 22, 2007 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 WINDOW REPLACEMENT IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LLOYD A & SANDRA KALIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 . . 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: I. 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 I % 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: I. 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 I. 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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Owner or Owners of Property: Old or Pre-existing Building: / M'l-f IV'" Z4 r:I Street i/Ojd -qS!9ltJdtZlLl Suffolk County Tax Map No 1000, Section / 3 Block Date. ~ l.r., 2 CJtJ g- (check one) New Construction: Location of Property: --- ;; ,/1'-1.5 House No. (!)~)dJJT Hamlet ~il~ 2. Lot :< 9, / Subdivision Filed Map. Lot: Permit No. 3 ~ <,3 t - "2 Date of Permit. 'if - 2 2 - 0 7 Applicant:./ 6,J'Q :;;;9'l(:~/,;z ,e:./,. /v Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate ,?r.~ Fee Submitted: $ VI 0 . CD 2. 33'050 ~ c lLBb8' Final Certificate: 1/ (check one) ,/3~1I17 pp . cant Signature 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. 33336 Z Date AUGUST 22, 2007 Permission is hereby granted to: LLOYD A & SANDRA KALIN 24145 MAIN RD ORIENT, NY 11957 for : WINDOW REPLACEMENT AS APPLIED FOR PER LPC ADMINISTRATIVE PERMIT at premises located at 24145 MAIN RD ORIENT County Tax Map No. 473889 Section 018 Block 0002 Lot No. 029.001 pursuant to application dated AUGUST 15, 2007 and approved by the Building Inspector to expire on FEBRUARY 22, 2009. Fee $ 200.00 re --.......- ORIGINAL Rev. 5/8/02 33~~~-c TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] I~ION [p(FINAL wt;;~.s [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETAAnON CO DATE 5 /.;- tJ? I '- FIELD INSPECTION REPORT DATE I COMMENTS vJ c:.Y~ . ~~ FOUNDATION (1ST) )<!-'" t.. "" /Ill --~--~------------------------------- r.~ ~"" FOUNDATION (2ND) d t>J E.- V' 2: !::I U"" .L'" -1:; ROUGH FRAMING & Ltl PLUMBING if\ -- -. l. 1-.------- ----~----~-- II: ----- . ~~ t>J INSULATION PERN. Y. '" STATE ENERGY CODE . . D 57/. L 0 A./-.~ W fl. / I // 4- // II FINAL f/ -~ br ADDITIONAL COMMENTS [J> 1.r::::;;-A'U\Yl -V- . (A-( d.M\'j.. f\.Q..er:l QI\~ "J'-vtn N:.aMNlMAk ,... ho r~ ,^o ~ lA"{A.L'1 CV\ cxct.JY'\if\'(.s1. t1JI:7.J~ .Go" /VI,''; ~ F- I 0 r--.::E -iii ~. ;0 - '- ._~ ~ , If..)'" , i:;l <p~ 'P", ~. - -..!I~ ..,.. 1;J -~ of> II: 0 t>J "" ~ . I tfd d - /1- OWNER ( ~ES. 1/0 LAND 00 s-'t>o See SlOO !)OO AGE NEW FARM fillable 1 rillable 2 rillable 3 lVoodland ;wampland lrushland ~ouse Plot 'otal SEAS. IMP. dlOo )'8'tJu ;:2000 2~OO~ e.:---v' '?Oc NORMAL Acre y . TOWN OF SOUTHOLD PROPERTY RECORD CARD ~~. IL{S Iln Ata I;' f(d ~;):;< N Jc.1. ; i E I:",~" {(.,' . ,~ VILLAGE DIST. SUB. LOT ,/7 :" ;' L.:'~ ( l.... t ( ~t. /:J .....:.; ESe.. S ~Z~-t<,<-- ACR. " ,,) ,~ .,;_.~ W / / n ,..-./ L L<. j ... ,{.. Gbc,."""7;,/t...t..{.'t...1 /) [i.., ",~, -L.I lA_- I I TYPE OF BUILDING VL FARM COMM. CB. MISe. Mkt. Value TOTAL DATE REMARKS dsoo .33&>0 0( S'DD c~ ~Lj 00 BUILDING CONDITION BELOW ABOVE I~P .~,~ C ( . '.: C \. -).q ls ~ . \ / ,\ \JJ1J-;Dt~v-~+ bl(J- (-E{JO'A./1 Value Per Acre Value ", '-,,-,", FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD DOCK 70 S I 7.!!:P - 'f'l() ........~ I { , - . COLOR Will rr 1(, --- . - , ! TRIM , i .:z ." "- - WHiff: , "l ,_....- .-"<<., I' - I. --".. ----- ------,-,------_..--.-.'---- --- ~- - / 1./ / r~ M. Bldg. : S"y. 0 ') I Fo~ndation <"'3 I /d'X.30 ~s-lJt S7P NE Bath Dinette Extension tx II ; ~ '1j r; -< 'I- If..):,-D 2$'0g' Basement ?A~r Floors f> n//:: K. Extension /G. x: 2. :3 , 3 t. ? :z. ",-() 9.;.. () Ext. Walls 111M'" SII"'" Interior Finish "'I/o> L L r? D LR. '" Extension Fire Place .IV.> Heat V 4''''- DR. ~ Type Roof Rooms 1 st Floor I BR. Porc~\"'" Ii' tl" = qb 6'1~ f)O 1~j2.... Recreation Roon Rooms 2nd Floo FIN. B. "X 2- Porch Dormer Breezeway Driveway Garage Patio O. B. ~ " I ;F .z:-.trD ..\lIU 6<...<:': 4<: . if ~i ~ '1iY:f' Total - I;? 3' ~~. <9" 'a /~j ( 7-:Y-'~1 - ~H?'-t ~ 288t1-(Ij9j {t~& '2-lq~ . .::See 1 /. r" - 1'" 4 ?fr -' o , ' 'J-";r.-cr / _ ',I . P>X'~{ c lWo U ~t """ '30?'o ~.__. . . e __~s~//~~r /t/~w _~<dt::j..~-,LL--L~t2C-e..;He......r ... ..t.2L,,~/Ot~,s. q- I'~_."e tP!~ q- <:#~.t.~aJ{,.'-'S ~...... .______~~Lfl._L ._ ~~_ m _:Z <Py~~ __1__ __ ___ I I , , _.~ - _.n - .--- ----~ - --.-.- -- .- I --,---- ~ 2'.$_______.______ __ __ __ _'___ _~r.fy __ ______ :;- iu--YLlJ': So i____ .:I:lt.r- S:1 S/p- -- _ _I ~/--~--~--' ---..--. -- -.----. ; ~r ><-_oS::1 -z:__~_. ___~ .I --'2.1. 1\ S" :3 3/p______~___________~_ I - f5-'- ~~~~~~~y7'-~~ ~_~_~_________~________= _ __._12~r~jL -----~--- -- _ -------- _ _~9 ~ _$ -J 3/1:'____ ____~____~__n__ i - -j --- -Z i:lSY7'5~ j__ ~__ - -----__0..- ._____l3{~S..c'-t____ _n_/lJ ys.l"-- - -- - __ <<1-'4 -rS C; .;:?S .r- Y.j~~r -.- 1(' [''Iii t'if'" ,.~ lOt'>! .. g. 'f;. A'i\. c ~IJO'l'\"y;. e ..:;'....'. ~:." :~:'~,'~.. ....' ' . "'~". ,.:,,\ .... or', .' l i. ..' \ \ \'~', \ '. -pi' .;;..-~ \',,~ ...,., ,,..,\ ~'z '~.~ m~. j ':t...... -, \"f\ -'if' \_~ ^) .' :.<;~t~t~ '-""'. ".'2' ..- -- ~1;. ...~ ^ '. ~ y... ~ Co". -- '" "_~''''''''-'_.--"""--~""",.,,..,,-_. ,.'!,-.,,', I' it: ~1r"!lIl:~l; , ~''''_~''l-,",,,,,,,,,,,.,,,,,,,_, ",""~,",,"'or......~~ ... ,"~' .~,:::~~!;':~~ ~_r,'~ \ ,;. -j0 - ,1 -" . . -,..:\ " , '.\~0 \ ;:)~ c\~ ' < , ,,', I,. \ \'" ,1" ;..">:.,\ ..JL, " '\. '.. \J'(~ '" 7.- - o - '"'[\ ~) "r:).. 'M .~:>~ '" o , ; i~J;' f',(f,t- "'", ~?::':~\', \" \ ;~ .~ "V~ ~()/ ~ W~ .c'" '/'i0 rr \,.,., , \ #" '~ RO~O p..\N .,..."... -~-- Telephone (631) 765-1800 Fax (631) 765-6145 Town Hall, 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION Dear Partner-in-Preservation: We appreciate your interest in helping preserve the historic homes and buildings in Southold Town. As the owner of a registered Town landmark, you no doubt agree that they contribute significantly to our architectural heritage and unique quality of life here on Long Island's historic North Fork. The mission of the Town's Landmark Preservation Commission, as outlined in our local preservation law, is to identify and protect landmarks like your own and insure that alterations to them maintain the architectural integrity of the exterior of the building as well as being compatible with the general neighborhood. The local law also covers the demolition or moving of a registered landmark. Using the code as a guide helps us make decisions in a fair and equitable manner. The Commission strives to be user-friendly. To that end, a commissioner will be appointed to guide you through the process of obtaining a Certificate of Appropriateness (C of A) that is required before a Building Permit can be issued. The commissioner will contact you soon after your application is received in the Building Department. He or she will be able to answer your questions and assist you in executing the forms in this packet and in completing the other require- ments in the C of A process. Once you have the approved C of A, take it to the Building Department to complete the Building Permit process. Be assured that we will make every effort to expedite your application for a Certificate of Appropriateness. Thanks for being a partner-in-preservation. Town Hal!. 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 INSTRUCTIONS FOR "CERTlFICA TE OF APPROPRIA TENESS (C OF A)" APPLlCA TlON (Reauired for Buildino Permit on Reaistered Landmarks) Southold Town Building Department and landmarks Preservation Commission Phone: (631) 765-1802; Fax: (631) 765-9502 DRAWINGS andlor SKETCHES: Please submit one (1) set of measured drawings or sketches. The set should include: Site plan; elevations of all sides that are affected; existing and proposed fioor plans at)l.," scale; door and window schedule; sample(s) or photo(s) of exterior hardware, lighting, shutters, etc.; roofing and siding specifications and samples; paint samples/chips (only when requested). NOTICE OF DISAPPROVAL from the Building Inspector dated within the last sixty (60) days, together with copies of permit application and correspondence on file with the Building Department. APPLICATION: Typed or neatly written, signed by the property owner or representative and notarized. If you have a representative, please provide a signed consent form stating that he/she is authorized to sign and submit this application. FLAG OR STAKE outside corners of new construction areas for on-site inspections and provide photos, as necessary, to identify all areas where new construction or renovation will occur. FEE SCHEDULE: You will be advised if an application fee is required. If so, a check in the amount required should be made payable to "Southold Town Clerk" and should accompany the application for the Certificate of Appropriateness. LANDMARKS PRESERVATION COMMISSION REVIEW: A Commissioner will be assigned to assist you with completing the requirements for the C of A. The Commissioner will contact you soon after you receive the Notice of Disapproval from the Building Department After the Landmarks Preservation Commission has reviewed the application and set the date for a public hearing, we will confirm the date, time and place of the hearing. ANY CHANGES MADE AFTER THE APPLlCA nON IS SUBMITTED MUST BE PLACED IN WRITING. REVISED DRAWINGS CLARIFYING THE CHANGES ALSO MUST BE SUBMITTED. Changes may also require an amended Notice of Disapproval and certain other documents. Please check with the Plans Review section of the Building Department at (631) 765-1802 for more information. Thank you. LPC/CoIA: 5/10/06 -f TOWN OF SOUTHOLD HISTORIC PRESERVATION APPLICATION Meetings are on the third Tuesday ofthe month at 3:00 pm in Town Hall, 53095 Main Road, Southold, NY. All applications must have a representative at the hearing in order to be re- viewed. Questions? Call Historic Preservation Commission (631) 765-1800. Date: -1:j c; Z'd'e:;'? Prop~y Address: '~/ f7S")""/i _._ ./""7 K Y/?5 ~/~ '~a?<:' L.,../A:; ~ "",/ /Vt;," / Owners NalJle: . ..<. /cvc/ /?- ~ ~/,/ '"--l Sections of local laws authorizing review by the Historic Preservation Commis- sion of proposed work on designated town landmark properties are in Chapter 56 ofthe Southold Town Code. Categories of Proposed Work D Repair)(f Storm Windows & Doors D AlteraftotJ D Additions & other D Painting new construction D Roofing D Signs Please attach a detailed description of the proposed work to the application. At the earliest stage of planning of the proposed work, the applicant should contact the Chairman or Secretary of the Commission in order to establish a dialogue of the proposed work. I understand and agree that no work on this request shall commence until written approval has been given by the Building Inspector if a Building Permit is required. Owner's S~~: _ ~~jf J;;;/_ -I Note: Applicants should review Commission Standards before planning work to insure that the application conforms to these requirements. 1. APPLICANT Name: .-{ Ie, q cI -...J J9 i:A-/." "",,' Address: -<9'/s/S" ~..-~? ~~ ~/?/~U rt./~ / Telephone/email/fax: .:se3- / ~/<V 2. PROPERTY Owner's Name: Address: Telephone/e-maillfax: Tax Map Number: / ~ - Z - c5( 9. I Date Acquired by Current Owner: Status: Local Landmark ( ) In Local Landmark District ( ) On National Historic Register or in NHR Dist. () Use: Current: Proposed: 3. PROPOSED WORK Scope of Work~ J.. 1 I' -(/JH<-/l-tJ -'_ M....~ ,.. ... Reason for Work: Architect/Engineer: Contractor: Construction Schedule: BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN.DF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/SouthoId/ PERMIT NO. j~:S3b::c.... Examined ~~ Approved ,20 --rr- ,20_ Mail 10: Expiration ,20_ 1 Phone: Disapproved ale Building Inspect NJG \ j APPLICATION FOR BUILDING PERMIT Date ;;/tJ c ,20s2,Z- -,-- 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 ofthis 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 South old, 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. Qr 4- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ):;9j;v- //o'jr! 19 ~)//~ SJ'1/l/cIOl --- (As on the tax roll or latest deedl E.O If applicant is a corporation, signature of duly authorized officer APBRO E.O AS NOi / -7 ~b~ DAlE: (l :~. # 1fl ~ FEE: ~ . I'~ ; '. '\R1MENl AI NOli Y 8UILDi~." ~'." ~OR lHE 8 AM 10 -, I~W' r 765-1802 liONS' FOLLOWING \NSPE~WO REQUIRED 1 FOUNDA110N - . , . FOR GPHOUR;~M7,I~~C~E;CUM8\NG 2 ROU - r . . IN liON' \l.T~ 3. 'r? ~Pf0\ . ION ~v, . 8~E,~ rOd v, . llHE A CONSTRUClIUN Sh~~DMS ,F ~EW Block ~U\P.EMENTS O~~OP()~I~E!FOR Filed Map N6j'.K S I A I \~~"'iPl ~lON ERRORS. f DESIGN 01'1 (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which proposed work will be done: OIL / :5" 0/1: k'o House Number Street County Tax Map No. 1000 Section Subdivision /8' (Name) . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: , a. Existing use and occupancy ;?b", I -{' b. Intended use and occupancy /-IOM....e...- 3. Nature of work (check which applicable): New Building Repair Removal Demolition ..::f t!>C> 4. Estimated Cost ?"C'C'C'_ Fee Addition Alteration OtherWork 7-f'fh("~ WI'v!;u/' ~8j (Description) 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 10. Date of Purchase 70 'l/JLj Rear Depth /5 c:J Name of Former Owner &tfc.1 't'I( 9. Size oflot: Front 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO / 13. Will lot be re-graded? YES_NO hill excess fill be removed from premises? YES_ NO 14. Names of Owner of premises Jtsd C:;4; Address,lf/f's"JPh--f'!t1.r'..qPhone No. 3' c.3' J J /7/ Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ________ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.e. PERMITS MAY BE REQUIRED. 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. Ifelevation 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) SS: COUNTY OF~D~..b.. J//::/ ,-- being duly sworn, deposes and says that (s)he is the applicant (Name f dividual signing contract) above named, (S)He is the ~ . kal; Y\ (Contractor, gent, 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. 20Ql ~f~i_ ~ MELANIE OOROSKl NOTARY PUBLIC, State of New ~rfc No. 01004634870 Oualified in Suffolk County 0 Commission Expires September 30,.Ul.1 FOR LPC USE ONLY . e enclosed application and determined the following action to be taken: C"'mi"i;;';;:p'="R"',",~ / Public Heari Dole Yb-z/ r-