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Home My WebLink About34667-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34233 Date: 03/19/10 THIS CERTIFIES that the building ALTERATIONS Location of Property: 225 FRANKLINVILLE RD L~UREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 125 Block 1 Lot 3 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 2009 pursuant to which Building Permit No. 34667-Z dated MAY 8, 2009 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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT H GERDTS & ANO ( OWNER ) of the aforesaid building. SUFFOLK COU~TYDEPARTMENTOFHEALTHAPPROVAL N/A ELECLrKICAL CERTIFICATE NO. 11228 12/16/09 PLU}~3ERS ~KTIFICATION DA-r~u N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPA] This application must be filled in by typewriter or ink and submitted to the Building De A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines,: topographic features. TOWN OF SOUTHOLO 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 ce~ifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commemial 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-confoming 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. F~ 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 t6 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 Date. New Construction: Location of Property: Owner or Owners of Property: ~(J~:~ Suffolk County Tax Map No 1000, Section Subdivision Old or Pre-existing Building: ,/ House No. Street Block Filed Map. PermitNo. ~(~{/~ 7 DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ (check one) Hamlet Lot Lot: Applicant: ~q~'t3 ~-~¢~W Underwriters Approval: Final Certificate: (check one) Applicant Signature 03/03/2008 01:20 6319806455 S~EI NYBTG P~iE 01/0i SUFFOLK ,f BUREAU of 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Maik SBEIGS~gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In InspeCtion Date: Applica~:ion No.; .1Xt4 SAE;E ELECTI~(;, XNC. December 16,2009 11228 Cerl;ificate NO.: Final Inspection Date: Building Permit No.: 11228 December 16,2009 County Tax Map No.: This Certificate of Electrical Compliance is limited to the inspection and compliance Of electrical equipment and/or work described below, installed by the applicant named above, located at the premise of and not; aPcer the final inspection date above: Owner: ROBERT GERDTS Site Location: tSERDTS, FRANKLt'NV[LLE RD, LAUREL, NY 11948 Owner's Address (If different): [] Resldential ~ Indoor [] Basement ~ Commerc~at [~ Outdoor [] First Floor [] New [] Renovation [] Seoond Floor [] Addition [] Survey Other: INVENTORY Three Phase Hot ~ter GFCI Recpt [] Service [] Shed ~ Pool [] Hottub [] Attic [] Garage Ceiling Fixture HID Fixtures Wall Fixture Smoke The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: JIM SAGE ELECTRICs INC. Inspected By: Roger Rlchert License No.: 3635 ME Date Of Certificate: Dec 18,2009 DEC 18,2009 07:16A SURDI GENE 6319806455 paqe 1 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. 34667 Z Date MAY 8, 2009 Permission is hereby granted to: ROBERT H & ANO GERDTS P.O. BOX 184 LAUREL,NY 11948 for : INTERIOR/EXTERIOR ALTERATIONS AND OVERHEAD ELECTRIC SERVICE TO BE MOVED UNDERGROUND AS APPLIED FOR. at premises located at 225 County Tax Map NO. 473889 Section 125 pursuant to application dated MAY Building Inspector to expire on NOVEMBER FR3kNKLINVILLE RD MATT/LAUREL Block 0001 Lot No. 003 4, 2009 and approved by the 8, 2010. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ] FOUNDATION 1ST [ ] FOUNDATION 2ND ~ ST~ING [ ] FIREPLACE & CHIMNEY [ [ ] RRB RESISTANT CONSTRUCTION [ REMARKS: [ ] ROUGH PLBG. [ ]INSULATION [ ]FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ! ROUGH PLBG. [ ] FOUNDATION 2ND ~NSULATION ~FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION FRAMING / STRAPPING FIREPLACE & CHIMNEY FIRE RESISTANT CONSTRUCTION REMARKS: DATE INSPECTOR ~' ~ ,D INSPECTION REPORT f DATE I COMMENTS FOUNDATION (1ST) FO~ATION (2~) ROUGH F~G & PL~G ~S~TION PER N. Y. STA~ E~RGY CODE .~-/~-/~ '- ~ , ~ F~ ~D~ION~ ~O~ENTS TOWN OF'SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined Approved Disapproved Expiration PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact: Phone: Building Inspector MEET THE,,_~RFQll ~c~._. _ ~r~.. ,, OFTHE ~IC~II~ ~ ~I~I~ ~B~I~OE)ES OF L~:',~ , ,..~ ,, ,~ ~. E. Date ,20 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. USE IS UNLAWFUL (Signature ofapplicantorname, ifa corporation) WITHOUT CER, IF CA r_: UNDERWRtTERSGERTIFICA'Tt OF OCCUPANCY REQUIRED State whether applicant is ownei', lessee, agent, archJtect~e.n, gjDger, genera] RETAIN STORM WATER RUNU~ 0 wb4 E~ ~. PURSUANT TO CHAPTEF1236 PURSUANT TO CHAPTER 236 OF THE TOWN CanE. OF THE TOWN CODE. AP3PROVEB ~.q NdTVED S Nameofownerofpremises '12,O~/Eg--'r' ". ~ ['4/~('r't4L,C_,F_,.l'q t,~.,flf'r~~:ED (As on the tax roll o9tt~_~.~,4_~~ - e P # 2 ~&'?~ '7' If applicant is a corporation, signature of duly authorized officer FEE:. ~.~ (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. NJ//'& Other Trade's License No. 1. Location of land on which proposed work will be done: (Ma~li~g address of applicant) 'Z.. 'Z- 5 'i"~"(;~l~Z.L_ll~VII..L..~.. I~0~:~ L. AI.~I~MENTS OFTHECODESOFNEW House Number Street ' YOP~a~TtE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. County Tax Map No. 1000 Section [ 2..{~ Block ~ Lot ~ Subdivision Filed Map No. Lot NOTIFY BU!L: Lf3 :'.:~;ARTMENT AT 765-1802 8AM TO 4FM FOR THE FOLLOWING INSPEC'i iONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE '-OR C.C. ALL CONSTRUCTION SHALL MEET THE 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 ~ i I,d ~ L ~- 3. Nature of work (check which applicable): New Building_ Addition Repair Removal 4. Estimated Cost ~ I~ 5. If dwelling, number of dwelling units if garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. lq Alteration Demolition Other Work DqC_~,d,~ Fee ~ ~ u Mt, (To be paid on filing this application) Number of dwelling units on each floor 7. Dimensions of existing structures, if any: Front 4-0.4- Rear Height_ Number of Stories Z- Depth 9. Size of lot: Front lEI [ Rear [ ~oO Depth 10. DateofPurchase q [~O /[c~'"/;.~NameofFormerOwner ~_'l>t'"r'~ Dimensions of same structure with alterations or additions: Front t4U (_.~A~-~_.. Rear MO Depth ~ E.~R.I,4~-- Height N~ c.¢Ak~,~--- Number of Stories 1,4~ Dimensions of er)tire new construction: Front Iq/~ Rear I'q/t~ Depth Height ~//N Number of Stories fq t/~, 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 ¢~ Will excess fill be removed from premises? YES NO ¢ 14. Names of Owner ofpremises~4 Cx~'t>'-W-~ Address Name of Architect Address Name of Contractor p~O~.>,~' lq ~-- Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO ¢' 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, mu~t. pr°vide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. STATE OF NEW YQKK) (Name of individual signing contract) above named, NO V/ being duly sworn, deposes and says that (s)he is the applicant (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 tree 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 ¢ day of M-Ah/ 200~ · ~*~,"7, .:~",c, ,,'~t6 vi' N~ ~ Notaw Public . '~ 0~T061906~ '-'" Signature of Applicant OWNER FORMER' OWNER /-3 TOWN OF SOUTHOLD PROPERTY RECORD CARD STREET ' VILLAGE SUB. E S W LOT /~ -II SEAS. VL FARM LAND IMP. TOTAL DATE 'COMM. C~,t MISC.' REMARKS TYPE OF BUILDING NEW FARM Tillable 1 Tillc~le 2 Tillable 3 Woodland Swampland Brushland House Plot Total Value Per Acre I~RONTAGE ON WATER FRONTAGE ON ROAD Acre DEPTH M. Bldg. Extension Extension Porch Porch Garage Patio Totot 12~-1-3 2/02 Foundation Basement Ext. Walls Fire Place Roof Dormer Driveway Both Floors Interior Finish Heat Rooms ] st Floor Rooms 2nd Floor of Southold Erosion, Sedimentation & Storm.water Run-off ASSESSMENT FORM PR, OPERTY LOCATIO~N: S.C.T.M, #:..... THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~)~'~Yh )~.'~ I --~ STORM.WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAH District Section Block Lot C~-I~TII-IED BY A DESIGN PP. orESSIONAL IN THE STATE OF NEW YOLK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Will this Project Retain NI Storm-Water Run-Off Generated by a Two (2") inch Rainfall on Site? r'~ (This item will include all run-off created by site cleadng and/or consbuction activities as well as all Site -- Improvements and the permanent creation of impervious surfaces.) Does the Site Plan and/or Survey Show All Proposed Drainage Structures nd ca ng Size & Location? r~ This Item shall include all Proposed Grade Changes and Slopes Controlling Surface WaterFIowl Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural r'~ Existing Grade Involving more than 200 Cubic Yards of Mateda within any Pamel? L,~ -- Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of r'~ Five Thousand (5,000) Square Feet of Ground Surface? Is there a Naturel Water Course Running through the Site? Is this Project within the Trustees udsdiction or within One Hundred (1 Off) feet of a Wetland or Beach? ~ -- Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) leet of Vertical Rise to One Hundred (100') of Horizontal Distance? ~ __ Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off r'~ · into and/or in he d recfion of a Town right-of-way? ~ __ Will this Project Require the Placement of Material, Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Area? ~ -- (This item will NOT include the Installation of Driveway Aprons,) Will this Project Require Site Preparation within the One Hundred (100} Year Floodplain of any Watercourse? r'~ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Sox, a Storm.Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permifl EXEM PTION~ Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You AnsWered Yes to this Question, a Storm.Water, Grading, Drainage & Erosion Control Plan ts NOT Requiredl Yes No STATE OF NEW YORK, COUNTY OF ........................................... SS That I .........~..D.....~...~....(...~.......~..,.~..~!...~... ..................... being duly swot~a, deposes and says that he/she is fl~e applicant for Pennit~ (Name of individual s~gning Oocumenti And that h~/ghe is the ................................ (Owner, Contractor, Agent, Corpc~ale Officer, etc,) Owner and/or rel~resentative of the Owner of Owner's, and is duly authorized to perform or have performed the said work and to make and file this application; that all statement~ 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 herewith. Sworn to before me this; .......................... / .................. day of //b~._ ,20...~).. ~ Notary Public: NO, 0~6190696 (Signature of Applican0 .......... FORM - 06/07 Building Permit Application Robert H. & Kathleen K. Gerdts 225 Franklinville Road Laurel, New York SCTM 1000 -125 -1- 3 Scope of Project: In order to remedy chronic roof leak (note existing poor design and construction details) and improve energy efficiency, remove one window on second floor as indicated on attached photographs, reframe opening, sheath, insulate and match existing interior and extedor finishes. In order to improve energy efficiency (note there are currently three doors in front of the house and two of them enter the same space merely 2 feet apart), remove one door on first floor as indicated on attached photographs, reframe opening, sheath, insulate and match existing interior and exterior finishes. Since the building is timber frame, it is anticipated that additional headers will not be necessary to transfer existing loads. However, this will be reassessed once existing framing is exposed. COLOR TRIM M. Bldg. Extension Foundation Basement Ext. Walls Fire Place Bath Floors Interior Finish Dinett< K. ER. DR. ,no~ of MAIN formefly $chOO~ ~ Are° ~ 57,099 YOUNG & YOUNG SURVEY FOR: TOWN OF SOUTHOLD