HomeMy WebLinkAbout29583-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP2LRTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~-NCY
No: Z-29606
Date: 07/29/03
HIS CERTIFIES that the building ACCESSORY
Location of Property: 600 LITTLE PECONIC BAY RD CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax ~4ap No. 473889 Section 111 Block 14 Lot 13
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 17, 2003 pursuant to which
Building Permit No. 29583-Z ~ted JULY 17, 2003
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 TWO CAR G~LRAGE AS APPLIED FOR.
~e certificate is issued to THOM3~S CAVANAGH & DINA FR3~NK
(OWNER)
of the aforesaid building.
SI/FFOLK CO~ DEPAR~ OF ~F~_LT~ APPROVAL N/A
EI~CT~ICAL CERTIFICA~q~ NO. 58244C
PLUMBERS CERTIFICATION D~u N/A
03/19/03
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-29607
Date: 07/29/03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 600 LITTLE PECONIC BAY RD CUTCHOGUE
(HOUSE NO.) {STREET) (HAMLET)
County Tax Map No. 473889 Section 111 Block 14 Lot 13
Subdivision Filed Map No. __ Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 17, 2003 pursuant to which
Building Permit No. 29583-Z dated JULY 17, 2003
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 SHED AS APPLIED FOR.
The certificate is issued to THOMAS CAVANAGH & DINA FRANK
( OWNER )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 58244C 03/19/03
PLUMBERS CERTIFICATION DA'r~3 N/A
/~ori~d Signature
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. 29583 Z Date JULY 17, 2003
Permission is hereby granted to:
THOM3%S CAVA/qAGH & DINA FPJkNK
NEW YORK,NY 10024
for :
NEW CONSTRUCTION OF AN ACCESSORY TWO CAR GARAGE AND ACCESSORY SHED
AS APPLIED FOR. THIS PERMIT REPLACES BP#27352.
at premises located at 600
County Tax Map No. 473889 Section 111
pursuant to application dated JULY
LITTLE PECONIC BAY RD CUTCHOGUE
Block 0014 Lot No. 013
17, 2003 and approved by the
Building Inspector to expire on JANUARY 17, 2005.
Fee $ 158.70 ''
~gnat~re
ORIGINAL
Rev. 5/8/02
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. 27352 Z Date JUNE 5, 2001
Permission is hereby granted to:
THOMAS CAVANAGH
NEW YORK,NY 10024
for :
NEW CONSTRUCTION OF AN ACCESSORY TWO CAR GARAGE & ACCESSORY
SHED AS APPLIED FOR. (2 CO'S REQUIRED)
at premises located at 600
County Tax Map No. 473889 Section 111
pursuant to application dated FEBRUARY
Building Inspector.
LITTLE PECONIC BAY RD CUTCHOGUE
Block 0014 Lot No. 013
16, 2001 and approved by the
Fee $ 75.80
AuhoI=edSignature
COPY
Rev. 2/19/98
Form No, 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Tiffs application must be filled in by typewriter or ink and submitted to the Building Department with the following:
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 Plamfing Board Approval of completed site plan requirements.
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 Bnilding Inspector shall state the reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy ~ New dwelling $25.00, Additions to dwelling $25.00, Altcrations 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, Cormnercial $15.00
New Construction: ~ Old or Pre-existing Building: (check one)
LocationofProperty: ~d~t~ Z,TV'Z~'~C.~,n//ZL~/'~:)'~r'~,,t~/~ ~c~7'~/"/'~;~Z~'
House No. ~ - Street
Hamlet
Suffolk County Tax Map No 1000, Section
Subdivision ~.lL4x. ~.9_&j¢--~. (~
Permit No. ~
Health Dept. Approval:
Pla~ing Board Approval:
Request for: Tempora~ Certificate
Fee Sub~tted: $
Block ~O~q Lot
Filed Map. _ Lot:
DateofPermit. /
Underwriters Approval: ~ A/~/~O~ ~
Final Certificate: _ ~ (check one)
Applicant ~
Issue Date
03/19/2003
Electrical Inspection Certifftcate
Electrical Inspection Service, Inc. Application Number
375 Dunton Avenue 58244C
East Patchogue, NewYork 11772
(631) 286.6642
Issued To:
Street:
Village:
Thomas Cavanagh
600 Little Peconic Bay Rd
Cutchogue
Section: Block:
Contractor: Seaside Electric Inc. (L) (cc)
Zip: 11935
Lot:
Town: Southold
Lic.# 5166-E
[] Commercial ~ NV Defects [] Pool [] 1st Floor [] Indoor [] Basement [] Hot Tub
[] Residential [] Det. Garage [] Attic [] 2nd Floor [] Outdoor [] Addition [] Survey
Switches Receptacles Fixtures GFI Heaters
6 6 9 6
Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps
A/C Fans
Microwaves
Furnace 011 Gas
Meter Amps Phase UG/DH
1 200 I [] /
Bldg. Permit:
Other Equipment
Circulators Smoke Detector Bell Transformer
Jacuzzi Television CO Detector
Shed
1-40 Circuit w/main
1-15Amp Disconnect
1-50Amp Sub Panel
Hugo S. Surdi
President
Rough Inspection: 12/04/2001
Inspector: Quentin Reynolds
Final Inspection: 03/18/2003
Inspector: Ed Scavelli
This cedificate must not be altered in any manner, inspectors may be identified by their credentials.
APPLICANT NAME:
BUILDING PERMIT REVIEW CHECK LIST
DATE REVIEWED: ~ /_.~ /~,,
DATE SUBMITTED:.2. //~ ,~,
SCTM#--- DISTRICT: 1,000 SECTION: /// BLOCK: /~- LOT:
PROJECT LOCATION
STREET: ~c,~ £. ~/,./~,.,,..,,~ /~,,2~/~,,,~ CITY: ~q~o0oe
ARCHITECT / ENGINEER: (~" ,t~.a~4t
SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o~ NOTES:
SUBDIV. NAME:
FAST TRACK: YES
ZONING: PERMIT,'~S~4.MATE AMOUNT: $ / ~,,4~ .00
ZONING DISTRICt)80, AC, - CONFORMING: YES o[~O REOUIILED LOT SIZE: 'F-OK SQl
WHERE ACTUAL LOT SIZE FROM?TAx caP.~ ACTUAL LOT SIZE: g/..~.g SG
RE.Q~UrP~, ~D REOUIILED REQ/uI~RI?,~,..~, D
FRONT: ~ PROPOSED: ' SIDE YD: /~' '/..~ ' PROPOSED: '/ ' REAR:~_ PROPOSED: :
LOT COVERAGE:._&LLOWED: % EXISTING: sf % NEW: sf % TOTAL:/'t//~ sf_
coP, R? YES o¢,_72;,'WAZ ER FRONT. YX,.LCa NO DESCP, VTION:/o --
LOTS 40,000SF--100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM
JAN. 1997 100-25. Merger. (A nonconforming at any time after July 1, 1983.)
PROJECT
DESCRIPTION:
ADD ,AL'I'~.~R N/D:
AGENCY PERMITS REQUIRED FOR REVIEW
TOWN SPETIC PERMIT: YES
SUFFOLK COUNTY HEALTH DEPT: YES o~ (BED #):__ DTE:__/__/
NEWYORKSTATEDEC: ~,R~-~cg/,/7sYESi~rr~ //d)O/
SOUTHOLD TOWN TRUSTEES: YES or
TOWN ZONING BOARD APPROVAL: YES
TOWN PLAN. BOARD APPROVAL: YES
FLOOD COMPLIANCE ZONE: va~-VmM 3a8/80 PANEL #:
NYS ENERGY: YES OP~O:P) EGRESS: VENT:
NOTES:
FLOOD ZONE: ~" .,
LIGHT:
FEESTRUCTURE:
TOT(
FOUNDATION: SF
*-F~w'.oOT FLOOR :
-~gC-ONi~R :
TOTAL: SF
SF)- (~KOO~S F)=
SF X $ ,~-O --$
1NIT OTHER TOTAL
FEE F~,~ FEE
76S.1802
BUILDING DEPT.
INSPECTION
[ F~~OUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATIONIST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ] INS~LATION
[ ] FRAMING [~/]~FINAL
[]FIREPLACE&CHIMNEY
DATE
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
REMARKS:
DATE
INSPECTOR~_~
{{
PLU~IING
IN~IIATION PER N. Y.
CODE u
FORM NO. I
TOI~I OF SOUTNOLD
BUILDING DEPARTMENT
TOI~N HALL
SOUTflOLD, N.Y. 1197 !
TEL: 765- 1802
Di ~-~ed a/~ ..................................
APPLICATION FOR BUILDING PEEHIT
INSTRUCTIONS
BOARD OF REAL'fit ...............
3 SETS OF PLANS ~. ...........
SURVEY .. ~ ..................
CHECK ~... .....................
SEPTIC FORM ...................
HAIL TO: Z~..g~..~.~'~f;:~ ~]
. ~ .-~%.L~. )D...B/f~7~-. ~..
../~.r:~...~.~ ~...1~.~.~..,
a. This applicati~ must be completely filled in by ~iter or in ink and sul~itted to the Building Inspector w:
3 sets of plaas, ~-~-ate plot plan to scale. Fee according to sahedule.
b. Plot plan sim~ing location of lot and of buildings on premiaes, relatio~hip to adjoining premises or public
streets or areas, and giving a detailed description of layont of property mast be dra~ on the diagram ~hich is part of
~his application.
. ~ c. lhe work c~erad by this application ~ay not be Cc~enced before issuance of Building Permit.
d. Upon at, royal of this ~al~licae. io~, the Building Inspector ~ill issue a lhilding Pem/t to the applicant. Such
pe~it aball he kept on tim premises available for inspection thronglx~t the ~ork.
e. No building aba11 be occupied or used in rdnole or in part for any txtrpose ~/~atever until a Certificate of
Oco .~cy shall have been gr~mted by the Building Inspector.
API%ICATICt~ IS ~ 14fil]E to the Building Depml-~at for the is~nca of a ltuilding Penn/t pur~aant ~o the
Bu/lding ?c~ Ordinance of the Tc~ of SnsrJ~ld, Suffolk County, Ne~ York, and other applicable Lmm, Ordinsnses or
Regularity, for the construction of buildings, additions or altaration$, or for removal or a~nlitiau, as herein
described. The applicant agrees to ~-,Sq~ y ~rith all applicable la~s, ordi~s, Imilding code, housing code, and
rngulati~, and to ~cl~;t authorized inspectors on praises and in buildi~t/~s.
.....................
(Signature o~ appl~can'l~, 9r_j~ne, if a corporation)
(l~iling ~ess of applicant)
State ~Ae~r applicant is oa~er, lessee, stFat, archi~ct, engineer, ~ral ~t~tor, el~rici~, pl~r or ~i]~
-,~,~?-~ ~I---7-1-~--~-~...~ ~....~ ~~ ...................................
of .................
(~ m ~ ~ roll or latns~ ~) ~
/
If ~li~t is a ~rati~, siam of ~ly m~ri~ officer.
.................... ~ .............................
(~ ~ ~i[le of ~rate offi~r)
Builders License No.
Electricians
License
0~ ~,~.~ ~,~ No...-:3~..~. .........
I. l.~._.ation of 1~ m ~i~ ~ ~ ~11 ~ ~ ..............................................................
~~.
~vi~ ~m~.)~,~:~l~-~ ~ ~. ..... ......... . ~ .............. .
(~)
- .....................
~. m~ ~ ~ m~ ................. ~~ .............................................
If business; Cu~,~rcial or mi~d occupancy, specify nature and extent of each type of use .......... : ....
Dimensions of e~isting strueturee, if mW: Pront .......... .~./... l~ar ............... Depth .................
lle~ght ......................... Nt~mr of Stories ......
Oin~nsions of s~e stmetore ~th alterati~ or ~iti~s: ~t ..~..i... ~sr ...............
~pth .................... ~i~t .................... ~r of Stories ...............
8. Oi~nsi~ of enti~ ~ mt~t~: ht .~;%....~ ..... ~ar .4.~....g ..... ~ ...~ ...... .~.
~i~t ........ t .. t...W ........ ' . ~r of Stories ........ ~ ............
si~ o~ ~o,: ~, ....... ~Z ....... ~= ..... I.i~ ......... ~,,h ........ }.~.~ ....
~.~ or ~ ~i,,~i,, i, ~i~ o,~.i~, ,, ,i~ ...... ~,~W..~ ............................ ' ....
12. ~s ~ ~t=tim violet* ~ =i~ 1~, o~i~e or ~lati~: ..~ ................
15. Is ~is ~,o~ ~ain ~ f~t o~ a ti&l ~tl~[ ~ ....... ~ .......... . /
PLOT DIAGRAH
locate clearly and distinctly ali buildings, vhether existing or proposed, and indicate all set--back dimensions
fit,, property lines. Give st-veer and block rss~ber or description according to deed, and shoa street nines and indicate
x~hether interior or corner lot.
grA'IE O~ 1~I.14
OilllgPl (~F .......................
................ ~i~ duly ~m, ~s a~ ~s that ~ is ttm a~li~t
'(~ of iMivi~ s~ing cmMt)
/
..... ................... : ........................
{~t ~tor, a~nt, co.rate officer, etc.)
of mid mr ~ mrs, ~ is &lly ~tl~rlr~ to ~rfom or hm ~rfo~ ~m ~id m~ ~ to m~,~ file this
a~licatien; flint all star--ts cmtai~ in this a~licatim
that ~e w~ will ~ ~rfo~ in tt~ mawr mt forth in ~e a~licatim fil~ t~.
~m to ~fom m this
..... ......... ..... a; wl
No.
Qualified in Suffolk CO~.
Commission Expires May 22. ~ ~ ~ ~