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HomeMy WebLinkAbout27324-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27825 Date: 07/24/01 THIS CERTIFIES that the building ALTERATION Location of Property: 835 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 7 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 2001 pursuant to which Building Permit No. 27324-Z dated MAY 21, 2001 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 FIREPLACE AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARGERY DOLAN-KEENAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A —,'L 0! , /'-� /Aor/zed Vignature 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. 27324 Z Date MAY 21, 2001 Permission is hereby granted to: MARGERY DOLAN-KEENAN CUTCHOGUE,NY 11935 for INSTALLATION OF FIREPLACE & ALTERATION TO SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 835 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0007 Lot No. 024 pursuant to application dated MAY 18, 2001 and approved by the Building Inspector. Fee $ 75 . 00 Au /riz96 Sig ature ORIGINAL Rev. 2/19/98 Form No. 6 T, r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 f APPLICATION FOR-CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector 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 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 a.consent to inspect signed by the applicant. If a Certificate of Occgpancy is denied, the Building Inspector shall state the reasons therefor in writing to the 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 - _ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . �.�.�.�. U . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . Location of Pro ert .g' J Pe k 51.E . VQ .n use. .t,� �� o s p y. . .� .6. . . . .. . . . . .4. . . . . . ..:�. . . . . . . . . . . . . . House No.' Street Hamlet Onwer or. Owners of Property... 2 . t�7 ., o �Pl,!�, , ,�,2,P �;�,G�✓�. . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . �.0. ,I). . . . .Block. . . . . . . .2. . . . . .Lot.FRY . . . . . . . . . . . . . . Subdivision. . .. . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. 7.�jP. 4f2, , . .Date Of Permit. . . . . . . . . . . . . . . .ApplicantXYa" .s l�9N.-!� . . . ... Health Dept, Approval. . . . . . . . .^. ..'... . . . . . . . . . . .Underwriters Approval. . . N�. . . . . . . . . . . . . . . . . . . . Planning Board Approval. ,N IA . . . . . . . . . • . w. . _ Request for: Temporary Certificate. .. . . . . . . . . Final Certicate. . . ✓}. . . . . Fee Submitte $. . . r->.. . . . . . . . . . . . . . . . . APPLICANT � 7 November 21, 2000 Town of Southold Building Department Box 1179 Main Road Southold, NY 11971 Gentlemen: Re: Building Permit # 253862- 1 am writing to request an extension on the above building permit. The fireplace is complete and only needs the final inspection. I am attempting to have a representative from the manufacturer call Mr. Gary Fish to clarify a question he had about the strapping. After that is settled, I will call for a final inspection. Thank you for your cooperation. Sincerely, arge o 4an- e=&'--- 835 Pequash Avenue P.O. Box 256 Cutchogue, NY 11935 631-734-2191 U44 T65-1802 r ,dam BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• ,DATE INSPECTOR -" r 7sJ-1802 suauiNc DE". INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ j FRAMING [ INAL zc�/ 6 [ ] FIREPLACE & CHIMNEY -------- REMARKS: REMARKS• a.4? ,DATE Y o't1 INSPECTOR .ul� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDAT 2ND [ ] 1 SOLATION [ ] F ING � FINAL [ FIREPLACE & CHIMNEY REMARKS: CDS ati.a 9 ,DATE INSPECTO BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ j FRAMING �[' FINAL [ ] FIREPLACE & CFIIMNEY REM RKS• cy/ Gf> ,DATE `�� INSPECTO I BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] LATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: 11 DATE INSPECTOR T65-1802 UILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN CATION [ ] FRAMING [ FINAL [ J FIREPLACE & CHIMNEY REMARKS: f AJ L , of DATE INSPECTOR .� BUILDING DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I CATION [ ] FRAMING ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: xz, DATE � -INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. GINGDATION 2ND [ ] INSULATION [ ] FINAL [ FIREPLACE 8 CHIMNEY REMARKS- DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: +n ' DATE ` k � INSPECTO � -�i�/ • • j�� L� � � .l .ua.�.�=;ice-�__ _�r.�'- `� II � ► f � . • � f-f -I -i l alk Ell jjr�� f_f _moi. / � � BOARD OF HEALTH . . . . . . . . . : . . . . . 0G] 8 FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY .. .. . . . . . . . . . . . . . . . . . . . . - BUILDING DEPARTMENT CHECK . . . ... . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TET.: 765-1802 NOTIFY: CALL �i Examined 19� O `� MAIL TO: . . . . . . . . . . . . . . . . . . . . Al>[hrovf-Kl........�Z��...., 19.� Pennit. No. ��.`.......... .QQL:.4. ............ Disapproved a/c ................... i . .. ......................... (Wilding Inspector) . APPi.ICATiON FOR 1111ILDING PERMIT Date. O�!� .0. , 19./. D. INSTRUCTIONS a. 'Deis application mast be completely filled in by typewriter or in ink and sulmitted to die Wilding inspector wi 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 public streets or areas, and giving a detailed description of layant of property must be dram on tie diagram Which is pert of this application. c. the work covered by this application may rat be commenced before issuance of Building Permit. d. Upon approval of this application, the Building inspector wilt issue a Building Permit to the applicant. Such permit shall be.kept on dhe premises available for inspection throughout the work. e. No building shall be occupied or used in Wlale or in part for arty purpose whatever until a Certificate of Occupancy shall have been granted by dte Building Inspector. h APPI.IcNnON IS IEWM MMX+ to the Building Department for tte issuance of a liuilding 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 lxuildings, additions or alterations, or for removal or demolition, as herein described. 11te applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations,,mid to admit authorized inspectors on premises and %bu.11dng for necessary inspecti _A- b,�- -- — . . .. ........... •(Signature•of.applicant, or name, if a corporation) (Meiling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer,*general contractor, electrician, plumber or Wilde, ............................. .^�...e_..................I...................,........................ . Now of owner of premises ../Yl 1� .� ............................... (as on Lite tax roll or latest deed) „ AS MX0 if applicant is a corporation, signature of duly audnorized officer. DAMM IZ 9� a .(Name'and.title. of.corporate•officer)OCjCjUf AIiiCY OR NOTIFY NIKO" OlM1 �T USE I� UNLAWFUL 7M-10 9 *A TO 4 PM *ole TME FOU OWMIp NIN�mI;Ig1�; Builders License Nm;. ............WITHOUT CERTIFICATE I rM Fo opN Mdj Plu hers License No. ....._......OF.O/ COPA NCC 2. ROUGH - i RAS Electricians License No. ........'' VtJ.. /1�Y 3. INSULATION 4. FINAL - CONMUCTIOM MUTT Other Trade's License No. BE COMPLETE FOR Ca ALL CON$Tjty�i(1�,�,AWALL.MEW......... I. incation of land on wihidt proposed�lwork will be clone............•••••'fFi�•F�E(1UIRE NTIs OF TME N.Y. ......�3 S...Pi a S....... V e n V e r... L1..r.C,&.o $T4►T_E CON N 1 000 ........ 'COUEV A PONNSUM FOR ' House Nunber Street DESIGN 0 County Tax Map No. 1000 Section ..../O.. ..... Block ... O O �. Lot ................ ERRORS Subdivision ...................................... Filed Map No. ................ Lot ............... (Name) 2. State existing use and occupancy of premises/and intended use and occupancy of proposed construction: a. Existing use and occupancy .....Sf.q ........................................... h. Intended use and occupancy ......St�rn`.p................�.......... �, ........... i. Nature of Work (d►eck Wiiidt applicable): New Building ........_ Addition ......... Alteration X Ilepair ............ Removal ............. lero . lition ........... Other Work I n S+�(( F►�r�e,..P,�lace �� .....(i)eBCription)................ It. I:St llnlate(t Cost .. tl ................. fee ............................................. (to be paid o► filing this application) 5. If d,rel l ing, ntnlner of dwelling toots .... ...... titni)er of. dkoel 1 ing units on each floor ...I........... If garage, tmnher of cars .... I............. ................. 6. If lx►sitness, commercial or mimf occupancy, specify nature and extent of each type of use..................... 7. 1liruen8ions of existing stnictures, if any: Front...z, ........ Rear .L."� ......... Deptl► .3.0........... Ik:ight Maher of Stories ...�..., Dimensions of sane stricture with alterations or additions: Front.. Rear ,S Ikptl► .................... lleigltt .................... tkiii6er of Stories ............... H. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Ileio►t ......................... Admirer of Stories 9. Size of lot i Front ...... q� ........ Rear ...... S.,.. Depth o?e,o„ M. Mite of Purdl►ase ..1.��:�.1.�........ Nome of 1?orrrer (Mier .DOC/.,S„�p2 �(S�✓1........ 11. Zane or use district in uhicit premises are situated .............................................................. 12. Ibex proposed construction violate any zoning lar, ordinance or regulation: ... ................ 13. Will lot be regraded .... �.......... Will excess fill be removed from premises: YES ND IC Na►es of Owner of premises h Ct !AN-0!A44 Acklressb S.Pe�t.gSl�../�uQy.rV:r:... 15ione Kane of Ar dtitect ..................................... Address .............................. Phone No. ............ . Nana of Contractor ................................... Acklreas ........... .................Hine No. ............. 15. Is this property within 300 feet,of a tidal wetland? * YFS ........., NO . . *1E YES. SOunlolD mm niamiti mim MAY BE w. pinm. ...... , PLOT DIAGRAM - locate clearly and distinctly all buildings, Whether existing or proposed, and indicate all set-back dimensiona from property lines. Give street and block ounber or description according to Gleed, and show street nares and inciic:ate nd►ether interior or corner lot. p r CMN to 03M11A ., :33:4 3W SM M" ,& M MA ! DX?-aar E SUVIE M N3I YU K AM"PT 1i1M e'N�IiiIVq:J�^'. p1.iM • N01TAWUOa r (1111N1Y (X' .........� 8[�AIR � Nr7110h M)...........Ireirq; duly sworn, (IeI x)ses arxl says that he is the appl.ic:rnnt (N,tirc: of i rFBRIh •• AE'i” ..fibi- t Ile is the Y N 3MT �3gttJr MADJAS*C 0rMtYMxf• ................................................ .............. � w. AQaf' a" eWporate officer, etc.) cif said (AW P1 to perforin or have performed the said Work Mill to rrrnke and file this 4'lq)1 icati(x►; that, all statenentts contained in this applicatiorn are tnm to the best of his luxrwledge and Wilief; aixl that, tine work will be performed in tl►e nitnner set forth in the application filed therewith. Sworn to before me this Cy ....G,?.4.. �.......day of .19. Notary Ptrb ' � ..... (Sigcud:ur-e•of�Applicant)•' ••• .. Nota No. � Term Expires December 31,19_._: Am FIm_ 771 -. �,,,�..rs.,,K, �,,.,,c�,•,-..i.y,�,,, , 7 ,�,�„raa-i•. �.... �w+ir.rr.++ate .s� a'+- tit.-4 051' U kdL f v` _ _ _ _ - -� Y4•s SV.OD m ' CD jue"IWOMW ALMAJJ N of App pN t0 ""S SU^VEY B A VIWJPON OF A Q !SK7I04 7Y9 CE THE 1.?VJ Y^-LA si'm ,rDWATION LAIV. `l• C) t 1�►� i. t 1'��/ COo3fs Or,lrrc S� v Y►tA1 NCi t{4uN0 A St�rCV.. 9'L T� �"C)R ►»::.I: '_. W ;,u NOY :t toNclopIp _j `,� I0 tiAVk..� /•\ . rr. Q - �1`, �' GUARANI � �� ONLY TO TItE YEtS• I Y SHALL UN _ AND� _ n IS P ARIL.AA'p Ci.r...:....Ai: 10 fit .04 Itwviy U ' /� (r tt C5 5�T + I� s j� /IAE COM Mn,WYWI. AG:WV Map . ._....,•.- - .►.S l Tu n" AT .. ww A.dtJ: ror ttArusttA TO A l'� /�) u:.:IRAip!nmmc ax ctinI%ANTef.n TP Tt-Ic- 's I.T3.V% 50 "it myA-Yi-j7 • JL.1LY 3, i 9T4 a fes♦� wu` 1! „Y - t1..'S �w. fr I 44• { r liNps 42E LA COSTA d 42EC - LA COSTA it INSTALLATION INSTRUCTIONS SAV£ THIS BOOK 22" This Gook is valuable. !n ad, to telling you how to install and malntain your fireplace and Chimney. !t also Contains the information that will enaale you to obtain repair ports when needed. Keep it with your other 17 1/2- important papers. I 37 3/D' 4 t 13/1 t3' 23 5/16" 1 13 1/a i STORM COLLAR ROUND TOP TERMINATION 1J/1B" FLASHING 4,T 1/4" FIRESTOP 3a 7/t6' Y2 1/16•' =2 IN. AIRSPACE t!•Rr•f!•f�f�01• 7 3/a•• Ao COAd.S STIbLE wAL 130ABRD 44 9/1 O" O IN. TO TOP PACER 3/4•• AIR SPACE a/1CK AND SIDES NO COMBUSTIBLE MATERIAL ON FACE GAS LI E OPENING FOR CONOUI E61IE OUTSIDE (BOTH SIOE AIR KIT 12 3/4" OUTSIDE AIR (LEFT SIDE ONLY) � I NOT LESS !� t/2•J THAN 24 W. TO 12 1/4" O (jy, � PERPENDICULAR 22•• BOTTOM SIOEWALL 1$ IN. D1!7 HEARTH EXTENSION EACH SIDE 66 IN. x $O IN. wAt,w�uLISTED ® FIREPLACE MANUFACTURERS 701 S. HARBOR BLVD.. BANTA ANA. CA 92704 P"O" MSN INC.,1 MON e!W WOODBOX FIREPLACE&BARBECUE CENTER INVOICE 318 E. Main Street 2077 Jericho Turnpike Patchogue, NY 11772 Commack NY 11725 (516)654-5757 (516)543-7880 U 1 PAGE 1 aAnarwvol= WORK ORDER # 007598 JOHN 02/05,/99 I DOLAN—KEENAN PO BOX 256 CUTCHOGUE, NY 11933 w �f El I: , Ph: 734/2191 Ph2: Sale Typo SERIAL IiCRS STRFF'T r000uaro. sinMweo siwrtaw oma. rw tiowra.n .w.. roi�aooa�MMa 1. allAMM UwFmm AYOIMff l' ATTENTION JOHN BOUSIS BUILDING INSPECTORS OFFICE .RE:FIREPLACE AT MAJORIE DOLAN-KEENAN RESIDENCE 4"BEHIND THE 8/4"NAILING FLANGE CAN BE FACED AGAINST WOOD IE. 2X4 FRAMING PLUS SHEETROCK THE PIPE MUST MAINTAIN A 2"CLEARANCE ON ALL SIDES THE ABOVE WAS VERIFIED BY JOE/TECHNICAL DEPT O ` 4 AT FIREPLACE MFG INC 2-5-99 WORK ORDER J f' V - . O SALES TAX 0.00 0.00 II f iMolb Yudp�doer b bl lW,. aMOO pdNw ftpmados Me weW�n�wMs�tl�d1R!ems, CUNIM Old., QuM OWQy rr,, HANK YOU t Td WdZb:ZO 666T S0 'qad TBLS K9 9TS : 'ON Xdd ONI OO 9AOiS XO9aOOM WONJ If ' LA COSTA 4LA COSTA 4 The proven design of the "E" Series by FMI is design will minimize the space needed for installation. enhanced with the addition of the La Costa fireplace.The The 42EC, La Costa II gives you the same radiant heat new La Costa series offers you not only the round back capabilities of the La Costa, but also affords you the avail design, but a"New Rounded Interior Refractory Design." ability of the "Deluxe 3 Fan System" to additionally offer This new refractory design adds to the radiant heat capa- you gentle warm circulating air. bility and aesthetic look of your fireplace. Both units can be fitted with FMI's own "FULL-VIEW" The new La Costa series is available in two models. extruded brushed aluminum glass doors to maximize The La Costa I, Model 42E and La Costa II, Model 42EC. viewing area and ambience in the home. The 42E, La Costa I offers you the traditional heat out- . FMI designs, engineers and manufactures a zero put with a clean face design.This design allows you the clearance fireplace system, which is unsurpassed in freedom of choosing your finish, whether it be brick, quality,ambience and versatility to fit any building require- stone, marble or the for the custom look.The round back ment. iaxl`f4 �----ROUND TOP TERMINATION specifications x� STORM COLLAR �i fig, 23 1/413 1/4 11' �{{ y 1 t FLASHING ,- _!__ Hearth „ I FIRESTOP 3!: �. tllk Dimensions 7� 221/2”--� 2 IN. AIRSPACE 42 3/4 I� !�r €t,; TO COMBUSTIBLE 38 3/4 11,, 22 MATERIAL l „ `s } Model 42EC COMBUSTIBLE 7 415/8" WALL BOARD 1 �41/2� 0 IN. TO TOP SPACER x Model 42E NO COMBUSTIBLE MATERIAL ON FACE AIR KIT Kms `q CAS LINE KID 3/4- AIR SPACES ' BACK AND SIDES 12 3/8 1/2 Ij .d 11 1/2 114 21 7/8 NOT LE S N. OUTSIDE AIR 1 + THAN 24 Note:Dimensions on this catalog (LEFT SIDE ONLY) SPERR PENDICULAR I sheet are approximate.For accurate i DEWALL dimensions,refer to the installation HEARTH EXTENSION 66 IN. X 20 IN. instructions. 0 IN. TO BOTTOM 12 IN. Fireplace EACH SIDE Manufacturers 1 Santa Ana, California 92704 'online.com ote: w uming fireplaces must be installed according to FMI installation / instructions and in accordance with local building codes and ordinances.Decorative gas Q r/'"'-"tr •Distributed by: logs must be installed in accordance with local building codes and ordinances,or,in ���� their absence,in accordance with National Fuel Gas Code ANSI 2223.1-(NFPA54). l_1 Installation is recommended by qualified service persons. NO.NEII.219 FMI reserves the right to amend product specifications wihout notice. WARNOCK HERSEY Dimensions above are approximate.For accurate installation requirements, Research RepOft NO 3597 usM ustM M refer to the installation instructions. lJl�lee'0' Please read FMl's warranty for an limitations or disclaimers. ASSEMBLED IOlerna110ni1 COn1ErEOte 01 FfgMy�YIM IMgleie pN MM1170i y �~ Building Ottloals led IN Wo P-N#54155 12196 0%0111%+ IN THE USA �3s OQ�c.. �• � 5 � �rt� W � ��� � � �-+� ► �� r I f r'oas P L �-. 140 � Illsy 4 ----------- 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. 25386 Z Date DECEMBER 8, 1998 Permission is hereby granted to: M. DOLAN-KEENAN 835 PEQUASH AVE CUTCHOGUE,NY 11935 for CONSTRUCTION OF AN ALTERATION & INSTALLATION OF FIREPLACE FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 835 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0007 Lot No. 024 pursuant to application dated OCTOBER 8 1998 and approved by the Building Inspector. Fee $ 75 . 00 i l Building—Inspector ORIGINAL Rev. 2/19/98 October 8, 1998 Building Department Town of Southold Dear Sir: Re: 835 Pequash Avenue, Cutchogue Attached please find an application for a building permit for the installation of a fireplace at the above referenced property. Two adjoining windows on the north wall of the living room will be removed and the fireplace installed in the opening. The existing header will remain and an additional header over the fireplace will be installed. The opening will be closed in and sheetrocked. I would appreciate the building permit being issued as quickly as possible. If you need any additional information, please do not hesitate to contact me. Thank you. Sincerely, arge Dolan-Keenan P.O. Box 256 Cutchogue, NY 11936 (516) 734-2191