HomeMy WebLinkAbout26752-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Nc: Z-27299
Date: 09/11/00
THIS ~TIFIES that the building ALTERATION
Location of Property: 520 PEQUASH AVE CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 11 Lot 2
Subdivision Filed Map No. Lot No. __
conforms substantially to the Application for Building Permit heretofore
file~ in this office dated AUGUST 2, 2000 pursuant to which
Building Perm{t No. 26752-Z dated SEPTEMBER 5, 2000
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 ENCLOSE PORCH ADDITION OF EXISTING ONE FAMILY DWELLING AS APPLIED
FOR "AS BUILT" & AS PER ENGINEERS REPORT OF JOHN J. CONDON DATED 8/31/00.
The certificate is issued to MARY T HAMILTON
(OWNER)
of the aforesaid building.
SoF~LK ~O~ITT~ DEPARTMENT OF ~LT~APPRO~AL
~u-£KICAL c~TIFI~ATENO.
pL~S ~TIFICATION DA'£~
N/A
N/A
N/A
~ture
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. 26752 Z Date SEPTEMBER 5, 2000
Permission is hereby granted to:
MARY T HAMILTON
PO BOX 588
CUTCHOGUE~NY 11935
for :
ENCLOSE PORCH ADDITION OF EXISTING ONE FAMILY DWELLING AS
APPLIED FOR "AS BUILT".
at premises located at 520
County Tax Map No. 473889 Section 103
pursuant to application dated AUGUST
Building Inspector.
PEQUASH AVE CUTCHOGUE
Block 0011 Lot No. 002
2, 2000 and approved by the
Fee $ 75.00
/-- Author z~d Signature
/
Rev. 2/19/98
ORIGINAL
Form No. 6
TOWN OF SOUTtlOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewrit'er 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
! Vpre-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 Occupancy 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 Buildinm - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~_ ~.~s f 2,,
Date .......... -..~qg? .........................
New Construction ........... Old Or Pre-existing Building..~p. P~%~. ~qqvation (enclosed
Location of Property 520 Pequash AvenUe . Cutchogue porch)
House No. Street Hamlet
Onwer Owners of Property ~9~ T Hamilton '
or ..o.. . .
County Tax Map No 1000, Section 103 07 ~1 07
...... ' .Block.. · .Lot..002-000
Subdivision '
.............................. Filed Map ............ Lot ......................
Permit No ................ Date Of Permit ................ Applicant .............................
Health Dept Approval.'..
Underwriters Approval
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate.. X
Fee Submitted: $ ~5.~0
' . ....... q ......... . ..........................
Cronin and Condon Consulting Engineers
1755 Sigsbee Road
Mattituck, New York 11952
LICENSED PROFESSIONAL ENGINEERS
NEW YORK
NEW JERSEY
(631) 734-7250
FAX (631) 734-7014
September 8, 2000
Richard Lark, Esq.
Main Road
Cutchogue, New York 11935
Subject Porch Electrical Wiring Hamilton Residence- Pequash Avenue, Cutchogue
SCTM# 1000-103-11-2
Dear Mr, Lark:
On August 23, 2000 I inspected the southern porch at the Hamilton residence on Pequash
Avenue in Cutchogue, New York. During that inspection I also observed the electrical wiring.
The wiring that was visible in the crawl space under the porch is the original (Pre-renovation) and
the installation is acceptable and the quantity of receptacles are adequate and in conformance
with the National Electric Code.
Yours truly,
Cronin and Condon Consulting Engineers
1755 Sigsbee Road
Matt~tuck, New York 11952
LICENSED PROFESSIONAL ENGINEERS
NEW YORK
NEW JERSEY
(631) 734-7250
FAX (631) 734-7014
September 5, 2000
Mr. Richard Lark, Esq.
Main Road
Cutchoogue, New York
Subject: Pomh Electrical Wiring -
Hamilton Residence-
Pequash Avenue, Cutchogue New York
SCTM# 1000-103-11-2
Dear Mr. Lark:
On August 23r~ 2000 1 inspected the southern porch at the Hamilton residence on Pequash
Avenue in Cutchogue New York. Dudng that inspec'don I also obsen/ed the electrical widng. The
widng that was visible in the crawl space under the pomh appeared to be original (pre-renovation)
and the installation appeared to be acceptable and the quantity of receptacles appeared to be
adequate and in conformance with the National Electric Code.
Yours truly,
ELD INSPECTION REPORT DATE COMMENT.'-;
UN])AT 1 ON ([ST)
UNDATION ( 2ND )
PLUMBING
~SULATION PER N. Y.
STATE ENERGY
CODE
,,' ,, -
ADDITIONAL COMMENTS:
d~
0
0
CONSENT
TO
INSPECTION
MARY T. HAMILTON
· the undersigned·
Owner (~) Name(s)
do(es) hereby state:
Thai the undersigned (is) (~x~ the owner~) of the premises in the Town
of Southold located at 520 Pequash Avenue, Cutchogue, New York
· which is shown and designated on the SuffOlk
County tax map as District 1000, Section 103 , Block 11 , Lot 2
That the undersigned (has) (h~k'~) filed, 'or caused [o be filed· an applica-
tion in the Southold Town Building Inspector's Office for the following:
Certificate of Occupancy~- As built renovation (enclosed porch)
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
au.y and all buildings located thereon· to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so %vith the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated.' ~ ~, 2000
f (signature)
Mary T. Hamilton
(print name)
(signature)
(print name)
FORM NO· 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined .............. '.., ]9 ...
Approved...c}. l. ?. .........
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH .........
2 SETS OF PLANS ..........
SURV£Y ............. , .....
CIIECK .................
SEPTIC FO~}I ..............
CALL ' . ......
NAIL TO:
a. Tiffs application must be completely filled in by typewriter or in 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 public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation:,
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 issued a Building Perrait 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 and in building for n¢cessarYc, inspectionso-~%- / / · ,4/
--' (Signature of applicant, or name, if a corporation)
Mary T, Hamilton · ·
· .~....q....~p.x...5.8.8.,..c..u.t.c.h.o. 9.u.e.,' ..~X .z..~?.3.5. .....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Owner
Name of owner of premises ...'..M.a.r.¥. ?....H..a.m.i.l.~..o.n ...................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
N/A
(Name and title of corporate officer)
· Builder's License No ....... .N~...[..~.~..~..~'.~...171. 17
Plumber's License No ...... ~/.b.' ..............
Electrician's License No .... .N./fl. ...............
Other Trade's License No....Ixi/.~ ...............
1. Location of land on which proposed work will be done .................. . ................................
· .s.%q. ........ i .......................... ........................
House Number Street Hamlet
County Tax blap No. 1000 Section :..~. 9.a...qQ ......... Block . .~..~: 9.0. .......... Lot. 9.0.2. -.99.° ..........
Subdivision ......................... ; ........... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .... qn..e:-.f.a.m. $ J_y..clv¢~.~Aoo.. (e.n..c.]_.qs.?.c)..p.o..r.c.h) .......................
b. Intended use and occupancy ...o.n. ?yf.a.m. ~..ly..d..w.e.l.l.J:..nc.. !e..n.c.l.o.s..e.d..p.o..r.c.h.) .......................
3. Nature of work-(check which applicable): New Building Addition Alteration
Repa/r ' Rem0val .............. Demolition Other Work X .... ' .....
· -- As built renovation (Description)
4. Estimated Cost
· (to be paid on filing this application)
5. lfdwelling, number ofdwelling units ............... Numberofdwellin units on each fl .......... · ....
.If garage, number of cars ....... · ............................... g. ............ .°7~ .............
6. If business, comm'erci.~l or mixed occupancy, specify nature and extent of each t e of use ...
7. Dtmensions of existing structures, if any' Front ,- YP .................
.................... lqear .............. Depth ........ ......
Height ............... Number o f Stories ..................... . ................... . ..... . ..........
Dimensions of same struct'ure w th alterations or additions: Front'
Depth ................. Rear ..................
...................... Height ........ 'i ............. Number of Stories ............ ~ ..........
8. Dimensions of entire new construction: Front ............... Rear
Height ............... Number of Stories one ............... Depth ...............
9. Sizeoflot: Front 75' ..................
...................... Rear ..7.5'... ' ......... f~;;;~ .... 566; ......... ; .....
10. Date of Purchase . $~pt¢m.b~r' .9.,..1977 · · · Name of Former Owner Dennis & Susan Hubbard
11. Zone or use district in Which premise's'a'r;'sit }ej ' .............................
12. Does proposed construction violate any zonim, law. ordinance or re-ulation No '
! ?i!i!iiiT ' : .........................
14. rem !l.a.r.y..T.' .H.a.m.i.l.t. qn...,. AddWjlels2~?..~lel&rse~nxweed' ,fr°n~orneem~;s. e631) 73Y~4_680~o
t . Ada .... Cut~zhb[h[~;'~iz' 11955 ............ , '''
.......................... ,~,=a= ................... Phone No ................
Name of Contractor ...................... i :'..'. Address ................... Phone'No ..............
15. . Is thi~ property within 300 feet of a tidal wetland? *Yes . x~ X ''
.. .If yes, Southold Town Trustees Permit may be requirg~[ ................
... PLOT DIAGRAM
LOcate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions'from
property lines. Give street and block nt/rnber or description according to deed, and show street names and indicate whether
interior or comer lot.
TATE OF NEW YORK,
'OUNTY OF..s.tJ.~?Pb.r ......... S.S
.... .IriS. RY T. HAMILTON '
........................................... being duly sworn, deposes and says that he is'the applicant
(Name of individual signing contract) . -
)ore named.
:he 0(.,) .~. 1~.~,..~ ................ ......................................
~is the ' . ~/
(Contractor, agent, corporate officer, etc.)
'x4t~ ownerx~xmmocxs, and is duly attthorized to perform or have performed th~5.~}id work and to make and file this
plication; that all statements contained in this application are true ~o the best ofli~ 'knowledge and belief; and that the
>rk will be performed in the manner set forth in the application filed therewith.
tom to before me this
........ a'~ .day of...: .ivf~,. ~q~.q.5.'.~. i ...... ~i>~:. 21)00
.tary Public ...... Suffolk ' County
,,~,,,,~,~,, ~r0s mi. al, 100..o. (Signature o f applicant)
APPROVED AS NOTED
~ ~.:' . .[,,,,.:~~.,,: -
BUILDING DEPARTMENT /~T
~2 9 AM TO 4 PM FOR THE
VING INSPECTIONS:
NDATION -_~I/~-RL~QUIRED
POU~-,~NCR~- i~-
~ FRAMING & PLUMBING
~LATION
~,L - CONS?RUCTION MUST
:OMPLETE FOR C,O.
~)NSTRUCTION SHALL MEET
EQUIREMENTS OF THE
CONSTRUCTION & ENERGY
;. NOT RESPONSIBLE FOR
I OR CONSTRUCTION ERRORS
JPANCY OR
IS UNLAWFUL
tOUT CERTI
tCCUPANCY
~RITERS CERTIFICATE
REQUIRED
inspected the
it renovation" in
ch area at the
n residence at
uash Avenue,
ue, New York and
he wo%k. to be' in
.ncc wlth the NYS
g, Code.. Th, e at.tache~d
gvnO .ws. t~.tJt~d e t~a iA s
> before me this
~ of Au.gust, 2000
~ry Public
, !
BARBARA DI/~CHUN I I
Notwy Pu~, S~te of Ne~ York
CornflllSStonNo 011:)14835190 - Suffok Coualy.
E,'q~s Oct. 3t 200 _
I
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