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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 i t