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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27184 Date: 07/10/00 THIS CERTIFIES that the building ADDITION Location of Property: 900 HAYWATERS RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section ill Block 3 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 14, 2000 pursuant to which Building Permit No. 26316-Z dated JANUARY 31, 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 GREENHOUSE/SUNROOM ADDITION ENCLOSURE OF A REAR DECK FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID F & BONNIE PASCOE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ori ed 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. 26316 Z Date JANUARY 31, 2000 Permission is hereby granted to: DAVID F PASCOE & WF. PO BOX 1198 SOUTHOLD,NY 11971 for CONSTRUCTION OF A NEW GREENHOUSE/SUNROOM ENCLOSURE OF A REAR DECK FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 900 HAYWATERS RD CUTCHOGUE County Tax Map No. 473889 Section 111 Block 0003 Lot No. 006 pursuant to application dated JANUARY 14, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD ----7 BUILDING DEPARTMENT , TOWN HALL 765-1802 _ ; t �u JUN 2 9 201D�D APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG A. This application must be filled in by typewriter OR ink and subm•tte3C!° .h. ��r�i•�1' a� n 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 (pri.or 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 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - _ •25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1/5.00, Commercial $15.00 . d Date . . . .. . . . vb� . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . q. . Old Or Pre-existing Building. . . Location of Property. . . . •1. . . . . . .. . . .. . ..!4 �!C ^:: . . . I . . . .. . . . . . .�'! �4. . . . . . . . . . . Hamlet House No. Street Onwer or Owners of Property.. . . ��. . �.p�• •v ': I�• • • • • - • • • • • `. . . . . .. . . . . ... . County Tax Map No 1000, Section. ��'. ! . . ..Block. . . .� I .. . . . . . . . .Lot. . . 3 b • • • • • • • • Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .Filed Map. . . . . . . . . . . . �pLot. . . . . . . . . . . . . . . . Permit No. . / ��? . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant.d ?::� . • r9 • • • • • • Health Dept. Approval. . . . .-. . . . . . . . . . . .Underwriters Approval. . . . . . . . . . .. . Planning Board Approval. . . . . . .. . ./ • • . . • • • • • Request for: Temporary Certificate. . . . . . . . . . . Fin7eertLiate. . . . . as.00 Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,• APPLICANT �.c, sgiyy coJ/�� I 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1�lISULATION [ ] FRAMING ✓ [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 7 DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] 6ATION IST [ ] ROUGH PLBG. INSULATI [ ] FRAMING FINAL [ ] FIREPLACE A CHIMNEY REMARKS: C.Q r b r t DATE �� INSPECTOR FIELD INS. a&ION REPORT DATE_ -- _ _ --_—COMMENTS II II FOUNDATION ( IST) lir— --1i------- -- � �- II FOUNDATION (2ND) sa- II II II II rr — II ROUGH FRAME 6 II II G it a----- O PLDMBING II _ u _ I¶I`�II INSULATION PER N. Y. u Ii u-----u H STATE ENERGY u----il CODE II p u — ii II I H II II II ---- FINAL a:aaaaaa=a=es—sssssxxxssusssscs_ `y_s va—s=-5`p�-=s=s=s==s=--- _ess- _ssceesssss �y"" `• I ADDITIONAL COMMENTS: -------------- ---------��—j,—//—"" H � H G O z f�j' JAN 1 4 = BOARD OF HEALTH . .. . . . . . . . . . . . . JT L,Lb G.D E 7rP FORM NO. 1 3 SETS OF PLANS . . . .. .. .. .. . . . . OV�111 OF OLD TOWN OF SOUTHOLD SURVEY .. . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . .. . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . Examined.................. 20.... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved......I-?e.T......26.00 Permit No. ................................... Disapproved a/c .................................. ................................... ........................................... .... ..... .... ........ .... ... . .. (Building inspector) APPLICATION FOR BUILDING PERMIT Date. .�� t. . . . . . . . . .. ... INSTRUCTIONS a. 'Ibis application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector w) 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 mist be drain on the diagram which is part of this application. c. 'Ihe work covered by this application my not be coamneed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit 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. APPLICATI(v IS HERKRY MI to the Building Department for the issuance of a Building Permit pursuant to the Building Zone ordinance of the lbwn of Southold, Suffolk County, YO they applicable Laws, Ordinances or Yo ther applicable Laws, removal Regulations, for the construction of buildings, additions or alte o f "n' =ra i or or removal "lition, as herein finances described. The applicant agrees to comply with all applicable laws, or inances bbuild ng housing code, and Ll t regulations, and to admit authorized inspectors on premises and in build 3L i f spections. ....... .......... ........ ....................... applicant (Si mune of applicant, or rkm, if a corporation) ... ........ ............... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builders 47 L-((-- ....................................................a,.?................I............................................. Nam of owner of premises ..... ... .... ............................................................ (as on the tax roll or latest deed) If applicant is a corporation signature of duly authorized officer. ............ ....................................... (Name and title of corporate officer) Builders License No. ......................... Pluvbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. location of land on ukich proposed work will be done......................................... • ............ ....................... .................. House Minber Street Hamik County Tax Map No. 1000 Section ..... ........ Block ......A 3.. Lot 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 ..... ......... b. Intended use and occupancy ...... j&.......... II Nature of work (check whidh applicable): New Building .......... Addition ....... Alteration Repair ............ Removal ......'....... Demolition ............ Other Work .................................. // (� O p�0 l / (Description) Dstildated Cost . fee X..................................... (to be paid on filing this application) If dwelling, number of dwelling units ....1,...... lumber of dwelling units on each floor .J............. Ifgarage, number of cars ........I,......~..................... If Dimensions buines, �ejxi�stiialsorr�mixedsoccvpancy, specify nature and extent of each type of use. ....i.......... ,� ng if any: Front...... ......... Rear ...... ........ Depth ..�............. Fleiglht ....4�Y!! ....�..`'.�.,.... Number of Stories .. �.............. � P Dimensions of sere structure w5thi,alterations or additions: Front ............... Rear ............... Depth .................... Heightl.................... Number of Stories ............... Dimensions of entire new construction: Front ......i.L. ..... Rear .......(..L�.... Depth .....�.o..... H�yyl � u Height ........ 4r..1............ limber of Stories ....Y.....(.......... Size of lot: Front .....1...t.... ' Rear ..... ............ Depth .................... 0. Date of Purchase ...... u-':. Now of Forcer r .... .. ..................... 1. Zane or use district in which prel ............ ises are situated .... c; 6,J 1�" — ....................... ........ 2. Does proposed construction violate any zoning law, ordinance or regulation: ....,.::'.F{............. 3. Will lot be regraded ....... Will excess fill be removed from premises: YES NO 4. Naresof Owner of premises ��Je..�?:'^�i�:..... Address �..��."�. Phone No 1'31:��:�?=f .... Nameof Architect ...............'..................... Address ................../............ Phone No. .............. Name of Contractor U � � ao J,4 ...•.............. Address .. ..... ... ....... .... ......... . property of a tidal wetland? * YRS .......... Na ...�... 5. Is lies r within 300 feet *IF YES, SULM D IUM MMIMS PM41T MAY BE REQMRFD. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions `ram property lines. Give street and block number or description according to deed, and show street names six] indicate Aiether interior or corner lot. l II I min Or M7W YoiR SS XMIT Or ...............(.......... ...... .P.....T.'..... ...... Il ...................being duly sworn, deposes and says that he is the applicant (Mare of individual signing contract) :above named, 'le is Lhe ................................................................................................... (Contractor, agent, c�rporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file Lhis application; that all statements conta ned in this application are true to tlxe best of his knowledge and belief; aril that the, woik will be performed in the manner set forth in the application filed therewith. Sworn to be//foCr�f! m� thi,. —7 J...(......day�of �...... .J <lvl JCI �..i20.�0 % _ Notary Public .,AIR e OK No i-' C)bt'/8120 1� Qualifiev � utloikGO�nry (S• ,'afore of Applicant) Cpmmission L. puss May 19,?,IV A,� Mix APPROVED AS NOTEDm ruaL On m Raaw �= z n= e t eft FOR PASCOE PROPOSED WON FOR NOTIFY BUILDING DEPARTMENT AT o 900 11AYWAIERSciamn Y 785-1802 9 AM TO 4 PU FOR THE Q FOLLOWINGINSPECTIONS w , pet 5 A EOUA SEASONS SM4 YOOOLAR E FOUNDATION - TWO REQUIRED L j o NOOEL SO- NOR z 4-30'BAl'S AND 1 -36'RAY v FORPOUREDCONCRETE � ANO 2 GABLE ENDS I ROUGH - FRAMING & PLUMBING M wn. � b A INSULATION (n a L 1)WALL Guns COBE A "0, m 3' 31 3m 31� 31 _ �' A FINAL • CONSTRUCTION MUST Raaf dAss CODE n,R42 2 9ECOMPLETE FOR C.O. 2)WALL PANU TO BE Y OWED DOM [XSDNGDECK EARS AaNc m BE RE � ALL CONSTRUCTION SHALL MEET 3)a 4)ALLOWABLE ROOF INE LOAD 45 PSE THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY 0 SCBE: 1/4'=1,-e CODES. NOT RESPONSIBLE FOR o g o Z W W Z W 46 46 46N 46. 46 DOM OR CONSTRUCTION ERRORS a REIM ACO 3' A PIAN t7 A KING TO no c — OCCUPANCY OR a o O � USE IS UNLAWFUL, N WF ROUT CERTIFICATE � m I OF QCCUiPANC� � = x o p I tE1dDERWRiTERSCERT O a ' z REQUIRED g o W 3 H < fn s Yo � p Z m n Vl o = 1 = w 1 Y W N < a7 = FTOSIING o 10'OIIAD t0'OUAD 5 SLIDER 36' FIXED SLBIER m 10'OUAD 10,00 D 0 1 SLIDER an am DOOR 'b It" WEN ;`WMDOW '1; SIDER Da Im WOR O o 3 =92 -L� Z , i h 3/4'PLY. -IL]LAL111H , 5' W(PANEL 36' KNX(PANEL 5 MPANEL REV. No. DATE BY ffj � L-1 M71% 2x8 DECK TO BE MUTED W R-19 NSIH. DOM EXISIING 2x8 DECK TO BE INSULATED W R-19 DISULD@BNG E10STING 2x8 DECK TO BE MUTED W -19 DML. DECK EXISTING 200 DOUBLE WADER OE K 1/Y PLY. ' CONTRACT DATE — t ." a:) r r ..; DWG. BY:R P L o �T� DATE: 1/4/00 .. .{ JOBS: t IO L L J t J L 1 3 '� IV I424� 10'-3' 14'-t IO'-3' ELEVATION B B ELEVATION A-A ELEVATKN C C N� •-^a2 .� OF 2 4 D D T r �co I�1' N Nb \ J O F D ���@ r I 1 c- V AilFg ^i g mm wo i M �j 7� �+ffpnn 0 ot bb T Q u yro I co M Z— § M �< o q CIWY m v � F: D �S+S hl �-, � 9 . DNT m moo TOP OF NDGE HDCER DIM T y I m m (SEE PAGE 411-11) A INR HM9 Qom^ CMIE 45/16• �Q4 _ G ISA6•EAVE IEIOIf Q W NY' —!6'pfl(NliI.KP W SI.IIOG V➢QrtJ"�• I1�II 1 la]I$ ® I�1 L1S 0SF� v1�i 1 N > FOUR SEASONS SOLAR .PRODUCTS CORP. DETAILS m c7 n 5005 VETERANS MEMORIAL HIGHWAY o •• m HOLBROOK, NEW YORK 11741 CLIENT PASCOE p :< DESIGNERS AND MANUFACTURERS OF FOUR SEASONS SUNROOMS ADDRESS 900 HAYWATERS ROAD NM1i 1� ADDRESS CUTCHOGUE, N.Y. 11935 N Mo SYSTEM 4 MODULAR SUNROOM PHONE: 631-426-3904 W I SWM - 10OH x 4 - 30 " BAYS AND 1 - 36 " BAY SALESPERSON JIM HARCHER p - .z;,,.?• SUFFOLK CO. HEALTH DEPT H.S'--'NO.OPERT ' - _v •u.:.zk'v�- t'-' r ' Pr t s:a eaa� U-9-y ,D t;0 P., STnTEZf�0 OF INT Wq�(WATERS 2E.� i ;- THE WATER SUPPLY %ND SEWo (TIN L{►� Q. DEM P. E� ., � � � �� �� 0, SYSTEMS FOR :�=TH15 `>RESI +� a•�'7'ty�FT QitRGVu/.¢ cva�r� ; t --- - CONFORM . TO. THE..-STANDA �YOAd V-AB • cn _ ,- _ _ SUFFOLK CO, DEPT;:OF HEAL 10 T.M. i � i_�� �•y� �. •• - - (Si- . 3Gaj5 TQW _. U TN� © ,Y. SUFFOLK - COUNTY.-.,,DEPT. SITPl03+K QOriAi'S r!>GLTB Dl,Y m .. _._. , r �. DAtE F,I�L g - X82 R. a. Fmmff. # 3 SER V IC£S'� FORV ` APPF Tho sswa8r disposal and ester DATE: faoilities for this loostion have esi H.S.RSF.N�!« 5C- inspected by this department and f to be satisfactory. < = : > •. twit+r of ral Eagisiee Isis SUFFOLK CO.TAX MAP DES Services DISt. SECT. BLOCI 60.2_ �\ 12 �0all, t I OWNERS ADOREss: RES+UENCE ( I QE91t9 1IG `' ' ci /�(� .'I" CAtztLtitlGrCiN ,QO�t7 C3'MOtJuM>✓NT „CtiTC U£ NY,. TI AttEA�Z8.48J'-'S. TEST HOLE +•NmAuew. y 1 F14:,. �TMe+wawrAY =.e s�e•ra.rro.; I ityt. '�;.1�: �..�FiC�'=Ar !?1Ap'�Ej3. •`Caccnna+uW.w• . . 7 FiL^M D.FW, Togo MAR. d• oo++aoreereva LLE VAT+G uw anntra s t � + � ;'1:-gin'-` - _ ' �„- � twesiatrµixrut► ,f4,g-J C�_ � O �3: , �y1l,IpV'•_. ro r�v.uo x�x m t:. oyer m m Pasooiu !R ^ tin r ReAM,Are oN w i� .mt cor nu..,:om !n POOL in Irn UN)m0annmowu- ro m Assamm o/r ArRAENDL , :ftJl. t9$Z \ +j rJFKK GWAWd=A, LN - ;.; ro A001[IOMAt slam SF GWAN r EgQ TQ Et. SAND TH GQ{T(T2 E il�isulz tC e CO.i TCS T, THE WLTn4 -E3 -5AVjkGS •�-7 . CyS:�'dr t8' RODER_IS*YAN- VYL.P.C. tom. �..... F r_. ::4• . + LICENSED LAND 5 VEVORS . GREENPORT NEW YORK' ApplicanU Date Owners Name: �4t_Sc_.oG Reviewed w Architect / II Date Engineer: `�. 5+�-0 _ Submitted: SCTM #: District: 1,000 Section: 11— Block. 3_ Lot: Project (1 0 Subdivision Lcicatiofl� � .4 �l.t.`�r� ��Y`e-L,r- Ii y Name:_-------- Sin&Ie - - Single&separate Required certification: Yes/No 0 �X�S�116_ 1lti, Req r y�� /^ �I��� RN. Loning District [Lo(size Actual Y�✓�_/7 (Lot coverage Proposed J Req Req 4� Rc9 (Front Yard �D—Proposed. I [Side Yard '6 5,, Proposed _ J (Rear Yard y�0 Proposed J CO Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: _ Flood Plane Elevation ??? Flood Zone: Notes: well ' W Oea- 11510 �t�Gl,o�u�e dF �x�Sri►�� �ev�