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HomeMy WebLinkAbout25524-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26890 Date: 01/19/00 THIS CERTIFIES that the building ADDITIONS Location of Property: 4910 PEQUASH AVE CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 3 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 15, 1999 pursuant to which Building Permit No. 25524-Z dated FEBRUARY 8, 1999 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 ADDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LAUREN ZAMBRELLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 28251 10/27/99 PLUMBERS CERTIFICATION DATED N/A Aut orized Signature i 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. 25524 Z Date FEBRUARY 8, 1999 Permission is hereby granted to: LAUREN ZAMBRELLI 4910 PEQUASH AVENUE CUTCHOGUE NY 11935 for CONSTRUCTION OF AN ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIDE FOR. at premises located at 4910 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0003 Lot No. 027 pursuant to application dated JANUARY 15 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 f: ;., TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP NCY A. This application must be filled in by typewriter OR ink and submitted to Tthe bui ding 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 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildir 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 an '.'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 - •25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0`0, Commercial $15.00 Date . . . . . . . . ./ ` �.... . . . . . . . . . . . . . . New Construction. . . . . . . .QQOl77d�� Or Pre-existing Bul/ding. !j.�/� . . . ./.�.n. / (�/� Location of Property. . .... .1. . . . . r��L U S AV .�. Jl.�A. .� 6' • j.t /• 1.416 House No. Stree�tl Hamlet Onwer or Owners of Property. . . . . ... . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 116 /� �� � 7 County Tax Map No 1000, Section. . .L�`:. . . . . . .Block. . . . . . . . . . . .Lot. . . . . . . •/. . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit NoA� .�.(.q. . .Date Of Permit. _K.0\.0\ Applicant LO'A • • Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . .'(. . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. .�.l. . . . . . . . Final Ce icate—V . . . . . . . Fee ,Submitted: $. . . . . . . . . . . . .O.CD . �` . . . . . . . . , . . . . . 4�O' �� N".nl AP ANT ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAYENUE EAST PATCHOGdE,NEW YORK 11772 (516)286-6692 28251 DATE.' 10127199 APPLICATIONNo.ONFILE " PILLAGE: CutchoQue TOWN' Southold ADDRESS: 4970 Aegmas1r Avenue ISSUED TO: Lauren Zambrelli ,INTRO&7CEDBY.— =2312-E was exammedon 10-27-99 and found to be in comphance with the NationalElectneal Code " LOCATION: Base.. Ist .x 2nd 3rd Ath'c " Det Garage HotTub - Pool SWITCHES RECEPTACLES FIXTURES HEATERS FANS G.F.I. AIR.COND.. 7 12 3 1 DISHWASHER DRYER CLOTHES WASH GAR.DISP. RANGE OVEN SMOKEDETECTOR - FURNACE OIL GAS CIR. MOTORSBELL TRAY. SERVLCEDISCONNECT MffM AWS PHASE . OTHER - - EQUIPMENT outside resid. i IIU S SURDI PRE DENT BUILDING PERMIT No. m�o�nc� nwaetroe tgamanrmMe bup�.maybe�da bfied by than.eda Cels BLUE ORIGINAL YELLOW COPY PINK'COPY OFFICE ' COPY \4 „� . ._• , ,. _._ ,., .,..,.,. � ._. _.. .Iw.b4..-u a.s?xn,°..a _ ,.`�s6 s3'va.-}.�.�v_�.x>�� '.,,x°x'-r�.<-k,'��.:a^u_:"ky ..Y+.-FEVs,.,-.r.u. r M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ vj�`FRA MING ( ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ,� � ! A DATE_ % INSPECTOR lax,4 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ J ISULATION [ ] FRAMING [ FINAL [ J FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR { M FIELD INSPECTION REPORT DATE COMMENTS �,rJ it FOUNDATION OST) II I cn u �I FOUNDATION (2ND) a II Cif I� If itt ROUGH FRAME & 0 Imo_--JN PLUMBING ISI In II IN r INSULATION PER N. Y. STATE ENERGY1-7 ;; l CODE ii41 q 11 if N / ItC42 II II II H II 'N FINAL II 8 ssassaass�e==masa==x:sxx�aa=a----�a=s==-----a=---r�=-asa_-�—=x=a:mss=x=aa=xssa:a=ase=: O ADDITIONAL COMMENTS: asasasxesssssssssscxosesexeesxseeeessssseexxrsxs___ =x=xsssassssss==ae=ax=asp===ssss � �_ m 00 M IJ H V O 7 r t+� ro H 1all ; BOARD OF HEALTH . . . . . .. . . . .. . . . JAN 5 �` '� FORM N0. 1 3 SETS OF PLANS . .. .. . .. . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . .. .. . ... . . . . . . SMOG.DEPT- BUILDING DEPARTMENT CHECK TOWN F TOWN HALL SEPTIC FORM . . . .. .. . . .... . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: cc Coq CALL .2.. .k . . . . . . . .. .. . Examined...2:W........, 19.�j 1MAIL TO: . . .. . . . . . . . . . ... . . . . Apprwed...Z.'�S ......., 19.J..1qq Permit No. �5�a Disapproved a/c .................................. .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . INSTRUCTIONS a. This application mat be completely filled in by typewriter or in ink and submitted to the Building Inspector wit, 3 sets of plans, accu¢ate 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 most be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection thrW91CUt 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. AFPLICMCN Is Bmw wM to the Building Department for the issuance of a Building Permit pursuant to the Building Zone ordinance of the Town of Southold, Suffolk Canty, 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, ordira[ices, hxuildiucode housing code, and regulations, and to admit authorized inspectors on premises and in buil for r necessa in tions; rY ( gna e of applican , r name, if a corporation) ( ili address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .�h .� - ...................................{ :..i........................................... ........... .............................................. ll yy�� 1 1 Name of owner of premises .. Q 1 [.h.. ......... 1m b .:.\.1........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Notre and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1, location of land on which proposed work will be done.............................................................. House Number Street ++ h�e�j Canty Tax Map No. 1000 Section .....J.1 D.... Block ....°�3........ Lot ...C..7..../..... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intend and occupancy of proposed construction: a. Existing use and occupancy ......y................ .....s b. Intended use and occupancy ...hQ.Y.1. ` 1 4•t• •,•.... •••.. c. 3. Nature of work (check which applicable): New Building .......... Addition . ...... Altelr2i Dn--w.:.�..o Repair ............ Removal ......... Demolition ............ Other Work ...............................j 1 (Descriptiofi);j i, i 4. Estimated Cost ..� rJ.�S?.P.:�.I'........ fee .................................. (to be paid on filing this appliryyCC1„i l _:ifY,,j,jo— -:1til j"�4'(;37. .....,..,..,. ... S, If &-mlling, number of dwelling limits ....... .... Nwier of dwelling [mita on each floor ..........` Ifgarage, number of cars ...�................................ 6. If business, commercial or nd occupancy, specify nature and extent of each type of use...................... 7. Dimensions height .... fexisting s, if any: Front................ Rear lh Depth Number of Stories ....t................. Dimensions of sae structure with alterations or additions: Front ............... Rear ............... Depth .................... Hei0t .................... lumber of Stories ............... R. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ................. .I [umber of Stories ....... 9. Size of lot: Front ...... I........ Rear ....... .......... Depth J 25I 10. Date of Purchase ...............i,...... Name of Former Owner ........................................ Pr us premises are situated ............................... . 12. Doesproposed or use dis�tructionct in hrviola�te any zoning law, ordinanr or regulation: ... .................. 13. Will lot be regraded ....... Will excess fill be r ed from premises: YES No 14. Nmes of OwnerJe7 sea . Qv t.31�lYWL(� hi Q � .�!...j h 1 �. Address ..!�.. �Lk a��i)r-h0 UN re No, ... Name of Archit ..` .\ .................. Address .............................. Phone No. .............. ?: ...................... Address ...............\...............Phone No. .............. 15. 1Namehos Contan 300 feed t a tidal wetland? * YRS .......... NO ...V,.0\.... property - et — *IF YESTOlm S PmmT MAY BE mgmFim. PLOT DIAGRAM locate clearlytinctly all. buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. treet and Mack number or description according to deed, and show street names and indicate whether interior or ot. C4 U)) S r 1 I, n, 7 srnlE or NW tV� S,S I •••-••• v � V I ................... duly sworn, deposes and says that he is the applicant g (Naha of individual signing contract) above named, ]le is the .....�w�` {\............................................................................ (Contractor, agent, co}-porate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed [lie said work and to make and file this application; that all stateents contaiin this application are true to the best of his knowledge and belieand that the work will be performed in tle Lmher belief; and set forth in the application ^)ed therewith. 1 �...t� .day of G ? e i' 199'i ... Sworn Co before me this II Notary Public .. .. ....... . . . . ........ .. .......... HELENE D.H0gN5 Si tore of Appli. ) Notary Public,State of,NewYetk No.4967 364 Qualified in SuffolkCouMV Commission Expires Ma1122,t Il laifF,` atdi '' �} ryry��r}tn. I N.57�d2 l• �-� k f .71 . S S ' � t '1t 511 , •� X17 � 1 .'L ,�itrl 1 i �, '. � I I I i� ` 1:. - , 4 Y i •1 I. (' i 1'rj�� G ry13atC+1 4a ry . k, � 1 � I'' + •.' + ,47Y '�t I { � �1 I J . d '` .al �St , k,{rE, '.Y _ nN � I'� 'it'1 ,'•:. 1r 1• d4J :.11,1: 'pp �y, .l' rj. ' t77 7i! t�, + t�'ll �'•:. 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'I! y 1 !I I AJ4 f `� ir4—..il.{'7�:'•"', 1 c.,4 A ... _ K ,. ,, u :,, v s(,r:'Nit',.,. : , UNDERWRITERS CER FOX ILE REQUIRED PRNK SMOKE-DET cm w" Dtiw ASTO PART.72wL�3 PROPOSED ADDITIDN Lu au"M�r L OCCUPANCY OR MMovED AS NOTED USE IS UNLAWFUL o+w ,?: �B.P# 7sa� WITHOUT CERTIFICATE pne�BY: . « OF OCCUPANCY NOIR MOLDING DEPARTMENT Q 74&• '0 AM TO 4 PM FOR TME iOUNAM INSPECTIONS: S. TION - TWO REQUIRED RED CONCRETE LAUREN ZAMBRELLI !, FRAMING & PLUMBING 4910 PEQUASH AVE !. NeULATION CUTCHQGUE, NY 11935 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUtREAAENTS OF THE N.Y. DRAWING EL1 STATE CONSTRUCTION & ENERGY FRONT / EAST ELEVATIONCI'DES. NOT RESPONSIBLE FOR ESiGN OR CONSTRUCTION ERRORS DRAWN BY DATE DANIEL MULLIN 1-14-99 r-3•-t vz'--I 5'-4 3 4' 44oW l'4AC31'CAELL STALE to'-4' car�FsQq� cE,�.,7, I I "1- 1I to V2-1 n II I ii p I II e'-t vz• I1 KrWe� SFJr2ww., Z -- I __ it ----- ------- II I Ii I II 1 11 NE i Y N Klok- HA©ItA&LL SPAG6 EXISTING WALLS ro gE 2FY4CWEj} kxl5rtnlG �{�.�SE �� x 301 0 LI v,4G24o,,, 'n LAUREN ZAMBRELLI 4910 PEQUASH AVE CUTCHOGUE, NY 11935 30 PROPOSED ADDITION rms'D6 L,rIE 3]' DRAWING # PL2 FIRST FLOOR PLAN DRAWN BY DATE DANIEL MULLIN 1-14-99 2-2 X 12 GIRDER TO BE IN POCKET IN FOUNDATION BLOCKING 17 Q 2 x 10 FLOOR JOISTS ________ 31-{' n 1 1 ' Fx.Sr J(y fpu..11Y�i LAUREN ZAMBRELLI 4910 PEQUASH AVE CUTCHOGUE, NY 11935 .PROPOSED ADDITION NEW FOUNDATION TO MATCH EXISTING DRAWING PL1 FOUNDATION PLAN CRAW SPACE DRAWN BY DATE DANIEL MULLIN 1-14-99 ❑ ❑ PROPOSED ADDITION LAUREN ZAMBRELLI 4910 PEQUASH AVE CUTCHOGUE, NY 11935 DRAWING D3 WEST ELEVATION FRAMING DRAWN BY DATE DANIEL MULLIN 1-14-99 NEW RAFTERS \\ j EKTENSIDN CFF \\ HACK DF HOOSE '-B 1/4' 12-11 1/2' -� . --10-4 34-4 1/2' PROPOSED ADDITION LAUREN ZAMBRELLI 4910 PEQUASH AVE CUTCHOGUE, NY 11935 DRAWING EL2 NORTH ELEVATION DRAWN BYDATE DANIEL MULLIN 1-14-99 ❑ ❑ LAUREN ZAMBRELLI 4910 PEQUASH AVE CUTCHOGUE, NY 11935 DRAWING EL3 WEST ELEVATION DRAWN BY DATE DANIEL MULLIN 1-14-99 NEW RAFTERS EXTENSION OFF BALK OF HOUSE 10-4' -Y12'-1l 1/2' {,'-B 1/41- 1 34-4 1/2' PROPOSED ADDITION LAUREN ZAMBRELLI 4910 PEQUASH AVE CUTCHOGUE, NY 11935 DRAWING EL4 SOUTH ELEVATION DRAWN BY DATE DANIEL MULLIN 1-14-99 NEW ROOF LINE TO MATCH MAIN HOUSE MATCH EXISTING NEW RAFTER RAFTER FRAMING FRAMING 2 X 6 BEYOND 2 X 8 MATCH PITCH NEW CEILING NEW HEADERS JOIST 2 X 6 2 X 12 ALL FRAMING IS TO MATCH EXISTING 16' ❑C STUDS- 2 X 4 TO MATCH EXISTING HEADERS & GIRDERS 2 X 12 FLOOR JOISTS- 2 X 10 RAFTERS- 2 X 8 TO MATCH EXISTING SHEATHING- 1/2' CDX GRADE PLYWOOD TO MATCH EXISTIG SUB-FLOOR- 3/4' CDX GRADE PLYWOOD OR BETTER 1/2' CDX SHEATHING TO MATCH EXISTING ALL SIDING TO MATCH EXISTING ROOF SHINGLES TO MATCH EXISTING 2' X 4' DOUGLAS FIR STUDS TO MATCH EXISTING INSULATE TO CODES INSECT SHIELD ALL ELECTRIC TO FOLLOW CODES 1/2' THREADED ROD ANCHOR 4' X 8' CINDER BLOCK 2 X 12 GIRDER 8' X 8' CINDER BLOCK ` GRADE LAUREN ZAMBRELLI 4' CONCRETE FLOOR 4910 PEOUASH AVE USE SLATE SHIMS CUTCHOGUE, NY, 11935 CONCRETE FOOTINGS TO MEET CODE • r • DRAWING DETAIL SECTIONS DI SECTION OF FOUNDATION DRAWN BY DATE DANIEL MULLIN 1-14-99 EXISTING WALL FRAMING BEYOND NEW RAFTERS MATCH EXISTING 16' GC TYP RAFTER FRAMING BEYOND tm�vc wu rxxmc eaoro/rola ar rwxuc y-6ti MATCH EXISTING CEILING JOISTS BEYOND 2 % 6 \\ MATCH EXISTING FLOOR HEIGHT E%TENSION DFF \\ i BEYOND 2 X 10 HALM OF HOUSE 9 11 1 It '-B 1/4 I 12-11 1/2-------------------- E%[STING NEW FOUNDATION _ FMATION BEYOND 71 BEYOND 34'-4 PROPOSED ADDITION STUDS- 2 X 4 TO MATCH EXISTING HEADERS- 2 % 12 _,FLOOR JOISTS- 2 X 10 .AFTERS- 2 X 8 TO MATCH EXISTING LAUREN ZAMBRELLI SHEATHING- 1/2' CDX GRAM PLYWOOD TO MATCH EXISTIG SUB-FLDOR- 3/4' COX GRADE PLYWOOD OR BETTER 4 91 0 PE QUASH A V E .ALL SIDING TO MATCH EXISTING GOOF SHINGLES TO MATCH EXISTING CUT CHUGUE, NY 11935 —INSULATE TO CODES .—JELL ELECTRIC TO FOLLOW CODES DRAWING D2 NORTH ELEVATION FRAMING DRAWN BY DATE DANIEL MULLIN 1-14-99