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HomeMy WebLinkAbout25642-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26597 Date: 07/27/99 THIS CERTIFIES that the building ADDITION Location of Property: 5200 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 3 Lot 24 Subdivision Filed Map No. ~ Lot No. ~ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4, 1999 pursuant to which Building Permit No. 25642-Z dated MARCH 23, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & KATNLEEN FLAHERTY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A u£1d~n~ Inspe~or 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. 25642 Z Date MARCH 23~ 1999 Permission is hereby granted to: ROBERT W FLAHERTY 5200 PEQUASH AVENUE CUTCHOGUE~NY 11935 for : CONSTRUCTION OF AN 8'X20' DECK ADDITION FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 5200 County Tax Map No. 473889 Section 110 pursuant to application dated MARCH Building Inspector. PEQUASH AVE CUTCHOGUE Block 0003 Lot No. 024 4 1999 and approved by the Fee $ 75.00 - Auth'or~ ~e~ Signature Rev. 2/19/98 ORIGINAL mo Form No. 6 :. _/ 0F gOUT.OLD BUILDING DEPARTMENT ) 765-1802 This application must be filled in by typewriter OR ink and s~ibmi~t~e~ 8LD~.DHPI inspector with the following: for new building or new use: T ~ _IS U/HO i. Final survey of property with accurate location of ail bu~.iai~s, ~e~ streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 fo~). 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. Co~ercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the buiiding. 6. Submit Planning Board Approval of completed site plan requirements. For existimg buildings (prior to April 9, 1957) non-conforming uses, or buildings and '7pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building:and unusual natural or toQographic features. 2. -A properly completed application and a consent to inspect signed ~ the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor intuiting to the applicant. 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-existinR Buildinm - $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 ...................... ~' ~re~ ........ Hamlet ........ House No. Onwer or Owners of Property ....... ' ......... County Ta~ Map ~o 1000, Section...l.l~. ....... Bloc~ ........ ? ....... Lot..~l ................ Subdivision ................................ . ... Filed Map ............ Lot ...................... Permit: No ............ Date Of Permit ................ Applicant ............................. Health Dept. Approval ......................... . Underwriters Approval ......................... Planning Board Approval .................... .. .. Request for: Temporary Certificate ........... Final Certicate ........ /~. Fee Subm~_tted: $ ......... ~. .................... - ...... ...................... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 23, 1999 Robert Flaherty P.O. Box 143 Cutchogue, NY 11935 RE: 5200 Pequash Avenue, Cutchogue. 1000-110-3-24. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 25642-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. ~INDA'[ION (IST) UNDATION= (2ND)=___~. ~UG~ FRAI~ & PLUHBING 1SULATION PliR N. Y. STATE ENERGY CODE FILIAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ,] IN~ATION [ ~ FINAL DATE ~ / ~- / INSPE TOW Or TO~ SOB~OLB ~ N.Y- 11971 ~L: 765-1802 p."~i ued ................. , 19 .... BOARD OF BEi~I,T~ .......... 3 S}~TS OF PLAITS - · SURVEY ................. CBgCK ......................... SEPTIC FOI~ ................... NOTIFY: CALl. .......... I~AIL TO: .................... INSTRUCTIONS a. This applicati~ ~,mt be c~ple~ely iilled in by type~iCer or ~ ii and sul~iC~ed ~o riae ~uildi~g l~pec~or vi (li~e and title of co. rate officer) I0. 12, 13. 16. 15. ,.~u,,e o~ ~or~ {deck vlddt epplicable)~ Ne~ Buildiu& .......... Addition ~terati~ ' ~ir ......... ~1 ~ ~liti~ O~ ~ ~ti~t~ ~t .............. ~ ......... ~ }~i~t ' ~r o~ Stori~ Oi~si~ of ~ st~e ~kh alte~tt~ or ~iti~: ~t ............... ~at ............... ~pth .............. .. . . . . ~i~: ............... . .. . . ~r o~ Stories .............. . ................ ~ar ............... ~ .............. ~i~t ....................... ~r of 5~ories ..................... Si~ of lot: ~t ............ . ......... ~ .................... ~ ............... . ..... ~te of ~dm~ .... ~ of Four ~r ................................. ~ or ~ district in ~i~ ~i~s a~ si~t~ ............................................................... ~s ~ ~t~tim violaie ~ ~i~ 1~, o~t~ ~ ~la~im: ...~ ................. ~ill lot ~ ~ .................... ~ill ~ss fill ~ ~ ~ ~s: ~sog~r of p~s ..................... . . . . . . ~ss ............................. . ~ ......... . ... . ..................................... ~ss .............................. ~ ~ .............. ~ of ~Cr~t~ .............. ~ ................ ~... ~ress ............................... ~ ~ .............. Is tiffs p~ ~in ~ f~t Of a ti~l ~tl~I * ~ .......... ' PLOT DIAGRAH Incate clearly aud distinctly ali .buildings, d~ether existing or proposed, aud tudlcate all set-track dimeuslous property ltnes. Otve stzeet ~ blOCk n~ber or descrtptiou accordtug to deed, sad sho~ street ra~es ar~ i~dicate ~hether iuterior or corner lot. Oi l~lVl~ si~h~ ~tract) the (~tr~tor, ~n~, confute officer, etc.) ~id ~r or ~rs, ~ is ~ly ~ri~ to ~rfo~ or h~ ~r[o~ Ue ~id ~ ~ to ~ ~ ~ile a~licaCi~; ~at all s~a:~n:s ~:ai~ i~ Ufis a~li~ti~ a~ C~ to ~ ~s~ of his ~l~ ~ ~lieii a~ ~ ~ ~ill ~ ~rgo~ in tim ~ ~t forth in ~ a~li~tim fil~ ~. ........., ....... ................. ..... ELIZA~L~14 A t~TATt418 NOTARY PUBLIC, S~ate of New No. 01ST600817,t, Suffolk Te~m Expires Ju~ 8, ~0..~. ($il~na~lue ol~ Apphc~mt) FOLLOWING INS~: 1. FOUND~llON 2- 1Y/O REQUIRED 4. FINAL -~CON~U~N MUST BE COMPL=;E FOR C.O. AIL CONSTRUCTION ~4ALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY