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