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Home My WebLink About24959-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26023 Date: 10/13/98 THIS CERTIFIES that the building ADDITION 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 MAY 11, 1998 pursuant to which Building Permit No. 24959-Z dated JUNE 16, 1998 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 LAUREN ZAMBRELLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A 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. 24959 Z Date JUNE 16~ 1998 Permission is hereby granted to: LAUREN ZAMBRELLI 4910 PEQUASH AVENUE CUTCHOGUE~NY 11935 for : CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 4910 County Tax Map No. 473889 Section 110 pursuant to application dated MAY Building Inspector. PEQUASH AVE CUTCHOGUE Block 0003 Lot No. 027 11 1998 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 1. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING' ® INSULATION PER N. STATE ENERGY CODE CO~Mg~TS FINAL ADDITIONAL This application must be filled in by typewriter 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. 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 hatural 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. 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 - $i00.00 3. Copy of Certificate of Occupancy - , .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certif~ate of Occupancy - Residential $15.00, Commercial $15.00 / ~ocation of Property.. i.~.~x.~. ,...~..e.~.~...~.~.~. ~---C. m.C ~.~.~..~.. ~3. House No.. k U Street ~a~et ,nwer o~ O~ers of Property .... ~e.~.r~ ..... ~~r ~ ................ ~oun~y T~ ~p ~o 1000, Soct~on .... t.&~ ock ............ L ............ ;ubd~vSsSon ......................... .. . ....... . F~Zed ~ap ..... .. ..... Lot ............... .... ... {ealth Dept. Approval .......................... Underwriters Approval ......................... ?lanning Board Approval ....... .X 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSUL/~/ON [ ] FRAMING [ ~FINAL [ ] FIREPLACE & CHIMNEY ~ARKS~ DATE /~..~//~,~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/NSULATION / [ ] FRAMING [~/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE '~//~///~ INSPECTOR ~~-~~ TOWN OF c~OUTHOI.D ~ PORN NO. TO~/N OF SOUTIIOLD 'i'OW 1~ IIALL SOIITIIOLU ~ N.Y. 11971 BOARD OF HEAIWH ......... ; ..... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... INB'fRIICTIONS NOTIFY: ~' ..7. HAIl. TO: .................... a. 'lhia application must be eonpletely filled in by t-ype~riter or in ink nnd std}nmitted to tim Building Inspector 3 ,~eta of pleaas, accurate plot plan to scale. Pon according to scbedule. b. Plot plan abo~tng loeatton of lot and of buildings on premises, r~latton~htp to adjoining premisea or public streets or areas, and giving a detailed descrtpttoo of. layont of property ,~mt be drntrn ~m the dlagran ~.tdch ia fart of this nppl icatlcu. c. 'lhe work covered by this application ma~ oot be ccnrnoneed before iesunnee of Building Pemlt. d. Upon approval of tala application, the Building Inspector will[ iasue a Building Pemtt to tim applicant. permit shall be,k~pt o~ tim premises available for inspection thrunglmut tim work. e.' No building ~lmll be occupied or used in ti~ole or in part for any purpose ~lmtever until a Certificate oF Occupancy ~mll have been granted I~ the Building Inspector. API~,ICA'FIClt I$ I1EBEBY NfiU6 to tim Ikdlding Departraent for the issuance of a BUilding Permit parmmnt to the I~ilding Zone Ordinance of tim To~n of S~thold, Suffolk Count-y, Ne~ York,//afi~other applicable l~aa, Ordi~umeeo. or Regulationa, for the eo~atmction of I~dldtngs, addittona or alterattoo/~,; or f~r rem~al or den~litt.on, ee berem regulatlons,lm~l to admit ~uthorized tnapectors on pre~m~es and tn ~~/? State M~tt~r applicant is o~er, lessee, ~ent, architect, engineer,'geoeral co~tractor, electrician, ph~ber or (ar{ un the trix roll or lateat deed) If applicant ia a corpo~atlon, signature of duly auti~)rir~cd officer. (Nam and title of corparate officer) Builders License No .......................... Plumbera License No .......................... Electricians Licanse NO ...................... Other Trade'a Lionnon NO ..................... ,..1 ocat~.::if lar~l °n ~t'ich pr°p°sed v°rk ~111 be d°ne,O. ~ .0/...~ .~ .~. 5 .~' ~-- ............................... ...... O..ff.~..X..w~..l..v~''')'''''~x .0-1. ~ .. ff.~., j '~..: .......... ' ..... ~ .~..~./~ .--'~'. i .~.. "~' ' ~0:'~ ~ .. ' ........... ..... ~t~ Tax ~p ~). ~ivisi~ ...................................... Fii~ }~p ~ .......... · ..... I~t ............... (~) 2. State exl. sting u~ a~ ~y o{ or~ni~s a~ i,,te~¢e ~ ~m~ o~m~ ~ti~,, . ...... ............. 3. i~,tm'e cE ~ork (dmek ~lild~ applJcabla)~ ~ Duildint~ ........... Addition .......... Alteration .......... I~ ~ir ............ ~al ............. l~lj~J~ ............ Ocher I~A .............................. ~ . ' · ~ ~ ~ (~rlp~i~) ' ~, .,~,~I..L~.~ ....... ~ .... ~%...~ ..... : ................. (to N l~ld ~l filing thin 7, IH.~ml~m o~ ~lntin~ ntnetu~, 1~ anyl ~E ................ ~ar ............... ~p~h ................. I~l~nt ......................... ~sd~r o~ 8torlen ...................... DJnennl~m o~ ~m etn~mra ~lth alEeratJ~ or ~Jtton~: FronE ............... ~ar ............... l~pLh ................. N. lkJ~t .................... ~s~i~r o~ 9[orlen ............... l.~.', t~.~ fl. I)in,enni~m oE entire ~ ~mtr~l:t~: l~t .......... I~ar ........... ~pLh ........... I~i~nr ......................... ~im~ o~ 8tor[e~ ..................... 9, Sl~ o~ lot, 1~ .... ~ ....... ~, ~ar .............. ~l~tl~ ............. II. ~ or u~ dlntrJct in d~ld~ prml~n am nt~E~ .............................................................. 13. Nlli lot I~ r~r~ ~ ................... ~ili ~e~n tlXi I~ rm~ ~m ~t~ ~.,~ o~ ~,~ ............... :~: ........... ~. ~,~. .............................. ~ ~ ............... PLOT locate clearly and distinctly all ~tldl~s, ~mtlmr or pro~sed, and t~licace all. ~et-baek ill.naive ~lng to deed, and sl~ street ~ma ami t~llcate s~r,,, delxme8 a{~l says that I,e la Lhe appl. i(~mt (C~,Lractor, agent,~ cor[x)rate ol~[ieer, etc.) (,f ~atd (xinet or ow4~re, find la ~t[y ~tl~J~ to [~rfom or ht~e I~rfor,~] the ~id ~[k alxJ Eo rake afx] file tbla ti,aL lh~ ~rk will I~ ~rfon~l hi tim mmr.~r ~t forth in the applicadou fll~ tlmr~tO~. ,~X~)r,, to Imfore m Lhle } ............... .... :'-' ....... JOYCE M. INILKINS Notary Public, State of Now York No, 4952240, Suffolk County... Term Expires June ~2, ,/