The URL can be used to link to this page

Home My WebLink About25157-zFORM NO. 4 TO~N OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25975 Date: 09/17/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 5200 PEQUASH AVE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 3 Lot 24 CUTOHOGUE Subdivision Filed Map No. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 2, 1998 pursuant to which Building Permit No. 25157-Z dated SEPTEMBER 4, 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 AOCESSORY STORAGE SHED AS APPLIED FOR "AS BUILT" The certificate is issued to FRANK W & MARION CARR (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. 25157 Z Date SEPTEMBER 4 98 Permission is hereby granted to: FRANK W & MARION CARR 5200 PEQUASH AVE CUTCHOGUE,NY 11935 for : CONSTRUCT ACCESSORY STORAGE SHED "AS BUILT" AS APPLIED FOR. at premises located at 5200 County Tax Map No. 473889 Section 110 pursuant to application dated SEPTEMBER Building Inspector. PEQUASH AVE CUTCHOGUE Block 0003 Lot No. 024 2 98 and approved by the Fee $ 35.00 Buildi~f Inspec~ ORIGINAL Rev. 2/19/98 Form No. 6 BUILDING DEPARTMENT 765-1802 BLDG. DEPI A~FLZCA~ION FO~ C~F~CA~ OF OCCUPA 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 i% 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 (prigr 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 6f 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, Swinuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 "as built" shed ) Date 9/2/98 Construction.~.ye$ ..... Old 0r Pre-existing Building ................. New Location of Pronertv. 5200 Peguash Avenue~ Cutchogue, NY House No. Street Hamlet Frank W & Marion McGuire Carr O~er or Owners of Property ........... · 110 3 24 County Tax Map No 1000, Section ........... Block.. .. .. Subdivision ...... Filed Map Lot Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval ......................... · Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... Yg~ .... Fee Submitted: $...2.5:.09 ~. 5~)~ APPLTCANT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REM.A~RKS: <~/~ ~ [ ] ROUGH PLBG. [ ]INSULATION [ I,~NAL FORM NO, 1 TOWN OF SOUTHOLD 13UILDING DEPARTMENT TOWN HALL SOUTiIOLD, N.Y. 11971 TEL.: 765-1802 Examined ............ , 19 ^pproved .... .fJ.q ......... 19 2:Z Disapproved. a/c ..................................... (Building, Inspector) APPklCATIO~ FOB BHIkDI~G B~ARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK SEFTIC FORH ............... tlOTl PY ~ CALL ................... ~ HAIL TO: Date 9./.2./.9.8 ...... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or iii ink and submitted to the Building Inspector, with 3 ;ets 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 sti'eets ~r areas, and giving a detailed description of layout of property nmst be drawn on the diagram which is part of this appli- cation. c. The work covered by tbJs application may not be commenced before issuance of Building Permit. d. Upon approval of tliis application, the Building Inspector will i~sued a Building Permit to the applicant. Such permit ;liail be kept on tim premises available for inspection tbrougtmut the work. · e. No building sliall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ~hall have been grauted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Departmer~t for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the Town of South~ld, Suffolk County, New York, and other applicable Laws, Ordinances or legulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspectio .n~--- ' ~_ - . __ (Signatur~ of applica~',' na~poration! Doty, P.O. Box 1181, Cutchogue, NY ?1935 (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or builder. attorney for o.wn..e.r.s .............................. ' ................ . ........... NJme of owner of premises Frank W. 8, Mar~9.n.M.c.G.u.J:r. 9..G3~..r. .......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ....... ' ........ .......... Electrician s L cens No ....................... Other Trade's License No .................... 1. Location of laud on which proposed work will be done ................................... . ............... .... 5.2. gQ .P..eqqa. s.h .A.v..equ.%..~.t.ch.cgp.e,. ~q7 ......................................................... House Number Street Hamlet County Tax Map No. 1000 Section ... fi.l.0. ........... Block .... ~ ......... i... Lot ..... 24 ............ Subdivision ........ . ........................ . .... '. Filed Map No ............... Lot ............... (Name) ,~ State existing use and occupancy of premises and intended use and occupancy of proposed construction: .3. Nature ofwo~rk (check which al plicable): New Buildiug .......... Addition .......... Alteration ....... '.. Repair .............. Rem ~val .............. Demolition .... ; ......... Other ~gork ............... .... . ~ (Description) 4 Estimated Cost Fee I ~ (to ~ ' ' ' b~.paid.,on' fihng this appl,cat,on) 5. I f dwelling, number of dwelliug ~units ............... . Nmi~ber of dwelling uuits ou each floor ................ If garage number of cars ' .. 6. If business, commercial or re!xed occupancy, specify nature and extetlt of,each type of use ..................... ....... y F pti 7. Dunellslons el ex~stmg structures, if an rent ............... Rear .............. De I ............. I-Ie~ght ....... Number of Stories .................................... Dimensions of shine structure with alterations or additions: Front Rear Depth : Height .' .... Number of Stories 8. Dimensions of entire new constrUction: Front .............. : Rear ............... Depth ............... Helgbt Num!ber of Stories 9 Size of lot: Front ' ' Rear Depth 10 Date of I'urchase ' ' Name of Former Owner preinises are situated 11 Zone district in which ' · or use ' . .................................................... 12. Does proposed construction violate auy zo,fiug law, ordinance or regulation: ................................ 13. Will lot be regraded ....... ; .................... Will excess fill be removed frown premises: Yes No 14 Name of Owuer of premises Address Phone No Name of Architect ........................... Address ................... Phone No ................ Nmne of Contractor Address Phone No 15.' I.s this property within 3'00, feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold Tiown Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all .buildh~gs, whether existing or proposed, and. indicate all set-back dbnensions from property liues. Give street a,d block ~ amber or description accordh~g to deed, and show street nmnes and indicate whether interior or corner lot. "as bu±lt" shed STATE OF NEW YORK, S.S COUNTY OF ·..Suffolk ....... .... .l~.l~q.<a)/1 pp. t7. ' ...... i ......... · ....... being duly sworn, deposes and says that tie is the applicant (Name of individual signing contract) above named. He is the at~eg for omers 4 "' · · ' ~ (Contractor, agent, cor'porate officer, etc.) of said owner or owuers, ~d is duly authortzed to perform or bare performed the said work and to m~e and file this ,~ppl catmn, that all statements contained m tins appbcatmn are true to the best of his knowledge and belief; and that the work will be performed m the manner sgt forth ~n the apphcahon filed therewith. ' gwom to before me this , %'ta~ PubI~~.~ 9~'1 County SURVEY FOR FRA~V~. CAHR ~ M,~t~IOIV CARt~ AT CUTCHOGU~ OATE, D~C. 8, ~0~ OF SO~THO~D ~ I, ~ .. rI ~, ,.,~ ~ v~, ,.,~ 4~OSTR~NOER AVENUE ~. / I~UI~ ~ I~UI~ RIVERHEAD, NEW YORK AND LAND SURVEYOR NXS, LICENSE NO. 12845 HOWARD W. YOUNg, LAND SURVEYOR --J N.~S. LICENSE N0.45893