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Home My WebLink About25158-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25976 Date: 09/17/98 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 SEPTEMBER 2, 1998 pursuant to which Building Permit No. 25158-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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING 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 N/A ELECTRICAL CERTIFICATE NO. PENDING 09/11/98 PLUMBERS CERTIFICATION DATED 09/10/98 FRANK MEYER 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. 25158 Z Date SEPTEMBER 4 98 Permission is hereby granted to: FRANK W & MARION CARR 5200 PEQUASH AVE CUTCHOGUE~NY 11935 for : CONSTRUCT ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING 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 $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 ~"' 'rQWN OF $OUTHOLD ' APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 A. 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: i. 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. B. For existing buildings (priqr 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, Swimming 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 - $t0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / "as built" coversion of breezeway~ 9/2/98 ~nto kitchen ---~ Date ......................................... New Construction.~.ye$ ..... Old Or Pre-existing Building ................. 5200 Pe~uash Avenue~ .C~.~q~.oc~.~ ~ Location of Property ................................................ House No. Street Hamlet O~er Owners of ~w .... ~,~ Frank W. &Marion McGuire .Carr County Tax Map No 1000, Section...!]? ........ Block... 3 .Lot .... 2~. ..... Subdivision ......................... Filed Map Lot ...... Permit No ................ Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ....................... .. Planning Board Approval ........................ Request for: Temporary Certificate. Final Certicate. yes Fee Submitted: $ .... 2.5...0.0. .................... -/q .~..~~;~ ..... APPLICANT ,f TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner /2:~'>~/~/~ ~ ~ ~/~ (please print ) Plumber I'""'/,~/~./~/,d /T~,,~ - (please prinfi) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s sig~tu~e) Sworn to before me this !0 da , of 19_,_,_,~o Notary Public, County ~'~ ~/ N~tar~ Public ABIGAIL A. WICKHAM Nota~ Public, State of NewYork No. 52-4642871 Oual f ed in Suff~o~k C%u.~^ ~ ~1 CommiSsion Expires ~ept. ;~u, ~u ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [//]*~N AL DATE THE NEW YORK BOARD OF FIRE UNDERwn,,,... 8~72624 BUREAU OF ELECTRICITY '~'-- 40 FULTON STREET, NEW YORKi NY 10038 Date SEPTEMBER 23,1998 Application No. onfite 16788798/98 H 061509 THIS CERTIFIES THAT only the electrical eqttipmcnt as described below and introduced by thc applicant named on the above applicatiolr number is' in thc pretnises of FRANK CARR, 5200 PEQUASH AVENUe., CUTCHOGUE, NY mas examined oa 8~P~R 11,1998 and found to be in compliance with the ~'alio~al Electrical Code. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEFTACU~S SWITCHES DRYERS V I C E OTHER APPARATUS: *NO VISUAL DEFECTS: "A~ electrical survey has been made of ~%e exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. FRANK CARR 5200 PEQUASH AVENUE CUTCHOGUE, NY, 11935 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED iN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPAF1TMENT TOWN IIALL SOUTiIOLD, N.Y. 11971 TEL.: 765-1802 BbJRD OF ItEALTIt ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH ............... Approved .............. , ... Permit No.~ .~.I.~..~.. 7."~... Disapproved a/c ..................................... Si:? '~ · APPLIC 'ATION FOR BUILDING PERMIT Date .... ~[~{~ ........ , 19... .~,,' BLDG. DEPT. . ' ~ }}~ . TOWN ~F SgUTHOLD INSTRUCTIONS a. Tl~s application must be completely filled in by typewriter or in ink and submitted to the Bulldog Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule, b. Plot plan showh[g location of lot and of bulldogs on premises, relationship to adjoining premises or pubic streets or areas, and givh~g a det~led description of layout of property mu~t be drawn on the diagram which is pa~t of tiffs appli- cation. c. The work covered by this application may not be commenced before issuance of BuUding Permit. d. Upon approval of this applicafion, the Building Inspector will issued a Bugding Permit to the appUcant. Such permit sh~l be kept on the premises avaUable for inspection throughout the work. . e. No building shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ficate of Occup~cy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildfl]g DeFerment for the issuance of a Bffilding Pe~it pursuant to the Building Zone Ordinance of the Town of Southbld, Suffolk County, New York, ~d other app~cable Laws Ordflz~ce~ or Regulations, for the constmcfion of bu~d~gs, additions or alterations, or for removal or demolition, as here~ described. The appUcant agrees to comply with all applicable laws, ordinances, bu~d~g code, housing code, and regulations, and to admit authorized ~spectors on premises and in bulldog for nece?a~ ... .............. ~(Signature of applicant or name~ corporation~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. attorne7 for o~rs ............ Name of owner of premises.. ....... .......................... .. (as on the tax roll or latest deed If applicant is a corporation, signature of duly autboriked officer. CALL ................... HAIL TO: (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No... .................. 1. Location of land on which proposed wm'k will be done .................................................. 5200 Peqqash Ave. n. ue, .CAt.cb.ogp.e ~ ............... House Number Street Hamlet Comity Tax Map No. 1000 Section . ...,1.1.0 ............ Block .... ~ ......... i... Lot ..... g4 ............ Subdivision ........ . ............................. Filed Map No ............... Lot ...... : ........ (Name) 2: State existing use and occupancy of premises and intended use aud occupancy o£ proposed construction: a. Existing use and occupancy . .Qrl~ .qan/ilT. r~,s:i.dentiai .............................................. b. Intended use and occupancy same ' , .................. ,..e,~,~{~,~v ................ k whi pli ) · 3. Nature of work (chec ch at: cable: New Building ....... Addition .......... Alteration .... ; ..... Repair Rem~ ~val Demolition . Other Work ..... (Description) 4 Estimated Cost ' Fee (to be paid on filing this application) 5. If dwelling, number of dwelling .mits ............... Nmnber of dwelling units on each floor ................ · If garage, number of cars ....................................................................... If business, commercial or mi.xed occupancy, specify nature and extent of.each type of use ............... , ..... 7 ...... if any: Front ' Rear Depth · Dnnensmns o! exmtmg stmcturels .............................................. Height Numlber 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 Height Numlber of Stories 9 Size of lot: Front i ' Rear Depth 10 Date of Purchase ' ' Na~ne of Former Owner 11 Zone or use district in which preinises are situated ' 12. Does proposed construction violate any zoning law, ordinance or regulation: .............. ;~f~...; ............. 13. Will lot be regraded .... ... '.. ~. .................. Will excess fill be removed from pretnises: Yes No 14 Name of Owner of premises .~ Address . Phone No . Nanm of Architect i Address Phone No Nmne of Contractor ......... [ ................ Address ................... Phone No ................ 15,' I.s this property witbin 3~00 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Town Trustees Permit may be required, .i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, mid. indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street nmnes and indicate whether interior or corner lot. "as built" coversion of breezeway into kitchen STATE OF NEW YORK, S.~ COUNtrY OF...Suffolk ....... .l:~.lgqr..a~ ~.ty ,' being duly depose~ and says that he is the applicant .................... , , ........ · ......... sworu~ (Name of individual signin~ contract) above named, l He is the . .'. · &LBornek'. £or. owners .l ...... ~ .... ' .......... ' ............................... ' .............. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly outlmr,zgd to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner s~t forth in the appiication filed therewith. ' 5wom to before me this