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Home My WebLink About27411-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28860 Date: 09/11/02 · f~IS CERTIFIES that the building ADDITION & ALTEPJkTION Location of Property: 1840 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 103 Block 11 Lot 15.1 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 2001 pursuant to which Building Permit No. 27411-Z dated JUNE 18, 2001 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 COVERED PORCH ADDITION AND ATTACHED TWO CAR GAPJkGE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN J & AGNES J KANE (OWNER) of the aforesaid building. SUFFOLK COI31qTY DEPART~IENT OF ~RALTH APPROVAL ELEt-£1(IC~%L CERTIFICATE NO. PLU~BERS u~TIFICATION DA'rmu 06 / 26 / 02 N/A 1052501 09/03/02 PECONIC PLUMBING & HEAT /~/~ignature 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. 27411 Z Date JUNE 18, 2001 Permission is hereby granted to: for : JOHN J & AGNES J KANE PO BOX 275 CUTCHOGUE,NY 11935 ADDITION OF A TWO CAR GARAGE AND ALTERATION TO AN EXISTING SINGLE FAMILY RESIDENCE AS APPLIED FOR. at premises located at 1840 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0011 Lot No. 015.001 pursuant to application dated FEBRUARY 21, 2001 and approved by the Building Inspector. Fee $ 76.60 Authorized Signature Rev. 2/19/98 ORIGINAL Form No, 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOX, VN HAL1, 765-1802 APPLICATION FOR CERTIIqCATE OF OCCUPANCY This application must be filled in by typewriter or hk and submitted to the Building Deparm~ent 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 topogu'aphic features. 2. Final Approval fl'om Health Dept. of water supply and sewerage-disposal (S-9 fo~-m). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement fi-om plumber certifying that thc solder used iu system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certific of Code Co~npliance from arctfitect 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 "Pre-existing" land us~ 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 of Occupam is denied, the Building Inspector shall state the reasons therefor in writing to the applicam. C. Fees . 1..~2e~dficate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0( Swimming poo1'$25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0 Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Certificate of Occupancy - $ 0.25 4. Updated Certificat6 of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 New Comtmoti°n: location of ProPerty: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ,~77d/[ Health Dept. Approval: Date. -,~Z t/ / .___~Old or Pre-existing Building: ~ . (oheck one) HohseNo. /" 8tfect B ock. /I ate or 'e t, g '/ g- o I Underwriters Approval: Haml~ Lot Filed Map Lot: Plmnm~g Board Approval: Request for: Temporary Certificate Fe'e Submitted: $ a~' ~ ~ Final Certificate: (~( (check one) Town Halls 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date:~. ~_,~ Building Permit No. <:~ 7 Owner: ~7~/7/~/ ~ /~ ~ ~lease print) Plumber: ~o~/0' /~/0~/~ ~/~' ~lease print) lead. I certify that the solder used in the water supply system contains less than 2/10 of 1% · - U (,J(Pl~b~'Signature) Sworn to before me this ,~ day of~, 20~,~ ~.,~ )~ ~ d .~,-~,~-~ NotalyPublic, State of New YodL w- ~ / ~ ~. r'~"~--C'<.-t ' No. 01ST4844752 ~ ~ Qualified in Suffolk Count_ · Commission E~pims Sept. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by · ROSLAK ELECTRIC JOHN KANE P.O. BOX 164 1840 PEQUASH AVE CUTCHOGUE, NY 11935-2453, CUTCHOGUE, NY 11935 Located at 1840 PEQUASH AVE CUTCHOGUE, NY 11935 Application Number: 1052501 Certificate Number: 1052501 Section: Block: Lot: Building Permit~>7411 BDC: NS11 ~ Described as a Residential occupancy, wherein the premises electrical system consisting of ~ electrical devices and wiring, described below, located in/on the premises at: r~ First Floor, Attached Garage, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 3rd Day of September, 2002. Name QTY Rate Rating Circuit Type Appliances and Accessories Exhaust Fan 1 0 F.H.P. Wiring and Devices Receptacle 2 0 General Purpose Switch 6 0 General Purpose Fixture 2 0 Incandescent Fixture 1 0 Fluorescent Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp Dryer Receptacle 2 0 GFCI seal 1 of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. · TOWN OF SOUTHOLD PROPERTY RECORD CARD OWN ER FORMER OWNER fillable Fillable LAND AGE NEW Fo rm Fillable, 3 /Vcodland ;wampland -louse Plot -oral SEAS. IMP. NORMAL Ac re ~ I I~bl= I VL. TOTAL FARM DATE ////3/7?__ VILLAGE DISTRICT SUB. ACREAGE , ~.~/? TYPE OF BUILDING LOT COM~. IND. CB. ~ ~_ g~l MISC. REMAR S ~ -z...q~- ,""l ~. ~ ./. BUILDING CONDITION BELOW Value Per Acre ABOVE Value Extension ~ % ~Y~(~ ~/~ ~-? ¢~ ¢.~__/ Basement ~¢// ! Fl~rs Extension ~ X 13 ~t. Walls ~¢/~', Interior Finish Lxtension Fire Place ~ H~ ~ ~ F¢ Porch Attic t~ F~ ()~ Z~ ~¢0 Porch Rooms 1st Flor )reezewoy Patio R~ms 2nd Flor BUILDING PERMIT REVIEW CHECK LIST APPLICANT NAME: DATE REVIEWED: ~ / ,O/01 DATE SUBMITTED:~ /.a_//01 SCTM#--- DISTRICT: 1,000 SECTION: STREET: /~'~a~.~x,~ /~ PROJECT DESCRIPTION~Acc oR N/D: ARCHITECT / ENGINEER: BLOCK: // LOT:/~'/ CITY: C'°~-~o.j~e SUBDIV. NAME: FAST TRACK: YES o~6'~) SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o ,~N~O))~qOTES: LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS'-FROM JAN. 1997' 100-25. Merger.(~ononconforming at any time alter 7/1/83) ZONING: PERMIT ESTIMATE AMOUNT: $ ,~OJ(,, .00 PERMIT USE: EXISTING: INTENDED: ZONING DISTRICT:(~ R80, AC, CONFORMING: YES c~ REQUIRED LOT SIZE: ,[--~)q _SQFT. WHERE ACTUAL LOT SIZE FROM?TAX c^m) fi'~x~W_ ACTUAL LOT SIZE: .2.¢-z.<'oa SQFT. REQUIRED REQUIRED REQUIRED 1sT FOUND: FRONT~ ' PROPOSED: '/~' SIDE YD: ?~' '/~ ' PROPOSED:~,.2 '/~4~ ' REAR:~"~ ' PROPOSED: 2ND FOUND: FRONT: ACTUAL: ' SIDE YD:__'/ ACTUAL: '/ - ' REAR: ACTUAL: LOT COVERAGE: ALLOWED;;~ % EXISTING: ""'-iff "'-% NEW: -~-sf~ % TOTAL:,~- sf/a CORNER? YES oR ~0~('0 WAT ER FRONT? YES oR ~- DESCRIPTION: FLOOD COMPLIANCE ZONE: PRZ-E~mU 3/18/80 PANEL #: /~_.~ FLOOD ZONE: )<7 AGENCY PERMITS REQUIRED FOR REVIEW INCLUDED IN APPLM~ATION TOWN SPETIC PERMIT: YES or~L~ SUFFOLK COUNTY HEALTH DEPT: YES ~_~, (B~ #): DTE: APPROVALS REQUIRED: NEW YORK STATE DEC: PRE-DEC 9/1/75 YES SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES o NYS ENERG~(~RNO : ~--j EGRESS:__ VENT: BUILDING PERMITS OP~/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S: Y Ot~) BP -Z / C/0 Z- NOTES: / / PERMIT #:RI 0- LIGHT: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : 6~-~'~? SF SECOND FLR : SF TOTAL: SF INIT OTHER TOTAL FEE FEE FEE rOT( ~ SF)-( oc~'o SF)= 6t SFX$,~-~=$/,~O +$ .~.~'~+$ ~ =$ ,,~*.&'O 765-1~02 BUILDING DEPT. INSPECTION V~] F/(H~DATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [] F~UNDATION2ND [ ]INSULATION [I~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] RO~J~PLBG. [/~ INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~JLATION [ ] FRAMING [//]~FINAL [ ] FIREPLAC~& CHIMNEY DATE ~/~/.~I*NSPECTOR 765-t802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [[]] :OR~UNMiDNA~ION 2ND [[ ] ~~iNALLATION [ ]FIREPLACE & CHIMNEY REMARKS: ~ INSPECTOR STATE EIfER6'Y it JI CODE II II II II II II II II II 11 . ..II II ~==-~--~===.~.~ ................ ,- II II II II iJ "' - ~ '" · ADDITIONAL COI, R. IENT S · IttSTRtiGTIOltS 3 $1Fl'80~l,t~;'.,~ ..... ' ........ SUI~Vi$¥ ~:, · .......... ": .......... a. 'lids applicuCton u~st be conpletely £tlled In by ~rlCer or tn l~ ~ ~:t~ :o ~m ~tldi~ l~ctor wi Chis e~fl [coci~. ' re~lati~,r~d to ~t ~rl~ t~tora . (H~re aa) title o PLOT D~A(JRAH ~ Locate ctenrly nra dle~lnetly all Imi. ldln~s~ ~l~t.l~r exle~tn~l o~ ~, ~ t~tcn~e al~ ~-~ dt~nei~e p~r~ 11~a. 01~ n~ ~ bl~ ~r ~c ~ecripti~ acco~[nR ~o ~, e~ ~ st~ '~s e~l t~llcn~e ;/~I L-~~ , ....... ,,,,..~...,.~..~ ................................ ,~,,~ ,~ ,~ .,..~_~. ..................................................................................... (¢~t~etot, ~t~r~rnte oEEice~, ere,) o~ ~ld (~r or ~rs, ~ ia ~ty ~tl~r]~ to ~Eonn or h~e I~rfl)~ml Lhe ~[d ~ mxJ ~o ~ke n~l ~[te this thnt tl~ ~rk ~Itt I~ ~r~ la t1~ ~t ~t ~rth ~n the fl~tJe~t~ ~>m to t~ ~ ~te ~ A ~ L~DA M BOHN NOT, M~Y PUBLJC, State of New York *~<.. '. :' ."' . No. 01BO6020932 _Quaflfiecl In Suffolk Coun~ iern~ Expires March 8, 2~_(