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Home My WebLink About26766-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29223 Date: 01/28/03 T~tIS C~RTIFIES that the building ADDITION Location of Property: 555 PINEWOOD RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 3 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 4, 2000 pursuant to which Building Permit No. 26766-Z dated SEPTEMBER 11, 2000 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 REAR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. · ~ne certificate is issued to RICHARD R & KIMBERLY L GERSTUNG ( OWNER ) of the aforesaid building. SD-FFOLKCOUN=I~fDEP;kRTMEI~TOF}~_LT~APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~A'~43 N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIT.nING PE1LqIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26766 Z Date SEPTEMBER lid 2000 Permission is hereby granted to: RICHARD R GERSTUNG CUTCHOGUE~NY 11935 for : NEW DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at preskises located at 555 County Tax l i ap No. 473889 Section 110 pursuant to applic&tion dated AUGUST Building Inspector. PINEWOOD RD CUTCHOGUE Block 0003 Lot No. 006 4~ 2000 and approved by the Fee $ 75.00 ~nature ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY i This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. Be For existing buildings (prior 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 of 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. House No. Street Owner or Owners ofProperty: ~~ ~o'sab~,~,~ Suffolk County Tax Map No 1000, Section //t9 Subdivision PermitNo. ~6-'7(~6- '~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Date of Permit. Block d9o03 Lot Filed Map. Lot: Applicant: '~'~ cf~] ~ a/.,,57'-~ Underwriters Approval: Final Certificate: '~ (check one) Fee Submitted: $ Applicant Signature Old or Pre-existing Building: (check one) Ha~et BUILDING __ Applicant/ Owners Name: Architect/ l'~ngineer: Date Reviewed: - Date Submitted: SCTM l)islricl: 1,000 Seclion: ?/~5 Block: Subdivision Name: I ()cation: Single & separate P, equired cmtiI3calion: (Yes / No) It:rom Y~d Pro~sed ~ Project Description: Req. [Rear Yard propos~rf- ~] ~-~/ ,roposed ~ ~ AGENC~clPERMITS REQUIRED FOR REVIEW Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: N.A. NO ,/ Permit YES Number Notes: Appl~c~llon Received Plan Review / OK for Pe~m~l [ enclose worksheel Permit Issued Plan Amendment Il' apphcable) Final Inspection Complete 1 OK for C.G. (enclose inspection report sheet) C.O. Issued Comments: 765-1802 BUILDING DEPT. INSPECTION [ ,~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNE..Y REMARKS: ~~ DATE /(~/~/,_{ / ~--0 INSPECTOR J~ INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY .~MA.,(s: ~ ~-~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ]~SULATION [ ,~J FINAL [ ] FIREPLACE & CHIMNEY REMARKS: FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, N.Y. TEL: 765-1802 Disapproved a/e .................................. 3 SETS OF PLANS ....... ~.. ...... ,~ SURVEY ........................ ~ CItE CK ......................... SEPTIC FORH ................... DEC ........................... TRUSTEES ...................... CALL ............... MAIL TO: .................. ~ ~ "/ '~.~i~ APPLICATION FOR BUILDING PERHIT '/;'~'J ~- Date ............ ..... a:~l:i~aci~, t ~ ~le~ely fill~ in by ~icer or in i~ ~ ~iCt~ 3 ~cs ~ pl~, ~e plo~ pl~ ~o ~ale. F~ ~cordiag ~o s~le. b. ~1o~ pl~ ~ l~i~ of loc ~ of ~ildi~s ~ pr~s, relacio~ip ~o ~joi~i~ pr~s or ~lic struts or are~, ~ givi~ a ~tail~ ~ription of last of pro~ ~t ~ dr~ ~ ~e dia~ ~i~ is ~rt this appli~ti~. c. ~m ~ ~r~ ~ ~is a~li~ti~ my ~t ~ ca'~tie~ ~fore isle of ~ildi~ Pemit. d. U~ ~al of ~ia a~li~t!m, ~e ~ildi~ Ins~ctor'xeill.is~ a hilding Pemit to the appli~nt. ~mit ~11 ~ ~pt ~ ~ ~s ~ail~le for i~ti~ thr~t the x~rk. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for ~ ~ ~at~er ~til a ~rtiiicate of ~m~ ~11 ~ ~n ~,t~ ~ ~ ~ildi~ Im~tor. ~I~ I~ ~iY ~ to~t~ ~ildi~ ~nt for ~e isle of a ~ilding Pe~t ~rs~t to the ~ildi~ ~ O~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er a~li~le ~s, ~i~es or ~lati~, for ~ ~ti~ of ~ildi~s, ~it~s or alteration, or for r~al or ~liti~, ~ herein ~ri~. ~ a~li~t ~s to ~ly ~ all a~li~le l~s, ordi~es, ~ildi~ c~, ~ing c~e, r~lati~s, ~ to ~t m~ri~ i~tors ~ ~as ~ in ~ilding for ~ces~ in--tiara. (S_;gr~ture of applicant, or naue, if a corporation) (Mailiug -~4ress of applicant) State ubether applicant is txa~er, lessee, agent, architect, engineer,'§eneral contractor, electrician, plumber or built ...................................................... t'~ ........ ~'~ .................................................. Narc of owner of premises .................................. ~ ..... ~. .............................. (as tm r}~ tax roll or latest deed) If applicant is a corporation, si~na~re of duly authorized officer.' ~ (Nare 'and title of corporate officer) Builders License No .......................... Plumbers License No .......................... Electricians License No ...................... O~her Tr~de's license NO ..................... I. Ixxzatiofl of land tm daich proposed ~ork will be done .............................................................. ....... ................ ............................. ....................... lk~se b~ ~her Street Hanlet C~mty Tax Map No. lOgO Section ..-1.~. ....... mock ,..~ ........... tot .... ~. ....... Subdivision ...................................... Filed Map No .... 2. State existing use and occupam~ of pr~ni.ses and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ .~..~A~./.~....~..~f~,.: (~..../?.?..~.ff.((~j .............................. b. Intended use and occupancy ............... , ......................................................... CUT LOST CUSTOMER -- DATE 07/07/00 REF DeckO0189 RBS ROUTE 25 GREENPORT NY 631-477-1038 / x. LABEL LENGTH A job± (1115 11' 7 11/8' B .joist ,47 15' 7 1/~~ C 5o;s~ ,5> 6' 7 1/2~ D 1 edge- 4' E ledge,- 14' i0 1/8' ~3 {',it SCiO u'l' H i edq~r S~' ] ie,_%e/ 7' BEVELS FO S45 F45 S45 F45 S45 F45 S45 LABEL J ledger L sec~,~on D cap P cop u _ ec±~on LENGTH 7' g' 7 1/2' ,,-. 1'7 1/~~ 6' 7 11/2' BEVELS F45 ~0 FO S45 F45 S45 F45 S45 F45 SO FO S45 F45 SO BEAM LA'VOUT CUSTOMER -- PATE '07/'::'7/00 RE;F De¢t~00188 RBS ROUTE 25 GREENPORT NY 8' 6/' BEA~4 E:EAI~,4 POST POST LABEL '_EI"41:4TH COUNT SPACING A ~:" 5"' 2 6' ~ I/2" B .~0' 9" 4 6' ~0" ~ NOT PRO~ED WITH FRAMING UNTIL SURV~ OF FOUNDATION LOCATION HAS BEEN APPROVED. PRICING LIST CUSTOMER: DATE: 07/07/00 SALESMAN # --- OTHER MATERIALS REF: DESCRIPTION SKU QUANTITY PRICE TOTAL IRSX 2X10-14 HANGER [-1/2 JOIST HANGER NAILS [6D GALV NAILS 2.5" DECK SCREWS [/2"X6" LAG SCREW [/2" WASHER ~T12 TY DOWN JR ~X2X3 CL CEDAR ~D GALV NAILS [/2"X6" CARRAGE BOLT /2" GALV NUT i/2"X8" CARRAGE BOLT ~"X48" BUILDERS TUBE {0 LB GRAVEL MIX 40244 20 EA 50275 1 LBS 50055 1 LBS 40464A 1 LBS 861260L 28 EA 8612W 136 EA 40239 23 EA 52X02X36 128 EA 50049 6 LBS 861260C 42 EA 8612N 54 EA 861280C 12 EA 22926 2 EA 2223 7 BAGS 0.68 1.29 0.95 4 90 0 84 0 15 0 23 1 99 0 95 0 89 0 18 1 39 5 60 3 59 13.60 1.29 0.95 4.90 23.52 20.40 5.29 254.72 5.70 37.38 9.72 16.68 11.20 25.13 'OTAL PRICE OF OTHER MATERIALS $ 430.48 ~ICING LIST ~STOMER: ~TE: 07/07/00 ~LESMAN # LU~BER REF: OD TYPE DESCRIPTION SKU QUANTITY PRICE TOTAL NST CEDAR 5/4X6X14 STK 654X06X14 40 EA 12.18 487.20 NST CEDAR 5/4X6X8 STK 654X06X08 31 EA 6.96 215.76 NST CEDAR 2X4X16 62X04X16 14 EA 10.40 145.60 NST CEDAR 4X4X12 64X04X12 7 EA 29.97 209.79 A 2X12X14 702X12X14 7 EA 21.97 153.79 A 2X10X14 702X10X14 5 EA 19.19 95.95 A 2X10X8 702X10X08 11 EA 7.45 81.95 A 2X10X16 702X10X16 5 EA 20.69 103.45 A 2X10X12 702X10X12 12 EA 16.35 196.20 MST CEDAR 2X10X12 62X10X12 1 EA 32.29 32.29 NST CEDAR 2X10X14 62X10X14 1 EA 37.69 37.69 MST CEDAR 2X10X8 62X10X08 3 EA 21.59 64.77 NST CEDAR 2X10X10 62X10X10 1 EA 26.89 26.89 A 2X10X10 702X10X10 1 EA 10.55 10.55 A 4X4X12 704X04X12 6 EA 12.09 72.54 TAL PRICE OF LUMBER $ 1934.42