HomeMy WebLinkAbout32306-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 09/28/06
No: Z-31876
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 4670 PEQUASH
(HOUSE NO.)
County Tax Map No. 473889 Section 110
AVE
(STREET)
Block 3
CUTCHOGUE
(HAMLET)
Lot 29
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
AUGUST 19, 2006 pursuant to which
Building Permit No. 32306-Z
dated
AUGUST 23, 2006
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 ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to EILEEN E MCCARROLL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
--4zdt:::!::-
Rev. 1/81
"
Form No.6
TOWN OF SOUTHOLD
BUU,DING DEPARTMENT
TOWN HALL
765-1802
I'
,
I
.
sr:p 22'S
APPLICATION FOR CERTIFICATE OF OCCUP~CY-
I ,',', ;
This application must be filled in by typewriter or ink and submitted to the Building Dep;;~ent \'lith the following: j
A. 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 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.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and 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
I. 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
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
ql/C,/d C-
.
New Construction:
./
Old or Pre-existing Building:
fJ'C-}flfl Sh f.YfA1U~
Street
/'
E/Leen /:::.. Mr f!cvf{f{oLI
1/13 s~r Block ;/0 . 3
(check one)
Location of Property:
Lff; 1 ()
House No.
!!vfc.h a que
Ham1:!t<
110 - ~-;) '7
IJCj Lot
Owner or Owners of Property:
Suffolk County Tal' Map No 1000, Section
Subdivision
pf!:::::t:tY-rJ"I..fJ / '13. qat..
I
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Date of Permit.
J'/~s/Ob
Filed Map.
Applicant:
Lot:
!,jU4V l, 7!lr/t4M.I-U
Underwriters Approval:
Final Certificate: V
( check one)
Fee Submitted: $
), 5.o{)
~.1\()1:}
CO~ 3f'b? (p
r!~ ~.IJ~/!M1~~
Applicant Signature
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.
32306 Z
Date AUGUST
23, 2006
permission is hereby granted to:
EILEEN E MCCARROLL
71-33 COOPER AVE
GLENDALE,NY 11385
for :
CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS
APPLIED FOR. REPLACES BP# 25145
at premises located at
4670 PEQUASH AVE
CUTCHOGUE
County Tax Map No. 473889 Section 110
Block 0003
Lot No. 029
pursuant to application dated AUGUST 19, 2006 and approved by the
Building Inspector to expire on FEBRUARY 23, 2008.
Fee $
75.00
ORIGINAL
Rev. 5/8/02
3 :J- 3 D~ Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATIO
[ ] FRAMING I STRAPPING p4 FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAF
~~~
SPECTION -.:;/
REMARKS:
7
DATE ~ - 3/ - ~ ,
INSPECTOR ~ ~
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I'OLD -"S"~~--()"
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INSULATION PER N. Y. . . ..,
STATE ENERGY
CODE
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. ADDITIONAL COMMENTS: '",
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NNER.
LEEN E'. 1'1(1 Ca.I/'~O/
)RMER OWNER
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LAND
IMP.
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Farm
Acre
liable 1
liable 2
liable 3
oodland
{amp!and
'ushlan~
louse Plot
TOWN OF SOUTH OLD PROPERTY RECORD
70 VILLAGE DISTRICT
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CARD
SUB. .
LOT
Ihe,
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IS" C-C/ ~~__~
S )/em )6n
VL. FARM
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TOTAL
DATE
'liEL
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M. Bldg. "2-1, Y ") t ~ Cj "36 ?Jot:> ,:<11()? Foundation c--f.3,. Bath /
,
E ~"9. 17J(3~-' 5' <,/ t/ ~ JA7j1 tlasement Vv Floors 17//;/ .e (
x ... nJlOn
Extension O;cO I &.~'2- Ext. Walls tu1- -I-l Interior Finish U/4.
Extension . . 'i / rn.. Fire Place ;V~ Hem rz.~ -
1''' "'. I .J Porch Attic
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Porch Rooms 1 st Floor
B reezewa Patio Rooms 2nd Floor
Garage a,.;., r' ~ j z,..", Driveway
O. B. '", .'
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4&'4 !/e;3
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Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
August 8th, 2006
Eileen E. McCarroll
71-33 Cooper Avenue
Glendale, NY. 11385
RE: 4670 Pequash Avenue
SCTM# 110 0003 029
Dear Ms. McCarroll,
Please be advised that your Building Permit #25145 issued August 31 st, 1998 has
expired. According to the Code of the Town of South old, a Certificate of Occupancy
must be issued prior to use ofthe structure.
To renew your Building Permit, please submit a fee of$75.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
-,
\
100 ~ ~ w ~ @I
AUG,..... ~ I
i
.rORH RO. I
TOWN or 80UTl10'.D
BUILDIRO DBPARTHBHT
TOIlN I1A1.1.
SOllTIIOI.n. N. Y . 1197 I
TEl.: 765-1802
BOARD or BALTR ..............................
AS ISTS or PLAH8 ...............
.-'8U1.VBT ........................
CD8C1t ..........................
SltPTlC rORM ......... .,...... . . . . . .,
MOTUT:
J
CALL .............'.....
HAll. TO:.......................................
..................................
..................................
......................................................
t...
p.pr~6!) .
. Date.. ad1A~..1-. .19r.t
INSTRUCTIONS 70-' (f' ~
a. 'nlls sppllcation IIUlIt be co",letely filled in 117 typewriter or in Ink and _pitted to dllt 1I1Iil~ng Inapector,
3 sets of p181l8. 8CCUrate plot plan to lIClIle. Pee according to sdlll<llle. . "Il
b. Plot plan dlOldng location of lot and of buildings on pread_. n1latioosh(p to adjoin'" pr.tillls or p....lIc
atreets or aress. and aiving a detailed description of lay"..t of property nuat be dt!MI on the d'." __\ld. Sa pnrt. nf
t~ls application. .
c. n... wrlt covered by this applicatIon l"8)I not be c....""nCecJ befoll! Is8UllllCl! of Building Pemlt.
d. Upon spproval of dlle application. the ful1dlng Inapector wilt 1__ a fulldlng Permit to dllt 8JlPllcant. Such
penalt shall be.kept on dllt pnndeee aval1l1ble for inspection throuaJlOUt dIlt writ"
e. No building d..11 be occupied or used In MlDle or In (l8rt for III1Y purpose .tever taltll . Cert\f1cate of
Occupancy d..11 have been granted by dllt I\ll1dlng Inspector. i
/lPI'I.1C1\nm IS IIlmIlY twE to Ollt Building De(l8rtment for dllt le8U811C8 of a riulldlng PeI1llI t pu.........t to UIlt -
llulldlng Zone Ordinance of dIlt Town of Southold. &.ffoll, Coonty. New Yorlt. and odlltr applicable 1_. oalllances or
Regulations. for tbe conatruction of buildings. additions or slteratione. or for reroval or cIeoolltlon. ya herein
"eeedbed. n... applicant .......a to co..,ly with all applicable 1_. ordinancee. building code, housing Code. "",,\
regulatlons'I..d to lklnlt lUthorlzed inspectore on premises and in building for neceeBSry inspecl!tone. I ..' ,. .
. ...~.t'..~..~...........
gf6 ; (Sill"'!tunt of appllC8llt. or ........ I~ 'Watlon)
r 0 ~ - . 'M(/.fl. .&.~A~J. h: ../ I!c f),,5!$
..' (Hal ing ~=~~ppllcent)'i
Slate \A...t1...r applicant is owner. leaBee. agent. architect. engineer. general tract;c.~F8lI(t'IJ;;:...,11<
..............~.....,:;.............................................,............
Nlm! of owner of premlsee .k.'?If:~(!..!!;r1e.&RI?QIx!:...............,.,'t.?;'-'f8 '.U
(as on t11lt tax rol I or lateet deed) fII: . 3s ~ IV:
1f applicant is a corporation. signature of duly wthnrlzcd officer. ~it'\ ..DIIII NT AT
I ,..,.. . ". 10 . PM fOR
tV I A. "f' · - Jill II 1 .DC.MI&
.(~.:..:.i.~i~i~.~f.~;.;.;;~~~.~ffi~;)................... " , 'OUI.TOII.,. HQUlAED
fORHlUJIII eoeK_..
.. IOUIII . '" r lflg . k!JfI~BING
a. _UIICIII
4. FINAL . CONlrtlUCTlON MUST
.COMPUJI fORe.O.
ALL CONSTRUCTIO.....SHALL MEET
THE REQUIREMENTS QFi THEN Y,
Oll...r Trade's License No. .................... aTATE CONSTRUCTION It ENE!H1V
CODES, NOT RESPO~IBLE ~(;,~.
I. Locatioo of :and 00 \A,ldl pro'lOsed "",k will be (1?0o........,. ... ....... ... DiSKiN- OR~OIlSTAUE:TtOh -ERftf~!>"
................. .If:W.1.~..... .I!.e:~u.a s1l....A v.~n.v.~........... t.t+. f...c:h.a .a.~e...:..
noose lUllM!r ~t i Unlet Vi J
Cronty Tax Map lb. 1<XXl Section 'f.1..?.1...1.... B1.oc~ .(/.9..~........ I....t -:-.3...:rik:.I..
&JlxJivision ...M8.....o.......................... ..'........... "1100 tiap lb. ............ .~"..... IDt ...... .... ..... ~
(Hale)
APPLICATION FOR nUI1.DING PERMIT
~ &..l1dersl.lcense No. 11..16:/.576-.00 cd
Pli.iriJera Lice1lSe:boo ................................................
Electrlcl8118 J.lcenae No. .....................
2. State existing """ and occupancy of prenl..s and Intended use and ocCtJP.8IICY of proposed CCllI8truction:'
a. Existing use.nd occupancy ...........&.4~~L...(f.k-~..........N'/~.......T........: __
b. InteOOed use -'00 c ''P''llCY ..........".......~~~..:,,~;.~u,,~~..... 'M
opnuoO lIfotto2 "i beililsuO
eaoatr~IO .oM
. II: veM "'iQlc! ......T
, -.,' .--- --;--(:,:;1,
Halllra of work (dllldt wild. ....Uc.bl.)a Nilw. ...ldh.v.' ~I t Ion .......... Al ~arat I oil ..... _:.i.~ 1 \
1fe1_lr ............ Rear:Jval ............. I1eaDlttJOIt ............. Otl.er lIorlc. ............_..............,.~.~:....
:It .:1/ - ~~on) ~;.;\
Ilatl....ted Coet.".. .1utr.O...:. ........... fee ...... .,J.:tJ.I.r?/?.. .'............ ~. ... ....... ._1
I (to be paid Ill. fIllns thlsDpplf~tlonJ '".... I
If ~IHna. ,u.l",r of _111.. .Kllta .I)IJ.~....... Iblber of ~lIlna IInlta e" eacll 'ttC:r ............~~-:."
If gura&e. ,ubar of can ...... ./.............................. w/Il
If IR.sllleas. cxmlltrcl.l or al-rClCClIJIIIIICY. epeclfy_"f~a end extent of each tY\1!l of ..............:.:..;(;.....
111.......1011. o~exl tl structuru. If anyl Pront.."!!J'.36fr.ar ..3r:?#,-.. Ilepth ..~,...... .
l"lght ...It... ................ IlDller of Stories ......................
IIlnenalell. of lit .tnlCture with altaratlona or'Dddltlonal Pront................u...............
, Ilel.L1I....,................ lIellll.t .................... IlIIller of Storie,. ............... , t~;//
8. '1I1."",.lon. ~'r::,re... Cotl8truc,tlonl Front ...i5-fF.. Ileer .I::.J.cd.:... IlepLlI ./l.5.l~"
llel~,t "~C""""'''dllber of Storie. .~... .....~. D~ ,-
9. SI.. of 101..1 Front ./~~~...... Ile.r .(.pot? . ......... Ilepth .1.7..J.. 'ifj:;.i~: J .
10. Ilole of Purd...... ...::>"f.':l.I"7.~.... Homo of VOmit ...r ~.~f... .. ....LIY':':?'.I{......
II. Zone or ...... district 10 o.bld. premises ere situated . ~~. . .. .. . . . . . .. .. . .. . .. .. . . . . . .. . . . . .. . . . . .
12. Iloes proposed con.tructlon vloleta any zenina 1.... onUl\8l1Ce or regulatlonl ~..................
~,v
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..bove HII.uI. '; -: .1'::; yv:, ;~3';'O.' t!/, .
;,.,,-:~.)'t. 11&1I<lJO;;:: 17 j}L7.., /
<; .." .... . ....~..~lt:]........-:.:..... .C:J/.l~.N)Y........
(r.altraCtur.;naent~--LU! I~F'R:I.- nfflt:er L~~tC.)
1.
4.
5.
6.
7.
11.
14.
Will lot berearaded ,.....,a'<1'......... "11~ be rfJlOYed fmn pralll...... ;7.aft"~ Ill. _
::-o:fA::;: ~~:....:.:.. ~::: ~~~~::~::~.::::~:~.C ::~~~~~
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15.
~.ne of rJOntractor .~~.~...................... Address ...............................Pl~ NO.
Ta Ihls property within 300 feet.of a tidal ""tlend? * YI!S .......... 10 ..-:!t.,....
*IF YIlS. ln1nnn'l'lHf 1tum!1l1l1'l!ltuT Mt\Y 00 Rl!.QJIIlm).
/U 1>'.....
I.OT DIAGRAM.
locate clearly 8Dd d atloc y.n buildings, w..ther exlatlng or propoaed. end iDdlcata aU set-back dlaenalone
l'ropsrty linea. GI... .treat block IUlber or deacrlptlOll accordlna to deed. end .hew .treet nale. and Indlcata
.er inter lor or comer lot-
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of Raid .....er or owners. nnd ill duly aulllOrlzetI to perCon.; or hnve .",rformed the BOld work and to mite and Clle Ihis
nl~.1 icntlon, lhnt 011 ststenents contalnetlln thie DIlJlLlcatloll nre true to lI'e best of bls knowletlae nud lJ<ilief; (If,1
lhnt the writ will be perfonred in lhe n..nner Bet Corlh In lhe sppll.cetion riled therewitb.
~ml lo bef"re "" lIlls
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......., PUbli<I. State of
~ in Suffolk
.... 011C4 ..,
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MAli
PRODUCTS
1111
COMMERCIAl
BUILDINGS
GARAGES
WAREHOUSE~
IT'S MADE 8f1TEI IF "MAN" MADE
95 BROOK AVENUE
DEER PARK, NEW YORK 11729
516-242-5000 1-800-645-6362
15' X 20' X 8' HIGH WITH OVERHEAD DOOR
25' X 25' X 8' HIGH WITH OVERHEAD DOORS AND SERVICE DOOR
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Matthew@ychlik
LANDSCAPE
MASONRY
P.O. BOX 238 . CUTCHOGUE, NY 11935
Phone / Fax 516-734-5767
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PROPOSAL SUBMITTED TO _ -- I
:e 5 (.' C "'f ReD' (. E /(.. (;(::-'\
STREET '-I ~-60 vc.O oJ 4 /"IvF.
CITY, STATE AND ZIP CODE ,t/, Y. /19.3, ~
ARCHITECT DATE OF PLANS
PHONE
paga No. of pag..
DATE
JOB NAME
JOB LOCATION
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JOB PHONE
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w. propo.. to furni.h mat.rial. and labor n.c....ry for the compl.tion of:
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WE PROPOSE h.r.by to fumish mat.rial and labor - compl.t. In .ccordanc. with above specification., for the .um ot.
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Paym.nt to b. mad. a. 1I0ws:
dollars ($
$D.>,;;) ...
Nl material 1& guaranteed 10 be asSllOCffied. AlI_lo boClllllpteted nasubslantlal_~l<e mamar accoldng to ~~~..,
opedIJcallona_ed. per standardP<8dlcas.AAyaltaratJonO<llo_lrom obovespeclficatlOlllInvotvi1g.x1racooto _ed ""
wtI be oxecuted ooIy upon written orders. and wID boCllIIl. an.xtra c:IleIge over and 8bove tho es1lm.ta. AD..- Signetura
contlIlgent upon -. _nIa 0< delays ara boyO<xt our oontro!, Owner 10 cany fira, lornado and ollle, necaseery Nota: TtIa propclllllo!lCfbo
.....anc:e. 0.. WOlkera ar.'ully covered by WoIkmen's Coolpensa1lon Insuranoa. wtlhdrawn by us II "" accapt _ days.
ACCEPTANCE OF PROPOSAL Th. above pric.., .pecification. and conditlon. are
sati.factory and ar. h.r.by accept.d. You ar. authorized to do the work a. .peclfied. SIgnature
Payment will be mada a. outiin.d abov..
Data of Acceptanc. Slgnalura
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Matthew R
LANDSCAPE
MASONRY
734-5767
P.O. Box 238 . Cutchogue, NY 11935
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(3000 rp.[J (..o"Pc~; ~;'l..r/o~ S;J--)
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