HomeMy WebLinkAbout31128-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32027 Date: 11/27/06
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3105 PEQUASH AVE CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 12 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 12, 2005 pursuant to which
Building Permit No. 31128-Z dated MAY 12, 2005
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 WITH NON-HABITABLE SECOND FLOOR AS APPLIED FOR.
The certificate is issued to HENRY E & MARY RAYNOR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 11053 11/14/96
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
- roan No. 6
TOWN OF SOUTHOLD
BUILDINq I)EPARTMENT
c APR' TO ff~J HALL
7651-1802
APPr _ CAT3ON FOR CER IFICATE OF OCCUPANCY
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:
I . Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topograpluc 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 responsiL-le 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:
1. 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
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
4. Updated Certificate of Occupancy - $5000
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date. - _
New Construction: Y Old or Pre-existing Building: n (check one)
Location of Property: 1J1 rc"uasii F,ve. CutChoguc
House No. Street Hamlet
Owner or Owners of Property: _ n r_y__ i a r v i e n c r
Suffolk County Tax Map No 1000, Section /03 Block Lot
Subdivision n / a Filed Map. Lot
Permit No. Z Date of Permit. S lR vs A hcant /~AK r
PP' _ NENI' A N4P t!owNFR)
Health Dept Approval: Underwriters Approval: _L12-0
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: x _ (check one)
Fee Submitted: $ _ ?41V P i4.ek,
,L~j
Ap licant Si6m t e
61..Q.e-- X139 2
CLar-L"-
~aoa~
ELECTRICAL INSPECTION SERVICE INC.
375DUNTONAVENUE
EAST PATCHOGUE,NEW YORK 11772
(516)! 286-6642
11053
DATE: 11114196 APPLICATIONNo. ONFILE
UILLaGE: CUTCHOGUE TOWN_ SOUTHOLD
ADDRESS: 7705 PEQUAS9 AVFN(fF
ISSUED TO. EILEEN CARROL
INTRODUCED BY: HOME OWNER LICNo:
was examined on 11114196 andfound to be in complian=mththeNahonal Electrical Code
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
LOCATION: Base., IsE 'Iff 2nd AX 3rd.- Athc
Da Garage Hot Tub pool
SWITCHES RECEPTACLES: FHTURES HEATERS FANS G.F,L AIR COND.
18 18 14 6
DISHWASHER DRYER CLOTHES WASH, GAP-DISP RANGE OVEN WOKEDETECTOR
FURNACE OIL GRAS CIR.: MOTORS BELL:TRAN SERVICE&DISCONNECT
1 100 UG
OTHER
EQUIPMENT
t' [
1
HUGO S:-SURDI
PRESIDENT
BUILDING PERMIT No, 7bmwtifiademustnot beekaed N, eny,e®na
lnsp .oxue,a by eeaaaeroti
BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE
,qf souryo6
7--
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/ STRAPPING [FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRES SAFETY INSPECTION
REMARKS:
DATE INSPECTOR
~o~,~oe souryo6
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING/ STRAPPING [FINAL A `4,
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE INSPECTOR
~ ~oF souryo*
371
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATI
[ ] FRAMING / STRAPPING [FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAF SPECTION
REMARKS: o " Aa-v~ c,'--
y
e-)- ' I cam,
DATE 6 ~S INSPECTOR
hoX OF SOUlyo6
f®~
TOWN OF SO ~-8ti NG DEPT.
765.1802
IOINSP N
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ION
[ ] FRAMING/ STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
J-, A
DATE ~ ~ ~ INSPECTOR
LAWRENCE M. TUTHILL
PROFESSIONAL ENGINEER
P.O. BOX 162
GREENPORT, N.Y. 11944
(631) 477-1652
November 13, 2006
Mr. Michael J. Verity, Department Head
Southold Town Building Department
Main Road
Southold, NY 11971
Re: Residential Henry & Mary Raynor
3105 Pequash Avenue
Cutchogue, NY 11935
Permit No. 31128 3
To Whom It May Concern: N0V QG is
7? J~
I have inspected the above mentioned re id a LS TNOLD
with respect to foundation, damproofing and framing
and found that all are in accordance with the New
York State Building Code and the Southold Town
Building Code.
Sincerely,
/ ~c r
Lawrence M. Tuthill, P.E. NEW
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IISULATION PER N. Y. I
STATE ENERGY II
CODE
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FINAL I ~~~t~ X76
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DARTMOUTH PLACE
ti SURVEY OF PROPERTY
AT CUTCHOOVE
N101F C41-MO ROR & WIFE TOWN OF SO UTHOLD
SUFFOLK COUNTY, N. Y.
1000-103-12-09
a N N4624'00"E 232.17' SCALE.' 1'=30'
WALL. JANUARY 6, 200E
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LOT NUMBERS REFER TO MAP OF PEQUASH ACRES"
f 1 1%2 STY FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON
MARCH 30, 1972 AS FILE NO. 5694.
UMyQ 01py[WAY 2A1' JQ1'
¦=MONUMENT
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54431'40 W 229.55 AREA-44,140 90 . FT. 6~ of NEW $10,
yA,t .METZG,
LOT 2
S. 49 18,
ANY ALTERA770V OR ADO!77ON TO THIS SURVEY /5 A OU1/QN CONIC ANVEYO
,
OF SEC77ON 72OW THE NEW YORK STA 7E EDUCA77ON LAW. 631 765-5020 F
EXCEPT AS PER SEC77ON 7209-SUBDIWSFON I ALL CER77F/CA710NS
HEREON ARE VALID FOR WS MAP AND COPIES THEREOF ONLY /F P.O. BOX 909
SAID MAP OR COWES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET
W#OW _l%WAnAgE APPEARS HEREON' SOUTHOLD, MY 11971 - ~!a!
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AWMA300
DATE i7
`mo~o
NOFOIIFY BUILDING o ENT AT }
766-1802 8 AM TO 4 PM FOR THE }
FOLLOWING INSPECTIONS: j
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET L i
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION ! ENERGY
At CODES. NOT RESPONSIBLE FOR
y DESIGN OR CONSTRUCTION ERRORS
i
i
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY ~
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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. 31128 Z Date MAY 12, 2005
Permission is hereby granted to:
HENRY E JR RAYNOR
275 CARDINAL DR
MATTITUCK,NY 11952
for
CONSTRUCTION OF AN ACCESSORY BUILDING AS APPLIED FOR. THIS PERMIT
REPLACES EXPIRED PERMIT#21517
at premises located at 3105 PEQUASH AVE CUTCHOGUE
County Tax Map No. 473889 Section 103 Block 0012 Lot No. 009
pursuant to application dated MAY 12, 2005 and approved by the
Building Inspector to expire on NOVEMBER 12, 2006.
Fee $ 133.80
Au hZe
n eORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST. SUB. LOT
FORMER OWNER N E ACR.
F/e e 7 S W TYPE OF BUILDING
~L 7L RES.2 Q SEAS. VL I FARM COMM. CB. MILS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
f'•r"c f'iO~ ~A fv ~ de
00 600
To
-7 1 -7 o 00 ?7 ~2/~o, YeF,~ 6D '4 nFr /JGf<' `,C~ .2, JJJ•
'Goo 00 L) L) 6 D-fl G-O G 0 G'n 1- C 6 I aZ
i illoble -FRONTAGE-OWW,gTER-
r J i
Noodland FRONTAGE ON ROAD 9s 1 f; fl n _ ~~6Q
Aeadowland DEPTH Xv,,;., .`l < 3 0 f 7,
louse Plot BULKHEAD
'otal
COLOR TRIM
yT ~ i
i Q.
u
2Z 4
M. Bldg. 2 9 X / 3'v 7
j? qv S,
Extension x 33 = 9 -7 -Nlggff~
Extension
Extension
Foundation c, 13, Bath 2 Dinette
Porch Basement v Floors A K.
Jbrch A, c,n ~Ga Ext. Walls v~ Interior Finish Wa2 LR.
Breezeway Fire Place ` Heat DR.
Garage Z X 2 ~z S'2 Y h an Type Roof Rooms 1st Floor BR.
Patio Recreation Room Rooms 2nd Floor FIN. B
O. B. Dormer Driveway
Tol?ol 0 r~
A
jJNAN11. R12ED ALTUATIOH OR At:.-nOpi
10 7HIS SUYVEY IS A VIOLATION OF
_,•eoioN 7209'01 THE NEW YORK STATI
r fDUCATfON LAW.
1
toplFs EE LA OF TNIS SUR ASAP NOT SEA
.1NE UND RI({f
L O SA 's
NOT SEAE OR
I /A1RO35[D SEAL SHAL SNAtI NOT AF CONSMJElEO
Y~ _ \ IO AE A VA/ID TRUE Co".
102 2 v iCJARAHTFFS INDICATED HEREON SHAH R1N1
EEEE~~S' ~~0 a(~~ ' J /V ¢ s - - x .y ~~OT¢Y TO THE PERSON FOR WHOM THE SUAVE
Y,
T' 6L' -U. L`r7. PREPARED, AND ON MS I:IIAIF YO THE
TOWN OF S&UT OLD COMPANY, ZOVEA:DAENTAL AGENCY AND
tt \ WSOTUTION U1T20 N.CON• AND
--fJ Sl \ TO THE ASSIGNEES Of THE IEHDING WSTM,
• ! Ir TUTION. GUARANTEES ART HOT T.A WWUE
\ TO ADDFi10HAl INSl1TUTLONS OR SIIRSEV'UE,,(
~ i
4 j L 'I
i /sres~uf- ' 1
Al- "ILA 1,
E ~ i
BOARD OF HEALTH
c FORM NO.1 _-3 SETS OF PLAYS
TOWN OFSOUTHOLD /SURVEY
EPARTMENT ~CIIECK . .
TOWN HALL SEPTIC FORA _ _ .
LOf_ BUILDING D
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 0T SOU"HOr7 - ip CALLS......--.
Examined
19/.3 rnI ro
Approved Al. Permit No.~/J/./ . - .
Disapproved a/c
J
((wilding Inspector)
APPLICATION FOR BUILDING PERMIT
Date 19
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets 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 streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspec ons.
(Signature of app scant, or name, if a corporation)
(Mailing address of applicant) l/c,?3J-"
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...........O. /I)A
Name of owner of premises .11,11/!ft-1. t c . ~~<zlP-0.~~~..li~/~~E~!./?.• .44'.~ eeo tl
(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 License No . . .
Other Trade's License No .
1. Location of land on which proposed work will be done. ...E . .
...q X0 l7~!. (.6a4.TFf!~...:................
House Number Street Hamlet
County Tax Map No. 1000 Section 4. I~oi3I Block Lot : .
Subdivision P~~~£!?? !f~ ~S- Filed Map No . Lot
(Name) .
1 State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy /64 wi~~6d! =,.:Y :n ,,.-.M . - .
b. Intended use and occupancy M6,,4 V4 .
,t
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work.-. 'r
S Description)
4. Estimated Cost .........3i!~ ~.0 Fee .
(to be paid on filing this application)
S. If dwelling, number of dwelling units Number of dwelling units on each floor .
If garage, number of cars .
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories .
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories .
Dimensions of entire new construction: Front Z.S.. , , , , , , ; Rear ~.Yz. , , , , • , , , , Depth Af
Height Number of Stories l .
9. Size, 6f.(,'. Fro.,...../. 7^.d............ Rear ......C47 Depth A-A., . .
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated A"/...115- . , , , • , , • • , . • .
12. Does proposed construction violate any zoning law, ordinance or regulation: ..A14: . .
13. Will lot be regraded ......~'o... r . Will "cess fill ~J a removed from premises: Yes /!lol
14. Name of Owner of premises,Y4;!l~•7. .Ji1lr,*,.i/.1f. ss J/p e-A. r*Wl . Phone No..7,?.t': 7.J~• ; , .
Name of Architect Address Phone No............:... .
Name of Contractor Address , Phone No.
15. Is this property within 300 feet of a tidal wetland? * " "
Yes......... No....
. .
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF NE YO/R, S.S
COUNTY OF~.~!`
t• C- , ••r•~~• being duly sworn, deposes and says that he is the applicant
(Name of indivi ual signing contract)
above named.
He is the .
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized 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 set forth in the application filed therewith.
Sworn to before me this
La iy of . . Notary Publi 1 Count
~ Y
CLAIRE L GLEW
Notary Public, State of New York
No. 4878606 (Signature applicant)
Guellfled in Suffdk Cow"y e of Commission Expires Detwmbw 8,19
cX~rr
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DATE'
NOOT•IFY ME= 0 ARTMENT AT I~
N
785.1902 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: IIII
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING I
3. INSULATION 1
4. FINAL - CONSTRUCTION MUST 1
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
I STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
(ti DESIGN OR CONSTRUCTION ERRORS
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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