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Home My WebLink About24628-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26444 Date: 05/11/99 THIS CERTIFIES that the building ADDITION Location of Property: 1675 (HOUSE NO.) County Tax Map No. 473889 Section 103 PEQUASH AVE (STREET) Block 7 CUTCHOGUE (HAMLET) Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26, 1997 pursuant to which Building Permit No. 24628-Z dated FEBRUARY 3, 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 ROOF STRUCTURE ADDITION OVER EXISTING ATTACHED DECK OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FREDERICK J.& DOROTHY J. CHARNEWS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA ELECTRICAL CERTIFICATE NO. NIA PLUMBERS CERTIFICATION DATED NIA Rev. 1/81 Form No. 6 o WI ~ ~j TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 61900 BLOG. DEPT. TOWN OF SOUTHOLO ; ~PLICATION FOR CERTIFICATE OF OCCUPANCY 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: 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. 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 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. Certificate of Occupancy on Pre-existin~ Building - $100.00 Copy of Certificate of Occupancy - ~ .25~. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $1~00, ~mmercial $15.00 Date ......'1. (- ~.c? /fJ. . . . . . . . . . . . . . . . . . . . . . . . , 2. 3. 4. P~.t 5. ;t-!k:782 New Construction........... Old Or Pre-existing Building...~........... Location of Property.... /.t:. .7.:;;.. .p.<:.c;.r..e.P.r5.b. At.... Lv;fJ.oQ;<..J;{.... ~;y.. /1.'1.9..r House No. U Street U Hamlet ~ or Owne~s of property....E!.<:;d<'D.d"..7..ChAt"{\E'.i.J..!s..)L~.~c-t:l.l&,.v.CllC1r.l1~<.US' County Tax Map No 1000, section../~.......BIOCk......:Z........Lot.....~~............. Subdivision. J3.\~ G.rr:t:A .f:r.-.r:C;;;'. . . . . . . . . . . . Filed MaP..o. 2/S 1. . . Lot. . . . .y. . ..:.:.... Z . . . . . . Permit No. ;;?yf(d.'6~. .Date Of Permit..?" 1$./2K.. .APPlicant.!id.f:!:t"k. .J..G :4{'(l.~w...s Health Dept. ApprovaL........................ .Underwriters ApprovaL........................ Planning Board Approval........................ Request for: Temporary Certificate........... Final Certicate......~. Fee Submitted: $......~~,.Q.Q............. ~u/ ~".. Q l.(.S&d..OU ..................~0.f:~........ 'if' f APPt.ICANT CO -c,J~ VVV ~--------------...--------- FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUll COMPLETION OF THE WORK AUTHORIZED) Date .....F..i;;J;l.l;lhl.~f:l.~........~........................... 19..~.!'!.... 24628 Z Permission Is hereby granted to; ... ....F..RJ;;RJ;;fU.!;.~...;J....l;;l":I."'R~!;:.W~............. ...... .............. ....... J. R.7.~.. .P'J;; g.U~'!;ll":l.. .~.y.!;:........................................... ....... .l;;\.,II!;l:ihl.I;i\.,l.1;;4~X...,t..J,~.:;;~. ............................ .... ..... to . ..... ... .!;.Ol',lSJB\.,I.l;;J.. .A...RQOF....SJBW.l;;JJ.lRE..Q'>IER...AIll.. E X.l.SIlllll>. ..fl.T.JACI:IED.......... ......... ... .............. .................. ........... D.EC.K.. .AS... AP.~~lED... F..OB ^........... .... ................................ ..... .............. ..........................................,....................................................................................................................... at premises located Qt............... .l<:1l.~..... F.'.@.w~.!;'!r.t... f.\.y!;:............ .......................... !;.UIl;;I':\O~.U!;:......... ................................................................................................................................................................ County Tax Map No. ....':I.7.~.l;!!??..... Section ..J.9.~............. Block .....9.9.97......... lot No. .QJ.~................ pursuant to appllcaflon dated ....p.!;:.r;;!;:.~J;l.i;;f:l......~{;>......................... 19......'7..7...... and approved bylhe Building Inspector. Fee $.......}'.~.~.9.R..... .......~......:~i~...................... Rev. 6/30/80 . - , / : ~'?I::7~~<::2) ~ ;;>N\;;<: <l~ 'i?? ~ "11J2.d "'(\J\~IJ(" i ; / !__ ~~Gl~ ~',' ,I~ . ..,::.0 ar--\t: . " ?;;))<~ ~o<;i!,;.j ~=<1 ~1 :to 3~\l. ~) ,< -- ~\ \ ~ I 9-<;0':> ~'<1 s. ';1~("\'i<.l S);N l!.ao:::l ~?N(r) oz.l X "t:\ 7- '-I I r' .\ \1 NO ~5 3(l\,t20 ~>l "l~ " <;-LSad. 'V?? t>xh ~N -\ i \ I, itRJ [ZJ; " il " I ~. " IXI r " , 'OSNH ';IN\J..S.PG .?( I ! C"-rI 01 it-;r il 000 " ~ ! ~ ~ ~. ~ ~ ~ ... ~ ~ ~ ~ ~ "'1'1 "'1'1 "'1'1 ; 0 0 c c z z - a a - z C) = = z - - 0 0 en z z III ~ ... " c z U) - r- a -I WI !2i n z. ,,'" al ~ ~ ~ -t ... ~ ~ ~ - ~ "'1'1 - :II 0 . - z z U) 0 ~ c c z E C) :z: - 'a 0 r- Z II C) . dC(~J-?c! 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING [ ~AL [ ] FIREPLACE & CHIMNEY DATE 0/ ;tb /17 INSPECTOR I CI f/P) ~ "", :",. .... '". r ' '., .'. .~ 765.1802 BUilDING DEPT. INSPECTION [ ] FOUNDATION 1ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [ rlON [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY Y> ~ A. REMARKS:~~ ~~ DATE~ 1fII""'" .' . ~lELD I:;SP2CT10N 1. FOUNDATION (1st) ------- FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING' 3. INSULATION PER N. Y. STATE ENERGY CODE 4. FINAL IIDA7:: II COMMENTS ~ ..,,-1: "'1> iV ~o() ""NJ /'"l . r,.jL~ ~_/--U J/JA./ /~-E:: _ (/7)p_ '~'_1-~_ I~ /) (/ ~/_~ ) ,\lj7 ~ , ~~i: ~ '-- z 0- .() ..:l U\ 7 J) ~ ~t '" ., ~ ~ AW-.c ~.---J ~ t A :J-_~"" ~ 6 / ~ $L.& 799 hA//J// (,,",.L~ ~ / I ~~, / ~~ / ~~/7 ./n~ J \. .', ../ ,/ '..-/ -57tAVt/4,...;../P.AL / L;.,/ t?'.N' ~ \ I /1r/tJz~/J ~~~/ ~ ADDITIONA~OMMENTS: ~ ~ 0-, .:C ~ ~t .. lI' , , '. I ~o() ...- ~q.; ~- ~ J\ HJ) o Z -' , '" ~~ ~ ::--.. ::1:)) <::> .'" ... ... , FORM NO. I TOWN OF SOUTHOI.D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. ]1971 TEl.: 765-1802 I"""'ined................., 19.... ;)y~~ ~ 3 Approved................., 19.... Pennit lb. ................ Disapproved alc .................................. ....................................~....:::~~~C~<i.~ APPLICATION FOR UILDING PERMIT INSTRUCTIONS BOARD OF HEAL'nI ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK .. ... .................... SEPTIC FORM ................... NOTIFY: - 7(1 7cr:e, CALL. ./..:;./-:. .1.tOJ .. ~~~~~~'f~:~~.. ... .U;t:cA\f:/y.~.m$~. 'Date... /~" .8:-ff...., 1917. a. TI,is application DUSt be """,letely filled in by typewriter or in ink and subnitted to the Iluilding 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 prBllises, relationship to adjoining prBllises or p.Jblic streets or areas, and giving a detailed description of laymt of property nust be drawn on the diagran which is p."t of this application~ "" c. TIle work covered by this application I'B}' not be cmmenced before issuance of fuilding Pennit. d. Upon approval of this application, the fuilding Inspector ,rill issue a fuilding Pennit to the applicant. &Jeh penni t shall be kept on the premises available for inspection throughwt the work. e. It> building shall be occnpied or used in whole or in part for any purpose whatever until a Certificate of Occu7 shall have been granted by the fuilding Inspector. APPI.ICATI<JI IS IEREIIY mE to tile fuilding Department for the, issuance of a fuilding Pennit pursuant to the fuildil'g Zone Ordinance of the Town of Smthold, SUffolk CoImty, New York, and other applicable Laws, Ordinances nr Regu]ations, for tile construction of buildings, additions or alterations, or for reroval or denulition, as llerein descrilled. TIle applicant agrees to """,ly with all applicable laws, ordinances, building code, housing code, arxl regulations, and to ldnit authorized inspectors on premises and in building for necessa inspections. ...~ .~......... (Signature of fJ:,li nt, or nane, if i4'~ratinn) ..!1a7S...~..~W:~~ (Mailing add;Q~~ '~j; ~licanr) ~H~ engineer, general contractor, electrician, plurberVr builder. State lAlether applicant is owner:t lessee, agent, architect, .........~............................................................................................... -., nf owner nf pr....ises ...Ef..e:.~g..ndCT~....'r:.~:!-!-:tc".'\f:;A.~~.-.s (as on the tax roll or latest deed) . ...."( . If applicant is a corporation, signature of duly authori7'i"6t~Wl!iTERS CERTIFICATE REQUIRED APPROVED AS NOTED DATE:~B.P.# ;:J,-/b~~ ~:FY ~ILDING :~{Af 785-180Z . AM 10 4 PM ... 1HE fOIl -.._. K'IIlI"1 1 FOUL] 'InCIIt -,. 1 b. mil .....-- II _ 2. .... -11---11 . ~r .. .II'''~ ~ Other Trade's License lb. .................... .. FINAL. ClIlld~"" MUll' 1 ' Inca' f land -~'ch sed k '11 be done .r.c~~_'" . tIonO on....I propn wor WI ................~===.~.~ ....I~.f:2~.................p.:t~.....~...............rA~-#;~i~l= Cmnty Tax Map lb. ICXXl Section ......tQ.3... Block ....6.:-:(..... lDt .P."~.CICIJIIIIIUCIIO..It~ SUbdivision ..6c~.~~IT-..5...... Filed Map lb. ..5.7.$.1..... I.ot .....'1........ . (N.-.ne and title of corporate officer) OCCUPANCY OR USE IS UNLAWFUL fuilders License lb. ................. T" r' PIU1bers License No. ...................\.VL.HOUT CERTIFIC;~-: Electricians License lb. ..............Of.OCCUPANCY I 2. State existing use and occnpancy of prBllises and intended use and occnpancy of propnsed construction: a. Existing use arxI occupancy ...........~~~;:;~~~............................................ b. Intended use and occupancy ........f~.cr.A...~.....[/./.-d....cflAo4.~.................. '~~---,-, .-". " .,.,. r- " . . .' {'t' , ~} . ""',,,-e of I.'lJlk (died<. \.Add, applicable): Ne\.llkdlding .......... i\ddition ...~...... 1~'I.,ir ............ RcnlOlTal ............. llen",litioll ............ Olher Work Im~.GlLec:...t.r..... ESli"..lcd r.ost .......~.om?:~.<;:). fee ......................j~~~~.~:~..... I (10 he paid on fil illlllthi!\ am!icatjoll) If I~JCllil1gJ flUlher of dwcllinu units ............ tl.llh~... of (}.<lelling units ont~nd~,,41~rh;:A\.~........... ] f gnrage, laJlher of cars ........... ....:::-:-................................. '...-..-..- 1. I,. Ill. If b,ISilleSS. connercial or Inixec:1 occuparcy. specify nnture and extent of end1 type of use...................... ninensions of existing stnx:tures, if any: Front....3~...... Rear .....'ik...... Oepth ................. lIeight .........:;:2././.......... No..!>er of Stories .....1.~(~.......... ninensions of sane stnJCture with alterations or additions: Front..................... Rear.................. I)cpth ...............oOoO..oOoOoO..... lleigllt ....................... ttlli>er of Stories ................... llilllensiOl$'/Sf: eotire new construction: Fmnt /d.tU~.:.... llear ............... Ocpth .............. l!eight .........oO............................. alri>er of Stories................................. S i..e of lot: I'mot.. . .. d Q Q ..(.. .... Rear .....;;?; .9. '? ..'.. ... ~pth :j)..... .. . .. .. .. .. .. Bate of I'un:hase ........ ': g~..:............. ~Tre of '''onrer O..,ner ......K ft::[!',:-~./U..~'~'!:...__"~",,, 7.0..e or use district in.1Add:, pr....ises are."ituated ..:....X'1'r.-t1i.l~-0r:tA.~................ floes proposed constnx::tlon vIolate any zonIng lBW't onhnance or regulation. ..... .~... G........... Will lot he reuraded ..~......... Will excess fill he renlOlTed fron pr....ise.: YES' @ ~ Nme. of (M~r of prenisept.~::tl'J{;C!:/~ess .j{5;.P~~PhOf" tb. ?-~1f?Y:7<f Nme of i\rcllltect .................................... Mdre.. ...........~.......... I'hor.. tb. 7;;.J,d.?/:,O fi. 7. 8. 9. 10. II. 12. 11. ~Ile of r..()(ltroctor ....oOoO.......oOoO...........oO..oO...oO.....oO..oO...oO _"oO hklress oOoOoOoOoOoO.....oO..oO...............oO............oO oOl1lO11e lil. 15. 1s this property within](X) feet of a tidal ""tlalxl1 * Yl'B .......... II) .:-:-:-::.... *Il' yt,S, 9:UTInD 10~ llllJSl1~S lliHMIT MAY \Jll RE(1J1HmJ. . 1'1.0'1' nli\GIli\M IIx:ate clearly and distinctly all huildingst W:lether existing or proposed, and indicate a,l,lset-haJu1.i.mecnsiOl\S hUll property lines. Give street and block B'Ther or description according to deed, and~t~s--andindic ,"".ether interior or corner lot. ~-- ---.- ~ ~.P .:;-""0 tq- .1, '.'1 j!i~ lldffi)' ~, , i;.,1..r, f ~ i'ad\ , L(.0f( ~ \lD / GJ1i;~,. (t', II ~~~~) ,JLe- ~4~Z swurn. delxJOO9 and o..-~Y5 lhnt he i!l the ;Jppl kunl (N.alle (). II 1I1x ~ , ~M)rl1 to hefore np- thiR .......lq~.... .day of tk'iJU:..'t:... .19.9.7.. Nolllry 1\lbli~'7.?!;~...... JANA M. PRINOt.E Not8Iy Public. Stet. of New YorfI No. 4911767 Qualified in Suffolk County _ 017 Commlsaion Expires November 18. 1LL.1, ...~1.~. 4..(}f~M~ (Si,:,,,l.ore of i\1~)1 ic~"': " ~ , , iF SURVEYED FOR:- ,e-..e.:L:>~..e.~C...e. i LOCATED AT CV7cNC> 6Ue" LOT P' MAP OF .d/& 6...e.e-.e-..c../! ACe.- 5 SCAlE'''.. ~. I SUFFOLK co. TAX MAP DATA:- DIST. /t:>OO . SEC. /~~ \ BLK. t:':?e::>o LOT ~/~. e:>oO J ./ ~e~/....,.,~ '..:./ C#....t,.e..<./.e-~ . TOwlil OF ..sClC/~L:> ~ SUFFOLK C UNTY HEALTH DEPART OFFSETS FRR TO RELA II/'( ON SU VifHE~EWA6E-bISPOSAL AND WATER SPECIFIC Uu:>cAlION,ttMVe BEEN INSPECTED SHOULD N~~QJ!~Qt)l'ATlSFA~~ a.. CONSTR IcnON OF FENCES , ~ T--' OR OT "R STRUCTUUrilef of Wastewater Jl.a'nagem-e~n1! ,~ ~ ~e4~~L:::>"70.' L~.-<./& /.s.:A~ ~~di4G~'c""-o;.r->. #' ce>__o.<-/h/"~G:?"'~ ~D ./~, '"",," '''', /.-c../.sJt/-eA~ cc>.,..',o'\I' '{ , ;' )'; //T~ A::.../o. G4P2.s-"- ~.38..s ,)....' "'...:' , \ , , I . . , , , : \1 I . , '\ \ !l'( , B~ DRAWr,: BY _ . -,:... " ~..:~" . ... _...~, . - So - n . SUFFOLK COUNTY N.Y. i~ I'" s .-..5-.esZO =:e:- . CO. CLK. NO..:57.57 FILE~'y~~)"2 ";/;!"~ - J 101 j {~"'l/, r 8kd ~~~ ~ ~~ Z~~ I .Jv.7 G4c. Q ~o /f:zS7y'..f ,.. '" ,c;e,. ~~. i I -3.11 ~ it . M ~ .s7~~~ ~ ~ ..cJ~Z8~"1-1t( ;>. \9 I,j ~ " (O~,,-Je. 'i,)cGK ,....'<;1 '6 I o~",,, A!!!I."'~ --- ~ ~ ..3 t ~ ~ ~ ~. vi --= -, ,,?/;r.~ ~.I:- .,-.; ,c;iJAc. L<>CA'm=J JUAJE /0, /"787 ~~c;;;e,"3 A./E""C~ ~URVEYED -.J4-<-/. z-;r 19t37BY (' Pe-tt?ljA.s~ AVc:^-/Ve-) l' ~..:s- PV/../'""l ~) I FILE NO. G" WILLIAM R. SIMMONS JR. PIO BOX 377 JAMESPORT. L.I.. N. Y. 11947 PAGE 23 GRIDJ3 ~