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HomeMy WebLinkAbout32450-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date: 05/31/07 No: Z-32377 THIS CERTIFIES that the building ADDITION Location of Property: 4910 (HOUSE NO.) County Tax Map No. 473889 Section 110 PEQUASH AVE (STREET) Block 3 CUTCHOGUE (HAMLET) Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 2006 pursuant to which Building Permit No. 32450-Z dated OCTOBER 24, 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 "AS BUILT" ADDITION TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to LAUREN ZAMBRELLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ri~ Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE 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: 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 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 c::>f 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 New Construction: Date. 5h~c:L . Old or Pre-existing Building: 7 (check one) Location of Property: ~ 9/0 Pl Q.. U Il<sh 4v~ C tJ -(--LAo 7 u ~ House No. Street I Owner or Owners of Property: L q u (' e./1. ~ b Te..-J )1 Ltu :5- -c2/-07 tu y /A~ Hamlet Suffolk County Tax Map No 1000, Section Block 5 Lot ;;)7 Subdivision Permit No. '3 a\.f-5 02- Filed Map. Applicant: Lcr.vre...t) Lot: 24m !Jr~!k r Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Underwriters Approval: Fee Submitted: $ Temporary Certificate d~~J() Final Certificate: ~. l:Jfc2tf Co .:e3:)37, 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. 32450 Z Date OCTOBER 24, 2006 Permission is hereby granted to: LAUREN ZAMBRELLI 4910 PEQUASH AVENUE CUTCHOGUE,NY 11935 for : AS BUILT ADDITION TO AN ACCESSORY BUILDING AS APPLIED FOR at premises located at 4910 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0003 Lot No. 027 pursuant to application dated OCTOBER 24, 2006 and approved by the Building Inspector to expire on APRIL 24, 2008. Fee $ 150.00 Rev. 5/8/02 ORIGINAL 3~lf50 Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I STRAPPING p<ZFINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRAnON REMARKS; ~ ~ ~Dk, r-~O, DATE S-Io - 07 INSPECTOR ~~ -.- - --.-.-, .- , -, .... 3 ~V60 tr- --".-~"......... ~ - . .- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUG" PLBG. ] IN LATION FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRAnON DATE 3PY() 7 INSPECTOR VIcrOR P. WlBREW, P .E. 7 FEUIS ROAD HAWLEY, PA. 18428 511-226-0665 eeu: 631-513-2118 15 May 2007 Town of Southhold Building Department Re: Shed installed at 4910 pequash Avenue, Cuthogue, NY To Whom It May Concern: This letter is to confirm that all foundation posts supporting this shed are a minimum of 36 inches below existing grade. J~ pUffi' , FIELD INSPECTION REPORT DATE COMMENTS UJ"'d FOUNDATION (1ST) y~ ~~ \)J:;t: ? ------------------------------------- '~e FOUNDATION (2ND) o Rboo r (\ "tJ!j -",- j- -' '"+ z P L -0 - 00 0 ~ ~ ROUGH FRAMING & -"QtJ!j PLUMBING (\ ~ f-------- -- ~ ?' ~-_......~-~- ---."... ---- ~ ---------- .' - - -- __________________n______ r~ --,_.._-~--- --~-- -- INSULATION PER N. Y. ---- ~~--"- tJ!j ~ STATE ENERGY CODE :?hf.? ~ '}) ~ r90'-AoI":'~~/U~~' r.A//~"/d."., r r r I /JoI A_J ,~~-'~ 10 ~ r;; ~ '. r.Y/'JL. ~ ,/:,:'" ~ 0, ,~ .tv'.J:./ ,~r- /A h ~ U<o 01 F /~...) ~ A~ ~~ ~ t).rra~dJj,M.P-# /J. ~ FINAL /J I {' ./""" ~ (0 V/ "f1 J . ~//, '" 5>/0 07 Y1 oj)} .- alC/~ ( A -1-" l+- / - - -. ADDITIONAL COMMENTS ~ ! ... (~ r ~ 0 ~~ r.m ::0 r- ., 4=-tJ!j ~~ f~ l'~ =: GtJ!j r-:l -~ ~ ~ =: ~ tJ!j "C :-3 .' Exprration V /'2- r r--- PERMIT NO.3J- y<C> ~~b BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN PALV SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ Examined Approved Disapproved alc Mail to: Phone: , 'J 5 " ',I' l.. ;0 APPLICATION FOR BUILDING PERMIT I -_-1 Date (o//d- 20 tJf:7 '- i '--~._.,'" INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 South old, 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 inspections. 'I L 'f. Q910 Pf:&uJ,5J Itvp ~1.,vIi. AJV IlJJJ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises LIk}Y<8h ?aM ~re / II ' (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. County Tax Map No. 1000 Section Subdivision II 0 ~ Hamlet Block 3 Filed Map No. Lot Lot c9-7 r~' (Name) " ..' ';''''; ;l( State existing use and occupancy of premises ~d _intended use and occupancy of proposed construction: !" a. EXIstmg use and occupancy ....4!;., Q,,,~ " ~ . b. Intended use and occupancy ~~~Qn,- 0 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition Other Work / Alteration (Description) 4. Estimated Cost Fee 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate. any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_ Phone No. Phone No Phone No. Address Address Address 14. Names of Owner of premises Name of Architect Name of Contractor 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REOOIRED. b. Is this property within 300 feet of a tidal wetland? * YES_NO ~ - * IF YES, D.E.C. PERMITS MAY BE REQUIRED. ./ 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. t:.. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY O~\ ~ (5cu Y\€ '( , ~ h I p-l Yhu \ I, 'V'\ being duly sworn, deposes and says that f.Bhe is the applicant (Name of individual signing contract) above named, fS)B:e is the ~ ~O-<G~ (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. 20 O~ L2-Jl2~ Signature of Applicant BARBARA ANN RUDDER Notary Public. State of New York No. 4855805 Qualified in Suffolk Countya') ^ ( 0 Commission Expires April 14, ~ . ~~cQ. APPRO'JEO AS N01EO OATE:...'-" /'2--< 1,,- B.P. # ~'-\ .,-0:' FEE' ~ BY~~- NOilF BUILDING DEPARlMENi Ai 765-1802 8 AM iO 4 PM FOR iHE FOLLOWING IN ONS: 1. FOUNDAilO - iWO REQ FOR POUR CONCREiE 2. ROUGH - F AMING & PLUMBING 3. INSULAilO 4. FINAL - CO BE COMPL iE FOR C.O. ALL CONSiR CilON SHALL MEEi iHE REQUIREME S OF iHE CODES OF YORK SiAi NOi RESPONSIBLE OR DESIGN OR CONSiRUCilON ERR RS. F\LL CONS1RUC1\ON SHF\LL MEET iHE REQUIREMENTS OF iHE CODES OF NEW 'lORK S1 F\1E. ~~L ~<t Ie> Pr--~v.16" C. ~ QCCD? fl..~C'{ a?t vn..k>c..vS. S D~v.'-NrD\. ..:J'i ,. ~ .,,,- ~~~aDi CC?ti\r\Cfl..it aCCD? fl..~C'{ l~.'" ~~i) n'f;:."S?-1,..l (C G::rIt~Si. ,-"'-- ,,-- ,----' J - - ----------- 8' -0" ---i NECOMPL Y WITH ALL CODES OF W YORK STATt: & TOW AS REQUIRED AND CONDI~lg~~~ . SOUTHOLD ]C''iN ZBA 'l L SO.\HHOLD TOWN PlANNING ~P411-...... OUTHOlD TOWN TRUSTEES Y.S. DEe --"-' GAA.b~ S 1i:>.~6 "1"0 ~,-\ s.~ ....:>c:. t...rz. L. <2..co[.: G~A G.li -' ~ ft~ ~ t ~ ~ r (, - G ~ -<. J:. .... ~ ~ ~ ~ ~~' ~.. ~ ~ P'l'te..l k, 6' DOUGLAS FIR R l. c:::,. C: L'\1.7 A AFTERS rw"7~ 80" 1/2' CIlX SHEATHING TO MATCH E' XISTING (, FLOOR JOHnS ~""'* S~~i> .j.};t.xWlt..~jnl"\ ~'-<...( ~ ~ 'l/O rlL SSZ QuA-.:> J.l A Co- '-'If.. I C-I#oQ.)/If . 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