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Home My WebLink About35801-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34799 Date: 01/14/11 THIS c~KTIFIES that the building ACCESSORY GARAGE Location of Property: 4905 PEQUASH AVE CUTCEOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 4 Lot 1 Subdivision Filed Map NO. __ Lot NO. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23, 2010 purs%~ant to which Building Pel~nit NO. 35801-Z dated AUGUST 25, 2010 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 TWO CAR GARAGE WITH STORAGE ABOVE AS APPLIED FOR. The certificate is issued to CHARLES G & JUDITH MOGUL (OWNER) of the aforesaid building. S~FOLKCO~%~fYDEPAR~)~BT OF BFJ%LTHAPPRO~]%L N/A ELBOI'KICAL ~KTIFIC3%~ NO. 35801 12/20/10 PLD~4BERS C~KTIFICA?ION DAI~O N/A Rev. 1/81 ~/t h~gnat ure 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. 35801 Z Date AUGUST 25, 2010 Permission is hereby granted to: CHARLES G & JUDITH MOGUL 4905 PEQUASH AVE CUTCHOGUE,NY 11935 for : CONSTRUCTION OF AN ACCESSORY GARAGE AS APPLIED FOR at premises located at 4905 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 110 Block 0004 Lot No. 001 pursuant to application dated JUNE 23, 2010 and approved by the Building Inspector to expire on FEBRU~_RY 25, 2012. Fee $ 280.00 /~A~thor~iz~ze~ded'Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTltOLD 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 °f pr°perty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. ' 2. Final Apprnval 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 PI.arming Board Approval of completed site plan requirements. B. Fo~ exlstlng buildings (prior to April 9, t957) non.conforming uses, or buildings and ,pre_existing,, land uses: 1. A¢curate survey ~f pr~perty showing al~ property ~ines~ str~~ts~ buiIding and unusua~ natura~ ~r t~pographic 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building $I00.00 3. Copy of Certificate of Occupancy - · 4.Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Blew ConstrUction: Location of Property: Owns or Owners Of Property: Date. Old or Pre--existing Building: House No. Street (ched~oone) ' ' .- Suffolk County Tax.Map No 1000, Section Subdi,~iSion ' PermitNo.. g' 5--_~:~., f Dateofpermit._. Health Dept. Approval: · Planning Board Approval: Block ~' ~ Lot Filed Map. Lot: Applicant: ~_~'~'~'/fe.c ?e¢~_,'_~/~ Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 rofler, richert~town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTI-IOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: C Mogul Address: 4905 Pequash City: Cutchogue St: NY Zip: 1193.~ Building Permit #: 35801 Section: \~(~) Block: J.~ Lot: I WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Harrison Elec LicenseNo: 35534-me SITE DETAILS Residential Commerical New Addition Service 1 ph Service 3 ph Main Panel Sub Panel Transformer Disconnect Other Equipment: Office Use Only Indoor [~ Basement ~ Service Only ~] Outdoor 1st Floor Pool Renovation 2nd Floor Hot Tub Survey Attic Garage INVENTORY Hot Water GFCl Recpt NC Condenser Single Recpt NC Blower Range Recpt Appliances Dryer Recpt Switches Twist Lock Ceiling Fixtures [~l HID Fixtures Wall Fixtures ~.~ Smoke Detectors Recessed Fixtures ~ CO Detectors Fluorescent Fixture [--I Pumps Emergency Fixturest__I Time Clocks Exit Fixtures ~ TVSS Notes: 2 story garage and 200a overhead service Inspector Signature: Date: Dec 20 2010 81-Cart Electrical Compliance Form TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ~NDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE&CHIMNEY [ ] FIRESAr,.,T'I~ [ ] FIRE RESISTA~ CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 / INSPECTION [~/] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY I~ON DATE --~~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~INDATION 2ND [ ] INSULATION [//J"FRAMING / STRAPPING [ ] FINAL ] FIRE SA,-... ,/' INSPECTION ] FIRE RESISTANT I'ENETRATION [ ] FIREPLACE & CHIMNEY [ [ ] RRERES~4m'c0~rRucrl0. [ REMARKS: ~"~' DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [p~I~AL [ ] FIREPLACE&CHIMNEY [ ] FIRE SA,-.. ~ ,f lNSPECTION DATE ~ INSPECTOR ,~ ,~'~',~ TOWN OF SOUTHOLD BUILDING DEPT. /~/~ (~ 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ]ELECTRICAL (ROUGH) REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION ~1~. EL~ICAL (FINAL) TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~U~ATION [ ] FRAMING / STRAPPING [ ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SA~. ~ INSPECTION [ ] nmiJm~sms'r,~'rmms'muoTmofl [ ] nREREmT4m~E. ETRAZm. REMARKS: ~-~' C~ DATE ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAUL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined '/~ 5 , 20 Approved ~)' , 20 /~ PERMIT NO. 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 Flood Permit Storm-Water Assessment Form Contact: Mail t o :E'Oi Expiration j//~ r ,20 ]~ ~ e ~ APPLICAT~~~;G PERMIT INSTRUCTIONS ~ ~~ }ompletely filled in by typewriter or in ink and submitted to the Building Inspector with 4 set~cc~me 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 wate~ays. c. The work covered by this application may not be commenced before issuance of Building Pemit. d. Upon approval of this application, the Building Inspector will issue a Building Pemit to the applicam. 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 pa~ for any pu~ose what so ever until the Building Inspector issues a Ce~ificate of Occupancy. f. Eve~ building pe~it shall expire if the work authorized has not commenced within 12 months a~er the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the prope~y have been enacted in the intehm, the Building Inspector may authorize, in writing, the extension of the pe~it for an addition six months. Therea~er, a new pe~it shall be required. ~PLICATION IS HEREBY M~E to the Building Department for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordin~ces or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicam agrees to comply with all applicable laws, ordinances, building code, housing code, and re~lations, and to admit u ho ,zed nspectorson rem s s nd,n u ,d n orn ces n pe tio Z/ (Signa~e of ap~cant or name, ifa co~oration) ~' (Mailing address orapp State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises C~'IL.~/t/* 5 ~--~'-- c9-- r'~cJ,~,'~/~ '~'~V (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. Location of land on which vroposed work will be done: H6use Number ~ Street CountyTax Map No. 1000 Section \ / O Block Subdivision Hamlet ./ q Lot Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy LZ-~...~j e b. Intended use and occupancy ~_.-~,~ 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair Removal Demolition/ Other Work Estimated Cost -~ 2-~ ~Qo Fee If dwelling, number of dwelling units If garage, number of cars (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height / ~7 ' Number of Stories Rear 2_ o _Depth Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stories Rear 8. Dimensions of entire new construction: Front ;b ~' Rear Height / ~7 ' Number of Stories ~ Depth ~-~' 9. Sizeoflot: Front Rear Depth 10. DateofPurchase / 11. Zone or use district in which premises are situated Name of Former Owner NO J 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES /NO__Will excess fill be removed from premises? YES __ NO j 14. Names of Owner ofpremises/~/,.,,'~, ~. ~ ~,,,/Address~Phone No./5'~ ~r ! --,~-'*/'-S-"J 5-) NameofArchitect / Address H ,~, Phone No ' ' Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NOj 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO J · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF~I -~9-Jd~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH Notary Public, State of New Yor~ (S)He is the No. 01BU618~S0 (Contractor, Agent, Corporate Officer, etc.) ~ {~ua!ified in Suffolk County t -, uomrmss~on Expires April 14, 20 t ~ 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 am tree 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 day of t:~.c-.( 20 I 0 Nota~ Public Signature of App~t { BUILDING DEPARTMENT TOWN OF SOUTHOLD APPLICATION FOR ELECTRICAL INSPECTION Telephone (631) 765-1802 roger, richert(~,~o~3n1. )sTo~uS{~d. ny. us REQUESTED BY: Company Name: Name: Date: License No.: Address: Phone No.: JOBSITE INFORMATION: (*Indicates required information) *Name: , C *Address: *Cross Street: *Phone No.: Permit No.: Tax Map District: 1000 Section: Block: Lot: *BRIEF DESCRIPTION OF WORK (Please Pdnt Clearly) (Please Circle All That Apply) *Is job ready for inspection: *Do you need a Temp Certificate: Temp Inform atio n (I/~j~ee d/ed] Additional Information: YES / NO Rough In ~.,~/NO 3Phase 100 150 ~ Underground ~-'~umber of Meters PAYMENT DUE WITH APPLICATION f &ina~J 82-Request for Inspection Form 300 350 400 Other Town 1 la[[ Annex .'; t:~7.5 Main Road P.O. Box 1179 Southold, NY 1 Telephone ((;31) 765-1802 Fax (631) 765-9502 1½1 TILl)IN(; 1)EPAI/TMENT TOWN OF $OUTHOLD January 4, 2011 Charles Mogul 4905 Pequash Avenue Cutchogue, NY 11935 TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy __ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. ~ A fee of $50.00. __ Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-1892) Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit:: 35801-Z accessory garage /v -L.oT 44 PL- 0 -T' PL,~ Job ~ut~ho~ue, Nh' 119~ APPROVED ,,,,, z~20' _BY~ ...... 2 - ~19 I ~/~ x ~ V4 LML cO~ N- ;~:ON T'~-: .,;~ED ~ STRAPPING, ELECTRICAL & CAULKING....... 0~,~ .... ' ,,,,, , , INsU~TI~ ' ' ' .............. .,. __ ~ ................................... N~UST BE C~PLE~ F~ C,O. ""' ~-' '"" IREMEN~S OF THE CODES OF , ' YOR~ STATE NOT REsPONSiBLE FOR,, _ '['" ~; . ,~ , :RETAIN STORM WATER RUN FFI , UN9~,,,,~,~: , ', PURSUANT TO CHAPTER 23 ', ~:~':': ~ , ' ' 5C~L~: 1/4"~2 f ~ ~ Jul8 2~h, 2010 Jo~ Name: ~IUI~ ~ul 4BO~ ~e~uash Ave. ,--~~ Date: