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HomeMy WebLinkAbout36125-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34779 Date: 01/07/11 T~IS CERTIFIES that the building DECK Location of Property: 5405 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (F~4LET) County Tax Map No. 473889 Section 110 Block 4 Lot 8 Suk~livision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 28, 2010 pursuant to which Building Petit NO. 36125-Z dated DECEMBER 28, 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 "AS BUILT" DECK A/)DITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to STANLEY W & BARBARA J ENGLAND ( OWNER ) of the aforesaid building. SUF~OLKCOU~TYDEPARTM~NT OF f~THAPPROVAL ~.Rt-£KICAL CERTIFICATE NO. CERTIFICATION DA'r~u3 N/A N/A N/A ~ut/or~ature Rev. 1/81 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. 36125 Z Date JANUARY 6, 2011 Permission is hereby granted to: STANLEY W & BARBAR3~ J ENGLAND 31 SPYGLASS DRIVE JACKSON,NJ 08527 for : "AS BUILT" DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 110 pursuant to application dated JANUARY Building Inspector to expire on JULY 5405 PEQUASH AVE CUTCHOGUE Block 0004 Lot No. 008 3, 2011 and approved by the 6, 2012. Fee $ 481.60 Signature ORIGINAL Rev. 5/8/02 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 °f pr°perry 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 Underwrilers. · 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 fmm architect or engineer responsible for the building. 6. Submit Pl.anuing Board Approval ofcempleted site plan requirements. B; Fei existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey 0f pr0perty 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 dwelluig $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming PO01 $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 $15.00 Hew Construction: Old or Pre~x. isting Building: (check one) House No. Street Ha~t "8~o~ Co~ T~ ~ No 1000, S~tion ~ .Bilk ~ ~t ~ Subdivision permit No.. ?~)~: t~"~ Date ofpermit..J H~I~ Dept. Approval: Pl~ing Bo~d Approval: R~uest for: Tempora~ Certificate Submitted:$ .~ ~ Filed Map. Applicant: Underwriters Approval: Final Certificate: Lot: (check one) PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616 $OUTHOLD, NEW YORK 11971 TEL:631.765.2954- FAX:63'I.614.3516 · e-mail:joseph@fischettLcom Building Inspector Southold Building Department Main Road Southold, NY 11971 Date: Reference: January 3, 2011 5405 Pequash - England I certify to the best of my knowledge that the wood framed deck at the rear of the above referenced home has been built in accordance with as built plans submitted by my office and are in accordance with New York State Codes. TOWN OF $OUTHOLD BUILDING DEPARTMENT SOU'I~OLD, NY 11971 TEL: 765-1802 PERMIT NO. Disapproved a/c " BUILDING PERAIIT APPLICATION CHECK~.~ Do you have or n~l tim following, before applyk Bo=d of H~ith ~ s~ts of B,,ila~ng Plans Suzvey. N,¥,$.D.B.C. Contact: _ , Building Inspeotor · [ ' ' I / Date. December 28 ,20 10 s~m ofph~% ~o~t~ plot p~ . Plot pl~ ~o~g ~. ~d wat~ays. o. ~e work ~v~ by ~ appHoaflon ~y not b~ 6omm~ b~for~ B~e ofB~ P~t. & Upon approvd of ~h~, b~ ~t on ~ pr~es a~ble for ~e~on ~o~om ~ work ~. No b~ ~, b~ o~i~ or ~ M whol~ or h p~ for ~y p~os* w~-ao~'nn~I a C~t* of ecrm APPLICATION I~ HEREBY MADE to th~ Building Dgpartmcnt for the issuance ~fa Building P¢iatit pursuant to the Buildi.g Zone Orfl~n~-ce of the Town of Southold, Suffolk County, New York. and oth~,' applicable Laws, Orai.~nnes or Regulations, for the construction of build/rigs, add/t/on& or alta-at/om or for r~moval or d~noHfion as h~/n de~er/bed. The applicant agre~ to comply with all applicable laws orai-~no~, building code, hg~mg code und rcmtlatioas, un~ to admit authorized inspectors on p~em~ ~ ~na in bufld/ng for nccessary'inspcctioas. / Y David Worthington 01sen · (S/gn~tum of appli~ or ~, ifa ~orpona/on) OLSEN & OLSEN LLP 32495 MAIN ?,OAO PO'BOX 706 (M.m.~ azJck~ of ~ppllc4mt) CUTOHOGUE, NY 11935 State whether ~pplicant is ovmcr, lessee, agent, ~rchitect, e~gineer, general contractor, electrician, plumbe~ or buiJder Attorney, Nam¢o~ownerofprcmises Stanley W. England and Barbara J. England (a* on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized Officer OWamc and tide of corporac officer) Builders License No. Plumbers License No. Electricians Licmsc No. Other Trade's License No. Location of land on which proposed work will be done: 4505 Pequash Ave. ~ Cutcho~ue House Number Strc~ County Tax Map No. 1000 Subdivision Section 110.o0 Block o4.0o Filed M~p No. Lot O08.OO0 Lot, State ex/sting use and occupancy ofprem/ses and mtenaea tree aha occupancy oz proposea consn-ucuon:. a. Existing use and occapancy b. ,Intended uso and occupancy Nature of work (check which applicable): New Build/ns Repair Removal Dcmol/tion Estimated'C(~st 12 dwelling, number of dwelling units If garage, number of cars Fee Addition Alteration' Other Work AS~ built deck (Description) (to be paid on filing this application) Number of dwelling units on each floor If business, c6mrnercial or mixed occupancy, specify nature and extent of each ty~e of use. Dimensions of existing shuctuxes, if any: Front Height. Number of Stores Rear Dimensions of Same structure with alterations or additions: Front Rear Depth Height. Number of Stories. Dimensions of entire new construction: Front Height Number of Stortes' Real' Depth · Size of lot: Front Rear Depth 0. Date of Purchase' Name of Former Owner 1. Zone or use disLdct in wMch premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded 4. Names of Owner of premises Name of A~chitect Name of Contractor Will excess fill be remov&d l~om premises: YES Add.ss , Phone No. Ad'ss Phone No Address Phone No. NO. 5. Is this. property wifhin. 100 feet ora tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to propen'y lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NBW YORK) SS; '.ourrr David Worthington Olsen being duly swor~ deposes and says that (s)he is the applicant (Name of individual signing contract) above named, ~)He is the At torney (Contractor, Agent, Corporate Officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to mske and file this application; mt all statements cont~iged in this application are true to the best of his knowledge and beliet~ and that the work will be erformed in the mawner set forth in the application'flied thcrcwith. worn to before me this / NotarYeub~c ' ' ' · Si~*ure of Applicant OLSEN (~ OLSEN2 L.L.E ATTORNEY5 AT LAW GARY FLANNER OLSEN ATTORNEY AT LAW DAVID WORTHINGTON OLSEN ATTORNEY AT LAW 32493 MAIN ROAD · EO. BOX 706 · CUTCHOGUE, NEW YORK 11935-0706 PHONE 631-734-7666 FAX 631 734-7712 olsenlawOoptonline.ner December 28, 2010 Re: 1000-110.00-04.00-008.00 5405 Pequash Avenue, Cutchogue Dear Mr. Verity: Enclosed herewith please find the following: 1) Application for an as-built deck located at the subject premises 2) Check payable to the Town of Southold in the amount of $450.00 Please be advised that Joseph Fischetti, P.E. will drop offthe approved plans at your office either later today or tomorrow. Pursuant to my voicemail, please issue the Pre-CO for the house and garage as well as the CO for the deck. Please call my office when these can be picked up. Thank you for your consideration. DAVID WORTHINGTON OLSEN Enclosure Hand Delivered Mike Verity Town of Southold Building Department 2' OC ~ PIER SECTION A-A SCALE: 1/4": 1'-0" r EXISTING TO PO~T X4 ACQ POST vt/CONC PIER 4X8 ACQ GIRDER FOUNDATION PLAN SCALE: 1/4"= 1'-0' EXISTING REAR ELEVATION SCALE: 1/4" = 1'-0" 765-1802 8 AM TO 4 PN' ru-' FOLLOWING INSPECTIONS 1 FOUNDATION - TWO REQblr, I U FOR POURED CONCRETE 2, ROUGH - FRAMING, PLUMBI~iG STRAPPING, ELECTRICAL & CA JL,, 3, INSULATION 4 FINAL-CONSTRUCTION&ELECT: MUST BE COMPLETE FOR C 0 ALL CONSTRUCTION SHALL MEET THF REQUIREMENTS OF THE CODES OF Nr'A/ YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS I.L Z m-~-~ odg~ ~ LI_ DRAWN BY: ]F DECK '": :~i ": /~. ]anuary 02, 2011 -- '-- NO: t 1 ALL CONSTRU CODES OF NEW ¢(¥,!',: S~'ATE,