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,