HomeMy WebLinkAbout28469-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29073
Date: 11/12/02
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3600 PEQUASH AVE CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 14 Lot 2
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 17, 2002 pursuant to which
Building Permit No. 28469-Z dated J-u-NE 17, 2002
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 SHED AS APPLIED FOR.
The certificate is issued to PAUL J & JANE M KENDARICH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELE~-£KICAL CERTIFICATE NO.
PLUMBERS C~K'rIFICATION DA'r~u
N/A
N/A
N/A
~~/Au~ o/ri z e~s ignat ur e
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. 28469 Z Date JUNE 17, 2002
Permission is hereby granted to:
PAUL J KENDARICH
3600 PEQUASH AVENUE
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD
AS APPLIED FOR THIS PERMIT REPLACES #26129Z
at premises located at 3600 PEQUASH AVE CUTCHOGUE
County Tax Map No. 473889 Section 103 Block 0014 Lot No. 002
pursuant to application dated JUNE 17, 2002 and approved by the
Building Inspector to expire on DECEMBER 17, 2003.
Fee $ 75.00
Authorized Signature
Rev. 5/8/02
ORIGINAL
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. 26129 Z
Date NOVEMBER 5~ 1999
Permission is hereby granted to:
PAUL J KENDARICH
3600 PEQUASH AVENUE
CUTCHOGUE~NY 11935
for :
CONSTRUCT AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR YARD OF A
SINGLE FAMILY DWELLING AND REMOVE EXISTING METAL SHED AS APPLIED FOR.
at premises located at 3600
County Tax Map No. 473889 Section 103
pursuant to application dated OCTOBER
Building Inspector.
PEQUASH AVE CUTCHOGUE
Block 0014 Lot No. 002
12 99 and approved by the
Fee $ 35.00
Autho'ri~e~
COPY
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOS~q~ IIALL
765-1802
APPIA(L4'FION FOIl CERTIFI(iATE OF ()(?CUPAN(W
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unnsual natural or
topographic features.
2. Final Approval fi'om Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement fi'om plmnber 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 certific
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
Bo¸
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land us~
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
feata_~res.
2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupam
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Fees
1.. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0~
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Photocopy of Certificate of Occupancy - $ 0.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15,00, Commercial $15.00
New Construction:
Loea~on of Pmp'~
House NO.
Date.
Old or Pre-existing Building:
(oheck one)
H~mlet
Owner or Owners ofProperty: ¢/OU-:~ ',J"~, ~x.J~-ffJ/7~'/'~, ffff~-ff~fl~/~ ~
Suffolk County Tax Map No 1000, Section i~5 Block lq Lot
Subdivision Filed Map. Lot:
Health Dept. Approval: Underwriters Approval:
Plammlg Board Approval:
Request for: Temporary Certificate Final Certificate: ~'~ (check one)
licant Signature
BUILDING PERMIT REVIEW CHECK LIST
Applicant/ ~ ?~xlJ~
Owners Name~.J&t~ '/--
Architect/
Engineer: --~
SCTM #:
District: 1,000 Section: /03 Block: It'// Lot:
Project
Location:
Single & separate Required
certffication: (Yes / No)
Date
Reviewed: ~/'/~/?~
Date
Submitted: ]0' 1,,~-~ ~
Subdivision
Name:
Zoning Dis~rict:~ ~ ~
Req
[Front Yard __ Proposed:
Project Description:
[LO~ size:~_.t~~ Actual: ~ } [Lot coverage __ Proposed:__
Q~. [Side Yard Proposed: ,~ ] [Rear Yard ~ Proposed: ~
AGENCY PERMITS
REQUIRED FOR REVIEW
NoA.
Suffolk County Health Dept. /__
New York State D.E.C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval: /
/
Flood Plane Elevation ???
Flbod Zone:
1
Permit
NO YES Number
Notes:
:'/ooo-/o.~-/v'-~. TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREE'r~(z~ O~ VILLAGE DIST./ SUB. LOT
F~E~WNE~ , NZ E
,~ = __ S W ~PE Of BUILDING/~4:~ ~
R~.~/~ S~S. VL - ~FARM COMM. CB. 'MISC. Mkt. Value '
Tillable,
Tillable
700
Brushland
House Plot
FRONTAGE ON ROAD
DEPTH
BULKHEAD
Total DOCK
COLOR
Extension
ExtensiOn~ension
Porch
Br~z~ay
~rage
o. B.
Total
'/7
Foundation
Basement~'~
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Driveway
Bath
Floors
Inferior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
765-1802
BUILDING DEPT. -
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG,
[ ] FOUNDATION 2ND [_ ~NSULATION
[ ] FRAMING ["'] FINAL
[ ] FIREP~A~=~& CHIMNEY
DATE__~ ~'~PECTOR~
BI~ILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ].~SULATION
[ ] FRAMING [//]" FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~_
DATE /~///'~'//~/~/ / INSPECTOR ~/,~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ] ROUGH PLBG.
[ ] ,NSU~AZIO'~
[ ~INAL
[]FIREPLACE&CHIMNEY
REMARKS: (~~/~ ~'"~'~
DATE
INSPECTOR
~'V~-'CT I ON REPORT DATE C()IqlqENT.'5
INDAT ION (IST)
INDATION (2ND)
II Ii
II
IGIt
ii
{{
S~TION PER N. Y.
STATE ENERGY
{{
CODE
{{ {{
Il II
II I1
FII',IAL . I - ' ·
FORM NO. !
TO~I O~ SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. I ]97
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FOP~i ...................
NOTIFY:
CALL ..................
[4ALL TO: ....................
'~. FOUNDATION ' TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. !NSULATION
4. FliP,AL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
Electricians License No ...................... ALL CONSTRUCTION SHALL MEET
, THE REQUI
Other Trot- s License NO ..................... .~ ~ //~ ...... II.~EMENTS OF THE N ¥
- ~ ~A CO CTI '"
=,~/ /~-~ ~/-~/; .~k'~/,CO~ll~Bld ON & ENERGY
1. l~cation of land cm which proposed york will be done.k..,/~2iZ~./. ......... ESPONS1BLE"FCiR .....
.... ~,L;';~; ................................ ~i;; ...........................
co~ty ~ ~ No. 1000 s~t~on ....... ~.?..~. .... Bl~ ...... .L4-.. ...... tot ..~.. ............
~oul~iivision-~-. ..................................... ~ .............. Lot ...............
2. State existing u~ ard occupancy of prem~,es a~:l~ j~nten0~ use and occupar~
. · .
(Nam a~d title of corporate officer) OCCUPANCy OR
USE IS UNLAWFUL
Buildera Lice~ NO ...................... WITHOUT CERTIFICATE
Pl,~bers Li~se NO .......................... OF OCCUPANCY
State ~hether applicant is (~ner, lessee, agent, architect, engineer, general coutractor, electrician, plunber or builde
Sam of o~ner of pr 'ses .~X ........ !~ .... :ff.~.~(~....,/./.-~.~,~; ...................
(a~on the tax~l or latest deed)
I~ at¥1ica~t is a corporation, sis~ature of duly authorized officer ~-E'~ BY:
.......... ---- ............................................ O ,OW, NG,NSP, O '
a. lhis application mtet be cu.pletely filled in by typewriter or in ink and sul~itted to the Building Inspector wi
3 sets of plmas, accurate plot plan to scale. Fee according to schedule.
b. Plot plm sho~ing location of lot and of buildings on pr~nises, relationship to adjoining premises or public
streets or areas, ~ giving a detailed description of layout of property must be dramm on the diagra~ viaich is parc of
this application.
e. The ~ork covered by this application my not be oameneed before issuance of Building Permit.
d. Upon ~w, oval of this ~pplication, the Building Inspector will issue a Building Permit to the a~plicant. Such
pemit shall be kept on ~ premises available for inspection throughout the ~ork.
e. NO buildiug shall be occupied or used in ~hole or in part for any par~se whatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICATI(II IS ~ ~ to the Building Department for the issuar~e of a Building Pemit i~rsuant to the
Building Zo~ Ordinar~ of the T~,n of Southold, Suffolk County, Ne~ York, and other applicable La~s, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for reu~val or demolition, as herein
described. Tce applic~at agrees to o',,-~,ly with all applicable la~s, ordin~ces, building code, housing code, and
regulations, and to ~{mit authorized inspectors on pr,,ises and in building for necessary inspections.
........
(~ature~ applicanf, or na~, if. a corporation)
(Haili~ address of applic~t)b' /
]- ?nture-of turk (d~d* ~hid~ applicable): ~ Iluihling ,..~.. .... addition .......... tdtefatim .....
llepai r ............ Removal ............. Demolition ............ Oiler 14orr ........................... ~ ......
(Ilescript ion)
4. Estimated Cost ......................... fee ..............................................
(to be paid on filing this application)
5. If &~lling, nmaber of d~elling nails ............ ~lmber of d~elling onlts on each floor ................
If garage, nt~ber of cars ......................................
6. If business, ctm, ercial or mi~cl occupancy, specify nature and extent of ead~ type of use...~.~>...~...~...~. ........
7. Dimensions of existing structures, if any: Front ...... :7 ........ Rear ...... .'~ ....... Depth ...'-. .............
Ileight ......................... Ixlu~er of Stories ......................
Diraensions of sam structure with alterations or additions: Front ............... Rear ...............
Depth .......... "n. ......... Beight ..... :...W ......... Ixlmher of Stories ...............
8. Dimensions of entire ne~ construction: Front ..... ./..~..:* ..... Rear ...... ?...~..'... Bepth ....~..O..'' .....
Ileight ./~.. /
...................... l~ur~ber of Stories . ~
9. Size of lot: Front /~.6? z t /,5'-0
.................. Rear ....... ~.~. ~. ....... Depth ....................
m. rote of mrO,a ..................... of roar
II. Zone or use district in ~hlch pr~nises are situated .................................. ~- .........................
12. Does proposed construction violate any zoning 1~, ordinance or regulation: ..... ..~.~ ...............
13. l~ill lot be regraded ....... ff.~..,. ...... 14ill exeess fill be rea~ved fi:ma premises: ri
Bane of Arddtect .................................... /~ldress .............................. ]Phone ~ ..............
Ixlane of Contractor ................................... /~ldress ............................... l~none 1~o ..............
15. Is this property within 300 feet of a tidal ~etland? * ~ .......... ~ ..........
PLOT DIAGRAH
locate clearly and distinctly ali buildings, ~ahetl~r existing or proposed, and indicate ali set-back dimensions
fTr~ property lines. Giv~ street and block r~her or description according to dccd, and sho~ street nares and indicate
uhetber interior or corner lo~.
(Contractor, ,agent, corporate officer, etc.)
of said o~er or o~mers, and is duly authorlzm~d to ~rfom or h~ ~rfo~ Om mid m~ ~ to m~ ~ file this
a~llcation; flint all statu,~nts cmta[~ in ~is a~l. icatlon are t~ to ~e ~st of his ~1~ a~ ~liefj a~
that O~e mfi will be ~rfo~ in tim mm~r ~t forth in ~e a~limtim fil~ ~.
~m to ~fore ~ this ~ )
Materials List For Barn Style Shed:
(1) - 2" x 12' x 24' ridge beam
(4) - 2" x 12" x 20' cca decking
(18) - 2" x 8" x 12' cca decking
(16) - 2" x 6" x 10' framing lumber g'~fL
(8)-2"x 6"x 12' "
(10) - 2" x 4" x 10' "
(70)- 2" x 6" x 8'
(1)- 4" x 4" x 8' cca post
(22)- 4' x 8' x 5/8" T-Il1 siding- 8"/12" o.c.
(8) - 4' x 8' x 3/4" plywood - ~-~_c>~fa O~C~_
(14)-4' x 8' x 1/2" plywood -0~oow 5~[~r,~tt,a6,
(8) - 4' x 12" diameter Footing Forms for Concrete
(24) - bags of concrete - 4,000 psi
(8) - Gaivi concrete post footings
(36) - Hurricane straps
(72) - 2" x 12" joist hangers
50lb box - 10 penny gaivi nails
50lb box - 8 penny galvi nails
(1) - roll Tyvek House Wrap
(2) - Rolls roofing felt
(16) - 3/4" x 8" x 10' #2 knotted pine (facia)
(8) - 3/4 x 12" x 12' #2 knotted pine (soffit)
\