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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) \