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Home My WebLink About28910-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA/~CY No: Z-29146 Date: 12/24/02 · ~{IS CERTIFIES that the building ADDITION Location of Property: 3600 PEQUASH AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap 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 NOVEMBER 13, 2002 pursuant to which Building Permit No. 28910-Z dated NOVEMBER 13, 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 ADDITION TO ~/q EXISTING ONE F~MILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL J & JANE M KENDARICH (OWNER) of the aforesaid building. SUFFOLK COU1FI~f DEPAR~qT OF ELECTI~IC_~_L CERTIFICATE NO. PLUR~BERS C~TIFICATION DA'£F~3 11/26/02 Rev. 1/81 N/A N/A H2M LABS INC FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28910 Z Date NOVEMBER 13, 2002 Permission is hereby granted to: PAUL J KENDARICH 3600 PEQUASH AVENUE CUTCHOGUE,NY 11935 for : ADDITIONS ~ ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES PERMIT #18758Z at premises located at 3600 PEQUASH AVE CUTCHOGUE County Tax Map No. 473889 Section 103 Block 0014 Lot No. 002 pursuant to application dated NOVEMBER 13,_ 2002 and approved by .t. he Building Inspector to ex-pire on MAY ~2~~/ .o.oo .'1 COPY Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, NO BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18 7 5 8 Z ~te ...~.~ ................................. Permission is hereby gran~ t~: ,/j ~ / , ,,~ -- ~~...~~...~...~.,. ....... ....... ~.~.~..~ ~ ,~ .~~~ ....... ~~:...~...~~.~.....~.....~.~ ...... ~ ............. ~'"'-~ ...... F ........................................................................... ~, ~,~, ~=~ ~ ...~.~.~ ...... ~~'~ .............................................. ................................................ ~~~ ....... : .................................................................. County Tax Mop No. 1000 Section ........... ./...~....'~.,... Block ......... ./..,~... ..... Lot No ........ ~ ........... pursuant to application dated ......... ./../,..'~...~ ......................... , 19...~...~,., and approved by the Building Inspector. Rev. 6/30/80 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 Departmen"fil~[h-(h~ following: A. For new building or new use: 1. Final survey of property 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 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 fi.om architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) hon-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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. Ifa Certificate of Occupancy 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 $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~ Old or Pre-existing Building: House No. New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Date of Permit. Date. Block Filed Map. ~---~APl~!.~cant: ~--'~Ln__d~_' t e~r s Approv~gl3 Permit No. o~ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ (check one), Hamlet Lot 2__ Lot: Final Certificate: g.~-"'"~' (cheek one) .? Y Applic~t Signature 575B~adl-k:~w Road, ~ NY 11747 (631)694-3040. FAX: (631)420~36 NYSDOH ID# 10478 HARRY GOLDMAN WATER TESTING MAIN ROAD MATTITUCK, NY 11952 Attn To : 631-298-4640 Federal ID Collected : 11/26/02 9:40:00 AM Received : 11/26/02 11:51:00AM Collected By : JD99 Copies To : Client Point No: 6 Location: Parameter(s) Results Lead 0.05 LABORATORY RESULTS Lab No. : 0211695-001A Sample Information... Type : Solder Origin: Dist. Routine Client ID.: PAUL KENDARICH 3600 PEQUASH AVE CUTCHOGUE SOURCE (CWL-S HOWER) (289102#1000-103-14-2) Units Limit Method Number Analyzed % 0.2 SW6010A 12/11/02 2:04:00 PM Result(s) reported meet(s) Regulatory Limit(s). Result(s) flagged with . Exceed Regulatory Limit(s). Limit noted. Date Reported: 12/12/02 Page 1 of 1 Laboratory Manager 765-1802 BUILDING DEPT. INSPECTION ~ [ .1 ~O~UNDATION 2ND [ ] INSULATION FRAMING REMARKS: ~,//// FINAL DATE ~CTO~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~"/ROUGH PLBG. FOUNDATION 2ND [ I~~NSULATION [ ~'/FRAMING REMARKS: ._ ,~l~,,' ,;~,..~/ FINAL DATE INSPECTOR 765-1~02 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGHPLBG. [ ] FOUNDATION 2ND [ ] ~~~_ TION [ ~FINAL [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE//////,~./~'2.''/ -INSPECTOR~~~-~/ FOU:;DAT.O.~ ( 1 st ) FOU:~DATIO:! ( 2nd ) 2. ROUGH FRAME & -PLUI~BING INSULATIOn'; ?ER N. Y. CODE FiXAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD. N.Y. 11971 TEL.: 705-1803 Disapproved a/c ..................................... · APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ d'~ALL l ....... xm r TO: BLDG. DEl:qr. TOWN OF S0(fI~OLD a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building l~pector, with sets of plans, accurate plot plan to scale. Fee according to schedule. ., b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premise~ or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pe:mit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for a.ny purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appIicable La~,s. Ordinances or Regulations, for the construction of buildings, additions or alterations, or for ~'emoval or demolition, as her~in described. Th~ applicant agrees to comply with all applicable ta~ws, ordinances, building code, ho~qde, and r~ulations, and to admit authorized inspector~ on premises and in buildin= for necessary in.~ecti~ns. . . ( (Sig~ture ot hpplicant, or l~ir~i,' ' .~ (Mailing address of applicant) State wh~ther applican_t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ~.~...~....V..e~.~ ...... ~.t~l.J.L-...~.. j~.e'~l).&t J~ iCH .?.; .L}.~.-. ............... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ........ (Na; e ~>~ora;e omcer) uilder's License ..... ......... Plumber's License No.., ' Electrician's Liccnse No ....................... ' OthcrTrade's License No .......... " 1. Location of land on which proposed work will be done; · - .5.. [louse Number Street. ' ' Hamlet County Tax Map No} 1000 Section ............ 'i .... 2 BlOck ............... Lot. -2-.. ~ · S bd[ L ' u vision ..................................... l~ilcd Map No ............... ot ............... (Name) '-. State cxisdng usc and occupancy of prcmiscs and in[ended use and occupancy of proposed constmcHon: b. ln~ended use and occupancy ...... ~ .............................................. 3. Nature of work (check which applicable): New Building .......... AdditiGn .......... Alteration ........... Rep:ar .............. R~moval .............. Demolition .............. Sw~.~ing pool .............. Tennis Court ......... Accessory Build~.ng .......... Fence ....... Other 14ork; ........... 4. Estimated Cost ~ -~ 000 (to be paid on filing this application} 5. If dwelling, number of dwelling units ........ \ ...... Number of dwelling units on each floor .... ~.. ' ....... Ifg ma stage, number of cars ......................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .. ~'~..~ ................. 7. Dimensions of existing structures, if any: Front..,. ]a.o. ........ Rear ..... .tg.0 ....... Depth .....,........~ . Hei=ht ............. Number of Stories I ... Dimensions of same structure with alterations or additions: Front ..... ./.o.e. ........ Rear ... ! o~ Depth ..... '~'~"; ':~C ........ Height ........ l ............ '. Number of Stories .......... ; ............ 8. Dimensiorls °fentire ~iW construction: Front . .~ .......... Rear ............... Depth ..~ ...... Height ............... .Number of Stories .............. ; .......................................... 9. Size of lot: Front Rear ...................... Depth ....................... ~0. D,~te of?urchase ............................. Name of Former Owner .............................. .,_.o,¢ or use district in which premises are situated .... ~ ~..~. ............................................. i2. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~ ....................... '. · 13. Will lot be regraded ................. Will excess fill be removed from premises: Yes ... t4. Name of Owner of premises .... ~.c~.. ~ i ~ Address,.. ~.QQ...~c(ttqe .... Phone No..-~.~ .%-]{ .$5~ · ·._. Name of Architect ... ,, .......... ,. .......... Name of Contractor . .~.' i~.~...~qc~'L~, ...... Address ........... ........ Phone No ................ Address ................... Phone No ..... ,~, ..... 15.Is this property located within 100 feet of a tidal wetland? ~YES---;~lO-t~-- · I£ yes, Southold Town Trustees permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from ' property lines. Give street and block number or description according to deed, and show street names and indicate whether,' interior or corner lot. STATE OF NEXV YORK, S.S COUNTY OF .... ................................................. being duly sworn, deposes and says that he i~ the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) -' 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 are true 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 mc this -~$4,- 71 $5 OOCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED DATE: ~ B'P' # ~'~~ FEE: ~_.~..~___,~..~ BY: ~ NOTIFY BUILDING DEPARTI~T/AT 765~1802 9 AM TO 4 PM FOR/THE FOLLOWING INSPECTIONS: 1. FOUNDATION - I~VO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING ~ PLUMBING 3 INSULATION ~ FhN~L CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE RECIUIREMENTS OF THE N.Y. '3TATE CONSTRUCTION (' ENERGY · ~q, DES. NOT RESPONSi/~E FOR ,~dGN OR CONSTRUCTION ERRORS P~uJ~ PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 ed I% LEAD.