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Home My WebLink About24628-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z=26444 Date: 05/11/99 THIS CERTIFIES that the building ADDITION Location of Property: 1675 PEQUASH AVE CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 7 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26, 1997 pursuant to which Building Permit No. 24628-Z dated FEBRUARY 3, 1998 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 ROOF STRUCTURE ADDITION OVER EXISTING ATTACHED DECK OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FREDERICK J.& DOROTHY J. CHARNEWS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building I Spector 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) Date.....EE;BRUARY........ ........................ .. 19..98.... 2462e Z Permission Is hereby granted to; .......FRET?.ER.T.G K...J...QHAR.NF,.WS................................. 147 P...e.QWUA.5H...P.Y.R........................................... ........Q W.T.G.H A.Q U.E.,N Y...1.193.5.:...............................:.... to ..........Q.QN.,9TRUQT...0...RQRF....QTRUJT.URQ...QVF-R...AN..QX.15TZNG...A.T.TAGHE D.................. ..............................................Ak-;QK...AQ..APP..I-LED..FARn.................................................................. .................................................................................................................................................. . ............ .......................:.................................................................................................................................... .............................................................................................................................................................. at premises located at.................167.5.....PEQUASH...AVE......................................QUT.GH.4�.�1E......... ....... ............................................................. .....................................................I.............................. County Tax Map No.. ..,,4.73889...... Section ...1 Q3............. Block....,0007,,,..... Lot No. 016,,,............ pursuant to application dated ...DECEMHER 26 , 19......97...., and approved by the Building Inspector. Fee$........75.00..... Builds g Inspector Rev. 6/30/80 Form No. 6 N 0 '? N �g TOWN OF SOUTHOLD 3 BUILDING DEPARTMENT ..? .' MAY 61999 =i �6 1 o L E i BLDG.DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan-requirements. B. For existing buildings (prior to April 9, 1957) non-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 a 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: r C. 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, f 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,,,. 4. Updated Certificate of Occupancy - $50.00 Q� ,, //� 5. Temporary Certificate of Occupancy - Residential $15.00, C mmercial $15.00 �` 42��jj0-0 Date . . . . . .(J.� _ 0 .�7. . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . .. Old Or Pre-existing Buppilding. . . :� . . . . . - Location of Property. . . J �� O House No. Street Hamlet Onwer or Owners of Property.. . . County Tax Map No 1000, Section. ./. .. . .. ..Block. . . .. ... . . . . . . .Lot. . . . ./;(4-? . . . . . . . . . . . . . Q nn Subdivision. . . . . . . . . . .Filed Map. .5.-,G.,�rj. . .Lot. . . . . . . . . . . . . . . . Permit No. .,7.—. .Date Of Permit. . ��. 1.1�.g. . .Applicant . 4. . . . . . . HealthDept. Approval. . . .. . . .... .. . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval.. . . . . . . . . ... . . .. . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . .��. Fee Submitted: $. . . . . . ..r ,.Q.P. . . . . . . . . . . . . _ . . . . . . . .':� . . °... . . . . . . . . . . . . . . . t ' S6r9Otf APE 'i+ICANT 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA KS�//J ✓�- -�, DATE � / INSPECTO /' ass-iso2 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE �� INSPECTOR ass-isoz BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSU TION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO :TEED I;:S!'ECTi(J;d JJDATE �� COMMENTS " IA& - - y on F OUt1DATI0N ( 1 s t) c - . cn FOUNDATION ( 2nd ) mko 2 . z 6- ROUGH FRAME & - .PLUMBING • —b to � 3 . " m m INSULATION PER N . Y. STATE ENERGY CODE x 4 . FINAL ADDITIONA OMMENTS : x OQ 9 1 O . z [iJ • r r� m ..3 BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . J 4 5 TOWN OF SOU'THOLD SURVEY ' BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . jl+ TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N-Y. 11971 B TEI.: 765-1802 NOTIFY: r/ CALL Ex� (? . . nined.....-....... 19.... MAIL TO: .�� _ '"t'►.!`� � Approved.................. 19.... Permit Plo. .... ....�- .y..J.t�3 Disapproved a/c •�- .....-• •-- - Oluildi I-spec or; APPLICATION FOR UILDING PERMIT -Date. . .1! INSTRUCTIONS a. Ibis application mist be caimpletely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 premises 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 application. 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 x.rill issue a Building Permit to the applicant_ Such permit 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 any purpose whatever until a Certificate of Occupa4y shall have been granted by the Building Inspector. APPLICATION IS 11EI-BY WE 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 applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described_ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ...U.. .. c. ... ..... ........... (Signature of a li6gnt, or name, if a orporation) -(Mailing addrYssof applicant) -/PLQW - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber r builder. .........�............ ................................................... ..............`...1..............._....... ' &-m a of owner of premises ..- �!.�'. ./: .. ...... ....�:: -T!l -.V f fL -C •-�;.$ (as on the tax roll or latest deed) � If applicant is a corporation, signature of duly authorize$PSAffifiITERS CERTIFICATE APPROVED AS NOTED REQUIRED DATE: B.P. # Q • • • -co--• - .•-•---r, c •• -(Name and title of rate officer) t .L C U PtAI�4 CY OR NOTIFY BUILDING DEPAR ENT Af C, I U N LAI!lIFU L 765-1802 9 AM TO 4 PM FOR THE Builders License No. ................. °' FOLLOWING RrAweTIONS: Plumbers License No. ................... - lIHOUT CERTIF1 `�_ 1 FOu"'my"ON • "m KNIRED °. FOR QONCIMI! Electricians License No. .............. -OCCUPANCY 2. ROM • RIA11MI &Ra 3. INSUJIMN Other Trade's License No. .................... 4. FINAL CONWIIUCTION'MUST - 1. Location of land on which proposed work will be done....' SE �`& LLC®NUCTIOI: -8HAt1:'MEET ........ b ................P::� .. .... ... e......... .. •IREMENTS OF THE N.Y. ST -COftTRUCTION'k-VffJt -*, House Number st C t NOT RES'O1M>stEt.! t1l1 County Tax Map No. 1000 Section ...... .�2... Block ....it.)..7 ...... loot .Q0. MRSTFAICTM s- Subdivision .. (- Ge .K...(M5..... Filed Map No. .... Lot .....V-....... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........._.��.� �..CIP', .-............................................. b. Intended use and occupancy ....... �. ..:: .. �L................... 3. N,tu►e of work (check FAticJt applicable): New Ifc)ildinl; .......... Acklition .. ` 4:.s} Llierati°ran ' .r • Itc•Iwir ........___. Rrinaval ............. Demol ition ............ Outer Work _ ( i t i cln 4. EsCiuk,ted Cost ........3f-�?--:0�. fee ..................... .ti �...n P ......... I (to be Paid on filing this application) 'i. if chxalinf;, rxn#)er of dwellinJ; units ............ U.mber of (hoelIing units oft!each- flcxi .t.'.........:..... Ifgarage, txni)er of cars ....................................... G. If1x,si,tess, mmtercial or mixed occupancy, specify tu)ture arxi extent of each type of use...................... 7. Dimensions of existing structures, if any: FronL....J—. ._ Rear .....�/A..... Depth ................. 1killtL ......... /.......... UA)er of Stories .....�. .......... Dimensions of sane structure with alterations or a(klitions: Front ............... Rear ............... DepLl► .................::.. bleipjit .................... RA)er of Stories ............... B. Dimension.i,d[ entire new construction: Front .��.�.1�.(.... Rear ............... Depth .............. Ileil),it ......................... Nhni)er of Stories ......... 9. Size of lot: Front ._....2oc).�...... Rear ..... ... .... .........:.�,.,.,. 10. lk)Ce of Purchase .....: v ...._.._., t1.xrc of Fo rive r Owner l-i- 11. 7.cxte or use district in which premises are situated ......_..I ,'� !Lt� T-1, - •••-••••••••••••PDoes ro x)sed construction violate any zoning law, ordinance or regulation: ... - 13. Will lot be regraded -,-1---rD......... Will excess fill be renaved from premises: YCS .p 73�9`C7(. 14. Na►►es of (k�rter of premises �. (Tess . / - ` Ntone No.. 7 .•J Phone No. Name of Architect- .................. ................ Address .......... ......--- Nsmeof QxntracLor ................................... A(klress .... _........................Ntone No. .............. 15. Is this property within 300 feel of a tidal wetland? * YES NO :-�•_ *I[' YES, S(XM U.D.UUM INJSI10.S PEINIT MAY BE RE(XJIRED. 4+M PLOT 1)1AGIIA14 Ux:aLe clearly and distinctly all. buildings, whether existing or proposed, and indicaLe all set-b)ack ( 'mensioRs From property lines. Give street and block rxA)er or description according to deed, and slur-stli c►t>rnes and itxlici 'e ,AieL1)er interior or corner lot. C —V q� 2N''$.ldn'4i4�,G�ti�t:.l%� :YL�et�•.li6.r� �4'If�;.. 3 � .. ,. .. 6`'� (7(JIINIy OF r lu t 1 )>es a►d LhaL he t., the ._Ix.:i ►1,.t l.y sw(ru, c elx r says (N:n►e o ),7 tv ch,a ;► L).. a �q r Ile"q.Ve,JAW ....`...................................................... " am aNT v �( r mmi'Rup i. ; ;corlx)raC officer., etc:) 51WCr+ 6tx9.swt �J. d,6 $ 1•�;` fin i�A`s '�i17�1�g1n►lborizcxl to jx-rform or Irrve trer.fornx�cl the said work arxi to nctke arxl file I.his apla + t 7 ) ,,cSnllat.rx'd in this application are true to l:he lxat of his krxrwledle aril lxil.ief; :)►xl .}?:w lha ►e wcn wi l .' icy "1)er"formec In The n►►n,ter r;el: forth in Lhe application filed N"erewidt. .)auras to before fie Olis r� ILI .....day of: ....19.�.,(... Notary Public .......... ................ ..C/!�` Gu JANA M.PRINDLE (Sil.),witure of Appl.icZ Notary Public,State of New York No.4911767 Qualified in Suffolk County _�y.7 Commission Expires November 16,19J1. FO1,�c O c� Gym Town Hall,53095 Main Road yy, Fax(516)765-1823 P.O.Box 1179 Oy �� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 6, 1999 Frederick Charnews 1675 Pequash Ave. Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : g An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. X% The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24628-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. i ' SURVEYED FOR:- �ieE��i��`/Gj� ✓ +p4�G��f ` C/y.4�P�f��t�YS LOCATED AT TOWN OF SUFFOLK COUNTY N.Y. LOT MAP OF .8/G G��EE.t�l �4G'•�,E� 6 1 , CO. CLK. NO. :S�S7 FILED`��y/�/J SCALE 1 SUFFOLK CO. TAX MAP DATA:- f, DIST. /GOO ,SEC. /03.a1c=> BLK. LOT 4g::;V440.O®O 35 !ax(G6�e �ira1 -xv Q� SUFFOLK C UNTY HEALTH DEPART 1 T SINGLE FA. ILY DWEL (NG ON H.D. REF. NO. S �td c4•c.I � OFFSETS F P.UCTURES JtiN Z �dJe GGK � i�sry +�� y eS 3 TO RELA I BDUNI v , ON SU V4yHE*VME bISPOSAL AND WATER PLY FAO�L :E � FOFi THIS SPECIFIC UL`06►gTIpN:M��4VE BEEN INSPECTED IS G1E.F' ENS 14Np �] b SHOULD. NFR4j3€ E6i�ATtsfac;�C�ta�p_ QC i.fop Wooa CONSTR !CTION OF FENCES OR OT ER sTRucruUftlef of Wastewater Wernagemen•t? n, �' Q �O.c.lG /Sl�.Lll MG�64 G�Coed.. 3 1�c/n 7Tz.� URVEYED 19 67BY WILLIAM R. SIMMONS JR. P/0 BOX 377 JAMESPORT, L. I., N. Y. 11947 • • • . • ;t:; , r p FILE NO.Cam' PAGE Z3 GRIDJ.3 DRAWN' BY