HomeMy WebLinkAbout16136-zFOR~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17105 Date 013LY 21, 1988
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Propert~ 4950 NEW SUFFOLK AVE.& 500 WICKS RD. NEW SUFFOLK
House No. Street Hamlet
County Tax Map No. 1000 Section 110 Block 08 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 15~ 1987 pursuant to which
Building Permit No. 16136-Z dated JUNE 26¢ 1987
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 BUILDING AS APPLIED FOR
The certificate is issued to
WILLIAM & FRANCES NESCAVAGE
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PER~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
......
...~~,....:~..:~.,..;L!.~.~.~ ........ . ~
,o
at premises located at ...~,~.,~,~.. ........... :.; ....... :. .: ........
County Tax Map No. 1000 Section ...... J.~...D.. .......... Block ...... .~...~... ........ Lot No ...... J..~ .............
pursuant to application doted .... ...~..~.!...~.. ........................ , 19..~...~., and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
~7~ ..... ~' ~ Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec~
tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable,
B. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty showing all property lines, streets, buildings and unusum natura~ or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate,
C. Fees: Additions $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ~$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.C. $ 20.00
5.Upda~;ed C.C. $ 50.00 Date August 17, ]987
NewCons%r, uction' X Old or Pre-existing Building .... Vacant Land
4~0 New Suffolk Rd. & 500 Wicks Rd. New Suffolk
Location of Property ...................................................................
House No. Street Ham/et
WILLIAM & FRANCES MESCAVAGE
Owner or Owners of Property ............................................................
llO 8 16
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
PermitNo. 16~36g Date of Permit .6/ 2.6, /. .8.TApplicant W11, liam, A. Mescavage
NA
Health Dept. Approval ..... ?,A. ................ Labor Dept. Approval ........................
it App I NA Pi ni g Boa d Approv I NA
Underwr ers rova ........................ an n r a ......................
Request for Temporary Certificate ..................... Final Certificate .... ~..~ .................
Fee Submitted $ .... 1,0... 0..0 ....................
Construction on above described building and permit meets all applicable codes and regulations.
Rev, 10-10-78
co I?/o_q
UNDATION (1st)
UNDATION (2nd)
UGH FRAME &
PLUMBING
SULATION PER N. Y.
STATE ENERGY
CODE
ADDITIONAL COMMENTS:
]65-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
/
[ ] FRAMING [~/~INAL-/
REMARKS:
DATE
BAR
6' WIDE: O' long only
8' WIDE: 8*, 12', t6' long
10' WIDE: ~2', 16', 20' long
SLAB AND SUPPORT INFORMATION
FOR BARNS AND CABANAS
If you choose to asea concrete slab as a toundat~on
for your barn or cabana, these diagrams wilt help you
pour to the correct she Lengths of barns and cabanas
are exact at 8, 12, 16, 20, 24 and 28 feet. But you will
want to check the widths on the diagrams before
preparing a slab.
For example, the diagram shows you that for an
8-foot-wide building, the widest you'll want the slab is
86 inches. The narrowest slab is 54 inches.
BARN DOOR OPENING DIMENSIONS:
6' WIDE 8' WIDE 10' WIDE
LL44,/2,,~L.44v2.-..J !
12' WIDE 12' WIDE, X-HIGH NOTE
12'x12' 12'x12' Width dimenston on all
8'x8' 10'x12' t2'x16' 12'x16' barns is measured at the
6'x8'- 4'w, 6'h 8'x12' - 5'w, 6'h 10'x16'- 5'w, 6'h 12'x20'- 8'w, 61/2'h 12'x20'- 8'w, 7'h eves.
8'x16' 10'x20' 12'x24' 12'x24'
*Larger cds~om door sizes am available. 12'X28' 12'X28'
Navajo Red, Avocado & t/713
*Colors may vary from printed Olympic sta~n samples to tin,she(
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined ·..~'6¢-~-'~ .~.~. ·.,
195
.7.
Approved ...~¢¢~-~..~..k ·., 19?.7. Permit No. }..~].-~.(~..-~.
Disapproved a/c .....................................
tBuild~ng Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ~19...
INSTRUCTIONS
a. This application must be completely 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 building~Qn premises, relationship to adjoining premises or public streets
or areas, and giving a dbtailed descripti_~f la~of~E~Crty must be drawn on the diagram which is part of this appli-
cation. . ~'~'~ ~'~O-
c. The work covered by this a~ ca~q~l~ ~commenced before issuance of Building Permit.
* d. Upon approval of this al El ~on,~l~tt~lnspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises at~ ,~.~ ~s~tl~roughout the work.
' e. No building shall be~(~l ~i..~ ~h~s~'~w'~l~ll~r in part for any purpose whatever until a Certificate of Occupancy
shall have been granted b~, ~
APPLICATION ISt~' ~ [~j~t~ting Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinal~o.f~[~ rod ~fi~e~l~!3,.,,.Suffolk County, New York, and other applicable Law, s, Ord',manc.efi o,r
Regulations, for the cons~ 1~ ,~.'~.fl~.d. di.tions or alterations, or for removal or demolition, as herein {lescrmea.
The applicant agrees to co'?t~l; ~ a~iilJ}'l~cable laws, ordinances, building c?de, housing code, and regulations, and to
admit autl/ori~ed inspectors on~ ~fi!--~s~l~lt in building for necessary inspections.,
.c ....
(Signature of applicant, o~ name, if a corebration)
?. ................
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or budder.
..... o. h/rv'.~..~,,: .............................................................................
(as on t~e tax roll or latest d~ed)
If applicant is a corporation, signature of duly authorized officer. ~/, ~./._,
..............................................,
(Name and title of corporate officer) /xlO r!¢~
Builder's License No .......................... [:0~, (;*;~'
Plumber's License No ......................... ~(~[
Electrician's License No ....................... ~"
Other Trade's License No ...................... ALi,
1 Location of land on which proposed work will be done.. ~ .............. ¢ ¢ ~ · ~¢ '* ~ ~;~C~k~ ~9¢ .......
House Number Street Hamlet
County Tax Map No. 1000 Section . . I 1.O ............ Block . . .~ ............ *.. Lot...t.~ ..............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . . ~¢.~ e.¢~.~ .... .% .~.~ .........................................
b. Intended use and occupancy . .~.~.~>.c ~* ..... ~ ~.~ .........................................
3. Nature of work (check which applicabl?.,~New Building . ~ ..... Addition .......... Alteration ..........
Repair .......... Removal .. r ........... Demolition ............ .. Other Work ...............
(Description)
4 Estimated Cost Fee
(to be p~id on filing this application)
5. If dwelling, number of dwelling units .. ~-' ... Number of dwelhng unitsion each floor..qT. ............
If garage number of cars - ~
6. If business, commercial or mixed occupancy, specffynatureandextentofeachtyp~ofuse ....-T
7. Dimensions of existing stmctures, ifanv:Front..~.~ ...... Rear .9 ~~ .. Depth ..~...~ ......
Height ~~ ~.- ~r°f~t°ries~ ........ Numbe ' ...~ .... ~ ............ ~ ...........................
Dimensions of same structure with alterations or additions: Front ......... ... Rear ..................
Dep~ ...................... HeiSt ...................... Number of Sto~es ......................
8. Dimensions of entire new construction: Front . { O..~ ........ Rear .. I.O..~.~ ...... Depth .. [~..~ ......
Height ~ ~ Number of Stories I :
9. Size of lot: Front .1~. .Rear I 3& D
.................................... .e~th . ~q9 ...... : ...........
10. Date of Purchase ...1~ .................. ;. Name of Fomer Owner . .~.o....¢.~J. ~ ~.~.~ .........
11 Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation: ...~ ..........................
13. Will lot be regraded ..... .~ ~ ................... Will excess fill be removed~from premises: Yes
14. N~e of Owner of premises . ~ ~ ~ ~ ~.. Address ~.~ ~.~...~.~,~... Phone No.OA': ~.~ Y.~
Nme of Architect ........................... Address ................ ~... Phone No ................
N~e of Contractor .......................... Address .............
15. Is thSs property located w~th5ut.00 feet of a tSdal wetland? &..i...PhoneNO~es ...... No ............ ~,.. ' ....
* If yes, Southold Tom Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly ~d distinctly ~1 bufld~gs, whether exist~g or proposed, and. indicate ~1 set-back d~ensions from
property ~nes. Give street and block number or description accord~g to deed, ~d show street nines and indicate whether
integer or corner lot. ' ~
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
/4t ~ day of ........ 19
............................. ......
P' ,bile '~FF~2-~x- County
Notary .......................................
JAYNE P, Mh. RTIN
NOTARY PUBLIC, State of New York
No. $2-7738235 - Suffolk County ~'~t
Commission Exp~es ?-:::- ~' ~B, 19,..~1
STATE OF NEW.~OgI~, ~ .. ,
COUNTY OF. ~.t4.~.~.o..~ .... S.S
.. ......~)./. ~-..L-/~ ~ ,./~(. ~ ~. ~. ~',,9~..~ ............ being duly sworn, deposes and says that he is the applicant
(Name of individual signing co'fitrgct)
above named.
He is the ...... ~/,~.~ .~'~ ........................................ ..... ,.'~..X. ,;\.t .......
(Contractor, agent, corporate officer, etc.) ~,,
of-said ewner er ewnsrs, and is duly authorized to perform or have performed the smd work and to make and hleh~his
application; that all statements contained in this application are true to the best of his kn6wl~dg["hnd belief;'and that the