HomeMy WebLinkAbout16425-zFORM NO 4
TOWN OF SOUTHOLO
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
Certificate Of Occupancy
Date. June ]4, ]988
THIS CERTIFIES that the braiding .AC C.E.S..S.O.RY. ..................
15825 Main Road Mattztuck, N.Y.
Location of Property ..................................
House No StrEet Hamlet
County Tax Iviap No 1000 Section . .1.1.5... Block . 1 ....... Lot 4
Subdivis~on ................ Filed Map No
.Lot No .........
conforms substantially to the Application for Budding Permit heretofore filed in this office dated
· September. . . . 1, ...1987 pursuant to which Buddmg Permit No I6425.....Z .... ......
dated .S e p t.e.mb, e .r..4: } .98.7 .. was issued, and conforms to all of the requirements
of the apphcable provisions of the law The occupancy for which this certificate is issued is ....
ACCESSORY STORAGE BUILDING AS APPLIED FOR
The certificate is issued to .. .FEL. IX & ANNE BIALE SKI
· iowner,7,t~X~r~q,~czX~ .......
of the aforesaid budding.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO ..
PLUMBERS CERTIFICATION DATED:
N/A
nspector
Rev 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
Ci'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO_ ]6425 z
Permission is hereby granted to:
......~. ~ ..~...........~..:~..:...!..L.~.~..~ ......
at premises Iocoted nt ............................. g~f~., t ................................
County Tox Mop No J000 Section ..... I/..~.. .... mo~k ........... I .......... Lot No ...... .~ .........
Building Inspector.
Fee $....~..: .............
..... , 19.~.~.., and approved by the
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Budding Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This apphcation must be filled in typewmter OR ~nk, and submitted ,-~ to the Building Inspec-
tor with the following; for new buildings or new use'
1. Final survey of properW with accurate location of all buddmgs, property lines, streets, and unusual
natural or topographm features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal}.
3. Approval of electrmal mstallauon from Board of Fire Underwriters.
4. Commercial buddings, Industmal buildings, Multiple Remdences and similar buildings and installa-
tions, a certificate of Code comphance from the Architect or Engineer responmb{e for the building.
5. Submit Planmng Board approval of completed rote plan requirements where apphcable,
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses.
1. Accurate survey of prOperty showing all property lines, streets, buildings and unusual natural or
topograph m featu res.
2.Sworn statement of owner or prewous owner as to use, occupancy and condition of buddings.
3. Date of any housmg code or safety mspect~on of buildings or premises, or other pertinent mforma-
tlon required to prepare a cert~hcate.
C Fees' Additions $25.00 POOLS $25.00ALTERATION $25.00
1. Cert~ficate of occupancy New Dwellzng $25.00, Accessory *$I0.OO Business $50.00
2. Certlhcate of occupancy on pre-exmtmg dwelling $ 5 0.00
3 Copy of cert~hcate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ........................
NewConstructIon ..... Cid or Pre-exmtmg Budding .......... Vacant Land .............
Locat,on of Property ................. ;;../)~.../.~....,~-27..~.~. ..... . .~...~...~...~./.~ .~. ~..~, ........
House No. Street /-/am/et
Owner or Owners o, Property .........................
County Tax Map No 1000 Section ........... Block ............... Lot ...............
Subd~wsion ..........
............. Fded Map No ........ Lot No ...........
Permit No .......... Date of Permit ......... Apphcant .................................
Health Dept. Approval ................. Labor Dept. Approval .......................
U nderwmters Approval .................... Planmng Board Approval ......................
Request for Temporary Certihcate ................... Final Certificate .......................
Fee Submitted $ ...................
Construction on above descmbed budding and permit meets all applicable codes and regulations.
Appl,cant .~-~... ~~.: ,,~ .....................
Rev 10-10-78
FOUNDATION
(1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION
PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
DOOR FRAME
FAST. EASY. ASSEMBLY!!!
BARN ASSEMBLY
STANDARD FRAMES
END FRAME
RIBBON BOARD
RIBBON
BOARD
II
II
II
RIBBON BOARD
"EXPANDABLE" IN 2'-0" SECTIONS...
EACH ADDITIONAL PIECE ADDS APPROX. 16 SQ. FT OF FLOOR AREA
HOW TO ASSEMBLE 8'x8' SHED
~1. Cut 4-ribbon boards 2x4x7'-l~l" long.
2. Nail door frame to one end of bottom ribbon boards.
3. Nail the balance of"Porter Frames" at 24" on center with
end flame at outside.
4. Nail the other two boards inside at top of wall for bracing.
5. Finish walls, roof, and floor with sheathing materials.
6. Apply shingles, trim and doors to complete Assembly.
DOOR FRAME ASSEMBLY FOR 10 FT. BARN
48
1. Cut 2 pcs. 2x4-6'-5" long (board D) '~ see"cutting~nstruct, ons" page 7
2. Cut 2 pCS. 2X4 5~3~ long (board E)
3. Place A and 13 boards into shed frame and attach with 3x5. Nail plates
each side with l~A'' roofing nails. (12 nail plates required)
END FRAME ASSEMBLY FOR 10 FT. BARN
1. Same as Steps 1 through 3 above.
2. Cut 1 pc. 2x4, 6'-5" long (board F)
See cuthng ~nstruct~ons' page 7
25. Place F board into shed frame and at~ach with 3x5 nail plates.
BOARD F-
-BOARD D BOARD
24 ' 24"
20 nail plates required.
10 x :12 SHED
2 pcs
36"
2 pcs
T
2 pcs
48
2 pcs 2 pcs
36'
ROOF SHEATHING
2 pcs
SIDE WALL SHEATHING
FRONT WALL SHEATHING
4 Req. 6 Reel-
FLOOR SHEATHING
DOOR SHEATHING
48
R]EAR WALL SHEATHING
DOOR TRIM
:2 Req~irecl
L 48' J
28¥ 284~
13'
4 Req,
33 2°
lx4DOORT~M
FORM NO 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT SEPTIC
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.. 765-1802 CALL
MAIL
Approve~~ .~./i~, 19~.? Permlt No 76.¢~.%~
D~sapproved a/c ....................
(Bmlffing Inspector)
AFPLiCATION FOR BUILDING PERMIT
BOARD OF HEALTH ......
3 SETS OF PLANS .......
SURVEY ..........
CHECK ..........
FORM ............. :
TO:
INSTRUCTIONS
a. This application must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, wi
sets of plans, accurate plot plan to scale Fee accordh ~ to schedule.
b. Plot plan showmg location of lot and o~ 1~ ~gs q~ premises, relationship to adjoming premises or pubhc sh
or areas, and gwmg a detmled description Qt'l~tou~e' , f ~tt,~i.y ml~e drawn on the diagram which is part of this
cation. _e,.~..~'~-'~ . ~,~ O~
d. Upon approval of this_at~n'~thl[~l ~It~'~'~r will issued a Budding Permit to the applicant. Such pe
shall be kept on the prem,se l ' oy_ the work.
e. No bmldmg shall be o~[~,o.r~e~[~vh~l ~ [r4ll~t for any purpose whatever until a Certificate of Occup;
shall have been granted by the l~Bl~)t~"I.n~.~ _t~ '
IS HEREBY~t~-~F~ ~e'-' partment for the issuance ora Braiding Permit pursuant tc
APPLICATION
Bufldtng Zone Ordinance of the T~'%f ~, Suffolk County, New York, and other applicable Laws, Ordinanc
Regulations, for the construction of l~l~,-addmons or alterations, or for removal or demohtmn, as herein descri
The applicant agrees to comply wlth~Mpphcable laws, ordinances, budding code, housmg code, and regulations, an
admit authorized inspectors on premises and in budding for necessary. ~.~mspe
(S~gnature of applicant, or name, ff a corporatmn)
(Malhng address of apphcant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bm
Nameofownerofpremlses }::'~/l} ¢..4/1Jqe. J~[4L.t¢%/'~'[ r Sk~31
(as on the tax roll
If apphcant is a co~orabon, szgnature of duly authorized officer ..... '
(Name and title of corporate officer)
ALL CONTRACTORtS MUST BE SUFFOLK COrLINTY LICENSED
Bmlder's License No ....
Plumber's License No
Electrician's License No
Other Trade's License No.
/
Location of land on which proposed work will be done
House Number Street Hamlet
County Tax Map No 1000 Section ~ J~-~ Block J .... Lot. '~ .
Subdtvmon (Name) Filed Map No Lot
State extsgng use and occupancy of premises and ~ntended use and occupancy of proposed construction
a Ex~stmg use and occupancy W~<x~ ,a ~. .,x~ ..................... :
b Intended use and occupancy ~+0F.a.~e~ .-%~q~ ............ .... .. .. . ... ..... ...
3. Nature of work (check which apphcable) New Building v~... .
Repmr ... Removal ,.
Estimated Cost ~ .-$-PQ ...........
5 If dwelhng, number of dwelhng units.
Add~tmn ...... Alteration
Demohhon ....... Other Work, ..
(Descnp.hon)
(to be prod on fihng th~s apphcatmn)
· . Number of dwelhng umts on each floor
If garage, number of cars ........................................
6. If business, commereml or m~xed occupancy, spemfy nature and extent of each type of use .............
... O~ 2_~
7. D~mensmns ot'ex~stmg structures,~fany Front lo '... Rear . t ........ Depth .t ....
Height ..... Number of Stones
Dunensmns of same structure w~th alterations or ad&t~ons Front ............ Rear ............
Depth ............. Hmght ........... Number of Stones ................
8. Dunensmns of entire new construction Front ...... Rear ........... Depth
Hmght ......... Number of Stones 'l' ' ': ' ' ..................................
9 Szze of lot Front ......... Rear .......... Depth ...............
10 Date of Purchase ............. Name of Former Owner ...................
11 Zone o. use &strict m which premises are s,tuated .....................
12 Does proposeO constructmn vmlate any zoning law, ordinance or regulatmn 62t2
13. Wz!l lot be regraded . Mo. ............... W~ll excess fill be removed from premxses: Yes N
14. Name of Owner of premises ............. Address .......... Phone No
Name of Arehgect ................ Address ......... Phone No .......
Name of Contractor ............... Address .............. Phone No ...........
15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..~...
*If yes, Southold Town Trustees Permzt maybe required.
PLOW DIAGRAM
Locate clearly and d~shnctly all bmldmgs, whether ex~stlng or proposed, and ~ndtcate all set-back dtmens~ons fro~
property hnes G~ve street and block number or description accordmg to deed, and show street names and indicate wheth,
interior or comer lot
COUNTY .e. D
above named
He is the ..~~ .......................................
(Contractor, agent, corporate officer, etc.)
of smd owner or owners, and m duly authorized to perform or have performed the sa~d work and to m~e ~d file
apphcatmn; that all statements contmned m th~s apphcatmn ~e true to the best of hm knowledge and behef, and that
work will be perfomed ~n the intoner set forth m the apphcat~on filed ~erew~th.
Swom to b~ore me~ ~
.. ~ .~¢~...~ ~ ~~ ~day°f' ~~../~19.~
~o. 52-9703725 8u~lk ~m~ (S~gnature of applic
being duly sworn, deposes and says that he ~s the apphc