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Home My WebLink About14632-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z14736 Date August 1, .8.6 .................................................. 19 . THIS CERTIFIES that the building accessory building 590 Budd's Pond Road Southold~ New York Location of Property ~ County Tax Map No. 1000 Section . 9.5.6. ....... Block . ...5 ........... Lot ...1.7 ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .~..~ ?.~.a. r~..~.6., ..... ,19..8.(>pursuant to which Building Permit No...1.4. .6.3.2.z. ............ March 8, 86 dated ............................ 19 .... 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 The certificate is issued to .... John T. Szala (owner, ~e~YeTo~ of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 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) NO 14632 Z Permission is hereby granted tg: ~ ~ ~ ................ ...c~~.~ ........... ~'":'; ......... ; ................. z'", .................. ;' .............................. ot premises I~ated at ..~.--...~.~......~..~.~......?...~......~...~......, ............. .~'.~ ................ Building Inspector. approved by the Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ ~ 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. 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 unusual natural or topographic featu res. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15 o 0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. pd t d c.o. $1s.00 Date .... NewConstFuction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~.~.0.. ~. /?~. ~.:....~?.~., .................... House No. Street Ham/et Owner or Owners of Property .(~'~9~-~. ~-...~. ~ .................................... County Tax Map No. 1000 Section ..... .~. ~. ...... Block ..... ~ ....... Lot ..... /...7. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./ZJ.~. ~.~ ~ Date of Permit ~/~/8~.A pp ,ica n, .(~ .- · %~,-~.~ .................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... # Fee Submitted $ .~'~. .... C,~.~ .~0. ~ ......... Construction on above described building and permit meets all applicable codes and regulations. Applicant .... ~.: .................. Rev, 10-10-78 765-X80Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING RE:MARKS: [ ] FINAL. ,, ~¢¢~ FIELD INSPECTION COMMENTS FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: TOWN OF $OUTHOLD Bu Iding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANC~ This application must be filled m typewrite d subml~ed tor with the following; for new buildings or new use: 1. Final su~ev of propertv with accurate location of all buildings, propertv lines, streets, and unu~al natural or topographic fea~res. 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 Unde~riters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a ce~ificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming u~s, or buildings and "pre-existing" land uses: 1. Accurate ~ey of p~perty showing all property lines, ~reets, buildings and unu~al natural or topographic featu res. 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 pe~inent informa- tion required to prepare a ce~ificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5 · Updated C.O. $15.00 Date . . .~ ~'., .L~. · .d~../. · .~. [J. ~ .... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property...~'.c[.O....~., .~...~/. 21~.J...~..~.. ~ ...... F.~'..<fi..~. ,~ .~ ~¢'~.~ ......... Houae No. , ~- Street Ham/et Owner or Owners of Property...~..'.o...~'~7,....~'..-..~..,~., .o~., .,,~.~ ........................... County Tax Map No. 1000 Section . .0..~ .~. ....... Block ....~ .......... Lot.../.~. ........ Subdivision ................................. Filed Map No ........... Lot No.../.7 ........ No.~.~,~,.~. Date of Permit ,~,.~pplicant.(~~ -T-~, %.,,.z~.., .. Permit ..................... Health Dept. Approval ........................ Labor Dept, Approval ....................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. ,~.,~.'~...'~,,. .................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ~.."! ,~ .......................... Rev. 10-10-78 PORTER FRAME-A-SHED FAST. EASY. ASSEMBLYI l l DOOR FRAME STANDARD FRAMES END FRAME RIBBON BOARD RIBBON BOARD I iii III ~11 ~11 I II II II II II Il t "EXPANDABLE" IN 2;0" SECTIONS... RIBBON BOARD EACH ADDITIONAL PIECE ADDS APPROX. ~16 SQ. FT OF FLOOR AREA HOW TO ASSEMBLE 8'x8' SHED ~1. Cut 4-ribbon boards 2x4x7'-11" long. 2. Nail door frame at one end of ribbon boards. 3. Nail the balance of"Porter Frames" at 24" on center with end frame at outside. 4. Nail 2 ribbon boards inside at top of wall and 2 ribbon boards outside at bottom of wall for bracing. 5. Finish walls, roof, and floor with sheathing materials. 6. Apply shingles and door to complete assembly. 1. Cut 2 pcs. 2x4-6~0 ~13/~16" long (board A) ) ~ ;See "cutting instructions" on back 2. Cut 1 pc. 2x4-4'1" long (board B) 3. Place A and 15 boards into shed frame and attach w~th 3x5. Nail plates each side with 1~'' roofing nails. (12 nail plates required) END FRAME ASSEMBLY 1. Cut 2 pcs. 2x4-6K) ~13/]_6" long (board A) ~ see "cuing insUue~ons" on back 2. Cut I pc. 2X4'6'9" long (board C) 3. PlaceA and C boards into shed frame and attach with 3X5. Na~l plates each side with 1~3'' roofing nails. (12 nail plates required) 18.4 ' CUTTING INSTRUCTIONS .~. 1-5/18" ~ [3~" BOARD A . 9/16" 18.4' ~ 1Q~' /[" ,t - ~ ~ 9/16' ~ 6'9" FOR 8'xa' SU D , ,t~ 9 - 2x4A~ for ~bbon Boards -/~ and Do'r/End Frame Assembly 6 - Sheets 4x8 Siding for Walls 3 - Shee~ 4x8 Sheathing for Roof 2 - Shee~ 4x8 Sheathing for Floor 1 ~ Square Shingles for Roof 125 L.F. - lx4 Trim 3 lb. - 16d Nails 5 lb. ~ Galvanized Siding Nails 2 lb. - Roofing Nails 24 ~ 3x5 Nail Plates 3 pr. ~ 6" Hinges 1 -- Hasp 2 pcs. -- Meal Roof Edge DISTRIBUTED BY: Manufactured by: LUMBER · FORM NO. 1 '-: TOwN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ', TEL.: 765-1803 Examined...~..cx~...& .~...., 19 .~.~. Approved ...~4,.~ .~.. ., 19~..~. Permit No..kLm..~.~..217..~... Disapproved a/c ..................................... BLDG. DEPT, TOWN OF SOUTHOLD Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 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 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 appli- cation. c. The work covered by this application may not be commehbed before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued 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 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 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. ...... ................ (Sigha-tflre of applicant,Cogname,.if a corporation) ......... ......... ... (Mailing addr~s~ ,of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... h Location of land on which proposed work will be done... 4~.O.. ~ :'?~'~.. )~:~... ~.~..r~>t~.~. ,~. ..... . .alT..v.. ? .............................. ................................ House Number Street Hamlet County Tax Map No. 1~300 Section ....... .'ff..~. .......Block .... .~..~7. .......... Lot .... /. 7. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .~7.'.?v. ............................................... b. Intended use and occupancy ....... ' .....~....,f-¢7/... ~ . .~ ......................... 3. Nature of work (check which applicable): New Building ...g..' ..... Addition . Repair .............. Removal .............. Demolition .......... Alteration , .... Other Work ............... (Description) 4. Estimated Cost .... .~.,~ p.r~ ......................... Fee .......... ~ ......................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. Number of dwelling units on each floor ............... If garage, number of cars ............................................ i ........................... 6. If business, commercial or mixed occupancy, specff.ff ~nature and extent of ea.e~h j;yp'e of use ................. 7. Dimensions,of existing structures, if any Front..~ ~'.'/7. ......... Rear ..~.t{C. i... Depth 'i ..?...f'~/~' i i i i i i Height . .~/77. ......... Number of Stories .... .u.~j,~. ............ .~...;. i.. ii ...... i. Dimensions Df stone stn~cture with alterations or additions: Front .... . .... Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ........... : · ·. Rear ........ ~ ...... Depth ............... Height ............... Number of Stories ............................ i ........................... Size of lot: Front ...................... Rear ...................... Depth .............. : ......... Date of Purchase ............................. Name of Former Owner . [ ........................... Zone or use district in which premises are situated ......................... ~ ........................... Does proposed construction violate any zoning law, ordinance or regulation: .... i ........................... Will lot be regraded ............................ Will excess fill be removed from premises: Yes No Name of Owner of premises-. ................... Address ............... i... Phone No ................ Name of Architect ........................... Address ............... i... Phone No ................ Name of Contractor ....................... 2.. Address .................. Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, ~an~t. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, arkl show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the [applk~:ant (Name of individual signing contra~t) above named. . He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the sa~id work and to make and file this application; that all statements conta[rmd in this applica~tio,n%are-true to the best of h~s iknowledge and belief; and that the work will be performed in the manner set forth in the appli'~atio~ filed therewith. Sworn to before me this ................ 4.~. ..... day of.. , . .~.~/~-~.. ........... 19 Notary Public, . ........ ~-:rC~..~.,." ~)~..~..~-,.~. County ,i ~ ' ,,]_~ignature of applicant)