HomeMy WebLinkAbout14099-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y-
CERTIFICATE OF OCCUPANCY
Ne: Z-25657
Date: 04/17/98
THIS CERTIFIES that the building ACCESSORY
Lecation of Property: 57020 MAIN ROAD/~OUTE 25 SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 63 Block 4 Lot 2
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 27, 1985 pursuant to which
Building Permit No. 14099-Z dated JULY 3, 1985
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 STORAGE BUILDING AS APPLIED FOR.
The certificate is issued to MARY LOUISE COX
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
I~O~M NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION O1: THE WORK AUTHORIZED)
14099 Z
Date .................................. , 19..~..~.~
Permission is hereby granted to:
..... ~.~ ...... ~ ....... ~.:..~.~ ..........
.~..~..~.~.~ ....... ~l..~....~....~.~d.....~~.~
County Tax Mop No. 1000 Section ..... ..~....~......~. ..... Block ...... ..~....~.' ........ Lot No ....... .~. .............
pursuant to application dated ......... ~.~.....~...~ ................... , 19..~....., and approved .by the
Building Inspector.
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEP ARTMEI~T
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink amd 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 amd
6nusual natural or topographic features.
2. ~ properly completed application and a consent to inspect signed by the applicant.
~f a 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, Sw4xm,ing pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate* of Occupancy on Pre-existinR Buildinl - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .......
New Construction ........... Old Or Pre-existing Building...* .....
Loc tion of Property... 3.O..q¢. ........... ....................
House No. Street Hamlet
Lou se ........
Filed Map Lot ---
Subdivision.... ........................................................ . .. - - -
\93.5 Appli .......
Permit No ............ Date Of Permit ................ cant ......................
Health Dept. Approval...o......... ............ . Underwriters Approval .........................
Planning Board Approval ........................ ~/
Request for: Temporary Certificate ............ Final Certicate..'~. ......
Fee Submitted:
c0 5 57
APPLICANT
Town Hair, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
March 27, 1998
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Mary Cox
P.O. Box 597
Southold, New York
11971
Re: Building Permit # 14099-Z METAL SHED
Premises: 57020 Main Rd., Southold
Suff. Co. Tax Map #1000-63-4-2
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O, Box 1179
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 13, 1998
Fax (516) 765-1823
Telephone (516) 765-1802
Mary Cox
P.O. Box 597
Southold, N.Y.
11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX 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 # 14099-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
F 1ELD ~IN~'~ECTION
COMMENTS
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
THE HAMLET GOOD
green, combined with Arrow-engineered
!eatures and strength, make the Hamlet tops In
affordable outdoor storage, "Ride-in" door slz. e
~nd 6' peak make It easy to store and organize
'awn and garden equipment, pool supplies,
~oys, blcycles,,..almost anything,
FINISH
TwlnTone Parma. Plate XL2®
The pleasing exterior
co~ors are comptimented by
an eggshell interior for better
light reflection, This unique
process results in an exclu-
sive rust-resistant two-tone
fsnish teaturing a bsked on
polyester enamel paint with a
special chromate ingredient.
STRENGTH
Durability and strength are assured by Arrow's
advanced engineering:
· 40% more hot dipped galvanized steel frame parts.
· 100°/o galvanized steel door, wall and rOOf panels.
* Mid-walt bracing.
· For 1985, new 33% larger screws for added strength
and easier assembly,
PROTECT AND CUSTOMIZE YOUR HAMLET WITH
FOUNDATION KITS
~NCHOR KITS
SHELVING SYSTEM
BUY FROM
ARROW·
DOORS
Arrow's double-braced
doors are engineered for
years of trouble-free, main-
tenance-free operation.
Teflon slides and
full lower door guides
assure smooth glide and
positive fit.
For 1985, new "full
bend" outer edge adds
strength, further reducing
any possibility of wind or
~ ,. accidental damage.
FEATURES '~' #~ ~,,. ~c~.
All o! Arrow's Good storage buildings feature: '~' · Full 6' minimum peak height.
· "Ride-in" door openings.
· Exceeds all National A.S.T.M. Standards for
storage buildings.
· Arrow's exclusive 3-ydsr warrant').
· Accept all Arrow Plus ,Accessories.
~ ACCESSORIES
ATTIC KIT-PLUS ;oMPLETE SHELF KI._T
yEAR LIMITED WARRANTY
World's Leading Maker
of Storage Buildings~-
Model Nom. Storage Ami Exterior Dlmellslone Interior Dlmenslonl Door Opting' Ship. No. of Wall
No. , Size ~. R. ~. R. ~h ~p~ Hr. Wl~h Depth Ht. Width ~ Ht. Wt. ~ns. HI.
8egion~l O~?~: H~ghway 50 Easl Breese, ILt. 02230 · 13003 MaHay~ Avenue, ~ntana, CA 92335
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] INS~ON
~I~NAL
[ ] FIREPLACE & CHIMNEY
DATIr //~/~~ I NSPECTOR~~~
/
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved ., 19 ~.~. Permit No.. ~..c[.9 .~. 9 ..~.
Disapproved a/c .....................................
................................ .....
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Tiffs 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 commenced 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 ~ 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.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nameofownerofpremises t&/~q~r~ot-l:> ~/, C~o~ ~
(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 ......................
Location of land on which proposed work will be done..~fi.K'(t4..7/.P.t..o.~....~..~.$f.../~..n. (.~. ~ ?.: ...............
House Number Street Hamlet
County Tax Map No. I000 Section ...... .4,..~ ......... Block ..... ~. ........... Lot...~.. ..............
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
b. Intended use and occupancy .... ~.~.~..r~. ?. .........................................................
r 4.
9.
10.
.11.
12.
13.
14.
N$,[~re o~ork (check wlcich Applicable): New Building ... ~ ..... ',~ddition .......... Alteration ..........
Repalr~,~a~ ~'.~lll~... ? ;Removal .............. Demohtmn . .] ........... Other Work ...............
~ -- .~nl~' i[~} 4- ' (Description)
Estimated Cost .... .O~.°..0:i.~' ......... Fee
~' (to be paid on filing this application)
If dwelling, number of dwellin~ units ............... Number of d~ relling units on each floor ................
If garage number of cars .
If business, commercial or mixed occupancy, specify nature and extent >f each type of use ....................
Dimensions of existihg structures, if any: Front . ~'~' ' . . Rea' ~ 7 ' .
. , , ...................... D~pth .
.Height ~..~. ......... Nupaber of Stories .... ~ .............. ii' . ............ iiiiiii
Dimensions df same structure with alterations or additions: Front ...
Depth ,7.~ ~ ~ I Height o-,~ ,~ ~.
Dimensions of entire new construction: Front .... {.o ......... Rem
Height ~ l~Iutmh~r ~1e q~-~ri~e
Size of lot: Front .../.~..x'~: ?j .... Rear .... (z. 7:.3. ....
Date of Purchase .../.~..~..04 .. .................. Name of Form~
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or propo~
property lines. Give street and block number or description according to dee
interior or'corner lot. ~
:,o ,~ ~ Rear .r~ ?.~.
~umber of Stories... ~?.,?..,r ............
.... /P. ......... Depth ./..~5. .......
Depth /.q 7: ~. / c?$, q
' Owner P~e~ c~ .-- .~., o, ~
~ Zone or use district in which p~emises are situated .....................................................
Does proposgd construction vi61ate any zoning law, ordinance or regula Iion: ................................
.Will 10t be regraded ...... ~.o. ................... Will excess fil be removed from premises: Yes ' No
Name of Owner of premises . .~(~. ¢ ?.cP..~.: .c~..x...~fi.~.. Address . .%.~.: '?..ff../>:. ..... Phone No. 7.6. ?..~..~. ?~...
'Name of Architect ........ ! .................. Address ................
Name of Contractor ........ , .................. Address .................
·.. being duly s
STATE OF NEB/Y.O~.K,
.% .................
~ . . (Name ofindividuarsighing contract)
above named.
Phone No ~
. Phone No ......... .......
~'d, and, indicate all set-back dimensions from
and show street names and indicate whether
vorn, deposes and says that he is the applicant
He is the....~ .......... 1
(Contractor, agent, corporate o
of said owner or owners, and is duly authorized to perform or have perfo:
application; that all statements contained in this application are true to the
work will be performed in the mannler set forth in the application filed ther~
Sworn to before me this
............. j ............ 19...
Notary Public, .~. ......... ! ................. County
Ticer, etc.)
med the said work and to make and file this
best of his knowledge and belief; and that the
?ith.
...................... :./..;.... ....
(Signature oz appficant)