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Home My WebLink About14116-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... .Z.1.6.6· 7..7 ....... Date ....... .ku.n..e..5. .................. 19 .8.6. THIS CERTIFIES that the building ..... .a.q c..e.~.s.o.~ ¥ ................................ Location of Property .. .... ~: .69.5 ................ .C.v. qw..n..b.~.n..d..~.a.n..e ...... Cu~;claogue ,"louse 1¥o. Street Hamlet County Tax Map No. 1000 Section ..... 1.0..2 .... Block ........ .8 ......Lot ...... 1. 2. ......... Subdivision.. ~ .~£.4 ~..a.n.d..E..s .t.a.~ e..s .......... Filed Map No. 6..5 .3.7....Lot No .... ! .5 ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated · . .(u..].7..3. ........... , 198,5., pursuant to which Building Permit No .... ltl. ! ! ,6.Z. ........... dated ...J.q ~. 7..5. .................. 198.6. ., 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 ......... · .&q c..e.~.~.o.~, y..b.q $ .~.d.~.n.g: ........................................................ The certificate is issued to W]~LLZP, H D. CA?0 ..................... ...................... of the aforesaid building· Suffolk County Department of Health Approval ............... ~/.A. ....................... UNDERWRITERS CERTIFICATE NO ....................... .~/.A. ....................... Rev. 1/81 Building Inspector I~OBM[ NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT fi'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEH'tON OF THE WORK AUTHORIZED) NB 14~.16 Z Permission is hereby granted to: ..... ~...~..: ....... ..q.~ .......................... to ...... .q~.....~.. ............ · .~..... '~t premises Io~ated ot ................................... County Tax Map No. 1000 Section ...... ~...0_...~=.. ...... Block ...... .~..~.. ........ Lot No ........0..)..?......' ..... pursuant to application dated ....... ....~...~.....~. ..................... , 19..~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ia ~ 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 featu 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 Underwriters. 4. Commercial buildings, Industrial buildings, Muttiple 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 property showing all property lines, streets, buildings and unusual natural or topographic features, , 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date, of anv housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .......................... ......... Vacant Land ............. New Building ,,, ~x ....... Old or Pre-existing Building ... Location of Property .,~.. ,~'.O..,~....~.~..~./~1..~..~.~../d.~., .~..~..~ ............. .~..d,/..7~'.G,~..~..~:,?..~ ........ House No, Street Hamlet Owner or Owners of Property ............................................ County Tax Map No. 1000 Section .. Z.d),~-, ....... Block 0 ~' Lot O/~.- Subdivisioe ............................... Filed Map No ........... Lot No .............. i¥11 Z Appli Permit No .......... Date of Permit .......... cant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .................... Construction op above described building and permit meets all applicable code? and regulations. ,~pplicant .. FF."~. .............. g.-~. ........................... ReV. I0-10-78 TALLY COPY FOR BRANC~ USE 12' x 8' "INFLATION BUSTER" CA~BREL PACKAGE ITEN DESCR1PI'ION STOCK BO'D Page 1 of 1 SHIPPED 7 30 12 96 56 1 5 2 3 2 50 12 4 1 1 1 2x6x14 (To Cut) 107599 2x4x12 107250 2x4x10 107243 2x4x8 (Green Stud ~rade) 109] 37 4xSx7/16" Wood. Wafer Structual Board (8 for siding - 4 for roof) 353508 L.F. lx8 Barnboa~d or Square Edge Pine (12/8) 401158 L.F. lx4 Gore. Pine (7/8) 105684 16x16 1/1 Double Hung Window 403345 Bdls. Self Sealing ~oof Shgl (Canadian) 396630 5 Lb. Pko. 16D C~lv. Cc~mon Nails 172056 5 Lb. Pkg. RD C~lv. Common Nails 172023 5 Lb. Pkg. 1" C~lv. Roofing Nails 172353 Te~o A-5 TY-Plates Pkgs. (10/Pkg.) l"x6 F.H. Wood Screws Teco 1~" Fra~ing Angle Click-Lock Hasp Pair 6" "T" Hinges Tube Latex Caulking Cc~pound 184 C4qDSSMAN'S EO-IT-YOURSELF OJSTC~ WDOD STORAGE BUILDINC~ PDOGRAM. "INFLATION BUSTER" SERIES" MATERIAL SP~IFICATIONS 1. ) Studs 2. ) Shoe 3. ) Plate 4.) Rafters (Per Plan) 5.) Roof Sheathing 6. ) R~of Shingles 7. ) Window 8.) 9.) 10.) 11.) DOOr Closed In Rafter Overhang Nails ar~ Hardware Exterior Sidings: BASIC: OPTIONAL EXTRA: 12. ) Shutters 13.) Plans ar~ Instructions 1.) 2.) 3.) 4.) 5.) 6.) 2x4 (24" O.C.) 2x4 2x4 (24" O.C.) 7/16"x4 'x8 ' Wood Wafer Structual Board Self-Sealing (Any stock color) (Canadian) 16x16 1/1 Double Hung (Optional Extra For Pkg #1lA & 12A) Custon built by o%eaer with lx8 Pine Face and 7/16" Wood Wafer Structual Bcard Backer Per Plan 2x6 P~ke and Facia. Plancia frown Roof Sheathing Click-lock Hasp for the door, hinges, and nails per plan 7/16" Wood Wafer Structual Board (Single Wall) 3/8" or 5/8" Text. 1-11 (Single Wall) 3/8" Exterior Sanded Plywood (Single Wall) '16" [41/te Cedar Shingles - 5" Exposure (Double Wall) '7/16"x12" th;imed Hardboard Siding - 10~" Exposure (Double Wall) '7/16"x9" Primed Hardboard Siding - 7½" Exoosure (Double Wall) Custc~a built by c~n~r frc~n siding and/or sheathirg~ surplus Included *Double Wall Sub-Sheathinq to be 4'x8'x7/16" Wood Wafer Structual Boar~ Flcor Available as an Optional Extra MATER/3tL LIST FOR CIlSTOMER USE 12' X 8' "INFIATICN BITTER" C~A~REL DESCRIPTION Page 1 of 2 10 50 1 1 7 3 1 9 3 4 4 2 2 ST~F #1 - TRUSS ~ERS 2x4x12 Kneeb~aces (To Oat) 2x4x8 Shoe 2x4x10 Tpass Member ~3 (To Cut) 2x4x8 Truss Me~ber #t&2 (To Oat) A-5 Teco TY-Plates Sq'~LP #2 - FRDNT GABLE - WALL F.PAk~I~G 2x6x14 Door Header (To Cut) 2x4x12 Shoe 2x4x8 Studs Shts. 4'x8' Siding. Ma%erial S'i'~P #3 - REAR GABLE - B~LL FRAMING 2x4x12 Shoe 2x4x8 Studs & Window Framing Shts. 4 'x8 ' Siding ~iaterial Shts. 4'xS'x7/16" Wood ~afer Structual Board Lens. 5"x10' B-luminlra Drip Edge SIDING Shts. 4'x8' Siding Material 184 Page 2 of 2 QUANTITY MATEP/3%L LIST FOP CUSTOMER USE 12' x 8' "INFLATICN BUSTER" GAmbREL PACKAGE 919 12 2 3 1 12 5 4 2 2 1 1 DOOR Pcs lxSx8 Shiplap Pine or Square Edge Pine - Door Face SAVE SIDING CI3T OUT FRDM DOOR OPTING FOR DOOR BACKER Pair 6" "T" Hinges lx4x8 Gc~on Pine - Door Casing Click-Lock Hasp Pkg. l"x6 F.H. Wood Scr~s 5 Lb. Pkg. 16D Galv. Cc~mon Nails 5 Lb. Pkg. 8D Galv. Cc~on Nails 5 Lb. Pkg. 1" Galv. ~Dofing Nails Teco 1%" Framing Angles OUTSIDE FINISH Bdls. Self Sealing Roof Shingles Color: lx4x8 Cc~on Pine - Corner Board 2x4x10 - Rake Facia 2x4x8 - Rake Facia 16x16 1/1 Double Hung Window Tube Latex Caulking O~mpound 184 PACKAGE # 19 12' x 8' "INFLATION BUSTER" GAMB~J~ OPTIONAL SIDE~LT P; OPTIONAL SIDING WITH 16" MITE ~i~DAR SHINGiF~ WiTH 5" EXPOSUt~ ADD %HE FOLLOWING MATEJLTYq~q: Bdls. 16" White Cedar Shingles with 5" Exposure 5 Lb. Pkgs. 3D C~lv. ~bod shingle Nails 21 2 OPTIONAL SIDING ~ITH 9" HARDBOARD W£1'H 7½" EXPOSURE ADD THE FOLLOWllxK~ MATER/3tLS: Pcs. 9"x16' Hardboard. Siding with 7½" Exposure 5 lb. Pkg. 8D Harc]~oard Siding Nails 15 2 OPTIONAL SIDING W±TH 12" HARDBOARD ~KTH 10½" EXtK)SLrRE ADD THE FOLIDWING MAt'EF~LAIS: Pcs. 12"x16' H~ Siding with 10½" Exposure 5 Lb. Pkgs. 8D Hardboard Sidir~ Nails OPTIONAL SIDING WITH 4 'X8 'X3/8" EXTERIOR SANDED PLYWOOD ADD AND DEL~'£'~ TH~ ~OLI_~qING P~ATFa°JAIS: ADDITIONS: shts. 4 ' xS' x3/8" Exterior Sanded Plywood DEJ.~TIONS: Shts. 4'x8'x7/16" Wood Wafer Board 184 PACKAGE #19 12' x 8' "/NFLATIC~ BUS~rE~'' GAN~RFL OPTIONAL SIDEWALLS i'i'~ DESCRIPTIfN OPTIONAL SIDING WITH 3/B" OR 5/8" TEXTURE 1-11 ADD AND DEL~i'E THE, ~IDLIJD~NG MA'iEfqIALS. ADDITIONS: Shts. 4xSx3/8" (Or 5/8) Texture 1-11 DR[.ETICNS: Shts. 4xSx7/16" ~k~d Wafer Structual Board 184 GNDSSMAN'S D(~IT-YOURSELF cugToM ~I)0D STORAGE BUILDINGS FOR PACKAGE #19, 20, & 2] C~AMBREL "INFLATION BUS~fER'' STORAGE BUILDINGS Before starting construction of your n~ Do-It-Yourself Storage Building, dete_umine if approval and/or permit frc~ your local Building Inspector is neces sar!;. TOOLS REQUIRED: Tape Measure Screwdriver Line Level Han~er Caulking Gun Drill Saw Square Chalk Line READ /NSTRUCrIONS THROUGHLY BEFORE STAPTING "ASSI~MBLY INSTRUCTIONS" Before beginning the carpentry work, prepare the area where your building is to stand. Make sure that the area is as level as possible and clear of all obstruction. ST~P #2: ~±'~ #3: .9~'~ #5: Cut all Truss members to length as shcwn on plans (Sht 94 of 6) using the full size ba'.~lates provided (Sbt #6 of 6). Make sure all cuts are made at the proper angle. Cut the 2x4 knee braces (3'-0") reGuJ_red to ass~uble trusses per plan. Working on a flat surface, build the front wall frame as shown (be sure to use the Teco A-5 Ty-Plates at each joint as noted on plans). After wall is built, turn it over and install the knee braces as shown. Build the rear wall section following the basic instructions in Step #2. Lay outthe m~mbers for each truss and ass~uble balance as shown, in Step Install the shoe for left and right sid. es. Stand and nail all the assembled trUsses and put the front and rear wall sections in place, brace frc~ the inside. Sheath the roof working from the top down to the sides. Make sure the sheathing extend, s beyond the front and rear wall a distance _equal to the thickness of the siding. Install the siding at the sides, the front and rear walls. CUt the rake and eave fascias (trim board) to size and nail in place. Sh/ngle the roof according to roof manu- facturer' s instructions. 184 GNDSSF~N'S DO-IT-YOURSELF CUSTC~4 WOOD STORAGE BUILDINGS (O3NT'D) FOR PACKAGE ~19 , 20, ~ 21 C~t~iBREL "INFLATICN BUSTER" STORAGE BUILDINGS *using the rough opening supplied with the window, cut the siding frc~ the window opening. Run a bead of caulking around the complete opening, set %he windc~ in the opening and nail in place. 'Cut out the siding frc~ the door opening, starting frc~ the bottc~ edge of the siding to the top of the door opening. R~move the cutout siding and retain as this is t_he backer for the door. Follow th~ de~ails and instructions on the plans. (See meet #5 of 6) After the door is installed, finish fringing the outside of the building. NOTE: Also available less window in (A) Model. CONGRATULATIONS YOU HAVE JUST ODMPLm~i'~:O ANOTHER DO-IT-YODT~,V PNDJECT FiqOM GRDS~IAN'S! ! ! 184 F1EL~INS~ECTION COMMENTS FOUNDATION {1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENEEGY QODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~ FINAL REMARKS: ~/~ ~/~ Mill 'FORM NO, 1 ~ ~f~- ~/ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 ....~l , , O . . ~....,19.~" Examined.. ,v,,-,~-.,,~ . .. Approved . .~.., 19~..~. Permit No. [ .~.1.1.[°..~::... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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 {t 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 I~aws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition,~hs herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, ana regulations, and to admit authorized inspectors on premises and in building for necessar~ it~spections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, enCneer, general contractor, electrician, plumber or builder. ............................................................ Name of owner of premises ~.~.~././?../~...~.'...~..'~.~/.~. .................................................... (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 ...................... 1. Location of land on which proposed work will be done .................................................. .... ........... .............................. House Number Street Hamlet County Tax Map No. 1000 Section ..../..O..~. ......... Block .... O.~> ........... Lot...~./.~. ............ Subdivision ~'.~.~..~?..~..2>...~.~..'.7~.~. ~7.~.~' ............ Filed Map No ............... Lot . .~ .o~.. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~./~.~.{/~./.~.'...~.~..,~..~. .................. ............................ b. Intended use and odcupancy .. ,S./.-'-O.~/qc~.°· .-5',/:r/~. ............................................. 11. 12. 13. 14. Natureofwork(checkwhich pplicable): New Building ..~c~.'. .... ] Repa~l~ ~" '~l~ ..... Removal.. ............ Demolition .. Estima~e¢Cost ...... O. ! ..... If dwelling, number of dwelling units ............. Number of d, Ifgarag number of ca ' e, rs ................... If business, commercial or mixed occupancy, specify nature and extent Dimensions of existing structures, if any: Front ............... Rea · m.b ' Height ............... Nu er of Stones .................... Dimensions of same structure with alterations or additions: Front Depth ' Height Dimensions of entire new construction: Front . ./.Z..~. ......... Rear Hv~, ..... ~. ........... Number o. ~.ones . / ......... Size of lot: Front ... ~0~.,. ~'.~..~. ...... Rear. ~..~.: ~;~' ' '...... Date of Purchase . .g'z0 7/'.g~. ........... Name of Forme Zone or use district in which Eremises are situated ................. Does proposed construction violate any zoning law, ordinance or regula Will lot be regraded ./.44f.o. .. i .............. ..~ .....Will excess fill Name of Owner of premises .Od/.//./fl/f...'~.-...~..,~./.0... Address g~. q.5'..d~. .Nome of Architect ......... 1 .................. Address ...... Name of Contractor ....... ~ .................. Address ...... Locate clearly and distinctly all buildings, whether existing or propo~ property lines. Give street and bloc~ number or description according to dee interior or corner lot. ~ .ddition .......... Alteration .......... ........... Other Work ............... ~ ~ ~..~_~ (Description) .............. Fee . .., ................................. (to be paid on filing this application) zelling units on each floor ................ ~f each type of use ..................... .............. Depth ............... ............ Rear .................. amber of Stories .......... ? ........... · ./. ~..~. ....... Depth . ~. ............ ....... Depth .~..:Z.°,~'g.. . . 5e removed from premises: Yes Phone No. 7.-$. ff.'7.~.7. 7/... ............ Phone No ............ Phone No ................ PLOT DIAGRAM ~d, and. indicate all set-hack dimensions from d, and show street names and indicate whether STATE OF NEW YORK, i S.S COUNTY OF ................. i ............................ i' .................... being duly (Name of individual signing contract) above named. ~ ~orn, deposes and says that he is the applicant He is the (Contractor, agent, corporate o :'ricer, etc.) of said owner or owners, and is drily authorized to perform or have perle application; that all statements conltained in this application are true to the work will be performed in the man,er set forth in the application filed there Sworn to before me this ....... ~-~. ·/~ .... day~f...~ ......... ,19~~' Notary Public .... f ...~.'.i..~.....&/.~f..'?.'~. Co~ty- i NQIARY PtlBttC, Slate of New York Ne, 470~878, Sulfolk Cuul*tu ..,~- Ierln Exp!re.~lqla~ch 30, ]19~7 ' :med the said work and to make and file this best of his knowledge and belief; and that the vith. (Signature of applicant) Lot 17 16ZIO' Lot 15 AREA-' 40,060 $.F. FIN. FLR. = ~4.5 I 32.5 -..,,._* .... ~z.?2 ...... '52.5 26.20' S.,,=9 °14'10' r/¢ .$1, 40 LAND $.$9Ol4'10 "~. 155.50' ~LANE 1 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES POR APPROVAL OF CONSTRUCTION ONLY IX&T! ...... HS REF. NO ....... HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ADDRESS II. MONUMENT ~= 8TAKE flUE DIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY SURVEY FOR MOHRING ENTERPRISES, INC. LOT 15, "HIGHLAND ES~TATES'' ' AT CuTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE' NOV. 30~ 1982 SCALE: I% 50' NO. 82'732 r ~ Ut,~UTHORlZEO ALTERATION OR ADDITION TO THIS / GUARANTEED TO: .o AOO,.,O.A ,....=,o. o. su.s.uE.. / TOEX STNG STRUCTURE~ ARE FOR A SPECIFIC PURPOSE AND AI:E NOT TO ~E USED TO :STABLISH %UNG PURPOSE AND ARE NOT TO EE USED TO ESTARLISH AVENUE RIVERHEAD, NEW YORK ALDEN W. YOUNG, PROFESSIONAL ENGINEER ,.~, AND LAND SURVEYOR N.%S. UCENSE N0.12845 .OWARDW. YOU~G, ~ANOSURVEYOR NXS. LICENSE N0.4589~ k 'C