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Home My WebLink About14299-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Occupancy farm storage building THIS CERTIFIES that the building ............................................... : Location of Prope tyr ...5.8.33.0.. . ,M~.i.n. . Ro.ad. . . . ' .. .S.o.u. th. old.. .. N.Y. Mouse No. Street Hamlet~ County Tax Map No. ] 000 Section ......... Block ............. Lot ................ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................Septe.mber 5 '.., 19.8..5 pursuant to which Building Permit No .................... 14299Z . . er 23,. 8.5. dated .~.e.p.~.e..m.b ................... 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 i~ ......... farm storage building .... Lillian Krukowski The certificate is issued to .......................................................... . (owner,~a~lz llf:~a~il~ of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ........................................... .. .... . Building Inspector 1/81 ~0]1~[ NO. ~ TOWN OF SOU')HOLD BUILDING DEPARTMEN~ TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREM CON~PLETION OF THE WORK AUTHORIZED) N9 14299 Z Permission is hereby granted to:/] , , , . / , ........................ ..1. ........ ~t premises located at' ............................................................................................................................ County Tax Mop No. 1000 Section ..... ,O.,,,~.,,,~, ...... Block ..... ,,(~,,.~ ....... Lot No ...... .'~ ............... pursuant ,o application dated .....~.-~'/~,,,..~,'~.. ......... , 19.~.-~Tond 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 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted lammmamam to the Building Inspec- tor with the foliowing; 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 property 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. 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 .~/~?/~ ................ New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... ; ....................... /~,~'/~ .~.. ............................ House No. Street Ham/et ............................. Owner or Owners of Property . . County Tax Map No. 1000 Section .... O..~.~. ....... Block .... .O'...~. ...... Lot ..... .~. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..J..~. ~ .~.~ .~. Date of Permit ............ Applicant .................................. Health Dept, Approval ........................ Labor Dept Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $,..~ ,~. 0 ..................... Construction on above described building and permit meets all applicable codes and regulations. Applicant . ,~/.~.'/~~.,. .......................... Rev, 10-10-78 ?IEL~ INS~?ECTION COMMENTS IUNDATION (2nd) OUGH FRAME & ?LUMBING iNSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y, 11971 TEL.: 765-1803 ,pproved .~..-~....~...~.~.., 19 .~(. Permit No. ~.q?. .%.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date .................. , 19... INSTRUCTIONS a. This application must be completety filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- rich. 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 all 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 hall 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 luilding 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. 7he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspections. , ....... .7;..= ....... ,,. ~ ?..K. ~ .~..k'.~ ............ (Signature of applicant, or name, if a corporation) .,, (Mailing address of applicant) :ate whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. qame of owner of premises . ., .................................................................. (as on the tax roll or latest deed) 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 .................................................. ........... .~7.~...x..~..~ ...... £~ .x.<~.~.,..r.~.. ,¢.~ .............. .~.~..&.. ................ House Number Street Hamlet County Tax Map No. 1000 Section ..... .~. ~.~. ....... Block ...... .~...:~z.. ...... 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 .... .~:x.o,9~':L~ ...................................................... b. Intended use and occupancy .... ~'Y. . ~.X ~ .............. ~,.-:t ~ ,9 ~.:~;., ..... ~ ............. i ~' Addition 3. Nature of work (cheek which ~pplicable): New Building ............. Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ i (Description) 4. Estimated Cost ...[..O...O.~..o. ......................... Fee ...................................... ~' (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ~TT. .... Number of dwelling units on each floor...-~.~ ........... If garage, number of cars ... ! ........... :wx..-7 ...................................................... 6. If business, commercial or mi8ed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ . Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................. .... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ... ~.q .,.eh. ...... Rear ............... Depth . .~..]:o1. ......... Height .* .............. Number of Stories ........................................................ 9. Size of lot: Front ......... ; ............ Rear ...................... Depth ...................... 10. Date. of Purchase ......... ~ ................... Name of Former Owner ............................. 11. Zone or use district in which premises are situated .... ~.~q'.~t~. ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...r0. O ....................... 'mc' 13. Will lot be regraded .... b) .O. .................... Will excess fill be removed from premises: Yes ~ 14. Name of Owner of premises . I .................. Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ....... ~ .................. Address ................... Phone No ....... PLOT DIAGRAM Locate clearly and distinctly hll buildings, whether existing or proposed, end. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior o, corner lot. STATE OF NEW YORK, COUNTY OF ................. i S.S .................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sigping contract) 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 said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannler set forth in the application filed therewith. Sworn to before me this (./ ? (Signature of applicant) Term Expires [ MORTON BUILDINGS GENERAL SPECIFICATIONS I_AZ41NATEO COLUMNS - NO. 1 or better southern yellow pine nail laminated 3 member S4S columns used in Morton Buildings are pressure treated below grade to a retention of .8 pounds per cubic foot with Chromated Copper A~senate Type III, Oxide type, as listed in Federal Specification TT-W-571J. ne treated portion of the column embedded in ground shall be laminated with stainless steel nails. FOOTINGS AND ANCHORAGE - Column holes are dug 4 feet minimum depth below grade and readi-mix co_ncrete pads or dry concrete mix pads are poured in place {note plans for size and type). A i/2" galvanized steel rod is placed 2~" from bottom of column. Additional concrete mix is ' poured around base of column then backfilled with dry dirt and compacted in 8" intervals. SPLASHBOARDS - Splashboards are No. 2 or better southern yellow pine 2"x8" S2S and center matched, pressure treated to a net retention of .4 pounds per cubic foot with Chromated Copper Arsenate Type III, Oxide type, in accordance with American Wood Preservers' Association Specification C2. One row is furnished for building on a level grade. FRAMING LUMBER - Side nailers are 2"x4" S4S SPF standard or better spaced approximately 30" o.c., with all joints staggered at attachment to columns. Roof purlins are 2'!x4" 54S No. 2 SPF or better on edge spaced approximately 24" D.C. All other framing lumber is standard grade or bette ROOF TRUSSES - Factory assembled with 18 or 20 gauge galvanized steel truss plates as required and graded kiln dried lumber as specified. Trusses are designed in accordance with current standards and specifications for the stated loading. BP. ACING - 0.035"x1~" high tensile steel diagonal, X-bracing in ail corners. Lateral truss ties and end bracing as needed. ROOFING AND SIDING PANELS - O.Ol9" min., G90 zinc galvanized steel with an additional baked-on silicone finish. Color (s 1 mil thick on exterior. TRIM - Die-foFmed trim of 0.019" min. steel with silicone finish on corners, gables, ridges, and doors. GUTTERS - 5" box type gutters, colors to match trim, on both sides of the building. HEATING, PLUMBING, VENTILATION, AND ELECTRICAL WORK .. By others, not part of these plans. BUILDING AREA BUILDING HEIGHT BUILDING VOLUME STATE COt,i,}~-- RESPONSIBLE FOR ~OTE: MORTON BUILDINGS GENERAL SPECIFICATIONS apply unless indicated differently on specific job drawings or supplemantal infomation. 382 2/85 DRAWN BY: CHECKED BY: REVISED BY: DATE: DATE: DATE: MORTON,u,m,ans. ,ac. OFFICE JOB NO. SCALE:' SHEET of 12- u [] ® ® BUILDINGS, INC. I --- - i OFFICE HI RIB STEEL ROWS BtiX~'Il NAILERS B"xB" LAMINATED COLUMN }0 '-0" SIDEWALL SECTION ~) MPH WIND LOAD ROW(S) 2"x8" SPLASHBOARD --SR q No.I ~.h~p SL,C~NC~ Dc;oR PIF-ADER DE"~,IL. DRAWN BY: L~';~-~,Ty DATE: ~--C, -~¢ I~ ........ I . ,- .... I OFFICE -~4.1LLI~'.Sl~:~L)P~C~, k~J,~ SCALE: c. Ec,Eo.,:Iu~ IDATE: 15-z-,,sl,,'IP'A~~I~I~I'~NBUILDINGS'INC. I JO&D-PPi r.,.,P-~UF-.-OV,./SKI = OFF~CE-P~4u.4_~s~:=.~Z,, k..JJ SCALE:____...~~ ,Ev.,Eo.,, I I OATE, I I~'ae' ""'" I ~OO=~O~, NY I~"°' ~-"~' I %.u. I TRUSS SPACING 7I- 6"0-C- LIVE LOAD (6 PSF DEAD LOAD ~ PSF CEILING LOAD - PSF TOTAL LOAD 2 0 PSF Truss has been desigeed by computer us!ng the Purdue Plane Structures Analyzer lAW the Truss Plate Insti- tute's specif!cat!ons. Out- )ut data wi]! be provided 'Don request· ,~50f MSR lumber used in lower chord and 1600f or better !umber used in top chord and web members. AIlowab!e stresses are !n- creased for short tem !oad!ng. 20 Ga. ga!van!zed gusset plates are used ex- cept where noted. HA!8 10/4 5xlOP~ NAL8 14/4 · IOO JOINT .a~'2 JO(NT LC. ,a' ,20~ I O-- I/2 N~_$ I 0/4 JOINT .,~'9 JOINT .,'~' 8 JOINT JOINT