HomeMy WebLinkAbout13912-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18037
Date MAY 18~ 1989
THIS CERTIFIES that the buildin~
Location of Property 46970 MAIN ROAD
House No.
County Tax Map No. 1000 Section 70
Subdivision
ACCESSORY
SOUTHOLD ~ NEW YORK
Street
Block 7 Lot
Filed Map No. Lot No.
Hamlet
10
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25~ 1985 pursuant to which
Building Permit No. 13912-Z dated MAY 6~ 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 BARN & STORAGE BUILDING AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
JOHN & GAYLE BIRKMIER
N 064396 - APRIL 3, 1989
Building Inspector
Rev. 1/81
l~OU~r NO. ~
TOWN OF $OUTHOLD
BI. tlLDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PEIU~IT
(THIS PEI:~AIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 139i2 Z
Permission is hereby gronted to:
....... .~.~/.~ .../.~..~. ~. ~/..~ .................
...... · .......................
....... ~.~..~,. .~. ....... ~....~...,...,I(~.Y/.
,o...~.~.Z'.,~.cz.. ...... ~m.~....,~-~,..~.o~,,,~ ...... ..~.~,~../.~..~,] ............
..~....~...(~. ....... B~ock 0 ..~../.~. ...........
County Tax Map No. 1000 Section _ · ....... '7'" ......... Lot No.
pursuant to application doted ../J~.~/..~ ....... ~..,~.... ............. , 192..,~and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
TO~N OF SOUT~OLD
BUILDINC DEPARTMKNT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
BLDG. OEPT.
TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUFANCY
Location of Property...~.~.f.~.~..2
HOUSE NO. STREET HAMLET
JOHN GAYLE BIRKMIER
3wner or Owners of Property ........... ~ .....................................
:ounty Tax Map No. lO00 Section °70 Block '~ Lot'
~ubdlvzsxon ....................... Filed Map ........ Lot ..........
?ermit No. .. ate of Permit .......... Applicant ..................
ealth Dept. Approval .................. Underwriters Approval ..............
lanning Board Approval ................
equest for Temporary Certificate .~. .... Final Certificate ...............
~- 10/14/88
FORM NO~ ~
TO~' OF SOUTHOLD
B~ILDING DEPAKTHENT
TOWN HAL~
7~5 - 1802
~PL~CAT~ON FO~ ~ERTIFICAT~ OF OCC~
'~s application ~ust b~ ~led ~n ~ype~iter OK ink and submitted to the ~uildlng
Inspector with the following; for new buildings or new
i. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual~natural or t~pographic features.
~. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 rom).
3. Approval of electrlc~l installation from Board of Fire ~nde~iters.
4. Sworn statement from~pl~ber certifying that solder used in symtem eontainm less
than 2/10 of I% lead~
5. Co~rclal buildings,~ industrial buildings, ~ltiple resldencea and similar.'
bhildings and instaliati~n~, a certificate of code compliance from the Architect
or Engineer responsible for the building.
~. Submit Planning Boar~ Approval of completed sit~ plan requirements.
B. For existing buildings (~Prior to April 9, 1957~ non-confoming usea, or buildings
and "pre-existing" land ~uses:
[. Accurate su~ey of p~operty showing all property lines, streets, buildings and
unusual natural or t~pographic features.
~. A properly completed ~appllcatiom, a consent to lnspect slgned by the applicant
agd a certified abstract of title issued by a title company ~ieh shall
show single and sepa6ate o~ersbip of the entire lot prior to ADril 9, ~957.
. If a Certiflcata of Q'ccupancy is denied, the Building Inspector shall atate the
reasons therefor in ~mtmng to the applicant.
3. Date of any housing c~ode or safety inspection of b~ildings or premises, or other
pertinent ~nfo~tion~ required to prepare a certificate.
C. For Vacant Laud Certific~ate of Occupancy:
I. ~ application for va~cant land Certificate of Occupancy shall be ~ubmitted,
and a certified abstract of title issued by a title company showing single and
s~paraca o~ershlp of~ the ~ntlre lot prior to AprlI ~,-[957 shall also accompany
the application. If ~ Certificate of Occupancy is denied, the Building Inspector
shall stat~ the reasons therefor in ~iting to the applicant.
~. CERTIFICATE OF OCC~ - New ~elling $25.00, A~dltlons to ~elllng $25.00,
Alteration to ~e~ling $25.00, Swiping Pool, $25.00. Accessory building $25.00
Addition to AccesSory buildings, $25.00 - B~sine~ses $50.00.
~. C~rtlficate of OcCupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy ~ $5.00 - Over 5 years - $I0.00
4. Vacant Land Certificate af Occupancy - $20.00
~. ~pdated Certificate of Occupancy - $50.00
6. Temporary CertifiCate of Occupancy - $25.00 Residential
$50.0~ Co~erclal
rev. 10/]4,/88
APPLICATION ON BACK
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted m~ 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, propertv 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 features.
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.
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
5. Updated C.O. $15.00
$15.00
Date
NewConstruction ...... Old or Pre-existing Building ............ Vacant Land .............
Locat ion of P rope rty..Y~.~...~.?....~. ~¢'/~?..~.../~.q; ...... .,~...~,..C/.. ?.-~.,.-/...o .z_...~.. ~.. ,..,~.....~.,. ........
House No. Street Ham/et
Owner or Owners of Property .... .~. ......... //.~./.~.. ./~ J [~-~.,~. .-. ..........
County Tax Map No. 1000 Section ....~--~. '?.o. ....... Block ,., ,O, ~ ........ Lot. ~ ./..~ ..........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No.~.~?.~/.~.~. Date of Permi .Applicant. ~D... J~d.~.}~ ..........
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate ~''~
Fee Submitted $..../~.~..o.~, ...................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant..~-/~J~...,,~,~¢,.~.~ ..................
Rev. 10~10-7a
FIXTURES OVENS
EXHAUST
DRYERS FURNACE MOTORS
TIME CLOCKS
SYSTEMS
NO. OF
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
S E R
NO OF HI-LEG
PETER BOGOVIC ELEcTRiCIAN
NO~TH BAY VIEW ROAD
SOUTHOLD~ NY~ ~t97~
LIC.~1~7 E
[his certificate must not be altered in any manner; return to the office of the Board if
GENERAL M~AGER
~ncorrect. Inspectors may be identified by their credentials.
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 23, 1989
John & Gayle Birkmier
46970 Main Road
Southold, New York 11971
Re: Building Permit 913912-Z
Tax Map 8070-07-010
Dear Mr. & Mrs. Birkmier:
During a review of our files, it was noted that the above
Building Permit has expired and a Certificate of Occupancy has
not been issued.
According to the Code of the Town of Southold Article XIV,
100-141 and 100-144 a Building Permit is needed for construction
of an accessory barn, and it is unlawful to occupy or use said
barn until a Certificate of Occupancy has been issued.
In order to avoid any legal action you must correct the
above violations immediately. Please contact this office so
that this matter can be cleared up. This is your fourth
notification.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Vincent R. Wieczore~
Ordinance Inspector
VRW:gar
VIA CERTIFIED MAIL
TOWN OF SOUTIIOLD
OFFICE Ol: [1U]LDING H~SPECTOR
P.O. Ilex ?28
TOWN IIALL
SOUI'IIOLD, N.Y. 11971
· June 22, 1988
TEL. 765-1807.
John & Gayle Birkmier
46970 Main Road
Southold, NY 11971
TO Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because,of the follQ~in9 reasons.
/_--/ An application for Certificate of Occupancy
is not on fil~,,
/~v~ :~o Underwriters Certifioate on file.
/_~ The check is(outdate~_~/not on file.)
/_-/ ilo Iloalth Dept, Approval on file.
/.~/ No final inspection has been made.
Please contact our office on
Thank you for your
Building Permit tl
Duildin[I Dept.
cooperation.
this matter.
'~*"/-/_ No Plumber solder Certificate' ' on file.
( all permits involving plumb%ng being
x~:Aed after April 1,1984 )
Occupancy or use is unlawful without a Certificate of Ocnupancy.
Clear up this matter as soon as possible so that legal action does not have
to be taken. Thank you for your prompt attention.
OTE: Building Permit expired May 1987. This is your third notification.
'IELD ]~NSFE~TtON ~ COMMENTS
'OUNDAT]ON (18t)
IATION (2nd)
ROUGH
FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
C,ODE
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ]~FINAL
REMARKS: .~.,~*~/~// a/,~/
DATE ~/~ l// iNSPECTOR ~C~/!/~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION IST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1803
,/
Disapproved a/c ~ ~x
Building Inspector)
APPLICATION FOR BUILDING PERMIT
APR 2 6 1955
Received ........... ,19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~ts of plans, accurate plot plan to scale· Fee according to scl~edule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
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
hall 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
~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
?he applicant agrees to comply with all applicable laws, ordinances, bulidi, r~g code, housing code, and regulations, and to
mi tauthorizedinspectorsonpremisesandin building for necessaryin~.~ z///~~
(S~g'n~d~;~ applicant, or name, if a corporation)
. z q . //z. . . o. ./,. .
(Mailing address of applicant)
Iate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
............ ....................
Nme of owner of premises .... ~ ./7(.~.....~..,... ~./..~'~. g~./.~"../~. / .~: .~..~..~ ......................
(as on the tax roll or latest deed)
[f applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) ......
Builder's License No...,.-~i'~/. ~-..~. .............
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 O QO Block (~ C] Lot C~) I O
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. ....... .~: .~. ..................................
b. Intended use and occupancy ...... ~.~.".~.~...-' ..... _5~. &o~.~..~[- .......... ,~¥~l.~,m~O°a,~l~Out.'u~:~:~l'~.~'t ~t~u ....
3. Nature of work (check which applicable) New Building ......... Addition .......... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
--" ~ ~ ~o(Descripti°n)
4. Estimated Cost ......................... t~. ~)r ~)~... Fee . . ~ ~ .
.... , ...................
ira be paid on fihng this application)
5. If dwelling, number of dwelling units ............ Number of dwelling units on each floor.. -'~
If garage number of cars
6. If business, commercial or mi~ed occupancy, specify nature and extent of each type of use .... ~ ..............
7. Dimensions qf existing structures, if any: Front .... ~.~-.t ....... Rear ... :~f~..~. ..... Depth... ~ ~ .r .....
Height ..../~, ~. NUmber of Stories ~. ~ ..... ~ .... '
Dimensions of same structure with alterations or addl/mns: Front ... ~d~. ........... Rear ~. ~.~" ...........
Depth ..... ~;k~. ( ........ i... HeiSt .... /.~2 ~ ............. Number of Stories ... ~ ..............
8. Dimensions of entire new con~tmction: Front ...~ ........ Rear ... ~ ....... Depth .~
Height ~.../.6 .t ........ .N~mber of Stodes ... ~'. .................................................
9. Size oflot: Front ...~ ........... Rear .. [~.7, ~.~ ........... .~ept) , ..... ~.~ ........
10. Date of Purchase ... ~/~/.7 M ............. Name of Fomer Owner d.*~... ~P~ ...........
11. Zone or use district in which premises are situated .....................................................
12. ocs proposed construction violate any zoning law, ordinance or regulation' ~4 ......
13. ' Will lot be regraded ... ~[ .................... Will excess fill be removed from premises: Yes ~ No
14. Nme of Owner of premises ~Og. ~.. ~t~K~. l~ddress ~/M~.h..~0/ ...... Phone mo.7~x ~7~ ....
Nme of Architect ........ ~ .................. Address ................... Phone No ................
Nme of Contractor .......................... Address ................... Phone No ................
' PLOT DIAG~M .
Locate clearly ~d dist~ctly $1 build~gs, whether existing or proposed, ~d~ indicate M1 set-back d~ensions from
prope~y Hnes. Give street and bloc r number or desc~ption accord~g to deed, ~d show street nines and indicate whether
inter, or or corner lot.
STA'rE OF NEW, YORK,
.... '~ :2 ~)..~.~ ~ ~ ~. ~ .......... ~d. ~.. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above nam'ed.
He is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is drily authorized to perfom or have perfomed the said work and to m~e and file this
application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the
work will be perfo~ed in the m~er set forth in the application filed therewith.
Swam to before me this i
...... ~ ............. day df... ~' 19 ~' "
Notaw Public, ..
~ ~ ~ ~ ~ ~ (Signature of applicant)
I ~APP,~'~'~D AS NOTED ..~
765-1802 9 AM TO 4 PM FOR TH[
FOLLOWING INSPECTIONS:
~. FOUNPATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CON'STRUCTION MUST
BE C~-~,/.PI ~TF FOR C. O.
ALL CONSTRUCTION SHALL MEET
THE REQUIP, EMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
D~IGN OR CONSTRUCTION ERRORS.
HAMMON
24' x
36'
L
PURPOSE
AS NOTED
802 9 AM TO 4 PM FOR THE,
lNG INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2.- ROUGH - FRAMING & ~
3. INSULATION
4. FINAL - CoNSTRUCTiON MU-~
BE COMPLETE FOR C. O.
ALL CC~NSTRUCTION
STATE
CODES.
DSSlGN
BARN
MATERIAL LIST
6 sks.
15 yds.
14 yds.
85
38
154
18
38
38
20
4
2 :
154
70
15
15 sq,
Mortar
Gravel 4" Floor Fill · -
Concrete Floor and Footing
8" x 16" Concrete Blocks -- 6 Corner Blocks -- minus any added
openings
2" x 4" x 12' Top - Bottom - Loft Plates and Loft Wall Studs
2" x 4" x 8' Walt Studs - Rafter Ties - Fire Wall
2" x 4" x 10' Gambrel Studs
2" x 6" x 8' Upper Rafter Section
2" X 6" X ' '
12 Lower Rafter Section -- Eave Support Sectign.~
2" x 8" x 12~ Ceiling Joist, Center Beam, Joist Splices
1" x 6" x 10' Ridge Board -- Fascia ·
1" x 3"x 10' Corner Trim -- Braces
1" x 4" x 10' Corner Trim
1" x 6" x 18' Tongue & Groove Car Siding
4' x 8' x I/2" C.D. Grade Plywood Sheafing -- 27 Sheets --' For
Loft FIoor
:100' Rolls Felt Roofing
Asphalt Shingles
'-~ 30" x 30' Cupolas -- (Optional)
1/2" x 8" Bolts Bo~om Plate
20 D Common Nails
16 D Common Nails
8 Common Nails '~
No. 6 Coated Box Nails '~
718 Gal. Roofing Nails . ~
Red Paint -- Optional
White Paint -- Optional
Disappearing Stairways -- Optional
--~2
30
.25 lbs.
50 lbs.
20 lbs.
25 lbs.
35 lbs.
~- 6 gal.
- 2 gal.
1
3" x 8' Iron Post or 4" x 4" x 8' Wood Post -- Beam Suppor~ --"
36" x 80" PreHung Ext. French Door -- Optional '---
OPTIONAL MATERIAL
24" x 24" 4 Lite Barn Sash or Versatile Cabin Window, o~en called
-- Slip Fit Windows -- This win~ow is a PreHung, Designed to fit
between 24" Studs.
36" x 36" 6 Lite Barn Sash -- Front Side
False Beam & Ornamental made from scrap material
'Windows~sho~wn on Barn is optional, the versatile Cabin or Garage
type window often called Slip Fit can be used, they are easily
installed between 24" Studs, frame included, check your lumber
dealer.
HAMMOND BARNS
:. Box 584
New CaStle, Indiana 47362 --'"
.®
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