The URL can be used to link to this page

Home My WebLink About13950-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zf13577 Date July fi 1985 THIS CERTIFIES that the building Accy. storage bldg. Locati,~- ~¢ P~.,-,,,~-t-., 5655 Cox Lane Cutchogue County Tax Map No. 1000 Section 8~- .Block ~' ..... Lot 2 Subdivision.. x .Filed Map No. x .................................... Lot No ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Hay ~ 0 198.5.. pursuant to which Building Permit No ..... ~13950Z dated ...... H. ~..y..2.0. ............... 19.8.5., 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 ......... Accessor~ storage building. The certificate is issued to DR. PEARL L. HERBERT of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO. N/A Building Inspector Rev. 1/81 l~u~r NO. Il TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJv~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 13950 Z Permission is hereby granted to: .,.....~,~,....../~...~.a.£....~/~.~.~... ....... ./.~Z.....~.....~.....~ ............................... ..... ~.~.z~.,.~.,..~..~..z/...F...~.- ,o .......... .~.~...~..~.~.....~.~.~....~~....~ .... ~ ~ ~ .... O' premises I~ated at ....~ ........ ~. .......~ ....... r,~ ~ .............................. ~ ................. cou.~ T~x ~ .o. ~o00 Se~,o~ ~ .......... ~,~ ...~ ......... ~ .o...~ ....... pu~uant to application dated ..... ~.~....Zd ..................... , ,9~and approv~ by the Building Inspector. Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICA'rlON FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted illl~ 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 $ :[5.00 3. Copy of certificate of occupancy $1.00 Date ................ / New Building .. ,~... ...... Old or Pre-existing Building .. '~1 ....... Vacant Land Location of Property../.~.7.... :.~..~...~.1~..~, ....... ~..~.!Z.~..~.~. f. L~.".~.'. House No.~..~. --~...~..,/~.' .,.~.,.~,7~.. '! Street Owner or Owners of Property .. .° ................................................. County Tax Map No. 1000 Saction ............... Block ............. Lot ............. Subdivision .......................... ,. ...... Filed Map No .... w ...... Lot No..,, ............. Permit No./.~.~..~..(~... Date of Permit .~/~. ~..~.Applicant .~/~~. ~.~ ........ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporarv Certificate ..................... Final Certificate ....................... Fee Submitted $ .... .~: .,.~..0. .... '..~.. ~..~. / .... Construction on abov~e described building and pern~it r~eets all appl[cabl, e~c~odes and regulations. 00, q*Z../8 '77 .//. z /..-w / .-- /) ': ~, .-~,,,~ '/ Applicant .... ~--~../~ ~.~ .................... Rev, 10-10-78 FIELD INSPE6~ION 1. ~OUNDATION (]st) COMMENTS g~r .~ __ FOUNDATION ( 2nd ) OUGH FRAME & PLUMBING INSULATION FER N, Y. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ;xamined.. ,/~. ZO ,19.~..~"' [pproved .......... )isapproved a/c ......................... ~2 ........ ./ ........... ....... :'" APPLICATION FOR BUILDING PERMIT 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 schedule. 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 descriptio~ 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 hail have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Btdlding 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, o}' i$~"iemoval 'or demolition, as herein described. ?he 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. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ~.ate whether applicant is ~ner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................................................. lame of owner of premises . .~.~.: .~.q,../?q~..L~....' ..... .'*~¢...~.~..~. [ .......................................... (as on the tax roi1 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 ...................... House Nmnber Street Hamlet County Tax Map No. 1000 Section ..... .~.~. ......... 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 ....~..--~'.O~-~. ~.. i. ~/.-~. 3.'~. ...................................... 3. Nature of work (check which applicable): New Building ...... Addition ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost.. :'7 ............. Fee . i '" (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 car~ .... i .................................................................... 6. If bus~ness, commercial or rmxed occupancy, specify nature and extent of each type of use ..................... 7. Dimegsions of existing structures, if any: Front ............... Rear .............. Depth ............... Heiglit ............... Number of Stories ........................................................ D~ensions of same structure With alterations or additions: Front ................. Rear .................. Depth .............. ; ....... Height ...................... Number of Sto~es ...................... Dimensions off, tire new construction: Front . .~Q..~c~.. Rear ............... Depth . ~ .~ ~. Height ... ~. ~ .~ Number of Stones ........................................................ 9. Size of lot: Front ........... ~ ............ Rear ...................... De~th ........................ 10. Date of Purchase . .A~.[X...,... ~. ~ ........... Name ofFomer Own~ . ~[~..CO~D. ........... 11. Zone or use district in~hich p~emises are situated. ~.~$ C~k~ (~. I. ~W~.th~(~ ................. 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ..~0 ........................ 13. Will lot be regraded ...... ~.~.. ~ ............. ~11 excess fill be removed from premises: Yes 14. Nme of Owner of prem~se~.~.. ~ ...... ~¢.~ ~:~. ~ So.V gq. Nme of Architect ......... ? ............... .. Address~ .... ~ ..... p..[..:~.. Phone No ................ Nme of Contractor] ~, l~ .j [~X .......... AddressK~0~(~ ~ l~[~Phone No. PLOT DIAGRAM Locate clemly ~d distinctly fll buddings, whether existing or proposed, an& indicate fll set-back dimensions from prope~y ~nes. Give street m~d block number or description according to deed, and show street nines and indicate whether interior or comer lot. STATE OF NEW YORK, COUNTY ,OF .................. ~"~, , ............................ ~ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ..................... i .................................................................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dhly authorized to perform or have performed the said work and to make and file this application; that ail statements coqtained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manfier set forth in the application filed therewith. Sworn to befgre me this Notary Public, . .... j: . . . . .. County NOTARY PUBLIC, §tate of New York, ' ..... ~ "~'" ...... / .............. : ......... ': .... . (S~gnature of apphcant) N0, 4107878, ~ulfolk Count~:?, le~m £xp~res March 30, 19.~ The Dutch Barn Assembly Instructions Copyright 1976 by N. J. Martin 11 iATTACH RIGHT WInG TO RIGHT LOWER ROOF PAN~ G ;ATTACH LEFT WIN~ Q T0 LEFT LOWER ROOF ~ Q 12 14 ATTACH DOORS ATTACH TRIM LOWER LEFT HANDI CORNER OF RIGHT WING AND CONPLE~E EACH COURSE UNTIL YOU REACH~ THE CENTER OF THE TOP OF THE ROOF. THEN START AT LOWER LEFT HAND CORNER OF LEFT WING AND REPEAT. WHEN SHINGLES ARE COMPLETE, THEN I:~CE A CAP STR~P OVER THE RIDGE OF THE ROOF. ~