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HomeMy WebLinkAbout14000-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy Z15525 December 19, 86 No .................. Date ................................. 19... THIS CERTIFIES that the building A c c e s s o r y s h e d . 160 Cettage Place Southold, New York Location of Property ~ ~o~ ........................................................ Street Ham/er County Tax Map No. lO00 Section ...6.2. ...... Block . .........3 . ..Lot.. 13 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore flied in this office dated ,I.u. ~.e..6.: .............. 19..8.~nrsuant to which Building Pc=it No... [4. 99.0.Z. ............ .lune 6 , 85 dated 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 is ......... Accessory Shed PERCY DANIEL TUTHILL & PAMELA A. TUTHILL The certificate is issued to ..................... io'~n'e;','/~~'gX .................. of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 ~OR~ NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 14000 Z Permission is hereby granted to: ........ ................ ~-~~.....~.:H..,...L/..~..~..~. ...... ; ...... ~o ....~....~.........m,~........~~...:..~.~--" ....... ~ ............ at premises located at ...~..~3..0. ........ ~2..t~.~ .............................................................. County Tax Map No. 1000 Section .... ..C~...L~.,...~-...... Block ...... ..~....~. ...... Lot No .....]....~. ............. to appUcatJon dated ........ .~...~..~ ................... , 19..~.,~.~,- and approved by the pursuant Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $0uthold, N.Y. 11~71 ~ 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in Wpewriter 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, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposel-(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 pz*operty showing all property lines, streets, buildings and unusum 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. 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 5. Updated C.O. $15.00 $15.00 NewConstruction ...... Old or Pre-e~g Building,,., ............ Vacant Land ............. Location of Property . J.~.~ ....... ~0 .... ~-~..~./ ............... ¢-~0.~,,~... , Housa No, Street H. ~rnlet Owner or Ow.ers of Property... h;./. L ............ County Tax Map No. 1000 Section ..... ~.~, ...... Block ~'~ Lot.. J,~, Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. / .~.O,L~.~..Z-.Date of Permit ~/~/~..~'..Applicant. ~ ~ .t,~. ~c~...~~.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... /~ .............. Fee Submitted $ ...... ~I, .~ ................. Construction on above described building and permit meets all applicable codes and regulations. Applicant Rev. 10-10-78 FEE:J~. ~ BY: _ ~.. ~,~ ~ NOTIFY BUILDING DEPARTMENT AT 765d802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION ~ TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATfON 4. FINAL. C~N'STRUCTION MUST BE C%~Pt~T~ FOR C O, ALL CON"~RUC'HON SHALL MEET THE REOlW)ZMENTS OF THE N. Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FO~ DESIGN OR CONSTRUCTION ERRORS, )007 0wner's ManualArrow Storage Building Model NW1014-5H the Newburgh I ANCHORED ARROW BUILDING DIMENSIONS (APPROXIMATE) (TYPICAL ILLUSTRATIONI EXTERIOR DIMENSIONS INTERIOR DIMENSIONS SIZE SQ, FT, CU. FT, WleTH DEPTH HEIGHT WIDTH DEPTH HEIGHT WleTH HEIGHT 10' x 14' 127 708 Wodd's Lec~dir~J Maker ,, otStor~geBuildings® 120" 162~¼'' 72%" 115%" 158Y2" 71Y~'* 56" 61 before you start: · Read the Ow~er's Manual and study the Illustrations. Note the Iocatmn of the pa~s and how they are position~ and fastenS, · Ch~k that you have all parts, The Parts List and Check is located on the following page, plus a Pictorial Drawing. i~ant: Each p~rt (except hardware) is ~denttfted w~th a factory part number. The Assembly Key Number is used as a reference m the p~ctorlal Drawing located next to the "Parts L~st", To inventory the parts more easily, use only the first 4 or 5 dip~ts of the factory part number and ~gnore the d~g~ts after the hyphen (The dig~ts after the hyphen relate to color or materml and are not nesed except when ordering replacement parts). Remove the parts from the carton and lay them out in s~milar groups w~tb the part ~umbers facing up, Check the first dig~ts of the Factory Part Numbers in the "Parts List" w~th the ones on the pa~s and check the quanhty of each part m the appropriate column, The fasteners in the hardware kit have been machine counted and extras &re included. Wash off 9art numbers w~th a damp cloth upon completion of the building. · Before beginning construction, prepare a site for your building. Choose an area that ~s hrm and level, yet allows water to flow away from the building ~See PAGE 4 ~or important toundation pr~aratio~ intonation). · To assemble the building, use a 6" phillips head screwdriver with a NO. 2 tip (a magnetic type is especially helpful). A pair of )liers, work gloves and a step ladd~ wHI also be required. A ~rill can be used for aechori~9 the buHdm9 to the foundation, in some cases an awl (for aligning holes) may be necessary. Caulking may be used for water tight seals throughout building. · PARTS MAY CONTAIN SHARP EDGES. CARE MUST BE TAKEN WHEN HANDLING THE VARIOUS PIECES ~O AVOID A MISHAP. FOR SAFETY SAKE, PLEASE USE A PAIR OF WO~ GLOVES WHEN ASSEMBLING OR PERFO~ING ANY MAINTENANCE ON THE iBUILDING. · ~ NOT attempt to assemb{e the building on a windy day, because the large panels . . . acting as a "sail".. , can be whipped a~t by wind and make the construction difficult. e~ NOT at~empt to assemble the building ~f parts are m~ssing ~cause any building left parhally assembled may be seriously damaged by heavy w~nds. · DONOT concentrate your total weight o~ the roof. ~ Copvr,gh[ ~984 Arrow Group Industries >c~ 0 m-<~ r-'© ~> m ~ ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 E×amined...~.~.. ~ .... ,19~. 19~ .~, Permit No ............ Approved .. :'}.x*~.....~ .... / ~ g0 o o ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received .......... / // 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 b~e 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 a 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 ........ . ~7'. ~ct~n~.~n~e..~. ~'~ ~;; .~ia~;o.n.~ .... and in building for necessary inspec/.tio~/~fi.-h (Signature of applicant, e, 'f p ' (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ©...~. ~. e.~...&, .......... ~.. ........... 2Z ............................................ Name of owner of premises..~.?.(>..Y.? .h/....~,~..x{/! .~. (....~ .C..(?.~.. [.~.~ .L-. .... &..~..~.Ol .~za. ~) ....... (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 .................................................. ............ ?. ?. d ...... ~. .................... ,9'.0.~.~.-(../7.??,~ . ................ House Number Street Hamlet County Tax Map No. 1000 Section .... y~..o~. ......... Block .... 7 ............. Lot./~-_~ .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a.Existing and .'~) nsc occupancy...,.._..O.. ~ ............................................ b. Intended use and occupancy ................ '7 ................................................../. interior or comer lot. 3. Nature of work (check which applicable): New Building ........ 'Addition .......... Alteration . .5 .... :.. Repair .............. Rem!oval .............. Demolition ............ Other Work ............... 4 st ae t st 'J Z o 6 (Description) ..... ,r ...................... Fee ..................................... " '~ (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 cars 6. If business, commercial or mixdd 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 ............ i. · Height ...... ~ ....... Number of Stories ......... 8. Dmaenstons of entire new constructAon Front . .,(,~.~. . Rear HeAght . .7c>~..~./ .... ~... Nurnber of Stones../ ..x ..................................... 9. Size of lot: Front · .~. [.,..,: ..... Rear ~ .q.¢~ ..... De-th /~O ....... 10. uate mt'urehase .... .q/.'3/t?. · · Name of Former Owner//~q'~F.. ,~f.e.~:t,~/ . . 11. Zone or use distract m W~icffp~emAses are mtuated ..................................................... 12. Does proposed construction vi~ol,ate any zoning law, ordinance or regulation: AXQ ............................. 13. Will lot be regraded ...... ~..0 ................ Will excess fill be removed,from premises: ~Yes No 14. Name of Owner of premises ~4..~. ~. ~.T...A/./..L~ ..... Address /(n .c.o. CrAc~e..r.~.. Phone No..~...~3..-/.F. ~ ¢./... Name of Architect Address Phone No Name of Contractor i Address Phone No PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocl4 number or description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY OF ................. /oo2~ ~ -. ................................................. being duly sworn, deposes and says that he is the applicant . (Name of individual signing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) f satd owner or owners, and As duty authorized to perform or have performed the said work and to make and file this application; that all statements cont, ained in this application are true to the best of his knowledge and belief; and that the work will b:e performed in the manner set forth in the, application filed therewith. Sworn to before me this - ......... 19K.-C ............. ~.. · ·., ..... day of ....... Notai2/eublie, .2:.~.. ~.'..h.~.~-//~... County ~"'~- ' HELEN K DE VOE: ' Y NOTARY PUBLIC, Stale of Nmv York, ........... No 4707878, SuflolA Oou~t~ Teml Exp,res garch 30~