HomeMy WebLinkAbout25603-zFORM NO. 4
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26701
Date: 09/22/99
THIS CERTIFIES that the building
Location of Property: 39750 CR 48
(HOUSE NO.)
County Tax Map No. 473889 Section 59
Subdivision
ACCESSORY
SOUTHOLD
(STREET) (HAMLET)
Block 10 Lot 1
Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 23, 1998 pursuant to which
Building Permit No. 25603-Z dated MARCH 16, 1999
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 AGRICULTURAL STORAGE BUILDING AS APPLIED FOR.
The certificate is issued to RAYMOND JAY AKSCIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
31457 09/15/99
N/A
uilding Inspe~or
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25603 Z
Date MARCH 16t 1999
Permission is hereby granted to:
RAYMOND JAY AKSCIN
BAYVIEW RD
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF AN ACCESSORY AGRICULTURAL STORAGE BUILDING AS
APPLIED FOR.
at premises located at 39750 CR 48
County Tax Map No. 473889 Section .059
pursuant to application dated FEBRUARY
Building Inspector.
SOUTHOLD
Block 0010 Lot No. 001
23 1998 and approved by the
Fee $ 50.00
Author i~z'ed Signature
ORIGINAL
Rev. 2/19/98
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
:ion t be filled in by typewriter OR ink and submitted to the building
znspector !ollowing: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in syst'~m contains
less than 2/10 of 1% lead. ~ · '~ /
5. Commercial building, industrial building, multiple residences and s'imil~r-bui-ld~§
and installations, a certificate of Code Compliance from architect or'.~glnee-r.
responsible for the building.
6. Submit Planning Board ApprOval of completed site plan requirements.
For ex~sting buildings (prior to April 9, 1957) non-conforming uses, or buildings and
qpre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swinmling pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinz - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
/J __ Date ....... / ....... ~'i ..... ~"'[' .........
New Construction....w ....... Old Or Pre-existing Bu ldin ............
Location of Property..].~~ ..... ~..~.~ ........ ~'~ .....
' Ha~et
House No. ~ Street
.. .......... ...........
County Tax ~p No 1000, Section ..Block .......... Lot .......
Subdivision .................................... Filed Map .......... ~Lot ...... 1 .....
Permit No ~~.~..Date Of Pe~it ................
Health Dept. Approval .......................... ~nderwr~ters Approval .........................
Planning Board Approval ........................
Request for: Temporary.~~Certificate ........ ~' '~' '~' ' ~t.c e....~
Fee ~ubmitted: ........
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765~1802
September 16, 1999
Raymond Akscin
P.O. Box 415
Greenport, Ny
11944
RE: 39750 CR 48, Southold.
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 25603-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
S[~? 2 2; 1999
BLDG, DEPI,
ELECTRICAL INSPECTION SERVICE INC.
375 DUNTON AVENUE
EAST PA TCHOGUE, NEW YORK 11772
(516) 286-6642
DATE: 9/15/99
31457
APPLICATION No. ON FILE
VILLAGE:
ADDRESS':
Southold t TOWN: SouthoM
CountryRoad48
ISSUED TO: Akscin's Nursery
was examined on 9/15/99 and found to be in compliance with the Na~onal Electrical Code
LOCATION: Base.. 1st X 2nd 3}d Attic
Des Garage
SWITCHES RECEPTACLES FIXTURES [ HEATERS I FANS G.F.L AJR. COND.
9 I3 13 I 2
DISHW~HER DRYER CLOTHES WASH. G,z~ DISP. P'ANGE
O~
~40KE
DETECTOR
FURNACE OIL GAS [ CIR, MOTORS BELL TJL~V. SERVICE DISCONNECT
1 100
OTHER
EQUIPMENT
Outside resident
I- I00 amp sub panel
8fl.flourescentfixtures .....
.... 1-50amp special
BUILDING PERMIT No
BLUE ORIGINAL YELLOW COPY
PINK COPY OFFICE
PRESIDENT
765-1802
MG DEPT.
SPECTION
JNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
] FRAMING [ ] FINAL
] FIREPLACE &.GHIMNEY
REM~~~
765-J.802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
ROUGH PLBG.
/~] I~ULATION
] FIREPLACE & CHIMNEY
REMARKS:
DATE
INsPECTIoN P~PORT
FOUNDATION (1ST)
~O~mAnON (2~) ~ '
DAW ,7 C~N'I'S
IOUGH PRAlt~ &
PLUMBING
[NSU-1..i. TION PER N. Y.
STATE ENER(Ii'
CODE
&COMPONENTS INC.
/ROOKSm AW. To: Delivery List
/'~STER . PENNY LBR. Job Number: INV.40289
ne: 914-469-9191 Fax: 914-469-4611 Page: 1
l':- - Block No: Dat~: 05-28-1999
/.'. · _Lot NO: Project ID: 39244
W~ A¢¢ountNo: 208485352
naive: Deliver TO: Designer: TAMMY
Phone: ] i Salesperson: SID KETCHUM
F · Quote Number: 39244
Profile: Qty: Tress Id: Span: Truss Type: Slope: LOH ROH Load By:
1 ITRCG - 5 - REG GABLE 8.00 I - 0 - - -
28
2
0
0
0
22 TR1 29-9-0 HOWE 8,00 1-0-0 t-0-0
-- _ 189 lbs, each 2X6~X4 2 Rows Lat Brace 0.00
10 TR1ATTIC ATTIC 8.00 1-0-0 I
29'9-0
199 lbs. each 2X6/2X6 2 Rows Lat Brace 0.00 __
15 TR1C 28-5-12 FINK 8.00 1-0-0 1-0-0
153 lbs. each 2X4/2X4 I Row Lat Brace 0.00
2 TRIG 29-9-0 REO GABLE 8.60 1~0-0 :l-0-0
239 lbs. each __ 2X6/2X4 3 Rows Lat Brace 0 00
1 V-I KINGPOST 8.00
8-6-8
29 lbs each 2X4/2_X4 0.00
I V-2 8-6-8 KINGPOST 8.00 0-0-0 O-0-0
29 lbs. each 2X4/2X4 ~ 0 O0
- 1 V-3 4-6-8 KINGPOST I8.00 0-0-0 O-0-0
MISC. ITEMS
Quantity: D~scription:
LOAD1NG 30/7/0/10
SPACING 24" n.C.
Above listed items have been received in good condition. (exceptions listed
to right).
Received by:.
Date:
DRIVER LOAD CHECKED BY
Thank You for your Business.
i
Disapproved
~O~NO. !
TOWN OF SOUTHOLU
BUILDING DEPARTMENT
TOWN HALL
soUTMOLU, N.Y. 11971
T~L: 765-1802
~* ~P~ICATION FOR BUILUII~G PERMIT
BLDG. DEPT. ]
TOW~: OF $OUTN~OLD
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLAN8 ......... ' ......
SURVEY .............
CHECK .........................
SEPTIC FORH ...............
NOTIFY:
CALL Z?. - P-°4 f
..............................
ate ............
a. 1his application mst be ccmpletely filled in by vipeariter or in ink and sinitted to the Building Inspector
3 sets of plans, aeon-ate plot plan to scale. Fee according to schedule.
b. Plot .plan tabooing location of lot and of buildimgs on premises, relationship to adjoining premises or public
streets or areas, and giving a detailed description of la, mt of property mast be drawn on the diagram ~hich is part of
'this application.
c. ~ work covered by this application nmy not be ccramseed before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building permit to the applicant. Such
pemit shall be.l~.~pt on the premises available for inspection threnghont the work.
e. No b~ilding ~hall be o~cepied or ~ed in ~t~ole or io part for tony purpose whatever ~mtil a Certificate of
Occupancy shall have been granted by lira Iktilding Inspector.
~ API~ICATIC~I IS ~ ~ to the Building Depart2mnt for the issulmce of a Building Permit parstmnt to the
Building Zone Ordinance of the Toan of Southold, Suffolk County, l~w York, and other applicable Laws, Ordinatazes'or
Relt.~ations, for the construction of buildings, additions or alterations, or for removal or ~lition, as herein
described. Tce applicant agrees to ~m?ly with ail applicable Imm, ordinances, building code, housing code, and
regulations, and to ~it a~thorised inspectors on p~tises and in/l~i~ing for neces..s~inspec/~n~-
. (~cetore of ap~j~ntfor nam, if a corparat~on~
.....
' (Mailing mldress of applicant)
State whether applicant is ~Wser, lessee, agent, architect, engineer,' general contractor, electrician, plt~ber or builde~
--~ ~ ..~..¢.R ............................ .. ....................................................
.....................................
_ , ...... ..........
If applic~t is a corporation, signature of duly ~uthorised officer.
title of corporate officer)
Builders License No ..................
Plmt~ers Lic,~.e No .........
Elsetricians License No ................
h~ation of l~a on vhich proposed work will be ...................
I0.
II.
12.
13.
16.
15.
Hature of ~ork (check ddch applicable): ~ Building ....~..... Addition .......... Alteration ..........
Repair ......... I~ooval ............. r~ol itian ........... other I~ork ........................
Es:imated Co .......... fee ..............................................
(to be paid on filing this application)
If d~elling, n~ber of d~ellin~ tmits ............ l~u~ber of d~elltng ~mits oo each floor ................
If business, rr..~..~rcial or mixed ocoopancT, speeif7 nature and extent of each type of use ......................
Dimensiees of existing structures, if ee~: Front ................ Bear ............... Depth .................
Ileight . .. Ntnber of 8toriee
Dimensions of sine structure ~lth alterattees or additiees: Froot ............... Bear ...............
l)epth .................... Beight .................... Nt~ber of Stories ............... a ,
~i§ht ......... .7.~.~ ........ ,. ~ber of Stories .... ~...~...~ .... ;',.':
S~ze of lot. F~m: .................... Bear .................... Oeprl~ ............... .....
of .... ....... of ,o r .... ..................
Zooe or ~ dis~riet in,~ich ~iee~ ~ s~te~ ..~A~.~...~-.,.: .... ~..X./. ...............................
NO.'7.~.~.r.
Is this property ~ithtn 300 feet of a tida~L ~etland? * ~S .......... 1~0 .....~.....
· IF YES, SOOThe ~ 'l~Ub'lmsS ~ ~ BE BEC~I~U.
PLOT DIAORAH
lo:ate clearly and dlstieetly ail buildings, dmther existing or ~, ~ t~i~te ~1 ~t~ d~nsi~s
~r~ li~s. ~i~ st~t ~ bl~ m~r or ~scriptt~ ~i~ to ~, ~ ~ st~t ~s ~ i~imte
~r interior or mr lot.
-..4 ................. 6 ............. ..................... ~i~ duly ~m, ~s ~ ~s t~t ~ is ~ a~l.i~t
(~ of i~ivi~ si~ing ~traet)
~ i, ~,~ ..... ~.~.~.6~ .............................................................................
(~tr~mr, ~n~, co.rate officer, etc.)
oE ~id ~r or ~rs, ~ is ~ly ~ri~ to ~rfom or h~ ~r~o~ Um ~id ~ ~ to m~ ~ file this
a~liee~i~; ~aC all stat~:s ~:ai~ in ~is a~li~i~ a~ t~ to ~ ~s: o~ bis ~1~ ~ ~lie[i a~
Umc ~ ~ will ~ ~rEo~ in tbe ~r ~t forth in ~e a~ti~ci~ fil~ ~.
~m to ~fo~ ~ ~is
~m A ~A~I$ )
~T~Y PUBLIC, S~ of N~Y~
~. 018T~08173, S~olk ~
Tern ~ June 8. ~'