HomeMy WebLinkAbout25357-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26171
Date: 12/15/98
THIS CERTIFIES that the building
ADDITION
Location of Property: 4000 MAIN RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 125 Block 3
Filed Map No. __ Lot No. __
Subdivision
LAUREL
Lot 11
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 5, 1998 pursuant to which
Building Permit No. 25357-Z dated NOVEMBER 27, 1998
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 12' X 30' ADDITION TO EXISTING ACCESSORY BARN AS APPLIED FOR.
The certificate is issued to JEANETTE C HOMMEL
(O~MER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
i~ng Inspector
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
$outhold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
25357 Z Date NOVEMBER 27, 1998
Permission is
hereby granted to:
JEANETTE C HOMMEL
4000 MAIN ROAD
LAUREL~NY 11948
for :
CONSTRUCTION OF A 12' X 30' ADDITION TO AN EXISTING ACCESSORY
BARN AS APPLIED FOR.
at premises located at 4000
County Tax Map No. 473889 Section 125
pursuant to application dated OCTOBER
Building Inspector.
MAIN RD LAUREL
Block 0003 Lot No. 011
5 1998 and approved by the
Fee $ 35.00
Buiidin-g Inspector
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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 system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan require~ents.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-exis$ing" 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 sigmed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy'- Residential $15.0~0,} JC°'mmerc~al $15.00
Date ......... L . .[.7. /. .~]~ ............ 0
House No. Street ~m~ et
................................ ............ ......................
~alth Dept. Approval .......................... Unde~riters Approval .........................
Lamning Board Approval -
*.qnest for: Temporary Certificate ........... Final Certicate ...........
765-180Z
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ].~LATION
[ ] FRAMING [ ~ FINAL
[]FIREPLACE&CHIMNEY
INSPECTOR
OU A TION
COMM£NTZ
FOUNDATION
(2nd)
ROUGH FRAME &
.PLUMBING'
INSULATION PER N.
STATE ENERGY
CODE
Z
'FINAL
ADDITIONAL COMMENTS:
FOP&iNO.
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
TO. HALL
SODTHOL~, ~.¥. 11971
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLAI~S ......... ~ .....
SURVEY ........................
CHECK .........................
SEPTIC FORM ...................
NOTIFY:
CALL
MAIL TO: ....................
Disapproved a/C .............................. ' ' ' '
{ 'i.~~ ',i~ { INSTRUCTIONS
a. 'fhis application m~st be cc~letely filled in by typewriter or in ink and su~itted to the Building Inspector ~
3 sees of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan ~ho~ring location of lot and of buildings oa premises, relationship to adjoining premises or public
streets or areas, and §iviug a derailed description of layout of property urmt be dr~n on the diagr~n daich is part of
this applicutian.
c. '11~ work ccreerad by this application my oct be comenced before issuance of Building Permit.
d. Upon approval of this applicetlon, the Building Inspector will issue a Bailding Pemit to the applicant. Such
permit shall be kept on the premises available for inspectioa throughout the ~ork.
e. No building daall be oc,cupied or used in ~/anle or in part for any purpose ~hatever ~mtil a Certificate of
Occupancy shall have been granted by [he Building Inspector.
APPLICATI(I~ IS HgI~BY PAUE to the Building l)eparment for the issuance of a Building Permit parmmnt to the
Building Zone Ordinance of the Toan of su~thold, Suffolk Ccu~y, Ne~ York, and other applicable La~s, Ordinances or
Rngulatloo~, for the ce~strocti(m of buildings, additions or akeratians, or for removal or de~olitlan, as herein
described. The applicant agrees to conply with all applicable la~s, ordinances, building code, housing code, and
regulations, and to adadt authorized inspectors on premises and in building for necessary iaspsetious.
..... ................
(Signature of applicant, or na~, if a corporation)
..~.~.o..~...~.:~...~.~... :....~ ....... .~..~.'~.
(Mailing ~-.am-e~ of applicaat) kg'~,~ IIc~q 0
State ~ether applicant is owner, lessee, agent, architect, engineer,' geueral contractor, electrician, plt~ber or build
: ...........
[lm~e of ovmer of ses .................................................
(as on the ta~ roll or latest deed)
?
If applicant is a cuxluoration, signature of duly anthor~zed officer.
(N~me ~ title of corporate officer)
Builders License No ..................... . . · ..
Plm~ers License No ..........................
Electricians License No ......................
Other Trade's Lieense No ............
I. I~cation of land on which proposed v~rk will be done .............................................................
~. ~l...~: A~. .~_~A _.. ~. ~ ~fi ~ ¢ ....
House Nm~er Street {~,n] et
..... .... .......
Subdivlsioo ...................................... Filed Map No ................ I~t ...............
2. State existing use and occupancy of premises and intended use and occupancy ,of propose~, coastroction:
a. ~ating u~ ~ ocli. ~.~..~..~......~..~,..¢~.~:'.~ .... . ..............
occu ...................................................................
3. F, ature of ~ork (cheek ~deh applicable): ~ l~ilding .......... Addition ...~'x .... Alteration ..........
Repair ............ Remaval .... , ......... l',~mal it ion ............ Other l¢ork
6. Est imeted Cost ., · 4 ........... i ........ fee ..............................................
(to be paid on filing this sppllcation)
5. If c~velllng, rmnlmr of duelling traits ............ lxlm/~r of uXvelllng talcs on each. floor ...... ..........
If garage, ntmher of cars ...... ; ................................
6. If husinass, eemnercial or mi~ed oecupanay, 8peelfy nature and extent of "ad] type of use ......................
7. Dimensions of existing structures, if any: Front ................ Rear ............... Depth .................
}.l~.lght.. ....................... i lkltluber o? Stories ;.: ...................
Dimensions of ama structure wi~h alterations or additions: lhcont ............... Rear ...............,
Depth .................... DelgJ~t .................... Nt~)er of Stories ............... ~.,
8. Dxmensxnas of entire na~ eoostr0etlon: Front ...... ]LZ ....... Rear ..... -~.~0. ..... Depth .......
llelght ........................ ~ Nmber of Stories ...................... ,~ ~ . ~ ~,,
9. Size of lot: Front ..... ~ Rear Depth - l
10. Date of Purchase .............. i ...... Narc of Forner Otvner ......... L ......... %- ~'ci:.;~,{c'~....o.
I I. Zone or use dtstr~ct m.~htch~Ir~Lae8 are s~tuated ..............................................................
12. Dees proposed conatruct~oo violate any ~o~ing la~, ordinance or regulation: ........................
/
regrnded .......... ~ ......... ~/111 e~ena fill be removed fr~m premises: ,YIL5 ~
13.
~ill
Nam o[ ~,h'ddteet ............. ~ ...................... /~ldrese .............................. lt~ae No ...............
~ o[ ~nrraetor I t~lress ............. lt~na
15. Is this pmparty within 300 feot o1! a tidal ~etlm~ri', ~YF, S .......... N0 ....~,~...
{ PLOT 1)[AGRAH
l~cate clearly and dlsclnctly a~l bu~ldings, ~hether .ext.stlng or proposed, and indicate all set-beck dimensions
fi'om property lines, give street andlbleek rumber or description according to deed, sad sho~ street uares and indicate
~bether interior or eornar lot.
S,q
C~1¥ OF ................
-.- ~ .................. being duly swon~, deposes s~l m~ys that he ~s the appl leant
(Nasa of individual signing contract)
above named,
(Contractor, agent, orparaee officer, etc.)
of .aid .o~ner or o~ners, and is duly ~ uthorized to perfom or have lx~rfoz~ed the Paid ~)rk and to n~ke and fha this
appl. lcatxcn~; that all ntat~ents cont~ inad in this applicatlom] are enm Lo the best of his koo~ledge and belief~
that the ~x~rk will be performed in tlu, maoner set forth in the application filed therewith.
,q~orn Lo before ne this
' (Si~lat-ur.e of ~ppticant)
HELENE O. HORN~/
NotarV Pub ~, $?te of NeWYork
No, ~95 ~ 304 {
Oua{}fied in ~uHo{k Co~tV ~
Comrn}ssion Expi~o,~ ~-q ay 2~,j'i ~]
ESTIMATE FOR 10 X 30 TACK ROOM ADDITION TO BARN
TO: Carol Ann Hommel
Main Road
Laurel
New York 11948
ATTACHMENTS:
FROM:
FLOOR PLAN & EXTERIOR VIEWS
MATERIAL LIST WITH PRICES
Hank Codding 10/2/98
15th Street
Wading River
New York 11972
.S.L~P~'r eo~q'a
This estimate assumes area for addition is clear and level. No changes are to be made to
the existing barn structure. The addition has an outside dimension of approximately 10'
X 30'. It is a post structure with 4 X 6 CCA treated main support posts 3' in the ground.
They rest on an 8" (1-80lb bag) of concrete gravel mix which is poured into the hole as a
footing. Another 80lb bag of concrete gravel mix is then poured around the post as a
foundation collar. The concrete gravel mix is not mixed with water prior to being poured
but hardens and cures slowly from the moisture of th~e earth around it. Other. door~., J
window and wall posts are 4 X 4 CCA treated pos~ the ground. Main support ~ m~ No
rafters are 2 X 10's attached with 2-1/2" galvanized carriage bolts to the top of every
main support post. Roof is a 4 pitch with 2 X 6 perlins hung 2' on center between and
perpendicular to the main support rafters. Roof sheathing is 1/2" CDX plywood covered
with tar paper and 25 year 3 tab shingles. Exterior walls are horizontal 2 X 4 girts 2' on
center and are sided with 5/8" pine TI-11. Them is no overhang on the side to eliminate
the need for sofit. There is a steel exterior entrance door in front with a knob keyed
lockset and 4 storm windows placed high in the walls on the side and back. See floor
plan for locations. Interior is not finished. There is no floor or entrance to the existing
barn. Estimate time to complete is 2 weeks weather permitting.
Estimated material cost is One Thousand Five Hundred dollars ($1,500)
Labor cost is One Thousand dollars ($I,000) half to be paid after framing and the
other half upon satisfactory completion.
This does not include labor cost for roofer to shingle roof as I subcontract this and
roofer will have to come look at roof to see how he will tie shingles into existing
metal roof. Normal cost for roof shingling is $40 perl00 square feet. You have
about 300 square feet which would be $120 plus any extra for tie in.
,roi ~,glg;,,,' ~ J l~ a=w~U
- ~ '"'::' i J ·o~-,~
g , ,., OCCUPANCY OR
USE IS UNLAWFUL
' ' 'iii'
J J § 8 WITHOUT CERTIFICATE
!
1
no,~ 1 I~°e.9
'. Arthur. Wios n~