HomeMy WebLinkAbout25078-zFORM NO. 4
TOM OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25960 Date: 09/09/98
THIS CERTIFIES that the building ACCESSORY
Location of Property: 8255 BRIDGE LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 84 Block 1 Lot 4.6
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 22, 1998 pursuant to which
Building Permit No. 25078-Z dated AUGUST 3, 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 ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR.
The certificate is issued to WILLIAM & VIRGINIA ASIP
( O~ER )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-463709 09/31/98
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 25078 Z Date AUGUST 3, 1998
Permission is hereby granted to:
WILLIAM & VIRGINIA ASIP
8255 BRIDGE LA
CUTCHOGUE,NY 11935
for :
CONSTRUCTION OF AN ACCESSORY STORAGE SHED IN THE REQUIRED REAR
YARD OF A SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 8255 BRIDGE LA CUTCHOGUE
County Tax Map No. 473889 Section 084 Block 0001 Lot No. 004.006
pursuant to application dated JUNE 22 1998 and approved by the
Building Inspector.
Fee $ 35.00
Inspec~
ORIGINAL
Rev. 2/19/98
Fo~nn No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-I802
mo
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the buildin~
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 buildip
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or ~buildings an
'-'pre-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, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildinm - $100.00
3. Copy of Certificate of Occupancy - ~ .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
..... .....................
New Construction .... X ..... Old Or Pre-existing Building ................. ~
Location of Pronert~....f~ ~R" Z~/~ ~U~' ~-~' ..... '.,
House No. Street Hamlet
Onweror Owners of Property.... ~.~.~..f~. ~d ./~.. ., ..~.: ....~. ~...~. ,~, A.~.~ ~. .. .. . .~..~.~ ,~,
County Tax Map No 1000, Section .... ~. ..... Block .... i.~ ......... Lo t..~.< .~.;. ~.~. ......
Snbdivision .... . . . ................ Filed ap. . . ..... Lot. . , .... .......
Permit No .... ~. · ,~.~.,, .Date Of Permit...~.~.. ~...Lff~pplicant.~. ~ .f~./~..~.'.~.~.'...~.~.,, .~.~
Health Dept. Approval ......... ~/~ ............. Underwriters Approval .... .~/.~. ................
Planning Board Approval ........ ~.~. ........
Request for:
Fee Submitted:
Temporary C~ificate ........... Final Certicate...~ ......
APPLICANT /
~'iELD i~S[~ECTiON
~OUNDATION (~st)
FOUNDATION
(2nd)
ROUGH FRAME &
.PLUMBING
INSULATION ?ER N.
STATE ENERGY
CODE
COMM£NT£
FINAL
ADDITIONAL COMMENTS:
The
Nassau
The
Porch
An excellent "on location sales office", pool house, or
general storage for your home. A beautiful way to meet
your storage needs, Single or double doors are
available on ALL MODELS. 8' high. Shown is a 8'x10'.
This unique shed can be used on one side as a changing
room for the pool or storage and on the other side as a
play area for the kids. it comes in the Suffolk, Ranch or
CoJonial Barn styles, Shown is a 10'x16'.
All Sheds available in TIll i Tongue and Grove Cedar & Vinyl Siding
4 Ft. Side Walls ~' 5 Ft. Side Walls
Mini Barn Mini Barn
~ model will surely complement the natural landscape
'~,~u~ property. Like other models, the double doors
vih'~commodate everything from tools to heavy lawn
~'~ tractors. Shown s an 8 ft. wide
This model gives you more headroom t~en the 4 foot
side wall model, but with the same great look. Shown is
an 8 ft. wide.
765-1802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] IN~SULATION
[~FINAL
[ ] FIREPLACE & CHIMNEY
~'MARKS: ~/~////~
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE1
1001093 3' BUREAU OF ELECTRICITY
F, 40 FULTON STREET, NEW YORK, NY 10038
~' '~t~"" · ~ ' "' AUGUST 31,1998 Application No. on file 16668298/98 N 463709
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
WM. ASIP, 8255 BRIDGE LANE, POLE NO. 25, CUTCHOGUE, NY
in the following location; [] Basement [] 1st Fl. [] 2nd Fl. OUT Section Block Lot
was examined on AUGUST 21,1998 and found to be in compliance with the NaHonal Electrical Code.
(~uXTTLU~ RECEPTACLES SWITCHES INCANDESCENT F~oXTREUsRcEENST eTHER
I 3 1 3 3
RANGES
SPECIAL REC'PT,
E
ITHER APPARATUS:
STORAGE SHED- I
G.F.C.I:-i
NO, OF CC COND,
PER ~
TIME CLOCKS BELL
AMT'.. AMPS. TRANS
R , ~,~N'V I
°F~°~'3'"~,'~,~ ' 1 ,"O'O~""~EO
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO, OF FEET
C
OF HI*LEG NO, OF NEUTRALS
EXHAUST FANS
DIMMERS
OFNEUTRAL
DOROSKI ELEC. INC.
425 MONSELL LANE
CUTCHOGUE, NY, 11935
LIC.#2941
GENERAL UANAG~
Per- 11 ~
'his ceflificate must not be altered in eny manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FORM HO. I
TOWN OF SOUTIIOLD
BUll,DJ HG DF, PART[qBNT
TOWN IIALI,
~OUTIIOLD, N.Y. 11971
TEt,~ 765-1802
Al~)r~c~ .... _, 19 .... ~ennit ~ ..............
Oi~pp~ a/e ................... ; ...... ..~...
BOARD OF tlRAL]'H ...............
3 8BlS OF PLAH$ ...............
CHBCK .........................
SEPTIC FORH .................. .
CALL ...........
HALT, TO: ....................
'Date ................ ,19 ....
a. 'ibis application mu~t be conpletely filled in by t~pe~riter or in ink taxi mdnttted to tl~e Ikflldlng Inspector
3 ~ets of plan~, ~ccurate plot plan to ~cale, free according to 8clm~hfle.
b. Plot plan l/~o~ing location of lot and oE hiildlngs on premises, relatio~hip to adjoining pre.tees or l~dflic
streets or areas, end Iliving a detailed de~cripCian oi layont of property .~mt Im drn~n on tim din{l~an ~hid~ is p~rt of
this application.
¢. 'B~e work covered by thin application may not Im eoanenced before iaseanee of Pmiidln8 Pem|t.
,, d. Upon approval of th{$ application, tim Building Inspector ~llt lama e Building Pemit to O~e applicant.
pemit ~{mll be.kept on t]m pc~,.~laea ~vallable for inspection th~Jl~ont th~ ~ork.
e. No building ~{mll be occupied or umed in ~ole or in part for any purpose ~{mtever imttl a C~vttficate of
OccUpancy shall lave been granted by tim Ikdlding Inspector.
APPLICATICI~ IS t~811BY NfiL{I to tim IkJilding Department for tim ismmnee of a Building P~mJt purmmnt to the
IkJilding Zone Ordinance of the Tonn of Sontbold, Suffolk County, Ne~ York, and otlmr applicable I~e, Ordbmnees or
Regulations, for tl~ eoo$truetion of ladldln8~, ~dditions or alterations, or for t~oval or demolition, as herein
described, aim applicant ~reea to eonply vlth all appllcable lane, ordinm~ees, bu{lding cede, housing code,
regmdetlons, ,~u~ to admit authorized imq~eetors on pc~d~mea and in buildin~z for ,mmeesear~ tnspee~ona~.//
(Signature o[ applt~at~ or m~, tfa corpor~tion)
.. ..........
(Nallt re s o[ applt t)
State ~et. lmr applicant t80~mr, leasee, agent, architect, engineer,' general cootr~etor, electrictnn' , pluM)er or hdl,le
~ ~/h/r~Y .........................................................................................
' c~/~:,~-~ ./Z..:...~..~£ .~..~ :( .:. .> ' .:. ~ ' · ....................
~ o[ ~r of pre~aiees ................... , ......................
(as on tim tox roll or latest deed)
If apptleent is a corporatian, slgnature of dul¥~ltl~u'ized offJ~r~__,~,~.~o~, '~
......... g.:.. ..................
....................... : ..............
~,~. ~ ~on ........ ~.. ~.~ ................ ,~ .,~ .......
~vi~ ...................................... ~il~ ~p ~ .......... · ..... ]~t ...............
(~)
,. ~ ,~ ,~ ~ ..~.?~.. ~.~.~ ........... ~ E.~ ...........
~. ,.~,~ ,,~ .~ ~. Z::..~ ......................... :: ................................
· lt,i'e o~ work (died{ ~lild) applicahle)t
I~palr ............ Renovnt ......... '
1)emolD'lo~ ....~.,:-r,<~ .... OCher I~o~k ..................................
!DescriplHon)
(to be lmld (m filler ti)is, ul~licatiea)
If garage, ~.d~r o~ earn ... ...............................
l)inensl~m oE ~m stz~m ,Ifil alterati(~s or ~Ml~ions Vr~ . ~ ,, ,
I0,
II.
12.
15.
I~caCe clearly and dlnttnctly n
from proi~rl~y linen. Olv~ ntreet m~l
tdmther JnLerioc or co~ner loc.
PI,OT DIAGItAId ~
LI bulldinsn, dletlmr e-xlncinB or proposed, and hxlicaCe all ~et-back dimensions
block ~J~t~r or descrlpcicx'l accordin~ to deed, and aho~ 81~reeC r~n~s and indli:nl:e
~ ~~, ~¢~'~tktty ~tl~r]~ co I~rfonn ar h;~e l~rfor.~l Ihe ~Jd ~rk alii ~o hake arxl file
thflc Lite ~rk will I~ ~rEon~l in LI~ fl~l[il~r ~ ~orLh Jfl the a~I. icact(,i fl].~ tl~r~Ldl.
~)m LO I~fore ~ ~is