HomeMy WebLinkAbout24054-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Yo
CERTIFICATE OF OCCb~ANCY
No Z-25130 Date JULY 11, 1997
THIS CERTIFIES that the buildin~
Location of Propert~ 2455 u~uARAVENUE
House No. Street
County Tax Map No. 1000 Section 77 Block 1
Subdivision Filed Map No.
N.Y.
Lot 18.1
ACCESSORY
Lot No.
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 4, 1997 .pursuant to which
Building Permi= No. Z-25129 dated ~!~RIL 17~ 1997
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 AS APPLIED FOR.
The certificate is issued to WILLIAM & ~ELENA BU~L~R
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
FOP/~ NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCuumANCY
No Z-25129 Date JULY 11~ 1997
THIS CERTIFIES that the buildin~ ADDITION
Location of Property. 2455 CEDAR AVENUE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 77 Block 1 Lot 18.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 4~ 1997 .pursuant to which
Building Permit No. 24054-Z dated APRIL 17, 1997
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 DECKADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIfiCATION DATED
WILLIAM & H~T.EWA BUm'.ER
N/A
N/A
Bui~ing Insp~tor
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
cc~P~ON OF THE WORK ^U'rHORIZED,
~405~ Z Oo,e ............... ...~../~[~ .................... , ~9.~..~
/ /
Permission is hereby granted to:
...~/lz.~....../'~.~..~,-,_z_ .....................
,o..~~~ ........... ~.... .......... ~,,~ ....... '~. ~/~.~ .......... '~...... .~...... ....
....... ~.~.~.~ .......... .~..~..~.~..~ ........... ~..,..~ ....... ~.,~ ././..~.~ ......... ~.z: ....
..... ~.Z~2,~. .......... ...~;..z~.:.....V... ...................................................................................................
Rev, 6/30/80
Fo~ No. 6
TOWN OF SOUTHOLD
BUILDING DEP.%RTMZNT
TOWN KALL
765-1802
APPLICATION FOR C~RTIFICATE OF OCCUPANCY
This application must be filled in by typewriter 0R ink and submitted to the building
inspector with the following: for new building or new use:
i. Final survey of property with accurate location of alt 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 fro~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. C~mmercial 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 requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'!pre-existing" land uses:
i. 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 sig~ed 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-existinR Buildin~ - $100.00
3. Copy of Certificate of Occupancy - ~ .25~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00
Sew Construction ........... Old Or ~re-existing Building .................
~ocatinn of Froperty..L..q ~ ~.. .... .C~.~.... ~.~t¥...~. ........... ..~d...+A.~...~.. .......
House No. Street
Onwer or Owners of Proper~y .... { .............................................. ·
oountyT~pNo 1000. section .... X.Z ..... ~lock ....... X ....... Lot ..... X~.~.~ ..........
Subdivision ..................... ~iap .......
............... Filed ..... Lot ......................
Permit No .~..~?. ~..~...Date Of Permit...~/.~/~. Z-Applicant .... r.~.~'~.,~.,.. '.. ............
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval
Request for: Temporary Certificate ........... Final Certicata ...........
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 requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
'!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 sig~aed 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 - $I00.00
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 .... ~z~ Old Or Pre-existing Building ...........
Location of Property .............................................
House No. Street Hamlet
On.erof Froperty ..... ............
County Tax Map No I000, Section .............. Block ................ Lot ......................
Subdivisio . ..~ -~-~-~__~.__~___ ........ Filed Map ............ Lot ......................
Permit No.._._...__._.__.Date--~-~--~--~-~ ~ Of Permit ................ Applicant .....
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
July 1, 1997
Mr. William Buhler
1080 Grant Ave.
Pelham Manor, NY 10803
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
XX 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 # 24054-Z (Accy Shed)
Please contact our office on this matter.
cooperation.
*Two CO's required.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
One for Deck & One for Shed.
The
Qual er
This is the roomiest shed going, its uses are an~hing
from saies office to pool house or even studio - the
possibilities are endless, The shed is 9' high.
The
Gable, A Frame
or Cottage
An excellent addition to your property. Great for
storage space and comes in a variety of sizes, Window
is included for that extra special look. 8' high.
AILL MODELS COME WITH A 2' LOFT OR I:~AMP.
The The
High Side Barn
High sides and double dutch doors make this shed
great for storing light equipment and tools of all sor~s.
Dutch Barn
This Colonial looking barn has enough space [or the
modern day homeowner. The usable space includes
room for shelves, a loft, and even a work station, You'll
enjoy the look and get the space, 10' high.
WE BUY THE REST MATERIALS, TO BUILD THE BEST PRODUCTS, TO SELL TO THE BEST PEOPLE - OUR CUSTOMERS.
ALL OUR DOUBLE DOORS ARE 5' WIDE.
765-1802
BUILDING DEPT,
INSPECTION
[/FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS,' ~
DATE
INSPECTOR r~~
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST
[ ] ROUGH PLBG.
] FOUNDATION2ND [ ] INSULATION
] FRAMING [L~~~
]FIREPLACE&CHIMNEY
REMARKS:
INSPECTOR
APR -/[ 1997
BLDG. DEPT.
TOWN OF SO:.JTHOLD ,,J
....
FOR~ NO. I
TOWN OF SOUTIIOLD
BUILDING DEPARTNENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL: 765- 1802
BOARD OF IIEAL'~Tll ...............
-~' 3 SETS OF~VLANS ...............
~/SURVEYt,,,~.... .......................
~/~CHV. CK .........................
SEPT'lC FORH ...................
NAIL TO: ....................
APPLICATION FOR BUtt.DING PERNIT
INSTRUCTIONS
a. This application most be completely filled in by typewriter or in ink and at/raitted to the l~dlding Inspector wit
3 sets of plans, accurate plot plan to scale. Fee according to sched~fle.
'b. Plot plan sl~ing location of lot and of buildings on premises, relationship to adjoining premises or p~blic
streets or areas, and giving a detailed description of layer of property must he dra~n aa the diagram ~hlch is part of
this~ application.
c. The work co, red by this application may r~t he cormeseed before issuance of Building Pemlt.
d. Upon aw, oval of this applicatlan, the Building lnspsetor will issue a Building Pemit to the applicant. 9ach
l~rmlt shall he l~pt on the t~-emlses available for inst~etion thro~gh~x~t tl~ ~ork.
e. No building shall he occupied or used in ffnole or in part for ~vy parpa~ ~t~atever tmtil a Certificate of
Ocmpa~7 shall have been granted by the Building Iespector.
APPLICATION IS 1t~¥ ~ to the Building Depart~nt for the ism~sce of a Building Permit pars~mt to the
Building Zoee Ordinanee of the T~n cf $outhold, !kfffolk Coonty, ~ York, and other applicable La~s, Ordinates or
Regulations, for tl~ constmetio~ of beildlngs, additions or alterstior~s, or for t~,oval or demolition, as herein
described. The applicant agrees to c~ly x,rlth all applicable la~, ordinances, bailding co~, hoasing eade, and
regulations, and to ac~it authorized inspectors o~ p~ses and in building [or necessary iasl~etions.
...... ..... .....
($1gna~fre of ~plie*nt, or na~, if a corporation)
(Mailing address of applicant)
State ~hettmr applleant is o~er, lessee, agtmt, architect, engineer, ~ral ~tractor, el~trici~, pl~r ~ ~il~r
:s ...........................................
(~ ~ ~ t~ ~11 ~ latest d~)
If ~llc~t' is a ~ati~, si~t~ of ~ly ~i~ officer.
(~ ~ title of ~te offi~r)
Builders License ~ ..........................
Plumbers License No ...........................
Electriciarm License ~ ......................
~r ~'s Li~ ~ .....................
I. ~ti~ of 1~ ~ ~i~ ptol~ ~ ~11 ~ ~ .................................... ~ ..........................
~ ~r St~t ~let
~T~. 1~ ~ti~ ...2~ ......... BI~ ....... ~ ........ ~t ...~,{ ........
~ivlsi~ ...................................... Fil~ ~ ~...~ ............ ~t ...............
(~)
2. State ~sti~ ~ ~ ~ of ~s ~ int~ ~ ~ ~ of ~ ~st~ti~:
b. Int~ ~ ~ ~ ........................................................... b?~lU~[~.'~ .....
10.
II.
12.
I~.
14.
15.
Nzll.re of ~o~k (d~ck ~J~id~ applicable): New I~lildiiq4 .......... A~klitio~ .......... Alte~ioa ...........
I~[mir ............ ~al ............. l~,l iti~ ............ Other ~
Estin~t~l ~s ~.. ~.. ' f~ ................................. .';: ..........
(to ~ ~id ~ filing this a~li~i~)
garage~ t,~i~r of ears ......................................
I~mi[~ss, ~rcial or mi~ ~ll~y. s~ci~ ~tura a[~l ~tent of ead~ ty~ of u~ ......................
Di~nsi~ of ~isti~ st~res, if any; Frt~lt ................ ~ar ........ ' ....... ~pth .................
I~i~tt ......................... ~r of Stories ......................
Di~nsi~m of s~ stnmture ~ith alteratitms or ak]itiofls: Front ............... ~ar ...............
l~pth .................... [~iO~t .................... ~d~r of Stories ...............
Di.~nsi~m of entire ~ ~st~ti~: Fret ................ t~ar ............... ~pth ..............
I~iO~t ......................... ~.~t~r of Stories .....................
Si~ of lot: ~t .................... ~ar .................... ~pth ....................
~ or ~ district in ~id~ pr~i~s a~ si~t~ ...........................................................
~s pro[~l ~t~ti~ ~iolate ~y ~ing 1~, o~h~e or red,latin: ........................
~ill 1o~ I~ r~r~ .................... ~ill ~ess fill [~ rm~ fran
· , C?~ ........
~ o, ¢~,.~= ........ :~&~ ........... ...... ............................... .~ ~ .........
this p~rty ~thln ~ [~t DE a till i~[l~l~ * ~ .......... ~ ..........
PI,OT I)IAGRAH
l~cate clearly mvl distinctly all L~ihli~gs, ,2~etlmr existing or proposed, and indicate all set-back dimension~
~rc~n prot~rty lir~es. Give street and block nt~ber or description according to deed, and s~m,~ street n.~es and ir~licatc
~hetl~er interior or comer lot.
OCCUPANCY OR
USE iS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
APPROVED AS NOTED
~E:~' 7~'~-' ~:,.~..~.,4,,~
NOTIFY SUiLDING OEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE ,
FOLLO~NG INSPE~IONS:
1, FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3, INSU~TION
4, FINAL . CONS1RUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
s'~)r,, delx).~es and says tllat lie is tile appl
(C~or, ngel~t, corlx)rate officer, etc.)
of maid tx.~er or o~mrs, aiKI is duly a~thoriz~l to l~rfonn or have [~rfo~ the ~id ~rk atxl Lo ~lke a~l file this
aiqfllcati~m; thaL all staled, ts c(~tait~l in this alqflica[:i(x~ are t~]e Lo O~e lssl o[ his kl~l~gm a~ Imliefi al~]
that tim ~rk ~ill Im ~rrou~l iu ~he i~un~r ~t forth i. ttm al~licati~t [i1~ tlmr~iQ~.