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HomeMy WebLinkAbout23160-zFOPuM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-25096 Date JUNE 20, 1997 THIS CERTIFIES that the buildin~ ACCESSORY Location of Propert~ 215 PIERCE DRIVE ~e'rCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 136 Block 1 Lot 11.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 22, 1995 .pursuant to which Building Permit No. 23160-Z dated DECEMBER 5, 1995 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 S~ED IN THE PEAR YARD AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED CHARLES & SUSAN BRIGHAM N/A N/A Rev. 1/81 //ui~ing ~nspector FORM *TOY.~I OF SOU'THOLD BUILDING DEPARTMENT TOWN HAIl SOUTHOLD, N.Y. 23160 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ? Permission Is hereby granted to: ....................................... .~ ........ ../..:~ ...... ~m.~ .......................... to ............................. ~ ....................................... ~.. . ..'::...~-~ .............................................................. ...... ...~...~ .................. ~ ............ ~ ......... x~. ......... ~ ..................................................... ~t premises located at ......... ...~...d..O~.........~../..~.".~.....~.........~..~f/.~..-'~... ........................................................... CounlyTax Map No. 1000 Sectlon...Z.~...,~.. ............ Block / [otNo. /'A ../. ........... pursuant to application dated .......... ~ .......... ~ .......................................... :and approved bythe Building Inspector, Fee o.,,~ ....... Building Inspector Rev. 6~30~80 Form No. 6 TOWI~ 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/I0 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 r~qu~reme~ts. 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 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-existinR Buildinm - $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 Date.......~....~. ~ ................. .. New Construction .... .~. ..... Old Or Pre-existing Building .... ~ ............. Location of Progerty ......... .~.. ~ .... ~ .... ~. .......... % ................... House No. Street Ha~et County Z~ ~ap No 1000, S~o~...-..,.< .................... ......... Subdivision.. ~ ~ ~ ~.. ~.~.~. (~ ....... F~led ~ap..~57~ .... Lot.. ~9.:~ .......... Pe~it ~ (~ D~Pe Of Pe~it.~vz k~.~. .Applicant ......... ........... .... ................ Planning Board Approval ....... ~/~ ............ Request for: Temporary Certificate ........... Final Certicate..~. ..... Fee Submitted: $ ............................. - ~PLIC~ 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 May 29, 1997 Charles Brigham 215 Pierce Dr. Cutchogue,N.Y. 11935 To Whom This May Concern: We are unable to complete your Certificate because of the following reasons: of Occupancy XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23160-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FINAl, AI)I)J. TIOI'/AI. COHHEHT$: The Quaker This is the roomiest shed going. It uses are anything from sales office to pool house or even studio - the endless. The Gable, A~Frarne 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 The The High Side Barn High sides and double dutch doors make this shed great for storing light equipment and tools of all sorts, Dutch Barn This Colonial looking barn has enough space for 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. WE BUY THE BEST MATERIALS, TO BUILD THE BEST PRODUCTS, TO SELL TO THE BEST PEOPLE ~ OUR CUSTOMERS Approved ..... ./¢ ..... FORM NO. 1 TOWN OF SOUTHOLD BUILD1NG DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1803 ., ig? rm,t No. Disapproved a/c ..................................... 3 SETS~'4 SURVEY CHECK .................... ~FT !~ORH .............. ing Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlds 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 buildiugs on premises, relationship to adjoining premises or public streets or areas, and giving a det~led description of layout of property must be drawn on the diagm~n wbich is part of this appli- cation. c. The work covered by this application ~nay not be cmmnenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Buildiug 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 pa~t for any purpose whatever until a Certificate of Occupancy shall have beeu 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 Cotmty, New York, m~d other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolitiou, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and r~tions, and to adh,it authorized inspectors ou premises and in building for necessa,7 in ns. ''' ~ignature o, app,icaut, o5 namTi, a co p '~)'' '; (Mailing addres~ of.~plicant) State whether applicant is owner, lessee, agent, architect, engineer, geueral contr~ct6r, electriciah, plumber or builder. ........ OW.l~.~.~ ................................................... l~p~0~[~.g$.~0I[~ ......... ~,ne of ow.~r of p~e~nis~s . .~.~hffS .~ ...... ~.~ ~v.I ......~.a~...~....~. ~..:.~ ..... (as ou the tax roll or lat If applicant is o corporaUou, siBnature of duly authorized officer. 765-1802 9 AM TO 4 PM FOR FOLLOWING 1, FOUNDATION - TWO REQUIRED Builder's License No. USE IS UNLAWFUL Plumber's License No. .......... WITHOUT CERTIFICATE ,.,,.,, ,..:, OF OCCUPANCY Elech'Jcian's License No ...................... STATE CONS',',,),)q' ,, 't , ' Other Trade's Liceuse No .................. D~GIGN O~ Cul~sl~,ut.~;. ;( I. gocation of hud on which proposed work will be done .................................................. .... kg. .......... .............. lloose Number Street ~ Ilamlet cou,,~y T,~ U,p ~o. ~000 s,~,o,, .... )~,OP .....mo~k ...QhQO. ....... ~o~...Q~I ..OPt ...... Subdivision...~.~.~....~-~ ...... Filed Map No...~. ...... Lot5 (Name) 2. State existiag use and occupancy of premises and intended use and occupancy of proposed construction: ~. 2~ti,,~ ~s, ~,d o~,p~,,~y .... ~ ~. ~. ~.'.[.~. r~ > ~>.~[ ........................... 3. Nature of work (check which applicable): New Buildin .. Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~;' ~'Off-~ I · ' (Description) 4. Estimated Cost~.. .... ~.~ ...... , Fee ~ 6~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Nmnber of dwelling units on each floor ................ If garage number of cars ' 6. If bnsiuess, cmnmercial or mtxed o¢¢upancy, specify natm'e and extent of each type of nsc ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... 1 leight Numbei of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .~Height Number of Stories 8. Dimensions of entire new constrnciion: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ......................................... ~- ............. 9. Size of lot: Front ....... ! .'.'.L~'.. i ......... Rear ....... [ ~ ~.. .......... Depth ..... I.I. ~, .............. 10. Date of Purchase .'~Pl~.e.~..I. qg~ ............. Name of Former Owner ~,~n.~.~. 11. Zone or rise ...... . ................................ dlstrtct in wluch p~e n ~es are situated 12. Does proposed construction ' ' wolatei any zoning law, ordinance or regulation: ......... I,,~O. ................... 13. Will lot be regraded .... '..~. ....[...1~¢_. ,~...~ ........ Will excess fill be removed from premises: Yes lq.o[ Address Phone .......... , .......................................... Phone No ................ Name of Contractor , Address Phone No 15. /~s ch~a property utth:Ln 300 feat of a t:t_da2 weclaad? ~Yes ........ No ......... ~If yes, Southold To~4n Truaeees Parm±t may he requ:Lred. PLOT DIAGRAM Locate clearly and distinctly all bdildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nu] aber or description according to deed, and show street names and indicate whether interior or corner lot. ST^TE OF "'~... ~-- "~.~[ ~. ~.~. Y. ~~' ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing ~ontract) ~bove named. lie is the ............. I (Contractor, ageut, corporate officer, etc.) ~l' said owner or owners, and is duly afithorized to perform or have performed the ~aid work and to m~e and file this application; that all statements containetl in this application are trna to the best of his knowledge and belief; and that the work will be performed in the manner se~ forth in the application filed therewith. Sworn to before mo this  ~ Couu . ~~orkN°l~rY Public, Stat "' ' ark .... ~o. 5~--812~8!~0, Suffolk Courgy Z ~gnatnre et apphcan t) N 16038'50'' W 16038'50'' E GARAGE 115.00' 0 N 16°38'50'' W FRAME GARAGE 22.28' ~o S 16°38'50'' E 115.00' 115.00' The The Quaker ,is is the roomiest shed going. It uses are anything office to pool house or even studio - the e endless. 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 The The High Side Barn High aides and double dutch doors make this shed great for storing light equipment and tools of all sorts. Dutch Barn This Colonial looking barn has enough space for 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, WE BUY THE BEST MATERIALS, TO BUILD THE BEST PRODUCTS, TO SELL TO THE BEST PEOPLE - OUR CUSTOMERS : FOI/M N(.L 1 TOWN OF SOUTHOLD BUILD1NG DEPARTMENT TOWN HALL ?- I!'!:,!~ SOUTttOLD, N.Y. 11971 TEL.: 765-1803 Approved ......... , 19Z~, I ermit i~o .......... ', , Disapproved a/c ..................................... CIIECK .................... rS,c` ~ ~' I-g--'F 0 R H  l'2iug luspector) ' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs applicalion mnst be completely filled iu by typewriter or in ink and submitted to the Boilding Inspector, with 3 sets of plans, accurate plot l)lan to scale. Fee according to schedule. b. PIct plan showing location of lot and of buildiugs on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may uot be commenced before issuance of Building Permit. d. Upon approval of Ibis application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout Ihe work. e. No building sbalt be occupied or used in whole or iu part for any purpose whalever until a Certificate of Occupancy shall bare been granted by the Buikling Inspector. APPLICATION IS HEREBY MADE to the Bnilding Department for the issuance of a Building Pernfit pursuant to the Building Zone Ordinance of the Town of Sonthold, Suffolk County, New York, and other applicable Laws, Ordiuances or Regulations, for the construction of bnildings, additions or alterations, or for removal or demolition, as herein described. The apl)licant agrees to comply with all applicable laws, ordinances, buildiug code, housing code,_ and r~tions,, aud to admit aullmrized inspectors on premises and in building for necessa,~ in~f~ns.~ ~ ~ ~_ ..... ~[(~. ~:./2~7 ~ ~ ~ ...... ' (Signature of applicant, or nam~if a corporation) (~iiing add[ess of ~pplJcmH) State whether applicant is owuer, lessee, agent, arclfitect, engineer, general contractor, electrician,'plumber or builder. ..................................... , .............................. APPR0~E~'~$ ~0T~ ........ -, ~ , , · ./~ N~,,,~ or owner or p~,~,,~..~.~A'~S .~..~S~.. ~A~...~'.~":~*..,~:... ...... (as on Ihe tax loll or lat~E~e~ ~ ~_BY: ~ NOTIFY BUILDING DEPARTMENT AT l[ aPl)licanl is a corporation, signatureo[(luly aulborized officer. 785-1802 9 AM TO 4 PM FOB THE (Na,.e aud .t,e of eurpo,'ale ofriorl~CUPANCY OR B ,,,er s,: e se No .............. USE' IS UNLAWFUL P,,u,be,"sL censeNo ..... U/t .... WITHOUT CERTIFICATE : "' .OF. OCCUPANCY l.lech c a i s License No .... Other Trade's License No...~./.~. ............... FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE .2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MLIST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCT!ON & ENERGY CODES. NOT RESPON~SIBLE FOR DESIGN OR CONSTRUCTION ERRORS I. Locali(m of land ()il which proposed work will I)e (loire .................................................. ' I louse Number Street ~ llamlet Couuly Tax Map No. 1000 Section .... I~¢~OO ..... Block ...~O. 9 ........ Lot...~1 ~.O~ ...... Subdivision...~%~.¢ .... (Name) 2. Stale existing use all(I occupancy of lnemises and inteuded nsc and occupancy o[ proposed construction: u. ....'[e' .............. . ............. 3. Nature of work (check wbich app[icable): New Building .......... Addition .......... Alteration .......... P, epair .............. Remox al .............. DemoHtloa .............. Other Work ............... 4. Estimated Cos~ ............................. Fee ...................................... (to be paid on filing ii,Is application) 5. If dwelling, number of dwelling ui~ ts ............... Number of dwelling units on each floor ................ If garage, number of cars ...~ .................................................................. 6. If business, commercial or mixed Occupancy, specify nahu'e and extent of each type of use ................. ,.. Dm~e ~slo Is o existing st ~ ctures~ if any' Front ................ Rear .............. Depth ............... 1 leigbt Numb~or of Stol' Dimensions of same sh~cture with alterations or additions: Front ................. Rear .................. I)eptb ..................... ~. lleigbt ...................... Number of Stories ...................... 8. Dimensions of entire new consm~bhon: Front ............... Rear . .............. I)eptb ............... Height ............... Numb~er of Stories .......................................... ~ ............. 9. Size of lot: Front ....... ~.~ .......... Rear ....... l ~. ~ .......... D?tb ..... 1.[. ~ .............. 10. Date of Purchase . . . ~v~ ~cqq3 .... ......... Name of Former Owner . .~ I I. Zone or use district in which pren~ises are situated 12. Does proposed construcfim~ violate any zoning law, ordinance or regulation: ...... ,.. ~ ................... 13. Wilt lot be regradad .......... ~ .................. Will excess fill.be ren~oved from premises: Yes Name of Architect ........... . ....... ~ ....... Address ...... ~~ Phono No~ ~. ~'.. ~.. Name of Contractor .......... , ................ Address ................... Phone No ................ 15, ts this prop~r~y wtd~n 300~ fe~C of a ~tdal wee[and? ~Yes ........ No.,,, ..... ~If yes, Sou~ho.ld [qwr 2rcs~ees Perm:to may be required. PLOT DIAGRAM Locale clearly and distinctly al bt tngs, w tether existing or proposed, and indicat0 all set back dimensions from property bnes, Gwe slreet and block n~ nber or description according to deed, and show street names and indicate wbelher interior or corner lot. ~. .......~ ~,. ...' . , ~ .... .,.. being duly sworn, deposes and says that be is the applicant (Name or individual signing contract) (Contractor, agent, corporate officer, etc.) of said owner or owners, and Is duly ~uthorized to perform or bare performed the said work and to make and file this application; that all statements contained in this application are true to the best of bis knowledge and belief; and that the work will be performed in the manner s~et forlb In the application filed therewith. Sworn to before me this