The URL can be used to link to this page

Home My WebLink About21523-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANCY No Z-22962 Date APRIL 25, 1994 THIS CERTIFIES that the building. Location of Propert~ 8440 MAIN ROAD House No. County Tax Map No. 1000 Section 31 Subdivision ACCESSORY EAST MArION, NEW YORK Block 7 Filed Hap No. Street Hamlet Lot 3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 19, 1993 .pursuant to which Building Permit No. 21523-Z dated O-u-LY 8, 1993 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 JOHN D. WHITeHeAD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 l~ing knspector 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 OOMPLETION OF THE WORK ^UTHORIZEDI Date,....~/.~.. .............................................. 21523 Z , ,o ...... at premises located at,.,~.,.~,,,,,~,,,,~,, ............ ~,,,,,,~,~ ............... ~~ ..... Court, Tax Map No. 1000 Section ......... ~ ....... Block ............ 2 ........... Lot No ........ ~ ................ pursuant to application dated ........... :.~../,~.~ ................................... Building Inspector. Fee,,~,, ,~,~ .... Rev. 6/30/80 19..?~. ....... and approved bythe Form No. 6 BUILDING DEP~TMENT ~~CATIO~ 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 uss: i. 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 contain~ 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 Ppre-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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - $20.00 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 P~v~ ~ ...................................... House No. Street Hamlet Onwer or Owners of Property .................~ ~°.................~w%~. .............................. County Tax Map No 1000, Section .... ~.f ..... Block. ~7 ..... Lot. ~ ...... Subdivision ...~.Filed Map Lot .............. Permit No..~?./..~.~ .~...~...Date Of Permit...~.T..~.~..~..'~...Applicant...~..~.~...~.~..~.~.~.~.~ .... · Approval Health Dept Approval Underwriters ............ Planning Board Approval ..................... ... Request for: Temporary Certificate ........... Final Certicate.. Fee Submitted: $.. ~.~.: .~...~.. / .q7%1 · ,. · ....... A PL CA T 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 April 20, 1994 Mr. John Whitehead P.O. Box 512 East Marion, NY 11939 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) 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 # __BP# 21523Z Please contact our office on this matter. your cooperation. Thank y~ for SOUTHOLD TOWN BUILDING ~PT. OUNDA'TTOR ~__ --- -- ~UNDATIO:! BOUGH FRAME & -PLUMBING (2nd) .~SULATION PER N. STATE ENERGY CODE FI;;AL ~DDITIONA'L COMMENTS: STYLES~ / Explorer COMBINATIONS AVAILABLE 3 WAYS: ~h #3 -- ~ A~so Sheds, Barns, & Gazebos J CARRIAGE ROUSE Our most popular model. An excellent "on loca- tion sales office", pool house, or general storage area for your home. A beautiful way to meet your storage needs. Single or double doors are avail- able on ALL MODELS. BARN Another very popular model, which will surely complement the natural landscape of your prop- erty. Like other models, the double doors are 5' wide and 6' high which will accomodate every- thing from your tools to the heavy lawn & garden · ~ ....... ~ tractors. Available maximum 10' high. ................. GABLE ...... Shown here are one of the roomiest buildings· The Gable is as versatile as your needs. Maximum head room. The wide double doors can be placed on the front or side of the building. .......... DUTCH 'BARN ............... An old-fashioned look with storage capacity for the 90's. This style is higher than any other model plus it comes with a loft. CONSTRUCTION Why Don't Other Sheds Measure Up? Compare Our Quality · No middle man. · Completely constructed and assembled. · All wood construction. · Stronger, longer life. · Foundation: 4x4 Pressure Treated Timbers. · Floor Joists: 16" On Center, Pressure Treated covered with % inch Pressure Treated Plywood. · Maintenance-Free %" Exterior Grade T 1-11. · All W~od Corner Molding. · Roof Trusses 2x6 and 2x4 Double Gussetted for maximum strength. · Exterior' Grade Plywood Roof. · Self Sealing 240 lb. Asphalt Shingles. · Aluminum Roof Edge. · Heavy Gauge Galvanized Hinges & Door Latch. · Galvanized Nails. · Reinforced and Framed Double Swinging Doors. · Fully Painted and Trimmed. When you pdrchase a North Fork Wood Design Storage Building, Gazebo, or any of our many other products, you own a high quality wood product, soundly constructed, with the finest construction materials. Built here on Long Island with pride. Door and window placement can be changed to suit your needs. Single Doors also available. Free Delivery To Most Areas. We reserve the right to make design, option & specification improvements, Custom Designing To Your Specifications. Other Designs Are Available All Sizes. ,. 4^Y I 9 1993 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~. ,~,~...~ ' TEL.: 765-1802 Examine, ........ , 19 ~.~. ' ' Disapproved a/c ................................. _ . (B~ilff'mg I~&~ctdry APPLICATION FOR BUILDING'PERMIT B~ARO OF HEALTH ........ . 3 SETS OF PLANS ........ ~SURVEY ................. /CIIEEE .................. SEPTIC FORH ............ Date ...;...; ........... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 2 asets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sfi'eetr 'or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 'cation. ¢. ' The work covered by this application may not be commenced before issuance of Building Permit. . d. Upon approval of this application, the Building Inspector will issued a Building 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 part for any purpose whatever until a Certificate'of Occupancy shall have been granted l?y 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 County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of.?,uild~[s, additions or alterations, or for removal or demolition, as herein describ~ . The applicant agrees to gqml~,l~i;t'~.Jtll,r:~'~iicable laws, ordinances, building cod%housing code, and regulations, and td~ admit authorized insp&ctors on, ~r~emises and i~. building for necessary inspe, ations [ i , ' ' · - ~ ~r~ of applicant, or name, if a corporation) .... .... . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai ·contractor, electrician, plumber or builder. ....... .................... Name of owner of premises .. : · ..t~., ......................... ; r ,,, (as on the tax roll or latest deed) If applicant is a corporation, s~gnature of duly authoriied officer.' (Name and title of corporate officer) Plumber's License No. Electrician's License No ....................... Other Tracle's License No ...................... 1. Location of land on which proposed work will be done ........ : ...... ./d~./~.. .~..~..~.'-7..K--./,,¢.~.¢.0:~.. .................. House Number Street Hamlet Couhty Tax Map No. 1000 Section ...:..~..// ........ '. Block ...d:)..~. ....... Lot ............ · ..... Subdivision Filed Map No. Lot (Name) ~. State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ' ' b. Intended use and occupancy .... . .~..~'.~?..,,~-~..~. ~ .~.~>~...~.~. · . .~.....¢.~. ..... ::..,:. '3 Nature of work (check which applicable): New Buildin~ ' Repair Removal ....... Addition .......... Alteration ' ........ Demolition .... ~ .... Other Work 4. Estimated Cost... o'-----' ' (Description) ............................. Fee ' ~/~. (to be paid on filing this application) 5. If dwelling, number of dwelliog units ........... Number of dwelling units on each floor · If garage, num bar of cars ...! ...... .~/.~. ........... · .......... ............. . ...a//.~ ........ 6. If business, commercial or mixed occupancy, specify nature and extent of.each t ..................... ' .... font ., ype o use ..... .~./~ ....... , ..... 7. Dnnensionsofexistingstructures ifany: F ............... Rear ........ f... Height ............... Number of Stories ..... '. ..... ' Depth ' · Dimensions of shine structure. !with alterations or additions: Front ..... Depth .................. ~.! .....Height ...... ' ................ Rear ...... .'' '~ ........ ..... ~.qR../ ........ :.. Number of Stories ...... · 8. Dimensions of entire new con~tructJon: Front ...... ; Rear . ~.,~. ...... Depth . .Height .......... Nqmber of Stories . ' /. · .............. I 1. Zone oruse district in which p'remises are situated .... · ocs proposed construcbon violate any zoning law, ordinance or regulation . ,' .......... . ....... 13. Will ldt be regraded . ..x,/./~ .. .. ,,. ...... . . .. . 14. ' .' ' ~ .......... nm excess I111 oe.removed frgm premises. Ye Name of Architect ......... ! .............. ~ ....Address ........... . ....... Phone No ..... NIT: h°[~;ntt°r; ~~f i~t ~°:'z ~ t4~''~ 'a 1Adwder:s] Yes ..... No .........· "' · If yes,'Southold[Town. Trustees Permit may be required. '"' ' PLOT DIAGRAM Locate clearly and distinctly ali buildin,s ~h~+~-i ...... ' ' . ' . ' property lines Give street and block[number~; de *,,sc~ ex~srmg or proposed, and indicate all set-back dimensions from · i scription according to deed, and show street names and indicate Whether interior or corner lot. . . STATE OF NEjIaL-~ORIf~_C> P/ _ _ :OUN-rV-~ .'¢~:~...1-3~..[..k~.. ~'.~. API~RO. VED AS NOTED* FEE: ' BY: ~ ' 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1, FOUNDATION TWO REOUIRED FO*R POURED CONCRETE ..2. ROUGH, FRAMING .& PLUMBING 3. iNSULATION 4.' FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.O. *ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUC/ION ERRORS (Name of individual signin~ contract) being duly sworn, deposes and says that he is the applicant .bore named, t f said owner or owners, and is duly i (Contractor, agent, cor~porate officer, etc.) f .................... . · authorized to perform or have performed the said work and to make and file this ~plication, that all statements contained in this'application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manne-~2, c~_,,... ........ sac,[ suit. mule application Bled , worn to before me this [ ~ therewith. ' ....... . .... ..dayof...~.. .... 1 ~ ........ N~:4~7~505 , ~ >r ' ' (Sz~3tu=e o~applic~t) commi~Bn Expires De~m~, n I~ . \ \ CERTIFIED TO ~ ESTATE of MILDRED DIESERUD BAPBARA HOISlNGTON ~AH~LAL TH LAND TITLE INSURANCE COMPANY HOME MORTGAGE SURVEY OF PROPER T Y A T EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY_, N_. Y~3 1000 - 31 - O? Scale 1" = 30' Oct. 25, 1990 N ,/I Prepared in accordance with the minimum atandarde for title aurveye aa established bfYorthe LI.A.LS. and approved and adopted auch uae b,v The New York State land Title Aeeociation. AREA = 25,820 sq. ft. . . ,,c. ~o. P. ~ ~9 MAIN ROAD SOUTHOLD! N Y. 11971 QD_ 49618