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HomeMy WebLinkAbout21740-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. u~RTIFICATE OF OC~uF~NC~' No Z-24283 Date APRIL 17~ 1995 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property. 3258 SOUTfl HARBOR ROAD SOUTHOLD N~ House No. Street Hamlet County Tax Map No. 1000 Section 75 Block 7 Lot 6.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 12, 1993 pursuant to which Building Permit No. 21740-Z dated OCTOBER 28, 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 AN AGRICULTURAL BUILDING FOR HORSE & SHEEP RE~/{ING AS APPLIED FOR. The certificate is issued to of the aforesaid building. JOHN & NANCY PEARSON SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N352373 PLUMBERS CERTIFICATION DATED Rev. 1/8t N/A MAY 19, 1995 APRIL 12, 1996 HARDY PLUMBING & HEATINO Building Inspect/ FORM NO.3 TOWN OF $OUTHOLD BUiLDiNG DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 21740 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED} Date ....,~.~.~.. ........................................... 19...~..%~.... County Tax Map No. 1000 Section ...... ..~.,..,~,~... .......... Block ...... .7.. ................ Lot NO. ~.~..,. t pursuant to application dated ..../..~..~=.. ..................................... 19..?..~ ...... and approved bythe Building Inspector, Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~orP4- bOOg/C~ APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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 .................. Locatzon of Property ....................................... : ........................ House No. Street Hamlet Onwer or Owners of Property .................................................................. 1000,~ Section..2 ~! OO O¢O0 .~.~ County Tax Map No ....... Block ................ Lot.. :~ ......... Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~..~f~-.g..Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval..~/. ...................... Planning Board Approval.~ ..................... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted:~ ~-' ~ ~ $ . . .~..~. ~. ? .................... ~.~..~~. ~f'"~a~') APPLICANT ' '7 7-- 6,1 21 ?w-~ ~'~ THE .NEW YORK BOARD OF FIRE UNDERWRITERS ~AOE ~. 1185077 'x BUREAU OF: ELECTRICITY ~- ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 /)ate MAY 19,1995 ~pplica~ionNo. onfile 856~794/94 N 352373 THIS CERTIFIES THAT - o~ ~e~cel ~uipment ~ ~scrib~ ~w e~ int~uc~ ~y t~ applicant ~med on ~he a~ appl~atlo~ n~r in t~ prem~es o~ in the~ollowlng Ioca~ion; ~ B~sement ~ Ist FL ~ 2n~ ~. ~ Section Bilk Lot ~s examined on ~Y 15,~995 and found to be in compl~hce with the N~onal ~ectdcal Code. · FIXTURE / I I FIXTURES RANGES ICOOKING DECKS I OVENS I DISH WASHERS EXHAUST FAN! OUTLETS ~ECEPTACLEE SWITCHES INCANDESCENT FLUORESCENT O~THER MT, K W. AMT. K.W. A~*T. K W. ST. K W. AMT. H, P. 19 J 9 13 19 , , DRYERS J ~URNACE MOTORS J FUTURE APPLIANCE FEE~RS ;PECIAL REC PT, TIMErCLOCKS J ULL ~TERS MULTI-OUTLET DIMMERS SERVIC~ DISCONNECT J leo. OF J S E R V I C E OTHER APPARATUS: 30 AMP.CONtROL P~NI~L ONLY-1 ELEC. ROOM HEAT~RS:2-~75 KoW,,1-1.5 K,W. E~C. WATER ~TERS:: 2-1.5 K.W. G.F.C.I~-5 S~ DE~CTOR. -2 ROSLAK ELECTRIC P.O.BOX 164 CUTCHOGUE, NY, 11935 LI0.#3677 GENERAL MANAGER Per 11 L~,-. 'J This certificate must not be altered in any manner; return to the office of the Board if incorrect: Inspe¢ors may be identified by their credentials., COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTI~OLD OFFICE OF BUILDING INSPECTFOR P.O. BOT. 528 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No.~ Owne r.~ ~.3 ~ (please print) ' - (~l~a~e print) I certif.y that ..h- solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this )c~%~ day of )~,ff~ ,' Note:" Pt, blic,~,, ~X~cJ~-~ .County llo/tar~ LINDA J. COOPER Notary Public, State of New No. 4822563, T~rm Expirea December 31 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 22, 1996 Mr. & Mrs. John Pearson 3258 South Harbor Road Southold, NY 11971 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. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21740-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSULATION [ ] FIREPLACE & CHIMNEY DATE '-2-,,/'7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ , ]~/~ATION [ ~ FINAL [ ]FIREPLACE & CHIMNEY , , ~ ~, /,, DATE INSPECT~ 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~UGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] F~INAL 765-1802 BUILDING DEPT. INSPECTION .ou . PL. . [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONA'L COMMENTS: ................ TOWN HALL I 10W[~ 0;'.',,:; , $OUTHOLD, N,Y. 11971 ................... , ...... TEL,: 765-1802 Examined ~ ~ ~ ......... 19 ~ Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT BOARD OF HEALTH ,.~,~'. .. 3 SETS .O/F PLANS...-''. su wY ......... .... SEPTIC FORM ............. : NOTIFY CALL ..... MAIL TO: 70.g-OO_.e,O- ,XBuild',~g, Inspector) APPLICATION FOR BUILDING PERMIT 0 oL / z- 03 Date ................... 19.'... INSTRUCTIONS a. This 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 buildings 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- dation. : c. 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 sh,511 be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant 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 buildings, additions or alterations, or for removal or demolition, as here/n described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ? .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ...................... )-... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done~ ................................................. House Number Street h;~n'l;i ............. q 7 County Tax Map No. 1000Section .................. Block .............................., ~ ~.. Subdivision ..................................... Filed Map No ............... Lot .............. . (Name) 2. State ex{ating use and occupancy of premises and intended use and occupancy of proposed construction~ a. ~XlStl~g Use a~d occunancv ...... b Intended use and occupancy 3. Nature of work (check which ap¢licable): New Building rO .... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... Cost~ c~ ~,oa O i (Descfiplion) 4. Estimated ..... ' ....... > ........................ Fee ............................... (to be paid on filing this application) 5. If dwelling, number of dwelling dnits ... x, ............... If garage, number of c~s ..... ~ ................. ' .......... 6. t~ uusmess, commercm~ or m~xea~occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures if any Front .... Rear . De th Hm~ht ............... Number of Stones . E~ ~'~$2 ~q~¢?Y~ .. Dm, enmons ~Vure w~h alteratmns or additions Front 8. ~enmonsofentirenewconstmction:Front ~ Height . ~ O.t .......... Number of.Stones .... ~ ............ o ~ .......... Depm ...................... 10. Date of Purchase O~ y ~ ?~t Ne- ~F I1.. Zone or use district in which premises are situated .~.'. ~¢r,~]~t ~/?u{~g,,~, . ~ ' '~.'~' 1 2. Does proposed construction viola{e any zoning law, ordinance or regulation: ............................. '... .. ff~ ~fContractor {Ollt/.. ~.(aS.{i. ............ Address~P. {+~e~.l¢]qh~honaNo[ . ~e~': 2) ~; .... z~. iS trims property located w~thin 300 feet of a tidal wetland?~t~g~f{~o .~..s?.". ..... .'' *If yes, Southold To~ Trustees Pe~it may be required. ... i PLO-T DIAG~M ' - Locate cte~ly ~d distinctly ~I ~u~d~gs, whether existing or proposed, and. indicate property ~nes. Give street and block ngmber or deschption accord~g to deed, ~d show street nines and indicate whether interior or comer lot. ' TATE OF NEY', YORK. :oz,,w¥ ..... ...s.s .................. u ........................... being duly sworn, deposes and says that he is the applicant (Name of indMdual signing] contract) .hove named, j 4e is the , ~ ~ ~ (Contractor, agent, corporate officer etc ) .......................... ' f said owner or owners, ~d is duly a~thofized to perfo~ or have perfo~ed the said work and to m~e and file ~s cplication: that all statements contain{d ~ this application are true to the best of his knowledge and belief; and that the 'ork will be perfomed in the manner se~t forth in the application filed therewith. worn to before me this~9 ~ ,, ............. .... ..... 19~ / O' / / // 1/ /' - / TIMBERPEG PACKAGE SPECIFICATIONS Related Structures: By others By others RIDGE CAP ,'"-,=' ' By others [] 2* at walls [] 3" at walls [] 2" at roof [] 3" at roof By others ~Olql~" 6. INTERIOR WALL FINIEH (of exmdor wall EXTRA MAT'ERIALS TO BE PROVIDED BY TIMBERIPEG Quantities Itsbed below represent estimates. Materials will be~ included iR the TImberpeg package based on quantiltms noted. If builder requires more material than hOOted on this sheet, these adddionat materials will re presentm.ern add cost to the contract Builder to verify I and c~rd nato extra materials to be Amount of extra siding: Amount of extra trim: Amount of exttra roofing: Amouflt of exitra strapping: Amount of ex:tra insulation: Amount of ex[Ira interior wall finish: By others 10, 11. '12. DOORS SLIDERS SKYLIGHTS Amount of extra Interior roof finish: Amount of extra ceiling finish: Type Amount (S F,) Windows, doom, sliders, skylights to be orovided by others, NOT IN PACKAGE, High altitude glass required MATERIALS BY BUILDER TO COMPLETE PACKAGE ASSEMBLY · 30 lb. felt (between shake layers) · 8 mil poly vapor barrier (over interior finish) · Tyvek air Infiltration banler (over wall strapping) · Flsshin for doors, windows (if - WORK BY BUILDER iN ADDITION TO PACKAGE ASSEMBLY. Framing of kr$t floor and ail work shown on drawings "By Others" Site work, concrete work, ~nasonry work, extehor decks & steps, all intoner stud partitions & finishes, interior mltlwork Including all Intoner doors & m painting & staining coordmatlon & general contracting of all subtrades in cludlng plumbing, electrical, heating and air conditioning work. Coordination and ~nstallatlon of air utilities (~ewer, water, electric, telephone) · Construction of cncket roofs when re- quired beiween timber frames, including insulation, vapor berrlers, and roof vents at cricket roofs, · Conventional framing at recessed en- tries, overhangs or pombes. · Obtain permds and local approvals, NOTE TO BUILDER: Refer to Timberpeg Construction Manual prior to starling work. THIS DRAWING MAY NOT BE REPRO- DUCED OR COPIED, IN WHOLE OR IN PART, WITHOUT THE EXPRESSED WRITfEN PERMISSION OF TIMBERPEG. COPYRIGHT © 1987 TIMBERPEG TIMBERPEG EAST, INC. CLAREMONT, NEW HAMPSHIRE TIMSERPEG SOUTH, INC. FLETCHER, NORTH CAROLINA TIMBERPEG WEST, INC, FORT COLLINS1 COLORADO TIMBERPEG PACIFIC, INC, RENO, NEVADA DIMENSIONS/DETAILS BY BUILDER · Work noted "By Others" shall be coordlnated & detailed by builder · Frnal d.~enslons of inter,or layout shall be determined by broider i~ ac- cordance With owner's sefecbon of interior bnishes Review w~ndow & top of sub floor (plywood) at first floor [] Standard Kitchen Cabinet Style: L~youI No ...... Pull Style: , Trim Color: Cabinet Color:_ Pull Color: Date If signed, notify Timberpeg when you will be ready for preparation of foundation plans.) -L DO NOT ~ROCEEO LO ~ T4 UN'rlL ~i ISURVEY OF FOUNDATION LOCATION HAS BEEN; APPROVED LOCATION OF BUILDING SITE; TIMBERPEG PORTFOLIO MODEL NUMBER: INDEPENDENT SALES REPRESENTATIVE: LIST OF DRAWINGS [] PRELIMINARY PL.~,NS ~.t~ · ELEVATIONS · FLOOR PLANS · STANDARD FRAME SECTION [] REVISIONS m-~ w.rk II r~t~l by ~ CONSTRUCTION PLANS · STANDARD TIMBERPEG DETAILS: NOTE: RO3F DETAIL 'DII [] FRAME DRAWINGS FR through FR ~EEN 12-.F-'V 15 E.[3, Che~ked By: Drawn By, NOTICE TO CUSTOMER: COVER SHEET PROJECT NAME ~ PLANT: PROJECT NUMBER: ~ SPECIAL NOTE ~ , ~ ~ scale, describe the DARD DETAILS % ~ ........ - ............ T~ ~ 5LA~ ~. ~ ~ the dimensions cludlng trim CO~ MATE~I~L¢ ~% TIM~E~ EAST, INC, CLAREMONT, N H, · TIMDERPEG SOUTH, INC FLETCHER, NC · TIM BERPEG WEST, INC FT COLLINS, CO. · TIMBERPEG PACIFIC, INC. RENO, NEVADA DRAWING NO FINIECA ~ TO ~ DE~]~ ,~T ~T~ILI~ ~ ~1~1~ ~ ~k / ~ J~ 51~, ~L ~E~ TO ~V~DE ~TAINI~ ~L6 A~ T~ ~el~lLl~ ALL MILLWO~ ~.o, TO ~E ~vl~D ~Y T~ ~ROJECT NAME PROJECT NO C. ONVENTION~L C. ONe, T~LIC. TIC~N TOt= ELEvCTLoN ,ALL l'dtLLt~2~*, ~.0. SPECIAL NOTE TO CUSTOMER Plans and elevatlon$~ drawn at 1/4" -- 1'~ scape, describeth general appearance o you¢ new home Reler to TIMBERPEG STAN- DARD DETAILS for the d~menslons of package items cludmg trim DO NOT SCALE DIMENSIONS FROM BLUEPRINTS. THIS DRAWING MAY NOT BE RE- PRODUCED OR COPIED IN WHOL OR IN PART, WITHOUT EX PRESSED WRIT- TEN PERMISSION OF TIMBERPEG COPYRIGHT © 199E BY TIMBERPEG · TIMBERPEG EAST, INC, CLAREMONT, · TIMBERPEG SOUTH, INC FL~FCHER, N,C, · TIMSERPEG WEST, INC. FT COLLINS, CO. · TIMBERPEG PACfFIC, INC. RENO, NEVADA ORAWING NO 2 PROJECT NAME PROJECT NO ¥ F ALL D IM~NSk .L ~UN IN 5NED FIRST FLO0 ~OJEC, T NO.TN .~UILDIN~ SECTION SPECIAL NOTE TO CUSTOMER Plans and elevations, drawn al 114" = 1'~3~ scaJe, describe the general appearance of your new home Refer to TIMSERPEG STAN- DARD DETAILS for the dimensions of package ~tems ~n- cludlng trim DIMENSIONS FROM BLUEPRINTS OF TCf~ERPEG COPYRIGHT ,'- 1993 . TIMB[RP~G PROJECT NAME PE~ARSON PROJECT NO / 5TrCK E~UILT LOFT T I I 1 I I I 14-1 I I I iq-fi' I I I T FLO0t F--T~T~ T PROJECT NOt~TH SCA~,~4'. I'-~' SPECIAL NOTE TO CUSTOMER. Plans and elevation~ drawn at 1/4~ = 1'-0 scale, describe Ihe general appearance of your new home Refer to TIMRERPEG STAN- DARD DETAILS for the d~mensions of package dems in- cluding tnm ~O NOT SCALE DIMENSIONS FROM BLUEPRINTS, THIS DRAWING MAY NOT BE RE- PRODUCED OR COPIED IN WHOLE OR IN PART, WITHOUT EX- PRESSED WRIT- TEN PERMISSION OF TIMBERPEG COPYRIGHT ¢' 1993 BY TIMBERPEG PROJECT NAME PROJECT NO ',GOb,. // // ..... L "9 ,1 i_.L_L ti FII I I /' '-I ~oLo''