The URL can be used to link to this page

Home My WebLink About21807-zFORM NO. 4 TOWI~ OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hell Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23061 Date JUNE 23, 1994 THIS CERTIFIES that the building Location of Property 445 WOOD LANE House No. County Tax Map No. 1000 Section 86 Subdivision ACCESSORY pECONIC, N~ Street Block 6 Lot Filed Map No. Lot No. Hamlet 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER iB, 1993 pursuant to which Building Permit No. 21807-Z dated DEC~BER 2, 1993 was issued, and conforms to all of the requirements of the applicable provisions of the taw. The occupancy for which this certificate is issued is AN ACCESSORY SH~D IN T~E FRONT YARD AS APPLIED FOR. The certificate is issued to EDWARD NORDSTROM of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A Bulldlng Inspector / FORM NO.3 IOWN OF $OUTHOLD BUILDING OEPARTMEI4T TOWN HALL $OUTHOLD, N.Y. N-° 21807 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ............................................................ 19 ........... Permlss{on Is hereby granted to; .._~.~. ........ ~, ............ ~.~....~ ..................................... .~:,&:....L...~.~...-~. .......... ~z./.~.~ ................ · ~ . , ~UJ~.~..¢~ ............ v.~...~...~ y ...................... to ....... ~..,,,,~ .......... ~ ........ ~.,..:~......'....~ ........... ../..~ ....... ~./'~.... ............ ..... ~ ....... y...~...: ........ ~ ....... ~.4,.~x.. f~ ........................................................ ................ ........... .............................................. ............ ; ................................................. ~.~..'~¢....~ ..................................... Counly Tax Map No, ~000 Sectlon.,,,,..~,,~. ............. Block ......... ,.~,,.~. .......... l.ofNo ........ ,,~,.~, .......... ~,~ 1/ l~ .~ .5.., pursuant to application d .......................... ~ ............................. ~.. ....... and approved by the Building Inspector, ~ee ~.,,.'.~,,~ .... / ~' B'dllding Inspector Rev, (~/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT. TOWN OF ~qOUTHOLD A. This application must be filled in by typewriter OR ink and submitted to ~he building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail 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 o{ 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and insgallations, 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. Co 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~ - $100.00 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. ...... . ~.~..~..'~.o..C~..T.~j."~'/¢ ................ New Construction ........... Old Or Pre-existing Building ................. Location of Pro ert, - House No. Street Hamlet Onwer or Owners of Property ....................... County Tax Map No 1000, Section...O..~.. ..... Block ....... & ....... Lot .......... ~ ......... Subdivision .................................... Filed Map ............ Lot .... Permit r..0..7 ...... Date of Pe it ................ .... Health Dept. Approval .......................... Underwriters Approval ...................... · · · Planning Board Approval ....................... . Request for:. Temporary 'Certificate ........... Final Certicate...~".. ...... ~Fee Submitted: ., APPLICANT 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 June 15, 1994 Mr & Mrs Edward Nordstrom 100 Wood Lane Peconic, NY 11958 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. 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 # 21807-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] ~JLATION [ ] FRAMING~ ~]q=INAL REMAR~ DATE ~///~,.~/<~Z~ INSPECT~ FOUNDATION (.ls t) . FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING' INSULATION PER N. STATE ENERGY CO'DE FINAL ADDITIO}IA'L COMMENTS: 0 FORM TOWN OF $OUTHOLD i~(i~f ~ BUILDING DEPARTMENT · TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined Z .~'/.~' ,.., 19 ~.~. Approved .............. 19 . Permit No Disapproved afc ' .. · . , tp, Ja~g~4ng APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... --"3 SETS OF PLANS ......... ~"SU~VEY CHECK .................... SEPTIC FORH °ate.//?./;. .......... I9 73 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 st?eets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli- cation. 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 i~sued a Building Permit to the applicant. Such ~ermit 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 buildings, additions or alterations, or for removal or demolition, as herein describbd. 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 necessaL~ns/pecti~ns. _/ --' (S/gnatur~ ofhpplicant, or name, if a corporation) /~o ~'0o~.~4:... P.~.d~.,g.L.q....g/.:f: .... ;. !.¢...5~.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N~me of owner of premises .&;??~ 80., .*..~.E ¢.. (.,fi./1 ....... ~ .0. f~.. ~7.~P..~ ............ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Name and title of corporate officer) Builder's License No..ff. ................ Plumber s L'cense No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .... . .......................... : ......... ./.o. ~. . .'. '~. O.O. .A · z./~ ' · .P ~cd/V/~ ltouse Number Street Hamlet Cou'nty Tax Map No. 1000 Section .... ...... Block ..... .~. · ' Lot.. ~. ......... · ' · Filed Map No Lot Subdivision ........ . ........................................................... (Name) State ex/sting use and occup/ancy 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 a~plicablex New Buildin' /"/ ~ ..... ' ' · [ J: g .......... ^Om[lOB .......... Alteration .... Repmr .............. Rem?vel .............. Demolition .... : ......... Other Work ............... (Description) 4. Estimated Cost .... /~..~-~,: ........................ Fee ...................................... . (to be paid on filing this application) 5. If dwelling, number of dwelling!lunits ............... Number of dwelling units on each floor ................ · If garage, number of cars ..... ..... ' .... 6 If business commercial or mixeO occupancy specify nature and extent of each type df'use'.., i ................. 7 Dimensions of existing structur4~ if any: Front Rear ............... Height Numl~er of Stories ............................. Depth Dimensions ' '~ alterations or additions: Front Depth pf same structure wllth ............... Rear ................. ..................... ~.. Height ....... i ., .' ........ ~mber of Stories ' ' 8 Dimensions of ntire new construction: Front ;' ' Height Number of Stories .............. ; Rear ............... Depth .............. 9. Size of lot: Front ......... , · ~ ....... ~.. Rear .................... ' Depth .............. 10. Date of Purchase .... + ~/'a ....... 11. · ..................... me of Former Owner ............................ Zone or use district in which premises are situated ......................... .......... 12. Does pro osed construction violate any zoning law, ordina ce or regulation: ........................... 13. Will lot be regraded ' .......... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .... .. Address ; .................................. Phone No ............ :... Name of Architect ........... , ................ Address ................... Phone No ............... Name of Contractor ; . . · ......... , ................ Address ................... Phone No .............. 15. I.s this property within 300 feet of a tidal 'wetland? *Yes ........ No ......... ' · If yes, Southold T~wn Trustees Permit may be required. ' ', PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block namber or description according to deed, and show street names and indicate whether interior or corner lot. SrA'a OF S COUNTY OF . . _,~,?~..'~..'-~ J~ '~' [ · . EJ?~. i~ t~J).... A~. ~. 1). ~.~..~.i.0. ~,., ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing c0fitract) ' above named. He is the .~. ~ . .(~. ~..~'. ........... ' i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this'application are true to the best of his knowledge and belief; and that the work will be performed in the manner set f6rth in the application filed therewith. Sworn to before me tl~. ........ .... NotarV Public, State of Net~ Yo~., ' .,. ~ .... ~ .... No. 4879506 I ~ ^ - Otmllfied in Suffolk County ~"~/J.) (Signature of applicant) . . ,.;ommission Expires Oe~ember 8, ~-.~ ', CARRIAGE HOUSE 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 comple .ment 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. CONSTRUCTION · No middle man. · Completely constructed and assembled. · All wood construction. · Stronger, longer life. · Foundation: 4x4 Pressure Treated Timbers. · Floor Joists: f6" On Center, Pressure Treated covered with % inch Pressure Treated Plywood. · Maintenance-Free %" Exterior Grade T 1-11. · All Wood Corner Molding. Why Don't Other Sheds Measure Up? Compare Our Quality · 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 purchase 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 char~ged 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 Alt Sizes. NEW FOR '92 BACKYARD STRUCTURES-100% BUILT BY North Fork Wood Design, Inc. Pauls Lane Peconic, NY 765-3090 Pioneer with Eagle's Nest Clubhouse STYLES INCLUDE: Sky Fort Eagle's Nest Clubhouse / Climber Commander's Tower Scout Tower Lookout / Explorer Scout West Point Scout Plus 16' Fivestar Pioneer PLUS ANY COMBINATIONS AVAILABLE 3 WAYS: #1 - Hardware Only #2 - Hardware & Lumber Precut #3 - Fully Assembled THE GAZEBO Special attention to quality sets the North Fork Wood Design Gazebo apart from the rest. Our Gazebo is not only beautiful, but each gazebo is hand-built by skilled craftsmen. Only the finest, most durable wood is used in Con- struction. Fragrant Cedar or Pressure-treated Pine. Both are long-lasting and will maintain their natural beauty for generations. Precise attention is given to every de- tail.., right down to the steel galvanized screws. These screws will insure your gazebo will maintain its structura( integrity and will weather the years without rusting. HOW TO FIND US '~NFWD~ Also Sheds, Barns, & Gazebos Immediate delivery from Inventory, 3 to 4 weeks on custom orders, Free Delivery within 20 miles WE BUY THE BEST MATERIALS, TO BUILD THE BEST PRODUCTS, TO SELL TO THE BEST PEOPLE - OUR CUSTOMERS COUPON WE WILL BEAT ANY ADVERTISED PRICE ON ALL Swing N Slide BRING IN COMPETITOR'S AD AND WE WILL HONOR IT + 5% OFF