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HomeMy WebLinkAbout21023-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22093 Date JANUARY 11, 1993 THIS CERTIFIES that the building. Location of Property 1240 GOLD SPUR DR. House No. County Tax Map No. 1000 Section 95 Subdivision ACCESSORY CUTCHOGUE, NEW YORK Street Hamlet Block 4 Lot 18.11 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9r 1992 pursuant to which Building Permit No. 21023-Z dated OCTOBER 16¢ 1992 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 JOSEPH SMALLEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROYAL ' N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /Buildinq Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°_N? / ~,....~,--~..~__.....,......xX*~:..'...~....xx~,-~ x~ ....~ ....... ~...~:..~.:..;:~ ................. ~-: ...................................... at premises located at .......... '..~'~-...~.,-,~..,..~..;~..y .4~~~.,r ...................................... .......................................................................... ~..~./.~....~'"'- - .. .................................................. County Tox Map No. 1000 Section ..... ~.~.... ........ Block .....~... ............. Lot No. /~..~..../../.'.. ..... pursuant to application dated ..... ,/..~. .................................... , 19~....~, and approved by the Building Inspector. Rev. 6130/80 Form No. 6 TOWN 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 2/10 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 B6ilding 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.. ~Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ..................... Old ' g B ildi New Construction ........... Or Pre-exzstin u ng .............. Location of Property..JT-.~.@...~.p~J).. ¥.~....-~f~[F.~ ........ .~ ~'., -..~/.~ House No. Street Ha~nlet )nwer or Owners of Propgrty ..... .~.?.~.~{ ............. ;ounty Tax Map No i000, Section .......... Block .... . .......... Lot .... ~ubdivision .................................... Filed Map ............ Lot ...................... ~ermit No.~.~.~. ........ Date Of Permit..~.~./~.~./f..vT7....Applicant .... .~..~.~/.~...~..~.~ ............ ealth Dept. Approval ..... ~..~. .............. Underwriters Approval ..... ..~..~.. ............ lanning Board Approval .... .~..~ .............. mquest for: Temporary Certificate .......... ~ Final Certicate ....... :e Submitted: ................... 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: DATE OUNDATIO~'~ (2nd ] OUGH FRAME & ·PLUMBING NSULATION PER N. Y. STATE ENERGY CODE ADDITION A~L COMMENTS BLDG. DEPT. TOWN OF SOUTI4~LD LUMBER Pos #837-91-99 Deluxe Storage Building OR USE ~S UNLAWFUL W~THOUT CONTENTS 12' and 16' Storage Building Assembly 12' and.16' Door and End Assembly 12'xl 2' Storage Buildinq (Pos #837-11-99) OF OCCUPANCY Page 1 Page 2 12'x16' Storage Building (POS #837-12~99) 16'x16' Storage Building (POS #837-14-99) 16'x20' Storage Building (POS #837-16-99) Materials List Page4 Page 5 Page 6 Page 7 ~CoovriQht 1989, EiQhtv Four Lumber ocr Assembly for 12' Wide Shed Cut 4 pcs. (board A) 2x4-89%" with notch cut. See diagram 1 page 2 for cutting instructions. Place board A into shed frame and nail into place using 16D sinkers. 3[ UG. [1EFt'. End Fram, e Assembly for 12' Wide Shed 1. Cut 5 pcs. (board A) 2x4-89~'' with notch cut See diagram 1 page 2 for cutting instructions. 2, Place A boards rotc shed frame and nail rotc place using 16D sinkers. CU'f'flIg6 INSTI~.uGTION5 ~or Assembly for 16' Wide Shed Cut 6 pcs. (board A) 2x4-895/B'' wflh notch cut. See d~agram I page 2 for cutting instructions, Place A boards into shed frame and nail into p~ace using 16D sinkers. End Frame Assembly for 16' Wide Shed 1. Cut 7pcs (boardA) 2x4-8g%"w~thnotchcut. See d~agram 1 page 2 for cutting Jnstrucbons. 2. Place A boards into end frame and nail rotc place using 16D sinkers 12'x12' BARN P~.$. t~O~F S~EAT~IN6 .SOFFIT [ILDG. DE:F"£. [ TOWI~I OF SOUTHOLD ~ MIDDLE FLOC~ SHEATH/KD SIDE WA, LL SI4, E'A-(H4N& .b E'~D WALL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CI1ECKt .................... SEPTIC FORH .............. SOUT,O,.D.N.Y. ~97~ /~ / . ,.,., c^L,.. 4.*' .... /./..t ....... Examined../j~/./r,~ ....... , 19 ~:~'. 7''~ / .% t't^ l:t, TO: Approved X< 0. ./_.~?. 19 .~.~. Permit No ,~/a~. ~ ~ ~}eg:~i~,r;!;~,'i'-~. '' '' ~" ..... ),. ........v- ............ / ~;<.,:? !, , _~- . · .l ~! ................. ~ sapproveda/c ............................... ~;i ~..~_" ~ '5>"'"' ...... --~ ,~3~,11,II - ~'G'%~O ............................................... .... [~l ~, {~ Ig [J ~/ [~_]~'~1' (J~ildin~ector) BLDG. DEPT. · INSTRUCTIONS ~1 0~ $OU~HOL~ 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- 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 issued a Building Permit to the applicant. Such permit shall be kept on thc 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 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 Count~ New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings additions or alteratiS~s, or for removal oi' demolition, as heroin described. The appli'cant agrees ~o comply with all applicable laws, ordinances, building code, hous~&g code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspect'r~ ........ .~,~--. ff~.~. -, .~.>.~, e,~...~---~.<: .~.. ....... .... ~(~_~kof~tYlioa~h~, or nam e, i f 7 q~on) (Mailing address of applicant) State whether applicant is owner, lessee, ag6nt~i arcJxffect, engineer, general contractor-, electrician, plumber or builder. ............ ~. ~. lqr.~.: ............ ..,:..~:.~.,:.. ................................................. N.,m ,- -- -- ......................... ........... · /I ,, , ' ' aso* etaxrollorlatestdeed If applicant is a corporation signatureX'J of duly authorized .dffi96r.' / · (Name and title of corporate officer) ~ ~ Builder's riccnse ~o...0. ~V. ~.~5,(~..', .'i...::'... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be' done .................................................. ..l~.q.0 .... ~.o.l.~...5.f.~....:~ ,~'*.~ ..C~:T~a~.G. ~:~.~.,~.,l~~,~ llouse Number Street Hamlet ' County Tax Map No. 1000 Section ..... ~ ........ Block ...... ~ .......... Lot Subdivision ...................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended us~ an0 occupancy of proposed construction: b. Intended use and occupancy ............ Vt Z.~. ............... ; {.~ .}. i'~ .'.~ ~ J..'3 ; 10. 11. 12. 13. 14. 15. property lines. Give street and block n~mber or. interior or corner lot. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ........... Repair .............. Removal .............. Demolition ........ Other Work . .J?.~ ~ ~ O~.~_~ '" ,,fl~'~ ~ (Description) Estimated Cost ............... ~ ...... Fee (to be paid on filing th? application) If dwelling, number of dweliing udits ............... Number of dwelling units on each floor ................ If garage, number of cars ' If business, commercial or mixed Qccupancy, specff.y nature and extent of each type of use ..................... Dimensions of existing structures, :if any: Front ................ Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dime f ith It tio dditio nsions o same structure w a era ns or a ns: Front ................... Rear .................. Depth ' ' I Height Number of Stories Dimensions of entire new construdtion: Front R D pth , ............... ear ............... e ..... . ......... Height ............... Number of Stories ......................................................... Size of lot: Front i Rear ' Depth Date of Purchase ' ' Name of Former Owner Zone or use district in which premi~ses are situated ............................. tllS~., ~. · .~ .,:. ...... Does proposed construction violat~ any zoning law, ordinance or regulation' .. ~ ........ ! ...... Will lot be regraded .......... 4 ................. Will excess fill be.removed frg~l!l s;" ~.~. c No Name of Owner of premises .................... Address ................. r, ~hb.n.e ~N(~: , r ...... i. . Name of Architect ........... ~ ............... Address ............... ' . .. Phone N~'. Name of Contractor ........... : ............... Address ................... Phone No ................ Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold ToWn Trustees Permit may be required. .. PLOT DIAGRAM Locate clearly and distinctly all b/tildings, whether existing or proposed, and, indicate all set-back dimensions from )tion according to deed, and show ~ indicate whether STATE OF NEW YORK, COUNTY OF .............. S.$ ' being duly deposes and says that he is the applicant ................................................. sworn, (Name of individual signing contract) :~bove named. is the .... ... (Contractor, agent, corporate officer, etc.) said owner or owners, and ~s duly ~uthorized to perform or have performed the said work and to make and tile this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~vork will be performed in the manner set forth in the application flied therewith. ~;wom to before me this .............. ' da 'of / _ ................ '~otary Public ',~'~' f' '~r*~' '" · ' '~nty t', ~ ~ . ...... ..... ~ Publl(~BtllteofNow,'~t~g~ ~- ~' . ' · '' ~o[~952246, Suffol~ ~-- ~- -f~ ~ (S~na~; applicant)