HomeMy WebLinkAbout21082-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22322 Date MAY 12, 1993
THIS CERTIFIES that the building ACCESSORY
Location of Property 1675 CEDARFIELDS DRIVE
House No. Street
County Tax Map No. 1000 Section 40 Block 5
Subdivision Filed Map No.
GREENPORT, N.Y.
Hamlet
Lot 1.9
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 16, 1992 pursuant to which
Building Permit No. 21082-Z dated NOVEMBER 23~ 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 WOODEN STORAGE SHED IN REAR YARD OUTSIDE OF
SCENIC BUFFER ZONE AS APPLIED FOR.
The certificate is issued to
VIRGINIA M. GILMORE
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMBNT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev.
~~!d~' ~/I ns~pec tot
FOBM NO. II
TOWN OF $OIJTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N-°N? 2108~Z
Permission is hereby granted to: q/m., , A ,,
.................
..... ~ ............. .q ................. ~ .................
..................................
at prem,se$ located at ..Z/./~.~..~......~~...~...~..... ...... ~~.~... ..................
County Tox Map No. 1000 Section ........ .~.,.~- ......... Block 0 ~' Lot No...I .....................
pursuant to application dated .....~...~.....~. ........ .)....~.. ............ , 19~....~.., and approved by the
Building Inspector.
B~rlding Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
, APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the followingf 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 f{om Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
a 5. Commercial building, industrial b~ilding, 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.·
B. 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 an~'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 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
ate .... f.?...5.?. ?3
"' House No. U Street ..... ~Hamlet
:ounty Tax Map No I000, Section ..... ..~.O. ..... Block ...... C ~ ~
;ubdivision ................. Filed Map ............ Lot ......................
................... Applicant ....................
~ealth Dept. Approval .......................... Underwriters Approval .........................
'lanning Board Approval ........................
· quest for: Temporary Certificate ..... Final Certicate ......
'ee 8ubm±t:ted: $ ..... ' ................. ~
OUNDATION (1st)
OUNDATIO:! ( 2nd )
0UGH FRAHE &
-PLUMBING
1;SULATION PER N.
STATE E~;ERGY
CODE
.I
Fi;IAL
BUILDING DEPT.
SPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ]/U~SULATION
/
FRAMING [~/J FINAL
DATE
booR,
FAST, EASY ASSEMBLY!!!
APPLY
WAFER-
SOF=IT
BOTH
t. Cut 4 "ribbon.-,~- ~- .... ~s" 2x4-7'11", 9'! ' ". or 11'Ii"
long.
2. Nail "bottom ribbon board" to one standard
frame using 16D sinKers see iliustrat,on page 1.
3. Nail the "bottom ribbon boards" to balance of
standard frames (frames spaced 24" on center)
using 16D sinkers see illustration page ".
4. Nail "interior ~','a!! ribbon boards" at the top of
walt for bracip; ,;sing 16D sinkers see
illustration pa~e i.
5. Cut and nail in place s..,,, floor sheathing usin9
8D sinkers.
6. Cut and nail waier board soiht m place (using 8D
galvanized naris) Use excess sheet.lng for roof
sheatmng as shown on pages 3. 6
7. Cut sidewal: ~. ..... .~ a d nail i,~ place us "g
6D galvanize~ -ms
8. Cut door an; end v ~H framing and toe nar ,n
place using lCD sinkers. See diagram page 2.
Cut front and -ezr wall sheathing. Nail in place
using 8O 9aivar zed nails see diagram on
bottom of page 7 for "cutting ms(ructions" of
corner sheath,n9
Cut 2x4 door sheathing framing. See cutting
instructions on page 3.
Cut roof sheatnm¢ and nail m place using 8D
stokers.
Apply i×J ~nm to corners and rake using 8D
galvanized nai'$
Apply ~x4trim over sheathing, around door
frame openin9 using 8D galvanized nails.
Apply ix4 door trim to door sheatmng using 8D
galvan!zed nai!s
Attach ranges t? ~x4 trim on doors and door
frame ~s,~,g sc'.'ws mcluded
Apply shingles ...--rog t'.-." roofing nails.
Attach hasp at .-'enter of doors using screws
Included.
Attach barrel bo!tS to top Oi lx4 door trim usmg
screws included
Pamt or stem barn as desired.
F.t
HOW TO ASSEMBLE YOUR 8' OR 10' SHED
MATERIAL LISTS
8'X8r Earn POS =837-21-99
2 3 ~ - "6D Smke,s ~or
3 pr - 5' T~hmges
! ~ 3'-" Hasp
Optional and Extra
· 4- 4x4-8 Skios
5- 10' Drip eoge
2 - Gallon sram siding
1 - Gallon stain trim
1 - Felt paper
1 - Paint brush
i - Rloge vent
2 - End caps
8'x10' Barn POS =837-22-99
6- Barn frames
6 - 2x4-8' Doo'
Nails
,~' ,~,- - 5" T-hmges
Optional and Extra
4 - 4x4-1~ S~, cs
2 ~ Gallon s:=- n s=dmg
_~-1 . Felt papa' 1 - Paint brus'~
I - Ridge yen:
2 - End caps
8'x12' Barn POS =837-23-99
Z - 2x4-12' R~bbon boards
3 - ?~"x4-8' Fioor
5 - 7/16'xz-8' Roof
5- 2x4-8' Door and eno
7- 4'x8
2- Squa'e ?ingles
' - 2~4-8 Doc' snea7 ~
Nails
5 : - ~g Sa ,~" zed
3;: -SD S -~e-s for rico'
3 ih. - ~6D Stokers for
framing
Hardware Package
3 pr, - 5" T-hinges
Optional and Extra 4 ~ 4x4-12' Skids
5 - 10' Drip edge
3 - Gallon stain s~dmg
1 - Gaflon stain trim
I - Felt paper
1 - Paint brush
1 - Ridge vent
2 - Eno caps
10'x12' Barn Pos =837-24-99
7 - Bar'
4- 2xz R -; on boaros
sheatmn -
7 - 7/36"x~ ~'
9- 2x4-8' Door and end
2 33- Square smngles for
3- 2x4-16' Door
Nails
5 5 lb - SD Galvan,zed
3 lb, - 16D Sinkers for
framing
5 lb - Roofing naris
1 ]~ - i'4" Drywall
3 pr. - 5" T-hmges
2 ocs - Barrel bolts
- 3'/," Hasp
Optional and Extra 4 - 4x4-12' Skids
6 - 10' Drip edge
3 - Gallon stain stding,
I - Gallon stain trim
1 - Felt paper
1 - Paint brush
I - Ridge vent
2 - End caps
NorD. 1EIA?OFA~:L"/~Ck NKIL ¢~C~!NC~ T, 0 FR~E. PRA\~ C~tPELtN~ \~',.e_~ SH~qM.
N~E: SE PA~ G ~ D~ ~ ~N~A~ SA~TAING C~1S ON ~o' ~.
,, ,~^ ROAD
R. 48)
'°
~0'
SCENIC
BUFFER
125'
'T;F/ED TO,
~RGINA GILMORE
~4RTFORD FUNDING, L
RST AMERICAN ~T'tE /~SL~q, ANCE
OMPANY OF NEW YO~
'TLE NO. 60~ - S -
FOLLOWING
]. FOUNDATJO~ ~WO
BE COJviPLEYE FOR
ALL CO~S'TRUOTION SHAtL MEET
T~E
' c: ~ OF THE
S~&TE CON,~RUCT~ ~ ,ENERGY
CODES. NO~ RES~NSIBLE FOR
DESIGN OR co~s'raO~TiO~
LOT L~
LOT ~,
AREA
= 21, 150 sq. ft. "
28~00'
/ ~/'-% S 73' 58' lO" W
E~/t ...~/.~- N. rS u¢. NO.
PECONIC-$URVEYO,R'S, P.C.
(5~6] 7~ _ 5020
P.O. BOX 909
MAIN ROAD
EOUTHO~D, ~ ~ ~197~
86 - (9)
8'x8' Barn POS
2 3 2 - ~6D Stokers for
framing
3 pr - 5" T-hinges
Optional and Extra
· 4-4x4-8 Skids
5 - 10' Drip edge
2 - Gallon stain s~ding
1 - Gallon stain tnm
1 - Felt paper
I - Paint brush
I ~ Ridge vent
2 - End csps
MATERIAL LISTS
Nails
4 lb - 8D Ga ·~ :e;
8'x12' Barn ads ~837-23-99 7 - Barn frames
4 - 2x4-12' Rtbbon boards .
3- %"x4-8' Floor
sheathmg
6- 7/16"x4-:8' Roof
sheatmng/sofht
6 - 2x4-8' Door and eno
frame assembly
2 Square shingles for
roof
~25 *~ - Ix4 Trim for OdOrS,
corners, and rake
Naits
3 ib - 8D Sm, kers for
3 ~b. - 16D Stokers for
framing
4 lb - Roofing nads
t lb. - 1%' Drywall
Hardware Package
3 ~r. - 5" l'-h~nges
2 pcs. ~ Barrel bolts
- 3%" Hasp
Optional and Extra 4 - 4x4-10 S,. cs
5 * 10' D-:; es~e
-_d - Felt pase'
1 - Ridge veto
Optional and Extra
4 - 4x4-12' Skids
5 - 10' Drip edge
3 - Gallon stain s~ding
1 - Gallon stain trim
I - Felt paper
1 o Paint brush
1 - Ridge vent
2 - End caps
· 10'x12' Barn pos =837-24-99
4- 2xz R '' c,n boards
9-2×4-8 Dooranoend
2 33- Square s-,,ngles for
Nails
5.5 lb - 8D GeNamzed
5 I~ - Roofing nads
3 pr - 5"T-mnges
I - 3%" Hasp
Optional and Extra
4 - 4x4-12' Skids
6- 10' Drip edge
3 - Gallon stain siding,
I - Gallon stain trim
1 - Felt paper
1 - Paint brush
1 - Ridge vent
2 - End caps
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
· ' TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 NOT
\pproved {~...~?,J~.....~...~.~.., 19~.~.. Permit No..~. !
)isapproved a/c .... . .............................. ,
... (Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEAL'I'll
.,3 SETS OF PL,~.NS
SEPTIC FORH ..............
a. Tlds application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3
ts 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
- areas, and giving a detailed description of layout of property must be drawn on the diagram which is par of this appli-
:tion.
c. The work covered by this appLidation may not be commenced before issuance of Building Permit.
d. {-)'pon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
all be'kept on the premises available for inspection throughout the w6rk.
e. No building shall be occupied or. used in whole or in part for any purpose whatever until a Certificate of Occupancy
all 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
Aiding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
zgulations, for the construction of buildings additions or alterations, or for removal or d~molition, as herein described.
~e applicant agrees to comply with all applicable laws, ordinances, building code, housj~ codg~ and regulations, and to
· mit authorized inspectors on premises and in building for necessary in....~n~._ . . .... 'o.~ ~,:~'~'~ ~
(Mailing address of applicant)
.ate whether applicant ,s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil/e/r?
amc of owner of premises ............. { ~.[..&r .... : .... t
(as on the tax roll or latest deed) ....
applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No '
Plumber's License No .........................
Electrician's License Nb .......................
Ot ~er Trade's License No ......................
Location Of land on which proposed work will be'done ....
· .: .........................
llouse Number Street Hamlel I ' "
County Tax MapNo. 1000 Section ...~.d..-~. ........ Block ................ ~ Lot .... ."7..[.*..?. ......
i Fil d M N
Subdivision ......
· ' ~) .......... e ap o ............... Lot .........
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy ....~../~.
(check which ~pplicable): New Building .....~..... Addition Alteration ....
3. Nature of work. ! '
Repair ............. Removal .............. Demolition ..... Other Work .......
4. Estimated Cost . . . ~'O.. ~ e.~,~ est tion)
......... : ................... Fee ·
~ (to be paid on filing this application)
5 If dwelling number 6f dwellin~ units [ Number of dwelling units on each floor
· If garage, number of cars .... i ....................... ' ...............
If business, commercial or mix;d o
6. ~ i}~;n~y;,,~ry~ tp ~cny n~t.~ re an~ ex. t~;[; f eac.h t.ype o[ u. se .... : ...............
7. D~menstons.q~'emsti.~,.fitructu s
· ~ ' ' ~ ' i~.. .............. epth ...............
Heioht ......... ".~.' .~. · · Number of Stories ....................................................
Dimensions of same structure wtth alterations or additions: Front ................. Rear ..................
Depth . ..... !. · · Height ......... t ............. Number of Stories ............ ~..
8. Dimensia~l~fl~n~i]~]~w construction: Front ... ~.. .......... Rear ............... Depth ./~ '/ ........
~eight ~.. t Number of Stories ...... ]
9. o~ze oflot: Front ............ Rear .................... De
· ' · · · pth
10. Date of Purchase ..... !... N fF
Z ..... h p~ ....... ' .... ~ .... amc o ormer Owner .......................
11. one or use district in whic emises are situate ................................................
~/ g law, ordi ti .....
12. Does proposed construction violate ny zonin nance or regula on: ...........
13. Will lot be regraded ., ! ' '. ...............
14 Nam f O fp ...... ~ ............... excess e removed from premises: Yes No
.... Will fill b
. eo wnero remises . i ............. Add . . . '
Nam f A hit .... ·. ress ................ Phone No...
e o rc ect ........ ' .............
· ~ ................. Address ................... Phone No ................
Name of Contractor ........ 4 ............. . .... Address ........
15. Is this property within ¢00 feet of a tidal wetland? '*~e's'.'..'..'.'.'.' .Phon?~o ................
~If yes, Southold ~own Trustees Permit may be required. No..~ .....
... { PLOT DIAGRAM
Locate clearly and distinctly alli buildings, whether existing or proposed, and. indicate all set-back dimensions from
properly lines. Give street and block ~umber or description according to deed, and show street names and indicate wh~ther
interior or comer lot. '
COUNTY OF ...... q'~. "~ 74-, .... '
~].(Name of individual signing contract)
~bove named.
(Contractor agent ....................................
· corporate officer ere )
~f said owner or owners, ~d is duly authorized to perform or have performed tlie said work hnd to m~e and file this
.~phcatmn; that all statements contained m fins application are true to the best of his knowledge and belief; and that the
?rk will be perfo~ed in the manner sqt forth in the application filed therewith·
~Wom to before me this
...... being duly sworn, deposes and says that he is the applicant