HomeMy WebLinkAbout21090-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
No Z-22664
CERTIFICATE OF OCCUPANCY
Date OCTOBER 20~ 1993
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property 1735 CEDARFIELDS DR.
House No. Street
County Tax Map No. 1000 Section 40 Block 5
Subdivision Filed Map No.
GREENPORT~ N.Y.
Hamlet
Lot 1.8
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 12, 1992 pursuant to which
Building Permit No. 21090-Z dated NOVEMBER 18, 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 DONNA A. FOSTER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Bui~ng Inspect'or
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, FI. r.
BUILDING PERMIT
(THIS pEP, AAIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NgN°. 210g0Z
Date ............
Permission is hereby granted to:
........................
ot premises located at .../...Z .~....~......~,~....~~....~ ..................................
County Tax Map No. 1000 Section ........ ...~....~.. ....... Block ....... ~ ....... Lot No.../..~.~... ............
pursuant to application dated ...~'.~../.'./..~ ............................... , 19.~.....,~and approved by the
Building Inspector.
Fee $-.~.~
Rev. 6/30/80
Form No. 6
,ti?~ ..... TOWN OF SOUTIIOLD
ti(I , '~ BUILDING DEPARTMENT
0el 6 t 9o i Tow
~ ~ 765-1802
......... ~f[,=,J~ lt. 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:
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 instal, lation from Board of Fire Underwriters.
a. 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 C~pliance from archiuect or engineer
responsible for the building.
~ ,6. Submi~ Planning Board Approval of completed site plan requirements.
$.. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
., pre-exlstzag land uses:
· ~1. Accurate survey of property showing ail 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 Certifi6ate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
:. Fees
1. Certificate of OccupancY~2 New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling ~ 5.00, 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
Date
e~ Construction ~. Old Or
'' ' ...... Pre-existing Building ...............
~wer or watts roperty. .
bdivision. · ·
................
rmit No ................ Date Of PermiC ................ Applicant ..................
~lth Ocpt Approval '
................. Underwriters Approval
:nning Board Approval
luest for: Temporary Certificate ..... Final Certicate ...........
, ....
C~e ~g'b6 q APPLICANT .............
OUNDA~ION
OUNDATION
f2nd)
OUGH FRAbIE &
.PLUMBING
NSULATION PER N. Y.
STATE ENERGY
CODE
FI;;AL
ADDITIONA'L COMMENTS:
KAUFOLD'S COUNTRY SHEDS are made for you by skilled crahsmen using
quality materials to give you a long lasting braiding with a minimal amount of maintenance.
Available fully constructed or custom built at your s~te. Constructed w~tb /1x4 pressure treated
foundation. Floor joist of 2x4's spaced 16" on center covered wlth s/s" exterior plywood. Ail stud-
ditxg is placed 16" on center throughout. Exterior siding is Iongdasting durable s/a" Texture 1-11. Alt
structures include aluminum jalousie window(s) with screens. Roofing consists of exterior plywood
sheathing covered with 240 lb. asphalt shingles.
The Saltbox
This stylish structure is ideally suited as a
poolside cabana, an attractive backyard
storage shed and/or playhouse.
The Mini Barn
An economical ali purpose storage unit.
Ideal for basic homeowner storage of garden
bicycles, lawn furniture, etc. ALSO
her side walls.
The Cottage
This attractive building is a great maximum
storage unit or office. Offers 6' wall hmght,
overhead storage and a neat clean look.
Ideal. as a maximum storage unit or garage.
Full 6' wail height and overhead storage.
Avalalable with standard double hung barn
doors or optional garage door (as shown).
Options Include:
· 1I Exterior Colors · Additional Doors & Windows
· 7 Shingle Colors · Overhead Garage Doors
· 3 Trim Colors · Extra Floor Supports
· Wider Doors ' Interior- Partitions
· Higher Doors · Dutch Doors
· Fully Pressure Treated Floor
· Cupolas
· Pressure Treated Ramps
· Wcathervanes
· Flower Boxes
KAUFOLD S QUALITY GAZEBOS aro available to you fully assembled or can be custom
built at your site.
Only the finest #1 grade pressure treated Southern Yellow Pine and #1 grade cedar shingles are used
in tbeir construction. Ail bardware is stainless steel or galvanized for maximum strength and beauty.
The Pagoda
Available in 10' & 12' Dia.
The Ivanwood
The Ivanwood Classic
Available in 8', 10', 12' & FI' Dia.
The
Rectangular
Ivanwood
Available in 8'xi0',
i0'x12' &. 12'x14'
The Oval Ivanwood
Ava'lablc 'n 9x13, ll'x15' & lYxl7'
Available in 8', 10' & 12'Dia.
The
Victorian
G~zebo
Available in 8',
10' & 12' Dia.
Options Include:
· Screens * Benches · Electrical Wiring
· Copper Topped Cupolas
Ail Cedar Construction · Kits Available
Examined ........... 19
Approved.../f/./.~. ....... 19~..~fPermit No ............
Disapproved a/c .....................................
BOARD OF HEAt. Itt .........
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765'1802
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. T~s application must be completely filled in by typewriter or in ink ;and submitted to the Building Inspector, with 3
s_6ts of r~.ns, accurate plot plan to scale. Fee according to schedule.
' b. I~ot plan showing location of lot and ot' buildings on premises, relationship to adjoining premises or public st.reets
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 cbmmenced 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 whate~er until a Ce~'tificate 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 t9 the
Building Zone Ord;nance of tim Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinmaees or
Regulations, for the constn:ction of buildings, additions or alterations, or for removal or d.emoli~tion, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, find regulations', and to
~dmit authorized inspectors on premises and in building for necessary insp,q.ctions.
(Signature of applicafit, or name,.if a corporation)
(Mailin~,,a:~Jr~es, s of-applicant) ' l lq l. J¢/~
~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pl~imbe£ Or builder.
-
qameofownero£premises. . ....' ..... ... ...................................... ....
(as on the ta7. roll or latest deed)
f applicant.is a corporation, signature of duly authorized officer.
(Name and tide of corporate officer)
Builder's License No..~. ,~./fl..~<..~.. .............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed work will be done ..................................................
· .I.T .&ff. ...... ............. ¢0. c+,. t¢))... 7...
House Number Street 'Hamlet
County Tax Map No. lO00 Section ~~.~7/..°.. Block ...~..'~.~.. ...... Lot .... /.!~ ...........
Subdivision ,..~~ Jd.. Filed Map No.. ~-L-~-~/~: · ·
(Name)
State existing use and occupancy bf premises and inten, ded use and occupancy of proposed construction:
.......
a. Existiug use an, d occupancy ..... _ . ' ................ ¥7~?, !~ D'~,~,~,:.:~ ..............
b. Intended use and occupancy . .c<,.(~... ............................ ;; ·, '~.~'~ ;* ,~4-E'. ~ ...........
~.r~t ...../- ....~ ~'~'~ ........ ~- .............. ~-~.~ .......... Addition .......... Alteration 5 !. ........
Repair ............ Removal ............ Dcmohlion .........
4 Fee
(to be paid, in 'filing tgis application)
5. If dwelling, number of dwellin~ anits ...
............. '.. Number of dwelling units on'each floor .............
. If garage, number of c~s ..... ~ ..................................................... ' .............
6. If business, commercial or mixed' occupancy, specify nature and extent of each type of use .; ...................
7. Dimensio~f existing structure{, if any: Front ............... Rear .............. Depth .... '.' ..........
Height . ~ ........... Number of Stoh~s .. ' ...................................................
D~ensionsofsamestmcture wi~h alterations or additions: Front .................. Rear ..................
D. p~h .................... ... Hel~t .................... Number ofitofies
8. D~mensio~s~f entire new const~ction: Front...~.~ .... R~r..~
Height .~ ............. Numper of Stories . . . ~ ........
9. Size of lot: Front ........... . . . i .... ,... Rear ................. , .... Depth .' ..... ~ai'.-. ............
I0. Date of Purchase '. NameofFo~e O ' . ..........
........... ; .... ' ......... . r wner ...................
1 [. Zone or use district in which premises are s~ituated ..... ';.';~,.' ............ ~. ...............
12. D~es proposed construction violate any zoning law, ordinh.n}~ or regulation: [. :~'. ....
13. W~I lot be fegraded ......... ; ........ ~ ........... Will excess fill be removed' fro~: ~emi~es:~ Yes No
14. Nme of Owner of premises ...i ........ ......... Address ............. ; ......Phone No .......... ~ .....
Nme of Amhit~ct .......... , .......... ........ Address ............... ; ,... Phone No .................
N~e of Contractor ......... ; .................. Address ................ ..... Phone No ................
15. Is th~a propar~y ~ithin 300 feet IO~ a tidal weeland~ *Yes ..... .';'ii
*If yes, SouChold Town TruStees Perait any be.re~u'IF~d. ,
J PLOT DIAG~ '.~ '
Locate clearly ad distinctly al, bufld~gs,~ whether ex,sUng ar)~oposed, ~d, indi~at~ al s~t-back d~ensions from
prop~g~ ~n~s. Oi~e str~t ad block number or~ descfiptio~ accord~'t~' deed, and show street rimes a~d indicat~ wh~th~
intehor or core,riot. . . -- ~ : . -- ~ / ~/ : //
78.5-1802 .q AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1, FOUNDADON TWO REQUIRED
FOR POUREU CONCRETE
2. ROUGH . FRAMING & PLUMBING
3. INSULATION
4.~ FINAL CONSTRUCTION MUST
~E COMPLETE FOR C,O,
'ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONS~U~ION & ENERGY
CODES. N~ RESPONSIB~ FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NEII/'-YOR~ r--. , f ,
COVNr¥._QF. .L .kT. is's
(Name of indMdual signing contr?t)
tbove named.
ie is the .............................. ...........
~ .... (~ontractor, agent, corporate officer, etc )
~f said owner or. owners, ~d is duly authoriged to perform or have perfo~ed the said work and to m~e:and file this
tPplication; that all statements contained M this application are true to the best of his knowledge and belief; and that the
york w~l be perfomed in the m=n~r set forth{in the application filed therewith.' ,
;worn
to
before
me
this
' · ...... ~ ·. ~ ..... ..aay o~. ~.. ~..g ........ , .....
no, ~79~ ' (Signatu[e of applicant)
cEDARFiELD$ DR!VE