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Home My WebLink About21166-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22084 Date JANUARY 8, 1993 THIS CERTIFIES that the building Location of Property~ 1840 House No. County Tax Map No. 1000 Section ACCESSORY SHED PEQUASH AVENUE CUTCHOGUE~ NY Street Hamlet Block i1 Lot 15.1 Subdivision Filed Map No, Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 21, 1992 pursuant to which Building Permit No. 21166-Z dated DECEI~BER 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 SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to (owners) Qf the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A JOHN J. & AGNES J. KANE Rev. 1/81 IPORJf HO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-°N? 211$SZ Date .. .¥..... ......................... , . .. / Permission is hereby granted to: ..... ~.~.~.-...-..... ...... ........... .............. ................ ¢ .... ~ ...... .(..., .................... .................. .~.;~d..~.<..r~. ............. ~ ........ to ..... ~..~..~.~ ................................................... ~..~.~./.. .......................................................... ..,.-.. ...... :~ . /.~,d. ... ~ ~.~: /~.. ...... ...z-.~ ~ ..... ..~ ................................. ~....~ .... ..~.r.~ ........................................ at premises located at .......................... ../..~.~.. ......... ~.~....zt~..'~..-~.ff~.. ........ ...~..../-~..~..' .......................... .... ......................................................... .... ........~.~ .T..(~.~.~.~. . . ........ . . ..~.'.'../..:.~._._..:. .. ......... ........................................ .(...~.-.. ......................... / County Tax Map No. I000 Section ..... /.~.~.. ........ Block // Lot No. /~'~' / pursuant to application dated ............ .,~'.~.'~.Z .......................... , 19..~.....'~., and approved by the Building Inspector. / Bus d~ r g~Insl:mctor Rev. 6/30/80 Form No. BUILDING, DEP~TMENT 765-1802 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 Upre-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 B~ilding Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. 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 - $i0.00 4.~ ~Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ..... New Construction ........... Old Or Pre-ex%sting Location of Property./~f~'....~'.~.~'~..~.g~..~'~-l~.~U~.,... House No. Street Hamlet Onwer or Owners of Property ........ * ....... ... :ti it County Tax Map No 1000, Se on ........ Block .............. Lot. .~ ............... ~ubdivision .... ?ermitNo~J.~"~-'''~'~'~'__.~r~.._..._._...~~,,~..~.~.~]h~.Applicant...~.~.~.....~'..~.'.~.'i~.f~..%..FiledMap ............ Lot ..................... {ealth Dept. Approval .......................... ~ Underwriters Approval ........................ . Planning Board Approval ........................ (equest for: Temporary Certificate ..... · · ....' Final Certicate ............. :',"i ' Fee Subm : ''$~:-5~'': .................. .... . ...................... "OUNDATION (~st) fOUMD~TIO~ ~OUGH FRAME & (2nd) ADDITIO}~A'L COMMENTS: -FLUMBING [~;SULATION PER N. Y. STATE ENERGY CODE FILIAL 765-1802 BUILDING DEPT. INSPECTION R£MARKS: FOUNDATION 1ST [ ] R~U/GH PLBG. FOUNDATION 2ND [ ]/~NSULATION FRAMING [ ~ FINAL DATE INSPECTOR NEW FOR '92 AT BACKYARD STRUCTURES - 100% BUILT BY North Fork Wood Design, Inc. Pauls Lane Peconic, NY Pioneer with Eagle's Nest Clubhouse STYLESINCLUDE: 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 structural integrity and will weather the years without rusting. HOW TO FIND US '~NFWD~J AIsc 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 CARRIAGE HOUSE Our most popular model. An excellent "on loca- tion sales office", pool house, or g~neral 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 complement 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 ne~ds. Maximum head room. The wide double doors can be placed on the front or side of the building. DUTCH BARN An old-fashioned look with storage capacity for the 90's. This style is higher than any other model p~us it comes with a Jolt. CONSTRUCTION Why Don't Other Sheds Measure Up? Compare Our Quality · No middle man. · Completely constructed and, assembled. · All wood construction. · Stronger, longer life. ~ · Foundation: 4x4 Pressure T~'eated Timbers. · Floor Joists: 16" On Center,[ Pressure Treated covered with ¥8 inch Pressure Treated Plywood. · Maintenance-Free %" Exterior Grade T 1-11. · All Wood Corner Molding. ' · 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. Dbor and window placement can be changed 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 All Sizes. 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. 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. BARN Another very popular model, which will surely complement 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. DUTCH BARN An old-fashioned look with storage capacity for the 90's. This style is higher than any other model plus it comes with a loft. · No middle man, · Completely constructed and assembled. · All wood construction. · Stronger, longer life. · Foundation: 4x4 Pressure Treated Timbers. · Floor Joists: 16" On Center, Pressure Treated covered with % inch Pressure Treated Plywood, · Maintenance-Free %" Exterior Grade T 1-11. · All Wood Corner Molding. CONSTRUCTION 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 Gaug.e Galvanized Hinges & Door Latch. · Galvanized Nails. · Reinforced and Framed Doubl~ 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 changed 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 All Sizes. NEW FOR '92 AT BACKYARD STRUCTURES- 100% BUILT BY rth 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 31 WAYS: #1 - Hardware Only ' #2- Hardware & Lumbe Precut #3 - Fully Assembled HOW TO FIND US Also Sheds, Barns, & Gazebos Immediate delivery from InVentory, 3 to 4 Weeks on custom orders, Free Delivery within 20 miles' I 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 structural integrity and will weather the years without rusting. 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 · ~ ;~l '" FORMNO, 1 "?" BEC2 11992 ~" " ' I ":',TOWN OF SOUTHOLD ~,,~ B'U!I£DING DEPARTMENT "~ L?}7.X,;iiit!~¢~'. ....... '" ~ TOWN HALL TEL.: 765-1802 Examined.. ,<¢%¢~ ..... ,19 ¢~ Approved .../.. ......... 19 Disapproved a/c ..................................... (g~filding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HE;ALl'ti ......... 3 SETS OF PL.INS .......... c,,~c~ .... ; .] . HA I L a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 6f plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relatio~'siffp to adjoining premises or public streets or a[eas, 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 tiffs 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 w6rk. 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 Buff.ding Permit pursuant to the 3uilding 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 described. Fhe applicant agrees to comply with ail applicable laws, ordinance.s, buli~ing code, housing code, and regulations, and to ~dmit author/zed inspectors on premises and in building for necessaq*A insl?e[q~tions../ (j(Signl/ture of applicant, or name, if a corporation) · ./~...q...%(.C.c/k~./¢./¢. 7.¥..d.0!~....~.:~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · . dWtd~t:C,.. , ...... ' ............... ...... (as on the tax roil or latest {~ZS/"2'~,(q'~" #~ If applicant is a corporation, signature o f duly authorized officer. FEE: ;~r~,~o%-~ NOTIFY BUILDING DEPARTM~It AT 765-1802 9 AM TO 4 PM FOR THE (Name and title of corporate officer) Builder's License No ........ .... O0OUPANC¥ 0R " ' ' ' ......... USE'[$"UNLAWFUL PI mber s Lmense No. . Electri,cian's License No. ........ VT TI OUT OERTF CATE Other Trade's License No ...................... FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2~ ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTJON MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ¢~E ~r~ChD~.[Dg~D~ , STATE CONSTRUCTION & ENERGY Locationoflandonwhichproposed~'o~w~'~e~j,b~j~.~'.C~.~J~,~,.~. , ' CODES. N~ RESPONSIBLE FOR ' - .......... P~S~GN.O~ ¢.QN~U~N House Number Street Hamlet co,,~,~, ~, No. ~ooo soo,iD, . l¢.3 ........... ~oo~ -.. I.i .............. ~o,./~.,.L ............ Subdivision ..................................... Filed Mhp No ...... Lot ' (Name) ..................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: ,. _ ............ ~..,/ .............. 8 ., ...... . ..... ..... :, :',7 ;,:, ..... . - ' ' ' '~" ........................ ,.,.?t ,%~ . ~.,~ u',, *,-3 ,-;. ,, " 3. Nature of work ( hgck which a plicable): New Building .......... Addition ........ ~. A/teration .......... Repair .............. Removal .............. De,nolition .............. Other Work~'~~) ~ 4. Estimated Cost ........ ~ 0. .... ' · ' ' ' · · Fee ..... ' (t pa/d fili g thi ppli ) ,. o be on n s a cation 5. If dwelling, number of dwelling[units ............... Number of dwelling nnits on each floor ................ · If garage, number of cars .... , ............ ·Ifb i ri ................ .. ify h typ ....... ~ DijS ness, commercial or mixe occupancy, spec nature and extent of eec e of use ................. ~ if F .... · H ensions of existing structur s, any: ront ............... Rear ............. De eight ............... Nun~ber of Stories ........... ' pth ............... Dim f Ith dditi ............................................. ensions o same structure w alterations or a OhS: Front Depth '. Height ................. Rear .............. S .................... ' ....................... Number of Stories · Dimensions of entire new construction: Front ................. Height Number of Stories ............ ' Rear Depth 9 Size of lot: Front i Rear Depth I0' Date of Purchase ........... i .................................................... · ' ........... Name of Former Owner 1 1 Zone district in which I .................. or use premises are situated : ............................. 12. Does proposed construction violate any zoning law ordinance or re a on 13 Will lot b reg aded gui ti : ....... 141' e~ r ...................... Will excess fill be removed from premises: Yes Name of Owner of premises ... I ........ Addr No Name ora chitect ......... ess ............ Pho N r ...... : ....... ne o ................ ..................... Address ................... Phone No ................ Name of Contractor ......... i ................ Address ................... Phone No .............. ,,,. 15. Is this property within 300 feet of a tidal wetland? *Yes.' ....... No ........ · If yes, Southold Tlown Trustees Permit may be required. ' ... ~ PLOT DIAGILMVI Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street anal block number or description according to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NEW YORK, 2OUNTY OF... ............................ * ....... being duly sworn, deposes and says that he is the applicant ,(Name of individual signing .contract) hove namea . ~ .. , . ~e is the i " i (Contractor agent corporate officer etc ) c said owner or owners, and is 'duly authorized to perform or have performed the said work and to make and file this ~plication; that allstatements containeO in this application are true to the best of his, knowledge and belief; and that the ork will 'be performed in the manner sci forth in the application flied therewith· ,yom to before me this o3. i . .......... ...... day ...... atary Public.,.· .~t~ .~.t.~~ :': County ~ .~.t~: ...... ' ' ~oYcE M,W~LKm$] '