HomeMy WebLinkAbout20049-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall_
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20590
Date MARCH 13, 1992
THIS CERTIFIES that the building.
Location of Property wILDERNESS ROAD
House No.
County Tax Map No. 1000 Section 12
Subdivision
ACCESSORY
FISHERS ISLAND, N.Y.
Street Hamlet
Block 2 Lot 8
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 14~ 1991 pursuant to which
Building Permit No. 20049-Z d~ated JULY 29, 1991
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 WOOD UTILIT~ BUILDING IN THE REAR YARD AS APPLIED
FOR.
The certificate is issued to
of the aforesaid building.
L. MARTIN GIBBS
(owner)
SUFFOLK COUNTY DEPARTMENT OF ~TH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-225049 - FEBRUARY 19, 1992
PLUMBERS CERTIFICATION DATED N/A
Building Inspector-' '
Rev. 1/81
· 0~,~ NO. It
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-° 2004~ Z Do,~......~...~... ............. , ,9..~.../
Permission Is hereby granted ~: ~~ ~x/~ ~ ~~ ~~
......... ~..~ ....... ~ ~ ~
,o
.... ~~ ...... ~.....~~ ......... ~......~ ...............................
p .... r~..~..~ ........ ~..~~..~
pursuont to oppllcotio, doted .... ~ ....... /....'.~... ........ , 19..'~...~ and approved by the
Building Inspector.
Building Inspector
Rev. 6/30/80
Form No. 6
TO~rN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This appiication'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 bu~/dings
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:
i. 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.
Fees
1. Certificate of Occupancy - New dwetlin§ $25.00, Additions to dwellinE $25.00,
Alterations to dwelling $25.00, Swimmin§ 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 ouer 5 years - $10.00
4.Updated Certificate of Occupancy - $50.00
New Construction ' Old Or Pre xisting Building
Location of Property ..............
House No. Street Hantlet
Onwer or Owners of Proper ........... ~ ....................................................
County Tax Map No I000, Section ..... /7-- ~_. .~.
......... Block ...... .......... Lot ............. ..... ..
S~ubdi~ision
.................................... Filed Map ............ Lot ......................
Permit No ..... ~.~ ...... .. Date Of Permit. ...............Applicant ..............
~ealth Dept Approval
Underwriters Approval
Planning Board Approval
Request: for:. Temporary Certificate ........... Final Certieate ...........
Fee Submitted: $ .....
Co o$
FOUNDATION
(1st)
FOUNDATION
ROUGH FRAME &
,PLUMBING
f2nd)
e
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
YARD KING Big m
function and vahte
this is a generously sized shed,
tools, bicycles, pool equip-
of large double doors as well
smaller things Available in
~ling farms
d and garden tools, or a big drive-in space for your
,ou. Wide double doom on one end, and room for
conveniently located at the end of your driveway
the ideal boathouse. Available in many, many sizes.
COUNI1RY HAIV~ET Big storage in a small package
Give your garage back to your car with the b~ bmChe~ to our Gardner rnedd. Its generous double doors allow for easi~x storage
of larger tools like wheelbarrows, rototl]]ers, and lawnmowers; or toys like bicycles, sleds or mopeds, l~pilt tough and handsome,
the Country Hamlet would look gmat m your backyard. Available in 6~(10', 8'X~.0', or
wihhS leTM
~ ST WOODWORKING, INC. ~
Roof is supported by
Aluminum louvers with 16" on center
screen in all n
Strong 16"
Tongue and groove
siding
galvanized nails
Bolt-together corners
for rigidity
16" on,
floor
4 x 4 pressure treated
foundation I
extended life
5/8" exterior grade/
plywood floor
Roof sheathed tight with
exterior plywood
Self-sealing shingles
year guarantee)
on all roofs
for a quality finish
Dark security plexiglass
crank-out windows (lets
you see out but others
can't see in)
patented
IroncladTM hinges
Extra heavy-duty
hardware throughout
Compare These Features
1. All buildings completely assembled on
your property by skilled craftsmen.
2. Free set-up and delivery to most areas.
3. 16" on center kiin-dried framing.
4. Galvanized exterior nails.
5. Roofs and floors are made from top grade
exterior plywood.
6. Top quality self-sealing asphalt shingles.
7. 4 x 4 pressure treated foundation beams for
extended life.
8. Heavy-duty security latches.
9. Three heavy duty hinges on each door.
10. Post Woodworking, Inc.'s own IroncladTM
decorative hinge covers.
11. Crank-out aluminum windows (on most
models) with dark security plexi-glass
protects your valuable tools from visible
detection. All windows come with screens.
12. Screened aluminum louvers on each gable
end allows ventilation that ensures the
longevity of the building. Vents are impor-
tant if flammables are being stored.
13. Roof drip edge for a superior quality
weather-tight finish.
14. Roof is supported by engineered trusses
16" on center.
15. Flashing is used to ensure weather-tight
seal where gable and wall meet.
16. Meets nearly any residential or commer-
cial building code.
~ 15:17
~O~E~S & W~LLS N¥~,
?, 5/'~
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING D~PARTM E-PT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 7~5LI,302 L.~
'~amincd ................ , 19...
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS "
a. This application must be completely filled in by typewriter erin ink and submitted to the Building Inspector, with 3
s 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
area.s, and giving a detailed description of layout of property must be drawn on thc diagram which is part of this appli-
c. :The work covered by this application may not be c~mmenced before issuance of Building Permit.
d.~ Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
Il be kept on the premises available for'inspection throughout the work.
e. No building shall be occupied or used in whol~ or in part for any purpose whatever until a Certificate of Occupancy
I1 have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance o£ a Building Permit pursuant to the
lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicabl~ Laws, Ordinances or
:ulations, for the construction of bu;ldings, additions or alterations, or for removal or demolition, as herein described.
' applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
]l tau thorized inspectors on premises and m buJlding for necessa .rye..~
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
:e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pinmber or builder.
(as on the t;r,t roll or latest deed)
~plicanJA~ a corporation, signature of duly authorized officer.
I. ame and title of corporate officer) ' '
Plumber's License No ........... ; .............
Electrician's Lkcnse No .......................
Other Trade's License No ......................
ocation of land on which proposed work will be done .............
ouse Nmnber Street ......... Hamlet ......
)unty Tax Map No. 1000 Section .................. Block ~ ? Lot. ~. ....
bdivision ..................................... Filed Map No.
tic existing usc and occupancy of premises and in tended use and occupancy of proposed construction:
3. N of work ( heck whmh applicable). New Building . .
Repair ~ ......... Atkhtton .......... Alteration ..........
............ Removal .............. De~nolition .............. Other Work .... ~ ....
..... ~ _ (Description)
4. Estimated Cost ..... ..
If dwelling, number of dwelling un)ts .. (to be paid on filing this application)
5. / Number of dwelling units on each floor ....
. If garage, number of cars ....... , .............
6. If business, commercial or mix ~ ...... ' ...........
Hight /~.' Rear D pth
D~ io of ......
hens ns samestmctm ....................................
Depth ............ Front R ........
8. Dimensions of entir~ ........ Number of Stories ...........
Height ...... ~ Rear ~ ~ "' / ', .......
...... ' ................ Depth . Z ·
9. Size of lot: Front · ·/.2 .........
· · . ' ................. Name of~
I. Zone or use dlstnct ~n w itch premises are situated ' ' . .......
a Does proposed COnstruction violatela W zoning law ordnance ,, ' .................
3. Wfl lot be re~--d~, I or re ulation' ~ ': ..............
4. Name of Owner of,,r-~,.~ ~ · .~.,~)... Walt excess fill be removed from ..... ~- ' ' '.5 .........
Name of Architect .......... ~ aooress ~. ~.'.~:~bone No
. "~ ........ Address . ~ ~ · · .~.t.
N~e of Contractor . O.~.~Z · :~;.; .... ~ .... Phone No
5. Is thzs property within 3001feet of
...... we~zana ~ *Yes ,, · · ..~.TJ..~
· If yes, Southold Towp Trustees Permi~ may be require~j ..... ~o .........
...,
Locate clearly ~d distinctly ~1 bulldogs, whether existing or proposed, and. indicate ~I set-back d~ensions from
'ope~y lines. Give street ~d block number or descfiptioh accord~g to deed, and show street nines and indicate Whether
tefior or comer lot,
'NTY'DF .~T~ S S ' ' '--~
, (Name~ividual signing ~n;'~a~j .......... being duly sworn, deposes and says that he is the applicant
- named, ff 1~(
..(Contractor, agent, corporate officer, etc.) ................
d owner or owners, and is duly authorized to perform or bare perfommd the said work and to make and Qle this
afion: that all statements contained ~1 fins application are true to the best of his knowledge and belief; and that the
will b~ pcrfo~ct n the manne~th in the applicatio~ '
,to bc for,;~ ~- ,filed thc rew,th.
Ouillflt. ln $utfolk~ounty i " (Signa~rc of applicant)