HomeMy WebLinkAbout28965-ZFOPd~ NO. ~i
TOWN OF SOUTHOLD
EUILDING DEPARTMENT
Office of the Buildin~ Inspector
Town Eall
Southold, N.Y.
CERTIFIC_ATE OF OCCUP_~ICY
No: z 30271
Date:
T~IS U~RTIFIE~ that t]~e ~uilcl{ng ACCESSORY
Location of Property: 180 BAYBERRY RD SOUTHOLD
(HOUSE NO.) '(STREET) (F~I~LET)
Ceunty T~ Map No. 373889 Section 76 Block 1 Lot 25
Subdivision File~ Map No. Lot No. __
conforms substantially to the Applicasio= for Building Permit keretofore
filed in this office dated DECEMBER 2,, 2002 pt~rs~ant to W~ich
Built, lng Permit No. 28965 Z d~ted DECEMBER 3, 2002
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for wkich this certificate is issued
is ACCESSORY SHED AS APPLIED FOR.
The certificate is issued to JK/DITH JACOBS
of uhe aforesaid building.
(OWNER)
N/A
Rev_ 1/81
~/z/e d~/~nature
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE woRK AUTHORIZED)
PERMIT NO. 28965 Z Date DECEMBER 3, 2002
Permission is hereby granted
JTJDITH JACOBS
180 BAYBERRY RD
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY SHED IN THE REQUIRED REAR YARD AS
APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 076
pursuant to application dated DECEMBER
Building Inspector to expire on ~
180 BAYBERRYRD
Block
Fee $ 75.00
SOUTMOLD
0001 Lot No. 025
2, 2002 and approved by the
3, 2004.
/ ~ Authq~iz~'~ Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TO%VN OF SOUTHOLD
BUILDING DEPARTMENT
' ~ TOWN HALL
765-1802
APPLICATION FOR CERTI}'ICATE OF OCC UP.~NCY
This applicatiou nmst be filled itt by typewriter or ink and submitted to the Building Department with the folloxvLng:
For new building or new use:
1. Firml survey of property with aeem'ate location of ail buildings, property lines, sweets, and unusual natural or
topographic featm'es.
2. Final Approval fi-om Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electricaI installation from Board o f Fire Undenvriters
4. Sworn statement fi-om plumbcr ccrti~4ng that the solder ,used in system conta;ms I~s t~n 2q 0 of i % lead.
5. Commercial building, indusmal building, multiple residences and siunlar buildings and irmtallafions, a certificate
of Code Comphance from architect or engineer responsible for the building.
6. Submit Plmming Bored 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:
l. Accurate survey of property showing all property lines, streets, budding and unusual na~.tral or topographic
features.
2. A properly compteted application and cmLsent to inspect ~igncd by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
fx,.. '~'1_ Certificate of Occupancy -New dwelling $25 00, Additions to dwelling $25 00, Alterntions to dwelling $25_00,
Swimming pool $25.00, Accessory building $25_00, _Additions to accessmy buildmg $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Braiding - $100.00
3. Copy of Certificate of Oeeupaney- $_25
4. UpdatedCertificatco£Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $ l 5.00, Commercial $15 00
(check one)
New Construction' ~ Old or Pre-existing Building:
[ooa o omope y: / aV9
House No. ~ f Street
Hamlet
Owner or Owners ofProperty: ~_)x.~) ~-~r~ ~J fC~t:Pg ?
Suffolk County Tax Map No 1000, Seetion ~7~ Block ~])('~') ,/ Lot (~,0~''''-
Subdivision zyO. Filed Map. Lot:
PermitNo. ,,~?~x[~ ~'~' DateofPerm/t. t.~/~)...--- Apphcant_'~k. Tgi7~-) ',. }
Health De'pt. Approval: UndemrriteTs Approval:
Planning Board Approval:
Reque~ for: Temporary Certificate
Fee Submitted: $ ~'~ ,~ ~
Final Certificate: (check one)
?& /'- 2,7-T°WN
OF $OUTHOLD PROPERTY RECORD CARD
~fiF. ORMER OWNER
STREET T~ILL~GE
~ .,a./ / /
E
-DIST.~ i--SUB. LOT /...~"4-/~
N
ACR. ,
LAND ] IMP. TOTAL DATE [, REMARKS
~ i II
I I
AGE
NEW
FARM
Tillable
Meadow/and
NORMAL
Acre
BUILDING CONDITION
BELOW ABOVE
Value Per. V~lue
M1CS. Mk' Volua
House Plot
FRONTAGE ON WATER
DEPTH
BULKHEAD
COLOR
M. Bldg,
Extension
Extension
Extension
Por~h
Breezeway
Walls
:ire Place
Floors
Interior Finish
Heat
DR,
Garage type Roof 0--;~ b i' ~ Rooms ]st Floor BR,
Patio ~.ecreofion Room Rooms 2nd Floor FIN, B
O. B, Driveway
Total
BUILDING PERMIT E 'XAMINER CI-[ECK LIST
., BLOCK: ,/ , LOT:
SCTM# DISTRICT: 1,000. SECTION:
STREET ADDRESS: ?'~A,~
PROJECT DESCRIPTION:
ESTINLkTED PROJECT COST:
ARCHITECT/ENGINEER:
DATE REVI]5~,WED:
DATE SUBMITTED: ?.~ ~/02
SUBDIVISION:
FAST TILkCK?
SINGLE & SEPA1L~_TF CERTIYlCATION-REQUIRED? '~'- NOTES:
LOTS 40,000SF -100-24. Lot reco3nidon.(CREATED before June 30, 1993). UNDERSIZED LDTS FRObl JAN. 1997 i00-25. Merger.(A nonconforming at any time after 7.1183
REQ. LOT SIZE: /~ aOO :ACT. LOT SIZE:/'2. g'5'~REQ. LOT COV. z:~'24 ACT LOT COX'.
REQ. FRONT ' ~ PROP. FRONW ~.~' REQ SIDE
~ _ ~,' ~ ACT. SID~ r'"
REQ. REAR ~ PROP. REAR ./ REQ./HEI~HT PROP. HEIGHT
WATER FRONT? ff~ DESCRIPTION: --
PANEL #: ,/~r~r FLOOD ZONE: / '~ ' - --
APPROVA[,S REQUIRED
SUFFOLK CO[~/NTY HEAl.TH DFC. T: YFS or ~, (BED #): DTE: / / PERMIT #:RI0-
TOWN SEPTIc RECEIPT: Y ~r
NEW YORK STATE DEC: eP~-~c o/tiTs YES ~
SOUTHOLD TOWN TRUSTEES: YES or~
TOWN ZONING BOARD APPROVAL: YES or_~f
TOWN PLAN. BOARD APPROVAL: 5'ES or~,.
TOWN HISTORICAL PRE (SPLIA): YES o~
ENaR¢¥: YZS OiCZ .
EGRESS (18 H min.? 4 sq total) ~-~VENT (SQ. FT. x 4%) --~-~-~ LIGHT (SQ. FT. x 8°/0:~
BUll,DING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- ,
I-LAVE PRE CO'S: Y OR N BP -Z / C/0 Z-
NOTES:
FEE STRUCTURE: FOUNDATION:
FIRST FLOOR:
SECOND FLOOR:
OTHER:
TOTAL:
1. ( /~ SF)- ( SF)=
SFX$
SF
SF
SF
SF
SF
=$
+$
IN fi' OTHER TOTAL
FEE FEE FEE
+$ =$
2.( SF)-( SF)= SF X $__=$ +$ +$ = $
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING
[ ] ROUGH PLBG.
[ ].~SULATION
[ ,/] FINAL
REMARKS:
] FIREPLACE & CHIMNEY [
] FIRE SAFETY INSPECTION
DATE
INSPECTOR
FOWN~A~ION (I~T)
FOU'NDATIO~ ¢~)
ROUG~ ~G &
~S~O~ P~ N. Y.
STATE E~ CODE
TO~ OF $OUTIIOLD
BUILDI/N G DEPAiRTM]gNT
TOW'N
SOUTHOLD, ~ 11971
TEL: (631) 76~1802
F~K: (631) 765-9502
~.~.,i.~a / / '/... ,20
_kpproved /~/~ , 20._~"
Disapprc, ed ~ c/ /.
BLrf[.DING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Healrh
3 ~ o£Building Plaas
pl~m~g Board apFrova/
Sqm~; Form
N.Y.S.D.I~;C.
Tmst~s
.pho6¢:
· ' ' : .... APPLICATION FOR BUILDING PF_,R~III'
.......
~ , .... : ( "-z:-7~.~-'~ INSTRUCTIONS
a T~.s~,lY~at{on MTIST b~ completely fillea:l m by ~wfit~ or ~ {ut a.a $~ ~ ~¢ B~g ~p~tor with
sets ofpl~s, acc-~aze plo~ pl~ to $c~. F~ acco~i~E to sc~e. ,
b. Plo: pi= show~g lo~fion of lot ~d ofbz~M;ngs on pre~, ro~o~Mp ~ adjo{n~ pr~{~ or p~lic s~eets or
c. The w~k covc~ ed by ~s ~p~on ~y not be co,,,,,,~ced bef~e ~s,,~ga ofB~g Pe~h.
d. Upon approv~ of ~s a~Sc~o% ~e B~d{ug Iu~tor ~ ~: a B~ P~t ~ ~e app~c~t. Such a pe~t
skM1 be kept on ~e pre~ses awilnble for ~mfioa ~om ~
e. Nc b~dkzg ~1 be oc~i~ or ~ ~ whole or ~ p~ ~ ~y p~ose w~ so ev~ t~ ~e B~d~ng [nsp~tor
5ssues a Cemficarc of Occup~.
5 Eve~ budding pemt shall ~Re if~o work ~0~ ~ ~t cc ...... o~ ~bin 12 mon~ aS~ ~c ~te ~f
tss~cc or ~s nor b~n compla~ ~thin 18 mo~ ~m ~ ~e. ~no ~ing ~,,
prop~' Mve bee~ erect ~ ~ ~e';~t~m. ~e B~dlng ~p~r may ~o~
ad~rion slx months. ~¢~, a ~w p~t shall be ~
.~PLICATION IS ~Y ~E ~ ~ BffiMiag D~ for ~
Bug&g Zo=e OrdE~ce of tho To~ of Southal& S-ffo~ Co~, N~ Yo& ~.o~e ~le Laws, ~a~,:cs or
Reg~6om~ for thc cons~cfion ofb~dia~, ad.om, or ~a5om 0r for ~o~ or
apphc~r a~ees to co. ~ldY ~th ~ ~ficable hw$, o~iaaa¢~, b-~ing c~e,
authorized impecrors onpre~i~m~g fornications ~ ' .
State whe~er applic~t is.o~ 1~, ag~, ~cMte~ ~n~,l g~ ~n~or~ ~1~ pD~mb~ or bmld~
(As on the tax roll or latest deed)
applicant is a corporation, s~g'nature of duly authorized officer
(Name and tide of corporate officer)
Bu/lders License No.
Plumbers License No.
Ei¢ctr/cian s License. No.
Oth~ Trade's License' No,
House Number /S~t /' Haml~ 'q:-' ....... F
State existing me and occut~ancy oftmyrgises and intended'use ~ o.._~.gec~ancy ofp~oposed comn-u~5on: a. axistingnseandoccutYancy I~-Y~) YT')~<~/(.~
Addlt;on Alteratlon
Other Work .y
(Description)
Cl'o be paid on filing this application)
Nlrmber of dwelli,~g nnits on each floor
6_ Ifbusine~s¢oornrncrcial or mixed occupancy, s'peeif-y ~e and ex'tent of each type of use
.. Dimensions of existing ~ttactures, if any. Front Rear
Height Number of b--'tofies I
Dimensions of same ulmct~Jm with alterations or additions: Front Rear
Depth Height Number of Stories
8_ Dimensions ofentire new consUmction: Front 1~ F~7- Rear J~ ]--? Depth
Height ~ ~ Number of Stories /
,)
9. Size oflot: Front /~V7 ;~r Rear /~.O~,i Retch /'~, d?~
10. Date o£ Purchase
1 l. Zone or u{e district in which premi~e~ arc situated
12_ Does proposed coashtmtion violate any ZOning law, ordlnanee or regulation? YES NO /
12. W'ill lot be re-graded? YES__NO /Will exccas fill be removed from premises? YES NO
Names
of
Owner
Name of Architect Address ' Phone No
Nme of Contractor Ad&~s I Phone No.
15 a. Is this property within 100 f~q~ ofa fl~l~] wetland or a freshwater wetland? *YES__NO
* IP YES, SOUTHOLD TOWN TRUSTEE8 & D.E.C. PL:qt.MIrS MAY BE RBQUIRBD.
b. Es this prop,t ~y'~Sthin 300 feet of a tjdnl wetlaud? * yES i NO
* [F 'FES, D.E.C. PERMITS MAY BE REQUIRED.
Pm,nde sm~e% to scale, with accurate foundation plan and dj.stances to lxopetty lines.
If elex aiaon at any point on property zs at 10 feet or below, must promde topogmphic_~al data on xum'ey.
ST_-XTE OF NEW YORK)
(Name of ~udividnM ai~,,;,,~ c~l~ct) above named,
(S)He is the
(Coalractor, Agent, Corporate Officer, etc.)
of said owner or o~mcrs, and is duly authorized to p~-rform or have performed the said work and to make zmd file this application:
thaL 'all statements contained in this at~lication are hue to the best of his knowledge and belief: and that the ~x~ork will he
performed in the manner set forth in the application filed therewith. '
S'~ om ~ before me ~his
Nota~ ~blie O
EMILY HEALY
~a~ Public, State Of New Yu~
No. 01HE6059270
Qualified In Suffolk Coun~_[,~
~mmi~ion Expi're~ July ~, ~
API~RO~I~I} .~S NOTED
NOTI'I~[Y BL1~DING DEPARTMEN~
765dt~02 9 AM T~.4 PM FOR THE
[.~UGH - FRAMING & PLU~Bh~G
~ ~SU~T{ON
~NAL - CONSTRUCTION ~UST
~ECOMPLETEFORC.O..~
A~ CONSTRUCTION SHALl' ~EET
T~ REQU:REh~NTS OF THE
STATE CONSTrUCTiON & ENERGY
BUILT ON BITE ADD 15%
SIZE PRICE
8X8 1595.
8X10 1860:
8Xl 2 2_010.
8×14 2200.
8X16 2500.
8Xl 8 2750.
8X20 2900.
0X10 2300.
0X12 2500.
OX 14 97n~
6 2875./z
0X20 3650.
2X12 3123. .
2X14 3530.
2X16 3895.
2X18 4255.
2X20 4453.
2X22 4695.
12X24 4915.
$'x I 2' _Suffolk
This is the roomiest shed going because of its height
you can add a let or two. The shed is 9' high and is a
beautiful wa), to meet your storage needs. Shown Js
an 8'×12'. Comes with two 'windows. Doors are 5'
wide, T111.
FREE Delivery in Suffolk to Your Prepared Site.
Note: 12' ~ide or larger MUST be built on site, which is reflected i~ t~e cost.
Higher Wails add $6.50 running foot (must be considered built on site add 16%). Our floor dimensions are
full size, not like our competition which is smaller. PRICES SUBJECT TO 'CHANGE.
The
10'x16' Porch
this unique shed can be used on one side as a changing
room for the pool or storage and on the other side as
a play area for the kids. It comes in the Suffolk, Ranch
or Coloniar Barn styles. Shown is a 10'x16'. Comes
with two windows. Doors are 5' wide, T1 ] 1.
BUILT ON SITE ADD 15%
SIZE PRICE
10X16 3240.
[ 10X18 3665.
10X20 3890.
; 10X22 4490.
10X24 4500.
_Note: 12' wide or larger MUST be built on
site, which is reflected in the cost.
! 12X16 4235.
i 12X18 4635.
! 12X20 4975,
12X22 5375,
TEL: 63,1-76,~-3090
FAX: 63:L-76 B-;,~O~B
PAULS LANE,
PECDNIC, NY 'J.3.9~6