HomeMy WebLinkAbout34936-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33904
Date: 08/18/09
THIS C~u~TIFIES that the building ACCESSORY SHED
Location of Property: 270 HARVEST LA
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 120 Block 3
Subdivision
Filed Map NO. __ Lot No. __
MATTITUCK
(HAMLET)
Lot 8.15
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 17, 2009 pursuant to which
Building Permit No. 34936-Z dated AUGUST 17, 2009
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 AS APPLIED FOR.
The certificate is issued to EUGENE R & RUTH SCHUMANN
( OWNER )
of the aforesaid building.
SUFFOLK COUNTY DEPART[~T OF HEALTH APPROVAL
RT.Rc-rKICAL C~TIFICATE NO.
PLU[~3ERS u~KTIFICATION DA'r~D
N/A
N/A
N/A
Rev. 1/81
Form No. 6
TOWN oF $OU~HOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANi
This application must be filled in by typewriter or ink and submitted to the Building Dep~
A. For new building or new use:
1.
AUG 17 2009
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% lea&
5. Comrnomial 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.
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 and consent to inspect signed bythe 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 CertificateofOccupancy- $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction:
Location of Propertv'X
Old or Pre-ex/sting Building: (check one)
House No. Street Hamlet
Owner ar Ownera ofPmperty: ~ Ed~'E~t~ t~.. ScH u tn ,~ t~M
Suffo~ County T~ Map No 1000, S~tion /~.b Block ~ ~t ~. /Z
Su~sion ~~ 65 Filed Map. ~t:
PermitNo. ~c~ qB
Health Dept. Approval:
Planning Board Approval:
.Request for:
DateofPennit.~]l'-)] O~ Applicant:
Underwriters Approval:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
Applicant Signature
FORM NO. 3
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)
PERMIT NO. 34936 Z Date AUGUST 17, 2009
Permission is hereby granted to:
EUGENE R & RUTH SCHUMANN
270 HARVEST LA
MATTITUCK,NY 11952
for :
CONSTRUCTION OF A 10' X 16' ACCESSORY TOOL SHED IN THE REQUIRED
REAR YARD AS APPLIED FOR. THIS PERMIT REPLACES BP 25601.
at premises located at 270 HARVEST LA MATTITUCK
County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008.015
pursuant to application dated AUGUST 17, 2009 and approved by the
Building Inspector to expire on FEBRUARY 17, 2011.
Fee $ 35.00
Authorized Signature-
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOL~
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 2~o~,1 Z Date MARCH 15t 1999
Permission is
hereby granted to:
EUGENE R & RUTH SCHUMANN
270 HARVEST LANE
MATTITUCK~NY 11952
for :
CONSTRUCTION OF A 10' X 16' ACCESSORY TOOL SHED IN THE REQUIRED
REAR YARD AREA AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 120
pursuant to application dated FEBRUARY
Building Inspector.
270 HARVEST LA
MATTITUCK
Block 0003 Lot No. 008.015
18 1999 and approved by the
Fee $ 35.00
Authorized
ORIGINAL
Rev. 2/19/98
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.
25601 Z Date MARCH 15t 1999
Permission is
hereby granted to:
EUGENE R & RUTH SCHUMANN
270 HARVEST LANE
MATTITUCK~NY 11952
for :
CONSTRUCTION OF A 10' X 16' ACCESSORY TOOL SHED IN THE REQUIRED
REAR YARD AREA AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 120
pursuant to application dated FEBRUARY
Building Inspector.
270 HARVEST LA
MATTITUCK
Block 0003 Lot NO. 008.015
18 99 and approved by the
Fee $ 35.00
COPY
Rev. 2/19/98
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] RRE RESISTANT CONS1RUCllON [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] RRE RESISTANT PENETRATION
REMARK~,5~
DATE
~I~I,0 iNSPECTION P~PORT DATE
~OUN~ATION (msT)
/ C~HENTS ~
~OUGH FRAME &
PLUHBINC
[NS~TION ~R N. Y.
STATE ENERGY
CODE
II
)1
II
II
II
II
FINAL I1
,j,
FORH NO.
TOI~i OF SOUTNOLD
BUILDING DEPARTI4ENT
TO~I HALL
SOUTHOLD, N.Y. 1197 I
TEL: 765- 1802
.... ,
~i~ ale ..................................
........................... : ............
(hildi~ ~tor)
~PPLI~TIO~ ~OR B~ILDI~G
INSTRUCTIONS
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY ........................
CHECK .........................
SEPTIC FORH ...................
NOTIFY:
CALL
HAIL TO: ....................
Date ................ ,19 ....
a. ~his a~lication mint he c~pletely filled in by typewriter or in i~ ~ ~itt~ to ~ ~ildi~ I~tor ~tl
3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~i~ to ~le.
b. mot pl~ ~ l~ti~ of lot ~ of ~ildi~ ~ ~s, mlati~ip to ~joini~ ~s or ~lic
st~rs or ~, ~ gi~ a ~tail~ ~ri~i~ of l~t of ~ ~t ~ ~ ~ ~ diem ~i~ is ~rt of
~is ~limtim.
e. ~ m~ ~ ~ ilia a~limtim ~ mt ~ ~m~ ~fo~ is~ of hildi~ ~t.
fi. ~ ~ of ~is ~limti~, ~ hildi~ ~tor ~11 ism a hildi~ ~Mt to t~ ~limt.
~t ~1 ~ ~ ~ ~ ~s ~il~le ~r i~tim ~$t ~ m~.
e. ~ ~ildi~ ~1 ~ ~i~ ~ ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~rtificate of
~I~ IS ~f ~ to t~ ~ildi~ ~mt for ~ ism of a ~ildi~ ~t ~mt to
~ldi~ ~ ~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~s or
~ati~, f~ ~ m~tim of ~ildi~, ~iti~ or dterati~, or f~ ~al or ~liti~, ~ ~in
&~ri~. ~ ~limt ~s to ~ly ~ ~1 ~l~le 1~, o~i~s, ~ildi~
~lati~, ~ to ~it m~i~ i~tors m ~s ~ in ~ildi~ for ~s~ in~ti~s.
(Si~e of ~li~t, or m, if a ~rati~)
~ili~ ~ss of
State ~hether applicant is oa~er, lessee, ,agent, architect, eng!neer, general contractor, electrician, plunber or builder.
Ea~e ~. Sc,u~ AI~ASNOTED
~1~ · AI~ ~O 4 ~ FOR THE
If applicant is a corporation, signature of duly authorized officer.
.................. {'THOUT CERTIFICATE
I gtO~glO~ - 'P4VO REQUIRED
~. ~ ,, ~ · PLUMBING
4. FINAL - CONSTRUCTION MUST
.................. OF'OCCUPANCY
Electricians License 14o ...................... , ALI. CONSTRUCTION S~ALL MEET
....... m~,~"-~ ( ....... o~'tr ~E REQUIREMENTS O~ THE NY.
1. ~ti~ of 1~ ~ ~i~ ~ ~i ~II ~ ~ ........................ flO~,..~flT, flE~.~O~18~. FC8...
9 SVuucv,o
ERBOHS
~ m~r St~t ~et
~ivisim ........................... Fil~ ~ ~.
(~)
2. State ~sti~ m ~ ~ of ~ms ~ int~ m ~ ~ of ~ mt~ti~:
a. ~sti~ m ~ ~ ........................................................................
~oo~ ~0 No oCCu~a~c~
b. ~t~ ~~ .............................................................................
3. l~.ature of ~ork (check ~hid, applicable): ~ Building .......... Mdition .......... Alteration ..........
Repair ............ Remmml ............. l~aol it ion Other hlork
1~'~ o ~o , o o ~Deecrlption)
6. Estimated Cost ......................... fee ..............................................
(to be paid on filing this application)
5. If d~elling, rubber of d~lling ,mits ..~./..~ ....... ~r of dwelling trolls on e~ch floor t//4
If garage, r~nber of cars
6. If business, ccmnercial or mi~d occupancy, specify nature and extent of each type of use ......................
7. Diraeesiees of existing structures, if any: Front....P./~. .......... Rear ............... Depth .................
Ileight ......................... E~a~ber of Stories .....................
Oimansioos of s~e structure ~rith alterations or additions: Front .ff../.~ .......... Rear ...............
Depth .................... [ielght .................... Ix~t~er of Stories ...............
S. Dimensions of entire ~ construction: Pmnt tO /ry. Rear tO
}leight ~' Fr. lxlu~ber of Stories
9. Size of lot: Froot IlJ' Fr. Rear t~J' FT. Bepth
I0. Bate of P~d~ee Z - t 4 ~ ~ y
..................... N~ of Former O~r t~ ~'~
I I. ~ or tt~ district in Yai~id~ Dt~emi~s are s~ted d ¢
12. D~s pro{~x~d c~r~ttnuctlon violate ~ z~ing l~sv, o~ir~ or ~lation: . ../4.0. ...................
13. V/ill lot be regraded .... .~.o. ............. Will mss fill be removed from prmti~es:
~ of Arddt~t ............................... ~ress . .
15. Is this property ~ithin ~0 feet of a tidal ~tland? * ~ .......... (~. .........
PLOT DIAGRAM
l~cate clearly and distinctly all Imilding~, ~hether existing or propozed, and indicate all set-°oack dlmensi{~5
firm property lines. Oi~e street and block namer or description acmarding to deed, and sho~ street ms and iedicate
deether interior or eoronr lot.
too
....... r---,--~.~-~- .~. .................. :.beirll duly s~orn, del~Ses and says that he is tbe applicant
Ilo is tbe ...... y ....~q~'~7.iq'.~'~l~O~lr'JJ~- ......................................................................
' 1 (Cg~treC~/..Rg{~i~n~F~lorporate officer, etc.)
of to parfo= or .rfo the .ia to hie this
application; thdt all i'tat~t_~ined in this application are true to the best of his kon~ledge and belief~ and
that the turk will be per-~otx~d'~n"~l~ manner set forth in the application filed thert~alth.
,%om to be~i2 ma this
.......
Note~ Public. Stero o{ Now York
No. 4952246, Suffolk Coum~
Term Expires June 12, 1
r
40'
Ioo
140
THE LOCATION OF WELLS, SEPTIC
TANKS &NG CESSPOOLS SHOWN
HEREON &~,'-. ~:iEL[} OBSERVATIONS
AND OR ~Arr~ OiS';'AiN~£i3 FRO?~ OTHER~.
CERTIFIED ONLY TO:
SURVEY OF: L~o "~ t2-..~
DATE: Z- / 12-l~[~ SCALE:
DESTINO. GRAF
LAND SURVEYOR
By¸
DESTIN G. GRAF N.Y,S, LIC No. 50067
73 WOODLAWN ROAD
ROCKY POINT, NEW YORK 11778
PRONE (516) 821-3442
TAX
I.D.
No.
OWNER
LAND
IMP.
rOWN OF SOUTHOLD PROPERTY RECORD CARD
PROP.
TOTAL
,~ 7 ~F o 7
DATE
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD
DEPTH
OOD
MEADOWLAND
BULKHEAD
HOUSE/LOT
TOTAL
RE.ARKS ¢,, ,~q
Paul's Lane & Rt. 48, Peconic
765-3090
LONOISLANO
SHEDS& EBOS
1685 Rt. 58, Riverhead, NY 11901
Fax 765-5808
VJoit us on the web at
www. shedsandgazebos.com
THE GREAT
727-6900
Plus.
FINANCING AVAILABLE
We Will Meet or Beat Any Competitive Price
Everything in this Catalog is Built in Peconic or Riverhead.
All of our double doors are 5' wide with 12" hook and eyes.
Extra Heavy Gauge Galvanized Hinges with Solid Brass Pin
and a FREE 3'x4'x6" ramp.
If It's Built for the Great Outdoors then
it's Built by North Fork Wood Design
and Long Island Sheds & Gazebos!
The
Nassau
An excellent "on location sales office", pool house, or
general storage for your home. A beautiful way to meet
your storage needs. Single or double doors are
available on ALL MODELS. 8' high. Shown is a 8'x10'.
The
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
Colonial Bam styles. Shown is a 10'x16'.
Ail Sheds available in TI.I I Tongue and Grove Cedar & Vin~! Siding
4 ~F.t. Side Walls 5 ~F.t. Side Walls
M nl Barn Barn
This model will surely complement the natural landscape This model gives you more headroom then the 4 foot
of your property. Like other models, the double doors side wall model, but with the same great look. Shown is
will accommodate everything from tools to heavy lawn an 8 ft. wide.
& garden tractors. Shown is an 8 ft. wide.
Stopl
\
Before you buy,
ask your salesperson
these questions...
N.F. Wood Design/
Theirs L.I. Sheds & Gazebos
Free delivery in Suffolk County
(to your prepared site of fully assembled buildings)?*
Free 100% pressure treated (ramp 3'x4'x6")?**
Your choice of any color, just bring a sample?***
or choose one of our colors.
If you need it right away express delivery available?
Does the tongue and grove cedar siding have a good plywood backing? [~
Are there any hidden costs? (Ramp, vent, paint.)
All wood trim molding?
5 ft. wide doors with hot dipped galvanized hinges with brass hinges? [~
100% pressure treated floor (4x4, 2x4 and plywood)?
12" hook and eye for your door?
Are their floor dimensions full (8' wide, 10' wide, 14' wide )?
Choice of aluminum window colors (white or brown)?
All around 4 sides, aluminum roof drip edge?
Do they have the ability to show you exactly where they const~"t the buildings? r-I
2 vents? [~
I~'Yes
[~Yes
~"Yes
dYes
dYes
~No
~Yes
~Yas
~Yas
~Yes
~Ye~
~Ye~
~Yes
~yas
~'Yes
Also, since we manufacture the shed, if you supply option features (skylight, paint, larger vents,
windows, etc.) we do not charge to install them.
* Small delivery charge outside Suffolk County.
** Other ramps see price list
~ You can also choose one of our colors (white latex no extra charge).
All sheds are not built the same!
Building Sheds and Gazebos since 1985 on our lot.