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Home My WebLink About35483-ZFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34332 Date: 05/07/10 THIS C~TIFIES that the building SHED Location of Property: 935 PARK WAY SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax ~ap No. 473889 Section 70 Block 11 Lot 13 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 2010 pursuant to which Building Permit No. 35483-Z dated APRIL 16, 2010 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 "AS BUILT" ACCESSORY SHED AS APPLIED FOR. The certificate is issued to ROBERT J LITCHHULT (OWNER) of the aforesaid building. S[;~OLKCO~I%~Y DEP~{{ OF }~LTH~_~PRO~ N/A ELBcr~ICAL C~9(TIFICATE NO. 12732 04/09/10 CERTIFICATION Da'r~ N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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. Bo 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 by the ' is denied, the Building Inspector shall state the reasons therefor in writin C. Fees 1. Certificate ofOceapancy - New dwelling $25.00, Additions to dwelling Swimming pool $25.00, Accessory building $25.00, Additions to 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. Old or Pre-eysting Building: Owner or Owners of Property: TO Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~-~ kf g_-~ Health Dept. Approval: Date ofPermit. Block II Filed Map. Applicant: Underwriters Approval: BLDG. DEPI (check one) , / Hamlet Lot Lot: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: (check one) tcant Si~-~ture SUF~OI K+(~ BUREAU,, 40 Nottingham Drive, Middle Island, NY 11953 Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS@gmaiLcom CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: John Litchhult Certificate No.: 12732 Final Inspection Date: Apr 09, 2010 12732 Building Permit No.: County Tax Map No.: work described below, installed by the applicant named above, located at the premise of and not after the final inspection date above: Owner: John Litchhult Site Location: 9:35 Park Way~ $outhold~ NY 11971 Owner's Address (if different): V Residential '] Indoor F-1 · ~ ~ Service ['~ Shed Commercial l'~ Outdoor · ~ i ! Pool ~ Hottub ' New I~'-i! Renovation ~_ Attic ? Garage Addition L Survey ~ Basement !i First Floor i Second Floor Other: storage shed INVENTORY Single Phase Heat Duptex Recpt 6 Ceiling Fixture 3 HID Fixtures Three Phase Hot Water GFCI Recpt 1 Wall Fixture 1 Smoke Main Panel AC Cond Single Recpt Recessed Fixture CO Detect Sub Panel AC Blower Range Recpt Flourescent Smoke CO Combo Transformer Appliances Dryer Recot Emeroencv Time Clock Disconnect Switches 2 Twist Lock Exit Fixtures Pumps GFCI Breaker Heat Pump Electric Heat Pool Luminaire Exhaust Fan Other Equipment The electrical work and/or equipment described above were inspected and appear to be in compliance with local, state and national electrical code requirements and this office. Applicant: John Litchhult Inspected By: Roger Richert License No.: Homeowner Date Of Certificate: Apr 10,2010 Signature: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUII/)ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35483 Z Date APRIL 16, 2010 Permission is hereby granted to: JOHN LITCHHULT PO BOX 1463 SOUTHOLD,NY 11971 for : "AS BUILT" SHED AS APPLIED FOR at premises located at 935 County Tax Map No. 473889 Section 070 pursuant to application dated APRIL Building Inspector to expire on OCTOBER PARK WAY SOUTHOLD Block 0011 Lot No. 013 7, 2010 and approved by the 16, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 April 25, 2010 Attention Southold Town Building Department: I, John V. Litchhult, Do solomenly swear, that I constructed the storage shed located at: 935 PARKWAY, in the Town Of Southold NY 11971 in the spring of 2002. J~N V. LITCHHULT ATE N~TARY DATE Notary Public, SLate of New York Qual~ied h~ Monroe Couniy 01ZI612113 My Commission Expires Jan. 03, ...~/~ ,/ ~s,~ .%. TOWN OF SO~LDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE /~/d~l~/° INSPECTOR a.:i',D INSPEC~0N REPORT DATE ,COMMENT8 FOUNDATION (1ST)~-~ ~o~o~ (~) ROUGH ~G & PL~G ~$~ON PER N. Y. STA~ E~ CODE ~D~ION~ COUNTS dtsposal:and .ater sul~pl¥ this location have beem Iv, l,~p O~':LO7' NO. J$ ",~ O LI T~I-/ ~O OO " ~0 o ',/'*,'40 t. O Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: B.C.T.M. ~. // /3 District Secflo. Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE 8UBMI881ON OF A STORI~WATEI~ GRADINGp DRAINAGE AND EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (NOTE: A Check Mark (~) for each Question is Required for a Complete Application) Yes No 1 Will this Project Retain All Storm-Water RuB-Off Genemtad by a Two (2") Inch Rainfall on Site? (This item will include all mn-off created by site cleadng and/or construction activities as well as all Site Improvements and the permanent creation of impelvious surfaces.) 2 Does the Site Ptan and/or Survey Show All Preposed Drainage Stmctures ,ndicefing Size & Location? This Item shall include all Proposed Grade Changes and Slopes Conlmlling Surface WaterFIowi 3 Will this Preject Requira any Land Filling, Grading or Excavation whera there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedal within any Parcel? -- 4 Witl this Appiicefion Requira Land Disturbthg Activi,es Encompassing an Area in Excess of ~'] ~// Five Thousand (5,000) Square Feet of Ground Surface? 5 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland or Beach? 6 oneWitl there be Site praparaflon on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise tOHundred (100') of Horizontal Distance? r~ 7 intoWitl Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Offand/or in the direction of a Town dght-of-way? 8 Will this Project Require the Placement of Matedal, Removal of Vegetation and/or the Constmctiou of any Item Within the Town Right-of-Way or Road Shoulder Area? -- (This Item will NOT include the Installation of Driveway Aprons.) 9 Will this Preject Require Site Preparation within the One Hundred (100) Year Fleedplain of any Wateronume? O __VL// NOTE: If Any Answer to Questions One through Nine I$ Answered wlth a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan Is Required and Must be Submitted for Review Prior to Issuance of Any Building Permltl EXEMPTION: Ye._..~s Nc, Does this project meet the minimum standards for classification as an Agricultural Project? // Note: If You Answered Yes to this Question, a Storm-Water, Grading, Drainage & Erosion Control Plan Is NOT Requlredl -- -- STATE OF NEW YORK, oF ............. ss That I, ......~...°..~t~....~..~....~.~l .~. ~1 k° !.~. ................... i.. being duly sworn, de'poses and says tha~i/~enis ~/l~,e~puplicant for Permit, (Name of individual signing Document) Notary Public.State of New Yeti " No 0IBU6185050 And that he/she is the .................. 0../~)...}g...~....~....~,,. ........................................................ 0t~fi~.Buff~.- ...i ................... (Owner, CoBh'actor, Agent, Colporate Officer, .~lmmission Expires Apri~ Owner and/or representative of the Owner of Owner's, and is duly authorized to perfornl or have perfornted the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ................................ day o .......................... ~0.. Notary Public: .......................... FORM - 06~07 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved Disapproved a/c ,20 lo Expiration PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans"~ Planning Board approval Survey Check . Septic Form N.Y.S.D,E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Building Inspector ~ICATION FOR BUILDING PERMIT ~ 3l~///// Date 3/ / ~,,o 20 a. ~I ds a~plete~y filled in by typewriter or in ink and sflbmitted to the Building Inspector with 4 sets of planl a~t~~ording to schedule· b. 1~ ~f lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant· Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy· f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date· If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required· APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. · (· iC' ~ (Signature of applicant or name, ifa corporation) ' - (Mailing address of apphcant) / State whether applicant is owner, lessee, agent, architect, engfneer, general contractor, electrician, plumber or builder Nameofownerofpremises ~g, el} Cktq- l* (As on the tax roi1 or lat~ ~ed~ If applicant is a co~oration, signature of duly authorized officer ~ ..: 'r ~: ~ ' . q' AT (Name and title of corporate officer) Builders License No. 55hq'7- ~'l Plumbers License No. Al k CONS~ ' Electricians License No. ~[z_~-r '~ur:. r>~r Other Trade's License No. ,,-,, ,~-~,~_.q (%r- ~.. 1. Location of land on which,p~oposed work will be done: House umoer ~treet ~ 1. FL J; 7, '!! -- ; F..CJRED ?': 'c, y _;, ~,;,' : -':~TE 2. ROUT! .· ;:~".!;,J .i ~ r;LL.',B[NG 4. F','i,\[. - 3C;C 'r 7' :)~., MUST ALt. CO,,C:;;~UCT<:'.; .::.',d. HEET THE ,qEQIJli%~/,~NTS OF 'file CO.)ES OF NEW ~d< SI'ATE. NOT RE~'ONSI3I.~ FOR k~SGN OS GONSTRUGT!O~ ERROSS. Hamlet County Tax Map No. 1000 Section O~ 0 Block ~ I Subdivision Filed Map No. Lot [~ Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~.3ro£&q,e~ ~//,4_~ b. Intended use and occupancy .~ ~ ~o.-(~ Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ./~lOO, 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee _Alter.atipn. (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front /'~) Height ~' Number of Stories Rear //O Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate anyying law, ordinance or regulation? YESe NO/ 13. Will lot be re-graded? YES NO v Will excess fill be removed from premis s? YES NO 14. Names of Owner of premises '~bXd g. L ilckko/(Address ~0~ ~75' ~ont~(p PhoneNo. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. ls this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BF/REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO · IF YES, PROVIDE A COPY. STATE OF NEW YORK) , ,SS: COUNTY O ~[~,~_ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE D. BUNCH (S)He is the Notary Public, S'tate of New Yor~ (Contractor, Agent, Corporate Officer, etc.) No. 01BU6185050 Qualified in Suffolk Count~ ,. Commission Expires April 14, 20J[o~' . . of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thzs apphcation; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be pertbrmed in the manner set forth in the application filed therewith. Sworn to before me thi~ , "I-lift% dayof ,a~)? 20! 0 Notary Public Signature of Applicant Lumber Pos ~502s7 Revised 4/99 10' Wood Truss Barns MINIBARN ASSEMBLY AND INSTALLATION INSTRUCTIONS 1. Cut and square 2 pressure treated bottom ribbon boards to 12'-0' or 16'-0'. 2. Cut and square 2 top ribbon beards to 12'-0' or 16'-0'. 3. Nail the bottom ribbon board to one standard frame using 16<:1 nails. See Illustration A tot location. 4. Nail the bottom ribbon boards to the balance of the standard frames. 5. Nail the top ribbon boards, to the standard frames es shown on illustration A. 6. Cut and nail in place 5/8' flpor sheathing, using 8d nails, as shown on lilu~ration B. (Deluxe Package Only) 7. Cut side wall sheathing and nail in place using 8d siding nails. See jllustralion C for cutting details. 8. Cut and square front and mar ~ wail framing. Toe nail in place using 16d nails. See illustrations D and E for details. 9. Cut and install roof sheathing using 8d nails. See illustration F for cutting details. 10, Cut front and rear wall sheathing and nail in place using 4d nails. See illustrations G and H for nutting instructions. 11. Assemble the door panels. Screw through the backside o! the door panel into the lx4 door trim using the 1V.' screws provided. See Illustration I for instructions. 12. Cut and nail waforboard soffit in plane using 8d siding nails. 13. Apply I x4 trim to comers and rake using 8d siding nails. 14. Apply I x4 trim around door oponfng using 8d siding nails. ', 15. Install roofing as par rnanufacturere Instr~ons using 1'/, · roof nails. (Deluxe Padimge Only) 16. Install door panels using hinges, hasps, pan'el bors and screws provided. · 17. Paint and/or stain hem as desired. Wl~ wond sidthg you may uea either a tatex or dil pased paint or stain. If you use a primed inner seal siding you must use a latex paint. 10X12 DELUXE WOOD TRUSS BARNS POS #837.24.99 QUANTITY 2 2 4 ? 5 4 S lB 1 NAILS 6 2 4 3 5 1 SIZE 10.-0" 2X4-12' 2X4-12' 6/8"X4-8' T/16"X4-8' 2X4-8' 2X4-T 4X8 SO. lX4-8' 1X4"10' 1X4-16' LBS. LBS. LBS. LBS. LB. DESCRIPTION HARDWARE BARN FRAMES PACKAGE TOP RIBBON BOARD 3 TREATED BOTTOM RIBBON BOARDS 2 'CDX FLOOR SHEATHING 1 DSB ROOF SHEATHING/SOFFIT OPT1OflAL FRONT/REAR FBA~E ASSEMBLY & EXTRA FRONT/RESR FRAME ASSEMBLY 4 GROOVED SIDING 6 SHINGLES 4 1 DOOR TRIM, O/S CORNERS, BAKE 1 DOOR TRIM, O/S CORNERS, RAKE 1 DOOR TRIM 1 2 2 1 8D GALVANIZED SIDING, TRIM & SOH-I1 NAILS 4D GALV.~,NIZED NAILS (REAR & FRONT SIDING) 80 BINKEP, S FOR ROOF SHEATHING 16D GINKERG FOR FRAMING 1 1/4" ROOFING NAILS 1 1/4" DRYWALL SCREWS PR. 5" T-HINGES PCS. BARREL BOLTS PC. 3 1/4" HASP 4X4-12' SKIDS 10' DRIPEDGE GALS. PNNT/GTAIN (8!DING) GAL. PAINT/GTNN (TRIM) PC. PNNT BRUSH ROLL 1~ FELT PAPER 10' RIDGE VENT PCS. END CAPS 2X4-14' INTERIOR DOOR SURROUND 2X4-10' INTERIOR DOOR SURROUND QUANTITY 9 2 2 5 9 5 4 10 3 5 10 1 NAILS 6 2 6 3 6 1 1ff,.0.' 2X4-16' 2}(4-16' 5/rx4-8' ?/lrx4-8' 2x4-6, 2x4-7' 4x8 SQ. lX4-8' lX4-10' 1X4-16' DESCRIFTION HARDWARE BARN PRAMES PACKAGE TOP RIBBON BOARDS 3 TREATED BOTTOM RIBBON BOARDS 2 CDX FLOOR SHEATHING 1 OGB ROOF 8HBATHING/SOFFIT OPTIONAL FRONT/REAR FRAME ASSEMBLY & EXTRA 4 FRONT/REAR FRAME ASSEMBLY 7 GROOVED SIDING 6 SHINGLES 1 DOOR TRfM, 0/$ CORNERS, BAKE 1 1 DOOR TRIM, O/S CORNERS, RAKE 2 DOOR TRIM 2 2 1 SD GALVANIZED SIDING, TRIM & SOFFIT NAILS 4D GALVANIZED NAILS (REAR & FRONT SIDING) DO 8INK --ERG FOR ROOF SHEATHING 160 SINKERS FOR FRAMING 1 1/4" ROOFING NNLS 1 1/4" DRYWALL SCREWS PR. 5" T-HINGES PCS. BARREL BOLTS PC. 3 1/4" HASP 4X4-16' SKIDS 10' DRIPEDGE GALS. PAINT/STAIN (SIDING) GAL. PNNT/BTAIN (TRIM) PC. PAINT BRUSH ROLL 15~ FELT PAPER 10' RIDGE VENT PC8. END CAP8 2X4-14' INTERIOR OOOR GURROUND 2X4-10' INTERIOR DOOR SURROUND t¢4 ' gu ill ILLUSTRATION [] FRONT FRAME ILLUSTRATION [] REAR FRAME 10x12 10x16 THE REMAINDER: OF ILLUSTRATION []