HomeMy WebLinkAbout23818-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24854 Date JANUARY 13, 1997
THIS CERTIFIES that the building ACCESSORY
Location of Property 6250 COX LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 84 Block 1 Lot 24
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 7, 1996 pursuant to which
Building Permit No. 23818-Z dated NOVEMBER 21, 1996
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 STORAGE BUILDING IN REAR YARD AS APPLIED FOR.
The certificate is issued to MATTITUCK GUN CLUB, INC.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
S
Building Inspector
Rev. 1/81
YONX NO. a
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)
N00 23818 Z Date .... .. .............................................
Permission is hereby grant to:
-A
........................................
.............
to ............. ..... ...................
atpremises located at .............. ......................................
....................................................... ...............
.................................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section ......... K.. Block .........../....... Lot No. Y.........
pursuant to application doted ................ .................2...................I 19. ..6, and approved by the
Building Inspector.
Fee
;0r .......... ......
.. .................................................. ...........
Building Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD Joe M A 4 ALNi tt-J
BUILDING DEPARTMENT b A`( Ho M C— 12-l'
TOWN HALL 50 v 111--1 o L N y ( 1 7
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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.
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 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.
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 Certificate of Occupancy - .25v:.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15 00, Commercial $15.00
Date . . . - 0�. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .� . . Old Or Pre-existing Building. . . . . . . . . . . . . . .
Location of Property. . ��. U... .�a yC. ..L✓'r�v'L� ... . ... . . . �v'�L v.�. . _. . .. ... . . . .
•i•
House No. Street Hamlet.
Onwer or Owners of Property. 1.�U . .. .... . . .(. ..... . . ... . . . . . . . . . . .. . . . ... . .
County Tax Map No 1000, Section. . .. 9: . . ..Block. . . . . . . . . . . . . . . .Lot. . , . J. . . . . . . . . . . ... . .
Subdivision. . . . . . . . . . . . . . . . . . ... . . . . .. . . . . . . .Filed Map. . . . . . . . .�. .Lot 1.. . . . . . . . . . . . . . . . . . . . . .
2 Permit No. .�J. �. b. . . . .Date Of Permit. . .. ' l
. . . ./. . .. Applicant::.`:�&[ r ... . . . . .GA��l� .
Health Dept. Approval. . . . . ... . . . . . . .. . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . NA. . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . .`�. . . . .
Fee Submitted: $. . . 2 : � V . . . . . . . . . . . . . . . .
PLICANT
ow Itl't•Utt•f 1)ATV
I"OHIMATI ON
FOUNDATION 2H D)
ltoI)(':Il FRAI'M &
O
I'Lli1-111 I NO
Vl
INS11LATION III,'.]( ti. y .
STATE
(:OM".
----------
I=I
1-1 Al.
--------------
nun I.TI MIA
L
Cu.J.-MIte m e_-nine
. C�►1t��a�e our �ea�t�.r�s.�.
`o�aiar #�ua►l�ty .. our �r�ces... �u� G�.ara��ee
P► icr 'Yu 'Cxoce o �,xrly Crag :
Reasonably Priced
Picnic Tables Gazebos Playhouses Arbors
Planter Boxes Swings Benches Cabanas
Delivered Fully Assembled or We Will Build on Your Site
We Will Meet or Beat Any Competitive Price
Everything in this Catalog is Built in Peconic, on the North Fork
All of our double doors are T wide with 12" hook and eyes
Extra Heavy Gauge Galvanized Hinges with Solid Brass Pin
-- J�laxu�ccc,�
/
i
f �
The
I-vorch Barn
This unique shed offers many different and convenient uses such as using one side for storage area and the other
side for a changing room for the pool, or one side for storage and the other as a play area for a child. The space in
this is incredible and with two entrances it is easy to get most anything inside whatever your use. You can even finish
this unique shed with some hanging flower baskets over the porch. A look that is sure to gain attention.
1
ak
30 a\. i`�( /--ASS.. _, ��1/`y 1'D� y I Q r/♦ r t< ,n. t+• y \ •1
'Q
t %e;4MSnP N� rrNG� £
Vd
io
.• \ � . .�15° _ - - //,^ •('�l .. \ • ;� ' �'ILA. �, �. ` .. _ . .- � - `` - -
Ar
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�.• _ - - 1ATT -r v c K G u N
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^^ - _ Z �� .. - - .•_ __ T"�'V+/N O� S.^.'r'u'TNO E._D, N. 7.•
BOARD clr HE'AI:I'll . . . . . . . . . . . . . . .
FORM NO. 1 /3 Si,,'1'S OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOU HOLD / SUizv1l Y
BUILDING IMPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN ilALl. Si?PT1C FORM . . . . . . . . . . . . . . . . . . .
SOUTH OLD, N-Y. 1 197 1
TEL! 765—11302 NOTIFY:
CAiA. . . . fJ
P.ramin(-A.oV-• ..., 19.... `) ( MAIL TO: . . . . . . . . . . . . . . . . . . . .
nPlrrvvrd.. 1 19 . Permit NcrrT` _d .�/Q D .. ................................ ....
Disapproveda/c .................................. ............................ ........
............................................ .........
--. ......... .
Ikri.l.ding :lnsJrector)
APP..ICAT'].ON FOR RUTIMING PERMIT
Date. . . . . . . . . . . . . . . . . 19. . . .
I NS'T'RUCT•TONS
t a. This application must be Completely filled in by tyici-witer or in ink arx] MAxnitted to the Wilding fnspect.or- wit
3 sets of plans, accurate plot lil.an to scale. Fee according to schedule.
b. Plot plan slxrwing location of l.ot and of Iruil.cli.ngs on premises, relationship to adjoining promises or lxrbl is
' streets or areas, and giving a detailed description of layout Of property mist be clrmqu on the diagram which is hart of
this application.
c_ ']he work covered iy this application Play not be ccnr?renced irefore issuance of ]kri.)ding Permit.
d. Upon approval of this application, the ilui.lding inspector will issue a Wilding Permit to the aplil.icant. Such
permit shall be kept on dre premises available for inspection thrrnrglrart the work.
(-. a.) building slral.l be occupied or used in wlrcrle or in part for any purpose wlratever until. a Certificate of
Occupancy .slral.l. brave Ix�en granted by tine Buildiog Tnspector.
APT'I,ICATION IS 1113i.U;iIY MADE to the Tkr.ilding DeparUmnt for the issuance of a lkrii-ding i.'ermit purniant to the
ikrildi.ng pone Ordinance of the Town of Southold, Suffolk. Ccxmty, New York, aril other applicable Laws, Ordinances or
Regulations, for tyre construction of lnrildings, acklitions or alterations, or for removal or cicrnolition, as herein
described. The applicant agrees to comply with all applicable laws, ordinances, I>,ri..ldi.np code, ixnising code, nrx]
relnil.aticnrs, arx] to adtmit atrdxrrized inspectors oil premises aril ill lxri.l.ding for necessary :inspections.
...............
(Signabire of applicant, or name, if a corporation)
(M--riling address of applicant:) t J �
"State whether applicant is owner, lessee, agent, architect, engineer, general. contractor, electrician, pludrer or Ixtilder
..............................,.............--•--...............---.r........................................................
Narr. of owner of premises " A—r !l l'l��i�...�.�jU..C4��.k7. ..I QC-. ..................................
,..
(as on the tax ml.l or latest deed)
if. airpl.icant 's a coil nation, signature of IRA aut_Ixrrized officer.
D�` �CA. w ..
(Nano aril title o . corlrorate off�t ed) v
lkri.lders License No. .........................
Plunl.rers License No.
Rectrici.ans License No.
Ottrer. Trade's License No. ....................
I. T,o•ation of larxl cm wlriclr pl-oporrccl work will ire durx..............................................................
�.Z ak....C.a}�... -.!�1VL_......-•----..Gv C-4�1����. ......................................
Ikxrse TTidwr Street iltririlet
QAITIt.y Tax Ptrp Tkr, 10O0 Sect icxr .........(...... iIi ock .........I...... i.A)t ....._ ....
Srrlxli.vision ...................................... ri.led Kip No. ............... Lot ...............
(rI�-tee)
2. State existing use aril occuparx-y of: premises aril interxlMl use arxl cCcuparxy of lrrrrlxrsed constrircficrn:
a_ Tixistirrg urge and crcarlKlmy .................................. .........................................
h. Tnterxled use arx] occvparx-y .....mow.!\ L/....................................................
1. K-i I I I re of- tk)tk (CI I&Cl( %-A I i(I I a I)[)I iCab I t!) lk-Nj IkAltling AikliLion .......... Alteration
Ita:lxli . ............ lialKwal ............. D010.1 i t i of I ..... ....... 01her U)tk .................... ..............
((lost r i 1)t i oti)
4. E'st:illkated Cost (2 P............... fe(. ....... ...............
(I-o lie paid on filing I'llis application)
5. If: thxMing-, ntmber of: th4elling units ............ Ikilber of: (hoelling units ol) each floor ............. ...
If garage, titsiber of cars ................... .. ................ .
O. If 1xisioess, cumne-rcial or mixed CA--cullaocy, specify nature alyl extent Of each Lype of use......... .............
1. Dillbunniolls of existing fiLrIlCUIVea, it ally. Froot:................ Itear ......... ...... Ikptll . .......... .. .....
lk--ijllil. ............*......*"**... UxjJk!r of Stories ..... ...... ..... .. .. ..
Diawlisiotis of" saint' tArticitire whit aheraLiotw or aahlitiona: FroiiL ...... . .... .... .hear ...............
IkqAll ...... .............. IleiijklE .. .... .............. Usiber of Stories .. ............ .
11. 1)ilwils i oils of; elaire Ikh4 co(ISLY11c'Cioil: Froot
Pan(lei ................. Widwr cif St:oriLs ......I.......... . .. .. 8 (2-
9. Size of lot: 1jcxjj: .................... Mar ........... .... ..... I)dpj li ....................
10. 14-ile of: hirchase ................ ..... Wtwl of Foriker 04tier ..... .. ... . ........ ......... ........... .
)t II. ZAm-- or use district in diltik proikises are sit-tial:ed
f. C?.a ......................... ..
12. Wes propOsed coosirtici-100 Violate any zotiirig law, ordioanc-e or regulation: ...............
13- Will 101: be regrikled .....11J.0......... Will excess fill be rajoved frown pi-c-Anises, US 1190
ill. K'aws of 0641W.2r of presidGeS ........................... Aikirvas .............................. Mont-- No. ....... ... ....
Maw of Anal ltect .................. .............. .... tulkiress .. .. ..... . ......... ..... ...... I'liolit. No. ... ...... .....
MvnL of: Oil it riot:Cor ................. .................. Ailtiress Ifiolk! No.
15. Is this i)ro' lx.,rt.y within 3W feet: of lk tidal al id? * YES ...... .... 110
A'IF YES, -'Mill(ND UAM 'IWSIM s MAY We IUI? Jlfa-'D.
PLOT DIAMIAM
Locale clearly antl distinecly all Wildings, whether existing or proposed, aril iiwlitat:e all sec-back dimensions
fr(xii prollerty Iii". Give street aril block i-xviber or description according to deed,,aiitl sli(v street naines aiKl indicate
tAwther interior or corrk!r lot.
APPROVED AS MOTED
OATE. a.P
d 4
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V� "'g 440 "A
[40flFV
i65-1802 9 MA TO 4 PW11 FOR THER
F("� L01 !,'KiG INSPECTIONS:
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R'ETE
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F i o3',A L Cold%JSTR,(JCT10N 4491133T
r>E' COMPLUP: FOR C.O.
ALL C0N-'-'.TRUC7'106�( S911ALL MIEET
I'HtE REQUIREIMENTS OF THE MY,
S'i7-',TE CONSTRUCTIOM & ENERGY
INME rw CODES. MOT RESPONS18LE FOR
� (N. f4V�'XMK,(---j SS WESIGN OR CONSTRUCTION ERRORS
...... . .. ...
........ Y\ .....lx!iikl,- (Itily swt)rii, deixises aod says thay. he is the applicant
(Nillit! of
Iit! [lie .............. ..... .........................................................................
(CAmiLraccor, corjxmitce officer, ei.c.)
of: said (moor or owliers, alKI is duly audiorized to perfonu or have performed the said work aml vo inake alki file Illi-,
appi ic aLioii; 1.1wC al.l. sLateiir-,nta contahwd in Lhils application are t.nx! to the'besl: of his klltmledge and belief)., alk]
I hat. the vA)rl( will. lie perl'Ornied in the nviniver set fords in the application filed therewith.
'kmrti lo I f I lis
.. .......... -- 19
Notary lhiblic .... ......... ..... .....
.. . .. .........
CLAIRE L.GLEW wfl��..t VAIL(.(Signakir 1: All I icani.)
Notary Public,State of Now York
No.4879505
Qualified in Suffolk County
Commission Expires December 8,19V