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Home My WebLink About11057-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zq 3570 Date June 28 85 THIS CERTIFIES that the building ..... .a.G.r.i.?.ultural greenhouse Ln~-atlnn of Prnn~rttt 2920 Albertson ]Sane Greenport ............ ~*'~ ,Q~t~ )V'o: ....................... 'S't/e~i ....................... h~t~/el County Tax Map No. 1000 Section ..... .5.2. .... Block /4- .Lot q ./4 Subdivision ..... ~c .Filed Map No. :c .Lot No. x conforms substantially to the Application for Building Permit heretofore filed in this office dated March ~ 2 19B.~ pursuant to which Building Permit No. 'lfl. 057Z dated ..... .l~.a..rg~' .fl..6 .............1~3.fl. ., 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 ......... Agricultural ~reenhouse. The certificate is issued to ......... 13..0.~.~...A....&...G.E.O.i:$.G..~...D.....C.O.S.T.E..IqI?. ................ (owner, S) of the aforesaid building. Suffolk County Department of Health Approval ......................................... UNDERWRITERS CERTIFICATE NO ................... .I~.2.! ¢?.6. ...................... Building Inspector Rev. 1/81 FOF,~ NOJ~ TOWN BUILDING TOWN HALL SOUTH'OLD, BUILDING PERMIT' (THIS PERMIT MUST BE KEPT ON TH£ PREMISI~S UNTIL FULL cOMPLETION OF THE WORK AUTHOR ZED) Permission is hereby granted to: ..... Zf~...~.....~.r~ ................. ~:z.. ........ ~..'.~. ~ p~o~o~ ~o~,o~ ~ ......... ~:~r~.~ ................................. ........ , · ' co~sw ,~ ~op ~o. ~0oo s~t,o~ ..D.~.~ ........ ~ ~...~.~......-~ · ~ ......... · · ' // ~ ~1¢ ond ~pprov~ by tho Building 16spector. : Rev, 6/3o~',80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF '~OU~OLO Instructions A. This application must be filled in typewriter OR ink, and submitted ,., ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of compJeted site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. rtificate of occupancy $5.00 rtificate of occupancy on pre-existing, dwelling -, 3. Copy of certificate of occupancy -~ 1.00 4.Vacant Land C.O. $5.00 5 .Updated C.O. $15.00 $15.00 Date..~!.~..~..l.~..~...~... New Building.......'J5. ,.~.~ .,Old or Pre-existing Building ............ Vacant Land ............. Location of Property i r . ...... ,z ........ House No. Street Ham/et Owner or Owners of Property .............. ~-~' '~ ~. ~., 7~ .............. ¥. .................. ~ County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~..~ ~).~..?.'.~ate of Permit .~..!~. ! ..... Applicant ...~,~. ,~:~ ....................... Health Dept. Approval /~" ...Labor Dept. Approval "~J J' Underwriters Approval ..... ;.';-i'i .............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~, ................. Fee Submitted $ .............................. Construction on above described building and per, mit mee~,~'all applicable codes and reT/~tions. FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... i~..q.~J[,O... ~.[ ~}~..~.~....~7'..~..~.~:~}.. ~/~::>,~U pt~. ~.~. ;H;rnlet ' House No, Street Owner or Owners of Property .~1~.~../~.~....~.. ~.i~.~)~ ~,,..~.~...~. ~ ~--~ {.1.~. ........ County Tax Map No. 1000 Section ~ ........... Block...~r ........... Lot. (~.(~.. l.,..~..q Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. l.[C)~.~.~. Date of Permit .......... Applicant. ~(~J~..~:..C.c), ~ .~..[.~. ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .~.~..~..O. .................... Construction on above described building and permit meets all applicable codes and regulations. Re~, 10-10-78 ~0003:~4 THE NEW YORK BOARD OF FIRE UNDERWRITERS ['[~ BUREAU OF ELECTRICITY ~- ~:~- 27, ~ga E~ ~o.. ~.~, .~ ~o.., ~9~" ~o~ THIS CERTIFIES THAT o~dy the electrical equ~ptnez~t ~ described belo~ and ~ntroduced by t~ applicant nao~d on the above application nu tuber in the premises of in the following location; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lof was examined on ~' ~],, ~ 9~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 3 DRYERS tECEPTACLES SWITCHES FIXTURES RANGES OVENS FLUORESCENT DISH WASHERS EXHAUST FANS MULTI-OUTLET SYSTEMS NO. OF fEET OTHER APPARATUS: E R V I C NO. OF CC COND A W,G. NO. OF HI-LEG A W.G. NO. OF NEUTRALS A.W.G, PER ,~ OF CC COND. OF H~-LEG OF NEUTRAL 1 4/0 1 4/0 B.Jo Elec[ric, Stillwager Avc~m~e, Cutd~og~, N.Yo 11935 lie. 2670-B This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspecto GENEI~AL MANAGER may be identified by their ~redentials. FIELD I~S~'E~TION COMMENTS FOUNDATION FOUNDATION (2nd) ROUGH FRAME& PLUMBING INSULATION PER N.Y. STATE ENERGY CO E FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 )isapproved a/c ..... '.'.~ .... i-i .......... ~ ...... f.../ ' (Building Inspector) "-'~" -- APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building ~nsp¢ctor, with 3 sets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this apphcation 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 permit ;hall 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 whatever until a Certificate of Occupancy ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 8uilding 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. I'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ... .a., .............. (Signature of applicant, or name, if a corporation) qtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... .C;.¢/..V;~ .......................................................................... . me of owner premises m.. .¢ .............. (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location ofland on which propcsed work will be done. . ~. l .~. ~.O.,.~. L(~{/L~) ~.~-~.¢O~ .... ~(.¥.7..z.? ................................................................................ House Number Street Hamlet County Tax Map No. 1000 Section .(~. ~.'~N ......... Block .....~...; ......... Lot..~.~ l,. ~.{D..~.... Subdivision ..................................... Filed Map No ............ ~.. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ............................ 3. 1. 2. Nature of work (check which applicable): New B tiding .... Addition Alteration .......... Repair RemoVal ' Demolition Other Work Estimated Cost~.OO. e O..~. ~/._~___ (Description)_ ............... ;... Fee ................. ...... , .. ~ (to be paid on filing this application) It dwelling, number of dwelling Shits ............... Number of dwelling units on each floor .............. It garage number of cars ~.. . . ' If business, commercial or mixe4 occupancy, specify nature and extent of each type of use . .-'-:...' Dimensions of existing strueture~ if any: Front "- Rear Depth Height .7, NuN,her of Stories .--v Dimensions of same structure wilth alterations or additions: Front ....... ..~-. .....:. Rear ............... Depth ....................... Height ...................... Number of Stories.. 77. .... ) ~ .~ ...... ..... ,, . , Dimensions o.f entire new construction: Front .. ~O~.. :,.. ~,.. Rear .. ~ .~ ................ Height ~.,. ff. . NuN!her of Stori6s .. :~. ..... :..'.~..~.~: ...........i ................. i: Size of lot; Front . .~.C).. ,~ . ._ ....... Rear ...~},.0.~ ............. Depth .~ ~ 0 ~. .... Date of Purchase i~2~,. ~ ~.~ ............. Name of Former Owner ~OO~ ! Zone or use district in which pr~mises are situated .......... , ...... .................................. Does proposed construction violate any zoning law, ordinance or regulation: .l/~ ~ ........................... Will lo~ be regraded ...]lJ.O~ .i .................... Will excess fill be removed from premises: Yes No Name of Owner of premises ~'t2~.~.~i~-~JJD. Address ~OX. ~l."~ ......... Phone No..2-~.7.'-.O.C~ Name of Architect ... ~ i ........ Address . .':. 7-. ... Phone No.. ~ ............ IX[me of Contractor .~14/1,~< ........ Add . .. ~-~/,4A~ Ph e N ....... ress ..... ,. off o ....... PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether rA~E OF NEW__YOaRI(, OEINTYOF D.14qs~r.O..L.K... ~ (Name of individual sigding contract) ~ove named. is the t~t,'SU..~4r]. ' (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this 9plication; that all statements con~ained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. woru to before me this ': 19g) ....................... day of ............... ,, . NOTARY PUSklO, State of N~w Yo~ . . · .~. ............... No. 52-4524771 (Signature iof applicant) Qualified in Suffolk County Commission Expires March 30, lO,g, ~ .W~v