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Home My WebLink About11257-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Ce 'tificate Of OccuPancy No. Z 1 .10.8.6 .......... Date ........... July. THIS CERTIFIES that the building i ' farm ......................................... Location of Property .3@3.5.0. ............... I~lair~ .Road ................. Pe¢ond:e House No. Street County Tax Map No. 1000 Section . .085. ....... Block . . 02 ........... Lot .. '01 ? ........... Subdivision.. X ............................ Filed Map No. X ....... Lot No. × ............ conforms substantially to the Application for Building Permit heretofore fried in this office dated .... d a.y.. 1. ? .......... 1 ~..1.. pursuant to which Building Permit No. t t 95'7' · Z ............. dated ..... J ul.y..8 ................ 198.1., 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 ......... a farm building with winery for the processing of grapes produced on premises of the applicant in the operation of applicants vineyards,subject to obtaining any other permit or authorization that may be requi~ed 'by any other governmental agencies. The"certificate is issued~o ./. .P. Wter..&. l~a.t~.i¢la. Lenz .......................... ...... (owne~._.__.__.lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . re~erding- .ne~, w*l.l i ' s~ n~t:~ .(-~ ) ..... UNDERWRITERS CERTIFICATE NO.. I~..5a-5499.,- .hi · 5- 19026 ........................... (1) .Approval of constructed works, H.D. Ref. No. PE-8, May 25, 1982-- ''This well to be used for agricultural purposes only." Building Inspector :Ni? 1!12 5 7 Pei~,ission, iS hereby granted to: ~ : :: BUiLDIN (THIS PERMIT ,MUST BE KEPT ON: COMPLETION OF THE WORK AUTI~O~RIZED)i at p~emises Ioceted at :Cd~r~ty Td~ Map',No. 1000 Section p¢~s~ant ~o application dated eg!~ld~lng I~,spector. and ~pproved by the FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated .... .,~./~. ~..( .~. .......... , 19 ~.,),/.. House No. ' ' ' Street Hamlet County Tax Map No. 1000 Section ..~d~ ..... Block ...~ ....... Lot . ~f~ ........ Subdivision ......... ~ ....... Filed Map NO. ' ............ Lot No..~ ......... is returned herewith and disapproved on the follow~g grounds .... ~~..~..~. ', ~~.~ ~~.,..w..~.~~...~..~~ ~/~ ~ ~ C/~ ~ Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the buikling . )..F..~. ??.q ....................................... Location m t roperry .............................................................. '. House No. Street Ham/et County Tax Map No. 1000 Section ...... ~.E...Block . ~'~- .Lot ( 7 Subdivision ............................... Filed Map No ......... Lot No. - conforms substantially to the Application for Building Permit heretofore filed in this office dated ILIA'( { '7 19~if. pursuant to which Building Permit No. I \ ~- 33 7 2_._ dated ............... .'J. 0..L~.(... ?.... 19 5. !, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfidh this certificate is issued is .......... 06 '-Fo The certificate is issued to ................. . .... [o~nb),:l~ .................... of the aforesaid building. Suffolk County Department of Health Approval~¢P[7~¢..; .Y-~ ~. l.q ~. ¢~... ~'. ~ ~r.~ ~? ). ' UNDERWRITERS CERTIFICATE NO. ~ ~'( '~q D~ .y~'5 I ~ ~ ~ ~ Buildil)g Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 equa[). 3. Approval of electrical installation from Board of Fire Underwciters, 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 o~cupancy $1.00 $5.00 Date New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ......................... z ................... House No. Street Hamlet Owner or Owners of Property ....... -. ~w. kC'ce-.~*.. ~ .................................... County Tax Map No. 1000 Section ..... (~. ~..~. .... Block ..: .~...~w-. ....... Lot .... .(?]. ~. ....... Subdivision ................................. Filed Map No. , ......... Lot No .............. Permit No./~/~.,'~ .~..~. Date of Permit... ~.~. ?:~.~.Applicant....~. '.~;. ~.~.~ ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ -- Planning Board Approval Unde~riters Approval .............................................. ~oquost for Temporarg Certificate ..................... Final GO~tificate ....................... Fee Subm~ttad $.. Construction on above described building and permit mee~ all applicable ~d regulations. App cant .... ~ -"~. ................. C O · / O ..... FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTItOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To &"~..'~/.. ~ ./~..~... ff~./4-?t'~.~ ./(~ ............. PLEASE TAKE NOTICE that your application dated ...... /..~. .......... , 19 . for permit to construct./~/.d~.. ~.'~..~.~'~..-h~,~..~. g~..,~...~. ~Z. ~V~ .~f.~..~,~.. at County Tax Map No. 1000 Section .. ~.. Block ~ ..... Lot ~ fff Subdivision ......... ~ ....... Filed Map N6. ~ ................ Lot No. _,ff ......... is returned herewitlx and disapproved on the follow~g grounds .~..~/~..~.~. · · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined"-'~': .... , 19~../. Approvedcf.'~/-,-.~...~. ...... , 19o~.. Permit No..././...~..~.TZ ~ 7/°C7/~:'P/ /(-]o' /'(// (Building Inspector) APPLICATION FOR BUILDING PERMIT . .d:.: ./. :.. Date .............. , Application No. ?./.4 .~.Z ...... INSTRUCTIONS a. This application nmst be completely filled'4n by typewriter or in ink and submitted in triplicate to the Buildi Inspector, 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apl: cation. c. The work covered by this application may not be commenced before issuance of Building Permit. , d. Upon approval of this applica!,ion, the Building Iuspector will issue, a Building Permit to the applicant. Such pern 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 whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildh~g Department for t~he issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations~ or for removal or demolition, as herein describr The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or -~me, if a cornoratior~3, (Mailing address of applicant) State whether applicant i~o'quer, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ ................. ........................................ , ........................ . . : />. :::../:..,: .......... Name of owner of premises ........ ----.'~- · .......... (as on the tax roll or latest deed) If applicant ~s a corporatton, s~onature of duly autbonzed officer. (Name and title of corporate officer) Builder's License No. ,~ o~ Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Locatioh of land on which proposed work will be done ............ ' .................................... House Number Street Hamlet County Tax Map No. 1000 Section ............. Block ............ Lot ........... Subdivision .................................... '. Filed Map No ............... Lot .............. (Na~ne) 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. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Remo~val ' Demolition Other Work Repair ......................................................... ~ , . Fee .,~.. ,~.,~'./Q.'/..~. :~. (Description) Estimated Cost ~ (to be paid on filing this application) ,mb .... ocr....' .. i. If dwelhng, nu er of dwelling ~nlt~ ............... Number of dwelhng units on each fl .......... If garage, numoer of cars .. : ...................... 2.. ........ ~ 5. If business, commercial or mixed occupancy, specify nature and extent of each type of use ~r./.~./F.'~.~.. ........... 7. Dimensions of existing structure~, if any: F. ront ..... ./.c2.~../. .... Rear ... ~.~. ?-../ ..... Depth ....~..-~. ~. ..... Height ...... ¢... ~ ..... Number of Stories ....... ~. ............................................. Dimensions of same structure with alterations or additions: Front .... ./...~... d2. o..... Rear .. /...o..~. ....... . ~.. F.../ ~ Height ~..q ~ Number of Stories ' Depth ................................................... · .- · · · · ' pth ~. D~mensmns of. entire new constn etlon: Front.......-~ o ..... ... Rear ... 79....~... .. .... De . /,~. ....... .. /~ Number of Stories / . .' ...... Height ................................................. ~ Size of lot: Front ' Rear Depth ) Date of Purchase ~.. ~ . Name of Former Owner 1. Zone or use district in which premises are situated .................................................... ~..Does proposed construction violate any zoning law,. ordinance or ~egdlat~on: ........................... l. Will lot be regraded ...... ...................... ' Will' excess fill be removed' from premises:' ' Yes No [. Name of Owner of premises ..~i..~.,~.~ ..... Address ... ~C.o.4~./~ .... PhoneNo. ' Address ' ' Phone No Name of Architect ......................................................... Nmne of Contractor ' Address Phone No PLOT DIAGRAM Locate clearly and distinctly all i buildings, Whether existing or proposed, and. indicate all set-back dimensions from :operty lines. Give street and block: mmber or description according to deed, and sho~ street names and indicate whet;her ~terior or corner 10t. 'rATE OF NEW '~K,.~. ~ ~ ,. ,, OUNTY OF. ~~ ~'~ ........ ... ~X/~,,~~'/~;~3.., ~........ · C~q~ ............. being duly sworn, deposes and says that he is the applicant (Name of ~n&wdual s~gnmg contracb ,ove named. ~e is the (Contractor, agent, corporate officer, etc.) f saki owner or ownem, ~d is duly authorized to perform or have. performed the s~id work and to m~e and file 9plication; that all statements contained ~ this application are true to thb best of his B~owledge and belief; ~d that the ,ork will be performed in the m~n~r set forth in the application filed therewith. wom to before me this ~ ~~ .~ ' .......... day o .'. Countyt ~ ' ~ ~. ~01gY P~L~ ~at0 of ~e~ Y0r~ // / ~ (Signature of applicant) , ~. ~2-8125850, Suffolk C6u~ / T~ ~xpires March 30, 19~ ~ - . i: ', / ~pPItOYED AS 'NOTED_. / ' NOTIFY' BUILDING DEP^KI,'n~r~ ll765.1802 9 AM TO 4 PM FOR THE FOLLOWING INSpECTiONS: ,i~]. FOUNDATION - ~O REqUI~D FOR POURED CONCR~E ~2, ~OUGH - FRAMING & pLUMBING 1.8. iNSULATION ~4. FINAL - CONST~U~ION ; BE cOMPL~E FOR ~LL CONSTRU~ION S~ ~1' ~HE REQUIREME~ OF ~TE CON~RU~ION CODES. N~ ~IGN OR -$calq ,L q ~v/ A~Tm ~ P~IM~ Moore Grover Harper ,K~Profesgional Corporation Essex Connecticut 06426 L~ ' WIJ~'" Drw ~L, Sheet 203 767-0101 ~VAMD PIN T~ ~FIAJN D~. ~ ~.~/~I,~IN ~ M~TAL J~-~D -r'JD*~ .... FP-4~IIN~ PLAN D~DTIOH A COU~.T'FAP-D BUS:~VATIOH ( U L Moore Grover Harper ~/~'~ g"'DI'~6~./ATIoH Date ~,.'7.5 DI A ~rofeasional Oorporation of Architects and Planners Scale ~ll~ j ~,.~, Essex Connecticut06426 ~L. Di-,~-, V, JIHp__.~~' Drw ~ Sheet 203767-0101 · ?F::c,,~N[o~ Iq,y: Chk P/~ '~ Il II PLAN T ~Xl'~RIO~ VIeW op DAY' ~"¢ 1~~ ,, '1, f I ,'jul,, t , / ~, Lo II I I Moore Grover Harper ¢0¢b l~001'd P ~',AVU~'N Date "~,?,5 A Professional Corporation of Architects and Planners Scale Ad H~l"l~ Essex Connecticut06426 I~p_J-{'~.. WlH~-F-'¢ DrwJl'l' Sheet 203 767-0101 ~.~41¢; ~ ~,Y'. Chk~, ~l~ ~b~VA3'IOH r'LAN c~ p, ccp /// I I ~AM ~ F_.t~DUHD t"~lH F,D P---L.CVATIOH (e,:~u'm) i¢ 51DB ¢×,,4- II 0 0 Pi. AH III II I ~ ~bCvAlloM (~ HoueB )0 O0 II II Moore Grover Harper A Professional Corporation of Architects and Planners Essex Connecticut 06426 203 767-0101 , f~...oNI¢., N.Y', Date ,4, I. ~1 Scale ~¢ ~ Drw Cb, Sheet Chk ~ I I P~_~CONtC 0 t~ 'I