HomeMy WebLinkAbout13550-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No z15149 Date December 30 19 .8.6
THIS CERTIFIES that the buitding Accessory building . ..;
4785 g:lvahs Lane Cutchogue New York
Location of Property ...................................... .. . . ..' ..................
House No. Street Hamle~
County Tax Map No. 1000 Section 102 .Block 0 I .Lot 3.4
Subdivision ............................... Filed Map No ......... Lot No .............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8,
19 ?pnrsuant to which Building Permit No
1
3550z
dated .... ,.. · · · · ·.... ·...........N°vemb e r 20, 19 ...84, 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 .........
Rel.ocate a. cc. essory building as applied for
The certificate is issued to LONG ISLAND VINEYARDS, INC.
of the aforesaid building.
N/A
Suffolk County Department of Health Approval ..........................................
N686467
UNDERWRITERS CERTIFICATE NO ............................................., ... .
Rev. 1/81
./~// Building Inspector
~B,~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No- 13550 Z
County Tox Mop No. 1000 Section ..~/.~..~.. ....... Block ......~)...../. ........ Lot No.(~...~..:......~...
pursuant to application dated ..... ~..~'-~... ............ & ................... , 19 .~....~, and approved by the
Building Inspector.
.......
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted aa~ 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
nam ral or topographic featu res.
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. Su bm it Planning Board approval of completed site plan requirements where applicable.
B, For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of p~operty 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.
C. Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $1 5.00
3. Copy of certificate of occupancy $1.00
$5.00 }
4.Vacant
Land
/
New ~uc t i~_.. .... Old or Pre-existing Euilding ..... d, ..... Vac~t Land .............
4785 A[vahs La~e Cutchogue, ~ew Yo~k
Location of Property ...................................................................
House No. Street HamNt
LOnG iSLAnD V[~EYARDS~ iNC.
Owner or Owners of Property ............................................................
County Tax Map No, I000 Section 102 Block 0l ..... ;..'.. Lot .... ~.'~ ....
Subdivision ................................. Filed Map No ........... Lot No ..............
13550Z I 1/20/84
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ ............................ ~/~
Construction on above described building and per?~eets/~?pplicabl~e cds a~t~/~6s.
Applicant ...... ? .:.fZ¢,. Q/~.' / .d~'..¢x¢¢, ¢//~¢¥¥~...//..~,~. ~. ...........
Rev. 10-10-78
FI EL~B' I~S?ECTION
FOUNDATION (1st)
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION FERN.
STATE ENERGY
~DE
COMMENTS
ADDITIONAL COMMENTS:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000378 BUREAU OF ELECTRICITy
~kl 86 JOHN STREET, NEW YORK, NEW YORK 10038
Date April 9,1gas ~,,,lle."onNo. onSile 271153/a4 N686467
THIS CERTIFIES THAT
otdy tile electrical equlpo~ent as described below and introduced by the applicant named on the above application number in the p?ndses of
Land R Vineyards~ Rt~ 48, Elijahs Lane & Alvahs Lane, Matt~tuck,
N.Y.
ia tke followlng location; [] Basement [] 1st Fl. ~ 2nd ~7. Section Block Lot
was examined on April 4t1985 and f°und to be i~'compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS
DRYERS FURNACE
SERVICE DISCONNECT
OTHER APPARATUS:
FUTURE APPLIANCE
TIME CLOCKS
MULTI-OUTLET
SYSTEMS
NO, OF FEET
DIMMERS
S E R V I C E
PER ~ OF CC COND. OF HI.LEG OF NEUTRAL
1 2 4
Charles M. Hall Electric lic.# 657
760 Lonq Creek Dr.
Southold, NoY., 11971
/ 11
This certificate must not be altere~ in any manner; ~turn fo the office of the Board if iocor~ct. Inspectori may be identified by their credentials.
IANYMANNER.
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
glgC f 8[9 6
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
/Z/An application for Certificate of Occupancy
is not on file. ~f~~
/5/ No Underwriters Certificate on file.
/~/~ The check is(o~not on file.) ~f ~
/5/ No Health Dept. Approval on file.
/Z/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit # / ~ ~ ~ _O,~.,_Z .............................
Building Dept.
No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984
7GS-180~
BUILDING DEPT.
INSPECTION
[ ] FRAMING
REMARKS:
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FINAL
INSPECTOR
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-180;3
Examined....g~'....~.....,l~.
,,p,,roved ..... l Pe it
Disapproved a/c ..... ~ .......~N
...... (Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
/./~..~/g. ¢ 19
Date ................. , · · ·
a. This application must be completely filled in by typewriter or in ink and submitted to the Building 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 streets
or 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 application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy
shall 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
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 in.sl~cfions~,~t~~ ~, ~j~ _
(Signat~)e of applicant, or name, if a corporatio )
,
(Mailing addressObf applicant)
State whether applicant is owner, lessee, agent, architect, engineer, genera[ contractor, electrician, plumber or builder.
......... ~::~J,x~.: .............................,/. ~.,, ,~ //.. ,,./).. ......................................... _ ~:~"'
Name of owner of premises '~"~' ff"(4//~'"'"~'"[' "t~'''"}'a~e ................. ........ (a~on the tax roll or lat t )
If applicant~is a corporation, signature of duly authorized officer.
(Name and titl~ of corporat )
Builder's License No. ~. ~ .~.~ff/d~ ~
Plumber's License No.~./~'
Electrician's License No. /~. ~/.~ '
Other Trade's License No ......................
1. Locationoflandonwhichproposedworkwillbedone...~..~~..''~''~": ........
County Tax Map No. 1000 Section . ./.P.O~~. Block ........ -..~-4. ( ...... Lot ..... tX...c,A-4...%'..'F7. ' . .
Subdivisibn ..................................... Filed Map No ............... Lot ...............
(Name)
2. Stateexistinguseand~ccupancy~fpremisesandintendedusea~nd~ccupancy~fpr~p~sed?nstructi~n:~/. ~.. / ~ ~L~~
b. Intended use and occupancy... ~/J~./~'~. · .(~~~'
3. Nature of work (check which applicable): New Building ..... ' ..... ~Addition .......... Alteration .... ,..,...
Repair: .............. RemOval .............. Demolition-
4. Estimated Cost ....... ~....~.o .................... Fee ..................................
~ ~'. (to be paid on filing this application)
5 If dwelling ' ' ' ~ Number~ff~elling units on each floor
. , number of dwelhng iumts .............................
If garage number of cars ~(~'.¢ ~. ./. .......................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of~us~ ......... ~ .........
7. Dimensions of existing structures, if any: Front .... ~.~ .t ....... Rear . .,twO, ( ........ Depth. ~2~. ~.. ..........
Height .~. ~qo0 ......... Nurfiber of Stories... l.f~ .................... ~ · · ~, ......... .~ v .............
Dimensions of same structure with alterations or additions: Front . ,,q~../o. · .~. · .'~1~8~'A~¢...) ............
Depth i Height Number cf Stbries
8. I)imensions ofentire new construction: Front ...5'~44,tt. ,~.~..~ejR~ar ............... Depth ...............
t,t. eight ................ Number of Stories ....... -'" '~..; .'~.. ~. '. .................................
9. Size of lot: Front ..... 'tZ~.. ~/.q~<..'. ..... Rear ...................... De~th ......................
10. Date of Purchase ~..l.q.'~, . Nam~ ,,f Fo,~o- c~ ..... ; ~/,~ff')~
.... ........... ...........
11. Zone or use district in which/[br~mises are situated../~s~,/JJ~g.d:~ ............. ~. .............
12. Does proposed construction violate any zoning law, ~rdj~adce or regulation: ...~...~ ..........................
13. Will lot be regraded ... ~ ............... ~... Will exces~fill be removed from premises: Yes
14. Name of Owner of pj:,e~[e.~ ~ '~,.~. -~/4~ ~;;ss.. ~t~... -~Phone .....
Name of Architect ~.(e~. _~efl~:n..,~.~ ...... Address~.~.~~~,'.. Phone No. _~.~.~...'-.~.~. ~..
Name of Contractor/V~,q. P'.tPt,~ ~ .,?~...'... Address /,d~..~. ~ ~one No. ~/~.~. 7~...,(' .,ff--~:~..
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, i S.S
COUNTY OF ................. ~ .
..... : (~d~e~,, of ~2~i~;~~- ~~--~ ~J~;::c;~ .......... being duly sworn, deposes ~d says that he is the applicant
above n~ed.
He is the
(Contractor, agent corporate officer, etc )
of said owner or owne~, ~d is d~ly autho~zed to perform or have perfo~ed the said work and to m~e ~d file
application; that all statements con[dined
work will ~e perfomed in the m~nCr set for~ in 'the application filed therewith.
Sworn to before me this
........................ da ............... 19
Nota~ Public, . .. '. ........... County'
HE1 EN
': ~O~fi~Y PUg}~I{L ~tat~ ~{ New York ...............
, N~,'~}Ot~, ~tto~k C~en~y ~ : / (Signatu~ of applic~t)
Term Expl~s