HomeMy WebLinkAbout13571-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17802
Date FEBRUARY 29~ 1989
THIS CERTIFIES that the building
Location of Property 24385 MAIN ROAD
House No.
County Tax Map No. 1000 Section 109
Subdivision
AGRICULTURAL BUILDING
CUTCHOGUE, NEW YORK
Street Hamlet
Block 01 Lot 013
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 13, 1984 pursuant to which
Building Permit No. 13571-Z dated NOVEMBER 21, 1984
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 BUILDING AS APPLIED FOR
The certificate is issued to
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
CUTCHOGUE FARMS LTD.
PENDING - FEBRUARY 22, 1989
NOVEMBER 13~ 1984-K&K PLUMBING & HEATING
'~ ~ctor
Rev. 1/81
FOK~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWH HALL
SOUTHOLD, N. Y.
NO
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PJ~EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
:~3571 Z Date ........ ~ ..... ..-~...t .......... , 19..~...
Permission is hereby granted to:
.... ............
..~~.~.: .......................................................................................................................... ~..~ ~ ~. ~
at ~ ~' ~
at premises located ........ ............. ...~., ............. ............. ~~~ ..................
..Y~....~~~...~....~ ...................................................................................
c~ *~ ~ ~o. ~0o0 s~t~o~ ...... !..~.~ ........ ~k ....... .~..[ ....... lot Uo....~.L.~ ..........
p~,~t to ,pp~,o~ ~,t~ ...O.~.....t.h .............. , 19.~., ~nd opprovO b~ tho
Building Inspector.
Fee $..J..~.., ..............
Er~llding Inspector
Rev. 6/30/80
TOWN OF SOUTHOLD
BUILDINC DEPARTHENT
TOWN HALL
SOHTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION .-~... ·.OLD
OR PRE-EXISTI~NG BUILDING ...... VACANT LAND ........
Location o£ Property ................................. ' .......................
HOUSE NO. STREET HAMLET
O~ner or O~ners of Property ......................... , ........................
County Tax "ap NO. 1000 Section ~.. Block 0 ] Lot 0 ( %
Subdivision ....................... Filed Map ........ Lot ..........
Permit No. . . ate of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ...............
Fee Submitted: $./~.'.C .............
rev. 10/14/88
FIELD INSPECTION
1.
COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
~ODE
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No.
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn~to before me this
day of
19 f~/.
Notary Public
/~'
County
(plumber' s signature)
Notary Public
l-~,n ~pl,'~ ~r~)) 30, ~cCj
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1 ! 79
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 1, 1989
Mr. Eugene Burger
665 Pequash Avenue
Cutchogue, New York
11935
Re:
Building Permit ~13571-Z
Tax Map #1000-109-01-013
CUTCHOGUE FARMS, LTD.
Dear Mr. Burger:
During a review of our files, it was noted that the above
building permit has expired, and a Certificate of Occupancy has
not been issued.
According to the Code of the Town of Southold Article XIV,
100-141 and 100-144 a building permit is needed for construction
of an agricultural building. It is unlawful to use said
building until a Certificate of Occupancy has been issued.
Your final inspection has been made. Please fill out the
enclosed application and return to this office with a check for
$10.00. Also, please submit the underwriters certificate. We
have the certification from the plumber.
This is your third notification. In order to avoid any
legal action you must correct this violation i~mediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BLDG. DEPT.
VRW:gar
encl
Vincent R. Wieczorek
Ordinance Inspector
TOWN OF SOUTHOLD
OFFICE OF BUILDING IN~PECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
August 18, 1986
TEL. 765-1802
Re: Cutchogue Farms Ltd.
To Whom This May Co~cern,
We are unable lo complete your Certificate
of Occupancy because,of the following reasons.
/--//'An application for Certificate of Occupancy
j/~//is not on file.
No Underwriters Certificate on file.
The check is4~/not on file.)
/~/ No Health Dept. Approval on file.
/5/ No final inspection has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit ~ ~-- ~ -~ 1 I Z
Building Dept.
***/5/ No Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION XST [ ] ROUGH PLBG.
[?/FOUNDATION 2ND [ ]INSULATION
[ ] F -RAMING
[ ] FINAL'
DATE
INSPECTOR,
' FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined /0. CQ..~..,..(3A~... ,~.l., 19
Approved .~.. · .6?'fi:T~. · .~¥..~. {., 19 .~ .~. Permit No../.~·¥'-.? ./..~..-~
Received ........... ,19...
Disapproved a/c .....................................
................................... 5:2¢L'
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
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 th~ 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·
· ~ r~e'~f~ applicant, or.name, if a corporation)
.o. .e..,
~Mailing address of applicant)
State w~hether applicant is owner, lessee, agent, architect~ engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ~~. · · (.~.".~.~./~: .e'I//.*g'.~..~· I ~' -/..5·
~ (a~on the tax roll or latest deed)
If 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 ......................
1. Location of land on which ~roposed work w~l be done ...................... ~ ............................
ti;a~e' ~q~gir' ~' ~-~'~' .......... iir~et ' Ha let
County Tax Map No. 1000 Section .... .[..~..O[. ........ Block ...... ~ .~ ........ Lot.....C~..[. ~ ........
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.. ~. .o. tw.. .¥ . (_. .~. fi..~..'...Cg.X v.'-e. ~,.~.:~. lg' C t :'.c-5. C ) .....
b. Intended use and occupancy ..................................
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repai~ .............. RemOval .............. Demolition .......... Other Work...
(Description)
4 Estimated Cost Fee
J '" (to be paid on filing this application)
5. if dwelling, number of dwelhnglumts ............... Number of dwelling units on each floor... ..............
If garage number of cars
6. If business, commercial or mixe;d occupancy, specify nature and extent of each type of use ....................
7 ' ' x' ' ' if any: Front Rear Depth
· l)zmens~ons of e ~st~ng structures .............................................
Heighi ............... Number of Stories ........................................... .~ ............
Dimensions o_f same structure With alterations or additions: Front ....~ 1;~ ......... Rear ....~..15~...
Depth ..... '.~ ............ i ' ' Height ...................... Number of Stories .... ~ ...............
- 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............
Height ............... Number of Stories .......................................................
9. Size of lot: Front .......... g ........... Rear.. ~ ................... D,~pth .......................
10. Date of Purchase .qf.6J/.~l.cf.~r ?..~. ............... ~ame of Former Owner . .I.'<o:~..~.l/ .................
11. Zone or use district in which pr9mises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: .............................
13. Will 10t be regraded. ....gtt~,.Q;.' .................. Will excess. 011 be remov, ed from premises: Yes No
Name .. Address ....... Phone No .... ~ ......
of Architect ......... ~.../; ..........................
Name of Contractor ~~ ~.. Address ................... Phone $o~2~.~(. :fi.o)/..').
PLOT DIAGRAM
Locate .clearly and distinctly al! buildings, whether existing or proposed, and. indicate ail set-back dimensions from
property lines. Give street and blockl number or description according to deed, and show street names and indicate whether
interior or coruer lot.
STATE OF NEW YORK,
COUNTY OF .................
· .~.~ ~t.,x:~ ~--. being duly sworn, deposes and says that he is the applicant
' '0" _ '&me o? ; M' 5isii;;ing contract)
abpv~ named.
He is ~he
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application'; that all statements contlained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith·
Sworn to before me this
...................... day of .... ~ ................ 19 ..~Y
/ HELEN K DE VOE ....
NOTaRy PUBLIC, SLate ol NewYork i ......................
(Signature pf applicant)
No 4707878, Suffolk Cllutlty_ ~'-
?'Olrll Expires triarch 30, 19,~-~
?' 30"W.
B$ ,00 ........
.-, -- (;o'
FEE:'/~ ~BY: ~ ~.
NOTI~ BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNmATION - ~O REQUIRED
FOR P~URED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CON'STRUrTION MUST
BE C~APL=TE FOR C. O
ALL CON~TR~ICTION SHALL ME~
THE REOUIREMENT5 OF THE N.Y.
STATE CONSTRUCTION & ENFRGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
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