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Home My WebLink About12842-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-1663I Date February 3, I988 THIS CERTIFIES that the building Construct Agricultural Greenhouse Location of Property 3405 Ackerly Pond Rd. Southold, New York h3~s'e hio~ ....................... 'S'tfe~i ....................... County Tax Map No. 1000 Section 69 . .Block 2 .Lot 3 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated January 17, 1984 12842 Z ..................... pursuant to which Building Permit No. dated January 19 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 GREENHOUSE The certificate is issued to STEVE J. DOROSKI ..................... ?o¥.'e;, ..................... of the aforesaid building. Suffolk County Department of Health Approval ............ N../.A ........................... UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FOB~ NO. ~ TOV/N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ...~..~.~.~/.. ...... ~z~.~c~.~...~. ..... ~..o~2'~/.-/.......~,~. .................................. ~t premises located at County Tax Map No. 1000 Section .... ~., .~'..~.. ....... Block .....,~'...~.. ........ Lot No, ..~.~.. ........ pursuant to application dated ....... ./, ............... , 19 and approved by the Building Inspector.~ Building InSpector Rev. 6/30/80 FORM ND. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building In~pec- for with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unu~al natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-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 Coda compliance from the Architect or Engineer responsible for the building. 5. Submit 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 mrvey 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 certificata. Fees: l. Certificate of occupancy New Dwelling.S25.00, Accessory ,.$10.00 Llualne,~.~ $50.00 2. Certificate of occupancy on pre-existing dwelling $ ii 0.0 0 3, Copy of certificate of occupancy $ 5.'GO, ove~ 5 yeate ~I0,00 4.Vacant Land C.O. $ 20.00 ~.~.~.,~ ~.o. ~ ~o.o0 ~,,~ ...... ~.=.~.~z.~.,. .... 6. ~lteratzon $25.00 NewCOnS,~uc'ion ...... Old or Pre-oxis~g?ilding ...~. VacantLand .......... ,.. House No. , ~ ~treet Ham/et O~ner or Owner~o~ ~ro~erty ..... ' ~ ....................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Flied Map No ........... Lot No . " .~..q.?..ff, n, .,~-77~.:~. ~ ~....~ ~ r,~.....~C Perm.t No. ~ Date of Permit.. ~.Appllca Health Dept. Appr~al ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate Final Certificate · Fee Submittad $ ...................... Construction on above described building add'XNerml, meets all,pp~blo codes and r~ulations. app,cant ....~~..'A ~.~ x..~ .............. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ~'ND [ ] INSULATION / FRAMING [/~/FINAL DATE~~__ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 728 TO~VN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I This is to advise you that the job under building permit no. 12B,42Z issued to Doroski Nursery Inc on _~_~19/8~ for Aqricultural Buildinq is completed and ~ final inspection has ( ) has not ( x ) been done. In order to complete this file, it is necessary that ;l Certificate of Occupancy be issued. Please fill out enclosed form, return same to the above office with a cheek for $10.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or nsc is nnlawful without a Certificate of Occupancy. Please help .s to clear t~p thi~ matter so that ]eg~l action does eot have to be taken. Thank you for yo~r prompt attention. Very truly _y~, Victor Lessard Executive Administrator VL:gar encl. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 119'/1 TEL. 765-1802 This is to advise you that the job under building permit no. 12842Z issued to Droski Nursery on 1/19/84 for ~gricul~u~a~ldin9 is completed a final inspection has ( ) has not ( x ) been done. and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $10.00 payable to the Town of Southold, Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use ia unlawful without a Certificate of Occupancy. Pleane. help ns to clear up thi~ matter so that legal action does not have to be taken. Thank ynu for yonr prompt attention. Very truly y~, Victor Lessard Executive Administrator VL:gnr encl. ~FIELD' i~PECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No .......... · ..................... Date · ~OCtAAA. · · .~.. .. .~. ....... 19 .~.~. To ..~~..~...~... ~..~..-~. · .~ ~ ~ ....~....~......~.. ~ .~..~. ................ ....~.~..~. ,. ~.~: .......... / .q. PLEASE TAKE NOTICE that your application dated., f~..l~y~.....~....~.-- ........ ,19 for permit to construct. G~ ....................................... ~ x~ at LocationofProperty /)~9,- POO-~,~ ~ g.~..~ h(~t~s'~ ~Jo'. ....................... '~'t/t~i ..... H~rniet County Tax Map No. 1000 Section ...... .~..~ .... Block ..... .~. ....... Lot ... ! I. ......... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds . .~t~'~....-:~. .............. .~.~../..~...-. ~ .~... ~..~.. ~..~...~.. ................................. ~.~. ~..~.~. ~...~..~....~.~..~..¢....~......~ ~ .~.. ......................... Building Inspector RV 1/80 FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ~34,A~..?..~. .... ,19~. ~.f'' ~ Application No. i...~'~. ............ ;;;la~/c. ~ ./. ~./~/5~' ' ' ' ..... , 1~.. Permit No./~..~.~.2.~ (Building Inspector) APPLICATION FOR BUILDING PERMIT ' //7 9~. ~ Date ........ - .......... 1 ... 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 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 necessary3ns~ections. ... (Signature of applicant, or name, if a corpdratign)I (Mailing address app ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... ..................................................................... Name of owner of premises ....... ~..~.x~..~ ...... ~.....~..C)..~ .~..~..~ ~ ........................ (as on the tax roll or latest deed) If a~:¢ corporation~oi~/~l~y authored officer. ..... ...... Builder's License No ....... x'3~. ~.'~. · .~. · · ·~ '~____/ ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... h Location ofland on which proposed work will be done. . . .~. : o~ ~D~_ I00~4-~ ~cc~J- - ~, a~'~-~- Ot~) House Number Street Hamlet County Tax Map No. 1000 Section ....... .O..~..q ..... Block ...... . .~..< ........ Lot ....... .~. .......... 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...% .v')..~..~ .x~ ~ .~2~..~...~.~.\ ..... UQ.~....~..vT-....r~ .~. [ )'.~.....~ ~?~ ...... 3. Nature of work (check which applicable) New Building Addition Alteration Repair ...... .~.t ...... Removal .... ~ .......... Demolition .............. Other Work ............... i (to be paid on filing this application) 5. If dwelling, number of dwelling hnits...i ............ Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixed occupaficy, specify nature and extent of each type of use 7 Dimensions of existing structures if any: jFront Rear Depth Height ............... Number of Stpries ........................................................ Dimensions of same structure with alteraQons or additions: Front ................. Rear .................. Dept i ...................... Heigh~ ......... ./ ........... Number of Stories ............. ! ......... 8. Dimensions of ent're new construction' Front 10. Date of Purchase .................. : ........... Name of Former Owner ............................. 11. Zone or use district in which premises ar6 situated ..................................................... 12. Does proposed construction v, lola~ any zgning law, ordinance or regulation: .. {x/ ............................ 13. Will lot be regraded ..... '~" ~,'c'~ '-x-x'' ]':',.. Will excess fill~bq rem_qoved f;om premises: Yes , No Name of Architect ............ ,, .... ], .......... Address ................... Phone No ................ Name of Contractor .~-~'o.~.~,%t .... I.'~9'..q ~ $~VSCAddress ................... Phone No. PLOT DIAGRAM Locate clearly and distinctly all: buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number 6r description according to deed, and show street names and indicate whether interior or corner lot. : ~ STATE OF NEW_YOR~K, ............. ~..~J. ~ ~.~1 ~ ............ being duly sworn, deposes and says that he is the applic~t (Name of individual si~ing contr0ct) above named. He is e ..................... (~ontractor, agent, corporate officer, etc.) of said owner or owne~, and is duly autho~zed to perform or have peffo~ed the said work and to m~e ~d file this application; that ~l statements contained ~ ~his application are true to the best of his ~owledge and belief; and that the work will be peffomed in the m~ne~ set fort~ ~ the application filed therewith. Sworn to before me this Notsry, 0uallf'edPubllc'N°' 01M147616891n ~tatesuffo[kOf Coqn~Ne~Y°rk~ .,f ...... ~ ~ ......... ~ (SJs~atute of ~p~]icant) Commission Expires March~O~ I~W , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined ................ , 19 ... Received .......... ,19... Approved ................. 19... Permit No ............. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .................. , 1 ... 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 Buildingpermit 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 taws, ordinances, building code, ~housing code, and regulations, and to admit authorized inspectors on premises and in building for necessalTg. Altspections. · (Signature of applicant, or name, if a col~porati%n) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) II'cant isa corpor[tio~'~signature 6f 51~ly authorized..~ r,officer. Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... t~;u~e N~mber ................... Street ........ ¥ hamlet ..................... County Tax Map No. I000 Section ..kCS.-..--. 3/.':..I.[.. Block .................. Lot ..... 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 .. ,.~.X~.~ ~.~;'~D...~. ................................... ............... b. Intended use and occupancy .~ l~:~h~.~ k~...-- . ."~... ~O...~3~.. 3. Nature of work (check which applicable I: New Building .......... Addition ........ Altekration Repair .............. Removal ... .. Demolition ..... Other Work~. 4. ~ (to be.pgid on filing this application) 5, If dwelling, number of dwellin~ units . 'i ............. Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercml or mixed occup{incy, specff~ n~e and extent of.e~c, ch. lype of use ................... 7. Dimensiotl~ 9~.~.xisting structuies, ifan~: Front...i~. ....... Rear ~I1[* ......... Depth .~ ....... Height . ..,l~x'. ........ Number of ~Itories ...![~ .............................................. Dimensions of same structure with alterations or additions: Front Rear Depth ................... i.. · Hei ~g~t ............. / ........ Number of S/tories .. ~ ..... 8. DimensionSj:ro~nnt !f nte new construction: Front * t 10 Date of Purchase ' Name of Former Owner 11. Zone or use district in which premises a~e situated ..................................................... 12. Does proposed constructil)ri vigp~[e anyizoning law, ordinance or regulation:x'~'- ~ ...... [~t~ .......... ~ ...... 13. Will lot be regraded .....~.~..~ ......] ,w~ ..... _....,. Will exce~ss~ fi~lbe re~m~v~ed~ from premises: (~Y~s~ No 14. Name of Owner of premises ...l~A'~0.,3fi..Or'.~5~lG[ddress . J[~.~.~.~.' .~.~2['.d... Phone No. Namel of Architect ......... i .......i ........... Address ................... Phone No Name of Contractor ] Address Phone No. : I PLOT DIAGRAM Locate clearly and distinctly all buildflu]gs, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block numberior description according to deed, and show street names and indicate whether interior or corner lot. NEW YORK, S.S ............. r ..s ........ (Name of individual sigging cont :act) above named. He is e , . .................. of said owner or owners, and is duiy autho~ application'; that all statements coniained in work will be performed in the manner set forl Sworn to before me this .... being duly sworn, deposes and says that he is the applicant ~"ontractor ,, agent , corporate officer , etc . ) ized to perform or have performed the said work and to make and file this this application are true to the best of his knowledge and belief; and that the in the application filed therewith. Qualified in Suffolk Coun~ ~t/ Commission Explre~ March 30, ~9~.~ ,