HomeMy WebLinkAbout16666-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19705
February 4, 1991
THIS CERTIFIES that the building
Location of Property 8305 COX LANE
House No.
County Tax Map No. 1000 Section 84
Subdivision
ACCESSORIES
Street
Block 3
Filed Map No.
CUTCHOGUE~ N.Y.
Hamlet
Lot
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 24~ 1987 pursuant to which
Building Permit No. 16666-Z dated DECEMBER 4, 1987
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 TWO ACCESSORY STRUCTURES~ COOLER & FREEZER
The certificate is issued to
PRIME PURVEYORS~ INC.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-023354 - JULY 27~ 1988
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO- I6666 z
Permission is hereby granted to:
...£~....£~./.~,~
· ..,~..~ al
....... ~..._..B... ~. .......... ~.. .............................
....?.~.z,...~....~.. z/. ~..
............. .........
pursuant ,o application doted ...~..~ ............ .~....~. ........ , 19~..Tand approved by the
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
mo
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existingu land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additiohs to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
~.'ew Construction .... Old Or Pre-existing Building ............ i .
Location of Property ......... .~... .~. ..... L/ ~
House No. Street Hamlet
0nwer or Owners of Property...~.,f~?~ P~f-~/oC~ ~L~ /~ ~...
County Tax Map No 1000, Section.~.~. ...... Block .... ~ .......... Lot .... Z.'...Z ...........
~bdzvzszon ...................................· Filed Map .......... .. Lot .................. %
~ermit No./. ~ ~.~Z .Date Of Permit/.~ ~Z.Appiicant. ,.~~~~.
~eal~h Dept. Approva ..................... Underwriter~ Approval. .
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate...~.
.................
CO Iq 20S
FOUNDATION
(1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
-PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
Attachment to Pre-Existing Certif±oate of Occupancy for
Eastern Suffolk Co-Operative~ Inc., Pre-CO No. Zl1631
Building No. 2 is a cement block building used as a dwelling
for the manager and a commissary and office building°
Building No. 3 is a long wood framed building used as
the sleeping quarters for the labor force.
Building No. 4, located north at the end of the property,
is a small wood framed building used as the pump house.
Rear of property, south to north, building no. 5 is a
cement block building. This is a 3 family multiple residence.
Building permit 3878Z was issued May 9, 1968; C.O. Z3B46 was
issued December 17, 1968, Board of Health approval by R. Villa.
Building No. 6 is a wooden building used for storage.
Building No. 7 is a cement block building used as the men's
and women's restrooms and shower rooms.
As many various repairs are needed for the above buildings,
these buildings shall be non-habitable until repairs are made
and they are reinspected by the Building Inspector.
Curtis W. Horton
Building Inspector
CWH:ec
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CE~IFIES THAT
P~I~K P(~RVP',YO~S~ [NC, W/S COX I,~N~, IO00~N/O MATTHEWS ~.NE. C~T(;HOGt~'.~ N.Y.
~ exami~ on andf~nd to be in co~n~ianee ~ith the r~uirements of th~ B~rd.
RXTU~
.... ~TO~ ~T~ ~A~ ~ ~AL~'~ T~S
~Tm ~RNACE UNIT ~ I ~
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCIIPANCY
NONCONFORMING PREMISES
No. Zl1631
THIS IS TO CERTIFY that the
April 18, I983
/--/ Land
/--/ Building(s)
/F/ Use(s)
located at 8305 Cox Lane /
Street
shown on County tax map as District i000, Section
Cutchogue
084 , Block 03
Lot 1 .001 , does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
a labor camp is not allowed in a C-1 Zoned District, 100-90.
This non-conforming use may continue under 100-118.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /i/Land /l/Building(s)
/i/Use(s) existed on the ~ffective date the present Building Zone Code of the
To~vn of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FI~rtTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows: Seven (7) buildings as follows: south
to north £ront row. Building no. 1 is a wood shingled building
used as a kitchen and recreation hall.
The Certificate is issued to EASTERN SUFFOLK CO-OPERATIVE, Frank McBride
(owner, l~s~ee-o~r-t'etrgn{) (Inc.)
of the aforesaid building,
Suffolk County Department of Health Approval n/a
UNDERWRITERS CERTIFICATE NO.
n/a
PLEASE SEE ATTACHED
RES PANEL REFRIGERATION CORP.
72t5 N.W. 36,'h AVE:.
Dat~:ll - 1.7_-g"[ Drawn by:
S~al.:'/+ -1'
MIAMI, FLORIDA
Project: .
E×amine - . q. ....... , 7
Disapproved ale .....................................
'FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
BOARD OF HEA%T~~- .....
3 SETSo.O~PLANS .......
SURVEY . 01K.;~.
CHECK ......
SEPTIC FORM .............
NOTIFY
CALL ................
MAIL TO:
(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 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 inspections.
(Signg4ure of applicant, or name, if a corpo~ration)
( ffailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
Name of owner of premises . .t//.~.~ . .' ........ ................................................
~/ (as on the tax roll or latest deed)
If applicant-ds a corporation, signature of dulvqau~horized officer.
......
(Name and title of corporate officer) -
ALL COlq[TRACTOR'S MUST BE SUFFOLK COUNTY LICI~RSBD
Builder's License No ..........................
Plumbe, r's License No ......................... /
Electrician's License No ........ ~"~..-.-../.~--~/,,.~t""~_w
Other Trade's License No. r . ~..
1. Location of land on which propoked work will be done ........ .C~. ?'.. ~ .~'.~/.~. ..........................
· .............. ": ..... ................. ............
House Number Street Hamlet
County Tax Map No. 1000 Section .... ~ ~ .......... Block . . . ~ ............. Lot.. . ............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
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 .~..~...r-~..~ .~~i_. ....
10.
11.
12.
13.
14.
15. Is this property located within 300 feet of a tidal wetland? *Y~s
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
3. Nature of work (check which applicable): New Buildin . Addition . i ........ Alteration i
Repair '. ............. Removal .............. Demolition .......... i''' Other Work ...............
4. Estimated Cost /. ~...f(..~. ....................... Fee .l..~.. .~,..,~.. ....................
' (to be, paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage number of cars ,
6. If business, commercial or mixed occupancy, specify nature, and extent of each .tgj2e of use
7. Dimensions of existing structures, if any: Front ...... ~" ....' ....Rear ..............
Height ............... Number of Stories ........................... i ............................
Dimensions of stone structure with alterations or additions: Front .., .~. ...... i ..... Rear ..........
Depth ...................... Height ...................... Number of Stories ......................
Dimensions of entire new construction: Front .......... · ..... Rear ....... J ....... Depth ...............
Height Number of Stories '
Size of lot Front ...o_ ~ Rear r~,th
Date of Purchase ..~.-.~..~J.L.~.. ?.d.'.~. . Na~ of Former Owner
Zone or use district in which premmes are situated .... ~..~ ............... 2 ............................
Does proposed construction viol~t~ any zoning law, ordinance or regulation: . .~.O ......................... ~.~
?.ill lot beffegraded ......... ~..O ................ Will excess fill be remove~d from premises: Yes
r~ame of owner of premises .. Address ................... Phone No .............
Name of Architect ........................... Address I Phone No.
fC '
Nmne o ontractor .......................... Address .... ; .......... i ....Phone No ................
Locate c/early and distinctly a/1 buildings, whether existing or proposed, and, in'dicate all set-back dimengi6ns frown
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~R~-~ SS
· ...
....... . .. :.,. : .o. ......... being
~ (Name of individual signing contract)
above named.
He is the ... .~ ...........................
(Contractor, agent, corporate officer, etc.)~
of said owner or owne~, mad is duly authorized to perform or have perfo~ed the shid work and to m~e m~d file this
application; that all statements conta~ed ~ this application are true to the best of hi~ knowledge and belief; and that the
work will be perfomed in the m~ner set for~ in the application filed therewith.
Sworn to before me this
Nota~ Public,..~~~. ~ ~ounty
', ~_ ~.~.~ ~No.~9~ . ~ .......... ~...
~ ~1!1~2~;~;;'~'~ 'i ~g~ature of applicant)
duly sworn, deposes and says that he is the applicant
CCUPANCY OR = =~- ,' ~"-,~"
USE IS UN~L
OF OCCUPANCY
~HDER USED IN WATER
1°
SCHEDULE OF ABBREVIATIONS
7'-0"
~/A///v~
~00~
DESIGN
LOADS
-I-
7'- m?=" j_
Y
U
~ ~DAOOA4 ~
J'~.4 L / kvAy
I I J i
12
-- I
T
I
f?
I I
SCHEDULE OF ABBREVIATIONS
PLANNERS, I~
2774
',v/c-~ /,v.~/l_~-r/o,.,t (/w,v,,.)
SCHEDULE
OF ABBREVIATIONS
2774
OF