HomeMy WebLinkAbout16705-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24524 Date JULY 26, 1996
THIS CERTIFIES that the buildin~ ACCESSORY
Location of Property. 36400 COUNTY ROAD ~48
House No. Street
County Tax Map No. 1000 Section 69 Block 4
Subdivision Filed Map No.
PECONIC, N.Y.
Hamlet
Lot 7
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 31, 1987 .pursuant to which
Building Permit No. 16705-Z dated DECEMBER 31, 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 AGRICULTURAL GREENHOUSE AS APPLIED FOR.
The certificate is issued to JAY & JEAN GUILD
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-379488 - MARCH 5, 1996
N/A
Rev. 1/81
i~ing Inspector
FO~ NO. ~
TOW'N OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y,
BUILDING PERMIT
(THIS PEPJVIIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
16705
No_ 7
Permission is hereby granted to:
..A... ................
..~.!....b...!.~.~.....~..~.......~., .................
~~.....~..:~..,....,u.~... .............
": ' ~ ~ _ ii.
..................
at premiseslocatedat..~.(,t..~..~ ...... ~......~..~.....C/-~t * ,1~., 5~.~f..,~... .....................................
County Tax Mop No. 1000 Section ...... ...C~.....~,...~ ..... Block ...... .(~)...~. ....... Lot No....,.C).....~ .............
pursuant to application dat~.~ ...... .~1 ............ 19..~...~., and approved by the
Building Inspector.
Fee $. ~,...~.~
Building Inspector
Rev. 6/30/80
TO%~ OF SOUTROLD
BUiLDiNG DEPARTM~:NT
TOWN ~HALL
765-i802
.~BPL£CAT!ON FOR CERTIFICATE OF OCCUP:I~YCY
Tkis application must be fii!ed in by [ype~i:er OR ink and submitted to the building
inspector w!zh the following: for new building or new use:
!. Finai survey of property with accurate location of all buildings, property lines,
sires[s, and unusual natural or copo§raphic features.
2. Final Approval from KeglRh Dept. of water supply and sewerage-d±sposa!(S-9 form).
3. Approval of electrical ins[a!iatlon from Board of Fire Underwriters.
g. Swords. s~atement from plumber certifying [hat ~he solder used in syst~n contains
!ess than 2/I0 of i% lead.
5. Commercial building, industrial building, multiple residences and .similar buildings
and installations, a certificate of Code Compiiance from architect or engineer
responsible for the building.
6. Submi~ Planning Board Approval of completed si~e plan requirements.
For ~Ls~ing buildings (prior to April 9, !957) non-conforming uses, or build,nas and
"pre-existing" land uses:
i. Accurate su~ey of proper~z show~-o~g ali property lines, streets, bud!ding and
unusual natural or topographic features.
2. A properly completed application and a consen~ to inspect si=~aed by ghe applicant.
!£ a Certificate of Occupancy is denied, the Building inspector shall state the
reasons therefor in ~i~ing ~o ~he appiicann.
!. Carti£icans of Occupancy - New dwelling S25.00, Additions to dwelling S25.00,
.%iterations to dwell~p.g ~25.00, $w~--nnning pool $25.00, ~ccessor~ building $25.00,
Additions [o accesso~ bui!di~~g $25.00. Businesses 350.00.
2. Cer~i£icate of Occupancy on Pre-~xis[in~ Buiidin~ - $t00.00
3. Copy of Cer~ificate of Occupancy - ~ .~5~
4. Updated Certificate of Occupancy - $50.00
Residen[ia! $15.00, Commercial S!5.00
5. Temporary Certificate of Occupancy -
~ew Construct!on ........... Old Or ?re-~is~ing Building .................
ocs[ion of Property ..... ~6~ ~Q~FY~.~-~6~ ................. 1~O1~1~,---N-L ...................
Rouse No.
nwer or Owners of Property ....... JA)f. ~. J~A~ ~TI;I~ ....................... -.-. .................
ounty T~x Y~ap No !000, Section .... ~ ........ Block .... ~ ........... Lot ..... 3 ................
~b~isio~... '*, ~1 ' . ...... --
....................... ~ .......... ~_e~ ~ap ..... Lot ....................
ermi: No .... 1~7P}r~ ...... Date Of pe~-~it...lS].~l./~l ..... Applicant .... JAY.~..~UILI~ ............
lea!th Dept. Approval .......................... Underwriters Approval .........................
lanning Board Approval ........................
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 15, 1996
Mr. Jay Guild
36400 North Road RR3
Peconic, NY 11958
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
Application's for Certificate of Occupancies
xx
are not on file. (Enclosed)
xx No Underwriters Certificate on file.
xx The check's are not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 16705-Z & 21114-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. ~ox 1179
Southo[d, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 6,
1996
Mr. & Mrs. J. Guild
36400 North Road RR3
Peconic, NY 11958
Re: Building Permit 916705-Z & 21114-Z
Premises: 36400 County Road ~48, PeconiC
Suff. Co. Tax Map ~1000-69-4-7
During a review of our files it was noted that the above
building permit has expired, and a Certificate of Occupancy has
never been issued.
According to the Code of the Town of Southold, Article
XXVIIt 100-284, it is unlawful to occupy or use a structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter. Very truly yours,
sOUTHOLD TOWN BUILDING DEPT.
FOUNDATION {1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
~?LUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONA'L COMMENTS:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK I003E
THIS CERTIFIES THAT P~IIT NO, t67~5Z
o~y the e~trical ~uipmen~ ~ ~scrib~ b~ a~ i~tr~ced by ~ applicant ~ o~ ~ a~e Gpp/~ti~ ~r in ~he ~remlses of
JAY W. GUILD, 364~ NORTH RO~, ~OI,~S~ GRO~R, P~CONIC, N.Y~
in ths following tocation; ~ Basement ~ Ist FI. ~ 2nd ~. Section Bilk' Lot POL~ L.
~s examined on ~4C}{ O] t ~ 996 and found to be in compli~ce with the NaHon~ ElectHc~ Code.
FIXTURE
OUTLETS
IECEPTACLES SWITCHES
6
DRYERS FURNACR MOTORS
SRRV CE DISCONNECT NO. OF
_
OTHER APPARATUS:
GREE~JHOUSE- 1
PANEI~BOARDS: I-.-27 CIR. 200
FIXTURES
S
NO. O~E,CC~CONI~.
RANGES
AT K W.
COOKING DECKS OVENS DISH WASHERS
lIME cLOCKs BELL UNIT HEATERS
MULTI-OUTLET
I C E
OF CC COND,
EXHAUST FANS
DIMMERS
A. W. G NO OF NEUTRAJS [A.W.G.
OF HI-LEG j OF NEUTRAL
RAYMOND L. Ct]ES'HIRe, ELE.
2482 RIVER ROAD
CALVERTON, NY, 11933
LIC. #3839-E
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMEN'F THIS COPY OF CERTIFICATE MUSTNOT BE ALTERED IN ANY MANNER.
Examined .'~. ¢.v'A~ .~....~ ~
Appro~g..c-~..~....~.
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Yo 11971
TEL.: 765-1803
., 19~..''). Permit No. :}.~7.O..~.'.(~2
BOARD OF HEALTH ......
3 SETS OF PLANS .......
SURVEY ..........
CHECK ..........
SEPTIC FORM .............
NOTIFY
CALL ................
MAIL TO:
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ........... l {., 19 .7
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 applicable laws, ordinances, building code, housing code, and regulations, and to
· ............................
~/(S~nature of applicant, or ha,me, if a corporation)
(Mailing address of applicant)
State
agent, architect, engineer, general contractor, electrician, plumber or builder.
5remises ...~.~.'.].:
Name of c
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) .
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
Location of land on which proposed woIk wdl~e done ....................
.................. .................................
House Number Street Hamlet
CountyTaxMapNo. 1000Section . ~.¢ ......... Block
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 ...... .~.°4 .14A~. · .v~. · ............... 3.... ..................................
b. Intended use and occupancy .............................................................
3. Nature ofwork (checkwhxchapphcable): New Building Addition .......... Alteration ..........
Repair .............. Removal ~ .............. Demolition .............. Other Work ...............
~ (Descrip.tion)
4. Estimated Cost ........ . ...................... Fee ......................................
' (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 . i ..............................
: .................. . .~,~?: .~,~. ............
6. If business, commercial or mixed odcupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front.. ......... Rear .............. Depth ...............
Height ............... Numbe~ of Stories ........................................................
Dimensions of same structure with ~lterations or additions: Front ................. Rear ..................
Depth ...................... Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front .......... --.g' Reacr75_?...,,. · .... : ..... Depth ...............
Height ............... Number of Stories ...... ~..~/.....~ ..................................
9. Size of lot: Front ............. I ......... Rear ...................... Depth ......................
' OfF
10 ~ fP Na,..m
Date o urch
· asa ............. , ................ e ortner Owner .............................
11. Zone or use district in which premises are situated ...... .ff.a~eD .......................................
12. Does proposed construction violatd any zoning law, ordinance or regulation: . fl(.0. ........................
13. Will lot be regraded ........... i ................. Will excess fill be removed fr.om premises: Yes /'~'~
14. Name of Owner of premises ......... Address ........... Phone No. '~'~.'..~.'~..~. .....
Name of Architect ............ 1 ............... Address ................... Phone No.
Nanle of Contractor .......... ,'. .............. Address .... : .............. Phone No. ~.~i~. i' .~. ~i i i i i i i
15. Is this property located wi~thin 300 feet of a tidal wetland? ~Yes ..... No .k~...
· If yes, Southold Town Trustlees Permit maybe required.
i 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 or description according to deed, and show street names and indicate whether
interior or corner lot.
He is tile ..................... {J ..................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this
application; that all statements contained 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 o .................. ,19
Notary Public, . .~.~. 'i ................ County /]
i coo.... ....................
j Notary Public, State of New o ..~£/ ,ri fl (Signature of applicant)
No. 4822563, Suffolk Countyf~/ [/
i LINDA J; COOPER rm Ex ires December 3t, 19-.-,
STATE OF NEW YORK,
S,S
COUNTY OF ....... ,~. · ~./. ....
........ ...... i ................... being duly sworn, deposes and says that he is the applicant
/f/.(~ame of individual signihg contract)
above na~ed.