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HomeMy WebLinkAbout15915-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17353 Date September 27r 1988 THIS CERTIFIES that the building GREENHOUSE Location of Property 22425 COUNTY ROAD # 48 House No. Street County Tax Map No. 1000 Section 084 Block 01 Subdivision Fi~ed Map No. CUTCHOGUE r N.Y. Hamlet Lot 10 Lot No. conforms substantially to the Application for Bulldmnq Permit heretofore filed in this office dated APRIL 10~ 1987 pursuant to which Building Permit No. 15915-Z dated APRIL 16, 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate issued is A~RICULTURAL GREENHOUSE AS APPLIED FOR The certificate is issued to ROBERT & PHYLLIS GRAEB (owner, ~J~) of the aforesaid building. COUNTY D PAR m OF APPROV N/A UNDERWRITERS CERTIFICATE NO.N833937-9/24/87 & N840553-i0/29/87 PLUMBERS CERTIFICATION DATED SEPT. 19~ 1988 - MATTITUCK PLUMBING & HEATING CORP Building Inspector Rev. 1/81 FOBS[ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15915 'Z Permission is hereby granted to: ~-~ ~ ...................... ..~~.......u.:.q..,....U.L~ ......... Coun~ Tax Map No 1000 Section ...... .~..~ ...... Block ...... ,,~.,~ ......... Lot No ...... J...,,~. .......... pursuant to application dated .... ~.....J...~ .................. , 19.?..].., and approved by the Budding Inspector. Fee $...~.... ............. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Budding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in typewriter OR ink, and submitted m~ 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, proper~y lines, streets, and unusUal natural or topographic features. 2.Final approval of Health Dept. of water sUpply and sewerage dlsposal-(S-9 form or equal). 3.Approval of electrical installation from Board of F~re Underwriters. 4. Commercial buildings, Industrial buddings, Multiple Residences and similar buildings and installa- lions, a cert~fmate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where apphcable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate sUrvey of p~operty showing ail propert¢ lines, streets, buildings and unusual natural or topographic featureS. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. ;3. Date of any housing code or safety inspection of buddings or premises, or other pertinent reforma- tion required to prepare a certificate. C. Fees: Additions $25.00 POOL-q $25. 00 ALTERATION $25.00 1. Certflcateofoccup~ncy New Dwelling $25.00, Accessory ,$10.00 ]Business $50.00 2. Certificate of occupancy on pre-ex,sting dweihng $ 50.00 3. Copv of certlflcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C'.O. $ 20.00 ~.~_ 5.Updated C.O. $ 50.00 Date .................... NewConst~uct~on Cid or Pre-exmtmg Building Vacant Land · 6.<~v r~/~' ...... House No. Street tiamle~ County Tax Map No. 1000 Section ~ z._/ Block ?It ~.~. Lot Subd~vm~on ...................... Fded Map No Lot No Perm,t No.. ~ ~ Date of Permit . .~/~.~ .Applicant .. ~..~.-.-.-.-.-.-.-.-~..~.~.q~ . .~...~;.,~.~?.~.. f.~... Health Dept. Approval .................... ... . Labor Dept. Approval ..................... .. . Underwriters Approval .................... Planmng Board Approval ............ I:leque~t forTem~orarg Cer'~flcate ................. -- . Final Certificate ................ . . . .. . . Fee Submitted $ .... ~ .~..~ .~. ?. ................ Construction on above described budding and pejdpnlt meets all apphcable codes and regulations. PP · .( ......... %. ~ L~f .............................. TOWN OF SOUTI~OLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN HALL SOUTItOLD, N Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner (please. Plumber (please. I certLfy that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me thl~ 19~ Uotary Public, ,_~O~-1o County Notary Public ~K)TM~Y P~L}C. %~ete of Hew THE NEW YORK BOARD OF FIRE UNDERWRITERS (~)~r BUREAU OF ELECTRICITY ~- .~r~ B5 JOHN STREET. NEW YORK, NEW YORK tOO3B THIS CE~IFIES THAT o~y the el~tr~ ~u~ment ~ ~scri~ be~w a~ :nt~uc~ by t~ ~nt ~med on the a~e ~icat~ numar :n the p~m~ of ~s exotn~n~ ~ ~ ~ ~ and found to be ~n comphunce ~th tho requ~re.~ent~ of th,~ Board FIXTURE FIXTURES OUTLETS SWITCHES DRYERS RJRNACE MOTORS FUTURI~ APPLIANCE PEEl)ERS RANGES OVENS ~SHWASHERS EXHAUST FANS TIME CLOCKS UN|THEATERS MULT~-~UT[ET SYSTEMS NO OF PEET S E R V I C E 17 Forost 'lTail G~N~AL Th~s certificate must not be altered ~n any manner, return to the off~ce of the ~oard ~f incorrect Inspectors may be ~dentdmd by thezr credenhaJs COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER ~[ ~TA~S FIXTURES RANGES OVENS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS :SPECIALRECPT LINITHI~ATER$ MUlTI.OUTLET SERVIC~ DISCONNECT S E R V NO Of: CC CONO 1 C DIMMERS :310 Frolmhoef~r 817 11~?1 G, ENF~t~ k~,NAG~R Per /[ This certificate mu~t not be altered in any manner, return to the offsce of the Board if incorrect Inspectors may be identified by their credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. OUNDATIO.~ 1st ) OU~DATION 2nd) OUGH FRAHE & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIO~AL COMME~TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND £ ] INS/ULATION FRAMING ['~FINAL DATE INSPECTOR 3 SETS OF PnANS ..~:t~.. FORMNO I SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ......... : TOWN HALL 8OUTHOLD, N.Y. 11971 NOTIFY MAIL TO: Exam,ned ~. J.~'.. , 19'~ '~. Approved C~ ) .~?.. ,, 19~.~ Permit No. I ~."c}/. -~ ~. Disapproved a/c ................ (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date .. ~r~. a:~t....t.o.. , 19' INSTRUCTIONS a. Ttus apphcatton must be completely filled m by typewriter or ~n mk and submitted to the Bmldmg Inspector, w~l sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc str or areas, and g~vmg a detmled descnphon of layout of property must be drawn on the diagram whmh ~s part of this a~ cataon. c. The work covered by this apphcat~on may not be commenced before ~ssuance of Building Permit d Upon approval of this apphcat~on, the Building Inspector wall ~ssued a Buildmg Perm,t to the applicant Such shall be kept on the premises available for inspection throughout the work. e. No building shall be occupmd or used m whole or ~n part for any purpose whatever until a Certificate of Occup_a shall have been granted by the Bmldtng Inspector. APPLICATION IS HEREBY MADE to the Bmldlng Department for the issuance of a Bmld~ng Penmt pumuant to Buil&ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinance Regulahons, for the constructmn of braidings, addmons or alterations, or for removal or demohtlon, as herein descnl The apphcant agrees to compl~ w~th all apphcable laws, ordinances, budding code, housing code, and regulations, an, admit authorized inspectors on premises and m building for necessary ~nspectmns (Signature of appbcant, or name, If a corporanon) ..... ¢o...0a. ?..~..%q7 .. G .~.T<-q~. ~< ~! (Mmhng address of applicant) I ~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or bml~ Name of owner of premises ~. ~ ~eg~- ~. ~.~ ~. e¢~ ................. (as on the tax roi1 or latest deed) If apphcant is a corporation, signature of duly authorized officer (%Ia~e ami'title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ......... '4.,~.~J ~oo,%sue~D Plumber's L,cense No .... ?~;g&6 - ~ Electrician's License No .~ .2~ ~ -- .~. Other Trade's L~cense No . ~. 3~.7. z. ~ I Location of land on which proposed work will be done House Number Street County Tax Map No 1000 ~ection \OOO-=g-q~-o:. . . .~ !O.. Block Hamlet . Lot. /.~ ..... .... Lot .... Subdivis~on Filed Map No (Nan~e) ' State existing use and occupgncy o£ premises and intended use and occupancy of proposed construction a Existing use and occupancy -~ex~j-*40 ........ b. Intended use and occupancy (_~ Cc~,. ~occ~.~. .......... 3 Nature of work (check which apphcable) New Building /~.. Addition . .. Alteration .. Repair .. . Removal ....... Demohtion ........ Other Work ..... (Description) 4 Estimated Cost ................. Fee ........................ ~ (to be prod on fihng th~s apphcation) 5 If dwelhng, number of dwelhng,umts ........ Number of dwelhng umtS on each floor .... If garage, number of c~s ................................... 7 .......... 6 If bus~ness, commercial or mixed occupancy, spec~y nature and extent of each type of use ............. 7. D~ensmns of ex~stmg structures, ~f any Front ........ Rear .......... Depth ... Height .. Number of Storms ............................... D~ensmns of same structure with alteratmns or additions Front ......... Rear .......... Depth ......... He~t ........... Number of Stones ........... 8. D~ensmns of entire new constmctton Front ....... Rear .............. Depth ......... Height ........ Number of Stones ................................... 9. S~ze of lot Front ........ Rear ............ Depth ................. 10. Date of Purchase ............ Name of FomerOwner ........................ 11 Zone or use d~stnct m which premises are s~tuated ......................... 12 Does proposed construction vmlate any zomng law, ordinance or regulatmn .......................... 13. Will lot be regraded ................ Will excess fill be removed from premmes: Yes No 14 N~e of Owner of premises ~O~.~.~O Address .O~ .~. 9~ ~a.~ne No. ~.~: ~.~. N~eofArclutect ............. Address. . ... ..... PhoneNo ......... N~e of Contractor ... ~ M .~¢o.~. . Address ~&.~y0~ "eCOa*Phone No...~.~9... I5. Is th~s property located wSCh~n 300 feet of a t~da[ wetland? *Yes ..... ~o ..~.. *If yes, Southold To~ Trustees ~erm~t may be required. PL~ DIAG~M Locate cle~ly ~d d~st~nctly ~I buildings, whether ex~st~ng or proposed, ~d red,cate ~1 set-back d~ensmns from nroperty hnes G~ve street and block number or descnptmn according to deed, ~d show street nmos and red,cate whether mtenor or corner lot ~T~TE OF NEW YORK, 2duNTY OF ...... S.S (Name of individual signing contract) ,bove named being duly sworn, deposes and says that he ~s the apphcanL te is the ....................................................... ~,r~~. ~ .~. .............. (Contractor, agent, corporate officer, etc.) ,f smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pphcatmn, that all statements contained in this apphcat~on are true to the best of his knowledge and belief, and that the ~ork will be performed in the manfier set forth m the apphcatmn filed therewith. ;worn to before me this ......... ....... day of . ~::~. · .~-~ .., 19... qotary Pubhc,..~ ~..'..+./.~.:/.~. ......... County No 47O7878, Su~olk Ceu,,tty Ct7 Torm F. xpu'es kl~¢# 30,19..---/' , ~ Floorplan South elevation OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY p,o,ec,Peconic Greenhouse Limited Cutchogue, NY L,.vi.,o.: :::;, drawn by' approved by' scale: 1"=20' title: Lay out plan P.O. Box 739, Medford, New York 11763 Telephone' (516) 698-2300 drawing number. o-A-1 A ' IV/Gl~ \ KEY MAP SCALE I"= 600' THE WATER SUPPL Y AND SEWAGE OISPOSAL FACILITIES FOR ALL LOTS IN TH~S DEVELOPMENT COMPLY WITH THE STANDARDS ~ REQUIREMENTS OF THE SUFFOLK COUNTY D~PARTMENT OF HEALTH TEST HOLE /oamy- ~m~ ~ravel PECO! P. O. ~OX. 909 MAIN RO'AD SOUTHOLD t N.Y. D 11971 N.'~S LIC. NO 49668 ENGINEERS, R C CERTI FIE 0 TO: LAWYERS TITLE INSURANCE ROBERT A. GRAEB PHYLIS A. GRAEB CORP. CONTOUR [.INES AND ELEVATIONS ARE FROM TOPOGRAPHIC MAP~ FIVE EASTERN TOWNS. SCHOOL DISTRICT NO. 9 Prepared in accordance with the minimum SURVEY OF PROPERTY AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY , . N.Y. ,0 50 JOG SCALE I'= I00' NOV. I, 1985 MARCH II, 1986 NOV, 18, 1986 JAN. 7, ~987 ,APR. 6, 1987 85 579.