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Home My WebLink About14020-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15562 April I, 1987 No .................. Date ................................. THIS CERTIFIES that the building Agricultural Barn Addition with Winery Location 31320 Main Road Cutchogue, New York of Property h3~s~ ~iol ....................... 'S't/e3i ....................... hb3/oi 103 01 19.II County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 28, 1987 . . pursuant to which Building Permit No. 14020 Z dated June 7, 1985 ............................ ' 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 BARN ADDITION WITH WINERY REYNOLD F. BLUM The certificate is issued to ..................... [o~;n'o;','~gok'~k' .................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A / Building Inspector Rev. 1/81 IzOBM NO. e~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 14020 Z Permission is hereby granted to: ........ ....~.L~..~..~ ....... ..~.~....~.~ ............. ....~,~.~.~...~...~.,...u...~..~.~.': ..... ,o at premises Iocate~ at ....~.[..~.':;~.~.........'~f~.~....., ...... ; ......... ~~..~-, .............. Co.n., Ta~ Mop No. ,000 Se~t,o. ..... ./....0...~. ....... .,o~k o I Lo, No. ).3.:.~! pursuont to applicQtion dated ~ ~,.~,.~ ~ ........................ , 19.~.~.., and cpprov~ by the Building Inspector. Building ImDector Rev. 6/30/80 FORM NO. 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 Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-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 Code compliance from the Architect or Engineer responsibie 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 survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.(10, Accessory !$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 7ears $10.00 4.Vacant Land C.O. $ 20.00 5.D~dated C.O. $ 50.00 Date ..,?.~..~...c~.. NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~3/3 House No. Street Ham/et Owner or Owners of Property f ~-~,. ~z,, ~7 ,_3 ~ ~ ~1 . County Tax Map No. 1000 Section /~ 3~ Block / ~,,* /~// Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit ; ......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. ~.~ ~ OY3.. ..................... Construction on above described building and p//erm~p~c~le codes and regulations. App cant ..... ~ . .~-~..~ ,/C.~.. Rev, 10-10-78 ~'~' FIELD~ ~NS[~ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY G,ODE FINAL A COMMENTS Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWI~ OF ~0UTHOLI~ TOWN HALL, SOUTHOLD, N. Y. 11971 765 - 1802 FORM NO. 3 ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ PLEASE TAKE NOTICE that your application dated ~~. ~ .......... , 19 .~ ~. for pe~it to const~ct . . . ~. ~.~..~..~.~' · · '~ ....... · ............ at Location of Property ~s~o ~ ~ ' ' '~'~ ' ' ~' ~{~~ ~ ......... ~/~ County Tax Map No. 1000 Sectio,, ... ).~.~ ...... Block ..... ~ ......... ~t .. [ ~ :.~) ...... Subdivision ................. Filed Map No ................. Lot No .................. i~.~u~,,~wi~".n" ai.a~o~a on ~,~ ~o,ow~ ~o.na~ .~'~. ~.. ~.~ .... Building Inspector RV 1/80 INSPECTION FOUNDATION ZST r ]'~nOImH Pi. Be. [ ] FOUNDATION ~ID [ ] INSULATION [~FllAMIN ()F1NAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~FINAL REMARKS: /~/~r ~ ? /?~ , DATE INSPECTOR~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . .,N~ .7 .... , 19 ~ Approved .!.~./~lz..O. ., 19 ~.~. Permit No..[. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date /?..~..~...Z..~.j. 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,jnspections.x~,.~.,, , ~' '~ (~nature df applicant, or name, if a corporation) .~e.~..z .~.9.../-t .4,.~.....~e. ~.,...c~.. ~c/~.:C, .~. ~ (Mailing address of applicant) //~.~'.~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .~..~. ,e. AZ ................................................................................... Name of owner of premises . J~.~/~'..~..~..c~.. ~'.:../~..~. ~ .-071. ................................................. (as 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 proposed work will be done...'~ ~, House Number Street Hamlet County Tax Map No. 1000 Section .... /..~. J, ......... Block ..... / ............ Lot../.Sh .~./. ........... 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 .... :~.4{..~: ......... ,~: ..... : ..... -./ ........ b. Intended use and occupancy .. · .~..~..~/.~..~..t.?.?~.~..c.....~. ~ .~..~'........t~..t?..~.....~. ?..~.~.~.~..~. ....... 3. Nature of work (check which ~pplicable): New Building . .' .... Addition ............ Alteration . .' ........ Repair .............. Removal .............. Demolition Other Work ............... ~/~g °~D esc on (D ripti ) 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 ... ~ ................................................................ 6. If business, commercial or mixied occupancy, specify nature, and extent of each t~l~e of use ' .~.'~../d. i .c~.' ~ p:~..o~.,~.~:~. 7. Dimensionsofexjstingstructu~es, ifany Front .... .2,.~..: ..... Rear . ...~?.~ ....... Depth..~.o./ . . Height .~. lg '.. .. Number of Stories z- ..... ' ....... Dan nsmns of same structure with alterations or additions: Front ....~.gf. ........... Rear ...~..~ ............. Depth ...... ~O ............. Height ...... ~,,~ ...../ ......... Number of ~tories ..... .2,:. ............... 8. Dimensions of %ntire new cons~truction: Front ..... .~ .~. ...... Rear .... ~.~/ ........ Depth .. ~..~./. ........ Height ...~i~. ......... Nu~nber of Stories ...... ~ ................................................ 9 Size of lot: Front , Rear Depth 10. Date of Purchase ..Z'.~.~.2'.i/.Y.?o. ............. Name of Former Owner ............................. 1 1. Zone or use district in which p.remises are situated. ':~. :'..ff.~.~-~. ~..~/.,t~ .%/..2~'~f,,4./.er~...~.~.~. ~..~f.% .......... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: .... .~..'~. ........................ 13. Will lot be regraded .... .~..~,. .................... Will excess fill be removed, from premises: Yes N~ 14. Name of Owner of premises ./~.. l]+t,~ .......... Address~?2( ?.~.~'...~...~?.'~.q'~Phone No.7?~.T~.3...ff./ ....... Name of Architect ' Address Phone No Name of Contractor ' Address Phone No PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, an& 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. ST^'r oF cou Y oy ............ , s.s ...... i ..................... being duly sworn, deposes and says that he is the applicant ? (Name of individual signing contract) above named. He is the. ................... ~ ................................. · ............................... , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements conltained in this application are true to the best of his knowledge and belief; and that the work: will be performed in the mander set forth in the application filed therewith. Sworn to before me this 19 .~.g.~ r // . ' ,SYLVIA K. ROUS~ .o, 4~mo* · S..ol~ c..,,~ ' ' ' (Signature of applicant) PouRED coNCR~r ~ ....... G "~G~I - FRAMING & p' ' "UI ATION ..... COMptETE FOR c coNSTRUCTION 'c REQUtR "~ q-r ~.TE CONSq-RLjCTI'q~ ~oqES. NOT RF ....... LRRORS. DESIGN OR coNSTRUC J