HomeMy WebLinkAbout24003-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25566 Date: 03/04/98
THIS CERTIFIES that the building GREENHOUSE ADDITION
Location of Property: 4890 SOUND AVE MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 121 Block 3 Lot 7.4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 13, 1997 pursuant to which
Building Permit No. 24003-Z dated MARCH 20, 1997
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 GREENHOUSE ADDITION AS AN AGRICULTURAL BUILDING AS APPLIED FOR.
The certificate is issued to PECONIC HOME CORP.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. N-436345 10/31/97
PLUMBERS CERTIFICATION DATED N/A
1?1 1�
wilding I Irpector
Rev. 1/81
FORM NO. f
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)
N° 24003 z Date ................J,/ o....................... 19./
Permission is hereby granted o: _
ro ....�fCrd.—.......... G? — ! ......��...:f .......
, �✓ ..., t C�.�, �tC ........... ...... .... ........... '✓....... .1.. ..
.:............................................................ ................ .................................I...................
................................................�.................................. ...... .......................................................................
at premises located at.....`,�`.ir..!'f�.... // / .......'/f :........... �*�.......................
County Tax Map No. 1000 Section .�/............ Block ....1?1......... Lot No. ....�. l ..........
pursuant to application dated ........... ' ? f3 ....... 19q 7 and a y
P PP , approved b the
Building Inspector.
Fee S..S?.:..."�......
..
uild' g Inspector
Rev. 6/30/80
Form No. 6 r n �o
r r-7
TOWN OF SOUTHOLD
BUILDING DEPARTMENT i{JUs f L 4
TOWN HALLL T�
765-1802 -- --
Y
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 Undefwriters.
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.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1 . AcLurate 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.
Fees
1 . Certificate of Occupancy - New dwelling $25.00, Additions 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25C
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.F,
gCommercial $15.00
Date F? 51 . . . . . . . . . . . . . . . . . . . . . . . . . .
onstruction. . . . . . . . . Old Or Pre-existing Builds . . . . . . . . . . . . . . .
ion of Property. . . ✓ ✓.d . . . . . . . . . ..
House N qL�� Street Hamlet
or Owners of Property. . .1. 5��5 . . �� . . 'e. . . . . . . . . . . . . . . . . . . . . . . . . . .
y Tax Map No 1000, Section. . . 1 .��.'!. . . . . .Block. . . . . . . . . . .Lot. . . . . . °.4 . . . . . . . . . . . .
vision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
t No. ?�`��✓ . . . .Date Of Permit.??Ji�A- jC.r]. . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
hDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . .
ingBoard Approval. . . . . . . . . . . . . . . . . . . . . . . .
st for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . .
ubmitted: $. . � /. . . . . . . . . . . . . . . . .
{+PPLICANT
CO Is CGI{-,,
03,20,97 09:30 S 316 298 (0S3 LAUREL GRNHSE P.01
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«f _ UNDERWRITERS CERTIFt6Af! s
REQUIRED
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-nO.CCUPA 3Y OR
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NGY BY PECONIC HOME$,'-IMC:
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PL
[ ] FOUNDATION 2ND [ ] INSU TION
[ ] FRAMING [ INAL
[ ] FIREPLACE A CHIMNEY
REMARKS
DATE INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1035176 BUREAU ELECTRICITY
F 85 JOHN STREET, NEW YORK, NY 10038
Doti OCTOBER 31,1997 Applicat' n No.on fiill 14937097/97 N 436345
THIS CERTIFIES THAT PERMI NO. 24M3Z
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
LAUREL.GREENHOUSES, KIRKUP LANE.OFF SOUND AVE. , POLE #LIL 283, MATTITUCK, NY
in the following location; D Basement ® let Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on OCTOBER 27,1997 and found to be in compliance with the National Electrical Code.
FIXTURE TACLES SWITCHES FIXTURES RA COOKING DECKS OV NS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENTI FLUORESCENT OTHER AMT. C W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. N.►.
7 3 4 7
DRYERS FURNACE MOTORS FIITURE APPLIANCE FINDERS SPECIAL REC'IT TIME CLOCKS EEII UNIT NIATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. Olt H.P. GAS H.P. AMT. NO. A.W.G. AMT. AAA►. AMT. AMPS. TRANS. AMT. N.P. NO OF FEET I AMT. WATTS
3 F 1 20
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE
METER
1 X YVv 1�/7W /SW �,/IW NO.OF CRC.COND. F A.W.G.CC.COND NO.OF NIAEG A.N.G. NO.OF NEUTRALS OF NEUTRAL
OTNER APPARATUS:
RAYMOND L. CHESHIRE ELE. LIC.#3839-E
2482 RIVER ROAD
CALVERTON, NY, 11933 GENERAL MANAGER
11
10 Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspedors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
� ti
BOARD OF HEAI.1'II . . . . . . . . . . . . . .
' I IS l� L5 V tS FORM UT I 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOU1'1101.[) SURVEY
MR ' �97 't_..i' BUILDING DEPARTTIENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALE. SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOL.D, N.Y. 11971
BLDG.DEPT. TEL: 765—IB02 NOTIFY:
TOWN OF�SO'JTr10-,.:,.
CAL-I.. . .T.O. .: . . . . .. .IY. .�..�. . .. .
Eiginined19.� MAILJ� ,
roved...3.. 194.7 permit
MnF .:r � .
.
2f.i....�..
Disapproved a/c .................................. .................. . -
.........
................................•.....................
oil u�Ao,r'),
APPLICATION(((U///FOR BUILDING PERMIT l �J
Da[e. . �1• r�. . . . . . . . ly=
INSTRUCTIONS
a. This application mist be completely filled in by typewriter or in ink and submitted to the Building inspector
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
h. 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 mist be drawn on the diagram which is part o
this application.
c. The work covered by this application may not he conimnceo[ before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Sucl
permit shall be kept on the premises available for inspection throughout the cork.
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 1S t$s[Bi.BY MAKE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zan Ordinance of the Tann of. Southold, Suffolk Canty, 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.
x.. . ...GoK p.......
(Signature of applicant, or name, if a corporation)
UNDERWRITERS CERTIFICATE X L `F 4 1-
REQUIRED .........................� .
(roiling address of applicant)
State wiiether applicant
ai'sowner, lessee, agent, architect, engineer, general contractor, electrician, p[udher or buil,
....................ti-C:'�:..('. �.!.........-.................._.......................................................
Nacre of owner of premises ..T,,,,,<�0,�1 ...1:�:.�`!�? 5.... ?.F—P..•. -...APPROMA�APTO .....
........... ......
(as on the tax roll. or latest deed) DATE: 3A0/42 B.P.# rtf"r2_ '
If a>pI' ant is a c r tion signature of duly authorized officer, FEE. 5 =bY: �
�j J
NOTIFY BUILDINC DEPARTMENT AT
765.1902 9 AM TO 4 PM FOR THE
(Name and CIU FOLLOWING iNSPECTIONS:of corporate officer) OCCUPANCY OR 1• FOUNDATION - TWO REQUIRED
(�
g FOR POURED CONCRETE
Builders License No. ...............U.SE.I; UNLAWFUL 3. IR SOUGH ULATIONRAMING & PLUMBING
Plurbers License No. ...............WITMAOUT CERTIFICATE 4. FINAL COMPL TE FOR C.O. MUST
Electricians License No. ...........Of-GCC UFFA NC ALL CONSTCUCTION SHALL MEET
Other Trade's License No. .................... V THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
I. location of land on which proposed work will be done......................CO.DE&..[SOT..R BSPONSdat6•-FOR....
DESIGN OR CONSTRUCTION ERRORS
.5`.,(...................SouNP-. ..••••.......•.......rf t' c�� 14 ...-•••-..•.......
liaise Nnmher Street hamlet
County Tax Map No. 1000 Section ... /....... Block .._6 ........ lot ...�f 4......
Subdivision ...................................... Filed Map No. ._........... Tot ...............
(Nam)
2_ State existing use and occupancy of premises and1_intehdt•d use and occupancy of proposed construction:
a. Existing use and occupancy ...... .Cee :(:�..................................................
Oi ! /
b. Intended use and occupancy .............................................................................
3. Nil ale of wruk (clk:ck while aplrl icah3e): Nw Ikci Id iul. .......... Acklit icni ..�... At feral ion . .........
MluiiI ............ Reciwal ............. Dual iLion ............ Other Ihcnk ............ ...................._.
(Description)
4. lisliu alecl (bsC 9.�.�? 1�./.... .._. fee _....._..
.....................................
(it) fle Iwid oo filing lllis appl icat ilii)
5. If cAxaling, cxniler of dwellin}; units ............ Nnlier of eAxelling nsiits On eacli floor ... ... ..........
Ifgarage, Itnber of cars . ....... ......... .................... .
G. If linsiness, m■mlercial or mix-d occulaocy, slx:cily nature alkl extent of ewli type of use......................
y� i1
7. Dimensions of ex(sClog strictures, if any: Proof... ®.,,f...... Rear ..�I7' ,...... Ik;pllc L.........
lkight ..........,.o............ Nastier of Slories ...... ...........ry 1 r
Dimensions^�of sane stricture with alterations ns or ikkliLious: Front .IX�.7.�...... Wear
Ik
:plh ..cx ,� .......... IleighL .._.._Jx.......... Nailer of Stories ..,/.. ........_. / -
a. Dinensilxis of entire clow construction: FI otIL ,>7X .J
P ........ I+ear ...��.�..... Depth ..W........
n i
14.i};)It .......,ISG.............. NaJier of Stories ............
9. Sikee of lot: Front: ,�.[IlG�V.C',5...... hear.7 .............. De III ll . ....-.
10. Date of 1lcrcliase ... ,L fL. (.....,_. liana. of Fow (I
er wier ....... ............. .......-
11. 7nne or use district in ehicll pretises are situated ...........................................................
12. Ulnas prollosett construction violate any arcing lair, ordinance or cegula0m; ...Y�p:................
13. Will lot be regrauled ..................„ Will a teas fill Ix: rcmwed frac prenises: YES
14. Kmtxs of Owner of pranises ........................... Ackltess ............ Hanna Ni. .... ...
Mair of Architect .................................... fhklress .... .... ..................... Ftkaie tkr. . ... ...
Naxlie of Contractor ................................... Nklress ......................._...._.Mone Ni. .......
15. is this prolcerty within 30O feet of a tidal wetlanti? * YES .... N) ..........
*1F Yt:S, S(xlllxxl) 'Ilkxl '11i11 ims l'L1441•1' my Ifni Idapliam.
PLOT DIAGRAM
locate clearly altl distinctly all lxcildings, rAlether existing or proposed, anal indicate all set-lack dimensions
frau prclierty lines. Give street and block nafber or descriptiar according to deed, and allow street skates anti imlica.
u4lellier interior or corner lot.
:ifAm (M N'.14 Yl x}R,
Si
("it'llY/,xa .., .. ... ..........1.... �/p
.. ..CIE.'Rr .. . .. .`..,7-��c� "..t: ... ........ ...Ax!i nf, duly :roil, tk!lxa5es mal says that lie is If le i1ppl nC11111
(Milk! of inklivi�l siguiog conllacl)
alxNe naalxxl,
Ike is file .......fJ...4-.(ter r ........ ......... ........................................
(Cenit.iactur, agent, ¢orlxrcale offi(:er , enc.)
of: said imier or e>wlx:rs, mal is duly authorized to lxcrfunn or have Ixei lonlr-�l the said work ankl to anke aixl file this
applicntiuu; (flatall stincnienly cent ainixl in this application ane line to the lwsl, of his knimicilge mill bolief; aixl
Ibatfile milk will Ile lierfouliell in Ilse srmner set forth in the application filed tllertwit-h.
:Tanen to)xlliltl:nIN! this p
a�tt�t777 clay of Q. �:`::C!G:rll.19.
Nil any 1'sdilie•. .. K:rh :e./. ..v ^ •,•.:•:"`.. TA \
0;ignatme of Al pl iit m,( )
HELENE 4.HQRNE
Notary Fuulio,Strte of New York
No.4951 x:64 /�
Qualified in Suffolk County Y 7
` Commission Expires 7-:lay 22, 19—