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Home My WebLink About23263-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICAT~ OF OCCUPANC~ NO Z-24276 Date APRIL 11, 1996 THIS CERTIFIES that the building AGRICULTURAL STRUCTURE Location of Property 17158 ~OUNTY ROAD ~48 ~UTCHO~UE, N.Y. House No. Street Hamlet County Tax Map NO. 1000 Section 101 Block i Lot 19.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 6, 1996 ~ursuant to which Building Permit No. 23263-Z dated FEBRUARY 28, 1996 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 FA~MSTAND AS APPLIED FOR. The certificate is issued to ACRES AWAY, INC. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTIONS CERT. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A ~11414 - MARCH 28, 1996 M/a Building~ FORM NO,3 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 AUTHORIZEDI Date ................ ..~./~ .............................. 23263 Z / Permission Is hereby granted to: ,..~.~... ...~...~.~.~., ..... ..... l~,.,.~, ¢. . . . . /. .~.,. .~. ........ . ./. . , '. .t., . . . . . .//. . .2~y, . . .... . to . . .C~. . , .~ ~ , ~ ........... ~ ............ ~.~~ ...... ~. , .z ......... ~/. . . .~. . .~<_ .//. .~,. .~. . . . . ~. . . . , , ~: ~ ....... ~ ~-. . . . . ~. . . . . . /. . ~ ~ ~. .................................. .... Counh/Tax Map No. 1000 Section .... ,~, .~..~,. ........... Block ....... .~....~.. .......... Lot No../,~..'...~',, .............. pursuant to application dated ......... ..~.....~./~ ............................... 19.....~...~..., and approved bythe Building Inspector. ~ee~..,.~:.,~',, ..... /BuildingInspector Rev. 6/30/80 T,')WN OF SOUTNOI D Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 isstallation 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. 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. Accurate survey of property showing ali. 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. C. Fees i. 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-existinA Buildin~ - $100.O0 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....~./~/f~. ............................ New Construction...~....... Old Or Pre-existing Building .... ~ ............ Location of Property ........ ~9.~.'~.. ~. ~..~'.~,~....~..... ~Z~ ........ ~~ ........ ~ouse No. Street Ha~et Onwer or Owners of Property...~d.~ ..... ~.,.~ ....... ~... o .ty t0o0. .... ,.,., .... nloc .... ........ .... ,,.-. ............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No.. ~..~..~...Date Of Permit....~.~.~../..Applicant..f.~...~.~..~.'~ .~.~. ~.~...~.~.~..~.~'~ ~/ Health Dept. Approval ...... ~./~. .............. Underwriters Approval ......................... Pianniag Board Appro $~ .... ~..~. ................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $...~,~ ................. /~~~~/ APPI,ICANT P. 46 p£AC:H STREE~ CENTRAL JSLIP, NY 11722 (516) 234,-5151 (516) 342-0262 (FAX) CIRCUIT' I LEC;RIC CO. LICENSED EL£CT~ICAL CONTRACTOR March 10, 1996 P.O. BOX 2176 SAG HARBOR~ NY 11963 (516) 725-0271 .TOt Georgia Building Demar~men~ From= Oa~l Robert Samolewk~*~ Greenland Famil~'~Farms Dear Georgia: Please find a~ached ~he ~lectrical 'Inspec%[on Cer%if[¢a~e for ~he above referenced aDplica~ion. If you need any additional informa~ion, please feel free ko ¢all me. ~I.~ ,' GaiySherman '~'~" Office Manager Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 2, 1996 Mr. Robert Samolewski 472 Meadow Road Kings Park, NY 11754 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed)** No Underwriters Certificate on file. xx The check is 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 # 23263-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ** - FENCE PERMIT IS REQUIRED. FI El.f) I tl:JPl~t;'t' [t)U I:OIJHI)^'I' l 011 ( I :~'1' ) II FOUtlI)~T 1011 (~NI)) PLI,HI, I NC ............ ~[ INSUI.ATION I'EE ~. COl)lC TOWN ElF SEIUTHE]LD OF'FI[SE OF BUILDINEi INSPE[STE]R TOWN OLERK'S OFFIOE SDUTHOLD, N. Y. Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: · In accordance with Section 239K of the General Munlcipal Law of the consolidated Laws of the State of Nev~ York, this is to notify the Commis- . sion~er of Pubh,c Works of the Cou~nty of Suf, folk that ..~-~....~ ~, ........ has applied to the Town of Southold for a permit to construct a building ./.~.....-Z:~, ~ as shown on the attached plot plan, submitted ;n triplicate, d(~ted ................... ... a~t,ed~.~...~..~....~/...~<<: ......... We shall withhold further action on this application for ten days or os otherwise provided in the aforementioned Section Very truly yours, Buildlng Inspector Town of Southold, N. Y. ~NI'I g60 'ON 'D3S 33S H3~V~ TLh, ,, t,,. , PLANNING BOARD MEMBERS RICHARD G. WARD Chairman GEORGE RITCiqIE LATHAM, JR. BENNETT ORLOWSKI, JR. WILLIAM J. CREMERS KENNETH L. EDWARDS Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-3136 Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 6, 1996 Robert R. Samolewski 472 Meadow Road Kings Park, NY 11754 RE: Farm Stand Alvah's Lane, Cutchogue SCTM# 1000-101-1-19.1 Dear Mr. Samolewski, The Planning Board has received your letter of January 12, 1996, requesting a waiver of site plan requirements for your proposed farm stand. The Board reviewed the sketch of your farm stand and parking requirements included with your letter and finds them acceptable. Therefore, the Board grants a waiver of site plan requirements for your seasonal farm stand. If you have any questions, or require further information, please contact this office. Chairman cc: Thomas Fisher, Senior Building Inspector 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ [ ] ROUGH PLBG. [ ] I~%'ULATION [ [//~INAL [ ] FIREPLACE & CHIMNEY FORM NO, 1 TOWN OF SOUTHOLD BUILDING UEPAR'rM ENT,. TOWN IIALL SOUTIIOLD, N.Y. 11971 TEl_,: 765-1802 F~xanfined ............... , 19 l)iSaplu'oved a/c ......................... ' ' . O'~I~'~ng Ins rector) APPLICATION FOR BUILDING'PEHMIT INSTIUJCTIONS BOARD OF IIEALTII 3 SETS OF PLA~'IS SURVEY CIIECK .. ~ ............... ~EI) TIC FORtl a, This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot pla showing;location of lot and of buildings on preniises, ~elationship to adjoining premises o~ public stree or ai'eas, and~giving~a detailed description of layout of properly must be drawn on the diagram which is part of fids appl cation.. c. The ~o~k covered by this application may no( be commenced before issuance o~ Building Permit. d. Upon approval of this application, the Building lnspecto~ will issued a l~uilding Permit to the applicant. Such perlll shall be kepi on the premises available fo ' 'nspectlon throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certifica(e of Occupanc shall have been granted by the Building Inspector. APPLICATION IS IIEREBY MADE to the Building Department for the issuance o~ a Building Permit pursuant lo tl~ Building Zone Ordinance'of the Town of Southi)ld, Suffolk County, New York, and other applicable Laws, Ordinances c Regulations, ,for tile construction of buiklings, additions or alterations, or for removal or demolition, as herein describec The applichnt,,ag~ees Jo comply with all applicable laws ordinances, buik[ ~ co( e housing code, a ~c 'eg at ohs a ( t admil authorized i~{s.pectors,on p~emises m~l in building for necessaW .... (Signature of'aj5 )lidSdt; ~ name, if a corporation) . ; ~ . (Mai g ac dress of applicant) It State whether applicant is owner, lessee, agent, architect, engineer, genelM contraclor, electrician, plumber or builder ~tS On the tax roll or latest deed) ~:~. Humber's LicenseNo. ~;" ' ~ ...... ; ,,) l:lec ~c~ ~ s License No ....................... '. , Other 'l',lde's License I. l.,ocalmn o¢lan[I on winch ploposed work will be done. . . Ilouse ~umber Sheel llamlet .... .......... ' ... Subdivision .................................... '. Filed Map No ............... Lol ............... (Name) 2. ~lale exisli,g use and occupancy of premises and intemled use and occupancy of p~oposed a. .............. .................................... . .. a,,,, ........ .... ............ 3. Nalure of ~vork (check which applicable): New Buihling /// Addition ' ........ ' ..... ' ....... AlteraHon .......... Rel)air .............. Removal ......... ' Demolition .... ; ....... ~.. Other Work ............... 4. Estimated Cost . ~ (l)escHplion) '' ' . .................... Fee (to be ~aid on filing this applicalion) 5.. ~[:~;;~,?~,.u,;t,,~;,e?e~.io~i;?velli,,g units ............... Numbcr of d,velli,,g unit~ on each I]oor ..... 7. I)i~z}ensions of existing structures ir ,y: fro It .... : .......... Rear ........ ] ...... Deplb ............ IJe g zt ............... Number of Slories . I J)imensionsofshmesh.ucture withallera o ]s or additions: Front ...... : ...... ] .... Rear .................. l)?tb .... ~ .............. le g'W ' Nt ' · ~ *~ 8, ' ....... ...'.. It>errl~ l)llllellSlOllSOfelllb'ellewco s rtlc o1' Ir',~,~ Q~ ~ . ) ~leS ..................... ce t ~t ~, .... ~.. ~ear ........ .~O.. Depth ~ ' .... ~ ......... l~tllllDer Ol ~tories ... ~... ' ....... 9. Sizeofloh Front ... /~ ' Rea- ')~;-'/'~ ..... ' ................ :;':> .......... 0. ,~ . ' 'Zq/~ ~ ................. N,,,,,o~r ~p,-,,,~. o~, ~. ~.~,~ I. z4),,e o~ use. mstrmt m w,u~n premises are situated .. ~-~ ' 1 2. l)oes proposed construction violate any zoning law ordinance ol re- at on 3. Will Idt be ~egraded . ~ ....... ~ ................ ...................... WHlexcessfil berenoved fim nero" : Name of A'c tect ~'' ' .... * ~~~.~ none .c,../O./..~.*~. ~ , ' .................. ~m~ 'ess '~~... p ..... ~, ,~,,,,,~ o~ (..o,,r,,~o,-. ....................... ~d '~..~..ZZ2~ ... ~' . o ......... . aLg yes, SouthoLd' Town 'l;tustees Permit may be requfr&;~.''''? .,o ......... ,, PI~OT DIAGRAbl Loc;ate cleaHy and distinctly all buildings, whether existing' or proposed, and. iudi~a e'all set-back dimensions from roperly lines. Give street and block number or description according to deed, and sllow ~treet names and indicate whether terior or corller lot. APPROVED AS NOTED DAm ~B.P.# FEE:~'~. -NOTIFY SUILDING DEPARTMENT AT ?664802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CER1 !FICATE OF OCCUPANC' I;11¥ Public ...... Coun JOYCE M.' WILKINS Notary Publie, State of New York No. 4952246, Suffolk CounW Term Expires June 12, 19-.~"~ (SignaLure of applicant) ATI] OF NF.W YOP, K, H/NTY OF ................. S.S " "(N~e .' ......... being duly sworn, depose~ and says that he is the applicant of 'ndivldmll signing coetrac0 (Colltrllclor, agent, corporate officer, elc.) said owner or owl~ers, and is duly authorized to perform or have performed the sald~work and to n)ake ami file this ,lication' that all statements contained in this'application are true to the best o{ lus k~towle{ ge and belief; and that the ~k will be pe~ formed in the manner set forth in the application filed therewith. :)m to before me this