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HomeMy WebLinkAbout22277-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23936 Date OCTOBER 5, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 4890 SOUND AVENUE House No. County Tax Map No. 1000 Section 121 Subdivision ADDITION ~4ATTITUCK NY Street Block 3 Lot Filed Map No. Lot No. H~let 7.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 1994 ~ursuant to which Building Permit No. 22277-Z dated AUGUST 23, 1994 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 A GREENHOUSE ADDITION TO AN EXISTING G~EENHOUSE AS APPLIED FOR. The certificate is issued to PECONIC HOMES CORP. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N362374 PLUMBERS CERTIFICATION DATED (owner) AUGUST 31, 1995 N/A n~ Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOUTHOLD, N.Y. N-° 22277 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: .....P..~..~.,. z......./..~:~ ...... G,~ ..................... ...~.~:....~:....../.~ ......................................... .-~ . ..~.~:~..~.:~....~..........~..y ........ /z~ ............. . to ..... ~£~..~..~.-. ............. ~ ............. .~-~.,~.,,,~...~'~. ........ ,~'..,~.z,~..'z..~ ................ ........ ~ ............ ~ ........ ~~ .......... ~~ .............. ~ ................. ......................... ,~...~.4.~.;~ ......... ~: .............................................................................................. a,p,er~,~e~,ocatedat ................... ~Z~ ....... ~~ ........ ~-. ....................................... County Tax Map No. 1000 Sectlon....,,/,,"~,,,,/,, ........... Block ....... ..~..~.. ............ LotNo. ~ / pursuant to application dated ............. ~T..,; ....... ~ ......... 19...~....~..,,..., and approved bythe Building Inspector. Fee $ '~ff"-~' ~ Rev. 6/30/80 '[O~..~lq OF SOUTUOLB BUILDING DEPARTHEMT TOWN HALL 765-[802 BLDG. DEPT. APPLICATION FOR CERTIFLCATE OF OCCUP~!_,C..¥ TOWN OFSOUTHOLD This application must be filled in by typewriter OR ink and submitted to the building inspector with the foilowing: for new building or new use: Final survey of property with accurate location of ail buiJdings, 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 Underwriters. Sworn statement from plumber certifying that the solder used irt system contains less than 2/10 of 1% lead. 5 Commercial building, industrial building, multiple residences and similar buildings and installa'tions, a certificate-of Code Compliance from architect or engineer. responsible for tbs 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: l. Accurate survey of property sbowing 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 de,led, the Building Inspector shall state the reason~ therefor in writing to the applicant. Fees 1. Certificate of Occupancy - Me~ duelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-axistin~ Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 6, Updated Certificate of Occupancy - $50.00 ~O.I5.~I,100-, Commercial $15.00 5. Temporary Certificat~ of Occupancy - R~sidential $ Construction .... ~ ...... Old Or Pre-exist~n~ B~ilding ................. ~o~,,o,, o~ ~o~,~ ....... ~C~ ........... ..._. .. ~.~ ........ __.~::_,. ..... ~ouse No S~r~ :o,,,~ ~'~ ~ ~o ~ooo, ~o,,...~ ....... ,~,,~,~ ..... O ......... ~o~...'.).~.~ ........... ~ubdivision .................................... Filed ~l~l~ ............ Lot ...................... ile,~itb Dept. ^pproval .......................... Undetwriters Approval ......................... 'lanning Bonrd t\pprovol ....................... 2equest for: Temporary Certificate .......... Fillui Certicate ........... -ee Submitted: $ .... ~.O.f .................. THE NEW YORK BOARD OF FIRE UNDERWRITERS PA E 1035176 BUREAU OF ELECTRICITY ~ 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~UGUST 31 ~ [995 Application ~o, onft~ ~89~3595/95 R 35237~ THIS CERTIFIES THAT PM~IT NO. 22277Z o~y the e~ctrical ~uipment ~ ~scribed below a~ int~uc~ by t~ ap~icant ~m~ on the a~ve application number in the prem~es of LAUREL GREENHOUSES, KIRKUP LANE, POLE S/O LIL 283, MATTITUCK, N.Y. in the followlng location; [] Basement [] Ist FI. [] 2nd FI. ,Section Block u~s examined on AUGUST 28,1995 and found to be in compliance with the National Electrical Code. Lot FIXTURE DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET E R V I C NO. OF CC COND A.W.G. NO OF HI-LEG A.W. G NO. O~ NEUTRAt$ A, W, G. PER ,e' OF CC, COND OF HI-LEG OF NEUTRAL OTHER APPARATUS: RAYMOND L. CH~SHIR~ ELE. 2482 RIVER ROAD CALVERTON, NY, 11933 LIC. #3839-R GENIRAL MANAGER This cert'f~e altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR ,~UILDING D~:PAF~'T~ENT TFdS COPY OF C~T~FICATE MUST ~]OT-EE ALTERED !N ANY ~AN~ER. OUNDATION (1st) 'OUNDATIOX (2nd) ',OUGH FRAME & -PLUMBING [NSULATIOX PER N. Y. STATE E~IERGY CODE FINAL ADDITIOMA'L COMMENTS: -o 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] FRAMING [ ]~~TION ['*~] FINAL [ ] FIREPLACE & CHIMNEY REMARKS:, ~-_~ DATE INSPECTOR .J I I Floorplan West elevation Floorplan W~st elevation Approved ...... ~/.o2.3. ..... 19~Permit No. ~2~/*~. '. Disapproved a/c ..................................... FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 APPLICATION FOR BUILDING PERMIT B~A~D OF HEALTH SETS OF SURV£Y ClIECK ......... CALL HA):L TO: Date ........... INSTRUCTIONS Tiffs apl~lication 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 st?eeLs or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli- cation. ¢. 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 shalJ 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, ordinaneest_..building code, housing code, and regulations, and to admit authorized inspectors on premises and.in building, for necessary~,pections. ~ ' . ~. ( 'o of applicant, or name, if a cq~poration) . (Mailing address of applicant) State. whether applicant is owner, lessee, agent, architect, engineer, generai 'contractor, electrician, plumber or builder. Nameofownerofprem ses ~.~,'X~_ .C/ ~ .(3 , ..... ized (~fficer. If a nt is a corlE"~ra~ion, ~gnaturg~O,f.A. uly auth~or 76E-1802 9 AM TO 4 PM FOR THE · · · '7. 1. FOUNDATION * ,TWO REQUII~ED · ' (Nam~ attd title of coi:porate officer) ' FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING' · ' L' INSULATION Builder s zcense N S. ' 4. FINAL - CONSTRUCTION MUST Plumber's License No ......................... BE COMPLETE FOR C O. ALL CONSTRUCTION SHALL"M~ET · THE REQUIREMENTS.OF THI~ N.Y. Electrician's License No ............ ........... STATE CONSTRUCTION & ENERGY CODES: NOT RESPONSIBLE FOB Other Trade's License No. · ...... DESIGN OR CONSTRUCTION ERRORS I. Location of land on which proposed w~.o.d$ will bc done ................................. - House Nmnber Street Hamlet Coun y a apNo.,000Section .../ 7 .......... B,ock.. ' Subdivision ..... ' Filed Map No ............... Lot ............... ~ (Name) 2~ State existing use and occupancy o£ premises and intended use and occupancy of proposed construction: .... '.3. Nature of work (check which]applicable): New Building .......... Addition .......... Alteration ........ R pair Rtl 1 e .............. mova .. D , ............ emolition .... ; ......... ~c~ ~,¥c~ 4. Estimated Cost ....... ' (Description · F [ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... · If garage, number of cars ... 1 ..... ' ........ . Number of dwelling units on each floor ............... 6. ~,.b~sm.ess, co..mm.e[~ml or m! ed occupancy, specif~ na;ure and ext'e;'t of'e'a~ t~,]-; ~f't~:o' .................... 7. ,~,-yenaons o!.es~st~ng structures if any Front . . .~. 9 t. . r~ ~gr~ ~ °~' 'A ..... .~'-~/ ........ r~e,ght ... AZ ......... Ndmber of Stories . . ,. ........ r . a...,s~.-.,t ....... tJepth .'~. ......... Dimensions ors e s ~ ' · . . ' ......... t ................. r, .~ ..~) tructur~. ',v~th alteratmns or addmons. Front C~(~.. " '~'~ ! ......... 8. Dlmenmons of entire new construction. Front ................. ,,, ......s ............. . ....... ............... ; Rear ............... Depth ............ H'eight ...... Num .... ........ ocr or ~rories ........... 9. S~ze of lot' Front . ..~2~ /~,~,'A · ,. ' ........... , ....................... 10. Date of Purchase ..... .~./. t./q~. . .~ · ..... epth ................. ' 1 I. - ' · · '.7-· 7'~ ~ ................. /'dame of Former Owner Zone or use d~stnct ,n whmh p~'emises are situated. . ..................... : · · · ·. · .12. Does proposed construction violate an .... " ......... ' ..... . ..................... ' ..... i y ~um,g ~aw, ordinance or regulation: ................... . .... 13. ~%l:tofb;~ng:ardoefdp ;~n.;~ ~-~r- .~.~.'~S'.' : ..... Will excess fill be removed from premi;e's 14. r i s' '( . No i ......... Address ................... Phone No... ~... Name of Architect ......... i .............. ". ·.. Address ................... Phone No ............ : .... Name of Contractor ........ ! ............ Address ....... . .... Phr, nr* Mr. ' 15.' I,s this property within 130'0 fee't o'f ~' tid~l we-~'~'9' '.,. ......... >'~ ................. · If yes, Southold 'To .... w ........ ~ ..... Yes ........ No ......... ... ! PLOT DIAGRAM Locate clearly and distinctly al buildings, Whethgr existing or proposed, and. indicate all set-back prop6rty lines. Give street and block!number or desc-'-': ....... .,. ; ..... dimensions from interior or corner lot. , names and red,cate whether ...... "~ ' · ":' ~..' ......... being duly sworn, deposes ~d says that he is the applicant , :.~.. ;:u~am~ofi~dividual si~nin~ comract) . , ' ~ . (Contractor, agent, corporate officer, etc.) ' ' f s~id owner or owners, ~d is du y ~uttlorized to perform or have erfomed t ' ' ~phcation that all statements contain J,-' ~ ....... P he said work and to m~e a ork w~l be perfomed in the ~22~22':~?~m jn{s ?pncat,[ou are [[ue to the best of his knowledge and belief, a2g file this ~ ,,,---~, ~t mrm m rue appncation riled therewith. ' , that the .yom to before me~ o [ . ' ' ~ml~ion E~lroo D~m~ B, ~9~ , . ~ ' (Signature of applic~t)