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HomeMy WebLinkAbout21071-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OOuumANCY No Z-24443 Date JUNE 19, 1996 THIS CERTIFIES that the building Location of Propert~ 5025 MAIN ROAD House No. County Tax Map No. 1000 Section 35 Subdivision ADDITION GREENPORT, NEW YORK Street Block 2 Lot Filed Map No. Lot No. Hamlet 11 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 1992 pursuant to which Building Permit No. 21071-Z dated NOVEMBER 9, 1992 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 WALK-IN REFRIGEBATED UNIT ADDITION TO EXISTING BUILDING AS APPLIED FOR. The certificate is issued to of the aforesaid building. FLOYD F. KING (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-380159 - MARCH 14, 1996 N/A i~g Inspect~ 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) ~1071 Z Dote ..../.../...~... ....................................... , ~9.~..~- / Permission is hereby granted to; ,o~~~...~~.~ ....... ~;~~_.~:.. ...... at premises I~*ted at ...~.~:....~~Z~/ ................................................................... Coun~ Tox Mop No. 1000 Section ~ ~ BIlk ~ Lot No ........ /L ........... pu~uant to application dat~ ...... ~/~ .................................... , 19~, ond approv~ by the Building Inspector. ................ Rev. 6/30/80 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 installation 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 Upre-existing" land uses: 1. Accurate 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. C. 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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - ~ .25¢, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ......... ....................... New Construction..../>.. ..... Old Or Pre-existing Building ................. · ......................... ........ Location of Property.· .~. ..................... .~.'..~..~.-~?.~-~. House No. Street Hamlet Onwer or Owners of Property ......... ~.'~ f~. /~ /.~./.¥~ County Tax Map No 1000, Section ..... ~. ..... Block ............... Lot ................... Subdivision *'~ Filed Map Lot Permit Xo..~.~..~../?..~/ ..... Date Of Permit...././/?-~.~?....-.Applicant...'.~.-.~- .~.~.D.~..~.~ .~-.- .~-~.~?-~-..~-.- Health Dept. Approval..........................Underwriters Approval. ....................... . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $........... ................ . . 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 February 16, 1996 Mr. Floyd King Jr. C/O Islands End Golf & CC P.O. Box 2066 Greenport, NY 11944 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 f~le. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $50.00 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 ~ 21071-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS rAGE 1 1195(~99 BUREAU OF ELECTRICITY I-- BS JOHN STREET. NEW YORK, NEW YORK 1OO:38 Date MARCH 14,1996 /Jpplicatlo. No. onflle 11263096/96 N 380159 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premlses of ISLANDS END GOLF COURSE, RT.25, GREENFORT, N.Y. in the fotlo~rlng b,catlon: [] Basement [] Ist FI. [] 2nd FI. OUT Se~tlon Block Lot K~s examined on ~v[,I~CH 07 t 1996 and found to be in compliance with the National Electrical Code. FIXTURES RANGES OVENS H WASHERS PANS FIXTURE SWITCHES OUTLETS DRYERS SYSTEMS E OTHER APPARATUS: 2OA REFRIGERATOR COMPRESSOR-2 HOTORS: 4-F H.P. PANELBOARDS: 2-1 CIR. 30 G.F.C.I:-t v I c JIM SAGE ELEC. INC. LIC.#3635E 350 MARINE PLACE GENERAL MANAGER GREENPORT, NY, 11944 Th~s certificate must flat be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. :OU~DATIO~ (2nd) ~0UGH FRAME & .FLUMBING [~;SULATION FERN. STATE ENERGY CODE FI;IAL ADDITIONA'L COMMENTS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING N [ ] FIREPLACE & CHIMNEY REMARKS: Town Hall, 53095 Main Road P. O. Box 1179 Soatho~d, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 6, 1996 Mr. Floyd King Jr. C/O Islands End Golf & CC P.O. Box 2066 Greenport, NY 11944 Re: Building Permit ~20970-Z & 21071-Z Premises: 5025 Main Road, Greenport Surf. Co. Tax Map #1000-35-2-11 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. FOOD SERVICE EQUIPMENT AND SUPPLIES 26 UPTON DRIVE · BOX 1013 · WILMINGTON · MA · 01887 1-800-225-3330 508457-8210 FAX 508-658-7861 INVOICE 10/22/9~ JLS 129792 10/22/92 G7847 PHONE DIR SHIP FACT. ASAP SEE BELOW ~FROM iFAC PANE~S IN ~ OUT, LINES :~Nt ~H : -' 'TERMS: 50Y. DEPOSIT SS [EY: I/O = ITEMS ON BACK ORDER ))S = ITEM SHIPPED DIRECT FROM FACTORY , TIrE WALK~ZN~ 25TH YEAR" SALE AMOUNT MISC. CHARGES SHIPPING 7,845-00 ; O0 ~00 FORM NO. 1 TOWN OF SOUTHOLD BUILDING D~PARTMENT TOWN HALL SOUTH QLI~. ~L'~o 1.!.9.7 TEL.: 765-1802 ·., ermit No. Disapproved a/c .................................. r ./K°u d~/lnspcctor) ' ' INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS SURVEY .......... CIII~cK ......... * ' * ....... SEa, Tic '~;;~; ............... NO? I l~y ~ MAIL TO: a. Tiffs application must be completely filled in by typewriter or in ink find submitted to the raiding InspeCtor, will 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 sire., otVm= a detailed description of layout of property must be draxvn on the diagram which is part of th/s apl: cation. . - ¢. The work COvered by tlzis application may not be Commenced before issuance of Building Permit. st. Upon approval of this application, the Building Inspector will issued a Building Permit to shall be kept on the premises available for inspection throug2tout the work. the appl/c~nt. Such perrr e. No building shall be occupied or used in whole or in part shall have been granted by the Building Inspector. for *.ny purpose whatever until a Certificate of Ocanpmm APPLICATION IS HEREBY MADE to the Building Deprtrtment for the issuance of a Building Permit pursuant to t! Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and Other applicable Laxvs, Ordinances Regulations, for the construction of buildings, additions or alterations, or for z:emoval or demolition, as herein describer The applicant agrees to comply with all applicable laws, ordinances, building COde, housing code, and regulations, and t . admit authorized inspectors on premises and in building for necessary inspe~2 o~.~t ¢ ( ~=nature o~ applicant, or name. if a c ...... 7.. 2...-... ~(Mailing address of app~ic~;) ....... /' ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ........ 5'; ...... "" .... /.,,, '/--)-..;:--;..~ ................ Name of Owner of premises W ' ~ .... o ........ '~' :," : ~.'. : . .". .~ 5 ~.' ~,4. ? /~,. ~ ,. ~ .~.¥. (4e./. £. .C. / , .. las on the tax roll or latest deed) It'applicant is a corporation, signature o£ duly authorized officer. Builder's License No. Zg.oo ~'~ Plum bet's License No ........... Electrician's License No .... Olhcr Trade's License No ' on ~hic; proposc~, work will bc do=: _r~/=.'j~ ~-~/~-../e~ ~o.. '-ocat,o,n o ,and ...................... ............. ,,C ,Z,, ' Street ....','2 .... .~. ?y. !.~ !.~.,),, · Hamlet -- " ' · ............ County Tax Map No lO00 Section ' Block Subdivision ' ' ................. ' ................. Lot ............... :... ..................................... F. ilcd Map No (Name) · St:'tc existing use .............. Lot and occupancy of prcrniscs and intended usc and occupancy of proposed construction: ..... p . _..: ............... .x.(...~.~ ~.w/f'~m ~- ~:, , ~ a to-oil'- (~OwV . z-v ,,,=, .... .', ''' '1. Nature of work (check which aplplienble): New Iluildin8 ......... Additic, n .. · .'~"~'/ .... ,&Jl¢ration ............. ........ ..... . ..... ..... ................ .......... .... ~. ~s,im~ted Cost~Z/r~.,."" - ......... ~o~, ......... $ I£d lli (.La bc paid on filing this applJcalion) b fd Iii gu it N b Cd h ' · IfgWC ng, numb erfo We n ri s ............... Jim er o wcJling units oil eec floor If business, commercial or mixcd occupancy specify 0aturc and extent ol-cacbt pc of use .......... '' 7 Dmlensmns of existing stmcturei ir any: Fr'' ' ont /..6 /Oy .7..~. Hei,'ht , ..... Dr.-, Num%er of Stories ............. r . ..~ ............. ,.._ ... . Dimensions of same structure wi'th alterations ~ ........................................ ' additions: Front ................. Rear ... Depth ....... I '' ' - ' ........... 8. uunen~lons Ol entire new construct on' I::r~,.~ '2 ..... "'~"' "'~ ......................... Hei,.ht ., -r ...................... Kear ............... De~th ....... 5.' =' ........... ~ ..... rqumber of Stnries ~ . ..... 9. ~,lze of lot: F~:ont .,).~.v-//~v ~ct'~,c~3/.~ ,, ' ................................................... 10. Date of Purchase ...... it'. . · ............... Depth .................... ,-. .......... ' ' · 'j .................. N,lme,.o£ Former Owner .......... I I. ~_.un~ or use aistrlct in which premises are situated.. /¥' ~ .................. · P p sed construcu9p Wolate any zomng law, ordinance or re-u at o · O ......... 13. Will lot be re"raded . IVO ~ · ~. n.. ~ ............. :c/:.- · lq .... t'.-. e, ~ ' ..... -t¥! .... F*,'-,.'t ........... W lexcessfi[baromnv.dfrnmnremiet, q' NameName of ArchiteCtof Contractor ......... ~ ~ E~L~/t~-q B -e- ~.ni~ · .f~.°....~[ ................ . Addres~Address ~-~...'~//'//.~../~..~.4 ~//.;7~ph o n 9...No.Phone No. ~7.~.~ (:~'.~-- ff',rr--.· ...... ..x~ .,.~. · - l~.I-a P_hia property located within']o0 feet of a tidal wetland.* '-YES · If ~es~ Southold To~el Trustees Permit muy be required. PLOT DIAGRAM Locate clearly and distinctly all !buildings, whether existing or proposed, and, indicate all set-back ' property lines. Give ztreet and block ~umber or description according to deed, and show streei names and indicate wa:::. interior or comer lot. ' STATEOFN .E..W--Y~.R3~ / I ~- co u ,~ .T._Y_ OF .~..'~W4X. ' TTt~..{..K. ~,_.- .s (Name of individual signi ig contract} above nam'ed, i ,s..ie ....................... ; ..... ~~;,,,~;;;;;~;;}h~;;,ilL; ............... . ........... er--..., _.;;~;~,?;vpe[or ~wners.=d ,sd~l~,a~,tl}o~~rm' ~ ~ or have perfo=ed the said work and tom~e and riel: ' n, mat all stalements conlamua In tills app ication are true to the best of ~ s know ed" e and e ' · work will . , . g b 1 ef and that I Sw ' b5 perfommd in the m~ncr ~ut forlh in tile application riled therewith. " o~ lo bul'ore me this . . ............ being dnly sworn, dcposes and says that he is the applica:. F MAP OF FARM SURVEYED FOR --I_OYE) F. KING E,~$T MAP. ION 5U FFOLK CO., N.Y. APPROVED AS NOTED ~IVOIJI~0 S~3ZI~M~3GNA OCCUPANCY , FINALBE COM'LETECONSTRUCTION MUSTFo, 6.0. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATF CONSTRUCTION & ENERGY CODES. NOT RESPONSIRLE FOR .Ufl~RWRtTERSCERTiFi0AE DESIGN OR CONSTRUCTION ERRORS ~ REqUiRED ICE 1pi, oil ~. 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