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Home My WebLink About20592-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~R~MENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20825 Date JUNE 24~ 1992 THIS CERTIFIES that the building Location of Property 4890 SOUND AVENUE House No. County Tax Map No. 1000 Section 121 Subdivision FARM STAND Street Block 3 Filed Map No. M-~TTITUCK~ N.Y. Hamlet Lot 7.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28, 1992 pursuant to which Building Permit No. 20592-Z dated APRIL 29, 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 AGRICULTURAL F~RM ST~D AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERW~RITERS CERTIFICATE PLUMBERS CERTIFICATION DATED Rev. 1/81 PECONIC HOMES CORP. N/A '/ Bu/n9 ~nspe6to~7 it'O~M NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NgN? 20592Z County Tax Map No. 1000 Section ...... ./....'~'....~.. ..... Block ......... ~ ....... Lot No ....... .~..~...~.. ........ pursuant to application dated ........ ¢.///_..~./..~...~... ............................. , I9./......'~.,c~'~ and Building inspector. approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD f LI?i{ BUILDING DEPARTMENT ~ 765-1802 I, ' ~PLICATION FOR CERTIFICATE OF OCCUPAN( '~ A. 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 ail buildings, property lines, streets, and unusual natural or topographic features. 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 i% lead. 5. Co~erciai 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. B. ~ For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-exlstmng 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. ~ · Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swiping pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $I00.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentialf$15.~0, Commercial $15.00 ' / Date . .~. ~.~ ~ .... ew Construction.. M m,~, ~ ~ . . · v~ ' ...................... ..... ,.~.~Fa~ or ~re-exmstznm Building. .. ............. 14 g..a ......... ....... o0o, ....... .... ........ ................ b~ivisio%... ]~.. ....................... ~,., fFil~ ~np ............ Lot arming Board Approval ...... ~ ............ ' .......... ~uest for: Temporary Certificate ........... Final Ccrticate. c 0~RO~ ' ' INSPECTORS Victor Lessard Principal Building Inspector Curtis Morton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 ~ 17, 1992 PECONIC HOMES CORP BOX 1008 MA~TITUCK, ~ 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~a~g/not on file.)$25.00 ~' ~ No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 20592-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. PLEASE NOTE: CO: -~ Required for BP # 1716 I-Z Accessory;Building ~ CO Required for BP # 18893-Z Agricultural Greenhouse FINAL INSPECTION REQUIRED FOR EACH. PLEASE CALL THIS "OFFICE FOR AN APPOINTMENT. fOUNDATIoN (lst) ~OUNDATIO:~ (2nd) ROUGH FRAME & -PLUMBING rNSULATION PER N. STATE ENERGY CODE Ye .o FINAL ADDITIONA'L COMMENTS: J i ' ~ ' ~ ' ' ' ~ ' ~ ~ , : ~ , , : , . Examined FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Approved... ~ ...... 19~..~. Permit No ............ Disapproved a/c ..................................... (Budldin~, In~ctor) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS g0,\gO OF HEAl, Ill 3 SETS OF~'~i',IS!!.. CI1ECrSUav ¥ .... SEPTIC FOR~'! .............. CALL HAIL TO: Date .......... , 197..~ a. Tiffs 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 tiffs application may not be commenced befbre 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 inspections. ~-~ _ ....... -- (Signature of applicant, or name, if a corporation) ..... (Mailing address of applicant) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................. ............................................................. Name of owner of premises 2 ;~,. . - .............. (as on the tax roll or latest deed) If a~li~nt is a corp.~'xroti~l, signature ofd~Lv auth~orize,,.__:__d 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 Vax Map No. 1000 Section . ./.~,/ ........... Block .................. Lot .... ' ........... Sobdivision ..................................... 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 ..... ~(~v~ ............................ ~.,~. ~. .~ ...... ~. .................. b. Intended use and occupancy . .~.~..~..~.-.~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration Repair Removal Demolition .............. i ............................ Other Work ............... ~ ~ ' (D ipti ) ~ escr on 4 stimated Cost ..... x: ..................... ee ........................ ~. (to be paid on filing this application) ' 5. If dwelling, number of dwelling 6nits ............... Number of dwelling units on each floor ................ · If garage, number of cars ..... i ...................... 6. If business, commercial or mixedi ............................................ occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures,, if any: Front ............... Rear .............. Depth .......... i .... Height ............... Number of Stories ........... Dimensions of same structure wit~ alterations or additions Front ......... ~' .................. Depth . . Height ....................... Number of Stones .......... ' . '" '. ' i ' 8..D.1 .mensmns of .e~ire new construction: Front .... .2.-?~ ........ Rear.· .2~.~.'. .... Depth I i~.'. ' ..... r~eight ..... l.~ ...... Numb'gr of Stories }. ....... -- ............. 9. Sizeoflot: Front .. : lta~r .............. 3.' 'L' ....................... ..................................... ~eprn ......... Date of Purchase . 10 ............. , . ............... Name of Former Owner ............................. 1 I. Zone or use district in which premises are situated ............................ 12. Does proposed construction violet any zoning law, ordinance or regulation: ................. 13. Will lot be regraded .......... ~ ................. Will excess f/Il be removed from premises: Yes No 14 Name of Owner of premises Address · "" ' Phone No Name of Architect : Address Phone No Name of Contractor ........... .~ ............... Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold To0n Trustees Permit may be required. ~.. PLOT DIAG RA/Vl Locate clearly and distinctly all btlildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nu/nber or description according to deed, and show street names and indicate whether interior or corner lot. fl}P~I~O~D AS NOTED / DATE: ~B.P. # ..,~ NOTIFY ~UIE~G oEPARTME~JAT 7654802 9 AM ~ 4 PM F~R THE FOLLOWING INSPECTIONS: 1. FOUNDATION ~0 REQUIRED FOR POHRED CONCRETE 2, ROUGH - FRAMING ~ PLUMBtNG 3. INSU~TION 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 C~STRUCTION ERRORS ;TATE OF NE'~--~ORI~G-,r-> ~/-' o r, · ..... ~0~¢.. &,.( 4~ ~ .......... being duly sworn, deposes =d says that he is the applicant (Name of/individual signing co~tract)~ 'e is the ~"' [~;ntracto' ~''' ~ ~gent,~' ~orporate officer, etc ) ...................... f said owner or owners, ~d is duly auth6rized to perform or have perfo~ed the said work and to m~e and file this ~plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the ork will be perfomed in the manner set forth in the application flied therewith· ~om to before me this ........... _ . _.No. 487950~ '" "--' ~ (Signature of applicant)