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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24522 Date JULY 26, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 36400 COUNTY ROAD #48 SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 69 Block 4 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 24, 1992 pursuant to which
Building Permit No. 21114-Z dated DECEMBER 2, 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 ADDITION TO EXISTING AGRICULTURAL GREENHOUSE AS APPLIED FOR.
The certificate is issued to JAY & JEAN GUILD
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-379489 - MARCH 5, 1996
PLUMBERS CERTIFICATION DATED N/A
it ng Inspector
Rev. 1/B1
FORM No. $
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°_N° 211142 Date ...12=11.
Permission is hereby gr ted to,
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to ..4 G&I? ~i.~rrR.. 'rte
"of . YGr... /..i.s2
at premises located at .......S I~G..5t/aa....... .......5 "Cl
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j County Tax Map No. 1000 Section .......I° Block Lot No. .2.
f ~~qq
pursuant to application dated 15+,r..~ , and approved by the
Building Inspector.
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Fee $
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Rev. 6/30/80
Form Nc. 6 'Wcct
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f n nn OG,1' OF SOUTHOLD
SU:LDING DEF RT,MIENT
!'y a TOWN HALL
JUL 2 21996 765-1SO2
BLDG. DEPT. ?L C. =ON FOR CERTIFICATE OF OCCJPAi`TC°
TOWN OF SOUTHOLD
A. This application must be .-ed -n by typewriter OR ink and submitted to the ouilding
insDec*_or with the follcw_ng: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual nature! or topographic -features.
2. Final ADDroval -from Health Dept. of water supply and sewerage-disposa'-(S-4 fform).
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 is lead.
Commercial 'ouilding, industrial building, multiple residences and similar buildings
and installations, s certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
s. For existing buildings (prior to April ° 1457) non-conforming uses, or buildings and
"pre-eYisting" land uses:
1. Accurate survey of 7roDert', showing all oroDerty lines, streets, building and
unusual natural or =pogra"Dhic features.
2. DrOD erly CgmD le to 2pDlicatiOIl and 3 consent CO inspect signed by the aDpi4cant.
T_. a Certificate o_T OcCnDancy is denied, the Building Inspector shall state the
reasons therefor ~ «riting to the applicant.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling s25-00,
i terations to dwel_ g S25. 00, Swimming pool 325. 00, Accessory building S25. 00,
Additions to accessory building 525.00. Businesses 550.00.
2. Certificate of Occupancy on Pre-existing Bu_ldine - 3LOO.OO
3. Copy of Certificate of Occupancy - .25c.
4. Updated Cartificate of Occupancy - 550.00
5. Tamporary Cer-cficata Of Occupancy - Residential $15.0///p, mmercial 515.00
Date / ` 3~
-ew Construction........... Old Or Pre-existing Building.g
ocatiou of Property . . . . 36400.COUNTY.ROAD.#48 PRCONIC; N:Y.
House No. Street Hamlet
awer or Owners of Property SAY,4,JFM .GUI_W
aunty Tax `lap No 1000, Section..... 69....... Bloc_c.... 4...... Lot ...7
ubdivision........... 4 ti.........Filed -Hap..... Lot
ermit No...21114-Z...... Date Of ?ermit...12/2/92...... Apolicant.JAY.GUILD
_aalth DeDr. Approval ..........................Underwriters Approval.........................
lanning Board Approval
=_quest for: Temporary Cert-__car al Cer-icate...........
ee Submitted: S....?~sQQ (//A/
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PP~B
~..aJ CG AP9LICANT
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Town Hall, 53095 Main Road `gyp • Fax (516) 765-1823
Telephone (516) 765-1802
P. 0. Box ewYork 9 11971
Southold, N
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 15, 1996
Mr. Jay Guild
36400 North Road RR3
Peconic, NY 11958
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx Application's for Certificate of Occupancies
are not on file. (Enclosed)
xx No Underwriters Certificate on file.
xx The check's are 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 # 16705-Z & 21114-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
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Town Hall, 53095 Main Road p • Fax (516) 765-1823
Telephone (516) 765-1802
P. 0. Box New York 9 11971
Southold, N
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 6, 1996
Mr. & Mrs. J. Guild
36400 North Road RR3
Peconic, NY 11958
Re: Building Permit #16705-Z & 21114-Z
Premises: 36400 County Road #48, Peconic
Suff. Co. Tax Map #1000-69-4-7
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.
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750,
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OUNDATION (1st)
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'OUNDATION (2nd)
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:OUGH FRAME &
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:11SULATION PER N. Y.
STATE ENERGY
CODE I
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FINAL
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ADDITIONAL COMMENTS: s
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THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1035176 BUREAU OF ELECTRICITY
F 88 JOHN STREET. NEW YORK. NEW YORK 10038
Date MARCH 05,1996 Application No. on ile 11<20796/96 N 3794f39
THIS CERTIFIES THAT k'L''RI'SZT NO. 2114
only the electrical equipment as described below, and introduced by the applicant named on the above application number in the premises of
JAY W. GUILD, 36400 NORTH ROAD, WHOLESAIS. GROWER POLE LII,28, PECOftc, N.Y.
in the following location; ? Basement ® 1st FY. ? 2nd Fl. Seetion Block Lot
was examined on MARCH 01,1996 and found to be in compliance with the National Electrical Code.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER "T K W. AMT. K W. MT. KW. AMT. K W AMT. H. P.
1 20 9
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS FELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K. W. OIL H. P. GAS H. P AMT. NO. A W. G. AMT. AMP qMi, gMPS. TRANS. AMT. H. P NO. OF SYSTEMS FEET AMT. WATTS
3 20
SERVICE DISCONNECT NO. OF S E R V I C E
T. qMP. TYPE METER 1-e' YW 1 0 3W 3 0 3W 3.0 4W NO OF CC. COND. A W. G. 0 OF H1 LEG A. W. G. A W G
EQUIP. PER Of CC. COND OF HbIEG Mg. OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
GREENHOUSE--1
RAYMOND L. CHESHIRE ELE. LIC.#3839-E
2482 RIVER ROAD
CAL,VERTON, NY, 11933 GENERAL MANAGER
11
Per i_
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST.NOT BE ALTERED IN ANY MANNER.
BOARD OF HEALTH
FORM NO.1 3 SETS OF PLANS
TOWN OFSOUTHOLD SURVEY
BUILDING DEPARTMENT CHECK
TOWN HALL SEPTIC roars
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 NOTIFY
1 CALL
Examined f.~?.r , , , , , , 19fg- MAIL TO:
Approved Z...., 19/t0'2Permit No..~2.III OR
Disapproved a/c ...................................i W1,
'
uil -,Inspector)_
's4.:ja~,
¢ TOWN Ur SO8ITHOL~3
APPLICATION FOR BUILDING PERM1T"W"~`"°°"""°° ~y
Date •`~C, 19 ~ v
INSTRUCTIONS
a. This 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 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
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 halve 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, ppu n code, and regulations, and to
admit authorized inspectors on premises and in building for necessary ' spectio~ts. ~
(....C.l
- Sig ature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether a plica t is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises
~1N..... .
4,13
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly a....................................:.........
(Name and title of corporate officer)
Ls U
Builder's License No . A%
k H t ar,1 ~y
Plumber's License No.
~6L P,
Electrician's License No. la f`~ (~l ~Fy
"10 r, lr15'v
Other Trades License No.
1. Location of land on which proposed work will be done. X7
q&O
House Number Street Hamlet
County Tax Map No. 1000 Section 1 Block ~ Lot .
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
~GZ!%?.I!V~... .
a. Existing use and occupancy
b. Intended use and occupancy ht/.&~n? I et! . ' .
41
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3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal • . , Demolition Other Work
/ (Description)
4. Estimated Cost 6.mrv v Fee
(to be paid on filing this application)
S. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars . .
6. If
business, commercial or mixed occupancy, specify nature and extent of each type of use
e^„ t mg structure ber ~s, if any: Front Rear . , Depth
7 Heights3ons of exist • of Stories
.
Dimensions of same
s4 (441i6ations or additions: Front . Rear
ne..r
Depth Height Number of Stories .
Dimensions of entire of entire e ne,1nst : Front . R~ar ,`;1~~...... ; Depth............... .
Height
. Sze of lot: Front . . • • • • . •unrb f Stories /tom /7 Y . • , , , , , , , , ,
9
Rear Depth
10. Date of Purchase Name of rmer Owner ' .
'miser are situated . . .
12. Does proposed construction violate any zoning law, in nce or regulation:
11. Zone or use district in which pre ~;/Qf Will excess fill be removed from premises: Yes
13. Will lot be regraded
14. Name of Owner of premises . W. • • • • • , Address ..*W: Phone No.. IKS'?f.j
Name of Architect Address Phone No............... .
within 3'................Address...................Phone No................,
15. Is Name this property Contractor . . . • • • ' '00 feet of a tidal wetland? *Yes........ No.
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all ,buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and_bl Cate whether
interior or cornerlut.
W u W 2i p O r-~"~ pp
w O t? W W W`W ~I~~
XF Q mz II 1111 v.
S-' LL Co 0
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STATE OF N O jC1-s~f L /
COUNTY OF. . S ------~~---~~~III
L'& 11 1• l • • • being duly sworn, epo es and says hat h is the a plicant
(N e of individual signing contract)
above named.
He is the.....
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly ;authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me thl's
day of. 19
Notary Public, ounty
L CLEW 1:
Notary P e li , 6State ~N Nof York V s' ,
Quad k Coun (Signature of applicant)
Commission Expires Decembi -ty 19.L~
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SURVEY FOR
JA Y W. GUILD
A T PECONIC Io-nK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
1000 - 69 - 04 - 07 am e rc,ne
SCALE.- 1" = 30' 9r
AUG. 27,1991
24 ~dme pme
OvS~
w 9~eenh O
O N
~µnK
295.12'
ROAD
AREA = 3.5880 Acres ROA
RAIL
30' 30W.
ISLANO tiJA
LONG °j, Prepared in awordance with the n/ n standards for title surveys as sstabfohed >
by the LLA.L.S and yoproved and alepW i.~. Y.S. L1C. NO. 49618
for such use by The New York State Land
Title Association. (5m, -a-61 b?0VEYORS, PC (516 -~=5
P. 0. B X at P. O. B X 908
MAN ROAD MAM ROAD
SOWHOLD, SOUTHOLD, NY. W71
sr-225