HomeMy WebLinkAbout20839-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22348
Date MAY 20~ 1993
THIS CERTIFIES that the buildin~
Location of Property 1200 MILL RO~D
House No.
County Tax Map No. 1000 Section 107
Subdivision
GREENHOUSE
MATTITUCK, N.Y.
Block 1
Filed Map No.
Street Hamlet
Lot 2
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 19, 1992 pursuant to which
Building Permit No. 20839-Z dated JULY 20, 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 28'x96' GREENHOUSE WITHIN THE BUILDING ENVELOPE OF LOT #1
AS PER PLANNING BOARD.
The certificate is issued to
of the aforesaid building.
JAMES COHILL
(owner)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N-263372 - JANUARY 18, 1993
N/A
ildi~qg Inspector
FOB,~ 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)
N~N? 30831Z
Permission is hereby granted to:
.......... ~.~.~./~.~.....~...~.~Z~ ...............
....................
............ .~...~....,_..~.~ ......... ,
~o ~ . ,,~'-/ ~ ..q..~ /~.y
..~:.~.c~ ........... ,.~.~. .......... ~. ....... :~.: ...... ~ ........................... ./~..../.., ................
at premises located at ............. ./,,.~..~ .............. .~.....~....,....~..~,~. .............................................
.........................................-~/..~ ......... .~..~.....~./~ ...........................................................
County Tax Map No. 1000 Section ,.,/~,,~,..,) ...... Block ..... .~../.. ......... Lot No....~.~..~. ........
pursuant to application doted ................ ~/...~...~'/~ ......................... , 19..~...~.., and approved by the
Building Inspector.
/ ~l~tldin"g Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This pplicatzon must be fiAled 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.
B. For existing buildings (prior to April 9, 1957) non-~onforming uses, or buildings and
'¥re-existing" land uses:
· 1. Accurate survey of property showing all property lines, streets, buildimg 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 t9 accessory building $25.00. Businesses $50.00.
2.Certificate of Occupancy on Pre-existing Building - $100.00
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 - Residential $15.00, Commercial $15.00
/ Date ......... './~. ~. ......................
. .
New Construction ......... Old Or Pre-existing B ilding
Location of Proper .......
House No. ~ ~ Street Hamlet
Onwer or Owners o Proper ......... ~.~.~.../ .................
County Tax Map No 1000, Section./[.0.2. Of T,,-,~- (~0.2_
....... Block .........................................
~ubdlvlsion .................................. Filed Map ............ Lot .....................
:~ermit No ..... Date Of Permit .... cant . . .
-{ealth Dept. Approval ............. Underwriters Approval ...~..
)lanning Board Approval ........................
~equest for- Temporary Certificate~ ....
· i ..... Final Certicate ...........
'ee Submit,ted: $ ..... .~f~?~.. ...........
, . ...........................
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~,
{.~.2§0(~] BUREAU OF ELECTRICITY
~- BS JOHN STREET, NEW YORK, NEW YORK 10038
Oate J~IqU~RY 1~,[99:~ ~ppllcatlo~No. onfile '/~199~/9:~ t~ :~G33'1~
THIS CERTIFIES THAT
o~y the electrical equipmeng ~ ~scribed below and introduc~ by the applicant ~med on the a~ve application numar in the premises of
in the followlng locatlon: ~ Basement ~ Isa ?7. ~ 2nd ~3. (~ ~ T ,Section Bilk Lot
FIXTURES
SWITCHES INCANDESCENT FLUC~ESCEN!
and found to be in compliance u' th the rerlt~ire,~ents qf this Board.
RANGES OVENS
OTHER
EXHAUST FANS
E R V I C E
17 ~ORU~T TRAIL
GENERAL MANAGER
t!
This certificate must not be altered in ony manner; return to the office of the Board if incorrect. Inspectors may be identified by their credenfiols.
PLANNING BOARD MEMBERS
Bennett Orfow~ki, Jr.. Chairman
George Ritchie Lalham. Jr.
R~chard G. Ward
Mark S. McDonald
Kennelh L. Edwards
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
James Cohill
131 Awi~a Avenue
Bay Shore, New York
11706
Dear Mr. Cohill:
April 8, 1992
RE:
· . SCOTr L.~
Supervisor
, :,
Town Hall. $3095,1~
P.O. Box 1170
Southold, New York 1'
Fax (516)
Approved Major Subdivision
Mattituck Creek Estates
(James Cohill)
SCTM9 1Q00-107-1-2
The Planning Board has reviewed the March 18th letter
from Dennis Schrader and William Smith in reference to the
Covenants and Restrictions for the above mentioned subdivision.
The Board is not in favor of the location proposed for the
barn and greenhouses. It is the Planning Board's intention that'
the Agricultural Reserve Easement Area remain as either a viable
farm or as open space, and that all structures be located within
the building envelope that was assigned to the Agricultural
Reserve Easement Area.
However,
agreeable to amending the building envelope for Lot 91 (please
see enclosed sketch for--~-i-f~i-~-~manner, a~
~u~, ~ ~er~an~t ~n~ te~porary~
n~ oulmalng envelope, i~ you wis~ to so amend the building
envelope, have your attorney prepare an affidavit of correction
and submit such draft to this office. The Planning Board will
adopt the affidavit of correction by resolution. You must then
file it in the office of the County Clerk.
Please contact this office if you have any guestions
concerning thg.above.
Very truly yours,
Bennett Orlowski,
Chairman
in order to accommodate your request, the Board is
Enc 1. /
cc: Dennis Schrader
Howard Young, Young and Young
Peter Danowski, Jr., 'Attorney
FOUND^~ION ( 1st )
~OUNDATION (2nd)
2.
ROUGH FRAME &
-PLUMBING
INSULATIO}! PER N. Y.
STATE E};ERGY
CODE
..
FI;/AL
Examined ............... , I
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved ..... ~.///~. ...... 19¢~.Permit No. ,~..~4~..~...
Disapproved a/c .....................................
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CI1ECK ....................
SEPTIC FORH ..............
.. ~Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
slets o;~ plans, accurate plot plan to scale· Fee according to schedule.
b. Plot plan showing location of lot and of buildhngs 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.
¢. 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 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 demoli/t~n, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, buildin~,2cod/~, housing/cgde, an{l rel}fllations, and to
admit authorized inspectors on premises and in building for necessary~inspegff~/./
· ...........
' (~g~mture of app,'rant! or~ame, if a corporation)
(Mailing address of applicant)
State whether/~..~e'~-'/applicant is owner, lessee, agent, architect, engineer, general contractor,DATE.elec~il~l~[~l}~lil~uilder.
.................... ;7" ~ ....... '5' ~;.',V .....................
Name of owner o f premises .~ .'. ~0.~.. OO~/~ ..................... N~. M.~LDING .DEPABT~ENT.-~
(as on the tax roll or latest d~}lfl02 9 AM ~ 4 PM FOR THE
If applicant is a corporation, signature of duly auth?rized officer.
FOLLOWING INSPECTIONS:
1, FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
(,N_ame and title of corporate officer) . 3. INSULATION
.~.//J. 4~ FINAL CONSTRUCTION MUST
Builder i License No ................... BE COMPLETE FOR C.O,
ff. Zh ALL CONSTRUCTION SHALL MEET
Plumber s ~icense No .................... ~./.~. · THEsTATEREQUIREMENTScoNSTRUC,i1oNOF& THEENERGyN.Y,
Electrician s License No ....................
· CODES._. NOT RESPONSIBLE FOR
' ~/r ,D~SIG~)R C_ONS~(OClU;~ ERRORS
Other Trade's License No...................... I~1~ aL ~o ~ y. ~' tkT~ r~
1. Location of land on which proposed work will be'donee. ~
...~j ~ t. . ~.~v~. .Fe~,~.~~ ........... ~ ....... ~ ................
House ~um ber .
Street Hamlet
cou.ty r.x mp No. ~o0o s~ion .../0.T ......... mo~k..&L~e ........ Lot. ~ eeo ........
~,,b,,v,,,o, ~,'~.~c.&eO.~k~ .... ~ ~, ~o ............... ~o, .m / .........
(Name)
L State existing use and occupancy of premises and intended use and occupancy of proposed construction:
~. ~,,i,~ ~,~ ana o~=~ano,.. ~a.. e~J~. ~&~. ¢ ..................................
b. lntended use and occupancy ..~ / ~~~'... .........................................
3. Nature of work (check which applicable): New Building ......... Addition Alteration
Repmr .............. Removal ............ Demolition .............. Other Work ...............
(Description)
4 Estimated Cost
i x}/~r (to be paid on filing this application)
5. I dwelling, number of dwelling gn ts .......... Number of dwelling units on each floor. . .
. If garage, number of c~s . .~/~.~ ............................................ ~ ..............
6. If business, commercial or mixed ojccupancy, specffy nature and extent of each type of use ...~/~
7. Dimensions of existing structures, if any' . .... '
. . Front .......... Rear .............. Depth .... ; ..........
Height Numbdr of Stories
D~ens~ons of same structure w~thmlteratmns or additions: Front ................. Rear ..................
D ~ ·
~pth .. ........ . ............. 1He~t ..... ~. · · ~. ·, ......... Nmnberof Stories .........
8. D~mens~ons ~f wt~e new constmction: Front ~8.~k .... Rear ~ n~,h ~"~'~ ....
Height .. ~ .~ ..... Numbe~r of Stories. ~ . ' ............ ~"" '~ ~' ~ ~ ~J .....
Date of Purchase ............. : ....... . ........ Name of Former Owner ....
1 I. Zone or use district in which prem{ses are situated .........................
12. Does proposed constructipn violat~ any zoning law, ordinance or regulation' ~ .......
13. Will lot be regraded ~ ~.~ . .. , ......... ' ' :-' ................
N~e of Owner of pre 'ses '~ ~.'i ....., -.t' .. ........ wlit excess ~11 De removea trom premises'. Yes
14. Nme ..... [e~ . I ~ /] ...... Address Ibl.O~lX~. ~ . .PhoneNo ~ff(.
Nme of Contractor ~/~ ~ .... r ] ~. ., · .....
15. ~s cnxs property w~tn~n ~u~ root of a tidal wetland? *Yes ........ No..~ .... '''
·If yes, Southold ToVn Trustees Permit may be required,
-. i PLOT DIAG~
Locate clearly and distinctly ~i b~ildhgs, whether existing or proposed, ~d, indicate ~1 set-back d~ensions from
prope~y lines. Give street and block number or description accord~g to deed, and show street nines and indicate whether
~tefior or corner lot.
.. ;:.~. ,'~,~,~,,~~;:::~~~ . ~. · ':,~.'m~.. · ....~ · ·..... ...... being duly sworn, deposes and says that he is the applicant
...... ~N~me of ~nd~vldual stgmn~ contract)
~bove named.
~ (Contractor , agent , corporate officer, etc. )
~f said. .°wner. or owners, ~d is duly. ~uthorized. . to :,¢erf°rm. or have perfo~ed the said work and to m~e and file this
~pphcatmn, that all statements contmn~d m th~s apphcat~on a~e true to the best of his knowledge and belief; and that the
york will be perfo~ed in the mmner s~t forth in the application filed therewith,
;wom to before me this
, No. 4951364 '' ~~~~.~ ........
~_~ua?ie~ i[Su~qlk Co~n~ - ~ // ~ / (Signa~e of applicant)
,I
~CCUPANCY. OR
t~F-. iS UNLAWFUL
CERT]F]CATE
OCCUPANCY
RO~D
®
~oCO0
pARCEL
now or
,Z