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Home My WebLink About19564-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19826 Date APRIL 2{ 1991 THIS CERTIFIES that the building AGRICULTURAL BUILDING Location of Property3258 SOUTH HARBOR RD. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 75 Block 07 Lot 06 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 29r 1990 pursuant to which Building Permit No. 19564Z dated DEC. 6, 1990 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 BUILDING AND GREENHOUSE. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. M180046 MARCH 25~ 1991 PLUMBERS CERTIFICATION DATED N/A JOHN & NANCY PEARSON Rev. 1/81 FO~.M 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) NO 19564 Z County Tax Mop No. 1000 Section ........ ..~...~.... ..... Block ....... ~ ..........Lot No ......... ~.. ........... pursuant to application dated .......... Z/~,,/......~.... ........................... , Jg..~..~., and approved by the Building Inspector. ~Bui .... t~~ ................. Rev. 6/30/80 TOWN OF SOUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE. ~ ~zL NEW CONSTRUCTION ..~ .... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property ........... : ~ . HOUSE NO. STREET HAMLET County Tax Map No. lO00 Section 075~- Block Z Lot ...... ~ Subdivision ....................... Permit No .......... Date of Permit Filed Map ........ Lot .......... .... Applicant C Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ........... Fee Sobmitted: $..~'.~..~.. ...... rev. 10/14/88 Ae FORHNO. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765 - ]802 ~PLICATION FOR CERTIFICATE OF OCC~CY INSTRUCTIONS '~is appllca~ion must be~ filed in type~i~er OR ~nk and subm~ed ~o ~h~ Building Inspector w~h ~he following; ~or ne~ bu~ldlngs or ne~ use: I. F~nal survey of propek~y ~th accurate location of all bu~ldlngs, proper~y l~nes, stree~s, and unusual ~a~ural or topograph~c features. 3. Approval of electr~ca~ ~ns~alla~on from Board of F~e ~. Sworn sta~emen~ from pl~ber certifying tha~ ~older used ~n system contains less than 2~10 of IZ lead.~ 5. Co,arc,al bu~Id~ngs,~indus~rlal bu~ldlngs, ml~iple residences and slmflar. bu~ldlngs and installations, a cert~f~caCe of code compliance from ~he or Engineer respons~bie for ~he bu~Idlng. 6. Submi~ Plann~n~ Board~Approval of completed si~e plan requirements. For existing buildings (~r~or to April 9, 1957~ non-confo~ng use~, or buildings and "pre-ex~s~n~" land ]. Accurate su~ey of pr~per~y sho~ing all prop~r~y lines, streets, buildings and unusual natural or ~o~ographlc features. 2. A properly completed ~ppllcatloa, a ConsenC to inspec~ signed by the appllcan~ and a certified abstract of ~i~le ~ssued by a t~tle company which shall show ~ngle and separ~ce o~ersh~p o~ ~h~ en~re io~ p~ior ~o April 9, 1957. If a Certificate of O~cupancy is den~ed, ~h~ Building Inspector shall s~ate reasons therefor ~n ~ng ~o the applicant. 3. DaCe.of any housing c~de or safe~y inspection of b~ldlngs or premises, or o~her per~nen~ ~n~o~ion,~requlred to prepare a cer~flca~e. For VacanC Land'Cert~f~c~ of Occupancy: ]- ~ appl~catlon for vac~an~ land Certificate of Occupancy shall be subm~ed, and a certified abs~r~c~ of ~itle ~ssued by a title company showing s~n~le and separate o~ersb~p o~ ~be enCOre loc prior ~o April 9, [957 shall aisc accompany the application. ~ a~ Cert~flca~e of Oc~upancy ~s den~ed, ~he Building Inspector shall s~a~ ~he reason~s ~here~or ~n ~ng ~o ~he applicant. FEES: ]. CERTIFICATE OF OCC~CY - Ne~ ~ll~ng ~25.00, Additions ~o ~elllng AlteraC~on ~o ~el~l~ng ~25~00, Swiping Pool, ~25.00. Accessory bu~ldln~ ~25.00 Addition ~o AccessOry bu~ldlngs, ~25.00 - Businesses ~50.00. 2. Certificate of Occupancy on pre-exist~ng d~ell~ng - ~100.00. 3. Copy of Cer~f~cat~ of Occupancy - ~5.00 - over 5 years - ~10.00 ~. Vacant Land Certificate of Occupancy - ~20.00 5. Updated Cer~if~ca~ of Occupancy ~ ~50.00 6. Temporary Cerc~f~c;l~e of Occupancy - ~25.00 Residential THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF: ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~' ~?~( t-~ 25,1 ~'1 72~:~,g09~/91 ~ ~ Date Jpplication No. on file THIS CErTIfieS THAT only the ~lectrical equipment ~ ~scrlbed be~w a~ int~duc~ by the ap~icant ~med o~ the a~e application number in the premises of ~s examined on and found to be in compliance with the require.tents qf this Board. FIXTURES RANGES OVENS DiSH WASHERS EXHAUST FANS FIXTURE OUTtET$ SWITCHES 7, DRYERS FLUORESCENT OTHER SYSTEMS NO, OF FEET E OTHER APPARATUS: E R V I C NO. OF CC, COND A W G. NO, OF HI-LEG A W G A. W G. Of CC. CONL OF HI'LEG OF NEUTRAL NO OF NEUTRA[$ GENEI~AL MANAGER Per ~,)]- 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. OU~DATIO.~ (1st) OUt. IDATIO:~ ( 2nd ) OUGH FRAME & -PLUMBING NSULATIO:; PER N. Y. STATE E~IERGY -I I CODE Fi;;AL ADDITIO~I~L COMME~;TS' 7~5-1802 BUILDING DEPT. INSPECTION FOUNDATION tST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [,"J~INAL DATE ? / 765-1802 BUILDING DEPT. INSPECTION [~]~UNDATION XST ~] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FINAL [ ] FRAMING REMARKS: DATE INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. VfIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH 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 March 20, 1991 Bob Koch & Son Inc. Box 1037 Mattituck, N.Y. 11952 Re: B.P. 19564Z Agricultural building 3258 South Harbor Rd., Southold Dear Mr. Koch: On 3/19/91 Gary Fish did a final inspection on the above mentioned permit. He noted on the inspection ticket that the permit must be amended to show a greenhouse before a C.O. is issued. Also an Underwriter Certificate is required. I am sending a copy of this to Mr. & Mrs. have an outstanding permit ~14525Z for a barn. must be cleared up. Pearson. They Ail of these Yours truly, Secretary BI~DG. DEFT TOW~ OF SO~OLO___.~ Examined ./.: 7 ............ , 19. ~..~ FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... BOARD OF HEALTH SURVEY c. EcK ~ I'd.'.oq.: ............. SEPTIC FORH ................ NOTIFY CA~ .~g.-.~b. qr.~.~,. MAIL TO: ....... ....... APPLICATION FOR BUILDING pERNIiT Date . .t~..c.~....Z.c/ .. , 19~.o.. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 'sets of plans, accurate plot plan to scale. Fee according to scliedule. - 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 tiffs appLi- cation. c. The work covered by tiffs 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 Bu/lding 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 ~:emoval 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. .... ~.4...%~..- s'-~ (Signature ot applic;~t; ~[ ~dn~e; ifa'c'o}~o'rltldn')' ' ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,~ame or owner o~prem~ses .. ~.X~.. ?....O..'.*.7.. (as on the tax roll or latest deed) If applicant is a corporgtion, signature of duly authorized officer. ..... ~R-~- /./ /dj ~, (Name and title of corporate officer) ' Builder's License No ..... ./-/.!.~.' . .,.~.C/~ .~. ....... Plumber's License No. Electrician's License No. Other Trade's License No ...................... 1. Location of land on which proposed work will be done. g-- ~ ............... ~ ........ · ~ se~,,/-/, /'/,~,Jo¥ Ro,~d ~- ~ j.,,/ .................. flouse Number Street .............. Hmnlet County Tax Map No. 1000 Section O -7.~ --, ,~ · .................. Block , r,.. ' Lot Subdivision ..................................... Eiled Map No. {Name) .............. Lot ............... " State e" ~. x sting use and occupancy of premises and intended use and occupancy of proposed construction: ~. E,,is,ing usc and occupancy O.'/::?/. ~ ¥~',,~ ............. -- ...... ' · · 't- w ~.~ .~ ~-~ ................. - /~ b. Intended use and occupancy Res'tc~¢*'/"~/ l'tc~ ~x~w~: ....................... ~' ........... ~T. l',vL ilk4"~ .8a,%'~-re,~ _. : e ,:g t t ' "7 ,}&4 : '~ ' 4~'a .............. 3. Nature of work (check which applicable): New Building ~ Additicn · Repair .............. R.~moval .............. Demohtion .............. · ....... (Description) 4, Estimate'd Cost /,~ ~ Fee ,5~ '~a~ . i. ]~i" ' ' ................................................... ~'~'. ...... ~t .... '?'~' ........ (to be paid on filin~ tli~;~p~pl]cation) 5. If dwelling, number of dweiling units ............... Number of dwelling units on each floor ............... If garage, hum ber of cars ....................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ............... Depth .............. Height ............... Num bet o f Stories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ...................... }[eight ...................... Number of Stories ..................... 8. Dimensions of eiatire new construction: Front ..... f?. ~ ...... Rear .... /.a.-.'. ...... Depth ....~?'7.' ....... He~g it ...lq.ge- ........ Number of Stories ....... ! ................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ..................... 10. Date of Purchase ............................. Name of Former Owner ............................ 11. Zone or use district in which premises are situated .... /~. .............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ....................... ,q,2 ...... 13. Will lot be regraded ............................ Will excess f~ll b~ removed from premises: Yes N( 14. Name of Owner of premises ~..g.~. y.~.a.,~....~,.~.r,7..-~.., Address . S.;..,.~.. :t..,(...~. ~f ...... Phone No. ?.g.~.. ~.'.~,~..Z, ..... Name of Architect ..... Name of Contractor ~./'. 'k';;/; '3' ?Z' 'il; ...... Address ...................Phone 327. · .... .................... Address .t4.~..'t~'., ~..~..~/..~. ..... Phone No ............. 15.Is this property located withln~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 ail set-back dimensions fron property lines. Give street and block number or description according to deed, and show street names and indicate whethe: interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ............ ~ . .~. . ....... .~?.~.~. T.... !~...K'.o.c.~ ....................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (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 bc performed in the manner set forth in the application filed therewith. Sworn to before me this ..... k ~07, 77' ~11