HomeMy WebLinkAbout19438-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19549 Date NOVEMBER 30, 1990
THIS CERTIFIES that the building ALTERATION
Location of Property 32180 MAIN ROAD CUTCHOGUE, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 103 Block 1 Lot 19.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 5, 1990 pursuant to which
Building Permit No. 19438-Z dated OCTOBER 4, 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 ALTERATION TO INSTALL A WINERY IN AN EXISTING FARM BUILDING
The certificate is issued to HERMAN BLUM
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-113422 - FEBRUARY 8, 1990
PLUMBERS CERTIFICATION DATED N/A
~~.L~
B ilding Inspector
Rev. 1/81
I\
i~o.,
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)
i j
N ° ~ 9 ~ s~ ~ ~ Date ....1..~~,~ 19~~
~ Permission is herebyted to:
: . .
~.i,
' of premisL~s located at
...........................G.....................~....~....
t
"~~~..I~"
County Tox Map No. 1000 Section Block Lot No........~„r.!..~'
pursuant to application doted 19..f..Sl., and approved by the
Building Inspector.
r B/J`
' Fee der
tXl.
uil ...g Inspector
Rev. 6/30/80
i
••Form No. 6
TOWN OP SOUTHOLD•
• BUILDING DEPARTMENT - ~ • ' -
' TOWN HALL '
' 765-1802 ,
'APPLICATION FOR ,CERTIFICATE OF OCCUPANCY'.;. _ -
1. This application •must be filled in "by typewriter OR ink- and; ubmitte3 tio- tfie'buldi~ng'
.inspector with the following: for'new buiiding~or new use: ,
- 1. Final survey of property with accurate location of all build"ings, property l•ines;; -
streets, and unusual natural or topographic features., ,
2. Final Approval from Health Dept. of water supply and sewerage-disposaf(5=,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 building'5'
and installations, a certificate of Code Compliance from architect oz engineer
- responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
i. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-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.
Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessary building $25.00,
Additions ,to 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 $15.00
Date ...~`:.U~tJ^r,~:~..?:~i..~~/~°
:ew Construction........... Old Oz Pre-existing Building
,ocation of Property...3.'T••/7?~..... ~(II/~.. ~u7Q/'....j..~t%C;~d•Ci.~tC•.~.!°~.:~'..........•
• House No/../ Street Hamlet
nwer or Owners of Property...!CC~~~1t1'~...~1..y!'~ . .....~.3.....:.........
ounty Tax Map No 1000, Section...d-t......Block•.,f ............Lor....~.7!.z•.......
ubdivision.......qq ............................Filed Map......... .Lot......................
ermit No..`g.y~9......Date'Of Permit..~o~y/~d....Applicant.Rfj'~?~?~~,,.~L~!:Y.•,•••.•
ealth Dept. Approval........... ...........Underwriters Approval...,.v
lanning Board Approval.....
equest for: Temporary Certificate........... Final Certicate,.~...
ee Submitted: A
QQR. ~Q~~`p ..!`~.~M.~.
~0 ~ igS~q .v ~ ~ •Arrialcnl~r
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THE NEW .3RK BOARD OF FIRE UA.IERWRITERS PAGE 1 II
1000607 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YOj2K, NEW YORK 10038
Date FEBRUARY 08,1990 gppliratiortNo.onfile 63973789/89 N 1134?.2
THIS CERTIFIES THAT ~'i
only the electrical equipment m deaerihed below and introduced 6y the applicant named on the shove opplicotion numher in the premises of
HERMAN GLUM, MAIN RD., POLE.174F, CUTCHOQUE, N.Y.
in the following location; ? Basement 0 lst F'l. ? 2nd F1, OUT .Sertion 8lock Lot
was examined on FEBRUARY 05,1990 and found to be in cootplionce uith the requirements of [his Board.
FIXTURE ECEPTAGLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENL FtUORE5CENi OTHER AMi K W AMi N W. AMi. KW. AMi. K W AMi. M P.
1 5 1
DRYERS F1IRNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gEll UNIT HEATERS MULTI-OUTLET DIMMERS
AMi. K W. Oll M. P. GAS H P AMT. NO. A. W G AMi. AMP qMT. AMPS TRANS. AMT H p SYSTEMS AMT. WATTS
NO.OF FEET
9 -
SERVICE DISCONNECT NO.OF 5 F R V I C E
AMi AMP TYPE METER t 4W 1 f! ~W 9 %DW 0,e' xW NO. OF <C COND. A W G. NO Of HbWG A W' G NO Of NEUTRALS A W G
EQUIP. PER% OF CC.fOND OF HbIEG OF NEUTRAL
2 200 CB 1 X 2 250 2 250
OTHER APPARATUS:
C.T. CABINET:-1
MOTORS:1-3 H.P.,1-10 H.P.
PANELBOARDS:1-3 CIR. 100
JAMES A. MORAN LTC.#2371
39935 MAIN RD. ,
PECONIC, NY, 11955 GENERAL NAGER
11 ~~'j~ ,
` . , f Per
This certificate must not be altered in any mannery return to the office of the Board if incorrect. Inspectors may be'i ied by iheir~credentiuls.~
st
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STATE EPJERGY II
CODE 1 \
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~~~j~1:`~`j~ BOAFD OF•HEALTH••'•••••••••.
~ ~~t FORMN0.1 i3 SETS OF PLr1NS
SURVEY
2 51990 TOWN OFSOUTNOLD CHOCK
1 BUILDING DEPARTMENT SEPTIC FORM
BLDG.
DEPT. ~ TOWN HALL
TOWN UP SOt1TFICi!„1),,,.„- r $OUTHOLD, N. Y. 11971 NOTIFY ; 7~T ~7~> }
TEL.:7G5-1802 CALL f !c• /
Examined 19~ MAIL T0
APProved rJ~T 191/~Pcrmit No. ~~;3~ .
Disapproved a/c
( iildi ns ector)
APPLICATION FOR BUILDING PERMIT
Date ..~'.~f?i.- jr....., 15yd.
INSTRUCTIONS
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a. Tlris 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 dnhol¢.or irf~art for any% purgos whatever until~~ ' tcate 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~regulati~nd to
admit authorized inspectors on premises and in building for necessary i pections. ~CJJ ~cf~c
p ~
(Signature of applicant, o{~r n~a• e, if a corporation)
~dX• 70 p ' ~-Gj~
~ /ld1-j C{+:~Tb„~ ,4+g c~-/ .5.
• •r..• •j.In C
- (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
o~Nc/L
Name of owner of premises ..Xr.~`t.HA~ `J~t ~ iy .
(as on the tax roll or latest deed)
ICapplicant is a corporation, signature of duly authorized officer.
.....r~.'-...
(Name and title of corporate 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 witl be done; '
E{ouse Number Street. Hamlet •
County Tax \lap No. 1000 Section ~ ~-3 • • • • • • BI'ock ~ Lot q- , ` . ,
Subdivision Filed RSap No. Lot .
•(Name) ~ '
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
A. )xisting use and occupancy... •~.1~.~: e vLTe.R.Qc a~/dr~
B. Intended use and occupancy....
i
s, .
lx r
3. Nature of work (check which appljcable): New Ouilding Addition Alteration ° .':1 I %
v!
Repair R~movdl Demolition ..............Swimning po~,l.~'.~ ..~1•'.?.. .
Tennis Court Accessory Suilding..........Fertce .......Other Work:......~I~;••
4. Estimated Cast ~ , ~ oav°-" Fee ................................,,p•
(to be paid on filing this application) '
5. If dwelling, number of dwelling urjits Number o(dwclting units on each Cloor
ICgaragc, number of cars : .
6. if business. commercial or mixed gccupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures,!,ifony: Front . ..~+.E~.. Rear ....6 , , • Depth •S y • • . .
Height . ?:Y....... Number of Stories . .
Dimensions of same structure witf~ alterations or additions: Front Rear .
Depth . Height Number of Stories .
8. Dimensions of entire new constnletion: Front Rear Depth .
Hcigltt ...........NumbggrofStories.
9. Site of lot: Front L Rear Depth . .
l0. Date of Purchase .................Name of Former Owner < .
1 1. Zone or use district in which prcltlises are situated ~./.4 . .
12. Does proposed construction violate any zoning law, ordinance or regulation: VO .
13. \Vill lot be regraded ~5~ Will excess fill be removed from premises: ,Yes , No
14. Name of Owner of premises .~c.14~.~.~ !N -~l y `fit, .Address ~~X ?°Y. Go ~`'!~°Gac', , I'ltone No.?~ `~:.I.3 ~ • • • • .
Name of Architect ...............Address ...................Phone No.............. , l .
Name of Contractor ......Address . ..Phone No..... . , .
15.Is this property located within 300 feet of a tidal wetland? *Y);5....NO.f.
*If yes, Southold Townl,Trustees Permit may be required. ~
PLOT DIAGRAM
Locate cleazly and distinctly all puildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
~l/ ~P~' AS [R~E~
.~.~w~ DATA: Ia ~ B.l~ u ~3~
(~p}~tNRRERSCERTIFi611~ FEE: o Od BY:
A~Q~IR~ ~ NOTIFY !L DEPARTME AT
765.1802 9 AM TO 4 PM FOR THE
G FOt.Lf)WING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
~t ' FOR POURED CONCRETE
W 2. ROUGH -FRAMING Fi PLUMBING
a~~ ~ NALATIO CONSTRUCTION MUST
1 BE COMPLETE FOR C.Q.
" ALL CONSTRUCTION SHALL MEET
i~ THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
OESIGN OR CONSTRUCTION ERRORS
STATE OF NE1V YORE, ',S.S
COUNTY OF .
• f~~ywt' ,t31~.-`S . • , . , , , , being duly sworn, deposes and says that he is the applicant
(Name oC individual signing contract)
about named.
I-k istltc... 144r
N'T.........
(Contractor,agcnt,corporatc officcr,ctc.)
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 cont~ined in II115 8ppl1Cat1011 aTC true to the best oC his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Swom to bciorc me this I
1..Q.. .day f ..4?.L°I~TE'tl'1.d4~.R...., 19 Q'~
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Notary Publicl.0. • • ~•~Ff+~~County
r+
Notary f':~::i:^, ~~'-ate of New Y~rk (Signature of applicant)
(".n. n-T22541
Qualified in Suffolk County', '
Commission Expires May 31, 1$42