HomeMy WebLinkAbout18290-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y,
CERTIFICATE OF OCCUPANCY
No 219711 Date FEBRUARY 6, 1991
THIS CERTIFIES that the building AGRICULTURAL GREENHOUSE
Location of Property 540 ROCKY POINT RD. EAST MARION
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 02 Lot 22.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 6, 1989 pursuant to which
Building Permit No. 182902 dated JULY 12, 1989
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 GREENHOUSE.
The certificate is issued to WALTER & LINELL GAIPA
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED NSA
Building Inspector
Rev, 1/81
rosac xa s
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)
8 2 9 0 Z Date ~....f..~, )9..~.~
Permission is hereby granted to•
,
..1--..~.~.~. ~.`.~:7
ti.:~
ro .4c~tXr'!~r41X.....~..14A~!:~4trt:i:R.fs.'.....A.~t..~V
of premises located ot ..g.~.r~...C~~,.,~~.,,.~,,,•.,,,,,~~r. Q" ~,Q~t;;r1!1.
.
County Tox Map No. 1000 Section .......~.3..~...//... Block ~ 1:....... gqLot Na....~2..'...~.......
pursuant to application doted ......~......1? 19...1„ and approved by the
Bui lding~-7l~nspector.
Fee o?.S!:....:
.
(ding Inspector
Rev. 6/30/80
D l5 l~ ~ Form No. 6 ~%e~-Q- y7~- 97/3 a~
y77- /G/!~
TOWN OF SOUTHOLD
~ BUILDING DEPARTMENT
TOWN HALL
BLDG. DEPT. 765-1802
70WN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
1. 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 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 17< lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and install.stions, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
j. 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, Accessory 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 - Residentiyal~>>_$1/5.0)0, Commercial $15.00
Date V,I 1.l
:ew Construction....... Old Or Pre-exis~inng/ Building.
.ocation of Property...~~~,,,,,,,,,,,,,, C~.,p-~_._~~~..-~(~~~.
..1~
ouse No. Street Hamlet
~nwer or Owners of Property.. ~ixCl~'::`"~-~Y~'1-~. ~~:Z~4(
ounty Tax Map No 1000, Section...,:~~......,glock...~:..........Lot. Z2:.~
ubdivision.... Filed Map........... .Lot.............
ermit No... .Date Of Permit. .Applicant. Gt.~?-~`:.~a.t~q,,,,,....
ealth Dept. Approval ..........................Underwriters Approval...
lanning Board Approval...........
'quest for: Temporary Certificate........... Final Certicate........... `
'e Submitted: ~ ~
.a 6/~/ V ~
CO y7/~ PLICANT
5~F F ~(KC'`~ TEL. 7G5-1802
O_ Opp; TOWN Or SOUTIIOLD
~ U[rPICE OE BUILDING INSPECTOR
~ t~
u°~ ~E, rn P.O. BO\ 728
v%' ~ TONN IIALL
,~f/Ol ~ ~~Q~' SOUTIIOLD, N.Y. 11971
FEB. 6, 1991
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because of the following reasons.
/RR/ An application for Certificate of Occupancy
i, not on Lilc. ENCLOSED
No Underwriters Certificate on file.
/X7d Tlic check is (ct~cR-l[t~iclynot on file. ) $25.00
No Iicalth Dept. 1lpproval on file.
No final i.ns.pcction has been made.
Please contact our office on this matter.
Thank you for your cooperation.
Bui]di.n~t Permit 1 8 2 9 0 2 AGRICULTURAL GREENHOUSE
Building Dept.
No Plumber Solder Certificate on file.
( all permits involving plumbing being
.issued after npril 1,19BA )
lELD i.: c. ..U;. ~I :gin I v;`{M LN1.~.
I Ia ~
H ..Q
r'OUt7DATI0:f (1st)
c
'OUNDATION (2nd1
m
~ z
0
.',OUGH FRAME &
PLUDIBING o
•
~3"
3,
~ 'a
m ~q
I1ISULATIOt1 PER N. Y. y ~
STATE EP)ERGY .R`
CODE I Il
4 . 02 ~ ~ ~ I
H
FI;JAL I
~{f~'TJ
O _d
~
ADDITIOPIAL COMMENTS: ~
x
' , C?
x
~o
H
~
. 9
H
H ~
O
• m
> ~
' r
' ~ H
v
m
b
H
(
CONC~EGT gHOp
1
t
foTR`ec\Y e\
now °T\ R. Mond ~ eF,}G.5
NecpeT ITS eb N
- ~:GT
/ ? °'r2 \O,E rn N 4
N' 4 I{Z.Z; N Z Tn Z
lefsz ~~Tlc-~ ~ ~ I~ ~ -1 ~
EL.3T•1~~"~ , ~1SSlslla U-Q1~,~7tV DSSS y N 1,., tT - w.
~ ~ gous~ s ~ .r~ m 3
Z E~,fG.e r0 18v(~o NH.u i_ v~' ~
~ ~
~~~SpVERLLI-S-Ink ` ey.n'-,.-^ ~
C?~ ~ ~ ~ ~ ~~q x 4 o Y t$' ~"u
0: ~ ~yy0jcgcnvLE<'~ ~ ~
'fG 1 iG' GkcF`!N~G
p s4 ,USE 4S U i.AV?1!*Ui. \~3s3 BNEO 1
$ WiTHOli ERTi~ICATE `
p C
o ` CCU Y4N
...",m,~ . . , „
D5 '20 o tom ~ \
E~~'G, s•66'° pow <t R,M°
1. ,r~e~~ ,
~ 1 _gTORY
4 FR. HGUSE
. 1 APPRQVED AS ~iOTED ~ ~ '
.
DATA: ~ , 9.P. tt ~ b'~x.:,
~d~, r
6EE• ~ ~ BY: ~
~ N UILDING DEPARTMENT-Ar~ r;<,~~~~ ~ ~
786180 9 AAA, TD .4 PM"FOR THE-' •
f. r
~ " kOLLOWi G tNSf~ECT1pNS. -
a.. , Fovp1,0 t1oN - . Two REb~rl~ira, '
• FQR RED CONCRETE , . <,m ,
"TEST HOLE
' ' 2. 'ROU FRAMING^A PLUN~(NG ~ ,
SANDY`
3: INSUISAT' N,... . - „ ~ F GG1 Y' ~ " ` LOAN'4
4. FINAL - CONSTRUCTION.MU$T ' ' ° ' ~-J GRAVEL
AC~E~ONS7 ECTION SMALL MEET ~
• Q aAND
THE IiEOUIR ENTS OF THE N.Y. QP /
STATE 'CONS UCTION & ENE ~ oRAVLL
• CObE$: NOi RESPONSIB FOR P\N
DESIGN OR CO STRU ERRORSM
•.:{iYW1Nd1YJIWRGLYNYI, N ~~r-rL:alu4.i.uiYYawa3w,lYnt'wMWYYMN .•w•• •.M _.........~...a'..~teYCl-...•
' +v~AwY-IAYiwnHinP~VM
SURVEY FOR '
WALTER GAIPA 61 ~INELL GAIPA
~ ~ DEC.13,1966
' AT EAST MARION DATE JAN.27,1986
70WN OF SOUTHOLD SCALES 1° = 30'
SUFFOLK COUNTY, NEW YORK ND. 86-59
N urwuTNOna[D Ali[MiIOM OR ADDITION m THIS GUARANTEED T0~
funv[r R A VIOLATION OF S[CTION Ttof Of THE WALTER G LL GAIPA
' NEW YORK fTATL [DUCATION LAM AMERIC L CE CD.
MCO?I ES Of THIS SU11VEr MOT SEARWO 7NE LAND +.S `O
SUR VEYOR~S INKED SEAL OR ENNOSSED PEAL SHALL
MM GUTARAMT[Ef 01MDECATEO
HEREON 3MALl NUN/WLY TD .t1?•RD W~ •f+
T-DATA FCR APPROWL TO CONSTRUCT THE KRSON i0R WNON THE SURVEY IS PREPARED ~ .,EO Dy
AMO ON Nlf DE/U1Lf TO THE TITLE CONMf1Y, GOVEIIN- - ~
NI.. MSOURCE Of WATlR~ MIMTE ~fUN111C~ MENTAL AGENCY AND 1EN01NG INSTITUTION LISTED p
1bOO LLCTION 031 NLOCK .~Z_ LOT 97d.L NEI1[OM. AND TO THE ASSIGNE[5 Of THE LENDING «
~NNIt WITHIN 100 fER OF THIS /RO/LRTY NISTITUTIgI. GUARANTEES ARE NOT TRANSFERANLE
TO A001 ilONAI INS TITUiIONf OR SUNSEOUENT
OWN N[RLON. OWNERS °i
O LLSMN[ DIN/pAL riSTLM ?OR THIS RO10[NCE N DISTANCLS SHOWN N[REON IRON MO?ERTY UNEf ' ~ ~fi
fTANOMOS O/ TNL fY/?OLK COUNTY DLIMTN[NT TO [xISTINS fTRUC TUR[S M[ fOR A S?ECIFIC ' V//
?UR?OSE ANO ARE MOT TO RE USED TO ESTA/LISN i
?RO/ERTr LINES OR fOR THE EIIECTION Of fENCEi ~ LAND SUEY ,
~ B0.1RD OF HEdLTH ,
FORMN0.1 3 SETS OF PL.1NS Q;~ ~
x~ SURVEY , , _
Mme. ;j ! TOWN OFSOUTHOLD CHECK ~
d...,__~»..~.....~,,1 ~ .
BUILDING DEPARTMENT SEPTIC FORM '
RLCG. DEP'7. TOLVN HALL • • • • • .
TOWN OFSOUTHOLt7m ~OUTHOLD,N.Y.11D71 NOTIFY
Qq TEL.:7G5.1302 CALL p
L•xamincd ..~~.l+L..,, 19.1, t•1nIL T0:. P.0
..~,t,,.Q,t,~ . 7x .
.lpproved l t!~ , 199, Permit No. ~ ~~,qQ
Disapproved a/c
„ . (Building Inspector)
APPLICATION FOR BUILDING PERMIT
• Date ..°".:.L~...°. l~f.
INSTRUCTIONS
a. Tltis 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 schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street
or areas, and giving h detailed description of layout of property must be drawn on [he diagram which is part of this appB
ration.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of [Iris application, the Building Inspector will issued a Building Permit to the applicant. Such pet7rti
shall be kept on the premises available for inspection throug}tout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
>hall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Petmi[ pursuant to the
3uiiding 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.
lire applicant agrees to comply with all applicable laws, ordinances, bull ing code, hau ' q code, and regulations;. and to
cdmit authorized inspectors on premises and in building for necessary ins .,ctian .
• ( t^nature ot'applic t, or name, if a corporanon)~
. (Dlailing address of appli ant) T
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Vame of owner of premises .t:~~ ~f'Jls~ 'C,~,L... ~~d.! . .
(as on the tax roll or latest deed) ~ ~ • ~
iC applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Buildcr'sLiccnseNo. ,.~4?;r~Qiv,,,,,,,,,,,,,,, •
Plumber'sLiccnseNo,
Electrician's License No. . .
OtltcrTrade's License No .
Location oCland on which proposed w will be done.
IlouseNumbcr Street.
Hanilct '
County Tax ~1ap No. 1000 Section . , , , Block , , , ~ , • • . • • , , Lot .
Subdivision F.ilcd flap No. .
(N:unc) Lot.......
Stara existing use and occupancy of premises and intend::d use and occupancy of proposed construction:
a. Existing use and occupancy {111+°~'~G~..%.w°--. , , , , , .
b.Intendcduseandoccupancy ...,,f~r,.~;~Lr/,GPi~I,~...
~Ld~T~~ Jt%^ ~6"aC~
3. Nature of work (check which applicable): Ncw Uuildin~
Repair Removal • Addition ~11~[ion
Demolition Othcr55'ork.
4. Estimated Cost,!'~,c7,
_vQ : d (Dacri ~ .
Fee Ption)
5• If d~vclling, number of d~vcllino units (to be paid on filing this application)
If garage. num bcr oC cars • ~ • • ' ' ' ' ' • Number of dwelling units on each floor ,
6. IC business, commercial or mixed occupancy, specify nature and extent of cacti t ~ • • • • •
7, Dimensions of existing structures, if any: Front , , , • • • • • ~ '
Ncigltt . YPc oC use
••....NumbcrofStorics O
~~•""•Rcar .IS(J,,,,,,,,,, Dcpth..~j~_••••••
Dimensions oCsame structure with alterations or additions: Front
Depth . . lleicttt . ...........Rcar
8. H`m1tisions oC~tir ~ncw construction: Front jr~ L • • Nuntbcr of Stories • _ • • •
9" 7= • • • • • . Nub bcr of Stories ~ Rcar ~f~ /Y, , , . • , Dc th 7i.Q
9. Size of lot: Front •(N P • •0~ V. • . • •
...140 Rcar... "j.•........................~.............
10. Date of Purchase l~lpth ~i~
t~Lc........... ••14 y~
I. Zone or use district in w'hidt premises are situated , • ' eme of Former Owner • • -
1 Does ro ~7S44~r(~ • • ~>•01i'OLri., , , , , •
P Posed construction violate an • ' ' ' ' ' • • • • • • • • • • • • • .
13. 55'ill lot be regraded , , . • • . 5• . oning law, ' ' ' • • • • • • • • • • • ,
ordinance orrc~ulation: U
14. Name of Owner of prcmises,rY~iX!(l,' j ' • • • • 5Vi11 exc ss Fll be removed from premises• Ycs
Name of Architect 07t,C{.LC{,e Y.~~l~A Address ,r~.v.~B.. zY,, ,ter .Ih
ff~RIWPh on c No. y~T
° !`'91,;' , , . ,
Name of Contractor ~I:'~f'-,- • • ' ' ' • ' ' ' ' • • • Address Phony,
IS.Is this ro ~•""'•••••••Address. No.....
*If ~ P Per[y located within "••••••••••.PhoneNo..,,~„~,•
yes Southold Tovn Trustees POrmitemay bearequiredetland? *yES.._.210,~,
- PLOT DIAGRA,1f
Locate clearly and distinctl}• all buildings, whether existing or proposed, and. indicate all set-back dimcrsions from
property fines. Give strut and block number or description according to decd, and show street names and indicate whether
interior or corner lot.
T.1TL OF \E55' YORK,
~U\TY OF •
S.S
(Name oCindicidual signing contract) • ~ • • bC1Og duly sworn, deposes and says that he is the applicant
~ovc named.
' is the _
(Contractor, agent, corporate officer, etc.)
said owner or owners, and is duly authorized to crform • • ' • . • . • • , • ' • • • • • • . • • • . • . • • • - • • • - • • •
'Itcation; that all statements contained in this application arc true to the best oC his knowledge and belief; and that the
rk wdl be performed in the manner set forth in the application 1;Icd hcrrovitltd the said work and to make and file this
om to before me this GG
.............fa .day of ~~~p~" , 19 A.,
~a ri Public. f~/.......
County
NEI.EN K DE YOE
•~ti;
NOOIRY PUBLIC. Slate of Nert Yak .
N0. 4707878, Suffolk CouttAlcr i • . • • • •
Tamf:apireeMareh30,1 (Si;natureofapplicant)