HomeMy WebLinkAbout17650-z
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildinq Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18183 Date JULY 12, 1989
THIS CERTIFIES that the building FARM BUILDING
Location of Property 5950 NEW SDF'FOLK RD.&675 GEORGE RD. NEW SUFFOLK
House No. Street Hamlet
County Tax Map No. 1000 Section 117 Block 2 Lot 17.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Pernut heretofore
filed in this office dated NOVEMBER 25, 1988 pursuant to which
Building Permit No. 17650-Z dated NOVEMBER 30, 1988
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued isAGRICULTi7RAL STORAGE BARN AS APPLIED FOR
The certificate is issued to PETER S. GRODSKI
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-077970-JUNE 26, 1989
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
TOBai N0. f
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)
G 17 6 5 0 Z Date ....1/~3...~ 19.88
Permission ~s hereby granted to•
..t~„>trt......7~...~2.~..d..e/~. ~
~gs.~
. ~'~..~~....r
ct premises located of ~r1.........
jlfi(~/,~,'~.
j~C~~.-~~~
. . .
Caunty Tax Map No 1000 Section ,,1.1.7...... Block Lot No l 7~!
pursuant to oppl~cation dote ../.l ys. 19~., and approved by the
~.cG ~9
Building Inspector.
v~
Fee S.a,~Q
B din Inspector
Rev 6/30/80
_ _
TOWN OP SOUTHOLD
BUILDING DEPAAT2fENT
TOWN HALL
SOUTHOLD, NEW YORK 11971
765 - 1862
APPLICATION FOR CERTIFICATE OP OCCIIPANCY / p~+.~/
DATE. ~ C ~ .
NEW CONSTRUCTION ....OLD OR~7P~RfE-E%ISTING yUILDINC......VACANT LAND.......
Location of Property.: L~ .yS
_~Y..JIFi~L~, Ali, / ~75 .~Q7~~.~-~_.
HOUSE NO. ~ ~STREL(T_ / DAMLET
Ovner or Ovners of Property...~'LP1`."~ ..~1.'. ~~D~~/
County Taz Map No. 1000 Section I.!?.. Block Lot :~C.'
Subdivision Fi//led Mappp~~_.......Lot..~^~-.~-y.~.._.
Permit No. {.~.~a Date of Permit l1:
~Q.4A..Applicant>~4°'~l~..~~~Y}':
1.
Health Bept. Approval Undcrvritcrs Approval ~'v<<-~:5~~~
Planning Board Approval
.
Request for Temporary Certificate Final Certificate
Fee Submitted:
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APPLICANT..y...
rev. 10/14/88
('x.37704'
~ n ~ r Arsr ~
#I THE NEW YORK BOARD OF FIRE UNDERWRITERS D,,,,~ ;
~..ff004 h0 BUREAU OF ELECTRICITY
93 JOHN STREET, NEW YORK, NEW YORK 10038
Dares ,JUPiE u5,k r$Q Apphratlan No on fde ~7t:~ob4J$V ' Ir'?lq%fi
THIS CERTIFIES THAT
I only the electrma! egwpment oa described 6elom and introduced 6y the applicant named on the above apphcatron number m the premises of
I
T'ETEk S. GRODEKI, :<F.'d SUr^I'6LRII----~~ROi+D, TIRW StirFOLK
I mthefoilou<rtp location. ? Basement L: tAt Fl ~ 2nd FI R~ixia Serhnn Block Lot
uas exarnened on ~Jlfiis i~tti~ andfound to be t+L^mrnpimnre mtth the requeremrrtiro n(thes ffaard
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISN WASHERS EXHAUST FANS
OUTIETS INCANDESCENT FIUOAESCENi OTHER AML K W AML K W AML K W AMI K W AML H P
DRYERS FURNACE MOTORS FUTURE AFPl1ANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MUlil OUTLET DIMMERS
AMi K W Olt H P GAS H P AMT NO A W G PMi AMP Mli AMPS TRANS qMi H P SYSTEMS aMi WALTS
NO OF FEET
.,SERYICE.OLSCONNECi NO OF S E R V I C E_
MFTER No of Cc coND A w c A w G ~ `A w e
AMT AMP 1YPE EQUIP 1 TN 1 % 3W 1 % SW 1 % AW pFR $ Of CC COND NO OG HI IEG Of HI IEG NO OF NEUTAAlS Of NEUTRAL
i X00 ^USE i ~ ~iJ
OTHER APPARATUS
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AS C 15N `RNT Y TAIL .IU ..f Ai p
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illiitS YOUR BILL FOR iERVICE RENDERED AND I5 NUTA GERTIFlCAic Or CCMPl14N _F FHI581 LL PhYA3LE At THE NEW YORN OFFICE di :CHN iT'tEET NEW Y+.st N i[I]8
P~~
April 26, 1989
Town of Southold
Office of Building Inspector
Town Hall
Southold, NY 11971
Attn: Thomas Fisher
Re: Survey for BP 11176502
Dear Thomas:
Please find enclosed survey as per your request.
truly yo r ,
~~c
Peter S. rodski
P.O. Box 5
New Suffolk, NY 11956
~..----t
' ~ TEL. 7G5-1811
5~F F Df..~C
~ C~~~ t TOtt'N Ur S(3UT3IOLD
,~~;;;~~•y~>>~ ~`c Ol~{'TCI:OC BUILDING iNSPtCTOR
4';~7 ~ I'.O. [SOX 1 1 79
r`', ~ TOWN HALL
' `'O cd' ' ~ SO1J"I ItOLD, N.Y. 1 f 97 t
JBNS 8, 1989
PETER GRODSRI
130% 5
NSW SDFFOI.%, N.Y. 11956
'S'o S9hcm This May Concern,
N
41e are unable r.o complete your Certificate
of occupancy because of the folloorinq reason::.
/y! An application for Certificate of Occupancy
is not nn £iS.c. CHNCIASHD)
No Under~aritcrs Certificate on file.
/ / '['hc chccF: is(oi/nut cn file.) 55.00
No !lcalth Dept. Approval on file.
No final inst-,ecLion has been made.
Plcas~ r_ontact our office on this, matter.
Thank you for your cooperation.
lkcilc7u~<l Permit- I! 1 7 6 5 0 Z
Building Dupt•.
! t1o Plumber Solder Certificate on L-ilc. '
( all pnrmiL-s involv3.ng plumhinU being
issued after April 1,1984 )
-1 LD I;.S:cC:IU;7 IIUnTc, ~OM~~1CNTS
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FOUIIDATION (7st)
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=OUNDATIOII (2nd) _ m~
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ROUGH FRAME & ~
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PLUMBING
3 , x~.
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IIdSULAT20f1 PER N. Y.
STATE ENERGY
CODE
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FI;7 A L
ADDITIONAL C0I4MEPITS: x~
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765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ( INAL
REMARKS:
DATE ~ INSPECTOR hy,~
T65-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ ]FINAL
REM RKS: ~
DATE o~ INSPECT ~
I~7 f~% L , ~n x .r
yCta-SL/FFoL BOARD OF HEALTH
N`/9G ~ 3 SETS OF PLANS
FORM NO. 1 SURVEY .
TOWN OF SOUTHOLD CHECK • - • - • • • - -
BUILDING DEPARTMENT SEPTIC PORrf , , ,
TOWN HALL NOTIFY
SAUTHOLD, N.Y. 11971 CALL • -°!~./•--~'.y!.3.... .
TEL.: 765.1802 MAIL T0:
ua+^
Exanuncd ~l.v~Q.. ....,19~ `~~G-,1-,,,y it ~~~.~~rf'\~i)'~~~'~i„~
Approved , 19~~. Permit No? .7~p.~D~ ~ 1g ~ I`
Disapproved a/c ikU
. BLDG DEPT.
.
' TOWN OF SOUTHOtA
i
~
ild g Inspector)
APPLICATION FOR BUILDING PERMIT
- Date , .`r'2~.. 19
IIdSTRiiiI ivi1S
a. Tlus application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witf
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 stre.
or areas, and giving a detailed descnption of layout of property must be drawn on the diagram which is part of this app
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 peiri
shall be kept on the premises available for inspection throughout the work.
e. No building shall he occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupan
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 t
Building Zone Ordinance of the Town of Southold, Suffolk County. New York, and other apph le Laws Ordinances
Regulations, for the construction of buildings, additions or alterations, or for val or dem ion, as herein descnb~
The applicant agrees to comply with all applicable laws, ordinances, bull g co ~//h~Jo~u~~sing o and regulations, and
admit authouzed inspectors on premises and in building for necessary insp chon iC'`I" ~
(Signat re of applican , or name, if a corporation)
(Mailing address of applicant)//
State whether apphcan is_owner, ssee, agent, architect, engineer, general contractor, e]ectrician, plumber or build
. . . . .
Name of owner of premises ....C~%)F!F.-. ~~~~lN .
(as on the tax roll or latest deed)
If applicant is a corporatron, signature of duly authonzed officer.
(Name and title of corporate officer)
ALL CONTRACTOR`S MUST BE SUFFOLK COUNTY LICENSED
- BuAder's-L.ii.c»se Flu _--~.>._a_,:~.-d.-:m,.,._...,.._.~......w..,s~..._.~..,__.~.~..,-.._._..~_... _
i3 ~~~6~ ~ ;
Plumber's License No .
L-lec[ncian's License No .
Other Trade's License No . / r~~,(7'J
1 Location of land on which proposed work will he done. .~'NY~ ~y ~Gi'V .Sl(l~rY~!!~-
1p.7~.~~~~fl~~..IPO~D.. .~E~ J'tJFF0.4~1~.. . .
House Number / Street [ianilet
County Tax Map No 1000 Section G. .Block ~ Lot . .
Subdivision ~LS~E ~~j~~~`~~- Filed Map No `J.'~ • . .Lot . ~ .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction
a Existing use and occupancy . .~O!1'jEcs7'~l~D~ F/i/Q1`2///~ /yf/~~//?~!.. SnTO, /~~AA~'6 ~ , . , .
b Intended use and occupancy ....~2/~ .~fa'~°IT~,V~. {~1ff~'?".': .
3. Nature of work (check which applicable) New Building Addition Alteration .
Repazr Removal Demolition Other Work . .
(Descnption)
4. Estimated Cost ..o2~,lfll~D Fee .
` (to be paid on filing this application)
5. 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 _ . .
7. Dmlenslons of ex~stmg structures, if any• Front . Rear Depth . .
lieigllt Number of Stories .
Dimension urc with alteratrons or additions. Front .Rear
Depth ...........Height y . Numbe ~oC Stones .
8. Dnnensions of entire new constnict~on• Front t0~Q- Rear ~Pl~ Depth . g,0 , fiP?~.';.. .
height r-I.G......... Number of Stones ~
9 Size of lot. Front l~A. ~'ffil: Rear . . ~yQ.~ f. Jz-:.. Depth . o?FfD ~ fm.. .
] 0. Date of Purchase CO^!f/E.yED. (O~q~PrO ..Name of
Former Owney .~~.~..t' / r~..l?e'~~W~/~L....
h 1. Zone or use district m-which-premises a~fe situatetl :----~.J~l- °w4T~~/~z,(.Q~$1.~'it/`I7.FfC-• • •
12. Does proposed construction violate any zoning law, ordinance or regulat~on• !v0 .
13. Will lot be regraded ....?4. S~!~ ..............Will excess fill be removed from premises: Ycs
14,_ Id vn C, nf_QI~~~, c r o r ~
r~ inter P.~2QA_~.~.L~..~ul;css . ~E~sl_JF~?~
~~'lLone_n`o._7_.~ f<- 6.S~.f~ . _
- Name of Architect ..!~Q,2'fal~..~11/L.L?/~1/~ Address . ~/.!!A..N~.. Phone No .•7a7.-r?.5~~'.y.
Name of Contractor .~D.2TDN. T?.v/.kA/N.65 /tV~•Address . !e!dE~A.N.,.. Phone No.. .
I5. Is this property located within 300 feetyyof a tigidal wetland? *Yes No .k~:
*If yes, Southold Town Trustees PermitPLOTDIAG1ZAMed.
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunenslons frr
property line 've street and block number or description according to deed, and show street names and indicate whetl
ntenor o corner ot.
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iTATE OF NL-W YORIr, S.S
~OUNTY OF . . J~~O~~
~9/~.-o.Ds,~~ being duly sworn, deposes and says that he ~s the apphca
(Name of individual signing contract)
ibove named.
to uthe.... ....l~T/•1~~'.~
(Contractor, agent, corporate officer, etc.)
~f said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file ti
~pphcation; that all statements contained m this application are true to the best of his knowledge and belief; and that t
vork will be performed m the manner set forth in the application filed therewith.
sworn to before mg tlis II n~
........C°L.. g. .day of (9~l~t.t*n 19c~d'
lotary Publi/c~, S~uf~A~Gi~..... County
o l / o , `F-{ ~ n Ntfisr7 Public. State of New York lG
1~7~_
."X -CA1. JLtl'"'~ Na iN -8000920 .
@nabfted in Saf2olk County (Signature of apphca~
Commleewn EsWrea Jm, 83, 3989
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