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Home My WebLink About23544-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25592 Date: 03/16/98 THIS CERTIFIES that the building ADDITON Location of Property: 39395 MAIN RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 85 Block 2 Subdivision Filed Map No. Lot No. -- SOUTHOLD Lot 7 (HAMLET} conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 1996 pursuant to which Building Permit No. 23544-Z dated JUNE 28, 1996 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 GREENHOUSE ADDITION TO AN EXISTING FARM BUILDING AS APPLIED FOR. The certificate is issued to C J VANBOURGONDIEN, INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N419787 05/13/97 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 L~OWM NO. ft 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) N.° 235~4 Z C~te ...................... / ~..~...~ ......... , ,~...~.~. Petrol,sion is here,y ,ra,te~LtO; _ .~ . ~/~~ ./~o..~ ~ ....... :../~~...~.X....zZ~. . ~.~._~..~=~~~ ............. ~~ .................. ~~~c~,..~ ~ ...... ~_:.: .............................. 0~ v~,~,,, ~,,,~ ,, ........................... .~..~-~-~ ........... 7~...~ ............................... County Tax Mop No. I000 Sect,on ............ .~...~ ..... Block ...................... Lot No...Z ................. pursuant to application dated ...................... ~...~.. ................ , 19...?.~.', and approved by the Building Inspector. tiding I Rev. 6/30/80 TOWN OF SOUTHOLD __,__,,~. ~,---~--'''~. ~--~ BUILDING DEPARTMENT 765-1802 ,~ }~ins i: e following', for new building or new use'. I. 'Final survey o£ 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 i% lead. 5. Commercial building, industrial building, multiple residences and similar building~ 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. F~r 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 Buildinm - $I00.00 3. Copy of Certificate of Occupancy - = .25~ 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 Building ................. Location of Property ............................ ~ ......................... f~.~?. ....... House No. Street H~ml et Onwer or O~ers of Property ....... ~..~. .... e~: ................... County Tgx Map No i000, Section .......... Block ................ Lot ..................... Subdivision...................... ............ . . Filed Map............Lot ..................... Permit No ........ ... ... .. Date Of Permit ....... ..... . ...Applicant ............................ Health Dept Approval Underwriters Approval .... Planning Board Approval Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... $ .......... ...................: : APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ 88 JOHN ~TREET, NEW YO~K, NY 10038 ~ ~Y 13,1997 ~,~o.~, 1~75997/97 N 419787 C. V. V~ ~~, RO~ 25 ~ ~., ~623 ~, ~C, ~.Y. ~T~ V~-2 P~S~i-I~ C~. 125 Town Hall, 53095 Main Road P, O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 5, 1998 Robert VanBourgondien P.O. Box 2 Peconic, New York 11958 ****SECOND NOTICE**** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~23544-Z SEE ATTACHED Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hell, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765 -1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 5, 1997 Robert VanBourgondien, P.O. Box 2 Peconic, N.Y. 11958 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is XX XX XX not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 23544-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FII~LD I~.~P~.'CT1ON REPORT DATE COI41VlEN'I'S I.'OIINDAT I ON (IST) [[ ~O~ATION (2~) ROUGH FRAME & PLUHBING INSU~TION PER N. Y. STAT~ ENERGY Il " CODE F I NAL ADDJ[T][ONAL COI~ff-fENTS: ..... 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN~UL~ATION [ ~FINAL REMARKS: DATE INSPECTOR~/~ FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN IlALL SOBTUOLD, N.Y. 1197 I TEL: 765-1802 Disapproved ale .................................. BOARD OF I1EALTI! ............... 3 SETS OF PLANS ............... SURVEY ........................ CtlECE ......................... SEPTIC FORH ................... NOTIFY: ~ cA,.,...q MAIL TO: .................. A~PPLICATION FOR BUILDING PERHIT INSTRUCTIONS 'Date ................ ,19... a,~ lhis application mist be co,pletely filled in by typewriter or in ink and submitted to U~e Buildi~ In~c~or 3 ~ts of plus, ~te plot pl~ to ~ale. F~ ~i~ to b. ~ot pl~ M~i~ l~ti~ o[ lot ~ of ~dldi~s ~ ~s, ~lati~M~ip to ~jolning ~[~s or ~llc st~s or a~as, ~ givi~ a detail~ ~rJpti~ o[ l~t of ~r~ ~st ~ dr~ ~ H~e di~ ~ti~ is ~rk c this ~licati~. c. ~ ~k ~ ~ O~is ~llcati~ ~ ~t ~ ~ ~fore is~ oE ~ildi~ Pe~it. d. ~ ~[5,i~l of ~is ~llcati~, t~ ~ildi~ ln~tor will is~ a ~ildi~ ~e to the a~llc~t. ~mlt ~all ~ ~t ~ tbe ~s ~ilable For in~ti~ th~t ~ ~rk. e. ~ ~ildi~ ~all ~ ~i~ or ~ in ~le ~ in ~rt for ~ ~ ~nt~r ~til a ~rtifleate of ~ ~all h~ ~ ~t~ ~ tl~ ~ildi~ la--mr. ~ IS I~ ~ to tl~ ~ildi~ ~r~at for H~e isle of a ~ildi~ ~mit ~lr~t to the ~ildi~ ~ ~i~ of ~ T~ o[ ~H~ld, ~ffolk ~, ~ York, ~ o~er ~lic~le ~, ~i~es or ~Iati~s, f~ ~ ~t~ti~ of Mildi~s, ~iti~s or alterati~s, ~ for ~al or ~llti~, ~ be~in ~ri~. ~ ~lic~ ~s to ~ly with all ~li~bl~ 1~, o~i~es, ~ildi~ ~, ~sing ~lati~s, a~ to ~it ~ri~ in--tots ~ ~i~s ~ in ~ildi~ for ~esm~ ~- ..... .... (~ili~ ~mss of ~licant) State whether applicant is o~mer:, lessee, agent, ard~itect, engineer, general contractor, electrician, pl~her or (as on the tm roll or latest deed) If al~ic~nt is a c9{poration, slg~ature~,-of, duly autl~rlzed officer. (Narre amd title of corporate oTficer) Builders License No .......................... Plmt~ers License No .......................... Electricians License No ...................... Other Trede's License No ..................... ~ / , · f . · · k'c~ *"~' 4-0 · Locatxon o: land on ~:~el, p,u~.~ v~rk w,ll ile done ...... t/- ..... -/.- ................................. '~ ........ llotts~"~ Nt~ber Street lbml et > . ..... ~q T~ ~. I~ ~ti~ ............ .1~ ................ ~t ..... S~lxlivislon ...................................... Filed Map No ................ Lot ............... State existing use and occwpaocy of premises m~d intended use ar~l se~ of p, op~ed coastructlon: a. Existing use and occupancy .... ,... ........ ;., .......................................................... h. .... .................................... : ...... 3. l%lm'e of wo[k (cJ~:-ck ~hid~ al~[icsble); Ne~ hHhlir~ .......... ~kliti~ .......... Mterarion .......... i~lmir ............ l~a[ ............. I~ol ilion ............ Otlmr ~)~ .................................. 4. Est i.~t~l C~sr ......... f~ .............................................. (to I~ ~id (m filing this al~licati~O If garage, tI~i~r of earn ...................................... 6. If I~mi~mss, ~rcial or miml ~:~rmy, s~ci~ ~ture taxi extent of ead~ ty~ of 7. Iliu~nsi~s of ~isti~ st~<~res, if any: Fr~t ................ ~ar ............... ~pth ................. l~i~lt ......................... ~s~r of Stories ...................... I)inensi~m of sam strip,re ~ith alterations or m~itions: Fr~t ............... ~ar ............... ~plh .................... I~i01t .................... K~d~r of Stories ............... / I~it0~t ...... ~Q ............... K~d~r of Stories ..................... 9. Si~ of lot: t~t .................... ~ar .................... ~pth .................... 10. l~ite of [~m~m~ ..................... ~m of Fon~r ~mr ........................................ I 1. ~ or u~ district in ddds pr~i~s am sitmt~ ,,~ 12. ~s pro~ml mmtnmti~ violate any mdng 1~, o~i~me or regularly: ...... Il. gill lnt Im regr~ ................ ~llte~e~s fill Im rm~m~ fxc~n pr~ni~s: ~ of C~tractor ................................... Mklresa ............................... I{io~ ~ .............. 15. Ia thi$ pm~rt~ within ~ f~t of a ti(~l ~tlmxl~ ~ ~ .......... ~ .......... PI.OT I}IAGRAH clearly and distinctly all Imildings. Omther existing or pro.mi, a~d i~icate all ~t-lmk di~nsions pr~mrt-y ti~s. Gi~ at~t ~ bl~k a=si~r or ~scripti~ according to {~, ~ ~ street ~ma ?,ooXc. APPIROVI~D AS NOTED NOTIFY BUILDIN~ ,,~ ~ FOR THE 76~.~802 FOLLOWING INSPEC~O~S: ~. ~OUND~TIOH - ~0 FOR POURED CoNCR~ 2. ROUGH - F~M~NG & PLUMBING (IXJNL'Y OF ....................... 3. iNSULATION .~ .-~..~..~:.['~., ,~t. .~.,' ?..~:'. 4.' FINAL . CONSTRUCTION MUST (~,,e of i,xlivichml signing~contract) "~: I~d~ALLGOn~,nu~__~a[~t alx~e m.s~l, THE REQUIREMENTS OF ~E N,Y, STA~E CONStRUCtION & ENERG~ ,~',s .,e ~ ~ CODES. NOT ~ESPO~SmLE FO~ .............................................................................. OE~ .~ .~ON ERRO (C~mtractor, ~ent, eorlx)r~te officer, etc.) appl ication; that nil station,s conts im~l in ~1~[~ al~)lication are tn~ to the I~t (ff hi~ km~l~ge s~ I~lieP~ [hat the ~rk ~i[l I~ I~rfom~l in thn n~m=mr ~C forth in the sp~lication ~il~ ti~r~id~. .~k~)rn to tmf~e this .......... .... l~t sty I ........... ~IRE L G~ ~ ~blic, State of N~ Yo~ No. 4879505 Qualifi~ in Surfak Coun~ ~ ~mi~ion E~ires D~m~r 8, 19 ~ (Sig[ml:ure of Appl iesnt)