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19588-Z (Unit 15)
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22065 Date DECEMBER 24, 1992 THIS CERTIFIES that the building ALTERATION Location of Property 22355 COUNTY RD. #48 (Unit 15) CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 84 Block 1 Lot 26.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 1990 pursuant to which Building Permit No. 19588-Z dated AUGUST 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 ALTERATION TO CONSTRUCT WORKSHOP & OFFICE AS APPLIED FOR. The certificate is issued to PURGE CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-130236 - MAY 22, 1990 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 msti xo. 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) N~ 1 9 5 8 8 Z Date'...1.-.. s.u-w,~,~.......1...`~ 19.9 Permission is hereby granted to: ............~.,rtr4.~.~{.IS.......1.~Y'~! . . .........~.ox.......1..`~.la ~.v ~ ~ at premises locoted at . ~:Z.3.~.`~s~..............:s..9 ................~.hn.r1.~,,..,.......~.5...... County Tox Map No. 1000~Se~ctio~n ....Q Block Lot No... ~:~P pursuant to application dated .~l.~f1..S.Q.~~........~..~.........., 19..t'I.°.., and approved by the Building Inspector. Fee 5.~~:...~...... ~ Building Inspector Rev. 6/30/80 Form No. 6 TO[JN OF SOUTHOLD - ~ BUILDING DEPARTMENT TOW[d HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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 Pire 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 buildings 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. B. 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. C. 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 Euilding - $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 ...DEC:.9r.1992 New Construction........... Old Or Pre-existing Building iur ct 1 ~ 22355 COUNTY ROAD. #48 CUTCHOGDE NEW YORK Location of Property......... r. House No. Street Hamlet Onwer or Owners of Property...... PUDGE.CORPORATION County Tax Ptap No 1000, Section.....84.......Block....~...........Lot...26:? Subdivision ....................................Filed Map............Lot...................... 195882 12/14/90 A PURGE CORPORATI N Permit No ................Date Of Permit.............. pplicant.................Q........... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... SU.00 Fee Submitted: $ JAMES GRAY: SR. C3~.RC.bS3~$i - APPLICANT cu ~aa0(o5 cIELD i;:S:cC.'_u;7 ~IUr.:~ ~JMt9ENT° - _ ^v ~ 1. H ~ ~ FOUt7DATI0N (1st) cN. N 4+ FOUt1DATI0IJ (2nd) _ - ~ CS' 2 . I. z oN r! P,OUGH FRAME & W v, PLUMBING 3. ~ m m-~ IIJSULATIOPI PER N. Y. -3~ STATE ENERGY CODE x a 4 . o G' m FZidAL ADDITIOPIAL COMMEPlTS: x pp ~ ye 1{~ m ' ~ x ~ H ~ b ~ ~ \ H O ..Q N x m A r H T~ v m ~o H _ B0.\RD OF HEALTH J SETS OF PL.1:tS . FORM NO.1 $URVEY TOWN OF SOUTHOLO C11ECt; . BUILDING DEPARTMENT SEP'['IC FORPf . TOWN HALL - $OUTHOLD. N.Y. 11971 NOTi PY TEL.:7G5~1802 CALL MALL TO: . Approved .L.K? S?'!+~~*; . ~7., 199 Pcrcnit No........... . DisaPProveda/c _ . p t5 Q U L5 Y (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN Qf SOUT`iOLO Date ..;July.30,..•..., Iy90 INSTRUCTIONS a. Tltis application must be completely tiled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ets of plans, accurate plot plan t(rscale. 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. e. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of dtis application, [he Building Inspector will issued a Bui:dL~g Pcr,7iit to the applicant Such permit :hall 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 h;tll have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildin: Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ?c;ulations, for the construction of buildings, additions or alterations, or far removal or demolition, as herein described. ~Ite applicant a:rees to comply with all applicable laws, ordinances, building code, housin, code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. .........Pudge CorP (Signature of applicant, or name, if a corporation) ,,,,,,,l;,Q~,l£o,~ 146„ Southold, NY•, 11971..„., (hfailing address of applicant) rate whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Owner ame of owner of premises • Pudge Corp: (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized offi:•er. , (Name and title of co o ate /o~fFcer) Builder's Liccnsc No. ~~~..1.0}'1S~U~1.I.'-Yr' Plumber's Liccnsc No . Electrician's Liccnsc No . . Otlicr Trades Liccnsc No . . Location of land on which proposed work will be done; Cox Lane Industrial Park Uni[ ll 15 ...........223SS .County .Road .4& . , .GUrchogue.,, I•Iy, , . , , flouseNuntbcr Street. ~ Hainlet••.••••'•••••••~~•~~~-•~ i County Tax ~.\fap No. 1000 Section ......84........ Block , , , , , , . , 1, • . • • • . , , Lot .....26....... ' Subdivision F.ilcd Afap No. , , , , , , Lot . (Name) Stzte existing use anti occupancy of premises a jd intended use and occupancy of proposed construction: A. l:xistin „•,,..New.$Li'1<pIµT~J.);~ectrical'Unil - g use and occupancy.. Office Buildout • B. Intended use and occupancy •d••••• _ „ Nature-of work (check which applicable): New 13uildins Addition .Utcration . Repair , , , Removal . . Demolition ..............Swi;nnin ; Wool . Tennis Court Accessory Building.......... Fenre•-,••,„. ^ ...Other [dork..........•... Estimated Cost.... I~dr7 Fec T$1/ (to be paid on films this application ICd+vellin„ nutnber of dwelling units Number of d+vclling units on each floor 1f garace. number of cars . . IC business, commercial or mixed occupancy, specify nature and extent of each type of use . Dimensions of existing structures, iC any: Front . Rear Depth . . Hci^Itt Number of Stories , . . Dimensions of same structure with alterations or additions: Front . Rear . . Depth ::"""`.`1'Ieight ......................Number of Stories . f Dimensions of entire new.CotiStrtttEion: Front Rear Depth . Hei°Itt Number of Stories , . Size of lot: Front; "':'t~.. y~ Rear Depth . Date of Purchase ..'.:.4.... . ' ..............Name of Farmer Owner . . Zone or use district in which premises arc situated . . Does proposed construction viotate any zoning law, ordinance or resulation : . . \Vill lot be regraded .....Will excess fill be removed from premises: Ycs . Ne . . Name of Owner of premises ..>:qdS@ ,Corp., , , , , ,Address Box, 146, Southold , , Pltone No...Z65 ;1850. , , , , , Name of Architect ...........................Address ...................Phone Na........... . Name of Contractor , . , ,Graz .Cot}~trucrion , , , , ,Address Box, 114, Southold, ,phone No...7.Ct5 :7.$~~ . ~.Is this property located within 300 feet of a tidal wetland? =Y);5....2i0.& *If yes, Southold Town Trustees PIeOT DIAGRAM a required. Locate clearly and distinctly all buiidinss, whether existins or proposed, and.indicate all set-back dimensions from ~perty lines. Give street and block number or description accordins to deed, and show street names and indicate whether erior or comer lot. DATA: i ~ .1~':.~ ~ FEE:~G~ ~ I \1~~~~\G4+~' ' c~Y` . • h. • NoTiFY rctlLailvG nEp.~::~rv~Era ~ nr U~©~~~~1RE0 . 'G ~ss•tsa2 ~ a~n TO is ;=o~~ Tlic r( t~ FOLLOLNiititCs itVSr ECT1CiNS. ~ 1. FOUNI?ATiO~' - T~r`~JO RE(~UIRtD O FOR POURED CONCRETE --2. ROUGH FRAP.'iliVti & PLUI~/!SING 3. INSULATION 4. FlPIAL - CONSTRl1CTiON MUST c?:r';'<" ' - 8E COMPLETE Ft1R C.O e a ~ , ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.V, ~ • i~ STATE CQNSTRUCT4pN & ENERGY ~ ` f € CODES. NOT RESPONSIBLE FOR k' ~ • " a~•VC," DESIGN OR CONSTRUCTION ERRORS UNTY OF ! ja ~~qq f( i, ~?~'1~S . 6b'l ~ being duly sworn, deposes and says that he is the applicant . • • • .(ldamc oC individual signi~ts contract) we named. (Contractor, ascot, Corporate officer, ctc.)• :aid o+vncr or o+vncrs, and is duly autltorizcd to perform or liavc performed tttc said work and to make and file this lication; [hat afl statements contained in this application arc true to the best of his knowledge and belief; and that the k +vil1 be prrl'orntcd in the manner set for[It in the application tiled therewith. ~m to before me t`t~~ ~ ~ qQ / .day o ' 19 1. , ary .j~~. ~G'j.,~ ~ County (r Public, I CLAIRE L OLEVI/ ' Notary Publla State of New Yak . • • • . • . . • . No. 4879505 ~ ignature oCapplicznt) Quel'rfied in Suffdk County Commission E~ires December 8,18