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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24291 Date APRIL 17, 1996
THIS CERTIFIES that the building AGRICULTURAL STRUCTURE
Location of Property 22425 COUNTY ROAD #48 CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 84 Block 1 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 30, 1995 pursuant to which
Building Permit No. 22594-Z dated FEBRUARY 18, 1995
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 BUILDING (GREENHOUSE) AS APPLIED FOR.
The certificate is issued to ROBERT A. & PHYLIS A. GRASB
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-382384 - APRIL 8, 1996
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWM HALL
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date ! . 19.9
NP 22594 Z
Permission Is hereby granted to:
Z
.......s.....
to . .....0.7.1 . la *NY C~
5
at premises located at......G~ 5. .....f ......-y~.......?Y"...~
,
County Tax Map No. 1000 Section ~rT...... Block Lot No. f.P............
r
pursuant to application dated 1 19:~.J.......... , and approved by the
Building Inspector.
Fee $....a`.. .r~~y
Building Inspector
Rev. 6/30/80
Form No, b
n n
L' TOWN OF SOUTHOLD
BUILDING DEPARTMENT TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. 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 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.
3. 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 Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4. Updated Certificate of Occupancy - $50.00
5. ;Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date f1.P. 2 r f% . l~.i.. (.P ?.G
New Construction...'./...... Old Or Pre-existing Building
Location of Property ...??v~....RS.~lfj.......... 'b.aGV6
House No..Street Hamlet
Ouwer or Owners of o
Property...S4:~'°''~ eT r ~ L yS....y z
County Tax Map No 1000, Section 4.4....... Block Lot .../a
Subdivision ....................................Filed Map............ Lot......................
Yy Z/
Permit No............ Date Of Permit . ...............Applicant P 0& A) A1 -15 Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...........
Fee Submitted: Z
Qy,~ • $ 2 APPLICANT
co ~ ~iagl
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1185077 BUREAU OF ELECTRICITY
F 85 JOHN STREET. NEW YORK, NEW YORK 10038
Date APRIL 08,1996 Application No. on file 11413896/96 N 382 384
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the promises of
PF,CONIC GREENHOUSE INC., 22425 RTE 48, CUTCHOGUE, N.Y.
in thefollowing location; ? Basement 0 IM Fl. ? 2nd Fl. Section Block Lot
was examined on APRIL 02 , 1996 and found to be in compliance with the National Electrical Code.
NXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS KHTAClES SWITCHES INCANDESCENT FLUORESCENT OTHER LMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. MIT. N. P.
4 3 3 4
DRYERS RIRNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS pLI UNIT HEATERS MULTI-OUTLET DIMMERS
ql M. P. GM N. P. AMT. NO. A. W. G. MIT. AMP. NAT. AMPS. TRANS. AMT. N. P. SYSTEMS IJAT. WAii3
AMT. K. W. NO. OF iEEi
1 F 1 40
SERVICE DISCONNECT NO. OF S E R V 1 C E
METER NO.OF CC. COND. . W.G.
AMT. MP. TYPE mum. 1 F 2W 1 / JW 3 6 Jw 3.# ~W PER sr OF A. CC. W. G. COND. OF HbUG AOF, HI W. AE G. G OF NEUTRALS A W OF WUNAL
OTHER APPARATUS:
G.F.C.I;-2
ROSLAK ELECTRIC LIC.#3677-E
P.O.BOX 164
CUTCHOGUE, NY, 11935 OOMMU MANAGER
11
Per
This certificate mint not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
January 30, 1995
Peconic Greenhouses Inc.
22425 Rt. 48
Cutchogue N.Y.
Southold Town Building Dept.
Town Hall ~L~ ;r!CAIE
Main Road REQUIRED
Southold, N.Y.11971
Dear Sir,
This will be a plastic covered,steel pipe "hoop" greenhouse.
It will be used to grow additional plants for our business.
The dimensions of this greenhouse are 321by 1001with a
maximum height of 141. The location of it will be starting
Toff the back Northwest corner of our glass greenhouse,
and will run 100' back. The southern end of this greenhouse
will be 351(f12") from the western border of our property.
The northern end will be38' (±12") from the western border
of our property.
Sincerely yours,
G~ ~,Ootlz
Thomas R. Graeb
PeconP6 Greenhouses Inc.
11P
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Y
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~CT 9
29 SETOPP MAP
FOR
rBe & ROBERT A. GRAEB & Pt4nlS A. GRAEB
A T CUTCHOGUE
r. ii 935 TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000-84-Of-10
SCALE: i/' = 100'
DLJ- 5?r-2:7--
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSUL N
[ ] FRAMING [ FINAL
( ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR
1N EC T. UN
1. I m -1
FOUNDATIONy (1st) fr~
FOUNDATION (2nd)
c~
2.
o
ROUGH FRAME ~ 10
PLUMBING
3.
m
m
INSULATION PER N. Y.
STATE ENERGY
CODE
z
4. ~r
/ m
~f y
FINAL
ADDITIONAL COMMENTS:
i
m
. M
' y W
O~
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m
.9
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cy It. / Sygt leFY ~cr`c ,t,/OY/C- T
Me ~ F
o/ yoy o ~ \ i
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EA 10.260 ACRES
"VT A-C
ICT 9
29 SETOFF MAP
FOR
!B° & ROGER T A. GRAEB & PH n /S A. GRAEB
A T CUTCHOGUE
I Y. 11995 TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000-64-Of- 10
SCALE: l" = 100'
January 30, 1995
Peconic Greenhouses Inc.
22425 Rt. 48
Cutchogue N.Y.
Southold Town Building Dept.
Town Hall
Main Road UNDERWRITERS CERTIFICATE
Southold, N.Y.11971 REQUIRED
Dear Sir,
This will be a plastic covered,steel pipe "hoop" greenhouse.
It will be used to grow additional plants for our business.
The dimensions of this greenhouse are 32!by 100'with a
maximum height of 141. The location of it will be starting
7'off the back Northwest corner of our glass greenhouse,
and will run 100' back. The southern end of this greenhouse
will be 351(}12") from the western border of our property.
The northern end will be38' (±1211) from the western border
of our property.
Sincer2ly yours,
-a -4~
Thomas R. Graeb
Peconic Greenhouses Inc.
Rn
BOARD OF HEALTH
FORM NO. 1
/1 SETS OF PLANS
GG TOWN OF SOUTHOLD /'/ZURVEY . . . .
BUILDING DEPARTMENT CIIECK . • • • .
SEPTIC FORK
r~~ n jy uF ~OJ Hi _ 6OU'fh.. _J, N.Y. 119171
m~ TEL.: 765-'.802 NOT I FY / f~
CALL _ ~L(~-~V
d
EXantined.~t/........... 19.5 MAIL TO:
Approved . , • , , . , 19y.
$..~9liPermit No°r.~.~i~
Disapproved a/c
tgui1 g Inspector
APPLICATION FOR BUILDING PERMIT
Date 19109"
INSTRUCTIONS
1
a. This 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 stieets
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 whole or in part for any purpose whatever until a Certificate 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 regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
C~re.ro(!_5i iE~~
UNDERWRITERS CERTIFICATE (Signature of applicant, or name, if a/ corporation))
REQUIRED ~,2gzJ C~,/ . f ~If
.P.~......Cu... o. u .
(Mailing address of applicant}
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
~eSSe~
Name of owner of premises AqQ~ I .IT_ . I-JYue r..~h Xs G /~G • Q. • • - • . . . .
f .F"~P
(as on the tax roll or latest deed)
If applicant is a corporation, s'onature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. .
4
Plumber's License No. .
Electrician's License No . .
Other Trade's License No . .
I. Location of land on which proposed work will be done.
C~Y..~f~. 4~ Cu o u e
f~ G(..y
House Number Street
Hamlet
County Tax Map No. 1000 Section 7 , , , , , , , • . Block /a
Lot
Subdivision Filed Itlap No. Lot
(Name)
State existing use and occupancy of premises and intended use and occupancy f proposed construction:
a. Existing use and occupancy ,
b. Intended use and occupancy .~~YlJLJIfZ , W . ~
3. Nature of work (check which applicable): New Building
Repair Removal Addition Alteration
Demolition
Other Work
4. Estimated Cost . ZSZ, ` (Description)
Fee.........
5. If dwelling (to be paid on filing this application)
number of dwelling units Number of dwelling units on each floor .
. If garage, number of cats
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use
7. Dimensions of existing structures, if any: Front Rear .
Height Number of Stories ....................................Depth .
Dimensions of same structure with alterations or additions: Front .
Depth Height :
Number of Stories Rear .
8. Dimensions of entire new construction: Front
Height . Rear ~v2 Depth ~{w
X~euar. • . .
Number of Stories.....A..••,
9. Size of lot: Front . • • . • • • • • ' ' ' ' ' ' ' '
. . . . . . . .
l0. Date of Purchase • • • • • Rear . . . . . Depth pth . . . . .
............................NameofFormerOwner
11. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation: . • • . . . . .
13. Will lot be regraded • • • • • • • .
• ' ' Will excess fill be removed from premises: Yes ,No
14. Name of Owner of premises Address
Name of Architect Phone No.......... .
Name of Contractor Address • ' • ' ' • • • • • Phone No............... .
15. Is this property within 300 feet of a tidal wetland? * " " •Phone...
*If yes, Southold Town Trustees Permit may be required. No.... - "
PLOT DIAGRAM
Locate clearly and distinctly all buildings, 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.
A Ali
Sy
AM, 4 PM` TK
4
..i
:a 3'? fJ W Fit! tP?
C.
TATE OF N OR~ /
OUNTY O -G< ..t~?``~~OO ( SS
~rcz.e.l
being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
)ove named. /
is the..'
V Q .
(Contractor, agent, corporate' officer, etc.)
said owner or owners, and, is duly authorized to perform or have performed the said work and to make and file this
plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
)rk will be performed in the manner set forth in the application filed therewith.
,orn to before me this
d of.....
tary Public,
l~_~~~ _ CC ; _ County ,
CLAIRE L QLEW
Notary Public, Stets of New York
Noi4879508
Qual~ed in Suffolk County / (Signature of applicant)
Commission Expires December 8,1924