HomeMy WebLinkAbout25813-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31838
Date: 09/25/06
THIS CERTIFIES that the building
FARM STAND
(STREET)
Block 5
CUTCHOGUE
(HAMLET)
Location of Property: 1215 COX LA
(HOUSE NO.)
County Tax Map No. 473889 Section 97
Lot 2.1
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
APRIL 15, 1999 pursuant to which
Building Permit No. 25813-Z
dated
JUNE 21, 1999
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 ACCESSORY 10' X 16' FARM STAND AS APPLIED FOR.
The certificate is issued to LEANDER GLOVER, JR.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
Rev. 1/81
~'--c
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
\ 3
APPLICATION FOR CERTIFICATE OF OCCUPANCY-),.n.-J
(- .-
This application must be filled in by typewriter or ink and submitted to the Building Depart\nenfwilh-the following:
A. 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 2/1 0 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:
I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features.
2. A properly completed application and 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 Building - $100.00
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
'1;1 '? Ie?,
Date.
New Construction:
House No.
Old or Pre-existing Building:
ColC I.anq;,
Street
(check one)
Location of Property:
L: (, ? J-LO 1 ./'<0
Hamlet
Owner or Owners of Property: j P d J1 dell'
-
(.;.l...ov€ r-- -Iv-
Suffolk County Tax Map No 1000, Section
Block Lot
Subdivision
Filed Map.
Date of Permit. if:z. ,I"t '1 Applicant: A""A~...a,
~J
Permit No.
Health Dept. Approval:
Planning Board Approval: :2 'f)?' I 3 Z
Underwriters Approval:
~ (check one)
Request for:
Temporary Certificate
Final Certificate:
Fee Submitted: $
17;A~~
Applicant Signature
~. ?/D/~
CO l ,/~J'
J~[~ :c:-
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] I~LATION
[ ] FRAMING [vrFINAL
[ ] FIREPLACE & CHIMNEY
, ., -
REMARKS:
I
UL
JDATE &/1/01
INSPECTOR
FORM NO. 3
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)
PERMIT NO.
25813 Z
Date JUNE
21, 1999
Permission is hereby granted to:
LEANDER GLOVER, JR.
815 COX LANE
CUTCHOGUE,NY 11935
for :
CONSTRUCT A 10' X 16' FARM STAND AS APPLIED FOR.
at premises located at
CUTCHOGUE
1215 COX LA
County Tax Map No. 473889 Section 097
Block 0005
Lot No. 002.001
pursuant to application dated APRIL
Building Inspector.
15 1999 and approved by the
Fee $
50.00
~
Authoriz
ORIGINAL
Rev. 2/19/98
ItLD INSPECTION REPORT DATE COMMENTS.'
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TOWN OF SOUTHOLD PROPERTY RE.CglrD CARD
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FORMER OWNER N .
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TYPE OF BUILDING
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CB. MICS. Mkt. Value
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LAND
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IMP.
TOTAL
DATE
REMARKS
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DEPTH
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M, Bldg. ,),: ,
Extension 70 ;( 1<1, 1 U 0 Z '7 <' .:::. " /. $'fJ IJI~gl 'r
Extension bfx/t./:l'- ~p 7B'41 1/4
.:\&-1>
Extension I, 9 / )...'
Foundation Bath Dinette
Porch Basement Floors K.
Porch Ext. Walls Interior Finish LR.
Breezeway Fire Place Heat DR.
Garage Type Roof Rooms 1st. Floor BR.
.,...- /).0 X 6 0 := 7J a () ~bS- IJ (, fa Recreation Roam Rooms 2nd Floor FIN. B
O.lt ~/-2.-J''i It ~ $".0 0 Dprmer Driveway
Total / lO92.
60...... &110451>'.., - 'C>'10
5" 002-
.-. -... ---_.---...~-,_.----~..~----....,........,...
WILLIAM J. CREMERS
KENNETH L. EDWARDS
GEORGE RITCHIE LATHAM, JR.
RICHARD G. WARD
Town Hall, 53095 Main Road
P.O. Box 1179
SouthoId, New York 11971
Fax (516) 765-3136
Telephone (516) 765-1938
PLANNING BOARD MEMBERS
BENNETT ORLOWSKI, JR.
Chairman
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
April 13, 1999
Leander Glover, Jr.
815 Cox Lane
Cutchogue, NY 11935
RE: Request for Farm Stand
Dear Mr. Glover,
The Planning Board has reviewed your request for a farm stand.
A field inspection has indicated there is adequate space for the four
(4)parking spaces.
You will be required to file an application for a farm stand permit with
the Building Department.
If you have any questions, or require assistance, please contact this
office.
c?~:inL( ~
Site Plan Reviewer
cc: Edward Forrester, Director of Code Enforcement
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BLDG. DEPT.
TOWN GF SOUTHOU)
.FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
soumOLD. N.Y. 11971
TEL: 765-1802
BOARD OF REALm ...............
3 SETS OF PLANS ...............
SURVEy........................
CRECK .........................
SEPTIC FORM ...................
Examined.. .<:-. .:-. ::t....... 19.~j
1,-'-\ ~q
Approved.................. 19....
NOTIFY:
CALL 'J?!M. ./. 5?->:.~
MAIL TO:....................
Permit ,lb. ~??I3.C:...
Disapproved a/c ..... .............................
,
............................................................
-~~
APPLICATION FOR BUILDING PERMIT
Date. .'-J/I.~......., Is9.
'\
INSTRUCTIONS
a. This applicatioo DUSt be ~letely filled in by typewriter or in ink and subnitted to the &lilding Inspector wi
3 sets of plans. accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing locatioo of lot and of buildings 00 premiaes. relationship to adjoining premises or PJblic
streets or areas. and giving a detailed description of layout of property DUSt be drawn on the diagr8ll which is part of
chis application.
c. The wrk covered by chis application may not be """ua=ooced before issuance of &lilding Permit.
d. Upon approval of this application. the &lilding Inspector will i8Slle a &lilding Permit to the applicant. Such
permit shall be kept 00 the preniaes available for inspection throughoot the work.
e. lb building shall be ocwpied or used in ,,",Ie or in part for any purpose whatever until a Certificate of
()xo'I'""'"Y shall have been granted by the &lilding Inspector.
APl'LlCATICfi IS JI!RI!BY MilIE to the &lilding Ik..... t...,,,t for the issuance of a &lilding Permi t pn-SU8J1t to the
&lilding Zone Ordinance of the Town of Southold. &1ffolk County. New York. and other applicable Laws. Ordinances or
Regulations. for the constructioo of buildings. additions or alterations. or for remval or dem:>lition. as herein
described. The applicant agrees to ~ly with all applicable laws. ordinances. building code. housing code. and
regulations. and to adDit lIUt:horized inspectors 00 premises and in ~~ /Jfor~lE!Ce inspections.
.~...~.~~..
(Signature 0 licant. or DIllE. if a corporatlOn)
..S.l.~.(.(;ix.L~...C~9~.~...
(Hail ing address of applicant)
State whether applicant is owner. lessee. agent. architect. engineer. general contractor. electrician, pluJiJer or builde)
.... .D.WY):ef.':.......................................................................................................
NaIl! of owner of premiaes ..LeA'tdec.12.qJ.Oxe:C::IC.....s.....D.~b~...G:i~..............
(as 00 the tax roll or latest deed)
-'
If applicant is a u.o. "".ation. signature of duly mthorized officer.
............................................................
(NaIl! and ti tie of corporate officer)
&lilders License lb.
Plumers License No.
Electricians License No. .....................
Other Trade's License lb. ....................
I. Location of land on Which ~ work will be done..............................................................
..... .3.1.5.. .c~.~YJ:e......c ~~.. J0:j...I. t .CJ?~.............................................
IbJse IbIiJer Street lIaDlet
County Tax Map lb. IlXXl Section ..9.1......... Block ....5.:......... Lot ...~! 1.......
SulxIivisioo ....... ...o .o.......o.o.o.o.o.o.o .o.o.o .o.o..o..o..o.o.o....o.o.o. Filed!iJp lioo. .oo..oo.o.o.o...o.o.o.o.o.o.o. }..()t o..o...o.o.o.........o...o.o.
(NaIl!)
2. State existing use and .......'I""""Y of prenises and inteocJed use and occupaocy of proposed cons~tion:
a. Existing use and occupaocy .. ...........................................................................
b. Iotended use and occupaocy ......... .~;..-:::-... .~.~~.'.......................................
-'. ....--.. ~I't'.'-~"~""" ,........... UU...J.u.l.1'O .......... t\UlU.ll.l()tl .......... AlteratIon ..........
Repair ............ RaIvval ............. Demolition ............ Other Work ...................................
(Descri pt ion)
4. Estillsted Cost ......................... fee ..............................................
(to be paid on filing this application)
5. If Welling, ...wer of Welling units............ lbtber of Welling units on each floor................
If garage, ...wer of cars......................................
6. If lx1siness, <XJDJercial or miJEd occupancy, specify nature and extent of each type lo~.~..;;...................
7. Dimensions of existing structures, if any: Front................ Rear ............... Depth.................
Height ......................... lbtber of Stories ......................
Dimensions of 8lIIlI! structure with alterations or additions: Front............... Rear...............
Depth .................... lIeight .................... lbtber of Stories ...............
8.
Dimensions of entire new construction: Front ................ Rear ............... Depth
Height ......................... lbtber of Stories .....................
Size of lot: Front.. .. .. .. .. .. .. .. .... Rear .................... Depth
9.
10. Date of Purchase ..................... Naue of Former o.ner ........................................
I 1 . Zone or use district in toiJich premises are situated ..............................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ........................
13. Will lot be regraded .................... will excess fill be ramved frail pranises:
YES
R>
;
14.
Naues of o.ner of pranises ........................... Address .............................. Phone No.
Naue of Architect .................................... Address .............................. Phone No.
Naue of Contractor ................................... Address ...............................Phone No.
15. Is this property within 300 feet of a tidal wetland? * YES .......... R>..........
*IT YES, !DIl1IID 'lI:HI 'lllIlSl1!HS FERM1T HAY BE BFQJIRI!D.
,
.............
PLOT DIAGRAM
Locate clearly and distinctly all buildings, Wether existing or proposed, and indicate all set-back dimensions
frail property lines. Give street and block ...wer or description according to deed, and sha.7 street names and indicate
Wether interior or corner lot.
f,x~rr-~~,'r~ f!(:' !l"...,-;-....~~
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. : (' <' ' ~., ; ., ',..'..', >.... -"
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.;-:'.\\!l TO -\
,r;":~:~;t
Sr^lE CF tI~, j f' !
UllNIY CF .~T'J:J5. .k.. s.<;
....~.b.(q.ti-!t:?J}.~.r(;;lQ.v:e(Ir.being duly sworn, deposes and says that he is the applicant
(Naue of individual signing contract)
above "'"""",
lie is the ................. .(/.~.. . .. . .. . .. . .. .. .. . . .. .. .. . .. . .. . .. . .. .. .. .. . .. . .. .. . .. .. . . .. .
(Contractor, agent, corporate officer, etc.)
..\.(,/,;~:.J:.J !NSPcCii;
r,c> ';'<Ul-~.~-]Ohl . f
::-u;:; POURED CONCli:~
.~ ~:~~nUGH. FRAMiNG ~~ P~..Uf\iktiNG
3 iNSULATION
4. fiNAL - CONSTRUCTiON MUST
BE COMPLETE FOR C,Q
ALL CONSTRUCTION SH?\LL MEET
THE REQUIREMENTS OF THE. N Y
STATE CONSTRUCTION & GJ~RGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
::'."JiHED
of said lJolDer or lJolDers, and is duly authorized to perfoDII or have performed OlE! said work and to make and file this
application; that all statements contained in this application are true to the best of his knoolleclge and belief; and
018t the lolOrk wi 11 be performed in tilE! nsnner set forth in the application filed therewith.
ClAIRE L GLEW
NoI8ry PublII:. Stole of Now York
No. 01 GlA879505
ClulIIlIIed In Suffolk Co~ 0J1J1.I
CommI8aion Expires Dee, 8.
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(Signa of ^wlicant)
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