HomeMy WebLinkAbout31856-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-3l943
Date: 10/23/06
THIS CERTIFIES that the building ROOF ADDITION
(STREET)
Block 6
CUTCHOGUE
(HAMLET)
Location of Property: 28770 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 102
Lot 20.2
Subdivision
Filed Map NO.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MARCH 15, 2006 pursuant to which
Building Permit No. 31856-Z
dated
MARCH 17, 2006
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 ROFF ADDITION TO FARM STAND OVER EXISTING GRADING AREA AS APPLIED FOR.
The certificate is issued to WICKHAMS FRUIT FARMS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
3005351
08/28/06
PLUMBERS CERTIFICATION DATED
N/A
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Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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IIf35
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. 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 I % 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
Date.
f,;.
2(
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New Construction:
Old or Pre-existing Building:
'"u? -po (l-r,i:... ~
House No. . 'J ' Street .-
Owner or Owners of Property: (.J, ~_.,""'.... ) r::.'-L' t
Suffolk County Tax Map No 1000, Section Lc:> 2. Block
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(check one I
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Hamlet
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Location of Property:
Lot 2..-Q. ~ l
-LLOt:
I~; " If'-cL1' ~....
Subdivision Filed Map.
Permit No. ~J r {' fo - t- Date ofpermit.h /5'/ Ob Applicant:
I "
Underwriters Approval:~-\'S"< <....-\<a.... ::t\
Health Dept. Approval:
3ooS'c, S-I
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
Fee Submitted: $ .(V, -
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CO-l31~l{ ;3
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.
31856 Z
Date MARCH
17, 2006
permission is hereby granted to:
FRUIT FARM WICKHAMS
PO BOX 928
CUTCHOGUE,NY 11935
for :
ROOF ADDITION TO FARM STAND OVER EXSITING GRADING AREA AS APPLIED
FOR
MAIN RD
CUTCHOGUE
at premises located at
County Tax Map No. 473889 Section 102
Block 0006
Lot No. 020.002
pursuant to application dated MARCH
15, 2006 and approved by the
Building Inspector to expire on SEPTEMBER 17, 2007.
Fee $
150.00
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ORIGINAL
Rev. 5/8/02
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I Located at
I Application Number:
~ Section: Block:
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'ffi Described as a Commercial occupancy, wherein the premises electrical system consisting of
~ electrical devices and wiring, described below, located in/on the premises at:
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] This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location ilidlcal~d.
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BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
, , BUREAU' OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon-the applicatj(mof
upon premises owned by
"
, t"
DAN HESTON
28700 MAIN RD.
CUTCHOGUE, NY 11935
DAN HESTON
28700 MAIN RD.
CUTCHOGUE, NY 11935
28700 MAIN RD. 'Wickham fruit stand' CUTCHOGUE, NY 11935
3005351
Certificate Number:
3005351
Lot:
Building Permit:
BDC: o,ns11
First Floor, farm stand,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 28th Day of August, 2006.
Name OTY Rate Ratinli! Circuit ~
Wiring and Devices
Receptacle
Receptacle
5 0
I 0
General Purpose
GFCI
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING !<f FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE Y ~ ?- ~ 6 ,
INSPECTOR ~.~
3/rs(,z.-
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
j>4 FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ;=-~ ~
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DATE
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INSPECTOR ~ ~
31 B5"~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[~UNDATION 1ST [
[ ] FOUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS: ./~r -~~ ~
DATE tJ,/ ft."7 ftc,
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INSPECTOR ~~~~
.:
FIELD INSPfCTION REPORT
FOUNDATION (1ST)
I
FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY CODE
FINAL
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DATE I
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COMMENTS
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ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoId!
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NO. 8/ ~S-6 2:-
Examined
Approved
Disapproved ale
, 20---'
,20~
Expiration
aft)"" , 20~
Mail to:
Phone:
,-
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Building Inspector
,.
MM 15
1 ~ !
Date
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(1a.J1 C--
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Il> 200(..
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APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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 South old, 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.
Wlck,\.o..M'S ~......\\-. ~"''''''''''
(Signature of applicant or name, if a corporation)
~
2"3100 ~ P'6. G..A:c..\r-o~V'<., \0'(
(Mailin~ address of applicant)
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State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Ow~
Name of owner of premises (...:J \c1<.v,o.VV"5 tt=""",...,\.\- ~a"oIV\
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location of land on which proposed work will be done:
:;;2? ao r/." 2...1'
House Number Street
C '-<. f C (tv
Hamlet
L<.~
County Tax Map No. 1000 Section
Subdivision -
(Name)
(02-
Block
Filed Map No.
G
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"\:1. ~ ;, ~,. " 'I' ,.;:r.I,:o:'.~,...
:, 1\;),1;\: '~'JW~ ~ (',.'i~~lm:nc.';)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Fa.". "'^ SI;-o.V'\cl
b. Intended use and occupancy
G,,,,,,,,o''''''e ,,~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
./
Alteration
4. Estimated Cost . ~, coc:,
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor -
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. C..,,,o..a,,,"<::r t'\-re-
7. Dimensions of existing structures, if any: Front Sa I
Height 101' :: t Number of Stories
Dimensions of same structure with alterations or additions: Front So '
Depth i.c I 0 Height \.;;z , Number of Stories
Rear so '
Depth 3<.0'
Rear 50 I
8. Dimensions of entire new construction: Front Ie. 0 Rear /(.,'
Height r21 Number of Stories
9. Size oflot: Front 33.2'6' fI=,,-s Rear Depth
10. Date of Purchase ~,ot><J. Name of Former Owner ~eex'~cY'\
Depth ,;)'5 I
I I. Zone or use district in which premises are situated \-\ ~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES ~ NO ",/'
13. Will lot be re-graded? YES_NO /Will excess fill be removed from premises? YES_ NO ....../
14. Names of Owner of premises W,cl.c.'v"l",,'~ F-N'\~''''Address 2~700 ffi"'M\ gd.
Name of Architect 'S<..~... II\. 'l:"'~~W\",,,"", Address 25Z05' \'<'\~"" ~.
Name of Contractor Address
Phone No. (.3/-73,/- 5'1 S,!
PhoneNo<P3/-/3Cf-bYo-:;-
Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO ~
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES_NO_
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
I
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
[{to tttl $ [.J 1:CKI/i(~eing duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
v~~
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work d to make and file this application;
that all statements contained in this application are true to the best of his knowledge and b ef; and that the work will be
performed in the manner set forth in the application filed therewith.'
Sworn to before me this
/ c:; (..L. day of III ".A u.J. 20 0 G
'--I?~<- ~. 0S~
Notary Public r
,Signature of Applicant
I.lNIM S. TAGGART
NlllIIy 1'uIlIic, stnt of New lbdI
No. 4948506
..J!P!'*I If! SuIIoIk County 200 7
_,.,_, EIpiles March 20,_