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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 ~ize~:- Rev. 1/81 I I L-I -_.'. , _. ,i.!:!_Q1,~___ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ ~O. eif pg- Cu~?J.~' IIf35 19 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( \ 0(, 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 ../ (check one I ~,,-tc ~~ Hamlet ~" {p 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, - ~-l\J\)~ 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 '\ ORIGINAL Rev. 5/8/02 " II ", ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at I Application Number: ~ Section: Block: 'ffi 'ffi '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: 'ffi 'ffi 'ffi 'ffi 'ffi 'ffi 'ffi 'ffi i!I i!I i!I i!I i!I i!I i!I i!I i!I i!I ~ 1] 1] l] !I !I !I l] l] !I !I !I !I !I !I !I ~ ~ ~ ~ 'J J J J ] 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. J I I~ l!I.l!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I 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 :: .~ -' ,'~ii'~';=:- , '\ I seal of I 3}~sG, Z-. 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: ;=-~ ~ /~ -f- ~ ~ ok, DATE ~r; ~O, 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, , I INSPECTOR ~~~~ .: FIELD INSPfCTION REPORT FOUNDATION (1ST) I FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ". -... , DATE I 7/d16 / ~ h' I' C/ COMMENTS A~.& .L...........l (}' 1jJ.." -~ ~~ U\;:j .c.. I~~e t~ / j A ,vIA I , 3' Ir"-... b ~~ J.- '" .bt , 3, v" l_ ~~ ~ (1~ 't)*tf~'J/Jl ~~ .J - tV '" .., ~ ~ .., ~ '" . --' r;: ~~ t"" ~ .., r .AAl" b' < D L .^ .-:... tr> Ir-- /l~ . ? " I rr::::;r fl.-\U ~_~\.)^~\ 0 hS,'UiJ t ~ -c;..' '-Q v V "'W.J .." (/1/ (. V- ( d'[ f c- r. ADDITIONAL COMMENTS ,", ~ '-- ,t :<, 0 G ~ m. ~~:::tJ r >t- ;I\ ~'" ~ ~~ \ .." :3 ~ , .., C - ...j~ == ~ 2-~ == js~ ~ 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: ,- '.~ ,-; r:' r r i '. ------y r; ~ '\ l, iii; Building Inspector ,. MM 15 1 ~ ! Date '..- . "L (1a.J1 C-- i ';;I~ r Il> 200(.. '- 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) ll,\"?,!> 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 t":,,,, :.~~fZAO cf.';b '- "\: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,_