HomeMy WebLinkAbout34121-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33372
Date: 11/05/08
THIS CERTIFIES that the building AGRICULTURAL BUILDING
I~cation of Property: 24385 MAIN RD
(HOUSE NO.) (STREET) (HAMLET)
Co~ulty Tax ~p No. 473889 Section 109 Block 1 I&)t 13.2
subdivision
Filed ~p No. Lot NO.
CUTCHOGUE
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 13, 2008 pursuant to which
Building Permit No. 34121-Z dated AUGUST 28, 2008
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 AS APPLIED FOR.
The certificate is issued to PECONIC LAND TRUST INC
(OWNER}
of the aforesaid building.
SI~FFOLKCOL~fYDEPAR~I~ENT OF HF~J~THAP~O~-AL N/A
EI~EC~RICAL C~RTIFIC~%TE NO. 4016032 10/23/08
PL~WBERS C~U(TIFICATION DATHD N/A
/ A~{thorized Signature
Rev. 1/81
orm No. 6 \
TOWN OF SOUTHOLD
BUILD MENT
APPLICATION FOR CERTIFICATE OF
This application must be filled in b~ t~pewriter or iuk and subt~tted to the Building Depam~ent with the following:
A. For new building or new nse: 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 sexverage-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 cootains less thau 2/10 of 1% lead.
5. Coimnercial building, industrial building, multiple residences and smfilar buildiugs and installations, a ceitificate
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) nou-conforming uses, or bnildiugs aud "pre-existing" land uses:
1. Accurate survey of prope~.y showiug all property liues, streets, building and uuosual lmtural or topographic
featnres.
2. A properly completed application aud consent to inspect signed by the applicaut. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to thc applicant.
C. Fees
1 Certificate of Occupaucy - Now dwelling $25.00, Addilions to dwelling $25.00, Alterations to dwelling $250('}.
3.
4.
5.
New Constm~tiou:
Location of Property:
House No.
Owner or Owners of Propel~y:
Suffolk Csunty Tax Map No 1000, Section
Subdivision
Pemfit No~ ~/~
Itealth Dept. Approval:
Plmming Board Approval:
Request for: Tempora~ Ce~ificatc
Fee Sub~<tted: $
Swimming pool $25.00, Accessory buihtiug $25 00. Additious to accessory building $25.00, Businesses $50.00
Cetaificate of Occupancy ou Pre-existiug Btfildmg $100.00
Copy of Certificate of Occnpancy - $.25
Updated Certificate of ()ccupancy - $5000
Temporal y Ce~qficate of ()ccupancy - Resident. iai $1500, (Toulmcrcial $15.00
Old or Pre-existing Buildiug: ~ (check one)
Street
Block / Lot 1~"~.~.~ ....
Filed Map. Lot:
Applicant:
I)ate of Permit.
Unde~xvriters Approval:
Final Certificate: ~ (check oue)
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 application of
upon premises owned by
BRIAN BROOKS ELEC. INC.
BOX 1001, 455 BEEBE DR
CUTCHOGUE, NY 11935,
PECONIC LAND TRUST
24385 MAIN RD.
CUTCHOGUE, NY 11935
Located at
24385 MAIN RD. CUTCHOGUE, NY 11935
Application Number:
Certificate Number:
4016032 4016032
Section: Block:
Described as a
Commercial
Lot: Building Permit: . BDC:
ns11
occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, barn,Outside,
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 23rd Day of October, 2008.
AdditionaiCharges
as built 2000
Appliances and Accessories
Time Clock Switch
Service
Sen/ice Disconnect:
Service1 Phase3w Service
Rating150Amperes
Wiring And Devices
Fixture
Receptacle
Receptacle
Receptacle
Receptade
Switch
QT¥ Rate Rating Circuits Tv~
1 0
1 150
9 0 Fluorescent
1 0 30a Dryer
1 0 GFCI
2 0 50a Special I twist lock
12 0 Gen, Purpose
7 0 Gen, Purpose
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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. 34121 Z Date AUGUST 28, 2008
Permission is hereby granted to:
PECONIC LAND TRUST
PO BOX 1776
SOUTHAMPTON,NY 11968
for :
AS BUILT CONSTRUCTION OF AN AGRICULTURAL BUILDING AS APPLIED FOR
PER SOUTHOLD TOWN PLANNING DEPARTMENT APPROVAL. REPLACES PERMIT #33564
at premises located at 24385 MAIN RD
County Tax Map No. 473889 Section 109 Block 0001
pursuant to application dated AUGUST 13, 2008 and approved by the
Building Inspector to expire on FEBRUARY 21, 2010.
Fee $ 200.00 '~' '
ed S
CUTCHOGUE
Lot NO. 013.002
COPY
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] I/NSULATION
[ ] FRAMING / STRAPPING [I/] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE
Fn~LD EWg~ECTION REPORT DATE COM2ViENTS
FOUNDATION (1ST)
FOUNDATION
ROUGM FRAlVI~G &
P~UIVI~ING
ENSU'LATION PER N Y
STATE ENERGY CODE
ADDITIONAL C O1V/2V/ENTS
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown.NorthFork.net
/
Examined ¢/'~ , 20~
Approved ] ,20__
Disapproved a/c ~,/~/~
Expiration ,20
PERMIT NO.
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, betbre applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Storm-Water Assessment Form
Contact:
Mail to:
Phone:
Building Inspector ------'----'
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date I~ cO° ,20~1~
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 of lot 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 belbre 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 Southold, Sufiblk 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant or name, if a corporation)
(Mailing address of~pplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~e.c on'~ c.
(A~ on the tax roll or latest deed)
If applicant is a corporation~,~S%gnature of duly authorized officer
(Name and title of corporate officer) ' ' '.~
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Locatio~.of land on which p.roposed work will be done:
House Number Street
County Tax Map No. 1000 Section
Subdivision
Block ~p
Filed 1~I No.
Lot ' --
State existing use and occupancy of premises and intended use and occupancy of prop0sed~construction:
a. Existing use and occupancy ¢_¢dr~a~,*/
b. Intended use and occupancy ,~ r'~(.~/Jrr-4-,~,-{~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units
If garage, number of cars
,,/' Addition Alteration
Other Work
(Description)
Fee ~0. oO
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. o.~
7. Dimensions of existing structures, if any: Front ~ ear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front
10. Date of Purchase
11. Zone or use district in which premises are situated
Rear Depth
Rear '~5~ Depth q~3oO:~ q~.
Name of Former Owner ~__----'---~[(uE'¢ ~
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO v/'
13. Will lot be re-graded? YES NO ¢~ Will excess fill be removed from premises? YES__ NO
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. ls this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO w~
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES ,,/ NO__
· IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY
~~"~/~ being duly sworn deposes and, says that ts)he is the applicant
~ , ~,~:,..
(Name of individual signing contract) above n(tmed,
tS)He is the
(Co tractor, AgenL Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
0ualified in Suffolk County
~rn,'ttission ExOiros September ~'0,
PLAi~NING BOARD MEMBERS
JERILYN B. WOODHOUSE
Chair
KENNETH L. EDWARDS
MARTIN H. SIDOR
GEORGE D. SOLOMON
JOSEPH L. TOWNSEND
August 13, 2008
Steven Searl
296 Hampton Road
PO Box 1776
Southampton NY 11969
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY
Telephone: 631 765-1938
Fax: 631 765-3136
Site Plan Approval for Peconic Land Trust
Located at 24385 Main Road in the hamlet of Cutchogue
SCTM# 1000-109-01-013.2 Zoning District: A-C
Dear Mr. Searl:
As per your request on August 11, 2008, a site inspection was performed on August 12,
2008 and the site work was found to be in accordance with the approved site plan.
Please note that Planning Board approval is required prior to any significant changes to
the site. Please contact the Planning Department with any questions regarding the above
matter.
SincerelT, /
Senior Planner
cc: Building Department/
Town Engineer
FORM NO. 3
NOTICE OF DISAPPROVAL
DATE: April 7, 2008
TO: Peconic Land Trust
296 Hampton Road
Southampton, NY 11969
Please take notice that your application dated March 20, 2008
For permit for an "as built" agricultural building at
Location of property: 24385 Main Road, Cutchogue, NY
County Tax Map No. I000 - Section 109 Block_l Lot 13.2
Is returned herewith and disapproved on the following grounds:
The as built construction requires site plan approval from the Southold Town Planning Board.
~ii 'gt{a re
Note to Applicant: Any onto the above referenced application, may require
further review by the Southold Town Building Department.
CC: file, Planning Board
I
I
/ /
~ ~ATI~ S~H ~ATI~
WE~ ~ATIm A?R~V[: Ag NOTE9 NOmH
SmFI~TI~S: ~N PmDL~T~ ~M~AL mlLDIN~ 765-18029 AM TO 4 PM FORTHE
1. FOUNDATION - TWO REQUIRED
ANDP~FAB"~T~R~S~EA~BLY ~E~BYOTH~ ~. ROUGH - FRAMING & PLUMBING OCCUPANCY 0R ....... ~LLU~OE~ATEVlN~A~S~..1/8'= 1'-0
-~I~ANDSIDING26~U~SH~E~,'V' ~ · PAI~INGALL~L~DISP"ME~AT~TOP~ 3. INSU~TION USE IS UNLAWFU~ 24385 ~IN~AD 7/17/01
5'~RADD~IO~L~H RN]~PAI~TOBE~LE~BY~NER 4. FINAL - CONSTRUCTION MUST
~pA~ By S.K~A. ~LTING ~N~, DAT~ 5/3/79 'OF ' ~NDERV~RITERS CERTIFICATE
ALL cONSTRUCTION SHALL MEET .......... ~N~mNG.1 ~--1
THE REQUIREMENTS OF THE N.Y, ---~CUPANCY ~qu~[~ .......... E~AT'~S
· ~LOAD:40 ~ STATE CONSTRUCTION & ENERGY
DESIGN O['~ C(~NSTRU, CTION ERRORS (~ ~'-~ [ ~ ~ ~"~
$~'9~Y OF PROP~~
SITUATE: CUTCHOGUE
TOWN: SOUTHOLD
SUFFOLK COUNTY, NEW YORK
5UF::f=OLf< COUNT'r' TAX ~*
IOOO - IOq - I - P/O I~
~4JR~EE7 11-~O-2OO~
~WN OF
FINAL
SURVEY
S43 *09'20 "E 459
.... 16'
$44°12'20,,E
714.53'
1010.55'
g.O.W. OYEg F. XI,~TINO, AF_~E,~5 ROAOWAY
S43°05,10,,E
572.47'
N4I~ .....
S43°04'40"E 319.26'
o, ~ .... _s_~_4o,oo,,~
506.92.'_ ........
GRAPHIC SCALE
t "=100 '
0 ~00 2OO 30O
N41 °46'40"W
AS t=ILE .~ iO,~R~EB' 16, 2000
TOk'IN OF: '%OUTHoLD DEVELopMENT ~I~HTs
83d.26,_ ~ _
290.01,
216.89,
243 °02'40,,E
824.24'
!/
N40°iS,flO,,W
257.03,
N40°32,40,W
376.87,
JOHN C. EHLERS LAND SURVEYOR
EAST MAIN STl~lq:h-:T N.Y.S. LIC. NO. 50202
,LIVERHEAD, N.Y. 11901