HomeMy WebLinkAbout34284-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33386 I~te: 11/14/08
T~IS u~TIFIES that the building FARM STA~D
Location of Property: 19110 SOUNDVIEW AV~ SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
Co~/~ty Tax Map No. 473889 Section 51 Block 3 I~Dt 4.11
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 3, 2008 pursuant to which
Building Pe~it No. 34284-Z dated NOVEMBER 7, 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 FARM STAND AS APPLIED FOR.
~e certificate is issued to FRANK & CLAUDIA PURITA
( OWNER )
of the aforesaid building.
SUFFOLK C~XR~i"fDEPAR~T OF ~F~%L~{;%PPRO~KL N/A
ELEt-r~ICA5 CERTIFICA~ NO. N/A
PL~3~ C~TIFIC~%TION DA'r~ N/A
Rev. 1/81
Form No. 6
-~'-':7', '~ TOWN OF SOUTHOLD
~ BUILDENG DEPARTMENT
Al?
I '~ aLICATION FOR CERTIFICATE OF OCCUP~cy
g Depaffment wi~ the following:
A. For new building or new use: 1. Final survey of property witb accm'ate 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. Swom statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Cmm'nercial building, industhal building, multiple residences and similar buildings aad installations, a certificate
of Code Compliance from architect or engiueer responsible for the building.
6. Submit Planning Board Approval of completed site plait requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
l. Accurate survey of properly showing all property lines, sheets, building and uuusual uatural or topographic
features.
2 A properly completed application aud consent to respect sigmed by tile applicant. Ifa Certificate of Occupaacy is
denied, the Buildmg Inspector shall state tile masoos therefor in writing to the applicant,
C. Fees
I Certificate ofOccupaucy - New dwe ~g $25 00, Additions to dwelling .$25.00, Alterations to dwelling $25.00,
Swi~m~ing pool $25.00, Accessory buildiug $25.00, Additions to accesso%, building $2500, Businesses $50.00
2 Certificate of Occupancy on Pre-existnig Building $100.00
3. Copy of Certificate of Occupancy - $.25
4 Updated Certificate of Occupancy $50,00
5. Temporary Cei~ificate of Occupancy - Residential $15 00, Conm~ercial $1500
Old or Pre-existing Building: _ (check one)
House No. Street -- Hamlet
New Coustm.~tiov.:
Locatiou of Properly:
Ownm or Owners of Property:
Suffolk C~unty Tax Map No 1000, Section
Subdivisioo
Pemlit No
Health Dept. Approval:
Plalming Board Approval:
Request for: Tempora~ Ce~ificate
Fee Sub~tted:
Da,e of Pennlt.~.~/~
Block__ 3 Lot
Filed Map Lot:
Applicant:
Unde~avriters Approval:
Final Certificate:
(check one)
(~ "~PP'~man~f~ignature
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. 34284 Z
Date NOVEMBER 7, 2008
Permission is hereby granted to:
FR~_NK & CLAUDIA PURITA
19995 SOUNDVIEW AVENUE
SOUTHOLD,NY 11971
for :
FA/~M STAND PERMIT AS APPLIED FOR
at premises located at 19110
County Tax Map No. 473889 Section 051
pursuant to application dated NOVEMBER
Building Inspector to expire on MAY
SOUNDVIEW AVE
SOUTHOLD
Block 0003 Lot No. 004.011
3, 2008 and approved by the
7, 2010.
Fee $ 150.00
ORIGINAL
Rev. 5/8/02
FO~ATION (1ST)
ROUGH F~G &
pL~G
~S~ATION PER N. Y.
STATE ENERGY CODE
F~
~DITION~ CO~S
~ m
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
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
Examined I I 0
ap owd//
Disapproved a/c
Expiration
/ ~ Flood Permit
,20~ a"~ [~ [g [~ 0 ~ [~..[l~l~: Storm-Wate/ Assessment Form
~ ~.~[ [l~i, Contact:
~ __: T~'$O~o ~ Phone:
APPLIC~ION FOR BU~ING PERMIT
Date ,20
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 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 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 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.,~ ~,_.~w~:2~~~
/ (Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
/(Nameofownerofpremises /~rc)r7 [~' ¢ ~/Ot c./(~ ( ~ '~:>kv'W' '3[/~
(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.
¥1.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section ,S-t/ Block ~.~ Lot 27( //
Subdivision Filed Map No. Lot
2. ~ State existing use and occupancy of premises and intended use.and occupancy of proposed construction:
~ a. Existing use and occupancy f:70~r t/-/ ~ ~ ,q C~
b. Intended use and occupancy.
3. Nature of work (check which applicable): New Building_
Repair Removal Demolition
4. Estimated Cost Fee
If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Alteration
(Description)
'(To be paid on filing this application)
N.utAbs[ of dwelling units on each floor
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front /0
Height_ Number of Stories
Rear
Dimensions of same structure with alterations or additions: Front
9. Sizeoflot: Front
10. Date of Purchase
Depth ~>'
Rear
Depth Height
Dimensions of entire new construction: Front
Height Number of Stories
Number of Stories
Rear Depth
Rear Depth
Name of Former Owner
l 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__
13. Will lot be re-graded? YES __ NO__
14. Names of Owner of premises
Name of Architect
Name of Contractor
NO
Will excess fill be removed from premises? YES__
Address Phone No.
Address Phone No
Address Phone No.
NO j
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wethmd? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE R~QUIRED.
b. Is this property within 300 feet cfa 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.
NO
Signature of Applicant
Sworn to before me tkis~
2'~r~ day of ~x0'ah~'xlG~/x 200~'
Notary Public
STATE OF NEW YORK)
SS:
COUNTY
~' /f~!/O/ Y/ k ~ff'-*¢~ I' +/~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
CONNIE b. BUP~Ch
Notary Public. State of New Yor~
(S)He is the No. 01BU6185050
(Contractor, Agent, Corporate Officer, etc.) ~ Qua Ifieg. in ~uffo k Counb/
k,omrmsslon ~xpires April 14, 20 } ~
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.
8. Are there any covenants and restrictions with respect to this property? * YES NO__
· IF YES, PROVIDE A COPY.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
Land Lease
LEASE made as of this 25th day of February, 2008, between Triberry Fields LLC, a
New York limited liability company, having its principal place of business at c/o Bettina
Equities LLC, 230 East 85 Street, New York, New York 10028 ("Landlord"), and Frank Perita
residing at 19995 Soundview Avenue, Southold, N.Y. 11971, ("Tenant")
WITNESSETH:
1. Premises:
Landlord hereby leases to Tenant, and Tenant hereby leases from Landlord, for the rent
and subject to the provisions of this Lease, that certain parcel of vacant land (the "Premises")
described in the annexed Exhibit A and as Lot 10 on the filed map (the "Map"), a copy of
which is annexed as Exhibit B. Notwithstanding the foregoing, Tenant acknowledges and
agrees that it may not use any portion of the Premises designated as the "Building Area" or the
"Turnaround" on the annexed filed map, it being acknowledged that said areas on Exhibit B
are more extensive than such areas are designated in the actual filed map.
2. Term:
(a) The term (the "Term") of this Lease shall be for ten (10) years, beginning on
March 1, 2008 (the "Commencement Date"), and ending on February 28, 2018, (the
"Expiration Date"), unless sooner terminated by the Landlord as provided herein.
(b) Notwithstanding anything to the contrary contained herein, Landlord has the
option (the "Option") of cancelling this Lease for any or no reason, upon ninety (90) days
advance written notice to Tenant. In the event that Landlord exercises this option, no rent shall
be payable by Tenant to Landlord during the 90 notice period.
3. Rent:
(a) Tenant hereby agrees to pay to Landlord a base annual rental ("Rent") for the
Term as follows:
Period Monthly Annual
3/01/08 - 2/28/09 $1,150.00 $13,800.00
3/01/09 - 2/28/10 $1,173.00 $14,076.00
3/01/10 - 2/28/11 $1,196.46 $14,357.52
FILED