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Home My WebLink About28370-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33428 ~te: 12/09/08 THIS CERTIFIES that the building AG BUILDING Location of Property: 39390 MAIN RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax W, ap No. 473889 Section 85 Block 3 Lot 11.4 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2002 pursuant to which Building Permit No. 28370-Z dated MAY 8, 2002 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 RECONSTRUCTION OF AN EXISTING AGRICULTURAL BUILDING AS APPLIED FOR. · ~ne certificate is issued to VINEYARDS INC RAPHAEL (OWNER) of the aforesaid building, SUFFOLK COUNT"f DEPARTMENT OF HEALTH APPRO~-AL ELE~-rKICAL U~TIFICATE NO. PLD~ERS CERTIFICATION DA'r~D N/A N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUH~DING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building DepartmeiSt with the followingi---~ 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 fomr). 3. Approval of electrical installation from Board o f Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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. Ifa 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 Bnilding - $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 New Construction: Location of Property: 2> ~cl t2) House No. Owner or Owners of Property: ~ fL ~ ffl .~ Suffolk County Ta5 Map No i000 Section Subdivision Old or Pre-existing Building: Street Permit No. o~. ~'~ 0 Health Dept. Approval: Date of Pern:fit. Date L/ (check one) Block Filed Map. Hamlet Lot Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ih ,6~.) Final Certificate: (check one) (~-Appli%t Signature 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. 28370 Z Date MAY 8, 2002 Permission is hereby granted to: VINEYARDS INC RAPHAEL 100 COMAC STREET RONKONKOMA,NY 11779 for : RECONSTRUCTION OF AN EXISTING AGRICULTURAL BUILDING AS APPLIED FOR THIS PERMIT REPLACES PERMIT #25541Z at premises located at 39390 MAIN RD PECONIC County Tax Map No. 473889 Section 085 Block 0003 Lot No. 011.004 pursuant to application dated MAY 8, 2002 and approved by the Building Inspector. Fee $ 150.00 ~ AuthoriZed Slgnatu~rs~ COPY Rev. 2/19/98 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [. ]~LATION [~FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR FIELD ~NSPECTION REPORT DATE COt~4ENTS FOU~AT~ON (IST) ~1~ ~11 / FO~ATION (2ND) II ii INSULATION PER N. Y. STATE ENERGY CODE II FORt! NO. I TO~i OF SoITrBOLD BUILDING DEPAR~IENT TOI~N HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 ~.~.-~ .................. CALL .......... .~iL TO.'.. ~..~./-~- ......... ........ &.~...~:~....~...//.?£&-- a. This application m~st be ~.letely filled in by type~iter or in ink a~d sul~itted to ~ ~ldi~ ~tor ~fl 3 ~ts of pl~, ~a~ pl~ pl~ to mule. ie ~di~ tO ~le. b. Plot plm ~ l~im of 1~ ~ of ~i1~ ~ p~s, ~lati~ip to ~joini~ p~s ~ ~lic st~ts or m, ~ ~i~ a ~i1~ ~ri~i~ of 1~ of ~ ~'s~ ~ ~ ~ ~ di~ ~i~ is ~t of ~is ~li~ti~. c. ~ ~ ~ ~ ~is a~li~ti~ ~ mt ~ ~ ~fo~ i~ of ~ildi~ ~t. d. ~ ~ of ~is ~i~ti~, ~ ~ildi~ ~tor ~11 i~ a ~ldi~ ~t to ~ ~li~t. ~t ~1 ~ m ~ ~s ~il~le ~r i~ti~ ~t ~ ~. e. ~ ~ildi~ ~1 ~ ~i~ ~ ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~ifi~te of ~ ~1 ~ ~ ~'~ ~ ~ ~ldi~ ~. ~I~ ~ ~Y ~ ~ ~ ~ildi~ ~!.~.~ ~ ~ is~ of a ~ildi~ ~ ~ ~o ~ ~ldi~ ?~ ~ of ~ ~ of ~ld, ~lk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~s or ~ati~, ~ ~ ~ti~ of ~ild!~, ~i~i~ or ~era~i~, or ~ x~ ~ ~li~i~, ~ ~in ~i~. ~ ~li~t ~ ~ ~Y ~ ~1 ~li~le 1~, ~s, ~ldi~ ~, ~i~ ~, ~ (Si~e of ~li~t, or ~, if a ~nti~) ..... ! ~ili~ ~n of ~li~t) $~te ~ ~li~t is mr, le~, ~t, ~i~t~ ~i~r, ~ral ~t~tor, el~trici~, pl~r or ~il~r. ~,~e~ /~~ ......................................................... .. ~ _ = ~_ ~a~ /~ ~ · ~...~ ...................... ~ .................................... If a - ~ ~y ~i~ offi~r. ~rs Li~ ~ ..................... PI~ ~ ~ ........ ~l~t~ci~ ~ ~ ................ ~r ~a ~ ~ ................ I. ~ti~of 1~~~11~ .............................................................. ~ · .~F~- ~' ~ ~//,/ Fil~ ........ ~t ........ ~ivisi~ .... ~ ................................. ' ...... (~) 2. S~e ~at~ ~ ~ ~ of ~s ~ ~t~ ~ ~ ~ of ~ ~ti~: - .)~ ~ -~/~- . ......... a. ~st~ ~ ~ ~ ..... ~C/.~! ............ ~ ...... ~... ~.~ .......... / ' X~/~;~ .......... b. ~ ~ ~ ~ .... ~ ................... ~ ........... ~ ................. 8o P~.ure o~ ~rk (d~eck ~ddd~ applicable): N~ .~.11. dl~ ..... ~... ~lt~ .......... ~terati~ .......... ~ir ............ ~l ............. ~hta~ .... ~.~.. ~r ~ ..~.~1~ ...... :7...:L"' ~'~- ~ 0 , (~i~i~) ~ti~t~ ~st ............ : ............ ~ ......~...~. ~.~.. If ~lllg, ~r of ~lli~ ,~its ~ ..... (to ~ ~id ~ filig this ~li~tim) · ~r of ~lllg ~its ~ e~ R~r .~ ......... II ~, ~r o~ ~rs ..... ~/~. ........................... / / ,i~i~, o~ ~i~ ~t~. i~ ~: ~..~e. ......... ~ ..~ ......... ~pm ...w ............. l~ibt ~ / ......................... ~r o[ Stories .../ ................. ~i~ of ~ ~t~ ~th aite~ti~ or ~iti~: ~t ~pth .................... ~i~t .................... ~r o~ Stories ............... ~i~i~ of ~ti~ ~ ~t~tim: ~t ~ 0 / ................ ~ar ........... ~p~ .............. ~i~ . ./~/' ..................... ~r o~ Stories .................. Si~ of lot: ~t .................... ~------------........ ~pd~ .... ~te of ~dm~ ..................... ~ of Four ~r ........ t ....~ .................... ...... o, i. .... .............................. ~s ~ ~t~ti~ violate ~ ~i~ 1~, o~i~e ~ ~lati~: ..~ .................. ~in ]ot ~ ~ ..~.q .............. ~iu ~ fin ~ ................................... ~ress ............................... Is dfis ~ ~in ~ f~t of a till ~tl~ * ~ .......... ~ .......... PLOT DIAGRAH L~cate clearly and distinctly ail buildings, uhether e~isting or proposed, and indicate all set-back dlmnsioas fr~ p~operty lines. Oim~ street and block ~aber or description according to deed, and sho~ street names and indicate ~fnether interior or corner lot. Notary PubI:c, No. 47917(~ New York 765-1802 BUILDING DEPT. INSPECTION [~/~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 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. 25541 Z Date FEBRUARY 171 1999 Permission is hereby granted to: RAPHAEL VINEYARDSi INC. 100 COMAC STREET RONKONKOMA~NY 11779 for : DEMOLITION OF EXISTING BARN AND CONSTRUCTION OF A NEW ACRICULTURAL STORAGE BUILDING IN SAME LOCATION AS APPLIED FOR. at premises located at 39390 County Tax Map No. 473889 Section 085 pursuant to application dated JANUARY Building Inspector. MAIN RD PECONIC Block 0003 Lot No. 011 19 99 and approved by the Fee $ 135.00 Authorized Signature COPY Rev. 2/19/98 TOWN OF SOUTHOLD PROPERTY RECORD CARD )WNER STREET ~ ~,~ ~ ) VILLAGE DIST. SUB. LOT ' W ~PE OF BUILDING , , ~ND IMP. TOTAL DATE REMARKS I I~l~ I ' '1 AGE BUILDING CONDITION ~ ~ ~q )~ J-~ ~ [ ~ 4~ NORMAL BELOW ABOVE :A~ Acre Value Per Value Acre liable 1 ~ >~ /~ ~ ~ liable 2 ~lond ~omp~nd FRONTAGE ON WATER ushland FRONTAGE ON ROAD )use Plot DEPTH ~ / / ~ /~ BULKH~D ~tal ,/~, ~ ~) ~ DOCK COLOR TRIM tension tension tension ,rch ,rch 'eezeway =rage ~tio otol 'Foundation ~ /~ Bath Fire Place Roof Recreation Room Dormer ~' f4 ~ Driveway Floors Interior Finish Heat Rooms 1st Floor Rooms 2nd Floor / LR. DR. BR. FIN. B. ~)~_~,,~_ ~,_//~/TOWN OF SOUTHOLD PROPERTY RECORD CARD ~.~ ~,~_~. WNER STREET ~ ~ ~;)~_~ ~ ~ VILLAGE DIST. SUB. LOT ~ER O~NERI N E ACR.~ L_~ S W TyPE OF BUILDING ~N D IMP. TOTAL DATE R~RK5 ~l~/~.~-LII7/q~4~-~/~k, ~ ~)1 ~'~ I~c - ~.~o~ leble ~ ~ 0-~ /~ ~ FRONTAGE ON WATER ~lend FEONTAGE ON ROAD ~edowlend DEPTH )use Plot BULKH~D FOR~NO. ! TO~INOF SOUTHOLD BUILDING DEPARTI~NT TO~IRALL SOOTItOLD, N.Y. 11971 TRL: 765-!802 ........ r f--'--' ~--1 I ......... ~-...~/ ....... .-~.. ,!AN J9~ ~! / / gL; G, D: ~. TOW'; ~F SOU: HOLD INSTRUCTIONS a. 1his a~plicaticn ~ast be c~pletely filled in by t3q~vriter or in i~ ~ ~itt~ m ~ ~iMi~ I~tor ~ 3 ~ts of pl~, ~wate plot pl~ to ~ale. F~ ~i~ to ~e. b. Plot plm ~ lati~ of lot ~ of ~ildi~ ~ p~aas, ~lati~ip m ~joini~ ~s or ~lic st~ts or ~, ~ gi~ a ~tail~ ~ri~i~ of l~t of ~ ~t ~ ~ ~ ~ di~ ~i~ is ~rt of ~is ~liatim. c. ~ ~ ~ ~ ~is ~li~ti~ ~ mt ~ ~ ~fo~ isle of ~ildi~ ~t. d. ~ ~ of ~is ~li~ti~, ~ ~ildi~ ~tor ~11 i~ a ~ildi~ ~t to t~ ~li~t. ~ ~t ~1 ~ ~ ~ ~ ~s ~il~le ~r i~ti~ ~t ~ ~. e. ~ ~ildi~ ~1 ~ ~i~ ~ ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~rtifieate of ~I~ IS ~ ~ to ~ ~ildi~ ~.,~..t ~r ~ is~ of a ~ildi~ ~t ~t to t~ ~ldi~ ~ ~i~ of ~ ~ of ~1~, ~ffolk ~, ~ ~o~, ~ o~r ~li~le ~, ~i~s or ~ati~, f~ ~ ~ti~ of ~ildi~, ~iti~ ~ alterati~, or ~ ~ or ~liti~, ~ ~in ~i~. ~ ~li~t ~ to ~ ~a ~1 ~li~le 1~, ~i~s, ~ildi~ ~, ~i~ ~, ~ ~lati~, ~ to ~it ~i~ i~t~s ~ ~s ~ in ~ildi~ for~s~ i~ti~. ~ (Si~e of ~li~t, or ~, if a ~rati~) (~ili~ ~ss of ~li~t) State ~hether applicant is o~er, lessee, agent, architect, engineer, ge~ral co~traetor, electrici~a, pl~r or ~il&r. o~ ~ ~s ......................................................................................... .... .......... (~ ~ title of ~te offlm ) ~iiders License No ~trici~ Li~ ~. . · ~r ~'s ~ ~ ................. I. ~ti~of 1~i~ ~~11 ~ ~ .............................................................. ~ivisi~ ............... ~ ..........------ ~ .......... ... .- (~) ~. ~,~i~ ~ ~ ~ ...... ~a ................. ..... ~----~--.-~ .............................. 3. l~Cure of ~ork (check ~id~ applicable): ~ Building .......... &lditica .......... Alrera.~n~ . ......... gepair ............ Removal ............. l~mlitica .... '~"'~1" Other k~orl~ . .~t~Cp..~.~.lod. ...... .~... ~. ~ ~ ~ (Description) 4. Estimatnd Cost fee ......~b'~'--O , ~ O. (to be paid on filing this application) if garage, of cars ..... ........................... 6. If business, c~m~reial or raised occupancy, spacify nature and extent of ead~ type of use. ?. Bin~nsions of existing structures, if any: Front...q~. ........... gear ..~.~ .......... I~epth ...~ ............. Ileight '/~ / ......................... Ix~mber of Stories ... ~. ................. Din~nsions of same structure with alterations or additions: Front ............... gear ............... P~pth .................... Beight .................... lqmber of Stories . 8. Diaensions of entire ee~ construction: Front (/0 / gear ..~..~7. ........ Bepth geight ..,..._/°~ /'............... Ii,tuber of Stories .... / ............... 9. Size of lot: Front .................... gear .................... Bepth .................... I0. l~ate of l'urclmse ..................... lX~re o£ Former Oaser ........ ~ ....~ .................... ' ...... II. Zone or use district in ~hich pn~isee are sltuatnd 12. ~oes proposed construetica violate any zoning la~, ordin~qca or regulation: . .../~..0 .................. 13. Idill lot be regradnd . ..Af..O. .............. glill excess fill be remm~l froa premises: ~ ~ of Architect .................................... fiddress .............................. Phone No ............... Rm~ of Coatrsctor J Pe~./6 ~/j/~-~0~ ~ldress ....~.~..~..~'. ..................... Phone 15. Is this pmparty within 300 feet of a tidel ~etland? * ~ .......... ~ .......... PLOT DIAGRAH [ocate clearly and distinctly ail buildings, ~betber existing or proposed, and indicate ali set-bock dimensions property lises, gi~e street and block r~her or description according to deed, and ~ street n~es and indicate ~netber interior or career lot. .......................................................... ~i~ duly ~m, ~ ~ ~ys ~t ~ is tim ~l.i~t (~ of i~ivi~l si~ing ~tr~t) a~ ~, I~ is d~e ......... ~..~ ................................................................................... (~tr~tor, ~nt, ~rate oilier, etc.) of ~id ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfo~ or h~ ~r[o~ ~ ~id ~ ~ to ~ ~ file this a~licatlm; ~at aH stat~nts cmtai~ in ~is a~li~tim am t~ to ~ ~st o[ his ~1~ ~ ~llef~ a~ P~om to before me this ......... York SURVEY BY~. JEFFREY S. BAUSCH, P. LS.,P.C 289 Donald Blvd. Holbrook, N.Y., 11741 (516) 585-8427 .D. F--A L E SURVEY BYt JEFFREY S. BAUSCH, P.I ~S.,P.C 289 Donald BIv~L Hoibrook, N.Y., 11741 (516) 585-8427 UND.~RWRITERS CERTIFICATE REQUIRED OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE: OF OCCUPANCY APPROVED AS NOTED DATE: ~' NOTIFY BGILDI"6 ~O~NG 2. ROUGH - 3, INS~ON 4. ~IN~L BE ~M~ ALL CONSTflU~ION ~HA~ ME~ THE REQUIREMENT8 OF ~TATE CONSTflU~ION CODES. N~ RESPONSIBLE FOR DESIGN OR ~NS~U~ON ERROR~