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Home My WebLink About34194-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPARNCY No: Z-33524 ~ate: 02/04/09 THIS c~KTIFIES that the building DIESEL TANK Location of Property: MAIN RD (HOUSE NO.) County Tax F, ap NO. 473889 Section 102 Su]~]ivision Filed Map No. __ CUTCHOGUE (STREET) (H~4LET) Block 6 I~t 20.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 25, 2008 pursuant to which Building Permit NO. 34194-Z dated SEPTEMBER 30, 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 ACCESSORY DIESEL TANK AS APPLIED FOR. The certificate is issued to WICKHAMS FRUIT FARM (OWNER) of the aforesaid building. SUFP~)I=K CO~ DEPA~ OF }~LTH APPROI~kL ~J~t-rKIC3~L c~TIFICATH NO. PLUMBERS CERTIFICATION DA'r~u N/A 4020906 01/05/09 Auth~riz~ 'Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN 8H)G. DEPt. _ ~OWN OF SOU~HOIO 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: 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 form). 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. B. 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. 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. New Construction: Old or Pre-existing Building: Location of Property: 9_~O p'~; House No. Street Owner or Owners of Property: _ ~ I Suffolk County T~ Map No 1000, Section Subdivision Permit No. 3 t~ ] q q Date of Permit. Health Dept. Approval: Block & Lot ~:>, ~ Filed Map. Lot: Apphcant. [ ~tc~- /~,.~ Underwriters Approval: ~'5 (__~7~ x~o. Planning Board Approval: Request for: Temporary Certificate / Fee Submitted: $ ')--~'/~, Final Certificate: Al~pvli~a~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. 34194 Z Date SEPTEMBER 30, 2008 Permission is hereby granted to: FRUIT FARM WICKHAMS PO BOX 928 CUTCHOGUE,NY 11935 for : INSTALLATION OF AN ACCESSORY DIESEL TANK AND RELATED ELECTRIC WORK at premises located at MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 102 Block 0006 Lot No. 020. 002 pursuant to application dated SEPTEMBER 25, 2008 and approved by the Building Inspector to expire on MARCjJ~-~-- 30 Fee $ 100.00 e ORIGINAL Rev. 5/8/02 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 TOM WICKHAM TOM WICKHAM PO BOX 928 PO BOX 928 CUTCHOGUE, NY 11935 CUTCHOGUE, NY 11935 Located at 28700 ROUTE 25 CUTCHOGUE, NY 11935 Application Number: 4020906 Certificate Number: 4020906 Section'. Block: Lot: Building Permit:* BDC: ns11 Commercial Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, 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 5th January, 2009 authority having jurisdiction, and found to be in compliance therewith on the' Day of . Name QTY Rate Rating Circuits ~ Additi°nalCharges install a 20a circut under ground, to a diesel fuel dispencing pump Appliances and Accessories Fuel Dispenser Unit I 0 seal I of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [,] INSULATION i . [ ]FRAMING / STRAPPING [/~ FINAL [ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEkI:: I.ATION REMARKS: INSPECTOR ~- , -,, FIELD I]NSPECTION REPORT FOU2¥DATION (1ST) FOUNDATION (2ND) ROUGH FI:Ca2AING & - INSULATION PER N. Y. STATE ENERGY CODE FINAL ~ ADDITIONAL COM/VIENTS Suffolk County Department of Health Services Humayun J. Chaudhry, DO, MS Commissioner SCDHS REFERENCE #13723 SCDHS REGISTRATION #10-0108 SCDHS PLAN # HM08-215 Date of Issuance: SEPTEMBER 18, 2008 Permit expires one year from the Date of Issuance* FACILITY NAME & ADDRESS: SITE NAME WICKHAM'S FRUIT FARM LLC. SITE ADDRESS 28700 MAIN ROAD/NYS RTE 25 SITE V/I'ISZ CUTCItOQUE, NY 11935 The application for permit to construct a Toxic or Hazardous Materials storage facility for the above referenced site has been reviewed for compliance with Article 7 & I2 of the Suffolk County Sanitary Code The application has been approved. The items listed below and on the back of this form are conditions of this permit. 1. A copy of the approved plan must be kept at the construction site. A copy &this perafit must be kept on display at the facility during construction. 2. Safe construction practices must be followed during the installation of the storage facility(s). 3. The storage facility(s) must be constructed in accordance with the approved plan. Any changes in design, materials or use requires prior wxit~en consent of both the design professionaI and the Office of Pollution Control. The changes have to be submitted in a form that is acceptable to the Office of Pollution Control. The contractor and/or design professional is required to inform the owner that thc changes are being made. The Office of Pollution Control has the right to inspect this installation at any time to verify its being constructed in compliance with this permit. The Office of Pollution Control must be contacted at 854-2523 at least 2 business days prior to commencement of any work to arrange for the required construction inspections. Contact the local building department and/or fire safety enforcement office for any additional requirements that may apply to your project. The sto~,age facility cannot be placed into service until the Office of Pollution Control performs all required installation inspections and issues an interim permit to operate. The Office of Pollution Contrui reserves the right to revoke tl~s permit as allowable by law. 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 Plarming Board approval SurveK Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Examined ~/g 0 , 20~,,/. Contact:St°rm'Water Assessment Form Approved ,20__ Mail to: Disapproved a/c ~ ~ (~'- ~ -- , Expiration ,20 .... ~ ~" ' n C i ~1~~ I1,I ~! APPLICATION FOR BUILDING PERMIT ~.OEP~.~ / INSTRUCTIONS ' ~ u:'T~plication MUST be completely filled in by t~ewhter or in i~ and submitted to the ~ufldmg ~spector with 4 sets ofplans~ accurate plot plan to scale. Fee according to schedule. b. Plot pl~ showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or c. The work covered by this application may not be commenced before issu~ce of Building Pe~it. d. Upon approval of this application, the Building Inspector will ~ssue a Build~ng Pe~t to the applicant. Such a pe~t shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa~ for any pu~ose what so ever until the Building Inspector issues a Ce~i~cate of Occupancy. fi Eve~ building pe~it shall expire if the work authohzed has not commenced within 12 months a~er the date of issuance or has not been completed w~thin 18 months ~om such date. If no zoning ~endmems or other repletions affecting the prope~y have been enacted i~ the intehm, the Building Inspector may authohze, in writing, the extension of the pe~it for an addition six months. Thereafter, a new pe~fit shall be required. ~PLICATION IS HE,BY M~E to the Building Department for the issuance of a Building Pe~it pursuant to the Building Zone Ordinance of the Town of Sou~hold~ Suffolk Coumy, New York~ and other applicable Laws, Ordinances or Regulations, for the const~ction of buildings, additions, or alterations or for removal or demolition as herein desc~bad. The applicant agrees to comply w~th all applicable laws, ordinances, building code, housing code, and repletions, and to admit authorized inspectors on premises and in building for necessary inspections. State whether applicant ~e~r essee, agent, architect, (Signature of applicant or name, if a corporation) iff, ~ (r~MailiC:Jg~addr~esso?~li~c~nt)~/~.~''' engine r,~en~ral~q~, elect' ~lumb~.~r butl_}~ Nameofow~ofpremises /,,~,'c_..-LL~J VV't<: ~ ~,~%..**.,.,.. y /_//~ (As on the tax roll If applican~i~s,_a__c°rl~r~Cpfgnature,-°f du}/Y auth°rized °fficer rum ff,,.a,, lO0× (Name and title of corporate officer) ~ ., ,., Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which pr.opo~ed_work will be done: House Number Street County Tax Map No. 1000 Section f~ ~ Block Subdivision Filed 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Fee Addition Other Work a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~ ~' I Co'c> 5. If dwelling, number of dwelling units If garage, number of cars (Description) (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. Dimensions of existing structures, if any: Front Height_ Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Dimensions of same structure with alterations or additions: Front Depth. Height ~-~--~ ~/~SberRear Depth Bear of Stories ~ .Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. 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 Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet cfa tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet cfa tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO ~ 16. Provide survey, to scale, with accurate foundation plan and distances to property 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 __ · IF YES, PROVIDE A COPY. NO f STATE OF NEW YORK) SS: COUNTY OF ) q~' c~'-a_' c-J/Zq tV t being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, CONNIE O. BUNCH Notary Public, Stata of New York (S)He is the ~'"--~~'~ ftc. 01BU6185050 (Contractor, AgentC~orate Offi~c.) Qualified nSuffolkCoun~ Commission Expires April 14, 20 of said owner or owner~ and is duly authorized to perform or have performed the said work and to make and file this application; conl~ined in this application are true to the best of his knowledge and belief; an_~at the work will be that all statements performed in the man~, er set forth in the application filed therewith. Swom to before me this ~ ~ I /' ~:~'~'~-~' day of-~ 20 {) (~ / / Notary Public Signature of Applicant