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HomeMy WebLinkAbout12856-Z , FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z1315.6 . . . . . . . . . Date . . .January. 18. . . . . . . . . . . . . . . . . .. 1985. THIS CERTIFIES that the building . . . . Accessory, gr,eenhouse. . . . . . . . . . . . . . . . . . . . Location of Property . . . . . . . . . 3109,5„Main ,Rd;, , , , , , , , , , , , , ,Cutchogue, , , , . . . . . . . . , House No. Street Hamlet County Tax Map No. 1000 Section . 1 0 2, . , . . . . .Block . . . . ?. . . . . . . . . .Lot . . ?4. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated A , , . , . . , , , . , 19$q . pursuant to which Building Permit No. 1?.q5 6 Z dated . . . . .F e b:. .2 . . . . . . . . . . . . . . . . 19$4 . ,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 . . . . . . . . . Construct accessory greenhouse ; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued toSOFQR . P.., ,FRIEMANN. .4 . HMU. F . . . . . . .RIENECKER . . . . . . . . . . . . . . . . . (owner,X or)(dbkn) of the aforesaid building. Suffolk County Department of Health Approval . ,N/A UNDERWRITERS CERTIFICATE NO. . . . . . . . . .4t N 6.5.2 4 5.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rw.1/81 FORK NO. s 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) r ' M 12856 Z Date . t-4 I ......D-............... Permission is hereby grc�-to-1 ........................................ ................c f�. .r.cgs' ... .4. ;....gid............................ �. u..:.�. �::�::::..:...:: ...�...... 0000.: .. . ......................................................................................................... .....................0.........000. at premises located at .....x..1..4 .......CY.1. a...e. ..........4: eC. �:1.p,. .............. ...........................................................................................0............00.........0....0..........0......00..0.................. .........................................................................................................0......0.00..............0.0.0.........UU..0.............. County Tax Map No. 1000 Section .A.SU ......... Block .........Z....... Lot No. ...� ..J............. pursuant to application dated .....i................... 191. ., and approved by the Building Inspector. i Fee $.7...'as:.. 0000. ..................... . . ... ....... ..................... Building Inspector Rev. 6/30/80 FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall ';outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter.OR ink, and submitted in duplicate to the Building Inspec- tor with the following;for new buildings 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 of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling / land use --Pre-Existing C . O . $ 15 . 00 3. Copy of certificate of occupancy $1.00 ! Vacant land C . O . $ 5 . 00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . New Building . . . . .✓. . . . Old or Pre-existiin/g Building . . . . e. . . . Vacant Land . . . . . . . . . . . . . Location of Property 3I V,Fz� / l k/^I. .0.,4� . . . . . . . . .. . . . . . . . . . . Gu Fc{{oar v House No. j� Street Hamlet Owner or Owners of Property . .�EI?s! /�.: . �l fr?W-1'N. . .i. . AA.I. E-:<. ! County Tax Map No. 1000 Section . . . . I.. . . . . Block . . . . . ;?.. . . . . . . Lot . . . . . r.171. . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . . . ./Lost No. . . . . . . . . . . . . . Permit No./7:1' Date of Permit . ?r/"/k.Applicant Health Dept. Approval . . . . . . . .!)A . . . . . . . . . .Labor Dept. Approval . . . . . . . . .!Y/A. . . . . . . . . Underwriters Approval . . . . . . . . . ✓ . . . . . . . . .Planning Board Approval . . . . . . . . . . . ./ . . . . . . Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . . . . . . . . . . . . . . . . Fee Submitted $ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Construction on above described building and perm' m is all applica a codes and regulations. Applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rm. 10-10-78 l�IP/PS C'.0. :At Z 13 a-4 THE NEW YORK BOARD OF FIRE UNDERWRITERS 4 BUREAU OF ELECTRICITY FE—Ig 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date July 19, 1984 Application No.on file 273437/84 N 652454 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Pinewjod Garden Cen., Haplk Rienecker, NIS Main Road, Cutohogue, N.Y. r in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. Section Block Lot +� was examined on July 16, 1984 and found to be in compliance with the requirements of this Board. �« FIXTURE RXTURIS RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT VRCUR AMT. K.W. AMT. K. T. K.W. AMT. K.W. W. AM DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS BELL i UNITHEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT, AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS NO.OF FEET 2 F SERVICE DISCONNECT NO* OF S E R V I C E AMT AMP TVpE METER $ 1$3W 3$3W 3$dW NO.OF CC COND. A.W G. NO.Of X4lEG A'W'G. NO.Of NEUTRAL$ A.W.G EQUIP. PER 8 OF CC.COND. Of HI OF NEUTRAL OTHER APPARATUS: .T r Mutors; 3-F. Panelboazds; l—licr. 100aWs. Hank Rienckler Main Road CutCbogue, N.Y. 11935 Go NA - Per 11 _ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their c—reclentials. COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS =� BUREAU OF ELECTRICITY = �9 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date December 12, 1984 Application No.on file 273436/84 N C 7 0988 J A U o Q THIS CERTIFIES THAT V O only the electrical equipment"described below and introduced by the applicant named on the above application number in the premises of Hank Rienecker (Pinewood Garden Can. Ltd.) N/S Main Rd., Cutchogue, N.Y. - in the following location; El Basement ❑ 1st Fl. L 2nd Fl. Section Black Lot was examined on December 06, 1984 and found to be in compliance with the requirements of this Board. =i FIXTURE ECEP7ACLE5 SWI7CNE5 FIXTURES M u r RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT.FLUORESCENT vPpp PMT. K.W. AMT. K.W. M1T, K.W. AMT. K.W. AMT. H.P. 6 15 1 6 = DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS I BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS On H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. PMT. AMPS, TRANS. AMT, H.P. NO.OF FEET AMT. WAITS SERVICE DISCONNECT NO.OF S E R V 1 C E _ AMT. AMP. rypE METER I,e tW I,6'�W 3,6 tW 3,e'4W NO.Of CG COND. A.W.G. NO.OF HbLEG A.w''G' NO.OF NEUTRALS .W.G. EQUIP. PER B OF CC.GOND. OF NI-LEG OFA NEUTRAL OTHER APPARATUS: y Hank Rienecker Main Road Cutchogue, N.Y. 11935 GENERAL MANAGER _. 11 -! Per _ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credeAtials. COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FIELD INSPECTIONS (DATE 11 COMMENTS � Y X06 �6 3 (n H ,y' FOUNDATION ( 1st ) FOUNDATION ( 2n ) m 2 I ` ` C) 0 ROUGH FRAME & n PIN PLUMBING, _. H 0 3 . x m ' m INSULATION PER N . Y. 1-3 STATE ENERGY CODE x a 3 r S 4 . y Y OK FINAL z ADDITIONAL COMMENTS : tt_ x ro H '\L � r H H O CIO . x rh a r H � x o r-1 ro H FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined 19 �.� Received . . . . . . . . . . , 19 . . . Approved %`? ^?"" .Z., 19��. Permit No)2-2SSAO`)A?yb i- Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) i APPLICATION FOR BUILDING PERMIT / t Date . . .FA -.3 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (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. O. .cv . ? . .zL_ Name of owner of premises . . .5�^ ^ ? W., .rte R! .,., ! . . � . .�/.�N"1!. . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If appli ant a corp ration, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work'Jwill be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O ;1.5'. . . . . . . . . . . /. .N. !."Ok . . . . . . . . . . . . . . .G c� T G/ G•.�t. . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . .1.�,2.. . . . . . . . Block . . . . . . 2.. . . . . . . . . Lot . . . . .?. Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . /�!�f}r . . .0 F-.c t.c&- (N o /�J$L�G ��mai' � /U u.J (y k, -E-K) N vv S k 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . `/. . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) 4. Estimated Cost . .!a . . . . . . . . . . . . . . . . . . . . . . . . Fee . .I R�!�.:� S (to be paid on filing this application) S. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .P.R!Y�. . .4 ale e-. , 7. Dimensions of existing structures,if any: Front . . . . A``/. .. . . . . Rear . . . . .£<.Y. . . . . . Depth . . . �, Height . . . . . ./. 6 . . . . . . Number of Stories . . . . . .I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . k.`!.. . . . . Rear . . . . .;F�Y.. . . . . . . . . Depth . . . . . . ..:� . . . . . . . . . . Height . . . . . . A .`. . . . . . . . . . . . . Number of Stories . . .,7.. . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . `> . , . . . . . Rear . . . .? .`/. . . . . . . . Depth . . . . A Z � . . . . . . Height . . . .!z;-6 . . . Number of Stories . . . . . .! 9. Size of lot: Front . . . . . . .13.7 ... . . . . . . . . . Rear . . . . . . A 3:.?... . . . . . . . . . Depth . . . . 1 3 2 �. . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . Name of Former Owner .fir�c•ar , ., ST�r �;, . . . . . . 11. Zone or use district in which premises are situated . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . P�� . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . .tom. . Will excess fill be removed from premises: Yes /fiN 2Y .'L/ENe�/cas` 6M Tr✓ce.� Dr-�<uTc/rotes 734-e0 1 14. Name of Owner of premises S!+ ^M�.$•.FR•a t !. �, . Address p�N¢�a�a na•, . .: . . . .`Phone No. .7. v'6sxS. . . . . Name of Architect %Ea �Y .L ,r�s s,. . . . . . Address Phone No. . . . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No. . . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. A n .o -3l it v i v W H � 0. Z I � U ➢ROY._ —, I I STATE OF NEW YQRI�mL K S.S COUNTY OF . . . . . . . . . . . . . . . . . SQr��or 1 I ' .F � A0.n I . . . being duly sworn, deposes and says that he is the applicant . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . (Name of individual signing contract) above named. Heisthe . . . . . . . . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, 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 true 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. Sworn to before me this qq . . . . . . . . . . .� . . . . . . . . .day�ooff. 2 � 0.. . 19 .4 q Notary PublicC j i2�GT [ 7 . 7�.�7N�. � mayy ` LINDA F. KOW,11I.SiQ NOTARY PUBLIC, Site ci New York , , , , , , , , , , . . . . . . . . . . . . . . . . . . . No. s Buffo rn (Signature of applicant) Qualified in Suffoli< County / commission Expires March 30, 198.. 'y _ --