Loading...
HomeMy WebLinkAbout38010-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 5/9/2013 CERTIFICATE OF OCCUPANCY No: 36230 Date: 5/9/2013 THIS CERTIFIES that the building Location of Property: SCTM ti: 473889 Subdivision: FARM BUILDiNG 38920 Route 25, Peconic, Sec/Block/Lot: 85.-3-12.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fried in this ofllced dated 5/9/2013 pursuant to which Building Permit No. 38010 dated 5/9/2013 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 The certificate is issued to Briarcliff Sod Inc (OWNER) of the aforesaid building. SUFI~OLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 38010 Permission is hereby granted to: Briarcliff Sod Inc PO BOX 180 Peconic, NY 11958 To: agricultural building Date: 5/9/2013 At premises located at: 38920 Route 25, Peconic SCTM # 473889 Sec/Block/Lot # 85.-3-12.1 Pursuant to application dated 5/9/2013 To expire on 11/8/2014. Fees: and approved by the Building Inspector. FARM BUILDING - NEW CO - ACCESSORY BUILDING Total: $150.00 $50.00 $200.00 ~ector Form No. 6 TOWN OF SOUTHOLD BUILDING 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 Department with the following: A. For new building or new use: 1. Final survey ofpreperty 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 eleetrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2il0 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 $$0.00, Additions to dwalling $50.00, Alterations to dwelling $$0.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building ~ $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate ofOccupuncy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: House No. Street Owner or Owners of Property: ~'0 - :o.,, c~- ~'- C¢ Suffolk County Tax Map No 1000, Section ~ Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~/) j Old or Pre-existing Building: Date of Permit. (/3 (check one) Hamlet .~,e. Block ~ Lot ! 2 . ~ Filed Map. Lot: Applicant: Underwriters Approval: A/,//5~ Final Certificate: (check one) ~icant Si~ature 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, b~fore applying7 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 Assessmem Form Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date ~-/'7 ,20/,j~ 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 pennit 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. (Signature of applicant or name, ifa corporation) (Mailing ad*=, of applicanty { ~--oc~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If ap~tio?,..ai~mpm,e)of duly authorized 9fficCr 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 ~ Block 3 Lot I 2, · / 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 b. Intended use and occupancy 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 [oo (To be paid on filing this application) Number &dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height ! ~ r Number of Stories Z~'2 ' Rear z~ Z ' _Depth 7_~'-~ ' ,/ Dimensions of same structure with alterations or additions: Front Depth 2-~--~ ' Height I ~ r 8. Dimensions of entire new construction: Front Height Number of Sto'ries 9. Size of lot: Front 10. DateofPurchase 3[2[g I 11. Zone or use district in which premises are situated Number of Stories Rear I Rear /~/A- Depth Rear Depth Name of Former Owner 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 ofpremises~r,'~-o/,'~r' ~ 4'~ddress ~_o. _~. ( g'o hone No. Name of Architect /t//,~ Address Phone No Name of Contractor . ./¢//~ 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. Is this property within 300 feet of a tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO >Z 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: COUNeT~F. ) _~.~'X~.4~-.~. ~ I~ ~'x' being duly swom, deposes and says that (s)he is the applicant ~me of individu~ing con,t) ~ve nmed, (S)He is the (Con~ctor, Agen~ Co~m~.) ofs~d owner or ownem, ~d is duly ~o~d m peffo~ or have ~ffo~ed ~e s~d work ~d to m~e ~d file ~is ~pli~tion; that ~1 s~tem~ con~in~ in this application ~ ~e to the ~st of his ~owl~ge ~d ~lief; ~d ~at ~e wo~ will ~ ~ffo~ed in the m~ner set fo~h in ~e appli~fion fil~ ~wi~. Sworn to before me this d0 'p''/'3 day of fl3t~O 20 lB -- Notary Pu61ic ~7 ' / / / / 2_,d xZl2.' FRAME DAP. N: g_AST g/_g.VATION 2zl xa2' F~-AM~- 15AIZN: ~o~ c~ cVA'RON z~ATION: P-Z~LIT~_ 25, Pg_..¢ONl¢ All-- 18'