HomeMy WebLinkAbout38039-Z Town of Southold Annex 9/21/2013
P.O. Box 1179
54375 Main Road
'ffi~ `t~' Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36518 Date: 9/21/2013
THIS CERTIFIES that the building FARM BUILDING
Location of Property: 24385 Route 25, Cutchogue,
SCTM 473889 Sec/Block/Lot: 109.-1-13.1
Subdivision: Ftiled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofiiced dated
5/6/2013 pursuant to which Building Permit No. 38039 dated 5/21/2013
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 storage barn as apulied for.
The certificate is issued to Macari Farms Cutch LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38039 9/19/13
PLUMBERS CERTIFICATION DATED
r
Aut ed S' ature
TOWN OF SOUTHOLD
~ BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
'mom SOUTHOLD, NY
e
~~-,:n,~..,~,
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 38039 Date: 5/21/2013
Permission is hereby granted to:
Macari Farms Cutch LLC
150 Bergen Ave
PO BOX 2
Mattituck, NY 11952
To: Demolish & construct an agricultural equipment storage barn as applied for
At premises located at:
24385 Route 25, Cutchogue
SCTM # 473889
Sec/Block/Lot # 109: 1-13.1
Pursuant to application dated _ 5/6/2013 and approved by the Building Inspector.
To expire on 11/20/2014.
Fees:
DEMOLITION $820.00
FARM BUILDING -NEW $150.00
CO -ACCESSORY BUILDING $50.00
Total: $1,020.00
' .Q -
~ Building Inspector
F°rm No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be tilled 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 of 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:
I . 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
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 of Occupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00r
Date. U e./o } . r-/ . ZO / 3
New Construction: Old or Pre-existing Building: (check one)/h
Location of Property: 02 735 ~dl.t~'t•. oZ l~ ~t/~~h05, u~-
House No. ,~y~ Street /t amlet
Owner or Owners of Property: / I l (,~,L,d.P I ~I-f /Yl S (~u.f'C,h ~
Suffolk County Tax Map No 1000, Section ~ V~ Block 1 Lot 13. ~
Subdivision p Filed Map. Lot:
Permit No. ~8 O 3 -1 Date of Permit. 2l l.3 Applicant: ~h /I ~tJ°'~fan, ~jl~.t Idy~v
Health Dept. Approval: R Underwriters Approval:
Planning Board Approval: /V
Request for: Temporary Certificate Final Certificate: ~ (check one)
Fee Submitted: $ ~ Lt t 3
Applicant Signature
~o~apF SOpjyolo
Town Hall Annex Telephone (631) 765-1802
54375 Main Road ~ Fax (631) 765-9502
P.o. Box n79 roper.richertCa)townsouthold.ny.us
Southold, NY 11971-0959 ~ ~ i~
~1~~0UNT'1 N~
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Macari Farms Cutchogue LLC
Address: 24385 Rt 25 City: Cutchogue St: NY Zip: 11935
Building Permit#: 38039 Section: 109 Block: 1 Lot: 13.1
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: GJS Electric LLC License No: 4839-me
SITE DETAILS
Office Use Only
Residential Indoor X Basement Service Only
Commerical X Outdoor X 1st Floor Pool
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fiztures 2 Smoke Detectors
Main Panel 200a A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent FiMUre 4 Pumps
Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks
Disconnect Switches 3 Twist Lock Exit Fixtures TVSS
Other Equipment: storage barn, 200a 3 phase main service panel, 2-combination exit/emergency ligl
Notes:
Inspector Signature: ~c-F+y~~~ Date: Sept 19 2013
81-Cert Electrical Compliance Form.xls
~J ~ ~ o~~OF SW/r~
` L/
TOWN OF SOUTNOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG. _
[ ]FOUNDATION 2ND [ ]INS ON
[ ]FRAMING /STRAPPING [ FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ]ELECTRICAL (FINAL)
REMARKS:
C~
C! T n / ~ r
DATE `3 INSPECTOR
I
~O~~,OF SO//%6
3~.3~=~
TOWN OF SOUTNOLD BUILDING DEPT.
765.1802
1 NSPECTION
[ ] FO NDATION 1ST [ ]ROUGH PLBG.
[ ] OUNDATION 2ND [ ]INSULATION
[ FRAMING /STRAPPING [ ]FINAL
[ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION
[ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION
[ ]ELECTRICAL (ROUGH) [ ] L (FINAL)
REMARKS: ~
DATE ~ IJ INSPECTOR
FIELD ~ N REPORT DATE COMMENTS ~
FOUNDATION (IST) ~r
x
FOUNDA1ION (z~) ~ ~ ~
x
0
ROUGH FRgMMtIVG & 0~
PLUMBING l~
(J"~
IN~UI.ATION PER N. Y.
STATE ENERGY COpE
L
~
FINAL
ADDTTIONAL COMMENTS
l~ j
n
z
Cn
1
a
y~ .
V
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying'?
TOWN HA L ~
Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. r~~3 9 Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined , 20~ Storm-Water Assessment Form
Contact:
Approved 20~ Mail to:
Disapproved a/c
_ Phone:
Expiration_ , 20
Building Inspector
APPLICATION FOR BUILDING 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.
:lohn 13er~r,-n. ~u,~Ide,rSnc.
(Signature of applicant or name, if a corporation)
3~ci ~csic.acr~~ 1~r; vt~ ~c~..`F$i~d-, rU`~
(Mailing address of applicant) l 147 t
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Caen-~'
Name of owner of premises I ! I (u l' .0.r i 1~ I n ~ a~Cj.~~
(Aso e tax roll or latest deed)
If applicant is a corporation, signature of duly autho~yzed officer
(Name and title of corporate officer) ~
Builders License No. 1~~~f-E
l-}
1
Plumbers License No. Q~~ec
lurnh~.,
Electricians License No.~r~F
lei+r,~~
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 Sect o ~{'73~Fq
O~Block ~ ~ ~ ~ ~ " "'C,bt ~ 3 ~ ~
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 S~oc/~~ e ~arr~
b. Intended use and occupanc}Ci~.,~.e~e~~-ofaG e. ~arr~ -tai a,rdr>)~.u ~a ~ P9urp ~er~
3. Nature of work (check which applicable): New Building ? Addition Alteration
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost ~ I Ott ~ pt~D ~ o Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units~Number of dwelling units on each floor
If garage, number of cars
Cqu-c~men+
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. V~ }a~~
7. Dimensions of existing structures, if any: Front ~ O Rear ~ ~ Depth 66 ~
Height ay ' Number of Stories I
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front 4 U ~ Rear `f 0 ~ Depth ~ 0
Height ~Y' Number of Stories 1
9. Size of lot: Front 1 ~ Rear y 13 Depth N ~ t( ~ 6
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 y
13. Will lot be re-graded? YES NO ? Will excess fill be removed from premises? YES NO ? 1
14. Names of Owner of premisesr7l[tCGri ~~inufruabo Address ~0. ~Ka l~ufk+arJ~ Phone No. aye-0/~
Name of Architect DAk~sscx.iafc~ln_ Address 50(~!"11cunJ~ lOer+M1a"'P~ioneNo 767-(0471
Name of Contractor~hn t3er1-ani {3w lu.-~ Address LSO ~litCt,~,Yn7~ bi' Phone No. -7~/Y- 11'gy
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE,PtEQUIRED.
b. Is this property within 300 feet of a 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.
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:
COUNTY O~rF S~~R
~[Q ~EJ[~JZ.P~/~'y{~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the o~~e~-r
(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
day of 20 ~
Notary Pul~p~pi;~, state m NewYa4 Signature of Applicant
No. O1RU9020932
tlualtlisd In gutlotk CouMY
Cp~nmission E><WtM Morrfi 0, 0
~~0 3~
~ti ~k ~ Town of Southold -Chapter 236 - StorsnWater P~fanagement
-,,b`~'/~,g SWPPP -Storm Water Pollution Prevention Plan Assessment Form
GENERAL INFORMATION: (All Requested Information is Required for a Complete Application)
APPLICANT _NRME: Ownr-Agent-COnJbnt•Conbaebr or Olhar lClreMO«t Property OWNER: pr DlNennl than Appllgnt) '
Addrom A ss: '
Tebphe Fn TehPhone F. Fez is i
E-Mai: E-Mai:
Propmy awr«a: ~ ~Sr Brief Deretipdat of Construction AcGriry, I'ropmed Saueweal BMPs. Soil ~
O.FT.. ShcasSndon B141Ps, ProjectSmpe avd/m Sequosce of Construction Activity
]000
o4YW 6rWw Glen W IPlavitle AdlYlanY r'alW mNmYa)
I
Nlaae of Cantreclor andla ConleU Perron Rnponwbbfar lmpbmnbdon arsWPPP: ~
I
hbphon ik Fnk
E-Mew _____/'._L,.--_'____'___"______"'__~___
Name at Penans Responsible far InAallatbn 8 MPInRrwna of Eroalon Gontrd Practice:
K L~ ~
dtlress:
ielophonR - Faa#.
i
E-Mall:
Tdel Area of Ae -
Tolal Area of Lentl Clea~kig
ProJtti Parceh: andorGmund Disturbance: _
ProjeR Duration: SLrt End
(AntitiPal~) Dam: Dale:
Igmeertl fveM,rOMI _
WIII this Protect Disturbs flue (5) or More Acres et 0
Any One Time During ttw ProposedOevelopmerA7 Yes No
IiYES:PIeneAnwertMFOllowirlpl
a. Dcesthe Applicant haves OualiOed lnspeclor On ~ Q
Staff To Conduct the Required Inspectons Z Yes No
b. Does the SWPPP Indicate HON F(egvendy the Sae O O List the NAMES mdesaip6on of all POlenNalty Impacted Walerbodiesandfor Welbntls:
Inspections wilt Occur and for Wha[ Pedod of Time 7 Yes No
c. Does the SWPPP Adequately Identify All Temporary ~
antffor Permanent Soil Sfabaliaaton Measwes Z Yes , No
d- Does lha SWPPP Adequatey MenhTyaComplete. ~ ~ ~ ~ ~ ~ :
ProjeU Phasing Pian 7 Yes No status or bnpa<ted Wa4rbody: (eg. TMDL, 30a(d) fisted, impaired) I
e. Dces the SWPPP IrMicate Adtfitlonal Site Spec'dic ~ ~ ~
PraUlrxs that WIII De UOlizetl to Protect Water Oualily 7 Yes No
t Of Inlen~nd SWPPP Al
ceptance Form for Revlewce ~ ~ rype of hnpaaetl waterbodr (as fake creek aay, Pand, soaM F.eanwatarweuana._)
by the Town of SouNold y Yes No ~
STA'1'F. OF NF,W YORK, C
COUN-lY OF -......>.7_v~.~...~...-... SS Notary Public, State ai New York II
~ No.018U6185050
That I, ........pd/F1.,~ :I~,rfl~ being duly sworn, deposes d ~ Ppl~i~ t r Temut,
tN~:wF- `~I - Glom Isalon x Irea Ap ,
~p
4 I
And that he/she is the ..............,Iyt~l..
r~-.
n~~......._..........................................................................................._.........-_..-
(Oamer, GlrWaGSr, Aims, CupaaMOMar,ete) , .
Owner and/or representative of the Owrter or Owners, and is duly authorized to perform a have performed the said work and to
make and file this application; that all statcvtents conmioed in this application are tttte to the best of his knowledge and belief; and
that the work will be performed in the manner set forth in the application filed herewith. !
Sworn to before, tjvs I
Notary Public ....~-.~5?'~.~~!'.....-~~1~ ~~~~~~!~I'.~111.'..-..-..- ........................~~ar~,-L-~.---~„-?-G>..................
IsiBnalure aF Apl>bralq I
SWPPP Assessment FORM: D3-12 I
-
05-26-10;12:46 2982174 # 1/ 2
~o~aOF 50(/lyo~
Town lIall Aancx - ~ # Teleplu>ne (fi31) 765-1 R02
SM1375 Main Road max (631) 763951)2,
P.O. Box 1179 `G ~ Q roger.richertCaltownsoutllola-ny us
Southold, NY 11971.0959
BU11.ll1NG lll!.NAlt'1M1'.N'1'
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: ~-S~ M 52Q~ c ~ Date: q- ~ 3 '~3
Company Name: J S ~ `-1.r; ~ LL ~
Name: ~Q„-~
License No.:
Address: ~ rte,, t, ~ , ~ S Z
Phone No.: 3) - ~ ~ - ~ S ~S
JOBSITE INFORMvAV~T~~ION: (*Indicates rerequired information)
'Name: I l t GC.L~~ i ~~rn S l~.c ~ L L C
'Address: a ~ 3 $ S 2fi . d i ~ u oT N~f _
'Cross Street: j2+. a 5 _
"'Phone No.: (0 3 i - y fSy - ylm
Permit No.: 3 8.O 3q
Tax Map District: 1000 Section: ~0~ , Block: I Lot: 13, ~
'"BRIEF DESCRIPTION OF WORK (Please Print Clearly) ~~{(SJ S~ _
(Please Circle All That Apply)
*Is job ready for inspection: ~ NO Rough In 'final
'Uo you need a Temp Certificate: YES / NO
Temp Information (If needed)
QXi Sfi~Service Size: 1 Phase tasa7 100 150 ~ 300 350 400 Uther
"New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: - - - - PA UE WITH APPLICATION ~'a/(~,DD
i I r i
_
I-l~,l \
62-Request for Inspection Form ~ , 0
~~C~\` '
C C `F~
!0{D
FOR INTERNAL USE ONLY P~'~' ~~i i~i
1~ - _
SITE PLAN USE DETERMINATION
. initial Determination
Date:/ ~0 17~1? Vic, Date O r 1~
Project Name: l~' c?
Project Address: Z'f
Planning Board
Suffotk County Tax Map No.:1000- /09 - ~3 • Zoning District: .
Request: J1G>,.11.~.. ~ ,ed,~i~~ S~ ~+t....._-r~S<a'~GG~n`~
(Note: Copy of Building Permit Application and supporting documentation a& to
proposed use or uses should be submitted.)
initial Determination as to whether use is permitted:~Q.a
Initial Determination as to whether site plan is required7P.~
_ ~G....~.--%
ignature of Building Inspector
Planning Depar#ment (P.D.) Referral:
P.D. Date Received: ~ l~l ~3 Date of Comment: S I ~5 /
Comments: -~r2 k0.~ -C~t0~~ l'IJS
i - - -(1 Si
(anni iY~
r~ ,uww..i
Signature of Planning ept.~S Reviewer
Finat Determination
Date: I I
Decision:
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