HomeMy WebLinkAbout37959-Z 4�SUF QF� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
y a TOWN CLERK'S OFFICE
19SOUTHOLD, 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#: 37959 Date: 4/19/2013
Permission is hereby granted to:
Briarcliff Sod Inc
PO BOX 180
Peconic, NY 11958
To: build new agricultural building (farm building). Replaces BP 8870.
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At premises located at:
38920 Route 25, Peconic
SCTM # 473889
Sec/Block/Lot# 85.-3-12.1
Pursuant to application dated 1/1/19j6_ and approved by the Building Inspector.
To expire on 10/19/2014. ,
Fees:
1�5//j
LECTRIC $7.50
TSP - COSvL CO -ACCESSORY BUILDING $50.00
T � ) Total: $57.50
3 K /060 iw "W4
Building Insp tor —__`---._.
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FORM NO. 2
�-- TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE Et
Ft SOUTHOOLD, N. Y. -
BUILDING PERMIT'
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? .8870 0 z Date .........................SG ? .....t��......... ..
Permission is hereby granted to:
.....................................
............Huntington..AF...Scathol.d.. ........ ..
.. ..............................................._....................r...... .
to4n z)......................................
at premises located at .8/..U..Ma1n-•,ic&d•......................••-........................................ .....................
�'` ; .................................................. ..........................................................................
:. ...........................................................................,............................................................................
puMont t`o' application, dated ........................:�O:t.....�r�........... 1'9..7!?, and approved by the
bii(ding. I rispector.
.1g. ?.........
Building nsj; c171
tor
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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 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:
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$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$15.00AZILDate. J1709 100 /1
New Construction: Old or Pre-existing Building: (check one)
Location of Property:_ 529;o l2o✓k z5-
House No. Street Hamlet
Owner or Owners of Property: �SZ(AZ6 t_l r—F �� c
Suffolk County Tax Map No 1000,Section 9,5 Block Lot /0
Subdivision Filed Map. Lot:
Permit No. 8P7- Date of Permit. 7b Applicant: �ydylt- ey� 0 wsk' -
Health Dept.Approval: /VIA Underwriters Approval: &A
Planning Board Approval: SIA
Request for: Temporary Certificate Final Certificate: _ (check one)
Fee Submitted: $ f
f (�
Ap is t Signature
F so
o Ulyo
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] R UGH PL13G.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUG�-I) [ ELECTRICAL (FINAL)
REMARKS: o
DATE -1 l INSPECTOR
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ....... �................ 192.6 Application No�. .v..............
Approved ............:�.......�.].............. 19..6 Permit No. ... .�.Q..Z.......
Disapproved a/c .......
.....(Building Inspector)...........
APPLICATION FOR BUILDING PERMIT
Date .............................r t:....... 7.., 19.... 6
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi:
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
areas,and giving a detailed description of layout of property must be drawn on the diagram which is part of this applicatio
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 perrr
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 Occupon,
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 tl
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances.
Regulations,for the construction of buildings,additions or alterations, or for removal or demolition, as herein describe.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in buildings for necessary inspections.
�: ) ...... ..........................
(Signature of dP(Plicant,br name, if a corporation)
6 au_tom' .:111 i'1 .uritJS -,', rn
.............................................................................................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
. ... ....... ........................................1'.i11..Z'.......................................................................................................... ..................
Name of owner of premises.......1.i;............U j:.,a.:F:_-i............... ..................... ............. .................. ....................
If applicant is a corporate, signature of duly authorized officer.
. ....................................................................I.............
(Name and title of corporate officer)
Builder's License No. ...........t....t...................................
Plumber's License No. ...............................................
Electrician's License No. .........::................................
Other Trade's License No. ..............................................
1. Location of land on which proposed work will be done. Map No ... ........... ... ..... Lot No. .......XX.........
Street and Number ...../.........a..t....a,_(:.................r,wt,j.E....... ............................ ....... ... ....... ......................
Municipality
2 State existing use and occupancy of premises and in•ended use and occupancy of proposed construction•
a Exisiting use and occupancy ..........t21.�_iii:.r�:g. ............................................... .
b. Intended use and occupancy ..............:xy : .,,..l.t,....,._..� ;:i:1..._..:`........... ....... .......................................
3. Nature of work (check which applicable) New Building . -..XX....... Addition .................. Alteration ........ ...
Repair ............. .... Removal ................. Demolitior. ...... .......... Other Work ....................................... ........ ..
(Description)
4. Estimated Cost ............................................................Fee ...1.jA:1L1..................................................................... ..
(to be paid on filing this application)
5. If dwelling, number of dwelling units .............G............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 .........................
7 Dimensions of existing structures,if any: Front.......................... Rear ................................ Depth ...................
Height ........................ Number of Stories .....................................................................................................
Dimensions of same structure with alterations or additions: Front .................................... Rear ....................
Depth ................................ Height ............................Number of Stories ................................
8 Dimensions of entire new construction: Front .........3i......I...............Rear............ Depth.....
Height .................... Number of Stories ..........OrM,................................................I... .......... . ...... ....................
9 Size of lot: Front ........................................................ Rear.......................................... Depth ..............................
10. Date of Purchase ........................................................Name of Former Owner ......................................................
11. Zone or use district in which premises ore situated ......iii.tt... y 3 .....................................I........................ .. .......
12 Docs proposed construction violate any zoning law, ordinance or regulation: ..........Mrd.......................................
13 Will lot be regraded ........X4.a.............. Will excess fill be removed from premises: ( ) Yes ( ) No
14 Name of Owner of premises.......,....,••� r:L.,...... ................Address .....i,�,�,j:i;.;;.;4:t..... Phone No. ....................
Name of Architect ..................... ....................................... Address................................ Phone No. ....................
Name of Contractor ;:.:; ............. Address .... Phone No.
PLOT DIAGRAM
Locale clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fror
property lines. Give street and block number or description according to deed, and show street names and indicai
whether interior or corner lot
I 1
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STATE CF NEW YORK, t
COUNTY OF ....„t ,:.:.:.af,_...........j5.5
........................s.,...:,,..,.::;.r.................................................. being duly sworn, deposes and says that he is the applica
(Name of individual signing contract')
above named.
He is the. .. ..................... .......t;s,.:1... .................................................................................................... ...
.......
(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 fi
this application; that all statements contained in this application are true to the best of his knowledge and belief; or
thar the work will be performed in the manner set forth in the application filed therewith-
Sworn to before me this
day of :n.pt /
Notary Public. ............ ........vU.,j.3.k............. County .....f........f.......... ;
r
TOWN OF SOUTHOLD .ARTY REC_ORD CARD
OWNER STREET�3y VILLAGE DIST. SUB. LOT _--3
Fi
ex?l1a"w- // 'Art" sd-a(, o,� _1p A<-K.
FORMER OWNER N AA E
Is1 W TYPE OF BUILDING
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,E$. SEAS. VL. FARM)_ oCOMM. CB. MICS. Mkt. Value-
LAND IMP. TOTAL DATE REMARKS (:( �� � �� �� 1 ��f fit` LCY122
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o?-"7 00 .�� �-r elm.r � _ - � � - C� C—" S6o
1liable - •; 5 FRONTAGE ON WATER
3i .z - 5$ ao C as 3 3 5 BZW ( r7 0)
fomiland FRONTAGE ON ROAD y _ 9t,G 3 ' CEJ if
lfadoW{m1d DEPTH f qo, 163 ISO rd ��l�o� 7'0.� ''C_{�■ �f U emi-
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