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Home My WebLink About28801-ZFORM NO. 4 TOW/q OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28910 Date: 10/02/02 T~IS CERTIFIES that the building FARM BUILDING Location of Property: 6900 WICKHAM AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax ~4ap No. 473889 Section 107 Block 10 Lot 10.1 s%~bdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 2, 2002 pursuant to which Building Permit No. 28801-Z dated OCTOBER 2, 2002 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 AS APPLIED FOR. Ge ceztificate is issued to CAROL JE~ GIRARDS (OWNER) of the aforesaid building. SUFFOLK CO~ DEPARTMENT OF ~IE~LT~_PPROV~_L E~ECTRIC~J~ CERTIFICATE NO. PLU~3ERS CERTIFICATION DAT~J3 N/A 3939 01/28/94 10/12/02 ROBERT STUART Rev. 1/81 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. 28801 Z Date OCTOBER 2, 2002 Permission is hereby granted to: CAROL JEAN GIRARDS 6900 WICKHAM AVE MATTITUCK,NY 11952 for : CONSTRUCT AN AGRICULTURAL BUILDING AS APPLIED FOR. THIS PERMIT REPLACES BP#21744. at premises located at County Tax Map No. 473889 Section 107 pursuant to application dated OCTOBER Building Inspector to expire on APRIL 6900 WICKHAM AVE MATTITUCK Block 0010 Lot No. 010.001 2, 2002 and approved by the 2, 2004. Fee $ 150.00 Rev. 5/8/02 COPY FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. NO BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ ~201 ~te ...... ..,/..~,~ ...................................... ~... 21744 Z Permission Is hereby granted to: ................................. ..~.-.:..~ ..... ~~~. ...... ~ ................. ...~.,/.~,..~..,/.,. .......... .,,./....e..~.~ ......... .................................................................................................................. CountyTax Map No. 1000 Section ......... ../.~..7.. ..... Block ............. ./....~. ...... Lot No ....... .,~..?... .............. pursuant to application dated ........... ../..~.././.~. ................................. 19~... ......... and approved by the Building Inspeotor. Fee $..~.,~ ..... Rev. 6/30/80 'I()\~ X OF SOU'III()I,D BUILDING DEPARTMENT TOWN HALL 765-1802 APPLI(~ATION F()I{ CERTIF[(!ATE OF OC(~UPANCY This application must be filled in by typewriter or ink and submitted to the Building I)epartmem with the following: For new bnilding or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topograplfic features. 2. Final Approval /2om ltcallh Dept. of water supply and sewerage-dispvsal (S-9 fi)rill), 3. Approxal of electrical installalion from Board ol Fire Underwriters. 4. Sworn statement fi'om plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Coimnercial building, industrial building, multiple residences and similar buildings and installations, a certific of Code Compliance from arckitect or engineer responsible for the building. 6. Submit Planning Board Approyal of completed site plan requirements. Bo. For existing buildings (prior to .April 9, 1957) non-conforming uses, or buildings and "pre-existing" land us, 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupam is deified, the Building Inspector shall state the reasons therefor in writing to the applicant. Ce Fees . 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0( Swimming pool' $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Photocopy of Cert'fficate of Occupancy - $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00_/ /~ . t Old or Pre-~istlng Building:. Street Block . Filed Map. Applicant: __ Underwriters Approval: ____ Date of Pemfit. one) Final Certificate:(check one) -~Sigmature N~ Com~ti°~ Looation of Propm'y: ~.oo Ho~e No. 8~o~ Co~ty T~- Map No 1000, Section Subdivision Hmlth Dept. Approval.' ~ Pla~g Board Approval: Request for: Temporary Ceaificate Fe~ Submitted: $ ......... Lot Lot: 18/'85/2882 13;27 1631298~716 FLORA NURSERIES PAGE ! § 2002 ' PLUMBER'S CERTIFICATE This i.s to certify that only lead-free solder was used in d~e construction of the agr/cultural building fbr which the Town of Southold Building Permit Number 28801-z was issued. SULLOI~K MASTER PLUMBER"S LIC. 311-p Kob,rt Stuart OEBORAHA. NICOLA Y rk Idotmy PubTic, State of New o No. 01NI6004066 Qualified in Suffolk County/)/I} ELECTRICAL INSPECTION SERVICE, INC. 1322 MONTAUK HIGHWAY EAST PATCHOGUE, NEW YORK 11772' Date 1-28-94 Application No. on File 3939 THIS CERTIFIES THAT Floral Nursery Inc. on the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of 6900 NJ. ckam Avenue, Mat. t. ituck, N~ -].1952 in the following location: __ Basement ~ 1st FI. __ 2nd FI. __ Pool __ Hot Tub OUTSIDE/FARM was examined on 1-28-94 and found to be in compliance with the National Electrical Code. FIXTURE CEILING WASHER RANGES OVENS OUTLETS RECEPTACLES SWITCHEe G.F.I. FAN ANT KoW. ANT K.W. ANT K.W. 7 25 5 I DISHWASHERS I EXHAUST FANS ANT K.W. I ANT K.W. I FURNACE MOTORS OIL H.P., GAS SPECIAL REC'T TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS DIMMERS ANT AMPS ANT AMPS TRANS. AM'r H.P, NO, OF FEET ANT WATTS I SERVICE DISCONNECT NO. OF METERS AMP TYPEI President I OTHER APPARATUS; 1-2.5 KW HOT WATRR HEATER 1-9-60 AMP SUB PANEL This certificate must not be al,ered in any manner. Inspectors may be identified by their credentials 765-1~02 BUILDING DEPT. INSPECTION UNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE. INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ~OuGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR 765-18~2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FO/~UNDATION 2ND [ ] INSULATION [~,,]"FRAMING [ ] FINAL REMARKS: ~ INSPECTOR .,/~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~JLATION [ ] FRAMING [,~]' FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTOR FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & (2nd) .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COM~ENTS: -. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... .'. ' :'"~ APPLICATION FOR BUILDING PERMIT BOARD OF HEAI'Ttt ......... /-3 SETS Of' PLANS ...... '--- SURVEY .................. /, ClIECK ......... ~ ......... SEPTIC FORH .............. No?I l:Y; CALL HA I L TO: ' 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 s6'eets or areas, and giving a detailed description of layout of property mu~t 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 i~sued 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 South01d, Suffolk County, New York, and other applicable Laws, Ordinances or Regulatiofls, 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, ho~ing~,code/3nd regulations, and to admit authorized inspectors on premises and in building for necessary inspecti~. //' //.. ,~/ . /) = . . (Sign~'~o~ a~;c~a'~7 '~; name, ifa co;"~<}ration) . I \ ' (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, 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 ...................... Location of land on which proposed work will be done .......................... · ....... ~ ................ House Number Street Hamlet Cot,'nty Tax Map No. f000 Section . '. . Block >... P./..O. .... .'... Lot . C)/'O ' Subdivision Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constructioni a. Existing use and occupancy .......... ~. · .' ...... ' · b. Intended use'and occupancy ' ¢t2r~'?' · 3.Nature of work (check which applicable): New Buil~hflg ... D. .... ~ Addition Alteration Repa/r ............ ~. Removal .............. Demolition ..... : ......... Other Work ............... · ' '<~t c" - ' ..... ' d~ o o (Description) 4. Estimated Cost ...................................... Fee ./~...-. ................................ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... 2 ......... Number of dwelling units on each floor ................ . If garage, number of cars .................................. .................................. . .... 6. If business, commercial or mi.xed occupancy, specify nature and extent of.each_ [ype of use ......... : ..... ~ ..... 7. Dimensions of existing structures, if any: Front...: ....... Rear ............. Depth .............. Height ............. Number of Stories ................ 2 ~ ...................................... Dimensions of siame structure with alterations or additions: Front ................. Rear .................. Depth ....................... Height ........... ' ........ :., Number of Stories .......... '. 2 .......... 8. Dimensions of entire new construction: Front .... .~. 9°.. f .... ; Rear ..... ,-fi. cf..: ..... Depth ....~..~. '.'. ...... ....... Number of Stories ............................................ ,.. L; ......... 9. Size of lot: Front ..... .~..q.'7/~... .... ;.. Rear ...... (--'~,'~ 7.r ....~... Depth ..... .3-~. .......... 11. Zone or use district in which premises are situated.. ~.(lrPt .c-~..t.~.,.'7-!.~..~-~. .......................... ~.. ..... 12. ' Does proposed construction violate gny zoning law, ordinance or regulation: ................................ '13. Will 10t be regraded ....... '....U. ? .... :--- ...... ' .. Will excess fill be removed from premises: Yes 14. Name of Owner of premises .~-....(Fl .r/fao~.~'. Addres ~sd-U-X~...gk. (gqS(.dO...t~-v: ./_. Phone No. ~5~..~ .~..~. ?.o..- Name of Architect ........................... Address ................... Phone No ............ Name of Contractor .......................... Address ............ : ...... Phone No ................ 15.' Is this property within 300 feet of a tidal wetland? *Yes ........ No..-~.. .... ~If yes, Southold Town Trustees Permit .may be required. 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. Area -- I0.1003, Acres FATE OF NEW YORK~ e*zm'. ........ '.'..~.-~,.~..~. ,~.'.Lv,..~.--~... · ~.~. ~.~..~.~,'15 ........ being Ouly sworn, depose and says that he is the applicant (Name o£ individual signing contract) eve named. is the ........: .............. ~ .......... .... .......... :.. ~'. .................. ......... -... ........... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~lication; that all statements contained in this'application are t'rue to the best of his knowledge and belief;and that the .rk will be performed in the manner set forth in the application filed therewith. om to before me this .. · ' ' ' [' ' - }~ignature applicant) Notary Public, State of New York , . No. 49~384 " t. .... Commission Expire~ May ~30 19 .. = --%