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HomeMy WebLinkAbout22277-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23936 Date OCTOBER 5, 1995 THIS CERTIFIES that the building ADDITION Location of Property 4890 SOUND AVENUE MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 121 Block 3 Lot 7.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 1994 pursuant to which Building Permit No. 22277—Z dated AUGUST 23, 1994 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 A GREENHOUSE ADDITION TO AN EXISTING GREENHOUSE AS APPLIED FOR. The certificate is issued to PECONIC HOMES CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N362374 AUGUST 31, 1995 PLUMBERS CERTIFICATION DATED N/A Bm!kidin6 Inspector Rev. 1/81 �1 - 1 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) Date .......... ..................................... 19../ N2 22277 Z Permission is hereby granted to; .................... .... X.....� L......................................... 2(c.............. .......//fir ............ to ..... :...............ff'................ ,!. rs. ......... ................ ............ ....... ......J%%'z° -......... f ............. s................. ....................... . .................................................................................................................... .................................................................................................................................................................. ....................................... ...... ,�s...........��-1............................................................ atpremises located at................... ... ................. .............................................................. ........................................................................ i`Z,t '......... . ' , ............................. County Tax Map No. 1000 Section ..../1�2 1............ Block......d ............ Lot No. ...... `../. pursuant to application dated ............. :.......`.5—Ll.......... 19.9KI, and approved by the Building Inspector. Fee$.......I..... ...... .............................. Building Inspector Rev. 6/30/80 i' Norm iio. 6 M TOWN OF SOUTHOLD BUILDING DEPARTMENT 9 TOWN HALL i 765-1802 OCT - 4 1995 BLDG.DEPT. APPLICATION FOR CERTIFICATE OF O'CCUPANC`i.T0WN0FSOUTiL0LD j A. This application must be filled in by typewriter OP, ink and submitted to the building inspector with the following: for new building "or new use: I . 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. 1. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1-7 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 snowing 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 Occupancy is denied , the Building inspector small state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy N'ew dwelling $25.00 ,' Additions to dwelling S25.00 , Alterations to dwelling $25.00 , Swimming pool $25.00 , Accessory building $25 .00 . Additions to accessory building $25.00. Businesses $50. 00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4 . Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $ 5.00., Commercial $15.00 Date . . . �.� � .q,..� . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . Old Or Pre-exist 'n Building. . . . . . .. . . . . . . . . . . n 1 Location of Property. . . . . . . 53c) . . . . . . . . . . . . . .�� �.�. . . . . . . .E. Rouse No Street Hamlet r Onwer or Owners of Property . . . . .�'��c'. . ���!'n . . ,� � . �ounty Tzix Map No 1000, Section . . . l. . . . . . . 13.1ucic. . . . .. . . . . . . . . .Lot. . . .! . . . . . . . . . . . 7ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F:JIed Mop . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 1��. :'erm cX. . !it No 0E permit . Q c�!��� 7. . . . .Applic;int . �.�%�''GC�'.�.+Xi.4��11,�1'N to .�l�l!�a denlLll Dept. Approval . . . . . . . . . . . . . . . .Uiiderwrit'ers Approval . . . .. . . . . . . . . . . . . . . . . 'landing Bonrd Approvol . . . . . . . . . . . . . . . . . . . . . . . . �?equest for: Tempornry Certificate. . . . . . . . . . . Fiii;il Certicate. . . . . . -ee Submitted : 5 . . . . 0 V. . �2�5oaog 2 3`�-3 ; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1035176 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date AUGUST 31,1995 Application No.on file 88933595/95 N 362374 THIS CERTIFIES THAT PLTMT NO. 22277Z only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of LAUREL GREENHOUSES, KIRKUP LANE, POLE S/O LIL 283, MATTITUCK, N.Y. in the following location; ❑ Basement ® 1st Ff. ❑ 2nd Fl. .Section Block Lot was examined on AUGUST 28,1995 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES ICOOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 7 8 14 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 4 �F 3 SERVICE DISCONNECT NO.OF S E R V 1 C E AMT AMP TYPE METER 1-•4W 1.0'3W 3 0 3W 3,0'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G. NO.OF NEUTRALS A.W.G. EQUIP. PER Ar OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: Lcertfifii,.t, ND L. CHESHIRE ELE. LTC.#3839-E RIVER ROAD RTON, NY, 11933 GENERAL MANAGER 11 Per be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR D UILDINO DEPAKFOENT.THS COPY OF CER d IPICATE MUST N0TCE ALTERED IN AMW MANNER. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �INSUL9TION [ ] FRAMING [ ]' FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: v z2 . DATE C -INSPECTOR LNT_^ OUTIDATION ( 1st) FOUNDATION ( 2nd ) � ;OUCH FRAME & •PLUMBING c H 3 . I = Cx [T] n _IISULATION PER N . Y. I '� STATE ENERGY CODE FINAL j ADDITIONAL COMMENTS : x n7 --------------------- H -v H BOARD OF HEALTH . . - iit FORM NO. 1 3 SETS OF PLANS i' y?M ; — ; �;� TOWN OF SOUTHOLD SURVEY • • - • - • - - - - -.. . . . . . . ' , � AM 5 BUILDING DEPARTMENT CHECKlia �.`••, TOWN HALL SEPTIC FORK _ . . . . . . - SOUTHOLD, N.Y. 11971 . . . _ . i'i',,0vLFLi�` __J TEL.. 765-1808 Examined . . . . 3 CALL . . . . . . . . . . . .� . . . . ., 19/ MAIL TO : Approved . . . . . ( •3 . . . ., I9/., Permit No. 1��� . . . . . . - . • . . - . . . . . . . Disapproved,a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a . . . . . - - - . . . . . . . . . . . (Bb Inspector) APPLICATION FOR BUILDING PERMIT Date . . � . . . . . . . . .:, 19/. 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 stieets 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 in pections. (Signature of applicant, or name, if a c oration)• - - • (Mailing address of applicant). • - • • . • • - State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . . . . : C9Mv . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . .ARPR0 �.1!&DOTED . . C ,1 1 DATE: - B.P.# �� 7� Name of owner of premises . . . ���} C�• ,l }.�P�` C�jr p • . • . (as on the tax roll or late BUILDING DEPARTMENT AT If a li nt is a cor ra ion, 'gnatur o my authorised fficer. 785-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPEC11ONS: U 1. FOUNDATION --,TWO REQUIRED (Nam and title of corporate officer) FOR POURED'CONCRETE 2. ROUGH FRAMING & PLUMBING' Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . 3. INSULATION .- 4. FINAL - CONSTRUCTION MUST Plumber's License No. BE COMPLETE FOR C.O. •' ALL CONSTRUCTION .SHALL,MEET Electrician's License No. THE: REQUIREMENTS-,OF THE N.Y. _•' ' ' ' • ' ' ' ' ' ' ' ' STATE CONSTRUCTION A ENERGY Other Trade's License No. ... . . . . . . ...... . . . . . . . . . . . CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS I. Location of land on which proposed wmozk will be done. . . . . . . .Y . . . . . . . . . . . . . . . . .M > �. House Number Street Hamlet . . • • COLMt Tax l Y Map No. ]000 Section . . . 1�`�. . . . . . . . . . Block , f. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. Filed Map No. Lot - . . . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . t C� . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . .t. . . • . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . , v Repair . ... . . . . . . . . . . . • • Addition . . . . . . . . . . Alteration Removal . • Demolition ' ' ' ' ' ' ' ' ' ' ' c Wo 4. Estimated Cost . . . . . . . . . ��� .. .�.' . . . . . . . . . . . . . . . . . . q�'• ' (Description) . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . S. If dwelling,number of dwelling units . . . . . . . . . . . . . . . (to be paid on filing this application) - If garage, number of cars Number of dwelling units on each floor . . . . . . 6. If business, commercial or mixed occu occupancy, specify • • • • ' - • • - ' • ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • • • • • . • • 7. Dimensions of existing structures, if an cy, sp, y nature and extent of each type of use . . . . . Height . . . ��'.�. . . . . Y. . .��`�.` . . . . . Rear . �0.�... . . . . . Depth �+�� : . . . . . . . . Number.o cp •f . . . . . . . . f Stories . . . . Dimensions of s e structure with alterations or additions: Front . . . � � � • • ' ' Depth . . . ./ � . . . . . . . . . . . . Height . . . . . . . . . �� .�. . . . . . . Rear .c��`2.. . . . . . . . . . . . 8. Dimensions of entire new construction: • • Number of Stories . . . . . . . . . . . . -Height Front . . . . . . . . . . . . . . Re . . . . . . . 9. Size Number of Stories . . . . . . . . . . . . . . . . . .ar . . . . . . . . . . . . . Depth . . . . . . . . . . of lot: Front . .ff ,, Rea " " " " • • • • • • . { 10. Date of Purchase . . . . •: . . . . . . . . . . . . .r . Na . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . II. - Zone or use district in which premises are situated . • • me of Former Owner . . . . . . . . . . . . . . . . . . .12. Does proposed construction violate any zoning law, ordinance or•regulation: • • • • • • ' ' ' ' ' ' ' ' ' 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . , , • • . 14. Name of Owner of remises �. - o�1�S� • ' ' ' Will excess fill be removed from premises: •Ye. No p •a-�1 Address Name of Architect • . Address . . - - - - ' ' ' ' ' . ' ' • • • Phone No. . . . . . . . . . • Name of Contractor s . . . . . . ' .• • • • • • • • • • . Phone No.. . . . . . . . , 15. * Is this propert • within " . . . . • • • • • Address . . . . . . . . . . . .. . . . . .Phone o. . . . . . . . . . . . . .Y 300 feet of a tidal wetland?� �� • • • • • . Yes. . . . . . . . No. . . . . . . . . • *If yes,- Southold Town Trustees Permit maybe 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. STATE OF NE K 'OUNT-Y OF . ..... .. . . . ' �WI�l . ,j ,. _ being duly _. "nin sworn, deposes and says that he is the applicant : am oaf-i dividual sig g•contr, b ova npi ed e is the . ... . . . . .e. . . . . . . . . . .•. . . . . . (Contractor, agent, corporate officer, etc.) ' ' ' ' �f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file.this �plication; that all statements contained in this application are true to the best othis knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. .Vorn to before met ' . . . . . . . . . . . . . .day of. . Mary Publi �%� fib• County CLAME L GLEW Notary Public,State of New York No-'4879505 . . Qualified i Suffolk lk Cou 8 19 . . . . . . . . . . . .. Commission Expires (Signature of applicant) I l I I I , I I r II I ! l , Tj I ! I I I I I , _ `� � ! _ 'I ! I � I i I i ' I , � I I I } ► I I ! I IMF I I � } � r 3 48.9• 468 9 II X X T ° now or fo mer ly Jos"ep Mccari m I hadeff�` 5I E Y 4�O RfGFf7' OF.WAY I `472X 7-41 Sg` I 6c) i n j S.20 17 51 E% . 2 00 SI33°23�41�E. 232. 6 TRAVELLED ROADWAY" a- PROPANE 71 / TANK 40-7 I I - MOBILE rr_ ff GREENHOUSE HOUE r � \ i 55.1 1 ` I X �BUILDIN � � PILE .J, UNOEROR NO. �Jt. I"_ SHED.' OPEN 4O4 i GR EpjHOUSE GREENHOUSE STORAGE 11 2 2/ X I.. } x1Y 4� 33 re I ENHOUSE. 4 f W GRE 1 �. SE-R.Y. — ' i 3.7 I i t 42.2 I I 4 I 42.1 I 3 ,3 I t s. \ 467 �` _ 1 O W a Ia x X di l a GREENHOUSE 11 TANK 6 O PRO PANE � 3 Fo n '� I I. - ; 9 II + . • 46.7 \ ' 371 K 49 2 : x {" i I i I I I I I i I I I ' I I I i I • I I ' I i . i I 1 I I I I I I I , Floorplan FT • I j i i I-� � I 1 � I i � I I I I i I , i I I , West elevation