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HomeMy WebLinkAbout829-z ' Town of Southold 1/13/2020
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
j
CERTIFICATE OF OCCUPANCY
No: 530 Date: 4/1/1960
THIS CERTIFIES that the building COMMERCIAL ADDITION
Location of Property: 395 Schoolhouse Road, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.-1-23.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/3/1959 pursuant to which Building Permit No. 829 dated 9/3/1959
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:
addition to an existing commercial building_
Corrected CO on 1/13/2020 from one family dwelling to commercial building only.
The certificate is issued to Zahra,Charles &Jean
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A ho ' ed i ature
NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No....~..5..3..0.. ......... Date ....................... .~.g~.$.~...~ ................ , 19..~Q..
THIS CERTIFIES that the building located
Map No. *~w Block ~N ......................... Lot No ...................................................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Septen~ber 3 19...5..9..., pursuant to which Building Permit No. Z 829
dated ....................... .~,~..t..?.~..r....3..... 19..b.'.?...., was issued, and conforms to oil of the requirements
of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ................
PRIVATE ONt~ FA~4IL~ DWELLING
This ertificote issued to ........................................................................
(owner, lessee or tenant)
of the aforesaid building.
/ BuLldin_g .Inspe~cto_r_. '"' ~' ....
HOWARm: ~.
FORM NO. 2
TOWN OF SOUTHOLD
BUI LDII~IG DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 829 Z
Date .............. .~...2 ................... r~?. ......
Permission is hereby granted to:
~id gle~.. ~. ~Z*.~c~... A/,G..Cliff...Tyla~ ......................
.................... ,~ch~l..~.~..~k~ ..................................
~.ut, e~o~u~ ~ .....................
to ....~.uil~..~u..~dd~.~i.qn..~n..~n...~.x..¢.~.i.~. ~.u..s. ~.~ ~.~ ...b...u!..1.~ .i.~g ....................................................
at premises located at ..N/~....~.o..o..~...~...~:.~.~.~..~p.~ ..........................................................................
.................................................... .0. ~.9~.o..~ .e.,.....~.~.: .Z.. :.... .........................................................................
pursuant to application dated ........................ ~%e~:e......3. .............1~.~......, and approved by the
Building Inspector
Fee $~,QQ ................
FORi~I NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ....... ~.....~ .......................... ~ ~ ........
Approved ..................... ' ................... 19 ........ Permit No. .,~C, ~ /
...... 7't ........ ~' ........... '; .....
.................. ./.d....:......(..!:'..:.'.:'::.'::'.l.: ....................................
(Buil~ilng' InspeCtor)
Application No ........~...~ ?. .........
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink. and'Isubm tted in duplicate to the Building
Inspector·
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location.
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
permit shall 'be kept on Jhe premises available for inspectlon throughout the progress of the work·
e. No building shall ~e occupied or used in whole or in pa~t for any puPpose whatever until e Certificate of Occupancy
shall have been granted;by the Building Inspector·
APPLICATION IS HEREBY MADE to the Building Department for the issuanoe of a Building Permit pursuant to the
Building Zone Ordinance.of the Town of Sou'thold, Suffolk County, New York, and other .applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordina'nces and regulations.
r i (Sign(~Jure-./~f~ applicant, o~r name, if a corporat'o )
· .........................
State wheth,er applicant Js owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder·
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
I. Lo~ation of land on whic,b proposed work w~ll be done. Map No: ................. ~ ..... Lot No: ....................
Municipa ity
2. State existing use and occupancy of p~emises 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 .................... Addition ....... ~ ........ Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost .......... ..~.,.~¢ 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 ............................................................................................................................................
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
Depth /O0 t Height ............ .~.. .............. Number of Stories ....... ./. .......................
~, r .~ S ' ' Depth ............................
8. Dimensions of entire new construction: Front .......... .~. ............... Rear ............................
Height ....... ~...~...¢ ............ Number of Stories
9. Size of lot: Front ........¢~..~...~ ........ Rear ....... ../...¢....¢....~. ....... Depth .........~....~....O...~ ...... ,
10. Date of Purchase ..~..~.¢~2..r~'....~...¥...~... ...................... Name of Former Owner ...~../..~./.~~
,11. Zone or use district in whI. ch prer~ises are situated....~ ..........................................................
12. Does proposed construction violate any zoning law, ordinance or re_~ulation? .....~.....~. ........................................
13. Name of Owner of premises.~..~.Address .~ .......... Phone NO.~..~.~..¢..~/..c.L.¢'...~.
Name of Architect .............................. ~~ .......................... Address ............................................ ~ /~"¢.. _ , _ Phone NO..~.~.~,~.~¢~
Name
of Contractor~.....Address .~ ........... Phone NO. ~.~.~..¢.~..~./.
PLOT DIAGRAM
Locate dearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
i0o
STATF OF NEW YORK, ) S S.
COUNTY OF ............................ ) ~ ·
.~~.,...)_....,i.*...,...being. . . . . . . du[y'swo~rn,__ d.eposos . lays that he is applicant
above named. He is the...~~...,v... ................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have per,for~ed the said work and to make and file
th s opp ication; that all statements contained in this applicatioh are true to ,the best of his knowledge and belief;
and that the work will be performed in the m.aon~r set freer? in the applicatio~,~d~~~there~i~. . ~ ~
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CL .K'S OmC
SOUTHO,D, .. ¥.
Examined ...... ~....~.. ............. 19..~.]...
Approved ........................................ 19 ........ Permit No ...............................
.~:.i .~ .~ ~.r..~.i .d...~ ./.i. [;.'.'.'.~~ ~::'-'"" '*' '.~.....'"~".'
.................. .............. ........................
(Building InspeCtor)
Application No.
APPLICATION FOR BUILDING PERMIT
Dote..~ .................................. ;....I y ............
INSTRUCTIONS
a. This 6pplication must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plan showing [ocation of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this location.
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 wilt issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throughout the progress of 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 issuanoe of a Building Permit pursuant to the
Building Zone Ordinance of the Town of $outh~ld, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or a Iterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all aRPlicable law~, orainances bnd regulatlans.
(Sqgnch~re of applicant, or nome, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Blame of owner of Premises ....................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corpora}e officer)
Location of land on which propose~l work ~ill be done. Map No~ ................................ ~ ........... Lot No: ....................
Street and Number ~.~~~j..~ ......................
~wumc~poH y . ' .........
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
o. Existing use and occuponcy....~ .................................................................................................
b. !ntendeduseandoccupancy~~""J'-""-'"~' .....................................................................
3. Nature of work (check which applica'ble): New Building .................... Addition ..../:~ ......... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ............. ~..~......0.~,. ................................. 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 .............................................................................................................................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..............................
7. Dimensions of existing structures, if any: Front ....... ..~...0..~ ............. 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 ......... .~. ................ Rear ...... .~....~....~ ........... Depth ............................
Height J ~' ~ Number of Stories /'
9. Size of lot: Front ...... ../..~...O..~ ........... Rear ........ (.~.O..f. .......... Depth .....~...0....~....r ...........
10. Date of Purchase ...~.~D..~...~....~....~.. ................... 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? .~..~ ...........................................
13. Name of Owner of premises.~.~ ....... Address ..~ ......... Phone NO.
Name of Architect ........................................................ ~,4~/--- Address "~ ............................................ Phone NO./it~.~.~
Name of Contractor~2"{t~..'Y,<~...'"~......Address ............. Phone NO./,~.y../.
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 numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
STAT[! OF NEW YORK, ) S S.
COUNTY.. ~ ,,-- ~..,-.~ .,,-- ~ /'~ .,"/OF ............................ )
above named. He is the ......... ~~.~...~.-~ .................................................................................................................
(Contractor, agent, corporate officer, etc.)
of sakJ owner or owners, and is duly authorized to perform or have perfor~d 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 m.6nnerjet3ortb in t~e application filed therewith. _