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Home My WebLink About2931-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16385 Date November 10, 1987 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property 11950 Sound Avenue Mattituck, New York ~'e ~'oi ....................... 'S't/e~i ....................... hb~iel County Tax Map No. 1000 Section 14 I ...Block 3 .Lot 4 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 28, 1965 pursuant to which Building Permit No. 2931 Z dated. .....N°v ..... emb e..........r 16, I 96 ....... 5 was issued, and conforms to all of the requirements of tile applicable provisions of the law. The occupancy for which this certificate is issued is ......... ADDITION & ALTERATIONS ON EXISTING BUSINESS BUILDING AS APPROVED BY ~' '~'dAi~b' 'd~' i'~'~L's' ........................................................ The certificate is issued to JERRY & LILLIAN SCHULMAN ..................... ?o¥.'&,'~i~'~X~k ................... of the aforesaid building. Suffolk County Department of Health Approval ............ N../.A ........................... N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FOI~M NO, 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON '[HE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2931 z Permission is hereby granted to: ,l'e~,.~... 8e.~,~.. &.. ~:t :r:e ...................... . ........ ....... .~.~..~. ......... .....,, ............... :. ................ i.....,. .......... ~.~.. ~.e. ~.e..~ .~....s..~.~.t,.~.~ ................ to et premises located at ..~../{~.....~.~,t~3.~...,'~.l~.e...~..~,.~.~.~.e.~.e. ...................................... i ........................ ........................... : .......................... ~.t..~ .t.~.,....,**,..~., ................ [ .............. ~ ............... i:.: ...................... ~ursuant to application dated ............ . ....................... .0.~..~. ...... *Q~. ..... 19.~.~..,, and approved by the Building Inspector ~Oe~V~ Appl'oved '~¥ ~ 0£ APl~e~3,s Fee $... ~.,.0.9 ........... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m II=aaaI~I to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate ~ocation of all buildings, property tines, streets, and unusuat natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B, For existing buildings {prior to Aprit 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New ])we] ling $25.O0, Accessory ,$ {0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwe ng $ 50.00 3, Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date...N. gy.e.m.b..e.r..9.'. ]987 NewConstruction. X Old or Pre-existing Building Vacant Land Location bf Property ]]950 Sound Avenue Mattituck, New York Flouse No. Street Ham/et JERRY & LILLIAN SHULMAN Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 14 I Block 3 Lot. 4 ] Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. 293! Z Date of Permit ..l.1,/.!?/6./~pplicant Serry Seh.aZm. an Health Dept. Approval NA , App NA ........................ Labor Dept. roval ........................ NA Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... 50.00 Fee Submitted $ ............................. Construction on above described building and permit meets all app~,~b~codes a~)d regulations. Applicant ................. ., .~ ....... Rev, 10-10-78 Co ~ I~,_~ Phone HR 3-3000 or 3~o3t~[~ SEED BOX 41 JERRY SHULMAN PRODUCE SHIPPER HR 3~o3t3 - 24 hour Answering Service OFFICE Hy 25 A and Davis Ave. FERTILIZER INSECTICIDE PORT dEFFERSON STATION, L. I., N. ¥. Octobo~ ~8, 1965 Town of Southold Building Department Town Cle~,s Office Southold, ADDITIOI~iAL INF0r4~ATI0}J F0~t F0~ #1 ON APi~LICATION F0x~ BUI~)ING PEx~tT UNDE~¢ (~GI~TION ~,~- 7~- F~ont ....... ~ear ..... Depth---M~ighth--Sto~ies 12~' .~0" 30' 1 79' 8~' 50' ~ E8' 30~ 60' 1 Altered Structure 91~ 108' 55' ocO~