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FOBM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ~11~[. Date ............. ]~l~llb~r...! ~., 19..~.. THIS CERTIFIES that the building located at . .~..~ .R~ ........... Street Map No. ~ ........ Block No. ~ ....... Lot No..~ .... ~h~ .............. conforms subst~tially to the Application for Building Permit heretofore filed in ~is office dated ............~.~ .~9.. ~0p~su~t to which Building Permit No.. ~.~. dated ............~... 2.~., 19. ~, was issued, ~d conforms to all of the requir~ ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . ~.~. ~.. ~. ~9~.~ ............... ~ ............... The certificate is issued to (owner, lessee or ten~t) of the ~ores~d b~ld~g. ~t ~s oo~iea~e eovorn ~8 8~o~Tko~ & ( ~e r .... ...... Suffolk ~to~m ~13~ '" ~ ........ ~l)l~ Building Inspector FORM NO, l TOWN OF SOUTHOLD BUILDING 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? 5037 Z Permission is hereby granted to: ~1~ ............ S~utho~..~.~l~e.r.t~e~...~...~...~.ohn J, ~one~ ....... 8tc~...~oa~..L,Zev..~,Z.o.....l.~.~O.. to ~.~.~..ne~...b.~`~n~.~...b~i~¢Lng...£..s.~e.r~rke~t~...tkr.e&..s~t~te.j.~r~ & .... im~bl~..f~t~iz~ ..tlm~te~ ) .. ,.. ~pp~e~...b~..l~l~lm~...Bee~ ............................ at premises located at ........... ~/~...J~D,~T~..]E[o'nC~. .~. ............................................................................. .................................................. .q.~.~.e..b..~.r, .~.e. ....... ~.,~., ........................................................................ pursuan¢ to application doted ................................. OO~, ....... ~1~ ....... , 19...~, and approved by the Building Inspector. ~0~]~1 Perllt~ ~l~d s~eet to ~r Deptt ~te ~ay ~ ~ o~er a~e~ ~ ~ C~ectlo~ or eh~eB Fee $....1.0~0 ......... Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sou(hold, N.Y. Certificate Of Occupancy No...Z.lfi. 9. 7.s ......... Date ..... ?.qr..~.m.b.~.r., J.3. .............. 198.4.. THIS CERTIFIES that the building ...~.u.s.i..ri.e?...~.u.ifl. ~..i.n.g. ......................... · rt S1475 Main Road Cutchggue Location of Prope y .. .... . ......................... ._ ......................... nou,~ ~vo. ~'ereee County Tax Map No. 1000 Section ...9. 7. ....... Block ...... .5 ........ Lot .... ~. 2. ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to ~e Application for Building Permit heretofore flied in this office dated 10 / 29 19 ?.°. pursuant to which Building Permit No. 503 ? Z dated ...0.9 .~....~. 9 ................. 1979., 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 ......... .... .~.u.s. ~. n..e.s.s.. ~ ~.Lc~ $~ ....................................................... The certificate is issued to ...... S. :..~..E ... ?.e..a ~.~.y...~ .o.. ................................ (owner, ~ ~)X × of the aforesaid building. Suffolk County Department of Health Approval ....... .~ 97.'.. ! .5.,.. ~..9.7.1 .................... UNDERWRITERS CERTIFICATE NO ...... .Nfl. ~..6.6.~.~...~..~3..~ .~.9.~.o. ....................... Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12981 Date November 13 .................................................. 19.86.. THIS CERTIF IE S that the building...B.u.s. 5; .n .e .s.s...b .u.i.1. d..~ p/~ ......................... Location of Property 31695 Main Road Cutcho~ue County Tax Map No. 1000 Section9 .7 ........... Block ..... 5. ......... Lot .... q. 8 ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Perrait heretofore filed in this office dated Oct. 29 ,19.7 p. pursuant to which Building Permit No. 5037z dated Oct. 29 m70 s ............................. J .... was i sued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Business buildin~ The certificate is issued to ...... S.:..8~ E . REALTY .C9.. ................................ (owner, ~RaReC,~Z Xe~T~)~ of the aforesaid building. Suffolk County Department of Health Approval .... ?.o.¥ :..1.5. ,...q.9.7. ~. ...................... UNDERWRITERS CERTIFICATE NO. # N 361765 Building Inspector Rev. 1/81 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy NO. Z12980 Date November 13 19Bfi. THIS CERTIFIES that the building ...~.u.s. $ .n.e.s.s...~.u).Z. ~..~.n.~ ......................... Location of P~opcrty 31465 Main Road Cutchogue County Tax Map No. 1000 Section ..... 9.7 .....Block .... 5 .......... Lot..1.~ ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .0.c.t.....2.9 .......... 19 7.©. pursuant to which Building Permit No..5.0.~ 7.Z ............... dated ... 0..c .t.... 2. 9 ................. 19 ? 9,, 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 ......... .... .~.u.s. $ .n.e.s.s...b.u.±.~. ~..&n~ ....................................................... The certificate is issued to ..... S. :..&..E.... ?.E.~..L.T.~..C..0.. ................................. (owner, ~.,Rs~p~oK ~a~ X of the aforesaid building. Suffolk County Department of Health Approval ...N.qv.,..~.5. ~..~ 9.7. ~. ........................ UNDERWRITERS CERTIFICATE NO... # N 3 8 8 83 6 Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12979 Date November 13 .,198.~. THIS CERTIFIES that the building .... B..u.s.~n.e..s.s..b..u.i,l.d.i. Ug ........................ Location of Property .. .... .- .3. ! .4.3.5.. ~.a.i.q..R p.a.d. ..... .- .............. ~.u,i; C h.ogtl ~. '~r~/e~ house tvo. street County Tax Map No. 1000 Section ....... 9. ?....Block ........ 5. ...... Lot ........ q..2 ....... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fred in this office dated · ...O.c. t:. :..2.9. ......... , 19g.0. . pursuant to which Building Permit No.5 0. 3. ~ .g ................. dated ...O.c.~.... 2. .9..., ............... 19.7.0., was issued, and conforms to ~tll of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Bus±ness b LLS, ~_ ¢,i/Lg .......................................... The certificate is issued to S. & E. REALTY CO. (owner, ~~XXX of the aforesaid building. Suffolk County Department of Health Approval ...N. qy ~..1.~ ~..~.9.7. ~ ........................ UNDERWRITERS CERTIFICATE NO .......... .#.N. 3. .6 .q .7.5. 0. .............................. Building Inspector Rev. 1/81 TOWN OF SOUTHOLD ~ I~uilding Department Town Clerks Office Soulhold, H. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Jn~fruct|ons A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 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 installations, a certificate of Code compliance from the Architect or Engineer responsible for the [)uilding. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occul~ancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date 6/13/78 New Building ..........x. ..... Addition ................ Old or Pre-existing Building ................Vacant Land Location Of Property 31495 Main Road, Cutchogue, NY (liquor store) Owner Or Owners Of Property S. & E. Realty Co. Subdivision ............................................................ ;..,Lot No ............. Block No ............. House No ............. Permit No, .~...5..0.~.?. ...... Date Of Permit ..]'..0../...2.~./...7..0..Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval Og.~.....~.7.~..]:~.7..7. .... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fin~ Certificate x Fee Submitted $ ..5-.-0~. ......................... Construction on above describedAppiicantbUilding and perAit Ameet-s'-/~J-'eppli~e c/~nd regulations. Sworn to before me this Nathan L. Serota / "~. ___._ _.,f June 1978 Notary Public/~.Y. ................ Z .... County ~//)~ iOY,'hl OF 50UTHOLD , Bu;Id~ng Depodment Town CIcrJ,.i Offlce S<,uthold, N. Y, 11971 APPLICATION FOR CERTIFICATE OF OCCURA~:C~ Jn~truc|;oni This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Buitdlng lnspedor wilh the following; for new buildings or new use: I. Final survey of property with occurole location of all buildings, property lines, streets, and unusual natural or topogrophic features. 2. Final approval of Heohh Dept. of water supply and sewerage disposal-. (S-9 form or equal). 3. Approval of electrical installatbn from Board of Fire Underwriters. 4. Commercial buitdings, lndustrbl buildings, Muhiple Res;dances and sM~ilar buildings and instaIlati0ns, a certificate of Code compliance from the Architect or Engineer responsible for the building. Submit Planning Board approval of completed site plan lequ[rements where ~ppllcoble. existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-ex st ng land uses: ' ' ' l. Accurate survey.of property showing oli property lines, streets, buildings and unusual natural or topographic features. 2. Sworn s',atement of owner or previous owner as to use, occupancy and conditbn of buildings. 3. Date of any housing code or safety ~nspection of buildings or premises, or other pedinent in- formation required to prepare a certificate. For Co Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date 6/13/78 New Building ....~ .......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~1.4~_ Main Road, Cutchosue, NY (card shop) Owner Or Owne~ Of Property S-. ~..~.E.... Realt[ Co. 97-s-~ ....................................................................................... Subdivision ..................................................... : .......... Lot No ............. Block Na ............. House Na ............. Permit No.~....~...0.,~.Z ....... Date Of Permit .]:.0.../..~.~../.Z.0...Appllcont .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ...~/..~../.7..8. ........................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fin~ Certificate X Fee ~bmitted $ ...~.....0..0. ........................ ' ......................................... Construction on above described build[ng and ~ernji, ~mc.~L~-~ll P~/~e~/od~s ond regubtions. ^ppi,con, ............. .......................................... Nathan -L. Serota Sworn to before me this I'~1~/ a ~ J~ue Z978 --.t-- ..................................................... (Stamp or seal) THE NEW YORK BOARD OF FIRE' UNDERWRITERS :111 BUREAU OF ELECTRICITY ['--' 85 JOHN STREET, NEW YORK. NE~/ YORK 10038 N 382920 THIS C. ER"rlFIE$ THAT RAN~F.$ s. wm MLIL/bOUTEET SYSTIMS EXHAUST FANS DIMMIIRS S E R V I C B.~. ~lbe. CO. 8t~lleater A~e. 'Cutohogue. 11935 Llc. 505~ ~ mug not be altered in any manner;, return to the office of the Board ,if incorrect, b~ COPY FOR BUILDING DEp~AR~MENT~. THIS COPY OF CIRTIf~CATB MUST NOT BE ALT~IH ~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~- BUREAU OF ELECTRICITY -- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT in the follmeln8 /oc~pn; ~ · ~ was examined on ~ 8~ Ba~ [] 1st Fl. [] 2nd FI. Sect/on Block Lot and found to be in compliance with the requirements of this ~oard. RANeES .'TR"?.w. o,L".".'c' T,, '%,= '. EXHAUST FANS DIMMERS SERVICE DISCONNECT NO. OF S E R V I C E OTHER APPARATUS: "An Inspection has been ~ade of the exposed electrical equipment In the premises indicated. No obvious unsatisfectory condition was found." S & E Re&&ty, Co ~~'~ 233 West Merrick Rd. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BI: ALTERED IN ANY MANNER. S~FFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR PRINT LEGIBLY IN INK Building Permit No. Health Department Plan No. Application for Approval of Commercial Sewage Disposal System. TO: The Suffolk County Department of Health Date ~[~ ~ Application for approval of commercial sewage disposal system is hereby requested. Location: ~/~M~ln~- (Name, side of street, name and distance to nearest intersecting street) Name Cu~$~l~Cen~ Hamlet Cutch~g~ Town Village I hereby certify that this commercial sewage disposal system has ,been constructed in accordance with plans approved by the Suffolk County De- partment of Health on (date) and with all the requiremgnts of the latest bulletins on sewage disposal of t~ Suffolk Countz]~epar~fment of Health. ~~ ~, Applicant's Signature - ~,u~_~x~z~ Title (Builder - Owner) Address ~3W, Me,rick Bd.~ Valley Stream~ N.Y. Tele. No. ~O~ Ready for inspection FOR USE OF HEALTH DEPARTMENT ONLY Inspected by ~ ~/~'~/.4~.~, Date Installation satisfactory --~s ~ ; No Based on the information stated hereon by the applicant and other information made available, it is the option of this Department that this system with proper maintenance can be expected to function satis- factorily and is not likely sewage flow is not exceeded. Date NOV ~ ~ ~7~ ~z/ ACHD - S-13 6/58 to cause a nuisance, provided designed Structural features are not included. Chief of Gencral Eh~gineer~ng Services THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- hh 85 JOHN STREET, NEW YORK, NEW YORK 10038 .-,-October 27, 1977 ,,,,,,,,,,..,,,,..,.o.,,..~,,, 90~257 N 361765 THIS CERTIFIES THAT only the eleclrlral equlpmenl a~ de~cri~d ~low ond lnl~uc~ ~ l~e appltconl ~m~ on Ihe ab~ application numar in l~e p~m;~ o~ S~E Realty Co~., 31~95 Main Rd., Cutchogue, L.I. in the full--lng location; ~ Basement ~. .~.~d o. October 2,~,1977 and found to ~ in co.,pllunce wi ~ h the requ~rements of thls Board. . RXIURE ~ I I FIXTURES RANGES C~K NG DECKS OVENS DISH WASHERSt, ,EXHAUST FANS DRYERS FURNACE MOTO~ ~TURE A~ANCE ~EDE~ ~PECIA~R~ PT TIME CL~KS BE~ .IUNIT HEATER~ M~ DI~ERS OTHER APPARATUS: M&M Elee. Inc. /'er-- SENE~i' -~~~ ].60 Rome St, - .Fa.rmingdale, L.I. 11735 ' Lit'E195r -r~:. ~:~..+. m,,,t~.ot be altered in 'an~, mannerr return to the office of the Board if incorrect. Inspecto $ may be identified by t~. S~FFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR PRINT LEGIBLY IN INK Building Permit No. Health Department Plan No. Application for Approval of Commercial Sewage Disposal System. TO: The Suffolk County Department of Health Date Application for approval of commercial sewage disposal system is hereby requested. Location: N/SAAelaI~ml- 1300~,W/OCamlame (Name, side of street, name and distance to nearest intersecting street) Name Cu~ehc, gu~Shol~l~C-,ntE~ Hamlet CU~U~ Town Village I hereby certify that this commercial sewage disposal system has ~been constructed in accordance with plans approved by the Suffolk County De- partment of Health on (date) and with all the requirements of the latest bul]etins on sewage disposal of t~ Suffolk Count2~eparNment of Health. Applicant's Signature (Builder - Owner) S & E IbNI~ Co. Address ~3 W. MeelekRd.,ValleyS~eam, N.Y. Tele. No. LO 1- 9~00 Ready for inspection FOR USE OF HEALTH DEPARTMENT ONLY Installation satisfactory --/~s ~/ ; No Date Chief of General Engineering Servicee Date NOV 1 8 tg7~ ACHD - S-13 6/5s Based on the information stated hereon by the applicant and other inform~tior~made available, it is the option of this Department that this syste~with proper maintenance can be expected to function satis- factorily~and is not likely to cause a nuisance, provided designed sewage flo~ is not exceeded. Structural features are not included. ~'OWN OF SOUTHOLD Building Deportment Town Citrics Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Jnstruct;orlll A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building lnspeclor with the following; for new buildings 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 of Health Dept. of water supply and sewerage d[spasal--(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 installations, 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 April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing oil property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner os to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ote ..... §/...Z.,!./..7..8.' ........................... New B~I ding ~ ........ Addition ........ Old or Pre-existing Building ................Vacant Land .............. Location Of Property 31465 Main Road, Cutchogue, NY (pet supplies) Owner Or Owne~ Of Prope~/ .8..: ~ .E.. Realty Co. .......... ......................................................................... Subdivision .............................................. : ................. Lot No ............. Block No ............. House No ............. Permit No..~]..~..0.,~.7. ..... Date Of Permit]r.0../.~..9../.Z..0...Applicont .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .... fiJ'-~/-.TJ~ ............................ Planning Board Approval ........................................ Request For Temporary Certificate ........................................ FinoJ Certificate .... .~. .................................... Fee Submitted $ ....~....0. ........................... Constructiononabovedescribedbuilding and perm~ j~~ ,C~ regulations. Applicant ..................... ........................ Sworn to before me thisNathaTt L. .... /..3..L. s,om,, o,. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY BE JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT Cutchoque Pet Supplies, 31~165 Main Rd.~ Cutcho~ue, L.I. in the following ~at~n; ~ B~nt ~ 1st FI. ~ 2nd Fl. ~ti~ Bilk ~ exami~d on J ~ ~ ~ ~ ~ ~ ~ andfou~ to be in compliance with the r~ui~nts of th~ ~. DRYERS FURNACE MOTORS OiL H.P. GA~ H.P. v c EXHAUST FANS AMT. H.P. MULTI-Q~TLET DIMMERS SYSTEMS NO. OF ~ ~AT. WATTS FUTURE Ai~UAN~E FEEDER~ SPECIALREC'ET. TIMEOOCKS BELL SERVI~E EMS~C~4NECT NO. OF S E R I ~~ METER N O~ ~O *.W.G. NO. CfH~-~O~ [ .~4T, ~*~p. TYPE EQUIP. 1.,~2w I.,~3w 3~9'3W 3~'4W O. pECRC,~CO . OF CC. COND. 1 2o0 aW ~ x 1 3/0 1 O?#ER Of NEUTRAL 31o ?anelboard~: 1-3c1~. 20a amps 160 Rome St. Farm~n~dale, L.I. ~1735 Lie.195 ee~u~uue~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. S~FFOLK COUNTY DEPARTMENT OF Riverhead, New York HEALTH TYPE OR PRINT LEGIBLY IN INK Building Permit No. Health Department Plan No. Application for Approval of Commercial Sewage Disposal System. TO: The Suffolk County Department of Health Date ~[[~ I~'/1 Application for approval of commercial sewage disposal system is hereby requested. Location: ,~[~' I~,W/OC~q~ (Name, s~de of street, name and distance Name ~tChOl~t/~ Shopp[fl~ C,e~t~N' to nearest intersecting street) Hamlet Village Town S~uth~kJ I hereby certify that this commercial sewage disposal system has ~been constructed in accordance with plans approved by the Suffolk County De- partment of Health on (date) and with all the requiremgnts of the latest bulletins on sewage disposal of t~ Suffolk Count~epar~ment of Health. ' \ A ~ ~---~ // Applicant's Signature ~'~ ~J/~f~-- S & [[~l~ll~, (Builder Owner) Address ~W,~,~[~,~ Va[[~t N, Y, Tele. No. ~1 '~ Ready for inspection FOR USE OF HEALTH DEPARTMENT ONLY Inspected by ~' /~/~"~//~.~.. Date Installation satisfactory - s ; No Based on the information stated hereon by the applicant and other information made available, it is the option of this Department that this system with proper maintenance can be expected to function satis- factorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural Date ~OV ~ ~ ~7~ / ACHD - S-13 6/5 features are not included. Chief of Genera]. Engineering Sorvie~ TOWN OF SOUTHOLD , Building Department Town Clcrks Office Sou~hold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instruct|onll A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage dlsposal---(S-9 form or equal). 3. Approval of electrical inslallatlon from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. .5. Submit Planning Board approval of COrnpJeled site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property 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 buildlngs or premises, or other pertinent in- formotlon required to prepare a certificate. C. Fees: I. Certificate of occul~ancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 ....... ......................... New B~ilding x ................ Addition ................ Old or Pre-existing Building ................Vacant Land Location Of Property .~..1..~...Eain ~J~..~..d..,...g..u,~q..~..o.~l~.~,...j~!~......(~l).]t) ............................................. Owner Or Owners Of Property So ..~ ~"t ~.&'lt~[ Co~ Subdivision .... r .................................. : ........................ Lot No ............. Block No ............. House No ............. Permit No. ~...~.O_~.~ ...... Date Of Permit ..]:.0./..~.~../..~..0..Applicant .................................................................. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval ...1..q/...2.7./..'~.7. .......................... Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fin~ Certificate .,,,~ ................................ Fee Submitted $ 5.00 Applicant ............................ .~., .L.. ~...~(~.... ~-.?..~.. ....................... Nathan L. Serota Sworn to.~efore me this .................. .. Csta o,s Notary Public~.~ County/(/~ ~_.~c~:l~- ~ S~/~ Y ~:"~ THE NEW YORK BOARD OF FIRE UNDERWRITERS nh BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 .o,,October' 27, 1977 ~,'P"~""""~'"'""~"' 909256 N 361750 THiS CE~IFIES THAT S&E R~alty Co~., 31~35 Main fid., Cutchogue,L.I. FIXTURE FIXTURES RANGES COOI(INGDECKS OVENS ~DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS TIME CLOCKS JNIT HEATERS MULTt-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVIC/~ DISCONNECT OTHER APPARATUS: S E R V I C E NO. OF CC COND. AW, G NO. OF HI-~G A,W.G. 1 4/0 1 4/0 M&M Elec. Inc. 160 Rome St. :parmingdale,L.I. '~his certificate' 11735 Lic.195E Per D the office of the Board if incorrecl, may identified by S~FFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR PRINT LEGIBLY IN INK Building Permit No. Health Department Plan No. Application for Approval of Commercial Sewage Disposal System ~ TO: The Suffolk County Department of Health Date Application for approval of commercial sewage disposal system is hereby requested. Location: ~i"~' I~)~.W/O~M (Name, side of street, name and distance to nearest intersecting street) Name Cutc~S~~ Hamlet ~,~ Town Village I hereby certify that this commercial sewage disposal system has been constructed in accordance with plans approved by the Suffolk County De- partment of Health on (date) and with all the requiremgnts of the latest bulletins on sewage disposal of t~ Suffolk Count2~epar~ment of Health. \ /~ '-~ ~'~//' - // Applicant's Signature Title $~, ~ ~l~ ~, (Builder Owner) Address ~, ~i~,iVQJJ~S~I ~,Y, Tele. No. LO1'9~ Ready for inspection FOR USE OF HEALTH DEPARTMENT ONLY Inspected by 6 ,~,M~F'~//..u~ ~ Date /~///~/ Installation satisfact0ry -J~s ~ ; No Based on the information stated hereon by the applicant and other information made available, it is the option of this Department that this system with proper maintenance can be expected to function satis- factorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural Date ~0V ~ ~ ~7.~ /~ ACHD - S-13 6/58 features are not included. Chief of Genoral Engineering Ssrvicos S~FFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR PRINT LEGIBLY IN INK Building Permit No. Health Department Plan No. Application for Approval of Commercial Sewage Disposal System_ TO: The Suffolk County Department of Health Date Ap~i~7~ ~97~ Application for approval of commercial sewage disposal system is hereby requested. Location: (Name, side of street, name and distance to nearest intersecting street Name Hamlet Village I hereby certify that this commercial sewage disposal system has ~been constructed in accordance with plans approved by the Suffolk County De- partment of Health on (date) and with all the requirements of the latest bulletins on sewage disposa'l of t~l~ Suffolk Count2~epar~fment of Health. ~ /% ~ ~ Applicant's Signature %'/ k~/~t~ (Builder - Owner) S & ! belly Co. Address 233W. Me~i~k Rd., Valley Sttoem, N,Y, Tele. No. Ready for inspection FOR USE Installation satisfactory - s ; No Based on the information stated hereon by information made available, it is the option OF HEALTH DEPARTMENT ONLY Date the applicant and other of this Department that ACHD - S-13 6/58 factorily and is not likely sewage flow is not exceeded. Date NOV ~ ~ ~7~ / to cause a nuisance, provided designed Structural features are not included. Chief of General Engineering Ssrvie~ this system with proper maintenance can be expected to function satis- THE NEW YORK BOARD OF FIRE UNDERWRITERS -:::~ BUREAU OF ECECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1OO:38 THIS CERTIFIES THAT only the electrical equipme"t ~s described below and introduced by the a[~plica~t name! ~ the above application .umber in the premises of · =;?~E Realty, 31~55 ~r the fo~ing location; [] E~aen~ent ~ lst FI. [] 2~d ~. ~tio~ Block ~ot was examined on April !~, ],~7~ ond found to be in compliance with the requirement~ o/ thi~ Board, K,W, OiL H,P. GAS H.P. AMT, NO, A. W, G, SERVICE DISCONNECT I NO. OF I S R ii ~') ~ ,!~:t~ METER ~ ~o ~ AMT. AMp. TYPE EC~P. 1~'2W I,~3V*' S~r~ 3,G'4W 'O~CRCkCOND* ~:~ ~ ~o.~ o~r~,/:.,, 1- 0 cir .- 2') Oamp RANGES R OF CC. COND. 3/o V I C 1 3/0 I EXHAUST FANS AMT. H.P. ?a rmin~:dale, ;;.Y. 11735 Per ~ ~ ~ ' This certificate must not be altered in any mannerr return to the office of the Board if incorrect. Inspectors may be identified by theirS! dentials. COPY FOR BUILDING DEPARTMINT. THIS ¢~PY_ OF CERTIFI~T_E MUS~TT NO~ B~_AI,_~TIREI~.~ _ IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS p~t BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~,,. J~,nu~z'.~ ~8, 1980 App.eo,ia. Na.o./i,e 0196tl6 N THIS CERTIFIES THAT only the electrical equipment a~ d~scrib~d below and introdured by the ap. plic~nt named on the abo~ ~ppli~cation number in the premises of S&E Re&l~y Coz.p., 31 ~35A was examined on J ~ n u~ ~ ~ ~ · ~9 ~0 and found to be in compliance with the requirements of this Board. .XTURE INC~NDESC,HT. RXTURE$.,cu. ,.RANGES~. w. N OUTLETS IE~EPTACLES SWITCHES FLUORESCENT VAPOR COO~KT ! A S DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ECIAL REC'PT TIME CLOCKS SELL UNIT HEATERS SERVICE DISCONNECT I NO. OF I S E R I C METER w 4W NO. OF CC. COND. A.W.G. NO Of HI-LEG A.W.G. ITHER APPARATUS: MULTI-OUTLET SYSTEMS NO. OF FEET EXHAUST FANS DIMMERS NO. OF NEU?RAI,5 OF NEUTRAL 160 Rome St. FarmlnFdale, N. ~. 11735 Li8o195 This certificate must not be altered in any manner;, return to the office of the ~ord if incorred. Ins~dors may be identifi~ by t~ ~dentials? /- THE NEW YORK BOARD OF FIRE UNDERWRITERS pm CUR'=AU OF ;L,=CTRIC,TY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIE5 THAT ~ ~n ~J~ ~ ~ D and found to be in compliance ~vith the requirements of this Board. FIXTURE I INCANDESCENT · FLUORESCENT OUTLETS ECEPTACLES SWITCHES FIXTURES ~cuRY VAPOR DRYERS I ~FURNACE MOTORS I FUTURE AK~JANCE FEEDERS A/RT. K.W. OII. H.P, GAS H,P, A,'~T. NO, SERVICE D'~aCOteNECT I NO. OF S ~ ~00 ~.~ ~'~/ METER RANGES SPECIAL EEC'PT, E R COOKING DECKS OVENS I mSH WASHERS TI~M~ CLOCj:. 1'::S.~UNIT HEATERS MUjflfUEMF:SEL~T V I C E EXHAUST FANS DIMMERS M&M Eleoo Inc. 160 Rome St. Farminrdale, N.~. 11735 Lic.195 This certifi~c~e mus~ no~ be altered in un)' mcnner; re~urn to lhe office o~ CO~Y FOR BU~LDING DEPARTMENT. ?H~$ ~OP~' O~ CL~TIF~CATE MUST NOT BK ALTERED ~ ANY ~NNKR. ...................... ..'.: .............. , Po,m, ............... ~.~..~...Z.71 ............ ~,..~ , INSTRUCTIONS Q. ~is ~licQti~ must be c~ple~ly fill~ in ~ ~ewrifer or in in~ und submitted iff ~lic~e I~r. b. Pl~ plan ~i~ I~Gtion of lot Q~ of buildi~s ~ premiss, ~lorton~ip ~ .djolnl~ p~ .~s, .~ glYl~ o ~oilod ~ri~l~ of I~ ~ p~ must ~ drown ~ t~ dl~mm ~]~ c. ~ ~ c~ ~ this ~licat~ may not ~ ~menc~ b.~ i.uQ~e of Bull~ h~. d. ~ ~QI of this Qpplic~ion, the Building Ins~ctor will I.ue a Buildl~ Plait ~ h ~. ~h ~it ~QII ~ k~t ~ the p~i~s ~ll.ble for in~tion t~ug~out the p~re. of t~ e. No building s~ll ~ ~cupied or u.d in whGle or in ~ for any pu~e ~.~r until a shall h~ ~en gmn~ by the Building In~r. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building P~rmlt pungent to tl~ : Building Zone Ordinance of the Town of Southold, Suffolk County, New York, Grid other applicable ~ Ordln.r~e~ m ' Regulations, for the constrfiction of buildings, addition, or alterations, or for removal ~r demolition, al herein deecribod. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatlonl. is of (Name and 'of 1. location of land on which Street and Number .~ 3 / 2. State existing use a.nd occupancy a. Existing use and occupancy (Addre, of a~ll. ca~) .~ z'o~d//.a~,~.c:~,,~ / ~. 7: engineer, general contractor, electrician, plumber or builder. Map and intended use, Intended use and occuponc,., ,~,,~,,,~,', ........... L~t No,: .................... , ..~ 3. Nature of walk (check which applicable): New Building .................. ~' Addition .................. Alteration .............. Repair ............ .~ Removal .................. Demolition .................. Other Work (Describe) ..................................... 4. Estimated Cost ...... ..~,..,~....&~./....~....~...C~.. ............................. Fee ......................................................................................... (to be paid on fi[lng this application) 5. If dwelling, number of dwelling units ......... ~ ............. Number of dwelling units on each floor ....... .~... .............. If garage, number of cars ............ ~ ........................................................... ..w,,"~'"~'~?,~'~'~'~/-,i;J~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ~i~'.~..~...~,,~f, et~.:. 7. Dimensions of existing structures, if any: Front ............ Z .............. Rear ................. ..--. ............ Depth .... - ........ Height ........................ Number of Stories .......................... '~. ....................................................................... Dimensions of same structure with alterations or additions: Front -- Rear ....... -. .................... _~ Depth ................ ..'. ............. Height ............. ..--. ............ Nu, mber of Stories ............... >..-~.. ............ :, ~5~mensions of §ntire new construct on Front ../...~...~...~..O...~. ..e~..:..~..: Rear ../....~..~..%.~...~.~..~...~.:'... Death /7~::~'~°'~.... i ~'' ~ Hei?' ght ...~.~....~.....-~...'.:..=f'Numb,er of Stories ........ ../.. ............................................................................. t?. Size of lot: Front ..'~.....'~....~.. ............... Rear ....... ..~..~ .................. Depth ....... .(-.....~o ' 10. Date of Purchase ..... /~..~......../.~..~'.~.. ....................... Name of Former Owner . ! 1. Zone or use district Jn which premises ore situated ..sd~.~..~:~.. ......................................................... 12. Does proposed construction vi~olate any zoning law, ordinance or regulation? ..... ...,~...O.. ............................................... 13. Name of Owner of premises~..~~..~..'....Address ...~....~....~.~'....~.....~.~. Phone No. 7..,~../.:../.~:'...~-.. Name of Architect .~..l~.....~.~~~;....Address ~.~...~~.~: phOne No.--~..../..'~ Name of Contractor .......... ~ ............. ; ......................... Address .................. "-. ......................... Phone No ....... .~. .......... PLOT DIAGRAM Locate clearly and distinctly oil 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 comer tot. STATE OF NEW~RI~ ,~ tS.S C0UN r OF ........ · ...~.X?~...~..'~...~..~.'ee~...4 ....................................... being duly sworn, deposes and says ,~t he is the applicant (Name of individual signing application) above named. He is the ..~~~;..~~~~.~ ..................................... (~ntroctor, agar, calorie officer, etc.) of said owner or owners, and is duly authorized to pe~orm or have perfo~ed the s~id work end to ~ke ~d file this ~pplicotion; that all statements contained in this application ore tme~e ~st ~f his knowl~ge and belief; and that the work will ~ performed in the manner ~t fo~h in the ~pplicati~herewith~ Swam ~ ~fore me ~is ~ ~/ ~ ~ ...... ........... ~~--~-- .. Notor/ Public, : ....... ~~~.....~ ..... ~.~. C~n~ '"~-~gna~re'of Term Expires March ~, 1 T,A/Z- 0~'_ _ ;? q TANK :: . ¢'=_! I FORMERLY TEAS AND STEINBRENNER CURB-CUT PLAN SANITARY PLAN & DETAII.~ SITUATED AT CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. ,/ 42 OOO~O 9x0,12 68,.42 ,jz~ /~. G 277m \ \ × ~ AO C~A.k/~F ~ '&,774 ¢].~D h ,! ), - /,/'~ ET_ZA N IN F--- ¢./:5. , (,o 1,) :. =