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Home My WebLink About9384-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18943 Date MARCH 30, 1990 THIS CERTIFIES that the building Location of Property 240 LOVE LANE House No. County Tax Map No. 1000 Section 140 Subdivision ADDITION MATTITUCK~ N.Y. Street Hamlet Block 3 Lot 3.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 2, 1977 pursuant to which Building Permit No. 9384-Z dated AUGUST 2, 1977 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 EXISTING BUSINESS BUILDING. The certificate is issued to LOIS BD~qlKER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-120582 - MARCH 27, 1990 ~ /~ ' ' Inspector /? BUILDIN : (THIS PERMIT MUST BE KEPT ON THEPREMISES UNTIL F~LL COMPLETION OF THE WORK AUTHORIZED) , No. 9384 Z Permission is hereby granted to: Lois..~arke~. .......... '..:....i ...................................... ...... :~ ...... Lc~..La ......... ~t~itaek[ ................ ^ b%~ild an a'~ditl.o.n on exlst!n~ bus[ness b.u.~.~.ld~ ~ .... . at premises located at ~./..~...I/,O.V..~....~.~.~. ............ : . .................... : ..... .. ~.~.~.t~.~.~ ................ i. : . : ......................................... pursuant to application dated ............................ i'~"~'g-.-:~..· .......... , 19~.~.., and approved by the Building Inspector. · ":~" ....... ~ 0 .... TOWN OF SOUT'H'O'L-'''D~c~c"ct~' Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Buitding )nspec- tot 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 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing alt 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 ~ ~/0~f¢ ~/,~¢d, _[~I¢, Date New Building ....~., .... Old or Pre-existing Building(X). ~-~ _ = 'Vacant Land ' Location of Property ...................... ~,q~/¢-~. ~,,/¢h~ ..... House No, / Street Ham/et Owner o~ Owners of Property ... ~. D,,.~ .... :,~,-', ..... , ,~..,~../~, .~..~,~..~. ................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..c/..).~.~.~. -~.. Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planning Board Approval ............. Request for Temporary Certificate ..................... Final Certificate ........ - ...... Fee Submitted $. ,~..~. ,~..' ..................... Construction on above described building and permK'meets ali apPLi,Cabte~cod~e~ and regulations. Applicant ...... ,.~ ....... : .................. Rev. 10-10-78 TO~N OF SOUTROLD ~UILDIUG DEPAgT~I~T TOUN RALL SOUTROLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~sw COSST~UCT~ON ..... OLD on P~S-~IST~nC nuInn~N~ ...... VACANT nA~n ........ Lonat~o~ o~ Pro~e~y... ~?~.~ .... : ....... '~- -~-~ .... ~,e~..~,.' HOUSE NO. STREET HAMLET O~ne~ o~ O~.ers o~ Prope~ .. ~ ~/* .!~: .~..~..~.~.~:~ County Tax Map No. 1000 Section . /~. Block ..~ .... Loc' .~.~ .... Subdivision ....................... Filed Map ........ Lot .......... Permi= No ........... Date of Permit .......... ApPlicant ................... Health Dept. Approval .................. Underwriters Approval Planning ~oard Approval ................ Request for Temporary Cer~iflcate ....... Final Certificate Fee Submitted: $.~.d~.~.~' ............ rev' 10/14188 FOP~ NO. 6 TOITN OF SOUTBOLD BUILDING DEPAgTMgNT TOWN IlAL?.. 7~5- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS This application must be filed in type~rriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: i. Final survey of property with accurate location of all buildings, property lines, 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that molder used in system contains less' than 2/I0 of 1Z lead. 5. 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. 6. Submit Planning Board Approval of completed site plan requirements, For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings I. Accurate survey of property showing all property lines, streets, bnildingm and 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of ,the entire lbt prior to April 9, ]957 shall also accompany the application. If a Certificate of Oceupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: ]. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $I00.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential Commercial 10/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E Z 1001585 BUREAU OF ELECTRICITY ~- JOHN STREET, NEW YORK, NEW YORK 10038 85 D,,e MARCH 27,1990 ,4pplicatlonNo. onfile 67617490/90 N 120582 THIS CERTIFIES THAT LOVE LANE SHOP, LOVE LANE (EAST SIDE), ~ATTITUCK, N.Y. in thefollowing location; ~ B~ement ~ Ist FI. ~ 2nd FL Section Bilk Lot ~s examined on FEBRUARY 26,1990 and found to be in compliance u'ith the reqtsire,~ents 9f this Board. FIXTURE FIXTURES RANGES C~KINGDECKS OVENS DISH WASHERS EXHAUST FANS SLEEVED UNPROTECTED N~C IN CELLAR-1 SUPPORTE MC CABLE AT HTG EQUIP IN-2 FOGARTY ELECTRIC LIC.~771 ~ BOX 1000, SOUND AVE. - MATTITUCK, NY, 11952 ~,~m~A~, Pe~ / ~hls'certlfic~te must not be altered in any manner; return to the office of the Board if incorrect. ~nspectors may ~e id~tified by their credenfia{s. INSTRUCTIONS: a. This application must be completely, filled in by t~pewriter ac. in ink and submitted Inspector, with 3 set~ of plan~,-~ ~ plan to scale. Fee acc~ .~1 to schedule. b. Plot P. la.n sho?i~n~.,l~a, tion o.f. lot a.nd. of bull.dings on premises,"rel6fi~nship't6 adjoining premises i or 1" areas, aha giving a detailed descript,on of layout ofpraperty must be drawn on the diagram which is part c ~plication. ~ c. ~ wo~ ~ by ~lir~). lion may n~ be commenced before iStaar~e~f~tMing Permit. d. UP°n approval of this ai~hcation, the Bulldir~g Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises a~ailable for inspection throughout the work. e. No builcling ~hal be occupied or used in whole ac in part for any purpme whatever until a Certificate of Occupancy ~ shall have been granted bythe Building Inspector.~ APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursu..ant to the~. ~ui~d!n.a. Zon.e O_r,dinance of ..the T.,o~ p.f. Southold, S~f~k Catty, N~w York, and other applicabb t~ws, Ord,nances or ', .~geUtort..ons, tar me constru~t, on or t>uilamgs, additions or alterations, or for removal or demol tion, as herein described.'~_ · appficant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to'~ admit authorized inspectors on premises and in buildings for necessary impectiofls. · ...... (Signature of app|icont, or name, if a corporation) Hatt~tuek (Address of app~cenO State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of ~re,~ ~,.,- ~1.8 l~.~ire:~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Re ~1~t~!.11 Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ................................................ 1. Location of land on which proposed work will be done. Map No.: ......... ~ ......... ,,...;~ ......... L~t No....Z~.,. .................. Street and Number ..~..~ L~.~e ..~. ttttu Municipality 2. State existing use and occupancy of premises and intended use and occ0pancy of proposed construction: ' 'Bushiness bu~ld~.ng a. E~isJtJno use cad occuponcy ............................................................ ~ ..................................................................... same ~_th &dd~t~on b. Intended use and occlJpancy ..... .......... · ................................................................................................................. 3. Nature of work (check which applicable): New Building.. ................. Addition ~ Alteration ~, Repair .................. Removal .................. Demolitior. ................;., Other Work ..................................................... (Description) 4. Estimated Cost ................ ~ ............................. ; ............ Fee .2.~.~ .............................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ~J ................. 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 .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... 1_~. .................... ,.. Rear ....'....~. ............. Depth ....... ~..0.. ............ Height .................... Number of Stories I~1~i~ ............................................................................................................... 9. Size of lot: Front ..... ~0. .............................................. Rear .......................................... Depth .......... .1..~.. ............... 1~i? Date o~ Pur~½~ ;,'~: ..................................................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ...~...1.;...~.QJJ~I. ........................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~Q .............................................. 13. Will lot be regraded. ........ ~f~ .............. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises .....L~d.$..l~lr, e~. .................... Address ...~.~;~k~:g,~l;...,.'. Phone No. ...................... Name of Architect .............................................................. Address ...., ........................... Phone No ....................... Name of Contractor .....~..o..b..~...~..~..h..~...~..]r. ........................... Address ..,.,.~.l~.~.~g...~ ..... Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. C~Jve street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF 'NEW Y, DR[<~., [ c c COUNTY OF ...... ~ .~,.O....J~.. ......... f'~'~ Lo~s Barke~ (Name of individual signing contra above named. O~ner He is the .......................................................... (Contrac ~T uly swom,.deposes and says that he is the applicam )r, ~nt, carp. oral ,.officer, etc.) of said owner or owners, and is duly authorizel to .rform ~r ha~;e ~erformed the said work and to make and file this application; that all statements contained:.il~:this opplicdtion are _true to the best of his knowledge and belief; and tha~ the work will be performed in the manner setXxforth in the application filed therewith. Sworn to before me this .................... ..2.. of ............................ ........ , . . / Notary Public,. .........................................,. ......... County .... ~j4~.~ . ...~ ...... !~ ..................... NOTARY PUBLIC, State of NeW'York NO. $2-8125850, Suffolk CouJ~g,~ ~'$rm [xpires March 30,