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Home My WebLink About9504-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No...Z,! O, ,1 ~,Z~ ........ Date ......... .8.e?. 1;..e.lla.b.e. 1~...~ ........... 19.80.. THIS CERTIFIES that the building ................................................ Main Road & New Suffolk Lane, Cutchogue Location of Property ............................................................... House No. Street Ham/et County Tax Map No. 1000 Section .. 102 ....... Block ....6 ........... Lot ... 1. 2...&. ! 3. ....... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. 10/18/. 77 .......... , 19... pursuant to which Building Permit No .... .9.5.0.4Z. ............. dated ....... 10/]8 ................ 19.7.7. , 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 ......... ................. l.~orl]~ .......................................................... Owner - The North Fork Bank &,Trust Company The certificate is issued to ........................................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~ ' .. N 404325 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev 4/79 BUILD!NG~ TOWN OFFICE SOUTHOLD, I~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 950~ Z Permission is hereby granted to: .............. ~a.t~,i.tuzk ............................................ ~o .. ~..~ .,~.f!...~t~ ..~,~ ~ 1o.~...~k..ba~..b.u~lalng ........................................................................ at premises located at .....}.:.~.~;~...~.°.fl...d,...d.L.-~]-~.lg...~.~-~.:~.O.~..~'& ......................................................... ............................................ . .c. ~ .,..~:,.f~.~:..~.e. ........ ~.,~.,. ............................................................................. pursuant to application dated .......................... (~e,~.....~l.~. ............ , 19...~.~.., and approved by the Building Inspector. ~ee $..k~.~QP. ......... FOI~M NO. 6 TOWN OF $OUTHOLD , Bnilding Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the fallowing; for new buildings or new use: 1. Final survey of property with accurate location of oil buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept, of water supply and sewerage disp0sal~(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 all 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 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 Date ......~P. r.~ ~ ...1. 7..~...1..9..7..8.. ............. Add~hon ................ Old or Pre-existing Building ................ Vooant Land .............. New Building ................ . · X Location Of Property ..... ~i~,~.~..l~O,~;,..l~l~[~.o.g~.~,.~.~.,..~.O..~..~ .................................................................... Owner Or Owners Of Property ........... ~T~h~e~N~h~F~r~k~B~?~?~k~T~s~C~?~ ..................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No....950.~,.Z ..... Dote Of Permit .]0/]~/22..,Applicant .[~ld;h..Eg~k..l~atlk..&..[r:.l~s.~..£0 ............. Health Dept. Approval ............................................ labor Dept. Approval ................................................ Underwriters Approval 51'~/~0/~2~ ,, . Planning Board Approval Request For Temporary Certificate ........................................ FinoJ Certificate X Fee Submitted $ ~.(])~.~ ......................... Construction on above described building and permit meets all bpplic~ble codes and regulations. Sworn to before me this Notary Public .........~.~!.~ .............. County THE NEW YORK BOARD OF FIRE UNDERWRITERS ~' BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 ~,e 0etober 2, 1978 Ap,,~.,o. No.o./,. 9~2870 N404325 THIB CERTIFIES THAT ;n the follo~;ng loeatio~; ~ l~sentenl. ~. [] J ~ ~ [~ 2nd ~. outside S~,o, ~ was exarninod on .~ep~;emDez' ~ ~) ~ .[ ~) [ 0 and found to be in compliance with the requlrements of thls ~oard. Lot FIXTURE ! FIXTURES RANGES DRYERS I~JIINACE MOTORS I ~JTIJR~ APFUAK~.,E ~RS ~IMR~'PT ~RV~ ~N~ I ~. ~ S E R ~R I~ 1~ 3~ 3~4w flO.~ CC. CO.D, A,W.O. OT~8~T~OOm Hea~e~/s: Z-2.25,2-~. 0~ TRANS. ~ SYSTIMS I I ¢ E EXHAUST FANS D~MMERS B.J. Eleot~l¢ Co. Stlllw&ter Ave. Cutehogue, L.I. 11935 Lle.505g Per. This certificate must not be altered in any manner~ return to the office of the Board if incorrect, inspectors may be identified bY their credentials. ~~.FOR BUIU?IN~G D_BPJ~TM_EENT~..~HIS ~CO~PY~Y C~ CIRT!F_I~?E M~UST~ NO~T~B~_AL~_TERED IN ANY MANNER. ;. _ _ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY [~_Jl 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,.,~ November 11, 1976 ~,,.,ic. Eio,,No.o. Xi,eS27341 N 311724 THIS CERTIFIES THAT only the elect ri~ at eql~ipment as described belotv and introduced by the applicant named on the above application nurnber in the premises of Janet Swanson, Main Rd., i,t the follo,ving /ocallo,~; ~ Basement ~ Ist FL .......... ,~i,,edo,, ~ovember 8, 1976 ~ " FIXTURES FIXTURE SWITCHES OUTLETS FLUOEESCENT 25 38 27 25 DRYERS ~RN~CE MOTORS FUTURE APPLIANCE FEEDERS n/s West CutChogue,Cutchogue, L.I. [] 2nd FI. Section Block XHAUST FANE TIME CLOCKS UNIT HEATERS [ULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E NO. OF CC. COND OTHER APPARATUS: 1 4/0 : Panelboards: 1-11cir 125amp. Motors: 1-1/3hp. *Multi-outlet systems No. of Feetl2~'-0" Plugstrip, 116'-0" Lite Track, 22-Lights NO. OF NEUTRALS A W G OE NEUTRAL i 4/0 34 Receptacle B.J. Electric Co. Stillwater Ave. Cutchogue, N.Y. 11935 be altered ~n manner; return to the office Lic. 505E 'Pc D identified by TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 August 7, 1980 North Fork Bank & Trust Love Lane Mattituck, New York 11952 Dear Sir: : This is to advise you that the job under Building Permit No. 9506Z issued to No. Fork Bank & Trust Co. on Oct. 18~ 1977 £or addit'~on on bldg. appears to be completed as o£ our la~ inspect~._~.hBefore you can legally use or occupy this structure a Certificate o£ Occupancy must be issued. Please fill out the enclosed form and return same to the above of£ice. There is a fee of ~5.00 £or a Certi£icate o£ Occupancy Thank you £or your prompt attention. Very truly yours, GEORGE H. FISHER Sr. Building Inspector encl. INSTRUCTIONS o. This ~:)lication must be completely filled in by typewriter or in in~_ al3~l ~C~.r~t~ in triplicate' to the Building~ c~<~w~tfh 3 sat~ of pl~ur(~41~t plan to scale. Fee (:]ccordii~'-t~h~u~jl~ b. Plat plan showing location of lot and of buildings on premises, relationship I'(] adjoining premises or p,u.blic streets areas, and giving a detailed description of layout ofpraperty must be drawn on ~ ~'~lr.om which is purl' of thts appllcation~ ~ ~ - ~ ~ork covered by'.~i~'~pp~i~ai[ipl1~may not be commenced befo~'~}~o~n~ o~b4uilding Permit. d. Upon approval of ~is application, th" ~ Building Inspector will issue o ~uilding I~ermit to the applicant. Such permit: shall be kept on the .premises ov~.ilable for inspection throughout the work. e. No building shall be occupied or used in w)nole or in purt for any purpose whatever until a Certificate of Occupuncy~ shall have been granted by the Building Inspector. ^PPLICATION IS HEREBY N~ADE to the Building Deportment for the issuance of o Buildi.ng Permit pursUant to Building Zone Ordinance of the Town of ~outhold, ~uffolk County, New 'York, and other applicable Lows, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal' or demolition, as herei.n descri .be~ The applicant agrees to comply with all applicable laws, ordinances, building c..ode, housing code, and regulations, and toq ./~t..o..~.z.~....E~.tr.~....~..~.~..&....~....~..~..........c....o...-. ..... (Signature of applicant, or name, if a corporation) Love L)~ ~ ?-.T. ),-rc, c ) ~ ................................. ~...Z~ ................... ~..~..~ .......... (^ddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .,o... ~..~]..E..~.....-. ....... ~. ~.~..~ .~.~ ....... ~.~.~.~.~ .T..~_ .................................................................................. Name of owner of premises .../~).~..'/:....~.. ....... ./..~.o...~...~......~..~:...)~...~......~.......T...~..~.~..~.........~....~..* .................................... If apl~licant is.a corporate, signature of duly authorized officer. (Name and title of corporate officer) -7- / ~- ~ Builder's License No 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.: ........................................Lot No ......................... Street and Number .~'43J~'.AI.~..~.......b~..~..~'....~.~..~/,,..~.....~....-/~.T.....~.. ........ .~...~...'/:/...~.~..°...6T...Cf.~ ...................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of propused construction: a. Exisiting use and occupancy ...d .~..~.)~......~.......~,~..!...~'...~.-, ....... .~.N .................................................................... b. Intended use and occupancy ....~.,~.a...~.....~.,........~..!.~..~.........~....~. ................................................................... ~. Nature of rk (check which applicable): New Building.. ................. Addition .............. Alteration ................. Repair .................. Removal .................. Demolitior ..................... Other WOrk ........ .~, (Description) ' 4. Estimated Cost ·.. ........... ...... 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 ................................................................................................................. u ~ness commerc al or mixed occupancy, specifv nature and extent of each type of use ...~...o....~....~...~..~.~../..~. 6. If b s' , ,~ I' o ~ 7. Dimensions of e.x/jsting structures, if any: Front ...~..~-. ................. Rear ........ ~....O.. ............... Depth ....... .....! ....... Height .....~....~.. ........... Number of Stories ........ ~ ............................... ;~ ............................................ ~'"Z"I .......... Dimensions of same structure w th alterations or additions: Front ....... ...~.....C~....~ ................ Rear ....... ?......u. ............. / Death ......-~...-~.. .................... Height .....~..... ................ N~umber of Stories .......~'t' ............. ,,-~ 8. Dimensions of/entire new construction: Front ........ ~ ....................... Rear ......... ~. ................. Depth ....................... Height ...].~-. ........... Numb~er of Stories ........../. ..................................... ; ...................................................... '! ............ 9. Size of lot' Front J'q'-~' Rear ..... J..~.....o. .......................... Depth ......~.....~....~, ............... 10. Date of Purchase ........................................................ 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: ....... N...~.. ...................................... 13. Will lot be regraded' . ...... .~..,..C~... .......... Will excess fill be removed from premises: ( ) Yes (,~ No 14. Name of Owner of premises ...~.......~..."~....-'~.. .......................... Address ...~....~...,t...~..[?-.~.. Phone No. ~..~.~..~............ Name of Architect ................ ~.....~.. ................................... Address ................................ Phone No ....................... Name of Contractor ...... ~ ...F...,.,.~./~..: ............................. Address ~ ......................... Phone I~1O. az. ................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dirnens!o.nS,.fro.m property lines. Give street and block number or description according to deed, and snow street names aha inolcore whether interior or corner lot. STATE OF NB/V YORK, ~ S S COUNTY OF ................................ ~' ' ................................................................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contractO above nome& He is the ................................................................................................ ;~.' ....... ~"Z ............................................................... (Contractor, agent, corporate ot~cer, c4 of said owner or owners, and is duly authorized to perform or have I~erformed 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 tk, az the work will be performed in the manner set forth in the application filed therewith. Sworn to b~ore me this ....... ..... do, of ..... ............... , Notary Pul~ic, . ............ ~ ......................... County ....... ~~'<' ............................................. ; ......... NO. 52-4~372t, Suffolk C.o~u?~ Term Expires M~rcl~ 30, q 3&,'. 99