HomeMy WebLinkAbout9646-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17242
Date AUGUST 29, 1988
THIS CERTIFIES that the buildin~
Location of Property 62900 MAIN ROAD
House No.
County Tax Map No. 1000 Section 056
Subdivision
ADDITION
SOUTHOLD, NEW YORK
Street Hamlet
Block 06 Lot 8.4
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 28¢ 1978 pursuant to which
Building Permit No. 9646-Z dated ~RRCH 28~ 1978
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 BUSINESS BUILDING (RESTAURANT)
The certificate is issued to HELEN REITER & ORS.
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N471545 - MARCH 18, 1980
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building Inspector
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT OH THE PkEMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 9646 Z
Permission is hereby granted to:
../.:!:..!..~:.~.: ....... C:,~. L Z..~...2. ......... ~. L'.':L ~
..:?.~.L~/:(.:.i~......~?.!~...~.~: .... z .~c- ...... ~.~,v,~ ,,/z
pursuant to opplication dated ............................... ./':~!.~.~......~...?..., 19~..~..., and approved by the
Building Inspector.
Fee $,..:' .................
FORM NO. 6
TOWN OF SOUTHOLD
Building Department ~
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUP
BLDG. DEPT.
TOWN OF SOUTHOLD
~,N'C Y --~
Instructions
This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec-
tor 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.
B. For existing buildings (prior to April 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 featu res.
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: ~on~'~ $25.00 POOLS $25.00 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ lO.O0 us~s $5-~
2. Certificate of occupancy on pre-existing dwelling $ 50. O0
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
4.Vacant Land C.O. $ 20.00
5. Updated C.O. $ 50,00 Date., ,~a..~,c,h. ?,~,, ,1.9,8,8, ........
New Cons truct i on ...... Old or Pre-existing Building ............ Vacant Land .............
Addition
Location of Property ............ .0.],d...M.a.~0. [~p.q~ .................. S..o.u.t.h.o..1.d ............
House No. Street Ham/et
Owner or Owners of Property Helen Reiter, Carl D. Reiter, Jr., Carol R. Denson
and Joan R. cobhran
County Tax Map No. 1000 Section , 056 Block 06 Lot...0.8...4.
Subdivision ................................. Filed Map No ........... Lot No ..............
Armando/Reiter/seafood Bar e
Permit No....9~46......Z Date of Permit .........1978 .Applicant .. ............................... 9
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval..y.e.s ~, oh ,fi l~. ........ Planning Board Approval ......................
XXXXXXXX
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted$., 50.00
Rev. 10-10-78
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~ BUREAU OF ELECTRICIT'Y
~'~ EE JOHN STREET, NEW YORK, NEW YORK 10038
Date ~ ].8, ].980 ~pplicatlon No. on.file
N 4715,- 5
THIS CEi~TiI=IES THAT
onlytheeJectriealequ's~ ~P~mentasdeseribedbel°w~ ~l~..f ~i~.t yt h~ca~' t theabo~appl~catio~flumberinthepremisesoJ
in the following location; [] Basement
~[lst FI. [] 2nd FI. 0[~ Section Block
and found to be in compliance with the requirements of this Board.
FIXTURE I T~C INCANDESCENT FLUO'~c=~.eNT
OUTLETS ECEP LES SWITCHES FIXTURES
3
DRYERS I FURNACE M~TORS FUTURE &I~MANCE FEEOEES
AMT. K.W. OIL H.P. GA~ H.P. AMT. NC). A.W. G,
RANGES
Lot
BELLI,i~,rrum~,'~mB~UNiTHEATERS MULTI-OUTLET
TIME CLOCKS RANS. ~ SYSTEMS
A.~T. ~eS. t --"'l '"" NO, OF~
EXHAUST FANS
H.P.
DIMMERS
SERVICE G~iNECT HO. Of S E
OTHER APPARATUS~:
Oef. ect~ z~,mved aa pet ~ ~tce= o~ 3-7-77
R V I C E
OF CC. COND.
NO. OF HI-L~G
OF NEUTRAL
Sout. hoZd, N.Y. 1.l.97]. [&c.137 E
This
certificate
must
not
be
altered
in
any mannerr return to the office of the Board if incorrect. Inspectors moy be identified by thei~ls.
FOR BUILDING DIPARTMIN/. THIS COPY OF C!BTIFICATI MUST NOT BI ALTIBID IN ANY MANNER.
\
<-'%
APPROVED AS HOTED
DATE: ~-::::] / ~:~7 ,~ ._
NOTIFY BUILDING D~PARTMENT AT
~ 9AM fo 4PM FOR REQUIR-
eD I~SP~CTIOH5~
TIOH O~ ST~T
2. FRAMIN~ INSPECTION
3. DEFO~E COVE~IN~ P~PZS OF ANY KIND
4. ~INAL W~)EN JO~ COfiAPLETED
NOT RESPONSIDLE FO~ DESIGN
OR CONSTRUCTION E~QRS
5. ALL CONSTrUCTiON MUST h~EET
REQUI~E~E~,Y~'Z OF ~,Y. STATE CODE
. D TO/~N IO~lN~ CODE & ZO~IIN~
~L/~£C '7/
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Application No. ~ ~/'~
Disapproved a/c ............~'~C~_' '"' ", ........................... ! .......... ~'"'
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled in by typewriter or.in ink and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
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 application.
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 the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until o Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department far the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant 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 inspections.
(Signature of applicant, or name, if a corporation)
State whether applicant is owner,~agent, architect, engineer, general contractor, electrician, plumber or builder.
If applicant is a corparote,~.~ignaJ;ure of c~ly authorized officer.
~/- (Name and ti~o( carpal'ate officer)
Builder's License No..~..'....//~t~..~.~'...~,~..~... ....... ,~......~,.~.
Plumber's License No .............................................
Electrician's License No..~r. .......... ~..~....~...~.....~..(..~.(.~...
Other Trade's License No .................. --'~Z. ............................ ~- ~z ' -- ~
1. Location of land on which proposed work will be done.,Mop No.:~ .~..~-.~......~....~.~.Z.~..~E/ff...)Lot' No..J~. .................
, n m r'(~ ~.. /~,. ~ ~&
Street a d Nu be ~.~...t.0. ........... ~.. ............./....~...' ................ i~c~... ....... .~..'..~.&./....~. ......................
/ Municipality
2. irate e~J~ilinng ~eaannd ~CuUpaannCy ~remifes!~and intended use~,~ ~and ac ,cupapc.y of pr;~.~..s~construction:
· Ex''' g u do p cy ...... ........ ~-~ ...................................................
b. ~ntendeduseand~ccupancy~...~....4/.~/.~../.~..~....~'.~..~.~.~...../~.~ ~ ~/~..~..~..~....~.~.~..~ ........... ,~...~.... ......
3. Nature of work (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 ....... ~ ..........................................................................................................................
6. If business, cornmercial ar mixed occupar~cy, spec, fy ;~ure and extent of. e~h type of use ~/~.~/~...~
~. ~,~e~,o~o~ ~,,~,~,~ ,,,a~,,,,, ,~ ~,~: ~o,~.~ ;..f.~Z.~__ ....... .~...~/.~7~ .............. ~..~ ..~.~ ........
Height ....~..~;~....z~ .... Number of Stories .............................................. ~....~.~ .................................... :._._~ .......
Depth ..~Z~'~ ............ Height ~]~ ............. N~mber of Stories ....Z// ........ ~ ............... '/ ,
/ ..
Dimensions of entire new construction: Front .~...~ ................ Rear ..:~ ............ Depth ...~.~..
8.
Height .../.~ ......... Number. of Stories ..... ] ............/¢ .............................. ~.: ................................................................ --
9. Size of lot: Front .~.~]~..~ ................................... Rec~, .Z.5~ ................... Depth ..~.~..~ .................
/
10. Date of Purchase ........................................................ Name of For~er Owner ........................................................
11. Zone or use district in which premises are situated .....................................................................................................
~2. Does proposed construction violate any zoning law, ordinance or regulation: ~ ................................................
13. Will lot be regraded ....~~ /~: ~:>~'" Will~xcess ~11 be removed frame ~prem~:~ ~) Yes (~No
No?~]..~.~.~
14. Name of Owner of premises .~....~<~ ...... Address ~.~ ..... Phone
. _
Name of Architect ......................... ~ .............................. Address .............................. Phone No .......................
Name of Contractor ~..~~ ............... Address ............................. Phone
No~.] .~..~.Z.~
~ 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 number or description according to deed, and show street names and indicate
whether interior or corner Iol.
STATE OF NEW YG~K, I c ¢
COUN FY,OF ...... 7:..~...~....~.~ .......... )' ~ --~ ~7
................. :.....~.....~.~ ........... .~.....~..,~ ......... ~...;, ................ ~..b~ing du~y ~wm'~, deposes Qnd says that he is the applicam
above named. ~
H~ ,~ ,~e ........ ~ '~~.~.~....:~..¥~;~;~;;...;~....~,..;;;~;;~¥~;;;.;~,..~;.;,~, ...............................................................
of said owner ~r owners, ~gd ~s~u~y authorized to perfb~m or~Qve per~ormed the sa~d work and to make and fda
th ~i~icatio~' , --,at al, s~te~ff~,e ~cont~ined ....... ti n,xt~i~gppii~n xb~. ...... t q~xte? fill~ that rbestith°f his knowledge and belief and
tha,'~e~ork ~Q~tp~Srmed ,n +~ manner s~t ,o,h '~ th~&~'~ii~af,on ,led he ew .
Sworn to before me ~is~ ~ ~ ~ ~ ~ ·
...... ~... doy o{ .... ~(/~ ................... , ]9.~.~/~~__~____~
................................................... .....................
j// ~ / / (Signature of ~ppli~nt)
~TARY PUBLI0, State 0f ~ew
~0. 52-464372], Stfffoik C0~
~erm Expires March 30, t9