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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