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Home My WebLink About10717-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.l.q9 7J .......... Date ...... A. Pr}.i..2.9 .................. 198.2.. THIS CERTIFIES that the, building ................................................ Location of Property . .6¢25.0 ........... M~$r~..l~9~.d ................. .G.p.~ .erz~.qr .t ...... House No. Street Nam/et County Tax Map No. 1000Sectlon ..056 ....... Block ...07 .......... Lot...Q9~ ........... Subdivision ..... X ......................... Filed Map No...X. ..... Lot No...X ......... -.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... × .............. , 19... pursuant to which Budding Permit No....* .s.e.e...b.e.l.q~ ....... dated ....... X .................... 19..., 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 .. ~ ...... · r.e.s.~. ~u r.a.n.t...~.kt.h., a.d.d.z..t.t.o.n.s.. 5..a.Z..t.e.qa. t..~.o.n.s...s.s..! t..s.t.e.d.: ................... The certificate is issued to .......A.l.j.ap. Realty. Corporation, Inc. ........ iolZ,,'o;,'?~d.'~/.t~,'~'.~' ..................... of the aforesaid building. Suffolk County Department of Health Approval . .~P. I~S..P..E.RI~.I.T...~.o.....N.Y...0.1..39.5.2. !..~ .... Permit No.02549, 110'* UNDERWRITERS CERTIFICATE NO... N .-~..~ 899.8.zt ................................... *B.P. 10745'Z, 6/23/80 to construct roof over existing deck " 10717 Z,. 6/10/80 to construct laundry room addition to existing restaurant " 11021 Z, 1/26/81 to make alteratioTP to kitchen & restaurant faczlities -~ , Building Inspector **Permit To Operate A Service Food Establishment Rev. 1/81 FORM NO. 2 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 AUTtqORIZED) No. 10717 Z Permission is hereby granted to: ....... ,~.z. ry... .,:,:./,u~.. %....~,.z/.....~.~-~....~,~.~ ....... v~.r~o ,~,,:,...z.~..;.....G,-~_,~Z~-=.,,wT.._ · at premises located at ....~....~..doR.-'.O ......../5~/~'~',',~"'/'P~''''''':'~'' .................................... pursuant tO applicatiOn dated ....... gZ¥.~.~,....~.-/)r .................. , 19.~, and approved by the Building Inspector. Fee Sd.~.,..~ .... / /J~uildih'g Inspector FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southoid, 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 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.SubmK 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 peoperty 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 buddings or premises, or other pertinent informa- tion required to prepare,a cer/tificate. , , ; 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 ..... New Building ............. Old or Pre-existing Building(X). _/)('_ .... ~/Vacant Land ............ Location of Property. ~,,z//~,~.~..~),, . ,,~.~.?.~z./:~?. ~L~.. dz~. ~-.~. ~'3 -~'xd 0/,7-X'c.¢5 .... Hous~ IVo. /2% Street . Ham/et Owner or Owners of Property , ~./.~../,~,02 ................/~t~_,~..~ . .~.~,~ ..~..~..~_~. .................. County Tax Map No. 1000 Section ~ '-) '~ ~' ~ ~ .............. Block .............. Lot.. ~.c¢,.<;,, ..... Subdivision ~ . .............. Filed Map No ........... Lot No. Permit No ........... Date of Permit .......... Applicant ¢.~ ~.~ ...... / Health Dept. Approval/?..~.. ¢//'05'-~/ .Labor Dept. Approval ...... ,. · Underwri royal ,-,¢ - 4 / d', - Planning Board Approval ......... ~ .~ Request for Temporary Certificate ..................... Final Certificate ........ - ......... , Fee Submitted S ............................. Construction on above described building and perr, n'it%me,C];s all,~ppk~ca~le~codes arid regulations. Applicant ...... ,~ ~' · "'~ · .~...A; .... , ................ FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL CO~ENTS: MAIN ROAD. i N''('~' $.09~5£'00"E. 98.42~ BOI~T LAT 4l°04'40'' LONG. 72 AREA FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~ TEL.: 765-1803 Examined ..m..., - Applica,lon .... Approved ../.o. .... (Bdildin~'Inspector) APPLICATION FOR BUILDING PERMIT Date ....... .~¢.~..~.~] ..... 19 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 appli- cation. c. The work covered by this application may not be commenced before issuance of Bmlding 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 a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for 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 insp0ctio~. / ~' (S~nature of applicant, or nam~, if a corporatio'~') ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If appli,c,a~t is a corpor3z~on, s~gnatur.~,of duly authorized officer. Builder's License No ...... -..~-. ................ Plumber's License No .... ~{.5 .~ ?. .............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... ....... . .: ................. . / dz. x .......... ................... House Number Street Hamlet County Tax Map No. 1000 Section ....~.~ J~'-~. ....... Block .... .(~., .~. ......... Lot.. ~'. ~ ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~.?.~: .~. ........................................................ ................. ~ r?,,.~:' 37 ........... b. Intended use and occupancy . r~(q.q~b'.r? ?]. . .~;~?~.~?~. . . ~*.) . . [,,~,.~ . ~t,~w ~t<~ . ' ' 3. Nature of work (check which ap~hcable): New Bulldl g .......... Addition.. Alteration .... Repair .............. Removal .............. Demolition .............. OtherWork ...... ". ' ' . 'fi/ t~(~, i~' ~ c,,T) ( ese ption) 4. Estimated Cost ...... ~. .... ' ......................... Fee...~..~..'..:] ................... i ,Z (to be paid on filing this application) 5. If dwelling, number of dwelling ¢nits . . ./. · .~./~. · .... Number of dwelling units on each floor ............. If garage, number of cars ..... i. · ~'/~'~' ......................................... ', ..... , ............ 6. ~fbusiness~mmermai~rm~xe~ccu~ncy~spec~yn~3~re~a~adextent~fea~t~ty~pe~fuse..,~(,,/.57.~..~:.5'~.,, .... 7. Dimensions of existing structures, if any: Front .... ~'.'7.'.? ......Rear ...~'/f. ? ....... Depth ... i~.6: .~ ....... HeightI ..... ~.x~..: ..... Number of Stones .: ..... ',~ ..................................... ~, ......... Dimensions of same structure with alterations or additions: Front .............. Rear ............ De~th' I Height ;~.~.~.~. ~'. Number of Stories ~¢t-.~.~g: · ~ ,, ......... 8. Dimensions of entire,new constrUction: Front .... &.,. ~. ..... Rear .... ~.....~. ...... ueptn . .r.... :: ....... l-[emht ...~.. ~ ....... Number of Stones ..... ~. ........ , ...................... ,} ............ 9. Size~of l~t: Front .... /.~.~.-./..7. f ...... Rear .... &i~ ~'~. ~. ~. ....... D.~pth . :,. ~'.,?~. ~: ............ 10. Date of Purchase 6'o('~.(. .... Name of Former Owner /~./~..r ,~'.~.~,~ ~JT~-~. ¢. .... ~,. ..... )"'' I ....... , ....... ( , .~ , , Il' I~ ~ 11. Zone or use district in which premises are s~tuated ..... J~.~,.$/..zu.,? .~.... ~.~.~. Tv! ~ .*...~.. ~...Z/C~ [.//.~.. 12. Does proposed construction vioiate any zoning law, ordinance or regulation: ...... ,~.~.'.~ ....... / ........... 13. Will lot be regraded ..... /~'~i ................... Will excess fill~be re, moved frpm premises: lT/'fir Yes No PLOT DIAGRAM Locate 'clearly and distinctly alll buildings whether existing or proposed, and~ indicate all set~back dimensions from property lines. Gwe street and blocklnumber or description according to deed, and interi0r or dorner lot. o , 5 P ,C. STAT~ OF NEW YO~K, COUNTY O~ ...... : ........ 1 ~/S'S ....... ~.*~.~ f... ~. ~(. ff(d ~ ........... being duly sworn, deposes ~d says that he is the applicant (Name of individual sigging contract) above named. He is the ~ ~ p ' ' (Contractor, agent, corporate officer, etc.) of sad owner or owners, ~d ~s d¢ly authorized to perform or have perfomed the smd work and to m~e ~d file th~s application; that all,statements conlained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~her set forth ~ the application filed therewith. Sworn to before me this ., A. nov .. ~r~hm*m~ Fxp~res March 30,