HomeMy WebLinkAbout11195-zFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building InSpector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES that the building ~...(.~ } .........................................
Location of Property 13600 Ma±n Road Magtituck
House No, Street Ham/et
County Tax Map No. ]000 Section . . .1.2..2 ...... Block .... 0.3. ......... Lot ,..0.0.7 ...........
Snbdivls]on ..... ~. ........................ Filed Map No. X .Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... ~.a.y...2.0 ........ , 19 8.1. pursuant to which Building Permit No... ] J J .9.5. .Z ...........
dated ..... .d.u.n. e. 3.7. .............. 19 .83., was issued, and conforms to all of the requirements
of the apphcable provisions of the law. The occupancy for which this certificate is issued is .........
.... .a.p...e .t.a.i. 1...fi.s.h...m.aP.k..e.g..w.i..t.h..a.n...e.x.i.s..t.i.n.g..a.c.c.e. s, .~.o?.y.. g.~.P.a. ~.e.. ..........
The certificate is issued to ........L.a. wv.e.n, qe...S.u.t.e..p...( Blue Water Lobs ter )
row. ......................
of the aforesaid building.
Suffolk County Department of Health Approval ...~.9 ....0.1.6. 2. ~ N ............................
UNDERWRITERS CERTIFICATE NO ........... N... ~ .2./.3.3. .0 ..............................
The Southold Town Planning Board granted an approval of the
parkmng plan for this retail store at a meeting held 6/~/83.
Building Inspector
Rev. 1/81
FOI~M ~O. 2
'row~
TOWNHAL~, , ~
SOUTHOLD, N~ Y.
(THIS PER~IT MUST BE KEPT ON ~HE PRE~IS~S' ~NTIL ~ULL
cOMPLETION OF THE woRK AUTH6RIZED
Ne. 11195 ,Z
Permission is hereby granted to:
at premises located at .,.i
County~Tax Map No. 1~00 Section ....~.~.....;.-- ....... ~. BIo~I~, ~'~
pursuant to appJication~dated .~~ dO ;
Euilding Inspector.
Fee $../~(...~ ...........
Lot NO, '~J'7 ..........
!~, ,, and approved by the
Rey, 6/30/80 : 'i ~ ~ ,
FORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No .g.J .0~.7.9.. Date .......... gp?.~.Z..2.9 .............. 19 .8.2.
THIS CERTIFIES that the buddingS. ~ 2 )..
Location of Property ] 1400 Mazn Road Mattituck
h~s; X/o.' .......................................................
Street Hamlet
County Tax Map No. 1000 Section . ] ~.2. ....... Block .. 9.3 ........... Lot ....0.0.~ ..........
Subdivision X
.............................. Filed Map No...X ...... Lot No...X
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... ~. g Y..~ 0 .......... , 198. .q. pursuant to which Building Permit No...1. ]. ! ~ .5..Z. ...........
dated ...4 ~ .n .e..1.7. ................. 19.8. J, was issned, and conforms to all of the requirements
of the applicable prowsions of the law. The occupancy for which this certificate is issued is . ~ ....
'~'~-e-v~ t ± c p~-~&-~.d.ct ~¢~.u ~. ~:. c. 9,5~ .o.n..-?..f..a...v/,.,.,.,.,.,.,.<?..~..~. :' .~L~. :~bu-~d±n g- t~
a retail fish market wxth an exzst~ng accessory garage.
The certificate is issued to ...I~r.e.rl~.~qu.~..er (.B.~Re' ~.a~.e.p...[,obster)
(owner, ~seee~'tenm~¢) ...........
of the aforesaid building.
Suffolk County Department of Health Approval ....... 5..".Q.~...0~.'
Building Inspector
Rev. 1/81
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instruotions
A. This apphcation 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 featu res,
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 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:
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 ............ Vacant Land .............
Locat,on of Property., .~ .~..Z./..~'~2 ................ ~ .~ ~ ........... ~f
House No. Street Ham/et
Owner or Owners of Property ... ~~ ~... ~. ~.: .........................
Count M,, 000 S,c,ion ...... .. ........ Lot... .....
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit.o.m. ateofPerm t p / /.Ap licant .
Health Dept. Approval Hd..(,2. ~ .~ ~. ~.~.//~ ...... Labor Dept. App royal ........................
Underwriters Approval .~J.L~.~...~.~..~>.~'. ...... Planning Board Approval ....................
Request for Temporary Certificate ..................... Final Certificate ..... ~ .............
Fee Submitted $,...~....~.-~. ..................
Construction on above described building and permit meets all applicable c, odes and re~,ulations.
Applicant .... ~. ~C~.~....~/~f. ~...r'./.'"¢~. · ~'t ~ ~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
p ELECTRICITY
~ BUREAU OF NEW Y, OR~O038
~,~jJjr },j,~ ,~ 85 JOHN STREET, NEW YORK, ~9~'~-
THIS CERTIFIE~ THAT
in the following location; ~ Basement ~ 1st FI. ~ 2nd FI Section Block Lot
~,, ~,,,~i,,~d o,, ,A~ly 9~ 198I and found to be in ~o,npliance with the requiretnents of this Board.
FIXTURE
OUTLETS
3O
IECEPTACLES SWITCHES
FIXTURES RANGES KING DECKS OVENS
FLUORESCENT VAPOR
16 23 30
DISH WASHERS EXHAUST FANS
SERVICE DISCONNECT S E R V I C
OTHER APPARATUS
NO OF CC COND A W G NO OF HI LEG A, W O A W G
PER ,~ OF CC CC)ND OF HI-LEG OF NEUTRAL
t 3/0 "{
E
NO {~NEUTRAL$1
GENEI~AL MANAGER
Per_
Th,s cerhfJcate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be ~denhfied ~), their c~edenhaJs
COPY FOR BUILDING COPy OF IN ANY MANNER.
HENRY E RAYNOR,~,,Chairman
P2EDE21CK E CORDON
~AMES ~A~L
BENNETT
GEORGE RITUHIE
William F. Mullen, Jr.
TO D
S~
Southold. N.Y. 11971
TELEPHONE
765- 1938
June 4, 1981
Mr. George Fisher
Senior Building Inspector
Town Hall
Southotd, New York 11971
Dear Mr. Fisher:
The following action was taken by the Southold Town Planning
Board at a regular meeting held June 1, 1981.
APPROVAL of the parking plan for the subject of Larry Suter's
retail fish store. This approval is subject to a one year review.
Yours truly,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Linda Kimmins, Secretary
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
' Date
File ~o .............................................. ' .....
To.....~.'..~...'.~
...........
hca ,on dated ~c'2t~
PLEASE TAKE NOTICE that your app ' t' ' .......... . ........ L ........
County Tax Map No. 1000 Section .... ~ ~..~.. Block ~ Lot
Subdivision ................. Filed Map No ....... ~,~ ...... Lot No ..................
,,.-i~eturned~ herewith and disapproved on the following grounds. ,~7~-vb,../ ....... .~ .~7~..~./'~' · · ·
~ ~ '~:~(~:3~':.~....?.~. ~..~~e.~ ~...'........
.... ....
'-~ ~ ' ' f - / ~ ~ - z~ ' Budding Inspector
RV 1/80
FOUNDATION (1st)
FOUNDATION ( 2nd )
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
C~DE
FINAL
ADDITIC
FOI~M NO. 5
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOV~/I,I CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
TO '"~(o~n'er or authorized agent of o )
............ ?~...~.~ ~~.
(address of owner or au~h~orizer~gent of ow e )
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ord,nance ....... ....~Z-J-//.-?-
Other Applicable Laws, Ordinances'or Regulations ..................... ~ ......................
~/ (state char~r of~olation)
........
(S~ate section or paragraph of apphcable law, ordinance or ~gulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned forthwith on or before the .~.~
The premises to which lhis ORD[R TO R~M[DY VlOk O~ refers
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow
may constitute an offense punishable by fine or imprisonment or both,
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
APPLICATION FOR BUILDING PERrvllT
Application No..f. ff..~.~. .....
Date ...... ~'~ .~. ...... 19 ~?
INSTRUCTIONS
a. This application must be completely filled'~in by typewriter or in ink and submitted in triplicate to the Buildl
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 stre~
or areas, and giving a detailed descriptiou of layont of property must be drawn on the diagram which is part of this apl:
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this apphcation, the Building Inspector will issue a Building Permit to the applicant. Such pern
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 Occupan
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Buildhag Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and.other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or altered!ions, or ,for remq,val or demolition, as herein describe
The applicant agrees to comply with all applicable laws, ordinances, building eofl~{ housing code,A~,nd regulations, and
admit authorized inspectors on premises and in buildings for necessary inspection/~y ~
(Sig~~if a corporation)
' . .... /:. 2 .... \ ................. ': .........
f:' (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or build,
.......... ..........................................................................
Nmne of owner of premises .............................................................
(as on the tax roll or latest deed
If apphcant is a co]poration, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No..~.~... {..~.~.% ........
PlumBer's License No...~...c,j~.~..~...~l ?/fi?. .....
Electrician's License No..~...,q....~fo....~%./~..~ ?,.f~.t<-....
Other Trade's License No ......................
Location of land on which proposed work will be done ...............................................
... .¢:.o. ......... .................... ./;: ..............
House Number Street ' Hamlet
~,o~ ?o.o. ~ 2.o
County Tax Map No. I000 Section . ./~ ............... Block . .c9. ............. Lot. ?.).c~. ~. ......
Subdivision ..................................... Filed Map No ............... Lot .............. (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a Existing use and occupancy ,f~,,c~b~,'
b Intended and occupancy
'l
Nature of work (check which applicable): New Building .......... Addition .......... Mteration .......
Repair '~.' Removal Demolition Other iVork
~ ~"' 9~..~. ~ (Description)
Estimated Cost ..... Z ....... i ......................... Fee ..................... ¢ .........
(to be paid on filing this application)
' r~- .....'-' Numbe~ of dwelling units on each floor
If' dwelhng' number of dwellln~' ' ,
If garage, number of cars ..... , ................................................. t · ',' .... ?.. ~
If' business, commercial or mixed occupancy, specify nature and extent of each type of use . .~F.t.~. .R?f.*£.d. ......
Dimensions o~' ex~stmg structure~, ff any: Front....~..o ......... Rear ...~9 ........ Depth..g. q ...........
Height .[. ............. Number of Stones ...... ~' ..................................................
Dimensions of same structure with alterations or additions: Front ..... LV.q~.. ...... Rear ....~..~9~. ...........
Depth ...................... Hmght ., ......... Number of Stones ......................
~ ~ .... Depta .%..c-n~? .......
Dimenaionsof. entirencwconstmction: Front .....~..~_:_. Rear ....
Height . ~ ~ .... Number of Stories .................................................
S~ze of lot: Front . .~. · .i .... Rear ....~ .............. Depth .. ~ ...............
Date of Purchase ~.~'~../.~.].}.[.?.~.t ............ N_alne of Former Owner . .~-qo...t.~...~..~.~...e./:/. ..........
Zone or use district in w'l~ich premises are situated .... .~.t ................. . ......... ;..~ .................
Does proposed construction violMe any zoning law, ordina,n, ce or regulation: ..~.. ? ....... '...] ..............
Will lot be regraded ......... ~ ................... Will excess fill be removed from premises: Yes
Name of Owner of premises ~ ~ ¢... ~.-~.¢..Q.. Address ~.~. G...~..e.q .-q?.c ~.~.. ~ Phone No.o~$ :0'! ~. ~/ ......
Name of Architect ......... : ................. Address ................. Phone No ................
Nmne of Contractor ~. ~ .... Phone No. ~.. N ..........
· ~ ......... ~q ....Add ess . .
PLOT DIAGRAM
Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from
:operty lines. Give street and block nmnber or description according to deed, and show street names and indioate whether
;terior or corner lot. ~
TATE OF NEW~RK~,
OUNTY OF~... !~'~
......
(Name of individual signing contract)
~ove named.
being duly sworn, deposes and says that he is the applicant
e is the .................... ~ ........................................................
(Contractor, agent, corporate o£ficer, etc.)
f said owner or owners, and is duiy authorized to perform or have performed the sgid work and to make and file this
9plication; that all statements contained in this application are true to the best of his k~mwledge and belief; and that the
,ork will be performed in the mann6r set forth in the applicatiou filed therewith.
worn to before me this
T,~ rxolreS March 30, 19.~
J
765-1802: 9 AM TO 4 P,~ FOR ~I~E
'~. FOUNdATiON ~ TWO RE~J~RED.~
UT[,I~ ~AND.SUTER
!i
'%
il
'7-0
LI kl~ OF
NOTI~ BUILDING DEPART~ AT
'ri