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Home My WebLink About13483-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15234 Date January 30, 1987 THIS CERTIFIES that the building ...... ALTERAT ION Location of Property 28735 Main Road Cutchogue, New York House IVo. Street Hamlet County Tax Map No. 1000 Section .... I. 0..2 ..... Block .... 5 ........... Lot 22 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated O.c.t.o..b .e.r.. ! .9.,.. 1.9..8.4..., . . pursuant to which Building Permit No.. 13483Z. dated........,...................0ct°bet 22, 1984 ,,wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ALTERATION OF EXISTING BUILDING TO OFFICES The certificate is issued to RF L PRO P E RTI E S ..................... ? ................... of the aforesaid building. Suffolk County Department of Health Approval ........ N / k N78609/4 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 lt'Ou't~ NO. 0 TOWN OF So~'rHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13483 Z Permission is hereby granted to: ..4~..~.~......~...o~ ...... ~ ............. .~.~..~_....~.:.~.,.;..~..~.I.~.T. ..... at premises located at ..~.~...~.....*?..~.~.. ....... ..~.~....~ ........ ~~ .x/~....:.....~. ............. .......................... : ....................................................................................................... County Tax Map No. 1000 Section .... ~...0...,..2~,. ....... Block ........ ..~.... ....... Lot No. pursuant to application dated ......~.~....!...°1. ................... , 19..~..q.., and approved by the Building Inspector. Fee $~..:.~. Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin~ Inspector Town Hall ~ Southold, N.Y. TEMPORARY ONLY Certificate Of Occupancy No..Z..1.2~.5.4T ........ Date .... November 1 ., 19.8.4 .A.l.t.e..r .a.t.i o n THIS CERTIFIES that the building ....................................... Location of Property .....2. 8 7.3.5. .............. .M9in...R~.... ( RE.. ~ .5)....C.~.L.qh..o9.u ~ , .cu. ~o. Str~t ..... ,~,~/~,i · on ......... ock ............. Lot. 022 Subdivision .~ ' Filed Map No Lot No conforms substantially to the Application for Building Permit heretofore filed in this office dated October 1.~ 19 ~.4p to which Bulldi I~P rmitN 13483z ................... ~ · ursuant il e o ...................... dated ...... Qg.t.o.l;9tc...1~$ ......... 19 .~ {, was issned, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... The certificate is issued to ........... ~I~I,. P,RQ~'Iz;%~II~ ............................... ~ (own,r,.~s~.ar.r~) of the aforessld bulldins. Suffolk County Department of Health Approval ..... R/.A ................................. UNDERWRITERS CERTIFICATE NO ............ l~end, ing ............................ Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department JAN 2 9 198'~ Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. 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--lB-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 Coda 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 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 buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwelling.$25.GO, Accessory.~$t0.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C,O. $ 20,00 5. Updated C .O. $' 50.00 Date., ,~.a.n.u.a. ~y..~ ?,..]?. ?.7 .... Conve_ sion New C on s t v uc % i on ?.] ./.A.. Old or Pre-existing Building . . , .X ........ Vacant Land ... ~7/.A. ...... 28735 Main Road Cu.t.choc~e Location of Property ......................................................... .. .. ... House No. Street Hamlet .P~.L P..r,ope. r t i.e.s. Owner or Owners of Property .................................................... County Tax Map No. 1000 Section ~.02.09 Block 05.00 Lotq 2.: 92o. Subdivision ..... [~[/.A. ~Z'..%~.s.~ No.' . · .IA ...... 13483Z .................... 10/~]..~o~....Filed Map No~e ~ . Permit No...1.3.4.3.1.Z... Date of Permit ?./.1.0./?.4., .Applicant . RFL. Pv.q:~. ~.t.i.eD ................. N/A Labor Dept Approval Health Dept. Approval ........................................... Underwriters Approval ~.,] 786094 Planning Board Approval N/A Request for Temporary Certificate Z12954T Final Certificate Fee Submitted $ 50.. 0.0. Construction on above described building and permit m~ aJ/l~applica~l_e code~'n.~ regulations. Ann cant . ~ · 'i~ '~ ...... ~/~/ .... ~ .~'.: ................ ~ ~ ~roper~mes ~ Rev. 10-10-78 COMMENTS ~i~D INSIECrI N FOUNDATION {1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDI MENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8B JOHN STREET, NEW YORK, NEW YORK 1OO3a THIS CERTIFIES THAT on~y the e~ectrJcaJ equipment ~ ~scHbed below and i~troduced by the applicant ~med on the a~v e application number in the prem~es of in the foJtowing locatlon; ~ Basement ~ Ist FI. ~ 2nd FI, Section Bilk Lot and found to be in compliance ~'ith the requirements qf this Board. ~s examination December 22, 1986 DRYERS FURNACE MOTORS i APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I ' C E NO, O~E,~C~CO N D.O~ AccW'coND,G' NO, O,c HI.LEG Oi~A H~.tEGW G, NO OF NEUIRALS OTHER APPARAYUS: A.W G OF NEUTRAL GENERAL MANAGER Cu~cho~ue, ~Y 11935 Per- -- Ibis ce~ificate must not be altered in any manner; return to the office of the Board if incorrect. InspectOrs may be ~dentified by-'f~eir credentials. COPY ~OE B~ILD!NG DEPA.TMENT. 'i:HIS COPY OF: CERTIF: , CATE M~$~NoT,:. ,,.:. ~ r'ERED IN,,ANY MANNER. Examined .(~....~.. · . .~..~..., 19 Approved (~. ~ . .~ .zE.. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 1977. Permit No.]..~..~.~..~. ~ Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 promises 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 Building Permit. d. Upon approval of this application, the Building Inspector will issued 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 Certifieate 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ......... ?.~.../..~..~.: ~...~X..4'. .............. (Signature of applicant, or name, if a corporation) ....... i~,Iaili~d ~(];e's~ ~)~'ab~c~t')'r'' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... .~...~.,~....~..~..~.,~. ~..,~.o7 .~.~.'. ......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name aneFOfle~of-cOrporate officer) Builder s License No. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ~..~..4,~......~..*.,. ¢...~..,~.., ..... :... ~_~,../¢X.o.,~. o~ ~....,~... 3:.,. House Number Street Hamlet County Tax Map No. 1000 Section .... ,/..O.~ ......... 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 ....... /-d/.~.,o.*.~,'.,~.~. ............................................... b. Intended use and occupancy ...... ~.. ~ ~,~...--~'/..-~..~..,~ ........................................ 3. Nature of work (check which applicable): New Building .,. ....... Addition . .i ........ Alteration . ~ ..... Repair Removal ~ Demolition Other Work ' (Description) 4. Estimated Cost .......... / ........................... Fee .......... i ............................ '*' (to be Ipaid 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, commercial or mixed occupancy, specify nature and extent of each tYPe of use .A~. r~;~. (:~d.,. 7. Dnnensions of existing structures, ff any: Front .... .~. ......... Rear ... ~ ~. ....... Depth . .z~.~ .......... Height ... .,(~,~.. Number of Stories .... /. ...................... ....... Dimensions Of sanie structure with alterations or additio s: Front .... i ..... Rear .......... Depth ..... .-~..e-t-.~ ......... Height ... ~A~_t ~ ........... Number of Stories...,,~',~,~t ~ ........... 8 Dimensions of entire new construction: Front Rear ' Depth Height Number of Stories 9 Size of lot: Front ~.O. Rear iDepth 1 0 Date of Purchase Name of Former Owner ' 1 I. Zone or use district in which premises are situated ....................... .... gl ' ' 12. Does proposed construction violate any zonin aw, ordinance or regulation: ..................... 13. Will lot be regraded ....... _~.~ ................. Will excess, fill be removed from premises: ,6t,/~Yes No 14. Nam e of Owner of premises ,~vr~.. 4. ............. Address~/.~¢,,,. .~.j.~e/,4~.~,. Phone No.. ;(~k~.:~t~..~ ~? ~..4 ~... Name of Architect Address ' Phone No Name of Contractor .......................... Address ............... .... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and, indicate all set-back dimensions from street names and indicate whether property lines. Give street and block number or description according to deed, and shoo interior or corner lot. STATE OF NEW YORK, COUNTY OF .............. ,.. S.S (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ............................................................. : ............................ (Contractor, agent, corporate officer, etc.} of said owner or owners, and is duly authorized to perform or have performed the Said work and to make and file this application; that all statements contained in this application are true to the best of hi knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........... ...... day of...0...637.. .............. ?.7 ' No, 470'/878, Suttolk O0uety . i(,.-.----~-- -- [~lgna~ure oI appfican[)