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Home My WebLink About13335-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Occupnncy THIS CERTIFIES that the buildh~g .U.P.h. 9.3-.&~.e.~. Y..s.h..op.. ............................. Location of Property ... ?.o.~...L.a.n.e. .................. F ± s h e r s T S 3_ a n d House No. Street Ham~et County Tax Map No. 1000 Section '....0.1.2. ..... Block ....0 ~1 .......... Lot 1 . 0 02 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... g..u g.u.s. ~...7 ....... , 198, 4.. pursuant to which Building Permit No. 1. ,3 .3.3.5. Z. .............. dated . .g.u.gu. s..~..7. ................. 19~fi.. , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tiffs certificate is issued is ......... Upholster~ shop. The certificate is issued to Jose V. Rodriguez ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N 5 2 0 9 5 2 Rev. 1/81 Building Inspector FORM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) ~te ~' -/ ...... 13335 Z .....~ .............................. , Permission is hereby granted to; .............. ...... at premises located ot .......~..~.......~..~.. .................... ~~.....~ ............... County Tax Map No. 1000 Section c~ ~/ ~- .. Block ........... J. ......... Lot No. pursuant ,o application dated ..... ..~...~~.....~....~.. ....... , , 9..~..~., and approved by the Building Inspector. Fee $......~.....: ....'~... .... Building Inspector Re~ 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail ,~outhold, 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 buildinqs, Industr a bu dings, Multiple Residences and similar buildings and installa- tions, a certificate o-f 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 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 buildings or premises, or other pertinent inforrrla- tion requ ired to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling / 3. Copy of certificate of occupancy $1.00 landuse--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 N~ .......... Old or Pre-existing Building .., ......... k Vacant Land ............. Location of Property ~O'~ ..~. ~ ..... ..~.~ ..~...,.~.. ' . House No. Street Hamlet Owner or Owners of Property ............ ~ · ; .................. County Tax Map No. 1000 Section O I ~ Block , Lot Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and pe, rmit_j3~eets all applicable codes and regulations. Applicant ................... / May 5~ 1980 (RHS) ~'.~,~,~ ~is!~nd Development Corp~ to island Interiors A ce~.~t{~in tract or parcel of land with the buildings thereon~. ]i~>c~,ted st Fishers .%sland~ To%~a of Southold~ County of Suffolk~ State ~? New Yorkp being bounded and described as follows: Beginnin9~ at a monu~ent on the Southwesterly line of Fox ~id monument being located ~60.30 feet South of s point which is ~,085~37 feet West of ~ monument marking the United States Co~ns~~ an~ ~:odebJ.c S~rv~y T~cianguiation Station "PROS~ and thence running South · .~<~ i2~ 00~ f~s~t i26~1~ feet to a monument a% a point of curve to the ~.~.' that point .~.s'~- ~4ou~_h' ~' 4S~ 00~: West~ thence continuing Soutl%~'~st .... .~,- ~ fol' owing the arc ef said curge 108~31 feet to a m~numem% at 9kence~ continuing Southess{~v~ardty following the arc of said curve 3[)~00 f~et to a point~ these last three lines running along said -~?-..,z,3~ line of ~='o'',~ Lane~ thence South 64° 02~ 43~ West 55~.00 feet to a point; thence Noz-(;h 30~ 31~ 31~ Wes% 105~47 to a point~ %hence North ~¥est ~ ~00 <=~'~' ko a poJ. n't~ thence North 50° 48~' 00'~ East 70~00 ~'o ~ mon%~men% on said Southwesterly line of Fo~g Lane~ %hence along said ~/c~ad line South 39° !~~ 00=~ E~s% 100~00 feet to a ~oint~ thence North ~.:;0° 4S~ 00:' East 50~00 feet ~lo~g said Fox Lane to %he ~oint of be~3inning ~ Containing 30~072 square feet: more or less. Fishers l~sland Dewalop~aent Co~). retain~ the right ~o use South~rly portion of the above described tract: ~aid portion s~bject to these rights being described as beginninq at a monument on the Southwesterly line of Fo~ Lane said monument being located 358~.0~. feet South of 8 point: which is S805~66 feet West of said ?ROSs~ monumen%~ said monul~ent ~lso being a point of curv~ %o the ri~h% having a radius of ~48.~4 feet and the d~irection of %.~hose radius at that point is South 50~ 48~ O0" West and %hence running Sou~heast,:~'ardlY along said road line and following the arc of said cur~e 108.3t feet to a monument a~ a point of cur~;e %o the wardly along said road line and follow%rig the arc of said curve 35.00 feet %o a Doint; %he~ce South 64~ 0~~ '43" West 5~.00 fee% to a thence North 3Q~ 31~ 3t" West 105.47 feet %o a Doin~ ~hence North 69' 18~ 54'" West ~4~3~ f~t to a point~ thence North ~0~ 48' 00" 8~.54 feet %o the monument st %he point of beginning. Subject to rights for e~isting utilities 'that c~oss the above described '~ract. FIELD~ INS~EC~ON COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Approvedk~2~ I,t~W '~' , 19~. Permit No. !..~..'~.~. ·h~. .~. Disapproved a/c ................................... : · Received ........... ,~9... (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 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 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 ~vhole 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 adnfit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) ./3. :.....FSi. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · ~. ~0 W..~,q. .................................................................................... Name of owner of premises . . .'~-..Q .~.'~. .... ~.' ........... q.~..7._,~-. .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title 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....~.O.~'....~. ?../~..~..... .......... ~ .................. ....................................................... .,ff.~ ~ ..¢-.~.-¢....--Z'.s..4~..d~ ............... House Number Street Hamlet County Tax Map No. 1000 Section r2/~ ...... Block O/ - - OO/ ,90 Z- .............................. LO[ ........ ~ .' ......... Subdivision .............................. ' ....... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building . .~.. ..... Addition .......... Alteration .......... Repair .............. Rembval .............. Demolition .............. Other Work ............... .. --~ (Description) 4. Estimated Cost ....~.~.~ .0.00.7-: ........................ Fee ................................. ~ (to be paid on filing this application) 5. If dwelling, number of dwelling: units O ~/~ Number of dwelling units on each floor If garage, number of cars .... ! .......................................................... 6. If business, commercialormixe~doccupanc~,}pecifyCatureandextent'ofeachtyp;'ofuse ..~.'e./P~..~'~.' .~]~'.'~.i... 7. D~menslons ofexmt~ng structures, ~fany: Front .3,_~..?~ .'~22 .... Rear .............. Depth ............... Height Number of Stories' Dimensions of same structure With alterations or additions'. Front .~ ~../<J ..~..'~.... .. Rear .................. Depth ................... .... Height .......... ~ ............ Num~ber,-o/f Stories ............ ~' t ........ 8. Dimensions of entire new constrUction: Front· .(o.~. ......... Rear.. (0~t:'. ......... Depth . .]...~. ......... Height ............... 'Number of Stories ........... i ............................................ 9. Size of lot: Front ...'~,.~,,~.~.. i ............ Rear....~.a./. ........... Depth .../.~.0. ~. ............. 10. Date of Purchase · G,IIO.].g'~ ................... Name of Former Owner 11. Zone or use district id'whicht' premises are situated...q~..g~.~77., l,:2~.. (.z~..~T.. tt,. ~0."2,~.....~.-;I.,). s u· .i . 12. Does proposed con tr ctiop vmlate any zoning law, ordinance or regulatmn: ...~,/~_~ ........................ 13. Will lot be regraded .../b(..~.~.~ .~... ~ ............. Will excess fill b%remov~e.~,from premises: Yes No 14. 'Name~of Owner of premises~..46. ]fo~.~/.~..tT~.~.. .... Address ~Ol~ll~ r-P.~..~...~. Phone No.~'/£?] ~:x~..--]~.. Name of Architect , . Address Phone No. Name of Contractor ' . Address Phone No. PLOT DIAGRAM Locate clearly and distinctly ali 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 lot. : STATE OF NEW YORK, COUNTY OF ,-~?..~.~.-'~ .6..K: ..... S.S ·..-~T.°.~. ~-h.. V.-..f~m?.~.). ~. ~2.~..~.. ................. being duly sworn, deposes and says that he is the applicant (Name of individual si fling contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this applk:ation; that all statements contained in this application are true to the best of his 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 ......... ...... ....... , Notals' Public,/~.~..~.' ~.,g~s