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Home My WebLink About15721-zFORM NO. 4 TOWN OF SOUTHOL~ BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22309 Date MAY 6t 1993 THIS CERTIFIES that the buildin~ Location of Property 1155 MAIN ROAD House No. County Tax Map No. 1000 Section 125 Subdivision ADDITION LAUREL~ NEW YORK Street Hamlet Block 2 Lot 3.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27~ 1987 pursuant to which Building Permit No. 15721-Z dated FEBRUARY 28, 1987 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 NEW CHIMNEY ADDITION TO AN EXISTING BUSINESS BUILDING AS APPLIED FOR. The certificate is issued to CLIFFORD SAUNDERS ~ JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 / '//Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: .../..~.~...~~..~.....~ ................... ~.~ ................ .~ ....... [ .... i~.~-.i~.~y.r7-7-.i ~ . ~ at premises located at ..././..-~.~ ........ ./...Y.I.~...~ -.~7~..- .......... ~..-.~ ............................. · ........... ...... :.- ................................. County Tax Map'l No. '1000 Section .,/....~....~.. ...... Block .....~..~ ..... Lot No ..... .~...: ..1 ........ ., 19~..'7.., and approved by the Building Inspector. ~e. ,I.~...;..:.......--:~ Building Inspector Rev. 6/30/80 INSPECTORS Victor Lessard Principal Bmld~ng Inspector Curtis Horton Sensor Bmldmg Inspector Thomas Fisher Bmldmg Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant F~re Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 27, 1993 SCCY[~r L. HARRIS, Superwsor Southold Town Hall P O Box 1179, 53095 Mare Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Clifford Saundets 1375 Bungalow L~ Mattltuck, N.Y. 11952 Re: Elbow II Restaurant at Laurel, N.Y. To Whom This May Concern: We are unable to complete your certificate of occupancy because of the ~ollowing reasons: XX An ~pplicatlon for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. Th, No No No BUILDING PERMIT check is not on file. $50.00 Health Department Approval on file. final inspection has been made. Plumber Solder Certificate on file. iAll permits involving plumbing being issued after April lr 1984). 15721Z-(NEW CHIMNEY) Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE ABOVE BUILD UNLAWFUL WITHOL~ CO AS SOON AS P. lNG PERMIT HAS EXPIRED. OCCUPANCY OR USE IS ~ A CERTIFICATE OF OCCUPANCY. PLEASE APPLY FOR )SSIBLE. OUNDATIO.U (1st) OU~DATI O:~ ( 2nd ) OUGH FRAME & ?LUMBING NSULATION PER N. STATE ENERGY CODE FI.AL ADDITIONAL COMMENTS: FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL.: 765-1803 19h~] PermltNo ) Disapproved a/c . . (Bufldlng Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN o ,,,,soumom Apphcat~on No Date .... 19 ' INSTRUCTIONS a This apphcatlon must be Completely filled in by typewriter or in ink and submitted in tnphcate to the Bufldln. Inspector, with 3 sets of plans, accurate plot plan to scale Fee according to schedule b Plot plan showmg location of lot and of buildings on premises, relationship to adjoining premises or pubhc street or areas, and gw]ng a detailed description of layout of property must be drawn on the diagram which is part of this apph cation. c. The work covered by this apphcatmn may not be commenced before issuance of Bmld~ng Pemfit d Upon approval of this apphcat[on, the Budding Inspector will issue a Budding Permit to the applicant Such perml shall be kept on the premises available for inspection throughout the work e. No bu,ldmg shall be occupied or used ~n whole or in part for any purpose whatever until a Certificate of Occupanc- shall have been granted by the BuCdmg Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmld~ng Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk Cognty, New York, a~d,other apphcable Laws, Ordinances o Regulations, for the constructaon of buddings, additions or alteratloas, orLfgr removal or demolition, as herein describe, The applicant agrees to comply with all applicable laws, ordinances, bmldlne, code,-dousing code, and regulahons, and t admit authorized ~nspectors on premises and m buddings for necessary inspec~ons ~. ~_ ' (~lgnature of a~t~l~da~t; or name, if a corporation) (Mailing address of applicant) State whether apphcant is owne~, lessee, agent, architect, engmeer, general contractor, electrician, plumber or buflde Name of owner of prem,ses ~'TJ IL //~Jz oRD ~-"~'/fi '~" D~'2/{~''~' (as on the tax roll or latest deed) If apphcant ~s a co~oratmn, s~gnature of duly authorized officer (Name and title of corporate officer) Builder's License No Plumber's L~cense No Electrician's hcense No Other Trade's Llcense No~~ Location of land on winch proposed work will be done House Number Street County Tax Map No 1000 Section J ¢ 2~ Block Hamlet Lot 3, i 2 Subdivision .... Filed Map No. .. Lot (Name) State existing use and occupa icy of premises and Intended use and occupancy of proposed construction. a Exzstmguseandoccupanc2 . ~ ~..Y-'J-. U f{.-./r/g',7 .... .~- L'~.O.~J.-~- . . b. Intended use and occupanqy 3 Nature of work (check which applicable) New Budding Repair ~lilS~emoval 4 Estnnated Cost '~/~Od~ .... 5. If dwelhng, number o f dwelhrtg units If garage, numbe~ of cars I · . Addition Alteration Demolition ..... Other Work/g Az~f (Description) Fee .................. (to be prod on filing tlus application) Number of dwelling units on each floor ........ 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ............ 7. Dimensions of existing structCres, if any. Front . Rear Depth ....... Height . Number of Stones ................. D~nenslons of same structure with alterations or additions Front ....... Rear .......... Depth . ~ Height ...... Number of Stones ............ 8 Dnnenslons of entire new construction Front . Rear ....... Depth ....... Height . Npmber of Stones .................. 9 S~zeoflot Front .. . Rear ..... Depth 10 Date of Purchase .... Name of Former Owner .......... 11. Zone or use district tn which premises are situated 12. Does proposed construction ~mlate any zomng law, ordinance or regulation ...................... 13 Will lot be reg~aded ............. Will excess fill be remoYed from premises Yes No 14 Name of Owner of premises Address ...... Phone No ............ Name of Architect ..... Address ..... Phone No .............. Name of Contractor Address .......... Phone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether extstmg or proposed, and. indicate all set-back dnnens~ons from property hnes G~ve street and block number or description according to deed, and show street names and indicate whether interior or corner lot OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY BE CO~~ ~t ~0~ ,: t STATE OF NEW YORK, S S C O U. Ix, IX Y OF .... ~ (Name ofiffxfivldual signing contract) above named He ts the .... being duly sworn, deposes and says that he is the applicant .. , 19 ~.7 County ~ 'r~ "-~7~' '~' ..................."~'~S, nat 'g urc of apphcant) (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and ffie this application; that all statements contmned m this apphcatton are true to the best oftns knowledge and belief; and that the work wdl be performed tn the manner set forth m the application filed therewith.