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Home My WebLink About16135-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19708 February 4, i991 THIS CERTIFIES that the building Location of Property 105 LOVE LANE House No. County Tax Map No. 1000 Section 141 Subdivision ADDITION Street Block 4 Filed Map No. MATT/TUCK, N.Y. Hamlet Lot 31.6 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27, 1987 pursuant to which Building Permit No. 16t35-Z dated JUNE 26, 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 ADDITION TO EXISTING BUSINESS BUILDING AS APPLIED FOR. The certificate is issued to ROBERT & DOROTHY SULLIVAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-075935 - JUNE 13~ 1989 PLUMBERS CERTIFICATION DATED FEB. 1, i991-~ATTITUCK PLUMBING & HEATING Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT ('rillS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) County Tax Map No. 1000 Section ........ !..~.L ....... 8:o~k ...... .~.~ ........ Lot No....~.~..~ .......... ~,.,..~, ~' 19.~.~.., approved by the pursuant to application dated ............. ;.~ ................... , and Building Inspector, Building Inspector Rev. 6/30/80 i FEB - 41991 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ...~....OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property.../O.~ HOUSE NO. STREET HAMLET O.ner or O.ners o: Property.. ~. ......... ~.~(~.~.: ..... ... county ~x .~p ~o. ~00o s~,io, .L~/.. ~o~ ..~.~.. ~o, .q.~J,~.. Subdivision ....................... Filed Map ........ Lot .......... Permit No. /-~./..~.~-~...Date o£ Permit .~-/-~.?/-~?--ippUca.t ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request Fee Submitted: for Temporary Certificate ....... Final Certificate .~ ............. ~...~?. ,...--. .......... rev. 10/14/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ES5 JOHN STREET, NEW YORK NEW YORK 1003B ,)~t~: ] 3,t989 ~;0962~89/g9 ~ 0'159~5 EIXTU'~E SWITCHES OUTLETS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS TIME CLOCKS UNtT HIEATEKS MULTI-OUTlET SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C PM, IP, hBOARD8: t--/'? C'[R, t!;0 0 W G, NO. OF HI-LEG ,I t ,5 OF HI-LEG E N~ OF NEUTRALS I A, W OF NEUTRAL BOX 602 G~E, NBRAL MANAGBR Per This certificate must not be altered in any manner; return to the office of the Board if i~correct. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT, TNISiCOPY OF CERTIFICATE:MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 CERTIFICATION Plumber ~ ~i~v c--~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's s~_a~ Sworn to before me this ~fc~/~ day of f~/~/ ~Otary Public, ~/~-~/~ ~County . ~c mm .m EX,res F~b. '16, '{99~ L"~H R J No. 49207S8 £- UNDATION (1st) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: . 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . .~'~'~%. · .~.~ Approved .~,~'t~ .g ~ ~.., 19~. Pe~it NoJ.$J.~. Disapproved a]c ..................................... (Building Inspector) APPLICATION FOR BUiLDiNG PER~IT SURVEY CHECK septic ............. NOTIFY CALL ................ MAIL TO: Date ................... 19 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 properW 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 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 building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................................... Name ofownerofpremises..(J~J.[ ii I.[.~...~Q .... ~. Cl/I ,'/3"~-P'- (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's. License No .......................... Plumber's License No ......................... Electrician's LicenseNo ....................... Other Trade's License No ...................... ~t~ ~ ~ P[~..L~J..~...P~. 5~q 1. Location of land on which proposed work will be done ....... ~..~..'~ ..... ...... ...... -r... ..... House Number Street Hamlet cou t Tax Map No. 1000 Section I ........... Bloo .. 0.C/ ............ Lot .... .......... Subdivision ....... 7~x ............................ 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 ...................... - ............. use and occupancy ....... ~c~ ~..~ '~.....x ......................................... b. Intended 3. Nature of work (check which apph~able): New Building ................. Alteration Repair ........ ~ .......Removal .............. Demolition .............. Other Work .............. . ff ~d~/~9 ~ 0 (Descfiption~ 4. Estimated Cost... ~/. v.w M. J .... ~4 .~ ............ Fee ........................ ~ ' (to be paid on filing this application) 5. If dwelling, number of dwelling un!ts ............... Number of dwelling units on each floor .............. If garage, number of c~s ....... ................... , 6. If business, commercial or mixed o~cupancy, specify natu~ e~tent of eachXweof u~ ~ ~. '.: .... : ......... 10. Dateofeurchase .. ~0]~.~. . Name of Fomer Owner . ~q~ ~o. ff~!~ .... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....................... ~ ....... 13. Will lot be regraded .... ~...: ................ Will excess fill be removed from premises: ~e~ No 14. N~m of Owner of premises ~.i.~[~&~ ~X~kn~Sr~ Address,~qK ~..~.~f~... Phone No. ~ ~ .... N~m of Architect .. ~ ........ : ......... ; ..... Address ................... Phone No ................ N~m of Contractor ~OhO.~¢¢~&~Y.~ I ..... Address .... : ............. Phoni No. ~ .~.~.. ~5. Is th~s property located w~ithin 300 feet o~ a tidal ~e~landg ~Yes ..... No ~. ~If yes, Southold To~ Trusffees PermSt maybe required. PLOW DIAG~M Locate cle~ly ~d distinctly ~1 buildings, whether existing or proposed, and. indicate ~1 set-back d~ensions from Croperty ~nes. Give street and block number or description accord~g to deed, ~d show street nines and indicate whether :nte~or or corner lot. gTATE OF NEW YORK, S.S ~OU~IrY Q ~ · ................ ...~.11//! ~. · .¢f~.. ~.~f~ ....... );q .~...~ ................ .. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. : te is the .................. ~ ................................................................. I (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly huthorized to perform or have performed the said work and to make and file this. tpplication; that all statements contaiged in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner Set forth in the application filed therewith. ;worn to before me this ~o~mizsiol~, Expires Ja~l. 81, 1989 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1B03 Examined ................ , 19... Application No .................. Approved ................ ,19.., Permit No ............ Disapproved a/c ..................................... '~/'/~'~°/ (:~ ¢~.~/~,~<:::~ A. PPLICATION FOR BUILDING PERMIT Date .................. , 19... INSTRUCTIONS a. Tlxis 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 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 Cotmty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for rewoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buil~lin$ cg~e, housjsg cpt~e, and r~ulations, and to admit authorized inspectors on premises and in building for necessary ~fisp,~ct~a~. ~ ~,/ // ............ (Signature of applicant, or,namer,, i.f a corporat, io~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ! Name of owner of premises ~.: ~..~..~. J.".~.'e...&.,.. ~ .(.a~he.7::~ ~); idt~,,~.t.~e.~e.:).~.....~..: ~/.~. !/.J/.../.' .~.~ .... If applicant is a corporation, signature of duly authorized officer. Builder's License No .......................... Plumber's License No ......................... Electrician's License No. ' Other Trade's License No ....................... 1. Location of land on which proposed work will be done .................................................. · ,: ............ ........ . ................ ................. House NumberStreet Hamlet County Tax Map No. 1000 Section .... /.~( ......... Block (9 ~ Lot Subdivisio ~ .fl~.. .................................. Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of pr__._emises and in?laded use and occupancy of proposed construction: a. Existing use and occupancy....~fl..~.W{'.-.'~., ~..~. · ............................................... b. Intended use and occupancy ~ ~'ff'~? .~. (/~,~ ~..~.~. '~{':7 ~/~.~ , 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ (Description) 4. Estimated Cost ....... .~.~. ~.i.~..~..,. ~..~. ............... Fee ..................................... ~ (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 ..... ! ................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ~.'~./t.. ~..'~'. ~ ... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... j.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front ........... ! ........... Rear ...................... Depth ...................... 10. Date of Purchase .............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ...! ................. Address ................... Phone No ................ Name of Architect .......... : ................. Address ................... Phone No ................ Name of Contractor ......... i ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ail !buildings, whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and block ~ ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW Y(~RK~ ~ ~ / ~ S COUNTY OF.. ~ ....... · ff.: .'~..~','~-..~]'~.,~..,. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (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 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 ........ ~. ..... -.......day of Notary Public,~~.. ~~ounty/ / 1, ¥,,, ....... ' ..... J'.'~ ~'~- - -i /~ignature of applicant) N0~ [~lblle, $~ate o~ ~taw York (lomml~lon Expires Marc 00~ ~¢~c~ SURVEY FOR · WILLIAM B. BERLINER 8 MICH. ELLE BERLINER AT MATTITUcK . ' DATE : OCT. 31, 1984 TOWN SUFFOLK COUNTY, NEW"YORK NO. : 84- ~ UNAUTNORI~'ED ALTERATION OR ADDITION TO THIS GUARANTEED TO: SURVEY IS A VIOLATION OF SECTION ?~0~ OF THE AMERICAN TITLE INSURANCE CO. NEW YOR# STATE EDUCATION LAW. # COPIES OF THIII SURVEY HOT DEANING THE LAND NORTH FORK BANK ~ TRUST CO. SURYE¥OR'S INKED SEAL OR EMaO$$EO SEAL SHALL WILl.lAM G. I~ MICHELLE 8ERLINER U 'I ' , 4~ ~ AVENUE YOUNG YOUNG. , -- I ~'xLDEN W. YOUNG, PROFEgSIONAL ENGINEER , ~ i AND LAND SURVEYOR N.~S. LICENSE N0.12845 .'~ ~ HOWARD W. YOUNG, LAND SURVEYOR ~ ~ N.~S. LICENSE ~.45893 NOTE t , I. A= .STAKE .- ~ 2. AREA · 2,66~' S.R . 3. RE; LOT NO 4 OF MINOR SUBDIVISION' "BRUCE A. NORRIS ' ,*' , FOR 4. SUFF, CO. TAX MAP DST 000 ~CT 41 BI...O~ LOTSLG