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Home My WebLink About15603-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town H~i~ Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20217 Date SEPTEMBER 13r 1991 THIS CERTIFIES that the building. Location of Property 30195 MAIN ROAD House No. County Tax Map No. 1000 Section 102 Subdivision ALTERATION CUTCHOGUEr N.Y. Street Block 2 Lot Flied Map No. Lot No. Hamlet 24 conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 1986 pursuant to which Building Permit No. 15603-Z dated DECEMBER 30r 1986 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 CONVERT & ALTER EXISTING STORE AS APPLIED FOR. The certzficate is issued to SANFORD FREIMANN & ANO. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ~o~ NO. ~ 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) N9 15603, Z Permission ~s hereby granted to: ~_..~....~ .J.!.~ ..................................... to ......... at p~m,se, ~ocated ~t .~1.~.~.~......~..~...~.~ ............ ~~ ....... County Tax Mop No 1000 Sechon .... ]...~..2~... . Block ........ ,.~,...,.~,,... Lot No ..... .'~...~ ........... pursuant to application date~ ...~..~ . [c~. ...... , 19..~...~., and approved by the Budding Inspector. Fee $.~, ...... : ............ Building Inspector Rev 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Thzs applicatzon must be fzlled in by typewriter OR znk and submztted to the buzlding inspector with the following: for new bulldzng or new use: 1. Final survey of property wzth accurate location of all buildmngs, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical znstallatzon from Board of Fmre Underwriters. 4. Sworn statement from plumber certlfymng that the solder used zn system contazns less than 2/10 of 1% lead. 5. Commercial bumldzng, industrial buzldmng, multiple reszdences and smmilar buzldlngs and installatzons, a certzficate of Code Complzance from archztect or engmneer responszble for the buzlding. 6. Submzt Planning Board Approval of completed site plan requirements. For exmstzng buzldings (prior to Aprml 9, 1957) non-conformmng uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showzng all property lines, streets, buzldzng and unusual natural or topographzc features. 2. A properly completed applmcatlon and a consent to znspect szgned by the applzcant. If a Certzfzcate of Occupancy is den~ed, the Bulldzng Inspector shall state the reasons therefor zn wrztzng to the applzcant. C. Fees 1. Certmficate of OccUpancy - New dwellzng $25.00, Add~tzons to dwellmng $25.00, Alterations to dwelling $25.00, Swzmmzng pool $25.00, Accessory buildzng $25.00, Addztions to accessory buzldzng $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-exist~ng Buzld~ng - $100.00 3. Copy of Certzfzcate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certifzcate of Occupancy - $50.00 5. Temporary Certifzcate of Occupancy - Resmdentzal $15.00, Commerczal $15.00 Dat S~pt. 13, 1991 New Construction ........... Old Or Pre-existing Building ............... .. 31~5 ROo'i~ ~>. CUTCHOGUE N Location of Property , 'Y' House Mo. Street Hamlet SANFORDFRIEMANN &¢ ORS Onwer or Owners of Property ................................................... .. .. .. .. . . ..... County Tax Map No 1000, Se=tion .... !~ ....... Block .... ~ ........... Lot .... ~ ................ Subdivision ................... Filed Map ......... Lot . Permit No..~q~ ....... Date Of Permit. ~' 3~, .l~.Applzcant.~.~....~. ~.~ ~. Health Dept Approval Underwrltmrs Approval .......... Planning Board Approval Request for: Temporary Certifmcate ........... Final Certicate ........... 25.00 Fee Submitted: $ ............................. .... ....................... YOtZld. CO. OUNDATION (1st) OUNDATION ( 2nd ) OUGH FRAME & PLUMBING NSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIOn;AL COMMENTS: Examined k'-'~t~.~O, 19 ~[° Approved l'~Oz~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1B03 ~0 , 1'9~(~ PermltNo 1~"'7..00~"~ Received ........... ,19.. Disapproved a/c APPLICATION FOR BUILDING PERMIT Date .... 19D INSTRUCTIONS a TI'us apphcatlon must be completely filled zn by typewriter or m ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showmg locahon of lot and of buildings on premises, relatmnsh~p to adjmmng premises or pubhc strec or areas, and giving a detmled descnptmn of layout of property must be drawn on the dmgram which m part of flus app catlon c The work covered by tinslapphcatlon may not be commenced before issuance of Budding Permit d Upon approval of tins application, the Bmld~ng Inspector wall ~ssued a Bmldmg Permit to the apphcant Such pern shall be kept on the premises available for inspection throughout the work. e. No budding shall be occupied or used ~n whole or ~n part for any purpose whatever until a Certfficate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmldmg Permtt pursuant to t Budding Zone Ordmance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulahons, for the construction of bmldmgs, add~tmns or alteratmns, or for removal or demohtaon, as hereto describe The apphcant agrees to comply w~th all apphcable laws, ordinances, butldmg~ode, housm~ code, and regulations, and admit authorized inspectors on p~em~ses and in bmldmg for necessary ~nspect~ks. ff/'~ / . ..... (Sxg~natur~ of apphcant, or name, if a corporation) ....................... .... ..... (mazi±ng address of appl±cant) State whether apphcant ~s owner, lessee, agent, arcintect, en~neer, general contractor, electrician, plumber or bmlde Nmneofownerofprem~ses ~x~/l~/~x-,~z),; ._q~0~ AJ. 7~/~ox.3. . ...... (as on the tax roll or latest deed) If apphcant ~s/i corporation, sig,,~ature of duly aut!lonzed officer (Name and htle of corporate officer) Bmlder's License No Plumber's L~cense No. Electnman's L~cense No ..... Other Trade's L~cense No Location of land o.n wlucb~proposed work will be done House Nmnber Street County Tax Map No 1000 Section /o g. Block.. ~- Lot ~.¥. 2 Subdtvlsion .. Fried Map No Lot .. (Name) State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construcnon a Existing use and occupancy ~7~/t~:~,~. - fffi~-tl) .~..j -~/~d. ~,~ ~,-~~; ~~ b Intended use and occupancy ~fi~&Z~ ~ ~~ ~. ~. ~ 3. Nature of work ~ wluch applicable) New Budding ....... Addmon ....... ~/~atlon ........ Rep~ ~ . Removal ........... Demolition ...... ~ .... ~(O~er Work~ ~ ...... ~t ' 00 ~J~AL/~ .~/t~'~L~~ (Description) 4 EstunatedCost . , ,~, ...................................................... I (to be paid on tiding this apphcat~on) 5. If dwelling, number of dwelling umts ............. Number of dwelhng umts on each floor .......... )2) If garage, number of cars ........................................ [ ..... ~_. · } · 6 If business, commercml or mixed occupancy, specify nature and extent of each type of use ~...~..t((~..~.. ?. Dunensmns of existing structures, if any Front ........ Rear ........... Bepth . .'~. ...... Height ........... Number of Stones .................................... Dunensmns of same structure w~th alterations or add~tmns' Front ............. Rear ........... Depth ............. Height ......... Number of Stones ............... 8. D~mensmns of entire new cqnstruction Front ............ Rear .......... Depth ........... Height ........ Number of Stones 9. Size of lot Front ..... Rear .................... Depth ......... 10 Date of Purchase ........... Na~me of Former Owner .......... 11. Zone or use district ~n which premmes are situated .. ,~ ~ ......... a) ......... 12 Does proposed construct~o;a vxolate any zomng law, ordinance or regulation . . .A/.t~ ................. 13. Will lot be regraded 2CJ ~9 ........... W~tl excess fill be removed from premises Yes 14 Name of Owner of premmes ...... Address ............ Phone No .......... Name of Architect ............ Address .............. Phone No ..... Name of Contractor ... ~ ............ Address ................ Phone Nj~ ,~/. ...... 15. Is th~s property located w~th~nl00 feet of a tidal wetland? * Yes ..... N~_~.~.. · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dmtmctly all bufldmgs, whether ex~stmg or proposed, and~ mdmate all set-back dunensmns fro property hnes Gwe street and block number or description according to deed, and show street names and indicate wheth interior or corner lot STATE OF NEW YORK, S.S COUNTY OF . .... (Name of md~wdual mgnmg contract) above named. being duly sworn, deposes and says that he is the apphca~ He is the ............................... (Contractor, agent, corporate officer, etc) of smd owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and file ~ apphcatmn, that all statements contamed m thru apphcat~on are true to the best of bm knowledge and belief, and that tl work will be performed m the manner set forth ~n the apphcat~on filed therewith Sworn to before me th~s o~ ? day of..pJt~_. ........ 19~ Notary Pubhc, ~ ~. ~...~..~'...~.~.. ..... County H~D4 K. DE ~E ~ PUBLIC, ~ of ~w ~ No 4707878, ~ffoik ~u~ ? T~ ~m~ ~rch 30, ]9 ~ (S~gnature of apphcar OCCUPANCY OR USE IS UNLAWFUL' WITHOUT CERTIFICATE OF OCCUPANCY rt