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Home My WebLink About15543-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21192 Date DECEMBER 3, 1992 THIS CERTIFIES that the building. Location of Property 37570 MAIN ROAD House No. County Tax Map No. 1000 Section 85 Subdivision ADDITIONS Street Block 3 Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 6.4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 1986 pursuant to which Building Permit No. 15543-Z dated DECEMBER 5, 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 GARAGE ADDITIONS TO EXISTING AUTO REPAIR SHOP AS APPLIED FOR. The certificate is issued to FRANK & ROBERT KLOS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-810921 - MAY 20{ 1987 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 1~0~ 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) NM 15543, Z Permission is hereby granted to: .... .......... ......... at premises located at~1 ....~-~...~,~..O ........ ,,.~..~.....J~ ....... ~~,, ............................ County Tax Map No. 1000 Section ..... ..~..~..'~.'. ....... Block ...... m...~ ....... Lot No...6 .... ...~.. pursuant to application dated .... .~...~....~....~. .............. , 19.~.(,., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the. applicant. 1. Certificate of Occupancy - Mew dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... .~.e .~.e .m.ber..2,... ... l~ ................... . New Construction ........... Old Or Pre-existing Building ................. Location of Property 37570 .M,ai,m ,R,o,a,d CUTCHOGUE N,Y. House No. Street Hamlet Onwer or Owners of Property .... Y..~...~.~.~...~.PP .................................... . .. . . .. County Tax Map No 1000, Section ..... P~ ....... Block...P ............ Lot .... ~4~. .............. Subdivision .................................... Filed Map ............ Lot ...................... DEC. 5, 1986 , FRANK & ROBERT Y. LOS Permi~ No. 15543-Z ..... Date Of Permit ........... Applicant,,, 7p]97 1- s/ o/87 Health Dept. Approval .......................... Underwriters Approval .............. .... Planning Board Approval,,,~,',.1,',,l~?~ ......... Request for: Temporary Certificate ........ ...' Final Certicate ........... PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S, McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD SCOTT L. HARRIS Supervisor Town Hall, 53095 Mmn Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 MEMORANDUM TO: FROM: RE: Victor Lessard, Principal Building Inspector Bennett Orlowski, Jr. Chairman Request for Certificate of Occupancy for Ted's Auto Body SCTM~1000-85-3-6.1 Date: December 1, 1992 In response to the applicant's request for a Certificate of Occupancy, the site plan file and the site were reviewed. The Planning Board finds that the landscaping and fencing that have been installed since our last inspection in 1987 are satisfactory substitutions for that which was shown on the approved site plan of 1986. Accordingly, there is no objection to your issuing a Certificate of Occupancy. TOWN OF 80UTHO_~D~.~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIfieS THAT only the olectrical equipment ~ ~scrlbed be~w and int~duced by t~ ap~icant ~med on the a~ve Opplicat~n number in the prem~es of Ted's A~to Body~ Ma'in Rd., in the following loc~tion; ~ Base,nent ~ Ist Ft. ~ 2nd FI.$~ Section Bilk Lot ~sexaminedon May 14,1987 andfoundtobeinco,tpliancewiththereqttiretnentsqfthisBoard FIXTURE FIXTURES OUTLETS SWITCHES 35 3.3 2Et RANGES COOKING DECKS OVENS E R I C E NO OF CC COND PER ~' AWG NO. OF HI-LEG A. WG OF HI-LEG NO O~NEUTRA OF NEUTRAL Prank Klos ~~'~~ St~llwater Ave. Cutchogue, N.Y. e 11935 ~.,,GENERAL ~NAGER This ce~ificate must not be altered ~n any manner; return to the office of the Board if incorrect. Inspectors ma be dentified b t ' ' OUNDATION (1st) OUNDATION ( 2nd ) OUGH FRAME & PLUMBING ~NSULATION PER N. Y. STATE ENERGY CODE FINAL , ADDITIONAL COMMI ITS: Southold, N.Y. 11971 (516) 765-1938 August 17, 1987 Mr. Frank Klos c/o Ted's Auto Body Main Road Peconic, NY 11958 RE: Site Plan for Ted's Auto Body Mr. Klos: As per_your request, the Planning Board inspected the above mentioned site on August 14. The Planning Board does not recommend that a certificate of occupancy be issed for this.'site since the landscaping and parking are not developed as shown on the approved site plan. Upon notice of completion of these elements as per the approved site plan, please notify our office and an inspection will be scheduled. Very truly yours, By Diane Mi -Schultze, Secretary cc: Building Department 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND .~]~NSULATION FRAMING ~ [ ] FINAL REMARKS: · iNSPEcToR ,~.~* ~' 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y. 11971 TEL,: 765-1803 Approve~..~ .... 197 [. Permit No./.~."[~.-~ .~. ·~. i~.". pproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 1986 Received ........... ,19,. , Date .................. , 19 i O. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :.lts 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. e. 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 lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ;gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ?he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections. · ~mai±ing address or ~pp~ic~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~(~ . . ~. ~O~[~.. ~k~ ................................. (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 ..... ~ . . ~ ....... ~ ~ .................... .. 3.q. sqO .................................................................................. House Number Street Hamlet County Tax Map No. 1000 Section ...O.~,'~ ......... Block ..... x~ .......... Lot .~....~..~)/O..~ .... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: .................................. a. Existing use and occupancy .... ....... ii~C)~ih..~,~.G~i.C' ...~.....~ ...... b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .......... h, dditioni ...... Alteration .......... Repair .............. Removal .............. Demolition ......... ' .....Other Work ............... 4. Estimated Cost ., ...... Fe .......... (to be paid on filing this application) 5. If dwelling, number of dwelling units.. . ~ .... . i . ·. . Number of dwelhng umts on each floor....,~:~. .......... If garage, number of cars .......................................... : .................... ... ~ ...... If business, commercial or mixed occupancy, specify nature and extent of each ~ype of us0~.~c~>., f..<~..1~ ..... Dimensions of existing structures, if any: Front ............... Rear ..... ! ......... Depth ............... Height ............... Number of Stories .... } .' .................... .............................. Dimensions of same structure with alterations or additions: Front ................ Rear ........ . .......... Depth ...................... Height .... ;~. ................ Number of Stories .... ] ............. .;.. -'8. Dimensions of enti~'e new construction: Front .. ~../ .... Rear ...(~07 ........ Deptr ~-~d.~. ~; .-... } ."... Height ..... Number of StoAes [ . . Date of Purchase ..... · ......................... Name of Former Owner, . .-['.ed.K [o~. f. Zone or use district in which premises are situated..~ .~ .......... . ........ i ............ /.. ............... Does proposed construction violate any zoning law, ordinance or regulation: : .'4C.~. ......................... Will lot be regraded . .~.D ................... . .... Will excess fill be. rem°'ved from premises: ~ No Name of Architect .. Jq[~ . . Address ............ i .. . Phone No ..... Name of Contractor . D~',~[9 ........... Address ....... '.f . i J. Phone No '"]' ...... Is this property located withinl.00 feet of a tidal wetland?' &'Yes ..... ~q'o'~.]] ......... If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all 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. 10. -11. 12. --13. 14. 15. STATE OF NEW YORK, COUNTY OF .......... S.S ....,~'.~..~.% I.~.. }~.[.qS...~..~ ~.f~. ~.. lf~ e* ...... being duly sworn, deposes ~d says that ~the applic~t (Name of individual signing qontract) above named. (Contractor, agent, corporate officer, e~c.) ' ~ f smd owner or owners, ~d m duly authorized to perform or have perfo~ed the smd work and to m~e and file this application; that all statements contained ~ this application am true to the best or,his ~owledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. Sworn to before me this ........... ~7~ ..... day of...~~ ...... , 19~ unty ,~ , ,.~ ~, ~, ~ . Qualified in Suffolk Coun~V~ ~~. ~ /~ /~ ~mis~l~ ~ke~ ~arc~ a0 ~'~ ' ' '/ ..... ~ ............................. ' ~' ~ * ~ i (Signature of applicant) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 76~-180~ ~ A*a TO ~ PM FOR THE FOL~ OWING INSPECTIONS: F~NDATE~ ~0 n~Q~RED 3, INSULA I'lOd PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD: I! oo1~I tubing I' ufad for water distributing ~es~ ,;(. 0'~ -._~ o' 0 d OCCUPANCY OR USE I$ UNLAWFUL WITHOUT CERTIfiCATE OF OCCUPANCY APP~OVIE~ AS NOTED FEE'_~. ~ BY' ~ ~. L , NOTI~ ~UILDI~ DEPARTMENT AT 7~5-1802 9 ~ TO 4 PM ~R ~E FOLLOWING iNSPECTIONS: F~DATIO~ ~0 ~EQ~RED 3, ~SULA rlo~ 8~ ,.:O~PL~E FOR C 0 file RE~UI~ENTS ~ rile ~IGN OR CG~STRUCT!O~, ~RRORS, IONNb'D JqRiSA$ A 7ddn$ ERIY~t~ NI ORSD Id..=0705 PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY If copper tubing is used for water distributing system; piping shall be of types K or L only. ,C