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Home My WebLink About25349-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26145 Date: 12/04/98 THIS CERTIFIES that the building FIRE REPAIR Location of Property: 28350 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 102 Subdivision Filed Map No. __ CUTCHOGUE (STREET) (HAMLET) Block 6 Lot 18.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 27, 1998 pursuant to which Building Permit No. 25349-Z dated NO%rEMBER 23, 1998 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 FIRE REPAIRS TO AN EXISTING BUILDING AS APPLIED FOR. The certificate is issued to WILLIAM SMITH of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-469543 10/27/98 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. 3 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) PERMIT NO. 25349 Z Date NOVEMBER 23~ 1998 Permission is hereby granted to: WILLIAM SMITH PO BOX 1238 CUTCHOGUE,NY 11935 for : FIRE REPAIRS TO AN EXISTING BUILDING AS APPLIED FOR. at premises located at 28350 County Tax Map No. 473889 Section 102 pursuant to application dated OCTOBER Building Inspector. MAIN RD CUTCHOGUE Block 0006 Lot No. 018.001 27 1998 and approved by the Fee $ 150.00 Building spector ORIGINAL Rev. 2/19/98 THE NEW YORK BOARD OF FIRE UNDERWRITERS [eme?1. .UREAU OF E'ECTR,C, Y ~ 40 FULTON STREET, NEW YORK, NY 10038 Date OCTOBER 27,1998 Application No. on file 17040298/98 N 469543 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant na~aed on the above application number is in the premises of FISHERI~g. NB R~ST, MAIN ROAD, RESTAURANT, CU~CItOGUE, NY in the following location; [] Basement [] ]st Fl. [] 2nd Fl. Section Block Lot was examined on OUTOB'R,R 2t., 1998 and found to be in compliance with the National Electrical Code. FIXTURE OUTLETS DRYERS ~iRECEPTACLES SWITCHES FIXTURES RANGES OVENS FLUORESCENT OTHER SYSTEMS )IHER APPARATUS: FIRE RECO~gIECT ONLY-1 -E-- R -V I NO, OF CC COND, PER t6 A. W. G, NO O~ HI-LEG OF CC COND A W G. NO. OF NEUTRALS A W. G, OF I~1- LEG OF NEUTRAL G & S CONTRACTOR BOX 215 SOUTHOLD, NY, 11971 LIC. #578 ANN '--GEI~ERAL MANAGER 1.1 this certificate must not be altered in any manner; return to the office of the Board iFincorrect. I~spectors may be ide~ltifi~d by their credentials. COPY FOR BUILDING DEPARTMENT. THiS CO~Y OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING D~PARTM~NT ~q I?LIt, - 765-1802 This application must be filled in by typewriter OR ink amd submitted to the building ~spector with the following: for new building or new use: 1. Final su~ey 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 fo~). 3. Approval of electrical installation from Board of Fire Unde~iters. 4. Sworn statement from plumber certifying that the solder used in syst~ contains less than 2/10 of 1% lead. 5. Co~ercial building, ~dustrial building, multiple residences and s~ilar buildings and installations, a certificate of Code Compliance from architect or e~ineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requir~emts. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ypre-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. Fees 1. ,Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw~ming pool $25.00, Accessory building $25.00, "Additions to accessory building $25.00. Businesses $50.00. 2.~ Certificate of Occupancy on Pre-existing Buildinm - $100.00 3. Copy of Certificate of Occupancy - ~ .~5~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy'- Residential $15.00, Co~ercial $15.00 Construction ........... Old Or Pre-existing Bnilding ................. House No. Street H~m]et Owners of Property ~/a~c/~.~ ~. ~.W.~f~. .. )~ty Tax Map No 1000, Section ....... Block ............... Lot. ' .................. ~b4ivision Filed Map . Lot .... of Fermit Applicant ..... ~Tmit Date · -.alth Dept. Approval..................-.....-.Underwriters Approval...............-- ....... · tanning Board Approval ........................ aguest for: Temporary Certificate ........... Final Certicate ........... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ]FRAMING [ ,c.~AL [ REMARKS: ] FIREPLACE & CHIMNEY DATE ~~/~INSPECTOR./_ '/ '' ,-7~~~/~ · FOR~ /~0. TO~/-N OF Sog'rltOLD TO~ HALL SOUTflOLD, ~I.Y. ! 197 ! TEL: 765-1802 Disapproved a/c ........................ BOARD OF HEALTH ............... CHECK ......................... SEPTIC PORH ................... HOTIFY: HAIL TO: ......... APPLICATION FOR BUILDING PERHIT I~STRUCTIONS 'Date ................ ,19 .... a. 'Ibis a~plicatica ~st be c~pletely filled in by type~it~er or in id( axi 3 ~cs of pl~, ~ate plot pl~ to ~ale. F~ ~i~ W ~le. b. VloC pl~ ~ lmti~ of lot ~ of ~ildi~ ~ pr~s, ~lati~ip W ~joini~ pr~s or ~lic sCr~s or ~e~, ~ 8ivi~ a ~cail~ ~ipci~ of layer of pm~ ~t ~ ~ ~ ~ di~ ~i~ is ~ of ~is a~li~ci~. c. 'H~ ~ ~r~ ~ ~is a~li~ci~ my ~t ~ ~ ~fore is~ o[ ~ildi~ Pe~t. d. U~ a~al of ~is a~li~ci~, ~ ~ildi~ ~cCor ~11 is~ a ~ildi~ ~t ~11 ~.~t ~ ~ ~s a~il~le for i~ci~ ~r~C ~ ~. e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~ for ~ ~ ~t~r ~il a ~r~/fica~e of ' ~I~ IS ~Y ~ to t~ ~ildi~ ~t for ~ is~ of a ~ildi~ ~ldi~ ~ ~i~ of ~ ~ of ~ld, ~folk ~, ~ Yo~, ~ ~r ~li~le ~s, ~di~s ar ~lati~, for ~ ~t~i~ of ~ildi~, ~iti~ or alteraCi~, or for ~ or ~liti~, ~ri~. ~ a~li~t ~s to ~ly ~ ~1 a~li~le l~s, o~i~s, ~ild~ ~lati~, ~ Co ~it ~ri~ i~tors ~ ~s ~ in ~ildi~ for ~ i~ti~. (Si~e of ~h~t, or ~, if a ~ra~i~) UNDERWRITERS CERTIFICATE REQUIRED (l~iliu~ ~ress of ~lic~t) State ~/md~er al~licant is o~ner, lessee, ~gent, architect, engineer,' general c~ntractor, electrician, plumber or I~ildm ~ of ~r of prmises ............................................................... APP.~O1FcD.AS'NOTED ........ (as m ~ ~ roll or latest ~) / DATE: If a~t is a ~rati~/i~ of ~ly mt~ri~ offi~r. PE~' /~,' ................................ OCCUPANCY FOLLO~N6 INSPE~ION~: USE UNLAWFUL ' ~il~ Li~ ~ ................... ~t4t~U~i ~T ~[~D~IC~ 2. ROUGH - F~MING & ~UMBIN6 Pl~rs Lz~en~ ~ ................... ~'~t i~;l ~IC~V 4. F~ CONSTRUCTION ~ ~' ...... ~ W~Ut t'ti",i~] ~ECOMPLETEFO~n o~r ~'s ~ ~ .... ~.~.~.~.Z~ f THE REOUm~M~NTS OF T~E I. ~i~ of ~ ~ ~ia ~ ~ ~. ~ ~ ..................... ~~..,~ . · _ .. ~ / ~ ~ CODES. NOT RESPONSIBLff FOR ~.~ ~~ ~B ION ERRORS .......................... ..... ................ ........ , .... ~ ~r . S~ % ~e~ I . ~ .. ~ .... ~ivisi~ ................................ . . ... . ~i1~ ~p ~ ............... . ~[ ............ . .. (~) ~,ti~ ~ ~ ...... ~z~ ....... ~ .... ~ .............................. I0. II. 12. 13. 14. 15. ~pth .................... ~t~t ........ r ........... ~r o[ 8torte8 ............... S[~o~lot~ ~t...........,........~ ~ ............... . · · · · ~Pfl~ ............... ..... (~ of ifllvi~ si~i~ ~~-~ . ~~ .................................. I~ is fl~e ........................... ~ ............................ (~t~ctor, of ~fl ~r or ~rs, ~ is ~ly ~t~ri~ to ~rfom or h~ ~r[~ tim ~id ~ ~ to ~ke ~ [!l~ this flint ~ ~ viii ~ ~r~ ,q~rn to be~o~e ~ this ~ i '/3 ........ ~fl. .... ~,~o~.~.~ ..... ,,.~.. ~t~ ~ .--; EILEE~q ~;L ~¥OOLL~Y ' , (Sl~ o£ Apptm~nt) PLOT DIAGRAH 1 ~lldtnl~, ~r~r ~istln8 ~ pro.seal, and indi~te ail ~t-b~k d~nsi~s { block ~r ~ c~scriptt~ accox~i~B to deed, amxl mNo~ strut ~s and ir~ticate ~t~r interior or m~r lot. tocnte clearly sud disti~tlya]