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Home My WebLink About22154-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~u~CY No Z--23213 Date SEPTEMBER 14, 1994 THIS CERTIFIES that the building Location of Property 355 CAROL ROAD House No. Street County Tax Map No. 1000 Section 52 Block 2 Subdivision Filed Map No. ACCESSORY SOUTuOLD, N.Y. Lot Lot No. H~let 7.3 conforms substantially to the Application for Building Permit heretofore filed in this office dated J~]NE 14~ 1994 pursuant to which Building Permit No. 22154--Z dated ~ 28, 1994 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 RELOCATE TWO A~CESSORY STOP~E SU]~U$ AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED CAWLEYS SOu'£uOLD BEACH MOTEL, INC. N/A N/A N/A Rev. 1/81 uilding ~nspector FORM NO.3 ToWN OF $OUTHOkO BUILDING DEPARTMENT TOWN I.IAU. $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLE'flON OF THE WORK AUTHO~IZEDI ~,~ .......... ~~....~ .................. ~. NE 2~154 Z Ooun~,~a× Map ~o. ~000 Seot,on.....~ ......... ~,oc~.....~ ............... Lot,o..../.'....~ .............. pursuant to application dated , , , and approved by the Building inspector. Fee $...¢..~?. ................. Rev. 6/30/80 ...... Form No. 6 f '~ TOI~,I OF' SOUTHOLD BUILDING D£PARTMENT ;~,~. Stp , ~ TO,*765_lS02HALL ~' ~:' f~]_.~r-~'.~ ~ ' ,~PLICATION 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 frqm 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 "pre-existing" land uses: 1. Accurate survey of property showing ali 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. C. Fees 1. Certificate of Occupancy - New 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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00 September 6.: 1994 Date ................................... . . .. New Construction ........... Old Or Pre-existing Building ................ . 43250 COIJI~TY ROAD ~48 SOUTHOLD, NEW YORK Location of Property .................................................................. . .. . . . . House No. Street Haral et CAWLEYS SOUTHOLD BEACH MOTEL INC. Onwer or Owners of Property..... ......................................... .. . . ...... .. ... . . . . · County Tax Map No 1000, Section... 52 .Block.. 2 ...Lot .~'.~ Subdivision...o....... ................... ... . .. Filed Map ............ Lot ..................... . ~ .~ 6]28/94 JEAMC. LEOSARD Permit No.. 22~54Z ...Date Of ~erm~u ............... Applicant ..... · ..... Health Dept Approval Underwriters Approval ....... Planning Board Approval ..................... .. . Request for: Temporary Certificate ........... Final Certicate... ......... Fee Submitted: $ 50.00 ?,irS.' L(g,_/3L a3 D /~P PLI C,\NT_ Print Key Output Page 1 5738SS1V2R2M0 920925 SOUTHOLD 09/07/94 15:08:44 Display Device : DSP33 User : GEORGIAR NYSRPS ASSESSMENT INQUIRY DATE : 9/07/94 473889 SOUTHOLD SCHOOL SOUTHOLD SCHOOL ROLL SEC TAXABLE PRCLS MOTEL TOTAL RES SITE 52.-2-1.2 TOTAL COM SITE 53250 CR 48 ACCT NO 08 = OWNER & MAILING INFO ===!=MISC ! .............. ASSESSMENT DATA ........... CAWLEY'S SOUTHOLD BEACH iRS-SS ! **CURRENT** RES PERCENT MOTEL INC ! 1 !LAND 3,200 **TAXABLE** 333 HOUSTON AVE ! BANK !TOTAL 11,600 COUNTY 11,600 WILLISTON PARK NY 11501 **PRIOR** TOWN 11,600 ! !LAND 3,200 SCHOOL 11,600 ! !TOTAL 11,600 ==DIMENSIONS t ===. ....... SALES INFORMATION .................................. ACRES .53 !BOOK 11689 SALE DATE 06/28/94 SALE PRICE 330,000 !PAGE 448 PR OWNER LEONARD JEAN C ....... TOTAL EXEMPTIONS 0 ............. !== TOTAL SPECIAL DISTRICTS 4 ..... CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE !FD028 !PK070 IWW020 !SW011 Fl=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC 75.10- 03-010 F6=GO TO INVENTORY F9=GO TO XREF F10=GO TO MENU FOU~IDATION ( 1 s t) FOUNDATION ( 2nd ) ROUGH FRAHE &. ~ [~.--"-~"! ".~LU~mZ~G INSULATION PER N. Y. STATE ENERGY CODE CO~M£NTS ~ ' " ADDITIONA'L COM~E~TS: .7' oO IO0. EO ff--C't.',U-r tf .p . K' tL 0 LD · G ' ioo. z'O U . ~ Receipt No~ 48056 TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hall Southold, New York 11971 Received of ...~,"..,~..~........~~..~ ........................................ ,, ....................... .... ~..~.~....~,...= ............................. .. ........................ ~,m..../~oo For..~...~.~...-. .............. ~ .................................................................. Fee for Fee for lee for ~efor Certificate Yard Sale [~ ~ [~ H.I.C. ~Building Permit ~'J of Occupancy ~ Misc. Building Department ..1 L_~ [UVl/N OF SOUTI~OLD ¼ i IO0.~C) t INSTRUCTIONS ~OARD OF HEALT}I ...... ,3 SETS OF ?LA~S ...... ~.-CIIcCK ................ SEPTIC FORH .......... CALL ............. HAIL TO: a. This application must be completely filled in by typewriter or in ink and submitted to thc Building Inspector, with 3 ~ets 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 County, New York, and other applicable I~ws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herehi described. The applicant agrees tq comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authodze~ in~p;,cto~s or,. premises and in building for necessary ins~cctions. ,, ~ ~- (Signature of applicant, or nmne, i~ a corporation) · £~>."'/'~ ~ ..... ....... .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. .~...U4.1)..~.1?,, ....................................................................... Nameofownerofpremises ...- ........ .~.~. ~..~..../:.-..OJ,~iP--~ ~'~.~ . ~'-'q~llqS (as on the tax roll or latest deed) 'f applici~C~ a corporation, signature of duly authorized officer. ....... ....... . (Name and title of corporate officer) Builder's License No .......................... PI tuber s L~cenae No ......................... Electrician's License No ....................... Other Trade's License No ...................... -Iouse Number Street Hamlet ubdivision ..................................... Filed Map No ............... Lot ............... (Namc) ate existing usc and occupancy cf premisos and intended use and occupar, cy of oronosed construction: ~tended use an u d ncc panty ....~.~.~..J:'-. ....................................... ..:/ ............. · .. i'Altcrat~on ..... 3. Naturc ofwO~'k (check which applicable): New Budding .......... Addition .... . _Other Work .~.~...~.~..(-: .O?., Repair .............. Removal .... Demolition ............. (~_.Gr~ (Description 4. Estimated Cost ..... f. . .......... Fee .................... ; ............... (to be paid on 51 n 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... . it' garage, number of cars .............. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... gear ...... Depth ............... Height ............... Number of Stories .......................... Rear Dimensions of same structure with alterations or additions: Front ................. Depl~ ................... Reight ...................... Number of Stories .... / ................. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. '. Height ............. /? Number of Stories 'I~.~ ' ' ~;/~ ............. .' b~;~t~ ' i~-)~ ~-'~ .... 9. Size of lot: Front ... ~.. ............................................... 10. Date of ?urchase ............................. Name of Former Owner ............................. I I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................ · . ~.o . Wilt excess fill be removed from premises: Yes .No 13. Will lot be re,,mded ........ ?/.2' :~' '~' ~:,)h ~ "'~aa .... f~ ~t7¢1, ~o~mt.0.~'qPhone No. 7.~. :~'~-~. .... 14. Name of Owner ofprem~s s ... , ............ ~*',-,'e No ................ Name DE Architect ......... h~/..~, .............. Address ................... ;~o No ......... :.- H ~ -- Address ........ ' ......... Name of Contractor ....... .'/I ................. ' ' ', ........ 'f.s this property within J00 feet of a tidal wetland. ~Yes ........ No ......... *,If yes, Southold Town Trustees ~ermit may be required, PLOT DIAGRAM Locate clearly and distinctly all buildings, ~vhcther existing or proposed, a~d indicate all set-back dimensions from property hnes. Give street and block number or description according to deed, and, show street names and indicate whether interior or comer lot. 765o~802 9 AM TO 4~f~M FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POUF~ED CONCBETE BE COMPLETE FO~ C.O: ALL CONSTRtR~IION SHALL THE REOUIR~M[~IS OF THE N.Y. STALE CONSTRUCTION ~ ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ;TA~E OF NEW YORK, S.S ~oUNTY OF..,-,. ,~ ............ ~ .......... (.~..~ .~..~...~.. .... ~..{.~...~..A?'. 5 ..... being duly sworn, deposes and says that he is the applies (Name of individual signing contract) :bore named· th .................... ) Ie is e ....... (Contractor, agent, corporate officer, crc. f said owner or owners, and is duly auth'orized to perform or have performed the'said work and to make and Erie :~plication; that all statements contained in this application are truc ~o thc be~t of his -knowledge and belief; and that ork will be performed in the manner set. forth in thc applicatior~ filed therewith· worn to before me this / .'~. . .day of, · · -/5~- .~-'-'-'-'-'-'-'-'~2. - .~-~- · ........... ......... otary Publi, .(,~4 . ;,~.'-/~.. ................ , ...... - ~ U Jovc, E M. W~KINS . ...... ~ :~ · · -: ............................. Notery Public, State. of N_ew _Y__O~ (Signature of applic No. ~952246, Sunom Term Expires June 12,