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Home My WebLink About20378-zFORM NO. 4 TOWN OF SOUTHOLD BUILD£NG DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20804 Date JANUARY 27~ 1992 THIS CERTIFIBS that the building. Location of Property. 165 LOYE ~ House No. County Tax Map No. 1000 Section 141 Subdivision ALTERATION MATTITUCK, N.Y. Street Block 4 Lot Filed Map No. Lot No. Hamlet 31.4 conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 1992 pursuant to which Building Permit No. 20378-Z dated JANUARY 10, 1992 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is CONVERT WOMEN ACCESSORY SHOP INTO A C~DY-CHEESE SHOP. The certificate is issued to LOUISE & LEONAi~] TOTORA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF3kLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - JANUARY 27~ 1992 PLUMBERS CERTIFICATION DATED N/A /~ ~uilding Inspector Rev. 1/81 ~O~Jf NO. 0 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20378 Z Permission is hereby granted to~ ~ ~ . ...... ~ .................................. ~ ...... ~. ......... p ........... ~ ............ ;. ...... ~ ................................. at premises located at ...~J..(R...~.,....~..~..~ ....... .~....~~ ............................... County Tax Map No. 1000 Section ...... (...~.../. ......... Block .......... ~ ........Lot No ............. pursuant to application dated .....~.(~;~L,~,-,~. ....... ~ .................. , Jg.~..:~w., and approved by the Building Inspector. Fee $ ....................... Building Insl:~ector Rev. 6/30/80 t-, BUILDINO DEPARTblENT ]:~ 765-1802 . ',~ · )~ APPLICATION FOR CERTIFICATE OF OCCUPANCY .k. 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 prc-exzstlng" 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 guilding Inspector shall state the reasons therefor in writing to the applicant. C.' Fees I. 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 Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ........ ........ . ~;ew Construction ........... Old Or Pre-existing Building ..... ~ ......... Location of Property .... ~ ........ ~p..~ .... ~.~. ................... ~{~..~. Itouse No. Street Hamlet Onwer or Owners of Property.. County Tax Map No 1000, Section ...... ~.~Z ..... Block ..... .~. ......... Lot ..... ~...~. ....... 2ubdivision ...... ............................ Filed Nap ............ Lot .............. ~ermit No ............. . ............... Applicant ........................ · · · Date Of Permit !ealth Dept. Approval ........... ............... Underwriters Approval ................. '!anoing Board Approval .................... request for: Temporary Certificate ........... Final Certicate ........ : ce Submitted: $.' ............. INSPECTORS Victor Lessard Principal Building InspectOr Curtis Horton Senior Building lvapector Thomas Fisher Building InspectOr Gary Fish Building Inspector ' Vincent R. Wieczorek Ordinance InspectOr Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFHCE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, SupervisOr Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 JANUARY 2/,, 1992 LOUISE & LEONARD TOTORA 165 LOVE LANE P. O. BOX 241 MATTITUCK, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file, ~'"-~'~ The check is ~x~not on file.)~o~o~ ~ / No Health. Department Approval on file. ~ ~5~ / No final inspection has been made. ~~ No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 20378-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FIELD FOU~;DATION FOUI~DATIOI4 2. ROUGH FRAME & (1st) (2nd) ,FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIO~A'L COMMENTS Examined .~la~-~. ~. 1.O.., 19~.~'. Approved ~k..c~M%-.. ~_~ ./.O..., 19~..a.. Permit Noz::~.(~..~ .7.~..~. Disapproved a/c ................................. fi~ ( B m'il'dTng Inspector) APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CllECK .................... SEPTIC FORH .............. NOTI PY ~ cALL ........ HAIL TO: Date... j~q'.~g.~ .¢~...., 19q. t. 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 ~iving 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 cbmmenced 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 Rekulations, 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. i .c, ........ - (Signature of applicant, or name, if a corporation) :P, o .-/.. (Mailin,~ address of applicantJ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. /., Name of owner of premises .. ~L~.$.e....OX.W?&...k.e ~ T~..CO~....'T.o.+o. C.~ ............................ (as on the t,ax roll or latest deed) If applicant is.a r.~:voratio~ture of duly authorized officer. Builder's License No .......................... Plumber's License No. License No...(o~.'~. Electrician's Other Trade's License No ............. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTiONS. 1. FOUNdATiON I~O REQUIRED FOR POU~ED CONCRETE 2. RouGH - FRAMING A PLUMBING 3. ~NSULATION 4, FINAL CONSTRUCTION MUST Location of land on which proposed work will be done ' 8E COMPLETE FOR C,O ' ~, ,.~ . - .............. . ......A~C' ~ON~'r~B'EIlON' '~HAf. C '~EET' ' County Tax Map No. 1000 Section . .~.~ J - Block . ~. DESIGN O6C0NST~¢TION ERRORS Subdivision ..................................... 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 .rcs& occupancy . .: :., T.~,-..-.-...-.,: ..,. ~.~ ..... ~._>.: .... ~> 1,"' .:, ........... b. Intended occupancy .. ~.c~O. ¥~ · · · ~ ...... ,~,',¢v,,O.~,~-4~%./~l,gg~.¢. ~,:~ ...... use and 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration . . ~...... Repair Removal Demolition Other Work ' (Description) 4. Estimated Cost .... , ....................... Fee .......................... (to be paid on filing this application) 5. If dwelling, number of dwelling finits: ..... ~ 1 '~ .... Number of dwelling units on each floor ..... tV. l ~ ....... If garage, number of cars ..... i ~J~Y~ ............... 6. If bumness, commercial or mixed occu ancy, specify nature and extent of each type of use . ~:-~c .~.~of~0. ~C ....... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ..... :J~ ................................................. Dimensions.of same structure wi~h alterations or additions: Front ...~'.~..vv~..~ ...... Rear ...~.q, .w,.-f ........ Depth ........ ~. ..... I. Height .... ~..,~..r~ ~ .......... Number of Stories .. ~..q- .nS..~,~. ............ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. ' Height Number of Stories 9. Size of lot: 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: ..~0.~ .......................... 13. Will lot be regraded ...... :. · ~0C~ ...... .._ ........ Will excess fill be removed from premises: Yes ~ 14. Name of Owner of premises L.t~4tS~°z f.¢o~,ct~..T0+.~O:.~ AddressJ'/i~0. ge~aaK ~w,~ .l~,~i~'~. Phone No..~.~. ~ .6t.~.c~.. ~. Name of Architect .......... . .................. Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................. 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No...~. .... · If ye~, 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 descriptioh according to deed, and show street names and indicate whether interior or corner lot. ~)CcO STATE OF NEW YORK, : COUNTY OF S.S (Name of individual signing' contract) lbove named. ~ .... being duly sworn, deposes and says that he is the applicant te is the ' (Contractbr, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this .pplication; that all statements contained 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 ............ ~ ........ day of ~/'~:. ..... ,19 .~..7z- t, · .. . NotaryPubllo, 8tatlofNewY~; ~,. \ ..... ;~xC.- - ~. · .,: · ·., ..... No. 4962246, Suffolk Cou [.~gnaK~e oI appncant) 'term Expires June 12, 1 ~ ~) '