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Home My WebLink About21057-zPOP44 NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22777 Date DECEMBER 9, 1993 THIS CERTIFIES that the building. FOUNDATION Location of Property 9095 BOUND AVE. ~ 100 COUNTY RD. ~48, MATTITUCK~NY House No. Street Hamlet County Tax Map No. 1000 Section 121 Block 1 Lot 2.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 1992 pursuant to which Building Permit No. 21057-Z dated NOVEMBER 2~ 1992 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 FOUNDATION ADDITION TO EXISTING RESTAURANT AS APPLIED FOR The certificate is issued to JAMES DUFFYr JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /~/uilding Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N_*N? 210§?Z Permission is hereby granted to: ..... ~.~.....~ ...... ~..~ ...... ~.:. .... ....c~..~~.~.~.:..~..:...~.!.~..~.~.. at premises located at ..J......~7~.....~.~.....~..'~......~. ............. ...~.~ ................................... County Tax Map No. 1000 Section ..... /..~..../. ....... Block ....... .C~.....~... .... Lot No....¢~..!..I ............ pursuont tO application dated ..... ~.~ ........................ ~'~ , 19..~....'~., ond approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~PPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with ~he 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-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. 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 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 $15.00 1993 Date .... p~.~..B~B.~ p;.~ ........................ New Construction ........... Old Or Pre-existing Building ................. Location of Property .... ~O95 SOUN~ AVg. & I00 CO~l~f RD. #48 MATTITUCK, ~.~; House No. Street Hamlet Onwer or Owners of Property J~$ DIIFFY, JR. County Tax Map No 1000, Section .... ~ ....... Block. ............ ! Lot.. 2.!.. . Subdivision .................................... Filed Map ............ Lot ...... t.'?3.~ ~7 1993 Appli JAMES BI~FFY, JR. Permit No...2!057-Z .Date Of Permi .' ....... · °'''''''''' . . cant ............ . .............. .. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ · , . J~ME DUFFy, JR ..... :.~ ~'~'~ (3. ~ ~ .~ O ~ ~, ',~ ~' .~-~ ~; ..... ~ .~ ~. ',~. ~,.~.; ~. ;.,. ~PLIC~. :,~'. :~, ,~ ,~:~. ~,~.~.~,~'~ ;~ '.:.~$~ NOV 2 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved /0...e.,~....~....~..., 19~:~-Permit No. ~?..0..~..'7...-.~ Disapproved a/c .... . ........................ .......~ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. CALL ............. HAIL TO: Date ................... 19... 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 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 tlie Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable taws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary.~sSecti°ns' ~.---- [%~ ./~.~''x At C'' ~f..'~ :.."r~..~..~/~ -- F(~ignature of applicant, or na~h~, ~t~corporation) ......... i~I'ailin~ ~c~~~i¢ ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises..*.~.-.~....v~'~....~....~.. ?..~...~....~...~.. ...................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. \ (Name and title of corp~'t~ off~:er) ~)Builder's License No...37.. ~. '.~..~. (q-~.,. 5. (2 ~wv-,.,~_.~ Plumber's License No...~.-~d~. Electrician's License No. '.'~.cb&'..~....~~ Other Trade's License No ...................... Location of land on which proposed work will be' done..fr~. ?/~,<..~... ~. ~ ................. House Number Street Hamlet County Tax Map No. 1000 Section ..... /.,~.~ ........ Block ...... .Q. ? ........ Lot .... .~...*./ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of p(~ml~e.,s ~tTded use and occupancy of proposed construction: a. Existing use and occupancy ..... ~/'~ .... .~ ...... ; .............. . ................ x-. · 3. Nature of work (the k which applicable): New Building .......... Addition .......... Alteration .......... Repair ........ j ..... Removal ........... Demolition . .. Other Work . e--'-,--~, I ' -. (Description) .O.?. ,. ~.e"~?~ " 4. Estimated Cost ....... (, .'~.~--~ ...................... Fee ..~.~.0: ............................... , (to be paid on filing this application) $. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ................ · If garage, number of cars ..... ! ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7 Di ionsof ' ' gstructurei 'fa y F t Rear D pth · mens exlstln ,l n : ton ............................. e ............... Height ............... Numper of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth .................... !. Height., ..................... Number of Stories ............... ~ ....... 8 Di tru F R pth ' · mensions of entire new cons etlon: font ............... ear ............... De ............... Height ............... Number of Stories ......................................................... 9. Size of lot: Front ........... ,i .......... Rear ...................... Depth ...................... 10 Date of Purchase ~ ' Name of Former Owner 1 I. Zone or use district in which premises are situated ...................................................... 12. Doesproposed onstruct~on viol~te any zon,ng law, ordinance or regulation: ................................ 13. Will lot be regraded ......... ~ .................. Will excess fill be removed from'premises: Yes No 14 Name of Owner of premises ~ Address Pho en~N.o Name of Architect .......... ~ ................ Address ................... Phone N'oT ;-> ............. Name of Contractor ~ Address Phone No 15. Is this property within 300 feet of a tidal wetland? *Yes'. ....... No ......... *If yes, Southold Tbwn Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly all property lines. Give street and block interior or corner lot. buildings, whether existing or propos'ed, and, indicate all set-back dimensions from umber or description according to deed, and show st~ot names and indicate whether STATE OF NEW YORK, · COUNTY OF . , .... ~,~ ............. ,.'~L~ ............. being duly sworn, deposes and says that he is the applicant (Name of individual signiffg contract) above named. He is the ..... .~. ~ .~ ~.. ....................... (Contractor, agent, corpo;~t; ~}}i;~;,'(t~.~ ............................ of said owner or owners, ~d is duly 'authorized to perform or have perfo~ed the said Work and to m~e ~d file this application; that all statements contait ed ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~ner ~et forth ~ the application filed therewith· Sworn to before me this ................ ...... ..... , Nora. Public .... ~. ~'. '~~ County -''.. w, .... ............................. ~o. ~, Su~ ~0~ ~ ~ t) Te~ ~1~ June 7L5..I.802 BUILDING DEPT. INSPECTION [/~OFOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REM KS: DATE INSPECTOR~/~/ OUNDATION (lst) OUNDATION OUGH FRAME & .FLUMBING O.o (2nd) I;SULATION PER N. Y. STATE ENERGY ADDITIONA~L COMMENTS: CODE Fir;AL