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Home My WebLink About20335-z TOWN OF SOUTHOID BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20409 Date DECEMBER 17~ 1991 THIS CERTIFIES that the building Location of Property 53345 MAIN RD. House No. Street County Tax Map No. 1000 Section 61 Block 1 Subdivision Filed Map No. ALTERATION SOUTHOLD~ N.Y. Hamlet Lot 13.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 17~ 1991 pursuant to which Huilding Permit No. 20335-Z dated DECEMBER 17~ 1991 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 ALTERATION TO EXISTING BUILDING #liB FOR SPORTING GOODS STORE The certificate is issued to PUDGE CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ~/~ Building Inspector Rev. 1/81 FO~ NO. ~ TOWN OF $OUT~OL~ 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~ 20335 Z Permission is hereby granted to: ..... ...~.~,.~..~..d.~.~ ........................................ ..... ~.~.~..:~.......~..,..~...~...c .......... ,o ....~...~..~....~~...~....~~.._A~.....~....~..~ ....................................................................... L .... .' at premises located at ...,~..."3.'~..~. ....... ~'~" ~...~.t~.~.~....~.9~9Q ' ' ' ~.c~. ............... ~.. Cou,ty Tox Map No. ,000 Sect,o, ........ ~...( ......... B,ock ..... ..~.1 ......... Lot No...1..~,...~ .......... pursuant to application dated ...~-~~...1...~ ................... . 19..~.J..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING BEPARTMENT 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. B. 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. 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 Da t e~..~P~ .~,.~ New Construction ........... Old Or Pre-existing Building .......... House No. Street Hamlet Onwer or Owners of Property ...... .~.~..b.~..~Y...~..g~ .......................................... County Tax Map No 1000, Section .... .~l ....... Block .... / ........... Lot...~.~.'./. .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No...~~ ~ ~..Pate Of Permit ...... Applicant ............. Health Dept. Approval .......................... Underwriters App Planning Board Approval ........................ Request for: '~emporary yerti~icate ........... Final Certicate. . ' ' :'d::, . . . . : ~-g: ~.:;~ .: ~.',:~ DATION ( 1 s t ) "~ I~ FOUNDATION (2nd) c~ ROUGH FRAME & ~ .FLUMBiNG ( INSULATION PER N.Y. - ~ STATE ENERGY 1 CODE q F~NAL ADDITIOn;AL COMME~;TS: ~I. DG, DEPT. *OWN o p_%m_qJ p Examined~l~,.~.[&9~. 1.7., 19 Approv . _ .., J~., 1.c,C~[ . Permit No ....... '.. Disapproved a/c ................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEAI. Ttl ......... 3 SETS OF PLA?IS .......... SURVEY ...... -_ -.; %.- ........ CI1ECK ...... ' SEPTIC F 0 R,~! .............. CALL ................... HAlL TO: Date ............... 199.1.. INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 sets o,f 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- catio,n. c. The work covered by this application may not be c[mmenced 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 Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ PUDGE CORP -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ................ J~.UD.G.E..C.O.R?.. ............................................... (as on the t.a~ roll or latest deed) If applicant is a corporation, signature of duly authorized officer. " PRESIDENT (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...F.e.a.t.h.e.r..H.%l. 1. ,..B.u.t.~d.t.n.$..~l~.,..i~.a,J:,n..R.o.a.d.: .8. o.u.t.h.o.l.d.,. NY House Number Street Hamlet County Tax Map No. 1000 Section .... .61. ............ Block ..i. ............... Lot. 13.1 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 .R~.to%l 7place ' Same ~.. .~ ' b. Intended use and occupancy .......................................... ~ .... 3. Nature of work (check which applichble): New Building .......... Addition .......... Alteration .......... Repair Removal i Demolition Other Work ! (De'~ription) 4. Estimated Cost ....... $.~ ~q0. q..qqi .................... Fee ...................................... I (to be paid on filing this application) 5. If dwelling, number of dwelling unit~ .......... N f d ~ ..... umber o welling units on each floor ................ · If garage, number of cars ........ i ............................................ ' ............. ' ....... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................. 7 D' ' of ex' ' ifa F Rear ......... ' ..... D pth .... · ~menslons mt~ng structures, ny: ront ............... e .............. Height ............... Number bf Stories ........................................................ Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new constructibn: Front Depth ............... Rear ............................. Height ............... Number pf. Stories ...................................................... . 1 9. Size of lot: Front ........ ' Rear Depth .................... I0. Date of Purchase .............. ~ ............... Name oy Former Owner ...................... 11. Zone or use dmtnct in wtuch premtsds are situated .................................................... 12. Does proposed construction violate t~ny zoning law, ordinance or regnlation: ................................ 13. Will lot be regraded ............ i ................ Will excess fill be removed from premises: Yes No 14 Name of Owner of premises . Address Phone No Name of Architect ' ............. ~ .............. Address Phone No Name of Contractor .. ........ .... Address ................... Phone No ................ ' 15. Is this property within 300 ?f'e'e't' ;'f' ~' tidal wetland? *Yes ........ No ......... *If yes, Southold Tow~ Trustees Permit may be required. PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions froh~ property lines. Give street and block hum ~er or description according to deed, and show street names and indicate whetheri interior or coruer lot. STATE OF NEW YORK, APPROVED AS NOTED IDATE: , ..........-- B.R # NOTIFY BUtLIDING OEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSP~CTIONS. 1. FOUNDAtiON ,· TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRA~ NG & PLUMRff~G 3. INSULATION 4, FINAL COI~STRUCTION MUST gE COMPLETE ~OR C.O. ALI, CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y, STATE CONSTRUC, TION & ENERGY CO~ES, NOT RESPONSIBLE FOR DESIGN OR CONS'I RUCTION ERRORS S.S COUNTY OF ................. (Name of individual signing c6ntract) above named. ........ being duly sworn, deposes and says that he is the applicant mrizcd to perform or have performed the said work and to make and file this in this application are true to the best of his knowledge and belief; and that thc orth in the application filed therewith. said OWner or owners, and is duly nut ~pplication; that all statements contained .york will be performed in the manner set i lwom to before me this IIELEfl K. 0£ VOl[ NOTARY PUBLIC, State 0! NeW York Term Expires ~,1~rcl~30, lB i ~ He is the .................................. (Contractor, agent, corporate officer, etc.)