The URL can be used to link to this page

Home My WebLink About20336-zFORM NO. 4 TO~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20410 Date DECEMBER 17, 1991 THIS CERTIFIES that the building Location of Propert~ 53345 MAIN ROAD House No. County Tax Map No. 1000 Section 61 Subdivision ALTERATION SOUTHOLD, NEW YORK Street Block 1 Filed Map No. 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 Building Permit No. 20336-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 10A FOR AN ART GALLERY The certificate is issued to P~DGE CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A ~iiding Inspector Rev. 1/81 FO~ l~O. 0 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) N~ 20336 Z Permission is hereby granted to: ~~~...~..:~.......././...~..~.z ......... ,o ..... at premises located at ..~..~..~..~..~-......F./~/..~....~. ............ ............................... County Tax Map No. 1000 Section ..... .~,~,~. ........ B~ock ..... .,C~,,,I .......... Lot No....)...~.:.,] ........... pursuant to application clated~...~,/~ ..................... ) .~. ., 19..~..[.., and approved by the Building Inspectar. Building Inspector Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~LL 765-1802 ;'q q:~. APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 '.'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 Date-~~ New Construction .......... Old Or Pre-existing Buikding ............... Location of Property.[...~.~.3~S House No. Street Hamlet Onwer or Owners of Property ...... .~.~..bl~'l~ County Tax Map No i000, Section ..... ~l ....... Block .... / ........... Lot...~.'.~ .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No...~ ~ Date Of Permit. !9/~./~J ..... Applicant..?.Q.~.~...~..~f .......... Health Dept. Approval .......................... Underwriters ApD Planning Board Approval ' Request for: Temporarv Certificate ........... Final Certicate. Fee Submitted: $... ', .. -- FOU~;DATION ---. , (lst~) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMblENTS: BLDg. DEPT. J ?OWN OF SOUTH0t.~J , Disapproved a/c ................................. ................. . ............... . APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTII ......... 3 sETS OF PL.%NS .......... SURVEY ................. CIIECK ................ SEPTIC FORH .............. CALL ................... HAIL TO: Date ............. 199.1.. INSTRUCTIONS a. Ttfis 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 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 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 laws, ordinances, building code· housing code, and regulations, and to admit author/zed inspectors on premises and in building for necessary inspections. PUDGE CORP --' (Signature of applicapt, or name, if a corporation) · . P,0,. BgX..1..465,. SOl'gO. Mg.iB..R¢t, ,..Sp.u.t~p.l.d~..N.Y. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................ DI4NEIL ......................... ; ~ ....................... Name of owner of premises . . . .P.U.D.GE CORP. (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 ...................... x.S"~ ~ c/...q~' 1. Location of land on which proposed work will be done...F.e.a.t.h.e.r..~t.l. 1. ,..I}.u.:[.1. d.t.n. 6 j!8.: .~..a,t.n..R.o.a.d.: .S.o.u.t.h.o.l.d.,. NY House Number Street Hamlet 13.1 County Tax Map No. 1000 Section 61 Block 1 Lot ................... 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 occupancy .R.e.t~j_J. Spac~ ' b Intended use and 8arae · occupancy ..................................... ...., ...................... .. .. 3. Nature of work (check which applicable)' New Building Addition Alteration .. Repair .............. Return, al .............. Demolition .............. Other Work ............... .~ (Dc.'~ription). 4 Estimated Cost ~;1~000.i00 Fee ~ (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ......... Number of dwelling units on each floor If garage number of cars ' 6. If business, commercial or mixed !occupancy, specify nature and extent ofeach type ofuse .................. ..'' 7. Dimensions of existing structuresi if any: Front Rear Depth Height ............... Number of Stories .................................................. "... Dimensions of same structure with alterations or additions: Front ................. Rear ................. pth ! Hight fSt' De ...................... e ...................... Numbero ones' ..................... 8. Dimensions of entire new constm'ction. Front . Rear ............... Depth .............. ~ f'St .............. Height ............... Num er o ories .. ............... 9. Size of lot: Front ......... i Rear ................. Depth ..................... I0. Date of Purchase ......... , .... N off O ·" · ............ amc ormer wner ............................. I1 Zone d' ' tinwt'chp roi ituated · or use mtnc n re sesares .................................... 12. Does proposed construction violate any zoning 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 Phone No Name of Architect ........... [ ................ Address ................... Phone No ................ Name of Contractor ......... i . Address Phone No 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold T~wn Trustees Permit may be required· · .. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back disnensions from property lines. Give street and block nOmber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. NOT~FY ~UILD~NG OEPARTME'N'-~: 765-1802 9 AM TO 4 PM FOR FOLLOWING NS ~ECT ONS: I. [OUNDA'rl9~ ~O FOR POURED CONCRETE 2. ROUGH . ~RAM NG & PLUM~blG 3. INSULA'flON 4 FINAL "iCONSTRUCT~ON MUST 8~ COMPL6TE FOr{ C,O ALL CONSTR})CTION SHALL MEET THE REQUIR(MENTS OF THE S'¢A~E CONS~RLJCTIO~ ~ ENERGY OD['$ NOT~ RE.~PONSIBL~ ~OR t~ESIGN ORCON'T, ~ RUCTION' ERRORS S.:S being duly sworn, deposes and says that he is the applicant (Name of individual signin contract) ~bove named· He is the ....................... (Contractor, agent, corporate officer, etc.) >f said owner or owners, and is duly huthorized to perform or have performed the said work and to ~nake and file this ~pplication; that all statements containled in this application are true to the best of his knowledge and belief; and that the .york will be performed in the manner s~t forth in the application filed therewith. ;Worn 'to before me this .............. '~..~.. day o f ~ 4t-..t'~.~L~ 19 .~./. · .. 4otaryPublic, . . ff.-.,t..,: ', ... ~..... County g["LEN K DE gOE Nr~. 47078~fl, Suffolk:County t/~ , .... Term Expire.~ tiC*ich .~,i lO_ ~