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HomeMy WebLinkAbout20053-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~umANC~Y Ho Z-23835 Date AUGUST 25, 1995 THIS CERTIFIES that the buildin~ Location of Property 53795 RAIN ROAD House No. County Tax Map No. 1000 Section 61 Subdivision ALTERATION SOUTHOLD, NEW YORK Street Hamlet Block 1 Lot 16 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29, 1991 pursuant to which Building Permit No. 20053-Z dated JULY 30, 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 INSTALL PARTITION & ELECTRIC OUTLETS FO~ RETAIL STORE AS APPLIED FOR IN EXISTING BUILDING. The certificate is issued to LEWIS L. EDSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PENDING - AUGUST 22, 1995 N/A Bu~f~ Rev. 1/81 lvO~M NO. ~ TOWN O~ $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20053 z Permission is hereb~v granted to: . . /g f' ~ , ,, / / / ~ .~ ........ .:...~.:.~}.....Z~>~ ,~..~...~. ........ .~ ......... ~~ ........ ~...~...~.....~....~~,~ at premises located ot .....~...~%~...~...~..~........,~....~.., ..................................................... ......... ' ....................... ~ ....... ~~~ ........ '~z ........................................................ .~.....~..~;,..~ .............. ~...z.:? ~ ... i:~.., i.. .. ~. ~:~.:~..¼ ........ ~. ~...~ ........................... County Tox Map No. I000 Section ......... ~.; ./.. ....... Block. ........... ,/,.. ..... Lot No ........... ../.....~., ..... pumuont to opplic~tlon dot~:l ........................................ , 19.~.,~..., ond oppro¥~ blt the Building Inspector. Fe. ,../...~..~ Rev. 6130180 A.'l'hLs [qq~lZcnt[on mu,t he *~]led t. IW I-yl)t]~rtt:e~' OR i.k ..(I st; r Jt:te(l I:o the ~. I:[.n] 8u[vey of prOl~et-l.y ~J. th [1ccllt'[ll.(] I~yc~H:[o. o[ all. I)tt.tltll.gs, i~T~p(.rl.y lincg, 2. A p~'opel:ly compZeted ~ ~l~(,atio. ., 2.]. O0, 3. Copy .[ Ce':i.[).c~l.e or (]CCUlm.Cy - C]"sI. tUc.].oz] ........... OX.t] Or Pre-extsl:tng lluLl, tlj..g...~ .......... 20053Z 7/30/95 ~1~.~ Ith l)~pt' Approw]l .......................... Umler~rl. tere Approval ......................... ~'~ ~ul'"t~te~l~ 25 00 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building l~pector Gary F~sh Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD ORDER TO REMEDY VIOLATION 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 Date: July 26, 1991 TO: LESSEE & LEFFERT P. EDSON MAIN ROAD SOUTHOLD, N.Y. 11971 PLEASE TAKE NOTICE there exists a violation o~: / Zoning Ordinance - CHAP. 100 ~/////~. (/'~J Other Applicable Laws, Ordinances or Regulations at premises hereinafter described in that CONSTRUCTION OF PARTITION AND INSTALLATION OF WIRING WITHOUT A BUILDING PERMIT In violation of SECTION 45-8 SECTION 100-281 YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the law and remedy the conditions above mentioned IMMEDIATELY The premises to which this ORDER TO REMEDY VIOLATION refers are situated at:53795 MAIN ROAD, SOUTHOLD, COUNTY OF SUFFOLK NEW YORK, SUFFOLK COUNTY TAX MAP ~1000-61-1-16 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. 'TBOMA a. ' ' BUILDING INSPECTOR FOUNDATION (1st) FOUNDATION 2. ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS Z'AGE 8055952 BUREAU OF ELECTRICITY -- BS JOHN STREET. NEW YORK, NEW YORK 10038 D, te AUGUST 29,1995 /JpplJ,~etion Mo. onf_,ie 1~14995/95 H 046807 THIS CERTIFIES THAT o~oy~he electrical equipment as described below and introdaced~y the apphcj ant named on the above application nu tuber in the premises of ROY McNISH, 53795 HAIN ROAD, SOUTHOLD~ N.Y. in the followlng location; [] Basement [] Ist FI. [] 2nd FI. Section ~l~ck Lot ~s examined on AUGUST 22,1995 and found to be in compliance with the National Electrical Code. uk¥,-~,. I FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT, K,W OIL H,P GAS H,P AMT NO, AW, G SERVICE DISCONNECT [ NO. OF [ S METER RANGES ~PECiALREC'PT .o. o E,%.co.D. R *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical ec~ipment in the premises indicated." "No obvious unsatisfactory condition was found. A. WG OF CC. COND, TIME CLOCKS BELL[UNITHEATERfUNIT HEATERf MULTI-OUTLET A~?. A~p$ TRANS. ~ SYSTEMS NO. OF FEET V I C EXHAUST FANS DIMMERS OF NEUTRAL 370 PACIFIC STREET HATTITUCK, NY, 11952 GENERAL MAHAGER 11 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~../.~.,;. TEL.: 765-1802 Examined ........... 19 -- ~0 0 _~, /' Approved... ~./~..~ .-'~. ...... 19 ~/Permit No..~p Disapproved a/c ..................................... ................. ' ............. APPLIGATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC EORH .............. CALL ................... HAIL TO: BLDG Dk:PT TOWN OF $OOTHOLD 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 pubI/c 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 c~mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a BuLiding Permit to the applicant. 0Such 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 cod~, and regulations, and .to admit authorized inspectors on premises and in buildh~g for necessary, iB~e,~~ . . ..c?. : : : : . . (~ture ~f applicant, or nature, ifa corporati.qn~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... (as on the ta% roi1 or latest deed) If applicant is a corporation, signature o. f41uly authorized officer. Plumber;s License No. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work wil be done .......... '. ...... ....... ................ ..................... House Number Street Hamlet ountyTa.,M p o. 1000Sectiou ..... ........ .... Z. ........... Lot./ . ............. Snbdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy o[~premises and in. tended use and occupancy of proposed construction: a. Existino Use and occupancy ~\ t .'. .... ' ...................................... ,,.;..,...:..,... · nten e use an occupancy... ................. .. . .. . ...... ... .... . . ......................... .. 3 Nature of work (check which applicable): New Building . ......... Addition .......... /dterat'on ,. , ....... Repmr .............. Rem?al .............. Demolition .............. Other }go~rk ~£~."~.'°i~,. .... 4. Estimated Cost &~5-O: OO ~ . cn on ............ i .................... Fee ..... 5. If dwelling, number of dwelling ~ (to be paid on filing this application) 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 ~p~ 1~. 7. D~mens~ons et trusting structure} o , if any: Front ............... Rear .............. Depth ............... He ght ............ Numb · . · : erotatones ........................................................ Dimensions of same strUcture with alterations or additions: Front ................. Rear .................. epth ~.. Height ...... '.:,,~z · '~,-., ........ Numbs. of Stories .......... . 8. ,~fi.menslons ot~e~nr~ new const~ction: Front . .~.. 3 . Rear ~ /O' r~o,,,h ' ' '/;9~; ...... 9. a,ze of lot: Front ' i . - ' .......................................... ........ i ........... ~ear ...................... Depth ...... I0. Date of Purchase ........... : .................. Name of Former Owner ............................. 11. Zone or use district in which pretn~t~ses are situated. . .. '~) ............... 12. Does proposed constructmn emi any zon,ng law, ordinance or regulat~ : .... .~ ........~.. ',~ .... 13. Will lot be regraded ............... >., ............ Will excess fill.be removed from oremises: Yes o 14. Name of Owner of premises .~.~ .'? . .,~.?.D. ....... Address .../~.~.W../~..5.°...~f~'~...... Pt;one No.. ;Zr~¢-.-...'.,...N.. Name of Architect ...... I ..... Address ............. Phone No ............. Name of Contractor ......... ! · · · ·. Address .......... Phone No ...... 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No..~..' · If yes, Southold T9wn Trustees Permit may be required· ~ '''' -'. , PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nhmber or descrip tie/h accordim~.to deed,, and s~ow~s~eet n~[n4s indicate whether interior or cornerlot. ' ~ /IA.~(n), /tf~,. ~..~Odqt, to ld and DA'rE: NOTIFY El(J[ 765-1802 9 AM FOL. L(')W~N G ~NS PF.( FOUNDAY~ON FOR POURED 2. ROUGH - 3. INSULATION ;NOTED 4 PM FOR 1WO REQUIREI & PLUMBING 4. FINAL I MUST .C~O ALL CONSTRUCTION SHALl MEET ;TATEOF NEW YOt~K~ 1~. ~i UNDEIt~I~ITER$CERTIFICAI£ THT, E REQUIREMENTS OF THE N.Y. JOUNTYOF.,,,.~.O..~'x;~O~/.~. .... a'~l _ RF.i~I. JlRF..I) S ATE CONSTRUCTION & ENERGY .......... ..... , co E . ,o, .ESP p,, FO, (Name df individual signing ~ontract) ........ being duly sworn, dep~-c~l,~j~tl~{~a.~Th~ bove named. [ ' ....... .... 4..,_ v ' ; ........... . -. '4. ................ ./: .....~..-.- . ' i (Contractor agent, corporate officer, otc ) s..a~d owner or. owners, and is duly at}thorized to perform or have performed the said work · ~pncat on; that all statements contained in his . . . and t.o make and file this - t appl,cat,on are true to the best of ins knowledge ann nelief; and that the or~ will be performed in the manner set! forth in the applicat on filed therewith. ,yom to before me this i .................... ..... Otary Public, · · · · ~. · Count ] · · I~I.EN K. ~ VO~ i ~n NOT~ PUBLIC ~a~e d t~w ~ No. 4707878, Suffolk ~O~*Y/~ .~ ' '