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/~ .~ ' '