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Home My WebLink About19305-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19409 Date OCT, 3, 1990 THIS CERTIFIES that the buildin~ ADDITION Location of Property 54280 MAIN ROAD House No. Street County Tax Map No. 1000 Section 6i Block 04 Subdivision Filed Map No. SOUTHOLD Hamlet Lot 22 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 6, 1990 .... pursuant to which Building Permit No. I9305Z dated AUGUST 6~ 1990 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 2ND STORY DECK & STAIRS TO AN EXISTING BUSINESS BUILDING The certificate is issued to PUDGE CORP. (owner) of th~ aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED (FROHNHOEFFER OF SOUTH. INC.) ~'6~ilding Inspector~'~' Rev, 1/81 FORM NO. S TOWN OF SOUTHOLD BUJLDIt~G DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO i 9305 Z Permission is hereby gronted to: _ -- ~_t ~'~ n ...... ~.~....~,,.~ ........ .'a..~.~...L:~.~'~3 .... ..~....~..:~..:.....!.!.~.~..I ........... ,o ....... at premises located at .....~...~....~....~...~. ..........~..~,......~..~.....~~ ................... County Tox Map No. 1000 Section ..... ..~.....~.... ..... Block ...... ..~....~. ....... Lot No......~......~:/.. ......... pursuant to application dated ....... ...'~...~....,~... ................. , ! 9.?....O.., and approved by the Building Inspector. Fee ~...~..:. ............. Building Inspector i Rev, 6/30/80 '\ FOUNDATION FOUNDATION 2. ROUGH FRAME & (1st) PLUMBING f2nd) e INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: FINAL Ye Form No. 6 BLDG. DEP[ TOWN OF~SOUTHOLD~ APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TDWN ~ALL 765-1802 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. Conm~ercial 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. 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. Fees i. 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 - $i00.00 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 1990 Date .... qq~%.~% ............................ .. New Construction. XX .......... 01d Or Pre-existing Building ................. Location of Pro~ert~7 54280 M3%IN ROAD ........ J ..................................... sq qnD ....................... House No. Street Hamlet PUDGE CORP (FROHNHOEFFER OF SOUTH (inc) Onwer or Owners of Property ................................... - · County Tax Map No 1000, Section ..... ~J ....... Block .... Q~ .......... Lot .... ~ ................ Subdivision .................................... Filed Map ............ Lot .................... .. Permit No i9305Z Date Of ~ .. 8/6/90 Applica Health Dept. Approval ......................... . Underwriters Approval ..................... . ... Planning Board Approval ........................ Request for: Temporary Certificate. . Fee Submitted. $ ..... : ............. 'fl'~ ' ' "'~ AFPLICANT ~ FOUNDATION (1st) FO,UNDA TI ON ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: M,4P OF 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimate'd Cost ....................... Fee ........................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... 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, Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dhnensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9, Size of lot: Front ...................... Rear ...................... Depth ...................... 10, Date of Purchase ............................. Name of Former Owner ............................. 11, Zone or use district in which premises are situated ..................................................... 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 .......................... Address ................... Phone No ...... ~ .......... 15.Is this property located within 300 feet of a tidal wetland? *YES .... NO .... ~If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF .......... S.S ................ J..a.m.e.s..L....G.r. ay.,.· .- .. · .............SR' being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. President He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said Owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewilth. Sworn to before me this ................. .~. .... day of ..... August 199.0. Notary Public ....... ~ .~, .',., .f~...~t~-<...~..-..~.~.-..~/t~. County It~£# g.l~ L · · ~ ~ -v- ......... Approved ~['~O~...~.., 19 .~.O. Permit FORM NO. ~1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, ]197~1 TEL.: ?65-11302 No.. l ( .q:- Disapproved a/c ' ' BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .... A.u. gu. s. t..6.: ...... 199.0.. INSTRUCTIONS a. This application must be comp!etely filled in by typewriter or in ink and submitted to the Building In~p'ector, with 3 sets of plans, accurate plot plan to scai~. Fee according to schedule. b. Plot plan showing location of ~ot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed descrip!ion of l~yout of property must be drawn on the diagram which ia part of this appli- cation· ¢. Thc 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 availableifor 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 Buildin~ Inspector. APPLICATION IS HEREBY MAI~E to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Towu of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for iemovai or demolition, aa herein described. The applicant agrees to comply with] all applicable laws, ordinances, building code, housing code, and regulations, and to admit anthorized inspectors on premises and in building for necessary inspections. PUDGE CORP. P.O. Box 1665, $outhold, Iq'/ 11971 ........... i;&igd 255;e;; ............ State whether applicant is owner, l?see, agent, architect, engineer, general contractor, electrician, plumber or builder. OWNER Name of owner of premises ....... : ........ ~ ................................................. ! (as on the tax roll or latest deed) If applicant is a corporation, signatur~ of duly authorized officer. (Name and title of corporgte officer) Builder's License No ........................... Plumber's License No Electrician's License No Other Trade's License No ......~I ................ I. Location of land on which proposed work will be done.. Hain Road,' Southoid, Rex* YOrk House Number i Street Hamlet County Tax Map No. 1000 Section ...6.{~ ........... ' Block .. 4 Lot 22 Subdivision ' Filed Map No Lot (Nanle) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Retail Store, ~ifts and electri, cal. fixtures a. Existing use and occupancy .................................................. b Intended use and Same