HomeMy WebLinkAbout18793-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCC~JPANCY
No Z-18872 Date MARCH 12r 1990
THIS CERTIFIES that the buildin~ ALTERATION
Location of Property 53345-(1B) MAIN ROAD SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 61 Block 1 Lot 13.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 8r 1990 pursuant to which
Building Permit No. 18793-Z dated FEBRUARY 15, 1990
was issued, and conforms to all of the requirements of the applicable
previsions of the law. The occupancy for which this certificate is
issued is SHOE RETAIL SHOP - FEATHER HILL BUILDING #1
The certificate is issued to
(tenant)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. N-020839- 7/7/88
PLUMBERS CERTIFICATION DATED
SHOETIQUE EAST
N/A
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
No_
~HIS PE~IT MUST BE KEPT ON THE PREMIS~ UNTIL FULL
COMPL~ION OF THE WORK AUTHORIZED)
18793
Date...~9~....t.~ ............... ,19.~
Permission is hereby granted to:
..-2~.g./.~ ....... ~... ......................................
..~.~._L........~.:.~..:....!./..~.~./ ................
,o . . .~. . . . .-. . .. .~. : ...... ~ ....... ~ . . . . . . . .~-. ~,c~, . . ~.Z~ ~.~. . . ..~. . . . . ~. . . . .~ ~
;t premises Io¢oted a .................................................................................................................
County Tax Map No. 1000 Section ....... ,.~,.../~..../ ....... Block ....... ,,~,...( ........ Lot No....,/,.,.~,.,',,I ..........
pursuant to application dated .... ~'~....~.~ .................... 19.~1'.1~..,
Building Inspector.
and approved by the
Rev. 6/30/80
TOUN OF SOUT~OLD
BDILDINC DEPART:I~NT
TOWN EALL
SOUT~OLD. N~ YOR~
765- 1802
11971
RE%~ CG'~ISTRUCTION ....... OLD OR PRE-EXISTING B~tL.~.I~iG
.............................
DOUSE NO. STrEeT' ~ANLET
O~ner or O~ner~ of Property .....................
CounC~ Ta~ ~p No. 1000 Sec~i~ .... ELock
Subdivision ....................... Filed Map ........ Loc
~eal~h Depg Approval ' UndcruriCers Approval
Plammlmg Soard Approval
Fee Submitted:
for Temporary Certificate ....... Final Cor=ificnto
~'~Z.../~' '"
-. / - /.×'/
rgv' lo/ 14,'88
FORIt
' TO~N OF SOLrrlIOLD
BUILDING DEPARIN,2tT
TOWN
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUI'ANL-'2' li.;', 2;32£i( "2
This application must be filed in typeuriter OR {rd. .:,~ ,,~bmit*ed t,:~ ~he l;alhlln~
Inspector uirh the following; for ne~ buildi,,~:~: c~ ~,.~
l.'~iaal su~ey of proper~y ~ith accurate locat' ,u of all Lnlid..l;s,
streets, and unusual natural or topographic feat
~. Final approval of Ueal*h Dept. of eater supply ,q:d se~t~ra~, :.d~?o:r,[(S-9 form).
3. Approval of electrical installation from Board ,,~ Fire Und~.,',;~
4. S~om ~tatement from pl~ber certifying that so~.~cr used ia sj'[l[t2(rt co,i.;4~:J~ le~s'
than 2/I0 of II lead.
5. Co~ercial buildings, industrial buitdD.g~, mltlple resi.hmccx ami slm{lar.'
or Engineer responslble'.for the building.
6. Submit Planning Board Approval of completed aite plan
For exis:ina buildings (Prior to April 9, 1917) non-confomlng
and "pre-exi~tiag" laud
· Ill a Certificate of Occupancy is denied', the l'uilding Inspector ~i~.lL£ state
reasons therefor in ~rriting to the applicant'.
3. Date of any housing code or safety inspection of buildings or pr~v~i~e~, or other
pertiuen~ infomcion required to prepare a ccrri
For Vacant Laud Certificate of Occupancy:
I. ~ applicatiom for vacant laod Cer~ific:,.~e of Occup.iacy shall be submit~ !,
and a certified abstract o~ title issued by m title company showing single
separate o~ermhip of,the entire 16t prior to '{,ril ~, [957 mh~ll aL=m accompany
the application. If a Certificate of Occupancy is den~ed, the Eu~Id~ ~ ]u~pccKor
shall state the reasons therefor in ~itisg to the applimant.
i.
CERTIFICATE OF OCCUPANCY -- New Dwelling $25.00, Additimu;
Alteration to Dwelling $25.00, Swimming Pool, $?L.,.
Addig~on to Accessory buildings, $25.00 -Buai~
Copy of Certificate of Occupancy - $5.q0 - over
~acmnt Land Certificate of Occupancy -- $20.00
Updaged Certificate ~f Occupancy - $50.fl0
Temporary Certificage of Occupancy -$ 15.00 Residential
?OUNDAT!0;~
(1st]
FOUNDATION
f2nd)
EOUGH FRAME &
.FLUMBING
3.
iNSULATION FER.N.
STATE ENERGY
CODE
FINAL
ADDITIONA'b COMMENTS:
FORM NO. 1
-' TOWN OF SOUTI-tOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined .~,..~uz~ ! ~'
· 19
HEALTH '
BOA;,O OF ...........
3 SETS 0!~ PLANS ...........
SURVEY ..................
CHECK .....................
SEPTIC FOF, M ...............
NOTIFY
CALL
MAIL
TO:
Disapproved a/c ......................................
(Building Inspector)
APPLICATION FOR BUILDING PER[VIIT
INSTRUCTIONS
a. Tiffs application must be completely filled in by Wpewriter or in ink and submitted to the Bui:Jing Inspector, with
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 stree
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of thJs appl
cation.
d. The work covered by this application may not be commenced before issuance of Building Permit.
~t. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm
sha,ll be kept on the premises available for inspection throughout the work.
c. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for'the iSs'aar~o ~ ~. uilding Permit pursuant to tb
Building Zone Ordinance of the Town of Southold Suffolk County l%W~Y0rk and,,otkeSF~pplicable Laws, Ordinances ¢
Reeulatmns, for the constructmn of buildings add~tmns or alteranons¢ or for removrd;or dc~ohtmn as hereto describe,
The apphcant agrees to comply w~th all apphcable laws, ordmancel, building code. hou~smg ec~te, and regulations, and t
admit authorized inspectors on premises and in building for necessary ins}~e~.0~n~fj
" (Signature ot applicant, or name, if a corporanon)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, m-chitect, engineer, general contractor, electrician, plumber or builde~
Name of oxvner of premises a ,¢,~ '7-/"a,~) ............
· ,~ ., ,~, -: (as on the tax roll or latest deed)
If applicant is a corporatidhi'signature of duly authorized officer.
(Name and tide of co.orate officer)
Builder's License No ...........................
Plu)nber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done .................................................
.... ................ ........ ........ .... ./ .....
tIouse Number Street. Hamlet
County Tax Map No. I000 Section . . ~. ~./. ~.O ....... 2 Block .... .~./..~.~. ........ Lot....~?~.....~.~ .....
Subdivision ..................................... F, iled Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of pr0posad construction:
a. Existing use and occupancy .......................................................... .~ .. · ,~...
b, ntendl~l use and oejuptn¢¥ ................
3. Nature of work (check which applicable}: New Building ..... ' ..... Addition .......... Alterntim' ..
Repair .............. R6moval .............. 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. It' 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 ...................................................
Dimensions 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. Sizeoflot: Front ...................... Rear ...................... Depth
10. Date of Purchase ............................. Name of Former Owner
1 I. 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 filI be removed from premises: Yes
14. Name of Owner of premises .................... Address ................... Ph. one No ............
Name of Architect ........................... Address ......... .. ........ Phone No ............
Name of Contractor ................. ~ ........ Address ......... ...... '.... Phone No ............
15.Is this property located withlnCiO0 feet of a tidal wetland? ~YES .... NO...
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAG RAM
Locate cleazly amd distinctly nlI buildings, whether existing or proposed, and. indicate ~l set-back dhnensions
property lines. Give street and block number or description according to deed, and show street nam<:; and indicate ~h.
interior or comer lot.
oCCUPANCY OR
USE IS uNt WFUt
WITHOUT CERTiFiCATE
OF OCCUPAHC
APPROVED AS NOTED
NOTI~ 8UILOiNG OEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING
1, FOUNDATION ~0 REQUIRED
FOR POURED CONCR~E
2. ROUGH * FRAMING & PLUMBING
3, INSU~TION
4. FINAL CONSTRUCTION MUST
8E COMPL~ FOR C.O
ALL CONS~UCTION SHA~ ME~
THE REQUIR~ENTS OF ~E N.Y.
STATE CONS~U~ION & ENERGY
CODES. N~ RES~NSIB~ FOR
DESIGN OR CONS~U~ON ERRORS
STATE OF NEW YOI~K, ~'.,~ ~ ~
county or ......
...................... ~ ~'. ..... being duly swam, deposes ~d says that Ire is the appli
(Name aC individual signiug contract)
above named.
lie is the ............................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file
application; that aLI statements contained in this application are true to the best of his knowledge and belief; and thai
Work w~l be pertbmmd in the m~ner set fortt~ in the application ~ed therewith.
............ ..... ¢o oW ,
Nota~ Public ....... - ?. . .... County . ' .
~ L ~, JR. · ....
~Y PUSLI~ ~ 0f
T~m ~ir~ May ~I, 19 ~
LAND Of 50UTHOLD
J
~00.00*
N/F. U,s. POSTAL SERVICE
PUBLIC LIBRA~RY
IG5,0 8 ~
LAND OF BENDER AND DOUGHERT¥
.... /"~' SIEE, PLAN-
,,?
WELLS,
AVENUE
WATER .DRAINAGE'
CURB ~ PAVING DETAIL
PARKING
SITE DATA
TEST HOLE
.PROPOSED ST(~RES FOR
,LEGEND
N,H,~
:1
0
l
~0
0
JOHN A,GRAMMAS I~ASSOCIATE$ ~ PROPOSED $?ORE$ FOR DRAWIN6 NO,
8~owl,us AVE.UE/ X FEATHER HILL "
ALBERT$ON ~ N.Y. 11507
NO. DATE ~E~ " DRAWN~ S~ i"=,~'.~' DAT[d-I-~ '.MAIN ROAD (ROUTE 25*) :
~ISIONS · ~ ~ ~ '~¢~T SOUTHOLD N.Y. CO~T. NO. ~8~
_ f~ ~/ ............
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