HomeMy WebLinkAbout18795-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18874 Date MARCH 12r 1990
THIS CERTIFIES that the buildinq. ALTERATION
Location of Property 53345 (5A) MAIN ROAD SOUTHOLDr N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 61 Block I Lot 13.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 8t 1990 pursuant to which
Building Permit No. 18795-Z dated FEBRUARY 15~ 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 HOBBY SHOP (TOY STORE) - FEATHER HILL BUILDING #5
The certificate is issued to HOBBIES PLUS
(tenant)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-083273 - 7/27/89
N/A
Bu±~din~ ~nspec~or
Rev. 1/81
FO~M NO. ·
TOWN OF SOUTHOLD
BUILDING DEPARTM, ENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
18795
Z
Permission is hereby granted to:
..... L.~..&~.,,.,......~¢,,~.....~ .......
.~-37~..~ ....... /..,-/..~ ...........................................
~.~....~.:%...:...,..~.::,../.. ..........
,o
Building Inspector,
Building Inspector
Rev. 6/30/80
'i'O'~IN O~ SOUT~OL~
· I~U r LO I:IiG D~PART,*ICHT
TOI,fN ~'ALL
~OUTZIOLD. I'lP"~ YIDR~
7G5- l~OZ
A~FLICATION FOR C~RTIFICATE OF OC ':,.~T
SubdivisiQm ....................... Filed ',,imp ........ Log
~ealch DepC. Approval .................. Underwriter= Approval ..............
Plaomimg Board Approval
Requem: for Temporary CerTificate ....... Final Ccrgifica~e
~',,-,, S,..,~,,=~.~_,'ed: S---~-~-~- ..........
APPLICATION FOR CERTIFICATE OF OCCUFANCY INSTRUCTIONS
A. 'This application must be filed in typewriter OR i,k and subm£tted to the Build£og
Inspector with the £ollowisg; for new buildlngs or new use:
I.' Final survey of property with accurate locntlon of all buildings, property lines,
streets, nod unusual natural or topographic features.
2. Final approval of Health Dept. of water ~upply and seweruge-dlsposal(S-9 fo:m).
3. Approval of elec:rlcnl installatloa from Board of Fire
~. S~o~n ~atement ~rom pl~ber certifying that solde~ used ~ system con,ales less'
:hen 2/10 of lZ 1cad.
5. Co~ercial buildinEs, induscrlal buildlncs. ~lclple residences and similar.
buildings and ins:nlla:ions, a cerClflcaCe of code compliance icom :he Architect
For exlsclnE buildings (Prior to April 9. 1957] non-confo~ing uses. or buildlnEs
I. Accurate su~ey o~ property sho~ing all property lines, streets, buildinEs aud
unusual natural or Copo~caphlc
reasons therefor in ~icing co the applicant.
3. Dace of any houslns code or safety inspection of b~ildlngs or premises, or other
1. ~ applicaCioo for vacant land Certificate of Occupancy shall be submlCCedv
shall ~caCc the reasons thercfo~ in.icing to the mppliaaut.
D. FEES:
1.
CERTIFICATE OF OCCUPANCY -- New Dwelling $25.00, Additions to Dwelling
Alteragiom to Dwelliug $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
Cartiflcata of Occupancy on pre-existing dwelling - $100.00.
Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00
Vacant Land Certificate of Ocnupancy - $20.00
Updated Certificate ~f Occupancy - $50.00
Tcmpurary Certificate of Occupancy -$]5.00 Residential
Cormnerclal
er. 10/14/aa
FOUNDATIO,'; ( 1st ]
FOUNDATIO:~ {2nd)
2.
ROUGH FRAME
-?LUMBING
iNSULATIOn!
PER. N. Y.
STATE E}~ERGY
CODE
FILIAL
ADDITI0~A'L CO.~..~E~:TS:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1001381 BUREAU OF ELECTRICITY
~-- E~S JOHN STREET, NEW YORK, NEW YORK 10038
I~.,. JULY 27,1989 .4~/*li,..,i..No.o.y~l~ 63363789/89 N 083273
THIS CERTIFIES THAT
JAMES L. GRAY SR., MAIN ROAD FEATiIER MILL, STORE 9, BUILDING C, SOUTHOLD, N.Y.
FIXTURE FIXTURES RANGES =OOKING DECKS OVENS DISH WASHERS EXHAUST FAF
5 11
DIMMERS
SYSTEMS
NO. OF FEET
S E R
OTHER APPARATUS:
2 TON A/C UNIT-1
FEEDERS:l-4 ~ 3 BASEMENT TO 1ST FLOOR
PANEhBOARDS:i-13 CIR. 100
ELEC. WATER HEATERS::I-2 K.W.
G.F.C.I:-2
TRACK LIGHTING:-30
JODY PUNILLO
PAT LANE
MATTITUCK, NY,
11952
LIC.O2300-E
C
NO OF HI.LEG
AWG.
NO OF NEUTRALS
GENER~.-M~NAGER
Per i1 /~'L_.~ -
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identifi&~'"by their credential
FORM NO. 1
TOWN OF SO!!1HOLD
BUILDING DEPARTMENT
TOWN HALL
COUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved a/c ...............................
(Building Inspector)
'APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOAi, D OF HEALTH ...........
3 .SETS OF i'LANS ...........
SURVEY ....................
CHECK .....................
SEPTIC FORM
N. OT ;:FY
CALL
_~MAIL
a, T1ris application must be completely filled in by Wpewriter or in ink and submitted to the Building 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 tills app!
cation.
c. The work covered by tiffs 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 perm
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 Occupanc
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance eT i~ Bu/lding Permit pursuant to tb
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances -
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe(
The applicant agrees to comply with all applicable laws, ordinances, building code. housing code, and regulations, and t
admit authorized inspectors on premises and in building for necessary inspections, 1 , _/1
· · ,., . .... : ....
·., , ,. -
(Signature et applicant, or name, ifa cor[-oranon)
......... [ applic' 't)an .....
(Mailing addrc.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildei
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
" ' (~qame and title of corporate ..............
........................... ~fficer)
Builder's License No ...........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
I. Location'of land on which proposed work will be done .................................................
..... ............ ............. .w7.-.,:.¥. ..................
llouse Number Street, Hamlet /'~. (
CountyTax Map No. 1000 Section ...~5?(al Ogel.. Block ..... ~../.{9.0. ....... Lot..~...
Subdivision ..................................... Eiled Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended usc and occupancy of proposed construction:
~. l~xl~ting use and occupancy,.....,.... ........................................................ ·
b. Intended use and occupancy · · · ~-O' '~¢- ................................................ ,~.4q~. . . ......
3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ..
Repair .............. F~.~moval .............. Demolitioh .............. Other Work .......
"
'
4. Estimated ..................... Fee .........................
(t : [,aid on filing this applicat
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 typ? of use ..............
7. Dimensions of existing structures; if any: Front.., ............ Rear ............... Depth ........
Heigt~t ............... Number of Stohes .................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ...........
Depth ...................... Height ...................... Number of Stories ...............
8. Dimensions of entire new construction: Front ............... Rear '. .............. Depth ........
Heigl~t ............... .Number of Stories .............. ; ..................................
9. Sizeoflot: Front ...................... Rear ...................... Depth ...............
10. Date of Purchase ............................. Name or 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 fill be removed from premises: . Yes
14. Name of Owner of premises ................ .... Address ................... Phone No ..........
Name of Architect ........................... Address ............ ....... Phone No ..........
Name of Contractor ................. i ........ Addres, ................... Phone No ..........
IS.Is this property located within~00 feet of a tidal wetland*- *YES .... NO.
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAG RAM
Locate clearly and distinctly ail buildings, whether existing or proposed, and. indicate all set-back dimensim
property lines. Give street and block number or descr/ption according to deed, and show street names and indicate
interior or comer lot.
OCCUPANCY OR,
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
APPItO~EO AS NOTED
DATE: Z/~'~o B.P,# ? :~?q'.::
~E:/~r~. ---. _~y: ~. e,.
NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS.
~. FOUNDA?~ON ~VO
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.(~
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NE~V YOPr~, ~,~ S.S
cou T,,' OF ...... ....
............... · '~-~ .~-. ~:.. ~ ............ being duly sworn, deposes ~d says that he is the apt
(Name of individual signing contract)
above named.
tto is flm ..........................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners. ~d is duty authorized to pc~rform or have perfo~ed dm said work and to m~e and fi
application: that all statements contained in this application are true to thc best of his knowledge and belief; and t[
work w~l be pert~mmd in the m~ner set forth in the application Qled therewith.
Sworn lo before mc this
........................ day of ............ ~ ........ 19.
Nots, Public .............. :f;':~.~ ........... County · ~ / ,. ~ / /