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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 · ~ / ,. ~ / /