HomeMy WebLinkAbout18796-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18875 Date MARCH 12~ 1990
THIS CERTIFIES that the building. ALTERATION
Location of Property 53345 (5B) MAIN ROAD SOUTHOLD, 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 8, 1990 pursuant to which
Building Permit No. 18796-Z da%ed 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 FABRIC SHOP - FEATHER HILL BUILDING #5
The certificate is issued to SATIN & LACE
(tenant)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-083197 -JULY 31~ 1989
~lding Inspector
Rev. 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PEIU~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
18796
Z
Permission is hereby granted to:
· ~.~.'t,~ ........... ~.~.~,'~ ............
..'ZT'_'_'_'_'_'_'_~.,,,....!.~.t,.. ~ ...... .'. ...................................
..~~.....~:.¥.,,.....t..(..v..~. ..t ............... ,
:o
County Tax Mop No. 1000 Section ...... ..~.,~,,J. ........ Block ....... ..~..~. ......... Lot No...I..~.:,J ............
pursuont to application dated ...~-~e~.~. .................. , 19.C~.~.., and approved by the
Building Inspector.
Rev. 6/30/80
APPLICATIo~ FO~ CERTIFICATZ OF ,;<~i'A:iCY
County Tax Hap No.
Subd£v£sion
~ea~h DepCo Approva~
Planniu~ ~ourd APprova~
HOUSE
1000
Filed Hap LoC
-2L~J~..~p~i~ao~ ...................
Under~ri~ers Approval
Temporary Certificate ..
Final
10/14/88
AI'PLICATION FOR CERTIFICAT~ OF OCCUFANC~ INSTRUCTIONS
Inspector ~iEh ~he followins; for new buildings or new use:
3. Approval of electrical installation from Board of Fire Omde~i~ers.
them 2/10 of IZ lead.
bu~ldlngs and insEnlla~ion~, a certificate of code compliance from the Ar~hi~ec~
or E~gineer responsible' for ~he building.
For ex/sting buildings (Prior to April 9, 1957] non-coufo~inS u~es, or
a~d "pre-exi~Eing" land uses: ''
2. A properly completed application, a consent fid inspecC signed by the
. If a Certificate of Occupancy is denied, the Buildins Inspector shall state the
I. ~ applicaEion for vacaat land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing singl~ amd
the appllcatiom. If a Certificate of Occupamcy is demicd, the Buildimg
FEES:
i.
CERTIFI~%TE OF OCCUPANCY -- New D~alling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelliog $Z5.00, Swimming Fool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupanc~ on pre-existing dwelling -- $$00.00.
3. Copy of Certifiaatn of Occupancy - $5.00 - over 5 years - $]0.00
4. Vacant Land Certificate of Occupancy - $20.00
5. Updated Certificate of Occupancy - $50.00
6o Temporary Certificate of Occupancy -$]5.00 Residential
Commercial
~"'. I0/14/S8
FOUNDAT!0.~; ( 1 st )
?.. OUND ATI 0~'~ ( 2nd )
2.
EOUGH FRAI4E &
-PLUMBING
iNSULATION PER N. Y.
STATE E~IERGY
CODE
FI;~AL
ADDITIO~;A'L COMME~:TS:
Examined .~'~ .~.~--"-, 19.9.O.
Approved .~[~ .].~., 197.O. Permit
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 1'[971
TEL.: 765-1802
No.
Disapproved ale ................................... ..
.......
(Bud&n= Inspector)
BO,\~.D OF' HEAl,TH ...........
3 SEt,3 OF PL..~;S ...........
SURVEY ....................
C~{ECK .....................
SEPTIC FORM ; ..............
NOTIFY
CALL
MAIL TO:
P~LDG, DEFT,
TOWN O~$OL!334OLD
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date ...... .r
a. Tiffs application must be completely filled in by typewriter 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 dmz; u on the diagram which is part of this app}
cation.
¢. The 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 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'of a Building Permit pursuant to tb
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and ;her applicable Laws, Ordinances-
Regulations, for the construction of buildings, ad~ditions or alterations, or for {'emoval or demolition, as herein describe<
Tile applicant agrees to comply with all applicable laws ordinances, building code, housing code, .~nd regulations, and t
admit authorized inspectors on premises and in building for necessary inspections·
(S[guature of applicant, or name, if a corporanon)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde~
a e o w er em s . ...................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ...........................
Plumber's License No .........................
Electrician's License No .......................
Other Tra~le's License No ......................
will be done '
Location of land on which proposed work .................................................
·.. ~r...~_.. ......... ~,~.~ ~....~*~ ............ ~.,...~.., .~.. ......... ~/~, .... .~....
lfouse Number Street, Hatnlet [~. ~
County Tax Map No. 1000 Section . ...~. ~./. ~ O. ..... ~ Block . ...~./..0..0. ........ Lot...~ .....
Subdivision ..................................... Eiled Map No ............... Lot ...............
(Nmne)
State existing use and occupancy of premises and intended usc and occupancy of proposed constructiou:
a. Existing use and occupancy ...............................
b-'nten~eduseand ~&"~ ..... ~'~'~e
occupancy . ..
3. Nature of work (check which applicable): New Building .. ' .... Addition .......... Alteration ....
Repair .............. R6moval .............. Demolitioh .............. Other Work .........
4 E~timat~d Cost
(to be paid on filing this applicatim
5. If dwelling, number of dwelling units ............... Numb:r of dwelling units on each floor ..........
lfgaraee,, numberofcars ................. ................................................ ·
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 Stores ....................... . ...........................
Dimensions of same structure with alterations or additions: Front ...... Rear ....
Depth ............... .. .. .. . HeiSt ...................... Number of Stohes ............... .
8. Dimensions of entire new construction: Front ............... Rear ............... Depth .........
Height Number of Stories ·
9 Size of lot: Front Rear Depth
10. Date of Purc~ase ............................. Name of Fo~er Owner ........................
1 I. Zone or use district in xvhich premises are situated
12. Does proposed construction violate any zoninglaw, ordinance or regulation: ................... ..... ...
13. Wflllotberegraded ...... .. .. . .. . ..............WiIlexcessfillberemovedfrompremises: . Yes
14 Nme of Owner of premises Address Phone No . .
Nme of Architect Addre~ Phone No .......
N~e of Contractor ' Address Phone No .......
15.Is this property IDeated ~[thin~OO feet of a tidal ~etlaod? eYgS .... ~O..
~If yes, 5outhold Town Irustees Permit may be required. PLOT D1AG~M
Locate cle~Iy ~d dist~ctly fll bufld~, whether existing or proposed, ~d. indicate ~1 set-back dMensions
propeay ~nes. Give street ~d block number or description accord~g to deed, ~d show street nines and ~dicate wl
interior or comer lot.
OCCUPANCY OR
USE IS UNLAWFUl.
WITHOUT CERTIFICATE
OF OCCUPANCY
APPROVED AS NOTED
FEE: ,/,~i~...---"7,,.By:_y' g.Z...,
NOTIFY BUILDING DEPARTMENT AT
765-1B02 9 AM TO AL PM FOR THE
FOLLOWING iNSPECTIONS;
1, FOuNDATiON TWO REQUIRED
FOR POURED CONCRETE
2, ROUGH - FRAMING & PLUMBING
3. iNSULATION
4 FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.C'
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y-
SLATE CONSTRUCTION & ENERGY
CODES, NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NEW YO R~",
COUNTY OF ....... ".)~.~/.. '"'"' /
(Name of iudividuaI signing contract)/
above named.
Itc is tim .............................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners. ~md is duly authorized to pc,florin or have performed the said work and to make and fil
application: that all statements contained in this application are trne to the best of his knowledge and belief; and th
WOrk will be perforated in the manner set forth in the application filed therewith.
Swam to before me this
........... .........
ry Public .............
NOT~ PU8LI[ ~ DJ N.Y. ./ "''
. erin ~ir~ May 31, 19 ~ ~,~ ~ ~ ,/p/ ~ ~ -