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Home My WebLink About18797-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18876 Date MARCH 12, 1990 THIS CERTIFIES that the buitdin~ ALTERATION Location of Property 53345 (6A) MAIN ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 61 Block 1 Lot i3.1 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. 18797-Z dated ~RUARY 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 FLOWER SHOP - FEATHER HILL BUILDING #6 The certificate is issued to (tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FEATHER HILL COUNTRY FLOWERS N-082951 - 7/29/90 N/A B ctor Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ~'. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18797 N~ Z Permission is hereby granted to: j~ ~..~,~.~ .... ." ................ ~..~.......~.:..~.:....(..(..~.~...~ ....... , -- ................................. ~ ............................. :'"'~'i .................................................................... ~t premises located at .~....~.....~..~.. ...... ~.~ .....................~ ............................ County Tox Mop No. 1000 Section ..... .C~..~...J ......... Block ........ ..(~...~ ........ Lot No....,)...~.:,.~ ......... pursua,t to applicatio, doted ..~.~~..~. · .................... , 19.~..~., and appr~ by the BuiJding Inspector. Building Inspector Rev. 6/30/80 SOUTEOLD. IIE~ YOKK 765- 1802 11971 APPLICATION FOR CEKTIFICAT~ OF OCCUPANCY ' Underwri~er~ Approval Health Depc Approval .............. Planning Board Approval for Temporary Cer~iflcate ....... Final Ccr~££1caca - : .~s~ rev' 10/ 14;gg FORH NO. · 0~ OF SOUTIIOLD BUILDING DEPAKTHENT TOUN 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS 'This application must be filed in type~rrlter OR ink ~nd submitted to the Building Inspector with the following; for oe~ buildings or new use: I.' Final survey of property vlth accurate location of ail buildl.gs, property lines, street=, and unusual natural or topographic .features. 2. Final approval of Health Dept. of water supply and seweraEe-dlsposal(S-9 form). 3. Approval of electrical installation from Board of Fire Under~riter=. 4o S~or~ statement from plumber certifying that solder used in system contain= les=' than 2/10 of II lead. buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for tile building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (Prior to April 9, 1957J uon-eonfo~ing uses, or buildings and "pre-existing" land uses: . ' unusual natural or topographic features. · If a Certificate of Occupancy is denied, the Building Iospcctor shall state the reasons therefor in ~rri~ing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent infor~zucion required to prepare a certificate. For Vacant Land Certificate of Occupancy: ~. An applicatloo for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issuc~ by a title company showing single and separate o~mership of,the entire lbt prior to April 9, 1957 shall also, accompany the applicatiom. If a Certificate of Occupancy is denied, the Building Inspector shall =cate the reasons therefor in %rriting to ~he applimaut. FEES: CERTIFICATE OF OCCUPANCY -- Ne~ Dwelling $25.00, Additlous to D~nlling $25.00, Alteration to Dwelling $25.00, $~immiog Pool, $25.00. Accessory buildiug $25.00 Addition to Accessory buildings, $25.00 -'Businesses $50.00. Zo Certificate of Occupancy On pre--existing dwelling -- $]00.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4o Vacant Land Certificate of Occupancy - $20.00 5o ~pdated Certiflcace of Occupancy - $50.00 6o Temporary Certificate of Occupancy -$15.00 Residential Commercial · OUt~D,~TtOJ (2nd~ 2. ROUGH FRAME & .?LUMBING iNSULATIOH PER.N. Y. STATE ENERGY FINAL ADDITIONA'L COMHE~ITS: ": TOWN OF BUILDING [;kPARTLi L,~,!T TOWN HALL ~OUTHOLD, TEL.: 765-1802 Approve~. [.., 19~. Permit No. ] ~ Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATIO~ FOR BUILDING PERMIT INSTRUCTIONS BOAi:O OF HEAl flt 3 SE~'~ Oi SURVEY CHECK SEPTIC FORH NOTIFY CALL .................... MAIL TO: FEB 81fflO , TOWN OF,SO[.~OLD , a. Tkis 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 :,d joining,premises or public strec or areas, and giving a detailed description of layout of property must be drawn 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 peru- 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 a~3y purpose whatever untiI a Certificate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building P~'rmit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New Yor,~, and other appqcr~ble Laws, Ordin~qces ~ Regulations, for the construction of buildings, ad. ditions or alterations, or, for rempval or demolition, as herein descnl ,. The applicant agrees to comply with all applicable laws, ordinances, buildin~ code, hbu~ing code, and regulations, and i admit authorized inspectors on premises and in building for necessary inspections. ,: . ..... (Sign~[ure. 0f a~dblicant, or name, if a corporanon) .......... (Mailing addrc:s of applicant) ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buLde Name of owner of premises ,' (as on the tax roll or incest 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 ......................... Electmcmn s License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done... ' ................................ House Number Street, I [~./ County Tax Map No. 1000 Section ~/~.[.O.~. Block ~/~o Lot. ~ Subdivision ..................................... Filed [',lap No ............... Lot ............... (Name) ',, ital0 , iltintl ilia an l 0 upancy of pr0mi§0t and 'tlt0riduu Llle 'and 0eeupaney of proposed conmUcti0tl: · Existing usc and occupancy .................... . ..... , ..,. ............... , ' oeeupaney ..... ' '", ' ' ' '" ' ', ......................................... · 3. Nature of work (check whkl't applicable): New Building ........ 51itic~n ............. Repair .............. R.6movai .............. Dc ..... ~oh ........... '7?,h '~ Wur~ ......... _.~ . -' (g ;serif . 4. Estimatid Cost.. Fee (to L.' ~' ~h~ on fi~hu: alU'., applicatio 5. ir dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor .......... Ir garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of eaci~ t';pe of use .............. 7. Dimensions of existing sr~ctures, if any: Front.., ............ Rear .............. D.:pth ........ Height ............... Number of Stories ................................................. Dimensions of same structure with alterations or additions: Front ................. Rear ........... Depth ...................... HeiSt ...................... Number of St,,ries ............... 8. Dimensio~'~ntke new construction: Front ............... Rear ............... Dept~ ......... ~eight ............... Number of Stories .............. : .................................... 9 S~i~ prior: Front ............... Rear .................... Depth ................ .... ..... 10. Date of Purckase .............. Name of Foyer Owner ................. I 1. Zone or use district in which premises are situated ................................................ 12. Does proposed construction violate any zoning Iaw, ordinar e or regulation: ........................... 13. W~I lot be regraded ............................ Will excess fill be removed i~om premises: . Yes 14, Nme of Owner of premises .................... Address ................... Phone No ........... N~e of Architect ........................... Address ................... Phone No ........... N~e of Contractor ................. i ........ Address ................... Phone No ........... 15.Is this property located ~ithin300 feet of a tidal *If yes, 8oughold To~n Trustees Permit may be required. PLOT DIAG P~M Locate cle~ly ~d dist~ctly ~I bufld~gs, whether existing or proposed, ~d. indicate ~I set-back d~ensions prope~y ~nes. Give street ~d block number or description accord~g to deed, ~d shew street inte~or or comer lot. APP~OY, ED A.:~ 765-1802 9 AM TO ~: ~:'d ~'('~: FOR POURED CONCRETE 2. ROUGH - FRAMING ~ PLUM~NG 3. INSU~TION FINAL CONS~UCTION MUST BE COMPL~E FOR ALL CONSTRUCTION SHALL THE REQUIREME~S OF THE N.Y. ~ATE CONS~U~ION & ENERGY CODES, NOT RES~NSIBLE FOR DESIGN OR ~NSTRU~ION ERRORS STATE OF NEW YORK,'-"' . ,~/' ,, ,, COUNTYOF ........ .~..L??/~.. ~.~ . / ........... ; ........ ,~.~./61~<~. · .~. · ~.~ ~~q....' ...... being duly sworn, deposes :d.J says that hc is the appl (Name of individual si~nino contract) ' lie is the .......... (Contractor, agezlr, corporate officer, crc.) of said owner or owners. ~d is duly authorized to peyform or have perfo~ed the said ,york and to m~e and fiI~ application; that all statements contained in this application arc true to thc best of his knowledge and belief; and tha work will be perfommd in the m~ner set forth in thc applkation filcc timre~ ith. Sworn to before me this ........... ........... ....... K ...... .... Not =~ ~ ~ .... Count - ~ ~-- t ( / 1, 7. ......... = ............... ~ .... T~m E~p r~ Ua~ 31, 19~ /