The URL can be used to link to this page

Home My WebLink About18799-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18878 Date MARCH 12, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 53345 (7A) 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. 18799-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 CHINA SHOP - FEATHER HILL BUILDING ~7 The certificate is issued to (tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N-082934 - 7/26/89 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PERFECT SETTINGS Building Inspector Rev. 1/81 FO~M' HO. · TOWN OF SOUTHOLO BUILDING Ds~PARTMS:NT TOWN HALL SOUTHOLD, N. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 18799 Z Permission is hereby gronted to: _ .L.~'~. ~L .....~...~. ................................................ ..... ~,~, ~ed ~,..~r.~.~ ....... ~.~.....~, .......... g.~~. .................... County Tax Map No. 1000 Section ....... .(~..(,t.), ..... Block ....... .O...L ......... Lot No...~,..~1...'...~ .......... pursuant to application dated ...~~..~ .................... , 19.~.(~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 197 I ~E~ COlISTR~CTZON ....... OLD OR PRE-EXISTING Loca~iou af 2raper~y .. . O~nnr or O~er~ of Fropnr~y ............... Subdivisiom ....................... Filed Map ........ Loc .......... ' rite,s Apl al ~ealth Dept. Approval ...... ............ Underw Planning goard Approval Request Fee Submitted: for Temporary Cer~iflcaC~ ....... Final s .... ~: ~ .......... FOP, H NO. 6 TOI,~N' OF Sou`rI10LD B[IILDIII(~ TOWN IIALI. 76.5- 11302 APPLICATION FOg CERTIFICATE OF OCCUPANCY INSTRUCTIOHS Sis application must be iliad in typewriter OR ink and submitted to the Buildlog Inspector with tho [allowing; £or aew buildings or new use: l.' Final survey of property with accurate loeatlou of all buildings, propnrty llnes, Streets, and unusual natural or topographic 2o Final approval of Health Dnpt. of watnr supply and sewnrage-dlsposal(S-9 3. Approval o£ electrical installation from Board nE Fire 4. Sworn statement from plumber certifying that solder used in system contains less' than 2/10 of I% Icad. 5. Commercial buildings, industrial buildings, ~mltlple rcsidnnces aud similar.' buildings and installations, a cnrtlflcatn of code cmapllance from the Architect or Engineer rnsponslbl~ [or tile building. 6. Submit ~lann£uf Board Approval o[ completed site plan requireaeots. For existing buildings (Prior to April 9, 1957] non-con[or, in[ uses, or buildlu~s and "pre-existing" laud uses: .' 1. Accurate survey nE property showing all propnrty lines,, s~reets, buildings and unusual uatural or topographic features. 2o A properly coapieted application, a consent ~o inspect signed by the applicant Il a Certificate o£ Occupancy is deuied, the Building Inspector shall state the reasons therefor in w~iting to the applicant. 3o Date o£ any housing code or xafety inspection of b~ildlugs or premises, or o£hor pertinent information required to prepare a tutti[fanta. For Vacant Laud'Cnrtlflcatn of Occupancy: Io An application ~or vacant land Certificate o~ Occupancy shall be submittedv and a certified abstract of titln issued by a title company showing single and separate o~ncrsbip of ,the entire 1bt prior to April 9, 1957 shall almo accompany the application. If a Cnrtificatn of Occupancy is denied, the Building Inspector shall stern the rnasons therefor in ~riting to the applicant. Io CERTIFICATE OF OCCLFPANCY -- New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to D~elling $25.00, S~immieg Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -- Buslncssns ~50.00. 2. CartE[loath of Occupancy on pre-existing d~nlling -- $IO0.OO. 3= Copy of Certificate of Occupancy - $5.00 - over 5 years - ~. Vacant Land Cnrtiflcate of Occupancy - $20.00 ~. Updated Cnrti[£catn of Occupancy - 6. Temporary Cnrtificate of Occupancy --$ 15.00 Residential Commercial er. 113/Il/aB ~OUN DATIO~'! FOU~D;,TIO:; (1st) (2nd) EOUGH FRAME & .PLUMBING iNSULATIOn! PER N. STATE ENERGY CODE FI~AL ADDITIO~;A'L COMMEI:TS: FORM NO. 1 ': TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · , $OUTHOLD, N.Y. 11971 TEL,: 765-1802 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOA~i? nF ~!E,'.LTH ........... 3 SFT? OF PLANS ........... SU ~i~/EY .................... CtiECK ..................... SEPTIC FORM ............... NOTIFY CALL MAIL TO: BLDG. DEl=3.. TOWN OF $OUTHOLD a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Buildir'g 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 strcc or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of ttds appl cation. c. 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. ¢. 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances t Regulations, for the construction of buildings, ad~ditions or alterations, or for rerno,2ai or demolition, as herein describec The applicant agrees to comply with all appLicabie laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectom on premises and in building for necessary inspections. (Signature o{' applican~,..or npme, if a corporanon) ......... (Mailing .~ddre'ss o~ appiic~t) ....... State whether applicant is owner, lessee, agent, architect, engzneer, general contractor, electrician, plumber or builder (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 ........................... PI abet' Lic No ul s ense ......................... Electrician's License No ....................... Other Trade's License No ...................... will be done ' !. Location o£ land on which proposed work ................................................. llouse Number Street Hamlet County Tax Map No. 1000Section ...~;&f~.P-.. ' Bluck ...~,~..~.t;). ......... Lot .... .~7:Q.~.~.. Subdivisio~ ..................................... Filed Map No ............... Lot ............. (Name) ~." State existing use and occupancy of premises and intended use and Occupancy of proposed construction: b. Intended use and occupancy .......................... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .... Repair .............. R.6moval .............. Demolitioh .............. Other Work ......... ~ ~b'5> ' ' ~ (Dcscr/pt 4. Estimatdd Cost ............................... Fee ............................. (to be paid on filing this application $. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ........... If garage, number of cars .................................................................. fi.' If business, Commercial or mixed occupancy, specify nature and extent of each type of 0se ............... 7. Dimensions of existing st~ctures, if a~y: Front ............... Res~ ............... Depth ......... He ~l~t . Number of Stories .................................................... . ....2 .,,. Dimensions of same structure with alterations or additions: Front .......... Rear .... Depth ........ }Ici t ................ . .' ' ~L', ' ...... ~ ...... Number of Sto~es .............. D~mensmni~fentire new construction: Front ............... Rear .............. Depth ... ~ ~. Height ............... ~umber of Stories .............. : .................................... 9. Sizeoflot: Front ...................... Rear ...................... Depth ................. I0. Da{e of Purchase ............................. Name of Fo~er Owner ........................ 1 I. Zone or use district in which premises are situated ................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................... 13. W~I lot be regraded ............................ Will excess fill be removed from premises: Yes 14. N~e of Owner of premises .................... Address ................... Phone No ........... Nme of Architect ........................... Address ................... Phone No ........... N~e of Contractor ................. i ........ Address ................... Phone No ........... 15.Is this property located wlthln~O0 feet of a tidal wetland? *If yes, Southold Iown Irustees Permit: may be required. PLOT DtAG~M Locate cle~ly ~d dist~ctly ri buddhas, whether existing or proposed, ~d. indicate ~I set-back d~ensions propemy ~nes. Give street ~d block number or desc~ption accord~g to deed, ~d show street n~es and hdicate wb inte~or or comer lot. · 8. APP~VED AS'NOTED NOT~FY ~ELDtN(~ DEPA,qTMENT 765-1802 9 A~ 1~ a FM FOR THE 1, FOUNDAtiON ~tO REQUIRED EOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSU~TION 4, FINAL CONSTRUCTION MUST ~E COMPLETE FOR ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. N~ RESPONSIBLE FOR ' D~SIGN OR CONSTRUCTION ERRORS STATE OF NEW YO4~K.f"/~_ ,-, ,-. COUNTY OF .... .t.~[~2~..../.-. o.o . ..................... r '""~ ......... ..' --~ ....... being duly sworn, deposes and says that tie is the appl . (Name of individual signb]g contract) above named. ' tlc is the ....................... (Contractor, agent, corporate officer, etc.) or said owner or owners, and is duly authorized to perform or have performed the said work and to make and file application; that ali statements contained in this application are true to the best of his knowledge and belief; and thn Work will be performed in the manner set forth in the application F, lcd therewith. Sworn to before me this No 4725089.S,flo..~ ,Cg,u~/.' ,..~, ', r--,/ (3 ~1 ,,, /5,: / ................ /'