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Home My WebLink About18801-zFOl~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18880 Date MARCH 12r 1990 THIS CERTIFIES that the building. ALTERATION Location of Property 53345 (9) 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 8r 1990 pursuant to which Building Permit No. 18801-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 POLICE ANNEX OFFICE - FEATheR HILL BUILDING #9 The certificate is issued to (tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED SOUTHOLD TOWN POLICE DEPT. N-083906 - 7/31/89 N/A ~-~ Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPART/~.ENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne- 18801 Z Dote ....~.~....,!.~C ............ , Permission is hereby granted to: ~ .~....~..~. ................................................... ~:~.......o..:...%.../...,...t~.l. ....... ,o...~...:..Y..~.~.....~.~ ...... ~..~ ........................................ at premises locc~ted at .,~..'~.~..~-.~...,...~r).,~.......,~....~ ........ ..~~~.~ ........ ..~.,....~/. ......... County Tax Map No. 1000 Section ...... ..O.,,(¢,.~ ......... Block ...... ..~...J. ......... Lot No ..... }....~.h,I ......... BuildingpUrsuant Inspector.t° application dated ............... ..~..,~~ ..~ .................... 19..~..o,.., and approved by the Fee $.~...~..;....../... ...... '~l~/' ' ' ~ Rev. 6/30/80 TO~N OF $OUTHOLD TOgN ~ALL fiOUT~OLD, NEt YORK AI~FLICATION FOR CERTIFICATE OF OCCI]PANCY County Tax Hap No. Subdivision ........................ Filed Hap ........ Lot .......... Permit No .... Date of Permit ...App£ic~,~iz ................... HealEh Dept. Approval .................. Underwriters Fee Sub= Cer~iflca[e ................ FORM ND. 6 TOWN OF SOUTIIOLD BUILDING DEPARTHEHT TOgN I1ALL '/65- IgQ2 APPLICATION FOR CERTIFICATE OF OCCUFANCY INSTRUCTIOHS This application muse be filed in typewziter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: I.' Fiual sux-vey of property with accurate location of all buildlogs, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Uoderwzltors. 4. Sworn statement from plumber certifying that solder used in system contains less' than 2/10 of IZ Icad. S. Commercial buildings, industrial buildings, multiple residences and similar.' buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requlrenents. For existing buildings (Prior to April 5, 1957] non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed applicatioa, a consent to inspect signed by the applicant · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety iuspectiom of b~ildiogs or premises, or other pertlncmt information required to prepare a certificate, For Vacant Land'Cnrtificato of Occupancy: ]. An appllcatiou for vacant land Certificate of Occupancy shall be submitted, and a cortified abstract of title issued by a title company showing single and separate ownership of ,the entire l~t prior t~ April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor iu writing to the applic~nt. F~ES: 1. CERTIFICATE OF OCCUI3ANCY -- New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -Businesses Certificate of Occupancy om pre--existing dwelling - $100.00. Copy of Certificate of Occupancy -- $5.00 - over $ years -- $10.00 Vacant Land Certificate of Occupancy -- $20.00 Updated Certificate of Occupancy - Temporary Certificate of Occupancy -$15.00 Residential Commercial FOUNDATIO.U ( ls t I 2. (2nd) EOUGH FRAME & .PLUMBING iNSULATION PER.N. STATE ENERGY CODE Fil~AL ADDITIONA~L COMME~:TS: FOR~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN H~LL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 BOd ~ O~ HEALTH 3 ELTS OF PLANS ........... SUt{VEY CHECK SEPTIC FORM ............... NOTIFY CALL ?..o MAIL TO: Examined . .I.~.., 19 Disapproved a/c ............................ ......... ............................... ...L 'rowN O /SOO OLo (Building Inspector) - APPLICATION FOR BUILDING PERMIT IN STRUCTIONS Date 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. Ptot plan showing location of lot and of buildings on premises, relationship to adioining premises or public stree or areas, and giving a dote/led description of layout of property must be drawn on the diagram which is part of this app cation. o. 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 appticant. 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[~y purpose whatever until a Certificate of Occupma, 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 tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and oth-r.a?plicable 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 ali .applicable laws, ordinances, building code, housing code, and regulations, and i admit authorized inspectors on premises and in building for necessary insp~tions.' ..... ' . (Signature of applidant, or name, if a corporanon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde (as on the tax roil 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 Trade's License No ...................... 1. Location.of land on which proposed work will be done ................................................. llouse Number Street Hamlet County Tax Map No. I000 Section ~.../sc~Frd ' Block ~/~ Lot ~' Subdivision ..................................... Eiled Map No ............... Lot ............... (Name) 2. State exis.ting use and occupancy of premises and intended use and Occupancy of proposed construction: a. Existing use and occupancy. . ~.. q/4'-~.~ ./.d....~o/. /5~2~'~-~_ a~o~ ' b. Intended use and occupancy .................................................. ; .;..;. ;:;>. 7;:... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ... Repair .............. R,~moval .............. Demotitio'n .............. Other Work ........ ~ -- (Descri 4 EstimatddCost .......................... ee · ~ {to be paid on filing this applicati[ 5. It' dwelling, number of dwelling units ............... Nnmber of dwelling units on each floor ......... Ii'garage number of cars ........ 6.' It` business, commercial or mixed occupancy, specify nature, and extent of each type of use ............. ?. Dimensions of existing structures, ii' any: Front.., ............ Rear ............... Depth ....... Height ............... Number of Stories ................................................. Dimensions et` same structure with alterations or additions: Front ................. Rear ........... Depth 1-1cight Number et` Stories .. 8. Dimensions 0l'~entlr~ new construction: Front ............... Rear ............... Depth ........ Hci~ht_= .............. Number. of Stories .............. : .................................. 9. Size oflot: Front .................... .. Rear ...................... Depth ............... 10. Dare'of Purchase ............................. Name of Former Owner ...................... I I. Zone or use district in whiclt premises are situated .............................................. 12. Does proposed construction violate any zoning law, ordinancc 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 ' Address ' Phone No 15.Is this property located wlthin300 feet oi a l:idal wetland.* *YES .... NO. · If yes, Soul:hold Town Trustees Permit may be required. PLOT DIAG RAM Locate clearly and distinctly ail buddings, whether existing or proposed, and. indicate all set-back dimensior property lines. Give street and block number or descziption according to deed, and show street names and indicate v. interior or corner lot. NOTIFY 8U!LDi~G DEPA~tTME~ 765. 1802 9 4~,~ TO ~ ~M ~Oa THE 1, FOUNDATION ~'O REQUIRED FOR POURED CONCRETE 2, ROUGH · FRAMING & PLUMBING 3, INSU~T/ON 4 FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O A~ CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE STATE CONS~UCTION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUC~ON ERRORS STATE OF NEW YOI2,4~, ,.-.q ° S COU,'4T¥ oF ...... ~. ~ t'-.k-.... ~' .................. ........ bern duly swo , deposes =d says t at he is tl,e (Name of individual signing contract) above named. Ilcisthe · .. (Contractor, agent, corporate officer, otc.) of said owner or owners, and is duly authorized to pc.florin or hnve perforated the sai,l work and t(~ make and applicatioa~ that ail statements ;on[aine~i in ~[llis application are true to tho best of his know[~dg~ a,,~ h~ti~f; an~ ti W~tk w~ll b~ purform,d In tit, m~e~ ~ut forth in the apptkation Qlcd therewith. Sworn to before me this ......... "" ....... '"" ....... F. ....... ' .. ~- ~ ~