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Home My WebLink About18802-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18881 Date MARCH 12~ 1990 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 53345 IiOB) MAIN ROAD SOU~OLD, 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. 18802-Z dated FEBRUARY 15r 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 ATTORNEY'S OFFICE - FEATHER HII~, BUILDING #10 The certificate is issued to (tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED J~d~E S S CHOENDEBARE N-083908 - 7/31/89 N/a ~-~ ~-~"~uilding Inspector Rev. 1/81 FOR~ NO. · TOWN OF SOUTHOLD BUILDING DEPARTJ~ENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 18802 Z Permission is hereby granted to: ....... J........~.~.?.~.......~~ .............. ...~. ~.../...~..~,..~................--~ ~ .............................. c-,~.,L,,....~....~..,....u..~...n..~.......:.. ,~...~ ~t pre~,~se* ~o~ote~ ~ ...,,...~=.,...,.......,..,.:...~,~....,....~..' ............................. County Tax Map No. 1000 Section ........ .C)..(~..~ ..... Block ...... .(;~..l ........ Lot No ..... ]...~.:'...]. ....... pursuont to application d~ted ..~~~~ ................. , 19.?.~., and approv~ by the Building Inspector. Fee Rev. 6/30/80 TOGN OF SOUT~OLD ~O~N 5ALL SOUT~OLD, :1~ YORK 765 - 1802 1197~ APPLICATION FOR CERTIFICATE OF OCCUPA~,.Y~' DATF . ,. ~OUSE NO. - STREET' ~AHL~T 0~e~ O~ O~ner~ of ~rop~rty .... ' ~ ' ~ ~o~,~, ~ ,,~ ~o. ,o0o ~o..~./... ~.~. ~./ .... ~o~..,'.~.J .... Filed ~ap ........ Loc .......... ~eai~h Depg. Approval .................. Under~ Planniu~ Board Approval r~v' 10114188 Co APPLICATION FOg CEKTIFICATE OF OCCUPANC~ IRSTRUCTIONS This aPplication must be filed in typewriter OR ink and submitted ro the Inspector with tho following; for new buildings or new use: I.' Final survey of property vlth accurate locatiou of all buildings, property lines, streets, and unusual natural or topographic features. l. Yinal approval of Health Dept. of water supply and severage-disposal(S-9 form). 3. Approval of electrical installation from Boar~' of Fire Underwriters. 4. Sworn statement from plumber certifying chat solder used in system contains less' than 2/I0 of lZ lead. 5. Commercial buildings, industrial buildings. ~ultipla residences and similar.' buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit PlanoiuE Board Approval of completed site plan requirements. For axisting buildings (Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land uses: ]. Accurate survey of property showing all property lines, street~, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant · If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in ~rriting to the applicant. 3. Date of any housing code or safoty inspection of b~lildings or premises, or other pertinent information required to prepare a certlficaLc. For Vacant Laud Curtiflcate of Occupancy: ]. Au application for vacant laud Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate otraership of,the entire 16t prior to April 9. ]957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state thc reasons therefor in writing to the applicant. FEES: I. CERTIFICATE OF OCCUPANCY -- New Dwelling $25.00, Additions to Dwalliug $25.00. Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition tO Accessory buildings, $25.00 -- Businesses $50.00. ~. Certificate of Occupancy On pre--existing dwelling -- 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00. 4. Vacant Land Certificate of Occupancy - $20.00 ~. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Res{dential Com~erclal FOUNDATIO.~! ( ls t ) ?OUND^ T I0~'; ( 2nd ) ROUGH FRAME & .PLUMBING iNSULATION PER.N. Y. STATE EHERGY CODE FI:~AL ADDITIOn!iL COMME~;TS: .i FORM NO. 1 TOWN OF SOUTtiOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 TEL.; 765.1802 BOARD OF HEALTH ........... B SETS OF PLANS ........... SURVEY .................... CHECK ..................... SEPTIC FORM NOTIFY CALL .................... MAIL TO: Disapp{ov~d a/c ................................. !i [~ F~ - 8 ...................... ..... OE~. · TOWN OE So.om (~uild~ng [nsp=ctor) APPLICATION FOR BUILDING P~IT Date " ................. INSTRUCTIONS 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 fern/led description of layout of property must be drawn on the diagram which is part of this app cation. c. The work covered by this application may not be commenced before issuance of Buildiug 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 m3y purpose whatever until a Certificate of Occupan- shall ha'~e been granted by ~c 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 other appIicable Laws, Ordinances, Regulations, for the construction of buildings, additions or alterations, or for 3emoval or demolition, ~s herein describe, Th~ applicant agrees to comply with all applicable laws, ordinances, building, coda, ;housin~ code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspections. ['(Si lean*, or name, it a corporation/ gnature et app State whether ap'pliqant Is iI~{ailini ;ddress of applicant) owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde~ Name of owner of premises ,e (as on the tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. am aid title o co rate officer Builder's License No ........................... Plutnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I, Location of land on which proposed work will be done. ' ' . ............................ llouse Number Street, Hamlet County Tax Map No. 1000 Section .......................... LO . . ~_ ~ ......... Subdivision ....... Eiled Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exi*ting use and occupancy ....................... b Intended usc and occupancy .-- · ................ ............;'. ..... ,~.'&. ....... , 3. Nature of work (check which vpplicab/e): New Building ..... ' ..... Addition ...... Alteration ..... Repair .............. R,~rr wal .............. Dcmolitioh .............. Other Work .......... tffd C -- '"' 4, Estima pst........ ............................. Fee . .. .t ...... . (to be paid on filing this application 5. If dwelling, number of dwelling units ............... Number of dwelling units on e:cb floor ........... If garage, number of cars .................................................................. 6.' If business. Commercial or mixed occupancy, specify nature and extent o f each type of use ............... 7. Dimensions of existing structures, if any: Front.., ............ Rear ............... Depth H~ight ............... Num bet of Stories .................................................. Dimensions of same structure with alterations or additions: Front ................. Rear ............ Depth ...~ .............. HeiSt ...................... Number of Stohes ............ 8. Dimension~%~ire flew cUnstmction: Front ............... Rear ........... ' .. ~ Dd~th' . ....... Height ............... .Number of Stories .............. i .................................. 9. Siz~oflot: Front ...................... Rear ...................... Depth ............. 10. Date of Purchase ............................. Name of Foyer Owner ..................... 11. Zone or use district in which premises ar~ 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. N~a of Owner of premises .................... Address ................... Phone No ............ N~e of Architect ........................... Addre~ ................... Phone No ............ N~e of Contractor ................. : ........ Address ................... Phone No 15.Ia th~s property located ~ithln~00 feet of a tidal Netland? ~IgS .... NO... ~If yes, 5outhold ~o~n T~ua~eea Petmi~ may be requ~ed. PLOT DIAG RAM Locate cl~ly ~d dist~ctly ~1 bu~d~gs, whether existing or proposed, ~d,indicate ~I s~t-back prope~y Hnes. Giv~ street ~d block number or desc~ption accord~g to deed, ~d show street n~es and ~d~cat~ wh 4 FINAL CONSTRUCTION MUST 8E t:OMPLFT~ FOR ALL COhiSTRUCTION SHALL MEET THE REQUIREMENTS OF THE STATE CONSTRUCTION & ENERGY CODES NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEWcY-~ RJ~ ,. ,, COUNTY OF...~...,(.J.'~..'~r.. _ .... ~'~ ...........--".'~ :4J~.~.. ~$...~.:L~4a.~ ................. being duly s,,'orm deposes mhd ~ O's thnt he is the appl (Na~ne~of individ ual si~in~ con tract) above named. i, ........... ................................... (Contractor, agent, corporate officer, etc,) of said owner or owne~, ~d is duly authorized to pe,rform or have perfo~ed the said work and to m~e and application: that all statements contained in this application are true to the best of his knowh.dge and belief; and tha Work will be perfomxeg in tim m~ner set forth ia the application ~lcd therewith. Sworn to before me this .... ................... .................... (Signature of appli