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Home My WebLink About18031-z ^ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18103 Date SUNS 12, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 46520 COUNTY RD. #48 (STORE K) SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Secta.on 055 Block OS Lot 07 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 1989 pursuant to which Building Permit No. 18031-Z dated APRIL 12, 1989 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 CONVERT VACANT STORE TO PRODUCE SALES STORE The certificate is issued to LARSEN'S FANCY FRUITS & VEGETABLES,INC. (lessee) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING -JUNE 8, 1989 PLUMBERS CERTIFICATION DATED N/A Buildinq Inspector Rev. 1/81 soaac xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT iTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° ~ 8 a 3 z Date .......c~.~.~v.....~.2 ,9.~~ Permission is hereby granted to• .~~:...~:.3.~ . so ..1.~!1.1~.~.~~.....~.dc_4^?..~:'..~~.i:y.-:~O. ~.~4:Q4.lcl.:scar....~.~.F'!4~1......,a?-~1GQ.Ses,d~!~~ . .l..cr?.s~.4.E ........!4~ at premises located at ...T..~P.S.ra~..q........~:1~.1... ~~.....~4.r.!-tX.Y.:i~:~... N.:.~. ~ County Tax Map No 1000 Section ......p . Block ......~2.~...... gLot No ....Q~........ pursuant to application doted ~ 19.~...{., and approved by the Building Inspector Fee ;l. ~..t.. Buil ing Inspector Rev 6/30/80 TOWN OF SOUTIIOLD A IIUILDING DEPART:ICNT, ~ _ TOWN IIALL BLDG. DEPT. • SDUTIIOLD, NEW YOR 1 Iq TOW1yUFSOUTHOLD 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATEt~~~~..'~ NEW CONSTRUCTION .......6LD OR PRE_E%,IS`TII3G BUIL I~~N}C..~Q(A~C_ANT LA D.,.._... Location of Property a,`~,i_~~..:;::.I_~..~_S!_.:~Jl-~;:-.'~~~._....._ ~ UOUSE NO_ STRCET IIAMLET Ovner or Ovners of Property. ~ //r~-~~ ~ County Tax Map No. 1000 Section IIlock .LJ.~.. Lot Subdivision........... Filed Map ..-_.....LoC........_. rRR ~ Pcrmx[ :io. k~~~~_~ate of Permit ppLicaot ) Ilcalth Dep[. Approval Undcruritcrs Approval..___..._.___. Planning Board Approval Request for Temporary Certificate Final Certificate _..~1....._...___ Fee Submitted: $...d.:... :1.~~ APPLZCAN~ cam, 3~y~D C o ~ i81o3 rev, IO/14/88 L~ ~ FORM NO. 6 TOWN OF SOUTHOLB BIIILDING DEPARTMENT TOWN IIALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to [he Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2_ Final approval of IIealth Dept. of eater supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statem¢nL from plumber certifying that solder used in system contains less than 2/10 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from [he Architect ~ or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (Prior to April 9, 1957 non-conforming uses, or buildings and "pre-existing" land uses: I_ Accurate survey of property showing all property lines, streets, buildings and unusual naCUral or Copographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of Citle issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor is writing [o the applicant. 3_ Date of any housing code or safety inspection of buildings or premises, or other pertineaC information required to prepare a certificate_ C. For VacanC Laad Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor is writing to the applicant, D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration Co Dwelling $25_00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00_ 2. Certificate of Occupancy on pre-existing dwelling - $100_00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4_ Vacant Land Certificate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial rev. 10/14/S8 1cLJ I:.S: EC ~~U:~ ~~L',;:E i ~i;tYMLNTS _ ~ m a H H ?OUI7DATIOI! (1st) ~ c ti rOUNDATI0IJ ( 2nd ) _ m 2, z o ROUGH FRAME & PLUMBING' N ~ 3. ~ m n IIJSULATIOCI PER I3. Y. 'j STATE EI7ERGY ~ CODE ' ~ ~ ~ -a r 4, m H FI71AL z ADDITIOIJAL COMMEIJTS: m x m ' x N a • a H H O [+7 > , r H b m H . ~ MATERIAL SIZE VERT COLOR OF SIGN FRAME KEEP TIME RECORD? SIGN PAINTER HOURS THICKNESS SIZE HORIZ COLOR OF LETT MLDG i SIDE 2 SIDE QUANTITY COLOR OF TRIM POSTS ? ? EST ORDER CODE CUT TO SHAPES RAISED LETTERS ? ? ? DESCRIPTION OF WORK 1 4 jG I ~ 1 Iti S tea ' { - _ 1~ oC L, ~ v ~ C N 1 (J l ~ ~ F ` `1 .fit ORDERED BY PICK-UP ? DELIVER ? PRICE 1 Z.- 6 O ORDER TAKEN BY BUSINESS NAME INSTALL ? INSTALL BRING q DATE RECEIVED BUSINESS ADDRESS SALES TAX I U ~ TOTAL DATE PROMISED BUSINESS PHONE HOME PHONE DEPOSIT BALANCE TEL. 765-I 802 ~pc~vFF~C/{~Ol~ TOWN OF SOYJTHOd.D ~c OFFICE OF BUILDING INSPECTOR ~ ~ T P O. BOX 728 O ~ ~ SOUTHOLD, N Y 11971 ~,yol ~ ,~.~o C E R T I F I C A T I O N Date May 24, 1989 Building Permit No. 180312 Owner L~~a ~~Y'~V~ (please print) Plumber H. Smith Plumbing and Heating (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. ~ i' ' plumber's signature) Sworn to before me this 24th day of Mav 19~--' Notary Pu 1ic Notary Public, Suffolk County BERNFDEiTE t TIVtI.IN NOTARY PUBLIC IH8M893 State d New York Resi~mQmSuRdkC~ i_ap Camnwsston ExDUes Sept 99J. ~ 765-1802 BUILDING DEPT. INSPECTIQN [ ]FOUNDATION 1ST ( ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMiNG [ ]FINAL REMARKS: '~-~~C- ~ DATE ~ ~ INSPECTOR '`"x"61/ T a O o i ^i Ji w N Im ~ ~ ~ O ~ X u C %S S `l ,J. ~ y ~ ~ ti k I R Y x y b Y < T ~ p k O b ~ ~i +l "S 4 V > 111 ° r-H [xl :z7 Y' GGY 9 s £ - Fe T ~ '~1 ~ r~l ~ x+ u 2 4 K µ3 Z H Q ~ N O ~rx "~Z GT "C ~r S = w '.=,0 XI i t~ ~u ~ _ x ~ ~1 ~ n ~ D ~ W o 2 d x ,ts w G 1d1; ~ m ~ = y •s i M m o x x ~ o ~x m~ ~ z } ~ y m C ~ Y N 1 ~ ~ o ~ _ 'a aNi = a a m l70 N r F N m o ° f-1 -c F ~ m 1O~ A A~ n ~ ~ a a~ ~a z m ~ ~ ~ s m ~ y~~ x C Q 71 ~ i A C .p R C (l o c ~ = P ~ b O r 0 i Sl ci. O > n n N C ~ K ~ .Ti n ° ~ A T y £ ~ ° z..a i1 e, ~E a J ~ m - '77 IHII o v ~ ^ ~ V o Y ~ w ~ j m l/" U O c 9 R ai e V o C x N n m ~ f _ 1 s o £ ~ a• ~ as O O m ~I- im N > ~ ° ~ w 0 W m a ~ i " ~ ~ ~ ° ° m ~ 9 ~ O ° m a, ~c N 4 en a ~ ~ D y - m Z 3 Dy O a m Z T ~ C D a R ~NO > a~~ w Z z ; c z . x < m v. ~ F p ~ C" 7 s m_ ~ A. m lr m A a ~ R> 3 C ~ N D BOARD OF HEALTH 3 SETS OF PLC\NS FORM NO.1 SURVEY TOWN OF SOUTHOLD CHECK ` BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL tDG PT. SOUTHOLD,N.Y 11971 NOTIFY TOWN OFSOUTHOIA TEL..765-1802 CALL p MAIL TO: Examined(1~... r '1 19~ ~ . \pproved`:`I- YYY~Z~.eQ.. ~.~r.. , 19~ Perrot No o DtsapProved a/c . (Bull a nspector) APPLICATION FOR BUILDING PERMIT j"] Date `.l . ! K'.~.. , 15~ INSTRUCTIONS a. Tltis application must be completely filled in by typewnter or to tnk and submttted to the Building Inspector, wttfi sets of plans, accurate plot plan to scale. Fee accordtng to schedule. b. Plot plan showing tocatton of lot and of buildings on premises, relationship to adjoining prcmtses or public stree~ or areas, and gluing a detmled descnptton of layout of property must be drawn on the dtagram which is par[ of this apps catron. c. The work covered by ttus appltcatton may not be commenced before tssuance of Building Permtt. d. Upon approvai of flits apphcaUOn, the Building Inspector will tssued a Building Petmtt to the applicant. Such penttt shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used to whole or to part for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to th Butldtng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appItcable Laws, Ordinances o Regulations, for the construction of buildings, addtttons or alterations, or for removal or demolttton, as herein descnbeo Tlie applicant agrees to comply with all appltcab'le laws, ordinances, building code, housing code, and regulations, and t~ admit authonzed inspectors on premises and in building for necessa mspectto s. (Stgnature of a pl cant, or name, t a corporation) • (Mailing address of applicant) State whether a((p,,,,pltcant(ips owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder ...........~:C.~~.l: Name of owner of premtses • "ter • • ! t t~~.1. !=J~ ~ C~~ .t~~. . (as on the tax roll or 1 est deed) If app scant is a co oration, Stgnature of duly authonzed officer ............:P~~ d~.~rf" . (Nam nd title of ctonrp((ora e officer) Builder's Ltcensc No . Plumber's Ltcense No .....~(:~~.`.~f • Electnctan's Ltcense No. i?~ .4'~ . OtfierTrade's Ltcense No . 1 • 1. tocatton of land on which proposed work will be done . House Numbcr Street Hamlet County Tae ht,ip No 0~~0yy0 ~Se~~a~~ton ~.:S.... Block Q :5~, La[ ....~r~.7 , . Subdrvistan ....~P.`.`.'.`~`'6`~ . 1d~~4~+:'t-&° Ftlcd Asap No . K Lot . (Nam State e~istmg use and occupancy~o/f p~rem~~~sle~s and in [ended us~e(.t~nd occupancry of proposed construction: a. Extsung use and occupancy ! ::"~:~"r:~:t • ,e~,~~G/~~~a • :vl .S+~C~CL~..~~~./,.,~./~~.o. ~ . b. Intended use and occupancy . w~• • • ~ . ; , . 1 . , . 3. Nature of work (check w hich applicable) New 13uddmg ~ Addition S • ~'Uterauon Repazr Removal Demolition . O rk`~• ~ _ ~ f (Dcs~mp ton 4. Estimated Cost .......a~ GD Fee .......~,r•. . ~ J.... . (to be paid on fllmg this appltcaLOn) 5. If dwelling, number of dwelling units Number of dwelling unds on each floor . Ifgara;e.numbcrofcars 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 Stones Dimensions of same structure with alterations or additions: Front Rear , Depth Ileight .Number of Stones . 8. Dimensions of entire ne~v construction. Front Rear Depth . Height ..............NumberofStones............................ 9. Size of lot. Front Rear p De th 10. Date of Purchase .............................Name of Former Owner . 1 1 Zone or use district in which premises are situated . 12. Does proposed construction vtolate any zoning law, ordinance or regulation . . 13. Ndl lot be regraded ............................Will excess fill be removed from premises: Yes i 14. Name of Owner of premises ....................Address ................Phone No , . Name of Architect ...........................Address ...................Phone No............. . Name of Contractor ..........................Address ...................Phone No............. . IS.Is this property located within 300 feet of a tidal wetland? *YES....I10.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate alt set-back dunensions frc property lines. Give street and block number or descnption according to deed, and show street names and indicate wheth intenor or corner lot. STATE OF NEW YORK, S.S COUNTY OF . • • • • • • • • • • • - • - • • • • • • • • • • • • being duly sworn, deposes and says that he is the appltca (Name of mdrviduai signing contract) above named. Ile ist}te (Contractor, agent, corporate officer, etc.) oC said owner or owners, and is duly autltonzed to perform or have performed the said work and to make and file tl aPPlicauon, that alI statements contained m this application arc true to the best of lies knowledge and belief; and that t; work will be performed to the manner set forth m tlic application f':Icd therewith. Swam to before me this ~ g ~ ...day of lh vv \otary Public, ~4'i.~1...11.:. ~L:. '!.°e.-...... County 7~J~~~~~.~:`'~. HELEN K DE VOf • • • • • • • • . • . ~No~47078i1A, SuN~oiMiCouwi+h4 i (Signature of applicar 7rtm EKp~'os krch 30, 19 g, Yjb 5 O 1 1~1 1 `I Q. ~~V~v C' ~ ~ ee4~ D~ C~ r ' L~ n ~ r' ' ! n r