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17740-z
t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19667 Date JANUARY 18, 1991 THIS CERTIFIES that the building RENOVATION & ADDITION Location of Property 50300 MAIN ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 2 Lot IS Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 4, 1989 pursuant to which Building Permit No. 17740-Z dated JANUARY 5, 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 RENOVATION TO EXISTING REAL ESTATE OFFICE & HANDICAP ACCESS RAMP ADDITION AS APPLIED FOR. The certificate is issued to JIMBO REALTY CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-067816 - APRIL 20, 1989 PLUMBERS CERTIFICATION DATED N/A ~~~. ~ Buil ing Inspector Rev. 1/81 r~osas xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No U17-14O Z Date ....~.s~-:1.K..~c.`.:~......w~.~..........., 19.$...1 Permission is hereby granted to: .....:~.~.~ ... ~:... c~-~:~......... ........`13.a.,,~,,...~. y G 5- ..................................... ...~.¢---~s~~-- N ~~..,..~.~.9 7 ta ,..r~~°'!~'-5~:'v'9A.7!- ....................:. .. ....~,S.G:0..X.t.....w.../~{{A.4.2.~..c~...9~ ~:4...~.........a-~ .~~-~. ~.:em.~~. ....................................... !(J~J~ ........ ............................ . ............ ...... ct premises located at ..,~~7...~d.......' ~:..! O1r."'!c?.....~.~........~~i ................................................................................................................................................................ Caunty Tax Map No. 1000 Section ...... b~ ©...... B~lolck .....Q..~.........J. Lot No.....I. 5 ............. pursuant to application dated ..~.GL.r,~......~[ .................. 19.Q.9., and approved by the Bullding Inspector. Fee $.~.~.... .i4l~b`. ~'. .... ............ Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART?LENT TOWN HALL • SOUTIIOLD, NEW YO[tK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY r'j~~ ; JAN I ~ ~ fi,~i'I ? "~;~. !, DATE...1..! ~,:Il,...... NEW CONSTRUCTION .......OLD OR PRE-E%ISTnnING BUILDING.~C..VACANT LAND..._.... Location of Property... ~©~©Q_„„~'~-L~,~,,....~~~165~ l~.__._. HOUSE NO. STREET }}A MI. P.T Ovner or Ovners of Property.....~~.~~0 _ _ IvC~'~! . _~;pcQ.J~ ~~11 q ..................... County Taa Map No. 1000 Section ~ V Block .°~._.. Lot- I Subdivision ....................... Filed Map ........Lot.......... Permit No. ..........Date of Permit ..........ApplicanC ................... Health Dept. Approval .................. Undervriters Approval.............. Planning Board Approval ................ Request for Temporary Certificate .:..... Final Certificate ...... Fee Submitted: s....S©..~.....--•- APPLICANT .l~.~`;~d;,,/'_ `~1!=~~G° .............. . rev. 10/14/88 ~PiC.LI~Iate Co~19~~7 ~'+• .~. FORM N0. 6 ~, TOWN OF SOUTHOLD BIIILDING DEPARTMENT 'i TOWN HALL ,~ 765 - 1802 APPLICATION FOR 1;ERTZFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must by filed in typewriter OR ink and submitted to the Building Inspector with [he following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and uausual~,natural or topographic features. 2. Final approval of Heglth Dept. of eater supply and sewerage-disposal(S-9 form). 3, Approval of electric$1 installation from Board of Fire Underwriters. 4. Sworn statement from !,plumber certifying that solder used in system contains less than 2/10 of 1Z lead; 5. 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 requirements. B, For existing buildings ('Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" landluses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed 'application, a consent to inspect signed by the applicant and a certified abstract of title 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 O,ecupancy is denied, the Building Inspector shall state Che reasons therefor in writing to the applicant. 3. Date of any housing code ar safety inspection of buildings or premises, or other pertinent information', required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. Aa 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 oflthe 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 in writing to the applicant. D, FEES: 1. CERTIFICATE OF OCCUPANCY - 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 $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 Certificaje of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial APFLICATION ON BACK rev, 10/14/S8 c'1::LD ICSPEC:IUtJ ~ ~DATE ~ GUa~ft~fENTS .. 1 m . ~ . 3 H c0U11DATI0N (1st) ~ c FOUNDATIOIJ (2nd} _ ~ ~ m y 2 _ ~~ . z o ROUGH FRAME & .PLUMBING ----~ ~© ~ p 7 U ti y ry 3. ~ O Ii1SULATIOPI PER N. Y. '" y STATE ENERGY Pi CODE x A y FI;JAL z ADDITIOPIAL COMMENTS: x „ n n ra x '° ' ~.J H ~~ 71 V H H O ~,Q 2 Q [*1 a i~ d m ro H W }: ~ ~ Z ~ (n ~ 0 ~ ~ o .___-------- -- -- Q ~ 0 ~ I- 0 Z p!o)~-(;~~o'j Z1iyL1.s 03SOd.0~~ c (n ~ _ ~ Q ~"- ~ ~ ~ ~ li U ~ C7 ~ ~ ~ _' A131pOS 3pN31pS NVIISI!!HJ j/ O/ N 2 O s, ~ J ~ O ~ c O ~ ~ o cz ,19'901 M „09,~b oZl'S ~- 4 V Y ~~ 6 M1 m_ v\ m r _ m I / O o I / o / / o ~ 0 m ~ r, +i i co w m W 2 ' F } ~ yV ~/ \/\/\i ~E ZI O O ~- - ~Jp s M LL P N _. -.- .. _ __ w t~ r.: ~j . +•bS LL__ ,0 d m 04 '~ ,NSA y - - - - - -- - .. __ . O _ _- - -" --- ~ - --~_--~ - __ _. u ro N `' ,/1 ZW ~^i w ~ ,SW'1 W ~ _ 1Y l3 N ~ „ ~ K y ~ -. N 1 V y \i Z ow ~ ~ - 3y ~ W . h 'p N U .L S2 I O N ~ ,y c C ~ Q1 0 o i x,92 m w o ~ W w ,( p p. . , \\\ - - - - - - - N o , s s d ~ " ~ ti ~ W 1 ~\ ~ Q y - w Z m . , m of ~ ~ 1 Y - O ~ w ¢ N , Q ^ ~ ~ ~ y H d 7 d o 6 B W O b U (rL C,, ~ b m a N y W R I V O O N ~ d W m 10b^ '• C a W ~' O _ • C D ~ ~ ti z >. ~ ,~ v \ r 0 1' ,~~ . 1 ~ ~ e s O y O • cp ~ $ F ,~ 3 o I y \ \ O n f~- In '- v/ M I Q \ ~~ O ~ N a , \\\ IInI~M O e y ~ \ I ~' ~ d LL ~ s ~ ~~ Z ~~ `JQy/c Y ~ OV - _ w o srs ' - - NItlM _. ._. 3015.', ~ ~..~ONOO - ~`.~ BN 00 ON00 _- __ __ __ _____ 6tl00 'ON00 O~~J~S s~ ,06'89 '31109, £b oZl 'N ,9A"9A o\ 3 „01 ,69001 'N ti~V m w (5Z 'PI'S) at/rJ2i ~ NI`dW ~ ~,4 ~. ~~1~ ~ '~.~F-~ ~s '~~ ~ 3 ,~,,~..~ -: {.,., ,, :~.,.w s;e ~ ..~ :.,,, sr,.: _u;, , ~, Exiflf. WoW "R7 I ., '\ FLOOR PLAN ~:io ~IO'It~ ~. ar.~ New j~i~ '~ ~. ~N ~.,Y.7l.lt7 ' (/ \'L\ O ~I.DW .~ _~ z~ , ~~JOMN A.QRAMMAS ~"~°'-~° ,~.~'riv~ ~ 4 ASSOCIAT68 ~ ~~'~ ~ ~"~~-'~~ J?Xx~-~ M6iN Face . O~0 WILLIO AVI. ~'i'1'bl..P, ~.1.'r' Ilq'11 A~OIRTiON~N.Y. 1f~0T ~~,TNI. tito, loop-p7~~~y-~G' ORAWN~ ~/,/~ DAT~~ ~• Ip-gy~ I I`i-ci~l~ Pu~ D1IAWIN0IM 1. CONT.* !o I.~-~ a THE NEW YORK BOARD OF FIRE UNDERWRITERS rAVx 1 1Ut)(19.1U EUREAU OF ELEC:TRK:rt1f 84 JOHN STREET, NEW YORK,NEWYORK 10038 pate AITRIL `l.U,:1.9K~} Application No. onJile KO'1d4189J$9 N 0672t1.1: THIS CERTIFIES THAT only the dactrieal aquiprltant e. dacrihed 6eb1e and introduced 6y tAe applicant named on the ahooe opp/ication number lr! tAs promises of ~ HARPE: RT3AI:i'Y, 5U30U NAfN ROAD, SOlT7'N01,[7, N.X. in thefofbleinq location; ^ Basement ® lst Fl. ^ Ynd Fl. Section Block Lot ,roeF examined on Ai'Rl. i, U3,1.9$9 andfound to bein compliance frith the reyuirernenfsof this Board. IIXTUE! AGEi fYNT01lS RX EANO/f COOKIND DECKf O DM311 WASMlES EXHAUST FANS OUT1M NGNDlSClNT P1U011ltClNT OTNFR AMT. K. W, AMi. K. W. AMT. K.W. NAT. K. W. AMT. N. P. 7x .R 11 27 1 1 r• DRYlRS RNINACE MOTORS 111TIIY A/!lIANq lrEEf SMICiAI EECVT TMIECIOCaf ENl UNITNGTAf AXILT40YM DIMMlES AMr. K. W. dl N. P. GAS N. P. AMT. NO. A W.O. AMT. MM. AMT. AMrt. TRANS.. NAT. X. P. 1q~« ~T AMt. wATfS 7 IiUG IERVIC7 DISCONNECT N0.0! f E R V 1 C E '. AAa: AW. TR! ~• 1 / tw 1 / [w 9 / 3w t,F nv No. Ke icoNO. oP cc ' o' NO. a ~x~1to ~~~.~ N0. or NFUVA1s a"'Nwt4nA1 OTNN A!-YAtllf: 1-T'i}N AC UNIT-]. (:.F.c.l:-1 SNOK.K UE7~ECTOR: ~]. 'l'RA4K L1GNTaNC>c-1.4 ~~ ROBERT NC,'llBRRBiIRN GLG.1lP:910 ~ l19 I+1riG>'~ON Nlt.'t, RI). NUNTINdTON, NW, lt'746 ~- 11 , , Y Pn T11k catlNltaN tAlnf 1101 1» OlNrrad in a1ry 1110Mar/ raNrn f0 t11e a1Rea of tIM q i11CMfK1. IIISpK10rs. ~ BYfIrg7danNals. r >~ ~.: COPY POR BUILDING D[PARTMlNT. THIS COPT OF ~ TE I~KT NOT RE AL At FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y. 11971 TEL.: 765-1802 B0~1RD OF HE,tLTH ............ 3 SETS OF PL.1NS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL MAIL Examined . ~-??~!~.~ , 19 $9 Approved ~Urntia4.kly .~, ., 199. Permit No..L~.7,~~ ~ Disapproved a/c ......jv. .............................. . (Building Inspector) APPLICATION FOR BUILDING PERM17 INSTRUCTIONS ..................... T0: Date ~?N~c"!"~.:?..,.., 15.~~.1 a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit 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 any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Petmit_pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections- ,~ / (Signature of applicant, or nat~ie, if a corporation) 7`1 n ,/ ,, ~i J-v. l5~ ~7CS SOU `/.o{lX ~ ,~/y ~~. ' (Mailing address of applic t) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....C,W.!`!nr ................................................. I ( ................................. Name of owner of premises ..71M?!z9.. ~ L'L'.k'~ .. ~`~ :............. . . .................................. (as on the tax roll or latest deed) If applicant is a cor orati , signature of duly authorized,/o-f-ficer. (Name and title ~ orate officer) Builder's License No . ........................ . Plurnber's License No . ....................... . Electrician's License No . ..................... . Outer Trade's License No . .................... . 1. Location of land on which proposed work will be done . ............... ~................. , . S.~ 3 00 . , .. YYl U ~.^' .. Q o t~........~ ~.:~ I'~.u ~dt......... ............... . House Number : Street Hamlet l _ County Tax Map No. 1000 Section .... ~ .? ~ ........ 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