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Home My WebLink About17677-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offrce of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17749 Date FEBRUARY 9t 1989 THIS CERTIFIES that the burldln~ ALTERATIONS Location of Property 46520 NORTH ROAD (CTY RD ~48) SOUTHOLDr N.Y. House Ho. Street Hamlet County Tax Map No. 1000 Section 55 Block 5 Lot 7 Subdrvislon Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fried rn this office dated DECEMBER It 1988 pursuant to whrch Burldlng Permit No. 17677-Z dated DECEMBER 12r 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certlfrcate KS issued is ALTERATIONS FOR A DELICATESSEN IN AN EXISTING BUILDING The certlfrcate KS issued to (owners of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING 1/30/89 PLUMBERS CERTIFICATION DATED 2/7/89-HENRY J. SMITH & SONr INC. ANDREW MICHAELS PROPERTIES t LTD. 2/2/89 - PENDING Burldlng Inspector Rev. 1/81 FOl~f NO. ~ TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB G:7677 Z .//~.~..,t'+ ......... ..... ~~~/...,. ~.~.. ........ // ::::::::::::::::::::::::::::::::::::::::::::::::::: County Tax Map No lO00 Section ,, .~.,.. .... Block .... .~ .... Lot No ..... .~....,. pursuant to application dated ............... Building Inspector, Fee $ .~~.. .......... , 19..K~'.~, and approved by the Rev 6~30~80 TOWN OF SOUTHOLD BUILDING DEPAKTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY .;. /?. ./:? ...... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING. ..,.~.-VACANT LAND ........ Lo,ation of Frope:t:....~..~? ..................................../~ ~ a~ ~ ...... HOUSE ~O. STR~T HA~L~T 0~,~ o: 0~,~:~ o~ ~:o~:,~. ~:--~:~: ...... <7.'..:/.~: ............ County Tax Hap No. 10~0 ~ec~ion ..... Block ....... Lo~ ....... Subdivision ....................... Filed Map ........ Lot .......... Permit No ........ of Permit .Applicant ..'. ........ Health Uept. Approval .................. Hnde~wrlters Appro,,a~../~-.~.~.~<~ .... Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: rev. 10/14/88 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~ DATE //$~//~ , INSPECTO~ FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL REMARKS:~- .,m__/~.,~__z_~.~.~. ~ - DATE ?~>,~//~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL DATE /~, '~/,P~7 INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ~BG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMAR / 5/ ' 7' ' ~ DATEZ/~////~ ~' INSPECTOR~ 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 'IST [ '~/RROUGH PLBG. FOUNDATION 2ND L ] INSULATION FRAMING FINAL I NSPECTORU~-~__~ ~--'~~ ~BUILDING DEPT. ~ INSPEGTION FOUNDATION 1ST [/~OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION E ] FRAMING [ ] FINAL REMARKS: ~-/~- ¢/~:?~ INSPECTOR~~ DATE / ; 765-1802 BUILDING DEPT. FOUNDATION 1ST FOUNDATION FRAMING REMARKS: INSPECTION [~ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL DATE INSPECTOR iE'LD *.~,, S, ~OUNDAT!ON FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBI~ INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y 119T1 (518) 765--3690 [nc, CERTIFICATION D a t e __F_e br_u_a_r.v_ 7 ~ _1~_8 9 __ Bu~ld~ng Permit No.__13~21[ ....... Plumber Henr~. J. Smmth & I certify that the solder used mn the water supply system contains lees than 2/10 of 12 lead. Sworn to before me thms 7th day of 19_8_9__. ot y lic Notary Public, County BERNADETTE L TAPUN NOTARY PUBLIC Y,,4844893 State of New York Residing In Suffolk County Commission Expires Sept, 30, 1~ DESCRIPTION OF VIOLATION QATE PAI~ 2: BLUE MA.INI~X~CE ITEMS V~(~kTIC~S ESTABLIS~V~NT AS PN~;IDED FOR IN3%RTICLES 2 A~ 13 OF ............... '~%RY CODE INCLUDING A H~AP~ING/ Pt~IBLE s~c~.?~o~ / j g ~-~u~.~ , s~ ~'~¢: ¢¢ ~ , ~,~. FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, 11971 TEL.: 765-1803 Dtsapproved a/c .......................... /(B~ng Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH .......... 3 SETS OF PLANS SURVEY ................... CHECK .................... SEPTIC FORM CALL . . . MAIL TO~- _~-~--/---~m. o ~ TOWN OF SOUTHOLD INSTRUCTIONS a Tins apphcatlon must be completely filled in by typewriter or in ink and submitted to the Building Inspector, sets of plans, accurate plot plan to scale Fee according to schedule· b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of tins a cataon. c. The work covered by tins application may not be commenced before issuance of Budding Permit. d. Upon approval of tins application, the Building Inspector will issued a Bmldmg Permit to the applicant Such pe shall be kept on the premises available for inspection throu~xout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a CertifiCate of Occup shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant t¢ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmanc. Regulations, for the c~kh~i_,{lql~ll~gs, additions or alterations, or for removal or demolition, as hereto desert The apphc~nt agrees t'&"dGrlip~r37 27vttll a""II ~/15phcable laws, ordinances, building code, housing code, and regulations, an, admit authonze~lbl~I {~rea3ase,~ nd m'.ll~ui'lB, mg for necessary (S~gnature ot apphcanl, or name, if a corporation) (Mmhng address of apphc~t) en~neer, general contractor, electncmn, plumber or buil, Name of owne ~tr~~ '~ ' ' (as on the tax roll ~r [at;}t ~;ed) If apphcant.3~j~l~p~re~Dlfldul~fiOrized officer ~ ~ . 3~~. .. (Name and t~tle~f co.orate officer) Builder's L~cense No /?,rid 6 OL~ Elecmman's L~cense No ~L'C~ ..... Other Tradc's Dcense No 2 Location of land.~on which propo~d wo~rk will be~-'/d°ne ....... ' ~'~ t~'-'~c.~- ......................... 4 .d/~/- ~ · ./.Z. ................ ............. House IKum bet County Tax Map No 1000Sectmn Subd~smn ..... (Na~e) Street Hamlet ..~.h'7 ....... Block .. ,..~.'.. ........ Lot .... .~, ........ · . Filed Map No ........... Lot State ex~Stmg use and occupancy of premises and intended use and occupancy of proposed constrnctlon· a EMstln, use and ecu anc ........... O x ~ ' o p Y ..... ~lF"'/ ......................... . ..................... .... 3. Nature of work (check which applicable) New Budding ......... Addiuon ........ Alterat2on ..... Repair ............. Removal ............. Demolition ......... Other Work ........ o~' ~ (Descnpti, 4 Estlmate'dCost . ...~.OO..O.,..--"- .................. Fee t2~.,4~'..~".. ................... (to be prod on fihng th2s apphcatlon) 5. If dwelhng, number of dwelling units ............. Number of dwethng units on each floor ......... If garage, number of cars ............................................................ 6. If business, commercxal or mixed occupancy, specify nature and extent of each type of use ............ 7. Dm~enmons of existing structures, if any Front ............ Rear ............ Depth ........ Hmght ............... Number of Stones .................................................. Dunenmons of same structure with alterations or addmons' Front .............. Rear ............ Deil~l~ .... ~ ............ Height ................... Number of Stones ................ 8 Dlrrrmm~ns ~[l~t~re new construct2on Front ............... Rear ........... Depth ........... Height .............. Number of Stones ............................................ 9. S~ze of lot' Front .................... Rear .................. Depth ................. 1.0. Date of Purchase ............................ ~N;5_m.~.e of Former Owner ....................... I 1. Zone or use d~stnct in whmh premises are mtuated... /,--5.. j. .................................... 12. Does proposed construction wola~e/a..ny zoning law, ordinance or regulation .... ~..~. ................... 13. Wall lot be regraded ..... /I./~ ............. Will excess fill be removed from premises' Yes t 14. Name of Owner of premhses ..... ~. ~ ......... Address ..... Phone No. ·. Phone No. Name ofArclntect . . ,g~0t'~'~.. ~..~.1.( .t~.t/./ ...... Address .¢}~i0~.~i J J~..~i. i .fi~..'' Name of Contractor ....~o.~....~q~.~.,.s ....... Address .~¢~./.1, ~ ...... Phone No..~.~..~ ;.7:..~.~.. 15.Is this property located within 300 feet of a tidal wetland? mtgS .... NO.I-~. *If yes, $outhold Town Trustees Permit may be required. PLOT D I AG rOMM Locate clearIy and d~stmcfly ail buildings, whether ex~stmg or proposed, and indicate all set-back dgnenslons t property hnes Give street and block number or description according to deed, and show street names and indicate whe interior or corner lot. FOLLOWING INSPECTIONS. 1, FOUNDATION - 'I'~0D~[~U~J} 2. R~H - ~ · ~ 3. INSU~ ~OE8. ~ ~ STATE OF NEW YORK, COUNTY OF .... ..... ....... .o~. **...~,. A .~:,S ....... .,' ...... being (Name of individual mgnmg contracu above named. duly sworn, deposes and says that he is the apph~ He is the ................................... (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is duly authorized to perform or have performed the smd work and to make and file apphcation, that all statements contained m this apphcaUon are true to the best oftus knowledge and behef, and that work will be performed m the manner set forth m the apphcation filed therewith. Sworn to before me thru ...... .......... d=y or .... UND~ J. ~0~ ~/ (S~onarure of apphc N~ Pubhc, Stye of N~ Y~,/ No 4S22SS3, Suf~k Term ~res ~m~r 31, 19,, 1,5