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Home My WebLink About17530-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217946 Date APRIL 14, 1989 THIS CERTIFIES that the building ADDITION Location of Property 31095 MAIN ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 02 Lot 24 Subdiv Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 7 1988 pursuant to which Building Permit No. 175302 dated OCT. 14, 1988 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 ADDITION TO COMMERCIAL BUILDING. The certificate is issued to H. RIENECKER/S. FRIEMANN (H. & S. ASSOC.) (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N058894 FEB. 15, 1989 PLUMBERS CERTIFICATION DATED N/A f Building I~~ p to~ Rev. 1/81 r~oaat 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) N~ G17530 Z Date ... ~.~>.,.....~.~ .., 19. Perrnission is hereby granted to: , ..~p~.......1..~.~ ........................................... .........................................................................................................(..~.....-..y....J.~....~...................---...--.---~ ct premises located at ...~ ~ ~.~.~..........t~.44.r.,....~ :............~..S.~.aC.(.4.M. ,~..._............... County lax Map No. 1000 Section ......~.~(.~~-....... Block ......d~.-...... Lot No.....01.~........... pursuant to application dated ....~?. ~..4?!^.x:4....7 ...................... 19.~ 8., and approved by the building Inspector. fee $...1l`.R:':q..~~.. Building Inspector Rev. 6/30/80 r-onnn No. a G%e.~l. TOWN OF SOUTHOLD Building Department ' Town Nall Southold, N.Y.11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ e~..~ to the Building Inspec- torwith the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, dnd unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S~9 form dr equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable, B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p,mperty showing all property lines, streets, buildings and .unusual natural or topographic features. , 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accessory ~$ 10.00 Business $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 C.O. $ 20.00 ~ . 5. Updated C.O. $ 50.00 Date ......,.~~3~~7„ ........ NewConstruction,,,,,,OldorPre-existing Building ....!~..... Vacant Land /~ Location of Property .............. . : ~?'l!S,L,(,a, ,~~,~? ;yam, , C-;,,GTe- . ~~ ...... ~'O~. House No. ~/ Street Hamlet Owner or Owners of Property . ~/..~, S- ; /f 558 c ;rf ~.~.5 County Tax Map No. 1000 Section ~~~:.~.~ -~ 5` Block ......"-...... Lot .... '' :....... . Subdivision .......... . ......................Filed Map No. ~'"'°;', , . , ,Lot No. ......... . Permit No.O/7S~o.Z Date of Permit .~4/ii~.6:~Appl , , ~i,~~,~, ~s~'Q~/rf 7r. F' icant ,,,,,, , Health Dept. Approval . ..../~.~/.~- ..........Labor Dept. Approval ....... .::"`:. .. . Underwriters Approval .....l~/./S. S ......... . ...Planning Board Approval .~r:5.... `./_ ..... ~3,/~~ Request for Tem~orary Certificate .. . ..................Final Certificate .......K: . Fee Submitted $,P~.....7?^.~.', ,~, , ,~Q:Q.O..... ............ . Construction on ~bove described building and per m s all ap~ble codes and regulations. APPlicant ........~~j:..... ~~ ............ Rev. 10-tOJa ~~ lid! ~ ~ ~ 7Q ~~ Ca '~/79Y/ r'lELD It:SPEC;iU;J ~lliiTC. ~ %OMMGNT° C •• 1 ~ ~ m a 4 . -- - H G y ~0 FOUIIDATION (1st) _ = 0 c r^OUNDATIOt1 (2nd) ~ ti ~ 2 . z o L1J ROUGH FRAME & ~ „ j PLUMBING ti H 3 . x' cn r ~ 1 I1ISULATIOft PER N. Y. y STATE ENERGY CODE x a ~ 4. .e~ : _ m r y FIi1AL o ADDITIOIIAL COMMENTS: x a .f --ri ' m x w~ H y ~ H o z ~ 0 m • r ~ - ~ v m ^ o y THE NEVI YORK BOARD OF FIRE UNDERWRITERS vA<-~~ 14107,091 BUREAU OF ELECTRICITY 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date i'1{HRlIARY.]5,99$4 AppltcerionNo.onJile F0~546$4/$4 N 115$$94 THIS CERTIFIES THAT FQj~G~IlF4f f/jJEfuf~ /}UTD I~M127'S only the electrical puipwton~j,ofl dncrihed 6dmo and introduced by the opplicMtt nomsd on the ohove eppltation numhsr in tks prsmLee of ti F MACH1HTti SHCaP: STr:RL1Nt; ..A. Cli'Ct;H<H:Uf;,'N.K. in thefollalrinR h~cattow; ^ Basement ® Ist Fl. ^ Ynd Fl. (11/T Sertiun Block Lot rAws examined on p'F'~111~A11~ ~k'1'4~4 andfound to 6e in compliance with the reyuiretnents of thL Board. A%TUIE OUTIM An K fINITCIIlf R HC,A110ltCEM ~ rlUOetIQM OTXEf1 RfU MAT. 10K K. W. OtIOKMq AMT. alCKf K. W. O AMT. LW. qYK W AMT. K. W. T leA1K AMi. X.I. 13 4 DRYMS AMT. K. W. dl t] 4 ) F RJRIiACE MOTOEs IYTItRR A!lIIANU RiMR fPlClfII RRCR X. 1. OAS M. r. AMT. AIO. A. W.O. AMT. AAV. TIeIE CIOC%f RW AMT. AAVS. TMNS. IMIIi IIRATHf MM11-011Nf AMT. M. r. ND.Of R>R 3 P` MMMRK - AMT. WAiTt 3 50 !lRVla Nl001e1'M CT NO.tM 5 R R V 1 C E AMT. AMr. TMt ~ 1 / 7W I / iW J R t`N 7 / Qv ~' h~ `COND. d' CC NO. Oi X4LEG pp~~ Oi MWI.~1t0 XO. ar XeuTSAls a • W OTMEI AT~ARATUS: RxzT r,r.Txs-z RI,RC. ROPM HRATRKS:1-1600 H.11, MCl'CORS:t-3 H.P.,1.-S H:P. _~ ,ero~ - GARII I~Hi)SKr Lr,C.~2941. R 4;10 MON36i~i, .1.N. CUTI;HOGIIIti; NY, 7.1435 OMlll RAA11110! ]] Per Thif urf111COh tnutf 1101 I» Olterod in airy manner; return f0 fIN Olliu of fIN oaafA~~;(wcorrM. Inspecfon moy lie ideni~ad 4Y Char.CredenNdt. FOR WILDING DEPARTMBIT. THIS COPY Of FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..o.~r."..l`f .., 19 P.~ Approved . !~!':~'?~:. ~.`~ .., 19 ~~. Permit No. ~ .~ 5.~~. ~. BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL T0: Disapproved a/c .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS OCT ' 7 ~ggg Date .~~':'TU73~-?~...la ., 19rP o. a. This 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 oar 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 Penrtit 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 Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, 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 inspect' nsr ~.~. ~n~I (Signature of"applicant, or name, it- a corporation) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... Ac-rcr~~~-: -•• ............................................................................... . Name of owner of premises .`l.+1%~l!7~~~i~~~l~~rg ..~...11~/./~2~t~..~?n:-!Jrf°.~~:~? .................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .............................................. . (Name and title of corporate officer) Builder's License No. .. /. ~..J~. ~ ~... ~~ • ~SU~z'°r` ~~~ Plumber's License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . Location of land on which proposed work will be done . ............... ~................................. . House Number Street Hamlet County Tax tap No. 1000 Section .... 7! ~? ~ ....... Block .......~°-......... Lot .... ~ . , , , , .. • . . , Subdivision ..................................... Filed n4ap No. .............. Lot .............. . (Name) 2- State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....~ ~.T/1" t ~'• • •'~U~'• • • /~, eF;n-'~S ...-~`•7.r7 f2~ b. Intended use and occupancy R•~I•"•('f'~• • ~;uT °• • ~'`~~~ ~fd???lt;~.'S'7°US~s ;~~Sln(~; ~~}'e~td8, ~;~y!vb? • , 3. Nature of wor6 check which p • • • • • • (....... Re aPPlicable): New Building .....'..... Addition ....Y..... Alteration ........ . Re air moval ,,,,, , , , , , , , , , Demolition .............. Other 1Vork ..........:`:. . aa9 (Description) 4. Estimated Cost ......... ~di ~"~ "'"~ /_ Q., ---" ................ Fee .~~....................... ....... ... (to be paid on filing this application) 5. If dwelling, number of dwelli If ara~e, number of cars ng units ............... Number of dwelling units on each floor .............. . g c ~.... ... - 6. If business, commercial or mired occupancy, specify nature and extent of each type of use . ~L~'. , .~f~°% , , , , , , , Height , , ,.,may . g.... Nures, if any: Front ..... ~~-.r...... Rear ~",l, ~...... Depth .. ~..Z:... . .... ... Dintens~ons of exis~in stntctµ'nber of Stories .... ~, , , , , , , , , , , , , , , , , , , , ~ ......................f...... Dimensions of same s~ructure',with alterations or additions Front ......~~........ Rear ..... ~.~, , , , , , Depth ......tJ.. ~....... 8. Dimensions of entire new con ' ' Iieigltt ........3,-?:-, ..........Number of Stories .... ~.F,Z,+.QN,T,~,` ,~djk(L struction: Front .... ,S'-~i .~...... Rear ....:-f~. ~..... Depth .. ,/,/,Q....... . Height . /.'~..... , . N~imber of Stories ....... /. . 9. Size of lot: Front . ........r ............................~ ........ . .... ~.~ .......... Rear ....../, ._?:........... Depth ..../,-;:.~r.Q ......... u • • ~• 2~ ~~~• ....... Name of Former Owner ..~1~{A-hr, , ;X~, ,$~,~r~/,y 101. Done or usecdistrict in ~ic~ premises are situated .....~'-l. ~/ ' 12. Does proposed construction violate any zoning law, ordinance or regulation: . 73. Will lot be regraded ... ;S'~/.$,fFT.<,.4f„ " ' ry•~• • " " " " " " • • _ • • • • ..... ...Will excess fill be removed from premises: ,Yes c P ...... ie~/~t<tp'~K'-!e"7q,!~!~Address ,+~~„i.~;gµyCnfi-.........Phone No..7,.~Y.-6:~I,B... . Name of AOrchiteot remises ~ , , ,Address .... . . .... . . .......Phone No.............. . Name of Contractor . M4da,'r.~N, ,~~, ,r4A/r,,t~~ ~~ ,Address . A4 f ~!r~ , , , , .Phone No..:~~.~ ~v`~ ~y IS.Is this property logated within 300 feet of a tidal wetland? *YES.. .NO. . *If yes, Southold TocSn Trustees Permit may be required. PLOT DIAGRAM ` Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property Lines. Give street and block number or description according to deed, and show street names and indicate whe4hex interior or corner lot. R,It, pl' I R7 ,F /.JM7~ ~S'TERL/N4 LA-NG Sb~ n ~N M ~ a 1~ ') Z 7f ~~ iaao, STATE OF NEW YORK, COUNTY OF ................. ',S.S / ~ 9NN~m ~of indiv~ ~~ q~-i~/ ' • ~ ~ ' ' ' ' ' ' ' • • being duly sworn, deposes and says that he is the applicant ang contract) above named. He is the ...........~:~~r/T..,, ..... I (Contractor, agent, corporate officer,.etc.) • ~ • • ~ ' of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that alt statements conttjined in this application are true to the best of Itis knowledge and belief; and that the work will be performed in the manneF set forth in the application filed therewith. Sworn to before me this I ' ,~ Notary Public, . / ~as•~~"4~s~tr,~.l''; ...... ...... ty NotagAp bARASM. HAURUS rY fate of New York ~ ~ • ~ ~ ~ " ' • No. 5&o80677p (Si,nature of applicant) Qualified in SNffolk County Commission Ex~ires 12.31-8ft