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Home My WebLink About17249-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18787 Date FEBRUARY 9, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 53345 (SC) MAIN ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 61 Block 1 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 25, 1988 pursuant to which Building Permit No. 17249-Z dated JULY 25, 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 SHOE REPAIR SHOP AS APPLIED FOR. BUILDING #5 The certificate is issued to COBBLER OF SOUTHOLD (tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 5-59 - 2/9/1990 UNDERWRITERS CERTIFICATE NO. N-083197 - JULY 31, 1989 PLUMBERS CERTIFICATION DATED N A Building Inspector Rev. 1/81 r~oax 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 O ~ 17 2 ~F 9 Z Date 19.~ ~l ~/CD /~.~~~~e~r~~~~ . Permission is hereby granted to: ~...~..~..:.~:........~..3.:s.~ ta .....r:I!r.?.~2a~a4~[.r14.:......~......... ~ C~ 4:IP:.:'G..... ...............................................................1..................................... ~yy~ /~..........t ct Premises located at .~~~.~~.........<.~.~.~i...1(+'d..../..1•~ . f. County Tax Map No. 1000 Section ...Q..I~.t......... Block ..............~yLot No....I,~~....~..~ pursuant to application doted ........C~/~f~~q2%~~......~.?... 19.11..,,, and approved by the Building Inspector. Fee ~/t!QU..~~l Building Inspector Rev. 6/30/80 t- - TOWN OF SOUTUOLp IIUILDINC DEPART:1C17T TOWi1 QALL SOUTNOLp, NEW YOI1K ]1971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPAt1CY ' DATE. July 20_ • 1989- - • NEW C0:ISTRUCTION X..,-OLD OR PRE-E$ISTII7G IIUILDING_..._.VACA2IT LAND.._..... Location of Property.-•53345 MAIN ROAD•CSC) SOOTNOLD, NEW YORK STREET UAMLET O v n c r o r O v n c r s o f P r o p e r t y _ .1'UDGE CORD' C COBBLER OF SOUTHOLD, INC. ) County Taz Hap No. 1000 Section 61 1 12.2 IIlock Lot Subdiviaion... Filed Map ......_.Lot........_. Pcrt:it :10, 17249=2- 7/25/88 D a t e o f P e r m i t PUDGE CORPORATION ..-~..---.Applicant Ucalth Dept. Approval " Underuritcrs Approval.N=020842 PlanninC IIoard Approval Request for Temporary Certificate • Final Certificate rCC SubmlCCCd: SD I%~ APPLZCAIIT\':-,~/_yf?;Li ~v' 10/14/88 C'~-ez. 3~y ~s Co 1'b1~~ Ic,LD i~.s:~ECTION ~~uATE ~ corrrtcurs p i. _ - _ _ H FOUtdDATION (1st) e~IV FOUNDATIOtJ (2nd) _ _ ~ { 2 , fII" z o C~ ROUGH FRAME & ~u ~N PLUMBING ~ H 3. ~ ran IIISULATIOPI PER N. Y. ~ • STATE ENERGY CODE ^l r 4 . .--i y Q FIidAL \ n ADDITIONAL COMMENTS: ~I ro ' x~\ x Q\ a o z 1 e r H x d m H 7HE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 .001381 Bl1REAU OF ELECTRICITY ®5 JOHN STREiET, NEW YORK, NEW YORK 1003E1 Unre JULY 31,1989 .4ppliroNorlNo.anfDe 63363689/89 N 083197 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant Homed on the above opplicotion number in the premises of JAMES L. GRAY SR, MAIN ROAD, STORE~,_11 BUILD C, SOUTHOLD, N.Y. in the folluuing laratian; C~ /Jasemrnt ~ Lvt Fl. I__.~ 2nd F-1. 0(JT .Section Ulw•k Lut uas examined on JULY 10 ,1989 and found to be in compliance with thv requiremen 6v q/ this IFoard. FI%TURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FWOREJCENi OTHER PML K W AMi K.W AMi K.W. AMi. K.W. AML H,P 12 6 7 6 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi K. W. Oll H. P. GA$ H. P. AMT. NO A. W G AML AMP bNi. AMPS TRANS. AMT H p SYSTEMS AMT. WATTS NO.Oi FEET 1 F 1 30 SERVICE DISCONNECT NO.OF S E R V I C E METER NO. OF CG COND A. W. G. ~ A W G A W G AMi. AMP TYPE EQUIP 1.6']W 1,6'JW 3,e 3W 3A4W PER .e' Of CC COND. NO. OF HbIEG OF H4lEG NO OF NEUIRAIJ OF NEULPAI OTHEA APPARATUS: 2 TON A/C UNIT-1 FEEDERS:1-4 # 3 BASEMENT TO 1ST FLOOR PANELBOARDS:1-14 CIR. 100 ELEC. WATER HEATERS::1-2 K.W. _ -t'~ JODY PUMILLO LIC.#2300-E C~/~~ PAT LANE MATTITUCK, NY, 11952 GENERAL MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. l/ C'Qbbler ~~1~. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001381 BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 10038 Uate JULY 07,1988 ApplicatianlVo.onfile 55679388/88 N 020842 THIS CERTIFIES THAT only the electrical equipment as described betoto and introduced by the applicont Homed on the oboroe oppiicotion number in the premises of JAMES L. GRAY SR., MAINROAD STORES# 8-9-10-11,BLDG. C, SOUTHOLD, N.Y. in IhefoRuuing location; ? Naaement ? /at F'l. ? 2nd NY. OUT Sertion Blork Lot u~os exornined on JUNE 09 ,1988 and found to be in cumpliunre with the requirenrenty q(this Ruard. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT v.P w AMT. K. W. AMT. K. W. AMI. K.W. AMI. K.W. AMT, N.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UN17 HEATERS MULTI.OUTIET DIMMERS SYSTEMS AMT. K. W. Oll M. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP AMi AMPS TRANS. AMT. H P NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO, OF 5 E R Y 1 C E METER N0. OF CC COND. A. W. G. A. W. G. A. W. G. AMT. AMP. TYPE EQUIP. I'e tW 1%8W 99JW DRAW PERd Of CC.COND NO, OF HLIEG OF HIAEG NO. OF NEUTRALS Of NEUTRAL 4 100 CB 4 X 2 3/0 2 3/0 OTHER APPARATUS: JODY PUMILLO Gj~~~ PAT LANE MATTITUCK, NY, 11952 OENERAt MANAGER LICENSE NO. 2300-E Per 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors moy be identified by their credentials. t' C "_s , ' " BOARD OF HEALTI~ 3 SETS OF PLANS . FORM NO. 1 SURVEY , , , , , , , , TOWN OF SOUTHOLD CHECK aO. sd0........ , BUILDINGDEPARTMENT sEPTIC ,r•oar3................. ' TOWN HALL ~ ~ ` SOUTHOLD, N.Y. 11971 NOTIFY TEL.:765-1II02 CALL ~j0 MAIL T0:_~~,~ Examined . ~191Q/. fj ~y ~ ~ ~Z~"'~~' Approve`/~`~"~G •~r 19r!~Pcrmit No. D Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT n`)~ --,,,,,ppppp~~~~~ Date~~ 15~~' INSTRUCTIONS 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 grt<nted 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 necessa . inspectio/n~Js{.!/' ~~/[//.j~~j!~ ,k r~ r.~- ~(SignaUtlr ot:app~icant, or name, if a corporation) ~~Z`~uti hca~ ~ e~~,y /33U. ~j.~~y... /19.7 . • (Mailing address of app ant) A r~ , w.~z,t ~ a' k , State whether applicant is owner, Jesse agent, architect,. erlgin~et; ~get5eral, eont~actor, electrician, plumber or builder. Name of owner ofpremises . t'.•.~ ~~~~v.~<~C1~~t*.tt'.z~o~~.. ~~~~I • eee!!! (as on the tax roll or latest de d) If app-l~ji~ca,,nt is a corporation signature of duly au• th~oriz~ed officer. (Name and title of co e officer) Builder's License No. r--:- . Plumber's License No. . Electrician's License No. ..a2. ,,3.4..~1..4~--:- . Other Trade's License No. 1. Locati of L1Ld on which proposed work will be done . ~ 3 _ ! ~.T o~S.i.............-~ o.~. . House Number ~ Street Hamlet County Tax Map No. 1000 Section Q. ~ ~ Block ....o. , , , , , , , , , Lot ~ ! . ~ , , , Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....QLY./~oi~~n j~~;/K..~''... . . . b. Intended use and occupancy ...f~~y!'~.`~-. _..l. _ . ?~L~~ ~1ri!! F • P Relapplicable): New Building , . , , , Addition Alteration 3 Ret air of work check whichlnoval . . . Demolition , , , , , , , , , Other Work . (Description) 4. Estimated Cost . ~~~Od~ . . Fee . ~IO.~i~a................. , . 5. If dwelling number of dwelli II (to be paid on filing this application) 5, i~g units Number of dwelling ;units oq c~ch f~Qol•._a•4 , . , , , , , If garage,,numbcr pf cars . . ' ' ' ' ' 6. IPbusiness, commercial or mi~e~ pccupancy, specify natuze and extent of cacti type of t{se.; ; 7. Dimensions of existing structures, if any: ('runt,.: ; ~ ,Rear ~ " ~ t • ~ ' ~ • • • ~ ' ' • Depth . Height N~mber of Stories . Dimensions of same structure jwith alterations or additions: Front , ' • ~ ~ ' ' ' Depth.,.... ~ Rear .height, ,Number of Stories. 8. Dimensions of entire new construction: Front . ~ , Rear , .Depth ~ • • Height Number of $to~ies , . \ . , . 9. Size of lot: Front . ; ~ . . . . j , Rear . Depth 10. Date of Purchase p•••••••.•••......,.NameofPormerOwner 11. Zone or use district in which ,remises are situated . . . . . . . . . . . • ~ ~ ~ ~ ~ • ~ • • • 12. Does proposed construction viplate any zoning law, ordinance or regulation: • • 13. Will lot be regraded I " " " " " " " " " " ' • ' ..Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . , , , , , , , , , , . • , , , , ,Address . .Phone No. . Name of Architect....... .................Address.....••••~•~•~•~••,PhoneNo.....•~•~••••~~• Name of Contractor . ! • .Address . .Phone No. . IS.Is this property loclated within 100 feet of a tidal wetland? *YES.. .NO.. *If yes, Southold Tobin 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 bloci~ number or description according to deed, and show street names and indicate whether interior or corner lot. I III _ t I pCCUPANCY OR RISE IS UNLAWFUL ~lITHOUT CERTIFICATE - QF OCCUPANCY • . STATE: OF NEW YORK, COUN'T'Y OF S.S , (Name of individual signil • • ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant i~g contract) above named. He is the . ~ ........~......j..• ......................t..~,. e..... I v t , . , i; (Contractor, agent, corporate officer, etc.) .x;"~;, , of said owner or owners, ana~is'duly, authorized to perform or have performed the said work and to make and Gle this application; that all statements conta{ned in this application are true to the bes( of his knowledge and belief; and that the work will: be pe~ftirn7ed in the mannerliset fprtt in the application filed th~rc~Jifh.' Sworn~Co before rime t}tis i ............o~..~.. .day of~Ili. ,19~i~ -Notary Public, ~"~t~:. :'I .~~C/,~. , , County HELEN K DE VOE « ~ ~ + s NOTARY PUBLIC, State of New` _ , ~ r , o < x o . No.47W8%B,Sulfolk0ounty ~y • ig tore of applicant) Term Expires Maroh 30,19 ti