HomeMy WebLinkAbout17260-z
' FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18668 Date DECEMBER 21, 1989
THIS CERTIFIES that the building ALTERATION
Location of Property 9650 MAIN ROAD MATTITUCK, N,Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 143 Block 1 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 18, 1958 pursuant to which
Building Permit No. 17260-Z dated July 22, 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 REPLACE EXISTING WINDOWS IN RESTAURANT AS APPLIED FOR.
The certificate is issued to MOKAI LIM
(owner
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
r~oi3ns 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~ 0~726~ Z Date 19~.a
Permission is hereby granted to: ~
..1~..® .7r~......e~.. r....
s .
~ ,
96 .tea
ct premises located at fl./.........~~~...ae~d..~J~..................................
...........................................~r.'u~~~.~.....y,1..'j~"
Caunty Tax Map No. 1000 Section ....,,~Y."i.~....... Block Lot No...1...7...~~..-
pursuant to application doted ......7~..1~ 19. and approved by the
Building Inspect`o~riy~
Fee $..~~.°...~~b..
Buil g Inspector
G~
Rev. 6/30/80
~ TOWN OP SOUTIIOLD `
BUILDING DCPAKT:II:NT
TOWN QALL
' SOUTIIOLD, NEW YORK 11971
765 - 1802
' APPLICATION FOR CERTIFICATE OF OCCIIPAIICY
DATE~.Q~.. y. 2 . ~
KEW CONSTRUCTION .......OLD OR PRE-E%ISTnII7G BUILDING.~..pACA17T LAND....._..
Location of Property.46~„n'''A~~n1...~0~-~.._.__ °1'"~'TT~~'Tv~-•
DOUSE NO. STREET •DAMLET•••
Ovner or Ovncrs of Property....../y/VlO k. !4, 1_._..L'_ IM
,CounCy Taz Hap No. 1000 Section !Z Block Lo['...1.....
Subdivision Filed'M/ap~~........LoC_.........
Pernit No. ~~7L;~~.,Date of Permit ~~:~=/.O Q,
/ Applicant
Health Dept. Approval Undcrvriters Approval.........._...
Plannin8 Board Approval
Request for Temporary Certificate Final Certificate
Pee SubmiCted:
/ L~
V O"~O ~ ~ ,
APPLICANT
•z>
rey• 10/IG/88
co 18G64~ .
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FORM N0. 6
TOWN OF SOUTIIOLD ~
Q~+~'.L~ r~'t ,t t 1,
BUILDING DEPARTMENT ( °
TOWN iL\LL
765 - IB02
~ ~ i
APPLICATION FOR',CERTIFZCATE OF OCCUPANCY INSTRUCTIONS
'
A. This application must b'ie filed in typewriter OR ink and submitted to the 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 Dc~alth Dept. of water supply and sewerage-disposal~S-9 form).
' 3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that solder used in system contains less'
than 2/10 of IZ lea.
5, Commercial buildings,, indusr.rial_ buildings, multiple residences and similar,
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsi;'ble 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 surve of '
y property showing all property lines, streets, buildings and
_ unusual natural or h~~opographic features.
2, A properly complete 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~Occupancy is denied, the Building Inspector shall state the
reasons therefor in ',writing to the applicant.
3. Date of any housingcode or safety inspection of buildings or premises, or other
pertinent information required to prepare a certificate.
C. For Vacant Land Certifircate of Occupancy:
1. 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 gf~the entire lot prior to April 9, 1957 shall also accompany
the application. I1` 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 Qccupancy 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. Opdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy -$15.0,0 Residential
Commercial
i
,P
I
co. 10/14/S8
~1n'anJ, TEL. 7GS-18~'_
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o~;,~~~~,,~~~ Co.~ To~rrr or sour~o~,u
,?'lr+~ 6;;:vi~ Y,~ Ol~i'ICI: OI' DUILDING INST'ECTOR
r~_-, ''-V.. By,1t'° = 1'.O.ISO?C 1179
~ ~ TOWN IIALL
Cy ~l SO[J7'IIOC.D,N.Y.11971
'~r~r-..1d' December 20, 1989
LIM MOKAI
P.O. BO% IS
MATTITUCK, N.Y. 11952
RE LIM MOKAI
'Po 41hcm This May Concern,
47e are unable r.o complete your Certificate
of Occunancy because of the folloc•ring reasons.
1_/ An application for Certificate of Occupancy
is not nn fi].c. (ENCLOSED)
No tlndezt•rriters Certificate on file.
/1 The chcc;F: .i;:(~:XtBt&$it4~cXc$/r.c~t on file.) $50.00(BUSINESS)
P:o llcal.th Dept. Approval on file.
No final insl~~ect:ion has been made.
Please contact: our office on this, matter.
Thank you for your cooperation.
Iht.ilclir.<1 Pcrm.i.Y. ~t I 7 2 b 0 Z
Duilclinq Dcpt.
~.t*/_/ tlo I'lumbcr Solder Certificate on file.
( a7.1 pcrmils involving plumbing lacing
i~succl aft.cr ,1pri.1 1,1984 )
1
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BOARD OF HEALTH
PORMNO.1 3 SETS OF PL.1NS
SURVEY
TOWN OFSOUTHOLD CHECK
BUILDING DEPARTMENT SEPTIC roam
TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
- TEL.:7G5-1802 CALL
Examined7~'L........., 19b~ MAIL T0:
Approved .~l:'Z/ 7, tJ r; - iC=' `
194 Penni[ No. ¢ _
!
Disapproved a/c ~ ~
(~¢.ea~~ ~ BLDG. f3E1'T.
p ~ `z`~~,~ Q~i . . ~ TOWN OF SOUTHOLD
~~~~,.`-G',~-Q~~Y_-(J ~uildi Inspector)
/ ~9-d~^^-r~ APPLICATION FOR BUILDING PERMIT
7~t~/~~ Date 15r6,FS
INSTRUCTIONS
a. Tlris 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 nor 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;;af.
a Building P,er{tiit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, andiofher applicatile.La~ds, Ordinances or
Re,ulations, for the construction of buildings, additions or alterations, or for remQ•xal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building co~e; ~ using egde„ `and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections s ~ ~ h
' „s. . .
( ~n'ature of applicant, or name, if a corporation)
' (Mailing address of applicant)
State whQQ~~ether applicant is ownerq,,, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises kc~ ~ ~..?ri ~ P.K. A 1 . L.Q.N.
~ .
(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. D 2; ~S ,
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . .
~~5'U `
I. Location of land on which pr"o~'posed work will be done. ,l!V`a: . , , _ , , , I. 35 ~
House Number Streets Hamlet
County Tax Map No. 1000 $eet10? ~ ~I~ Blpck , 1, , , , , , , , , , , Lot r.~. ~,a
;
Subdivision Filed Atap No. Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. ExisUn~ u ~y ~ uvc~~;~
se and occupancy
-
b. Intended use and occupancy ~ '
...(des.u~~;:1
3. Nature of work (check which',applicable): New Uuildin v~
g .Addition Alteration
Repair Rcmoval^ o~ old• w,`.~a~,. Demolition ~ ~ ~ • • • ~ ~ •
b~ old Ends Other Nork .
(Description)
4. Estimated Cost , i , , _ os t'"s•
a sod
Fee.....................................
5. If dwelling, number of dwellin (to be paid on filing this application)
' g units • • • • • • Number of dwelling units on each floor , , , , , , • •
If garage, num ber of cars • •,.--r
6. If business, commercial or miffed occupancy, specify nature and extent of each type of use .~':5 ~tn;~:.,;y~n•'/: , , , , • • • •
Hci~ttt , , f , • • • . • ' • • , Nyres, if any: Front Sis", , , , , ; : Rear s~, ,
g mbcr of Stories • • • • • • Depth ..:3a,~, , , , , . • .
5
Dimensions of ametstructureutvith alterations or additions: Front , , .-i~'.~*~;-S>. , , • ~-y,,,4.~' ' ' ' ' ' '
Dc, th t~h... , ; llcight .......~t;w3;~e....... , . Number of StoriesRcar~,R.~ . . .
8. Dimensions of entire new cons~tniction: Front ,
Hcigftt Rear Depth
Number of Stories . •
9. "Size of Iat:~Front Rear ~ .
10. Date of Purchase p Depth
• ................Name of Former Owner
11. Zone or use district in which remises are situated , , , , , , , , , , ~ ~ • ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '
..................il.....................
2. oes proposed construction violate any zoning law, ordinance or regulation: ° ;
13. 'IVilI lot be regraded N. , , , , , , , , Nill excess 611 be removed from premises: Yes No
14, Name of Owner of premises , m~ k~;,. • • .I,,}~u~~ , , Address''P^^'~ A° ~as,,;nF4l;F~~k
Name of Architect • • • • . • • .Phone No..~.~ ~::.£f`~sl, , • •
Name of Contractor i ' ' 1~0 ' ' • • • • • • Address u hone No.. , • , , , ,
..Cve~~ ...~w,i.•. .Address .3!io, u~5w;61..!~Ib`SO°~'"° honeNo...~~.~•.2r5,`+/".
15.Is this property located within 300 feet of a tidal wetland? *YES....NO.'~ '
*If yes, Southold Town 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 whether
interior or corner lot. I
I
.OCCUPANCY OR •
USE IS UNtAW~UL '
WITHOUT CERTIFICATE
OF OCCUPANCY -
STATE OF NE1V YORK, I~
S.S
COUNTY OF .
~ 5 ' ' ' • • • • • • • • • • • • • • • . being duly sworn, deposes and says that 1te is the applicant
(Name of individual si~nitg contract)
above named.
f Ie is the ~ •
• • . • • • • . • . • • (Contractor, agent, corporate officer, etc.)... • . • , , , . • , , "
of said owner or owners, and is dulyjauthorized to perform or have performed the said work and to make and 61e this
application; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
work will be performed in the manner se[ forth in the application filed therewith.
Swom to before me this
............~.g.. .......day of.'~.. .............]91~~
Notary Public, , , , ~C~J , ~ •a,ti.,vU~, ,0, , , , , , , , County
.
HELEN K DE VOE I d:~s
~M~4~7878 ~IkMY .
TamEKpiresMnmh30,18.,,su i (Signaureofapplicant)