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Home My WebLink About16767-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18773 Date FEB. 7~ 1990 THIS CERTIFIES that the buildin~ BUSINESS ALTERATIONS Location of Property 3800 KENNY'S RD. & 50 NORTH SEA DR. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 005 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 19, 1988 pursuant to which Building Permit No. 16767Z dated MARCH 7, 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 ALTERATIONS TO A BUSINESS. The certificate is issued to PHIL KAiILIN--CLIFF SAUNDERS (owner, FJQ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RESTAURANT APPROVAL UNDERWRITERS CERTIFICATE NO. N016752 JUNE 14~ i988 PLUMBERS CERTIFICATION DATED 14ATT. PLUMBING & HEATING FEb. 7, 1990 'Building Ins~ec~o'r- ~ ' / Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST DE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~t6767 Z Date ...,.~./7.. .......................................... , Permission is hereby,granted,to: ~ / x, ,// , _ / ~ / /~'~..~.:.~.~...~~% ___ ~~.,...~.z......z/..z?.~,,,~,~ ~. .......................................... ~.~.g..~...~....~....~.....~ ................................................... .......................................... ~~.,.....~.-.~. ............................................................... County Tax Map No. I000 Section ...... ...~-....~... ....... Block ....... .~ ...... Lot No ...... .?--.....-~.... ...... pursuant to application dated ............ .~.././..~.. ............................. , 19.~, and approved by the Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD HUrLDrNG DEPART:lENT TOWH HALL , SOUTHOLD, NEW YORK .;/ 765- 1802 HO~SE NO. STREE~ HAMLET ' ~. ~ -,., ~eaich DopE. Approval .................. PlannLog Board Approval ................ Reqoc~c for Temporary Final Certificate ................ FORH NO. 6 TO~ OF SOUTIIOLD B~ILDIN~ DEPAKT~N~ 765 - 1802 I. Fieal =u~uy of prooarty vlCh accurate location of all buildiuas sCreu~=~ and uuusual natural or topoErnphic features. 2. Final approval of H~altb Dep~. of ~a~ar supply and se~eraEe-dluposal(S-9 4. Sworn =~a=umen~ fro~ pl~ber ~hnn 2/10 of II lead. cer=~fy~ug the= solder used ~n system con~nlu~ less' 5. Co~ercial buildinag' industrial buildings, ml~ipla residences and similar.' buildinEs and in~Cailacions' a certificate of code compllance from the ArchicecC or Engineer responsible for the buildinl. 6. Submit Planniu~ Board Approval of completed ~ice plan requirements. For exisCing buildings ~(Prlor ~o April 9, 1957~ uo=-coufoml,~ u~e~, or buildiag~ and "pre-exis~iu~" lau4 uses: .. I. Accurate su~ey of RroperCy sho~in~ all propcr~y lines, s~reeCs, unusual natural or ~opo~raphic features. 2. A properly complete4 appllcaEion, a conseu~ to inspecE signed by the applicanC . If a Certificate of]Occupancy is denied, ~he Buildlng Inspector shall a~a~e ~he reasons therefor in ~iCing Co the applicanC. 3. D~e of any housing ~code or safety inspection o~ b~ildings or premises, or o~he~ pertinent ' '' xnfo~qn required to prepare a For Vacan~ Laod Cer~ifi'ca~a of Occupancy: ]- ~ application for ~aaant land Certificate of Occupancy mhall be and a certified abs~;ract of Kitla issued by a title company showing single and separate o~ership o:f ,~he entire lb~ prior ~ April 9, ]957 shall also aacompanF ~he ap~licaciom. %~ a Cergi~icaCe of Occupancy is denied, the Building Inspector ~hall =~a~a ~he ream:ohs ~hcrefor in ~i~ing to nhe appllaan~. I. CEETIFICATE OF O~CC~CY - Ne~ ~elllnE $2~.00, Additions to Alteratlon ~o ~llluE ~2~.00, S~i~inE Pool, $2~.00. Accessory buildlu~ ~2~.00 AddlCion ~o Accessory buildings, ~2~.00 -'Businesses ~. C~rti~icate of Occupancy on pre-exlstlnE d~alllnE _ $100.00. 3. Copy of Curtlf~c~a of Occupancy - $5.00 - over 5 years - $I0.00 4. Vacang Land Cart~flaa~e of Occupancy - $20.00 5. Updated CertlficaEu of Occupancy - $50.00 6. Temporary Cot=if[cage of Occupancy --$]5.00 Co~e=clal TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. I '~'~'q (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. /~worn to before me this ~~_d a y of 19__~__~. Notary Public,~/~ ~ (plumber County Tern Expii'es Fe~. 16. 1~ FOU~DATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME / .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL A,DDITION~L COMMEN~TS: ~ 0~ I? CliFFs- T~IH L~ c,D rrH ~ : -TR ~ ~ I £ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~ ~/FOUNDATION :ZND ~ ] INSULATION / ~/~ FRAMING ~ ~ I:INAL DATE 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ~.~./2 .... , 19.0(..~ Approved i .~."; iiiiii ..... 19 .~c.~. Permit No/.~..~..~..,~../ Disapproved a/c ..................................... BOARD OF HEALTH..>... 3 SETS OF PLANS '-~..'.. SURVEY .......... CHECK --J~,%---- SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: J BLDG. DI~PT. TOWN OF SOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19... INSTRUCTIONS 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 tocation 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 tkis 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 Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law% 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~.buildinl~ code, hou,~ code, ~ regulations, and to admit authorized inspectors on premises and in building for ne,cess~(~-~-~nS. F"-/ /./ // (Sign~e of apphcant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................................................. Name of owner of premises .C.~...~7£. ~).~ ..... C7~. Y../..~'~.. ~..~..~l~.' .~. ............... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .... ~ .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on,which proposed~vork w~ill be done ............................................. ..................... .................. House Number Street Hamlet County Tax Map No. 1000 Section .... ~- ......... Block .... ~. ............. Lot .... .~...~. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... .~./.~'.~..~/~ .~4~.~.~... .............................................. b. Intended use and occupancy .................................................................... 3. N;lure of w.ork~(f, lleck which app'licable): New Building ..... ' ..... Addition .......... Alteration .......... Repair ... ~:. ......... Remo{al .............. Demolition ............. Other Work ............... (Descrip~tion) 4. Estimated Cost ..... ~.~ O ~D , Fee ................................ " (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ............... Number of dwelling units on each floor ................ If garage number of cars ~ 6. If business, commercial or mixed loccupancy, specify nature and extent of each type of use ..................... 7. Dimensi0qs of ex!sting structures; if any: Front ............... Rear .............. Depth ............... Height .... ....... ' .....Numl~er of Stories ........................................................ Dimensio'ns'of same~structur~ ,with alterations or additions: Front ................. Rear .................. Depth ........ ~l~. !.I]~.'..~. Height ...................... Number of Stones .................. '. 8. DimensiOns of entire new constru'ction: Front .......... ..... Rear ............... Depth ............... Heigh~ ............... Number of Stories ........................................................ 9. Size of lot: Front ............ ~ .......... Rear ...................... Depth ...................... lQ. Date of Purchase ............ i ................. Name of Former Owner ............................. ll. Zone or use district in which premises are situated .......................................... .. ... 12. Does proposed eonstruction violaie any zoning law, ordinance or regulation: ................................ 1 3. Will lot be regraded .......... J .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .... i ................ Address ................... Phone No ................ i Address .............. Phone No ........... Name of Architect ........... , ..................... Nmne of Contractor .......... ................ Address .... : .............. Phone No ................ 15. Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe 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 n'umber or description according to interior or corner lot. deed, and show street names and indicate whether ............. /. f ....... day of i. Notary Public ................ . No. 4707878, ~uffolk'County~ ~ ~erm Expires March 30,19 ,~,,,..? ~PPROVED AS rN~EB 'N~IFY BUILDING DEPAR~T AT '66~1802 9 AM TO 4 PM ~R ~E ~FOLLOWING INSPECTIONS: FOUNDATION ~0 REQUIRED FOR POURED CONCRETE ROUGH FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUC'flON MUST BE COMPLETE flOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OE THE N.Y STATE CONSTRUCTION & ENERGY CODES, NOT R~SPONSIBLE FOR STATE OF NEW YORK, S.S ~k'~IGN OR CONSTRUCTION ERRORS. COUNTY OF ................. ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~/ authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........... , .............. Count f (Signature of applicant) '~ '~'~*~?~"~'~*~* THE NEW YORK BOARD OF FIRE UNDERWR]TERS !003~ 55150888/88 ~ 016752 THIS CE~IFIES ~T ~ examin~ on and~nd to ~ in ~m~ian~ with t~e r~ui~me~ts of th~ ~. 15 lO 12 15 ORYI~S MOTOIS TN. CWaCS BIMMIRS SllIVICI WSC:4~qI4CT S ! It V I C JODY PUKI550 PAT LANE M~TTITUCK, NY, ~1952 [,[CENSE FOR BUIIJ)iHG D~PARTI4BIT. THIS, 2300~ CCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY OCCUPANCY OR USE IS UNLAWFUL ~ WITHOUT CERTIFICATE r~F OCCUPANCY