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HomeMy WebLinkAbout17034-z n~oaas xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CfHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N o 017 0 3 4 Z Date 19.E g. Permission is hereby granted to://'++ -.p.- pg~~..1 ta ...li~`^:~'i!!:4!:~.:...s~.......{~.SL.~kt.?~...J~...........a.,,~-T...~.1.N....'~....~r"T...~a.Q45.~~..4v.... ca-~....~'.~.~~.....-...........s ct premises located at ..lsT..r~.~w ~..~.....~.~~...~......c!~.' County Tax Map No. 1000 Section .......cQ~a.l....... Block ......4?'..i.......``.''.. Lot No....t'..s~.:.s~......... pursuant to application dated ..l.~ 194.4.., and approved by the Building Inspector, Fee $..I .....Q-~ Building Inspector Rev. 6/30/BO FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted to the Building In~ec- torwith 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 Health Dept. of water supply and sewerage disposal-(S-9 form or 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 property 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 ]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 y e ax s $ 10 .00 4.Vacant Land C.O. $ 20.00 ,v~~~ ~C~ S.Updated C.O. $ 50.00 ~ Date ..?~t ......1............ NewOonstruction, , , , , ,Old or Pre-existing Building Vacant Land Location of Property ..J ~.~~....rP!.d~:~}.....~~-?l~T~t~l~ House No. 1 ......Street. • ' ' ..........Hamlet Owner or Owners of Property 4! .w~ 4-~ " County Tax Map No. 1000 Section ..Q~ Block Lot....r!r~.:.~... Subdivision .................................Filed Map No. ..........Lot No. Permit No.~~ .~.Q~.~. Date of Permit .~~1 G~X QApplicant ..~~-~A.~~?..d ...J=.1. JS..~...... . Health Dept. Approval ........................Labor Dept. Approval , . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ . Construction on above described building a permit m~eetds~a1ll~Aapp,Jl,~'~\cable cod/~a~nd egulations. Applicant . ~•iY,r`~aV:~. rY~r.~UG~ . Rav. 70~10~78 U _ R,,c, 3N6~S T~,mB 'C o ! to ~ aS FORM NO. A TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY Certificate Of Occupancy No...?-]6925....... Date ....MaY..27, 1988 THIS CERTIFIES that the building .......ALTERATION Location of Property ..53345. Main.Ro.ad.Bld: Ik6 Southold N.Y: Nouse No. ~ ~ ~ ~ Street ~ ~ Hamlet County Tax biap No. 1000 Section 4 6.1......Block ? ..........Lot ~ ~ . Subdivision ...............................Filed Map No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore filed in [his office dated May 16, ]9'88 1703/+ Z • • pursuant to which Building Permit No. . dated . , ,May 26 1 988 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 . LADIES BOUTIQUE SHOP AS APPLIED FOR BUILDING IP6 The certificate is issued to , , CATIQUE S , INC . /Rdlrie$3feXs~oYo°r tenant/ of the aforesaid building. Suffolk County Department of Health Approval S. ;5 9 IJNDERWRITERS CERTIFICATE NO........... ,PENDING PLUMBERS CERTII'ICATION DATED: ' 1 ~ C.iY di. ~.a.i.?J Building Inspector Rey. vat TOWN Op SOUTUOLO BUILDItiC DEPART:7EtiT TOWii IIALL SOUTIIOLD, NEW YORK 17977 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPALiCY ' DATE. July 20: , 1989_ • . NEW COt7STRUCT20N .::,.,.OLD OR PRE-EBISTZtiG ISUILDING......VACAtiT LA27D._._.... L o c a t i o n o f P r o p e r t y,,, 53345 IfAIN ROAD ( 6g) SODTHOLD NEW Y0R1L UOUSE NO.~._.....-''.STREET ' UAMLET Ovncr or Ovncrs of propcrty.,,_.PUIIGE WRP. CATIQIIE71~, INC. County Taz Hap No, ]000 Section 61 1 12.2. Block Lot Subdivision.. Filed Map ........Lot_.._.....- Pcr~i[ tio. .17Q3y_Z _„Date of per 5/26/88 m i t A p p l i c a n t PURGE CORPORATION Ucal[h Dep[. Approval " Undcrvritcrs Approval.N_020843,_'_ Ylannin;, Board Approval Rcquc~t for Temporary CcrCificaCC I Final Certificate Fee Submitted: $...50.00 APPLICAPiT~„~/JQ?~ ~ _ °'n10/I4 /88 `y.,R,C. 175 Co ~ i~~~9 THE NEW YORK BOARD OF FIRE UNDERWRITE,RSi~~'~I~`,;~PncE~'i",~ i~ - 1001381 BUREAU OF ELECTRICITY ~ ,f%~ y,L ~ ; 85 JOHN STREET, NEW YORK, NEW YORK 70038 4~ It, pats JULY 26, 1989 Application No. on fee 63326289/89 N 082941 THIS CERTIFIES THAT only the ebetricol equipment as deacrihed hebw and introduced by the applicant named on the shove application number in the premiaea of , - JAMES L. GRAY JR., MAIN RD., STORE ~BL-/BLDG. D, SOUTHOLD, N.Y. in lhefolbwing location: ~ pnsernent © let F'l. LJ 2nd F'l. OUT 8ertion pork Lot , woe examined on JULY 06,1989 ondfound to be in coulplivree u•ifh the rerlui,rntenlx of this poord., „ , . FIXTURE ECEPTACLES SWITCHES FIX7URE5 RANGES cooKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FWOEESCENi OTHER AMi. K. W. AM1. K. W. AMi. K.W. Amt K. W. AM1. H. P. _ 18 17 6 14 4 ~ ~ 2 • DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERE SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLEi DIMMERS , AMT. K. W. OIL M. P. GAa H. P. AMi. NO A. W. G. AMi. AMP. AMi AMPa TRANS. Ami N ~ SYSTEMS AMi. WAlit NO.OF FEET II 1 G.. - SERVICE DISCONNECT No. OF S E R V I C E METER NO. OF CC COND A. W O. A W G. NO. OF NEUTKAIa A W G' NAT, AMP. TYPE EQUIP. iq 4W l,e 7W J.e 9W 0N4W PER b• Of CC.COND NO OF HbIEG GF MI LEG OF NEVTRAI OTHER APPARATUS: ~ ~ ' 3 1/2 TON AIR CONDITION-1~ ~ ~ „ ' _ FEEDERS:1^4 # 4 BASEMENT TO BASEMENT PANELBOARDS a-29 CIR. 150 ELEC. WATER HEATERS::1-2 K.W. ' TRACK LIGHTING:-103 JODY PUMILLO LIC.#2300E ~ " I.~. I~ . 'PAT LANE c MATTITUCK, NY, 11952 ~ ~ NER NAGER ' ~ ' . ' . 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. i ' THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001381 BUREAU OF ELECTRICITY EIS JOHN STREET, NEW YORK, NEW YORK 10038 Bate JULY 07 ,1988 Appliratian No. on fife 55679288/88 N 020843 THIS CERTIFIES TF1AT only the electrical equipment os deacrihed hebw and introduced by the appficont Homed on the afwve application number in the premises aJ JAMES L. GRAY SR., MAINROAD FEATHER HILL, STORES #12-13-14, $LDG.D, SOUTHOLD, N.Y. in thefollowing location; ? Basement, ? /at Ft. ? 2nd h'l. OUT 3erlion Block Lat was examined on JUNE 09,19$8 andfound Wbe in cornplianre with the requirements q(this Board. FIXTURE ECEPTACIES gwITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT RUORESCENi y~~ AMT. K W. AMT. K.W. AMT. KW, pMi. K.W AMf. H P, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS ggLL UNIT HEATERS MULTI-OUTLET DIMMERS AMr. K. W Oll H. P. GAS N. P. AMT. NO. A. W. G. AML. AMP. PMT. AMPS TRANS. M1i, H p SYSTEMS qMT WAITS NO.OF FEET SERVICE DISCONNECT NO.OF 5 E R V I C E MAi AMP TYPE METER ~ ]W ~ d 9W ~ 6 8W ~ ~,,W NO OF CC. COND A. W. G. NO OF MIAEG A W G. NO. OF NEUTRALS A' W' EQUIP. PER 9 Of CC. COND. OF HbIEG Of NEUTRAL 3 - CB 3 X 2 3/0 2 3/0 OTNER APPARATUS: JODY PUMILLO l PAT LANE MATTITUCK, NY, 11952 6ENElAt A iAGER 11 LICENSE N0. 2300E 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. . s l~ I", it T , ~ FIELD IN~PEGTION llATE I COMMENTS . 1. ~ 0 H W H FOUNDATION (1st) - - r c _ ~ FOUNDATION (2nd) 2. o P~ . ~ W ROUGH FRAME & ~ 1 PLUMBING .S . ti H 3. ~ H INSULATION PER N. Y. STATE ENERGY CtODE a 3 i-~ r rn H 4. FINAL o ADDITIONAL COMMENTS: _ r x ro H a j~ H ~ H O z o0 ..o x a r H 5 C+7 g ro ~l D BOARD OF HEALTH 3 SETS OF PLANS . * FORM N0.1 SURVEY 1 ~ ~ TOWN OF SOUTHOLD CHECK ~ I.~ f . . BUILDING DEPARTMENT SEPTIC FORM BLDG. DEFT. TOWN HALL 7L5 TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 NOTIFY /cZ~ TEL.: 765.1802 CALL . ~~•J~.: (S•~D• , • , • , , , MAIL T0: Examined ...~:1!L~r`1.1P...., 190. Approved ...Y~'t~,t~.a4• • 194. Permit No. 1.7.0'u~'.i~`.-. Q•K ~~r~' U S~t,~~F Disapproved a/c ................................:~ii,~it 4~3~ . atn......... . (Building Inspector) .APPLICATION FOR BUILDING PERMIT QQ Date . ~ ~ 19 Q 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 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 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 inspections. (Signature of applicant, 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 I.~-U~ 9.4.. . 1 (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 . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . I. Location of land on which proposed work will be done . . House Number Street Hamlet County Tax Map No. 1000 Section 0.4 Block o.l......... Lot > 3i . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of remises and intended uyys--e and occupancy of proposed construction: a. Existing use and occupancy • ~`r'y`~~• • • • • • • • • • • • . b. Intended use and occupancy • • ~•-e-e~ • • • • • • • • • • • • • • . ~ 3 ~~i NRet air of work check which app ' g Addition $~..t•~ n , . ( hcable New Buildin „ ether Alteraho Rem ~ , , , P oval . Demolition ~ . ; ~ ~ . ,~1 ({~.l,r.~/,.~! y!!~ (Descripti,~ij~kk$°$ J F IJ1 4. Estimated Cost Fee . (to be paid on_filirig this application) 5 If garagennumbeb of cadwelling units : : : : : Number of dwelling units on each floor , . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures, if any: Front ,Rear . . Depth' . Height Number of StotEies . Dimensions of same structure with alterations or additions: Front Rear , , , . , . , , , . , ])epth .Height ......................Number of Stories . 8. ])imensions of entire new const}vction: Front . Rear ...............Depth . Height Number of Stories , , . 9. Size of lot: Front Rear Depth . 10. Date of Purchase ' . ..................Name of Former Owner 11. Lone or use district in which premises are situated . . p p g 'late any zoning law, ordinance or regulation : 13, Will lot beoe raded truchon vio, Will excess fill be removed from premises: ,Yes No 14, Name of Owner of premises ..:.................Address ...................Phone No............... . Name of Architect .................Address ...................Phone No............... . Name of Contractor ................Address ...................Phone No............:.. . 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 STATP; OF NEW YORK, $ S COUN"I'Y OF • • • • • • • • • • • • • • • ~ • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, a"gent, 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 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 fdrth in the application filed therewith. Sworn to before me this ~~..~...day of .'j.~. ,~1.. 19~~. Notary Public, ....r..~.~~U...... County HELEN K bE VDE -c~-4 . ~~k~41078%R, Suffolk CounV~ Term Expires Mereh 30,19.. (Signature of applicant)