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Home My WebLink About30832-ZFO~M ~0. ~ TO~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPA~CY No: Z-31065 Date: 07/26/05 T~IS CERTIFIES that the building COMMERCIAL HOOD SYSTEM Location of Property: 56125 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 3 Lot 10 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 14, 2004 pursuant to which Building Permit No. 30832-Z dated DECEMBER 8, 2004 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 INSTALLATION OF A COMMERCIAL HOOD SYSTEM AS APPLIED FOR. The certificate is issued to MICHAEL MILLER & ORS. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALT~-PPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~I'~ N/A N/A N/A /~ A~t hor~gna~t ~re Rev. 1/81 Form No. 6 TOXVN OF SOUTHOLD BUILDING DEPARTMENT TO'tN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the tbllowing: A. For new building 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 from Health 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 the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and anusual natural or topographic features. 2. A properly completed application and consent to iuspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasoos therefor in writing to the applicant. C. Fees .1. Certificate of Occupancy - New dwelling $25.0(}, Additious to dwelling $25.00. Alterations to dxx ellmg $25.00, Swirmning pool $25.00, Accessory. building $25.00, Additious to accessoD' building $25.00. Busioesses $50.00. 2. Certificate of Occupancy on Pre-existing Bnilding- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporao' Certificate of Occupancy - Residential $15.00, Conunercial $15.00 Range hood New Construction: XX Old or Pre-existing Building: LocationofProperty: 561.25 Main Road, Southold Date. July 26, 2005 (check one) Hoase No. Street Owner or Owners of Properry: i~Iichael Miller / Elements of Nature Suffolk Count}' Tax Map No 1000, Section 6~ Block ~ Handet Lot 1 0 Subdivision Permit No. '~) ?~0''~ Health Dept. Approval: Filed Map. Date o f Permit ._;~///¢E// Applicant: ~[[[~ Underwriters Approval: Lot: Planning Board Approval: Request for: TemporaD' Certificate Fee Submitted: $ 5 0.00 3/0 6.5 Final Certificate: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PEP=MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30832 Z FULL Date DECEMBER 8, 2004 Permission is hereby granted to: MICHAEL & ORS MILLER 8 HUTCHINSON CT GREAT NECK,NY 11023 for : INSTALLATION OF A COMMERCIAL HOOD SYSTEM AS APPLIED FOR at premises located at 56125 MAIN RD County Tax Map No. 473889 Section 063 Block pursuant to application dated SEPTEMBER 14, Building Inspector to ex/~ire on JUNE Fee $ 200.00 SOUTHOLD 0003 Lot No. 010 2004 and approved by the 8, 2006. ORIGINAL Rev. 5/8/02 FIELD INSPECTION REPORT ] DATE ] COMMENTS FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FR..MMING & PL[~IBING INSULATION PER N. Y. STATE ENERGY CODE F IN,~L ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPAR YMENT TOVVN HALL SOUTHOLD, NY 11971 TEL: (631) 76~1802 FAX.~(631') ~65-9502 ~vw. northfork.net/Southold/ Exa:nmed ".;2/ ,20 Approved ,20-~ Disapproved Expiration 20__ PV. mVnT ¢ BUILDING PERMIT APPLICATION CHECKLIST Do yon have or need the following, before et>plying? Boent of Health 3 sets of Bu0a~-~ Plus Plann/ng Board approval Surv~ Sepfi~ Form N.Y,S.D.E.C. Tmst~s Contact: APPLICATION FOR BUILDING PERMIT Date Sept 14, 2004 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and mbmitted to the Building Impeetor 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 adjoi,,i,L~ premi~e~ or public mreet~ or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Iuspeetor will issue a Building Permit to the applicant. Such a peamit 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 what ao ever until the Building laspecemr issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commemced within 12 monthn after the date of issuance or has not been completed within 18 months fi.om such date. If no zoning amendmmnt~ or other reguiation~ aff~-'ting the property have been enacted in the interim, the Building Impector may authorize, in writing, th* extmnainn of tho p~mit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issnaneo of a Building P~mit pm-s,,.-t to th~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ora~-,-,,,.~ or Regulations, for the construction of buildings, additions, or alterations or for removal or d~molitien as herein described. The applicant agrees to c°mply with all applicable laws' °rdinances' buildin'g c°'d~a~using ~ ~al?~-fi°ns' ?J271t~ authorized inspectors on premises and in building for necessary inspecUous( .J.~ z'~'~ · ' , (M,,itl,g addr~ of apphc, am) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electridan, plumber or builder Agent Name of owner of premises )L~i~/J~ ~ / H/l/e/~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. d*/:!61~//'~,:~ ~/./~/,~g¢/z'r/~ff Plumbers License No. Electricians License No. Other Trade's License No. Location of lund on which proposed work will be done: (6/7/_~ IqAF~ ~04b /~ House Number Street County Tax Map No. 1000 Section ~ ~ Subdivision (Name) Hunter / State existing use and oecupancy ofpt~mises and intended use and occupancy of proposed construction: a. Existing use and occupmcy ¢'/~oq/d - ,~,4/-~//~ 25c¢2e~/,~ b. Intended use and occupancy C/y-4 ff"~- / .-~'-A,//V~ 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work E fimated Cost O O O If dwelling, number of dwelling units If garage, number of cam Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existlng structures, if any: Front Height. Number of Stories Real' _Depth Dimensions of same structure with alte[ations or additions: Front Depth.. Height. Number of Stories Rear 8. Dimensions of entire new eoustruetion: Front Rear Height Number of Stories 9. Size oflot: Front c~/'' Rear /3~' Depth 0C~/2~ 10. Date of Purchase o(~/~ ~ Name of Former Owner ~ ~-ffT~ 11. Zone or use district in which premises are situated Depth 12. Does proposed construction violate any zoning law, ordinance or regulation? YES /,// 13. Will lot be m-graded? YES 14. Names of Owner ofpt~fises Name of Architect Name of Contractor NO ~/[ Will excess fill be removed from premises? YES Addres4 ~'¢'~' dt~/'.hC~3X~ Phone No. Address[,,,/A/f'O X~-7'- }Phone No Address /Phone No. __NO /~. NO 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERM1TS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. No 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. Il'elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) comnnc OF 3'ame s E. F ~ ~ z ge~a ld, ~ · b~g d~y sworn, d~oses ~d says t~t (s)he is the applic~t ~e of ~ si~ ~n~) above ~, (S)He is the a_~ e n 't (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 all stat~mea~ts contnln~l itl this application ar~ true to the best of his lmowledge and behef; and that the work will be ~rform~ in the manner act forth in the application filed therewith. Sworn to before me this ~ ~/~2~ a yof,.,