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Home My WebLink About35637-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAllTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34782 Rte: 01/07/11 THIS CERTIFIES that the building ALTERATIONS Location of Property: 620 TRAVELER ST (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 61 Block 1 Subdivision Filed Map No. __ Lot No. __ SOUTHOLD (HAMLET) Lot 13.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 11, 2010 purs%~nt to which Building Pez~nit No. 35637-Z dated JI/NE 11, 2010 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 AN EXISTING RETAIL STORE AS APPLIED FOR (UNIT 7-A). Ge certificate is issued to FHV, LLC of the aforesaid building. (OWNER) ~uF~OLK CO~]NTY DEPARTMENT OF HEALTH A~PROVAL ~.RC'TRICAL c~KTIFICATH NO. PL~3MBE~S c~KTIFICATION DA'r~u N/A N/A N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35637 Z Date JUNE 11, 2010 Permission is hereby granted to: FHV, LLC PO BOX 1295 CUTCHOGUE,NY 11935 for : CONSTRUCT ALTERATION TO EXISITING RETAIL STORE AS APPLIED FOR REPLACES EXPIRED BP ~ 21652 at premises located at 620 TRAVELER ST SOUTHOLD County Tax Map No. 473889 Section 061 Block 0001 Lot NO. 013.001 pursuant to application dated JUNE 11, 2010 and approved by the Building Inspector to expire on DECEMBER 11, 2011. Fee $ 150.00 Adth6rized Signature ORIGINAL Rev. 5/8/02 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPJ~RTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 21652 Z Permission Is hereb~ to: ......................... .................. CountyTaxUapNo. 1000 Section ....... .~'.~.. ......... Block .......... .~. ............. LotNo ...... .~...~...-...~. ......... pursuant to appllcaf;on dated .. ~)Z...~,~. ........................................... 19....?,,,~.... ...... Building Inspector. and approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 2 5 ?3:O APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be fired in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: .2. 3. 4. 5. Final surv~y of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features~ Final Approval from Health Dept. of water supply and sewerage~disposal (S-9 form). Approval of electrical installation from Board of Fire Underwriters. '6. Sworn statement fi'om plumber certifying that the solder used in system contains less than 2/10 of 1% lea& Commercial building, industrial building, multiple residences and Similar buildings and installations, a Certificate of Code Compliance from architect or engineer responsible for the building. 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: 1. Aceuratesurv~y~fprop~rtysh~winga1~property~ines~stre~ts~buildingandunusualnatura~~rt~p~graphic features. 2. A properly completed application and cousent to inspeet signed by the applicant. If a Certificate of Oecupancy is denied, the Building Inspector shall state thc reasons therefor in writing to thc applicant. C. Fees 1. Certificate ofOecupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Business $5e~ 2. Certificate of Oceapancyon Pre-existing Building - $100.00 3. Copy of Certificate ofOecupancy - $.25 4. Updated Certificate ofOecupancy - $50.00 5. Temporary Certifieate of Oecupancy - Reddential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Owner or Owners ofProperty: V/~}6 /_~ ~-~ · Suffolk County Tax Map No 1000, Section ~ / SuUi, sion% ¢c_,'b q PermitNo. o~/152 Z DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Old or Pre-existing Building: House No. Street (check one) Block / Lot I Y, / Lot: Filed Map.. ~/]/// 7¢"J Applicant: Underwriters Approval: Final Certificate: /,/ (check one) JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 Date: June 25, 2010 To: Town of Southold Building Dept. Re: Basement Area Feather Hill Village Building 7 a Southold, NY 11971 Permit#21652 To Whom It May Concern: An inspections was preformed at the above-mentioned basement area, and in this area the 4 basement windows were closed in and the stair well was enclosed. This work was done to meet all state and local building codes. Any other questions please cai1. eerkoski P.E. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE / ADDITIONA'L COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c (Bffildingq'nspector) ' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS ......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. tlOTiPY] CALL ................... HAIL TO: 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 st?eets 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. ( 'g pp ' t, or name, if a corporation) (Mailing address of applicant.),/ State whether applicant is owner, lessee, ·agent, architect, engineer, generai ·contractor, electrician, plumber or builder. ..... .... Name of owner of premises ?.. ~..~..q.£... ~.. ~.~. t' ..................................... (as on the tax roll or latest deed) If applicja~0tf, j C'~ o.~is a corporat~gn,.,sitg~ature of duly authorized officer. .....' (Named title° ~ ~ .~./--s~. ............... (,/'Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... 1. Location of land on which proposed work will be done ................................ 7.~.. ' · .... 07. ....... .............. ' ......... .......... i ........... · ltouse Number Street Hamlet Connty Tax Map No. lOOOSection ...:.~-/ ......... Block / ............ :... Lot../.~.'.~. .......... Subdivision.. ?-.~'...fi/14 ?.. J'~/g'.,.~.?,,e-v~..b';',.d./?~. 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 . d",ff~.~..,Q.~,,,q....~.2..~..~. ' b. Intended use and occupancy .d'..7',~.4" · 3.Nature of work (check which applicable): New Building .......... Addition Alteration Repair .............. Removal .............. Demolition .... : ......... Other Work ............... 4. Estimated Cost ~. ~ ~p ,"- (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor . If garage, number of cars .......... ................ 6. If business, commercial or mi.xed occupancy, specify nature and extent of.each type of use 7. Dimensions of existing structures, if any: Front. · .................... Height ............... ~ .............. Rear .............. Depth ............... umber of Stories ..... i ................ ' ............................ Dimensions of shme structur,~ with alterations or additions: Front ' ' ' ' ' ' Depth ' · ................ Rear ............. ................ Height ........... · ........ - .... ,.. Number of Stories ........... ; .......... 8. Dimensions of entire new construction: Front .............. : Rear ............... Depth ............... Height ............... Number of Stories 9. Size of lot: Front ................. ~..' ...................... , ......................... 10. Date of Purchase Rear ...................... Depth ............... iiii''' .................... ......... Name of Former Owner 11. Zone or use district in which premises are situated ..................... : ....... Does proposed construction violate any zoning law, ordinance or regulation: ......................... t be regraded ....... .. ................. · ...... 13. Will lo ·.. Will excess fill be removed from premises: 14. Name of Owner of premises Yes No ............... t .... Address ................... Phone No ............ ;... Name of Architect . Address . Phone No ................. Name of Contractor ...... . .......... Address ................... Phone No. ... 15. I.s this property 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. APPROVED AS I OTED 3. t~SULATION zt FI~,~,~I. CONSTRUCTION MUST BE COMPLETE FOR ALL COMSTRUCTION SHALL ThE ~EQUIREMENTS OF THE N.Y. STATE CONSTRU~JON & ENERGY CODES. N~ RESPONSIB~ FOR DESIGN OR CONSTRUCTION ERRORS STATE OF N~W-"~O~_ I ~ COUNTY OF .~.~ .~-~..t.... S.S .... (Name of individual signing conltract) above named. UNDERWRITERS CERTIFICATE RF~UIRED ....... being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, etc.) ........................... of said owner or owners, and is duly author/zed 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 ~c~., ''. ....... '~' ~,>'~ ....... tY~~'~' '~' ~., 19 ~ · ,> '.:.- /..' / FORMER OWNER DIST. TYPE OF BUILDING I WN OF SOUTHOLD ,PROPERTY RECORD CARD !"',, ! -, '-~-,~ :': :~,' ~i;; :i .~DREET 55 ~q:~" , VILLAGE SUB. LOT RES. s.s. VL, FARM COMM. ,~== LAND IMP. TOTAL DATE REMARKS ~..,qOo iS-tOO ~;GOO ~A--r/~,,_~ ~ ::t::u:,~,~L_C?:U~ ~ I / / J ' ~ J/~ ~l~- ~F~I?~ ~- I Ii 4~ " :~v - '2 ~L FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD ~ .WOODLAND DEPTH ~q~ q~ $~F], .:,7- MEADOWLAND BULKHEAD HOUSE/LOT 7~/ ~ t~ ¢~',-~ TOTAL I00(~ OWNER TOWN OF SOUTHOLD PROPERTY RECORD' STREET ACR. REMARKS TYPE OF BLD. PROP. CLASS 'DAT ELT"~_ VILLAGE SUB. LOT OB3, ._~op G t$~ ~ ,oae~ ~.o.~ o..o~o j woooLA.o BULKHEAD I HOUSE/LOTTOTAL Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 27, 1995 Mr. Parviz Farahzad 44 Niagara Street Miller Place, NY 11764 Re: Building Permit #21652-Z Premises: 620 Traveler Street, Southold Suff. Co. Tax Map #1000-61-1-13.1 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Soulhold, New York 11971 Fax (516) 765~1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 27, 1996 Mr. Parviz Farahzad 44 Niagara Street Miller Place, NY 11764 Re: Building Permit #21652-Z & 20899-Z (alt & stairs) Premises: 620 Traveler Street, Southold Suff. Co. Tax Map #1000-61-1-13.1 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. il TRAVELER N I ,i~ / F U.S, POSTAL SERVICE STREET .i MAIN C N.~& Rte~ NO. 25) SURVEY OF PROPERTY A T SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. I000- 81 - Ol - 12..2 & I~ SCALE.: 1" = 30' JAN IA, I~8 dAN. 3~ ~001 AREA'- $.1482 AcREs