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Home My WebLink About36582-Z54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 35101 Date: 7/31/2011 THIS CERTIFIES that the building Location of Property: SCTM #: 473889 Subdivision: COMMERCIAL ALTERATION 110 Love Ln, Mattituck, Sec/Block/Lot: 140.-3-42.4 Filed Map No. conforms substantially to the Application for Building Permit heretofore Lot No. filed in this officed dated 7/28/2011 pursuant to which Building Permit No. 36582 dated 7/28/2011 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: "as built" £n'e suppression system as applied for. The certificate is issued to 170 Love Lane LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized Signature TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 36582 Date: 7/28/2011 Permission is hereby granted to: 170 Love Lane LLC PO BOX 151 Mattituck, NY 11952 To: "as built" fire suppression system as applied for At premises located at: 110 Love Ln SCTM # 473889 Sec/Block/Lot # 140.-3-42.4 Pursuant to application dated To expire on 1/26/2013. Fees: 7/2812011 and approved by the Building Inspector. NEW COMMERCIAL, ALTERATION OR ADDITIONS $500.00 CO - COMMERCIAL $50.00 Total: $550.00 Building Inspector [%tm N~. 6 TOWN OF $OUTttOLD BUILDING DEPARTMENT TOWN 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 following: 3,. For new building or new use: 1. Final surveY 0f 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 0f Fire Underwriters. 4. 8worn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple rusidea~es 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 requireraents. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" laud uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly c~mpleted application and consent to respect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alteratious to dwelling $50.00, . Swimming po01 $50.00, Accessory building $50.00, Additions to accessory building $50.00. Businesses $50.00. 2. Ce~ifieatc of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Old or Pre-existing Building: (check one) House No. Owner or Owners of Property: / 70 Suffolk County Tax Map No 1000, Section Subdivision Street Pegudt No. · Date of Permit. Hamlet Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Foe Submitted: $ Underwriters Approval: / Final Certificate: ~ (check Block Filed Map.. Lot: Applicane FAX: (631) 765-9502 SoutholdTown. NorthFork. net PERMIT NO. Examined Approved Disapproved a/c Expiration //L~ ,20~..~ Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,20// a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on promises, relationship to adjoining premises or public streets 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 Inspector will issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION 1S HEREBY MADE to the Building Department for the issuance ora 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 ~i~e, ifa corporation) (M~ailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameorownerorpremises 170 Lot/e Lo e , LL C (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name an~ title o¥cor~orate officer) Builders License No. _~ ~ L~ ~, ~ i/~ Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number Street Hamlet b. Intended use and occupancy 3. Nature of, wo~k (check which applicable): New Building. Repair ,Xc'~ Removal Demolition 4. Estimated Cost .~(,,9~O 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee (Description) (To be paid on filing this application) 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 o,,fexisting structures, if any: Front -~1~/ Rear ~"~ / Height / ~5 / Number of St0ri~- ( Dimensions of_same structure with alteratiops/or additions: Front 5'"O / Depth /~{-/ Height. !§ Number of Stories .Depth [0~'"' Rear / 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front ~/OO ~7~ Rear 2/. ! 3 10. Date of Purchase [O/~) O/t9 NameofFormerOwner Rear Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO ,~Will excess fill be removed from premises? YES__ NO__ 14. Names of Owner of premises Name of Architect (J/~M Name of Contractor Address t~O ~o,~'! ffb{'ft'rt't,d(Phone No. Address~q b"O( ~'v~ ~,~_ L'at,,.~one No cf/ Address~ 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. PERMITS 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. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES NO /' · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) /tv/;c~/,t,o ! .,'~.:~ ~ l/t'~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the C~f./9~P~A i(~ trr~'l~; t. '~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 statements contained in this application are true to the best of his knowledge and belief; and that the work v~ill be performed in the manner set forth in the application filed therewi~RBARA H TANO¥ /~-~t¥~_.~l Notary Public, Sta~'e Of New YoUR Sworn t~before me this -- No. 01TA6086001 ,'~,~'~ day of ~'UL.~'( 20 t~ Oualified In Suffolk Count~ Commission Expires 01/18/20 ~ c'OfelvlE't?L)' OF SCI.~E.NON~ CATCH CATCH 40.1' EDGE OF PV~T. ~AN~HOLE [~ (ASPHALT PAVEMENT) ~ANbHOLE MAN(~)HOLE 1 48.41 ' (ASPHALT PA VEM£NT) LOVE !4NE ASSOCIATES LLC o~ N58'40'40"E 25.:37' LAND JUL 28 2011 BLI;8 DEP[. TOIt,'r'l OF SO:U?HOLD TItE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 1HIS SURVEY WAS PREPARED IN ACCORDANCE ~/11H 1HE EXISTING CODE OF PRAC~ICE FOR LAND SURVEYORS ADOPTED BY THE NEW YORK STATE ASSODIATION OF PROFESSIONAL LAND SURVEYORS. ANY AL~LRATION OR ADDITION TO THIS SURVEY IS A ~IOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING ~HE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. NO OFFICIAL OF THIS STATE, OR OF ANY CITY. COUNTf, TOWN ON VILLAGE THEREIN, CHARGED ~TH THE ENFORCEMENT OF LAWS, ORDINANCES OR REGULATIONS SHALL ACCEPT OR APPROVE ANY PLANS OR ERECIRCA~ONS THAT ARE NOT STAMPED, CERTIRCA~IONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WNOM THE SUR~I~Y IS PREPARED, AND ON HIS BEHALF TO I~E TITLE COMPANY, GO~/ERNMERTAL AGENCY AND LENDING INS~I~JTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTIIVTION. CERTIFICAlloNS ARE NOT THANSFERARL[ TO ADDITIONAL INSTITIJTIONS OR SUBSEQUENT OWNERS. I TOTAL PLOT AREA: 5,246.83 SQ. FT. ~ I JUL 28 201] :'"' "t LAND NOW ONE STORY BRICK & FRAME BUILDING # 170 S58°40'40"W LAND NOW OR FORMERLY 0 SUFFOLK COUNTY TAX MAP DIST: 1000 SECT: 140 BLK: -% MAP NO: DATE: LOt(S): MAP Of: DESCRIBED PROPERTY LOCATION: MAtTItUCK TOWN OF SOUthOLD0 COUNTY OF SUffOlk. STATE Of NeW YORk SURVEYED: 3EPTEMBER 24, 2010 CERTIFIED 'TO: 170 LOVE LANE, LLC FIRST AMERICAN TITLE INSURANCE COMPANY PECONIC ABSTRACT INC. SCALE: 1"=20' FILE NO: 10--292 LOT: 42.4 Wallace T. Bryan Licensed Land SurveyoJ MAINTAINING THE RECORDS OF BURTON, BEHRENDT ~c SMITH 559 Middle RooxL Bayport, New York 1170. (OS1) 472-177o Fax 472-1771 rOTES: &'ri) lO ] 36P' FLiSiSLE DOUBLE F R' T: N T "7! E'"A P/ZZA P]PE 'XV PLA, I'J 'IE ALL PP!NC) TO BE -EHEE, i,LE 4C: BLACB ;RON M~LL &BL B ?'v CC, UTROL S',$7E',,] IO HAvE 2 ,dCRO 1%~'~x HPc ONF F,L,R C,]NNE( TI, ,ti ~_, BIIILDING ! OVE LANE~ \\e ..... LOVE LANE MARKET 170 LOVE LANE MA'FFITUCK, NY 11952