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HomeMy WebLinkAbout20475-Z Gy Town of Southold 4/26/2018 k P.O.Box 1179 o - o • 53095 Main Rd yljol ��o�' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39615 Date: 4/26/2018 THIS CERTIFIES that the building ALTERATION Location of Property: 10560 Route 25,Mattituck SCTM#: 473889 Sec/Block/Lot: 143.-3-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/9/1992 pursuant to which Building Permit No. 20475 dated 3/12/1992 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: partial window replacement in existing commerical building as applied for. The certificate is issued to Rob Roy Realty Corp. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ho e Si Mature FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NN(w) 20475 z Date ..........!.,a............... "4/C ,, Permission is hereby granted to: oe to ....... .......... . ............... .......... .. ........... .............. .................*................................................................................ at premises located at ........ ........................... .......................................................... ............................................................. 2 .....................................................................211,4411k,//. . . ... ................................................................... County Tax Map No. 1000 Section ........ Block ......F........................ Lot No. ......?.............. pursuant to application dated .............. ......../... ....... 19'?-A�, nd approved by the Building Inspector. Fee "-tool/ .......... Building Inspector ','Rev. 6/30/80 LD 1:.`,. �: :�_� :i j�`Jn:., FOUIDATION � ( 1st) I � �e FOUNDATION (2nd ) ��+ 2 o r z O ?OUCH FRAME & UMBING cn 3 . y m INSULATION PER N . Y. y . STATE ENERGY CODE I ? 4 . FINAL ADDITIONAL COMMENTS : x • x O CT1 ' r x ;7• I R] -o H �J))L9 BOARD OF HEALTH . . . . . . . . . o FORM NO. 1 3 SETS OF PL."iNS MAR 91992 SURVEY . . . . . . . . . ?� TOWN OF SOUTHOLD • • • - I BUILDING DEPARTMENT CIIECK . . . . . . _ . _ . . • , . . €{,`•r _ TOWN HALL SEPTIC TORN _ _ . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:o E I F7 Examined . . . . . . 19 CALL . . . . . . . _ . . . . . . . . . . . nn MAIL T0 . `approved .�.�a,4. . ` . ., 19f%-Permit No. A a. y.7 Z . . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . . . ., 19 la INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of plans, accurate plot plan to scale. Fee according to schedule. b. PIot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets >r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 hall 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, buildin e, housi g code, and regulations, and to dmit authorized inspectors on premises and in building for necessary in ctio . iQ atu o -applicant, or name, if a corporation) �'X 24- �``'I -r%iTuc��-1 l q Z (Mailing'address of applicant) -tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0 Lel! N e 2 lame of owner of premises . . . . . . ® c �G`Jl 2-. . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . Plumber's License No. . . . . . . . . . . . ... . . . . . . . Uy® 2 Electrician's License No. . . . ®� L ��©L`� � � Other Trade's License No. Location of land on which proposed work will be done. . . . . . . . . -4�,4 L . . . . . . . . . . . . . . . . . . . . 14M�/ 7-b/� /�. . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . ./.,�3. . . , , • . . Block . . . . , . , , , , , , , , , Lot . . . . , � . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . Filed Ma No. (Name) P . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . .' C�`j �J JL tAv-' 1, . . . . . . .'. . . : . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . . . . . . . . . . . ? !'� , , , , , , , , • , , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . .. Alteration 41taD ws Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 4. Estimated Cost . . . . . . . 1. 7,5® (Description) . . . . . . . . . . . . . . . . . . . . . . . Fee . . . �.��J.�l� . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . • . • . • Number of dwelling units on each floor . . .`7� . . • • • • • • • • If garage, number of cars 6. If business, commercial or mixed occupancy, specify`na�ure ��d extent of each type of,use �f "<e7 C t—I 7. Dimensions of existing structures,if any: Front . . .V(�( T. .Depth . .�� t Height . . .Xyl. . Num . . . . . . . . . . . . . . . • • • • • Number of Stories . .�• , Dimensions of samg structure with alterations or a 'i�tions: Front f�P. • r . . . . • Depth . . . . . �. . . . . . . . . . . . . . Height . . . .� Rear . % �. . . . . . . . . . Numbe of/Ston s . 8. Dimensions of en iFe new construction: Front . � ;7�� • • Y' ' ' ' ' ' J. Rear .� . . . . Depth Height . . Number of'Stories ' ' ' ' • ' ' 9. Size of lot: Front f . . . " " " . . • • . . . . ' 10. .�: . . . . . . . . . . . Rear . . . . ./. �S . . . . . . . . . . . Depth Z-. ./ i. . . . . . . . . . . . . Date of Purchase . . • • • • . . . Name of Former Owner .�!'. •PlJ M I LLo 11. Zone or use district in which premises are situated . • ' ' ' ' 12. Does proposed construction violat any zoning law, ordinance or regulation: nl, , 13. Will lot be regraded 0 • • •• . Will excess fill be removed from premises Yes . . 14. Name of Owner of premises . .i.`�c����"'/�'�'42Address � gS�r.J4o} .o ]?hone Nob 73� 576" Name of Architect ` • • ' ' ' ' . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . Phone No. . . Name of Contractor . Address . Phone No. 15. Is this property within 300• feet of a tidal wetland? *Yes. . . . . . . . No. .N `� . • " " ' • ' *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distin"ctly 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. /fid H TATE OF NEW O OUNTY .. !�LR'�c/ - • • • • • • • . • . . . . . . . . being duly sworn, deposes and says that lie is the applicant ( ame of individual signing contract) )ove named. is the . :>. . y' . _`: . . . . . . . . . . . . . . . . GU 7t-P (Contractor, agent, corporate officer, etc.)• • • said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the )rk will be performed in the manner set forth in the application filed therewith. /orn to before me this . . . . . . day of. . ~�� .��.: . . . . . . ., 19 tary Public. . .. . • . . . . . Count / Yl-VIA K.ROUSE Nota ublic,State of NeW York • . No.4674306,Suffolk Coun . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Commission Expires,July 31B 1 (Signature of applicant) INSPECTORS Victor Lessard �SOlFFaj, Principal Building Inspector Off' s -0 Curtis Horton �`� f SCOTT L.HARRIS,Supervisor Senior Building Inspector o !; °``, " =" ' Thomas Fisher - �? Southold Town Hall Building Inspector `, �• P.O.Box 1179,53095 Main Road ,� .�� Southold, New York 11971 Gary Fish ,/ :�'� Fax(516) 765-1823 Building Inspector `l� Telephone (516) 765-1800 Vincent R.Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone(516) 765-1802 TOWN OF SOUTHOLD JUNE 5, 1992 ROY SCHOENHAAR BOX 124 HATTITUCK, NY 11952 A/C Z SHELL REPUBLIC RESTAURANT To Whom This May Concern: We are unable to complete "' p your Certificate of Occupancy because of the following reasons: XXX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. ffi The check is ftakdzbadVnot on file. )$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 20475-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. cm r Town Hall, 53095 Main Road � Fax(516) 765-1823 P. O. Box 1179 4 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 27, 1995 Rob Roy Realty Corp. Box 124 Mattituck, NY 11952 Re: Installation of- windows . To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) ** No Underwriters Certificate on file. xx The check is not on file. $50.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 20475-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. pF SO!/j�Olo . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Ol • a� BUILDING DEPARTMENT TOWN OF SOUTHOLD November 1, 2011 Rob Roy Realty Corp 330 Eastwood Dr Mattituck, NY 11952 Re: Main Rd., Mattituck TO WHOM IT MAY CONCERN: The Following Item(s)Are(deeded To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) ZA Electrical Underwriters Certificate. fee of$50.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. — Bob Fisher Final Landmark Preservation approval. BUILDING PERMIT : 20475 - Windows; %3^r v' soUryol 0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G • Southold,NY 11971-0959 OlyCOW T`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD March 5, 2018 Rob Roy Realty Corp. 330 Eastwood Drive Cutchogue, New York 11935 RE: 10560 Route 25, Mattituck TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy. Application for Certificate of Occupancy. (Enclosed) v Electrical Underwriters Certificate. (� A fee of$50.00. Final Survey with Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT: 20475-Z windows ok 6; ��. TIN IT `b t. 60UA W six fin pop 1 •f t to I- Mpg. REYI$jON,S �', JAN. 27, 1978 C` / L all dUl AIt�O LU C.�g/asoL l j s J �1�l N F 1 ' I O CUPAMY OR USE �S!IUNLAWFUL OCCUPANy :o LA). IVOAI 9MIA14 044e- 3 Al, 3 v A' 7 7 � W/OVAS®,d a v C� • t y',4 i". a-.J° -- ..'1 � ' � n r a.� w-2+112' tffuf l K/oo-c) rq°fit Co#JO`C v _ a APPROVED AS NOTED DATE�� -S.P.�t 02 d 7 Z FEE: �� BY: c. NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE °`. ROUGH - FRAMING & PLUMBING INSULATION FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS