HomeMy WebLinkAbout2089-zFO~M NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ...M~.....:~......R...~,...~....C...~..~...~..~...O. Cj~.e. ..................... Street
Map No. ** Block No. e* Lot No. **
conforms substantially to the Application far Building Permit heretofore filed in this office dated
~Ttllilte ~.:~ 19..~..~.. pursuant to which Building Permit No. ~ 2089
dated ......................... ..~.~.e....~ .............. , 19...6...3.., was issued, and conforms to all of :the requirements
of the applicable provisions of the taw. The occupancy for which this certificate is 'issued is ........
............................ ~Or~,a~.. ~.~**O~p...,~...O~.~.~.....aP.**~.. ..........................................................
The certificate is issued to ~.~..~.~ ~.~.~..~.~, .o..~.j~..e...~..(D..~B~.A, ~.:caull O~,~t;e~' CO, )
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector
FO~M NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREM SES UNTIL FULL
COMPLETION OF THE' WORK AUTHORIZED)
N.° 2089, Z
Date .................. :..,. ~t~/l~t~.....~.~ ............... 19.6.~..
Permission is hereby granted to:
B~,~un..Oy~t;e~...¢o ...................................... ......
.......... P/a, in.:.R~d ............... J.: ...............................
.................... ~t~hogu~ .......................................
to.. tBui.]:d...a~., a4td.~ ~i.o!t..o~ .. ~.. ~xz~.~ng...~r.~ C¥..]~S ~e~$.. ~,i.t~.~ .................... ~
at premises located ct ~/~......~..~t~...Re~. ........................................... ................................................
...................................................... C~tt, e.ho~.ue,~....-i~.¥., ....................................................................
pursu0nt to application dated ................................... .~lllTe...-~.........tg.{~.., and approved by the
Building Inspector
Fee $ ~.(~4).. l~r]...e a,ah
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
SCHARADIN ELECTRIC
P.O. BOX 1077, MAIN RD.
CUTCHOGUE, NY 11935,
KEN HOMAN
30840 MAIN RD.
CUTCHOGUE, NY 11935
Located at
30840 MAIN RD. CUTCHOGUE, NY 11935
Application Number: 2093778
Certificate Number: 2093778
Section: Block: Lot: Building Permit: BDC: ns11
Described as a Commercial occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 5th Day of April, 2006.
Name QTY Rate Rating Circuit Type
Miscellaneous
retail kitchen/sales area
Alarm and Emergency Equipment
Combo Exit and Emergency Light
Appliances and Accessories
Exhaust Fan
Exhaust Fan
Panels
1 0
2 0 1 H.P.
1 0 1.25 H.P.
100 20
Continued on Next Page 1 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
Wiring and Devices
Outlet 32 0 Fixture
Fixture 20 0 Incandescent
Fixture 12 0 Flourescent
Outlet 22 0 General Purpose
Receptacle 17 0 General Purpose
Switch 14 0 General Purpose
Lighting track 16 0 R seal
Paddle Fan 2 0
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
SCHARADIN ELECTRIC
P.O. BOX 1077, MAIN RD.
CUTCHOGUE, NY 11935,
KEN HOMAN
30840 MAIN RD.
CUTCHOGUE, NY 11935
Located at
30840 MAIN RD. CUTCHOGUE, NY 11935
Application Number: 2093778
Certificate .Number: 2093778
Section: Block: Lot: Building Permit: BDC: ns11
Described as a Commercial occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 5th Day of April, 2006.
Name OTY Rate RatinA Circuit Type
Receptacle 3 0 20 amp General Purpose
Disconnect 3 0 60 amp General Purpose
Receptacle 3 0 GFCI
Miscellaneous
Commercial Inspection Fee
seal
2 of 2
This ceAificatemay not be altered in any way and is validated only bythe presence of a raised sealatthe location indicated.
FOEM NO. I
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Disapproved O/c ...-..-~.~...~.~ ...........
.
spector)
Application No....~....?....~....2 .........
APPLICATION FOR BUILDING PERMIT
Date .......... .~.....~....../~...& ......................... , 9....c./....~.. .....
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 application.
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
permit shall be kept on the premises available for inspection throughout the progress of the work.
e. No building shall be occupied or used in whole or in po rt for any purpose whatever until a Certificate of Occupancy
shall have been gra,nted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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 olterati/ons, o/for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordin~ces~d regulations~/
//
~~i¥ ~;~ ;~:/~"t'i~' ~"~;~;~;~i~;~i .........
~ ........................ (Ad~ ~'~' ~';' ~ '~¥i'~;~ ~i ...............................
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.................................................................................................................................... ........................
If applicont is o corpo(at~gnature of duly outhorized officer.
(Name and title of corporate officer)
1. Locotion of land on which proposed work will be done. Mop No: ............................................ Lot No: ....................
Street and Number .~....A~.../..'..~.. ....... ,~.~.. ........................ ~.~~...~..~ .........................
Municipality ~
2. State existing use and occupancy of premises and intended use and ~cupancy of proposed construction:
a. Existing use and occupancy ... ~~. ~.C.. ~:. ~. ~...e/Z~<~.~..~ .............................
b. Intended use and occupancy ~ ~ -
3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ..................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ........................
4. Estimated Cost .'~..~q.~.~....~... ..................................... Fee ..........................................................................................
(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 ................................................................................................................. : ....... /~;.. ...... i ......
6. If business, commercial or mixed occupancy, specify nature and extent of each type of us.,~.~..~ ......
7. Dimensions of existing structures, if any: Front .......................... Rear ..........................Depth ..............................
Height ............................ Number of Stories .............................................................................................................
Dimensions of same structure with alterations or additions: Front ................................ Rear ................................
Depth ............................ Height ................................ Number of Stories ........................................
8. Dimensions of entire new construction: Front ................................ Rear ..... ~e~...~..~..-. ........... Depth .....~. .....................
Height ...... ~.~..~...-. ......... Number of Stories ..................................
9. Size of lot: Front ................................ Rear ............................ Depth ........................................
10. Date of Purchase ........................................................ Name of Former Owner ........................................................
1 1. Zone or use district in which premises are situated .................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation? ......................................................
13. Name of Owner of premises ........................................ Address ............................................ Phone No .....................
Name of Architect ...................................................... Address ............................................ Phone No .....................
Name of Contractor .~-~.~......~_~.C<~.4~'.~.~.r.~f.~j ...... Address Z~..~....~.Z'./..Z.~.~4~ ................. Phone No .....................
PLOT DIAGRAM
Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate oll set-back dimensions from
property lines. Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEW YORK, '~) S ~
COUNTY OF ...~~)_ '~'
.................. ~.' ' ~~.. ............................ i.....being du~y sworn, deposes and says that he is the applicant
(~e~ ~d[~ual s~ning application)
above named. He is the ........... ~ ..................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or ha~rmed the said work and to make and file
this application; that all statements contaiq~4~t~Eepplica io~are t~e to the best of his knowledge and belief;
and that the work will be performed i~ t~e~'~'~ ~e~o~ ~h~tio~~th.
Sworn to before me th~s o 52.0544963, ~ qn tg~
............ o, ........................ ...........................