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HomeMy WebLinkAbout5535-ZFOEM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Date ............. .NOW ....13 ..... ,19. THIS CERTIFIES that the building located at N,~t. F~:l.n. Puo~d. ~. F. ac~Qry S~reet Map No. ~ Block No. ~ .Lot No. .~. Mat~lt~.c~. N,.~, ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ 5eP~.... 29 19.7J. p~suant to which Building Permit No.~Z... dated ............ ~gP~...2~.., 19.~., was issued, ~d conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .~W~.. The certificate is issued to ~.~k..~gp~g..q~n~..(T~..q~.~a..Pve~.). (owner, lessee or ten~t) of the aforesaid building. Suffolk County Department of Health Approv~ (See. genl appr.o~al. UNDERWRITERS CERTIFICATE No. N. ~ 2[~ ] .... NgV..~. ] ~ .................. HOUSE NUMBER ]~9~ ........ Street .. ~. ~q~ ............................. s~. ~p~$~..~~ .q{9 .~h .~r ................................... ..... ......... ~OE~ NO. ~ TOWN OF SOUTSOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 5535 Z O~*e ~t ~ ,~.:~. Permission is hereby granted to: [~C~ ~-~v~ /~"f ............. . ..~.~..%.....~.~.~..%~e ..................... ........ ~ee....~..~..~t...,.~m.~ ................ at premises located at ~ ~ A. ~1~1~ &gl~l ....................................................... ..."m~.~,t~llli~ .................................................................................. pursuar~t to application doted ............................... ~t, ...... ~ ......, 19....~4, and approved by the Building Inspector. FOILM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy No. Z.~.~68 ...... Date .................. .~U~.~.~..~.0, 19.73. THIS CERTIFIES that the building located at . l~F~/.1~$1~. RO~d ........... Street Map No...:~ ........ Block No.. ~ ...... Lot No..:11~..Na.~t~.~.. N...~, ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... ~ept-.20-., 19..71 pursuant to which Building Permit No.. dated .............. 8ep~;. · ~) 19.71., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ... R~tail. 3tox'$. ((tra~t.* ~) .......................................... The certificate is issued to . ~t.tAtuak .Sh~pSX~ .Centex'..Inc ..... .O~er ......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...!~..2$..~.~.73..b.y.. R.o..V$.l.l.a ...... UNDERWRITERS CERTIFICATE No..~. 09837~ .... J'~.me. 22.. 1973 .............. HOUSE NUMBER .... 10~0~ .... Street ...... Pain. l~a5 ......................... ...... .... ........... Building Inspector\ THE NEW YORK BOARD oF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 ,JOHN STREET, NEW YORK, NEW ~ORK 10038 THI$ CE~IFIE$ THAT United General, Factory Ave. ~ Rt.25., Mattituck, L.I. in the foll~ing l~ation; ~ B~ement ~ lst rt. ~ 2nd FL outside Section Bilk w~ exami~ On ~ 0 ~ e l~b e ~ 1 ~ 197 3 a~ found to be in compliance with the requirements of this Board. FIXTURE ECEPTACI ~S SWIT FIXTURES RANGES OUTLETS I CriES INCANDESCENT FLUORESCENT ~ve~Y av~T. K.W. SERVICE DISCONNECT t I~. OF I S R METER PER ,~ OF CC. COND. 1 ~00 SW / x 1 5oomcm OTHER APPARATUS: COOKING DECKS OVENS I DISH WASHERS TIME CLOCKS/ IUNIT HEATERSUNIT HEATERS MULTI-OUTLET · I SELL ~ SYSTEMS A,V,T. [ .A~, .TRANS. H.P, NO. OF FEET tl 1 500mci Electric Furnace: 2-30 kw, 1-10 kw ~,~at er heater: Panelboard/s: 1-~;cir. 600amps., 1-30cir. 2-20 TOnR 1-10 Ton A.C. Units 200amps. EXHAUST FANS 2 F DIMMERS OF NEUTRAL 1 500n:cr,~ Carney Elec. Const.Oorp., 112 Franklin Place, ~ Woodmere~ L.I. ll59L ll Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FiRE UNDERWRITERS ak BUREAU OF ELECTRICITY ~ B5 JOHN STREET, NEW YORK, NEW YOrK 10038 n.~June 22. 1973 ,,,,,l~,..,i.,,~..o,,ft. 639310N THIS CERTIFIES THAT Grants, Factory AVe. & Route 25, Mattltuck, L.I. i.o...fo...,~.~o,..t~.,. [~ ~.~,~.t ~] ~,~'~. [[[] Z.d r~. outside s~.t~o, .,.~ .~.,.i,,,.,i ,,. June 22 s 19 ? 3 and found to be in cO.tl,llanre with the requirements of FIXTURE ~ FIXTURES RANGES COOKING DECKS OVENS OUTLETS' sw'tCHEs NcA~escENt~FluOresceNt2~ ~8 ~02 TYPE 3,~ OTHER APPARATUS: *Furnaces: Oil 2-1/8hp. 2-1/3hp S E R V 2 i00mcmi = Electric Duct I C E 2 500mcmJ 2 500mom ]{eaters: 1-30kw,l-i)i<w, 1-10kw, 1- 1 1/2kw - Panelboard/s: 1-16clr.800amps., 4-42ctr., 1-32clro 150amps. each, 2-22cir., 1-18¢Ir., 1-16cir.~,, 1-8cir. 100amps. each Air Cond. Units: 1-60 Ton, 1-50 Ton, 1-30 Ton, 1-20 Ton Transformers: 1-5KVA, 1-45KVA, 3-37 1/2KVA, 2-25KVA 112 Franklin Place, Woodmere, L.I. 11598 (;IINI~RA~, ~ANAGER SUFFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR PRINT LEGIBLY IN INK 553 5Z Building Permit No. 5534 Z Health Department Plan Application for Approval of Commercial Sewage Disposal System TO: The Suffolk County Department of Health Date ~uq. 1~: 1972 Application for approval of commercial sewage disposal system is hereby requested. Location:N/E .~..~ ~* ~.~*~v av~ z ~4n ~__ ~a~{~k; (Name' s'id~-str~et,-name' a~d distance to'nearest intersecting street) NameMat~i~uck Shopping Center Inc. Hamlet Village Town o~ Southold I hereby certify that this commercial sewage disposal system has been constructed in. accordance with plans approved by the Suffolk County De- partment of Health on (date) and with all t~he r~~of the latest bulletins on sewage disposa'l of the ~o~]zk~'C~ Deparf~ent of Applicant's Signature/ Title Pres. Builder & ~er (Builder - Owner) Address 504 Walt Whitman Rd. Hunt. itao N.Y. Ready for inspection Aug- 15, 1972 11746 Tele. No. 298-4755 Inspected by Installation FOR USE OF H DEPARTMENT ONLY satisfactory s ; No Based on the information stated hereon by the applicant and other information made available, it is the option of this Department that this system with proper maintenance can be expected to function saris- factorily and is not likely sewage flow is not exceeded. Date MAY 21 1973 SCHD - S-13 6/58 to cause a nuisance, provided designed Structural features are not included. Chief of ~ea~ral Ezz~i~eerin~ Services FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUT.OLD, N. ¥. Disapproved a/c ............../.~ ............... APPLICATION FOR BUILDING PERMIT ............ .......... ....... 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 buiJdings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty 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 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. ................. ...................................... -~(Sig~,nature of applicant(~ o~)r~me, if a corporation) ....... ................. (Address of applicant) State whether applicant is owner, lessee, ogent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......... j.~.~.[~.~.~...\]..b/....(.~..~.. ....... ~../~.~,.~/~....,...!...~...~.., ................................................................. officer. If a~p_licant is a corporate, signature of d. uly a~thorized ......... (Name and title of corl~eJoffiter) 1. Location of land on which proposed work will be don~. Map No.: ..... v/ ........................ ~.~ ..... Lot No ......................... and Number ~.'1....~2..~.......'~....'~......~......~. ~4C.~...~ .J..~'.....]f-~ .... ~....~....~... Street ' ' ' ~',','~ ic ip'~'ii~; .................................... ' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ........... ~..../.J...~..."~. ~ .~/.. ,/. · ' ....... ~ ............................................................................. · b. Intended use and occupancy ....... .......................................................................................... 3. Nature of work (check which applicable): New Building ....... ~........... Addition .................. Alteration Repair .................. Removal .................. Demolitian .................. Other Work (Describe) ........................................ 4. Estimated Cost ........j.:..J.~.,..~.'~..~ ............................ Fee .......................................................................................... (to be paid on tiling this application) 5. If dwelli ~r~_, number Of dwelling units ............................ Number of dwelling units on each floor ...-~.i~ ................... If ga~a~l~ ~nber of cars ................. ~........-~.:'..L.....Z..:m ..................................................... .~... Z...;~L;~;..~.. .................... 6. If business, commercial or mixed oCcup~nc%zspe~ify nature and e~tent of each ~p~,Of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ..... ~; ............ ~ .............. ;~;~: ............. · . -~ ~-.-- ~ '~-, ..~-~_~ ~_ ~. · .............................. D~mens~ons of same structure w.th alterahons o~O~6dd~ons: Front ................. Z ................. Rear .... ............... ............... .................... ...... ................................ 8.~,n~r~sions of entire n, ewcons~ruc~io'l~l~'r~ear ...~..~. ................ Depth ../.~..~.....' ........... Height ......~.l~..~../.~Number of Storiesx,, ............ .~....'~.....%~ ........................................ O. Size of lot: Front .....~...~...~..;.~i..~. ....... Rear ...... ~.....~...~....~....~.. ........ Depth ......~....~....~. ............. 10. Date of Purchase .......... /.~u.,~,.?,/..?.~.~.~.__ ............. Name of Former Owner 11. Zone or use district in which p~mises are situated .................................. 12. Does proposed construction violate,~. ~'~any zoning law, ordinance or__ ~ ~*~' _ /~_ ~regulati°n? ..... ~ ........................ ~ .................... 13. Name of Owner of premises '"~/i'/4[~'/'~,~/~...~--~'~/I-=,~ddress- __ -- .-.~'~I-,~,,-¢.~/~4~...[.-'/~--~n~ Name of Architect ..... ~/~/.- .~. · · - - --/Y~..~,-~,~ .............. Address .................. ::. ....................... Phone No ............ ,~ ...... Name of Contractor ....'~/~..~'~l¢.J.~...~...Address ............... ' ............................. Phone No ........... , ........ 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 comer lot. STATE OF NEW Y. QRK// ~z ~' S S couN OF ........................ ~l~.t.i,t,e,.,.....~...~....I.~,..'~..~l..././l:cu.being duly sworn deposes and says that he is the applicant above named. i ' t~ u' ~ (Contractor, ogent, corporoteofficer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke 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 fo~h in the application filed therewith. Swam to before me this ' --. / ....... .................. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. ~'ILMP 01tAR~ Certificate Of Occupancy No. Z .~2t~3 ...... Date ............. duly...3 ......, 197.3.. THIS CERTIFIES that the building located at N/.;-;. }:azkn. Ro~.d ............ Street Map No... xx ....... Block No. XX ........ Lot No~?X~ ... P~atti~u~¢k...N. ~y~ ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...........Sept.. 20., lg71. · pursuant to which Building Permit No..55~5Z. · dated ...........Sept.. 29.., 19. ?.1., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ~atail..atore... (Gr. ant$.) .............................................. The certificate is issued to .. !4~tt~:.u. qk...8.h.q~9.~.n.g.q.e.n~,e.r...I.n.~ ..... . .0~..e¥ ......... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .. l~y. ~].. A 973 · .by. R ~. ¥~lla .... UNDERWRITERS CERTIFICATE No.. I¢ .098~?1 ..- ~.tme. g~. 9 7.3 .................... ttOUSE NUMBER...1060.~ .... Street ..... .l~tSp...I~0..d .......................... Building Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR PRINT LEGIBLY IN INK 553 5Z Building Permit No. 5534 Z Health Department Plan No.~ Application for Approval of Commercial Sewase Disposal System TO: The Suffolk County Department of Health Date Auq- ~6: 1972 Application for approval of commercial sewage disposal system is hereby requested. (Name,--~id~-o~- str~,-~'and distance to nearest intersecting street) NameMatti~uck Shoppinq Center Inc. Hamlet Ma~ti~uck Village Town of So~thold I hereby certify that this commercial sewage disposal system has been constructed in. accordance with plans approved by the Suffolk Co,nty De- partment of Health on (date) and with al~ r~ff~~of the latest bulletins on sewage disposal of the ~o~3,k~-~ Department of Health. Applicant's Signature Title Pres. B~ilder & Owner (Builder - Owner) Address 504 Walt Whitman Rd. H~nt. Sta. N.Y. Ready for inspection AUg. 15, 1972 11746 Tele. No. 298-4755 FOR USE OF H DEPARTMENT ONLY Inspected by ?~~ ~/~K Date ~3 Installation satisfactory s ; No Based on the information stated hereon by the applicant and other information made available~ it is the option of this Department that this system with proper maintenance can be expected to function satis- factorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Date MAY 2 1 1973 SCHD - S-13 6/58 Structural features are not included. Chief of G~neral Engineering S~rvices �.awy�y�'�:.y x.� :, tF." :' '. -. .•'�.E�� .x .,'A� ._• ,w "' e- •nS.,ciT ,.' • "!` r � q . . .. .. - - _ � - .. .a � -� - � .,» ••L_. - - . C . . .. , -J l 11 I � °dpRGS'3G0 1 I �.� ' i�faA'3G' qt/C Ph495C TPo'O olnhe. Tl ,,� . •- - 8L//LDJc1G AK' A 66, ZZ4 �Q�a58 d A;V-,gCl77/JG m q7, 3Gb. '17,300 i �Q v 20' C • I 1 I . h a 1' L �' I 1 �ws .a. F?9,Q�C/uG fbE'Cs . x 19A, 8 $ I 1 ,10,,as I z� yes { RI�F/L1 s�rpera , I vAaierY CPr wa p.- cues 38-7 387 KI b r I AS, • `N07,l4 S: + Abse-oirf/ca � � T �' � w \ I. maaet 4r �..nuT,wa.IueA era�nd au asR cry' a17VIO&M- r \ Q 2 H7RX/.ua .vRaa AWOe..0 acI 394 0'.Gale esYEKY Ino '� �/` _� Q,� .,.__.� - � '' 'tl R'CY.A/f• ?AL�IC lrRlA1 �6VL.C6 N oov . L '"740A rroarecl ---► y - - - - h ` wo i' o I6 16 AG O'G - ' .ni✓AS Cs T1'VO !N -ern.rc rf .�/.wr's • S. /'� �-''}// ' PLA.cJT/.tJQ 'f I GiPv.az�CD. A 6fAo1p moo J1� 6w r /;/fr4 ` w I Sec r'y MA 7— nrret X-47 d /fkiemere'.w� �3 . - _ � I � riser-ae , . . ew�+eoe.a ,e.ur�-a�ee.e• ' �; M,T. '%c749 axakr w.v7-1 44v AW. Ih w LI 4h: rA X - - Vi— �� .)� 1 F.r q . � - .phi i .� •.Y ) - -..,. .. r..rwr-.—....-.x.+�' ... ..u+LiMw: '�•.-c,...�.-...... - .� ,... - +. ... . . « ... ... .... . . . a - - �__ -. ..____ . . . .,. _W ._. ..-....,..._.. . ..-.r. .«w.�—..+.�..........-�.«....n.C.......... k....�...........,�........ ..w. «v.,..,.,.,....x v..-..u..w.�..........,...,•.�.I...fw+.w...wv...rwC,-r ......�....Lns,.x".a.�s..ai.u.L.l..-.ra,.Jr....-s...,..-x.. ..,u.. .r.. .r.J.ov3LL.t+w�}.+.'R.�� b 9`v "N � y .�, � � Lt � , 1. = • , ti � M1F�{%�tk __ ena `-- to90 y r A , J b �r t� o. A� -- — -- -- -- -- - — y 14kro s � 's• - - � -- T B t. t - .� . •Y - j _ ' IT � �,;��� �' fii" � _ _ • � Q1.41L1�,SSR.. QtIMtG(S, � � L i i I � I -f_ if-1 ` � �yq 'T' t , . , frt�r '' s°'a•Wenu�.F � I 4 'I ' y �p y g ' + _TA IL T-C)i? - -- w— TF ^y ' LL ! ' lk Mot), c;ALLaAj I Sion A6E 7sn-+�S ,i 3 ' ` " inti •^--� t ' Zo M• Pey,NL � � , , A ZZ' Pat,CA �- sr Gotiic. p � ,: ® 11 ORAtNA<3E_ RING$ Nr kk £ to'TQ" Duni_ 11 p ' _ �- _ 4 LD g4.`(W E I_ !.,_.._.,FD E711 I r=o 2- r i SOMTZ MUM uramm OF Mm Ala-2t) �•l• 1!'iGAMR 'Al ,,-ti - e proposed arrangements for sewage disposal and water suppl7, i $ 40Vet7t - C. �. ¢ ckMF e.,..e, for cAMP ee�A, in the Tom'V1 of"O)Wdv -* Were approved on the she dato in accordance with plans and ap- plication on file in the office of the Suffolk County Departmen4 a' _2b" f^ te r• ' ' 1— A (-.l I TA, 2 - J S�-( STaPVN of Real # , `� i. - __ , , � • . —'--'--'-- --- --'---------- -------- — Consent Is hereby given for the filing of these plane on which gy . y ta, ," - ^ •' ODAIL`/ S MPTIG 1 ST this endorsement appears in the office of rJ ' T—� '' rt2RINF.' CONC. JILDINC UNITy .` lyre :G.oVE�L p - - This approval does not include structural features and is granted L, - � '� � ( - "- - -- -"� --- -^"-- - �"-- -- on condition that the proposed facilities are installed is ooa- f ; - _ _ -- 3 , ,X g. ° "{ fortuity with these plane. - -- -- - _ �' 145o _?dug-Q LeACM144 n� -- n ou�wea �onYi. I �T RES .� _ _ EA" o0 r �• �' Chief of 6anerel Ugiaseriogiriie� o + 2 A P 2200 ,x,;°06aAac,� 13 s r an�m ° QIN4 i (r _ I -8Qx I gat-CAST- Cowc: - 43 `� �- LcAcereca 2rua5-� tsG►5f Qn SGS �oCJF.X� �. $� 4► Q1u6S PLAtl • PwMeING,riRAINAam , LTA,. (:2&LL0Q _ aD of3l ►x ,^ p L-ter, ' (,� Yd.l+-1 K LTJ QC�QUIatA "T T 1 T UC K. d h1a Shia'p ING GIrNTLzvL. .,. .. � .. , . --- - - asc.• r��.�a. ; � _ 4 �tOfl�S 6 7i�RT/tE 2 5L� p 2TE 'LS--_-N1ATTITUCK- -i-J-f, - PANTS 2400 24oa MASSl4tO FRANCIS YElli, ARcE{ITEc� .n � f=� ,,., ►�" , " ' r -• 114-10 QUEENS BLVD. FOREST HILI S, N. 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