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HomeMy WebLinkAbout6949-zFORM NO. 4 TOWN OF SOUTHOLD BUH.r~ING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No~.~?l~ ....... Date ............. NOV,..~ ...... , 19. THIS CERTIFIES that the building located at Mai~ .Road .&. t~ew. S~f-fo.l~ Ret Map No...Xxx ....... Block No. ~ ...... Lot No... ~.. MattS.tuck.. ~.Y.~ ...... conforms substantially to the Application for Building Permit heretofore filed in this Office dated .........0c.t .. 2~ .... , 19. '?3 pursuant to which Building Permit No.. dated .........0~.~..2.~. ..... , 19..?~, 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 ~e stau.van.t .-,. place, a£. p~b~.~.c, a~semb~.~r ........................... The certificate is issued to . g .&. ~4 .Re&~Lty ......... 0waers ......................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .... M ,~. · ( l~r. evious, ai)p~oval ). · · UNDERWRITERS CERTIFICATE No. ~end~'~l~ ................................... HOUSE NUMBER ...~.~(~ ..... Street ... l~,z~, l~oa~l ............................ Building Inspector / FOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6949 Z Permission is hereby granted to: ~ra~z.:.L..o.f..~..~l~..~. ................... ~o ...Jgake..aXteratla~..e~..raJ~a~..~Za~Zu~ ..~".. hu~ldJ~J .................... ............ /~e.~- ~ ~ .~t~..~o..~ea~..~..tmb~e..aJs~h~.J ..................................... at premises located at ...J~...~...~....~.....~...~...~.L?,~O.~....A..?~.. ......................................................... Nattituek pursuant to application dated .................... J)~.....2~. .................. , 19.7~.., and approved by the Building Inspector. Fee $.~;~.(~0 ........... · ' Building In'~pector / ............. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Of Occupnncy No..Z.1..2.~72 .......... Date ....q~.C..E..~..E..R. ~,0. ................ 19..8.3 THIS CERTIFIES that the building ALTERATIONS Loca~i ~ . CNR. NEW SUFFOLK AVE. & MAIN RD. MATTITUCK [ on Ol rroper[y ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section .... .1.~.4. ....Block 12 .Lot 3.1 _ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ..................... ,19... pursuant to which Building Permit No ...................... dated ............................ 19..., 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 ......... For corrected violations The certificate is issued to (MATTITUCK MANOR) TOLENDOL ..................... r't;Mn'O ...................... of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO... PENDING fruiting Inspector Rev, 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ~.q~,QS~ .......... Date .......... l~QVeu~l~er. -3 ........... 19 THIS CERTIFIES that the building ../LLTER, A.TION~ ................................ Lo ..... Ont. New Suffolk Ave. & Main Rd. Mattituck cauon ox yroperty ............................................................... House No. Street Ham/et County Tax Map No. 1000 Section q q q' .Block q 2 .Lot .. 3 · q - - Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Filed in this office dated ..................... ,19... pursuant to which Building Permit No ...................... dated ............................ 19..., 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 ......... For corrected violations The certificate is issued to lVlkTTITUCK lVlg-270R ..................... ' .... Jr t; a ............ of the aforesaid building. Suffolk County Department of Health Approval .N,~.3. UNDERWRITERS CERTIFICATE NO ................................................. This Certificate good to q2/3/83 Building Inspector Re~. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: l. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Alteration Date No~' 28 19?3 New Building ................ ~ ...... .~.~.][.~.'... Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ...~;[~..Z..~...¥..o. fl.~ .c;~..~.~9.~f. ~.z..o.~ A.M.e. .......... .}:z.~.~..~.z...~.~.c..~.~......?~.....~.t .................... Owner Or Owners Of Property ...~....~..~[..~.~.ft~.~7. ....................................................................................... Subdivision XXX ................................................................ Lot No..~.~. ...... Block No....z~,,. ...... House No....?.?.?.~© Permit No..~.9..bc.x~ ....... Date Of Permit 10/2¥/?3Applicant Brasb~' s of ~,~-attituck Heath Dept Approval Labor Da t A royal ./~...~. 10/12 ......................................... P. PP ........................................ /..7.3 Underwriters Approval ..~.fl~,,~q~. .......................... Planning Board Approval ....... ~....~.. ........................ Request For Temporary Certificate ........................................ Final Certificate Fee Submitted $ ~..~,.0...0. .......................... building and permi~plic~le codes and regulations. Construction on above described Sworn to before me this ' ~ ~ ///~/t/~ c~ ~"l , ....... ~..... day of ....... ]].O.~.~b.e.~......~.c~.,~.. (stamp or seal),~''~ ''~'~ 7/9/ > FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept, of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5, Submit Planning Board approval of completed site plan requirements where applicable, B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing'% land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or sefeW inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C.':: Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling / 3. Copy of certificate of occupancy $1.00 landuse--Pre-Existing C.O. $15.00 Vacant land C.O/. $. ~..00 Date ...... .~..~..~..~T. ? ...... New Building ............. Old or Pre-existing Building .~..~'(~.?'..T Vacant Land ..... ~:~, ~- ~[~ Location of ProperW ./.~ . ~.~. ~~c~J ~1~'/~ ~ Owner or Owners of Prope~ ~ ~ ~ ........................... ;..~.. ~.~ .......... CounW Tax Map No. lO00Section .../~ ~/ Brock ... / ~ Lot ~' ~ Subdivision ................................. Filed Map No ........... Lot No. Permit No. Date of Permit .... Applicant ~ ' / Health Dept. Approval .,, ~, ....... ......... Labor Dept. Approval ........................ Underwriters Approval ........... ~ ~ , .Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~.' ......................~ Construction on above described building and p~ meets all applicable c~)des ~nd requlations. ~ Rev. 10-10-78 1~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Nick De Simone, lessee TO ..l~...a..t:..t..$..t...u. 9...k... ,M.a..Q.9. ~ .................................... (owner or authorized agent of owner) Main Road, Mattituck, N. Y. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ............................................ Other Applicable Laws, Ordinances'or Regulations C...~.~p........~.~.~...?..~E..e....?.~.e...vent±on Code at premises hereinafter described in that restaurant and amusement business is (state character of violation) being conducted for public assembly under unsafe conditions. See attached rider for violations and remedial action. in violetion of Sec. 45-202 A. B. C. (1) (3 E. & Sec 45-203 J. (1) (3) (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the 1 1 th day .............................................. , The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at corner of New Suffolk Ave. & Main Road Mattituck, N Y Cn,~ntv of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. Building Inspector RIDER VIOLATIONS _- Chapter 45, Fire Frevention Code Emergency exits. Exterior passage doors do not swing freely, doors and hinges are deteriorating causing doors to jamb in frame openings. Doors have been equipped with swing bar to lock against jamb. (Remove swing bar and service, repair, or replace hinges, door, frame so that doors open when normal pressure is applied. Keep exterior of exits free of obstacles). Exterior lighting of emergency exits. Fixture has been removed over s/e doorway. No bulbs in fixtures. (Replace light fixture over doorway, and install bulbs in all lighting fixtures). Corridors leading to emergency exits are being used for storage areas. (Remove all shelving and storage of tables, chairs and dining utensils, keep corridors unobstructed at all times}. Exit directional signs. None provided in corridors where entering from assembly area. {?rovide approved directional signs, illuminated, at all points where path of travel changes direction). Fire separation, Opening from kitchen to corridor have been removed. (Replace doors in kitchen openings with self closing doors with 1~ hr. fire rating, or opening protectives equipped with fusible links with 1~ hr. rating). Commercial cooking equipment is not being maintained in safe operating condition, no record of last inspection. (Have system inspected by qualified inspector and service company. Equipmemt must bear date of la~inspection). i FORM NO. 5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) --(address of owner or authorized agent of owne~ PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ,u:'~:'~P;¢~'"C:,~'"'O';;~ Other Applicable Laws, Ordinances'or Regulations ~,¢~/~.......2~.¢...~...~....~....~../.'~.:.. at premises hereinafter described in that '-7/¢(.~ ,~'c/~/.~.C¢ o.~.' .............................. i;'t'Zt~"~,;;;~;;;'Zf"~i~,i'~';iZ;i .................. I ~n v~o'at~on of .C..~..~.~:.~......~.~..~....~..-:......~'.~K.-..~.Z~., : ..O.....~...'~.:..~.:L/ .~,~z~ ~o~. (State section or paragraph of applicable law, ordinance or regulation) ~./f YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the .............. ~...~....~ ....................................... day of ............... ...~..~...~.. .......................... 19..E/. The premises to which th~ ORDER TO REMEDY VI~Q. LATION refers ore situated at v'.......'..x.~/d~..~.....~.~.W..~..t~.....~....~x~.~...~. ...... County of Suffolk, New York. ~o. 7~x '-~ leOo~ /,',,~- Ox:Z.-- 0o ~'-~o~-/ Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or Building Inspector ............ TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 1197! TEL. 765-1802 Mattituck Manor Main Road & New Suffolk Mattituek, New York Avenue~ Fire Safety Cheek List, Correct following~ 1. Install three exit direction signs in corridor per discussion February 13~ 1981 inspection. 2. Exit sign missing on south east exit, lights not working. 3. Remove padlock from north exit door, service all doors so that they swing freely when opened. 4. Southeast exit, exterior must be cleared of all obstacles (Keep exits clear at all times). 5. East room, exit signs not working. 6. Remove all shelves and storage from corridors, keep f~ee of obstacles at all times. 7. Hood extinguisher, and two others require service. 8. Emergency lights in east room not working, check batteries for all emergency lights. 9. Direct emergency lights so that fixture is directed towards exits of rooms. 10. Replace fire doors in kitchen openings to corridor. 11. Clear south east exit, keep exterior of exits clear at all times. Frovide Fire and Smoke New York State Code, C 12. Detecting System, according to 406-2 & C511-3.1. Edward F. ~indermann Building Inspector FORM NO, 1 TOWN OF $OUTltOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .... ........ Approved ,, 'l 19'-~' Permit No. ~.~]a.~ ......... Disapproved a/c ..~ ................ ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build 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 street~,o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicati~. 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 shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pa rt for any purpose whatever until a Certificate of Occupo~ 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 ~hhe 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 buildings for necessary inspections. ...... i~i'~'~'~'~ i~' ~i' '~'l;I:~J'~ '~ ~ t, '(;~' '~ r~'~' 'i~' 'a" ~'~l~'~ii ;~i ........ ................... ............. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicon,t~ ~ ,,~te, si~. ature/f~ duly authorized officer. .............. ~ ~a~le o~corporate officer) Builder's License No ..................................................... Plumber's License No ................~....~...~....~.. .................. Electrician's License No ....... L..J..~.~......~.. ................... Other Trade's License No ............................................... 1. Location of land on which roposed k 'Il be done Mop No ' Street and Number ....,~.... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .....................~..~.(.~....../~...~...~.:..C.~.f..~..~..L~...~.../..~...g.:..~..~ ................ b. Intended use and occupancy ................. .~...~.?2~.~...~........~...~..~....~....~...~...~....~..[.~.....~..".~....~...~.--....~.....~...?...t~..~ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration '~ Repair .................. _ -~-Rem°val .................. Demolition .................... Othere O Work ........... -- (~escriptiO)~;'"~":'~'""":'";"~': ........ .... 4. Estimated Cost .... ~...~....~..~...~..O...~.....:.).. ..................... Fee (to be paid on filing this applicatian) 5. If dwelling, number of dwelling units .......... .~,_.~. ........... Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ......... ~ Dimensions of existing structures, if any: Front ........ ~ ............... Rear ........... ~...~. ................ Depth ../...~.. ........... ~ight ...... ~/~I ............. Number of Stories .......... ~ ................................................................................................ .... ~i~nensions of same structure with alterations or additions: Front ........ ~..~..'. ..................... Rear ...~..~..~ Depth ....../~.~./ ................... Height ..../ ...................... Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number of Stories ............................................................................................................. ;~ ..... 9. Size of lot: Front .............. /.~.~..~.~.D.-~., .~.;~ ............................ Rear .......... ./..?.~..'.f..~.. .................. Depth .~'/.].~.?.~....~...~...~./~... 10. Date of Purchase ............... ~./......~...-../.?.. .................. Name of Former Owner /~.....~....~D.~.V..~ .................. 11. Zone or use district in which premises are situated .../w?...L...~ ................ ~.7~;;~1 ......... : ................ .~.......~. -- D '~ 12. oes proposed construction violate any zoning law, ordinance or regulation: ..... ~ .............................................. 13. Will lot be regraded ....... ..~'......~.. ......... Will excess,fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner of premises ..... ..~....~......~........~...~ ..................... Address ................................ Phone No ....................... Name of Architect ...~,~...~.......~......~.~ .................... Address ~.~...~.... ......... Phone No. ~..J.~......~..J..]..~.. Name of Contractor ............................................................ 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 corner lot. STATE OF N~,~.y(j:;~ ,,~,,~ ~ ~ COUNTY O,J~~ ...... ~' '~"~ ................................................................................................. being duly sworn, deposes and says that he is the applicam (Name of individual signing contract) above named. He is the ............................................................................ ~ .................................................................................................... (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 inthis application are true to that ~is knowledge and belief an~ that the wore will be performed in the manner set ~o~h in the application filed~re~ Sworn to b~e me this __ ~ ...... ..........., ........................................ ~/~gna~ applicant) N~. ~2-0344~/~ Su~: ~.ooo3o7 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 88 JOHN STREET, NEW YORK, NEW YORK 10038 Date Ji~J~IID~ J.O, 1~ 251175/~ ~,,.,,o. ~o. o.~,~ N 629377 THIS CERTIFIES THAT 0~ the ~t~al e~ipme~ ~ ~sc~b~ ~ ~ in~uc~ by ~ qp~q~t ~n ~ a~ ~pli~t~n numar in t~ p~m~s of in the following location; [] Basement ~ 1st FI. [] 2nd FI. Section Block Lot · . December 2,9, 1963 FIXTURE OUTLETS 4 IECEPTACLE$ SWITCHES FIXTURES RANGES OVENS ~ISH WASHEES EXHAUST FANE FLUORESCENT VAFOR 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE TIMECLOCKS UNITHEATEES MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C E NO, OF CC. COND. PER ~ OTHER APPARATUS: l-4.Skw Hot Wa~er Hoater~. De£,~-~..~Cs Rcmovod As l~r Our Letter of J.~-~.7-83. NO. OF HI-LEG NO. OF NEUTRALS OF NEUTRAL Frohnhof£er F_Ae~. Inc./Joe Frohnhoefor Box 817 Rou~e 25 S~u~hold, N.Y. 11971 Per_ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i L 0 ~q,O 1'74, Office Of .~n..~on K. Able,s; P,~ E,