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Home My WebLink About9488-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate OF Occupancy No. Z16018 Date ...A..u.g.u.s.t. 5, 1987 Tills CERTIFIES that the building .. ~ ~ 9. r.°~..a?.d.. 1..u.n. qh..e .o.n,e. t~ .t .o .................... Location of Property .5 .4.5. 0..07.5.4. 5~ .6.0..~ a..i ?.. 5 t..r .e.e, t, ........... s. o..u .t,h.c~ 1. c.1 ............... House No, Street Hamlet County Tax Map No. 1000 Section ...6. ! ....... Block ....4 ........... Lot.. 2...5. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to thc Application for Building Permit heretofore filed in this office dated Iq o v. 24, 1980 pursuant to which Building Permit No. I 120.6 Z dated,......June 25, .... ....}981 ............. wasissued, andconformstoalloftherequirements of the applicable provisions of the law. The occupaucy fl)r which this certificate is issued is ......... Add kltchen, alter existing food market and luncheonette. The certificate is issued toJOItN MALINO~SKI (MAllq STREET MARKET) ..................... ?o¥,,'o;, '~&5Ox'~X'× x x × ................ of the aforesaid building. Suffolk County Department of Health Approval .... S, q4. .6. .8./. ~ .5./.8.9 ........................ UNDERWRITERS CEI'.TIFICATE NO, N 7 1 7 9 0 5 I 1 / 1 8 / S 5 PLUMBNRS C~R'rlFICAT EON Planning Board upproval C.O. also includes C.O. also includes DATED: N/A May II, i987 B,P, #9488z 10/6/77 Underwriters N393852 B,P, # 10595~ ~/24/80 to Coffee Shop Annex Underwriters N487] 6 Buildiug Inspector Unloading shed with to Alter existing store to Main Street Market. 7/25/80 TOWN BUILDING TOWN CLERK'! SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9 88 Z Permission is hereby granted to: ........ ~,~z~in..L{d ......... .~on~ho!d .......................... at premises l~ted at ...l~a.~.~..~$,~..4~...~;c~.~u~f.m-~.ve ..................... J ......................................... ......................................... ~.~,.~k~ ................................................................................................... pursuagt ~o application dated ........................... Dgg .......... ~..: ...... , 19.~.~.., and approved by the Building Inspector. Fee $.2~.~.0g. .......... FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, ~.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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 instaila- 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 p~operty 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 informa- tion required to prepare a certificate. 1. Certificate of occupancy New Dwelling $25.00, Accessory!$]O.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0,00 .wca t c.o. o.00 5.Updated C.C. $ 50.00 Date .......................... NewCons bruc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property House No. Street Ham/et Owner or Owners of Property -'"~'o,~ ~o County Tax Map No. 1000 Section ............... Block ............... 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 $ ~C),c>t:~ Construction on above described building and,permit meets all applicable codes and regulations, C.o. .7_. I o/ o° THE NEW YORK BOARD Ol , FIRE UNDERWRITERS ~ ~ BUREAU O~ ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT in the following location; [] l~'a~ement ~X Ist FI. [] 2nd Fl. ~e~tion Block Lot w~s e~omined on J U ! ¥ ! ~ p ~ .~, 7 ~ and found to be in compliance with the requirements o~ this nXTURE L EPT I I FIXTURES DRYERS FURNACE MOTORS FUTUI~ APPUANC~ FIEDE~J A,'~T. K.W. OIL H.P. ~A$ H.P. AMT. NO. A.W. G, 2 3O OTHER APPARATUS: S E' R COOKING DECKS OVENS DiSH WA$HEI~ AMT. K, W. AN '. K.W. ~tT. K~ W* .T..Is, TRAN~ ~ N~S,Y~IM$1~IT V I C E EXHAUST FANS DIMMERS Ru,and Elec. Co, P.O. Box 14~ flattltuck, N,Y, 11952' LIc,~42E mua n~ ~ ~l~r~ in e~ munner~ ~urn ~ the office of the Bo~ if incorr~t, COPY FOR BUILDING DEPARTMENT. THIS COPY 0F CERTIFICATE MUST NOT BI ALTIRED IN ANY ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Yo ................. I,....~ .......... ~. .... ~:~:z. ........... ~'\.~-:~ ............................... " (Building Inspectory APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date 0c~ober 6 19..?.7 ~ %-, cA a. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building? 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 streets o~ ~ 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 work. a e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate af Occupancy :> shall have been granted by the Building inspector. ~7 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, os 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. John Malinowski (Signature of applicant, or name, if a corporation) ......... ~e~...&uf,£o3.k .............................................................. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises Main S~reet Supe~ Market ( John Malinowski) If applicant is a corporate, signature of duty authorized officer. (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Ruland Electrician's License No. -~:2~,- -~'~'- - ,, , ............................................ ,, Other Trade's License No ............................................... ~/~__z~__ ~-~)~,~ ~ "7-~r~.? [,~,~7~,~,~' Location of land on which proposed work will be done. Map No.: ........ ~ ................... ..'......~Lot No...~.Z........~,... ...... Street and Number ....S./..S....~f.a...i.,~.....S.,~.,,,~....E../..S.....~..°..t.~..n.~.s...r~.v..e. .......... ..S...o...u..t...b;.o..1...d. ................................................ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy s.u. lqer~arket b. Intended use and occupancy ....... ~..a...m:`e.~.w..i..~.~h....a~...d.~..i..t~.`i.~..~....~.~.~.~.D...~.~.?.:.~.~'~.~.~P.~.~.~.~ ..... 3. Nature of work (check which applicable): New Build.ing~ .................. Addition ..x...x. ............ Alteration ...X...X:. Repair .................. Removal .................. De mol it i o n..~..S.....n..e...c..e...s. ~l'l~r Work ................................................. ... (Description) 4. Estimated Cost .................................... Fee .~.:..0..0.. ........................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ........ .0 .................. 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 ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with aherations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .....~9 ............................ Rear ....~,.Q ................... Depth .7.Q .................. Height .................... Number of Stories ..OZle .................................................................................. 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Dote of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ll,.l~-.1.!t ....................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..,'tO. ................................................. 13. Will lot be regraded . .......... n...o. ............ Will excess fill be removed from premises: ( ) Yes ( ~0 No 14. Name of Owner of premises ~..M.~.i..n.~S.~p..e.~.r`.m..~.r.~.e.~.~.TA(~s~.~..~..i.~.~..w..~.1~.'.i. .......... Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome 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 ~vhether interior or corner lot'. see attached plan STATE OF NEW,,YQP,.K, - ~ c ¢ COUN'r¥ OF ..?.~.z...z...o.~D. ............ ~.~ .... ,]'ot!.D.....M..a~..i.~..o..~.~..!¢..:.L. ................ be ng duly sworn, deposes and says that he is the applicanl (Name of individual signing contracf) above named. He is the Owner ................................................................................................ ............................................... 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 stctements 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 forth in the application filed therewith. Sworn to before me this 0 ' et 7 ................... · ~.... day of .................. , 19..,~,... t > ,., .~ ,-, . ;,/~ ~-'ota~,, P,~lic 8UffO.l.~ ................... County . .x.'~...~!=~=......~.]£4~--.:~.%r..~...%~:.c.2..~.y/.,,~.~.,:.ck~e. ........ ., ., .~.~. , .~ ............ ~ ............. / J (Signature of applicant) Iio, 52-4~4372h Suffolk ' ~t~ ~ '~erm Expires March 30, I/~