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HomeMy WebLinkAbout12459-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...~'] 37.'1.Q ........ Date .......... .g:.~.g.~.8.~..~ ............. 19~.~.. THIS CERTIFIES that the building .... ~..1.~.e.~.~. ~, .i9.~..&...~.d:.d..i.'c.5.°.~.' .................. Location of Property 9~.5.. Cedar Beach Rd. Southold h3&e No. ' ................... 's't/~3i ....................... h~/al'el County Tax Map No. 1000 Section .... .~.9. ..... Block ...... 3. ....... Lot ...~. ............. Subdivision ............... x. ............... Filed Map No...~. ..... Lot No ...... .~. ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. ~ay. 35 ............. 19 .~}3pursuant to which Building Permit No .... .'l.2.q; .~.9.~. .......... dated ......... g.~g~S.~..2 ......... 19 .~.3, 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 ......... ..... Al.~.e~a~5~om .&. addle:ion..~.o..ql~,5,r~g. ~.o.o.m...o.f..e..x.i.s.'q. 5..rig..~.e..s~.~.~.~. 9,n,~,,.,,, The certificate is issued to ......... ~rIGTOR. ~..g~R~. ~'~,. %..~.l.J_~...E..4 ,..S.~.../¢Vl~.. ...... (owner~) of the aforesaid building. Suffolk County Department of Health Approval .............. N/A N693800 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FORM' lqO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 12459 Z Date .... :.~..~:7 ........ ~ ............... 19..~.."'~. Permission is hereby granted to: ....... ~,~;~_,,~...L .//~...~,...~.),....~c.. ....... ~.~......~..~....~-~.~..x.,~ ....... ~~x....~..~ ....................... to ....... ~....~~Z~...~......~~.~ ..... , .............. ~ ~. ~ ~ ~... ~ ~ ~. ~..~. ~ ~ ~ ~ ~... ~~.~ ................................. at premise~ated at ..~.1~:..]~~. ...... ~C~,..~ ....................... ............................................................................................................. ~~/.~.. co..~ ~.~ M.~ No. ~000 S.~.o...~ ........ .~ ....~..~ ........ ~o~ No...~.~ ............ Building Inspector. Fee $.~ ........ Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,qouthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A.This application must be filled in typewriter OR ink, and submitted in dup] tothe Building Inspec- tor with the following; for new buildings or new use: I.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 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 informa- tion required to prepare a certificate. c. 2. Certificate of occupancy on pre-existing dwelling $15.0 3. Copy of certificate of occupancy $1.00 Date ............... '~. / .~Y./.¥..'~'. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property House No. Street Ham/et Owner or Owners ofPrope ..V.'c C ....... County Tax Map No. 1000 Section ...~. ~.~. ....... Block., .~).~. ........Lot...~..O./ Subdivision ................................ Fded Map No ......... Lot No .......... Permit No, Date of Permit Applicant. Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ~ ................ Plannin card royal ..................... Bequest for Temporary Certificate ..................... Final Certificate ..... .~.. ............. Fee Submitted $o./~/O.3iT...~-~ ................ ~'~'~ [~ J-~ Applicant .~~ .l-.~.~ ~ ....................... June 7, 1983 Plan Review: General Wayne Inn Southold, N.Y. Comments: Addition & Alteration Zone M-l, non-conforming restaurant. Reconstruction of a non-conforming building, exceeding 50% fair market value will require a variance, (Art. XI, Sec. 100-118 E) Site Plan Approval, Planning Board, in accordance with Art. XIII Off-street parking requirements, Art. XI, least one space for each five (5) seats. be required~ Sec. 100-112 A. At A seating plan shall Exits: signs showing change of direction are required Emergency lighting shall be required at two locations to illuminate the assembly area Provide two hour fire separation between kitchen and assembly area, and self-closing fire doors, 1½ hr. rated for opening protection Footings for deck and new addition shall be 3'-0" below grade-- min. Certify live load for deck and addition, min. 100 PSF Provide additional set of steps at opposite end of deck and increase width to accommodate the 5'-0" wide openings from the building. Also show exterior lighting for deck. Re- check calculations for flitch beam design supporting second floor areas State flame spread of interior wall coverings being used Indicate how bath rooms are to be ventilated Include floor plan of toilet rooms, showing number of water closets, urinals, and lavatories Verify unsupported ceiling span where bar partition is being removed THE NEW YORK BOARD OF FIRE UNDERWRITERS [2~5018 BUREAU OF ELECTRICITY ~k?., 85 JOHN STREET, NEW YORK, NEW YORK 10038 B~,te ~ay ~9,~-98~ ,~ppllcatlo,,No. on~ile 3~0083/85 N 693800 THIS CERTIFIES THAT only the alee trical equip.tent as described below and introduced by the applicant named on the above application number Jn the premises of General W~yne Inn, So/end of Bayview Rd., off of Rt~ 25, Southold~ N.Y. i. th~/ol,o~i.~,oc.tlon;,~§'"~"t ~ t~tr,. [] ~,~d r,. outside was examined on M~ y ~ Section Block Lot and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS FLUORESCENT VAPO~ 14 9 7 14 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATER.~ MULTI-OU/LE1 DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R NO OF CC COND, [ A, W G. PER 2 000 V I C E NO, OF HI-L~G A. WO OF HI-LEG NO. OF NEUTRAL5 A, W G )00 Panelboards~ 1-.20(cir.) 200amps. 2- Emergency Power Paeks Track Lighting-- 20(No. Of Feet) Westner Elec. Coo P. O. Box 20 Reeky Point, N.Y., 11778 lic.%2358-E This certificate must not be altered in nny manner; return to the office of the Board if inco[rect. Inspectors ma), be COl JILDING ENT. THI! FIELD INS~Ec~'~ON FOUNDATION (1st) COMMenTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main 1to P.O. Box 1179 Southold, New York 119q Fax (516) 765-1823 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPHCATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk',, Office (agency Freedom of Information Officer). One copy will be returned to yot In response to your request, or as an interim response. (Department or Offit~er, if known, that has the information you are requi~sting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, suppll date, file title, tax map number, and any other pertinent information.) Signature of Applicant: Printed Name: ~)~( f ~ Address: /03 ~ Mailing Address (if different from above): Telephone Number: ~ ~ '~ ' ~ 7 ~/ [ ] APPROVED [ ] APPROVED WITH DELAY* [ ] DENIED* Elizabeth A. Neville Freedom of Information Officer · If delayed or denied see reverse side for explanation. Date HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM, Jr. WILLIAM F. MULLEN, Jr. Southold, N.Y. 1 1971 TELEI~HONE 765-1938 July 13, 1983 Mr. Vincent O'Connor Box 657 Wickapogue Road Southampton New York 11968 Re: General Wayne Inn, Inc. Dear Mr. O'Connor: Enclosed please find copy of the Building Inspector's certification regarding the above captioned site plan. This was discussed at our regular meeting of July 11, 1983. The following resolution was passed by our Board: RESOLVED that the Southold Town Planning Board approve the site plan "General Wayne Inn, Inc. for the construction_ of a greenhouse addition and alteration subject to a one year review and an on site inspection by the Planning Board prior to the issuance of a Certificate of Occupancy. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD Enc. cc: Building Department By Susan E. Long, Secretary FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ...... ......... ....... .......... , , ~ (~g Insp~tor) ', . APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This application m. ust~ be completely filled in by typewriter or in ink and submitted 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 shall be kept on the premises available for inspection throu~aout 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, and to admit authorized inspectors on premises and in building for necessary inspections. .G~nero[ Woyoe .inn,. lnc ........................ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. agent and attorney t~or applicant Name of owner of premises Victor Farinha, Jr. and Duane A. Seaman (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No .......................... Plumber's License No.. ~b....~ . . .?.~-.c.~.~-./.~?... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed wo'rk will be done. Boy View Rood and Cedar Beach Road ....... . l ......... ............................................... House Number .Street Hamlet County Tax Map No. 1000 Section .... .89. ............ Block ..... .3 ............ Lot. l Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended nse and occupancy of proposed construction: a. Existing use and occupancy Restaurant b. Intended use and occupancy .. same ..... (.d/.z z~.~.~.~././.~O7~..~.../~..Z. 7'~:~r¢~...2ff~.~ ................... 3 Nature of work (check which applicable): New Building ...... Addition x.... Alteration .. × Repair .............. Removal ............ Demolition .............. Other Work ............... · ~//~ (Description) 4.' Estimated Cost ......... $ 80,. 000 Fee .~. {.~.~.~.'.~'"~ (to be paid on filing this application) 5. If dwe.lling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .... , ................................................................... 6. If business, commercial or mixeld occupan6y, specify nature and extent of each type of use ...re.$.t?.u.m.n.t ........... 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 ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front .......... : ............ Rear ...................... Depth ...................... b 10.. Date of Purchase . J u y 1, J 982 ........ Name of Former Owner ]~9. Prt .G., .bl.o.r.kyq ............. 11.. Zone or use district in which pr'cruises are 'situated...M..1. ...... IkLq~..'.~*/~ .~?r.~O~C..~...q.~..-~. ......... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...hi0 ..... ~ ................... 13. ' n .o .... Will lot be regr,aded ........ .................... Will excess fill be removed from premises: ~l~e~D con~4~te 14. Name of Ownei' of premises Ou¢o~ A, ~r~p ..... AddressS.2. R. 9u. te..2.5.A,.t. Sh. qrp~9.,rrphone No,,~,~'.~..~J./.. Name of Architect Gabriel S, Avallone .......................... ,~uuru~ ................... rnone INO ......... Name of Contract.Or r,~ ~..~.~.~.~'~.'*~..~. .^ddres~ . ...... '" n ' ' "'7'' *othe,r owner: V,¢t;~ ~:~rinl'~,' )'r. '~) ~-I'untifi~l~:c~n ~'~ne, ~F[arid~r~, 'R,v~rh~t; I~.qt°~ °l ~"01' ' 'O'~O:;&~ ' 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 STATE OF, NEW YORK, COUNTY OP. $ .uf. fp!k.. .......... I~.S (Name of individual signing contract) above named. qttorne× 9p.d 9ge, n.~. 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 No. 52-4524771 ..... .~d ................................. qualified lin Suffolk Couni~ t/_ ..,-- t'.~OX i~I~"~ I~Jt¢ t,., iSignature Jaf applicant) 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 mann,r set forth in the appilcation flied therewith. Sworn to before me this . ...... *'....,~.../ .......... dayof ...... ~.~.: ...... ,19,.~. ~f - ., UN ^,F. v, ow^t.s,<l , /,m NOTARY PUBLIC, State of New York .... ~*--"'nd ~ . .~.., ..... : : ..--.ir,.o, ." ..... - - :: ~ : .~-...~.- ,,n ~ :. , : : .... - ..... ...... 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