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 ~ . .~..,
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~ross .Il! o~ I ~r ~el, ~n~ l'ree, nbeuse _ ~[..,.:. el'ev~tlOn el ~reea~ouse
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