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Home My WebLink About12118-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy N Z12959 November 2 ... o .................. Date ................................. 19 86 THIS CERTIFIES that the budding .. O..n..p.r..e .m.i.s.e.s...b.a.k..e .ry..&...r.e.t.a..i .1..s.a..1 p.s.. s..h PP. L,~cati,,,,ofPro,,ert,, 10105 Main Road-Mattituck Sho in .C.e.o.t.e.r. .... ~, ., ..................................... p.p.., g. .~g.t.t.~[D.c.k House No. Street Ham/et County Tax Map No. ]000 Section . ! .4.2. ....... Block ....0.1 .......... Lot .. ?.2fi. ........... Subdivision .M...a.t.t.i.t..u.c.k..S..h.op.p.i..ng..C.~ o.t.e.r. Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'ded in this office dated ·..D.e..c :..3. 0. ........... 198. 2.. pursuant to which Building Permit No..~ .2.1. ! 8..Z .............. dated ...J.a.n....1.9. ................. 198.3. ., 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 ......... On premises bakery & retail sales sho The certificate is issued to Atan A. Cardinale--tenant--Hank Giles-Mattituck Bake ..................... ...................... of the aforesaid building· Suffolk County Department of Health Approval .... H.A.~ 2. Q :-.R./~ ............................ UNDERWRITERS CERTIFICATE biO ............ ~J~5 9 9 bJ.q ............................ Shop Building Inspector Rev. 1/81 ~0~ NO. ~ TOWN O~ $OUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT Ct'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 12118 Z Date .................... , 19 ....... Permission is hereby granted to~ ~/~. / . ....... 7C~,""':~::;":~3 .......... : ........... :~'~; .............. " ...... '/ m ....... ~ ........................ ~. ........ .~.~ .......................... ~.': ............ 2: ...................................... ~ ...... ~' .......... ..................................................... '"~' .................... 2'2~ .................... ":~' ............................................. ~ ~mi~ I~ot~ ot ......................................................................................... ~ ............................... County Tax Map No. 1000 Section ........ ~ ................. Block ..... :: .............. ~l. gt No ......................... pursuant to application dated ........................................................ , 19 ........ , and approved by the Building Inspector. Fee $ ........................ Building Insl~ctor Rev. 6130180~' FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall · ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted--i~=~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 featu res. 2.Sworn statement of owner or previous owne~ 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwe lng / land use --?re-Rxisting C.O. $15.00 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00 Date ~'' New Building ...~'~. ......... Old or Pre-existing Building . ..~ ......... Vacant Land ............. Location of Property ...~.~.~.-. ~/~,~' __/~o~: ~..5 House No. ' ................................... ... <~//.z. ~., ~. .. .,_. /~ Street ' Ham/et Owner or Owners of Property . ,..-.~/'.,,d[.4t~.. .~-~....,~.../.,~../:,'~...~. ............................. County Tax Map No. 1000 Secti~.~ /~4'c,~ Bock -.----~----~, ,_ ' .... ,' ' '_', .................. LO~..%J. ~ ........ Subd,v,s,on,../~."~;. ~...'..-~.~..~.'..~ .~.-~:, ed Map No .... ~"'P '' '/' ..... ./~_ ......... t NO/", ............ Permit No../(~./.~..~'. Date of Permit "'~'~..~ppl,cant ~..~.../~. ~ .~. ~. 'J"/~/' '~'~'~ Health Dept. Approval ./~.~..--; .b(:~.-...~..~.:.Labor Dept. Approval' i~..,i, i i i ii i i i i i i i i Underwriters Approval ~..~:.~,~.'~...~.... ..... Planning Board Approval . . .,~.~. ............. Request for Temporary Certificate ..................... Final Certificate ~'~ Fee Submitted $. ~....c~.. .................... ' ...................... Construction on above described building and permit meets all applic~/eCG, od~ aa~gulat~s' ,~v.,o.,0.?a ~ -~. ~i~:licant~(~ ..~.~~.~~~.... TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 August 26, 1986 Mr. Hank Giles Mattituck Bake Shoppe A & P Shopping Center Main Road Mattituck, NY 11952 Dear Mr. Giles: Thank you for the cooperation during the fire inspection of the Bake Shoppe the latter part of July 1986. The occupancy load of your store is less than 49. The enclosed certificate is to be posted in a conspicuous location in the public area of the store. During the inspection the following were noted and should be corrected as soon as possible. 1. There shall be an illuminated Exit sign over both exit doors. The back door shall be equipped with emergency egress hardware that will not impede exit at any time. Solid bars, bolts, locks, or any hardware that stops egress through the door at any time is illegal and not allowed. 2. ' Ail exit lights must be illuminated any time that the store is open to the public. 3. There shall be a minimum of one (1) set of emergency exit lighting positioned so as to illuminate the exit paths in case of a power interruption. 4. Fire extinguishers shall be provided in proper number and type. These shall be mounted in an accessible position and clearly marked. These extinguishers shall be inspected monthly by a designated employee and yearly by an approved extinguisher supply company. 5. Storage of materials must be maintained in proper amounts and stored in a neat and orderly fashion so as not to impede progress to the rear exit. 6. The use of unvented portable heaters using so~id, liquid, or gaseous fuel is prohibited in any retail store or area of public assembly. bakeshop.a&p -1- 7. The accumulation of dust in quantities sufficient to create a fire or explosion hazard on electric motors, walls, ledges or other interior surfaces, or on electrical outlets or appliances, is prohibited. The affected areas shall be property cleaned and the waste discarded properly on a schedule determined by the accumulation of dust. If you have any questions or the required modifications are completed, please contact me at the above office. Robert Fisher Fire Inspector cc. Mr. Alan Cardinale bakeshoD.a&p -2- © z wa ...... ined o. April l&, 1983 and found to be i ..... pll ..... ith the requirement,s of this Board. I - FIXTURE OUTLETS 3O DRYERS FIXTURES SWITCHES NCANDE$CENT FLUORESCENT VAPOR 10 13 2 2~ FURNACE MOTORS FUTURE APPUANCE FEEDERS SERVICE DISCONNECT S OTHER APPARATUS: RANGES SPECIAL REC'PT, 1 30 ER COOKING DECKS OVENS I DISH WASHERS TIME CLOCKS J BELL IUNIT HEATERS MULTI-OUTLET i 4U ' V I C E NO. OF CC. COND. A w, G. NO. OF HI LEG PER ,8' OF CC. COND, A W.G. NO. OF NEUTRALS OF HI-LEG i ilourescent sl~ ~aving 6 l~,m.,s ~or~lJ~ 240 'watts. EXHAUST FANS DIMMERS OF NEUTRAL HattiO~k, N.Y., 11952 LIC.~1227 identified This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may b by ~kej~c~-~entlals. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined...~.~[x~.... (.~..., 19 ~..~ -~ Approved. ~..(. ?.., 19 .~..-~Permit No../...~./../. 'c~".~~7 Disapproved ~'/c ......... ~ ....-7':....-~. ....... ,;~ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No../.' .~..d./..~.. ....... Date ../.~..[?..0 .......... 19 .~w. INSTRUCTIONS a. This application must 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 throughout 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?~e~ce~~ Suffolk County No. 4753348 ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...,~..~.,~..-'ff....~.- .... .~..~..A~.~./.~.~.~.&../~ ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No....~/.: .d~.~..'57./.''. ~...~.: .-g.-.. - xJ-',~ - ~-,/z-t,,-,~x. Electrician's License No...~/...~.e .o~.~.e.~7.....~..~/e¢ - /~r~-/2-~:c~,' 7K 5 5'-70 Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... /~.~.<r27: F.~..c.d~... ~..ff.a,r~,/~', .-w./c..~,,,~r..~c .... ...... ~ou~;"N'~'u~b~r'~'' ...... '~'' '/2A~' '/ff'e''' ~'f~ .... Streetd~' '~' '~?'4 "~' '~'C'47' ' 'x/'~' ........ fi' ''~' '/~''-'-';/''-Ham'let ...........//~l-d.~ ............. County Tax Map No. 1000 Section .../..~..Z::.. ......... Block ...... ./ ........... Lot... ~--,.~.. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .~..~ ................................................ b. Intended use and occupancy ... ~~ .... .~.~.. ......................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ....~.o.,~..e~.. ........................... Fee .............. (to be paid on filing this application) 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 ..................... 7. Dimensions of existing structures, if any: Front... ~. J..~. ....... Rear ....~J.~ ........ Depth .../. ~.. ~.~ ...... Height . ./.a.: .......... Number of Stories .....~JT~.... ..................................... 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 ...................... 10. Date of Purchase . . . ~ ...................... Name of Former Owner . ,~..~...~.,<...,'~.../~..%'~,~..: .......... 1 1. Zone or use district in which premises are situated ..................................................... 12. Does. proposed construction violate anv~ zoning,, law, ordinance or regulation.' · rvS. o ................ 13. Will lot be regraded t~.o Will excess fill ' ' ' '" ..... ........................... oe removea ~rom premises: Yes ~ 14. Name of Owner of premises e~..~.,??..~-~..(')?.,e.o./.,~,~ Address .~...o~ .,~. 37...>?...~o7.. Phone No..~.~. t%~',z.~,.3 .... Name of Architect ~,,~.t.o..q.,<.../..~.et¢ ........... Address .O?.aZ ,~e~/~,~e....~...~. Phone No.. ?..z,/.~ J..o. ~.~. Name of Contractor .......................... Address .... O'~.,.,.--~-~?.~.~..,ff-.~.. 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 NEW YORK, COUNTY OF .~Yc-A~..'. ....... S.S ................................................. being duly sworn, deposes and says that he is the applicant (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 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 .......... /4. -~. .......... day of...'/~..~ ........ 19 . _ I~OTARy PUBLIC, State ot New Yodl S~ffolk County No. 4753341~ ~ Notary Public, . .'~0-A14~....~.~... ~:~ .... County Commi~ion/x~r~ Mar. ~, ~,~ (Signature of app~c~t) ,l~ ii , . i L I ¸1, L , I tr j. I ¥ q I~c°Pper tubing i,~ ,,, P P*ng Shall be NO,Op ~1 ff~ ~,'G DEPARTMENT 765-18P~ 9 ~M TO ~ PM FOR TH~ STATE CONSTRUCTION & ENERG~ CODES· NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERROr, t I{~'IST~N~ ~ WALI. S I Ill'ERS. ~-LOOF~ P LA ~-4 baldur leterl, all. a. ARCHITECT ($16} 724-5026 JOB NO. DWG. DATE: 235 MAPLE AVENUE, SMITHTOWN, N.Y. 11787