The URL can be used to link to this page

Home My WebLink About10169-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. Z9765 Date November 27 197..9 10560 Main Road Mattituck, N.Y THIS CERTIFIES that the building ................................................ Location of Property .............................. ~rl 'i ............... Ho.~ No. 145 County Tax Map No. I000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 13 1977. pursuant to which Building Permit No. 10169Z dated April 16 19 79, 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 ......... Restuarant Addition (Store take-out) 0ccupanoy Roy Charles Schoezlhaar The certificate is issued to ........................... y ....................... row. er, t~l;~q~.,,,~,~O of the aforesaid building. Suffolk County Department of Health Approval ........ .N/.R. ......... ~....~./.~ .?. '.~ .f.~-. ....... pending UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev 4/79 1~0~ NO. ! TOWN O~ ~ BUIL~ING ~AlrrMENT TOWN ~K'S ~ ~LD, ~ Y. BUlL.DING I'~,MIT (THIS PERMIT MUST BE KEPT ON THE PI~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10~69 Z Permission is hereby gmntod to: .~. .................................. $=~=~ ~ ....................... ~= ) ..................................... ~ ?~ ~,,,= .............................................. ~ ~ ~ ~ ..................... Z ~.~ ...... ~.AZ..~ ......... .~,~,~...~ ...................................... pursuant to application dated ~' t~ 19.7~.. and opproved by the Buildir~ In~. Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southotd, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~nstructions 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. 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 safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3, Copy of certificate of occupancy $1.00 $5.O0 // Date .... ~/..~?..'.~./?.~, ......... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...... ,~.,,'~../?,, ,Z~,~ .......... ./~'.~,Z-~ ,~,~/(,7',/, ,L,, ................... House No. Street Ham/et Owner or Owners of Property . ~t .... ' '~ '~' ' "~' "'~' '~'~' ?' ..... ' '~' '~t~' '~' ' '~' '~' ~' ' ' '~'/' ' County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Map No .............. ...~. Lot No ............... Permit NO~..~./.~. ?... Date of Permit .Applicant ............................... /~'~ App Health Dept. Approval ........................ Labor Dept. royal ........................ Underwriters Approval . . . ~.~ ............... Planning Board Approval ...................... Request for Temporar~rti~icate ..................... Final Certificate ....................... Fee Submitted $... ~{...~ ................... Const, io, o. ui in, co 2 ..... ' '* ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS pR BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK, 1003E THIS CE~IFIES THAT 52 17 8 ~3 / 9 DRYERS FURNACE MOTORS RJTURE APPUANCE FEEDERS AMT, K.W. OIL H.P. GAS H.P, AMT. NO. A~ W. G. RANGES ;PECIAL REC'PT 1 20 COOKING DECKS OVENS DISH WASHERS AMT. K.W. AMT, K.W. ~T. K.W. V I OF CC. CC)ND, 500mom NO. OF HI-LEG A.w.G. EXHAUST FANS AMT. H.P. DIMMERS i' 3 looo 500mom Richard Owydin Vanston Rd, CutchogueR N.J. 1-t. 935 Lie.2002 This certificate must not be altered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified by ti 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [F~INSULATION ~] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :~ND [ ] INSULATION ~FRAMING [ ] FINAL REMARKS: DATE I NS P ECTO R ROY C . SCHOENHAAR West Road Cutchogue, New York 11935 Ap~l 24, 1979 Town of Southold Town Hall Southold, New York 11971 Attention: Mr. George Fisher, Building Inspector Re: Proposed alterations for Coach Stop Restaurant Mattituck, New York Gentlemen: The alterations to the Coach Stop as noted on Plans and Specifications Sheets 1, 2 and 3 of drawings dated 3-26-79 are designed to comply with the requirements of the State Energy Conservation Construction Code dated January 1, 1979. Roof, side walls and slab comply and fall within allowable "U" values. At this time, it is not possible to design the HVAC since the eventual requirements are not known. ~3ntil the degree of utilization, heat loads, etc. are determined by the equipment that might be installed, apparatus and equipment for heating and cooling can not be designed. Accordingly, i% is respectfully submitted that the present application for a building permit is requested for an exempt building under E 101.6 (7810.6 - (c) (2). A~ such future date as HVAO facilities might be installed, an amendment will be filed for your consideration and approval. RCS:mw Very truly yours, Roy C. Schoenhaar Professional Engineer Box 1 )4 Malt~lm.k. I I, N ¥ 4' ,fo.~ w~ ,~JLL F/cog. ~lCb~ 33' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .¢ii, 19~...~. Permit No../. ?..( .~..~. ·~--- Disapproved a/c . . . ~ ......... ~ ................ ......................................... APPLICATION FOR BUILDING PERMIT Application No.../.q.( .~.7 ...... Date ....... ) ...... , 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or 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 or areas, and g~ving 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 issue 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 buildings for necess~ons. ~//~ ~/(Sign/~r~ ~.~plicant, or name, ifa corp.~rat,on) ~ (Mai,ling address of apphcant) , State whether applicant is owner, lessee, agent, architect, engineer, general contractor' electrician, plum*er or budder. Nameofownerofpremises .:.C.~?/. ~_C~b¢? 40C'/x/ (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..: ?.A)..~C ............. Electrician's L,cense No..~.~.'.ff.J.~/.(.~J..~. ......... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~(~ ~ ~- House Number Street Hamlet cou tr No. 1000 s otio ..... .% ...... lot. ~ Filed Map No Lot Subdivision ................................................................... (Name) 2. 8rate existing use and occupancy of premises and intended use and occupancy of proposed construction. 3. Nature of work (check which apphcable): New Building .......... Additmn lJ Alteration Repair .............. Rempval .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cos ........................ Fee .... (to be paid on filing this application) 5. If dw011ing, number of dwellinglunits '-'- Number of dwelling units on each floor If garag b f cars e, Bum er o .... : ................................................................... 6. If business, commercml or m~xed occupancy, specify nature and extent of each type of use ...~..'.-iTt~. ~.. Dim ~ ifa F pth 7. ensionsofexistingstructur s, ny: rent ...... .........~ Rear .....~. .... ... De Height ...... 7 ........ Number of Stories ...~ .................. t .................. ~ ........... Dimensions of same structure With alterations or additions: Front . ~ ........... Rear .................. Depth . '~ .......... :... Height ...................... Number o[ Stories ..... 1~ ................ 8. Dimensions ofentire new construction: Front ....~.~. ,~ ........ Rear . .~..~ ......... Depth ,-~.~.~ .......... Height .../. ~. ........ Number of Stones ........................................................ 9. Size of lot: Front .......... :'. ........... Rear ...................... Dep,t,h 1 0. Date ~f Purchase ...~..~... '..~.7..9,~.. ........... Nam~ of Former Owner ..../-~..O. ~ i .Lr.G ~.. ............. 1 1. Zone br use district in which p~emises are situated ...... .~.. '7. ! ......................................... 12. Does proposed construction vidlgt~any zoning law, ordinance or regulation: ..~./.O. ......................... 13. Will lot be regraded ....... ,~?] ............ ,...,.. Will execs fill be removeCl fr. pm premises: Yes -lifo- 14. Name of Owner of preznises /~(~,.,.~.,...'~../~.,O.~.~?'.~.(¢Address .~P~,~¢..D../.C. Phone No.-7. ~.~..'T..~..,'7~.. Name of Architect ./~Q./.~./~..~...~...~f-.//q/fJ: .~.... Address . .~.~..~F../~. ......... Phone No, ~.'7. *~. 7.~..'-~./~..-~... Name of Contractor ........ i .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly al1 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 Jg,ORK . .......................... being duly sworn, deposes and says that he is the applicant c.,- ,/[~e~findividual signing contract) above named. , (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 man,er set forth in the application filed therewith. Sworn to before me this NOTAt~Y PUBLIIC. State of Naw Yor~ ~" / ~ (Signature 'of applicant) No 52.8125850. Suffolk Term Expires March 30, 19~ 'Z. I~,4t..¢ NOTIFY BU~ING DEPARTMENT AT 765-2660 ~M to 4PM ~OR REQUIR. ED INSPECT ~. BEFORE T~KFiLLiNG FOUNDA- TION OR I~SPECTION ~LSO ~. FRAMING S ART FRAMING 3, BEFORE CO~E~ING PIPES OF ANY KIND ~. FINAL WHeN JO~ COMPLETED NOT RESP~SIBLE ~R DESIGN OR CONSTRUCTION ERRORS ALL CONSTRUCTION MUST MEET REQUIREMENTS OF N.Y. STATE CODE / ~ "Co,Yd. / / / .~-Cr-lOl/ r~- / c o4c4 ~AO~ C o/Vc /'-D Vvf ~ V.A.T. CuT- 4" ~D CO/, ,}