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Home My WebLink About10630-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin~ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. ~110B~ ........ Date ............ JuJ. Y..19 ............. 19.8..2 THIS CERTIFIES that the building ................................................ Location of Property ... 62..1A0 .................... R&~B. ~,¢~4(I ................ ~ .o.u.t.h. 9~.d ~fouse tvo. ~reet Hamlet County Tax Map No. 1000 Section . .0~6 ....... Block . .06 ........... Lot .... 01)~, ......... conforms substantially to the Application for Building Permit heretofore fred in this office dated ..... ~ pr'~.l,, ii ........ ,19 .~}Q pursuant to which Building Permit No.. J .0.6.3.0...Z ............ dated .... lpr i.L .a3 .............. 19 .~Q, was isaned, and conforms to all of the r~luimm~ts of the applicable provisions of the law. The occupancy for which this certificate is issued is .. ia, ..... The certificate is issued to .......... A~.~e~.d.q..g.ap.p.a. ................................. of the aforesaid building. UNDERWRITERS CERTIFICATE NO ...... ~1..~ ~ ~.~.g.~ .................................. Rw.l~l Building Inspector l~O~ NO. ~ TO~N OF SO~TNOL~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10630 Z Permission is hereby granted to: .~ .... ...z(-.~.~.~.~.o.......~./~.~ .................. .. ~/..~ .o.......~..~.~ ....~..r.~.~.....-....~...%.... ...................... ,o ...~. ~..~.~.~....~.c~....~.... ~4~.~.~,....~.. ~ ...... ~.~.~.o.~.. ~..~/~. ...... [~.~.~ ............................... ~ ~;L~, ,o~,e~ ~,,~.~.~ ........ ~.....~.,.....~~..~:/ pursuant to application doted ,Z~/.~'/,..~. ....... ~.. .......................... , 19 ........ , and approved by the Building Inspector. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 unusua~ 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 peopertv showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Fees: 1. Certificate of occupancy $5.00 2, Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date New Building ........ '~ Old or Pre-existing Building ' Vacant Land Location of Property ~.'. 1,2./. ,~ ............ ~ ~(~ ~.~ ...... ~ ~,~.~ . . .~.~'. ....... House No. ~ ~t~et -- Ham/et Owner or Owners ofProperty ~)'/{/~..~/fi~Z~,~ ..... ~'~.'~:" .~, County Tax Map No, 1000 Section . .,.~ ......... Block .. ~ ........... Lot ..... ~ ........ No. ,o. Z. ..... Permit No ~ Date of Permit . . .Applicant ~... '.~ ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ U~de~dte~s App~ova~ .................. ~ .....P~ann~ng Boa~ ~ova~ Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on abov~e described building and~Q~permit meets all applicable code~s~d r~u~ations. C~ ~s ~l®,e~, / ~ ........... ~ ~ .............. .~. ,o-,~.~. ~ ~.: O. ~, P ~°~~ ~ APPLICATION ~ORM "D" FOR A STATE POLLUTANT DISCHARGE ELIMINATION SYSTEM (SPDES) PERMIT (Becomes A ~PDES Permit When Signed By Permit Issuing Official) APPLICATLON TYPE 'IF RENEWAL OR MODIFICATION, GIVE PREVIOUS NO. J []New f~qRenewal_j ~Modrficallon NY- 0180059 S 3 R Armando Cappa OWNER'S MAILING ADDRESS (Street, City, State, Zip Code) Box 806 Southold -- blain Road, Southold 11971 JTYPj~OF OWNERSHIP Corporate E~]lndlwdual I--IPamnersh~p []Pubhc REFER ALL CORRESPONDENCE TO. (NAR, T~tle aid Address/ Same ~ above Port of Egypt, Restaurant FACILITY LOCATIBN (Street or Road) Arshamomaque JTELEPHONEjNO. (Include Area Code) CITY, TOWN OR VILLAGE Southold COUNTY Suffolk EXPLICIT DIRECTIONS TO LOCATION, IF NECESSARY ~ State Route 25 by L.I.R.R. NATURE OF BUSINESS OR ~YPE OF FACILITY POPULATION SERVED (See Instructions) Restaurant 175 FREQUENCY OF DISCHARGE ] ' All Year? ~ Yes ~j, No If "NO", SpeciE), No. _'2! M.~mhs .~_~mgn'chs _j All Week? ~ Yes [~] No If "No", Specify No. of Days Please Check: [~] Aluminum [] Ammonia [] Beryllium [] Cadmium [] Chlorine [] Chromium [~] Copper [~ Cyamde Grease [] Lead ~ Mercury [] Nickel [] Oil [] Phenols [] Selenium [] Zinc [] None of These DISCHARGE DATA (Use additional forms, if necessary) (See Instrucllons) OUTFALL NO,~J~ Proposed [] Replacement JTYPE 0g WASTk [] Yes [~ NO j SUBSURFACE DISCHARGE rf "Yes", Name oJ nearest Surface Water ~Yes []No J E~dd's Pond OUTFALL NO. j [] Proposed [] Replacement T~PE ~"~WASTE [[~] Ex~stmg ~ Expansmn jClass,flcatlon jwate~s ~.dex No. D~sta~ce , SOIL J 3g0 Pt.J~'~sa~d ...... and ~ravel J~YPE OF TREATMENT Depth to Water Tab~ 9 ft. [] Yes [] No J SUBSURFACE DISCHARGE Il "Yes", Name of nearest Surface Water OUTEALL NO. [] ProGOsed [] Replacement JTYPE OF~'~TE [] Existing [] Expansion SURFACE DISCHARGE If "Yes", Name of Rece~vlng Water's [] Yes [] No j:laselflcaDoo jW ter I.de NO. Distance , Ft. SOIL TYPE Depth to Water Tabl [Class~flcahon jWaters Index No. SUBSURFACE DISCHARGE it "Yes", Name ot nearest Surface Water Dis~ance SOIL TYPE Depth to Water [ Rereby aff~r;;', un~t~ penal,'~ ct perlu:? that ,morm.t on pr~v~,d on ~,: f3rm ~ ,~ anv attached supplea~~wied~~ aha ~he~ /' PER~IT VALIDATION SECTION (Department of Environmental C~servatlon Use 0nly) APPLICATION NO. N1/- 0180050 $ 3 R Conservation Law of New York State and ~n compliance with the provtslons of the Federal Water J~a~V 27, 1981 Ma.y 27, ] 986 A97,2,, P,L. 92-50~, October !.8, 1972 (33 U.5.C. ~25~ et. seq.) {hereinafter referred to as "the "0~he~ Co~d~ o~s~ FOUNDATION (ls2) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY COpE FINAL C /! HENRY E. RAYNOR. Jr.. Chairman FREDERICK E GORDON JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITEH~E LATHAS~, Jr, Southold, N.Y. 11971 January 18, 1980 TELEPHONE ?65 ~ 19~8 Mr. Stanley C. Garren Nakomis Road Southold, New York 11971 Dear P~. Garren: The following action was taken by the Southold Town Planning Board at a regular meeting held January 7, 1980. RESOLVED to approve the site plan of Ports of Seafood, Inc. dated June 21, 1979 with inked-in addition that is proposed together with parking plan of Port of Egypt Enterprises, Inc. dated December 20, 1979 with letter of explanation from William H. Lieblein of Port of Egypt Marine, Inc. said letter dated January 2, 1980. Yours truly, ~'~-~ Muriel Tolman, Secretary Southold Town Planning Board THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY "5 JOHN STREET, NEW YORK, NEW YORK 1OO3B THIS CERTIFIES THAT only the el~trical equipment ~ described below and i~trod~ced ~ the applicant ~med on the above application ~tutnber in the premises of in theJolIow~ng locadon; ~Basement ~ 1st Fl. ~ 2nd Fl. Section Block Lot was exa,nined on ~)r~ ~/ ~ ~.~ ~ and found to be in compllartce wlt~ the requirements of this Board. ~0 44 1~ DRYERS SYSTEMS E E R V ~00~ CC COtqD A w O p~R ~' OF CC COND NO OF HI-LEG AWG Th~s certificate be altered in any ILDING return to the office of the Board if THIS ( FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ......... %~: .-':.'. ............... ~. · · ....................... (Buildt'hg Inspector) APPLICATION FOR BUILDING PERMIT Application No./..O;.~..'.C? ........ 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 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 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 retnoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regu,~,ations, and to admit authorized inspectors on premises and in buildings for ne~pections. /~,, ,/.. ..... ............ ,~ature of applicant, or nurse, if a corporation) (Mailing address of applicant) State whether applicant is owner~gent, architect, engineer, general contractor, electrician, plumber or builder. . .>:.. ............................................... ¢: ........... ........ Name of owner ofpremises ~//~.'./.ZtOJ:{., .~.z..~'~./,~-1.~.~/. .... (as on the' ;a'x/;o'li aJ rdie'd')' ' ' / ............... If applicant is a corpgration, sjgna,~ure of d,~ly authorized officer. ..... (,~,, ~ (Name and titlg/q~'corporate officer) Plumber's License No .... .?~.~,../~..]~..'~.-P~.~:-.~. } . . Electrician's License No. .p:..~. 45. Other Trade's License No ..................... 1. Location of land on which proposed work will be done ............. ~, .................................... ~" 'g'~ '/~ '~' ........................................ Street ~/~' ~' '~' '?~ le/~~'/ ....................... House Number Ham County 'Fax Map No 1000 Section . . ~.~ .......... Block.. ,~. ............. Lot...~ ............ Subdivision / ~-l~..C~- ../~/~/~.~-,,5'..(Name) 'fiD'"' .f..~.(-.,-~-Filed Map No. ff.~..~. ...... Lot. ~..--.,~.. .... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex~sting use and occupancy .... ~. ~. ,-5.. ~'~O..~..,~..,~. ' .~... ...... ......./ ............................. b. Intended use and occupancy .~..,~'. ~..'.~./J. ~,~.~.d'..~.~'.~.~"~~.'~. ~ ./4-~../:7~. ............ 3. Nature of work (check which applicable): New Building Addition ...... AI[erafion .... : .... Repair .............. Remoyal .............. Demolition .............. Other Work ............... , .~. _~..~..~. (Description) 4. Estimated Cost .... ~.~.,~ ??. ?j . ."~... ,d- Fee (to be paid on filing this application) 5. If dwelling, number of dwelling u!nits ............... Number of dwelling units on each floor ................ If garage, number of cars ' 6.If business, commercial or mixedloccupanc~, specffyza½ure and extent of eac.~o~pe of use ' '~' "i i,c-~,/ ............ I. 7.Dimensions of existing structures, if any: Front... O.T ......... Rear ....o:A ........ D pth ~,/. ...... Height ............... Number of Stories ........................................................ Dimensions of same structure w~th alteratxons or additions: Front ................. Rear .................. Depth .................... i · Height ...................... Number of Stories ...................... 8. Dtmenslons of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front ........... ~ .......... Rear ...................... Depth ...................... 1 0 Date of Purchase ' Name of Former Owner 11 Zone or use ....... '. d~stnet in which premises are s~tuated 12. Does proposed constructmn wolate any zonmg law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises~,/tff~7~...~,~'&./gt~.. Address .... Phone =' Name of Architect .......... I ................. Address ................... Phone No ................ Name of Contractor .~geR~7...~,,tI.O.~F/t~_.. Address . St~ I~ .~/~. ...... Phone No. j~'d. ~.-..~-. ~.,~. PLOT DIAGRAM Locate clearly and distinctly all i 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 NE~g YORK, COUNTY OF >~;t,/~////////'ff~, ],g~..,. S.S ............................... being above named. He is the ...................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements con!rained in this application are true to the best of his knowledge and belief; and that the wor~will be performed in the man,er set forth in the application filed therewith. Swo~ to before me this ' Ho, 5~'452477~ [ / / ~ ~natur0 of applicmt) T 2 SUFFOLK COUNff DEPARTMENT OF HEALTH SERVICES Appro:a! of C6n$1rude~l Ylorks H D, Ret. I;o. ~- .~3- ~ DAlE CXIE,~ 01' ' F..NGI#££RIIIG S£RvICrr. S 2 .t xL '~ // /0 DO NOT SCALE DRAWINGS USE ~!VEN DIMENSIONS I ,l I it ~x. ~ -x~SUL~ '1 L U~ '1 j, .X 1 . I ,'>o , LbA~: To"EAL /O - ~z.[ALL ~ -f-oh/ ii -f ,L \, .5