HomeMy WebLinkAbout10713-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certi[icale O[ Occupancy
No. Z-16814 Date. April 25, 1988
THIS CERTIFIES that the building ADDITION TO RESTAURANT
Location of Property 4545 Main Road Greenport, N.Y.
County Tax Map No, 1000 Section 3 5 ..... Block 2 . .Lot 8
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
J u n e 4, 1980 pursuant to which Building Permit No. 10713 z
dated June 9, 1980 wasissued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
ADDITION TO EXISTING RESTAURANT TO INCLUDE RESTR00M & STORAGE ROOM
The certificate ~s issued to ROBERT J. HEANEY
..................... .....................
of the aforesaid building.
Suffolk County Department of Health Approval ....... N / A
UNDERWRITERS CERTIF[CATE NO. N487107 - Ju. ly 25, 1980
PLUMBERS CERTIFICATION DATED: N/A
..¥
Building Inspector
Rev. 1/81
FORM NO. 2
TOWN OF SOUTHOLD
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? ]97~3 Z
Permission ~s hereby granted to:
......
......... ~,~,.:~..~/-.~.... ~
at premises Iocated at ~<~.... ~., ~..../~ ........... ~~ ~ ~'~
Budding Inspector.
Fee ~.~.. ............
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
BLDG. DEPT.
TOWN OF SOUTHOLD
Instructions
A. This application must be filled in typewriter OR ink, and submitted ,,, ~ to the Building Inspec-
tor with the following; for new buildings or new use:
1. Fmal 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 bui{dlngs, 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 applicabl~.
B. For existing buildings (prmr to April 1957)0 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
topoc3raphic 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. Fees:
1. Cerdficate of occupancy $25.00 -- BUSINESS $50.00
2. Cer[~hcate of occupancy on pre-existing dwe~JJng $ 50.00
3. Copy of cert[ficate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
$,Updated C.O. $ 50.00 Date ..... .M.a.r. ch 22( 1988
to restaurant
NewCons%ructzon ...... Old or Pre-existing Building addition/ Vacant Land
Main Road near Greenport
Location of Property ...................................................................
House No. Street Hamlet
Owner or Owners of Property Robert J. Heaney
County Tax Map No. 1000 Section .3,5. ...... Block .... 2 Lot . 8
Subdivision ................................. Fded Map No ........... Lot No ..............
.... of Permit .......... Applicant ..................................
PermitNo .Z.10.7..1.3 . Date
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Bequest for Temporary Certificate ..................... Final Certificate .... X..X .................
Fee Submitted ~ 50.00
Construction on above described building an~~s.
· Applicant...~_-~.~,¢;.~,¢¢..,,¢%~...,~.~.~/.,¢¢~%¢%... .................
~. ~0.~o-7~ Robert J. Heaney
R c, 3ffml.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~ [~T[ 85 JOHN STREET, NEW YORK, NEW yORK 1003~B
THiS CE~IFIES THAT P~IOT12-Z
only the e~ctrlca~ eqt*ip~ne~t as described below and introduced by the applicant named on the above application number in the premises of
tn the followlng location; [] Basement
was examined on ,k;1,y 1.7, ] 980
3 5
DRYERS
~, 1st FI. [~ 2nd FI. Section Block
and fouad to be in compliance with the requirements of this Board.
Lot
FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS
SYSTEMS
NO OF EEET
E
OTHER APPARATUS
E R C
AWG
OF HI-LEG
INO OF NEUTRALS
AWG
OF NEUTRAL
Jody }k~i~ to
~ox 182 A
COPY,~,FOR. BUILDING DEPAR~ME~T~ THIS COPY,. ~ OF.
Inspector
FIELD INSPECTION COMMENTS
FOUNDATION (2nd)
2o
ROUGH FRAME&
PLUMBING
INSULATION PER N.Y.
STATE ENERGY
COpE
FINAL
ADDITIONAL COMMENTS:
N
.9O
,Sc~x /e" .¢o'= I"
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, iq. Y. 11971
TEL. 765-1802
August 4, 1980
R. J. Heaney, Inc.
"Skippers"
North Road,
Greenport, New York 11944
Dear Mr. Heaney :
This is to advise you that the job under Building Permit
No. 10713 Z issued to~kippers,R.J. Heaney,±nc. on
June 9, 1980 - for .Additlbn to Restaurant appears to be
completed as of our last inspection. Before you can legally
use or occupy this structure a Certificate of Occupancy must
be issued.
Please fill out the enclosed form and return same to
the above office. There is a fee of $5.00 for a Certificate
of Occupaucy
Thauk you for your prompt attention.
Very truly yours,
GEORGE H. FISHER
Sr. Building Inspector
enol.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined -J ..
Approved 6/.~..7 ......... ~9.~.~. Permit No.. ~/~).'~./..-q.., /
Disapproved a/c ......
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. Th~s 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 tot 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 Pem~it.
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 necessary inspections.
(~l~nature of ap~cant, or name, if a corpo ation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........................................................................................
Name of owner of premises . ~o~.Ac/g.r..~.. A47/~d/~',g ................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Na~e and title ~rcorporate officer)
Builder's License No..~o~'gA°T..~ .~d~42~. Cjq~'£/d /L//O/q~'5
Plumber's License No./~.O.Y...~t°~-/~2 .............
Electrician's License No. /~..E~.~a,~K/5'. ........
Other Trade's License No. &//.gt~f£K~..~..Ci~$Fff'~¢~I~A/~lrI8'$~W)
1. Location of.land on which proposed work will be done ..................................................
. 7. q .................................................
House Number Street Hamlet
County Tax Map No. 1000 Section .~1~.. 7o~X.
....... Block
Subdivision ..................................... Filed Map No ............... Lot ............... (Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . . ~.kB'.'F~. ~2~'~qA//~. .....................................................
b. Intended use and occupancy . ff.g/°A~4/~ g'O...2~./?~.//A'O.O.L~..~.. ~q..'ff~/..~..~. O~g°~¢~. .......................
3. Nature of work (check which applicable): New Building< ......... Addition ...X~.. .... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
(Description)
4. Estimated Cost... ~q~.O.O.O. ........................... Fee ......................................
(to be paid on filing this application)
5. If dwell'lng, number of dwelling Units ... ~//~. ....... Number of dwelling units on each floor. ..........
If garage, number of cars .~./.~'i ..................................................................
6. If business, commercial or mixedl occupancy, specify nature and extent of each type of use ~ffSY'~a~q~IM.77. .........
7. Dimensions of existing structure~, if any: Front... ~..t ....... Rear ...~/-..t ....... Depth. ~27 .~ ..........
Height ............... Number of Stories ...O/q~: .................................................
Dimensions of same structure wiih alterations or additions: Front . .,3,fi'! ........... Rear . .-.~./. ............
Depth ...~$f .............. i.. Height ...................... Number of Stories..O~/g ................
8. Dimensions of entire new construction: Front .... ,,2.q.( ....... Rear ...~.5/./ ........ Depth . ././.t. ..........
Height ............... Number of Stories. O~ ..................................................
g ,I ........... Rear .................
10. Date of Purchase ........... i .................. Name of Former Owner .'~o~t. 7~r*' ...................
11. Zone or use district in which pre~nises are situated..AtO/,CO/d.~g'/q/~.. ~lrd4/~.~S .........................
12. D6es proposed construction viol~tte any zoning law, ordinance or regulation: .~.O ............................
13. Will lot be regraded ......... i ........ , .......... Will excess fill be removed from premises:~ ~.. No
14. Name of Owner of premises ~'~fi'?'.~.~.~,o,/.~ Y... Address ~.q~t'ahoO/?.F., d/,.~., ..... Phone No..q 7 ....
Name °f Architect · '.~/~ .~Ptqg'~T. ............. Address ~/l'~a'~.~.,.~ ....... Phone No..~-?&-.-7..¥~ ....
PLOT DIAGRAM
Locate clearly and distinctly all! buildings, whether existing or proposed, and. indicate ail 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, ! ~ ~
........ : .............. :' · · 7 ......... being duly sworn, deposes and says that he is the applicant
(Name of individual sig~ing contract)
above named.
He is the.: ....................................................................... ' .................
~ (Contractor, agent, corporate officer, etc.)
of said ov~ner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements con, tamed in this apphcat~on are true to t e best of his knowledge and belief; and that the
work will be performed in the mantlet set forth in the application filed therewith.
Sworn to before me this
........ :. ~...-/~.. ......... day +f....~ ........... 19~.
KOWALSK!
~o ~2-~s2477~ ..... )7 (~/~Signature ofapphcant)
(~omm~sslon Expires March 30,