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Home My WebLink About10140-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zl1308 Date November 19 1992 THIS CERTIFIES that the building ................................................ ........ ............. .... Hamlet County Tax Map No. 1000 Section . . .1 .~.2 ....... Block . .? .1 ........... Lot ... ,07.6. .......... Subdivision ............................... Filed Map No. v · ~ ....... Lot No.. X .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...M.~v..c~..~6. ........ , 19 .~9. pursuant to which Building Permit No....~.~1.4. ?..Z. .......... dated ~avch 25 ............................ 19.7.9., 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 ......... a re~bil ~tore. The certificate is issued to ALA~ ~. CA~r)I~TAL~. Fo,,nor, Io 2,&' dt:'&ja'~i.i ..................... of the aforesaid building· Suffolk County Department of Health Approval n/a UNDERWRITERS CERTIFICATE NO. N 439177 ,~. ~ 439519 ,/'b.4'} ',..,, ?/'"-/, , -/~ ........... : : %/?.! .... 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°- 10140 Z Date Permission is hereby granted to: ......................... ~L~.¢...fiL~.Z~.~;Ld..~t ......... z~..%/ I ¢ ~ ~ % ) ......................................... ,. ....... ;....A. ~ : k _St I ' %~ ' ~V-I~ I~ .... ~,' f". / ~; fA~/¢~f CF ~ , 77 ~. ~,E :,/ '~ 'f ATM ........ ~'~"=W ..... ):"¢~'1:'~:'2'~'> ....... ~ at premises l~ated at :',. ..... :¢ , ' :%' - , . ...................................................... ~.....~.? ~ ~/), ~ /¢ ~ ¢~ ~ /14 mf / ~ ~,~/. ' ................. pursuant to application doted /1 /q /, ]~ -~¢~' 19 ....... ~and approved by the Building Inspector. $ Fee ....; ................... J ./ / .-'. :/,/! 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 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 $5.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ..... ! /~ j~ /UI House No. Street /Yam/et Owner or Owners of Property ~" A T~ P) i A/ ~ L ~ ~ L f~ ~r County Tax Map No. 1000 Section ! Y ~)~ Block / Lot .... 0.~. Subdivision. ~ -- _. ................................ Map No ............... Lot No. N l§ IL/~Z .~./.~. ,:~ Applicant /' l/v/ (~O ~/ £/v'7£ ~, f~e, ~ ~'_,c Permit o ........... Date of Permit ..... Health Dept. Approval ............ '.T .......... Labor Dept. Approval .~ ...................... Underwriters Approval ./~t ~.3 ~ ~. l . Plannin Boar .......... g d Approval .......... Request for Temporary Certificate.,. .................... Final Certificate Fee Submitted $... 5 ~ ....................... Construction on above described building and pe~~plicable codes and regulations. ,o-,o.,e Q..o. ~T~HE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY I ~8.5 JOHN STREET, NEW YORK, NEW YORK 10038 [)ate ~ ' 'i~ ~ Application No. on /ile j '~ ~ :.i i ? THIS CERTIFIES THAT N '" ~ ' - *' only the electr,ca, equipment as ~des~tbed~ helow an_~ ,ntr~uc~ by the appltcant named on the above a lication number in the remises of in the following location; ~ Basement ~ 1st Fl. ~ 2nd Fl. ' ," ~ ~ ~ Section Block was examinedon ~ ~ ~ ; ~ ~ f ~ Lot FIXTURE and found to be in compliance with the requirements of this Board. OUTLETS DRYERS RECEPTACLES SWITCHES RXTUR~§ INCANOE$CENTFLUORE$CENT FURNACE FUTURE APPLIANCE FEEDERS SERVICE DISCONNECT S E OTHER APP,~RATUS: OVENS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS R V I C E A. W.O. NO. OF HI-£EG ~._iH~'.~ N O .~ F NiE U r RAi.$ A.W.O. . ,.,..; ! / .) GENERAL This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by the/r~,.credentials. COPy FOR BUILDING DEPARTMENT. THIS COPy OF CERTIFICATE MUST NOT BE ALTERED IN/ANY MANNER. ~ ?' '~ ' BUREAU OF ELECTRICITY i ~,~ SS JOHN STREET, NEW YORK, NEW YORK 1OO,38 THIS CERTIFIES THAT ' ~ ' ' N ? ' ~: ~ ' only the electrical equipment m ~scrib~ ~iow a~ int~uced by ' ' ~ ': the applicant ~med on the able application number in the prem~es of in the followlng location; ~ Basement ~ 1st FI.' ~ 2nd Fl. Section Block Lot w~zs examined on ~" ~ ~> ~ - ? '" and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS DRYERS NO. OF ~ S E R EOUJP. ~-.~2W 1~'3W 3~3 4W NO'O~E~OND. A.W.G. NO OF HILEG A.W.G, NO. OFNEUTRA~ ~ OF CC. CONO. OF HI-LEO SERVICE DISCONNECT OTHER APPARATUS: ' EXHAUST DIMMERS OF NEUTRAL GENtRAIN~/~ANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. GENERAL NOTES: NOTIFy IUILDING D~PARTM~ ~-2~ 9AM to 4PM FOR REQUIR. ED INSPECTIONS: 1. BEFOR~ BACKFILLING FOUNDA. TION OR START FRAMING 2. FRAMING INSPECTION 3. BEFORE COVERING PIPES OF ANY KIN~ 4. FINAL WHEN JOB COMPLETED NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ~RRO~S 5. ALL CONSTRUCTION MUST MEET REQUIREMENTS OF N.Y. STATE CODE AND TOWN HOUSING CODE & ZONIN(~ 1. ALL ~ORK TO BE IN ACCORD~flCE ~ITH 'file NEM YORK STATE CODE g THE STATE ENERGY CONSERVATIC~I CODE AND ALL LOCAL COOES HAVING dUf~ISDICTION. 2, ALL CONCRETE TO HAVE A t4IN. COIVPRESSJVE STRENG'fH OF 2500 P.$.I,. ALLINTERIOE HATERiALS & FINISHES TO BE COt~4ERClAL C~E, CLASS ~. (NOTE: ENTIRE STORE AREA H~ EXISTING SPRINKLER SYSTE/fl~. t~. STORE AREA TO BE CENTRALLY AIR CONDITIONED (HEAT P~ SYSTEM). I !~' AIR CONDITION C(]~FRACTOE TO SUPPLY WEIGHTS AND PROPOSED . ~IJPPOETS O~ ANY ROOF TOP UNIT TO THE ARCHITECT F0~ HiS 6. ~o~ UN~R T~IS CONTRACT IS CONmNED TO ~ROPOSEO RETAIL STO~ S~ ON T~IS~ PL~ ONLY. FOR ALL EXISTING CONDITIONS $ SYSTE~ 'II~OUGHOLFF 13~ BALANCE OF REFER TO ORIGINAL BUILDING pI_~ FILED BY OTF~RS. LEGEND:. EXISTING NAS~IRY WALLS NE~ HASONRY WALLS , NEW METAL OR WOOD STUD P~TITIONS ILLUFqNATED W~J-L OR CEILING J~C)UNTED EXIT SIC~S EXISTING STEEL COLLJ~S B~.DU~ pETER~ THE ~ITECT/ MflGSE SEAL ~NffD SIGNATURE IS ON ~llS pLAN HAS EIOT BEEN RETAINED-~O SUPERVISE C~NST~U~TION ANI3~$[J~$ J'tESP~NSIBILITJES ~ ~ PERFOR~ OF ~/O1~ o MATT TUCK MALL baldur peter, a. a. A R C H I T E C T 235 MAPLE AVENUE, (516) 724 - 5026 SMITHTOWN, N.Y. 11787