HomeMy WebLinkAbout12831-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z12963 Date November 5, 1984
THIS CERTIFIES that the building New retail store and office.
56475 Main Road Southold
Location of Property ~t&Js~
County Tax Map No. 1000 Section .. 63 ........ Block ....... ~ ....... Lot ...1.4 .............
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Oct. 6 198. 3. . pursuant to which Building Permit No' 12831Z
dated . ?.e.c.: . .1.6 ................... 19.8. 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 .........
........... .N.e.w..r..e.t.a. 5.1...s.t.q~.'.e..a.n.d...o.f.f.~.c.e..(.to replace existing bldg. ).
John & Mary ?ietrodangelo
The certificate is issued to ..................... /o'~n~),~*~l~;fr'k) ......................
of the aforesaid building.
Suffolk County Department of Health Approval ........ .~/.A. ..............................
UNDERWRITERS CERTIFICATE NO ................ ? .e.n.d. 5..rig ..........................
Building Inspector
Rev. 1/81
FO~te NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERA~IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~ ~.~ [, ............ ,,..~...L~.
I~S 3~. Z Date .~...~ ................... ~ .............. ,
Permission is hereby granted~to: ~ , ~
· .-d.~ ...................... t ........ + .................... ;'1 ..........
.,.~,..~ ............ : ............ ) ....... : ......... I.M .......................
· ~-~,'~'¥'~"~'"~'"~ .............. t' ................................. j,~ ~
,o....~~,~ ...... ..e....~ ....... ~.~.~.....~:=.. ....... ~......~..p..~. ............
T, ..~ ~.~, ~. ~z~:~...~.. ~.~:...~. ~/.---.. .......
....~....,. .... ~ ........ ~..": ....... ~.. ~:'""::."~d' ~;~:~' ...............
et premises located at ....~.'~.-~.g..':~.~-~.~'.....].V..)...C~..;X..~...../z.~ .......... ...t~.~..~J(-~t~...~..~..________________~..~ .....................
County Tax Mop No. 1000 Section ....... ..~...:..~. ....... Block ....... ~ ........... Lot No ......j...c.J. ...........
pursuant ,o application dated ....~)...~.~..~L..~..M~ ~- - ....... ~. ................ , 19~......~.., and approved by the
Building Inspector.
Fee ,..J..I..C:..~.~.~.
Building Inspector
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Date September 2 ~
Tills CERTIFIES that the building .[.si ............................................
Location of Property . .5.6.47..5 ................ M.a..i.n Road Southold
House No. Street Ham/et
County Tax Map No. 1000 Section . .. 6.3 ...... Block . ., 3 ........... Lot ....1.4 ............
Subdivision .I~Z... ' .... Filed Ma~ No .... .X....Lot No. 2'
conforms substantially to a one-family dwelling built prior to zoning (April 23,
1957) with accessory building.
The change of use & The occupancy for which tiffs certificate is issued is . .a..r.e.t..a.il
store and the off street parking to be provided as per Planning Board
s~5~6 i~'[d~il:~.b'ri~' '(~Jd~fb~' '~i ~, ' Yg~ 1'.') ..........................................
The certificate is issued to . . ~i. lo.v~.qh./..D.oy.J,.e...tp..l~.$9~.r.o.~.a.ng.e. Jr9 .................... [owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health' Approval .... .N/.A. ..................................
UNDERWRITERS CERTIFICATE NO ............ .N/.A. ..................................
Building Inspector
Rev. 1/81
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
November 1, 1996
Ms. Donna M. Barber,
Public Health Nursing
County of Suffolk
County Center Building
Riverhead, New York 11901-3397
Dear Ms. Barber:
In reply to your correspondence of Oct. 22, 1996 pertaining
to a building located at 56475 Main Rd., Southold, N.Y.
A building permit #12831-Z was issued to construct this
building on January 6, 1984 for which a Certificate of Occupancy
was issued November 5, 1984 showing building to be conformance
to requirements of applicable laws.
Very truly yours,
SOUTHOLD TOWN BUILDJJ~G,DEPT.
Thomas J
Sr. Building Inspector
TJF:gar
PUBLIC HERLTH NURSING TEL.:852-2696 Oct 22 96 14:06 No.O08 P.O1
DEPARYM~:NT OF IqE~:~LTH SERVIGF.~
COUNTY OF SUFFOLK
RO~ER, T d. GAFFNEY
SUFFOLK GOUNTY EXECUTIVE
MARY E. HIBBERD, M.D,, M.P.H.
COMMISSIONER
FAX MO
Suffolk County Department of Health Services
Bureau of Publio Health N',rsing
__pages including this cover sheet
NOTES:
CONFiDEntiALITY NOTSCE
The documenta accompanying th:s t~eopy transmim~on con:~in.con~idenbi~l
information belonging uo ~he s~nder wh~o~ i~ privileged, 'The info=ma~ion i~
intende~ only for :he use of ~he ~adividu~l or entity named above. If'you are
not the ~'n:ende~ re¢ipLent, ~ ar~ h~reb~ n~ifled that: any discloeure, cogying,
d~e:r~b%,~on, or the takim~ of an? action ~egardin~ %Lhe contenc$ of t~is
tele¢opte~ information ~s ntric~iy prohib~t~. If you have ~eceived :hi~
~ele¢opy ~n error, plu~e ~mmedi,~tely notif%' us by' Lel~phone Lo.arrange tot
re:urn cf the orig~.nal documents to us.
BPHN-97
PUBLIC HEALTH NURSING
TEL :852-2696 Oct
COUNTY OF' SUFFOLK
SUFFOLK COUNTY EXECUTIVE
DEPARTMENT OF' HEALTH SERVICE~
22 96
14:06 No.O08 P.02
Ockobe~ 22, 1996
Southo]d Building Dopa~tmenl
Southold, New York 11971
I am writing to you requesting your help with building
code/pe~mits. On 3uly 11, 1996, I sustained a fall and injury
while at work at the Public Health Nursing Offioe J'n Southold.
This office is looa~ed in the same building as East End Companion
Care, across the street from 7-11 and next door to First Towns
Florists on Main Road.
I need to know Zf the wooden stairs that are built there
(attached to the deck tha~ surrounds the buiiding), arc in
comp)iaoce with $outho2d Bldg. Dept. codes. 1 would :appreciate
having this information for a hearin0 I have on November 4lb.
If' you heve any q~mstions, I can be reached'during tho
day at 852-1591 (8:00-4~00pm) or at home 821-9045.
Thank you for your time and ell'orr.
$inoerely~
Donna M. 8a~be~
Public Heaith Nursing
(516) aSZ-159)
DEPARTMENT OF HEALTH SERVICES
COUNTY O~' SUffOLK
ROBERT J. GAFFNEY
SUFFOLK COUNTY EXECUTIVE
MARY E. HIBBERD, M.D., M.P.H.
October 22, 1996
DATE
II IITIAL
Southold Building Department
Southold, New York 11971
! am writing to you requesting your help with building
code/permits. On July 11, 1996, I sustained a Fall and injury
while at work at the Public Health Nursing OFfice in Southold.
This office is located in the same building as East End Companion
Care, across the street From 7-11 and next doer to First Towne
Florists on Hain Road.
I need to know if the wooden stairs that are built there
(attached to the deck that surrounds the building), are in
compliance with Southold Bldg. Dept. codes. I would appreciate
having this information For a hearing I have on November 4Eh.
If you have any questions~ I can be reached
day at 852-1591 (8:00-4:00pm) or at home 821-9045.
Thank you for your time and
Sincere2y,
Donna M. B~rber~'
Public Health Nursing
effort.
during the
COUNTY CENTER BUILDING
F I ~ ~D~.~NS P E C T I ON
FOUNDATION
(1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
COMMENTS
QODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
,~;~uthold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitte~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 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/ land use --?z'e-E×±st~n~ C. 0. $15.00
3. Copy of certificate of occupancy $1.00 Vacant, ~.and C.O. $ 5.00
Date . .~...'..~.. ?('.. f?/.~. .....
New Building . ...Y~.... ...... Old or Pre-existing Building ...................
Location of Property ~''~' ~rTJ~ m~/-4~,
House No, Ham/et
Owner or Owners of Property. ~..~.....~.....~. .... $~' ~
County Tax Map No. 1000 Section . G3 ...~'~lock "',~~~'~ ..........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit ....... Applicant ..................................
Health Dept. Approval ........................ Labor Dept, Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .... .~-~.... .............
Fee Submitted $ .............................
Construction on above described building an,~J~rmit meets all applicable codes and regulations.
Applicant ..............................
Rev. 10-10-78 ~.~--7~ ~ ~(-/3 ~;~-
Town Clerk
Main Road
Southold, N.Y.
L
11971
November 4, 1994
TO,
Miriam Lynne Richards, Owner
East End Companion Cars & Support Service
56475 Bldg. B. - Main Road - Southold, N.Y. 11971
such 4[,p~icacLon w~/ch ~J enclosed.
Leonat~ £pttel~
~pLoymenc Agenc)' UnLC
LE:kw
Eric.
CC: Building & Zoning Dept.
STATE OF NEW YORK
DEPARTMENT OF LABOR;
DIVISION OF LABOR STANDARDS
TWO WORLD TRADE CENTER
NEW YORK, N.Y. 10047
PUBLIC NOTICE OF APPLICATIONS FOR EMPLOYMENT AGENCY LICENSES
The following persons have applied to the Industrial Commissioner for licenses to conduct employment agencies under the names
and at the places listed below.
DATE OF NOTICE
NAME AND ADDRESS OF AGENCY
APPLICANT'S NAME AND ADDRESS
11/9/94
East End Companion Care &
Support Service
56475 Building B
Main Road
Southold, N.Y. 11971
Miriam Lynne Richards, .Owner
1850 Mechanic Street East
Southold, N.Y. 11971
CC: District Office - Edward E. Creegan, Asst. Commr. - N.Y.S. Dept. of Labor
303 Old Country Road - Hicksville, N.Y. 11801
Town Clerk - Main Road - Southold, New York 11971
Building & Zoning Dept. - (Same Address)
M. Rosa, Co,mr. of Human Rights
Pursuant to Article II of the General Business Law, any person may file within one week after the date of this notice, a written
protest against issuance of a license to any of the applicants listed above. The protest may be filed with the Department of Labor
at the above address. Such protest must be signed by the person filing the same or his authorized agent or attorney, shall state
reasons why the license should not be granted and shall contain the business or personal address of the person filing such protest.
Upon the filing of such a protest the Commissioner will schedule a hearing and will notify the applicant and the person filing the
protest of the time and place of the hearing.
IR-367 (10-73)
HENRY E. RAYNOR, Jr., Chairman
JAMES WALL
BENNETT ORLOWSKI, Jr.
GEORGE RITCHIE LA'f HAM, Jr.
WILLIAM F. MULLEN, Jr.
Southold, N.Y. 11971
November 28, 1983-
TELEPHONE
765 - 1988
Mr. Victor Lessard
Building Administrator
Southold Town Hall
Southold, New York 11971
Re: John Pietrodangelo
Site Plan
Dear Mr. Lessard:
The following action was taken by the Southold Town
Planning Board, Monday, November 21, 1983.
RESOLVED that the Southold Town Planning Board approve
the site plan "John Pietrodangelo", relocation of the exist-
ing two story building located on the northeast of the prop-
erty for the reconstruction of a new building to be the same
size (50 square feet more or less), subject to certification
from the Building Department and a one year review by the
Planning Board.
Three copies of the site plan have been attached.
Attch.
Very truly yours,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
E. Long, Secretary
Approv . ' ........... 1 ~]"~.~Permit
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 7654802
Received .......... ~19...
Disapproved a/c ....................................
(Building Inspector)
APPLiCATiON FOR BUiLDiNG PERMIT
INSTRUCTIONS
a. Tins 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 8outhold, 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, ordinancest/bg/~ding 9a'~e, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessarytlm~p~ction/J .. //
.......
....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
· .0...o:.....(~ .a.: ................................................................................
.Z .......... ............... 7. ........................................
Nameofownerofpremises ~/o~"4' ~. /4/~ /. /O/~/-~oD~4/ ~/~'
(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 Ne .........................
Electrician's License No .......................
Other Trade's License No ......................
Location offland on which proposed work will be done ................ r", .................................
t~;~;e' fq~;~ ~ir ........................ ~ir;;i .................. h;~n'l~ ..... ~'" ...............
County ~ax ~ap No. 1000 Section ....... G..~ ....... Block ........ 3 ' Lot ...... t.¢ ...........
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 ~ ~ ?'q ti_ ~ O ~f~'c q' ,
3. Nature of work (check which applicable): New Building ......~.... Addition .......... Alteration ..........
ir 6 ' liti Oth k
Repa .............. Rem val .............. Demo on .............. er Wot ...............
(Description)
4. Estimated Cost ..................................... Fee ......................................
" (to be paid on fiIing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage number of cars i
6. If business, commercial or mixed occupancy, specify natu, re and extent of each type of use .............. , ........
7. Dimen'sions of existing structures, if any. Front... ~ f ......... Rear ... ~ ."..~ ...... Depth ...$ .~'. .......
He~ght~.0.~.9.o.~.....ap..... Number of Stories ~ ...........................
Dimensions of same structure with alterations or additions: Fro~lt ...... ..~-..( ....... Rear.. i..
Depth ...... 3...'~C~. ........~.. Height . & .e .~.~.o.f.....~:.~..': ..... Number of Stories...~ ................
8. I)i~nensions of entire new construction Front ~- ~ R,,ar .9,. ( D~nth
Height .~..~??`.°f....%.~..~umber~fSt~ries~..~.~.~.`.~~.~.~.~.~7.~.~
9. ~ize of lot' Front / ~ b 1~,~,- / o 3 D~nth / "/
· ' '1,2" ..... ! ..... '~; 't' ............................... ~r ........................
10. Date of Purchase . .~2,¥;,,,4~i... 4 .~. ¥. .......... Name of Former Owner /a t r_ 0 ~ ! e_ 5
11. Zone or use district in wl~ch premises are situated ...... .~ .............................................
12. Does proposed construction violate any ioning law, ordinance or regulation: . .,q'.o. ............................
13. Will lot be regraded . PI? ...... ' ............. Will excess fill be removed from premises: ~ Yes No
14. Nmne of Owner of premises .,1'¥..~... ~. <.'-ff.: q,~,o?, ./'PAddress .,,.~.-.1'.o .'-..~..~.~.~..~...~.D. Phone No. '2.~[ ~2~. ~..z-. C..~...
Name of Architect ........ : .......... Address Phone No.
Name of Contractor .......... Address ................... 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 6r description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NE~)R.K,. .r~ 'S S
' ' ~} i'f'~'n~~ ...... being duly sworn, deposes and says that he is the applicant
above named.
He is the ............................. ~ .............................................
: (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this
application; that all statements conthined in this application are true to the best of his knowledge and belief; and that the
work will be performed in the mann6r set forth in the application filed therewith.
Sworn to before me this !
.......... · ~. ~./7. ........ dayoI .....
N?.~..%P .ub~c ,. i.~?.~ - ~'r~ .... ,~/..~..~ County0 /~ //'~~
'Ir'
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