Loading...
HomeMy WebLinkAbout13192-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No... 33.4.3.9 ~ ........ Date ..... .M.ax..1.4., .................... 19 .8.6. THIS CERTIFIES that the building .... .A.i.~..e.r.a.t.i. 9.n.s' .a..n.d..a.d.d.~_.t.i.o.n. 7.-.r.e..s.t.a.u.r..a.n.t' Location of Property ..... 5 k4.5... ~I.~in...R.qa.d. ................ E.a..s.t..M.a..r.i.o.n. ........... Hou~e No. Street Hamlet County Tax Map No. ]000 Section . 3,5. ........ Block ....~ .......... Lot ...1.4. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... J.u.n.~..5 ......... ,19.8.4. pursuant to which Building Permit No. ~-.3~,9 2g. ............. dated ...ff..tlr,~..5. .................. 19..8.4, 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 ......... Alterat$0n~..orxO..cqt~t£.e.J~c~¢./qo...~p..e.¥.i.s.~.~..rig..r.e..~.~.a.u.r..a.n?... .................. The certificate is issued to . qg.H.I~.. 9.I. ,g~..I~.~.R.I.S...~.N.D...O.T.H.E..R.5 ............................ (owneg~YeYke,~X of the aforesaid building. No. 18499 H.Do Food Service Estab, Suffolk County Department of Health Approval . .EI~T.7A.. g/ay.. 1 ,..1 ~ 86 ................... UNDERWRITERS CERTIFICATE NO .......... I~. 6. .9 .0.0. 7. 3. ................................ Building Inspector Rev. 1/81 IPOB. M NO. 0 TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL CC~vtPLETION OF THE WORK AUTHORIZED) N? 13192 Z ................. ro ~ ~ ~ . . .A/. wg~. . . ~. ~ ~ ~ ~ ~ ~ ~.~ ~. . .~. . . . ~ ~ ~.~ ~ ~ ~ ~ . .~. .. ~. ~. . .~ /~. ~ .~. . . ~ ~ ~ ~ ~ ~. . ~ ~ ~2 .~.. . .......... at premises located at ....--~./...~..~.'L..~'...~... ........ ....~.~./...~...~....,~C~'~. ............................................ co~.~ tox mo~ ~o. ,00o S.~on ..0..~.~.... ..... B,~k ...~ ......... Lo, No. O.l.~ .......... pursuant to application dated ...~/.'~0~ ........ ~..'~.. .................. , 19~.., and apprOved by the Building Inspector. Rev. 6~30/80 REGISTERED ,SSUE~) BY Date Work Performed APPLICATION CONCERN No, ~EBLON INCORPORATED [ ] YEIJ_CTWSTONE AVENUE 1-30-85 F-69 WHITE PI~INS, NY, 10607 This is to certify that the materials described on the reverse side hereof have been flame- retardant treated (or are inherently nonflammable). FOR ~f~TE A~'~'i'~JP C~PANY __ Ar. 2937 W. 25TH STRk]~'I~ CITY. (I~'VEIAND .STATE OHiOa 44113 Certification is hereby made thor: (Check "a" or "b") ~ (o) The articles described on the reverse side of this Certificate have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal ~nd that the application of said chemical was done in conformance with the laws of the State of Califor~ia and the Rules and Regulations of the State Fire Marshal. Name of chemical used ..................................................................... Chem. Reg. No ........................... Method of appficatlon (b) The articles described on the reverse side' hereof are made from a flame-resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame-resistant fabric or material used...~-~ ...................... Req. No....~..-_~.~_ The Flame Retardant Process Used Be Removed By Washing (will or will not) PE'£'Iit4 COHAN By ROBERT F. BIEIqlER Nome of Product,on Superintendent Title We hereby certify this to be a true copy of the original "CERTIFICATE OF FLAME RESISTANCE" issued to us, "original copy" of which has been filed with the California State Fire Marshal. The ASTRUP COMPANY ~ / ~ 12 PARK;IRY PLACE RARITAN CTR By ~' *'; / ,, , EDISON, NJ, 08818 JOl~ C2XPoP, A~ i!~ 116~m:~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 01 BUREAU OF ELECTRICITY ! 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT ~ A ~s. Jo~ Gi~n~is, 5145 ~ ~ad(North Si~)~ J~ 7, 1985 A.W.G AW.G, 1 L 3 1 5 APPARATUS: Ernest H. Pappa~/"Earnest Electric 50 Cedar Beach Rd. Southold, N Y 11971 Llc 486E cerhf,cate must not be altered ,n any manner; return to the off,ce of the Board ,f incorrect. Inspectors may be ,dentJ,ed by THE NEW YORK BOARD OF FIRE UNDERWRITERS ]-i(~50],~ BUREAU OF ELECTRICITY I r~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,,.,. ~y 3, 1985 ~,,,,,,,,.,,,,,,~¥,.,,,.r,,, 3z~35o/8~ N 690073 THIS CERTIFIES THAT Hellenic Snack ~r, ~ute 25, (~in ~d), ~st ~rion, N.Y. wtssexantinedon April 29, 1985 andfoundtobeincotnpllanceu'iththereelulrelnentsofthislIoard, RAFflES ~C~KihlG DE~K~[ O~ENS [DISH WASHERS rEXHAUST FAN~ E R V I C E i~nelboards: 1--19cir. 200[mips 1-3 TOn A/C Units, 1-7~ Ton A/C Units. Ernest H. Pappas/ Ernest Electric 75 Cedar Point Drive East Per ..... ,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. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~;~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions in duplicate A. This application must be filled in typewriter OR ink, and submitted V, :to ~_he 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pm-existing" land uses: 1. Accurate survey of property 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .... ?. ! .~.~..I..~..~. .......... New Building ....... ~. ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property "- ~ . ~A,~ Owner or Owners of Property ..~~...~.[.~~[.~...~...~ ~ . ' CounW Tax Map No. 1000 Section ~ Block ~ Lot... Subdivision ......... ~ ............ ;. ......... Filed Map No ........... Lot No .............. Permit No.t~.,..LL.~ ~e~,r~t I~Applicant .~...~.~.~CJ.~.. ,.,t, ~,.. ~,,~o~,. ~.~B(~ ......... ~o~.~,~. ~,,~ova, ........................ ~n~,ter~ ~,,rova,..~ ~ B ~ ~¢] ....... ,,~..in~ ,card ~,,~ova, ...................... ,e, ..................... ,na, .... ............ ~S.~m,~,~ ~..~'.~ .................... ISO COMMERCiAl RiSk SERVICES. iNC. May 15, 1985 Fire Sprinklers, Inc. 599 Montauk Highway Lindenhurst, New York 11757 Re: Hellenic Snack Bar Main Road East Marion, New York Plan No. 006455 Gentlemen: ~/e have reviewed the fire protection system ipstalled at the above captioned location. It appears that this f~re protection system meets the ~9~gi__rements of our ratin9 schednle. Fire insurance rate recegnition wi-T~T- be received for this system. This review is for the purpose of developing a fire insurance rate. It is not for the purpose of making property lo~ prevention or life safety recommendations and none are made. Very truly yours, Will Ganzy, Supervisor Survey wg:eab SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES No. 18499 110 PERMIT D TO OPERATE A SERVICE FOOD ESTABLISHMENT John Giannaris This is to certify that Hellenic Cabins & Snack Bar Inc. the operator of HELLENIC SNACK BAR at 5145 Main Road, East Marion Name of Establishment Address S0uth01 d Located in the Town of in Suffolk County is granted permission to operate said establishment in compliance with the provisions of Article 13, Suffolk County Sanitary Code, under the following conditions: 1) This permit is granted subject to any and all applicable Slate, Local and Municipal Laws, Ordinances, Codes, Rules and Regulations. All incidents that affect or may affec! Public Health must be reported to the permit issuing official within 24 hours. This permit may be suspended or revoked as provided in the Suffolk County Sanitary Code. LIMITED CONDITION - Dishwasher Required D~x~Ioflssue December 18~ 1985 RATION DATE: June 30, 1986 Permitis Non-TransferaBle Permit Issuing Official THIS PERMIT MUST BE POSTED CONSPICUOUSLY ,~.~g 9.8, INSPECTION COMMENTS FOUNDATION (1st) >'OUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~pDE FINAL 'FORM NO. 1 TOWN OF SOUTHOLD '~" BUILDING DEPARTMENT TOWN HALL ~°~UTHOLD, N.Y. 11971 TEL.: 765-180~ )is~pproved a/c ............. ~ ...... ~ ~ ...... .~~ INSTRUCTIONS Received ........... ,19... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .is 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~tion. 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 ,M{ 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 ~all liave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing_code, and regulations, and to hnit authorized inspectors on premises and in building for necessary ~tions. ~, ~ ~(~ , , ..... (~nature of applicant, or name, if a corporation) (Mailing address of applicant) ,late wl)ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ar builder. 4a,ne of owner of premises..~ ..~ .-~. O~..~.~.'~S~...~.~..~~. (as on the tax roll or latest deed) applicant is a corporation, signature of dulyauthorized offic~_.~ ~ ~C~/~ ~& ~l ~ ~ Builder's License No .................... ': ..... Plumber's License No ......................... Electrician's License No ........ : .............. Other Trade's License No ...................... Location of land on which proposed work will be done....~ .~.,..*.~.&.~....1~..'~...~.~. ~.~,,.~ .d ..... ..... llouse Number tt ~/~ Street Hamlet County Tax Map No. 1000 Section ..... ~.~O~ .... Block ...... ~ ........ Lot .... ~ .[.~ ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~r2~ .ll.~..~....ry..~.(¢~a"~' I;:~'~ ................................ b. Intended use and occupancy . . . . .~'/~'7~'~_ . . .Or?/~/~. l '~.~./~.. ~.~ .~.. ........... 3. Nature of work (check which applicable): New Building ' Addition . ...'?h,..... Alteration ... t .... Repair .............. Remo'vai '..: ........... Demolition .............. Other Work .............. (Description) 4. Estimated Cost ...................................... Fee ..................................... '- (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... If garage, number of cam ....................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ........... s...., Rear. .... t~ ........ Depth .............. lteight ............... Number of Stories. ~...~wl::IC~,.l..~-.~-l~t,..~'~>. · I ~i%A .................... Dimensions of same structure with alterations or aoolt~ons: Front ................. Rear ................. Depth ...................... Height ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rmr ............... Depth .............. lleight ............... Number of Stories ....................................................... 9. Size of lot: Front ...................... Rear ...................... Depth ..................... i0. Date of Purchase ............................. Name of Former Owner ............................ 11. Zone or use district in which premises are situated .................................................... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded ............................ Will excess fill be removed from pre~nises: Yes N 14. Name of Owner of premises ................... '. Address ................... Phone No .............. 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 fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. ,S, TATE OF NEW YOI~, , ~ COUNTY OF..~'o. O~.l ~. .... S.S ....."'"-'.'..~).~. ~..~.~ ~.: '~ --~.~ ................ being duly sworn, deposes ~d says that he is the applica (Name of individual signing contract) above named. (Contractor, agent, c0~orate officer, etc.) of said owner or owne~, ~d is duly authorized to perfom or have perfo~ed the mid work ~d to m~e and file application; that all statements conta~ed ~ this application are true to the best of his ~owledgc and belief; and that work wQl be perfo~ed in the m~her set forth ~ the application filed therewith. Sworn to before me this Not~ Public, % ~ ~lk County ~ NOIfiRY PUBLIC, State of Ney,, No 4,01878 Surfeit< Cour~tv expires Ma c 30 1, Ill 6E~P~--.~ V,¢'~ Fd" © 0000 0 ¸'i c, oCO 0 ~ 0 , ' I KONTOKOSTA ASSOCIATES ENGINEERS & ARCHITECTS 43 WEST 54TH STREET NEW YORK CITY, NEW YORK 10019 LIBLL-C.h,JIG CAPlM5 ~tdACK Morz:rH ff~'~l~ p'lAr&k:k,J, l'd~V~3 ,:¢'K 5~u'rl.lo~-g , ~Y, elT~. PI. AM ¸%, SUFFOLK COUNTY DEPARTMENTiOF HEALTH SERVICES Approval d ~nstru~ted Works H.O. Ref. Ne. The sewa~l d,sposar [}ATE F OF GENERAL ENGINEERING SERVICE~ J f' "¢ ~0 'I _t .T KONTOKOSTA ASSOCIATES ENGINEERS & ARCHITECTS 43 WEST 54TH STREET NEW YORK CITy, NEW YORK 10019 Title / / j <c'fi, ,I ,KONTOKOSTA ENGINEERS & 43 WEST 54TH' STREET NEW YO~K CIT¥¢ NEW !t/ KONTOI<0STA ASSOCIATES ENGINEERS & ARCHiiTECTSll 43 ~/VEST 54TH STREET NEW YORK CITY, NEW YORK'i 1,0019 LF- L ,t KONTOKOSTA ASSOC! ENGINEERS &AR 43 WEST S4TH STREET NEW YORK CI?¥, NEW yORK