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HomeMy WebLinkAbout16279-zFORM NO. 4 TO~Iq OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17262 Date SEPT. 6, 1988 THIS CERTIFIES that the buildin~ ALTERATION Location of Property. 62610 OLD MAIN ROAD House No. Street County Tax Map No. 1000 Section 56 Block 06 Subdivision XX Filed Map No. MX SOUTHOLD Hamlet Lot 07 Lot No. ~D( conforms substantially to the Application for Building Permit heretofore filed in this office dated JUEN 11~ 1987 pursuant to which Building Permit No. Z16279 dated JULY 24~ 1987 . 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 ALTERATION~ STRUCTURALLY ALTERED BAR & RESTAURANT. The certificate is issued to ARMANDO CAPPA (owner, XXXXY3JCf~X) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING AUGUST 15~ 1988 PLUMBERS CERTIFICATION DATED J. WALTERS PLUMBING Rev. 1/81 FORM NO. ~ TOWN OF $OUTHOI. D BUILDING DEPARTMENT TOWN HALl,, SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 16279 Z Permission is hereby granted to: .... ..~~~..._.... .n..~...~.~....~.~.x ~ ...... .............. ~...~,~..,~.....~:.....~x.... ................................................... o, ,.~,,,, ,=,,~ o, ...... ~....4...~/..~......~.~..;.......~..~.,~ ........ /..~.~ County Tox Map No. lO00 Section ,,~...~. ........... Block .... ~. ............. Lot No ....... ..~... ........... pursuant ,o application dated ..~ ............. L..~ ............. , I9~....~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 8 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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-g 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 "pre-existing" land uses: 1. Accurate survey of pzOperty showing all property lines, streets, buildings and unusual natural or topograpfljc 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: Additions $25.00 POOLS $25 . 00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessoryi$10.00 Businesa $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .,A~.~.~,.J~ ............ New C OhS t,t-u c t; ± on ...... Old or Pre-existing Building ............ Vacant Land Location of Property .~,,~,,~ J,C~ .......... ,'(~, [.c~. ~%~.~., .'~c~: .............. .~.~ House No. Street Ham/et Owner or Owners of Property ... o.~..~,VT~ ~ ~-{ .~ .0,...(~.~C~ ~ ~ ........................... County Tax Map No, 1000 Section ...Q,~-~ ....... Block ...... ~ ........ Lot ..... ~ .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. tgi. ,~,cj .~,,, Date of Permit ,~./. ~.~.[.~ ,q..Applicant ..~ .~ ,~,~.~.~, D... ~ ,~ I~, ~)..~. .... Health. Dept~. Approval ................ , · Labor Oept, Approval ........................ · /~..~ Pla ning B d Appro al Underwriters Approval .......... n oar v .......... ~ ........... Request for Tempos?fy Certificate ..................... Final Certificate Fee Su mitt.d S..r. ............. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~ ~- Owner ~0 (please print) Plumber ~- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public, ~Z~ County umber's signature) N6tary P~blic UNDA J. COOPER Not~ry Publlo, 8~ate of NewymlvOrl~Y, orl~ No. 4822563, Suffolk Cou _nty Term Expires December 31, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK. NEW YORK 10038 ~ ~,P I ~,~B ,R 0 I , ~ ~ ~ ~ Application No. on file THIS. CE~I~IES THaT in tb/ollowlng h~otion; ~ ~e~nt ~ I*t FI, ~ 2~ FI. ,~tion Bilk ~ examin~ ~ and found to be in compliance with the ~quirements of th~ ~rd. RXTURE RXTURES RANGES OVENS EXHAUST FANS OUTi_gT$ SWITCHES SERVIC~ DISCONNECT S E R V I C E OTHER APPARATUS: P~N~;{,~O~D~:{-25 C~R. 200,1-~5 Ct~, O~ hi'UT#AL F~OHNOE'~'gR JOg'~",PH d, This ce~if~ ~ ~t be alter~ in any man~r; ~mn to the office of ~ F~ B~ DEPARTS. ~S ~ ~ CERTIFI~ ~T ~ BE ALT~ ffi ~ ~ER. JUDITH T.'TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section'l of this form and give to Town Clerk's Office (agency Freedom.of Information Officer). One copy will be returned to you in response to your request, or as an interim response. SECTION I. (Department or Officer, if known,, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and. any other pertioent information.) Mailing Address (if different from. above): Telephone Number: ~7- ~' / ~ ~' Date: [ ] APPROVED [ ] APPROVED WITH DELAY* Judith T. Terry Freedom of Informatiorl Officer [ ] DENIED* RECEIVED NOV 2 7 1995 . Dat [own ~lerk S0~th01d * If delayed or denied see reverse side for explanation. It, J. M lls & Co. Sallmaker$ & Canvas Prod~Acts Since 1880 A 125-]27 MAIN STREET CORPORATION COMPANY 74100 WEST FRONT ST. GREENPORT, N.Y. 11944 Mr. Robert Fisher A~sistant Fire Inspector Building Dept. Box 728 Southold, N/ 11971 I,~cakim~: ....~ic~i~i~P ............ ~Town of: Main Read Data: J~:l7 27¢1989 Southold I'lt,ase find enclosed a copy of the Certificate of Flame Re:ardency tim awning inst~lJed at ~he above address by our Company on the- ~.win)., d;,tps A~St 1988 . The awning (s) installed IH; I)ll ]h,'~H' {)F~'IrIi~PH ;1'*(' LUOrP f~l~'Q~cr~'ed as follows: (size, color, ~,,,.:,, i,,,,, ~ vi,,') Canopy 27'x3.1.'_ Color: $~22 lA. ~$~ab - Peach : 'l'h*, m;luul,lclurer of tilt, Fabric has supplied the Certificate aad certifies il' you haw' an'y quest ions ce~nrd[ng' chis infornlation, please contaQt us WJM:JD Sincerely, WM. J. MILLS & CO. William J. Mills III ~A~ ~ 3016 . APPLICATION JOHN BOYLE & COMPANY, INC. I Dote tr~tedor C~NC~R~ ~ SAnSha? ROA~ { man~a~ured J" A-217 'j' ' STATESVILLE. NC 28677-- _ · J ~ 704~72~5~ This is fo certify that the materiels described on the reverse side hereof have been retardant freate~ (or are inherently nonflammable). FOR ....... ADDRE~ Cl~ STATE Certification is hereby made that: (Check "a" or "b") (a) ~e articles described on the reverse side of this Cerlificale have been treated with o flame-~tardant chemical approved and regi~lered by the State Fire Marshal and that the appfication o~ said chemical was dane in conformance with the laws of the State of Californi~ and the Rules and Regulations of the State Fire Marshal. Name of chemlcal used Chem. Reg. ~o. Method of application .......................................................................................................................... ~ (b) The articles described on the reverse side hereof are made from a flame-resistant fabric or material ' registered end approved by the State Fire Marshal for such use. Trade name of flame-resistanl fabric or material used .................................. Reg. No The Flame Retardant Process Used WILL NOT Be Removed By Washing JOHN BOYLE & COMPANY, iNC. JOHN BOYJ, E & COM~PANY, INC. rL INSPECT N [ ] FOUNDATIOfl JST [ ] ROUGH Pt. BG. [. ] FOUNDATION ~ND ~INSULATION [ ] FRAMING [ ] FINAL 76S-1802 BUILDING DEPT. INSPECTION ? [~' F/OUNDATION 1ST [ ] ROUGH PLBG. / FOUNDATION 2ND [ ] INSULATION FRAMING FINAL DATE INSPECTOR BOARD¢OF, H~ALTH 3 SETS OF PLANS'~'/-/-/-/-/-/-/-/-/-~----~'~'~-~'~''~ BUILDING DEPARTMENT SEPTIC FORM ....... :' TOWN HALL TEL.: 765-1802 CALL · ~- .~- - · MAIL TO: Examined .~ ~7kg/., 19~'. Y Approved'6~' .,~..~..., 19~. Permit No../ Disapproved a/c ..................................... Building Inspector) : APPLICATION FOR BUILDING PERMIT Dat~...]. J. .... , 19~$'~. 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 purpos~ 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 ?ws, ordi.n~nces, building code, housh-)g code, and regulations, and to admit anthorized inspectors on premises and in building for n~.~inspections. ' / ,/~...: ~......-.~......,-m~..//..':-~.. :: ......... [X // (Signature of applicant, or ,a~ff, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ 0.. ~,~. ~..c.~. ....................... ........................................... Name of owner of preinises ....~ a .k'~. ~ ix).~.. 9 .... .~..~ ~.~..~. ....................................... (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ......... ~.~ .~.9 ....... .© ~ 4...wv ~ ;.,.~...<Z .~. ~ .¢ .......... . .?..~.~...'~.o~..4 ............ House Number Street Hamlet 7 County Tax Map No. 1000 Section ~ (~ - ~- r~ Block ................ Lot...~4.~' ...... ~ ' Subdivision ..................................... Filed Map No...~..'b..~7. ..... Lot. ~.~..~.('. .... (Name) 2. State existing use an? occup.ancy of premises and.intended use and occupancy of proposed construction: a. Existing use and occupancy ....~...~..~....~..'7-~.~-..~...~..~.V..~..x~ ........ ~ ..... i..- .............. b. Intended use and occupancy ..... ..~ .~V~ ...................................... ' .......... 3. Nature of work [~ck which applicable): New B~ilding ..... ' ..... Addition · · · · i ...... Alteration ...... Repair ~, ....... Removal .............. Demolition ............. ~. Other Work ............. , j "" 'i (Description) 4. Estimated Cost ....~.?~...t~..:'7. ~,o Fee .... [.,J..I.t .... ' (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number of dwelling units 0n each floor ......... , ...... ,,. If garage number of cars i ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type ~f use 7. Dimensions of existing structures, if any: Front ............... Rear .. ' ..... i ..... Depth ..... : ......... Height ............... Number of Stories .............................................. · .......... Dimensions'of same structure with alterations or additions: Front..............,...! Rear............. ..... Depth ...................... Height ...................... Number of S: bries ...................... -8. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front ...................... Rear ...................... D,~pth ...................... =0. Date of Purchase ............................ . Name of Former Owner .~. ,....... ...................... _ 1. Zone or use district in which premises are situated...'.C..~~ ,~ c,~ .',4 ~ '(; ~\.~.~-. ' _2. Does proposed construction violate any zoning law, mdinance or regalation~ _3, Will lot be regraded ....... ~ .................... Will excess fill ,be removed l~rom premises: Yes No _4. Name of Owner of premises ~ .~..Q~.~ p...Ct ....... Address .'f~ .~ 5.\.'9.,...~.c~...i. Phone No...q .~..~: .~¢.c3.. ~ .0. Name of Architect ' ~ Address i Phone No Name of Contractor .',J .(.~.'~.q .¢~...~.ff>~,cp.~.[..~..~.. Address . ~,.¢.-G .~.~. ~qg.~'..-~.i..Phone No...~.~.'3..':. ~,~ h,.. 15. Is this property located with~h 300 feet of a tidal~etland? *Yes i ..... No ..... · If yes, Southoid Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ~ndieate all set-back dimensions from >roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. ;TATE OF NEW YORK, ,O JNTY OF ....... S.S ................................................. belong duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ' ,, , · - .... - ' ' tbove named. ,, te is the (Contractor, agent, corporate officer, etc.) : ~f said. .°wner or owners,, and is,. duly. authorized. . . to per,form.., or,. have, ., performed, the sai~ work and to make and file this pphcatmn that all statements contained, in this apphcatiOn, are true ,to the best ofhisknowledge and belief;and that the york will be performed'in.the m, anner set forth in the application filed therewith· ;worn {o before me thi~ , NOTARY PUBLIC ~ York 'ELD I~SL~ECTION ,UNDATION__ UNDATION UGH FRAME / PLUMBING SULATION PER N. STATE ENERGY CODE FINAL CZ) IF?' BUILDING DE~A'RT~N~ 1, FOUNDATION _ TWO REQUIRE~, FOR POURED CONCRETE ALL COb'q--RUCTiON SHALL THE REQII~E&,',CNTS OF THE N. STATE CONSTRUCTION & ENERG~ CODES NOT RESPONSIBLE FO~ ¥ u¢/h [ vi)~: ,~. s~/..& T