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HomeMy WebLinkAbout16722-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...z.'zJ.6.9.q6. ....... Date May 24, 1988 THIS CERTIFIES that the building AL T E RAT I O N Location of Property 46520 North Road-County Road #48 - Southold, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 .Block 5 .... Lot 7 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated January 15, 1988 16722 g ..................... pursuant to which Building Pemfit No ...................... dated . . .F.e.b.r..u .a.r.y.' . 2. :..1.9.8..8 ....... 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 ......... INSTALL PHARMACY IN RETAIL STORES 5 & 6 OF EXISTING BUILDING AS APPLIED FOR The certificate is issued to PECONIC BAY PHARMACY, INC. (SANTO J. BUTTAFUOCO) ..................... ~'~o'a'~:~r,~Ji~ .................... of the aforesaid building. Suffolk County Department of Health Approval ........... .N[.A ............................ UNDERWRITERS CERTIFICATE NO. N853638 - February 17, 1988 PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT {THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLk-rlON OF THE WORK A. UTHORIZED) ~6'722 Permission is hereby granted to: ..~.~......~.....K..~..~.. ................... ,/_~/...,,.,,&...~/~ ........ :~.z,~. ............................ ~.... _~. .......... :.. at/rP rern~'ses '°cared ;t "'" '~"~" '~'~'"'"i~" '~?'"""~.~~ ~/ ...... .... .o. . ~ ,. ~ :.-. . .. .~. . . ~ .~,rr,,~. . . . . . . . . ~~ ............ . .z-. o. . ,. ................... Coun~ Tax Mop No. ~o0o Section ....... ~ ..... B~o~''~ ...... Lot No ...... Z .............. pursuant to application dated .......... ./..//...~.... ............................ 19~.~...~., and approved by the Building Inspector, Fee $.. 0,.~,,,~' Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu ilding Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUf ............... BI.DG. Instructions ~ ~- ~t~ 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. 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 "pre-existing" land uses: 1. Accurate survey of p~operty 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. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ~$i0.00 Business $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 $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of PropertyHouse'' '~'¥'~'2'0'No. .... /~'0'~'~' '~'~'0' ..... .~O. qly/~/.~.Street '~'~' ..... . . . . . . . . , . , . . . .~OO]~JeJ-D ~f; ¥'~et' ' ' Owner or Owners of Property . County Tax Map No. 1000 Section ¢~..&.'~. Block ~ './,7. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo, /.~.??.~. 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 and p~mit meets all applicable,cod~es and regulations. Applicant .'.. ~ ' Rev, 10-10-78 flmL FOUi4DATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: LANDS END CONSTRUCTION COMPANY INC. P.O. BOX 66, CALVERTON, N.Y. 11933 516 728-4014 (Manhattan) 212 286-0075 Town of Southold Main Street Southold, New York 11971 Attention: Building Department May 20, 1988 To Whom I% May Concern: Please be advised that Lands End Construction Co., Inc. installed ~" laminated safety glass in all the storefront doors at the Southold Square Mall located on'North Highway in Southold. Any further questions please notify Robert Freeman, President of Lands End Construction Co., Inc. at (516) 728-4014. Since] Robert G. Freem 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [,wJ~INAL DATE 765-1802 BUILDING DEPT. INSPECTION [] FRAMING ,r~'~l NAL ...,,..,S.. /L/O ,,4C~ YORK BOARD OF FIRE UNDERWRITERS THE NEW ]-00(0]'7~'1 BUREAU OF ELECTRICITY ', ~hCJ 85 JOHN STREET, NEW YORK, NEW YORK ~0038 ' ..... 3638 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the pretnises of Andrew Mic'hael ' ' Propeztl,es, S/S County Road, 48 units 5 & 6~ ¥oungs Avenue & Boisseau Avenge%e, Southolcl~ NY in the following locatlon; [] Basement [] 1st FI. Februar, 1988 FIXTURE EIXTURES OUTLETS SWITCHES [] 2nd FI. Section Block Lot and found to be in complianre with the re,lt~iretnents of this Board. 4 27 8 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS RANGES COOKING DECKS OVENS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICI~ DISCONNECT S E R V I C OTHER APPARATUS: 2-3~on A/C unit A. w, G NO. OF HI-LEG NO O~ CC, COND OF CC COND i/0 A. WG Of HI-LEG NO OF NEUTRALS 2 A, WG OF NEUTRAL EECO Elect. Corp.(cliff Cornell) 35650 County Road 48 Peeonic~ NY 11958 GENERAL MANAGER 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 FORB THIS COPY OF CI::I~ i~iFIC.~ !D IN ANY MAHN£R.  THE TOWN CLERK O~ ~F SOUTHOLD ~~;309S Main Road yP\ \ ox 1 79  York 11971 DO NOT WRITE IN THIS SPACE RECEIVED: SUPPLEMENTAL: PERMIT ISSUED: PERMIT NUMBER: APPLICATION FOR PERMIT TO INSTALL, MODIFY, OR OPERATE EMERGENCY ALARM SYSTEM ******************************************* PLEASE CHECK: FIRE ALARM AND/OR BURGLAR ALARM W// Answer all questions fully. Supply any additional information helpful to full consideration of your request. Misstatement of fact will be cause for refusal of license, or immediate revocation of license issued. (Winter) TELEPHONE NO. (Local) ~/~C- ~oO (Out of Town) NAME & ADDRESS OF CARETAKER OR WATCHMAN: ~ TELEPHONE NO. NEW EMERGENCY ALARM SYSTEM? TELEPHONE NO. FOR EMERGENCY ALARM SYSTEM IS CONNECTED TO NAME(s) OF COMPANY(s) SELLING, ALARM DEVICE: p~)z~- ,~T~,~. ¢~-~.CENTRAL STATION INSTALLING, AND/OR MODIFYING EMERGENCY MANUFACTURER(s) OF EQUIPMENT USED: ~-~.~i..i~ ~ NUMBER OF DOORS WIRED: ,~ NUMBER OF WINDOWS WIRED: IS THERE A SECONDARY SYSTEM?-~ IS THERE A STANDBY POWER SUPPLY? / STANDBY POWER SUPPLY WILL LAST FOR /),. HOURS. IS THERE A SILENCE SWITCH FOR THE AUDIBLE OUTSIDE ALARM BELL? WHERE IS THE SWITCH LOCATED? IS THERE A TIME DELAY BUILT INTO THE SYSTEM? ! HOW LONG IS DELAY? IS THERE A RED WARNING LIGHT LOCATED SO THAT IT IS OBVIOUS FROM THE OUTSIDE AND INSIDE ENTRANCE/EXIT TO THE PROTECTED PREMISES? WHAT IS THE NAME OF THE COMPANY CONTRACTED TO SERVICE THE EMERGENCY ALARM SYSTEM? .Ll~//~r- ffou~' ~-~u~-I~-Y~ TELEPHONE NO. ?~ ~7~ EMERG~CY NO. SUFFOLK COUNTY TAX ~AP NUMBER OF PARCEL WHERE ALARM SYSTEM IS LOCATED ~ O f'~ Ok_mo 'FORM NO. 1 TOWN OF $OUTHOLD CHECK BUILDING DEPARTMENT SEPTIC BOARD OF HEALTH SETS OF ,LANS SURVEY .......... EORM ............. : Examined .e~..~...~. ......... , 19¢..~ Approved . .~.'/.'"~. · ......... 194.ff. Permit No../.~. ?..~..2... TOWN HALL NOTIFY $OUTHOLD, N,Y. 11971 TEL.: 765-1802 CALL MAIL TO: Disapproved a/c ..................................... t,,, APPLICATION FOR BUILDING PERMIT / / Date../.'.. INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 · sets of plans, accurate plot plan to scale. Fee according to schedule. ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .... P~-a,~ ie~.. g~.~l..P. ~.~ ~ ~.v.- ,,~b&. .... (Sionatenamre of applica6t, or name, if a COl~oration) .... ..z-iA.45..? .... ~o.~'.r.v/* b...~.g-<.. ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... b~s.$~--~ .. ' .................. '.%'~' " b ............... Name of owner of premises AA).,0~.~.a?...lfflq. fJY..~:.L....~.~¢~..,3Y.~-~31... 4. ~ .......... ~.c3. .9 ~:4:. (.'g.(. ........... (as on the tax roll or latest deed) If applic~t is a corooration, signature of duly authorized officer. - (Name tkdd title of cprporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No...t~ .~..6. ~..¢~...tf .~.o:4. 71.4. ( . . Plumber's License No..~...~....~'..~... f~ .d-~'~ ~ 7'/~/"~//° Electrician's License No..~.~.=.c.t~p..~:..~.~./.~/~C~ Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ,~Q©~J2t0L./~. ...................................... .. L,/. ~rP.o...u~,?,m.~¢:...~:~;:... ~.o~e.r.7. .~..¢.~.. ................ d~..~./-'7. ~.,~. ...................... House Number Street' Hamlet County Tax Map No. 1000 Section ...~,~.~ ............ 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 . . ~ ............................................................... b. Intended use and occupancy .............................................. 3. Nature of work (check which applicable): New Building x'// Addition Alteration Repai~). ~...~.~.,.~. ~_./,R~(~v~al .. _tT,~ .... /7'' D.em_o~on .............. Other Work ............... ~ /"74-~"~ '~ '~--~v'~'~O'n'--m/.-'4J-~..~-a (Descriphon) 4. Estimated Cost ............. i ........................ Fee ...................................... ' (to be paid on filing this application) 5. If dwelling, number of dwelling qnits ........ I I ..... Number of dwelling units on each floor, tP ............. If garage, number of cars ..... ,~,~: .-'7'7.. ........................................................... 6. If business, commercial or mixedi"~'occupancy, specify nature and extent of each type of use.. ~.~~ ..... 7. Dim~s!?ns 6f ~xisting stmcttir~es, if any: Front ............... Rear .............. Depth ...... (J ........ Hmgh~ I' 5 · ' z.,;.: ''-/.:.;,M~Numl~e4' of Stories ........................................................ Dim~s~qhs all/-e ~vj~ialterations or additions: Front ................. Rear .................. Dept~t.l.!;.,,~,:. ,,,,~'~' ~./.]l ii Height ...................... Number of Stories ...................... 8. Dinlq[ffs2egl~.f~[i~ion: Front .......... . ~... Rear ............... Depth ............... 9. ~i'~i~~ .o! ~lo.n. Ts. Re~/ ..................... : Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ........................... } . 1 1. Zone or use district in which premises are situated .................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................... ,. 13. Will lot be regraded .......... ~ .................. Will excess fill be remoyed from premises: Yes No 14. Name of Owner of premise, s ~N.~.~.t¢l/v~tr./4..~.~pf~ Address [./J...d~.. N~)me of Architect ./4, tt~t~. 0-~r'qe..... ............ Address//b~..'t,.A../~. m,ane of Contractor .Lt35 f,.~ .g,..,..~l,v~eOlor~ ..... Address/4/~..~'?. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..~.. · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all 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, . ~ · ~dit u~ ~ · .flJc~q. · .............. being duly sworn, deposes and .......... ( ~ contract) above named. says that he is the applicant He is the ....................... ! .................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulylauthorized to perform or have performed the said work and to make and file this apphcat~on; that all statements contained m thru apphcatmn are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this , .................... r' · .day of Notary Public .......... County H£tEI~ K. lie VOF. ,, ~ ..... //' · '1/? .... "~ ...................... NOTARY · PUBll0. S, ta, t.o of New. York (,/ (Signature of applicant) r~o. 47078'18. Sunolk OoumY~ Term Expires Ma~ch 30. /¢ P£U' MB£R LEAD CON?.pm~C_A/'ION ?'//:/CA ~'E 0t' ,.*vi CCMPANcy If ~OPPer tubing Is Use for Water distributing d system; Piping Shell be of t'..~ es ~ SOLDER USED IA/WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. ~uJR~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 466zo · .~lifHol. P, H,Y H971 1 sheet I of ARCHITECTS PLANNERS SMITHTOWN (5]8) 724 7]~1 / PO~T JEFFERSON STA (5]~)33]'8555 drawn ~ date ~ l.z8. pro.~