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HomeMy WebLinkAbout15581-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17754 Date FEBRUARY 9, 1989 THIS CERTIFIES that the building DENTIST OFFICE (BUILDING A) Location of Property 44655 COUNTY RD. # 48 SOUTHOLD~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 063 Block 01 Lot 18.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 30, 1986 pursuant to which Building Permit No. 15581-Z dated DECEMBER 19, 1986 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 BUILDING 'A~ (DENTIST OFFICE) AS APPLIED FOR The certificate is issued to of the aforesaid building. B.C.C. RESTAURANT CORP. (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S-64R- NOV. 9~ 1987 UNDERWRITERS CERTIFICATE NO, N833917 SEPT. 24~ 1987 PLUMBERS CERTIFICATION DATED AUG. 31,1987-MATTITUCK PLUMBING & HEATING Building Inspector Rev. 1/81 ]~0]~3~ NO. ~ TOWN O~ SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERP~41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15581' Z Permission is hereby granted to: ....~..~.~ ~ ~ ~ ~ .............. ............. ....... · . ....... .~.~.~. ..................... ~ .............. ~ ~ ............... at premises located at .~,~, ..... .~.....L~ ~ ........ County Tax Map No. 1000 Section ........ Of~J~..~... Block ....... .~..~ ....... Lot No....1..~.,..~ .... pursuant to application dated .... ...~...~....~.~. ...................,19..~..(~, and approved by the Building Inspector· Fee $ .,~..~.,t~, .~.., ;.., ..,~". 8uildlng In~:tor Rev. 6/30/80 Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 TELEPHONE ($16) '/65-1938 Vincent Claps Alfred Ciletti P.O.Box 312 Southold, New York 11971 PLANNING BOARD OFFICE TOWN OF SOUTHOLD March 29, 1989 Dear Messrs. Claps and Ciletti, Dear Messrs. Claps and Ciletti, Re: Site Plan for~ BCC Restaurant Corp. SCTM ~1000-63-1-17,18 The Planning Board has received the Article 78 petition regarding the amended site plan for the above-referenced site. Upon review, of the situation, the Board has decided to rescind the condition that was placed on the amended site plan. The formal ~escission will. take place at the Board's public meeting on April 3rd. It is suggested that you or a representa- tive be present. CC: Vet 'uly Yours,,,~ /,] ~ ~'Bennett Orlowski, Jr. '~ Chairma. n Kevin McLaughlin, Esq. James A. schondebare~.Town Attorney/ Victor Lessard, Buildlng Department/ -. VS FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCI 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-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.$25.0.O, Accessory.,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-. 00 3. Copy of certificate of occupancy $ 5.00, over 5 7ears $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..... .Ap.r.~.l.. ?.3.,.. ! .9.8.8. .... NewCone truc tion ...... OJd or Pre-existing Building ............ Vacant Land ............. ty 44655 Middle Rbad Cty Rd ~/48 Southold, N.Y Location of Proper .............. l.. . · Houge No. Street Ham/et O rty B. C. C. RESTAURANT CORP. wrier or Owners of Prope ................................. County Tax Map No. 1000Section 63 ] - 18 2 ............... Block ..... .......... LOt ...... [ ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1558]Z ! ?./ ~ 9../' .8 ~ppli Fairweather-Brown .......... Date of Permit . o · cant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ................. Fee Submitted $ 50.00 Construction on above described building and permit meets all applicable codes and regulations. Applicant ...... ~ Rev. 10-10-7S FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. T EI'iP 0 RARY Certificate Of Occupancy No. Z-16394 Date November 12, 1987 THIS CERTIFIES that the building CONSTRUCT BUILDING 'A' (DENTIST OFFICE) Location of Property 44655 County Road #48 Southold, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 0 6 3 .Block 0 I . .Lot 18,2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 30, I986 pursuant to which Building Permit No. 15581 Z dated...................D e c e mb e r 19, .... I 98.....6 ~ 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 ......... BUILDING 'A' (DENTIST OFFICE) AS APPLIED FOR * The certificate is issued to B. C · C. RE STAURANT CORP. ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval S-64 R N833917 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: August 31, 1987 *SUBJECT TO SITE PLAN APPROVAL FROM PLANNING BOARD Bhilding Inspector Rev. 1/81 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION Date TEL. 765-1802 Building Permit No. /~ Owner ~5 · -(~leas~ 'print) Plumber ' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this / 19 ~t2. Notary Public, ~'/~ County ~' Notary Public JOHN P. BRISOTTI NO~[ARy pUBLIC, Stme of New No. 4732613 Qualified in Sgffo]~ County CommtssJon ~xpires ~~ 1000~040~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-~g 85 JOHN STREET, NEW YORK, NEW YORK 1oo3e n. te September24, 1987 '488784/87 ~pp,ie,,.o.,'¥o.,,,,,.e N 833911 THIS CERTIFIES THAT only the electrical equipment as d~scribed below and introduced by the applicant named on the above apldication number in the premises of Clap~ & Cile~ti DDS, Route 48 North Road, Yout~ge Avenue & Hornn Lane, Souhhold~ N. Yo in the folfowlng focatio04 .~ B~*eme~t oepEe~oer ,xv,~ 8~t FI. ~ 2nd FI. Section Block Lot teas exami~ed on and found to be in compliance u'ith the req~irements of this Board. FIXTURE FIXTURES RANGES C~KING OECg OVENS OU~TS SWITCHES FLUORESCENT V~POR 22, 47 21 23 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET EXHAUST FANS DIMMERS SRRVICE DISCONNECT OTHER APPARATUS: S E R V 1 ~/o I C E NO, OF HI-LEG OF NEUTRAL 3/0 Electric Room lteaters: 1-1.Okw 7--G.F,I, ~ 3~Smoke ~ Detectors~ ],-5 Ton A/C Unit Truman H. Cook Box 44 Ch~mplin Place Greemport, N.Y. 11944 This cerfificote must not be altered in any manner; return to the office of the Board if ' cOPY BUILDING DEPAR' THIS COPY OF CERTIF Lfc. 743E IN ANY MANNER. O.$cer MAYOR GEORGE W, HUBBARD TRUfffEE~ STEPHEN L. CLARKE JAMES 1. MONSELL 236 THIRD STREET P.O, BOX AH GREENPORT, SUFFOLK COUNTY NEW YORK 119'{4 UTILITY OFFICE TEL. (516) 477-1748 POWER PLANT TEL. (516) 477-0172 Augusl.12, 1987 Mr. Normafi Wagner Suffolk County Health Department Suffolk County Center Riverhead, N. Y. 11901 Dear Mr. Wag er. The following water service line Was connected to the Public Water Supply by the Village of Greenport during June 1987. The installation was done according to'our rules and regulations and, to the best of our knowledge, meets with the Suffolk County Health Department stand- ards. A. Ci.letti & V. Clapps - Route 48 (North Side) Southold- JOb #i986-75, installed 6/10/87 - Ref # S-64R. If I can be of further service, please cbntact me. Very truly yours,. JIM:lkm James I. Monsell Superintendent of Public Uti 1 lties lO0 Years of Corn/nun/tV Service OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & FLUMBING ~NSULATION PER N. STATE ENERGY CODE FIONAL lENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ['/~/INSULATION FRAMING FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE, ,INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ROUGH PLBG. [ ] FRAMING FOUNDATION ZND [ ] INSULATION [ ] FINAL REMARKS: iNSPECTOr_/~/ ' 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION REMARKS: Examine~. { ~., 19~.~.. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Appr~..J.~., 19~..Q. Permit No. !..~.~'7..ff.. ! ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERIVIIT Received ........... ~19.. , Date ....J. gl¥..3Q, ..... , 19.8.6 INSTRUCTIONS a. This 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 shail 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~ ~plicant, or name, if a corporation) Fal rwea t her- Brown/~ re hi t e c t s .Box..521. G.~eenp.o.l~t,. N .Y .... 119.4.4. ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...................... ^r. ,h.i.t.e. ................................................................ Name of owner of premises ......-~.. '..~.'...I:1~...t.u..a..l?~..~-0~lTp.. .... ~.... ~ ..... (as on the tax roll or latest deed) /J If applicant is a corporation, signature of duly authorized officer. 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. House Number Street/.:~ ~ Hamlet[~, ~ County Tax Map No. 1000 Section .. t;000..toP..~0. ..... Block .-4.3......{ ........ Lot .... '.i.-.i. 7.&'TS~. · ..... 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 ..... .V.a. cell.t ......................................................... b. Intended use and occupancy .... D.e. rl$1 g.t.~. 0ff.~,0o. I~.tld. 0.ther .................................. 10. II. 12. 13. 14. 15. Is this property located within 300 feet of a tidal wetland? *?es ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM ; Nature of work (check which applicable),: New Building ...XXX... Addition .i ......... Alteration ........ Repair .............. Removal .............. Demolition .......... i ....Other Work ............... i (DeScriPtion) ~l. SO, OD.Ct Fee I Estimated Cost (to b~ paid on fihng this application) If dwelling, number of dwelling units ............... Number of dwelling unats on each floor ................ If garage number of cars . If business, commercial or mixed occupancy, specify nature.and extent o f each t~pe of use ....... Dimensions of existing structures, if any: Front. .............. Rear ..... 'l: ........ Depth ............... Height ............... Nmnber of Stories ....................... ,'. ............................ Dimensions'of same structure with alterations or additions: Front' i Rear Depth ...................... Height ...................... Number of Stories ..................... Dimensions of entire new construction: Front . ~-. 33.'..B? 222 ' · Rear ....... i ........ Depth A-~,6' B-- ' 5': ' Height A-. 20!.- ...... Number of Stories ..... ~I ................. i ...................... Size of lot Front .. 625..0?: Rear 102t~..06: i Depth f.~t4~' ¥ Date of Purchase Name of Former Owner ~ Zone or use district in which premises are situated ........ B.-.1 ............ ............................. Does proposed construction violate any zoning law, ordinance or regulation: Will lot be regraded ..... IIt~RO.~ ................. Will excess fill be removed from premises: Yes Name of Owner of premises ...~[l-~,,.g.g.~. ~..QJ, OP!*Address NoI't:h .R.o~d Phone No.. Name of Architect Fal.12wea.g.her.-~i~.ol, tl/Al~ohl.t}~ i il~r1152, il .~i~n.'{~~ · Phone No...~7.?.'. 97.5 .... Name of Contractor Address ....: ~ Phone No No 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 comer lot. SEE DR~.WINGM STATE OF NEW,.~ORK. ,, S,S COUNTY OF. ~..,~ ..-~r. ............ o. e. · · ~, · · r.* ~.~ · · · being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .......................................... , ................... ~ ......... (Contractor, agent, corporate officer, et~.) of said owner or owners, ~d is duly authorized to perform or have perfomed the! said work and to m~e and file this application; that ail statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~ner set forth ~ the application filed therewith. Sworn to before me this ......... ~./~. ~y of ...... Nota~~~Publ?, ~ ~ ~~~~ ~ : (Signature Of applicant) 0 o I--- ~ 0 3'- P.O MAIN ROAD SOUTHOLD , N,¥. N.71° 48'to'E S.7['48 I0 W. NY.S. LIC. NO. 49618 ORS & ENGINEERS , P.C. 0 11971 Prepared in accordance with the minimum standards for title surveys as established by the L. LA. LS. and approved and adopted for such use by The New York State Land Title Association. $8G, 36 soUND AVENUE AREA = 2. 1549 ACRES NoRTH RD. CR. 48 ) CP CP CERTIFIED TO. SOUTHOLD SAVINGS ITS SUCCESSORS BANK AND/ OR AND ASSIGNS SURVEY AT TOWN OF SUFFOLK OF PROPERTY SOUTHOLD SOUTHOLD COUNTY, N. Y. lO00 06.5 OI 18.2 SCALE I"= 30' FEO.6 , 1987 AUG. 18 ~ 1987 SUFFOLK COUHTY §EPARTMEHT OF HEALTH SERVIC[S Approvat of Constructed Works H.D, Ref, No. ~-,~4/Ac,. __ 86 - 807 A tO 24, 06' 625.07 FEE:~ D~AR~ENT AT NOTI~ 766-1802 9 AM TO [ PM ~OR THE FOLLOWING FOUNDATIO~ '~ R~QUIRED 2 ROUGH FRA~INC~ pL~M~ING ~, INSULA ~ION 4. FINAL, CO~ISTRUL~ION MUST ~E CO~PLETE FOR ~ ALL CONS3'RUCT~ON ~ALL TH[ REQUtLE~EN cOOES, NOT ~&S~N~E ~R n~S~GN OR CC,~S~fflON ~RORS, fo~ ~ dlattlbutlng ~ II~ln~ mhlll b~ SOLDER USED IN WATER SUPPLy SYSTEM CANNOT EXCEED 2/10 of I°z , c,~ r, PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY ?airwe.~ther · Brow] ¸,> // Y 1/¢?t -t - :airweather· BroW~ ,I (~JIaDWH WllldOUT INTF:~JOP~ A4. '%¸ _9 ~I.ATf:S I ~1¢ ~)P ~ :'Cm,), ¢",~, 'f/~ ¢~ t I ~,P-~CTIOM Io". (/(~ ~q4¢I COMTIMuou5 6441b R::~¥ 4"C. ONO, gLA~ v+,¢ ¢,,,0 I~' ~ I0" CL.P. Ck~ C~I::;~ PAS::IA 1p* c¢2I~ CI-,¢-,,A~ 9~:f'~T i'I ?AI~TIAL WAILL WALL WALU 560TIOH __1 [ 1 r ,'4 A I .g '7 A 0 o 0 N.?I° 48 lO E N.Y S LIC. NO. 49618 PECOI~ VEYORS ( 516) 765 - 5020 P.O. BOX 909 MAIN ROAD SOUTHOLD , N.¥ 1197{ ENGINEERS , P,C, 1024 06' .... '567 388- 36 souND S, 67o 06,40" V'/ ~ ( AVENUE NORTH RD. GR. 48) AREA= 2.1549 ACRES CERTIFIED TO SOUTHOLD SAVINGS BANK AND/OR ITS SUCCESSORS AND ASSIGNS SURVEY AT TOWN SUFFOLK I000 O63 SCALE OF PROPERTY SOUTHOLD OF SOUTHOLD COUNTY, N. Y. OI 18,2 FEB 6, 1987 AUG. IG 1987 JULY 15, 1988 86 - 807 A DE] I--I ID 123 [] D [] [] ~LE~.. -41,0 A A SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES For Construction Only H.D. Ref, No. -. ~ - ~ ~'-~, This ~pprovo[ is gronted for the construction of the ~amtary disposal and water supply facilities pumuant to Articles VB and 7 of the Suffolk Coun~ Sonito~ Code ~or and is not on expressed nor implied opproval to discharge from or occupy ibis building(s), THIS APP* ROVAL EXPIRES , DA~OW. TWO YEARS FROM THE