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
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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
[]
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~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