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Home My WebLink About14962-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy Date April 29, 1987 THIS CERTIFIES that the building ....C.qm..m.e.r.c.i. 9.1..B.u..i .1.d.l.n. $ ...................... 74365 Main Road greenport Location of Property ................................ Houso No. '" 'S't/o3i .................. County Tax Map No. 1000 Section . ~.5. ........ Block 4 .Lot Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...J .u.l.y...8 .... [ 9. ,8 .5 ..... pursuant to which Building Pemfit No.. 1. 4. .9 .6.2. Z. ............. dated...June .... 9....., 198 .... 6 . ..... ,..... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wtdch this certificate is issued is ......... ... 9.o.n.s. [.r.u.c.t...a..qq.m.m,e.r.q .i,a.1..b.r.t.i.l.d.i..ng..f..q.r..s.t.o..r.a.g.e..and additional retail sales area. The certificate is issued to MICHAEL AND JOY DOMINO ..................... ?o;,;n'o;, × ................... of the aforesaid building. Suffolk County Department of Health Approval ..... N. [ .A .................................. UNDERWRITERS CERTIFICATE NO ............. g. ,8 9.3.3. 3, .3...A. p y 3.1.. ] .3.,.. [ 9. .8.7 .......... PLUMBERS CERTIFICATION DATED: N/A Planning Board approval May 20, 1986 Building Inspector Rev. 1/B1 FOBM NO. J~ TOWN OF $OUTNOI.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) ~.o 1~62 Z Permission ~s hereb/granted to: .... ~.~.c.~4..~..,/o.Q~....~.~. .... ........... ~**-......~.,~.~**~.,~,,,..~.....~.~ ....... ......... O/.'~~..,.~.~.~,. ...... ~..~..?.2~ ....... Pa ,~. . ~. .~. ,4g ~ . . . .~. . . . . . C. cr~u . . .~ C. ~ . . . ~ ~o -- ..~,~,;~,.~.~..."t.......~.......,~ ..... :v_'z~ ~... ~ .,~.~.,~.,..~rr,. . .o~. .~ ~....~.~.~..~d~.~ ............ at p~e~,~e~ I~.oted ot .....7.~Y..6..~ ....... Z~.~...,(~....~....: ...................................... ~ ..... Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 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 supplv 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 property 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: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCE$SOR¥ $]0.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 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 ~~.. Old or Pre-existing Building Location of Property .~./-~/~.~..~'~., ,41~t~..,, .~, .~. ..... House No. Date .~. ~, ,-. ¢..-~ .............. ............ Vacant Land ............. Street Ham/et Owner or Owners of Property Cftc. .... /4..~J ............................ County Tax Map No, 1000 Section ............... Block (-~, Lot. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... 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 permit meets all app,~icable codes and regulations. Applicant...~'~...~.~. ~ ............................. Rev. 10-10-78 765-1802 BUILDING DEPT. [/*~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FRAMING REMARKS: [ ] FOUNDATION ;ZND [ ] INSULATION [ ] FINAL DATE 765-],802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND [ FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL DATE. INSPECTOR ~, ~. L_. 1.000747 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~;~ Apr;[~[ ~39 ~[987 85 JOHN STREET, NEW YORK, NEW YORK 10038 aat~ 438949/86 No..,. si,e N 803333 THIS CERTIFIES THAT only the electrical equipment as d~scr~bed below and introduced by the applicant framed on the abo~e application number in the premises bf JEy & Mi. ke Domino, 74365 Main Road, Greenport, N.Yo in the following location.~p r~ R~z~. ,ser~]~7 ~ Ist FI. ~ 2nd FI. , Section Block Lot was exa.tined on and found to be in cotttpliance u'ith the reqttire,tents of th~s Board. FIXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES NCANDE$CENT FLUORESCENT 9 7 7 6 3 DRYERS FURNACE FUTURE APPLIANCE FEEDERS EXHAUST FANS TIME CLOCKS UNIT ~tEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 1-G.F.I. 1-Smoke Detector S E R -V I C E NO Oi~ERCC,~COND,OF A' W O / NO OF NEUTRALS AWG, OF NEUTRAL RhodEs 281C Overhl31 Road Wading River, N.Y 11792 Lic, 405E 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. FIE~D ~I h~S FEC T I ON FOUNDATIO (1st) FOUNDATION (2nd) BOUGH FRAME & PLUMBING COMMENTS INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated ... Stroet ~ Hamlet County Tax Map No. 1000 Section . .O.q.~. 7 .... Block .~..T ......... Lot O~.5~. ..... Subdivision .... ~ ......... Filed Map No .... ~ .......... Lot ~ ................. is returned herewith and disapproved onthe following grounds~~ ~..'~..~... . ~v. ~..~~...~.~. O~ ~. ~q~..~.. ~ ..... .~~..~ ~...~o~..~ ~T/~.~..~ .~...~.~ ..... , ~..~~ ~. ~~.. ~. L,~a .~. ~a~ 1/80 P T( S~ D Y Southold, N.Y. 11971 (516) 765-19~8 May 21, 1986 Michael and Joy Domino P.O. Box 151 Shoram, NY 11786 Re: Site Plan for Crackerbarrel Antiques Dear Mr. and Mrs. Domino: The following action was taken by the Southold Town Planning Board, Monday, May 20, 1986. RESOLVED that the Southold Town Planning Board approve the site plan of Michael and Joy Domino to be known as "Crackerbarrel Antiques" located at Greenport for construction of a building to be used for storage and additional retail use incidential to tke existing principal use of the premise~. Plan dated as amended March 31, 1986. This site plan received certification from the Building Department. When the Chairman has endorsed the surveys, we will forward one to you. Please contact this office if you have any questions. Building Department Very truly yours, SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary %. ~ 0 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-1802 Examined · · .... ,l .PermitNo. Disapproved a/c ....... ~~ ....... .................................. ' ' (Buiiding I~spector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... 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 shall be occupied or used in whole or in part for any purpose whatever until ~ 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. .... ' ....... ..... ;;a'tio' .... (Signature o{'ap~licant, or name, if a corp ' ) ...... (Mailing address of app' ) ,fi/~ O6~.,..~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. i~ .~.. ·..~.).~..e..~ Plumber's License No .................. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~, ¢./~. ~.:.,~. t"zq. ~-.~..~p · ./'~../. .... House Number Street Hamlet County Tax Map No. 1000 Section . ~L./57.: ........... Block .. ¢7/ .............. Lot..~. !2~. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. 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 a ~plicable): New Building ..... ' .....'Addition ...~...'~...Alteration : ......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ (Description) ioo ............. .......................... 4. Estimated Cost ...... ~... ¢.C~ ..... ~ ..... i ~' (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 cars ... ;i ................................................................... 6. If business, commercial or mixed occupancy, specify, nature and extent of each type of use .................... 7. Dimensions. of existing structufes,~ if any: Front. ............... Rear.. ............. Depth i ............. Height ............... Number of Stones ..................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ................... :... Height ...................... Number of Stories ..................... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Nn~nber of Stories Size 0flor: Front ......... i ............ Rear ...................... Depth ...................... Date 'of Purchase ......... i ................... Name of Former Owner ............................. Zone or use district in which p~emises are situated ..................................................... Does proposed construction v~91ate any zoning law, ordinance or regulation: ................................ Will lot be regraded ....... ; ..................... Will excess fill be remove~l fro, ell p,r. eguises: Yes ~ No Name of Owner of premises///~ O~l~.~[/'r~ l~. C2.. Address ~.~...f~.../..-./. Name of Architect ........ , .... i ............... Address ....... ~ ~'.. ,.~'~ ....Phone No ................ Name of Contractor"~ ' ~' '~~f-t~'~~ ...... Address ~r~..~ ....... Phone No ................ 10. 11. 12. 13. 14. PLOT DIAGRAM 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, S.S COUNTY OF ................. ' ' "''(I~ame of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the .................... (Contractor, agent, corporate officer, etc.) of said owner or owners, andi~ duly authorized to perform or have performed the said work and to make and file this application; that all statem.e~)t~/cofitained in this application are true to the best of his knowledge and belief; and that the work will be performed in~ttie man] ~er set forth in the application filed therewith. Sworn to before me this~ Notary Public .... .~.-~ ~.. . County ~ : ~ (Signature of applicant) N \o° APR ~ 1~8~ MAP OF LAND LOCATED AT TOWN 0r ~M),, , COUNTY OF SUFFOLK , ~URVEYED FOR ' '" G'-rr' Ph~. -,- '~is )% h OCCUPAHCY OR '"'~ USE: IS IJHLAWFUL WlTHB~I, CERTIFICATE ~ILP~I)~S NOTED .--/' FOLLOWING INSPECTIONS: 1, FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & RLUMBIN~ 3. INSULATION 4. FINAL - CON~TR~C~ION MUST BE COMPLET[ FOR C. O. ~LL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y, ~ATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS,