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HomeMy WebLinkAbout15031-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15786A Date May .26, 1.987 THIS CERTIFIES that tile building .C ? .m .m.e F .c .i .a .1. .b .u .i .l .d .i .n g . .w.i .t .h . .t .h .r .e .e . .o .f.f .i .c .e p . .& . .s .t .o .r .a g .e area Location of Property . 35650 County Road ~48 Peconic, N.Y. House No. Street ' ' ' ~ ....... Hamlet County Tax Map No. 1000 Section ...0.6.9 ....... Block 04 ..... Lot ,003 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated M.a.y..9.,. }.9.86 . pursuant to which Building Pemfit No.. 1503.1,Z dated . . .J.u.n.e . .2 .6., . .1.9 .8 .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 ......... COMMERCIAL BUILDING WITH TtlREE OFFICES & STORAGE AREA AS APPLIED FOR The certificate is issued to RUTH ENTERPRISES, INC. ..................... [o¥.'e;, .................... of the aforesaid building. PE-II Suffolk County Department of Health Approval .......................................... N783565 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: December 5, 1986 Building Inspector Rev. 1/81 1~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEI~,~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15031 Z Permission is hereby granted to: ..... ~...o....:..~.~.~.....q..~..:L. ........................... ....C.o. zc.l~..o..~o.g.r ..M.:~......u...ct...~..~ ~o ...~.~~.c.~ ....... ~o~.~.C~.~.~..~....~..~ .......... ~,~,..~.~,..~.~..~~.,~~.....~.~?~~ o, premises I~oted o, ..~..~.~.~ .......... ~.~..~%~..~.~ .............................. ............................................................................................................... :~~.,.C.r..~.~ co~ ~ ~o~ No. ~ooo ~,,o, ..~ .......... ~,~ ..~.~ ........ ~, No..~ .......... Building Inspector. .. ouildmg inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bui(ding Department Town Hall Southold, N.Y. 1,1971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 unusua~ 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. Fees', 1. Certificate of occupancy $5.00 2. Certificate of occupancv on pre-existing dwelling 3. Copv of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date December 5, 1986 New Building.............X Old or Pre-existing Building ........... . Vacant Land ............. Location of Property . ,.3.5.6.5.0., .O.o.~..~y. ?.o..~..4.8...I?~ .e.o.~.J..? ~..N. ¥. House No. Street Hamlet Ru't.h ~nte.rRrises Inc Owner or Owners of Property · County Tax Map No. 1000 Section 069 Block 04 Lot .0,0,.3.. Subdivision. '~ .Filed Map No ........... Lot No, PermitNo. 15031Z Date of Permit .6/2..6/.8.6. Applicant Ruth Enterp. rises Inc. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ...~.~.~. 7.07 ............... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .5, Q.O. ....................... Construction on above described building a~) perm__.it meet,~,~l applicable codes and regulations. Applicant .~..Q..~,~¢,~'.~ ...................... Rev. lO-lO-7a iON FOUNDATION (2nd) 2, ROUGH FRAME & INSULATION PER N. STATE ENERGY 9DE FINAL ADDITIONAL COMMENTS TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date NOVEMBER,1986 Building Permit No. 15031Z Owner Ruth Enterprises Inc. (please print) Plumber ROGER MC CARVILL (please print) I certify that the solder used/;in the wa~ supply system contains less than 2/10 of 1% lead.// (plumber' s sig~a~) Sworn to before me this 5 day of Dec. , 1986 Notary Public, Suffolk County ~ Nota'ry Public ELIZABETH A, LADEMANN Notary Publio, State of New York No. 4811949 Qualified In Suffolk County Commission Expkes ~ $0, 19.~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1UU{.J-L~4 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ,0ecembur 11. 1~ 4L7707/~6 ~.,~ ~,.~,,~.,,o..~o.o.~,,. N 7835~5 THI~ CERTIFIES THAT o~ly the e~ectrica/equipment ~ ~scribed below and int~duced by t~ applicant ~med on the a~ve application number in the prem~es of ~CO ~lec~ric Gor~,, ~/S ~ouCe 4~ Peco~lc, NY in thefollou'ing location; ~ Basement ~ I,st Ft. ~ 2nd ~7. Section Blm'k Lot was examined on ~ 0~ ~ and found to be in compliance with the requirements ~( this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS b3 15 39 DRYERS SYSTEMS ~ECO ~lectric, Cliff Comtell 5;'5 Willow Yacht 2,,oad C E ^ w o. ~o ~^ w.o. OF HI-tEa OF NEUTRALS OF NEUTRAL GENERAL MANAGER Souchold, NY 11971 Lic#2~16E / / / : This certificate must not be o{tered in any manner; return to the office of the Board if incorrect. Inspectors may b~ ~d~ntifiec~ by their credentials. CO?lj~oR ~uilmlNC, DEP?R:rMEN:I'. THIS.CgP~ 9~ CER:I'IFICA!E ~$!,~OI-B~ AL!ERE? !N ANY/vL~NNER. · ,' FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No. ~ .............................. .?=.~.:...~%...~.~ .... :~.~..Z. ......... PLEASE TAKE NOTICE that your application dated .... ~:'~ .~...~ .......... 19~ for pe~it to construct.. ~l~1~. ·. ~.Qt~t ~ ............. at L°cati°n ° f Pr°perry ~o~s~ ~. ...... __ Street__ ~ am County Tax Map No. 1000 Section . ~ ~ ~ Block . .~.~ ... Lot Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds...~.. ...Co~.~ ~.T .... .~~ .... o~..'~~.~.~.~.. RV 1/80 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 765-18~2 BUILDING DEPT. [ ] FOUNDATION 1ST [~/j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE FORM NO. 3 TOWN OFSOUTHOLD BUILDING DEPARTMENT TOWN CLER~SOFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ Date....~..~t../~4...~.....~..~.. ...... 198~:~. .... To ~,..~.~ .... ~.5.~ ......... .~ ~.~~. ~, ~... ~ ~ 5 ~ PLEASE TAKE NOTICE that your application dated .... ~..~ .......... 19~ for pemit to construct.. ~I~.IZ~... ~.~t~t ~ ............. at Location of Property . ~ ~.~. Houso No. ' ......... Stroot ~ Ham/et co~y ~ u~p uo. ~000 s,~tio~ ...~ ~ ~. .... ~ook . ~.~ ....... ~ot .~ ~. ~ ...... Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds...'~ ~.../~(.~. ...CogA./~ ~.r'. ..... ~.~.c~.~ .F2'~.. .... o.~..'.'"'~..C.o~,..-'-'~.~.~..~..',,.~... Building Inspector RV 1/80 Approved .L.~..~'. .~. ..... FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 TOWN OF SOUTHOLD Received ........... ,19... Disapproved a/c . .'~.~-~. · APPLICATION FOR BUILDING PERMIT Date May 9, 19 86 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 a Certificate of Occupancy shall have been grauted 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 Gl' demolition, as herein described. The applicant agrees to comply with all applicable taws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ..... 5..S.o.p.,.. I..n.c.,. ............... (Signature of applicant, or name, if a corporation) ....P.: .O....B. ?.x..9.3..2.,..C..u.~.c.h. 9g.u.e' ,..N...y,..1.!9.3.5 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of ownerofpremises Ruth Enterprises Inc. (as on the tax roll or latest deed) If applicant is a corporation, signatnre of duly atithorized officer. (Name and title of corporate officer) Builder's License No...1.0. ..................... Plumber's LicenseNo .... ¢l.c. qa. Ty.i. 1..1..B.!.u.m.b.i.n.g & Heating Electrician's License No... E...I~, .C...0,. F,.1. e. ¢.t. ric Other Trade's License No ...................... Middle x~xx~rh Road (c.r. 48), Peconic 1.Location of land on which proposed work will be done .................................................. llouse' 3"~b~'-' "~'~)'~' ~-- ~-'"'Number ..................... . kii'e;;' ....................... t]'a,~l'l~';- ........................ . (Name) 2. State existing use and occupancy of prenfises and iutended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .......................................... ~<v~<~'ah~;k;,'::3;' 3' '" ':,'., ....... 3. Nati~lq 61'W~{!~ (eljde'k,'Cd~lglftti'~phcable): New Budding ·..~ ...... Addition .......... Atteratmn ..... iQ, 4 t~escnpnonj ........ ) '-. (to be prod on finng tins appncation) 5. I{ dwelling, number of'dw~ill~ units .............. Number of dwelling units on each floor ............... If garage, number of cars .... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...Be 1 .............. ?. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Nninber of Stories ....................................... ... ... ;" ......... Dimensions of same structure With alterations or additions: Front ............................ Depth ....... 90.' ........ ~ . . . HeiSt .... ~6 ~ ........... . ....Number of Stories ...... Qn~ ............. 8. Dimensions of entire new con~tmction: Front ............... Rear ............... Depth ............... Height ............... Nunl~e[?f Stories ........ 10'8" ................ &' ' L' ' ' ' 2U0 ~ ............... S~ze of lot: Front ......... ~ ............................. P .................... Date of Purchase ...... ~ ................... Name of Foyer Owner .q! g. qVd..q9 P. ql).,..ar,... Zone or use district in which premises are situated ............ B..;. ~ ................................... Does proposed construction violate any zoning law, ordinance or regulation: ..... B9 ......................... Will lot be regraded ....... i ..... 7~} ............. Will excess fill be removed from premises: Yes XNo Name of Owner of premises RCgk .EB~.~P~.~ ~. Address .. ~.~qgB~,q ........ Phone No. 7~.~r~.q ..... .~B9. .......... Address Cg. gch°g, ue Phone No. 734-768~ ... Name of Architect ..................... Name of Contractor H~d~man~ Address ......... Phone No. ¢)'~2~'~ ' ' PLOT DIAGRAM Locate clearly ~d distinctly ~1 buildings, whether existing or proposed, and, indicate all set-back dimensions from 10. 11. 12. 13. 14. property lines. Give street and blo~ k number or description according to deed, and show street names and indicate whether int6rior or corner lot. See attached survey STATE OF NEW. YORK, ' S COUNTY OFFS... ......... ~..<+.o.~.~...~?.. ?. ~?~/.PD? .~.~. ............ being dj. dy'sworn, deposes and says that he is the applican, (Name of individual !signing contract) above uan]ed. IIe is the ................. (Coutractor, agent, corporate officer, etc.) of sakl owner or owners, and i~ duly authorized to perform or have performed the said work and to m~e and file th application; that all statements 9ontained ~ this application are true to the best of his knowledge and belief; and that tl~ work will be performed in the m~ner set forth in the application filed therewith. S~vorn to before me. this ': ' ~*.'.... d~y ~ 19~ Nota~,l ublic, . ........... ~ ....... County , . .. T~ E~ltes ~ ~1, 1~ N N NOTE~ L SUFFOLK COUNTY TAX MAP DtST, IO00 SECT 069 BLK.04 LOT03 2. TOTAL AREA = ~1922 S,F. 3 · = MONOUMENT SU?F SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICB Appfo~! of Censtructed Werk~ H.D. Ret. No, ~'¢E'"'// .... SURVEY FOR RUTH ENTFRPRI AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SES, INC. GUARANTEED TO ~ YOUN ~?~.~';~. NO. RZVERH TA -~ ,pRov'I gE. (~) U-P ( SEEDE~ II¸ ! 4~ ~.E 4!5 ~ ¢. ~ ~ ~ FLOOR PrAM AP. EA TO BE TOP ,501LE.D -- ~ 5EEDE~> IO'-O"DiA X,~'-O"W/ 5OLIO DOM6 pOOL TD MAV6 C.I, FRA~ ¢ 215 VOLT N.PS LUMINAI~E PHOTOCELL ~/F~~LL~ST-(TyP OF3) J_ T'fPIC:&L 5SWAGE- DISPOSAL -SYSTEM , ~1~ .. COMNION 5CIENTIFI C -- KEY NAME NAME SIZE O. UANTITY TH-P PYRAMID THU3A PFP. AMIDALIS ' 4-5 12 ARBORVITAE TH-i~ DARK AMER, ICAN THUJA NIGRA 3-4' Z ARBORVITAE TA-R SPREADING TAXU$ REPANDEN$ 15- 18" ¢ ENgLiSH yEIN. TA-B UPRI6HT TAX O,5 18-24'* 8 NOTES: · = MONUMENT AREA IS 21, 922 s f ELEVATZDNS ARE REFERENCED TO MEAN SEA LEVEL DATUM SUFFOLK COUNTYTAX MAP 8[ST. IO00 SECT.069 BL.04 LOT 008 5-1 ZONING USE DIST INTY DEPARTMENT OF HEALTH SERVICES , H.D. Ret. No.. ~-/,/ This approval is granted for the construction of t~ sanitary disposal ond water ~uppJy facilities pursuant to Articles VB and 7 of file Suffolk Coun~ Sanifo~ and iS not on~'"'e'x'p,'essed nor .nplied approval to discha,'ge from or occupy 'this building(s). TH!S ROVAL EXPIRES TWO YSARS FROM THE DATE BELOW. APP, 5 1986 ( -' - DATE LO CATIO M MAP NO FINAL APPROVAL WITHOUT , APPROVAL BY HAZARDOUS ~IATERIALS NO FINAL APPROVAL WITHOUT RESTR,~'/IVE COVEN/~N:C T'(FIC. AL t~JELL D~--/',~I L ITE PLAN PREPARED FOR RUTH ENTERPRISES, INC. AT PECONIC TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK &AN. 3l ~1959 NOV. 20,1985 NOV, l I, [985 OCt 31, 1985 OCZ 14~ 1985 OCT I , 1985 SEPT. 4, 1985 DATE: JUNE _27, 1988 SCALE; ~. "=~0 ' NO, 85-791 FOI~ THE, FOUNDAT~Oi',[ L TWO REQUIRED FOR pOU, RED CONCRETE , I~OUG'-I, - FEAMING &-PLUMBIHG }NSULAT~Ob~ !, I,I '1 I~ c;opper tubing is used ~orlf,,aater distributing systein; piping shall be ,of~'ypes~ or L on!.y c~mc,~s oS OCCV~Scr so;~zs vs~o ~ WA~ ~UPPLY SYSTEM CANNOT ~GEED 2/lo od' 1~ LEAD.