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Home My WebLink About14662-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14545 Date June 20, ........ ............................................ ,19 86 THIS CERTIFIES that the building ....R.e.s.t..a.u.r.a.n..t ................................. Location of Property 31275 Rt. 25 Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section ...9.7. ....... Block ..... 5. ......... Lot 12 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .~ .e ~. .. . .2 .0 ......... ,19..8.6pursuant to which Building Permit No. 3.4.6. 6. .2 .g .............. dated ...~.g .r.z.h.. ~. 7 ................ 19..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 ......... ~.e.s.t.a.%l.r.a.n.t. (Mol Kun Cheng--Tenant) The certificate is issued to . .S..AND E.. REALTY CO. STORE # 1 ............... /o~n'e'r, 'l;~e'gr't3~a'n't) ...................... of the aforesaid building. Suffolk County Department of Health Approval ..... C. 3:..~ .R..A~. .... . ....... UNDERWRITERS CERTIFICATE NO ............ .~. 7. .5 3 .9.2. 0. ............................. PLUMBERS CERT IF ICATE 6 / 3 / 86 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PE~U~AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14662 Z Permission is hereb/granted to: ...... ~.~..-..~ ....... ~ ........................ ....... ot premises located ot ........................... CounW Tax Map No. 1000 Section ..... ..Q)..°'l..."~. ...... Block ....... ..~.,~.. ...... Lot No...~....~... .............. pursuant to application doted ...~.~...-~..~.-- ................. ]0.~..~., and approved by the Building Inspector. Rev. 6/30/80 SOUND SHORE EXCAVATING CORP. Located at SOUND SHORE SERVlC£ STATION Main Road, P.O. Box 159 East Marion, New York 11939 477-2525 477-1870 As of July 1, 1972, a CERTIFICATION £or each complcted private subsurface sewage disposal system will be required from the contractor or instal]er prior to the issuance of final approval by this office. This certification is to be on Company letterhead and shall contain the following information: NAF~ OF APPLICANT ADDRESS HEALTN DEPARTMENT REFERENCE NO. GllttA~ PHONE PROPERTY LOCATION (include tie distance to nearest cross street) ~ocg%ed in ~ey ~'ood ,~hop~,ing ~ laze - ~oute 2~ - Approx. 1000' west of Cox HA2~LET C utohog'ue TOWNSHIP Ooutho Id SUBDIVISION LOT NHMBER TYPE OF SYSTEM INSTALLED: ~x'F~ Gree, se Trap (a) Volume S%ze - 8' x 8' (b) Type (precast, equivalent, block) Prec~st - solid Leaching pools: (a) Number and size of pools (b) Type (precast- block) Two 6' x 8' with domes hereby certify that the private subsurface sewage disposal system described above has been installed according to current criteria of the Suffolk County Department of Health. DATE: SIGNATURE TITLE AcTioN/ CONT E~], CHGE [] NEW [~ DELT ~] NUMEER 1' ESTer. ADDRESS NAME' 13' ACTIVITY SUFFOLK COUNTY DEPARTMENT OF HEALTH SEI~VICES FOOD ESTABLISHMENT INSPECTION REPORT pl~r~d s~:urce, wl~[esorn~, non-~dulterate(~ F~dd protected aurlin9 s~0rage, ~rpparation, displg~, ~ervic~j ' PERSONNEL Toxic items properly stored, labeled, used Food (ice) contact surfaces: designed~ construe{ed, maintained, installed, located Non-food contac)~ surfaces: designed, construct~ maintaine~, installed, located Single service a~ti¢les, storage, dispensing PAGE OF PERM T · RESTRIC FILE SEWAGE ~ Sewagealn.,d~Was~a~e~d~p~sa ~p~Ved' '~ ~ x , ,w~ CaARSAGE; ApprJvie~onatiner~or receptacleS, 'bd;ered; a~eqQJfe ti~h~'b;&~,lits~"~;{/'~-~' other animals (except: police/guide-dogs) ; ' dustless ~lean!ng mef~hods used WALLS & DRESS RM MISC. Ro~ms adequate, clean, I~cke~s p~'o~ided, facili~ies,cle~n Completeseparation from living/sleeping quarters, aundr' THE NEW YORK BOARD OF FIRE UNDERWRITERS ~1000~60 ~ BUREAU OF ELECTRICITY ~ 8*5 JOHN STREET, NEW YORK, NEW YORK 10038 TH.S C~RT,~.ES ..^T N 753920 only the electrical equipment as described below and introduced by the applicant trained on the above application number in the premises of '£:/~t Rung Restaurant, }fain Road(25)Cut;chogue~ a-Y in the following location; [] Basement was examined on June 0~ 1986 FIXTURE OUTLETS ~ECEPTACLES [] 2nd Fl. Section Block Lot and found to be in compliance with the requlretnents of this Board. FIXTURES RANGES OVENS SWITCHES EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET SYSTEMS NO, OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: ~iocor~; $ E R V I C E AW.G OF NEUTRAL 6880 l~aaaau Po~t Road This certificate must not be altered in any manner; return to the offke of the Board if incorrect. Inspectors may be identified by ~INER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~'~/ /~/~ (please ~pr in~ Plu~er ~~eprint)~/~/~/ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plUmber' s signature) Sworn to before me this _ ~ day of ~ , Notary Public, ~. County Notary Public F1EL~ INS{'ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF SOUTHOLD Building Department _~own Hall Id, N.Y. 11971 pp 765- 1802 LICATION FOR CERTIFICATE OF OCCUPANCY '~ Instructions A. This application must be fill'fid 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 sifnilar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of compJeted 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. Fees: 1. Certificate of occupancy $5,00 2, Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date ~.~...c~...~. .............. New Building ............. Old or ~ng ............ Vacant Land ............. Location of Property 3./ ~ .~.. ~. · ............ ~-~- -~?-~'. · ............ .~.~.~t! 5~ ~ Hou~ No. ~ Street ~ . ~amlet Owner or Owners of Property ~ ~..~..~ ~ .~..~~. ~. /.. County Tax Map No. 1000 Section .~"7 ........ BI~ .... ~ ....... Lot..Z~ ...... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.Z'~.~Date of Permit .... ~.Applicant.. ~...~., .......... Health DeptA,, o a,/e .CllJ A~,~o, ~,,t Approval Unde riters Approval ? 2 ].¢ ...Planning Board Approval .~ ................. Request for Temporary Certificate ..................... Final Certificate .... ~ ~. .............. Fee Submitted $ ............................. Construction on above described building and ~,ermit meets all Applicant .f~//~--.. ~... Rev. 10-10-78 applicable codes and regulations. Memorandum from .... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD Town HALL, SOUTHOLD, N. Y. 11971 765-1802 Approved . . .~9~..c~..} 7.. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL °oOUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 197(o. Permit No. Received ........... ,19... Disapproved a/c ..................................... ................................ ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewri.ter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedhle. 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, addiQons 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. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises '~_.~ aB6 't. . (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 .... . . .-lf~....~... .............. Plumber's License No....-~..~. ~ ............. Electrician's License No....~..~. · .~. ............ Other Trade's License No ...................... Location of land on which proposed work will be done.. ~ 1.~....~...~.1..~....r~..l~.. ,t .... O..tS.....kr...i~.....O..~. .... c. .l" C, .,.L-r...Irt. 'r ............. [louse Number Street Hamlet County Tax Map No. 1000 Section ...... .~.. · .") ........ Block .... ~.. ........... Lot t ~ 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 ............. .~'..~..C-. t~...~-~r~.....j-'ff~....t~.-------------------~7... I .~ff....~...J-~..~.~./..l~fi....~.~ b. Intended use and occupancy .... J~ .'(~...'/7..~..?..t~. ?r'./ 3 Nature of work (check which applicable): New Building . ' .... Addition... i ...... Alteration .......... Repair Removal .... Demolition : Other Work ~ (DescriPtion) 4 Estimated Cost o~ ~ -' Fee ( oo i-r/~,,~'r ¢~u t~7'~ e'~a - ' (to be p~id on filing this application) 5. If dwelling, number of dwelling units .... .~f..~ ....... Number of dwelling unitslon each floor ................ If garage, number of cars ........................... J ......... 6. If business, commermal or maxed occupancy, specify nature and extent of each type of use ....... ~ [~. ..... 7. Dimensions of existin structures /fan 'Front. /.~' Rear /~i B~n{h [OC~ ' Height .... /.~. ........ Number of Stories . ~*.' ~ Dkn ensions of same structure with alterations or additions: Front /~'; ' i Rear .... /..~. ......... ' Depth ...... ! · o Height .... l .~. Number of Stories .... ~..~. ~.. 8 Dimensions of entire new construction: Front Rear ' ~' Depth Height ............... Number of Stories ............................. I'. .......................... 9 Size of lot: Front Rear Depth I0. Date of Purchase ....T/~..~,. ~..~:'...T~. .......... Name of Former Owner .. ~ ........................... 1 1. Zone or use district in which Premises are situated ~. ~$1~ ~'.l'J' i 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... i .......................... 13. Will lot be regraded ........ , ..... ~ ........... Wall excess 311 .be removedlfrom premises: Yes 14. Name of Owner of premises .~.~ .~..../~..~.~T.~...C.~... Address ?.o..~...~.~..,,.~.lf.~' /..'~Phone No .............................................. ~ ~'~'~' 'lll~'O ' ~-'[v~'ll} ' 'vnone iNo./~z . J.-l. Ji ..... Name of Contractor ...... Address ..... :..-..t..~.~.~.i.. Phone No ............ /t'/.,~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate property lines. Give street and block number or description according to deed, and show interior or corner lot. all set-back dimensions from street names and indicate whether STATE OF NEW YORK, COUNTY S.S ............ .~..~...~...[%9..~l....~-..~..~.. ............. 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, etc.) of said owner or owners, mad is duly authorized to perform or have performed the sfiid work and to make and file this application; that all statements contained in this application are true to the best of has'knowledge and belief; and that the work wilI be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ IL~l~ .................. ~"' ......................... (Signature of applican'ti * ~ ' * Term F. xptres! SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES For Construction Only H.D. Ref. No. ~'-/l~,4/f~ this approval is granted for the construction of the sanitary disposal and water supply faahties pursuant to Arnctes VB and 7 of the Suffolk County Sanitary Code for __ ~/~ _~ ~'~ ,~ S 2~-'~''~''~'~ and is not an expressed nor ~mplied approval to discharge from or occupy th~s building(s). THIS APP- ROVAL EXPIRES TWO YEARS FROM THE DATE BELOW. DATE SIGi~IkJRE BLDG. DEPT. CCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2710 of 1% LEAD. PLUMBER CERTIFICATION ON LEAD CONTENT £EFORE CERTIFICATE OF OCCUPANCY APPROVED AS NOTED NOTIFY BUILDING DEPARTMENT 765-~802 9 ~M TO 4 PM FOR THE FOLLOWING INSPECTIONS: I FOUNDATION TWO R~OUIRED FOR POOh, lED ~ONCREYE 2 ROUGH FRAMING & PLU~G~NG 3 ~uo '1 Jo ~ ;mUt jo §u!lnqH3s!P Jel~ ~ peso si ~utqol, ~ Il