HomeMy WebLinkAbout13918-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z14501 Date . .~u..1¥. 2 19..8.6
THIS CERTIFIES that the building ADDITION .~qD REMODELING
Location of Property .... 6. .4 7.5.5...~..z~..~.oAq ............... .o.a.g.g.~..v.o.~.T ...............
House No. Street Hamlet
County Tax Map No. 1000 Section ...Off. 6. ...... Block ...... 0..4 .......Lot ... ,2.2. ...........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... .~p.r.J:l...3 ......... ,198..5. pursuant to which Building Permit No...1.3.9..1.8.g .............
dated .... ~.ay...7. ................. 19.8..5, 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 .........
REMODEL AND ADDITION TO EXISTING RESTAURANT.
The certificate isissued to VIOLET AND LARRY TUMINELLO
..................... ?o¥,,'~;,~~,~xX ....................
of the aforesaid building.
Suffolk County Department of Health Approval .. S r.6.3. Feb,. 1 J-.,.. ~ 91~.6. 2 .................
UNDERWRITERS CERTIFICATE NO. ?.7..1.6.5.5. 0. 7.a.i.r...cg.n.d.i..~.ip.n. 5..n~..N. 7..5.6.5.q 7.. 9.t.h~..r..w. ork
PLUMBERS CERTIFICATION 7/1/86
tmilding inspector
Rev. 1/81
~OR~ NO. ,I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NB 13918 Z
Permission is hereby granted te~ ~ ,
~ .....n ~ u , A.J . II
~ .....i~ .............. ~ ...... :......~..~..L... _._
,o .~~.....~......a~L.....~....~....Z.~.~..y.....
ot premises located at ..~...~....~...~.~..~...'~.. ........ ~.~]......~... .............. .~.~ .............
County Tax Map No. 1000 Section ...... .(~...,~..~ .... Block ...... ..C~...~. ....... Lot No.....?~...l~,. ...........
pursuant to application dated ........ .~ ........................ , 19. and approved by the
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 ~ 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 featu res.
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 Amhitect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For exist, lng buildings (prior to April 1957), Non-conforming uses, or buildings and "pre.existing"
land uses:
1. Accurate survey of pZ'operty showing all property lines, streets, buildings and unusual natural or
topographic featu res.
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 $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
New Building ............. Old or Pre-existing Building
$15.00
....... .......
.... ~.. ..... Vacant Land .............
Location of Property .~.~.~..55. J~J'i~.. ~0~ .... ). ~0~ ~ .......................
Hou~ No. Street Hamlet
Owner or Owners of Property . . .~ ...... ~ ..................
County Tax Map No. 1000 Section ...Q~ ~ ....... B lock .... ~ ~ ....... Lot...~; ~ .......
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. /~),~.JZ Z. Date ofPermit ~./~./~e~...Applicant. ~,~¢..~4~;~¢..(~), ..........
Health Dept. Approval ........ .~..-'.(~,~. ...... Labor Dept. Approval .............. ~ .........
Unde~riters Approval ..... l~.5~... ~J~.Planning Board Approval .... ~. fi .~f~ 7
Request for Temporary Certificate ..................... Final Certificate ..... ~ .............
Fee Submitted $ ........................
Construction on above described building and perr~it meets HI applj~,,~4ecodes and regulations.
Z
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRIC T¥
~).cJ 85 JOHN STREET, NEW YORK, NEW YORK 10038
~ate ~,ioveml~s:. ~J.~ ~.985 34735~,/85
THIS CERTIFIES THAT
only the electrlcel equipment as described below and introduced by the applicant named on tile above application number in the premises of
in the following location; [] Basement [] 1st FI. [] 2nd FI. Section Block Lot
~OV~,~ 04~ ~9~5 andfoundtobeincompliancewlththerequiretnentsofthisBoard.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FAN
OUTLETS SWITCHES
VAFOR
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS
TIME CLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S
OTHER APPARATUS:
E R V I C
CC. COND J A W, G, J NO, OF HI-LEG j A, W. G.
PER ,~ OF CC COND, OF HI-LEG
,L 500 J, aCI.4 I ,1~ lOOt ~
NO, O~NEUTRALS OFA W O,
50O ~l
325 Wi~ow Poin~ ad.
certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified 15y thelr credentials.
JNER.
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date ~/~f
Building Permit No. ~
(D 1 e A~J ~riK~
{pleaso print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
/3 day of _~'~,-~ ~/~ ,
Notary Public,
County
(plumber's signature)
No, 4844752
Qualified in Suffolk County ~r ~
Cornmissio¢~ Expire~ March 30, 19~2.Z
Notary /P u~i C
SPECIFICATIONS
FOR
_Benj
ermon
Inc.
QUALITY:
PATTERN
MATCHPO INT
KR776
PILE YARN:
CONSTRUCTION:
GAUGE:
D. ENIER/PLY:
STITCHES PER INCH:
PILE WEIGHT:
PILE HEIGHT:
DYE METHOD:
' PRIMARY BACK:
SECONDARY BACK:
TOTAL WEIGHT:
STATIC CONTROL:
100% BCF STRUDON IV 0LEFIN
GRAPHIC LOOP PATTERN
I/8"
2600
10.5
22 07.
· 177"
SOLUTION
POLYPROPYLENE
JUTE
57.5 OZ.
1.0 KV
FLAMMABILITY
TUNNE~L TEST (ASTM E-84)
CLASS: ~
FLAME SPREAD:
FUEL CONTRIBUTION:
SMOKE DENSITY:
35
30
200
NBS RADIANT PANEL TEST (ASTM E-648) CLASS:
CRITICAL RADIANT FLUX:
'NBS SMOKE DENSITY TEST FLAMING:
NON-FLAMING:
NOTES
I
1.08 watts/cm2
518482-8886
F1E~D I~N~$ L) E CT I ON
FOUNDATION
(1st)
COMMENTS
FOUNDATION (2nd)
ROUGH FRAME &
FLUMBING
INSULATION ?ER N.
STATE ENERGY
qODE
FINAL
)DITIONAL COMMENTS:
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERV CES.,
PAGE
' Sew~tge and wa~e water di~l~osal app;oved
Adequate lighting provided as required
LIGHTING
D
T ;LD
Y
Southold, N,Y. 11971
'(516) 765-1938
June 11, 1986
'Mr. and Mrs. Larry~'Tumlnetlo
95'5 ' Sh,ips- .Dr~ve ........
Southold, NY 11971
Re: Site Plan for
Larry and Violet Tuminello
Dear Mr. and Mrs. Tuminello:
The following action was taken by the Southold Planning
Board, Monday,June 9, 1986 at the regular meeting.
RESOLVED that the Southold Town Planning Board, having
made a field inspection of the site, recommend to the Building
Department that a certificate of occupancy be issued for
the restaurant of Larry and Violet Tuminello located at
Main. Tdad, Arshamomaque subject~to:
1. Removing.the existing asphalt in front of the
building. This must completed prior to opening.
~:~ 2. Completing the requi~ed, landscaping. This is
subject to a six-month reviews],,
Pleas~ contact this office if you have any questions.
cc: Building Department
Very truly yours, J
',~:"BENNETT ORLOWSKI, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Diane M. Schultze, Secretary
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-1802
.....
xamined. ~j~
pprovea . .0 ..... , 19 .f.~i Permit No. ]..~.c]..}..~..~.
,isapproved a/c ............................. ' ' ~ '2~'
............................... ......
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BLDG, DEPT.
TOWN OF SOUTHOLD
Received ........... ,19.,.
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
:ts 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
c~tion.a and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
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
tall 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
fll 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
ilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and.regulations, and to
mit authorized inspectors on premises and in building for necessary inspect~io~.
......
(Sigh~ture/p.f f,l~l'c(c(c~t, of'name, i~a corporatio.n).~
..
" (Mailing address of applicant)
tare whether applicant is owner, lessee, agent, architect, enCneer, general, contractor, electrician, plumber or builder.
.
amc of owner of premises... /?.~...~....,~. · . . r..~..,-~.,f..,4~'.,'.-Z-,.,. .........................
/
(as on the tax roll or latest deed)
'applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No.. :/. O~.. X~./-~'...O/..~.' .~/7.~.,~'~/?Y./fo//
Plumber's License No .........................
/r' '
Electtician's License No .......................
//
Other Trade's License No ......................
Location of land on which proposed work will be done ...................... ~ ............................
...... ' ..... ....
House Number Street Hamlet
Co.nty Tax ~ap No. 1000 Section ... 4~.-.¢. ......... mock .....
Subdivision ..................................... Filed Map No ............... Lot ...............
i (Name)
2!
. State existing use and occupancy of premises and intended use and oc.cu, pancy of proposed construction:
a. Existing use and occupancy..........' .X~..~./~ ......... ~ ........ · .,. ,; .......... : ..........................
b. Intended use and occupancy .'f.
3. Nature of work (check which applicable): New Building ..... ' ..... Addition ....... Alteration .........
Repair ........... :...~: ~emOval .............. Demolition ........ Other Work ...............
~,' 3- ~', (Description)
4. Lst~mated Cost ........ 0.o..Q ..................... Fee
"' (to be paid on filing this application)
5. If dwelling, number Of dwelling iunits .. ~ 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 . .~. q.,C/.'V.W.C~ .....
.... ' ' ..~?q/.t.'. .....R ar ...~F'~
7. D~mensmns of ex~ng structures, ff any: Front e ~. .... Depth ,.~ o ~..
Height ..... /.~. ....... Number of Stories ..... ~../?'..~. ............................. -
Dimensions of same strncture with alterations or additions: Front ................. Rear ..................
Depth Height .... Number of Stories .......
· . . I . /'' ~$ ..... / ,o ...... , '''~ ......
8. Ihmens~onsofent~renewconst chon' Front .7/. ~. Rear ?~.. ~ Denth
h '
Heig t .... ,/~. ~.: ......Number of Stones ....... ~)~.. ........................................
S~ze of lot Front . ~?.o.,o~ .... Rear .,/~.,) Denth . ,~.O?.. ..
10. Date of Purchase ...... ff..,~./[,,/~.~. ............. Name of Former Owner .~.~,.(~.~..~.~'t,C~'f'./f,~.'
11. Zone Or use district in whic~ pr{mists are situated ....... ~. ................................ f...
12. Does proposed construction vioiate any zoning law, ordinance or regulation: ... ~.~. .....................
13. Will lo~ be regraded ........ i ............... ~..,.~zWill excess fill be removed from premises: Yes
14. ,N, ame of Owner ofpre~jses ~'/~7./~.' ~'~47: '~ff'~'~'~/~d;ess' '~'°'¢'~-"~ '//°/f" ...... Phone No.,,~.~.7-~..,?~
marne of Architect ./q~74~.~. fi~.~,ice~,,gT.~P. ~.,f~, ....Address .` .o. ~. 6:ff.,~/~../~. ....Phone No. i~K-r.~..7..~r~..o. ~-~
Name of Contractor ........ ~ ................. Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW XO~,
COUNTY OF..',~.q../:/."q Z.~. .... i S.S
....... l, e,e ./. . .cTT. ,. . : .V. , . .
(Nd(ne of individual sig~ing contract)
above named.
......... being duly sworn, deposes and says that he is the applicant
He is the .,... ~ .~..~.~/2. i r-
~ ,. (Contractor, agent, corporate officer, etc.) ~
of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this
application; that all statements con(dined in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this i
............ ' .......... dayof .... L~. ........... , 19 ~.ff.
.....
................ Tnt.,
'~ ~tl.~ ..... .. ....
· ~/ ~ I~ ~n~ ~ ~Y~.' c/~ ~ (Signature of apphcant) ~
"~sU~oLK couNTY D. EPARTMEN F HEALTH':'~'Vi(~EsT?
ii' of Constructed Works' ~
have bea; .... ~,,s Oe~a,tme~ ~nd, a~e :,
DAT[ CHIEF Of GENERAL'
; ENGINEERING SERVICES ,
00"~.
S. Sl;37'ZO"W
ROAD
MAP OF' LAND
dos P
NO, TIFY BUiLD Nb uc
'765~1B02 9 AN TO 4 PM EOR THI~
FOLLOWING iNSPECTiONS'
1. FOUNDAtiON TWO
FOR POURED CONCRETE
2. ~OUGH - FRAMING & pLUM~N~
~. [NSU~T~ONI
4, FINAL - CnNSTRUCTION MUS~
BE CO~APLETE FOR C.O.
ALL CONSTRUCTION SHALL MEE~
THE R~QU~RE/~ENTS OF THE N,
STATE CONSTRUCTION & ENERG~
CODES. NOT RESPONSIBLE FO~
DESIGN OR CONSTRUCTION ERROR~
OCCUPANCy OR
If ~:bpper tublnd is used
for water distributing
system~ plpJng shall be
oJ~ types K or L only
__1
[ Phone 477-0400 W M"ln"o~ ' I:
Grels:n,~orT. N.Y. 11~44
~ d
Phone 477-0400 ~ Main Road
GREFNPORT, N Y. 11944