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Home My WebLink About13840-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ....S.h.o. pp.i.n.q[..C.e.n.t, 9.r' .......................... Location of Property 46455 ............... .C.:R.:. 48 Soul:hold County Tax Map No. 1000 Section . 9.5.5. ....... Block ..... 0..2 ........Lot ..... 9.2.0 ......... Subdivision ............ X. .................. Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .M.a.r. qh...1.4 .........19 .8.5. pursuant to which Building Permit No...1.2 8.4.0.~ ............ dated ....... .A.p.r..i.1....5 ........... 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 ......... --- ShoRpin9 Center - Three Stores ....... The certificate is issued to KOKE, ALEXANDER & BERTANI, JOHN of the aforesaid building. Suffolk County Department of Health Approval ....S..r. ,6.1. ..... 1.q/..1 [.8.5. .................. UNDERWRITERS CERTIFICATE NO ........... .N.7.1. ~ .4.2.8. .............................. Building Inspector Rev. 1/81 l~'O~r NO. ~ TOWN OF $OIJTNOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TIlE WORK AUTHORIZED) NB 13840 Z Permission is hereby granted to: ..... .............. ...... ..................... ........ ~..~.~.~_~..,....~ ...... u..%.-/...~ ,o ......... .~o.~..~..~.~,.,u..c.n ...... ~.L,~...~ ........ ..-~...~.~.......;~=~~..~ .............. ......... ~.-~.[Q...~ ~ ................. County Tox Mop No. 1000 Section ..,0...~.~ ....... Block....O.....Z.. ............ Lot No.~...~.~... ......... pursuant to application dated ..... ,..~......~......~.....~.~..t ....... !.,.~, ......... 19,~.,~,.,~-ond approved by the Building Inspector. Fee $..~.~,..~. ......... 'Buflding Inspector Rev. 6/30/80 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date ................................. 19 ... THIS CERTIFIES that the building ................................................ Location of Property ............ House No. Street Ham/et County Tax Map No. 1000 Section Subdivision ........ .--w7... ................. Filed Map No. ~ . .Lot No .............. conforms substantially to the Application for Building Permit heretofore Cried in this office dated ~ ~ ~ ............... ~'~'.~ ..... ,19 7.~ . pursuant to which Building Permit mo. /~.~..6[...~.~ . dated ~F.~./..~.... 5~ ........... 19~.. ,~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 ......... D~-~??~. ~.,~'.. ~--~... ~r.~(..r.~...-~,~>. ..................... of the aforesaid building. Suffolk County Bepartment of Health Approval.. , .~...'~. ~.../ ...... (~ ............. UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY .... TOWN OF SOUTHOLO Instructions Bo 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. Commercia~ buildings, Industria~ 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~t)perty 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: I. 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 New Building ...... /.... Old or Pre-existing Building $15.00 ..... .... ............ Vacant Land ............. Location of Property ...~. ~.~ .~.~'~.~ ..... ..~-~. · ./~.. '~..~. .... ~ ................ ~(L'~. ~<~ House No. Street Ham/et Owner or Owners of Property .~'X~*~..~. ....... ~ *~/M.~'-~ .... ~ .... ~ Z .... .. ~n~ T~x ~ N~. 10~ ~i~n ......... ~l~k ............ L~ ............ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No../~.~.O.., Date of Permit ~,~/~/.~.-..Applicant..~.~.~/,/J. .5 -6~ ! Io / 'A/'~ /~ r ~J Health Dept. Approval .......... ?///~. ~'/ ....... Labo Dept. Approval ...... ~ ............... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... J~... ¢*.~.1 ................... Construction on above described building and permit meets all applicable codes and regulation~s~ (~D=~_ ~ ~q~ ~_ Applicant ........ z .......... Rev, 10-10-78 Southold, N.Y. 11971 (516) 765-1938 October 22, 1985 Mr. Victor Lessard Building Department Town Hall Southold, NY 11971 Re: Site Plan for Bertani and Koke Dear Mr. Lessard: The following action was taken by the Southold Town Planning Board,Monday, October 21, 1985. RESOLVED that the Southold Town Planning Board, following a site inspection, recommend to the Building Department that the certificate of occupancy be issued for the site plan of Bertani and Koke subject to: 1. Striping of the parking area 2. A six-month review. If you have any questions, please don't hesitate to contact our office. Very truly yours, SOUTHOLD TOWN PLANNING BOARD By Diane M. Schultze, Secretary cc: John Bertani :150amp; 3-7cir; 150a~; l~Scir, 100~: '~ - - :::'::-:: S°uthold; N Y 11971 Lic 578 E ~N~t ~aU~n n~A~[ FIELD INSPE~TiO~ 1, FOUNDATION FOUNDATION 2. (2nd) ROUGH FRAME & ~ PLUMBING iNSULATION PER N. STATE ENERGY ~,ODE FINAL ADDITIONA ~OMMENTS: PETER F. COHALA~ ~]LVG. DEP'/ CO~4~SS~ONER ROBERT E. W£~)B£R, Date October 7, 1985 Alexander Joke & John Bertani Colonial Road Southold, New York 11971 Dear Sir: RE: Permit No. 48-8 County Road 48 (XXX) County Treasurer has been'authorized to rcfund your ~curity in the'amount of ~ 1,000.00 ) Bond No. to cover work on this Permit is herewith released & returned to the Bonding Comp;~ny. This is to advise you that work under the above captioned Permit has been inspected and found to be completed in a s~tisfactory manlier to this Department, Very truly yours, C. ROGER M~EKER 'CHIEF ENGINEER By: ~ Paul £ampagnola · Junior Civil Engineer CC: Bond Company Building Depa)~tment - Town of Southold/~/~ NEW YORK ~...-.&M P ADJACENT TO ^ C. (~X,ST,.~ sHOULO~n) THEORETICAL C.U~-~ LINE ~C) ]'0 PROPERTY LINE SECTION Permit No...~.-..8, ...... PERMIT UNDER SECTION 136 of ARTICLE VI of HIGHWAY LAW WHEREAS, a certain highway known as the has been improved and is on the Suffolk County Rosd System and WHEREAS, Colonel ~, Sou~hold, N~ ~ork 11971 build (l) 2~' ~p~[ access t~p, pave & ~ical Set,toM. ~ the n/8/o ~ddle ~, C.~. ~8, 9202' cf. ~tlro~ Avenue, NOW, THEREFORE, permission is hereby granted to said ~er ~ & Jo~ Sercau~ to do said work upon the following condibons. CONDITIONS AND RESTRICTIONS 1, When concrete is removed, cut concrete with concrete saw two feet outside the limits of the proposed excavation and for the full panel width. When the cut is made in pavement within 10 feet of the panel joint, the pavement shall be rem oved for full pa riel width from the cut on the fa r side of the excavation to the pa nel joint. 2. Backfill and thoroughly compact fill using POWER TAMPER, placing soils so that various types of soil are in same relative position as before excavating. Grade to original surface. 3. Replace pavement, sidewalk or sudace same as existing; if concrete, replace using 1:1 3/4:3 1/2 mix stone mix concrete; if bituminous material, replace using same type as removed. 4. If concrete curb is removed, replace with similar curb l:1 3/4:3 1/2 mix. 5. Edge of Jacking Pits or any other excavation shall be not less than 5 feet from Edge of Pavement. No undercutting allowed in Pit. 6. Notify the Department at Yaphank 924-3451 when the work is to begin so that an inspection can be made of the operation. This permit shall not be assigned or transferred without the written consent of the Commissioner of Public Works The work authorized by this permit shall be performed under the supervision and to the satisfaction of the Commissioner of Public Works or his representative. Particular attention is called to the necessity of thorough~y compacting the back fill, which will be required by the Commissioner of Public Works. The Commissioner of Public Works shall be given one week's notice by sa~d applicant of the date when it intends to begin the work authorized by this permit, and prompt notice of its completion. The said appficant hereby agrees to hold the State, County and Town harmless on account of damages of any kind which may arise during the progress of the work authorized by this permit or by reason thereof. Applicant certifies all persons concerned with actual work under this permit are duly covered by Workmen's Compen~tion I nsu fence and the State, County and Town shall be held harmless on account thereof The Commissioner of Public Works reserves the right to at any time revoke or annul thru permit should the sa~d applicant fail to comply with the terms and conditions upon which it m granted. The applicant agrees to pay all necessary expenses incident to supervision and inspechon by reason of the granting of such permit as certified by the Commissioner of Public Works, such payment to be made within ten days from the rendering of the certified account. Work under this permit to be commenced within thirty days from the date of permit and continued in an expeditious manner. The applicant shall submit a detailed plan of structure to be built, with a description of proposed method of construction. It is understood that should future changes in the alignment or grade of the highway require changes in the work covered by this application and permit, the applicant shah on reasonable notice from the Commissioner of Public Works make such necessary changes at his own expense within the hms so specified in notice. Traffic shall be maintained by the applicant on this section of the highway while the work is m progress and until ~ts final completion. Certified Check A ~ in the sum of $..~e~,~0 ........................ payable to the County Treasurer of Suffolk County ,s on file as secudtythat the highway will be restored to ds original condition where disturbed at the expense of the applicant, as soon as deposited the work has been completed, and the said Commissioner of Public W. rks is he reby a uth o dzed to expend all or as much of such deposit as may be necessary for that purpose, should the said applicant neglect or refuse to perform the work. In consideration of granting this permit the undersigned accepts it subject to conditions described. TO AVOID SERIOUS DAMAGE TO VITAL UNDERGROUND FACrLITI~S, PLEASE CALL LONG ISLAND LIGHTING COMPANY AT JUNIPER 2-9000 OR FOR TELEPHONE FACILITIES CALL N.Y. TEL. CO. FLORAL PARK 2-OFFICIAL 25 BEFORE STARTING THE WORK AUTHORIZED BY THIS PERMIT ~ T~ of S~hold ~ Form P-136 42-107:1/83 "FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..;~/~l/~. ~' ., 19 .~..-- Approved ./~f~. '~.. ;~.' ~., 19~e~it No..~ ~.~ ~ ~~ ~(4 /~-- APPLICATION FOR BUILDING PERMIT Received ........... , 1 INSTRUCTIONS a. Tkis 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 ~nust be drawn on the diagram which is part of tbJs 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 ,tiib Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the constraction 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. ..... (Signature of applicant, or name, if a corporation) .3..~..~.....~.o. ~.o~..~,¢~....~.O../.~.oe.~cD ..... (Mailing address of applicant) ?/~ 7 ? State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ... ,z~/L~z:rL .................................................................................. Name of owner of premises ../~.~x',4,,t~.d~ .... ,~. [~.~.,...'~....~?/.~'~....~.~-~..~/,~ J ................... (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officerJ Builder's License No .... /~./, ................. Plumber's License No..?./~,a~r'.,~L~..~..~...--~...,~.. Electrician's License No. ~*~t.~. ~-.~.~.,-.6-~.~F~?.¢ .... Other Trade's License No ...... .,N/.A ............ Location of land on which proposed work will be done .................................................. · ' ........ · ........... House Number Hamlet County Tax Map No. 1000 Section ..... .0. ~.-~."~. ......Block ..... .~. .......... Lot... ~...~· ........... 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 ..... ~. ~'~l.A2..'~. ................................................... ·/~.~ ~ ~'~,,..~,~,, ............ ~ .................... b. Intended and use occupancy 3. Nature of work (check which applicable): New Building ...... 'Addition .......... Alteration .......... Repair .............. Removal ........... Demolition L;~"'"' ......... Other Work ............... " .d f qoo~ (Description) 4. Estimated Cost .. ~WO./. 15'7W~.1 ..................... Fee ; · (to be paid on filing this application) 5. If dwelling, number of dwelling 9nits ............... Numb~er 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 .... ~t~./... 7. Dimensions of existing structure_~, if any: Front ............... Rear .............. D~pth ............... Height ............... Number of Stories.. .................................. .;./.. . ................ Dimensions of same structure with alterations or additions Front ................. Rear .................. Depth .................... !.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new const~ction: Front ..... ~:~ O [..... Rear ...~O.~. ....... Depth .. . ~...3-..~. ...... Height ........ Num, ber of Stories ............................................. 9. S~zeoflot:Front .: ........... Rear ........... Depth ~.~..~-- ~' .... 10. Date of Purchase ........... ~ .................. Name of Former Owner ............................. 11. Zone or use district in which pr~mises are situated ..... ~[ / ............................................ 12. Does proposed construction wol~te any zomng law, or&nance or regulation: ..... Z,).D ........................ 13. Will lot be regraded ~..~.']..~.. .................. Will excess fill be removed from premises: O~Yes~ No 14. Name of Owner of premises ~g:~,g~ .~. 4~ .... Address ~.. ~ ..... Phone No..~'~. Name of Architect . Address .::~,~-(~e_~ Phone No Name of Contractor ,~t~'-~ag. ................ Address . ~e~/.iq-tS..dF--~> .... Phone No. 7.g.47..--/.~"~.... PLOT DIAGRAM Locate clearly and distinctly ale buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, :S.S COUNTY OF.. ~.¢..~..~. &~... ......... ~ ~.~4....~.~'~.,~.!l. ................... being duly sworn, deposes and says that he is the applicant (Name of individual sign'ing contract) above named· He is the . ~ ~ {5. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!~y authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be perf6rmed in the manner set forth in the application filed therewith. Sworn to before me this ......... : .............. day of .......... ;., 1 (Signature or, applicant) SUFFOLK CO. HE b . APPROVA~ ~~ ~0~ STATEMENT OF INTENT ~ I SY~EM5 FOE THIS E[SID[NC[ WILL ~ ~ CONFOEM TO THE 5TANDAEDS OF THE SUFFOLK CO. DEPT. OF HEALTH ~'7- t~ APPLICANT ~ ~ SUFFOLK COUNTY DE~. OF~EALTH s v,c s- ~ CONSTRUCTION ONLY ~ DATE: ~ H. S. ~[F. NO.. ~-~ ~ APPROVED: ~-~ ~. ~ ~FOLK CO. TAX MAP )i TE~ HOLE STAMP : ~, {~.~ RODERICK VAN TUYL, ~ LICENSED LAND SURVEYORS ~EE~RT NEW YORK DAli: ENGINEERING SERVICES SUFFOLK COUN~..~P~'~M£HT.. . OF HEALTH SERVICES ./~'/Approva) of Constructed Works ,I ~:CALE: 2,0'= /'' I I ,I ¢o ,N NOTI~ U~' HLr, li',IG DEPAr~TMEM'¢ AT ?~54~n2 a AMTO 4 PM F0~H~ FOLLO' ~'lh.l~ IhI~pECTION~: 1, FOUhF'A?ION - TWO ~EQUIRED FOR P~UR?D CONCRETE 2, ROUGH - FRAMIN~ & PLUMBING 4, FINAl_ - CQ:':'~TPVErlON MUS~ ALL COhFTq'~CTION SHALL ME~ ~HE REOU~REMENT5 OF THE ~TATE CON%TRUCTION & (ODES, NOT RESPONSIBLE FOR ~N OR CONSTRUCTIQN ERROR~ tt ---" /'-o" ~//,~',¢ ~7-o _¢" ~.~. ,eJo' ¢¢,~e /4' - /' o" 5~C'-P/O/V A -A ~c~z~ : /z" "I:o" ~_dT/o/,,/ /3 - ~5 Lq- 7' iL.t:'' ....... ?_/_o"_. _[_ ¢] 4" -1 ~0'- 0" '-'o',," /0-/o I'~ ~- o .... ,COL (?" _ ............... ~o'--o" ~/ <DC) ~ ~£ A F-/~ O /L/ 7- A £ EX'.~ At/D_F: ,~ ,C-"O,C"~' JOHA/ ~1~," o.¢. -! /2 .,,ox.,, L I A4 - ,4,'I \ W£LZ~ J ..... ,I~ tf /~5ULAT/O~/ C 7-I 0,,,~" C - C. LI L~ '1 L~ o~. ~ 22 H ,~ L~ L~ L-/ L/ ,~ OOF ti L I .~ 2~ .,¢~ ~ × Lx2 = WI2 ~ 22 + II × /4 ddL tH/DDL~-- ~OAZ:~ I>-AT'S .U-~ '~4' Jo~ ~-' 50UTi~OLD ~ Id, y, r ~ r/ JOH,V ~:-A /t/