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Home My WebLink About13875-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20613 Date MARCH 27, 1992 THIS CERTIFIES that the building ALTERATION Location of Property CRESCENT AVENUE FISHERS ISLAND, NY House No. Street Hamlet County Tax Map No. 1000 Section 6 Block 2 Lot 22.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, %985 pursuant to which Building Permit No. 13875 Z dated APRIL 16, 1985 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 ALTERATION TO THE FRONT OF RETAIL GROCERY STORE The certificate is issued to WILLIAM E~ BLOETME (owner) of the aforesaid building. SUFFOLK COUNR~ DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N 074357 PLUMBERS CERTIFICATION DATED N/A N/A JUNE 1~ 1989 Rev. 1/81 ' Building'In6pecf~'' I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13875 Z Permission is hereby granted to: ............. ~.~....~..~.... ............ . ................. County Tax Map No. 1000 Section ....... .~..'. ........... Block ...... ~ ......... Lot No...~..~...,..~.....-~. pursuant ,o application dated ~~... ............ .¢ ................ , 19...~....~-_~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BHILDINC OEP^ T> E T TOWN HALL ~PLICATION FOR CERTIFICATE OF OCCUPAN~ This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) uon-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. '2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co ~ees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00) Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00· 2.Certificate of Occupancy on Pre-existing Building - $100.O0 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ..re ..... Old Or~ Pre-existing Building.. New C°nstructi°n'~II'I'I' ''~/~.~ ~--.~... Location of Prope ........ · .~. House No. ' ~ Street Hamlet Onwer or Owners of Proper .. County Tax Map No 1000, Section. .................... ~...'~ .Block. ~ .... Lot .~.~ ...... ~ ..~......... ~Subdivision .............................. ,...Filed Map ......... "Permi~ ~..}.~...~i ~ ~ ~- t~I})~ /~ ...Lot~/) ~ ~ ' '' ........... ......... Date Of Permit ................ Applicant..:..:.~-~...~. :..~..~:.~'...''''. Healt~,~ ~ ..~..~.. '--' Approval~.~. '~.~..~ ~..~.. ............... Underwriters ......... Planning Board Approval ........................ Requ~e~st for: Temporary Certificate. ~ Final Certicate. ..~.... FIELD INS[~ECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C DE COMMENTS FINAL ADDITIONAL COMMENTS: August 11, 1986 Mr. William E. Bloethe Fishers Island Shopping Center P.O. Box 658 Fishers Island~ N.Y. 06390 D~,'.~ar Mr. Bloethe: Thank you for the cooperation during the fire inspection of the F'ishers Island Shopping Center on August 6~ 1986. The occupancy load of ~/our establishment is 49. This figure is shown on the enclosed certificate which is to be posted in a cons~picuous lc, cation in the public area of your store. During the inspection the following were noted and should be corrected as sr_~on as possible. 1. Both front doors shall be treated as exits,, The entrance doc, r will have to be labeled as an exit and both doors will have to open in the direction c,f egress,, Another solution might be a separate exit door in the front wall equipped with exit hardware and a sign. This would allow the entrance door to remain unchanged. 2. A rear exit should be provided. The rear area we talked about will be sufficient as lon~l as the exit and exit paths are properly indicated with "Exit" signs and "To Exit" signs. The door shall be equipped with emergency egress hardware that will nob impede exit at any time. Solid bars~ bolts~ locks~ or any hardware tha'~ stops egress through the door at any time is illegal and nc, t permitted. .'3. All exit signs must be illuminated any time that the store is open to the public. 4. There shall be a minimum of two (2) sets of err, ergency exit lighting positioned so as t,:.', illuminate the exit paths in case of power interruption. 5. Fire extinguishers shall be provided in the proper number and type according to the indicated hazard. The extinguishers shall be mounted in an accessible location and clearly marked. The extinguishers shall be inspected rr~ontl.~ly by a designated employee and yearly by an approved servicing cc, mpany. shpcen fi. 86a -1 6. F'lammability certification for the carpet in the Video section should be obtained frc, m the supplier and kept on file. Any new fabric decorations should have flammability certificates obtained from the suppliers of the materials. 7. Exposed insulation and exposed ,::eiliPlg .joists should all be covered. ~ minimum of 15 minute fire rated material will suffice. 8. A smoke and 'Fire detector and alarm system would a positive additic, n to the store. This might be con~idered a necessity in the light of the family residence above the store. 9. An up to date Underwriters certificate will be required. This is an inspection of the electrical components of the building. i0. Stc, rage c,f materials and combustable liquids must be maintained in proper amounts and stored in a neat and orderly fashion il. ~ certificate of occupancy is required to operate your business in your building. Please initiate the procedures t,:, finalize y,~,ur papers and obtain the required certificate of occupancy. The number ,Df the outstanding permit is 13875Z. A deck off the residence upstairs would present no special problems. A building permit would have tc, be obtained before starting construction. If yc, u have any ques[;ions or the required modifications are cc, ml:~le'~ed~ please contact me at the above office. Rc, bert F"isher Fire inspe,:::tor shpcen fi. 86a -2- THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY as JOHN STREET, NEW YORK. NEW YORK 10038 in thefollowlng location; ~ Be,sement ~ Ist FI. ~ 2nd FL O~iT Section Bilk Lot was examlned on ~]~ Y FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FUTURE APPLIANCE F~EDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: Pk~gLBO&RDS: 'i -,,;0 O, O~E~C~COND, OF ~C COND, OF HI-LEG NO, OF NEUTRALS A. w, G O~ NEUTRAL GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incprrect. Inspectors may be identified b~¢ their credentials. COPY :ERTIFI, ALTERED IN ANY MANNER. ' 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~°OUTHOLD, N.Y. 11971 TEL.: 7654802 Examined ..., 19 Approved t~4(. gr~..., 19~..~. p~e~it No. Disapproved a/c ..................................... TOWN OF SOUTHOLB APR i 2 igbb (Building Inspector) A ........... FOR BUILD!NG PEF~q!T INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink ~nd 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 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. (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 . .~/./'//{'.~. ~....47... ~f/.o..e.~.~...~, ........................... (as on the tax roll or lfv~st deed) lf applicant is a corporation, signature of duly authorized officer. ~/~ ~ e~'~~~ ~ (Name and title of corporate officer) Builder's License No...W~...~.~ Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~.?..~. ~.. ~./~...../~.~/~.,~./~L~../~. .... House Number Street Hamlet County Tax Map No. 1000 Section ...... ~. ......... Block ... ~ .... ' ...... Lot. ~..~..t.~ .... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. b. Intended use and occupancy ...... ~ ..................................................... 3. Nature of work (check which dpplicable): New Building ' Addition .......... Alteration .. ~ ..... Repair .............. Removal .............. Demolition ..... 7r ....... Other Work ............... ~d[ ~ }'[qt~ [ ,~;~ ~Z~ ~/' (Description). 4. Estimated Cost ....~Q,..d'.~..~.,..~.~. ..................... Fee../~..,(.. ~.,~. ................ ' ........ il' ~ ' ~ tto be paid on filing this application) 5. If dwelling, number of dwelling unit~ ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixed o, ccupancy, specify natu,re and extent of each type of use . F./.2P,~. 7. Dimensions 9f existing structu~'es, ~f any Front.. ,Z~~. .' ....... Rear ./~O / ... Depth ~'~. (. ..... .¢.. Height .. C~..., ........ Number of Stones ........................................................ Dimensions of s'anie structure w~th alterations or additions: Front .. A.d .¢'. / Rear /q?.~.. f. Depth ~ O. ' : Height ~ '. N mber of St ries / 8. Dimensions of entire new construction Front ../.~..~ ....... Rear ..... ./Y'/'..'~. ..... Depth .. Height .. ~. ........... NuJnber of Stones ........ J ............. .................... ; ............. 9. Sizeoflot Front /.&f-'/~,[ .......... Rear .... ~...'.../~..~... De~th . 10. Date of Purchase ...//.-. g.~..., ................... Name of Former Owner ,,~Zg't~-,4fFCg. 12. Does proposed construction vip, late any zoning law, ordinance or regulation: . .,/,'~.~. ........................ :.. 13. Will lot be regraded ..... z'~f.d). ................... Wilt excess fill be remov, ed from eremites: ~ Yes 1 4, Name of Owner of premises /,(,/l'/./J~,'?2, ~., ,(~, Address /flOe? ,~,/iF-~,tFP,~'~,~., ,l~,(t~l/i~. ~ ~.~.'4.,~.,5. Name of Architect ......................... Address ................... Ph, g,n_..e No ................ Name of Contractor .//~ .P6/(...~. ~K2z~z' ..... Address~.7/&~/,/4.J~..,~.~Sz~/<~lrrc~e No. Z,-4/$:~52~d~ 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 NE~ YORK, COUNTY OF .(I/~'~:~/P-P ...... . . . (Name of individual si above named. S.S .~2~ ................ being duly sworn, deposes and says that he is the applicant ning contract) He is the ................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 performed in the man,er set forth in the application filed therewith. Sworn to before me this ; qEtEN { DE VOE ' NOTAPy PU~L C, S aD of New Yo~k ': ................... : No. 470787& Suffolk C0uiI~L (Signature of applicant)