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Home My WebLink About13828-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22218 Date MARCH 26? 1993 THIS CERTIFIES that the buildin~ Location of Property 10095 (6) MAIN ROAD House No. Street County Tax Map No. 1000 Section 142 Block 1 Subdivision Filed Map No. ALTERATION MATTITUCK? N.Y. Hamlet Lot 26 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 217 1985 pursuant to which Building Permit No. 13828-Z dated APRIL 27 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 ALT~/iATION TO STORE #6 FOR A & P S"U~iRMARK~T The certificate is issued to ALAN CARDIN~LR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENTOFHEALTHAPPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-644563 - MAY 177 1984 N/A Buildif~g '~In~ Rev. 1/81 FORM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13828 Z Dote ...~....~...~.L ....... .~ ...................... , , 9.~...~" Permission is hereby granted to: ..... ..~.~...~.3..o.. ....... t.c..4. ...... ~.T..~.~ .......... ..,.'T'~,~,~,.~.~.~.,....~.j.:..~, ........ l..J...4..~...~ ,a ..... .~......F.~..I¢'.~ ...... .~.~..T..~/,,..-~...~.~..,......~..o. ..... ~..~.~..~.~.~..~ ................... ........ ~,.~.~~....~...~..~<.~.....~. rr,,,::......c-~.~.~.A4' .~......'~..,,~, o, premises Iocoted ot ..... ~.0...'~,..0...~.~.. ...... ~, ll%,l.]:~.....~...~,.i.....j~.l~..~.~.l..~..~.?,,..,~.f...~,.kt,¢. County Tax Map No 1000 Section J- .~.~.~/- Block C~. I pursuant to application doted . .~...~..~..C./'~ ...... ..~1 ....................... , 19.~!.~'~., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be fiAled in by typewriter OR ink and submitted to the building inspectbr 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, mul·tiple 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) non-conforming uses, or buildings and "pre-existing" land uses: 1. 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. C. Fees 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 - $100.00 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 Date . . .~C~f ~ ~ ./.9.~~. ......... ~ ....... New Construction ........... Old Or Pre-existing Building .................. Location of Property,/~~~ ~~ ~ ~ ~ ~ ~ ~a~~ House No. Street Ha~et Onwer or Owners of Property.. ~ ~ County T~ Map No i000, Section..~ ....... Block ...... / ......... Lot..~..~ .............. Subdivision .................... ~ ............... Filed Map ............ Lot.. ~.~.~.~ ~' Permit No ......... ~...Date Of Pem~t ................ Applicant ............................. .......................... Planning Board Approval ........................ Request for: Temporary CertSf~cate ........... F~nal Cert~cate ........... Fee Submitted: $.~:~ ...................... .... ........... F ] ~-';LD 'yiiSFECTION FOUNDATION (1st) FOUNDATION 2. (2nd) DATE ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS.: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 (~tffiding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS J~ece ived Ma.r~b. ~1~, . , 1 9..85 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 buildhlgs on premises, relationship to adjoining premises or public.streets or areas, and givkng a detailed description of layout of property must be drawn on the diazram which is part of this apph- cation. c. The work covered by tiffs application may not be commenced before issuance of Building Permit. d. Upon approval of this application, thc Building Inspector will issued a Building Pe~nit to the applicant. Such permit :;imll be kept on tile premises available for iaspection 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 BRUi!d!n.g. Zone~ Ordinance of the Town of Southold, Suffolk County, New Yg.13t-;'~d-~er app~-a,~(s, Ordinances or egtuadons, zor the construction of' buildines, additions or alteration? or~br removal/dr d.~h"olition, a?~erein described. The applicant agrees to comply with all applicable laws, ordinances, mfffding code,,,~ou¢n/g cpde, ajad/r~b~ulations, and to admit authorized inspectors on premises and in building for necessary inspect/o .rks:"~, / ///' (Signature o-T-a-17,~licant~'~if a corporation) Roy I. Rosenbaum · .8.Q-.3.Q .ltl/lib. Street~ .Jamaica; .New- .Y.opk .~1q32 · (Mailing address of applicant) 3,.al.e whefl~er applicant is owner, lessee, agent, architect, engineer. ~,,cneral contractor, electrician, plumber or builder. /~ R.C H I T E C T Nmne of owner of preinises .......................................................................... (as on the tax mil or latest deed) If applicant is a corporation, signatL~re m' ch,ly authorized officer. (Nmne and title of corporate officer) To Be Submitted Builder's License No .......................... Plumber's License No ......................... Aectncian s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ............. N..Y, .$tat, o Route.25; ............... N/S 198' EIO Factory Avenue, Mattituck l~ouse Nmnber /C~.?~ ~-' Street Hamlet ../. ......... ........... ot. .a.4 ............ Coullty Map No~ 1000 Section ~ bray s~on ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing2 use ami occupallcy of pre~nises and intended usc and occupancy of proposed construction: a. Existing use and occupancy . .Supermarket b. Intended use and occupancy Supermarket 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration . . .X.X. .... Repair .............. Removal .............. Demolition .............. Other Work .............. ' 4. Estimated Cost $45,000.00 ~ ~_.._(~ ~ (Description) ...................................... Fee *" (to be paid on filing this application) 5. If dwelling, number of dwelling units . .N. :.A... ........ Number o f dwelling units on each floor ............... If garage, number of cars ...... N, A.. ............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .. SLIPERMARKE.T... 7. Dimensions of existing structures, if any: Front. EX.I,%T. lNG. .... RearNo. Change ..... Depth .............. Height ............... Number of Stories ....... O. ne ..................................... Dimensions of same structure with alterations or additions: Front .... 151.o..C.h~099.. Reat' .... ' ...... Depth ...................... Height ...................... Number of Stories...' .... ' .......... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ............... Number of Stories ................................................... 9. Size oflot: Front .644,83 ............... Rear..66tl._a6 .............. Depth ...220 ........... 10. Date of Purchase .............. ............... Name of Former Owner 11. Zone or use district in which premises are situated .......... ' ....... i ' ' i ................ 12. Does proposed construction violate any zoning law, ordinance or regulation' Nrx . i i i 13. · .................. Will lot be regraded ........... No .............. Will excess fill be removed from premises: Yes X 14. Name of Owner of premises .................... Address ................... Phone No ............... Name of Architect . .RgY. J :.Rp.s.e.n.b.a.u..m ........ Address 80-30 164th Street, Phone No f 718)380-1000 Name of Contractor iiiiiiiiiiiiiiiiiii .............. .......................... Address Jamaica, New York Phone No ............... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fron- property lines. Give street and block number or description according to deed, and show street names and indicate whetbe~ interior or corner lot. STATE OF NEW YORK, COUNTY OF. I~UEENS ........ S.S Roy I. Rosenbaum ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the Architect - ~Agent) (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 manner set forth in the application flied therewith. Sworn to before me this Nota2Public .... /~ ..... . .~..~-~ ........... Cou~nty / / ( "' '""..i _ -x.;,, '/ ................... (I o ', ~d ~ a~on c- (Signature ofapplic~at) EX S~FING RETAIL STORES' XISTING TAIL STORES!,~ % SITE PLAN,', SCALE: 1°=40, GENERAL NOTES SYMBOL LEGEND ~ EXISTING CONDITIONS ~9- APPROVED TYPE EXIT TO REMAIN ~ LIGHT AND SIGN ~ EXISTING CONDITIONS ~ //~SECTION NUMBER ------ TO BE REMOVED , , x,.._~SHEET ~HERE SECTION APPEARS ~ 5/8' GYPSUM BOARD EACH SIDE OFI ' 1 NEW TENANT'S EQUIPMENT TO BE I~NDEX OF DRAWINGS . A-1 SITE PLAN, GENERAL NOTES, SYMBOL LEGEND, INDEX A-2 FLOOR PLAN,DOOR SCHEDULE, - DETAILS, NOTES A 3 REFL. ECTED CEILING PLAN, - 'FIXTURE LEGEND, NOTES A 4 CEILING DETAILS A-5 H.V.A.C. & REFRIGERATION REQUIREMENTS 'LEGEND, NOTES A-6 PLUMBING REQUIREMENTS, L~EGEND, NOTES CERTIFICATION' ('t ' 5EAD CONTENT BEFORe' 9F OCCUPANCY USED [N WA (/EED 2/lO of 1% LEAD. II copper tubing is used ~or water distributing sys em; piping shall be of types K or L onl,~y ,AP~PqOV~ ,AS #0'1~ ~ FOUNDATION - ~0 REQUIRED DES;GN OR CON~Ru~oN ~0~ A-I - L .... O 0 :£ 0 4 (2) 2'-0" x 7'-0" 5 3'-0" x 7'-0" DOOR, 3/4" A HOLLOW METAL 3/4'! A HOLLOW METAL ERA ME HOLLOW METAL HOLLOW METAL REMARKS INSULATED -- POLYETHYLENE INSULATED .... POLYETHYLENE INSULATED .... POLYETHYLENE INSULATED POLYETHYLENE DOUBLE ACTING I~SHLATED DOOR AS MFD. BY DURUS INDUSTRIES' (PARTIALLY GASKETED)' DOUBLE ACTING INSULATED DOOR AS NLFD. BY DUR~3S INDUSTRIES (PARTIALLY GASKETED~) DOUBLE ACTING INSULAr.ED DOOR AS MED. BY DURUS INDUSTRIES (FULLY GASKETED) DO~BLE ACTING INSULATED DOOR AS MFD. BY DU~U~ iNDUST'kIES (PARTIALLY GASKETED) DOOR NOTES 1. UNLESS OTHERWIS~ NOTED, HOLLOW METAL DOORS TO BE 18 GAUGE STEEL (16 GAUGE FOR EXTERIOR AND/OR LABELED DOORS.) 2. HOLLOW METAL DOOR FRAMES TO BR 1S GEUGE (14 GAUGE FOR EXTERIOR AND/OR LABELED DOORS.) 3. ALL HOLLOW METAL DOORS TO BE EQUIPPED WITH 1~ PAIR BUTTS, LOCKSETS, CLOSERS AND ALUMINUM .WE~THERSTRIP SADDLE. OMIT SADDLE AT INTERIOR DOORS. ® SHEET NO, i J o o o o I I I L 0 0 0 0 I I , APPROXIMATE LO~ATI~N OF EXIST. SURFACE MOUNTED STRIP FLUORESCENT FIXTURE. VERIFY EXACT LOCATION IN THE FIELD. APPROXIMATE LOCATION OF EXIST. SURFACE MOUNTED FIXTURE TO BE REMOVED AND/OR RELOCATED (AS DIRECTED BY A & P FIELD REPORT), EXIST. 8'-0" LONG SURFACE MOUNTED FIXTURE RELOCATED,. PROVIDE SHIELDS TO WASH CURTAIN WALLS. NEW 4'-0" LONG SURFACE MOU~NTED STRIP FLUORESCENT FIXTURE. ~EW 2'-0" x 4'-0" RECESSED FLUORESCENT FIXTURE. NEW 24" x 24" MIRREX MIRRORED CEILING ~ILES AS MANUFACTURED BY MIRREX CORP. OF HILLSIDE, NEW JERSEY OR APPROVED EQUAL. 26" x FIXTURE. GOLD. 48" 'RECESSED FLUORESCENT LUMINAIRE 4/40 RS LIGHT PROVIDE PARACUBE LOUVERED REFLECTOR COLOR 9/16" X 5" TONGUE AND GROOVE WESTERN. RED CEDAR PLANKING "PROFILEWOOD" AS MANUFACTURED BY OSTENMANN AND SCREIWE USA OR APPROVED EQUAL. NOTES PATCH AND REPAIR EXISTING SUSPENDED CEILING IN SALES AREA AS REQUIRED AND WHERE DISTURBED BY NEW. WORK. ~; REMOVE EXISTING SUSPENDED CEILING AND LIGHT FIXTURES IN AREA OF NEW DELI-BAKERY DEPARTMENT, SERVICE FISH DEPARTNLENT AND LUMINOUS ~EILING OVER CHECKSTAND AREA. PROVIDE NEW 24!' ~ 48" VINYL FACE GYPSUM BOARD (5/8" THICK) CEILING TILES IN LAY-IN GRID IN AREA OF NEW DELE-BAKERY DEPARTMENT AND SERVICE FISH DEPARTMENT 9'-0" ABOVE FINISHED FLOOR. PROVIDE NEW 24" x 48" SUSPENDED .ACOUSTIC TILE CEILING IN AREA BETWEEN EXISTING VESTIBULE AND CHECKSTANDS (! 10'-03' ABOVE FINISHED FLOOR.) EXTEND ALL EXISTING SPRINKLER HEADS DOWN TO LEVEL OF NEW CEILINGS IN DELI-BAKERY DEDART~ENT, SERVICE FISH DEPARTMENT, .CHECKSTAND AREA AND/OR A8 DIRECTED BY A.~ P FIELD REPRESENTATIVE. ~ SHEET NO. .2L ~,~kr,,l~ (E~-¢ ~.~;.) C~ ~," cpc, C-~'F::?) (1 (T~fp ~ DCrTTOM OF - BY ¢ONTR: AC:TOF~. L~ MF~. ~{ INT~-¢~,TBI~ ,,% 45" d m .I 13 ' S¥$T COHP. MODEL PRESENT USE PROPOSED USE ENAIII~$[~' 'i J, SH£ETNO c --1 :3 ffi ffi 0