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Home My WebLink About13985-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13563 Date June 26 19 85 THIS CERTIFIES that the building Alteration Location of Property 10305 Main Rd. Mattituck County Tax Map No. 1000 Section ...1.4.2. ...... Block 01 .Lot 026 :8~t~$i~ Store # 9 ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated May 29 19 ?5pursuant to which Building Permit No. 13985Z dated ......... ~.ay..3.1. ............ 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 ......... Alteration for Mattituck Village Dry Cleaners, Inc. The certificate is issued to Cardinale, Allen ..................... ¥/&'j, ...................... of the aforesaid building. Suffolk County Department of Health Approval ........... N../.~. ........................... UNDERWRITERS CERTIFICATE NO ......... .6/.2. 6. ./.8.b.-~ P..e.n.d.i.n.g.,..R.e..c...N. 6. 9. .9.1.0.9.. 7/.9... Building Inspector Rev. 1/81 FORM' NO. 0 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 13985 Z ..... ~ .¢.~..~ ...... ~.z~..~.....J.~u~ ........... ........ ...N~.,.z~'~..~= ~..:..~: ................... ,o ..~.~...~.~~........o..~...~..~.....~....~'......~.~:. L... :..~ ~ ~~ ....... · ¢ ....... '^ - '-~,,~.~......~,.~,.~...../~ ..... ~...~...~;~.iiiiiiii at premises located at ...~"'~/.'.~...~...~......~. ......................................................... ...................................... ~.~..~..~....~.,.~...~..., ...... ~~.~Zi~i~i~.iiii County Tax Map No. 1000 Sectio~ ../..~.....~.. .......... Block ....G'..../. ........... Lot No. ~Z~' pursuant to oppllcation cJotc~l ........................................................ , 10 ........ , om:J approved hy th~ Building Inspector. Building Inspector Rev. 6~30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Depa[tment Town ~Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. Commercial buildings, Industrial 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 pzoperty 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 $15.00 Date.. ~ J. !5. ! .~.~.~. .............. New Building ............. Old or Pre-existing Building ....t~.. ...... Vacant Land ............. Location of Property .~. ~..~..~¢./? .O!~J?~.?.~. .~.~.~.':~K?.&.t ./.'~J!t (..~...~. ~. .... ~..~.,~.~.'~. ~..~..~..Q..~. .... House No. Street Hamlet Owner or Owners of Property County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~'.J ...... '. Date of Permit ..~ pplicant .. ~ .u0.,.&~:..~.~. .~.'¢;~;,'P... ~.? ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ .~..v~. ~(~" .............. Planning Board Approval ...................... Underwriters Approval. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. ~,=1~_~,_%~..¢~i~ ~;~[b,~ Applicant~...~..i~--~ ............... qq- zooozvz THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~hg July 09, 1985 85 JOHN STREET, NEW YORK, NEW YORK 10038 ..t. ~,,,.l,c.tion ,'~o. o- ~'"- 34o584/e5 bi 699109 THIS CERTIFIES THAT ' · - ' 'ntt u ed t app, ·cant d on t e abe e a lic tlon number ~n t e rem~ses of only the q' P ---1Ta-e ~.xu~s..o, __~h~ _~ -- _ Section Block Lot in the following location; ~ Basement requirements of this Board. June 27, 191 OVENS ! WASHERS FIXTURE OUTLETS DRYERS IECEPTACLES SWITCHES INCANDEECEN' 1 4 1 FU; MOTORS SERVICE DISCONNECT OTHER APPARATUS: Motors:l-3/4hp. ,l-F, 1-1}h! FANS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS C E iEG / A.W.G. /.O.O~,~E.TRALS OF HI-LEG OF NEUTRAL H.L.M. ~.lectr ic 35 ~ldezwood Lane ~ M~lville, b~ 11747 Lio%2509F. GENERAL MANAGER 11 Per ' ,.. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. F'IK1.D 1NSP~CTTON 1. FOUNDATION 2. (2nd) ~OUGH 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 ........................ ,._.,: ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT iNSTRUCTIONS Received.. 1 Date . ~l.a,y.. 2. ?., ..........19 .~. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets 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 vr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may nor be commenced before issuance of Building Permit. d. Upon approval of this application, the Bmldtng Inspector will issued a Building Permit to the applicant. Such permit ;hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in who~e or in part for any purpose whatever until a Certificate of Occupancy ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Btglding 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 cpnstruction of buildings, additions or alterations, or for removal or demolition, as herein described. Fhe applicant agrees:5~o comply with all applicable laws, ordinances, build?g code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ /- ~. ~..~¢~~' ~t't:/,,~- (Sig4,ature of~pplicant, or name, ifa '~oration) l),~.t,,'"~/~,~,. ~ .... ~..i;-..77/:...%../.'..i...7.: ................ ~,'~ k.. ~,4~-¢~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ]eSso, e Name of owner of piemises ...... . f~.L/~. (~.7~. .....(_~.~ .~. z~?.~)./../C. ? ./:). ~... :.; ........................... (as on the tax roll or latest deed) If applicant is,~ corporation, signature of duly authorized officer.' ,~ ..... ~. ~ ........ / -.--~.'.~ .... -. ~ .- .... ~. · ~. + /(Name a~2~ of corporate officer~ B I ' ~eNo. yo B~ Determined ui der s License o ....... - ................... Plumber's License No..t~ ~ ~..5~ ~ ~ J.~ ~ ~ ....... Electrician's License No...T.0..B.e.. p.e.~, e..r.m.i.n.e..d.. Other Trade's License No ...................... Location of land on which proposed work will be done., t! .e.w..S..~.o .P.e.. l: .e .d.S.e...0 .C.c.u.p..a p.c.y.. 7..~..&...P ......... ltouse Nu~nber Street Hamlet County Tax Map No. 1000 Section .................. Block .................. Lot ................... Sul)division ..................................... 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 : .J.~i .~.* .P..b.12..~..'[...~p.t.q¥~fi.Z .................... b. Intended use and occupancy ...D .ry.. C. l..e.a.n. ~ .n ~..S. 1; 0 r.e ............................................ 3. Nature of work (check which applicable): New Building ..... '~ .... Addition .......... Alteration :.[X.X. .... Repair .............. Removal .............. Demolition .............. Other Work .............. 4. Estimated Cost . i~ b:C~t:'~'(' , ~ ,j~ (Description) .... , ............................... , Fee .~, ./.~..O. ........................ (to be paid on filing this application) 5. I,£ dwelling, number of dwelling units - - 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 .................... 7. Dimensions (~f existing structures, ifany: Front 1 ~ " + .~ 6..-.0... j .... Rear ltl..~0 .... /.~.. Depth .5.4. ff...+.] r.. Height . ! .~1 ........ .... Number of Stories . 0tn~ . .. 2 .................................. Dimensions of same structure with alterations or additions: Frofit .1.6. ~. 7 0 J'..+./- Rear . } .6.'.-. 0. ['..+./. ~. ..... Depth . .5..4. ~.-.6.~[ ..+[.- ......... Height Iq' ~ Number of Stories One ........ 8. Dimensions of entire new construction: Front Rear ............... Depth ....[tol.hto ................. Number of Stories .......................... 9. Size of lot: Front Rear ............................................ Depth 10. Date of Purchase ............................. Name o~ Former Owner ............................ 1 1. Zone or use district in which premises are situated · 12. Does proposed construction violate any zoning law, ordinance or regulation: ?{o. ............................ 13. Will lot be regraded blo Will e · ..... ;~ · '. .... ,~'., · ;¥ -,... ~ ...... XJge[s IlU De removeu tromvremises: Yes N~ 14. Name ofOwnerofpremisesq.~.~!'(~. .t.n, o~ r!t. I~ Addre~l'~t~v~t~'f · ItS Dok~eck~ Arch , PC 794 Vanderb~lt ~ 499-0971 Name of Architect . ~ ....... · ........... · ....... Address ................ ~b~{~ne No ............... TO B~ Determined FSix frills NY Name of Contractor - . ~ . . . Adclr~qe · 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 whethe. interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S ~. I,o-~v~.~. ~ ~v~-~ being duly sworn, deposes and says that he is the applicanl (Name of individual signing contract) above named. He is the ~~ ~ (Contractor, agent, corporate officer, etc.) of said owner or owne~, and is duly authorized to perform or have perfumed the said work and to m~e and file this application; that all statements contained in this application arc true to the best of his knowledge and belief; and that thc work will be performed in the mmmer set forth in t~c application filed therewith. Sworn to before me this .......... ~.~ ........ .,~ay of. .... ~f, ......... (U moth, Public, . .~} ..... :'~:'~5~ .~.~. .. .......... County v N~ ~bllc, 8tme ~ N~ York ' · '~/' :~, ..... ~. ¢ ...........~' ~ ............ no. 524668~ ~ // (Signature of applicant) Oualffiod ~n 8u~o~k Cou~ . This drawing represents a change of occupancy 7. New boiler mom to house one Fulton oil-fired: m an existin'~- ~t0~6 in-an- existing shopping .... steam boiler. Boiler Model FB-A a lO HP, proJ center, "A & P. Shopping Center," Main Road, ducing :~35,OgO BTU/HR. ;Maximum boiler pres-.: Mattituck~ New Yo~. sure to be ~25 psi. P~ovide all controls, safety: components, etc., in strict compliance ~'ith alii 2. Contractor to verify required existing one CI) governing cedes and ordinances, Install in strict! hour separation between occupancies, compliance with manufacturer,s recommenda-~ -- tions. ; : .: . ~. New occupancy - dry cleaning store. Assume C3 occupancy,' Low Hazard- all work to be in Provide double wall stain]ess steel flue (metal- strict compliance with New York State Building bestos p.s.) through roof with all flashing and Code and all Local Ordinances. code requirements. All processing ~d cher~icals are to be non- Provide combustion air dUcts through roof with combustible, one discharge at ceiling level and second at floor level. Provide one Sq. in. of free area forl . Provide- exit signi with directional arrows to each 1,000 BTU per hour. Flash as required. indicate both exits. Provide ceiling mounted smoke detectors with ~ rate of rise components. Detectors to be maxi- mum )0'-0" o.c. :'MATTITUCK VILLAGE DRY CLEANERS A & P SHOPPING CENTER 'MATTITUCI~ N.Y. New walls and ceiling o~ boiler room i to be rated {{ 2 hours, constructed of &" metal stud with double 5/8" type X fire rated gypsum board. Staggered joints, taped and spackled. Apply additional fire rated gypsum board to existing wall if necessary to obtain required 2 hour rating. Door to boiler room to be "B" label with auto- matic closer. - -