HomeMy WebLinkAbout27042-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29689 Date: 09/05/03
THIS CERTIFIES that the building ALTERATION
Location of Property: 28080 MAIN RD CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 102 Block 6 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 24, 2001 pursuant to which
Building Permit No. 27042-Z dated FEBRUARY 5, 2001
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 AN EXISTING RETAIL STORE AS APPLIED FOR.
The certificate is issued to DAWN BLANGIARDO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 556395 04/23/01
PLUMBERS CERTIFICATION DATED N/A
thor'Zed Signature
Rev. 1/81
FORM NO. 3
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)
PERMIT NO. 27042 Z Date FEBRUARY 5, 2001
Permission is hereby granted to:
DAWN BLANGIARDO
905 PEQUASH AVENUE
CUTCHOGUE,NY 11935
for
ALTERATION TO EXISTING RETAIL STORE AS APPLIED FOR.
at premises located at 28080 MAIN RD CUTCHOGUE
County Tax Map No. 473889 Section 102 Block 0006 Lot No. 008
pursuant to application dated JANUARY 24 , 2001 and approved by the
Building Inspector.
Fee $ 356 . 25
AuthorizkcYSignature
ORIGINAL
Rev. 2/19/98
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 SEP — 4 2w,3
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. 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.
B. 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 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- $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 J /�
Date. — l / d3
New Construction: Old or Pre-existing Building: _(check one)
Location of Property: 2`6" O SO Maw) feD 6.rY 'yqu-e ?4.
House No. Street Hamlet
Owner or Owners of Property: DA%.Lsv% DC1'%A C TT
Suffolk County Tax Map No 1000, Section ,D--- Block tp Lot
Subdivision ``lI Filed Map. Lot:
Permit No. oZ)�O'l-'a\- Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate.' (check one)
Fee Submitted: $
C, 4. �(, a t App icant Signature
LICENSED PROFESSIONAL ENGINEERS
NEW YORK
NEW JERSEY
Cronin and Condon-Consulting Engineers
1755 Sigsbee Road (631)7347250
Mattituck,New York 11952 FAX (631)7347014
February 9, 2001
Mr. Gary Fish
Building Inspector
Town of Southold Building Department
53095 Route 25
PO Box 1179
Southold, New York 11971
Subject : Cutchogue Village Deli—Ceiling structural support project.
Dear Mr. Fish :
On the afternoon of February 8, 2001, at your request, I inspected the work to reinforce the
ceiling joist system in the Cutchogue Village Deli. At that time I found the construction, including
the modifications of the plans I prepared for this work, to be adequate and acceptable.
As also requested, I inspected the visible areas of the existing roof structure, including the
northern end of the eastern most girder where rot damage was noted in the top plate. Inspection
found rot damage and old fungus in the old sheathing in scattered areas and water stains on all of
the rafters. There was no evidence of rot damage in any of the rafters that were visible and
probing the top of the beam where the rot damage was replaced, found the underlying wood to be
sound. While some deflection was noted in the older girders, the deflection does not appear to be
excessive. Based on observations through openings in the old sheathing and after walking on
the roof surfaces, the entire roof appears to have been resurfaced with new plywood sheathing
installed directly on the old sheathing prior to the installation of the modified bitumen membrane
roofing material.
If you have any questions regarding this letter or the ceiling reinforcement work please call me on
734-7250.
Yours truly,
rr\ o
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
001381 •UREAU OF ELECTRICITY
10 FULTON STREET,NEW YORK,NY toa2a
Daar APRIL 23,200A AppNcad.m No, an file 1167350.t/01 N 556395
THIS CERTIFIES ,'HAT PE201ITT NO. 27042
only the electrical eq,gement as o.scribed aw and infrodwceu by the applicant wined on the above application Hombre is in the promises of
IROZIM DELI, MAIN RD, CLP—HY)GUE, NY
in the following loco.=ort; G u..semen. ® Is!FL C tad FL
Section Bloch lot
was examined on 'APRIL. 16.200' 4--;/"NJ to;x to e, ,. „ act wah the National Electrical Cods..
F1'XRatE FIXTURES ^'- RANGES SONG DICKS OVENS DISH WASHERS VCHAUST FANS
OUTU71; gCFIlAC1F:., S HES � UJOINSCENT enwe
.. 1 Ara_�r C.W. AYT G.W. Mtt. K.W. AMf. K.W. INa. N.A.
7
ormes FL "NACE MOTI^RS "TIRE APPUANCE...OEIM CIAL OV101 ' I V CLOCk: REII UNIT HEATERS MUL I.OUTLET DIMMERS
i AMI. + cw. oa H.P. Gr. _x.r. aMt. r�i_o._I . 'v,a. wT. A►w. . TRANS. AW, N.r. SYSNiMR
AMn
e I��4 _ W.OF FEET Aar. WAtn
I I I
SRRVICE nlSCONNEI.? R V_ I
AYT. 4.�'+� IRQUtP.J I R Se/ 1.,r s e!W s R tW Na,a C:•3�.l- �C W a NO.a NWreAY
�� �� xi-Ya of Yu¢ a ruI°E�A
1
OTIUP APPA:ATUS:
FAZ E SANS 6
Pum'.LLO EI::.':RIC ',IC 42300E
P,O.8M 323
LW,1L, NY, 119,ti GENERAL MANAGER
11
peg
IMA eMRleaq rmo %pl DO GNRgtl In MY ma rwr,t*Wm 10 RIR Oft*G It»Board N Ir4onw.InsWtam may he WWMftd by NTalr otedenfk&
Its-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
r S
LA
DATE oY INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSOLATION
[ ] FRAMING [ ✓f FFINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: C�
;DATE off- ® INSPECTOR
FIELD INSPECTION'REPOFT __ DATE COMMENTS—=__________
If If
°
1
11
FOUNDATION ( IST) Ipj Ij_ w l�
n �
H 1 b
fr- 1:4
FOUNDATION (2ND)
n n
ROUG9 FRAME fi
If
I – —i o
PLUMBING If
II 11
11
it
n -11
INSULATION PER N. Y. u—moi y
STATE ENERGY n H
CODE n ii
Ni
u
II H
0-- J
11
H—
FINAL If
1#- 41
�1
�I X
ADDITIONAL COMMENTS:
H O
W
r Z
H TTT
a,v•a ai.,�.. uLf tZ n i ivtruiN 1 WA E.ItL Do you have or need the following,before applying
TOWN HALL
SOUTHOLD, NY 11971 sets of Building Plans
TEL: 765-1802Y
PERMIT NO. , 7 D L/al �' Geek
Ttestees
Exam ned a l s 20 Q( Contact:
Approved_ '�A� , 20_?J_ Mail to:�
Disapproved a/c_ .
Phone: �l/�
fs n
j Buildi g pector
_ APPLICATION FOR BUILDING PERMIT
Date C? 20 0
INSTRUCTIONS
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 buildings on"premises, relationship to adjoining premises or public streets or
areas, and waterways.
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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupan
is issu;d 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.
(AA Q, 00U�-u -4
(Signature oVapplicant or name, if a corporation)
CCn C CN 6 CoCk&' .J-IL( PkGi:- ,tel A l4l<QZ
(Mailing address of applicant)
State whether applicant is owner lessee, gent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises Z CLW h L etyt c, a�d� c5
(as on the`iax roll or latest deed)
If a cant is a c ora on st atur of duly authori ed ocer
Zccr � 1� ffi
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No. oC 3 06 —
Other Trade's License No.
1. Location of land on,wnh^ich propo ed work will be done:
House Number Street Hamlet G
County Tax Map No. 1000 Section b a,M " Block 0(,., , O Lot 6 O 8 O d
Subdivision Filed Map No. Lot
(Name)
r
?. State existing use and occupancy of premises,and,iptended se and occupancy of proposed construction:
a. Existing use and occupanccV kA
b. Intended use and occupancy
)844=ALLA
i. Nature of work (check which applicable): New Building Addition Alteration_
Repair__Removal Demolition Other Work
(Description)
I. Estimated Cost Fee
(to be paid on filing this application)
If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
If business, commercial or mixed occupancy, specify nature and extent of each type of use.
Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
Size of lot: Front Rear Depth
0. Date of Purchase Name of Former Owner
1. Zone or use district in which premises are situated
2. Does proposed construction violate any zoning law, ordinance or regulation:
3. Will lot be re-graded Will excess fill be removed from premises: YES NO
4. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
5. Is this"property within 100 feet of a tidal wetland? *YES NO
IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
6. Provide survey, to scale, with accurate foundation plan and distances to property lines.
7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
TATE OF NEW YORK)
SS:
OUNTY OF )
`4",�XA "CAL LA),_T V6O-V 6 being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract) above named,
i)He is theP�
(Con�ctor, Agent, Corporate Officer,etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
erformed in the manner set forth in the application filed therewith.
wo to efore me thi
d— day of
otary Public Signature of Applicant
JOYCE M.WILKINS
Notary Public,State of New York
No.4962246,Suffolk Co
Term E>tpiresJune 12. O
to 2 to 2 2 * V 4
r1.15Exbtl i w (2J;1.75x118i5 j
xII.b-5
6hder� 2.OE Ly9.Naw 1.15xllb-S! cisting 2AE LVL 6lydar OE LVL
New (2) 1;75x11015 A
�2OE LVi; j w (2} 1.15xI1b751 / iJew (2) 1. 10-15
i
2AE L _ _ , 2.OE_LVLr��
r - y
New 1.'15x93 5 i to 3
2.0E
feting i j 4 Girder j c
I
1 w (yJ 1.15x11675 j New I.Mxl l.s-t j z ,
— — i — L `.OP 'VL �2.OE LVL i j I.75xq 2 684
—. 2.0E LVL
-soteg pRUFESSIO�'P� '
I
to 4
I
j I
I
I
(� I.7sxnsls ` Gutchogue Village Market
2.PE LVL
28100 Moln Road /�. ..
Gutchogue, New York 95)() =(,JS-LA'
to 3 j to 4 1-24-01 X = S F
j . S ftwr, ver _ r-0, 407445=' 700sf
C;7 j 2/c4a 3) 6&O S F
1
� � Notes, j8�5 SF
I - contractor is to verlFy all measurements and verify
Note 4 placement of new framing members prior to orderMg materials.
2 - New 1.75x 11.675s are to bear on GGA bearing plate on maeon
on this wall if possible, otlurwl5e in5tail New (2) 1.75x11075 girder.
9 - Position new girders above ao(u ns.
4 - All girders bearing on masonry are to be Installed on 2x6x6
GGA bearing plates and biockhg as necessary.
/4:5 ee6&eO<eA
Simpson IUTII
New (2) 1.75x11$75 jotst hanger
2.0 E LVL (10) IOdxl , malls
In girder and
(2) IOdx I I nails
New 1.75xII.B75 to single LVL
2A E LVL
Simpson H3
Hurricane Tie
with bd malls
Fill all holes
dd blocking
New shoat as needed
rock cell
Existing ceilln Wing girder
joists and column
Sketch A
Now 1.75x11 675
2.0 E LVL
5lmpson H5
Hvf'rvaw 77e 4 mall to LVL with aY2 "
with 6d nails Ibd nails 12" OG
Fill all holes
Existingcabin P� OF NEW yo9
06
-pi's Sketch 5 � No
6 Al
Gutchogue Village Market ��,051684
26100 Morn Road
Gutchaguo, Now York -
-cab, I!2" . P-a-
I-24-01
�� pt nv E W r�fl
% � v
connect to
spare circuit
in main panel. ; e
LE,F.4
r -J
Gutr-hogue Village Market
28100 Main Road
Gutehogue, New York
1-24-01
seals- Vis' m I'-o'
Notes,
I - All electrkal work is to be In accordance with the
National Elecrtric code and local codes.
2 - This contractor b toppaayy all fees aid
secure inspecbcn and a Mr Ih�derwriters
certificate. The certificate Is to be given
to the owner prior to final completion.
3 - The contractor is to verify fixture
locatkms with customer prior to Installation.
4 - Futures are to be provided by the customer.
5 - All wiring Is to be No. 12 AWs armoured Ac cable.
8 - Boxes for wall switches are to be galvanized steel.
l - Remove clectrlcal cables to existing lighting fixtures.
to newest Juutlon box. Properly Insulate wire ends and
install covers on Junction boxes.
p �Ic F
ApP OVED AS NOTED
DATE:-- �� b B.P. #
FEE: 1 —BY:
NOTIFY BUILDING DE RTMEN AT
765-1802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATION - TWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
\ DESIGN OR CONSTRUCTION ERRORS
y N ,7�s r rsis t 4.ao Tyu� Lm o s .ra a�om�c�D.
a
!k °
FIRE INSPECTION
REQUIRED BEFORE
OPENING
UNbERWRITERS CERTIFICATE
REQUIRED
BUILDING PERMIT REVIEW CHECK LIST
DATE REVIEWED: / l 30/a/
APPLICANT NAME: ®.� t Ar, /a , Curr rxe� DATE SUBMITTED: .7-410 ff
SCTM# --- DISTRICST: 1,000 SECTION: )0.21 BLOCK: 6 LOT: 8'
PROJECT LOCATION ^
STREET: j�&-100 f a..a /I c. o� CITY: Cit o SUBDTV. NAME:
ARCHITECT/ENGINEER: Jo- ;724-7250 FAST TRACK: YES o
SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o9 NO NOTES:
ZONING: PERMIT ESTIMATE AMOU .00 a_J /�0�0/, a-4
ZONING DISTRICT: R40 R80 A 11,6 1 CONFORMING: YES OR REQUIRED LOT SIZE: SQ]
WHERE-
C.'TT IAi ,O_SIIZE FROM?TAX CARD ACT>UAL_LD�P SIZE� SQ
`` REQUIRED REQUIRED.. . REQUIRED
FRONT: ' PROPOSED: SIDE YD: '/ ' PROPOSED: / REAR: ' PROPOSED:
LOT COVERAGE: ALLOWED: % EXISTING: sf % NEW: sf % TOTAL: �sf
CORNER? YER NO WAT ER FRONT? YES oR NO DESCRIPTION:
LOTS 40,000SF --100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM
JAN.1997 100-25. Merger. (A nonconforming at anytime after July 1, 1983.)
PROJECT DESCRIPTION: ADD ALIACC OR N/D: A41 T.W� �,�vs S4,, as a fl
AGENCY PERMITS REQUIRED FOR REVIEW _rc�_
NEEDE
TOWN SPETIC PERMIT: YES or
SUFFOLK COUNTY HEALTH DEPT: YES or (j, ED #): DTE: / / PERMIT #:R10-
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES or
SOUTHOLD TOWN TRUSTEES: YES orO
TOWN ZONING BOARD APPROVAL: YES or 6,r— c.,, �„ „� ( •` �s
TOWN PLAN. BOARD APPROVAL: YES or O
FLOOD COMPLIANCE ZONE: PRE-FIRM 3/184o P NEL #: FLOOD ZONE:
NYS ENERGY: YES
/JOR NO/ -4GRESS: ENT: LIGHT: /
OTES: i�3G o/ f1' are -fo wt asks / f�� c-,�, 0/ 6r Gat filoak Q
S s`
AAY
O
FEE STRUCTURE: FOUNDATION: SF 0 7cr
FIRST FLOOR I SF
SECOND FLR SF WIT OTHER TOTAL
TOTAL: l&,;?S SF FEE FEE FEE
TOT( I'Fr2� SF)- /660 -SF)= 82S SF X $ ., 5 =$ ZC .2 +$ /50 — +$