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HomeMy WebLinkAbout29524-ZFORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29743 Date: 09/30/03 T~IS CERTIFIES that the building ALTERATION Location of Property: 31525 MAIN RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 5 Lot 12 subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 2003 pursuant to which Building Pe~it No. 29524-Z dated JV0-NE 27, 2003 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 "AS BUILT" ALTERATION (ENTRkNCE DOORS) TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to SEROTA CUTCHOGUE LLC (OWNER) of the aforesaid building. SUFFOLK COUNTSf DEPARTMENT OF }~J~T~t A~PROVAL N/A ELECTRICAL CERTIFICATE NO. 03-5939 08/18/03 PLUMBERS CERTIFICATION D~'~U N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEP/kRTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29524 Z Date JUNE 27, 2003 Permission is hereby granted to: CUTCHOGUE LLC SEROTA 70 E SUNRISE HIGHWAY VALLEY STREAM,NY 11581 for : AS BUILT ALTEP~ATION TO AN EXISTING SHOPPING CENTER AS APPLIED FOR at premises located at 31525 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0005 Lot No. 012 pursuant to application dated JUNE 26, 2003 and approved by the Building Inspector to expire on DECEMBER 27, 2004. Fee S 400.00 ~A~/~ ~/~~~. COPY Rev. 5/8/02 \ '~4~c'q* {5° FormNoJ6 ~/ I,*q~q-~q~)-~) 765-180~ 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. o f 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) non-conforming uses, or buildings and "pre-existing" laml uses: 1. Accurate survey of property sho~ving 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 - $I00.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cormnercial $15.00 Date. July 2003 New Construction: Old or Pre-existing Building: x (check one) LocationofProperty: 315-24 MAIN ROAD, CUTCHOGUE, NEW YORK House No. Street Owner or Owners ofProperty: SEROTA COTCHOGUE, LLC Sufl:blk County Tax Map No 1000, Section 97 Subdivision Permit No. ~q ~-~q Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 5 o. o 0 Date of Permit. Hamlet INC. Final Certificate: x_ (check on~ Block 5 Lot 1 2 Filed Map. Lot: Applicant: KING KULLEN GROCERY CO., Underwriters Approval: KIN6KULLEN Fax=15168276271 Sep 23 '03 11~24 P. 02 Electrical Insveetors, Inc. 308 F-a~ Meadow Avexlue ~t M~a~d~w, ~ 1155~ Fax: (51~) 79~58~ Mail Roland's EI~ Inc. $teph~ C~ieux 307 Sub~ Av~u~ D~ Pg~ ~ 11729 D00E Prona'~y Ad~s: KING KULLEN #3 315-25 MAIN ROAD Cute~.ogue. NY 11935 ..,ELECTRICAL APPR 0 FAL CER TIEI~A~E· AKEAS LISTED BELOW ARE APPROVED BY INSPECTION AND FOUND TO BE IN COMPLIANCE WITH TH~ NATiONAL ELECTRIC coDI~ Commercial Limited In~ion Powsr Supply For Four Bottle Rfc. hard M, Bivoa~ Phili~ F. C,-o~rin$ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~y ~ ~.~, DATE ~/2~/D~ INSPECTOR /(i FIELD INSPECTION REPORT FOUNDATION (1ST) ..... ROUGH FILa~VIING & -- PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ~DITION~ COMMENTS TOWN OF SOIJTHOLD .~c~~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Examined Approved Disapproved a/c Expiration fg~7 ,20 / ~BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before apl~lying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trastees Contact: Mail to: Phone: 'PLICATION FOR BUILDING PERMIT .... ,JU 2 6 t Date /~>-t'b Z-~ ,20.o3 ~,.. .. 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 fids 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 the Building Inspector issues a Certificate of Occupancy. f. Every building penmt shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the penxfit for an addition six months. Thereafter, a new permit shall be required. 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 necessa~ inspections. (Signature of applicant or name, if a corporation) (Mailing ~tddress of applic~nt~J- ?1 7 ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises S~ 7'-P'/ S~']~,g_.~ ~)t~/,,'/g ~ ./-h (As on the tax roll or latest deed) If app~l~t is,a c,0rporatiot0signature of duly authorized officer (Name hndk'fitle ° f c°rt~ate °fficer) / Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Sectionr~-~t~l/ Subdivision (Name) / r la" et' 11739- Block ,, Lot / 12 i,e Filed Map No ...... ' Lot ~ . i,x~.,o Stlte existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ~,<~o 5. If dwelling, number of dwelling units If garage, number of cars Fee Addition. Other Work Alteration bm-o,) 'E>oo tz-- (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. DimensiOns of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stodes Rear .Depth 9. Sizeoflot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO '/~'"~ 13. Will lot be re-graded? YES NO L'""Will excess fill be removed from premises? YES__ NO 14. Names of Owner ofpremises..~e~ (.Ur, Ch~tg~Address7O ~,.5'u~oz~¢ ~ "PhS~le No. Name of Architect Address " Phone No Name o f Contractor ~-"~e:Z,v~ ,,.~t~/~_,~O~],~ Addr e s s Phone No~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland'? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ~-c~,-v c,e-~'~', 6,~ [a,-c.-t~-- ,~,x being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, tc .......... ,.go. C o at¢ Offioer,-'et_E3 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 tree to the best of his knowledge and belief; and that the work wilI be performed in the mariner set forth in the application filed therewith. Sworn to before me this /. ~¢~'1 dayof ~ ~..JL~_ 20 Notary Public, State of New York No. 01 FR4847028 CO Qualified in Suffolk County~..~ _.~- rnmlsslon Expires July 31, ~ S~plicm~t RODUCE PREP 'GATE SINK PHONE BAKERY FREEZER 27'-0"BAKERY BACK BAR EXISTING I0' TO BE REMOVED 2%5" 5 DECK PI TO BE REMOVED E CASES RELOCATED DECK PRODUCE CASES TO BE REMOVED 5'TBLI 5'TBL DELI PREP RM SINK (3)EXISTING&'XE' OAK TABLES TO REMAIN EXISTING CO \ N VERIFY LOCATION REF, FRUIT BAR EXISTING COLUMN VERIFY LOCATION OON THE FIELD /'% DELI COOLER .DELI SALES SERVICE DELI CASES PRODUCE SALES NOTE REMOVE ALL EXISTING PRODUCE ~IX~I OAK TABLE AND END CAPS (&) E&"X~6" OAK TABLE W/ TOP OAK SHELF, DECK PRODUCE CASES TO BE RELOCATED EDXISTING COMO, SIDEWALK ENTRANCE VESTIBULE EXISTING DRIVIT I FINISH SYSTEM OVER &"BRICK VEEER TO REMAIN NEW L3-1/2 UNTEL TO REMAIN EXIS] FINISH SYSTEM OVER &IIBRICK VEENER TO BE REMOVED SINGLE SLIDING ALUM, AND GLASS DOOR g6 K SERIES WITH I" CLEAR INSULATED TEMPERATED GLASS SET ON Z"XA-I/2" ALUM, FRAME TO BE EOUIPED WITH~ EMERGENCY BREAKAWAY FEATURESBEADLOCK,SADDLE AND WEATHER STRIP, 6"CMU WALL TO BE REMOVED SECTION "G" SCALE: N.T.S FIXTURE FLOOR PLAN SCALE: 1/8" = I'-0" DRYV]T EXTERIOR FINISH SYSTEM EXIS~N~ 41/2"x2" ALUM. STOREFRONT FRAMING ~ ~IH 1 ~ERMOPANE GLAZING EXIS~NG 3'-8"XT'O" NEW ALUM. AND GLASS DOOR ,[~" '''" ~ ¢ ~ -'''''v' ''" '~ ~/ I..\ AND GRIDS ~N ) -- STUDS @ 15" O.C* WITH FEXISTING BOTTLE BOTTLE RETURN I I0' CH tNISEX HC PRODUCE COOLER BAKERY SALES IN , J NEW 7'X7' ALUM, AN[GLASS SINGLE SLUING DOOR SAW CUT EXISTING MASONRY WALL AND TO MATCH EXISTING, MUFFIN EXIT VESTIBULE SAW CUT EXISTING MASONRY WALL ANO PROVIDE (3) LS-IIE'X3-1/2"XS/15" NEW STEEL LINTEL REPAIR WALL AS REOUIRED TO MATCH EXISTING NEW ALUM FRAMED EN1RANCE ~ AUTOMADC SLIDING DOORS AT BOTfI_E REARM OUT ELECTRICAL ROOM RECEIVING AREA CLEANING EQUIPMENT ROOM K, SINK BAKERY PREP RM WD TBL I GAS OVEN BAKERY COOLER IR'-5" 3 LOW DECK FISH CASE 12'-5" A DECKS MEATS STORAGE BACK ROOM &15 SF DECKS MEi COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES APP~EO AS NOTE~ AS REQUIRED AND CONDITIONS OF NOTI~ ~UILBIN6 DEPARTME~ AT ~ ~~ ' ~ ~ ~Y,S.~ 7~1~ 8~ TO 4PM FOR THE F~LOWlNG INSPECTIONS: 1. ~NDATDN - ~0 REQU~ED FOR ~URED ~NCR~E 2. R~GH - FR~G & PLUMBING ALL OO~TRUCT[~ ~ 3. INSU~T~ MEET THE REQUIR~E~S ~ THE 4. FIN~ - CONSTR~TI~ ~ CODES ¢ NEW YORK ~A~. BE ~PLETE FOR C.O, ~ CONSTR~TDN SH~L M~ ~E REQUlREME~S OF THE ~ES OF N~ YORK STATE, NOT RESPONSla~ FOR DESIGN OR ~NCRUCT~ ERROR[ LINE OF MEZZANINE MEAT PREP· ROOM ~ 81'~II SERVICE MEAT DAIRY COOLER FROZ. FOOD & ICE CREAM BOX EXISTING 5'-8"X7'0" NEW ALUM. AND GLASS DOOR SCANNERS FRONT END PHARMACY EDXISTING CONC, SIDEWALK EDXJSTING CONC SIDEWALK DRYVIT EXTERIOR FINISH SYSTEM FRONT ELEVATION SCALE: I/8" = I'-0" STOREFRONT FRAMING I/STING DRYV]T EX'[ERIOR FINISH SYSTEM PHARMACY IXISTING DRYV]T EXERIOR FINISH SYSTEM OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED FLOOD DAMAGE PREVENTION ~OU_THOLD TOWN CODE, WOHEN'S TOILET HEN'S TOILET MECHANICAL ROOM MEZZANINE PLAN ® 0 OUT 209'-5" EXISTING KING KULLEN SUPERHARKET INI EXISTING RETAIL t IN BOTTLE NEW ALUM FEAM~CE- SITE PLAN SCALE: = I'-0" R SHATARAH CONSULTING ENGINEERS,P.C 4-8 SUNRISE LANE LEVITTOWN,NY 11756 TEL: (516)731-4-687 FAX: 516 796-274-4 RSHATARA DATE: REVISION DATE ~ KING KULLEN GROCERY CO., INC. i85 CENTRAL AVENUE BETHPAGE, N.Y. 1171z+-5929 TEL (516) 827-6373 PROJECT : KING KULLEN STORE # 3 LOCATION :CUTCHOOUE N.Y. TITLE : FIXTURE FLOOR PLAN W/ NEW BOTTLE ROOhl DOOR DWG BY: A.~. DATE: JUN2/03 SCALE :1/8" =1'-0" SIZE : E FILE # JOB #