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 #