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HomeMy WebLinkAbout24812-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25693 Date: 05/01/98 THIS CERTIFIES that the building ALTERATION Location of Property: 7905 MAIN RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 122 Block 6 Filed Map No. __ Lot No. __ Subdivision LAUREL (HAMLET) Lot 29.2 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 17, 1998 pursuant to which Building Permit No. 24812-Z dated APRIL 3, 1998 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 PARTITION WALLS FOR NEW THERAPY SUITE IN AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to MATTITUCK REALTY LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-451522 04/24/98 N/A 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. 24812 Z Date APRIL 3, 1998 Permission is hereby granted to: REALTY L L C MATTITUCK 699 MIDDLE COUNTRY ROAD MIDDLE ISLAND,NY 11953 for : CONSTRUCTION OF PARTITION WALLS FOR A NEW THERAPY SUITE, IN AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. at premises located at 7905 County Tax Map No. 473889 Section 122 pursuant to application dated MARCH Building Inspector. MAIN RD MATT/LAUREL Block 0006 Lot No. 029.002 17 1998 and approved by the Fee $ 150.00 Bui lding~w]~nspecto~ ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY mo This application must be filled in by typewriter OR ink and submitted to the building inspector 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, 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 Vpre-extsting" 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 Buildine - $i00.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~! .~. ?~ ....... New Construction ........... Old Or Pre-existing Building ....... Location of P~operty ..... ?.~.0.,~....~..~)..~. .... .~..~.. ..... [[... ]]. [. ]]. ]~.. ,~w../'~':~ .... House No. Street Hamlet Onwer or Owners of Property ..... ~.~.~...~.[¥~...~.~ ..... ~. ~d-.~.~ ................ County Tax Map No 1000, Section...:~... ...... Block. ......... Subdivision .................................... Piled Map ............ Lot ................. · ..... ltealth Dept. Approval .......................... Underwriters Appro~ai ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... 6k . .................................. THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~ 1 1001071 EU.EAU OF ELECTR,C,TY ~ 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 28,1998 Application No. on file 15805998/98 N 452002 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named On the above appticaHon number is in the premises of EAST END THERAPY, 46520 ROUTE 48, UNIT 7-8 & 9, $OUTNOLD, NY in the following location; [] Basement [] Is, FI. [] 2nd Fl. Section Block was examined on APRIL 21,1998 and found to be in compliance with the National Electrical Code. Lot FIXTURES RANGES COOKING 12 12 DRYERS 36 14 MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO, OF CC COND. CC. COND. OF Hr-LEG G & S CONTRACTOR BOX 215 SOUTHOLD, NY, 11971 ANN GENERAL MANAGER 11 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1175(~(~3 BUREAU OF ELECTRICITY ~ 40 FULTON STREET, NEW YORK, NY 10038 Date APRIL 24,1998 Application No. on file 15602498/98 N 451522 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of END PHYSICAL THERAPY, 7905 RT 25 l~l~IN RD. SUITE B, MATTITUCK, NY location; [] Basement [] 1st Fl. [] 2nd FI. Section Block was examined on APRIL 16,1998 and found to be in compliance with the National Electrical Code. FIXTURE [3 iNCANDESCENT FIXTURES OUTLETS RECEPTACLES SWITCHES FLUORESCENT OTHER ? 7 7 DRYERS FURNACE MOTORS I FUTURE APPLIANCE FEEDERS %MT. K.W. OIL H.P. GAR H.P. AMT. NO. ~. W. e. SERVICE D SCONNECT NO. OF $ OTHER APPARATUS: Lot RANGES SPECIALREC'Fr. AMT. AMP. E R ~ MULTI-OUTLET TIME CLOCKS BELL SYSTEMS AMT. AMPS. TRANS. IAMT. I a~ NO. OF FEET ¥ I C A, W.O. NO, OF HI-LEG A. W G. OF CC, COND. OF HI-LEG EXHAUSTFANS AMT. H.P. DIMMERS AMT. WATTS NO, OF NEUTRALS A,W. G OF NEUTRAL Q.C. ELECTRIC INC. P.O.BOX 518 LAUREL, NY, 11948-O518 LIC.#3823 GENERAL MANAGER Per- This certificate must not be altered in any manner; return to the office of the Beard if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS DOPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] INS~ATION [ ] FRAMING [ ~/F'INAL [ ] FIREPLACE & CNIMN~.~ /~ DAT INSPECTO ;7~--~?' 1E..~D FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & .FLUMBING INSULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BUILDING DEPT. NSPECTION FOUNDATION 1ST [ ] ROUGH PLBG, ] FOUNDATION 2ND [ ] I/NSULATION FRAMING [/_/]' FINAL [ ] FIREPLACE & CHIMNEY REMARKS. DATE :/~?~"'/~' INSPECTO~ FORH NO. I TOt/N OF 8OUTIIOLD BUIL1)ING DEPAR'J[14ENT TO~fl ilALL SOUTIIOLD, N.Y. 1197 J TEl.; BOARD OF HEALTIi ............... ~ 8ETS OF PLANS ......... ...... SURVEY n. 'lhi~ nppllcnt[o~ mint Im cot:qfletely I'tlled in by tylx.~4ril:er or in hdc taxi mfl.nltt~ I:o the ~dhli.B hml~Clor 3 ~ts o~ plans, sco~r~t~ plot plan ~o ~ale. ~ aecordlng to ~d~k~l.~. b. HoC pl,n ~t~ l~tt~ ~f lot ,~ of hdhlb~ ~ pr~l~ r~l,tlon~dp to ~jotntng pr~teon or Ix~blle ntr~ts or areas, n~l 81vt~ n ~tnl~l ~rlpti~ of ln~t off pro~rty mint I~ (Ir~ ~s the dtn~a. ~dch this Ollfl ic~t t~. d. U~ n~)~nl of this n~lt~tla~, the l~dhll~ lns~etor ~dll tnm~ a ~ihliug Pe~it to the nppllcm~t. i~tml~ ~mll ~.kept ~ O~ ~t~sjnvatlnble for ius~ctt~ thro~st the ~rk. 'e. ~ I~ildl~ ~mll I~ ~p(~l or ~1 in ~zde or In ~rt for ntff p~ ~mt~r tmttl n C~rt'iflc~t'e ~s~y ~mtt h~e I~n granr~ by[ O~ l~dhlit~ ~? APH.1CATI~ IS I~ ~E to t~ I~dldlng ~lmrtnent ~or the t~mm~e o~ a ~tldlng Pemlt p~rmm,t to 'the ~i1~ lng ~ ~di~t~ of t~ ~ ~[ ~tl~ld, ~folk ~mty, ~ York, a~ otlmr n~tlcable l~, (~(Ih~e~ or ~la~i~s, ~or tim ~t~tt~ of, hfildi~s, ~lti~s or ~lterntions, or for r~nl or ~lition, ns I~reb~ ~serfl~. ~lm applicant ~s to g~ly w(~ ~lt ~ltcable 1~, or(lt~tme~, l~tldlng c~, I~mg c~e, ami I0. II. 12. I.L 16. 15. t~z~tta'e of ~ork (ct~,~ck sdtidl applicable): Nc~ II,dialing .......... &~iti~ .......... Alteration .... ....... I~l~ir ............ ~al ............. l~lition Otl~r ~ ~-'~l~i~ oC Og~t~ ~ripti~) Eati.~t~l C~at ~ 0 0~0 ~ (to ~ ~id ~ filing this a~licati~) ,~ ~.~.~.. ,.,,,.~ 0~ ~.~ ...... ~./~ .......................... lUl~lt ...... ~...~ ............ ~.d~r o[ 8t~ri~a .,.Z ............. I~l'tl, ........ ~]. ( ....... I~i~,t ..... ~/. ~/[ ....... ~,,i~r of Stor i.a ..... I~i~ ......................... ~.t~r a~ ~toriea ..................... ~i~ o~ lot~ Ji~lt .................... J~a[ .................... ~pth .......... I~lla o[ I~lrdla~ ..................... ~l~ o~ For.er ~l~r ........................................ ~ or u~ district 1. ~lJdl praai~a are ai~t~ .............................................................. la Ihia pml~rty ~ithin ~ ~t. ofa tiJ~l i~tl~l? ~ Yl~ .......... ~ .......... I~)cate clearly and distinctly all I~uihlit~s, d~etbar existing or prop~, ~d itxlicate all ~t-I~ di~nsiona proi~rty li,~s. Oi~ at~t a~d bl~k ardor or ihscripti~ according to ¢~. a~ d~ street ~*es a~l inlicate interior or corimr lot. ~)rn, delx}~a taxi mqya that lie ia tim appli(~mt of said (~ar or o~rs, nlgl Je duly aulherJz~d to i~rfo[sl or Ii~lv({ ix~rl])r,tnl the mlJ(I ~[k aigl Lo slake slx] file this appl Jc~ltion; th~L Jilt 8tate~nt~ c(]lt'~J2l ill this al)piicatJOll are I i~ Lo Ihe I~st o[ hi8 klK~J~ge al~ IhtJe[~ algl IhaL [lis ~)[k ~itl I~ ~rfon~l ]il I.lle ilJjnl~[ ~ [o~tJl in the application fil~l tl~r~[~l. ~)r, to I~fore n~ IhJs .,,ay~,,~ .. ~5~ ....... ,9. ~ ~.... ' ' .... [' ": ....... ~,~'~.,,0~ ...... ~ ....... ~VLJ.~. ~ N~ ~ ~ ~ ~ J~ml~re of ~ppl i~anL) ~. 4~71~ ~m~n ~ ~. lg, lg~'/ ELECTRICAL SYMBOLS SYMBOL DESCRIPTION ~ DUPLEX RECEPTACLE ~wP, DUP.REC.- WATERPROOF [] DOP,REC.- FLOOR d~ DUP.REC -(1)SWITCH OPER. Cb SPECIAL OUTLET © SURFACE MTD-CLG. ~- RECESSED- CLG. ~(] WALL MOUNTED ~ DUP. FLOOD "~ FAN / LIGHT COMBIN. I I 2 X 2 FLUORESCENT ~ UNDERCAB. FLUOR ~ TELEPHONE (~ SMOKE DETECTOR [] FAN O CABLE VISION (~ THERMOSTAT NL NIGHT LIGHT E~ D~u SWITCH W/ DIMMER -- PLAN ELEVATION A HANDICAPPED TOILET FACILITIE..~ ELEVATION ADJACENT DENTAL SUITE (OFPICE MANAGER (TREATMENT $ ) I~tONT DOOR IENT 220V STACKED EIASHER/DRYER SINK iN CAiSINET ADJACENT MEDICAL \ EXISTING ~ALLS [] 0 FLOOR PLAN I/4' = I'-O' FIRE INSPECTION REQUIRED BEFORE OPENING GENERAL NOTES: L NO PLASTIC PIPING PERMITTED 2. ExrT 5IONS ARE TO DE LIGHTED 3. NO ACOUSTICAL CEILINGS . '4 IJJALL5 ARE 2X4 ]6" D.C. I/2" MIN GYP. BOARD, ThUD COATS SPACKLE AND PArNTED HEATING AND AIR CONDITIONING UNDERWRITERS CERTIFICATE REQUIRED NOTIFY BUILDING DEPAI~'MENT~'r ALL CONSTRUCTION SHALL MEET >-.< ,N~: ARCHITECT, DONALD A. DENI~ P.O.BOX MAIN ROAD AQUEBOGUE. N.Y. r ~: I/4'" I""0~ ,JOB NO: ~ ..~1. TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK S.C.T.M. # )000-122-06-29.2 AREA = 47.361SF. = 1.0873 ACRES ~CALE: 1'=20' ~RDPERTY KNOWN AS LOT 2 ON NAP DF IINOR SUBDIVISION FOR SUNBON ASSOCIATES. IOTE: WATER SERVICE AND SEPTIC SYSTEM .OCATION BY OTHERS. ;EPTIC LOCATION --- ~ ~, ggT:-~ Stephen A. Co~a, P.~..~lef LAND N/F GUSTAVSON BUILDING LAND N/F L~ZZA ~ OCONNELL N 60'24'30-E 119.03, GRATE N 65.05,00,,/:. .29' 25 6' Received Suffolk County NOV 2 01997 Dept. Of Health Servicea I Office Of Wastewater M,mt. I ~VEYED BY: :YLSKI LAND SURVEYING MAIN ST. P.O. BOX 1382 IMAN VILLAGE CONDO. S 51'58'50"W ,...L~ 126.79' ~ _ - MAIN ROAD (N.Y.S. RT. 25)