HomeMy WebLinkAbout23325-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OC=umANC~'
No Z-24293 Date
APRIL 18, 1996
THIS CERTIFIES that the building
Location of Propert~
20 NEW SUFFOLK ROAD &
28080 MAIN ROAD
ALTEBATION
House No. Street
uu'rCHCEUE NY
County Tax ~ap No. 1000 Section 102 Block
Subdivision Filed Map No.
6 Lot
Hamlet
8
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated 'MARCH 18, 1996 pursuant to which
Building Permit No. 23325-Z dated MARCH 21, 1996
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 RENO%rATE AN EXISTING ~ETAIL FLORIST SHOP TO AN ICECP~%M
pARLORAS APPLIED FOR.
The certificate is issued to
JOSEPH NOLAN
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF MEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO. PENDING
PLUMBERS CERTIFICATION DATED APRIL 18, 1996
APRIL 9, 1996
GINGER TOMASSEWSKI
Rev. 1/81
FORM NO.3
IOWN OF SaUl'HOLD
BU!LDING DEPARTMENT
TOWN HALL
GOUTHOLD, N.Y.
N~ 23325 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date .............. ~, ........................
Permfsslon Is hereby granted to;
~x~...~.~ ...............................................
...~ ~.o.~o.......~..~./.~...~ ...................................
......... ~.~.~..~..,...~.......~: ......
t o........~.....~...~.~.~ ........ ~....~.~....~ ......... ~....~.~.../.,..~. ......... ..~..~.x~ ............
.... ~..p.. ......... ./.? ....... ~ ........... ~.......~~......./.~:. ...... ~:......
........................ .. ...................................... ...............................................................
CounlyTax Map No. 1000 Sectlon...../..~-~.., .......... Block ......... .~... ............ LotNo. '~
pursuant to application dated ............ ...'~..~...E~..Z'. ........ ,~/...~.....~.. ...... 19....~..~/...., and approved bythe
Building Inspector,
Fee $..,./..¥. .................
///~dlng Inspector
Rev. 6~30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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
"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 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 . ·
i. Certificate of Occupancy - New dwelling $25.00, Additions to
Alterations to dwelling $25.00, Swiping P~uOlsln$2e5s~0eOs,$~.c~s°ry
Additions to accessory building $25. · ' ·
2. Certificate of Occupancy on pre-existzng Buzldzn~ - $100.00
~ 4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy- Residential $~5.00, Co~erci~]~'3.
pate ...... ~. ......
M~w Cnnmtruction ......... Old Or Pre-existing Building .............
Location of ~roperny ...................
House No. Street
Onwer O~ers of Property ·
ty 1000 ti ........
Coun T~ Map No , Sec on ...... pc ....
.......... Filed Map .......... ~Lot
Subdivision ........ ]] ................ .~/
Permit No.~.~ .... Date Of Pe~tt,.~>~ ..... Applicant
Unde~riters Approval
Health Dept. Approval ..........................
Planning Board Approval... ~'
Temporary Certificate ........ ~,. ~Certicate ...........
Fee Submitged: $ ..... ' .................... ~ '~~.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
~)FFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Fax (516) 765-1823
Telephone (516) 765-1802
DATE:
Building Permit No. ~,
Plumber: ,~/~ ~ '- ~3~
~please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
/ ~ay of ~ t 19/~
Notary Publ is ~~,~t ~ C~~
NELENE O. HORNE
Notary Public, State of New York
No. 495 ~
Qualified ir, SuWelk Count,, ~'~
Commission E×p res l~ey 22° I~._~
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 10, 1996
Ms. Tracy Ryan &
Ms. Ginger Tomaszewski
Scoops Inc.
P.O. Box 1274
Cutchogue, NY 11935
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
xx
No Underwriters Certificate on file.
xx The check is not on file. $50.00
No Health Department Approval on file.
No final inspection has been made.
xx
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23325-Z
Please contact our office on this matter. Thank you for
cooperation.
$OUTHOLD TOWN BUILDING DEPT.
I' IISI.Il I II~il'lSl.~ [ I gll
,I
PLANNING BOARD MEMBERS
RICt-IAE.D G. WARD
Chairman
GEORGE IlITCHIE LATHAM, JR.
BENNETT ORLOWSKI, JR,
WILLIAM J. CREMERS
KENNETH L. EDWARDS
March 6, 1996
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-3136
Telephone (516) 765-1938
BLDG. O ~OLO ~
TracyRyan
Ginger Tomaszewski
Scoops, Inc.
P.O. Box 1274
Cutchogue, NY 11935
Re: Request for site plan waiver
SCTM# 1000-102-6-8
Dear Ms. Ryan and Ms. Tomaszewski:
In response to your request for a waiver of site plan approval, the Planning
Board reviewed your proposal and determined that a site plan amendment will
not be required.
Please contact this office if you have any questions regarding the above.
Sincerely,
Richard G. Ward
Chairman
cc: Southold Town Building Dept.
PLANNING BOARD MEMBERS
RICHARD G. WARD
Chairman
GEORGE RITCHIE LATHAM, JR.
BENNETT ORLOWSKI, Jl~.
WILLIAM J. CREMERS
KENNETH L. EDWARDS
BLDG, DEPT.
March 6, 1996
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-3136
Telephone (516) 765-1938
Tracy Ryan
Ginger Tomaszewski
Scoops, Inc.
P.O. Box 1274
Cutchogue, NY 11935
Re: Request for site plan waiver
SCTM# 1000-102-6-8
Dear Ms. Ryan and Ms. Tomaszewski:
In response to your request for a waiver of site plan approval, the Planning
Board reviewed your proposal and determined that a site plan amendment will
not be required.
Please contact this office if you have any questions regarding thL~ above.
Sincerely,
Richard G. Ward '~¢¢J'
Chairman
cc: Southold Town Building Dept.
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1
~,(~5~',~28 BUREAU OF ELECTRICITY
r~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
Dore APRIL 12,1996 Application No. on/itc 11453396/96 H 049527
THIS CERTIFIES THAT
only the e~ctrlcat ~ipment ~ ~scrlb~ below a~ int~uc~ by t~ applicant ~ on the ~ve application ~umber ih the premises of
GIttGER TO~Z~SKI, 2B~Se ~IN ROAD, CUTCHOG~,
in the following location; ~ Basement ~ Ist Fl. ~ 2nd ~. Section Bilk Lot
~s examined on ~L ~9 ~ ~996 and found w be in compliance with th~ Na~on~ Electrics1 Code.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FL00~E$CENT OTHER
DRYERS
SYSTEMS
NO. OF FEET
E R V C
"O'%E~CONP
OF CC. COND,
NO OF HI-LEG
)THER APPARATUS: .
NO, OF NEUTRALS
OF NEUTRAL
SCOOPS
P. O.BOX 1274
CUTCHOGUE, NY, 11935
GENERAL MANAGER
certificate must not be a~tered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILOING DEPARTMENT, THIS COpY OF CERTIFICATE MUST NOT,BE ALTERED IN ANY MANNER.
IlO^RI! OF IIF, 61,'I'II ...............
] SET~ OF PI,AHS ...............
C, IIECI{ .........................
3EP'I'I C FORH ...................
NOTI FY ;/~ .
H~]I. TO** ....................
APIq,ICA*I*IOH FOI{ IIUII,I}IHO PERHIT
I NS'rlllllC'l* IONS
n. 'lhls nlq~llcat (x ri.mt Im co~lplelely filled J. by tylx.~,~rlter or in ink taxi ~huht~l to the Ihdhlin~ lnsl~Clor i~ith
3 ~ts of plnas, ac(~Jrate plot plan to scale. Ir(~ according Io sch~de.
b. Plot plm, rA~h~ l(~nticm of Iol; md of I~dl(li[~s ~ pr~nises, x~latiooship to ~joiniug pr~nises or Ixd~lic
~sl. reetn or arens, taxi Bivt~ a ~tall~ i~scripti~ DE la~nt o[ p~rty ,,.st I~ dr~ ~ the dlagr~ ~dd~ is p~rt of
c. qhe ~[k c(~er~] by lids nl~)lica~hm vny I~)l: I~ c~,mel~ed I~fore ismm~e oF I~lihlhsg Pennlt.
d. IJl~l s~nl of this .l~[tcathm, the INdhling l.slector will Jsmm ~ I~dhlin8 i~n. lt lo the opplicm~t.
e. NO Ixdhlhq~ ~mll I~ ~copi~l or u~d in ~lole or is I~qrt for shy l.,rl~se ~mtever ontil ~ ~rtlficnte
fiPl~l.l(~'l'l~ 19 II~IIY )~ to tl~ Ikdhlin8 l~l~rtuut;t for the t,m~n~e of a lklildh~ l'etmJL ~lr~lollt to the
lkdldh~ ~zx~ on}hmt~e of tl~ 'Ibm oF ~tl~hl, ~fffi){k ~mly, ~ York, m~{ other a~licnble l~s, Onli~t~es or
(]~mture of alqfllcm~t, or n~e, If a corlx)ratlon)
(~itin8 ~lre.s of u~tic.nt)
If npplicast .is a corl~raticm, sigzmture of thfly ~mtla.'i?~d officer.
(l't.~.c a,~l title of corporate officer)
l~ilders l, lcense ~ ...... .k~.l~/ ................
i'{t,,Imrn i,lcel n~ Ho ..... ~J~ ................
FAectrJclaas Licet,~, NO. --~.1~- ...............
78E-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 ~ONSTRUCTION SHALL MEET
THE REOUIREMENTS OF THE N.Y,
STATE CONSTRUCTION & ENERGY
CODES. NOT RESPONSIBLE FOR
Other 'l'rnde's License No ..................... DESIGN OR CONSTRUCTION ERRORS
I~'~atiOu O~ IsI~I Osl ~lidl I~:'oFosed ',.~rk ~jl! I~ ¢lor~. ~ ................................. ~.ff...~ ..... ~. ................
fee ................
this I~nq~rl.y ~[thln
PI,OT l) [ AOIIAH
· .lx!llqi drily IM.'., delx),ml mMI mlya tlmt I~e la the .pplIc.,ll
(C(),{.rJ]ct()r~Hl~el~_~¢:orlx)l',Le offlce~:~ et'(:..)
..... .,,.~...,, (,~ .... ~.~..~C_~..
C~tRE ~ GL~ I .
Note~ Pubfi~, State o~ NeW
No. 4879505 ; ~."
Qualified in SuffOlk CoOn~
~mml~ion Expires Deoem~r 8, 19
It I I