HomeMy WebLinkAbout23492-zFORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25497
Date: 01/23/98
THIS CERTIFIES that the building ALTERATION
Location of Property: 23005 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 109
Subdivision Filed Map NO. --
CUTCHOGUE
(STREET) (HAMLET)
Block 1 Lot 8.7
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 13, 1996 pursuant to which
Building Permit No. 23492-Z dated JUNE 12, 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 NON-COMMERCIAL KITCHEN IN EXISTING WINERY FOR THE PRIVATE USE BY
THE EMPLOYEES AS APPLIED FOR.
The certificate is issued to ROBERT PELLEGRINI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-439976
01/15/98 KENNETH DAUPHIN
Building ~ctor
12/09/97
FOu'm* NO. $
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, I~. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.o 23492 Z
Permission is hereby granted.to: , ~ ._ 'f ~, ,,~ ~ /
Coun~ Tax Map No. 1000 Section ...... ~.~ ..... Bilk ........ ~. ........ Lot No ..... ~ .......
pu~uant to application dot~ .... ~.~ ..................................... , 19.~, and approv~ by the
Building Insp~tor.
Rev. 6~30/80
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
October 8, 1997
Robert Pellegrini
23005 Main Road
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. 0~J
xx The check is not on file. $50.00 4.
No Health Department Approval on file.
xx
final inspection has been made.
Plumber Solder Certificate on file. O~W___
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 23492-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
Form No. 6 '~/~JL
~ ~ ~ ~ ~ TOWN OF SOUTHOLD
II II II II TOW ALL
A..~:~h~ application must be filled in by typewriter OR ink an~ submitte~ 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 Fir.e Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Co~ercial 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
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 Buildinm - $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
Date.. ~ .~.//..~./.~.. ?. ........................
New Construction ........... Old Or Pre-existing Building.t~... .
Location of Property ..................... ~ ...................................................
House No. Street Hamlet
Onwer Owners of Property.~..O..~.~...~.] · ~-~- ~-~c~J--g~'~ ~ ~ ~
County Tax Map. No 1000, Section...(t.?..~. ..... Block ..... I ........... Lot....9..'..~. ............
Subdivision.. .................. ...... .. . .. .. . . . Filed Map ...... Lot.... ............
Permit NoZ~..~.~..~.~..Dat'e Of Permit...~.//.2'./..~..~.'..Xpplicant.~...~)?.-~.--~.~)~;~
Health Dept. Approval .......................... Underwriters Approval .........................
Planning Board Approval .
Request for: Temporary Certificate ........... Final C~te...........
Fee Submitted: $ ............................
Co
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No. ~5~72--7,
(please p=int)
Plumber:
(please print
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
( PlumbeYs- Signat~6~
Sworn to before me this
/5~ d~y of '~F~,~ua~'~ , ~qg
I
Notar_y Public, /~ ~{ County
Notary Publlo, S~te of New Y~k
Ounfifie~ I~~
Commissior, E~Dires Ja~. 20,
THE NEW .YORK BOARD OF FIRE UNDERWRITERS 1
~' ~n '~ BUREAU OF. ELECTRICITY~
85 JOHN STREET, NEW YORK, NY 10038
Date D~(~J'~[~ ~ ~ ~.~7 ~pplication No. on file ~5~.6~7/~'7 ~ ~3~7~
o~y ~ ~l~tr~ ~uipm~nt ~ ~scd~ ~ a~ in~uc~ by t~ ap~icant ~m~ on the a~ appHcat~n number ~n the p~m~s of
PEI~GRINI VINEYARDS, '2:~5 ROU~ 24, CUTCHOGUE ~ ~
in the following location; [-] Sa,~rnent [] let FI.
~s examined on D~]CE~-fBER 04,1997
DRYERS ] ~RNACE ~TORS FUTURE A~UANCE ~E~RS
~RV ~ ~ONNKT I ~. OF ~
[] 2nd FI. Section Block Lot
and found to be in compliance with the National Electrical Code.
RANGES cOOKiNG DECKS OVENS DISH WASHERS
SPECIAL REC'PT
TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET
1 20 .....'
R V I C
A.W.G. NO OF HI.LEG I A.W.G. NO, OFNEUTR^LSI
EXHAUST FANS
DIMMERS
'~' ' ~ORP, LIC, #268
390 QPI',RAT]NG C
1555 LOCUST AVE,
BOHEMIA,, NY', :[1716~2162
Pe
This ce~ificate must not be altered in any manner; return to the office of the ~ard if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDI.NG DEPARTMENT, THIS COPY OF.CERTIFICATE MUS~ NOT BELALTERED IN ANY MANNER.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[. ].,~IJLATION
[ ~ FINAL
REMARKS:
DATE
INSPECTO~
76S-J.802
BUILDING DEPT.
INSPECT!?N
[//J ROUGH PLBG.
FOUNDATION 1ST
] F~NDATION 2ND [ ]
INSULATION
FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
F]';~LI} [NSPECTI. ON REPORT DATE COIVlNENTS
FOUNDATION (IS'r) JJ "
......................... , .......... !!
II
FOUNDATION
1,
STATE ENERGY ....
1{
{{ ,,
ADDITIONAL COUNTS:
FoRH NO.
TOWN OF SOUTI1OLD
BUILDING DEPARTHENT
TO~,IN I1Al.l.
SOUTllOLD, N.Y. 1197 I
TEL: 765-1802
BOARD OF HEAL'ltl ...............
//3 SETS OF PLANS ...............
/~SURVEY ........................
SEPTIC FORH ...................
Diaapproved a/c ..................................
NOTIFY:
CALl ..................
HAIL TO: ....................
APPLICATION FOR BUII,DING PERHIT
INSTRUCTIONS
a. 3bls application ~Jst be completely filled in by typex,~rlter or ia ink ar~l sul~nltted to fl~e ~lJldltg lns~ctor ~ith
3 ~ts of plus, ~ate plot pl~ to scale. F~ acconling to sch~le.
~ b. ~ot pl~ ~ing l~ti~ of lot ~ of I~dldi~s ~ w~ises, mlati~shlp to ~jolnlng pr~tms or ~blle
str~ts or areas, ~1 givi~ a t~tail~ ~scripti~ of lat of ~rty ~st ~ dr~ ~ tl~ dla~.~dch is ~rt of
th~s ~1 icati~.
e. ~w ~k c~ by this a~J icati~ ~ r~t 1~ ~1 I~fom issue of ~ildi~ Pe~it.
d. U~ a~al of fids a~llcati~, tl~ ~ildi~ lns~etor will is~ a ~ilding Pemlt to the a~llcant. Suds
~it ~all I~ kept ~ tt~ ~ims ~ailable for ins~cti~ thin,mt O~e x~rk.
e. ~ ~ildi~ ~all I~ ~i~ or u~ in ~le or in ~rt for n~ ~r~ ~lat~r ~mtll a ~rtlfieate of
~,I~'FI~ 1S ~1~1~ ~ to tl~ ~dldi~ ~r~t for H~e issue of a ~ildi~ Pemit ~r~t to the
~ildi~ ?~ ~i~e of tl~ '~ of ~fl~ld, ~[folk ~Ly, ~ York, ~ other ~llcable l~s, ~i~es or
~lati~s, for tl~ ~stn~ti~ of ~ildit~s, ~Miti~s or alterati~s, or for r~al or ~liti~n, as t~mln
¢~ri~. ~ a~llcant a~s to c~ly wltb all a~licable l~,~es~ ~ildi~ ~, ~sx~ c~t% ~
(millm ~lress o~ ~llcant) t
State ~etl~r a~llc~t is ~r, tes~, a~nk, a~hltect, engi~r, ~ral c~tractor, electrlclaa, pt~r or tafilder.
(as m tie tax mil or latest d~l)
If a~l. lcant is a ~rati~, ~i~ o~ duly ~t~rir~ officer.
~ /,~
.......... m/.<t ............ : .......................
(~ mxl title of ~rl~rate officer)
3. tdniure of work (d~eck v~idl a'pI)lical)le): IxL, w Iksihlinl~ .......... ~kliLion .......... Mteral:ion .~.~.~/ ....
[~l~fir ............ [~ai .~ ............ I~lz~l i~lon ............ Other
I (l~:r i ~l:i~m)
(Io I~ fid ~m fitin8 thi~ appli~ti~O
] f ~arage, ~s~t~r of car....k. ~
6. If lxmi~ms~, ~u~m~rcial or mi~l ~aSl~t~y, slmci~ ~l.re mul exteal: of each ['y~ o~ u~ ......................
Dinelmi~m of ~am 8~nm~ure ~ilh allera[i,~, er ~Hicions: Fro~,/ ...... ~a~....f .........
' ......
l~il~nt ...................... L.. ~.d~r og ~t~rie. .....................
9. ~ize of lot: Frail ......... i,. .......... I~a~ .................... I~prh ....................
12. I~ns prolx)~l (xx~[:a~:LL(xl ~i~iate an~ ~in~ l~. or4ii~lee or reD~laci~a~: ..~. ~. ...............
13, Hill lol: 1~ regr~b~l .................... ~ill e~es8 fill Im r~l~l [~-¢, pr~ni~s: YES
14. ~la8 of ~r o~ pr~i~s ........................... ~klre88 .............................. l~l~ ~[~. ........
~m a~ ~r~dtec .......................... ~lres~ ................... ' ....... I~lol~ ~. ..
· ~e of {~m[racror .......... ~ ........................ ~klress ............................... l~l{)l~ ~} .............
15, ia lhis pml~rCy ~ithin ~) f~et of a ti(~l I~lm~17 ~ Yl~i .......... ~) .~ .....
Mmll~er interiar or cor~xer loC.
PI,(YI' DI AGI;iAH
l~x:at.e clearly a~d distinctlylall hdhli~s, ~dmlher existing or prol~sc~l, aim i~xlicaua flit set-I~:k di.ensions
............................. ~"'"i'"" .................. Ix~is,i] duly ~nl, delX~S asgl ~ay~ that he is the applica,ll
(Nm~ of i~lividtml sig. i.g contract)
Ik~ in IIm .......... ~ .........................................................................
({bnt'racto% agent~[ corlg}rale officer, ete.)
of m?l ~r or {~rs, aigl is duly aulhorJz~l to i~rfo[m or have [~rfor.~d Lhe maid ~[k ui~l t:e u~t[~ mgl file
al~pI lc,JClon; tirol ali state,s.ts coo~auged ,n I I]~s al~l ieaclon are tt~ [o Ihe ImsL o~ hif~ k,g~l~ls~ algl Ix. lJef~ mgl
HmL Hm ~rk ~i[l I~ i~rFon~l in l~e ,umtmr sec f:oril~'in the applica[ion filed Iher~ith.
~)r[i to I~foFe. n~ this
......... ..... ,,, o, ....
"""'" __.. , .... /
C~IRE L. GL.~W Y ~ *
~o~ Public, State of New ~ k / / ....
No. 4879505 ~ ~ / I /
QuallfiedinSuffolkCounW I ~[~ I
Commission Expires Decem~r 8, ~9~~
~RIOR A~NCE OR~ M~NS OFEGRESS OF THE BUILDING. ~
, ~ ACT~ 0F ~HE ~WN OF ~UTHOLD ~D OF APP~ ON
~ ~E C~NG AR~ (. BF.) I~ ~ TflAN 1 ~,8~BARE FEET.
· THE ~TCHEN FLOR AR~ (8-Z X 1~'.0") ~ES NOT ~CEED 42 FE~ BY 20
: NO ~MMERCIAL CHAMBER-~PE OVE~ OR REFRIGE~TION IS TO BE USED
· ' REFRIGE~TION ~ LESS THAN 19 cU: ~, IN Sl~.
1. REFRiGE~TO~RE~ER: ~ULSEN MODEL RDT 1-26 WUT .
2. ~OP: VI~NG ~DEL VGRT~Q; GA~, FOUR BURNERS AND 12 GRILL
- Kitchen atld Related,Nterations at
~ ~ ~, ~e, ~ PELLEGRINI WINERY
HAP P~E~ ~- I~oE- I~ - I-- ~.~ C~, N~Yo~ Job* ~
BELMON~ FREE~.ARCHITECTS, 1.10 West 40 Street, NYC 10018
A1