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Home My WebLink About22647-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23574 Date MARCH 29, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 53345 (3) MAIN ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 61 Block 1 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 1995 pursuant to which Building Permit No. 22647-Z dated MARCH 29, 1995 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 ALTERATION TO ENCLOSE EXISTING PORCH OF EXISTING RETAIL BUSINESS STRUCTURE "AS BUILT" AS APPLIED FOR - BLDG.#3-FEATHER HILL The certificate is issued to SAN ANDRZEJS, INC. (tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 0 uilding Inspector Rev. 1/81 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) Date March..29.i...................................... 19...95.... NP 22647 Z Permission Is hereby granted to: San Andrzejs, Inc. P.O. Box 750 Southold, N.Y. 11971 to .......ALTERATION TO ENCLOSE EXISTING PORCH OF E%ISTING RETAIL„ BQ$IN1j55 STRUCTURE "AS BUILT" AS APPLIED FOR. . OWNER: PARVIS FARAHZAD - BUILDING #3 FEATHER HILL SHOPPING CENTER at premises located at....., 53345 (3,)„ MAIN„ROAD...........................Sp pkR....nW..XOlm County Tax Map No. 1000 Section 61..........,. Block ~ Lot No. ...,13. pursuant to application dated .....March. ..29............................. . 19.95.........., and approved by the Building Inspector. Fee 5.... . .,L~iE , /Building In pector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD DEPARTMENT MAR 9 ~y7J BUILDTOWNING HALL k '~......_.~~mmM..,.P......, F3t.Dti. DENT. 765-1802 1',OVIN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..f/ t ?°s New Construction...... Old Or P21 xist'ng Build' g.....~/.. Location of Property. , la/ . House No. ^ Street Hamlet S/. . Onwer or Owners uf Property.... QJ)~~.04:"j County Tax Map No 1000, Section Block Lot.... JAIL/...,,..,. Subdivision ....................................Filed Map............ Lot............ Permit No.olaa ,~.?..t„Date Of Permit.3jRf /4S.....Applicantk~".0/1s0ti7 Health Dept. Approval .Underwriters Approval Planning Board Approval Request for: Temporary Certificate........... Final Certicate.. Fee Submitted: V. ~9~25 ' ADnr r III VN )`J II ~ / rye, ~ 11 V D 1i..SliZ4 -,L "J, I~llH a:. I .L Od'4MGNT° ~.u-• . ca' - ~j N r.0Ut7D;ATSDt~1 .~('"Yst) ~ ~1 FOV14DATION (2nd) 2. z 0k~ ROUGH FRAME & PLUMBING - v m W m ~ y Cn iNsvL_A='Ori„PER r1. Y. STATE ENERGY CODE x Sa r ~ 4. --~y FINAL 0 7'f-IDITITIDNAL .COM.MENTS, to X ro• 9 y H O Z 'r 2 m v M ro y WARREN A. SAMBACH, SR. CONSULTING ENGINEERS PLANNERS P.O. BOX 1033 - 7675 COX LANE CUTCHOGUE, NY 11935 (516) 734-7492. S (fin `{qP 2 S I March 29 1995 Tom Fisher Building Department - Town of Southold Town Hall 53095 Main Road Southold NY 11971 Re: San Andres Cafe Feather Hill Shopping Center Mr. Fisher: The glass enclosure and bulkhead under the existing porch roof is in compliance with the New York State Uniform Fire Prevention and Building Code. Sinc rely, Warren A. Sambach Sr. P.E. was:s z -.i l5~ 19 L5_1 BOARD OF HEALTH FORM NO.1 SETS OF PL 1'15 i TOWN OF SOUTHOLD SURVEY MAR 29M der BU?LDIN^ DEPARTMENT. -CHECK - - _ • TOWN HALL SEPTIC FORM T'PiDG.nEP1: SOUTHOLD, N.Y. 11971 TOWN OF soumol.0 TEL.: 765.1802 n c T I FY Examined . ~j CALL _ . ' s-7 1. • • 19 .Q'-S MA I L TO: Approved 19 .p/,Permit No.cPW27.. Disapproved, a/c _ . (Buz ing I ector) _ APPLICATION FOR BUILDING PERMIT Date 19 . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 sheet or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl, cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permi -,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 whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,' Ordinances o 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 tc admit authorized inspectors on premises and in building for necessary insp ctio s. C........... (Signature of applica t, or45ame, if a corporation) 760- (Mailing address of applica State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . 1 Name of owner of premises ..JqIVbil2g.• &l• y".57ki 4 (as on the tax roll or latest deed) If applicant is a co orat' sig o duly authorized officer. . (Name and ti e f orporate officer) Builder's License No . . Plumber's License No. Electrician's License No. . • . • • • • • • • • • • • Other Trade's License No. • L //~~~J/ J~ 1. Location of land on which proposed work will be done. . ( l6•L(• 4 House Number Street Hamlet County Tax Map No. 1000 Section (0 Block,,;..; ,v1,,,, Lot I.3. a' Subdivision ~ilc .Map No: Lot . (Name) 2: State existing use and occupancy of premises and intended.fase nnd'occu 'an4 Y f p?o o ed c a. Existing use and occupancy r - - i : ° _ P s construction: ed 4rw~ar;n a glaze 7 tF >-rear b. Intended use and occupancy . . . ~ b.,..~1 r.u*:.•~,<Y?3.xdvair~•.i:ca`b ' 3. Nature of work (check which applicable): New Building , addition • • • • • • Alteration . Repair Removal Demolition , , 0the; }Work , (Description) 4. Estimated Cost 01.~/4/D.. , Fee . (to be paid on filing thisapplication) S. If dwelling, number of cadwellinlg units' . . . . Number o dwelling units on each floor , If . . garage, number J 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structu es, if any: Front . ' , . Rear Depth . Height Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth . Height , Number of Stories . - . . ' . . . . . • . . 8. Dimensions of entire new construction: Front . ~ ~ ~ • • . Rear . . Depth Height Number of Stories . 9. Size of lot: 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 vi' late any zoning law, ordinance or regulation: . • 13. Will lot be regraded , , , , , , • • • , • • , , , • , , • Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . ,I......... , Address , . Phone No. . Name of Architect ..I, . Address Phone No....... . Name of Contractor . Address . . Phone No. , 15. Is this property withinli300 feet of a tidal wetland? eyes, No.. *If yes,' Southold ',Town Trustees Permit may..be required. PLOT DIAGRAM Locate clearly and distinctly ad buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blociS1 number or description according to deed, and show street names and indicate whether interior or corner lot, , I ~I . Ili ' I I li STATE OF NEW RK COUNTY, OF.., $'S (Nam of individual signing . , , • • ' • ' , • • being duly sworn, deposes and says that he is the applicant contract) above named. `Ie is the t O~f~? } c7~'ZN~ . (Contractor, agent, corporate officer, etc.) )f 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 true to the best of his knowledge and belief; and that the •vork will be performed in the manner',set forth,in hF,application filed therewith. )worn to before me this • . cz~ day of, 19 .Y1.5 Jotary Public,,. County /11" M )icon *WNft~~r~MwwMik , . pwxxwmeutrom(Signature of applicant) OanmMNanEgikwNar.i.1 , . . I -771N 2f~Y1~y,` f'.?C~ a F ,k^3C4'9~wi.,lb jiUIl AIN6 ~ . F'af6~1 f DATE; BF.ft a~(oy127 I FEE: Itsoloy gy7~p~-__ i, NOTIFY BUILDING •EFFlRY"rt;._19; q 766-1802 9 CPA TO 4 F1JI FOP J"E I~ FOLLOWING IPLSPECTIOHS. ! 1. FOUNDATION - TbVO REOU:lED - / - FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING - j V 3. INSULATION / C MASONnRY~ 'FCAo- s-mKr- naar~ 1 ~ 4. FIN 1L - Cq N-7RUCS'ION MUST 1~ - J N BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY s+ . i 11 ~ i ~ CODES. NOT RESPONSIBLE FOR cl DESIGN OR CONSTRUCTION ERRORS qo I II k k r k .J W W Qr .I W I- k I k' T 4~ I C,*114 E DR AL . Ezl-ReSEp -RA FT ERS j \ If ~t1 vMRy trt,,y'~70aM ~ ~ ~L`N C. C'.,;E~ w~.TFI ~t Se Mv>_K C-a. Gtr sS i ~ \Y'tI i OCCUPANCY OR - - - USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ex~gt+ti~ 2~aTQG bX9~ - (NSDL,, I ~i - nJ aEIY f fU rf'Y 8X8,ACAr. VAOX ft~' _ 50 .f dl r 4 r Ik- 1? ~ ~-,iii I _ i•. •.~r II _ ~ Y VA Phoo2 4,77-0400 wm 400 FiN t a - FtlarH~R i L gai AMbc. r"` bWGG ri1~ . s, c~ c+o . 2n P,I Ik NA. F: ;84'.ALE i X 1F .1, ,