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Home My WebLink About22873-z ~ a FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23924 Date SEPTEMBER 29, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 13400 MAIN ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 11 Lot 9.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 1995 pursuant to which Building Permit No. 22873-Z dated JULY 7, 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 ALTER INTERIOR OF EXISTING BUILDING TO DOCTORS OFFICE AS APPLIED FOR. The certificate is issued to ALLBOBRIK REALTY CORP. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - SEPTEMBER 27, 1995 PLUMBERS CERTIFICATION DATED SEPT. 25, 1995-ROBERT BUGDIN PLUMB. & HEAT. B ilding 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) q NP 22873 Z Date • 19... Permission Is hereby granted to: 6?'.........~J~..~~a~.~,f...... .%~,mnr aIA- to 47 X-;IAI „;)-ere ~ ag.......~..:k.V "r., 00 6,/. ~D'.................. at premises located at.........../...3.7`....... 1.`:k:[.r 1111/1T1V'G......................................................... County Tax Map No. 1000 Section .....&3.C.......... Block Lot No....,9-15...... pursuant to application dated wlf.......9 19...f.~..... and approved by the Building Inspector. JT Fee $..Z............ '00-- ildin nspecTor Rev. 6/30/80 - Fo=-tnNZ), 6 y ~~D r~~od, TOWN OF SOUTHOLD BUILDING DEPARTMENT 9P 2= 81995 TOWN HALL 765-1802 BLDG. DEPT. j" 'TOWN OF SOUTHOLr_ 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $$115.00`, Commercial $15.00 Date . New Construction........... Old Or Pre-existing Building............. Location of Property. 3 $!f10 /yN ~ J /V/A!?i : 4C-A( /f.Y / ! Q S House No. Street Hamlet Onwer or Owners of Property.i9LLa~3~Qi C! TF~f/G CO.. P. .........Q County Tax Map No 1000, Section ...e~'y....... Block ........Lot..../.` Subdivision .Filed Map............ Lot...................... .7/7/9t~....AppllcantMC (q.2TF/!!MF~NA~M/y'1V7~%I?G Permit No.4QO873Z...Date Of Permit. Health Dept. Approval ....!Y1.A Underwriters Approval... Planning Board Approval. .WA! `Request for: Temporary Certificate........... Final Certicate........ Fee Submitted: l4GG~o3 R~~ 2EAL7~J/Co~'~ S ~I D~p6 APPLICANT co a3gay SEP 25 195 1421 TOWN OF SOUTHOLD * P.1r1 ^ Town Hall. 53095 Main Road Fax (516) 765.1823 P. 0. Box 1179 Telephone (516) 765-1802 Southold, New `fodt 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C_E R T X F I C A T T o N Building Permit No. otoZtJ73z owner: (please print) - Plumber: I-C004 r u!rz /O1 N Pe-04, '-i- lfii!;-- #,577 lp (please print) S certify that the solder used in the water supply system Contains less than 2/10 of 1% lead- $ X995 Plumbers 5ignat SEP 2 BLDG CEi ~~r;~,, ME'D'y9Z dGF TOV\M TH@ NEWYORKBOARDOFFIRE UND~pw BITERS Sworn to before me this gLLZidp, jrx cl +~04 Gp,t0 f a(~'h WE ARE INT EC GESS IN HE _ CERTIFICATE O COMPLIANCE FOR THE day of 04; M 19 9 IN A AN N APPA EL LICATIO CATIO N N INSTALLATION COVERED 2-f APP~TED BEL BELOW. Notary PuDli C, dcounty APPLICATION NO. ` LOCATION IN6PWTOR!fz:~: DATE 18D(REV"D) itaawpp?aslunri NVAIN PUBLIC. STATE OF NEW YLliil. Qualified in Suffolk CO., No, *4010 Iii Commission Expires AV 30, to FIELD INSPECTION REPORT DATE COMMENTS Y I II ~ ~ FOUNDATION ( IST) {I{- n---- - ri o FOUNDATION _(2ND)- - r II to 1^' - ~ 11 ROUGH FRAME 6 i_ _J{--'---------------- PLUMBING - j{- (a,` II H INSULATION PER N. Y. STATE ENERGY I{ CODE it ii FINAL _I~ II ADDITIONAL. COMMENTS: \ - 7 \V1 a o~~$pFFO~~-co PLANNING BOARD MEMBERS =y. oy~ A Richard G. Ward, Chairman w Z Town Hall, 53095 Main Road George Ritchie Latham, Jr. 0 P. O. Box 1179 Bennett Orlowski, Jr. Southold, New York 11971 Mark S. McDonald Fax (516) 765-3136 Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD IS ~ ~r r July 6, 1995 JUL -610 Thomas J. McCarthy McCarthy Management, Inc. P.O. Box 62 Mattituck, NY 11952 RE: Roy Reeve Agency Parking Dear Mr. McCarthy, The Planning Board has received your letter of June 27, 1995, requesting a waiver of Site Plan review for the expansion of use and parking at the above site. The Board will waive the Site Plan requirements for 3, 500 square feet of office space and two doctors at the above location. A review of the parking requirements indicates that 45 spaces are required and 46 spaces are to be provided. If you have any questions, or require further information, please contact this office. Since ~ / Ka r Site Plan Reviewer cc: Thomas Fisher, Senior Building Inspector in Charge I THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1 1000151 BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date OCTOBER 04,1995 Application No. on file 10298195/95 N 365424 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ALBOBRIK REALTY CORP,, MAIN ROAD, MATTITUCK, N.Y. in thefollowing location; 1Z Basement 0 Ist Ft. ? 2nd Fl. OUT Section Block Lot was examined on SEPTEMBER 27,1995 and found to he in compliance with the National Electrical Code. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMi K W. Ami. N. W. AMT. KW. AMT K. W AMT. H P 46 61 22 1 43 2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELI UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS PMT. K. W OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT AMP AMT. AMPS. TRANS. AMT. H. P NO. OF FEET AMT. WAITS SERVICE DISCONNECT NO.OF S E R V I C E METER NO. 01 CC COND. A. W. G. A. W. G. A W G. PMT. AMP, TYPE EQUIP. 1 BYW 1 q 3W J 9 SW 3A' <W PER o OF CC. COND NO OF H4lEG OF HI LEG NO OF NEUTRALS OF NEUTRAI 1 200 CB 1 OTHER APPARATUS: EXIT SAFETY-PACK--2 EXIT-1 HEAT PUMP 3OA-1 HEAT PUMP 4OA-1 PANELBOAROSr1-17 CIR. 100 G.F'.C.It-6 T.H. CHESHIRE & SON LIC..#3856-E P.O.BOX 243 GENERAL MANAGER CALVERTON, NY, 11933 Per I1 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. I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUCH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR BOARD OF HEALTII FOHMNO.1 7 SETS OF PLAYS TOWN OF SOUITIOI_D SURVEY BUILDING DEPARTMENT CIIECI. , , , , 91995 TOWN HALL SEPTIC FOlUI ` SOUTHOLD, N.Y. 11971 TEL.: 765-1802 HOT( PY CALL rU_ . J EziiiirinTed 19~J FIA 11. TO: Approved 1925. Permit No.. . Disapprovedn/c (Boil r Inspector) APPLICATION FOR BUILDING PERM IT]~ Date I INST'RUCT'IONS it. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wilh sets of plans, accurate plot plan to scale. Fee according to schedule, b. Plot plan showing Igcation of tot and of buildings on premises, relationship to adjob ing premises or public sheet or areas, and giving a detailed description of layout of properly must be dfawn on the diagram which is part of this appli 'Cation. c. 'file 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 ally purpose whatever until a Certificate of Occupancl shall have been gianted by the Building Inspector. APPLICATION IS HEREBY MADE to the BuildingDepartuient for the issuance kamull(]A Permit pursuant to till Building Zone Ordinance of the `T'own of Southold, Suffolk Couri'ty, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal ell demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t( admit authorized inspectors on premises and in building for necessary inspections. M. . r (Signature of nppl]cant, or came, if a ror)outlion) ozy (Mailing'address of applicant) Stale whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises (as on Ile lax totl or rated (lead) If applicant is it r I oration, sign alu e o thmized officer. IiK, (Name and title of corpora e o lei) Buildet's License No. ('lumber's License No. Ir''a......... Elechician's License No. .........I, fill . Olher'frade's License No. . I. L.ocalion of land on which proposed work will be done. . ~Q Ilouse Number Street hamlet j~ Counly Tax Nlap No. 1000 Section I.1 f Block .....r( Lot . (r . Subdivision Filed Map.No. Lot............... (Name) Stale existing use and,occupancy of premises and inferll;Icc(I IIseu 111 d o opal cy o pr Iosed construction: a. Exisliug use and.ocqupancy ...............t/... . b. Intended use and occupancy Addrlutn AltelittiUll . . cp;ur val , Demolition Other Work . . (Descrip(ion) 4. F.s(tnutted Cost V . . . . . Fee . (lo be paid on filing this application) - 5. If dllen nunttbib of cars welltng oilils . . . Nutitber of dwelling units oil each floor . , , , , , , , , , , , , , Inrab .....................m G, If business, comillercial or mixed occupancy, specify notate and extent of.each type of use .....JQ0.~, 7. Dimensions of existing slru Nuns, if any: Front Rear , . , Depth .....i. . , , . Height iter of Stories . Dimensions Of same h alterations or adelitions: Front , Rear . . . . DeItth . t . Ileight , , ; Number of Stories . S. Dimensions of entire newlconsttru I ~iclion: Front Rear , Depth leiht Ater of Stories . . . 9. Size of . 1 I. Zone or use his ]tear Name . . . . . . . . 10. Date ..................Namofl%ormer(caner 11. Docsoro hosed consI rttwhic t t viol ulses are situated . . I 1 uy zoning law, ordinance or regulation: . . . . . . . . . . . . . . , , , , , , , , , • • . , 13. 1Vill lot be regraded I Nill excess fill e r m om 1 tremises: c No 11). Name of Owner of pre mises . I o , Address j ~f I'hone No.... . 7,7~ Name of Architect Address Phone No. Name of Contractorr , M Address Phut c No. I''i, lc Lh.l.s proper Cy w.LChln 3,00 feet of a Cl.dal wet-land? *yes,,,,,., No, *If yes, Southold Town 't'rustees Pertalt ntay be requl.red. PLO-r DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions front properly lines. Give steel and block number or description according to deed, and show street names atilt indicate whether interior of corner lot. i i I 11~ I. I I STATF OF NEW YOI COUNTY OF being duly s •"c r • • worn, deposes and says that he is the applicant (Name of individual sight}tg contract) above named. Ile is the I . . . . . ' n ant cur rural . (Contractor, b f e officer, c(c.) of said owner or owners, and is duly', authorized to perform or have performed the said work still to make and file this application; (flat all statements contained in this application are true to, file best of ]its knowledge an(] belief; and that file work will be performed to the ntmuterlset forth fn the application filed therewith. Sworn to before met his e .....day offii ...'.".1., 19 Nct , r t b!..°?7c//f fit~l,~ ,6~~` Connly HELENS D. HOR Notary Public, StateofiNew Vbtk No. rgnature of applicant) Qualified in Suffolk ,Count Commission Expires May 22, 1; _L~OUNGF NI 770( LF,. 12EM~VE Ekts" Y/A L _ STOt2, CLos, GAl r 44/ DIN. f ! C'C TO I LET ?1 AT .'rA125 r1 ~ I I I C)Ien8 Ca I 1 i EX15`,ivGI W ' TO PE 2L YOVI. j a / I AT CU;-)!JT=~ Hrrl' f j U I, I q-0°u HCr1: F2O/A FL. To ! HUNCr CEILIN~x 9! 1"+ r, ~ ~ I To ~o~~ C~!L1rJC~ If~G~~ 90X(2Oit Tll rWM81NG I aALLTA VER ums NIEW Tr i n _ - yam- I pu TESTING SEPONEOGVERNO • ~ I I~ ~ tow Rwdbtrlbwrq o' J ~IfSKS E N T R A t i,Q c _oi ~Y91911C Mama ww1 e. p„~, ILL r6u M ALL Dps. 3461-w. ' Of typ!{KaL 14 6°n 10'0~~ ~o",e PL16, q10°r 12"e~ SINK q-4 * REMCE11711QUIRED PLUMBER CERrff?CAT1oN ONLEADCONTENTSEFORE -Z'FaT/f/GATE Of OCCUPANCY SOLDER USED IN WATER SUPPLYSYSTEM CANNOT lo Sa, rT. N O T E. S EXCEED 2110 of 170 LEAD. ALL FXISYiTdG D I MENS?oNc:, 5HALL FF- CHE-Ci~E;D AT SITE. ALL NEW PAZFF !ONE 5HAi-L b Fl~,-')A FX14T. FL. V) HWJ('r LTA; . ALL pAR'il?ION [r~,li.. IaA'~L• -1'f,~, r1~4Y 4 SHALL 5E i( STD GE CL05 ?"S I S Fo' 1 S~ti,K ~q! GOYE.RE 7i,~t wn'H Y`n `.~1t E; `0C I ! W I ! I I I z I I 1' ALL NEW V-'00 A, L~ eE. '5 6"w 6 -e" I I ~I~ / 121 o°yl~D I I ALL NEW Tolt.f-~ lVt HAVti'. riAKC' C~ ; Ft ~4A- WAFtr AS Pru. SfA'SE coDk-. s ,Y~~ -IA19 i d w~ AI. /zt4T SY-S-rr.•~ Ju N£wl x01I E;-l' 4 L.ou;40 t1 APPIIOM n NOTED UNDERWRITERS CERTIFICATE REQUIRED DATppE:~~ ~~e.?.D ~-aP73b tI NOTIFY SUS LDI DEPARTMENT AT OCCUPANCY OR 786-1802 9 AM TO 4 PM FOR THE USE IS UNLAWFlJL FOLLOWING INSPECTIONS: 1. FOUNDATION • TWO REQUIRED WITUMIT PCOTICIP11Tc 1 ` 1 1 FOR POURED CONCRETE wwooliVVI wal11u IVA1L J 2: ROUGH -FRAMING & PLUMBING OF OCCUPANCY 1 3. INSULATION 4. FINAL - CONSTRUCTION MUST If I / BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET TH TATE E REOUIREMENTS OF THE N.Y. rr11 L 0 u-7 )2 ~o" IOIw CODES.CONST NOT RUCTION RESPONSIB ENEFRGY OR PQOP)OSI~.,D OFFICE SPAC1. ~ r F- _40 G12CUI'f ; DESIGN OR CONSTRUCTION ERR I ESyQ~[ Fop- ~I-y O3F21 rZE j~,l "i'`/ C02P P~.4r9441 Sys yw J^~L [ ~~AC %I o" DATA ~WG.I~Y TAG: TO BF- F SUPPORTS ` REMO~li;.G -PANEL -WtTH 200 AMP 5ER. I - 42-9": - :MAC N' R.D. MATTITUCK_ - ROY I~. PEEVE AGENCY BLDG, LT-