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Home My WebLink About21500-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22500 Date AUGUST 6r 1993 THIS CERTIFIES that the buildin~ Location of Property 46455 ROUTE 48 House No. County Tax Map No. 1000 Section 55 Subdivision ALTERATION SOUTHOLD~ N.Y. Street Hamlet Block 2 Lot 20 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated J~3NE 4~ 1993 pursuant to which Building Permit No. 21500-Z dated JUNE 25, 1993 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 EXISTING BAGEL STORE AS APPLIED FOR The certificate is issued to ANTHONY PIRRERA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #2999 - JULY 20~ 1993 PLUMBERS CERTIFICATION DATED AUGUST 3~ 1993 - C. SIGONA /~~iiding Inspector Rev. 1/81 FORM NO.3 TOWN OF BOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] CountyTax Map No. 1000 Section ....~....~...~.. ...... BIock.~:?....~ ........... Lot No..~.......~.......~...~, pursuant to application dated ....~ ......... ~ ........... 19.~ ..... and approved bythe Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. ~his 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 ail 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: ' I. Accurate survey of property showing ail 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 $15.00, Commercial $15.00 House No. Street . Hamlet Onwer or Owners of P ~ ................ F ~ ' .............................. Count~ Tax Map No 1000, Section .... ~ ..... O ........... ~ .... Subdivision ' Filed Map Lot Permit N '. ...~..oate Of Permit ................ Applicant. .. ~f~... Health Dept. Approval .................... Underwriters Approval . . . Planning Board. Approval ........... . .:... ...... . Date 7/20/93 THIS CERTIFIES THAT Des Nar Electric LIC: ~3833-E on the electrical equipment as described below and introduced by the applicant named on the above application number .... $igona, Rte. 48, Southold, NY 11971 n me prem ses 0~ in the following location: ~ __ Basement ~ 1st FI. __ 2nd FI. __ Pool __ Hot Tub was examined on 5/15/93 and found to be in compliance with the National Electrical Code. 17 6 4 3 AMT ..W. AMT ..W. ~"¢ "2W.~ O,' ,.P. aAS ..P. UJ~ '"';. AMT~zi~ } AI~Pi~20 AMI AMPS TRANS. AMT H.P. NO. OF FEET AMT WATTS SERVICE DISCONNECT NO. OF METERS AMP TYPE Pres dent 1 150 OH 1--150 C.B. ' :" ' ' This certificate must not be altered in any manner. Inspectors may be identified by their credentials ;TION ~ '~.~"~'"~' · ELECTRICAL INSPE( SERVICE, INC. ~. ~-~..:.~ ~-~..o~ · 1322 MONTAUK HIGHWAY ' '"'"~::'~ -'" EAST PATCHOGUE, NEW YORK 11772 ' ; '~:~ >;,-, ' Application No, On File 2999 INSPECTORS Thomas Fisher Building Inspector Gary Fish Building Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 CERTIFICATION Building Permit No. ~. (please print) Plumber: ~ ~N~(~(~ (please print) DATE: I certify that the solder used in the water supply system contains less than 2/10 of I% lead. ( P-l--umbe r s Signature~ Sworn to before me this Notary Public, ~__3.R~--x~-_~ounty /-x ~-x ~ Notary Public, State of i'~w York No. 52~8125850, Suffolk Cog,qty Term Expires O~ober 31, ~ ?'IELD z ........ ~N , FOU~DATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & FLUMBING INSULATION ?ER N. STATE ENERGY CODE FINAL Ye ADDITIONAL COMMENTS: SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF APPROVAL OF SERVICE FOOD ESTABLISHMEI ..~ t CONSTRUCTION, ALTERATION OR REMODELING OF A SERVICE FOOD ESTABLISHMENT :, .: ..... This approval is issued under the provision of Article 13, Section 1304 of the Suffoll~ County ~anitary Code. Applicant Carl Sigona Location of Service Food Facility Bagels Your Way, Route 48, Southold Type of Service Food Facility: (1) New Structure ××× (2) Remodeled Existing Service Food Facility {3) Building Converted from Other Use to Food Service By constructing or remodeJing, the applicant accepts and agrees to abide by and conferm with the following: a. THAT the proposed service food facility be constructed in complete conformity with the plans and specifications approved this day or approved amendments thereto. b, THIS is not a permit to operate a Service Food Establishment. Contact this Department prior to op- eration so that an inspection can be performed. Date June 11, 1993 ISSUED FOR THE COMMISSIONER OF HEALTH Designated I~presentative Elizabeth Canal, Senior Sanitarian Name and Title 18-271:5/82 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL REMARKS: /~///~/~///~ DATE ? /' / FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.¥, 11971 TEL,: 765-1803 Examined ................ ,19 ... Approve~.~...., 19~.~. Permit No. '~./..~..~/..~-/~ Disapproved. a/c ..................................... gOt\RD OF HEAI. TI{ SURVEY . . CALL ................... HAIL TO: (Building Inspector) Date...~.. I..C~. APPLICATION FOR BUI LDING' PERM IT 19.%.. INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 sti'eets or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli- 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 i~sued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in ~art for any purpose whatever until a Certificate'of Occupancy 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 the Bu!*Iding Zone Ordinance of the Town of Southbld, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describbd. The applicant agrees to comply w~th all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buitdigg.fo, r necessary inspections --' (Signature of applicant, or name, if a corporation) · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... : .... .1~<5~. ..... .~ . ......... '4 ? ' N~ime or owner of premises ~ ..... .°..'3. .... ~ (as on the tax roll or latest deed) If applicj~nt is a corporation, signature of duly-authorized officer. ...... · .%. . (Name and title of cokporate officer) Builder's License No .......................... Plum er' ' b s ~icense No ......................... Electrician s License No ........... Other Trade's License No ~ ~ ' 1. Location of land on which proposed work will be done ................................................. · Itouse Number Street Hamlet County Tax Map No. 1000 Section 5.--~ ~Block -~'~'' 'O ' .~.?..~ ....... .O... Lot . Subdivision ........ . ............................ '. Filed Map No ............... Lot ............... (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... 'j~..~.'.'~..\ ~ ..~ .~.~o¢.~..~ ~",~ ??t,,??,? __ i ............. ,~.,tv',,.~ · 5 ,',~z ¢~,~;* ~;~lflt~ ......... b. Intended use and occupancy ....'.~..'.~...~[ ~ , -~(2~_~ t ,p..,: ,~,~ ,e}i~**~ ' ....... . ................... .. ?[ ,.,~.~v~ ~, ~:~}.~t.~ ~t~ ........... · 3. Nature of work (check which anplicable~. New Buildin- i~,. ' ~' ¥ ' . ~. . v ~ ,- ~ .......... ~aaifion .......... Alteration /3,... ;... t~epmr .../&...~ .... Rerqoval .............. Demolition .. '..': ......... Other Work } ............ ' ' ~' /~.~ . ' / ~..~.~.. ~ (Description) 4. Estimated Cost .... ; ....... . · . Fei (to be paid on filing this application) If dwelling, number of dwelling units ............... . Number of dwelling units on each floor ............... If garage, number of cars .... !...; ....................... . ....... . .................. If business commercial or mixed occupancy specify nature and extent of each type of use ................ unenmons of exmhng structures if any: Front ' Rear Depth Height Nu~ her of Stories ................... Dimensions of shme structure With alterations or additions: Front .................. Depth ' i Height .................. Rear .................. ' ' Number of Stories ' 8. Dimensions of entire new const[uction: Front Rear ~ .............. ~ ........ ........ ; ..... ; . Depth Height Number of Stories ' ' ........................... Size of lot: Front ' · RT.a ' ' pth ......... ,~ ........... r ...................... De ...................... Date of Purchase .......... 4 ......... ' ..... Name of Former Owner ........................... Zone or use district in which pr~mises are situated ....... .~ .{otS~.~.~. Does proposd c tic vi late y oning law dinance or egul "'. ................................. e onstruc n o an z ,or r ation ........ )~?D ............... Will lot be re raded ' ~ . ,, g .... 2~: ' ~,' ',~' 'c ....... (/1..;... Will ex~ss,fill l~e~re~mov,~d from premmes: / Yes e~ame, of Owner of pre_mises~._~6.~x4~:~.;qq~/:/O/h Address .t~9,OJ~ .¥~.{.fi{.~..'.'0i .~.,ni~. Phone No../."{~. ..... .'..' Name of Architect . ~.~¢.~3~....~.0.~..~..'...'. Address~.~B.~.~.~y.e.~q~olN..{:. Phone No~.~.~.'~(¢..~..{/. Name of Contractor i · . · · . · ........ ~ ................. Address ............ ; ...... Phone No ................ 15. I.s th±s property w±th±n 00 feet ot5 a tidal wetland? *Yes ........ No. ~ ..... ~If yes, SouthoZd ~o.wn Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly all[ buildings, Whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner Io!. [ I0. 11. 12. 13. 14. STATE O F NEW ~- -R~]~ -t -']J (Name of individual signihg contract) ' above named, f~ ' ' or said own r or owners, dulx !autho ed tO crro or haw ~rto~d t~ laid work and to m~ a~d fil~ t~i~ "' I I