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Home My WebLink About21352-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFI~AT~ OF O~CUPAN~Y NO Z-23798 Date JULY 26, 1995 THIS CERTIFIES that the buildin~ ALTERATION Location of Propert~ 46455 COUNTY ROAD ~48 SOuT~OLD NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 2 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1993 pursuant to which Building Permit No. 21352-Z dated APRIL 20, 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 ALTERATIONS TO INSTALL A PIZZERIA IN AN EXISTING SHOPPING ~ENTERAS APPLIED FOR. The certificate is issued to ANTHONY PIRRERA of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ~ UNDERWRITERS CERTIFICATE NO. N276000 PLUMBERS CERTIFICATION DATED MAY 10, 1993 (owner) APRIL 1~ 1993 MAY 14, 1993 MARK BAXTER Rev. 1/81 lrOw~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~T? ~135~ Z Date ........................................... , 19 Permission is hereby granted to: /~ // / n _ ~ ~ /// ~ ../.~..~...~'.~...~..~. .......... ~/[ ,o ~~.~~~g~~......~:.~ ~~..~~~....~ .......... ~ ....... ~~....~: ....... ~, ,,,~,,e, ,=,ed ~, ..~..~::.....~....~..L.~ .................. : ................... .................................................................. ~~~ ............................................................ co..~ To~ ~ ~o. ~00o Se:~o. ....... ~ .... B~ ....~ ............ Lo~ ~o ......... ~ ....... Buildln~ Inspector. ~*e S../~~ tor Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~his application must be filled in by t~pewriter 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 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 Date ..... .......... New Construction ......... Old Or Pre-existing Building ................ Mouse No. Street Hamlet i¢ leC ! County Tax Map No 1000, Section...~. ..... Block ...... [~, ....... L~t ..... .~W ............ Subdivision ......................... Filed Map ............ Lot ...................... Permit No.'.~.!D.5..~..~.. [~ ~ ~ ~i ]l/~)z~O/'~ ~Ot~qC~t ~°;°~o~C~¢J~lOX rm ....-~. f.¢kI~. I,~...Applicant ...... :~. ................ ~..~.M ;~ / Health Dept. Approval ............. ..~.. .......... Underwriters Approval ....... ~.. ............... Planning Board Approval ................ Request for: Temporary Certificate .... Fee Submitted: $ ......... ~. L~: .O.~.. THE NEW YORK BOARD OF FIRE UNDERWRITERS [ [[t ~(~ 7 )' BUREAU OF ELECTRICITY ~ STREET, NEW YORK, NEW YORK 10038 JOHN Date THIS CERTIFIES THAT o~y the electrical equipment ~ ~scrib~ be~w and intr~uced by t~ appl~a~t ~med on the a~ve ap~ication number i. the prem~es of ~f)~G~ (,A~ hO,~ , in the fo~lowi~g location ~ Basement ~ Ist Fl, ~ 2~d FL Section Bilk Lot ~s exa mlned on ~ ~ ~[ (~ ~ ' ~ ~} 9 3 and found to be in compliance with the Na~'on~ Elect~cal Code. FIXTURE FIXTURES RANGES C~KINGDECKS OVENS DISH WASHER~ EXHAUST FANS ~TLETS IECEPTAC[E! SWITCHES DRYERS ~RNACE MOTORS FUTURE A~UANCE ~EDERS SPECIAL REC'PT. TIMECLOCKS 8ELL UNIT HEATERS MULTI-OUT~T DIMMERS SYSTEMS SERVI~ DI~ONNECT ~. OF S E R V I C E METEI OTHER APPARATUS: P,O, DOX 164 .[I~'~HOG(II,~ }IY, ~.J. 935 ~EaAL ~NAGER This ce~ficate must not be altered in any manner; return to the office of the ~ord if incorrect, inspectors may be identified by their credentio~s. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF APPROVAL OF SERVICE FOOD ESTABLISHMENT CONSTRUCTION, ALTERATION OR REMODELING OF A SERVICE FOOD ESTABLISHMENT This approval is issued under the provision of Article 13, Section 1304 of the Suffolk County Sanitary Code. Applicant George and Sophie Cartselos LocationofServiceFood Facility Cheesey Charlie's Pizzeria 46455 County Road 48, Southold Type of Service Food Facility: ' (1) New Structure (2) Ramodeled Existing Service Food Facility xx× (3) Building Converted from Other Use to Food Service By constructing or remodeling, the applicant accepts and agrees to abide by and conform with the following: aq THAT the proposed service food facility be constructed in complete conformity with the plans and specifications approved this day or approved amendments thereto· b. TH IS is not a permit to operate a Service Food Establishment. Contact this Department prior to op- eration so that an inspection can be performed. CONDITIONS OF APPROVAL - 1. Provide a maintenance closet with mop sink 2. A letter from a licensed plumber verifying connection to the approved exterior grease trap be submitted to this office prior to operation 3. Provide dual drainboards at three compartment sink 4. Display refrigerator for calzones and pizza pops to be provided April 1, 1993 Date ISSUED FOR THE COMMISSIONER OF HEALTH Elizabeth Canal, Senior Sanitarian Name and Title 18-271: 5/82 TOWN OF SOUTtlOLD OFFICE OF BUILDIHG INSPECTOR P.O. BOX 728 TOWN H ALL SOUTHOLD, N.Y. 11971 CERTIFICATioN TEL. 765-1802 I certify that the solder used in the contains less' than 2/10 of 1% lead. water Supply system Sworn to before ~mo this p b ' s signature)-- Notary PubL&c · HELENE D. HORNJ~ Notary Public, State of New York No. 4951364 Qualified ii1 Suffolk County ,-~ Commisaion Expires May 22, 1~ ~ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 6, 1995 Mr. Anthony Pirrera C/O ASPA Management 239C East Main Street Patchogue, NY 11772 **** SECOND NOTICE **** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) ** No Underwriters Certificate on file. xx The check is outdated. $50.00 /~ xx No Health Department Approval on file. c____~-.- No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21352-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor Southold Town Hail P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOV~N OF SOUTHOLD I~y 28, 1993 GEORGE & SOPHIA CARTSELO$ 1850 BRIDGE LANE, BOX 18 CUTCHOGIIE, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (outdated/not on file.)~0~50,~ xxx No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 21352-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOW/~ BUILDING DEPT. :OU_~ZDA'TI ON ( 1 s t ) '~UN D A TIO,'I ( 2nd ) xTOUGH FRAHE & -PLUMBING -~;SULATION PER N. Y. STATE ENERGY CODE FI:;AL /[DDIT]~O~A'L CpMMENTS: · THE NEW YORK BOARD OF FIRE UNDERWRITERS WE ARE rN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE -- ELECTRICAL INSTALLATION AB COVERED IN AN APPLICATIOD~N_OT~NOT D BELOW. ~eO (REV 9/901 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~] ROUGH PLBG. FOUNDATION AND [ ] INSULATION FRAMING [ ] FINAL ,_INSPECTOR 9 1993 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 IC' ~'~ TEL.: 765-1803 Examinec~'?/7~/..~/~.'' , 19 '~..".'~ Approved...' .~/'' i i i i i i ~, 19~ Pe~it No. ~/~.~// Disapproved a/c ..................................... ................. . ............ __ . (~di~spector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLA~S SURVEY ................... CIIECK .................... SEPTIC FORH . ............. hO,~PY~ MAIL TO: Date ...... ~p ; ~(' ............ ''~ 199...~ INSTRUCTIONS a, This 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 streets or areas, and giving a detailed description of layout of property must 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 issued 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 part 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 Building Zone Ordinance of the Town of Southold, 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 described. The applicant agrees to com~pf] .~;it'.~aIi~agpli0.a..ble laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectieTrPs ~ ~ -- , ' ,. ' ..... . (Signature of applicant, or name, if a corporation) (Ivl~iling address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, ~lectrician., plumber or builder. Name of owner of premises ....... '.'. ~ ~ .'.~ Y~-"I. · . } .('. [ .C .C.C),~ ...................................... (as on the tax roll or latest deed) If applicant is a corporation, signa~tur.? of. duly authorized officer. (Name and title of corporate officer) Builder's License No... ~ ~~ 2 Plumber's License No.. i i~~~~'~~ Electric, ian's License No. Other Trade's Lic,ense No ..................... 1. Location of land on which proposed work will be' done ................................................ ,. 0j.g.. House Number Street Hamlet County Tax Map No. 1000 Section .... ~..~. ......... Block ..... Z ........ .... 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 b. Intended use and occupancy .... .~.} ...... - ,,".-: ,. · ,, · , ~, property tines. Give street and block number or description according to deed, and show interior or corner lot. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ ~ ~ ~ 0 ~3' ' (Description) 4. Estimated Cost. . Fee (to be paid on filing this application) 5. If dwelting, number of dwelling qnits ............... Number of dwelling units on each floor ................ · If garage, number of cars ..... i .................................................................. 6. If business, commercial or m/xed!occu,,anc,, s"ecifl' 7. Dimensions ct existing structure~, if any: Front ............... Rear .............. Depth .............. Height ............... NumCer of Stories ..................................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... i. Height ...................... Number of Stories ............... ~ ........ 8. Dimensions of entire new constmctmn: Front ............... Rear ............... Depth ..... ~ ......... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ........... 2 .......... Rear ...................... Depth ...................... 10. Date of Purchase ........... ~ ........ . ......... Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violdt6 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 ................ Addres~ ................... Phone No ................ Name of Contractor .......... : ................ Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate ail set-back dimensions from street names and indicate whether A RO ED AS NOTED 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ' 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH ' FRAMING & PLUMBING 3. INSULATION ' 4. FINAL " CONRTRUCTION MUST BE cOMPLETE FOR C.O. ALI. CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NF~-~YOR~D_ //~ S iS COUNIY OF · ~.%.A-~ .b..~. 'i · l ?. (Name&f individual signini contract) above named· ~ .......... being duly sworn, deposes and says that he is the applicant He is the ~ '77..(? .'.~..'V'L-~ */ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this apptication; that all statements contained~ in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith.' Sworn to before me tl).is , \ · CLAIRE L. GL : '. NoteW Publlo, State of New Yo~ <~, ~ NO. 4879506 ! ..v /,[. z'~-.'o-~,. ........................... · Qualified in Suffolk County c~,~/- (Signature of applicant) Cemmisslon E~lree D~.~mb/~' 8~ 1gL--/ EXISTING WINDOW PREPARATION TABLE PIZZA DOUGH PREPARATION OVEN FLOOR / PLUM~ING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING PLAN__ PLUMBER CERTIFICATION ON LEA D CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER NEW WALL EXISTING TOILET EXISTING EXIT SION -REMOVE WALL j~__~.=__~.-: EXCEED 2/10 of I% LEAD. ISTING DOOR PLUMBING SECTION CHEMICAL FIRE EXTINGUISHING S~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UHRERWRITERS RERIli:IC~I'E REQUIRED