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Home My WebLink About20371-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27444 Date: 12/01/00 TI{IS CERTIFIES that the building ALTERATION Location of Property: 1705 YOUNGS AVE (HOUSE NO.) (STREET) (H~LMLET) County Tax Map No. 473889 Section 60 Block 1 Lot 5 Subdivision Filed Map No. __ Lot No. SOUTHOLD conforms substantially to the Application for Building Permit heretofore filed in this office dated J~d~3ARY 7, 1992 pursuant to which Building Permit No. 20371-Z dated JAArgARY 9, 1992 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 IN AN EXISTING RETAIL STORE AS APPLIED FOR. ~e certificate is issued to AGWAY INC of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF ~%LT~ i~PPROVAL N/A ELECTRICAL CERTIFICATE NO. 1664 11/22/00 PLUMBERS CERTIFICATION DATED N/A ~ //~orize~Signature Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- 20371 Z Permission is hereby granted to: r/~J/2 / _ ~//~ ~.~..~~..~.....~..~..~........?.~ ~ ..... ~~~..~.~..~/ ~ ............ ..~.....~......~~..~ ................................................................................ at premises I~t~ et ...~.~~~..:~ ................................. .................................................... ~~~ ............ ~.~L~.~.~.~.~.~.~',~.LL~ ....... Co~n~ Tax Mop No. ,000 Se~t~o~ ....... ..~..~ ......... Block ......... ./.. ......... Lot No ....... ~...~..~ ........ pursuant to application doted ..... .~..../~....7. ....................................... 197../~..., and opproved by the Building Inspector. Fee ~ d-~ ~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ICATION FOR CERTIFICATE OF OCCUPANCY - q 3o7_ 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.----Yinal surYey o~property with accurate location of all buildings;--prop'e~ff~'2i~,--- 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 o{ 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 bnilding. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '¥re-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. Fees i. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - ~ .25~D 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction Old Or Pre-existing Building Location of Property. [0.~.~...Y~.~)..~. · · .. ~.~ ...................... ~).~It.-~?~. ~ ......... ~ouse No. Street Hamlet Onwer or Owners of Property.. ~ .... ............ County Tax Map No 1000, Section ................. Lot....~. ............. Subdivision Filed Map Lot . Permit" Of Permit Applica mo.. .... . ......... tM ....... nt... ......................... ~ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... ....................... APPLICANT Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street * Center Mor~ches, New York I t934 ',' Tel 6al-878-a500 Fax' 631-878-3764 Applicatton No 1664 Issued to, Agway Ii1c Address: 1705 Youngs Ave Village' Southold,Ny introduced by: Owner Date' I 1/22/2000 Township: Southold License#' N/A xvas examined and [bund to be in cornphance with the National Electrical Code ,altic 1st Floor [] ResiOeulJa~ Pool Der. Garage Ba,sege~ [] 2~xl floor C, om'TerOal [] Hot Tub NV Defects [] Swdches Receptacles F~xtures G F I Heaters Air Cond~boners Oven Carbon Fans Dishwasher Washer/Amps Dryer/Amps Range/Amps Monoxide Smoke Bell Furnace Off Gas Circulators Detectors Transformers Other Eqtdpment Meter Amps Phase Motors Electrical Survey lout,Corem This certificate must not be altered in any manner Dui d~ng I ermlt No. 20a71-Z Section: Block: Lot: JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 17, 1992 CERTIFIED MAIL RETURN RECEIPT REQUESTED Spencer T. Fisher, Inc. P.O. Box 867 Riverhead, New York 11901 Dear Mr. Fisher: Please be advised that your check no. 5508 in the amount of $100.00, dated January 4, 1992 has been returned by the bank unpaid due to insufficient funds. I am enclosing a photocopy of the check and advice of charge from the bank. This office is required to collect a returned check charge in the amount of $15.00 to be added to any amount owing on the check when checks are returned by the bank unpaid. Please remit $115.00 cash, money order, or certified check to this office before 4:00 P.M. closing on Tuesday, January 21, 1992. Your failure to pay this amount in a prompt manner will result in the revocation of your building permit no. 20371Z and referral to the Town Attorney for collection. Thank you for your anticipated cooperation. Very truly yours, Judith T. Terr~ Southold Town Clerk Enclosure cc: Town Attorney Building Department// SPENCER T. FISHER, INC. P.O. BOX 867 TO THE ORDER OF_ -----~-"" '--'~D_ OLLARS 11'00550811' m:O2&hOqh~=t,~== && 008:.58 51~' ,"OOOOOi, OOOO,,' JAN 1 ? 1992 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSULATION jDATE INSPECTOR JUDITH T. TERRY ' ?-Zf- ,[-~' ' ~'- ~ REGISTRAR OF VITAL STATISTICS i' ~t ' ~. .~ ,' MARRIAGE O~ICER ~, (., ~ .- ,, ~ ~ ,' ' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765q823 Telephone (516) 765-1801 January 17, 1992 CERTIFIED MAIL RETURN RECEIPT REQUESTED Spencer T. Fisher, Inc. P.O. Box 867 Riverhead, New York 11901 Dear Mr. Fisher: Please be advised that your check no. 5508 in the amount of $100.00, dated January 4, 1992 has been returned by the bank unpaid due .to insufficient funds. I am enclosing a photocopy of the check and advice of charge from the bank. This office is required to collect a returned check charge in the amount of $15.00 to be added to any amount owing on the check when Fhecks are returned by the bank unpaid. Please remit $115.00 cash, money order, or certified check to this office before 4:00 P.M. closing on Tuesday, January 21, 1992. Your failure to pay this amount in a prompt manner will result in the revocation of the Town Attorney f~ cooperation. / Judith T. Terry, Town Cll >1x · SENDER; Complete items 1 and 2 when additional services are desired, and complete items Pot y3b~dad~d'~es$ in ~he "R~TURN TO" Space on th~ reverse side. F~ilure to clo this w{ll prevent ~his card from being returned to yob. The return receipt fee will provide you the name o{ the person deliver~dd to and the date of ~]eliverv. For adc~itional fees the following services are available. Consult postmastei $or fees and check box(esl for additionaJ service(s) requested. ~ 1. ~ Show to whom delivered, date, and addressee's address. 2. F1 Restricted Delivery (Extra charge) (Extra charge) 3. Article Addressed to: Spencer T. Fisher, Inc. P.O. Box 867 Riverhead~ N.Y. 11901 x 4. Article Number P 628 588 086 Type of Service: , . -,~..., [] Registered [] insured [] Certifie~J [] COD [] Express Mail [] Return Recei t for Marchan~se Always obtain signature et addressee or agent and DATE DELIVERED. 8. Addressee's Address (ONLY if requested and fee paid) PS Form 381'% Apr. 1989 .u.s.e.ao. 1989-238-8t$ DOMESTIC RETURN RECEIPT 7G5-'1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [h~'~TION [ ] FRAMING REMARKS: [ ] FINAL DATE ~~///~,~ INSPECTOR_~ jU76S*j.802 ILDING DEPT. INSPEI TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [,/]~MING [ ] FINAL DATE ~INSPECTOR ~ ?OU:;DATIO:; (lst) FOU~DATIO:; (2nd ?.OUGH FRAHE & -FLUMBING .... U-.TIOJ PER N. STATE E::ERGY CODE Fi:;AL ADDITIONAL COMME~TS ~ ........ ~ ........................................... FORM NO 1 III I'~!>~',(b¢' ?I '>?/,"',~ ~ TOWN Of SOUTHOLD )] ~;i ................ ,: : BUILDING DEPARTMENT ~I~ ~ lala -~ =,.,~: ~ TOWN HALL 1 ~ ~ n,i / . ' ' ~ SOUTHOLD, N.Y. 11971 ~.~...~, . TEL.. 765 1802 Approved ........... 1 ermit No. ~..~.~ ~7/ Disapproved a/c ..................................... ................. . ................ ...... APPLICATION FOR BUILDING PERMIT BOAKD OF HEALTH 3 SETS OF PLANS .......... SURVEY ................... SEPTIC FORH .............. ,,O~ ~ FY CALL INSTRUCTIONS Date .................. , 19... a. This application must be completely filled in by Wpewriter 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 cbmmenced 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~r~moval or demolition, as herein described. The applicant agrees to comply with ~H applicable laws, ordinances, buildi .~g cqile, housing code~t and regulations, and to .admit authorized inspectors on premises and in building for necessary inspec~ons_ ......... ./ .h%. . . . . :/ '- ............ -- (Signature ~f applicant, or name, if a corporation) (Mailing address of applicant) State whether applicajat is~owner, lessee, agent, architect, engineer, general contractor, electrician, plumber br builder. .............................. : ............. ---:....- ........................ Name of owner of premises..~..c~..~t~, e.~ .... . .~...,:k..C~: ................................................... (as on the t,ax roll or latest deed) 'If applican~tAx4, corporation signature 9f duly authorized officer. ' ~ Builder's License No .......................... Plumber's License No ......................... Electncmn s L~cense No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done. ~.4qL.~.!.~...L...q~q~..~.-a~.~.,~(.?.~-....~f..'~.... Counly Tax Map No/. 1000 Section . ~t9 Block * / Lot -~' Subdivision / Filed Map No. Lot ... :~.". (Name) 2. State existing use and occupancy o~p~en~ises~nd se and occupancy of proposed construction: a. Existing use and occupancy . . .i~//[~..~..1~.: ~...~.. ~ ........ ................... , .... >' ...... 7: ........ b. Intended use and occupancy ............................... -: ::',,' 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. D. emolition Other Work ~ ~ o ' ' (Description) Estimated Cost GO ~, ~ 4 ............................... Fee .................... ~..~ .... .;,, ............ (to be paid on filing this application) /~A 5. If dwelling, number of dwelling units ............. Number of dwelling units on each floor ................ · If garage, number of cars ........................................................................ 6. If business, commercial or mixed.occupancy, specify nature and extent of each type of use . ....... ~7. Dimensions of existing structures', if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear ......... ~ ........ Depth ..................... . Height ...................... Number of Stor/es ...................... 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 ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate 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 .................... Address ................... Phone No ................ Name of Architect ........... :. · ~ ............ Address ................... Phone No ............... Name of Contractor ?Va<~ er:. ~ IM~-.c. Address phA_~ 15 chi ty with 300 f f tid 1 d? ,Ye · is s proper in eet o a a wetlan s. ..... .. No.. ... · If yes, Southold Town 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 number or descriptioh according to deed, and show street names and indicate wheiher interior or comer lot. STATE OF NEW Y<.QRI~ cou~rr~oF .... .~.,~ gh. [4: /°'e ' ........ ~ ....... W.../../ .......................... being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) )f said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e ~d file this ~pplication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the ~ork will be perfomed in the m~ner set forth in ~the application filed therewith. gwom to before me this ..... .... , gota~ Public,... .... y ....... ¢:,,'rAID '4[~:fRi.,llr_AL Hr'AC... I GENERAL NO]ES 1, COMPLY WITH GOVERNING CODES AND REGULATIONS, PROVDE PRODUCTS OF ACCEPTABLE MANUFACTURERS WHICH NAVE SEEN IN SATISFACTORY USE IN SIMILAR SERVICE FOR THREE YEARS. DSE EXPEnlENCED INSTAll Ens, DELIVER, I IANDLE AND SIORE MAIEIllALS IN AcconDANCE WITN MANU- FACTURER'S INSTRUCTIONS. 2. CONCRETE BLOCK: NORMAL WEIGHT, ASTM C 145 AND C 90 TYPE I GRADE N; 7-5/8" BY 15-B/8" FACE SIZE SPECIAL SHAPES AS REQUIRED. 3. PRECAST CONCRETE COPING, WALL CAPS, AND SILLS SHALL BE 4000 PSi WITH LIGHT SANDBLAST FINISH. 4. MORTAR: ASTM C 270, PORTLAND CEMENT-LIME MORTAR, TYPE N ABOVE GRADE; TYPE M BELOW GRADE; OTHER TYPES AS REQUIRED BY APPLICATION. 5. REINFORCING: A. NORIZONTAL REINFORCING: WELDED TRUSS TYPE, 9 GAGE WIRE WITH DEFORMED SIDE RODS. USE IN ALTERNATE LAYERS, 16" C.c. S. REINFORCING BARS: DEFORMED BARS, ASTM A 61B GRADE 60. 6 DO NOT SCALE DRAWINGS. 7. DESIGN CONSULTANIS OR BECORD ARCIIIIECF-ENGINEER ARE NOT RESPONSIBLE FOR TIlE INSPECIlON, SUPERVISION, OR ADMINISTRATION OF 'rRIS CONSTRUCTION PROJECT, 8. Tills DRAWING IS AN INSTRUMENT PREPARED TO FACILIFATE CONSTRUCTION AND SHALL NOT BE CONS]RUED AS A CONTRACT BETWEEN BUILDER AND OWNER. 9. Tills STRUCTURE NAS BEEN DESIGNED IN ACCORDANCE WlYH THE NEW YORK STATE ENERGY CONSERVAIION CODE. lB. ir IS SUGGES ~ED 'friAr A CONSTRUCTION BUUGET CONTINGENCY OF FIVE (5) PERCENT BE ALLOTTEb TO ACCOUNT FOR INEVITABLE ERRORS AND OMISSIONS. 1]. ELECTRICAL AND MECHANICAL COMPONEN[S TO BE DESIGNED AND SPECIFIED BY OTHFRS. 12, ALL STRUCTURAL STEEL TO BE ASTM A36 WITH ONE COAT EPOXY PAINT, ALL FASTENERS TO BE ASTM A-325 BOLTS, 3/4" DIAMEIER, CONTRACFOR SIIALL OBTAIN ALL PERMRS AND INSURANCE NECESSARY TO PROTEC1 TIlE ENGINEER AND OWNER. FLOOR PLAN DATE REVISION NEW OFFICE LAYOUT AGWAY RETAIL CENTER YOUNGS AVE., 8OUTHOLD. NEW YORK BY S. L. MARESCA & ASSOCIATES ConsultlnE Engineers ti&O? Welt lJontliuk HIIhWly FLOOR PLA N ,USE .!s UN~,WFUL, , ~,,,~Tuni ~T, 'CERTIFICATE ~,:,,~ OCCUPANCY UNDERWRITERS GERTIFI~1E REI~IIIR[D