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Home My WebLink About20444-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20729 Date MAY 14~ 1992 THIS CERTIFIES that the building. Location of Property 5775 MILL ROAI~ House No. County T~xMap No. 1000 Section 106 subdivision ALTERATION MATTITUCKt N.Y. Street Hamlet 6 Lot 5 Lot No. Block Filed Map No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUA/~Y 7, 1992 pursuant to which Building Permit No. 20444-Z dated FEBRUARY 24, 1992 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is ~LTERATION TO EXISTING RESTAL~RANT AS Ai~PLIE~ FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED BRHCE ACKER & WALTER STOCKTON N/A N-230962 - APRIL 7, 1992 N/A Rev. 1/81 ui~ding Inspector I~OIV~ NO. ~ TOWN OF $O~THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- 20444 Z o, ..~..~ ........ ..~.....-~.....,,,. ...... , ,,..~... ' /¢/~ ¢4,¢' ¢,,,zz'~. Permission is hereby granted to: ~~. ~ .¢.~..~.~ ......... ..'~.~/~ .... · .:~.,~z-~..../e..~,..~,..../../.~ ~ ............ :....~h~':-~ .............................. .: ................ :.-~.~, ......... , ................. o, p~om,,, ~'~o~ o, ...... ~....7...~...~~...~.-~...-£~e¢ .................. .......................................................... .~.~x,..~.~¢x...'.: .................................... ¢ou~, T,,x ~ ~. mOO Sect~o~ ..... 1~.~ ........ m~X ................. ~ot ~ ...... ~ ........ , ... Building Inspector. Re~ 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. 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 B~g - $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-existingBuilding .... ',~ .......... Location of Property. House No. Street Hamlet Onwer or Owners of Property.~.~/~ .................................................. County Tax Map No i000, Section..Z~,.~.c~. .... Block..4~.'.qq~. ....... Lot...~.~. L .~,~..6~. ......... Subdivision ........ ~ ........................ Filed Map..~ ............ Lot ~..~ ........... ... Permit No. ~.~. ?.~(...~...Date Of Permit ........9_fZzf~'L- ..... Applicant...~. ~...z~.~' .,~. (¥.~f/ .......... Health Dept. Approval .......................... Underwriters Approval ...................... ... Planning Board Approval ............ Request for: Temporary Certificate ........... Final Certicate....~. ...... Fee Submitted: $ ~.~. ~--'--~' 6{ c, q 5 33- ..................... ('la) ~ $oo~ q APPLICANT WILLIAM 90SCCLA JR E~ DOROTHYA.8OSCOLA .............. °"' ""' ........ '°""..-.~ I~/.~ ...~. '%\ \ YOUNG 8YOUNG .,~.~.~.~ IRC ENTERPRISES CORP. OBA Old Mill Inn 54 North Country Road Miller Place, NY 11764 Town of Southold Box 728 Main Road Southold, N.Y. 11971' Re: Building Permi~ for Old Mill Inn Feb. 4, 1992 Attn: C. Horton The following is thb list we talked about and that we will be morking on in addition to other various cosmetic details such as a new roof, replacing shingles, new front door with panic bar, meetipg health codes, general clean up of area, etc. 1 2 3 4 5 6 7 8 10 Boiler room - raise boiler and fire proof sheetrock room. New exit door (not to deck) with panic hardware. Fix crack on outside of fireplace. Underwriters certificate for electric. Hot water heater in kitchen - hook dp to code. ~eck - Engineers/Architects approval for structurability. ~eck - replace railings mith pickets. Nem front door with panic hardware. 8et tar off of chimney. Certificate of Occupancy from Town of~So6thql~.. Very truly yours, Bruce Acker PHONE: DAYS (516) 295-4270 EVENINGS (516) 298-4793 TWIN FOR~(S FIRE EXTINGUISHER COMPANY, INC. "YOUR PROTECTION IS OUR BUSINESS" MAIN ROAD R.R. #! BOX 96B MATTITUCK, NEW YORK 11952 Nay 12, 1992 01d Mill Irn~. ~ Mill Road Mattituck, N.Y. 11952 Gentlemen: This is to certify that on May 12, 1992, Twin Forks Fire Extinguisher Co., Inc. has ordered 2 - 10 lb. ABC fire extinguishers and 1 10 lb. BC fire extinguisher for the 01d Mill Inn. W~ will notify them as soon as we receive delivery, so we can deliver them. Very truly yours, LJ~:jda INC. IRC ENTERPRISES CORP. DBA Old mill Inn 54 North Country Road miller Place, NY 11764 Feb. 4, 1992 Town of Southold Box 728 Main Road Southold, N.Y. 11971 Re: Building Permit for Old'mill Inn Attn: C. Horton The following is the list we talked about and that we will be wocking on in additi.on to.other various cosmetic details such as a new roof, replacing shingles, meetipg health codes, general new front door with panic bar, clean up of area, etc. Boiler room - raise boiler and fire proof sheetrock room. New exit door (not to deck) with panic hardware. Fix crock on outside of fireplace. Underwriters certificate for electric. Hot water heater in kitchen - hook Up to code. ~eck - Engineers/Architects approval for structurability. ~eck - replace railings with pickets. New front door with panic hardware ...... Get tar off of chimney. · Certificate of Occupancy from Town Bruce Acker ~OUNDATION (1st) ~OUNDATION (2nd) ~OUGH FRAME & .PLUMBING rNSUSATION PER N. STATE ENERGY CODE FI];AL .I 1 ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS t '[ 0~ [[17 I BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~EBRIJ~R¥ 2~1~ ~pplieationNo. onfile 7~515992/92 ~ 3~22~ THIS CE~IFIES THAT o~y t~ el~trlcal ~ulpme~ ~ ~scrlbed be~w a~ int~uc~ by t~ applicant ~ed on the a~ve appli~tion nu tuber in the premises of in thefollowing location; ~ B~sement ~ Ist Fl. ~ 2nd ~3. OUT S~tion Bilk Lot ~sexaminedon ~ ~ ~ ~7,~99~ and found to be in compliance ~ith the N~on~ Elect~cal Code. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST EANS OUTLETS SWITCHES 2 2 DRYERS OTHER APPARATUS: E R V I C E A W.G. NO OF HI-LEG A,W,G. O~= CC. COND OF Hi-LEG OF NEUTRAL BOX 2t5 GENERAL MANAGER 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 I~UST NOT BE ALTERED ~N ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS '~.0'! 1. BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~!?[4]'l, ~Trl?J92 App~icationNo. o~file '7~)~/9~ ~ ~ THIS CERTIFIES THAT only the electrical equipment ~ ~scrib~ be~w and introduced by t~ applicant ~med on tire above application number in the premises of in the follo~,ittg location; [] Basetnent [] Ist Fl. [] £,,d Fl. 0~' Section Block w~sexamlnedott /~.~ ~ ]'L (~92 and/oundtobelncompliatlceu, i£htherequlret~tents~ffthisBoard. Lot EIXTURE OUTLETS ECEPTACLE! DRYERS FURNACE MOTORS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :UTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E 3/0 NO OF HI-L~G 0 OF NEUTRALS ~/(~A W 0 OF NEUTRAL G & ~d CONTRACTOR BOX 2:1.5 ~OU~'IIO[,D, N?~ i;i. 971 GENE~2AL MANAGER Per 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. Examined ................. 19... Approved ~./.~..~. ....... 19,~.,-~ermit No. ~...g~..~..~. '/7/ ~ Disapproved a/c ..................................... BOARD OF HEALTIt . ..%_.~-.. FORM NO. 1 ~ .. 3 SETS OF PLANS .......... TOWN OF SOU/HOLD ___----SURVEY ................... BUILDING DEPARTMENT ~ CllgCa .................... " TOWNHALL SEPTIC FOR,q ....~--~-~.. ....... SOUTHOLD, N.Y. 11971 TEL.: 765-1802 -.. t:OTIP¥: CALL ................... NAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date. INSTRUCrlONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 ets 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 punic streets ,r areas, and giving a detailed description of layout of property must be drawn on the diagrmn which is part of this appli- ation. , Cd. 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 applica, nt Such permit hall 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 hall 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 ;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ',egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. ~~ -- (Signature of applicant, or name, if a corporation) tManmg a~uless o[ apphcano Rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ame of owner of premises ............................. (as on the t~ax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........................... Plumber's License No ........... '~...../~~ Electrician' ~ s License No ........... ~ ./~..~ Other Trade's License No ...................... Location of land on which proposed work will be done. g' P p ~' to~ 7-- /'~2~)L Fd.& . House Number OLO ,~/Z~_..7',v,*- Street Hamlet County Tax Map No. 1000 Section'2. .... /.~.~o~'72 ...... Block .... .~....~-~ . Lot " " '"" " " .5 /~'~ ~'~,~:b ......... b~j.o~,~ ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......................... -. -~ . b. Intended use and .~. ?..'~ / .~A5 7'..~.e~..~..,y.'~..". .... ', occupancy 3. Nature of work. (check which applicable) New Building · · · Add tion Alteration R pair . .~.,~2 ..... Remoyal .............. Demohtmn .............. Other Work ............... 4. Estimated Cost ('>~o.? [ $'~,,~ ~o~-~dj,~_ ,- ....................... vee .: ............... (to be paid on filing this application) 5. If dwelling number of dwelling Units . ~.~:ri-..~..~.P.l/.c. .'. Number of dwelling units on each floor ................ . If garage, number of cars ..... i ......................................... 6 If business commercial or mixedloccupancy specify nature and ......................... · ' , extent of each type of use p.~..~//Z..~.~.. · 7. Dimensions of existing structures! if any: Front .~..~...~?¢./~..',.. Rear 2-2.~ ~ ~.~. ~/. Depth ~*/i~ b ...... Height 7-~ ~ Number of Stories ' '~. ......... ' ...... Dimensions of same structure wit~ alterations or additions: Front . .¢..~.,~5 .......... Rear . 5.~. ,~?.~ ........... Depth ...5'~,,~.~ ...... ' Height ...~..~.r~.~. .. Number of Stories..~...~.r~f 8. Dimensions of entire new construlction: Front . .~. T. ~ .~./~.~.... Rear ...... i ........ Depth ............... i . Height ............... Number~of Stones ......................... ............. , ......... 9. Size of lot: Front ..... ..Z~.f./.~ ...... :'~-. Rear ..... (~.'.'.9.. ............ Depth .~.~. '. ......... ' ....... 10. Date of Purchase .... /~./.O7~ ................. Name of Former Owner 11 Z d' ' ' h' hp re' it ated · one or use ~stnctinw lc re ~sesares u ............... 12. Does proposed construction violate any zoning law ordinance or regulation 2~'~. ........... 13. Will lot be regraded .~Y~ i . . · ...... ' ....... i ........ , ........ WlU excess I111 De removea ~rom premises: Yes ~(,~. No..,) 14. Name of Owner of premises ~'.~*. ] ~*'~'~*d~ L ~, ddress . . Ph"ne N" ' Name of Architect ~.,f..~. ~p~&~ i ............ ,~,, ' ................................... ..... j., ................ ^aaress ..... Phone No ..... Name of Contractor ~e~.~-,~_tj_~_ ..................... ~ · .......... Address ~. ~,~/7/~ 1.5. xs tnJ~s property wxth±n 300 feet of a t±dal wet±and? If yes~ Southold T~wn Trustees Perraxt may be requ±red. '-. i PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, 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 whether interior or corner lot. !TATE OF NEW YORK, -- ........... · ~,(/~.~.4.-.../~. ~.~.~/~... z ................. being duly sworn, deposes and says that he is the applicant (Name of individual signing ~ontract) bore named· , I (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly atithorized to perform or have performed the said work and to make and file this pplication; that all statements containe~t in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner se! forth in the application filed therewith. worn to before me this ................... day of .......... otary Public ............ . · .~ ......County Notary Publio, State pf New York No. 62-46f6337 Qualified in Suffolk Couflty Commission E~k~ A~gu~t