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HomeMy WebLinkAbout20024-zNo Z20t87 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date AUGUST 29~ 1991 THIS CERTIFIES that the building. Location of Propert~ 54195 House No. County Tax Map No. Subdivision BUSINESS ALTERATION MAIN ROAD SOUTHOLD Street Hamlet 1000 Section 061 Block 02 Lot 08 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 1991 pursuant to which Building Permit No. 20024Z dated JULY 18~ 1991 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 BUSINESS ALTERATION FOR A DELICATESSEN IN EXISTING STRUCTURE. The certificate is issued to JESSE JACKSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A PENDING SLIP 8/23/91 Rev. 1/81 ~uilding Inspector lvO~' NO. ~ 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) Ne 20024 Z Permission is hereby granted to~L ~ ~. , ~ C .........· 7.,s..e..~.....~.....~,~.....~.~' ..... ...... ..~.~....~..~..,.....t..,...~.~..,... , ,o ..~~...~.~..~T.~./.',~.....,~....~....~ ': ............. ................................ ............................. at pr re'ss ocated at ...~...'~. ................... ~-./..~....~..,.....; ....... .~~..~.. ................... County Tax Map No. 1000 Section ....... ..C~...~....[ ..... Block .....~ ............ Lot No ......(~ ............... pursuant to application dated ...... ~......L..~.......' ....... :..., 19.~./.., and approved by the / I Building Inspector. B'~flding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: I. 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 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, Additiohs 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 - $i00.00 , 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ...................... ::ew Construction ........... Old Or Pre-existing Build~ng.~/... Location of Pronertv...~.~.~f.~. /~/~ ' · ........ ~ ......... House No. Street Hamlet ..... 3nwer or Owners of Property.. County Tax Map No 1000, Section ..... .~../. ..... Block.....~.. ......... Lot ..... ~. ............... ubdzv~sion.. Permit No~O;~' ~ ....................... Filed Map ............ Lot ..................... ....... ~ ........ Date Of Permzt .~...~Z..Applicant~<~.~. ~.,~.~.... Health Dept. Approval .......................... Underwriters Approval..., ......... * ........... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate...~.. ..... Fee Submitted: $ ...... ~%'~ ..~. v Arp icANT PLANNING BOARD MEMBERS Bennett Orlowski, .Ir., Chairman George Ritchie Latham, Jr. Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OFSOUTHOLD July 16, 1991 HARRIS Supervisor Hall, 53095 Main Road P.O. Box 1179 Southotd, New York 11971 Fax (516) 765-1823 Warren A. Sambach, Sr., P.E. Cox Lane P.O. Box 1033 Cutchogue, New York 11935 RE: Proposed Site Plan for Jesse Jackson/ Bayside Delicatessen E. Main Street NE/C Beckwith Avenue, Southold SCTM91000-61-2-8 Dear Mr. Sambach: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, July 15, 1991. WHEREAS, Jesse Jackson is the owner of the property known and designated as Site Plan for Jesse Jackson/Bayside Delicatessen SCTM~1000-61-2-8, located at 54195 Main Road, Southold; and WHEREAS, a formal application for the approval of this site plan was submitted on January 31, 1991; and WHEREAS, the Southold Town Planning Board, pursuant to the State Environmental Quality Review Act, (Article 8), Part 617, declared itself Lead Agency and issued a Negative Declaration on June 24, 1991; and WHEREAS, this site plan was certified by Victo~ Lessard, Principal Building Inspector on June 25, 1991; and WHEREAS, all the requirements of the Site Plan Regulations of the Town of Southold have been met; and Page 2 Jesse Jackson/Bayside Delicatessen Be It Therefore RESOLVED, that the Southold Town Planning Board grant conditional final approval on the site plan dated June 20, 1991, and authorize the Chairman to endorse the final site plan subject to the submission of a revised site plan showing: Three (3) planters placed between the sidewalks and the Main Road. A gate placed adjacent to the front of the building between the building and the east property line. 3. Landscaping placed along the west side of the building. The two parking spaces located on the west side of the building (desiganted as spaces 8 & 9) are waived by the Planning Board and should not be shown on the final map. Please contact this office if you have any further questions. Very truly yours, Chairman cc: Victor Lessard, Principal Building Inspector PLANNING BOARD MEMBERS Bennett Orlowski, Jr., Chairman George Ritchie Latham, Jr, Richard G. Ward Mark S. McDonald Kenneth L. Edwards Telephone (516) 765-1938 PLANNING BOARD OFFICE TOWN OF SOUTHOLD August 9, 1991 SCOTT L. HARRIS Supervisor Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Warren A. Sambach, Sr. P.E. P.O. Box 1033 Cox Lane Cutchogue, New York 11935 RE: Proposed Site Plan Bayside Delicatessen S.R. 25, Southold Zoning District: Hamlet Business (HB) SCTM~ 1000-61-2-8 Dear Mr. Sambach: This is in response to your request that the Board waive its requirement for landscaping on the west side of the building and that it accept one large planter in place of three small ones on the south side of the property. The substitution of one large planter for three smaller ones is accepted. However,~the landscaping on the west side is to be installed and maintained by the property owner or the building tenant. With regard to the proposed sign the Board finds it satisfactory provided it is not illuminated from within. If you have any questions, or require further information, please contact this office. ce: Very truly yours, Bennett Orlowski, Jr. Chairman Jesse Jackson, Owner Victor Lessard, Principal Building Inspector Rayraond Jacobs, Highway Superintendent FOUNDATION (2nd 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ^~T~O~ COrM .'-..~' ~t.~(~N ' . SUFFOLK COUNTY DEPARTMENT OF HEALTH · ~-(~I~ [] ~ ' [] ,~:o-~ ~ ~?~xt~ ~n~lo~ n~"~r FOOD ESTAB~SH~ ~SPECTION R~ORT T~SE IT~RELATE~ '~ ~O I~a. IRtg~L~N(~ O~ THE FOOD SERVICE OPERATION A~) ~R~A~i~SS. CORREC~ ~ SCI~DULED. · . MAy RESULT IN THE INITIATION OF ~ ACTION AGA/NST THIS CERTIFICATE OF INSPECTION This is to certify that a Range Guard Fire Extin~uisbin~ System protectin~ ~'~'_~ - ': at :~_i.n~.~ So~hoi5 ~ New YoPk ~ ~,,/~ has been inspectea and gund to be installed in accor&nce wi~ the limitations of ~e Unde~ters ~orato~es lls~n~ ~d in accordance wAth the recommen~tions of the m~- ufacturer. E was in ~ood and effec~v~ Wor~ or~r when ~e inspec~on ma~ ..... ~ ..... This ce~ca~e expires on Ps~=v.=w: o: Th i ~a d by-"' ~'~ ' --' '' an AuA~orized Range Guard ~nsta~l~ er. Vali~tihg Signature / (7 / ~4ooow,}.si V~',~T~-,[2 O,t~ "1 , TOWN OF gOUThOLD FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF HEALTH 3 SETS OF PLANS SURVEY ................... CHECK .................... SEPTIC FORH .............. Examined ................. , 19... ................. . ............... (Building Inspector) APPLICATION FOR BUILDING PERMIT ~,o~,.,~: ~/5-_337~ TEL.: 765-1803 ~ 0'/~ ........ /. ...... INSTRUCTIONS Date .~. ~ 19~J. a. This application must bt completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;els 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :a~ion. 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 ;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 Occulo~ncy ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant t'o the 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law% Ordinances or .~eguiations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. the applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to tdmit authorized ........... inspectors on premises and in building for nece_s_s~a_~j_'_n_s,l~_ec/I_ions.- / ,,/ A - '.- / -- (Signature ~f applicant, or name, if a corporation) ~e (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... k .............................................................................. Name of owner of premises ....:~..~".~..'.~'..~....'~.~..~./<..-'~....~/. ................................................. (as on the tax roll or latest deed) If 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 ............................................ ...... House Number Street Hamlet County Tax Map No. 1000 Section ..... ~. ......... Block .... ~ ........... Lot.. ~ .............. Subdivision ..................................... Filed Map No. ; ............. Lot ............... (Name) L State existing use and occupancy of premises and intended use and occupancy of proposed construction: use and occupancy .............................................. . '}": .~[~";:?~' 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration . Repair .............. RemoVal .............. Demolition .............. Other Work ............... 4. Estimated / .... r .................. Fee ............................... : (to be paid on tiding this application)i} 5. If dwelling, number of dwelling anits ....... ~ ....... Number of dwelling units on each floor ..... ' If garage number of cars 6. If business, commercial or mixedioccupanc/, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures~ if any. Front. ............. ~xear .. ~ ......... Depth ....~.o.' ......... Height Number of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height ..... /.~,.t .......Number of Stories .... 9. Size of lot: Front .... .~..5"1 ! .................................................. .~..~ ................. Rear .................... Depth 10. ' ............. .Date of Purch, ase ............ l ........ ' ......... Name of Former Owner ........................... 1 1. Lone or use district in which premises are situated ........ ~/t.~. . · 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. ~illlot~be,,regraded ...... 't~'~'!'~"~-~-",:',";'"Willex~essfillbe-rellagvedfrompremises: ~ Yes . No 14. rqame otuwner of premises ~.~. ~ .O..l~...~..5~t~ Addr~u~ "', ........................................ Phone No...~.02;.. [/~.~.. Name of Architect A,~,~ .... ~ ~, , ' ....... Name of Contractor ........ i ......... n,~,~ .... -~~1/ ~- - ' 1.5. Is this property within 3~'0' fe;~ o'fa ti~'a'l'~tO~a~/?j~' 7,~.-~i~.~/.' ~o~.°.n.e. 7?:// ............. · If yes, Southold Tqwn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block nqmber or description according to deed, and show street names and indicate whether interior or coruer lot. STATE OF NEW YORK 2OUNTY OF S.S: ........................ .O. .......... being duly sworn, deposes and says that he is the applicant (Name of individual signing icontract) lbove named. ~e is the ~ ' ,~ (Contractor , agent , corporate office r, etc . ) ................... ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the cork will be performed in the manner se! forth in the application filed therewith. ;worn to before me this day of - ·., Notary Publlo,.8~te of N.ew york ~ // . . tRi_n ..... '.. 0 r-"-'l ~ OP..S KE F L 0 0 R .P LA N' 'SCALE: PARTIAL FLOOR PLAN --FRONT ELEVATION L O7' ~ pLOT PLAN SCALE: V=40' PARTIAL SECTION ,SCALE: 1/4"= 1'0" / M¢'~' KEY MAP t FLOOR PLAN PLOT PLAN , SCALE: 1/'4"=!'0" BC&LE: I'~,~;:¢' .-; JU~ 2 I Ig~l PLUMBIN~ DIAGRAM ENGINEERS, PLANNE~, P.O. BOX 1033, ~X ~N~ CUTCHOGUE, N.Y.