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HomeMy WebLinkAbout20317-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N,Y. CERTIFICATE OF OCCUPANCY No Z-22087 Date JANUARY 7, 1993 THIS CERTIFIES that the building NEW BUSINESS Location of Property ZS970 MAIN ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 6 Lot 22 Subdivision E'iled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3 1991 gursuant to which Building Permit No. 20317-Z dated DECEMBER 9, 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 CONSTRUCT NEW HARDWARE STORE AS APPLIED FOR The certificate is issued to ROBERT MOLCHAN (owner) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL CIO-90-001 - JAN. 4, 1992 UNDERWRITERS CERTIFICATE N0. N-254383 - OCTOBER 21 1992 PLUMBERS CERTIFICATION DATED DEG. 7 1992 - PECONIC PLUMS & HEATING , ~ _ Bui ding Inspector Rev. 1/81 I i f OHM NO. f 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) N 2 0 317 Z Date ...1~.-...~.r.~:::1.Gw.,... 9 19.91.. Permission is hereby grunted to: to ..~.A':::!~aMa~.RA..:.....9a:....~~...z~51.~:~,J.:~a..A.....!;~-_.....~...ar.~?~.)C.4~::~.. of Dremises located at ...~.~.4~.~.Z. ©.....~.Q:~:rx....~rd .............~.:fM..s.X'4~'.?•it.!tiR......................... County Tox Map No. 1000 Se`c't"i'o~n~.....I. Block ........0. Via..... Lot No.. Z-........... pursuant to application doted ...A.,,aA:...~ 19~~..., and approved by the Building Inspector. Fee S.I...Q.S~..~•.?.e.W Building Inspector Rev.6/30/80 h Form No. 6 ~.~,,V rya ~ e~ TOWN OF SOUTHOLD ~ ' _ ~ _ `r~~ ~~1 BUILDING DEPARTMENT , s' O TOWN HALL z, A , C~~G ° ~ ~~g~ r 765-1802 ~l'~ ~ a. ~ o~ APPLICATION FOR CERTIFICATE OF OCCUPANC~O'~dv f3G~ SCzU~H LR , 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: 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 Chat the solder used in system contains ~ less than 2/10 of 17 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. B. 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 sha17_ state the Q 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 - Resident¢yi77al $15.0~y0, C99ommercial $15.00 Date .I1eC...()~.[.~.9~........ New Construction.. ~ Olcd~,Oyr Pre-exis~tning Buil ing.1. Location of Property....(°~.. t'. A;~?~ , ~a•oeci c..~c_~oq u„ Y House No. .Street f Hamlet..... Onwer or Owners of Property. , , p~Y. C ~ f~.,Y.` , 9~ ~..11'l0.~. County Tax Map No 1000, Section.....~G.~,,, Block ........Lot.. ~ Subdivision......... .......................Filed Map............Lot........ ~j A Permit No,~~,~, ~/'7~Date Of Permit./1:z::>,~~,I,~,,,Applicant.~~47: ~?/.J'~o~;gl„~;`~/,_,,,,,,, Health Dept. Approval S-::.1~" ~,u;~,,,.,Underwriters Approval.~~1,y~.~,/ ~i~` , Planning Board Approval ' ' Request for: Temporary Certificate........... Final Certicate..~,,,.,, Fee Submitted: ~~~uf~ ~ ~~qq a~~~T /~Q UpppLICANT . ~V U7 ~5 • INSPECTORS r- - r-% Victor Lessard c~OFFO(g- Principal Building Inspector ~ L'r,G~ Curtis Horton . .`i;~ :1 SCOTT L. HARRIS, Supervisor Senior Building Inspector w ; Thornas Fisher ~ -k~ ~ ~ Southold Town Hall Building Inspector ~ d ~ ~ P•O• Box 1179, 53095 Main Road Gary Fish 'mil-~Ol '~g~ ~.~'J~y1~' So Faxl(5 6) 765- 823971 Building Inspector Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD DECEMBER 11, 1992 GEORGE PONTINO BUILDER STILLWATER AVENULE CUTCHOGUE, NY 11935 RE: ROBERT J. MOLCHAN 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.)$25.00 %%R 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 # 20317-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: ROBERT J. MOLCHAN ~ TEL. 765-1802 45~FF~L~'~o`/ T0~4/N OF SO'tJT~OF.D f ~c OFFICE OF IIUILDI2QG INSPECTOR o ~ P.0: BOX 728 ~ ~ ':.Y`~ TOWN HALL . Oj/~ ~OZ- SOUTHOLD, N.Y. 1197I - Ol~~ C E R T I F I C A T I O N Date Building Permitn/No . ~ B ~ / ~ ~ (please/print) Plumber /J/G ~~ci h/~/~ ~f~Y~~iT/~~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1; lead. --z~_=off ~ Cplumber's signature) Sworn to before me this ' day of ' 19~. - Notary Pub1 1lotary Public, ~ ~ County _ ~ BARBARA S7EPNOWSY.1 Notary Pobl'a, State of Now Yc.' .,°r ~ ~ No.4844752 . ~ ~ (4; ~~~ti 1 ° ~ ' Oua9tkdin SultofkCoun,q r' S.~ ; s f , 9 Coromissfon EIq~6es Sept. 3Q t ~ +7 ~ ~;i c'lELD I;:S:`c:,:iU;J ~IUe::~ I~ ~OM:~ILNT° F I 7,- ~ c: 1J/o~ 2- ~'O~ Gtr .C., , ~ Q _O. <~I ~ _ _ ~W FOUIJDATION (1st) - `j'•i . LYR- ~ ~ c FOUIJDATIOiJ (ppd) - ti m 2 . 2, v' 0 P.000H FRAME & ~ o0 •PLUMBING ~ ~ ~ J o IIJSULATIOIJ PER N. Y. ~ y . STATE ENERGY ,~iG ~ ~S CODE I .~s~.~-u - 2 .5,.~ 4. r y • ~ FI;JAL 0 A ITIOiJAL C01 ENTS: m ` ~c.~iv-e. .v c-e~.-,~-~--~1_ • ~g b • s~ • H b ~ • 9 ^`ti. _ H .,,p H O i m • A r H - O . m _ ~ . ~ ~ ~ H I THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 17.33 J(777 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 70038 Date DC7°013FiI; 2.1.,].992 gpplicationNo.onfUe 77745"l9`L/92 N 254:3$3 { THIS CERTIFIES THAT only the electric¢l equipment as deaeribed betty and introduced by the applicont named o» the above oppiication number in the premises of CU4'CHOC,UE HA1tpb(AttFi Itdl.., 259'70 R~JU1'E 25 (ItAII7 ROAD}, CUTCRC7QUE, N.`l. in the following location; ?x Basement ~ lst Fl. 0 2nd Fl. OUT Section Blcek Lot uwa examined on t)C11 ~tE"cR 16 r199:? andfoundto be in compliance with the requirements q(this Board. FI%7URE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FWORESCENi OTHER AMT K W. AMi K.W. AMi KW. AMi K W. AMT. H P 27 23 273 22 42 1 P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTbOUTIET DIMMERS AMi. K. W. OIL M. P GAS N. P. AMT. NO A, W. G AMi AMP MAT. AMPS. TRANS. AMi M. P. SYSTEMS MAi WATTS NO.Of FEET 2 F 1 20 1 SERVICE DISCONNECT NO.OF S E R V I C E AMi. MAP. TYPE METER I ]W I ~ 3W S 9 3W 3,0' 4W NO OF CC COND A W G. NO OF HbLEG A W' G NO OF NEUTRALS A W G EQUIP. PER9 Of CC. COND. OF HbLEG OF NEUTRAL [e~ 1 2.00 Cf: 7 'E 1 310 2 3/0 OTHER APPARATUS: t{07'ON5T5-P H.t',,1-1.0 R.P. ET,EC. WATEI? HEATERSrt1-1..5 tt.W. fi,P.C.T.r 6 ~ 5HOKE I?f;9'ECTOPio. ~l (!~n~~%GC-l~+-~ RODI.AK E1IECTRIC LCC.43fi77"E C/~~~ P.O.BO% 164 CU1'CHUGUF, 11Y, 11935 GENERAL MANAGER ~~j 11 Cam, V 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 `cfedentials. f COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST N®T BE ALTERED IN ANY MANNER. - r O o~~gpFFOlk~o G o~ y~ PLANNING BOARD MEMBERS ~ T SCOTT L. HARRIS Bennett Orlowski, Jr., Chairman .j. ~ O`er Supervisor George Ritchie Latham, Jr. ~ Richard G. Ward Town Hall, 53095 Main Road Mark S. McDonald P.O. Box ] 179 Kenneth L. Edwards Southold, New York 11971 PLANNING BOARD OFFICE Telephone (516) 765-1938 TOWN OF SOUTHOLD Fax (516) 765-1823 MEMORANDUM TO: Victor Lessard, Principal Building Inspector FROM: Bennett Orlowski, Jr., Chairman g a9?.~?S RE: Request for Certificate of Occupancy for Cutchogue Hardware SCTM# 1000-102-6-22 This site was inspected on Tuesday, December 15, 1992. The site has been completed in accordance with the approved site plan with the following exceptions: 1. The final coat of blacktop and the striping of the parking spaces remains to be done. 2. The landscaping along the southerly and southwesterly property lines has not been installeded. 3. The trash enclosure at the southern to southwestern corner of the property has nat been installed. The Planning Board does not have an objection to the issuance of a Certificate of Occupancy provided that the above-noted items are installed within six months of the issuance of the Certificate of Occupancy. 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OtlOH~d01 € N ~O ~ 7 ~ J ~li W i (~i°°~ o Iwe ~M ~i n ~ 9 N o~ ~ ~ p C yW' oe Q MNM i U O W F O d C.J I~ s 3• ~ 'z~ 7E Wo~ti ~ ~ ~ Z Q~ ' ~ O ad cc~~, \'l1 ~ T ~ < < W V Ni ~ c^e! b t~ ~ AFA YO~ ~ Z U p O D U N i d W ~ m V N_ ~ OtlOHOdpl ~ W 3 U m= h 3 I ~ ~ ~ _ t r ° t ,C U ~ U i Oipc '-'a0 m c U DOO N 0~ q~Q~ op 0 0 L~ O U_~~ Sj .t~. q ,C N t N U 'O N a o D'~.y o EI ~ 4 0~ m o 0 o v o a`~ o.. ~,~A, 'vc~o c c vac H~ x Eon ..o c ~ oc o:c z mma~° a~'O ~'•~c o~~ ~ ~ Z Uboa~, w4'C ~°~~'°o ~a~° zsc°~ 53 Q O * :@ * * ~ U ~ ~ o~ ~ x Z m a ;p « d ~ m & s ~~J ~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] I SULATION [ ]FRAMING [ FINAL REMARKS: ~ r~ 4 DATEI '"U INSPECTOR 765-1802 BUILDING DEPT. ~ NSPECTION [ ] FO DATION i5T [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ SPECTOR BOhRD OF HEALTii ,>>-gyn.. ~ FORM NO. 1 . a r_~ ti~ir1~~ 3 SETS OF PL.127S t;~~'I ~ TOWN OFSOUTHOLD SURVEY I,`t ',ir BUILDING DEPARTMENT C11CC1\ . . t''` DEC- 3 ~ TOWN HALL SEPTIC FORA _ jl t SOUTHOLD, N. Y. 11971 t..a B ' TEL.: 765-1802 t:OT' F't ; , EY3nunc , { CALL , , . p ,i19 ~ ll rtn L TO :approved ,1... 19 Permit No.o~,0,3.~.~.~ . . Disapproved a/c . ..4:Q~, ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~ 1., 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 cts 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 tr areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :afion. 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 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Ite applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins ctions. (Signature of applicant, or name, if a corporation) (1\fai]ing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. \amc of owner of premises ....r\. i~.~,ey,~„ /;i,~~,oha,tt, , , , , , , , , , , , , , , (as on the tax roll or latest deed) :f applicant is a corporation, signature of duly authorized officer. (Name and title of corporayte officer) Builder's License No. ..I~/~-./, ~ a: , , , , , Plumber's License No. . J: , ,(r - , ~~~f ~ p Electrician's License No. i~O sl~~ ~LeaT~;c Otltcr Trade's License No . . r Location of land on which proposed work will be done . . p~/ (louse Number Street Hamlet County Tax iviap No. 1000 Section .a-'......... Block ~ Lot . Subdivision . Filed t,lap No. Lot . (Name) State existing use and occupancy of pre iscs and intended use and occupancy of proposed construction: a ~juSSCtne SS a. Existing use and occupancy ,~?~,L : ~~,~Te. b. Intended use and occupancy ' 3. Aature of work chec 'which • • • • • • ( ~ Re aPPlicablc): New Budding V. , , , Addition Alteration Repair moval Demolition ' ' ' ' ' ' ' ' ' Other work............. i 4. Estimated Cost ....1...1.6.a ~Q a Fee ,1 ascription) 5, If dwellin number of dwellinl~ (to be paid on filing this application) g. units,,,,,, If garage, number of cars S... ' ' ' ' • • • • • Number of dwelling units on each floor , , , , , , , • 6, If business, conunercial or mixed occupancy, specify nature and extent of each type of use ..NSL~; ~ bg Y e, STa: 7, Dimensions of existing structu~cs, if any: Front , , , , , Height Nu+nbcr of Stories Rear............... Depth . imensions of same structure ~ De th , , , , , vrth alterations or additions: Front , , , , • ~ • • • ~ ~ • • ' • " " " " " " ' p I Rear Height Ntrrttber of Stories . 8. Heit] tsians o ~ ire ew c ~nu(ruction: Front ....L~,~, , , , , , , , Rcar ...G1, 6, g "'7 ~ tuber of Stories . • • • • • • • • Depth 9. Size of lot: Front. 06 "•"~6~"'•••••••••... - 10. Date of Purchase .~....p Rear ed pth '""}x'~~ . p Name ofFormcrOwner 1 1. Zone or use district in which rl 1 Does ro ose~d constructio vio'cmises are situated . , . , ~ p p . SfrCt~r9. i ~QS',S . late any zoning law, ordinance or regulation: • ~ ' • 13, will lot be regraded ~0• • . • • • • ' ' • • • • • • • • • Will excess fil b removed from premises: No 14. Name of Owner of premises .~I,o.~teY:[ , , o ~ • ' Name of Architect y^~~ I S0. rn' G"y ~vtAddress • J • N~ aSl ~+J u.e4.~...... Address o ......Phone No. . Nance of Contractor .G.~c?~Q ~o • • • ...Phone No.7o'.y/.:'.F',9.6~, , , , , 15. Is this property withind p0 f eft{ f a tidaldwetla~a~ '~~qq' " • • Phone No. ~.3(~:~?,a8: , , , *If yes, Southold Town Trustees Permit may be requiredyy a" No......... 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 description according to deed, and show street names and indicate whether interior or corner Iot. I !i I `Zosi - ~ ~ ~ g / o 'II ~ ~ ~ s ~ ~ y TATE OF NE1V YORK, OUNT OI- .......~:...~y S r• ~.SI .i • . • • ~o-(N me of individual si~nm . • • . • • • ~ • • ' ' ' ' ' ' • • bcin++ o du]y sworn, deposes and says that he is the applicant rove named. g $ contract) / _ is the ~~~~~Gb~o~ (Con tractor, agent, corporate officer, ete.) • ' ' ' ' ' ' ' ' ' ' said owner or owners, and is duly ~uthorizcd to pcrfornt or have performed the said work and to make and 61e this plication; that all statements containCd in this application arc true to the best of his knowledge and belief; and that the uk will be performed in the manner sat forth in the application filed therewith. om to before me this I~~ ~ .............day of ../r~l~e~!,Q!YK-~€-f-~-r..., 9 9 taryPublic, County \ U~1fL4J. COOPER . f+lotaryPubllo,8teteof NswVb?1t (Signature of applicant) f1o. 4822668, Suffolk CotnrtY 7i~rm Exptr~a8 paatmber 37,18~Z , r _ . ,,~,a ~'~-t~ 1 e 9c\7 • - q q~,~~,~N~ v~, 4'\1 1 ~ ~ ix ace a ~ ~Jl ~ I @,tir, ~ 4 ~ a~• ~ to 4 i~ . I n o ° t r a I a v ~ . ~ ,r _ ~ _ _ 1 1 ~ ~ Ci I _ ~ - ( tai y r tit! -r. ~ , i (I,~1 e. ~ l~ ~ > ~ ~ t~. ~,f 1 ~ L~ ~ i ~ ~ ~ I,, ~ W lf'~ , ; I t..'~,_~ ~ ~3: ! i ) `r s ~ "`.J ~ i , ' w L. I i ~ jj~ f1 ~ ~~~,~J($Aj~x ~ 4 t ~ ' ' ? ~ 1 _ _ _ _ - __-_,-r I f l ~ I ~ y~ t ~ j ~ 1 { ! c~ 1 i f # ~ 7~ ~.SD tJ ~ r j ~I ~t11 z ~ t(D 1 1 CC j ~"jM1 ~ J ~ C7 ~,J ~ ~ T~* CJ U i ~ a ~ ~ ~ ~ ~ [ 5' 5'O t`~ k r 4 tyt ~bC7?J 71~~N S,S~'~'t~ C3J. }al~~.-~~ '21~ ~~rva~ ,.ry ~ ~ o - ~l ~b1,,.r~,i ~ ~ ~ ~1•j ~ v L^~ ~ (0 ~ ~ ~ i i « ~ `c° 4L fl! j ~ _ _ L~ Ll ~ ` ~ tit lt~ l'. ~ 1 ~,U ~ MAR 3 0199 f.. BLQv. pEP TOWN t1F 5®UYFEOLD I .4...,_,_.a,...,....~.., ,..:y. , w._.~~...~__._.~ _~,M.~~,..~..,,..,~..~ _ ....,.~.~,v..~._. ,.._.~w ~..~,m.~ r