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Home My WebLink About20267-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20654 Date APRIL 16, 1992 THIS CERTIFIES that the building. ALTERATION Location of Property 1025 FRANKLINVILLE RD. House No. Street County Tax Map No. 1000 Section 125 Block 2 Subdivision Filed Map No. LAUREL, N.Y. Hamlet Lot 4.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7, 1991 pursuant to which Building Permit No. 20267-Z dated NOVEMBER 8, 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 INTERIOR RENOVATION & NEW FOUNDATION UNDER EXISTING RESTAURANT The certificate is issued to CLIFF SAUNDERS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PENDING - APRIL 15~ 1992. N/A Building Inspector Rev. 1/81 FOBM NO. 0 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIl FULL COMPLETION OF THE WORK AUTHORITED) N~ 20267 Z Permission is hereby granted fo: ...,...~~....~..,.~.:....~.l.,~,~:.~,,.,~ .... o, ~rem,s,s,~o,ed o,.L~.~.~..--....~~.~Z.J&......~ ........ C~-L:- .................... County Tax Map No. 1000 Section ..... ../....~.....~..'~.. .... Block ..... ..¢~..~.. ....... Lot No.....~.,:.,( ............. pursuant to application dated ..... ,.~...~.~......~. .............. , 19..a/..(.., and approved by the Building Inspector. Fee $ ........................ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN ILALL 765-1802 ~iP,', ' A~PLICATION 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: 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/i0 of i% lead. 5. Commercial building, industrial building, multiple residences and similar buiIdings 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 ~roperly 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 .... ew Constructzon ........... Old Or Pre-existing Building ................. Location of Property ..... I.~.. "~fT~,~,'~V~ ~ - . -.. · ....................................... , house ~o. ' Street Hamlet ......... Onwer or Owners of Property ..... ~' '.. . .......... . ........... County Tax .ap .o lOO0, Seetio,...~..'%.~. ..... Bloe~ .... ..~ ......... Lot...~,~ ............... Subdivision ................................. Filed Map ............ Lot ...................... Permit .o ................ Date Of 'ermit..[! n -~'~l ..Applicant..l~nC.~-¢~ .~.~.~.~..k~.~.~.,'O Health Dept. Approval ................... ..... ..Underwriters Approval. . Planning Board Approval ............ Request for: Temporary Certificate ........... Final Certicate ........... ~'ee Submitted: $..~O~..--... FOUNDATION ( 1 s t ) FOUNDATION (2nd) 2. ROUGH FRAME & .FLUMBING INSULATION FER N. STATE ENERGY CODE FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS [~'L3[t~ BUREAU OF ELECTRICITY ~ 8!5 JOHN STREET, NEW YORK, NEW YORK 10038 /)ate ,J[l][,¥ 29,[992 ~pplicatlonNo. onfile 76784892/9~ ~ 2~798 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed be~w and interlaced by t~ applicant ~d on the above application nu tuber in the praises of in the followlng locatlon; ~ Basement ~ Ist FI. ~ 2nd FI, Section Bilk ~,as examined on ~ [IL~ 2 ~ , t 99 ~ and found to be Jn compl once u' th the req~ire.~ent~ ~f this Board. FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS I SWITCHES DRYERS SYSTEMS NO. OF FEET E R V I C NO, OF CC COND PER ~ OTHER AP~RATUS: ROYOR8:I~'I H,P, AWO OF CC, COND NO OF HI.LEO AWG, OF Hi-LEG OF NEUTRAL }(A~TZTUCK, NY, 11952 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors GENERAL MANAGER be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZND [ ] INSULATION FRAMING REMARKS: ] FINAL DATE .... ,.SPECT~~_~- 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND/~ INSULATION FRAMING [ ] FINAL REMARKS: DATE ROBERT H. WHELAN, ;~.E. P.O. BOX 590 BUNGALOW LANE MATTITUCK, NEW YORK 1195R 51&-R98-5770 March 20, 1992 Town of Southold Building Department Main Road Southold~ New York 11971 Att: Mr. Victor Lessard Ref. Elbow Two Kitchen Renovation Laurel~ New York Dear Sir: Please be advised that construction procedures at referenced project consist of: the above 1> Removing and replacing the existing underlayment and tile and replacing same in kind. 2> Removing existing drywall. Installing new insulation and new 5/8" Type "X" drywall. 3> Removing existing plumbi~g and replacing same in kind. 4> Removing existing gas shut-off valve and replacing same in a more accessible location. It is my opinion that the above detailed renovation is in conformance with the general intent of the N.Y.S. Building Construction Code and N.Y.S. Energy Conservation Construction Code. If there are any questions with regard to the above please feel free to call me at the above referenced number. Thank you for your cooperation on thi tter. Robert H. Whelan~ P.E. cc: Horton Construction Approved ../Q .~..~...~., t9 .~). Permit No. ~...o..&.~.~...~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c .... . .......................... ......./~ ................................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORH .............. CALL ........ ' a. Tkis application must be completely filled in by typewriter 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 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- :ation. 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 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 necessau i~specti~ons. -- (Signature of applicant, or name, if a corporation) .... )?. ...... . 5.-C?..c .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Wame of owner of premises..~ .~ .J~.~.....~.(¢q4~..c~C~. ................................................. (as on the t,ax roil or latest deed) If pi ant is i~r r~ture of duly authorized officer. ~e and title of co'orate 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. ~ ..... . .~.. ?[-..~.( ........... ......... ~', ~'F_~ ~ ~ House Number Street Hamlet County Tax Map No. 1000 Section ...~' ..~...~. ......... Block ..... ~ .......... Lot....~. f..] ........... 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 occupancy ....... ~,~ .rO~...~ .............................................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration Repair .............. Remoyal .............. Demolition .............. Other Work i-- (Description) 4 · F · Estimated Cost ................................ ee ................. (to be paid on filing this application) 5. If dwelling, number of dwelling ulnits .............. Number of dwelling units on each floor ................ If garage, number of cars ...... i ..... 6. If business, commercial or m~xed occupan y, 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 wit~ alterations or additions: Front ................. Rear .................. Depth ..................... i. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ............ i .......... Rear ...................... Depth ...................... 10. Date of Purchase ............ .~ ........ ......... Name of Former Owner ............................. 1 I. Zone or use district in which premises are situated 12. Does proposed construction viol~e~n~ zoning law, ordinance or regulation: .................. 13. Will lot be regraded ......... 7/~ ................. Will excess fill be removed from premises: 14. Name of Owner o remises .... ! ................ Address ................... Phone No ................ Name of Architect ............ i ............. .I.. Address ................... Phone No ................ Name of Contractor .~.~.i..L.q..k:~-~...~10. ~J.. Address ................... Phone No. c79,_~.~77... ........ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold Tqwn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all ~uildings, 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 comer lot. ;TATE OF NEW '(O-~K.,,-'TC'_/p S 0 .... ~-~ '.~. '.~/}~".~}( .~.~ ............ being duly sworn, deposes and says that he is the applicant (Na~e of individual signing contract) bore named. is the .................. ~ ........ 7 ..... .~ ...................... (Contractor, agent, corporate officer, etc.) said owner or owners, ~d- is duly huthorized 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 s~t forth in the application filed therewith· worn to before me this ........... ~ ...... day of..~.~V.~.~.~..., 19~ ........ (S~gnature of applicant)Term ~xpires O~o~er ~1, 1~