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Home My WebLink About19971-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20273 Date DECEMBER 17, 1991 THIS CERTIFIES that the building ALTERATION Location of Property 55 COUNTY ROAD #48 & 120 COX NECK RD. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 121 Block 2 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit hereto€ore filed in this office dated JUNE 25, 1991 pursuant to which Building Permit No. 19971-Z dated JUNE 25, 1991 was issued, and conforms to all o€ the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATIONS FOR BAKERY IN STORE #5 AS APPLIED FOR. The certificate is issued to MIDDLE ROAR SHOPPING CENTER INC. (owner) of the aforesaid building. SUFFOLK COt1NTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-215095 - DECEMBER 2, 1991 PLUMBERS CERTIFICATION DATED DEC. 12, 1991 - LANGE PLUMBING & HEAT. uilding Inspector Rev. 1/81 l08M NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAIL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON 7HE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 19 9 71 Z Date .......~~c~:!~....~ ~ 19.9../.. Permission is hereby granted to• ~J ~ ....~.kti.`k...'~-0i ............IYJ.~.S-. ta ..C~c~A.'...~......5~:~...~....~... ~....~~~.c.R.~.... of premises Iocoted at :5....~r!~:^...e:~.........~..~.~..........~ :~X~S.~i~ . County Tax Map No. 1000 Section .....~.a:.l......... Block Lot No...C?...~ pursuant to application doted ~ 19.~.~.., and approved by the Budding Inspector. Fee S~•~?.,.... (ding Inspector i Rev.6/30/80 ~ s Form No. 6 TOWN OF SOUTIIOLll BUILDING D>;PARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATI: OP OCCUPANCY 1• This application must be filled in by typewriter OP, ink and submitted to the building inspector with the following: for new building or new use: - 1. Final survey of property caith 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 2J10 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. :3. 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. 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 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date October 10:.1991 :;ew Construction........... 01d Or Pre-existing Building Location of Property...,,55 COUNTY.RD. ,~48 i4 120 CO% NEB. MATTITUCK, N.Y: House No. Street Hamlet . ~)nwur or Owners of Property..,,,MIDDLE ROAD SHOPPING CENTER, INC. county Tax Map No 1000, Section.... ?~.......Block.....?..........Lot.... 1 . :subdivision ....................................Filed Map............Lot...................... i'ermit ,yo,19971-Z Date Of Permit.,6/25/91 AUGUSTO MALANDRUCCOLO 1"~~~~ .Applicant.. •p•~,;,y,•, . wealth Dept. Approval ..........................Underwriters Approval......................... :Tanning Board Approval ~icquust for: Temporary Certificate........... Final Certicate........... :'ee Submitted: 50:00 . e~ ~a~a~3 APPLICANT °R" Town Halt 53095 Main Road ~ Fax (516) 765-1823 P. O. Box 1179 ~ ,~~~s{:~ Telephone (516) 765-1802 Southold, New York 11971 /fry, ~ ~ °~fi,~ c.x' ~zz~~c~l OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 4, 1994 Mr. Augusto Malandurccolo c/o Middle Road Shopping Center, Inc. 298 Half Hollow Road Dix Hills, N.Y. 11746 Re: Premises @ 55 County Road #48 & 120 Cox Neck Rd., Mattituck, N.Y. Suff. Co. Tax Map #1000-121-2-1 Gentlemen: In regard to the Bagel, Bakery Store #5, prior to opening to the general publis for business, a fire inspection is required. If any alterations to the premiess in regarding to changes or additions of electric, plumbing, exits, partitions or any other structural work, a buildinq permit must be obtained. We appreciate your cooperation. Very truly yours, S THOLD TOWN BUILDING DEPT. G ,J hn M. Boufis JMB:gar (Cert. Mail) THE NEW YORK BOARD OF FtRE UNDERWRITERS ' r~l,l;~. ~ 1 i BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NFW YORK 10038 1Ti.C"i=.1+{}1?~I{"t (f1,7gn{ °7rla1;R'=:'i,l?3,$ $I 'y'e~ip~r{r pate Application No. an file _ THIS CERTIFIES THAT only the electrical equipment as deacrihed below and introduced 6y the applicant named on the shove application numher in the premises of 1471)tl;,{~; }21).aFlu1'PI'[0(d ["F11Ve'P;i~~ 1'Utlt1!'1`RY T,1.1-RY' ~tS {~{t~"t`:{`i9st`({. Ntl`"'i'?"Pt1C[f~ N.Y, in the fallowing Inca ~ 8 gme ! , ~ 1st F'I. ? 2nd Fl. SertArn Block Lot was eramined art and found to 6e in emrtplianee with the rerletirentenLS of this Board. FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT fLVORESCENi OTHER AMT K. W. AMi K. W AMT KW. AMi K W AMi. H P. 'F tit i U Ly 1 { i1 ' v DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS qMT. K. W OIL M. P. GAS N. P AMT. NO A. W G AMi AMP. AMi AMPS TRANS. AMT H P SYSTEMS pMI WATTS NO.OF FEET SERVICE DISCONNECT NO.OF 5 E R V I C E AMi. AMP LYPE METER 1 RW F a, JW ~ S, 9W J~ AW NO OF CC. COND A. W. G. NO OF HI-LEG A W G. NO OF NEUTRALS A. W G. EQUIP. PER 9 Of CC.COND. OF HbLEG OF NEULRAL OTHER APPARATUS: l H{tSLF5K0i)lt Pl(14;i: i;t1 . , f,i:C _ ,M, 9,s{Xt~i E '1'% ('/14iRF l~;)'1 1tV ~;iH1J'P, 6ENERAE MANAGER pi flit 9'It', ?VY, 5 4QIi{) l i Per I" This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified ~ ~ their credentials. e i COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRf UNDERWRITERS PAGE 1 3 1 (IOC 319 6UREAU OF ELECTRICITY 66 JOHN STREET; NEW YORK. NEW YORK 10096 Date DECEMBER 02,].991 APPlicotianNo.onJfle 75260091/97 N 21509E THIS CERiIFtES THAT only the alecerteaJ puiptnsnt v drerikod kelow and introdtced by tko nppllcorat Hooted on tks okow oppl4+tlon num6sr in tM promiFOF q/ F CTNNTMON SN1'RE BAKE SHOP, NORTH ROAD RT 48. PT,.2, MAT'C7TIJCK, N. Y. = in eke fdbteinp Ice let Ff. ? Ynd Fl. 3ertion Block Lot '16~8V~MB~IE Bi44;'Y441 ~ tta eromined un ondJound to 6e in compliance with tke rpuiremente of this Bosrd. BxTURe RXTUMf txtoRRtaltECRS OVRNf Blfllw OUTLETS ANE INCANDEtCENT HUOtFLCENT OTHFfl AMT. K. W. AMT. K. W. AMT. C.W. AMT. K. W. AMT. N. r. DRYMS RIMiAn AIOTOB lUTUtl AMLIAItG REOtRE REC?T iIlEE OiOGIf ENL UENT IIEATEK MULi1.0Yi1lT BIMIEMf AMi. K. W. Oll N. I. OAS M. t. AMT. NO. A. w. o. AMT. AAM. NAT. AMR. FRAItE. AMi. N. e. 0E.. ~T AMT. WATIe 5 - SERVK7 DKCOtMNCT NO.Oi S E R p~ V 1 C E AMT. AAw. 171E ~ 1 / Tv t A Tv t ~ Tv ],F AW NO. a Cc*coNO. of Cc COND. NO. OF NI-LEO a~ ra. a NEUnNS a ~~t RR OiMll A/?AEATUk 230VOi,1' 6AMP.COMPRRSOR-i B.J.RLEC. CO. t.IC-N1.670E BOR 16,STILLRATER AVE. CUTCH(H;UE, NY,. ].t935 p~K 7.7 1-~ aim Per ! t~ s Thit oMificatF rtlup aol M dlFr~d in momeFr; rWutn to IkE oNiEF Pf leEltrril. lF.. rscl: In M idFnNRtd bl' IIIItT tndFtlliak. ` . TiMi dE ALTERlD Itl AIr~lldt. ii ~~FF ~~~C TEL. 765-1802 ©~Ol~, O~? TORN OI'' S~3iJ?'IIOd.D . . ~c OFFICE OF IIUILDII~IG INSPECTOR ~ ~t" P.O. BOX 728 ~`ry~ ,~1`m`~. 1 TOWN HALL O~~O~~Z- SOUTHULD, N.Y. 11971 C E R T I F I C A T I O N Date ~QC~- 7~ ~ Building Permit No. Owner (please print) Plumber LANGE PLUMBING $ HEATING CORP, M~1~6r&tHEATING C,I,tr. 2140-8 POND ROAD 2140'8 POND ROAD ROI~KONKOMA, N.Y. 11779 RONKONKOMq, N,y, 11779 7,37-0991 737-0991 I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plu ber's signature) Sworn to beforo e this , day of ~ Notarf Public Notarf Public, County DOR15 A. ROBINSON NOTARY %181IC Scare of New Yale No, d631ZT6, Naeoal County , Te'm Exptra May 81, 19 day, rcicLD I::SPP.C?iU:J ~~Ue'~i ~ i;OMMLNTS ~ ~_i I ~ .D ~ 1.,, ~ 1~ J H - - H FOUtJDATION (1st) o ~ • ~ c b FOUNDATIOtJ ( 2nd ) m p _ - ~ 2. s o V~ P,OUGH FRAME & ~ .PLUMBING Vl 3. y LT1 IIJSULATIOPJ PER N. Y. y oe STATE ENERGY ' CODE - x~ l 4. ~ ~3.ow ~q~ FIJJAL r N ~ o ~ ~ z ADDITIOtJAL COMMENTS: x ' - 9 • • c~ ' - x . ro ' H a•N H H O ~ 2 N m • r • - H x . - m 765-1802 - BUILDING DEPT. dNSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING FINAL REMARKS: ~sL aU'o ~ ~ ._n9 Q..~~. d? , DATE y'~ INSPECTOR D Co~~f~,.„ . - fir, t~ B0c1FD OF HEALTI{ _ WRZ~~.7~ 3 SETS OF PL.1.VS . • Y• • • FORM NO.t SURVEY TOWN OF SOUTHOLD CtlEC1~ ~ " " • • • • • CiL~'v. r. BUILDING DEPARTMENT SEPTIC F02Ct c_ • • • ~ ~ • • • ,~70WNUFSOU~tif)tt'~ ' TOWN HALL • $OUTHOI~,PL.Y-11c17i ttpTiFY` ! TEL.: 7G5•1II02 CALL „11~.3.:~'~~ • • Exatt[incd .z?/ 19 ~O . G~ MAIL T0: ' Approved.. .~;~,..1cY.~PcrrrtitNo..~.~,q,7/ ~ Disapproved a/c . ~t?urldyng mspcctor) • APPLICATION FOR BUILDING PERMIT ~ ' • ~ irate ...1artt.ary, 3.Q...... I59 • INSTRUCTIONS a. Tltis application must be completely filled in b ' sets of plans, accurate plot plan to scale. Fee accorrtin~ Y typewriter or in ink and submitted to the Building ~spectnr, will b. Plot plan showing location of lot and of building schedule. or areas, and giving a detailed description of layout of ro erPremises, relationship to adjoining premises or public strc: cation. P P y must be drawn on the diagram which is c. The work covered by this application ma Pan of this apF zI. Upon approval of this application, the Buildin 6lnspectornvila issuedea Building PeBrmit to^the a shall be kept on the premises available for inspection Ihrou~ = Permit. e. No building shall be occupied or used in whale or in parttfor any purpose whatever until a Cert ficatetof Occupaa: sl[all have been granted by Ute Building Inspector, APPLICATION IS HEREBY MADE to the Building 5 De-artment for the issuance of a Building pe;-mit pursuant to t: Bn7lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ctdinances c Fccculations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe: rite applicarr agrees to comply with all applicable laws, ordinances, building tdmit authorized inspectors on premises and in building for necessary ectioins.utry~~E, code, housing code, and re~u [tons, and t ~P 3Y: _ ~~I7. - - ' . ' (S• azure i' applicant, or name, if a corporatton) • ,29Q,Ha1f,Ho~llow Road Cix Hills Newyork 11746_ (Mailing address of applicant) • 'tare whether applicant is owner, lessee, agent, architect, engineer,_ eneral cont_ rector electrician, plumber or builder 0WNER7&~1#?~(~IEI<'E~ „ ,P9IDDLE ROAD ............SHOPPIiVG CENTER INC. 'ame of owner of premises ~~i$~lf#~ ~ • ~ • • " • • • • • • • • . • D1A76-A CDDIS`.I'RUCI'IO$1s .INC . (as on the tax roll or latest deed) • ~ • • • ' applicant is a corporation, signature of duly authorized officer. ~ • • • • • • ~ • • „ ~UGUSTO,t,~,ALANDRUCCOLOr Pres. - (Nameand title of corporate officer) Builder's Liccnsc No_ ...1.5•,A00• !iI• • . . Plurnber's Liccnsc No. ,Q9,1-p , , • , , , . • • • Electrician's Liccnsc No. 1,4,4,1,-,E, , , , , , , , , , • O(hcrTradc'sLiccnscNo. Location of land on which proposed work will be done; 55 C: R. 48 MATTITUCK NEW YORK 55,Count,y•Road 48 , Iloust:Numbcr .........Mattituck_• S/°(~~~ S~®~~'T Strcc • • i7 :ountY Tai p Hamlet . lap No. 1000 Section , ,1,21, , , , subdivision Bluck ? Lot ..1... ............(Ncuncj F.ilcd Atap No. tztcc~istin~ Lot......, ' o use and occupancy of premises and intended use and occupancy of proposed consttuetion• ' • • • A• k:xisting use and occupancy...I{Of~QQ~ , , , , • • • • • ' g• Intended use and occupancy..... Y.~ ~L~~ ~ •i • • • _ E r 3. Nature of work (check which 3pplicablc): Ncw puiWing , S~ ~•'~17"('Et`ation ~R~ X' Additicn erio , Rc air' o a Tennis Court ~ , RFm v l Demolition ~ ,Swiauaing pooTl;t.. . • Rccessory Building.......... Fence ..Opher, Wd-ck'"; , X,., , 4. Estimated Cast ...$t„QQQ..Oi7% . . , Fee 4tn be paid on filing this application 5, ICdwcllin^,numbcroCdwcllin~ d ^ ~ g units ....N~A........ Number oCdwulling units on each floor . IC ^ara,c, number of cars , , , N(A . 6. IC business, commercial or mix'pd occupancy, specify nature and extent oC each type of use UIQE,O.STOFE ~ ~ • 7. Dimensions of existing structu~cs, if any: Front „U:.......... Rear , 30,', , , , , , , , , Depth . , (Q; , Hci_ht . , I U:. dRRC4x Number of Stories , ...I, ~ ~ ~ ~ ~ ~ ~ • Dimensions of same structure }'vita alterations or additions: Front 34 ~ .Rear . ~30 ~ ~ ~ ~ ~ ~ ~ • Depth .......6Q......... 1 . ]]sighs .....kQ ~ , ~ . Number oC Stories ....1 . 8. Ditncnsions of entire new cons~rttction: Front'•, ,N/,A ~ Rear , .Depth Height Nu~ttb>rrofStorics, _ 9. Size oC let: Front . 176 ~ - Rear , • •261 ~-F • • ....Depth • ....~49.t.-......... . 0. Date of Purchase March 23 , • i 9$§' ° ' to Road Associ,dte,S... • • ~ • • ~ ~ ~ • .p, Name of Parmcr O~i}t~SI. . 1. Zone or use district in wlticlt remises arc situated f F3. Light, Business • , , , , , , , , , , , , , , , , , , , , , , , • 2. Does proposed conseruction violate any zoning law, ordinance or regulation: .1`10. 3, tiVill lot be regn.ic.t Nn 'Vttl excess fill be removed from premucs: • • • • Yc. X , N~ h, Name of Owner of premises ~l.cklle Rxc1 51r.{~ii~r}~1tn.~ c 298 I~lf X11 I~:r~/ Phone No.51,Cr;563;$986 Name of Architect I ~ ~ , Ad r~llSo Ydt"Il'/9 s~~' _ ,Phone No.. • • • • . Name of Contractor . a~1~,QZ~Z}rr~icx)r 71z:. , ~ , , , ,Address ~ . , ~ ~ ~ , ,Phone No... r~it± • • • P P y l5_Ls this ro ert located within 300 feet of 'a tidal wetland? =YES....tto.$.. *If yes, Southold Town TrusCees Permit rosy be required. PLOT DIACRA~i Locate clearly and distinctly ayl buildings, whether existing or proposed, and. indicate all set-back dirnc.^sior:; t: raperty lines. Give street and bloc]; number ar description according to deed, and show street names and indicate a:x;i. uerior or corner lot. • t l . , ~l r TAT[ OF NE1V YORE, OU; ITY OF SUFk'4LR ' S.S . . . A(I~pU~Q ,MALjaNDRUCCOLO , (Name oC,individual si,l ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applica: • ^~ting contract) cove named. ' . ~ (Contractor, agent, corporate oCficcr,•ctc.) ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ° " f said owner or owners, and is duly authorized to perform or have pcrCormcd the said work and to make and tits ¢l: 'Plieation: that all statements contained in this application arc true to the bust of his knowledge and bclicC; and that tr ork will be purl'orntcd in the mann}:r set forth in the application Glcd therewith. wom to bciorc ~m[u this otar}' Public. .~,..~~~-1.:.~t_U.e-~-- , ,h/.~ _County NBTARY PUBLIC. Stets of New Y , , ° No.470787BKSuffel~kCotmty~ ~ p, • T,. 6~~~~~; ; ,Y, Term ExpiresMerch30,19 ~ ~ (Si;nature oCapphcar+' • i ~ i 1 ~ ~ ~ rQ w I+t...Cl7µ/ ~ Fn.q a dre+.~,~~ ~xr p- . ~~~~~o~~ s%~~~ o ~ ~ ~ ~ ! e • s ~~/~~1+'`'''~`°~ Cou..~R D(,SF'lr)`~ f~i,7/"~'S'll!»,R_~. ~ O,SP~~yG9~~ - ~f~~~.`.Ir{.'i"r!'f N' n~.~~+"lra h.' Q!S!'f ~f ~<°'!Ji',z^ • ~ ~,~...w~,...~._~ N c~G j yP__._...__._~ ~ ~ ~ i - r , .___..~__.w,.,_ e.,.~._,..m..,.._.~..,. r ! ~ ~ Lb ~ ~ N .m ~ ~ N 0 ~ N ~ ~ m o ~ la ~1~ t f' A ~ ~ ti ~',~'r{.S S ~ . ~ ~ ~ 5r.v"~.~' r~~~ `rq SJ ; ~ ~ ( - ~ 1l ~ . ~ b ......~..o.........~ , • . ` ~t ~ ~ ~~t' ~ ~ ~Y - - _k-°_ ~ ~ a _ - ~,I, h ~ G ~C' . ~1 e ' I ~ F p. ~ tji ! ~ 44'1 ~ ! ~ ~ ~ SrRrP ~c3'N~ '"~^Z. r' 6~r S ~ OCCUPANCY OR _ ~_w_ _ _ USE IS UNLAWFUL WITHOUT CERTIFICATE ~,~r~~Y ~b~ M 4 OF OCCUPANCY ~ - ~ ~ ; . ~ ~ . ~ ~ APPR VED AS flOTED DATE: ~ ~ ~ 9 t B. P it l 9 7 ! ~ 'S ~ ~ Ui FEE: ! ~ - BY: ~ G', L . ~ ~ ~ NOTIFY BUlLbING DEPARTMENT AT . 2 ~ O q ~ 766.1802 8 AM TO ~ PM FOR T}~E ~ ~ FOLLOWING INSPECTIONS: , ~ ~ ~ 1. FOUNDAtfON - TWO REQUIRED tl t- ~ FOR POURED CONCRETE ; ' ~ ~ 2. ROUGH FRAM4NG & PLUMBING . P ~ 3,, INSULATION ~ ' 4. FINAL - CONSTRUCTION MUST „`•s•__ 'n.` BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE IV.Y. STATE CONSTRUCTION & ENERGY ~'Ij Q~ ~a~~-Y" ~ ~ ~ CODES. NOT RESPONSIBLE FQR , DESIGN OR GONS7'RUCTION ERROLiS ~x.~..~,x. a . 1~/`I t; FQ 2 i.