The URL can be used to link to this page

Home My WebLink About19761-zFORM NO. 4 TOWN-OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19911 Date MAY 15~ 1991 THIS CERTIFIES that the building Location of Property 55 COUNTY ROAD #48 House No. County Tax Map No. 1000 Section 121 Subdivision ALTERATION MATTITUCK~ N.Y. Street Hamlet Block 2 Lot 1 Filed Map No. Lot No. conforms substantially to the Application for Building Perr~it heretofore filed in this office dated APRIL 1r 1991 pursuant to which Building Permit No. 19761-Z dated APRIL 3r 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 ALTERATION TO STORE #1 FOR DELICATESSEN AS APPLIED FOR The certificate is issued to MIDDLE ROAD SHOPPING CENTER~ INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PENDING - MAY 13~ 1991 //~uil~ing Inspector Rev. 1/81 !~0'm'u' NO. I~ 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_e 19761 Z Permission is hereby granted to: ~.,~....~.~,.....~....~,..~.~. .~.~.~ .~.~..~-:. ........ ~ ..... ....................... .... ..s.......~....~.~.....~..:..~.,. ...... ~.~..z.~..~ .... ~,...~,,~......~..~:~..~.~...,~....~...~.~ ....... ~....~ ...~..~..~....~...~.::). .................................. ... .................................... ~.~ ............. at premises located at ..~.,~.......,~%......*~...~....~ ........... ,,~.~.~ ......................................... '"~""~'~'"i'~ .......... '~ ......... : ........... :": ............................................... County Tax AAap No. 1000 Section ..... ./...o~.../. ......... Block ......(~....~.. ........ Lot No....t~....~ ................ pursuant to application dated ...... ~....../. ........................ , 19.~..L, and approved by the Building Inspector. Fee $/6~' .J Building Inspector Rev. 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 archiuect or engineer responsible for the building. 6. Submif 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 ail 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 B~ilding 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 - $I0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 Con t u t n S r C ion ........... Old Or Pre-existing Buildi g ............... House No. ~ ~ Street Hamlet ewer or Owners of Property...~../. ..~.~.~.~... . f.~.~..~...~../.A/.~.,.~../.~.~.~~.....~./'i~. . . ... . ...... )unty Tax Map No 1000, Section.../.~./ ....... Block .... .~. .......... Lot... ~bdivision .................................... Filed Map ........ . . ..Lot...................... :rmit No ....... ~. ...... Date Of Permit ........ G/~7~L~ ~ alth Dept. Approval .......................... Underwriters Approval ...................... arming Board Approval....'72.-7~:~.'~.. :. ......... quest for: Temporary Certificate.....']~...... Final Certicate....~..~..~...~ e Submitted: FOUNDATIO.~; (1st) FOUNDATION (2nd) ROUGH FRAME & .?LUMBING INSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: DEPARTMENT OF HEALTh SERVICES COUNTY OF SUFFOLK ® SUFFOLK COUNTY EXECUTIVE March 20, 1991 COMM,SS,ON~. Mr. Augusto Malandruccolo 298 Half Hollow Road Dis Hills, New York 11746 Dear Mr. Malandruccolo: This Department has reviewed the plans, submitted by you for the following food facility: Middle Road Shopping Center, Inc. 120 Route 48, Mattituck The Department has approved the plans as submitted with the following modifications: none However, before construction is begun it may be necessary for you to obtain a building permit from your local building department. The enclosed permit application is to be completed and returned within ten days with your pennit fee check for $ 120 , in the enclosed envelope. Approval to operate your establishment will be given upon satisfactory completion of the installation. Such construction shall be in complete conformity with the plans and specifications approved this day or approved modifications thereto. Final approval is contingent upon receiving certification of the sewage disposal system and its installation by the Environmental Engineering Section. Please contact Mr. Robert Jewell at (516) 548-3313. It is necessary that you make an appointment for final approval inspec- tion at least one week before the anticipated opening date. Your failure to do so could result in delay of said opening. FL:jhb Enclosures 548-3427 trul,y yours, EZiz~ Senior Sanitarian 16 EAST 42ND STREET ' NEW YORK, N.Y. 10017 (212) a89-26,50 70 CORBIN AVE.. BLDG. 'T' BAYSHORE, N.Y. 11706 (516) 242-1181) ttain office TO I/l/Olt IT Jill COl/CEll/: Safety Consultant Inc, is and has been an authorized distributor since 1969, As a Annul distributor, Safety Consultant ~nc. ~ain£ains'all necessary insurance as required. Our personnel are certified in install- ing both R101 and R102 Fire con~rol systems. Noted belov is the type ~f system that vas installed at the location that ~as filed for. (.) ( ) Ansul RlO1-20 Dry chemical ays£em Annul RI01-30 Dry chemlcal system Ansul R102 Ansulex Liquid Agent Please accept this as our affidavit of manufacturers authorization to instatl &nsul Fire Protection Products, '~ober£ Schubert/Scott Schubert EW: UPTOWN DELI COUNTY RD #48 MATTITUCK, N.Y. FORM ~/0, *~ TOWN OF SOUTHOLD BUILDING DEPARTMENT BOAED OF HEALTH ...~ ..... 3 SETS OF PLANS .- ' SEPTIC FORH TOWN HALL · ~0 U TH Q ED. ~.y. 1.1fl7 I. NO?I py ~ Disapprovcd ~/c . ~ .... ,i~ uiid~.,~' inspcc t6r) . APPLIOATIoN F~R BUILDING PERIWI INSTRUCTIONS a. Tlds application must-be completely filled in by typewriter or in i~k and submitted to th~ Buildin-__ sets of pbn% a. cc. urat~ plot plan to scale. Fog :according to schedule. be Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strc~ or areas, and giving a detailed description o£ l~yout of property must be drawn on thc diagram which is part o£ this apl: cation. ' . ' c. The Work covered by th/s application may not be co · ', 'cl. Upon approval of this app ·cation .t. ....... mmenc~d before ~ssuance of Bu' ' ,., · shall be kept on the premises available for inspection thro ~- "-,~, :asueu a Lcuuamg Pc/mit to the applicant .~ ,?: No. building shall be occunied or uo--~: ...... u~~r~~hOut the work. Such perrr APPLICATION IS HEP. EB¥ MADE to the ~ufIdin~ Depm'tmeut for the issuance of a ~I, din~ Zone Ordinance o£ the Town of Southold, Suffolk County, New Building Pea-mit pursuant to t! .ulations, for the Construction of buildings, additions or alterations, or for l:emoval or demolition, as herein describer - York, and other applicable Laws, Ordinance: l'he.applican.t agr, ees to comply with all a licab'] · ,dmlt authorized mSp¢cto= on uremi ..... ~PP. ~. !,e.}aws. ordinances, buildin,, code h .... . ' . '. . ?~;X~';.';'~-~:~",.' · ".'-. ....... ., ,, .2.~Q .H.a,l.f..}~ql.l.oy..R.o.a.d. pj.x. ,Nj..l Is New¥ork 1.1746 . (Mailinl,, address of'npplicant) :tare wh. ether applicant is owner, lessee, agent, 'a~chitect, ' engineer, ge. neral · . ....... 0.WNER~aBi~l)~x~m- ___ c. ontractorL electrician, plumber or builder ........ · · · ....... .'t,""u~w[ FdiL~d,'~ ............. ------ .R, Oa) a~O~?.Z~a CmT~R ~NC. (as @n th~._ta.% roll or. latest deed) " applicant i$a Corporation, S~gnaturc o£duly authorized officer. .............. titlo o£ corporatc'officer) ,. Builder's License No .... 15,-900. ~ ............... "Plumber's License No .~9.l.--.P,.. ............ :' _El ct.'' sLi ' No O/her Tradc's License No ' ' ' ' Location of land on which proposed work will bc done: 55 C.'R. 48 MATTITUCK NEt4 ¥0RK SS County Road 48 ' .................. ~ ......................... :., Matt~tuck · .'. [louse Num bet Street. ...... ' ' Hamlet :o tyTax M p No 1000 S 12J ' 'Bi .2 ' ' bd'' ' .......... L . ..*.*. Ot..'{ .... ,' .... t · .,.d~:. ap ........ '. ' tzte ex/sting (Name) .............. Lot ......... usc and occupancy ' · · ' · · · . ,.-.c¥ of proposed Corlitr.ctioa: A. uso and occupancy ................ , . '. ............................. B.': Incendea uae and occupancy,'.., , ~ · ,/dictation · ' ... '.' ~ .,~ ~,... , .~ .......................... ~- ............. , .... j ........ ~.-~"~"' ' hj~ . , ~/A , ' ............. ~llln~, number or dwclhn~ um~s .............. , Number of d~vcllln~ units on c~c oor . n~ss. commercial or mi~cd occupancy, spccJ~ ~Jura ~d cx~cnJ o/c~c,n jy~m ~ = ....... ~ ........ ~ .... ~, ..... jo, .... ~,,,~,ors~.l...~" ~:::::: ...... - .. ..~Z .... ::::: ~ .............. . proposed constrUCtion vio~=tc any ~onJn~ ordin=ncc or m~ui=tiom ~. ..... ) ....... ~ of Contractor · ~.~~ .~ '. ..... Addross ...... ~es, Sou~hold Town ~usKeem ~ermit may be required, ~LOT DIAG~M ' ' · · os~d ~d. ind~=ta ~1 s~t-bnck m ..... o .... Jt~ cl~l~ md dJst~ctly ~l buUd~gs, whether ex~stmg ~r prop , . - ~ ..... ~ md, ~ %~''-~'' ~ Unes. Giw stre*t ~d block number or description according to deed, ~d snow stree} or comer lot. ' TEOFNEW YORK S S INTY OF ...... iqGg~.q .L~i~D.t~g{2.C.O. lh.O' ..... ' ................. being duly sworn, depose? and says that he is the appli-'a:' (Name or.md v dual sLgnmg contract) ¢c na~cd, $ tile Prg'q:t'~II& ........ ~ ' ' Contractor agent, corporate officer, etc.) ..... ( d work and to m~c and file th ;aid. owner or mvnci:s, and is duly authorized to perform or have performed the sa' lie=liOn; that all statements contained in this :t[~pticatiou ate truc to thc best o~ his [nowtcdge and Bclic~; eno that u'. rk xvilt bc pert'ore, cd in thc m~nc~ set forth i~ thc application qlcd.tl~clcwith. om to before mc riffs ,t3~' Public, t, · ' . ' a~aaause.t~/ i b,' '" ' ' ' ........ ' '"" ..... , '~ Pu~l~, State of ~ ' ' (Si;nn~ur= OfaPPIic~ ' No. 52~778~1 ...... Qualified in Su~olk ~un~ , . Commission ~lres d~ 31, i j~