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HomeMy WebLinkAbout18042-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18017 Date MAY 10, 1989 THZS CERTIFIES that the building ALTERATION Location of Property 46455 COUNTY ROAD #48 SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 2 Lot 20 & 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 13, 1989 pursuant to which Building Permit No. 18042-Z dated APRIL 14, 1989 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 ENLARGE BAGEL SHOP AS APPLIED FOR The certificate is issued to VILLAGE OF SOUTHOLD SHOPPING CENTER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - MAY 8, 1989 PLUMBERS CERTIFICATION DATED MAY 8, 1989 - HENRY J. SMITH & SON INC. Building Inspector Rev. 1/81 >ro;~ xo s TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 8 0 4 2 Z Date ...~.n. 19..~:~" Permission is hereby granted ~ . ~,1~....l.%9~/ ../.LQ..... ....r........... . . ct premises located at ~.J~..\.~.^ :1.... ~J..Y~.~..`.71... . ,1... . County Tax Map No 1000 Section . 3~ Block Lot No...~~~O.~Z. pursuant to application dated ~ 19..`If.~and approved by the Bui lda?in/g~Inspector Fee ;l /..~~~.sfl~..1~. - Building 1 for Rev 6/30!80 . _ TOWN OF SOUTHOLD BUILDING DEPART2IENT TOWN HALL SOUTIIOLD, NEW YORK [1971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY r- ~~//DJATE.-' NEW CONSTRUCTION ._.....OLD OR PRE-E%ISTING BUILDING./_....VACANT LAND...._._. Location of Property. ~~7.~5/ . _ ~T y~.... _ . _ .:5~~~,....... _ . _ HOUSE NO_ STREET HAMLET Ovaer or Owners of Property. County Taa Map No. 1000 Section Block Lot ~.a.~/ Subdivision Filed Map ........Lot.......... Permit No./Q.~ ~Z:..Date of Permit .._.......Applicaot Health Dept. Approval Underwriters Approval.___.._._...._ Planning Board Approval . Reqnest for Temporary Certificate Final Certificate Fee Submitted: $ APPLICANT rev. lOll4/88 3~ao9 rr~~ i~oi7 4 J LAW OFFICES WICKHAM, WIC KHAM & BRESSLER, PC MAIN ROAD, P O BOX 1424 MATTITUCK, LONG ISLAND WILLIAM WICKHAM NEW YORK 11952 MORTGAGE OFFICE ERIC) BRESSLER ABIGAILA WICKHAM 516-2965300 516-298 8353 TELEFAX NO 516-298-2012 DANIELC RO55 TELEFAX NO 516-296-8565 KAREN) HAG EN HUBERTF SULLIVAN August 7, 1989 Town of Southold Building Department Town Hall Main Road Southold, New York 11971 Re: SCTM li1000-055-02-20 & 21 46695 North Road, Southold, NY Gentlemen: Enclosed is our application for a copy of the Certificate of Occupancy which was issued for alterations to enlarge the bagel shop. Also enclosed is our check to your order in the sum of $5.00. Please send it to my attention. Thank you for your assistance in this matter. Very truly yours, /jas So e A. Steiner Encls. Legal Assistant a I; _ I s :~1~ n I I 70L~v k' ,v TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOIITHOLD, NEW YORR 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.August_7,, 1989..._ NEW CONSTRUCTION ,x.(CopyOLDCOR)PRE-E%ISTING BUILDING......VACANT LAND_....._. Location of Property. 46695 North Road_(Count_y Road 1f48) : _ . _ _ Southold. _ . _ _ _ HOII$E NO. STREET' .HAMLET Owner or Owners of Property..Village.of. Southold_Shopping Center,_Inc., &.North_Road Acr Inc. County Taz Map No_ 1000 Section .055__ Block .Q?.... Lot 20 & 21 Subdivision Filed Map ........Lot.......... Permit No. 18042_.._._Date of Permit 4/14/89...Applicant (Bagel_Shog).____._.. Health Dept. Approval Dnderwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $5:00________________ APPLICANT.. • i .iam • ickham, •as r • y rev. 10/14/88 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES CERTIFICATE OF APPROVAL OF SERVICE FOOD ESTABLISHMENT CONSTRUCTION, ALTERATION OR REMODELING OF A SERVICE FOOD ESTABLISHMENT This approval is issued under the provision of Article 13, Section 1304 of the Suffolk County Sanitary Code. Applicant Location of Service Food Facility Ferdenzi Ent. Inc. Bagels Plus, Route 48, Southold Type of Service Food Facility' (1) New Structure xx (2} Remodeled Existing Service Food Facility (3} Building Converted from Other Use to Food Service By constructing or remodeling, the applicant accepts and agrees to abide by and conform with the following a THAT the proposed service food facility be constructed ~n complete conformity with the plans and specifications approved this day or approved amendments thereto b THIS is not a permit to operate a Service Food Establishment Contact this Department prior to op- eration so that an inspection can be performed c. CONDITIONS FO APPROVAL - 1. Sewage approved for 30 seats only 2. Provide a letter from a licensed plumber stating that all non-sanitary fixtures are connected to the exterior grease trap. ISSUED FOR THE COMMISSIONER OF HEALTH Designated presentative May 2, 1989 Elizabeth Canal, Senior Sanitarian Date Name and Title 18 271 5/82 HENRY J. SMITH & SON Inc. E t~~~".:.~~~.._.......~..~..._ , PLUMBING, HEATING & FUEL O!L 80UTHOLDRON Y 17977 ~Y 8~ 4~4 i ~ (5181 765-3690 } ~ ~~~~...~.___~.~l ; BI.D, DEF7 70\NN t): .~,CrJ.F<GLD~~ C E_R_T_I_F_I_C A_T_I_0_N_ Date__M~ 8~1Q8~___~ Building Permit No._ 18%2Z _ Owner_ Ferdenzi_Enterprises1_Inc__jBa~ls Plus) i Plumber__Henry_J__Smith & Son1_Inc_ I certify that the solder used in the water supply system contains less than 2/10 of 19, lead. - - Henry P. Smith Sworn to before me this 8th day of M~___~___, , 9=89 - -1~~~~~~e~~~, Notary ublic Notary Public, Suffolk County BERNADE7TE L tAPLVN NOTRNY PUBLIC N484+1893 Shte of New York ResidmQ m Sulfdk Cou~dy Commnsfon ExWn: Seed. 30, 19~ HENRY J. SMITH & SON, Inc. ~~D R~ ' 't + PLUMBING, HEATING & FUEL OIL ~ ~ t 1 ~ MAIN ROAD - SOUTHOLD, N Y 11971 ~i 9°`~t.w~°--T n tO1NN OF SUJ~r'JL. 'i (516) 765890 -~-^'r""~'~~ Master Plumber License No. 537-P May 8, 1989 ~ Suffolk County Department of Health Services County Center Riverhead, NY 11901 I Ref: Bagels Plus (Ferdenzi Enterprises Inc) North Road Southold,New York 11971 Southold Town Building Permit No. 180Q2Z This is to certify that all non-sanitary fixtures have been connected directly to the approved exterior grease trap. All food-preparation sinks have been connected indirectly. Henry P. Smith President i ~ f I ~I Sworn to before me this 8th day of May, 1989• ~irl 7~st>G,cc Notary u 1~ BERNADEiTE L tAPLIN ' NOThRY PUBLIC M4844893 , State of New York Res+dmgmSuffolk CBBrRy Vq ~,ommiu+on Expires Sept. 30, 191E ~~1CerS UTILITY OI•FICC TEL VcLLa fc e o~ ~reeiz~ort (516) 477-1745 MAYOR GEORGE W HUBBARD INCOnvonerco IeaR POWER 4LANT TEL NCW INLOnpOn11TION .ARIL Tr 1~0• (516) 477-017'_ 7RUSTEES R[ IN CO RPO n.. TION VNOCR LCNCRIIL L1W M.T ]p \PP. STEPHEN L CLARKE ~ yTl~'4 JEANNE M COOPER , - DAVIDS CORw'IN ~~e Q~9~• ~ !w u GAILF NORTON ~j'lf ~~~/'1"J LI V ~i2 O pIC 1S,LAN Q .L ~ f SUPT OF UTILITIES 4,a LL?V 6 I(Ip{'f 1AMES 1 MONSELL 1'WI O 1.707 ' 236 THIRD STREET PO BOX AH FI-i~G L~{r GREENPORT,SUFFOLK000NTY TON~~" C~ C". ',;L~ NEW YORK 11944 - ~ April 28, 1989 Mr. Norman Wagner Suffolk County Health Department Suffolk County Center Riverhead, N. Y. 11901 Dear Mr. Wagner: The following water service line was connected to the Public Water Supply by the Village of Greenport during August 1985. The installation was done according to our rules and regulations and, to the best of our knowledge, meets with the Suffolk County Health Department standards. V>_llage of Southold - Shopping Mall - North Road, County Road 48 - One building with 9 stores with one (1) J-rrigat>_on line - Job #1985-88 installed 8/27/85 - Ref. #5-61 (C10-87-6) John BertanJ. - Bu>_lder. If I ca^. be of further services, please contact me. Very truly yours, H. B. Sherman Asst Supt. of Public Uti13.tJ.es HBS:llan 100 Years of Community Service -1dLD Ii~S:E~T1U:} +h (fUniE ~ i;OMMGNT~ i+ t -v ~ m a H ` - - H FOUNDATION (1st) ~ ~ c FOUNDATIOI (2nd) m 2, p ar o ROUGH FRAME & ~ PLUMBING ~ ti ~ 3 . ~ m m IIISULATIOI7 PER N. Y. STATE ENERGY CODE x } 4 . S 8 0-~. ~ m H FI;JAL O~ ADDITIOIIAL COMMENTS: x' ~ ~Qi+ . ~.~"u..,~.,. x H 71 y H H ~ O Z ~ • x m a r H _ ~ b m ^o H 0 a m S S o o ~ K, ~ ~ ~ o Z c o ~ F 0 0~~ a ~ o a n r' ~ 7 p e~~r O. N 3 a9 a N W M c ~ o• S Da A a w F a o ~ rn O S ~ ~ d (ap S ~ ~ d ~ ~a w p' p '9 A 3 o s ~ ~ ~ ~ N O a a~ N ~ N m ~ -n Z p p ~ m d ~ 3 D -n O`c N m~ a C p Q' w ~ T ,fir ~ ~ ~ m ~ ~ ~y _C) = D ~ " ~ OC 9 m r^ o. 0 3 A p- ~ ~ ~ O s o o D O ~p n d , p n+ f7 ~ ~ o- • ` a '9 Z c N fC Vf Q ~ T ~ ~ O ~ O .y ~ ,y S F T_ ~ ^ n O O O ^ O 3 ~ N D m W ~ C y '1 ~ a' r Z A a 20 O OQ N ~ d ~ N p' 'S N ~ ~ 1 O 0_ ~ 1 _ , BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N Y. 11D71 NOTIFY TEL.. 765-1802 CALL 19 MAIL T0: Eeammcd......... Approved L~~/.'mot ...1 19~~Pcrmtt No. ` ~f!. 1.~~ Disapproved a/c , ~ I~~', /(n/ IMR 13~ , , .tom/ tel..°.. ~ BLDG DEPT LJ (Building Inspector} TOWN OF SOUTHOLD ...........1 APPLICATION FOR BUILDING PERMIT Date I~ INSTR[ICTIONS a Tltis app]tcatton must be completely filled to by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premtses, relahonshtp to adlommg premtses or public stye. or areas, and giving a detailed description of Iayout of property must be drawn on the diagram which is part of this app canon. c., The work covered by this application may not be commenced before tssuance of Building Permit d. Upon approval of this apphcahon, the Butldmg Inspector wdl issued a Butldmg Permtt to the applicant Such peirr shall be kept on the premtses evadable for Inspection throughout the work. No building shall be occupied or used to whole or to part for any purpose whatever until a Certificate of Occupan~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Butldtn, Department for the tssuance of a BtuIding Permtt pursuant to ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or far removal ar demolition, as herein describe The applicant agrees to comply with all appitcable laws, ordinances, building c , houstn~ co ,and regulations, and admit authorized inspectors on premtses and in building for necessary inspect[ G~ f ~~C~/~ ~ (SIg lure or apphc t, or na , tf a corporation) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or butlde . Name of owner of premtses • •rJL~Zt • • • G~/?/ : • - • - ~ - (as on the ta:c roll or latest deed) ~ /~~~,_,~p If apple n ac/o/y~yora~ gnature of~dul~y ant rued officer- 1 / j^'~_ l//k% (Name and htle~`rate officei ~Y ~ /~_~G~ Builder's Ltcense No. F'/r.~?`: //..l..l. J //y~~%~~(-/ Plumber's Ltcense No . Electrtctan's Ltcense No Outer Trade's Ltcense No . . 1. Location of land on which proposed work will be done. ~ , , • J~"J r r/"` . ~ ~..~sj-..~.Ct a..... . . . . House Number tree[ Hamlet County T3v Atup No 1000 Sccuon Block ~ Lot . S a Subdivision - Fllc:d Alap No . Lot (Tl.unc) State c~isUng use and occupancy of emt(ses and ~ttended~use and occupancy of proposed cons[rucuon a. E~ctsung use and occupancy ~~`-LAC • • • • • • • • • • • , b. Intended use and occupancy • • • • t~;~~,/T~S.:... . 3. Nature of work (check which applicable) New ilwldmg Addition • rUteration Repair Removal Demolition Other 1Vork . ~ (Duscnptto 4. Esumatcd Cos ~ Fee QQiI/.f . d . (to be paid on filing this application) 5. If dtvelhn„ nutnber of dwelling units Number of dwelling units on each floor . Ifgaragc.numbcrofcars 6. If business, commercial or mixed occupancy, specify nature and extent oC each type oC use . 7. Dimensions of existing structures, if any. Front Rear , Depth . Hci~}it Number of Stones . Dimensions of same structure with alterations or additions• Front Rear . Depth IIeight......................NuatbcraCStones................... 1Dieii6 ~ q(~tire new construction. Front . Rear Depth , , , . , G +^in^n .....NuinberofStones 9. Size of lot. Fronx Rear...................... Depth 10. Date of Purchase .....................Name of Former Owner . 11. Zone or use distract in ~vhicli premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation : . 13. Ni11 lot be regraded Nill excess fill be removed from premises. Yes 14. Name of Owner of premises ..........Address Plionc No............. Name of Architect .....................Address ..Phony. No............ . Name of Contractor ..........................Address ...................Phone No............. , IS.Is this property located with in~00 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Perini[ may be required. _ PLOT DIAGRAM Locate clearly and distuictly all buildings, whether existing or proposed, and. indicate all set-back dimenston,~ fry property fines Give street and block number or descnption according to deed, and show street names and indicate whet] intenor or corner lot. .t STAT£ OF \EtV Y'ORI;, S S COUNTY OF . • • • • • • • • • • • . • • • • • • • • • • • • • • • • • bang duly sworn, deposes and says that he is the apptica (Name of individual signuig contract) about named. Ile is the (Contractor, agent, corporate officer, etcJ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and Gle t1 'pphcauon, that all statements contained m this application arc true to flit best of fits knowledge and belief, and that t vork will be performed in the manner set forth m the applscahon Gicd therewith. iworn to before me this `,~r ~ ..............~.'L ......day of . 19 U .otaryPublic, .........~.~.~C+i.1.I~:•!~a"G~:: County HELEN K Df VDf NDT~ A707878 SuN~ol%CawMY Cr (Signature of applicat Term Expres }hatch 3(I, L j _'~II~~~.~I I{I~~ ~II~--~I~!II ;ili,l ~l~!I I~'i~~ '!r'' II ~ ICI ~~j_~1 ! I ,;l i~~ i_~,~~IjfI-I~IIILI~ ~71r!-I 1Y ~i'~ I ~;I!~~~ I ~ i ~_.m_.... W, _ nom.. -r-i--~--.,.,._..... - , _ . i . . i w ~ m..k m+ . . . r ' r n,..~. . _ L . 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