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 $5.00. Please send it to my attention.
Thank you for your assistance in this matter.
Very truly yours,
/jas So e A. Steiner
Encls. Legal Assistant
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOIITHOLD, NEW YORR 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE.August_7,, 1989..._
NEW CONSTRUCTION ,x.(CopyOLDCOR)PRE-E%ISTING BUILDING......VACANT LAND_....._.
Location of Property. 46695 North Road_(Count_y Road 1f48) : _ . _ _ Southold. _ . _ _ _
HOII$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
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IIISULATIOI7 PER N. Y.
STATE ENERGY
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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
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