HomeMy WebLinkAbout18546-z FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218772 Date FEBRUARY 7, 1990
THIS CERTIFIES that the building BUSINESS ALTERATION
Location of Property 3800 KENNY`S RD. & 50 NORTH SEA DR. SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 054 Block 005 Lot 22
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPT. 20, 1989 pursuant to which
Building Permit No. 185462 dated SEPT. 27, 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 REPAIR BUILDING DAMAGED BY FIRE.
The certificate is issued to CLZFF SAUNDERS
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RESTAURANT APPROVAL
UNDERWRITERS CERTIFICATE NO. PENDING SLIP 1/25/90
PLUMBERS CERTIFICATION DATED MATT. PLUMBING & HEATING FEB. 7, 1990
Building Insp~e~tor
Rev. 1/81
roar xo. s
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 0 .J. ~ J W~ Z Date~..~Cri~, 19.C1...~
/V L/ e
Permission is hereby granted to: ~
.....................y~...:.....~....................................
p
of premises located at .....~Jl.......~1....,11.~-~/f~n. ...l.L. .....~a..~~.1....:.lLk ~ .
.,a~~
...•.l.c. ...I......................................................................
County Tox Map No. 1000 Section ~ Block ......~11......... Lot No......a.~..~~,,~.
L y
pursuant to application dated r/.........~.~~.. 19fl~and approved by the
Bwldfng Inspector.
Fee s. 1. a0.',.~/..,(~
. ,,,,,~1
Building Inspect
Rev. 6/30/80
TOtIN OP SOUTIIOLD
IIUILDI2tG DCPART:IC27T
TOtiti IIALL
' SOUTIIOLD, E7Eti YOILiC I I97I
.t 7G5 III02
APPLICATION FOR CERTIFICATE OF OCCIIPAtiCY
DATE. ~~~~.k~1...... .
HEN Cp2:STRUCTION .~..,pLD OR PRE-EBIST22iG IIUILDItiG......VACAtiT LAUD........
Location of Property.... ~.......~~~L~S ._``IK~.._._.~QL.~.~.1'~0~~......
DOUSE NO. ii ST~I}:LET [lAHL1:T
Ovaer or Ovncrs of Propcr[y..~~"` ~t=~:~~ ~e~S
Cauatp Tax Hap No. 1000 Seccioa D~~. Block 5..... Lo e" .Z'":~...
Subdivisioa__..~.(.~1 File M(a7p ......_LoC......_...
Pcrai[ Ho. l~~:T,~P__.Datc of PcrmiC ~~°~.'1APpLican[ ~~~~'.~`:=_~~Si~~~~
~/F'// r
.-L~tk
Health Dept. Approval ~ra:y~7~~%..._.. Undcrvritcrs Approval./..._
Nlaan iag IIoard Approval
Request Eat Temporary Certificate Final Certificate
~=I[J ~ .
Pcc 5uhciitted: ~
APPLICAtiT.~.Q._.
Ca zJ
a h~qa
~ 3~y~s
r~v• 10/lLJ88
FORM NO. 6
TOl1N OF SOUTI[OLII
BIIILDING DCPARTtIENT
TOS7N HALL
7G5 - 1II02
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIDNS
A. This application must be filed in typewriter OR ink and submitted to [he Building
Inspector with Chc following; for nev buildings or nev use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topographic features_
2. Final approval of IIcal[li Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from IIoard of Fire Uodervriters.
4. Svora statement from plumber certifying that solder used in system contains less
than 2/10 of IZ lcad_
5. Commercial buildings, industrial buildings, multiple residences and similar.
buildings and installations, a certificate of code compliance from the Architect
or Engineer responsible for Ilse building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings
and "pre-existing" land uses:
1. Accurate survey of property shoving all property lines, streets, buildings and
unusual natural or topographic features.
2. A properly completed application, a consent to inspect signed by the applicant
IF a Certificate of Occupancy is denied, the IIuilding Inspector shall state [he
reasons therefor in writing to the applicant.
3. Dale of any housing code or safety inspection of buildings or premises, or other
pertinent information required Co prepare a certificate.
C_ For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company shoving singLc and
separate ownership of 'the entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, [he IIuilding Inspector
shall state Chc reasons therefor in writing to Chc applicant.
D. FEES:
I. CERTIFICATE OF OCCUPANCY - New Duelling $25.00, Additions to AuclLing $25.00,
Alteration to Duelling $25_00, Swi®ing Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00_
2. Certificate of Occupancy on pre-existing duelling - $100_00_
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $I0.00
4_ Vacant Land Certificate of Occupancy - $20.00
5. IIpdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy -$15.00 Residential
Commercial
~ ~
moo. to/I4Isa
TEL. 765-1802
~pc~v~FUL/r~p0 TOWN OF SOUTHOLD
y~c OFFICE OF BUILDING INSPECTOR
o ~ P O. BOX 728
v' yc TOWN HALL
'YO~1 ~ ~~0~ SOUTHOLD, N Y. 11971
C E R T I F I C A T I O N
Date o~
Building Permit No. j $,j yf
Owner ~ Sau.~.~~~~
(ple1ase print)
Plumber II'la~'F~Ta~~G Prum~.na,F/~~,,~',~ ~pt-p
(please print) ~ ~ l
I certify that the solder used in the water supply system
contains less than 2/10 of 1~ lead.
(plumber's si r
worn to before me this
' 19 Jet/ • Notar is
Notary Public, (S~ 'Ct~~OL,~' County
EDITH F. ~AiCKSOM
Nobly puN
e. ~~Nwr Yada
Qudlled In SWfaOt Cornly
term Expees Fe6.18,19Y2
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?OUIIDTTIO:I r (1st) ~I
OU[dDATIO'I (2nd }
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.'.OUGA FRAh1E b
PLUMHI:IG
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T_IISULATIOPI PER N. Y. I r
STATE E2lERGY
CODE I'
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FINAL
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INVOICE
NORTHEAST f{RESHIELD, INC. ~
11 BAY SHORE ROAD
DEER PARK, N.Y.11729
(516j 586-0064
SOLD TO SHIPPED TO
CUSTOMER'S ORDER SALESMAN TERMS SHIPPED VIA FOB DATE
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REDIFOPJ•t 75737 csrbonlras
~OtY PAK f6D SETS1 7P777
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Wc~~co
Business Carpet
omo~~ ~,a~ ~«:>~>y
To Whom It May Concern:
RE: PROSPECT
This letter will act as certification that We11co Business
Carpet has submitted for flammability test our carpet style
PROSPECT.
This test was conducted in accordance with requirements set
forth in ASTM-E-648 testing specifications, and this style has
successfully passed the test. The results are as follows:
CRITICAL RADIANT FLUX: .48
This style was also tested in accordance with ASTM-E-662 testing
procedure for the N.B.S. Smoke Chamber. The results are as
follows:
N.B.S. SMOKE CHAMBER 189
Should you require additional information, please do not
hesitate to contact me.
Sincerely,
WELLCO BUSINESS CARPET
Lori Ehrhardt
Technical Services Representative
jp/sa
DIVISION OF WELLCO CARPET CORPORATION
POST OFFICE BOX 12281, CALHOUN, GEORGIA 30701-9987
1
~u~~~co
Business Carpet
a mcxuiington miffs canpany
To Whom It May Concern:
RE: PROSPECT
This letter will act as certification that Wellco Business
Carpet has submitted for flammability test our carpet style
PROSPECT.
This test was conducted in accordance with requirements set
forth in ASTM-E-648 testing specifications, and this style has
successfully passed the test. The results are as follows:
CRITICAL RADIANT FLUX: .48
This style was also tested in accordance with ASTM-E-662 testing
procedure for the N.B.S. Smoke Chamber. The results are as
follows:
N.B.S. SMOKE CHAMBER 189
Should you require additional information, please do not
hesitate to contact me.
Sincerely,
WELLCO BUSINESS CARPET
Lori Ehrhardt
Technical Services Representative '
jp/sa
DIVISION OF WELLCO CARPET CORPOfl OTION
POST OFFICE BOX 12281, CALHOUN, GEORGIA 30701-9987
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Haman Canstructian Ca. Inc.
P.O. Box 1442
Mattituck, New 1*ork 11952
516-299-5308
Sept. 19 1989
To Bldg Dept Town of Southold:
We propose to make the following repairs to the restaurant
located at Kenny's Road, Southold. Cliff & Phil's
Repair roof as required
replace all framing members which are no longer
structurally sound.
replace all windows
replace wood flooring
remove all existing wall coverings, insulation, install
new insulation and wall coverings
kitchen area to meet all current fire codes
~ erry L. Horton for
~F'
Horton construction Co. Inc.
Haman Canstructian Ca. Inc.
P.O. Box 1442
Mattituck, New York 11952
516-298-5308
Sept. 19 1989
To Bldg Dept Town of Southold:
We propose to make the following repairs to the restaurant
located at Kenny's Road, Southold. Cliff & Phil's
Repair roof as required
replace all framing members which are no longer
structurally sound.
replace all windows
replace wood flooring
remove all existing wall coverings, insulation, install
new insulation and wall coverings
kitchen area to meet all current fire codes
erry L. Horton for
Horton construction Co. Inc.
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1'AI~x
1.(1(11 SRd. BUREAU OF ELECTRIGTY
85 JOHN STREET. NEW YORK, NEW YORK 10038
Dam FENRUARY 2'l,19v0 APPIiroHonNo.onfile 6fi1f~4189/R9 N i]!;13:1
THIS CERTIFIES THAT
only the electrical equipment a descrihed 6eloto and Introduced 6y the opplicent homed an the afAOOe appBesNon numher in the promisee of
k,f,Nl)N PAS'P, 50 NORTH Sk;A DRI.VtF;,~7 Pt)I.6: Ill, SOIJTH04D, N,Y. ~
in thefolloming locotion• ? Baeement LJ Ixt Fl. ? Ynd Fl. OUT Section Block Lot
rmsexomined on JANifARY 25, (.990 andJound to 6e in cornplianre with the reyairementAOf this Board.
RXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTIRTS lC9TAC1lS SWITCHES INCANDESCENT FlUOI1E5CENi OTHER AMt. K. W. AMT. N. W. AMT. K.W. AMi. K. W. AMT. N. P.
6"7 ~2 32 54 l; ll F
DRYlRS FURNACE MOTORS NTURE APRIANCE RIDERS SROAI REC'eT 71A1E I:IOCKS IHL UNI711EATIRS AMIL140UitlT DDAMERS
AMi. K. W, ql N. P. GAS N. P. AMT. NO. A. W. G. AMT. AIM. AMT. AMPS. TRANS. AMT. N. P. ~ D! ~T AMT. WAITS
1 k' A hOf1
¦
SlRVICE DISCONNECT NO.OF S E R V 1 C E ER
AMi. AMP. TYPE ML~e. 1 R ]W 1 P JW 3 / SW ] X AW gpER
iCOND. q C COND. OF NI.IEG ~ ~ H NO.OP mUTRAlS O{ 'NEU~l _
200 CA 1 X 2 i/0 2 ;f/0 j
- OTHER AMAMTUS:
2130 AHP NANUKL TRANSFKR SN1'Pr'H- l
Sbf) NA'I'T PLATK NAR.MKR- 7
:?;?.6 AMA P11NP AI,ARH PANk:I, 1.
N+)'PORSsI-t H.P.„1-F H.P,
1'ANP;i,BOARAS:l-9 CTR. .100
.JUf)Y f'flNitd.O LTC,~:S101)~-iS
PAT LANK
HATTITf.fCR, NY, 1.19Eii. OENIRAI M~NAON
it ~'J
Psr
This certificoM must not be oltered in any manner; return to the office of the Board if incorrect. Inspectprs may be identified by their crodsntiais.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFIGTE MUST NOT BE ALTBtlD IN ANY MAINER.
l__
- _1~ - - /
D 2 BOARD OF- HE.~LTH- .
I~ 3 SETS OF PLA\S .Q.~:..
FORM NO 1 SURVEY .
TOWN OF SOUTHOLD CHECK • - - - - - - - - - /
E BUILDING DEPARTMENT SEPTIC FOR,1 - - - - / , , - - - - - ;
TOWN HALL NOTIFY
BLDG OEP °OUTHOLD, N Y. 11971
WNUFSOU D CALL
TEL.. 7G5-1802
~ MAIL T0:
Exammed~0~(,/li~~, ,h~.1~. 19 ~j ~1
Approved :l~D~!' .d~:.~~...., 19l%~Penntt No. ~~J. ~1~
Dtsapproveda/c
.......~«~~.~~o
(Budding Inspector)
APPLICATION FOR BUILDING PERMIT ~
j
Date • • . 19
INSTRUCTIONS
a. Tlus application 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, relationship to adjoining premtses or public stree
or azeas, and giving a detazled description of layout of property must be drawn on the diagrnm which is part of t}us app
cation.
c. The work covered by ttus applicatton may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pens
shall 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 CerttBcate of Occupan~
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY IvIADE to the Building Department for the issuance of a Building Permit 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 for removal or demolition, as herein descnbe
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authonzed inspectors on premtses and in building for necessary i~tspections
. 1-tb12~!v .~.Q4~~~cJC~:ls~~..C4~..l.VL`..
(Signature of applicant, or name, tf a corporation)
(Mailing address of applicant)
State whether atpplicant is owner, l/essee, agent, architect, engineer, general contractor, electncian, plumber or butlde
Name of owner of premises ~1 ~ CTC..~4.tlr~f'.~'S . . - .
(as on the tax roll or latest deed)
If a hcant is a corporation, signature of duly authonzed officer.
Name and title of corporate officer)
ALL CONTRACTOR'S MUST IIE~,SU•POLK COUNTY LICENSED
Bwlder's License No ....~aZg:~`Y. ~1......
Plumber's License No .
Electrician's License No . .
Other Trade's License No . .
1. Location of land on which proposed work will be done. . 3~~0 K~s~n ~ ~aL,
Housc Numbcr ' /Street Hamlet
County Tax hfap No 1000 Section ~:7" .Block Lot , .Z-~-'. - - , - , - - ;
Subdivision Filed \fap No Lot
(Namc)
Z. State existing use and occupancy of premises and intended use anc~ occupancy of proposed construction• , ~ ~
j7 G 1,..
a. Existing use and occupancy h:~~~.~~tLi!\ G"~:"~1~~/~. %~f~ .
b. Intended use and occupancy Sr~.~.L°-....":-:.~Yy~~ . ~c~?'?~!/,~~ .
3. Nature otwork (check which applicable). Nev,• uildmg Addition Alteration 1/... ,
Repair , . , Removal . . Demolition Other 1Vork , ,
OO ~~>~npiron.
1,,,~ r
4. Estimated Cost ..~lOUD s . . Fee s .
' (to be paid on fling this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor .
IfFarage,numberafcars
6. If business, commercial or mieed occupancy, specify nature and extent of each type of use . . .
7, Dimensions of existing structures, if any Front Rear Depth , ,
Hci~ht ...............NuiiiberofStoncs.......,..........
Duiiensions of same structure with alterations or additions Front Rear .
Depth Height Number of Stones .
8. Dunensions of enure ne~v construchon~ Front Rear Depth , .
Height ...............NuiiiberofStones...........
9. Size of lot. Front . Rear Depth .
10. Date of Purchase .v~ ......Name of Former Owner ~~,4ASTV.~ 1 . + .r<1)~Q, , , , , .
I l . Zone or use distract m which premises are situated . .
12. Does proposed construction violate any zoning law, ordinance or regulatron• , . .
13. 1~'ill lot be regraded . ...will excess fill be removed from premises Xes N
l4. Name of Owner of premrses G~:~L S4`:^,~•.:'3....... Address . ("~a:~!~{•k:...... Phone No. gag: 8~t
Name of Architect .......Address ....Phone No.............. .
Name of Contractor .~Oli'T6.+:0...~2~ sT w cTt`~*~ ,Address .l:"Pr3T~;t}$..!~:...... Phone No •-?G~T: .
15. Is this property located within 300 feet of a tiidal wetland? *Yes No
*If yes, Southold Town Trustees PermitPLOT DIAG1tAM ed.
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions froi,
property hues. Give street and block number or descnption according to deed, and show street names and indicate whethe
.ntenor or corner lot.
Se ~ ~cuLS
,TATS OF NE~ti' YORE, S S
~OL\ OF _
.~.r..
L
IP!e ~ Q/`f being duly sworn, deposes and says that he rs the applicant
Game of individual signing contract)
govt rained.
ie is the C-0YPCI/GL~e... .t: ! .21 CP1~
(Contractor, agent, corporate officer, etc )
t said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file this
~phcation; that all statements contained in tins application are true to the best of his knowledge and belief, and that the
ork will be pcrfonried m the manner set forth m the application filed therewith.
worn to 6cforc me thu
otary Public, .........f , , ~~-,ud~:.. Countyl-J~/J,/y~ tt
HELEN X. DE 411E • ~ ~C .
ND~'4fmU~78 k~ (Signature of applicant;
Term Expres Midi t