HomeMy WebLinkAbout17833-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18786 Date FEBRUARY 9, 1990
THIS CERTIFIES that the building ALTERATION
Location of Property 53345 (4) MAIN ROAD SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 61 Block 1 Lot 13.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 9, 1989 pursuant to which
Building Permit No. 17833-Z dated FEBRUARY 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 FROZEN YOGURT SHOPPE AS APPLIED FOR. BUILDING #4
The certificate is issued to T.C.B.Y. YOUGART SHOPPE
(tenant)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 5-59-2/9/1990
UNDERWRITERS CERTIFICATE NO. N-067821 - APRIL 20, 1989
PLUMBERS CERTIFICATION DATED Ji}LY 17, 1989-C&N PLUMBING
~
Bui ding Inspector
Rev. 1/81
snsai xo. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHALD, N. Y.
BUILDING PERMIT
(THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTIiORIZED)
N° 017 8 3 3 Z Date 19.4...1.
Permission is hereby granted to:
. SLL~..... /.9..7.
ro ....Ccr~a .A.~'J+~.~.cit'.....~a.... ~-:~wc.~:....~i~-~~.... ~....g~%..~!:.......
,~'33~ '
ct premises located at 5..........~.Q:'~:...`...`.:'.......... !~.,;^4~..../.QL~..............................
County Tax Map No. 1000 Sectio~n-(......~~.~......... Blogck .......4~......... Lot No.....0~.~.........
pursuant to application doted .....Qx?-~:?!c!~:.....1 19.~.q.., and approved by the
building Inspector.
Fee
Building Inspector
Rev. 6/30/80
TOUN OF SOUTUOI.p
IIUILDIt{G DEPARTaEttT
TOUt{ QALL
SOUTIIOLD, NEN YOI{K 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPAttCY '
DATE. Jul~r 20: - 1989.. .
NELI CONSTRUCTION x _ _ , ,OLD Oft PRE-E%ISTIt1G BUILDING_ _ _DAC,127T LAND... _ _ _ . _
Location of Property. , _53345 i1AIN ROAD(Bld: -94 I SOUTHOLD, NEW YORK
UOUSE NO. ~ _
STREET ...-IIAMLET,
Ovncr or Ovncrs of Propcrty...__PUDGE CORP. T.C.B.Y. YOGURT SHOP.
County Tax Map No. ]000 Section 61 ! - 12.2.•_••_••--••--
Block Lot
Subdivision,,,__._
Filed Map ........Lot........_.
Permit :{o. 17833-Z 2/4/89
D a t e o f P c r m i C _ PUDGE CORPORATION
----Applicant
Ucalth Dept. Approval
" " Underwriters Approva1.N067821..._
PlanninC Board Approval
+Iequest for Temporary Certificate ,
Final Certificate
°cc Submitted: $__•50:00
APPLZCALiT~G~:)!1?;~~~~• - ~ •
~v' 10/ 14 /88
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lELD Ii:S:'~~.T1Uii (~UATr. ~ i:vh(MENT°
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FOUNDATION (2nd) ~
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ROUGH FRAME &
PLUMBING
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I2JSULATIOPI PER N. Y. • •
STATE ENERGY
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TEL. 765-1 S02
~pS~FFULK~p TOWN OF SOUTHOLD
O ~ OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
~ TOWN HALL
O,y,,_~ ~ ~~0~ SOUTHOLD, N.Y. 11971 .
C E R T I F I C A T I O N
Date
Bulld.ing Permit NO. 17833-z ~$TORE #4) T.C.B.Y. YOGIIRT SHOP
Owner ~?DUk ~otPP '
t ( ease print) / p
Plumber a y~~~yrrr 8/Nd _l.,,b'u.~' :..~ER3'vR~'<~/
' (p ease print? ~-~TCC..
I certify that the solder used in the water supply system
contains less than 2/10 of l~ lead. ~
(plumlyer's signature)
Sworn to before me this
day of c~u~-y r
19~' Notary Public
Notary Public, Su fro County
EILEEN M. ROACHE
Notary Publio. Stota of NewYot4t
No. 4828842
Qualified in Suffolk County
Commission Expirea.January 31, 199Q
_ - _
$ - - T
rl
THE NEW YORK BOARD OF FIRE' UNDERWRITERS PACT
I Illlff~aO DUREAU OF ELECTRICITY
88 JOHN STREET, NEW YORK, NEW YORK 10038
Date APRIL 'I.U,1)R~ AppltcaNonNo.onfile 6U96'1.589JR9 N Uf;"I$7.1
THIS GERTIFIE3 THAT
only eha electrkal w Y daacrt6ed 6elorD arui! introdECed 6y thr epp/trnnt natnedon [he show appliutiaa aumMr in the promiesa OJ
TC~
lil1G1; CttRF,{JTN GRAY JR,), NALN Ri'1.-P'l;A'PHF:R H7f,L HAb6, S(N1'CHtjT.!), N.Y.
in theJollolcinq location; ? 8aeement ®/At Fl. ®Ynd F!. Section Block Lot
uNU a:ermined an APRI.G U3, S4R'# andfound to 6e in complisnce with the requirernenG Uf ehta Buord.
NK/tME AQB >RFITCi1K RX RANGES COOKING DICKS OVENS DISH WASIMRS lX1Y11lET FANS
OUTIRTS INGNDEECENr FIVOREtCEM OTHER NAT. K. W. AMT. K. W. AMT. R.W. AMi. R. W. AMT. N. P.
?.6 1 7 14. 1.~
DRYERS FYRIIACE MOTORS FUIUM AMLANCE IRDMS REC?T iK+1E COCKS RKL DIRT WAiNS MWLT1-0U111T DIMMlRS
AMC K. W. 01l N. P. GAa N. P. AMT. NO. A. W. Q AMT. AMP. AMT. AMTS TRANS. AMT. N. P. NG. ~~F FRET AMT. WATIa
3 3U
lRRVIC! ONCONI~ S E R V I C E
AMT. AMI. TRT ~ t /TN 1 / a\V ~ / TY 9 / IW NO.OF CCC. COND. A. W. 6. NO. OF N4lEG A. M'' G. ND.OF NENRAIS
NR I OF GC. COND. OF Nt-IEG
OINpI AF?ARATUS:
4tAGK 1:N RN:kR[G.N/3/4HP Ct7NP, 1
3-TON A[` (INI9'S°-1
AIOTI)RS:1°D.aO H.H.
F:LIs(.. MATRR HEATKkS::1-A.5 K, W.
f".i'. f : 3
SM6Kt: UA:'/'$CT(7R: °-2 -
'1'RACR. t,IGHT(NG:~71,
~O~
ROAlsRT KP:UUI~:RAt1RN i,1C.~P,'h7.0
?.1'~ PIDGF:UN HI1,T, NU.
NtjNTINGTQN, NY, 1.1'746 GYlERAL MAN R
]..1 {
Psr
This wrltficah must not w aherod-,in any manner, rNUrn to 1M oNiw of tlr Board ff incorrect. Inspectors. may ba identified by s.
•UILDI DEPARTMENT. THIS COPY OF CERTIFICA T NOT LE ALTERED IN ANY ~
' ~ BOARD OF HEALTH
3 SETS OF =~LANS
FORM NO. 1 SURVEY ,
TOWN OF SOUTHOLD CHECK . ~ . .
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
SOUTHOLD, N.Y. 11971 NOTIFY
q TEL.: 765-1802 CALL . . .
Examined.~~l~.M.... .t 1.,19.\. MAIL T0:
\pproved 19~~ .Permit No. ~ ~ ~ ~3~' ~ ~ ,
D
Disapproved a/c FEB ` 9 X989 '
.
q~, BLDG. DEPT:
. ~LCiO?-~., .~?-~a-~~....... 'IOWNOFSOU4HQLD___~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
re~r~ur~ `1 89
Date ~ 15 .
INSTRUCTIONS
a. Tliis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Pee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application 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 permit
shall be kept on the premises available for inspection throughout the work.
er No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
...PorLZy..S~~~ems.. ~nry.• .
(Signature oi' applicant, or name, if a corporation)
................5~,,,~L,~l r3„ rv I I of 7.1..... .
' (Mailing address of ap~licant)
State whether app]cant is owner, lessee agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises 4.. ~?'.r~:.... .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No . .
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . .
1. Location of land on which proposed work will be done. Fea 4l.e.r 1~ I
House Number SCreet. Hamlet
County Tax Map No. 1000 Section ...O,F~./UU.......... Bls~ck ~ /0 0 , , _ Lot ..00301 e7p
Subdivision Filed ~Iap No. Lot .
(Name)
State existing use and occupancy of premises and in [ended use and occupancy of proposed construction:
a. Existing use and occupancy ...!~a c f~N k, , , ;-e, I-a;:~L, , , 5,4a ~
b. Intended use and occupancy ...3.04 ^'!vM ~I4°~,v.r !~rOr al` ~ s C.
~ ,
3. Nature of work (check which applicable): New Building
Re air • • • . Addition Alteration . Y. • , • , ,
P • Removal Demolition Other 1York .
4. Estimated Cost ~..J~ UCJ,C.~• , , , , , , , • , , , (Description)
Fee
(to be paid on tiling this application)
g,
5. If stvellin number of dwell+ng units . . . Number of dwelling units on each floor ,
If ara e, number of cars , .
6. If busiAYgSS~,{~tgyg~ycia4.or_m~xed occupancy, specify nature and extent of each type of use I~, • ~ s i P~ • '
uz~ne5
7. Dimerf~io~ ~ cis~gj~t ores, if any: Front . .Rear ~ • ' ' '
Height Depth
~mber of Stories .
Dimensions of large strucfu~ with alterations or additions: Front ~ • • ~ • • ' ' ' ' ' ' '
Depth.:..... Rear................
•,.i. Fleight . , , . , . Number of Stories .
8. Dimensions of entire new, construction: Front . Rear . ~ • • • • ~ ' ' ' ' ' '
Heigh"t""'"":~a::~.iM,`.~s~~'-l . , . Number of Stones llepth .
9. Size of lot: ~Fiont .tr. • , . r .
Rear...................... Depth
'••••••••••••••••...NameofPormerOwner
P P
1 1. Zone or use district in which premises are situated .
2. Does oro uosed construction violate any zoning law, ordinance or regulation: ...:VO
• e ~
Nill excess fill be removed from premises: .Yes N<
14. NameoofOwneroP remises.~•••~•~•~•••~••~~•~
P .Address. .PhoneNo..
Name of Architect .Address • .
Name of Contractor ~ ~ ' ' ' • • ' ' • • • • • • • • • • • Phone No .
IS.Is this property located within 300 fedetsof a tidal wetlandYn*YL~S....NO
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate cieazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicates whether
interior or corner lot.
' -
STATE OF NE~V YORK, ~
COUNTY OF . • ~ S.S
b,..
(Name of individual sip I ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant
ring contract)
above named.
lie is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in The manner set forth in the application lilcd therewith.
Sworn to before me this
~ .cl,
• . ...............day of, ~;~~-L~-crz
~ , ],9
Notary Public, , , County
LINDA J, COOPER ~ ~ ' ' ' '
Notary Public,8tateofNewYork (Signature f plicant)
No. 4822663, Suffol~C County ~
Term Expires Decamber,31,18~
.31 '-4 '
L
F
II a~ ~'
~ / + ~sr~ er ~m~cr~.
4'-o' ~'-m' OCCUPANCYu~ ~ ~r~usr~°°nnx~.r° .~ve ~ ~a
'~ ~ USE IS UNLAWFUL z*. ~ + ~o~ ~ ~s ro ~e
II ~o~ ~r roor + ~r~
" I1 '?
No~,~ r~o.~. ~ ~,/~ ro ee ~ ttc~Pe~ i 1°r w--e '-i~" sna- 2. ROUGH - FRAMING & PLUMBING 45P~bP~Ct~A~5 ~~~~
~ ~ r~. ~. sy~em; pt~: ~ L~ 4. FINAL - CONSTRUCTION MUST ~ - ~XIS~G ffQ~M~T
OER~RtT~~SCLR~t~CAT~ THE REOLJIREMENT?; OF THE NY,
~ ~ ~B[~[~ STATE CONSTRUCTION & cNERG
~ ~ ,%, ,~
fL 001~ PLAN
EQUIPMENT PLAN
SHEET NUMBER
1
OF ~V~V
~;
A -123~ ~
~11a
-1260
rqF
G'XIO'
ASBEMBLY INBTRUGTION5 FOR AMGO II ,5tt_rLVt~IG
TYPICAL
FEEEZEE/COOLEE 51-/EL VINO LA TOUT5
SEC TIOH ~ C/-/A/E EA/L
LA TTICE ELEVATION
f'lNISH MA TEE/AL 5PECIFICA T/ON5
Wl~# tO USE ~ M~TL~I~L NOT NOTED YOU MUST REQUEST IV ~T~ + OBTAIN Af~BOV~d. ON BE SUBJECT TO REFLACEMENT AT ¥OL~ EXP~NSE.
FLOORING -TEmNr ro~c,~ ornoN~- OTHER REQ'D OR ACCEPTED FINISHES
NOTE,
WALL COVERING -TE~Nr ro ~c,~ o?r, ON~-
RESTROOM5 5/~' ~ CPAI~ 50~ CREAM3 HO~
PAINT + STAIN MIXING CODE6
PLAS TIC LAMINA TE5
CEILING FINISH
INDOOR MENU BOARD INSTALLATION PROCEDURE
VARIANCE PROCEDURE
PLAN CHANGE PROCEDURE
b'TORE DRAWN
DATE CtIECKED
SHEET NUMBER
2
~N.T.~.BTUB-OUT DETA/L
!' IJZ GOLP BUPPLT
SIDE VIEW
CABLE *B* TO BALLAST
/
J
(~EXPL ODED ISOMETRIC
SCALE: 1/2'~1'-0'
ELEVATION
NO TE-'
TYPICALscALE, ~/4.=~,-o.SERVICE WALL ELEVATION AND SIDE VIEW
Of SERVICE COUNTER
.~WEET FOR ADDITIONAL
~NFORHA TION.
--T
CABINET S/DE-TYPICAL
PLAN-CAD/NET
/
N.S.F. F, EONT-CABINET
'A ' FRONT-CAD/MET 'A '
(~SERVING WORK COUNTER CABINET ELEVATIONS
5CATE' 1/2'=I'-0'
3
OF ~EVE~
SHEET NuMbER
ALL
5 TOCK
ALL -%'4'
5HEL
1-/2 'X5 '?L T.
FOR LIC-~IT
15'
1/4' lq' 1/4'
IMPORTANT NOTE,
SEC TION W- W
SEC T/ON X-X
SEC TION T- T
SEC TION Z-Z
CANOPY SECT/ON
MEDITERRANEAN POS T
PLAN VIEW
5 TANDARD DIMENSION5
'A ' 'B ' 'C ' 'D'
15'-0' 4~' 2g' 18' 33'
15'-4' 54 1/2' 50 1/2'24 1/2' 54 1/2'
17'-4' 6G 1/2' 62 1/2' .36 1/2' G6 1/2'
7G'
CUSTOMER SIDE ELEVATION
WOOD Sh~GLff6
i
END ELEVA T/ON
~Ec--ZE
GUT-OUT6 FOl~ CONDIMENT
000
WORE TOP DETAIL
TOP
IGWT5
GA~ REG.
LJ
SERVICE SIDE
ELEVA T/ON
~I'ORE NO, DRA~/N BI
DATE CHECKED
' NUMBER
4
OF SEV~N
LIOHTIN~ FIXTURE SCHEDULE
] I LITHONIA #~GT-440-~OV 4-FAOTiL=/C~/R£ ~e'X,~' ~Y-IN PR~MATIC
] ~ LITH~ ~T-~40-I~OV ~-F4OTI~/C~/R~ ~'X,'4' LAY-~ PRISMATIC
VOL TA~,~
CEILING F~N$ TO JSE PROV?bED .~Y TENANT AND 1NSTALL£D ~Y
~.~.ECTRICbL C~NrRAcTDR, PRDVI~E SECURE JUNCTION .~DX FLUSH IN
CEILING IrO~ FAN,
i~1 ~L~ H NS~ rr I
A -41.45
L/OH T/NO
L
N5
L
CONTROL ?NL
, LEC T ICAL
0
' IA4PO~TANT ~OT~= k/V~vC-. NOT t&I~LL~ED ~M LOAD C*LE, ULATI~,
AOD POFVE. I~ & IX£DO ~'ECS, AS i~r'~'o.
REVISION
61705
DATE CHECKED
OF ~m
IL
II
r-
F1
PLUM~tNG FIXTUR[ 6CHEDUL[
NOTE5
/7_,
REVISION
REFLEC TED C[IL/NG PLAN
FLUMB/NG
NUMBER
6
OF
~ ~,~ .:~ ~,o: .... ~'~ __E:~'~ :'~___
PIPING INSTALLATION OUTLINE DRAWING'
- '
~'~ I ....... , '--a:~sa¢- -* ,'.'.....-'.:'. ' '':~
~..... I : ~ , ~H~RACTOiRS ~HALL VERIFY ALL DIHENSIONS ANO COORDINATE ~ITH OTHE~ TRADES. '
'--~ ; B, CONTRACTOR SHALL PREPARE THE PLATFORH, CURB~ OPENINGS ~NO NEATH~RROOFING 7HE b~HE
FLUID COOLER (FC-7)
i