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HomeMy WebLinkAbout17853-z . ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18042 Date MAY 19, 1989 THIS CERTIFIES that the building ALTERATION Location of Property 31525 Route #25 (Store #3) Cutchoque, New York House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 5 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated January 27, 1989 Pursuant to which Building Permit No. 17853-Z dated FEBRUARY 16, 1989 V was i:;sued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATIONS FOR BAKERY DELI IN EXISTING BUILDING AS APPLIED FOR The certificate is issued to 5&E REALTY CO. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-89-002 -5/16/89 UNDERWRITERS CERTIFICATE N0. PENDING - May ll, 1989 PLUMBERS CERTIFICATION DATED May 8, 1989 - ROBERT BERTORELLO PLUMBING ~ C~0 -1> ~PiL~o,.L. Building Inspector Rev. 1/81 r~osa>< xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUI6DING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017 8 5 3 Z Date ~,1~~ 19.49. Permission is hereby gran ed to: " ~ ~ 6t" . i 51~ t0 .~~11"`'`/.•••lc p~.~l~j .!Lcs.......~["dz~...,..eU.'~~.~h'~r... .~i.......!!?! . ~ ,Q . . ct premises located at .....r3~~~~~~f~~ :~.-......:~/.........ct?.J~ .............~Y.7...~.r.L......~`.3...... C.' %....~G County Tox Map No. 1000 Section Block Lot No.............~~:... pursuant to application dated 19l~~~.., and approved by the Building Inspector. ~ Fee $..1.7.~.. / 4~ g.. ~y~i...... / Buil Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPART2IENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.. ~y_19,. 1989 NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BUILDING......VACANT LAND...._._. Location of Property..~1,52~,I~0UTE !k_25, _ _ _ .Cutchogue_ .New York HOUSE N0. STREET HAMLET Owner or Owners of Property...., S & E REALTY CO. County Taa Map No. 1000 Section 97... Block ..5.... Lot Subdivision Filed Map ......,.Lat........., Permit No. 178532 Januar 27 1989 .....Date of Permit ......y..:Applicant ,KOC_FUN CORPORATION Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request Eor Temporary Certificate Final Certificate ur'~ ~ 0~0 Fee Submitted: $ APPLICANT,.~~~~- . ~~.3,~~y Cp ~ feo~a rev. 10/14/88 „ _ FORM N0. 6 r TOWN OF SOUTFIOLD I BIIILDING DEPARTMENT ~ ~ TOWN HALL I 765 - 1802 _ APPLICATION FOR <;ERTIFICATE OF OCCUPANCY INSTRUCTIONS A_ 'This application must b~ filed in typewriter OR ink and submitted to the Building Inspector with the follpwing; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual',na[ural or topographic features. 2_ Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from $oard of Fire Underwriters. 4. Sworn statement fromlplumber certifying that solder used in system contains less than 2/10 of IZ lead! 5. Commercial buildings; industrial buildings, multiple residences and similar buildings and installiations, a certificate of code compliance from the Architect' or Engineer responsilile for the building. 6. Submit Planning Boar Approval of completed site plan requirements. B. For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land~iuses: 1. Accurate survey of pr',operty showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed,lapplicatian, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection af. buildings or premises, or other pertinent informationlrequired to prepare a certificate. i C. For Dacant Land Certificate of Occupancy: 1. An application for vacant land Certificate of Occupdncy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership ofi~the entire lot prior to April 9, I9S7 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: j 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. pacant Land Certi icate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial i~ APPLICATION ON BACK rev, 10/14/88 i' VALSEN CONSTRUCTION CORP. P.O. BOX 151 CENTRAL (SLIP, NEW YORK 11722 (516) 582-6888 May 10, 1989 To Whom it May Concern: Please be advised that the specifications for the Shasta ceiling tale we installed in the King Kullen store in Cutchogue ere as follows: Flame spread: 0-25 tASTM E84) Class A (Federal Spec. SS-S-118B 25 or under (UL Label> V~/~ ru YY Y~~~~ Martin Valestrand Vice President MV:~ms TEL. 765-1802 ~oc~V'EEOL/`~0 TOWN OF SOUTHOLD G y< OFFICE OF BUILDING INSPECTOR ~ z P.O. BOX 728 ~ TOWN HALL "O,y~~ ~ SOUTHOLD, N.Y. 11971 ' 1 C E R T I F I C A T I O N D ateSZ~/~l ' Building Permit No. Owner Chv~Rl~S (please print) Plumber ~~6R~~\C3 (please print) I certify that the solder used in the water supply system contains less than 2/10 of lg lead. i (pl ber's signature) Sworn to before me this day of ~n n r i~r,P.r ~ci ~'lt . lGa---mac l-e-- _ 1990 Notary Public Notary Public, J~uGGO~/< County Notary i blb. rbk No. 4926942 rnmm~ SeoN7eEpnes~Jan~Ue~ry 9 ~1~ ( r'IELD I~:S:'ECiiU2J ~~UA` Tr, ~ i:OMMENT° ~ 1. m a 3 V,1 H ` FOUNDATION (1st) FOUNDATION) ( 2nd ) _ - ~~`t, ROUGH FRAME & ,p, PLUMBING~'+~a 1e~1g 3. _ N (r~ ca I[dSULATION PER N. Y. y STATE ENERGY CODE x /y ~ .4i ~ ~ 4. FIJJAL _ ADDITIONAL COMMENTS: x _ ra x \ y H Q O 2 x P7\ A ` r s''1.V H - x v m ro H - TECHN®L®CaY AT ITS BEST & ROTANT RACK OVENS r~ e VARIOUS SIZES, ROTARY PLATFORM OR HANGING RACK DESIGNS • HIGH GRADE "302" NICKEL STAINLESS STEEL FOR QUALITY . INSTUMENTATION, EASY TO READ: EASY TO OPERATE • HIGH DENSITY MINERAL FIBER INSULATION • SELF GENERATING STEAM SYSTEM o ELECTRIC, OVL OR GAS FIRED 17~~"~ 7sS-1802 BUILDING DEPT. INSPECT`ON [ ]FOUNDATION 1ST [ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ ^ [ ]FINAL REMARKS: 1~ /~c~ c.~ ~ a~ ww 0 i ~ < V DATE ~ INSPECTOR WARREN A. SAMBACH ryryr~ Engineers -Planners • Architects LJUCf~ P.O. Box 1033 Cox Lane L~~.'.~~ CUTCHOGUE, NEW YORK 11939 (516) 734.7492 Date February 24, 1989 TD Building Department subject KOC Fun Town of Southold 31515 Main Road (Rte 25) Southold, NY Cutchogue, NY 11935 Attached are revised plans for the above. x'~ ~ /a%y cc: KOC Fun L1.l.~A.u~~gx~,~Iri+~._ ? Please reply No reply necessary SIGNED THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY SSJOHN STREET, NEW YORK, NEW YORK 10038 Bete MAY 25,1964 gppryptionNo.onfile F1k65789/89 N 073315 THIS CERTMIES THAT only tAe eloetrbel pripwtont a dncriked f+elow end introduced 6Y the opp/k+nt nerved on the shoos appUcetion auet6or in tAspnrosioe! of CUTCNOGUE BAGELS, RT. 25 RING~}KULLEN SHOP CEN, CUTCHOGUE, N.Y. in tha folloreinR IocatbLU k A Bwment LJ 1 et Fl. ? Ynd Fl. .Ser•tion Block Lot wss exomtrted on NAT 1, 1YS9 ondfoundto 6e Jn complianre with the reyuiremenfx of thu Boerd. tOll{ME RANOK COORINO RRCRS OVENS MIST FASS OYItEIE Ate INCANDlKlM NUO!!tClN7 OTNl11 NAT. K. W. AMT. W. AMT. K.W. AMT. R. W. AMT. M. r. 20 12 6 5 k5 5 F , DRYMi IIIRNAN MOTORS MUM ARIIANCE IRRMf SMICHLLREC'?T TIMEpOq(f E8t UNITIIEAIEK DNAMMS AMT. K. W. Oll N. r. OAb N, r. AMT. NO. A. W, O. AMT. NM. NAT. AMrS. TRAN4. AMr. M. r, tp,a tNT AMT. wATN a 30 fRR1110 01lMIVSIRCT NO. tlr S E R V 1 C ! AMT. AAV. Tw! ~ if JW t/JW 7/Jw J1AW NO.O~~C. COND. CC Cp1D. ~.OF MI.It6 a•~ ND.OF NEVIIINS ~~~A~ OTIIEE ANMRATUM WALKIN FREEZER p/COMPRESSOR 110 YT-1 3 PHASE 60 ANP OVEN-1 3 PHASE 60 AMP MIXER-1 G 4 S CONTRACTOR LIC.~578E BOX 215 SOUTHOLD, 1fY, 11971 k Ptr~ ® Tha eelM rot. a altered in a malnsr; Mum b /M offp of IIIS Boord if incorrect. Inspsetors be idlrllifild ~u MRTM~NT. TIME CA/Y OF CtRTIFN:ATL MkKT NOT 6E Ak:.. IN ANY Y - K. , BOARD OF HEALTH (C~ t' (~SC~J~["'~-~`e"-" 3 SETS OF PLANS l~! =.i,~I 3 FORMN0.1 SURVEY I JAN 2 71.989 TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC FORM ~.w<_.o,..,.."..,,..~...~~,1~ TOWN HALL P~-C`-' SOUTHOLD, N. Y. 11971 NOTIFY ~j 70Vti~fv tinnS01.1Th(3it7 ~ TEL.: 765-1802 CALL yGxamincd 9'~~ , 19~~5t ~7 p MAIL T 0 : . Approved 191. Perini[ No.~./. ;~`•3.~ . Disapprovedalc ( tildi Spector) APPLICATION FOR BUILDING PERMIT Date ...................15.... INSTRUCTIONS a. Tltis app]ication must be completely filled in by tgpewriter 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 premises, relationship to adjoining premises or public stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app: . 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 perm shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in par[ for any purpose whatever until a Certificate of Occupanc shall have been granted by the Building Inspector. APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c Re:ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describec The applicant a_rees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premtses and in building for necessary inspections. ~Er70 L (Signature oi' applicant, or name, if a corporation) (Mailing address of applicant) State whether /applicant is owner/,lessee, agent, architect, engineer, genera] contractor, electrician, plumber or buildez ;`lame of owner of premises ~ l~ CC7 ~ ~U S [1 ?alCee ~-~r.~y„ ,.e.~ s~~~ (as on the tax roll or latest deed) ~ If applicant is a corporation, signature of duly authorized officer. ~1~.,>~ S-! .r~..~" x (N'ame and title of corporate~/officer) Builder's License No. /~,I/,~ .~t-]~jO„~~r.. , , , , Plumber's License No. / _ , f . , , , , , , , , , , Electrician's License No. ~ .8. , , , , , , , , , , , Outer Trade's License No . . - . Location of land on which proposed wcri; vviil be done. ,L,Gd~/c.~ . ~C~ S/~o House Number : Strcet~ Hamlet County Tax Map No. t 000 $eC[lOn . ,~+3:~^Z"E. (cnd~Q?~ Mock .,J, , , , , , , , , , , , , Lot . , ~ ~ , , , Subdivision Filed nlap No. .Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~/...~~>u. n~a2 G,LL-P . b- Intended use and occupancy .~/i~'t~ ~ 3 Ret air of work (check whiRcmpilplicable): New Building , Addition Alteration . ~ . P Qval Demolition OtherlVork.. (Di`scription) 4. Estimated Cost >!S ~ ooa. a u... Fee . (to be paid on filing this application) 5. If dwelling, nutnber of dwelling units Number of dwelling units on each floor . If garage, number of cars . 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use . l.~9~?.?./' ~ ~ • 7.' Dimensions of existing structures, if any: Front o~ Ff. , , , , , , Rcar ~.r F~:...... Depth Sk? ~r Height ut~le-:Q~,/o1f(....Nurr~bcrofStorics....~.. Dimensions of same structure wtih alterations or additions: Front ...o~.~.~r Rear .a?3: , , , , , , , , , , Depth .....~~Yr .Height . , ./,a Gr, , , , , , , , , . Number of Stories . 8. Dimensions of entire new constnlction: Front ...~5-{:"'(`. , , , , . Rear rf...... Depth fr Height ......Cd,-,F' , , . Number of Stories . ~ ~ • 9. Size of lot: Front . Rear Depth . 10. Dale of Purchase ...ems,'-,~m~rKncr~ , N e of Former Owner . 1'., Zone or use district in which remises are situated , , .>.~•~4v4-~~ u;c; , , , , , , , , , , , , , , , , , , , P oes proposed construction viol 13. Hill loi be regraded /W(f-, • ;ate anY zoning law, ordinance or regulation: gyp . 1 14. • ' ~ ~ ~~7e~4k"`'"' ' • • • • • • . 1Vi11 excess fill be removed from premises: Yes No Name of Owner of premises , , , , ,Address Phone Nc,. - Name of Architect eN.~<2rV . ,!$~a,rrr,(~,a~,J4, , , , , Address <°o~ • C`.`~3':": Phone No,S,r~; ~3d,-;'14 Yl; , Name of Contractor . ~ !Cansiruvlicri, , , , , ,Address S~ l7 r~'`r•i••••••• ...1.....PhoneNo.S76:1,~.~": IS.Is this property loca',ted with in 300 =feet of a tidal wetland? *YES...,NO.[l. - '*If yes Southold Towq Trustees Permit may be required. PLOT DIAGRAM ' i Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block pumber or description according to deed, and show street names and indicate whether inferior or comer lot. j III j i STATE OF tiElt;' YORI: COUNTY OF . l~S~ 0~~ S.S U (flame of individual sign • • • • ~ • ~ ~ ~ • • ~ ' ~ ' ' ' being duly sworn, deposes and says that he is the applicant ' Ong contract) above named. flcisthe ......................~~i...............•ti.. (Contractor, agcnf;,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 arc tntc to the best of his knowledge and belief; and that the wank will be performed in the mannefi set forth in the application filed therewitll, Swom to before tae this U ayof~.~ 19 Notary Public, County RICHAR YA. OA B Ro ..~~a. , NOTAR'! PUBLIC, State o1 N,ewVork Y~A ~ , / v . No. 80= 511075 `•Qu~firitd In r!assav coJnty 99e (Signature of applicant) Comn+isa~co ;'y;Jes ilarch ~=`J~ 191t