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HomeMy WebLinkAbout23539-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24541 Date AUGUST 2, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 46520 ROUTE 48 SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 5 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 30, 1996 pursuant to which Building Permit No. 23539-Z dated JUNE 26, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ie ALTER AND RENOVATE EXISTING SPACE (STORE "K") TO ACCOMODATE A RESTAURANT AS APPLIED FOR. The certificate is issued to THOMAS J. MCCARTHY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL AUGUST 1, 1996 UNDERWRITERS CERTIFICATE NO. PENDING - AUGUST 1, 1996 PLUMBERS CERTIFICATION DATED JULY 31, 1996-PECONIC PLUMBING & HEATING Buildin In pector Rev. 1/81 FORM NO. f 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° 23539 Z Date ...............4 ....................., 19.�l Permission is hereby granted to: ........................ 1.... �1�h✓ /�.... *?../.. ...... ................ to r.'!.!i!:''.......................±'�......... ... .t—L�x..f+/.l.7...... .......... .. .....�`.......�f�.....!�:.'�rvi7J,a ..t - 1rT......... 1......� ° ��.... F ................................................... at premises located at .........�1t�.,?�r .......... !✓Cc...... (/f�.............................................. .......................................I.......... . ... ..........................�...................................................... ............................................................................................................................................... .................. County Tax Map No. 1000 Section .. ........... Block ...5............ Lot No. .....✓................. pursuant to application dated ......... ...... .. ...................... 19v-', and approved by the Building/Inspector. Fee $...!.. :.Jy.... . . .:. .. .......................... d' g Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features, 2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4, Sworn statement from plumber certifying that the solder used in system contains less than 2110 of 12 lead. .t 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the 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 showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and 'a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,' Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate .of Occupancy - $5.00 over 5 years - $10.00 " 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, /Commercial $15.00 Date . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . 'ew Construction. .. . .. . . ... Old / O�rq/P�re-e is ting Building . .. .. , . . /� } /n .ocation of Property: . . . .. . . . 19JOV. .. . . : . ._ 9. . . . . . . . . . . . �S�K (Y .. .. .. , . . . House No. qq-��nn 77 Set Hamlet ower or Owners of Property.. . . . �4: J:: 1: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'ounty Tax Map No 1000, Section. .. . . . . . . .Block.. 5. . .. . . . . . . .Lot. .7. . . . . . . . . . . . . . . . . . ubdivisian. . . .CC. . .q. . . . . . . . . . . . . .. . . . : . . . Filed Map. . . . . . . . . t. . . . . . . ./. ermit No. . .�.dY. (R, .Date Of Permit. , . �_�) gc . .Applicant. .` ealth Dept. Approval. . . . . . . . . . . . . .. . . . . . . , .Underwriters Approval. . . . . .. • . . . . . . . . . . . . . . . . . lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . equest for: Temporary Certificate. . . . . . . . . . .AILCicate, . . . . . ee Submitted: $. .. . .'. . . . . . . . .. . . . . . . . . . . . . . . G• 5 !� . . . . .. . . . . . . . . . . . . . . . . . APPLI T. t'n ��UScJ/ WARREN A.SAMBACH,SR. CONSULTING ENGINEERS• PLANNERS 7675 COX LANE • P.O.BOX 1033 CUTCHOGUE,NY 11935 (516)734-7492 August 6 1996 Building Department Town of Southold Town Hall P.O. Box 1170 53095 Main Road Southold NY 11971 Re: Rotisserie & Smoke House of Southold Inc. 46520 Route 48 Southold NY 11971 Building Department : An inspection was made this date by the above at the referenced store and the installation conforms to plan . The sprinkler system will be under water main pressure at all times with the supply valve opened. There are no apparent water leaks at this time. Sincerely, j. Warren A. Sambach Sr . P.E. was:s cc: Rotisserie-Ross V QF d'`SISAM !%q CKP ,p Y Town Hall, 53095 Main (toad Fax (5 IS) 7651823 P. O, Box It 79 -� — Telephone (516) 7651802 Soulhold, New York 11971 .,' ,1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N / DATE: Buildingg�Permit No . a-2S-2Ct Owner:- `�ewo-f� R Z -s (please print()( L Plumber: ��[dv� 1� Y/t".. 6ivto "I—H-ea�i�✓lg ( please print) J I certify that the solder used in the water supply system contains less than 2/10 of 1% lead . ( P ur ers Si ra ur.e ) Sworn to before me this day of 94%z 1 9 ��� � � � BARBAP,A State of Notary Public , � County Notary Public,siateoft:::,1... No.OIST4:.t47 Ouafirwd in Suf;--Ccc^:; Commission[xpires C„-r,,:-,;,q-7 ACTION SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES PAIS CONT CHGE 0 FOOD ESTABLISHMENT INSPECTION REPORT OF NEW DELT r7 I / ES�R.D. SA LET. (MASS' MAS. / Ems. J ADDRESS ? r COPi P.i CDONEISM: ACTIV. 110. DAY IAE SB T AC7 NAMES PHONE # - I_I. CORP. ZIP WATER SEkD1C£ FR7LEN ADDRESS CODE Y DISP. DESSERT CODE NUMBER CERT. INSPECTION Q T OF 61 ENSP 1M WAS'ER�3A[+LL�LE MJ. I34Y YR. !CHOK3TGN YES o NO �LATICN YES hl� (:ASSIFICATICNI 2 3 p INSPECTIONPOSTEL TE PART l: RID CRITICAL ITEMSL SLbMRY OF ITEM VIOLATIONS N0. ITEM DESCRIPTION OF VIOLATION DATE NO. THESE ITEMS R AJE DI Y TO FACTORS WHICH LEAD TO FOODBORNE IILNESS AND MUST RECEIVE IMMEDIATE ATTENTION CORRECM Y 1 I _ PART 2: BLUE MAIN"ENANCE ITEMS - SLOOIARY OFITEM77 VIOLATIONS N0. .s ITEM DESCRIPTION OF VIOLATION CORRECT NO. THESE ITEMS RELATE 'IO MAIN UL-14CE OF THE FOOD SERVICE OPERATION AMID CLEANLINESS. CORRECT AS SCIiEDULED. BY THE NARKED ITEMS ABOVE ARE VIOLATIONS FOUND DURING AN INSPECTION OF THE OPERATION OF THE FACILITIES IN THIS ESTABLISfP WHICH MUST SE CORRMENr MPDED ECPF:D AS INDICyyyA���T�44ERRRD. FAILURE TO OMPLY VAY RESULT IN THE INITIATION OF LEGAL ACTION PCAINST THIS ESTABLISSUSPENSION OF OF PERRATI O THE PPUBLIOCATION OFFTHEE '�(IOLSTIQN ANLK 00t"I'Y p S CODE INUSU'�ING A HEARING, PCLSSIBE TI TAR !li ,F ISAI :jam INSPI 18490..9/91 SUFFOLK COUNTY DEPARTINIENT OF IIEALTFI SERVICES CERTIFICATE OF APPROVAL OF FOOD SERVICE ESTABLISHMENT FOR CONSTRUCTION, ALTERATION OR REMODELING Applicant Establislunent Location The Rotisserie & Smokehouse of 46520 Rt . 48 Southold Southold Approval iS issued under the provisions of Article 13, Section 1304 of the Suffolk County Sarutary Code for: l) x New Structure 3) Conversion 2) Remodeling 4) Other THE FOLLOWING CONDITIONS APPLY: 1) THAT THE PROPOSED CONSTRUCTION BE IN CONFORINIITY WITH THE PLANS AND SPECIFICATIONS APPROVED BY THIS DEPARTMENT. 2) THAT THE APPLICANT CONTACT THE APPROPRIATE DISTRICT OFFICE OF THE FOOD CONTROL UNIT PRIOR TO OPERATION OF THE ESTABLISHMENT TO ARRANGE AN INSPECTION OF COMPLETED CONSTRUCTION. THIS CERTIFICATE IS NOT A PERMIT TO OPERATE A FOOD SERVICE ESTABLISHMENT. OPERATION WITHOUT A SATISFACTORY PRE- OPERATIONAL II`'SPECTION AN'D/OR A PERtiiIT TO OPERATE N4gLL RESULT IN LEGAL, ACTION. 3) TILAT THE APPLICANT SHALL ASSURE CONTORtNLkNCE N\ITH THE FOLLOWING A`IENDYIENTS TO PLANS AND SPECIFICATIONS: Drop ceiling shall be vinyl coated ( or similar ) so as to be easily cleanable. Vinyl tile floor shall be commercial grade . ISSUED FOR TI IE COMMISSIONER OF I-1EALT1-I G 5/24 /96 IG"..-A'FMI I-PRPSF,,'TI All T: E cCarthy anagement , Inc . 46520 Route 48, Southold, New York 11971 r.'.. (516) 765-5815 (S 16) 765-5816 FAX /( OP }! JAN _9% BLDG.DEPT. `tltl TOWN OF SOUTHOLD I l U•.LU tlCi1'F.l'.L 1U It tU,C UAII UPII. I.UI It l tat l ti Q runnunrtun ( Isc! ,,. ruuuuntUllt (tint) - - _ _ $� .:__...,.,n.n.,_....esa.�„__..__• ?�. ..I , .._m��,F�l�•�D4G�„�/�iKE' r/c..�/1+�J-a7d±:,1 .�_ �v � ?. IU)UCII P14 AI II' 111.U 1111 1 lit; iu1utnrn)n h I A l Ii kt11in11Y y ....,.,.,..,_...._....:.�....,._............ ..__.... .._, _,.: .�.��e',X11.��i, ,....�a�,6�zo.:r*.>.®•�-- ,t Z %{ly : F I IIAt. i ko - ------ _nuu t t lttunt yl utuuau ' ., ---- - -- ------------ t,t ; Gs- 9G SS ®SS9 ,$ NORTH FORK RESTAURANT MAIN ROAD, SOUTHOLD, NEW YORK 11971 516 7652111 � , \C;vL \o Who M, Z'Y Mom 1 G0 or Z'4'o \\ot: e e � � iSao�se �ovSt tp� �Ov C'\C\ Cbns ,Ac� f in,%t o\: �! 5e-��� -�3 �C— ova f�c- C\x OSS �vV�T�tS 4�a�K ` bJ , 951 coop- �.v 2 3 53�; . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ �] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: � aw� DATE INSPECTOR 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE �� /& CHIMNEY REMARKS: Aleel- r DATE Z INSPECTOR 765-1802 BUILDING DEPT. 1 NSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [�MING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA�RS: -�-mob-=- DATE INSPECTOR v�'� 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST OUCH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECT BOA60 OF HEALTH . . . . . . . FORM NO. 1 3 SETS Of PLAUS . . . . .. . lp . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORK . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1$02 NOT I FY 04 . _ �o /7� CALL ?� . . : 19;19/7. (aHALL TO -proved . . . . . . > . :, 19' 6 Permitsappr ovcd a/c . . . . . . . . . . . . . : , 4 : 4 (Bu' i Insector) APPLICATION FOR BUILDING PERMIT pp [ Date . ... ..... ... .. 19. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 3 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 streets ,rens, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- on. c. T1re 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 1 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 Certificate of Occupancy 1 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 ding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or ulations. for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. and to it authorized inspectors on premises and in building for necessary inspections.� � rla�l�` . . . . . . . . ' . . . . . . . . . . . . . (Signature of applicant,or name,if a o n) (Mailing address of applicant) s e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildol,: .... .... .. ... . .. ?!. . 0 GJ /1P R. .. . . . ,e of owner of premises . . . .. LA :A C , � . . . . . . . . . . . . . .. . . .. . . .. .. (as on the tax tall or latest deed) •plicant is a c tion,sig t re o duly uthorized officer. ...... . . .. . . . . . .. . . 41 (Name and title of rporate officer) . MAY Builder's License No. . . . . . •• Plumber's License.No. .. . . . . . . . . . . . . . . . .. . . . . . BLDG.6E TN�1 �I' i3n��Fsn� j � Electrician's License Nb. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. .. . . . . . .. . . . . . t` rcation of land on which proposed work will be done. . . . .. . . .. . .. .. .......A. louse Number Street Hamlet ounty Tax Map No. 1000 Section . . . .. . . 5 . . . . . . . . . . Lot . 7S . .. ... .. ... .. . ubdivision . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . .. . ... ... (Name) talc existing use and occupancy of premise's(and intcnnd`edd use and occupancy of proposed construction: Existing use and occupancy . .. . . . . . . . l{.l Lam. ..! . . . ... .1.. . . . . . . . . . . .. . . . . ... . ...... ... A ... Intended use and occupancy . . . ... . . . . � .?1. T�P-P.-f . . . . . . . . . . .. . . . . .. . . .. . . . .. ... ... ... ... . . . . .. . . . . .. . . .. . . . .. .. . ... 3. Nature of work (check which applicable): Now Building . . . . . . . . . . Addition . . . . . . . . . . Alteratiort�. . . Repair . . .. . . . . . . . . . . Removal . . . . . . . . . . .. . . Demolition --"� . . . . . . . . . . Other Work. .. . . . . ... COO 4. Estimated Cost . .l. . . . . . . . . . . . . . . . . . . . . . . .. • • . . . Fee . . . . . . . . . . . . . . . . . . . . .. . . .. . .. . ..., (to be paid on riling",appli S. If dwelling,number of dwelling units . . . . . . . . . . . Number of dwelling units on each floor..`�.. . .,�R.•ae Ifgarage number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... r...k,rq 6. If business,commercial or mixed occupancy, specif natu� and extent of each type of use . . . . . . . ... 7. Dimensions of existing structures,if any: Front . . . . . . . Rear . . . . . . . . . . . . . . Depth .CPQ. . ..... Height . . . . . . . . . . . . . . .Number of Stories . . . . . . . . . l. . . . . . . .��©�. . . . . . . . . . . . . .. ... ...•'.:••'p Dimensionsof same structure with alterations or additions: Front Rear . . . . . . . . . Depth . .rCV. . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . .•. . . . Number of Stories... . . . ........ '; S. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth .. . ....... w Height . .. . . . . . . . . . . . .Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..::,.... 9. Size of lot: Front Rear th 10. Date of Purchase . . . . . . . .� �.7• :• • . . . . . . . . ,. N • • •of Former Owner•P:�� � .BA;n r•C Zone or district in which �m• aa��gg I.I. use p e ises are situated . . . . . . ..l7• • . . . . . . . . . . . . . . . . . . . . . . . . . . ..... .. . .... 12. Does proposed construction vioj4,to�any zoning law,ordinance or regulation: . . . . . . . . . . . ... .... . . .. 13. •Will lot be regradedAIkJ. . .,�'. . . . .Will excess fill be removed from premises:, YOX 14. Name of Owner of pr miser � !tet 4°':1. .Address . . . . . . . . . . .Phone No. 76 Name of Architect . . . . . . •Address .��::v., � .f.: .Phone No. ..:. Name of Contractor . . . . . . . . .�?`7 t. .Address l� .Ph a No. 58 15. Is this property within 3 0 feet of a tidal wetland? *Yes. . ...... No.1:`s..... *If yes, Southold Town Trustees Permit may be required. PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions: ! property lines.Give street and block number or description according to deed, and show street names 4W ladicso,W,t interior or Const lot. ,y In • �. r ems,. ,. . MtTc or NEWYoluc, :OUNTY O .. . . . . . . .U. being my sworn,deposes and says that 1�a} PON (Name of individual signing,contract) bows named. le is the U . . . . . . . . . . . . . . . i (Contractor,agent,corporate officer,etc.) f said owner or owners. and is duly authorized to perform or have performed the said work and to make and fila -]plication: that all statements contained in this application are true to the best of his knowledge and belief;Azul, t ork will be performed in the manner set forth in the application filed therewith. worn to before me this . ..... ... .�?.� .v::. . .day of / n. . . .. . . . . . Countyit. L.Ge Notary Public,State of Now York ' .. .. ..... ' No. 4879505 - Qualified-in Suffolk County r �� v irac n&r.omher 8.18 - 1 -_ ✓' /