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Home My WebLink About21923-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDINO DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-22887 Date MARCH 3, 1994 THIS CERTIFIES that the buildin~ CONVERSION Location of Property. 750 Pacific Street & 12510 Sound Ave. Mattituck House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 4 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Building Per~it No. 21923-Z 3/2/93 dated 3/2/94 ~ursuant to which 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 Converting C1 Type Occupancy to C5 Ty~e Occupancy The certificate is issued to Town of Southold (NUTRITION CENTER) (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 11/24/93 UNDERWRITERS CERTIFICATE NO. N-288003 8/30/93 & N-294030 10/29/93 PLUMBERS CERTIFICATION DATED Se~t. 10, 1993 H.Smith Plumbing & Heating Rev. 1/81 FORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAJ. L SOUTHOLD, N.Y. N-° 21923 7 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ............................................................. 1 9.. Permission Is hereby granted to: ~..~.,/...~.~....~.......~,~_,~.. - .~ · ....... ,~.~.:~-.-' ............... ~~...~.~,..~%.=:~: ............. ~'../..~.~ .... . ., to~~....~' ./..-.~'~ ... ...... ..... ~:..,.....: '.~....~.~ ~ ?~_ ~,'~'"'-' ..... ~-.,)... · .~.......~'.-..~_.~:....~.,...,~,~..~....~./~_/~.....~/.,~ ............ ...... ~,,~.~~: ........ ~_~...: ....... ~.. ............................................................... : .............. Counh/Tax Map No. lO00 Section ...... /..~Z'/,~ ...... Block ......... ~ ........... Lot No ......... .~..~..~. ........ pursuant to application dated...', .~../.,,..~ .................................... 19.....~'..,..~.'~..., and approved by the Building Inspector. Fee $..~-.'~' 'Building Inspector Rev. 6/30/80 FORM NO. I ]'OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ............ ]9 .~.~ Approved../~./.~.. ......... 19 q~. Permit No. ,~..?.-~. ~. '?~ Disapproved a/c ..................................... (.~i din~-~I~spector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS §OARD OF HEALTlt ........ 3 SETS OF PLA?~$ ........ SURVEY ................. CIICCK .................. SEPTIC FORH ............ CALL .................. MAIL TO: a. Tiffs 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· Fee 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 tiffs 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· e. 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· The 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 nece~ary inspections. -- ~-/ ~ignature of ~fi~plicanl;.,/ or name, if a corporation) ..... (Mailing address of applicant) State whether applicant is owner,'lesse~ architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co[pTrate officer) Plumber s'License No. ; ....................... Electrician's License No ........................ Other Trade's License No ...................... 1. Locationoflandonwiffchproposedworkwillbedone. 7,_.,~.0. .~ .~. ..'-7. ./.~. .0.~¥.~. .-- .~.. .~//d~./'~'/ House Num bet Street Hamlet County Tax Map No. 1000 Section .~.'~.. ........... Block ,...~. ............. Lot .... .~..~. · ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) · State existing use and occupancy of premises and intended use an.c~ occupancy of proposed constr.uction: - / _. · ...... b. Intende'd use and occupancy . ~~.... ,~,~..~5 ......... 3. Nature of~ork (check which applicable): New Building .......... Addition .......... Alteration .~.. ..... ,. Repair .............. Removal .............. Demolition .............. Other Work ~.g~.. ,~ . ~ (Descr/~tinn) 4. Estim at ed Cost . .~.(~../'d-7-~ ~ Fee ~. ( t~o~b ~ .~ d~o n~ i~t..~o~ i 5. If dxvelling, number 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 or' each type of use ..................... 7. Dimensions or' existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ............. ' ......... 8. Dimensions of entire new construction: Front ............... Rear ....... ~... ......Depth ............... Height ............... Number of Stories .......................... i ............................. 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly 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 indicate whether interior or corner lot. STATE OF NEW COUNTY OF .... .--~. y.x~..~ ....... S.S · . .~~... ~ ................ being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) above named. He is the. ~ ............................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perfo~ or have perfo~ed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work w~l be perfomed in the m~ner set forth ~ the application filed therewith. Sworn to bcfore me this ........ .... . County - ' ~0. ~72~8~, $~01~ ~o~ (Signature of applic~t) A IIl= .oI ...... ~ SIT~ PLAN NOTES: TO MAINTAIN POSITIVE DRAINAGE AWAY FROM ALL FOBNDATIO~S. .......... ~ J," ~~ ~ ~ 2. THE CONTRAOTQ~ S~ALL BE ~ESPONSIBL~ FgR REG~DI~G THE SITE -' 3. STREETS, ~AD~, ADJACENT PROPERTY AND OTHER WORKS TO REMAIN ~ SHALL B~ PR6T~CT~D TNROUGHOUT THE PROJHCT IN ACCORDANC~ WIT~ 4. THE CONTRACTO~ S~ALL STRIP ALL TOPSOIL FOR ITS ~NTIRE DEPTH D~ILY B~BI8 ~S IT ACCUMULATES AND SHALL NOT BE ALLOWED TO 8, ~ s~ BE ~ ~ES~OaS~B~Z~ O~ ~ES CO~C~O~ ~0 ~OC~ Z. a~ NEW FOOTISGS SHALL B~ ON UNDISTURBED S~L HAVING AN ASSUMED B~AR~NG CAPACITY OF 4,000 ~.$.F, B~aRI~G CAPACITY OF' SOIL SHALL BE VERIFIED SY TH~ CONTR&~ ~RIOR TO ~15~1~, ~ 2. ~HH CONTRACTOR SHALL VERIFY ALL FIELD CONDITIONS AND ... ~MENSIONS ~IOR TO BEGINNING OF CONSTR~CTION AND IS TO B~PORT ANY AND ALL DISCREPANCIES TO THE ARCHITECT. 3. A~ CONSTR~CTiON SHALL CONFORM TO ALL STATE AND LOCAL CODES. h{TEST EDITION 4. ~L CO~CRETE CONSTRUCTION SHALL ~ONFORN ~,:~E AMERICAN ~CR~TE ~S~ITUT~ S "BUILDING CODE RE~ENTS FOR B~INPORC~D ~NCRETE" ACI 318 LATBBT EDITION 5. A~ MASONRY WORK SHALL CONFORM WITH "NATIONAL CONCRETE ~8ONRY ASSOCIATION STANDARDS" LATEST H~ITION 6. ~ ULTIMAT~ OOMPRHSSI~ STRENGTH OF CONCRETE AT 28 DAYS 8~LL BE: FOUNDATIONS & FOOTINGS 3,000 H:30 I' . ~ _ ~ I, j~l I I4.I DII , ,~ : ~ ~ ~ ~ ~ ~ = J~" 0.o. ~&~TI~f+b~Y ; J ] j ,~ ', J j If copper tubing is used j~o ] ~ ~ ~, :1~ ~ -, , T -- . ~x~" ~J.~ I~"o.C. {.:~ ~ ; for water distributing ~,0Ij _%~............... +---~'~)~:~?' ~t~ ~, H~ k ' ~ p ~'.~' ~'.~l "~ )'~ ' ./ I' ! J ~. ff~ . ~.1~/~LI~~ Hlcgb-~ ~'.5" ~'~.~I ~ "-- ~Igg~-qY~,¢~.~N0 / ..., . ' lu/ - 0 ~o~' O~P ~ ~ ./ '~i ~ P~L ~ i + AeFBOVED AS NOTED ! FOLLOWING INSPECTIONS, ~O~ ~ ~ - - ) ~ " h ~LU P~RG ~H~Lu D~ ~lrf~D ~tfH ¢~RD~ARb ~PPROpRI~T~ 4, FINAL . CONSTRUCTJONMUST ~D~ ~H~t~ IN~HDGO ~. ALL CONSTRUCTION SHALL ME~T ~?i,,¢j~ ~i~, DESIGN OR CONSTRUCTIO~ ERRORS ~ ...,.? , x'ffHOUT CER'F~F~C~ T~ '.]7 C'..,CUP~lNOY J~TITUTE OF TIMBER CONSTRUCTIONS "TIMBER CONSTRUCTION ~$~OOM NOTES : ~pPREBSZON SYSTEM, ~E ~X~STING DORATHD S~T~M 8~ALL BB/ ~ ~__~ MATERIALS. ~UAL". LATEST EDITION ~ONF~U~H9 AND INSTAlLeD' ~O 8~RVIOE T~ SOOD A~NO~Z{~ ~%'- 7. A~L SURFACES TO RECEIVE S~A~ANT SHALL ~ gL~AN, DRY AND ~B~R STRESS EQUAL TO OR GREATEB THAN STRUCTURAL GRAD~ ,~TITION~ ~D B~STROOM ~CqHSSORIE8 AS J~J~D TO ~SEWO~ SH~ ON TH~ D~W~NGS. THIS C'Aa~ORK SHALL '~ ~LD INTERFERE WIT~ THE SEALANT BOND. SURPACHS SHALL BE b~UG~S FIR: P = 1,450 Psi F = 9~ Psi ~:~O~0D%T~ T~a N~W C~STRU~TIO~. ~P~M~T TH~ KITC~ ~yOUT A~9 ALL FINAL D~SIGN~ ~ ' PJIMED ~S RECOMMENDED BY T~E SEALANT MAN~ACTURER, AND b v 2. ~J OO~T~CT~R S~ALL ~ R~S~ONSZBL~ P~ ,P~e~JDING A FULLY ~J~LL BE A~ROV~D BY ~ ~a. JQINTS G~HATER TNAN ~/2" J~ DEPTH SHALL B~ TIGHTLY PACKED 9. DOUBL~ ALL JOISTS, HEADERS AND OR TRIMMEJS ABOUND ALL JOIST ~CT,~ONING ~ANDJCAPPHD R~RO~M FACIL~Y. W~TH BACK-UP ROD. ~PHNINGS AND MECHAN~C~ ROOF pENETRATION,~. 3. ,~V~DE ~H~ANICAL ~XHA~ST ~ANS IN ~A~H ,~STROOM. 8. ALL WORK ~ALL BE IN COMPLIANg~ WITH T~ ~NUFACTUBER'S ~0. ~OVID~ 80LJ~ BLOCKINg OR ~RIDGING IN ALL JOIST SPANS IN PJINT~D INSTRUCTIONS FOR THa ~ATEJIAL AN~ JOINT TYPE. ~XCESS OF:8'-0".~OMPOUND SHALL BH APPLIHD W]T~ ~ GUN US%~G · NOZZ~ O~ lJ. ~ ~TT INSULATION SHALL .B~ KaA~T FA~BD WITH VAPOa BAaalHR P~gPHR S[~ TO PIT THH JOSNT WIDTH AND SHALL BE FO~CED INTO ~CING W~ SIDE OP BUILDING. GJOV~S WI~R 8UPFICI'~NT Pa~Ssua~ TO EXP~L"ALL AIR AND H 0 o~ 00~ ~00 ~Rol~ll. 6 oF H OB ~Y - 6~oY--PP B¢p ~- - '2.", q f( GONIJ l'114, ---i Jols~ I'/IASoN ,,% b ~LID ~>LOCKIk!.C1, I NSU hAT,ON -- IL /----- INJSUU~TB.¢:' MFF,%. poc, r.., ~,,~. i,),1,,, ~,~il "STDibb - 'e'"*.,¢'",-}/'ffmI , 6.7.1~Ttkl~ fbOO~- ~ \ io/Io 1,4,t.4.p, ~/~ll fW, 6, C...e,P,5 liC'" ~ Mlbb VAPOF-- iLL L 1 y~.ll= ti. oil ELECTEI CiViL t. NOTES: TEE CONTRAOTOE SHALL BE RESPONSIBLE FOB UPGRADING THE COMPLETE WORKING ELECTRICAL SYSTEM. THE ELECTRICAL SYSTEM S~AL~ BE ~DESlGHED BY A QD%~TFIED ~ESIGNEa I~ ACCORDANCE WITH ~HK ~EQU~EMBNTS OF TKN S~TH OP NEW YORE AT TNE CONTRACTORS G.F.~ CIRC. ZTS. 6. ~ ~LECTRI~L FIXTURES SH&LL BB SUP~LSED SY THE CONTRACTOR AppROVED-BY THE OWNER ENLESS OTHERWISE INDICATED. MEONANI CAL NOTES: 1. THE CONTRACTOR SHALL BE RESPONSIBLE POR THB UPGRADE OF THE EXISTING MECHANICAL AND HEATING SYSTKMS AND SMALL PROVIDH A COMPLETE WORKING HEATING SYSTEM TO SKRVS TEN CONSTRUCTION AS SHOWN ON THE DRAWINGS. TME ADDITION~TO THE SYSTEM S~ALL BE DESIGNED BY A OUALINIED ~BSIGHER IN,~CCORDANCE WITH A.a.H.R.A.E. STANDARDS AWD THE REQUIREMENTS OF T~E STATE OF NEW YOP~k AT TH]E CONTRACTORS EXPENSE. TSE UONTRACTOE SHALL BE RESPONSIBLE FOR A COMPLETE WORKING, PULLY FUNCTIONING, PROPERLY BALAN,CED SYSTEM. 2. THB CONTRACTOR SEALL BE RESPONSIBLE FOR INSTALLING TEE MHCNANICAL HQUIPNENT NECESSARY ROR TME WALK-IN FREEZER AND EKPRIGERATOB / STORAGE ROOM. THK EXISTING COMPRESSORS ARE ST6RR~ OH SITE AND SHOULD BE INSPECTED FOR DAMAGE OR MISSING PARTS. 3. THN CONTRACTOR SHALL BE RESPONSIBLE FOR ANY DISNANTLING, CLEANING OR RE:CONSTRUCTION OF EXISTING MECHANICAL EQUIPMENT TO ~E R~U]KD AS REQUIRED BY THE NEW qONSTNUCTION. pLU/~EIN:G_ NOTES: THE CONTRACTOR SHALL BE EESPONSIBLE FOR ANY DISMANTLING OR BE-CONSTRUCTION OR THS EX~NTING PLUMBING SYSTEM AS RE:QUIRED E¥ THE N~ CONSTRUCTION. THE CONT~AO~OR SHALL BE RESPONSIBLE FOR LOCATING TEE SXISTING ,SEPTIC SYSTSM AND INSTELLING ANY ADDITIONAL ~EACHING POOLS, GREASE TRAPS OR SEPTIC TANKS THAT MAY BE ~EQUtRED TO ACCOMMODATE THE NEW CONSTR~CTION. ALL FINAL ~ESI~NS ~gUST HAVE TEE APPROVAL OF THE SUFFOLK COUNTY HEALTH D~PARTMENT. T~E CONTHACTOR SHALL SE RESPONSIBLK FO~ CONNHCTIONS OF THE E~W PLUM~tN~ NYSTBM TO THE EXISTING AH~SHALL PROVIDR A CO.P~ETK WORKING PLH.BI.G SYSTEM TO BERV~ T.E CONETR~CT:O. u E.OWN ~. ~K .RAWI.~. T.E SYSTEM 4~iLL HB DBSIG.ED BY A T~ ~BW Y~K STAT~ PLUMBING CODE. ~H~ BOCA BASIC PLUMBING C~D~ AND A~ LOCAh ORD~NAN0~S AT THE CO~T~ACTORS HXPENS~. AGL PLU~BIN~ FIXTURES SHALL BE SELECTED, BY THE OWNER FROM THE MFG S ~LL RANGE OF PRODUCTS AND SHALL BE SUPPLIED BY T~H CO~RACTOR.