HomeMy WebLinkAbout17363-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19244 Date JULY 26~ 1990
THIS CERTIFIES that the building. ALTERATION
Location of Property 53345 (llA) MAIN ROAD
House No. Street
County Tax Map No. 1000 Section 061 Block 01
Subdivision Filed Map No.
SOUTHOLD~ N.Y.
Hamlet
Lot 13.1
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 26~ 1988 pursuant to which
Building Permit No. 17363-Z dated AUGUST 26~ 1988
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 COMMERCIAL BANK BUILDING #11 - (FEATHER HILL }
The certificate is issued to BRIDGEHAMPTON NATIONAL BANK (tenant)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
PENDING SLIP - MAY lit 1990
N/A
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z19055
Date MAY 16~ 1990
THIS CERTIFIES that the buildin~
Location of Propert~ 53345 MAIN ROAD
House No.
County Tax Map No. 1000 Section 061
Subdivision
IS A COMMERCIAL BUILDING
Street
Block 01
Filed Map No.
SOUTHOLD
Lot 13.1
Lot No.
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 26~ 1988 pursuant to which
Building Permit No. 17363Z dated AUGUST 26{ 1988
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 BUILDING 411 (FEATHER HILL)
The certificate is issued to PUDGE CORP.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S-59 Feb. 9{ 1990
UNDERWRITERS CERTIFICATE NO. PENDING SLIP MAY 11~ 1990
PLUMBERS CERTIFICATION DATED BERTSAND PLUMBING MAY 15~ 1990
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
frillS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 0~7363 Z
Permission is hereby granted to:
.~......K.~.j.~,~ .....~.. ~ .................
'~-~~........a,...H.,...u..~...~,.i. .......... ~ ..,,.
....... ........
,~_~ ~/ , '", , ~f'~'"'--,;'-~
at premises located at .~....~.O.,e~..~. ........... ))a~ll~(,~ ....................................
County Tax Map No. 1000 Section_.......C).(~.l ....... Block ...... ..~...) .......... Lot No....~..).~' I
pursuant to application dated .... .~,,~l~.~t~:~.~.......~..~. .......... , 19.~.., and approved by the
Building Inspector.
Building nspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
· APPLICATION FOR.CERTIFICATE OF OCCU[
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 2/10 of 1% lead.
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.
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 ~t~ilding Inspector shall state the
reasons therefor in writing to the applicant.
. 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.O0
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.O0
Date ...... ~ .rT. ~ . L? .9~. ................
50300 Main Road, Southold, NY 11971
Location of Property ........................................... Hamlet~~-'
House No. Street ~7~
Pud~e Corp. ...............
)nwer or Owners of Property .................................................
~ounty Tax Map No 1000, Section .... ~! ........ Block ...... ~ ......... Lot ...... L% ..............
~ubdi~ision .................................... Filed Map ............ Lot ......................
~ermit No...~1.~%~ ....... Date Of Permit. ~J.~/~.~ ....... Applicant .... ~.~d~ .C~ ...............
lealth Dept. Approval...SjJ.% ....... 2~3~3~ ...... Underwriters Approval. ~L~ 3. ~.6.O.L&O.-~ .......
17. 1984
'lanning Board Approval... September
Final Certicate.. X
Request for: Temporary Certificate .... ~ ...... ' ........
Fee s~kb~itt~d:k~g~..~O,~3 $''' '-"' '' .................... i ~ ~ ~'~-~/~~~...~_~..~f{ ~.~...~.....~ ~
co m ....
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 2/10 of 1% lead. ~
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.
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 ~a~. 15,..1~ ...........
New Construction ..... ~j~O_Old,~ Or Pre-existing Building .................
Location of Property ~. ~% ~p~j. Sp3~ld ,...NY...I.1~.~1 ....................
House No. Street Hamlet
Onwer or Owners of Property .... ~uj~p~.. ............... !..~..~.(~ .........................
County Tax Map No 1000, Section .... A~ ....... Block ...... k ......... Lot ...... 1~/ ............
Subdivision .................................... Filed Map ............ Lot ......................
Permit No..~1.~3.6.~ ....... Date Of Permit..8~.%6./.8.8 ........ Applicant .... ~Al~g~ .~ ...............
Health Dept. Approval.. ~JJ~ ...... ~3~.9~ ....... Underwriters Approval.~J.k~.6.6.0.L6~-~ .......
Se gember ~;.~..
Planning Board Approval ...... P ......
Request for: Temporary Certificate .......... . Final Certicate .... ~ ......
Fee~~-~Submitted: $.1~..~. ....................... ~~' ''/~'~ ~ ~ ,'9~ ~. ·
. ..
Pinnacle
Certifica{~"~'-c0m~i'etion an~ Compliance
Mount Beer Court
Sermin~lville, NY 1 I 7E)B
(51 8) SS1-~-3556
This certificate states that Pinnacle Fire Sprinklers
Inc. of 6 Mt. Bear Ct. Farmingville, NY has installed
this automatic sprinkler system in building #11. This
system meets all local,state, NFPA-i$ and ISO requirements
for ordinary hazard gp. 2 occupancies. This system has
been hydrostatically tested at 200psi for 2hrs. Pinnacle
Fire Sprinklers Inc. guarantees the integrity of the
installiation and the quality of its materials for
1 year from this date: S/16/90.
Pinnacle Fire Sprinklers representitive . . . './ff......
Vice President
Bales. Service · Ine~alle~ion
TYIII:
MA~dUFA~:TIJIII# TICHIIIQUI:
DINE B
PILl HilSI(T:
WIIK DEIIIITY:
YARN WEIG41'/TU FI'[~.
TOTAL WEIGHT:
YARN CONTENT:
PRIMARY BACKING:
SECONDARY BACKING:
STATIC CONTROI.
WIDTH:
FLAME RESISTANCE:
FLOORING RADIANT PANEL:
(ASTM-E-648)
WEAR PERFORMANCE:
QUALITY CERTIFICATION:
SPECIAL COLORS:
lO-Year Wear Warranty Avaslable
[Please ,nqutre for deta,ls!
Antron "Q" Precedent" Nylon
CARNABY is avadable in custom
colors. [Please ~nqume for mm~rnum
quanbty and dehvery).
Shades may vary slightly from dye lot to dye lot.
Protective mats are recommended under office chairs with roller casters to preserve appearance
retention and act as a deterrent toward delamination and to avoid accelerated or premature
wear. A direct glue-down method of installation is recommended for areas where maximum
carpet stability is required because of the danger of restretchingdue to rolling traffic or open
plan areas where =onventionel installation methods cannot be achieved,
Backing or other materials may be =hanged without notice due to raw material shortages or
when industry technological improvements become available to meet or exceed this products
perfor, mance.._A.ny manufaoturing defects or performance claims will be inspected and settled in
accordance with the 1983 Carpet Manufacturers Association of the West guidelines on carpet
performan=e. Yarn flashes erecting visual effects are characteristic of th is type of construction
and is not considered · manufacturer's defect, Copies of the CMAW guidelines are available
upon request.
-3211 Sunset Tapestry
TOWN OF SOUI'HOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date May 15, 1990
Building Permit No. 017363
Owner Pudge Corp.
(please print)
Plumber ~E~T~,~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
/ - (plumber' S signature)
Sworn to before me this
?~ day of
19 qo
Notary Public, ~cL< County
EILEEN M. ROACHE
Nolmy P~bll~, Stml of NewY~
No. 4826942
Qum;lfled in Suffolk County
Commission Expire~ January 3!. 1
Notary Public
FOUNDATION
(1st)
FOUNDATION
2.
ROUGH FRAME &
PLUMBING
(2nd)
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y, 11971
TEL.; 765-180;]
E.,amincd .~ .~...~.. J.~.., 19~c/
"ppr°ved ~ ~' ' t ~'" ::~'' Permit N°' J' ~ ~6.&~ ~4
BO'RD OF HEALTii . .~ ....
3 SETS OF PLANS ............
SURVEY ....................
CtiECK ......................
SEPTIC FO?,H ................
NOTIFY
CALL .....................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ..
INSTRUCTIONS
a. Tiffs application must be completely filled in by Wpewriter or in ink and submitted to the Buildhm 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 thc diagram which is part of this appli-
cation.
¢. 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.
e. No building shall be occupied or used in whole or in part for a0y purpose whatever until a Certificate of Occupancy
shall have been granted by the Building .Inspector.
APPLICATION IS HEREBY MADE to the Buildin~ ~ ~partment for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Sutmlk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, ad. ditions or alterations, or for removal or demolition, ,~ 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 necessary inspections. CX ~
· . ....... W~ 136~7 ~a¢
(Signature o'f'a~l~i[ch~t,"or' ~a'r~ ~, i.c'a'c'o~'l~o'r~r;c~n') ' ' '
. i ...... .........
(Mailing address of applicant)
State whether applicant is owner, lessee, ~e. nt, axchitect, engineer, general contractor, electrician, plumber or builder.
.
............................... .................................
Name of owner of premises ..........................................................................
(as on the tax roll or latest deed)
If applican~fficer.
Builder's License No ...........................
Plutnber's License No .........................
Electrician's License No .......................
Other Trade's License No
~ocat,on o,and on which proposed work ,vii, he done .................... ~...~tY./..~...
........ ............. ......... . ..............
llouse Number Street, Hamlet
FI
County T~x Map ~o. ~ooo sect~o. .... ~ ....mock .. ?..I.
Subdivision ..................... ~ ............... F, iled Map No.
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
E.,is,ing'use and occupancy g~..~- C..~..~
b.,ntendeduseando~cu.ancy I~-t~..c. 5~Sgp~e~
3. Nature of work (check which, applicable): New Building . .~..'. .... Addition ......... Alteration ...
Rep&ir .............. R?moval .............. Demolitioh .......... i... Other Work ......
4 Estimate'd Cost ..... (Description;
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor .... '
If garage, number of cars .......
6 If business ...................................................
· . Commercial or mixed occupancy specify naWre and extent of each type of use .............
7 Dimensionsofexistingstructures if any: FrOnt
Heieht ............. Rear ............... Depth .............
............ Number of Stories
Dimensions of same .... ' ....................................................
structure with alterations or additions: Front Rear
Depth Height ........................
8 .................... ' ....................... Number of Stories .................
· Dimensions of entire new construction: Front Rear ' ' '
Height Number of Stories .............................. Depth .......
9 Size of lot: Front ' ' ............. ~ ........................
Rear .............
Date of Purchase ' Depth
· ' ..... Name of Former Owner
I I. Zone or use district in which premises are situated .......................
12 D ........................
gl di ti ]]' '
· ocs proposed Construction violate any zonin aw, or nance or regula on: ................
13. Willlot be regraded .. .
......................... ~Vill excess fill be re, ovid from premises: Yes N
14. Name of Owner of premises .... ~v~.~..~....~...~.... Address ~..1.~.~.~...~/~. l~.. Phone No...7.~.'(q~.O...
Name of Architect .
Name of Contractor ii~]~'~;i!:~ ...... Address ..^ ................. Phone No ...............
..... Address . 0X.llY5 Phone No. :.
15.Is this property located within300 feet of a tidal wetland? *¥E$ ....
*;If yes, Southold Torn Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fro,
property Lines. Give street and block number or description according to deed, and show street names and indicate wheth~
interior or comer 1o/.
STATE OF NEW YORK, ~ o
COUNTY OF ............... a'~
........... ; . . ~~ ~ .~'-~...~. O..~~ .. being duly sworn, deposes and says that he is the applicant
(Name of Mdbidual signing contract) /' ' '
above named·
Heis the ~~ ~ '
(Contractor agent corporate officer ere ) ........
of said owner or owners, ~d is duly authorized to pe,rform or have perfo~ed the said ~vork and to m~e and file this
application; that all state~nents contained in this application are true to the best of his knowledge and belief; and that the
Work will be perl~maed in the re=ncr set forth in the application ~led therewith.
S~vom to before me this
............. or ..... ..........
Nota~ Public ....... . .... County
HH~N K. DE VO~ . .
~TARY P(~[~C ~et~ o~ Hew Y0~ ........
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date May 15, 1990
Building Permit No. 017363
Owner Pudse Corp.
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
/ (plumber' s signature)
Sworn to before me this
?~ day of ~y
19 Sv
Notary Public,
~q M. ~
Ouelme4 ~ ,G.ffo~k ComlW _
Co~ Ez~iret Janueot 31, 1 ~
County
Notary Public
INFORMATION FOIl BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NEW YORK BOAgD OF FIRE UNDERWRITERS
LOCA,TIO~
FORM IBD (Ix~c:V 1/861
NSPECTOR V (? '
405 KERWIN HOUI, I'VARD · ~R~NPORT · NIIW YORI( 11~44
JUL iT 990 i, ~i
BLDG. DEPT
l OWN OF $(']LI?~! ,
::%
LAND OF 50UTHOLD PUBLIC LIBRARY
$.28 ~- 28 L40 "~
t~
o~ s. 29t46[oo'!E. 2oo.oo
7 . '.::.~:--.-.: - ............... ,
30"W
N.
16.85' . ,
LAND OF BENDER AND DOUGHERTY
WELLS AVENUE
Ig5,08~
OSITE PLAN ," ~;o:o"
STORM WATER DRAINAGE
CURB ~ PAVING DiTAIL
/
:ARKtNG
KEY MAP
SOUTHOLD
BAY
SITE DATA
'LEGEND
iqm ~,
4
/
OCCUPANCY OR
dNLAWFUL
CERTIFICATE
~ OCCIIPNICY
APPROVED AS NOTED
DATE: ~.]'~/~,/'~ B.P # / 7 '~.~ ~
N~IFY BUILDING DEPARTMENT AT
765-1802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPECTIONS
~. ~UNDATION - ~0 REQUIRED
~ ~URED CONCRETE
~ ~H - ~MING & PLUMBING
~. I~U~
~. FIN~ * CONSTRUCTION MUST
~ ~ ~ ~ N.Y.
N.Y.S. BUILDING CODE NOTES
, ,!-';., ":.!~, , ., ,, ' c~..~.~.,~'"
., ,' , ,,,': , , , ~ ,
, ~ ~~=~,., ,: . - ,: . -:
DOOR._. SCHEDULE ..............
NO:, sizE . JVIANUFACTURFR MODEL NO. R.O .... REMARKS
WINDOW SCHEDULE
NO MANUF. MODEL R.O. REMARKS
, JOHNA,GRAMMAS~ASSOCIATES /..~ proposEo STORES FOR , DRAWIN6 NO,
. 8 w,..,s.vE.uE , FEA ER HiLL
~ , ' ALB~TSON ~ N.~ ~7 '
~ ': ' ~"~ ' -: " "' ~ ~- · MAIN ROAD (ROUTE 25~)
,,~Q,' /~TE ~EMA~ DRAwN~~, 'S~ ~"=lg~ DATE, ~: N ~ A
r ~ ' ~ No, 2?6 ~ 50UTHOLD N,Y. CONT. NO. 58~
DRAWIN6 NO~
, . ~ :,
' ........... ~ ~__ __' ' MAIN ROAD (R~E25 ]}'-,,,, .. :'
SECTION '
'i-
L
L
SECTION- A- A
F
L
¸_4
FOUNDATION
I FIRST FLOOR FRAMING
PLAN
I/4"= I'-0"
II
II
SECTION 'C-C' N: ,'o
OONORETE
NOTES
WOOD. FRAMING .NOTES FIRST. FLOOR
~'.-~ JOHNA,GRAMMAS~ASSOCIATE$ /----"---~ PROPOSED .STORES FOR DRAWIN6 NO,
4-,.~ ~o W,L.,S *v~.~ FEATHER HILL
~¢~-~' ALBERTSON~N.~ 11~7~ ~ ~ il
~.,~.~~ - S-
~*~ ~ ~ LOCATED ~
. s~.~,.~.~ ~ATE. ~ · MAiN ROAD (ROUTE 25A) :
NQ, ~TE ~AP~ DRAWN ~ ' ~' '~ '~ ' . .
~/1'~¢~.:~ ~N SOUTHOLD N.Y. CONT. NO,'~"
S~OUTH
ELEVATION
V4" I' o"
EAST
ELEVATION
SECTION A A '/,¢=,'-o"
JOHN A,GRAMMAS ¢,ASSOCJATES ProPoseD ,STOreS FOR DRAWIN6 NO,
~o w,,t,s AV~""E FEATHER H ..
~,1~. ~ ~ ~ LOCATED AT
NORTH
, ,E L:E VAT IO N
I/4" = I'-d'
WEST
ELEVATION
GRAMMAS ~ASSOOIATE$ ~- ~OP0SED ,iS~S FOR '
· ' ~ WILLIS AVENUE, ~
I
SECTION' A A ';4" SEO_T,.ION' B-B ~A"~ ,ct, -,,,
, ' - ', , ~ ~' I0' , i'
-- '' 1
'I
FOUND,AT ON / FIRST
FLOOR
FRAMING
PLAN
I/4" = I'- 0I~
CONCRETE NOTES
wooD. FRAMING .NOTES FIRST. FLOOR
'T~:~.~ J~u I~ L. ~.?-I::~. -:::: ......
I~EMARKS
JOHN A,GRAMMAS ~ASSOCIATES
/93,0 WILLIS AVENUE '
ALBERTSON~N.Y. 11507 , ,
DRAWN ~"l,~ SCALE,.~"~'!:/' ]DATE: ~'¢'~
PROPOSED STORES FOR
,FEATHER HILL
,'~.,,.~, ~ It
LOCATED AT
'. MAIN ROAD (ROUTE 25^)
SOUTHOLD N_¥.
DRAWIN6 NOi
COhlT. NO. 580C