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Home My WebLink About17935-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22223 Date MARCH 26, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 10095 (#10) MAIN ROAD MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 142 Block 1 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1989 pursuant to which Building Permit No. 17935-Z dated MARCH 20, 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 ALga. RATION TO STORE #10 FOR RETAIL ICE CREAM & CANDY STORE The certificate is issued to ALAN CARDIN~r~ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-080256 - JULY 11~ 1989 N/A Building Inspector Rev. 1/81 IPOuM' NO. · 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) N9 0~7935 Z Permission is hereby gronted to: ...... ..... ..... z.~.~..-..~.......¢.......~......~.~...~..~... ~.~.'Y.,,~.....~.~...~..:.~.:...t:.~.~.L --u ...................... : ....................................................... ~.f~ .I.--.,.~- ; .............................. ~.t premises located ot ..../,..~,.,O,,c/.. ~ ..... ..~...~...,.,~.,, ...~_~..~j~L.....ii~..~...~...~...,~.,,~....~~ County Tax Mop No. 1000 Section ..... J...~...~.. ........ Block ....... .~..[ ........ Lot No ...... .,~...,~.. ........... pursuant to application doted ......... ~ ~...~......,../..~ ................... , 19.~..CJ..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF souTHoLD BUILDING DEPARTMENT TOWN HALL 765-1802 IvIAR I 0 1993 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. 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, buildimg 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 dwgll±ng $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 . . .~ .~..~.~... ~.~ f~.~ .................. New Construction ........... Old Or Pre-existin~ Building....~.~ .......... Location of Property..~~.~...~..~.~...~..~..~.~[~.]'.~..~.... .~.~..d~.~ ........ House No. Street Hamlet Onwer or Owners of Property.. .~.; .~.~%z....~..'~L~ County Tax Map No i000, Section..~ ....... Block .... /' ......... Lot...~.~ ................ Subdivision .................................... Filed Map ............ Lot ...................... Permit No./. 7.~..~.~~. ...... Date Of permit ................ Applicant.~..~.....~.~.~f. ~ .... Health Dept. Approval .......................... Underwriters Approval.....~.~.~.~.Q.~.~'-~ .... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate. / Fee Submitted: $ ~.~.: .~.. APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ~i ~,~(,~i/:. BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~tiI~' [ j , ~!4~' ~ /lpplicationNo. onfile ~-~ i:q !/[',~, !~ i~?~i! ~!d THIS CERTIFIES THAT only the electrical equipment as d~scrlbed below and introduced by tim applicant named on the above application nu tuber in the premises of in the following location; [] B~eement [] Ist Fl. [] 2nd FI. Section Block Lot was examined on . ! ~ ii~ ~i ] ? i ~!,~ ~-! and found to be in compliance with the requirements o.f this Board. FIXTURE ' c FIXTURES OUTLETS RECEPTACLES SWITCHES ~ ANDESCENT FLUORESCENT OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A. W, O RANGES ~PECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET EXHAUST FANS DIMMERS SERVICE DISCONNECT NO. OF S E AMT. AMP. TYPE . l.,ff2W 1,~3W 3~'3W 3~'4W NO, OF CC. COND. OTHER APPARAIUS: R V I C OF CC, COND AW.G, NO. OF HI-LEG OF Hi-LEG NO. OF NEUTRALS OF NEUTRAL I; Fi)REST TRAIi. This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified :by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]~~ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL FOUNDATION ( 1 s t ) FOUNDATIO~,~ (2nd) 2. ROUGH FRAME & .?LUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ........... . .. (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19.. Date.. ..ar.ch. 1.4., ....... 19.8.c- INSTRUCTIONS · a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with ~et$ 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 appl gatiolt. ~.~:;~ ¢. · The work covered by this application may not be commenced before issuance of Building Permit. i d. Upon approval of th~s application, the Building Inspector wdl issued a Building ?ermit to the applicant. Such perm ishall be kept od 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 Occupanc shah have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tk Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe~ .The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and/regulations, and t tdmit authorized inspectors on premises and in building for necessary inspections.-_...._ .~. ... ......... CSignature o.t applicant, or name, if a corporation) Garrett A. Strang, R.A. · ~. Q...~Q~:. 3.4 1.2.,..~Qp.t.ho..1.d.,' .N. ~.w..Y.o.r..k..'1.1..97 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Architect ~ame of owner of premises .. Alan Cardinale (Stephen Dolce, Tenant) (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.. ~P.~. ~3,~c. l~.e.d. ......... Plumber's License No. " " Electrician's License No." '" !, . ,: .:~ . . . . Othe T adc Li nseN " " r r % ce o .... ;..~..~ .... ........ I. Location ofland on which proposed work will be done. Mattituck Shopping Center .[..(~. 9.~. Main Road ,~.',',~..C .~ <~F_/0 ~. Mattituck House Number Street Hamlet County Tax Map No. 1000 Section 1 4 2 Block 01 2 6 .................................... Lot .................. Subdivision...: ................................. Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and iv tended use and occupancy of proposed construction: a. Existing u~ and occupancy Retail. Dr~.qoods b..~tended use and occupancy Retail Prozen dessert ~..C.a.n.~tZ ....................... 3.' ~atu~e of work (check which applicable): New Building ..... ' .....Addition .......... Alteration . H .... Repair .............. Removal .............. Demolition .............. Other Work ............ (Descriptiot 4. Estimated Cost $ 3 5,0 0 0.0 0 (to be paid on filing this application) $. If dwelling, number of dwalhng units ............... Number of dwelling units on each floor ............. If ~Juage, number of cars .................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .Cgta~qi;9 j_.a.~.. ] .0.~.~ 7. Dimensions of existing structures, if any: Front .... 2 .......... Rear ... ~ ~ ......... Depth... ?.0. ...... Height ...... 3 ~.. . Number of Stories ..... one Dimensions of same structure with alterations or additions: Front ...... 1.2., ~ ....... Rear ...2. 5. .......... Depth .. ~ 13 ............. Height 1 2 ........................... Number of Stories on~ "8. Dimensions of entire new construction: Front ............... Rear Depth l-[,-i~h~ ........................... ........... ~,,mbe. r of _e;~_~e.- ........... Sleotlot: Front .... ............. Rear ................ 'd4 ......... Date of Purchase ............................. Name of Former Owner ....~ ................. '. 11. Zone or use district in which premises are situated ..... B.~ J.u~.~ ................................... 12. Does proposed construction violate any zoning law, ordinance or regulation- 13. Will lot be regraded N / A Will exce ..... ' .... ; ~' ....................... ............................ as iul oe removeo ~rom premises: 14. Name of Owner of premises ..~,..c.a~c ~t ~_~a.a.~. a. ..... Address Matt ± tuck Phone No 2 9 8 - 4 2 2 3 Name of ArchiteCt ...9,.A...S..t.r.an~ Address ~'u't~l~.~i' ......... No'7'~-~'4'~' ' ' ................... Phone ..... Name of Contractor .... N.clt;. ~i]~ ~ic~ i i i i i '. i Address ................... Phone No ..... '~ .... ... PLOT DIAGRAM "Locate clearly"and' distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fi property lines. Give street and block number or description according to deed, and show street names and indic&lo ,:,he~ int~r~or or corn. or Io~. ,, See Attached Site Plan STATE OF NEW YORK, COUNTY OF ......... S.S .............. ~l~'.~t;t:. ~...~ l:~.a, rl9 ............... being duly sworn, deposes and says that he is the applicl (Name of individual signing contract) above named. He is the .... Arch itect (Contractor, agent, corporate officer, etc.) of said owner or ownen, and is duly authorized to perform or have performed the said work and to make and file ti application; that all statements contained in this application are true to the best of his knowledge and belief; and that t · work will be performed in the manner set forth in tlie application filed therewith. : Sworn to befot~ me this lc ........................ day of ..... ,~ ....... · ~<~. ~-. ~-.-'.~ ;~/..~.;..-. i, ;~.----===~ ...... HELEN lC DE VOE K~OTARY PUBLIC, State o( New York TeNO. 4707/J/1t Sufi~;k Coufl~/ :m ~it~ M*rch 30, 19 ~( (Signature of applicar PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF occuPANCY SOLDER* USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD. OCCUPANCY OR USEIS UNLAWFUL r ofocCUPANCY PLUMBING ALI. PLUMBINI~ ~ & WATER ~ NEED TESTING BEFORE APPROVED AS NOTED 765,1802 9 AM TO ~l PM FOB THE FOLLOWING INS PEC] tl 1~S 1. FOUNDATION . TV~/O BEOUIRED EOB POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSULATION 4. FINAL , CONSTRUCTION MUST SE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N Y. STATE CONSTRUCTION & ENERGY - CODES. NOT RESPONSIBLE FOR DESIGN OR ODN~TRUCTION ERRORS GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 i V- 1 GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455