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Home My WebLink About17036-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18788 Date FEBRUARY 9, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 53345 (3) MAIN ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 61 Block 1 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 1988 Pursuant to which Building Permit No. 17036-Z dated MAY 26, 1958 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 RETAIL CHEESE SHOP AS APFLIED FOR - BUILDING #3) The certificate is issued to THE CHEESE PLATTER (tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 5-59- 2/9/90 UNDERWRITERS CERTIFICATE N0. N-020733 - JULY 6, 1988 PLUMBERS CERTIFICATION DATED N/A Bui ng Inspector Rev. 1/81 goaas xo. s 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) Na 017036 Z Da9e .a~..........., 19.0.9 Permission is hereby granted t . .1~~ + ..~.~-2.~-.. N.:.y..:...~.~9~.~......... ,~p.. 1 ~J ten' ct premises located at .~?..33.`f.s........[r/.fdeY..t+.....L t-'. `~+\,~x~~......~CK9..~~....,~... County Tox Map No. 1000 Section .........~.ln..~•••. Block ......~..I......... aaLot No....I..~:.'. pursuant to application dated ...........'.7..\.5.~,,.r'.~P 19..8., and approved by the Building Inspector. 111111 Q_ Fee ~ ..,rLX(.'. n'~. Building Inspector Rev. 6/30/80 TOWN OF SOUTUOi.p IIUILDIt7C DEPART:IENT - TOWtt IIALL SOUTIIOLD, NCW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPAtlCY ' DATE . July 20:.1989• • - - - NEW COSSTRUCTION OLD OR PRE-E%ISTIt7G BUILDZNG......VACAtiT LAND...- (STORE //3) - - - - L o c a t i o n o f P r o p e r t y-• .53345 'MAIN ROAD SODTHOLD, NEW YORK UOUSE NO.-•••••••-•• STREET llAMLET Ovncr or Ovncrs of Property. • • . _PUDGE CORP. (TNE CREESE PLATTER) Coun[y Taz Hap No. 1000 Section 61 I 12.2 Block Lot Subdivision. Filed Map ........LoC...._..... Permit tto. ,•17036-Z•..Date of Permit MaY 26, 1988 • • - • • • - - -App 1 i c a n t PUDCE. CORPORATION Bcalth Depc. Approval " Undcrvritcrs Approval.N=020733•••--• Planning Board Approval 8equcst for Temporary Certificate • Final Certificate °cc Submitted: 50.00 APPLZCAt1T\': :ZP/.1!~?:~? v• 10/14/88 `3~9~5 FORM N0.4 TOWN OFSOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY Certificate Of Occupancy No..?.;1692,6.....,. Date May 27, 1988 ALTERATION THIS CERTIFIES that the building . Location of Property „53345 Main Road Bld.lk3 Southold, N.Y. House No. ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Street ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Hamlet County Tax Map No. 1000 Section ~ 6.1......Block ~ ...........Lot . Subdivision ...............................Filed It4ap No. ........Lot No. . conforms substantially to the Application for Building Permit heretofore filed in this office dated May ]6, 1988 17036 Z pursuant to which Building Perniit No. . dated May 26 , 1 988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wluch this certificate is issued is . RETAIL CHEESE SHOP AS APPLIED FOR BUILDING lk3 Tlie certificate is issued to ,THE CHEESE PLATTER ~1E~3€&t'}V es,Ye% ~3Ctenan it of the aforesaid building. Suffolk County Department of Health Approval .........5-59 UNDERWRITERS CERTIFICATE NO.... , ,?ENDING PLUMBERS CERTIFICATION DATED: r4 C.,Y A:4 a:k ~ . Building Inspector Rev. 7/81 k. THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 ,1001381 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Uate JllIfY 06,1988 App(icationNo.onJile 55679788/88 N 020733 THIS CERTIFIES THAT only the elactricol equipment oa described bebw and introduced by the applicant named on the above opplicotion number in the premiaea of JAMES L. GRAY SR., FEATHER HILL,MAIN ROAD, STORE #5, BUILDING A, SOUTHOLD, N.Y. in thefalioainq location; ®Baaement ® lat FT. ? 2nd 1•'I, Section Block Lof uas exa,nined on JUNE 09,1988 and found to be in con,plimlee uirh the repuirentenra q(thia Buard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS ECEPTACLE$ SWITCHES INCANDESCENT RUORESCENT RAiOR MIT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. MIT, M. P. 20 16 5 ~ 6 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELI UNIT HEATERS MUITI-OUTIET DIMMERS SYSTEMS AMT. N. W. Olt H. P. GAS N. P. AM1. NO. A. W. G. AMT, AMP. AMT. AMPS. TRANS. AMT, H. P NO. OF FEET AMT WATTS 1 F 2 40 SERVICE DISCONNECT NO.OF S E~ R V I C E AMT AMP rypp METER T 9W I ~ SW ~ $ ~W 3,6 .IW NO. OF CC. COND. A. W. O, NO. OF HLIEG A. W.O. NO.OF NEUIRAlS A. W G EQUIP. PER .a OF CC. COND. OF HI~lEO OF NEUTRAL ' OTHER APPARATUS: 3 1/2 TON A.C. UNIT-1 MOTORS:2-1 H.P. PANELBOARDS:1-23 CIR. 150 ELEC. WATER HEATERS::1-4.5 K.W. TRACK LIGHTING:-16 JODY PUMILLO PAT LANE MATTITUCK, NY, 11952 OENERAI MANAGER 11 LICENSE N0. 2300 E Per 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. 1 c ' FIELD INSPECTION DATE I COMMENIJ 'i [7 1 71 1. ~ H eep.\` H W FOUNDATION (1st) ~ ~ FOUNDATION (2nd) N 2. z o V'i W W ROUGH FRAME & PLUMBING p~' ' 3. H 3, INSULATION PER N. Y. y STATE ENERGY CSODE a 3 r ea~o~ H 4. W FINAL o 7 ' rzn q ADDITIONAL COMMENTS: x ~o H ~ 1 H b. H O ~ z ~ x ~ a r H x ra ro H 7fEL. 765-1802 ~pc~~1FF0[A(~p TOWN OF SOUTHOLD ~~i. OFFICE OF BUILDING INSPECTOR P.O. BOX 728 ~ ~ TOWN HALL 'YOGI ~ ~~0~ SOUTHOLD, N.Y. 11971 . C E R T I F I C A T I O N Date 7--/~-,mil/ T~~i^• Building Permit No. 17036-Z (STORE 8 3) THE CHEESE PLATTER) Owner ~D ,F ~oR7° ' (lease print) r Plumber ~ y ~ ~~y~,Bi~4~r~ ~ERToRELdo ' ' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. (plumY/er's signature) Sworn to before me this fa ~ day of , 19~. 0~ e,,, ~ Jx , Notary Public Notary Public, 6'ur-moo«c County EILEEN M. ROACHE Notary Public, State of NawYork No.A926942 Qualified to SuHOIk County Commission Expires January 3t,199P wr.r BOARD OF HEALTH 3 SETS OF PLANS FORM N0. 1 SURVEY TOWN OF SOUTHOLD CHECK ...~./.Z~~........ . (6 ~ BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL BIOG.DEpT, SOUTHOLD, N.Y. 11571 NOTIFY TOWNAf 3 UTHOLD TEL.: 765-1802 CALL . . y~ MAIL T 0 : ~-~?~az / Q~„~-Z. Examined r,.'.~~:~.., 19~~. ~ ~ Approved 24 191~~. Permit No..~. 7 Q. 3.10. 7/ U . . Disapproved a/c . :t.e~°~:... , w.. . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19 . INSTRUCTIONS a. This 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 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 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 necessary inspecti\ons. ` h q (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~7rt~.e . ~:~`~P • . UUU (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 . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . House Number Street Hamlet County Tax Map No. 1000 Section ......(„~.(o.~....... Block Q Lot . Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b. Intended use and occupancy • ~-!•~~•~~~'..~:~1~ . p Additdon . 3. Repuarir' of work check which a 'p ' g ~ , Remo ldcable New Buildin . ~ val Demolition ~ e ~r Work . `sL,a. ~(~tl 4. Estimated Cost 3-7T'~'"a. . g. g! Fee .~..a •».r_••',•.u,:..;. (to be paid on filiri~~~~eti~ti~n) 5. If dwellin number of dwellin units . Number of dwelling units on each flooi .`LL:`'"""`;": ; ; If garage, number of cars .....I . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structure's, if any: Front , • Rear ; Depth . . Height ...............NumberofStories........................................................ ~imYh sions of same structure with alterations or additions: Front Rear . p Height Number of Stories . unenstons o entdre new const Hei ht ruction: Front Rear Depth ; g Number of Stories . . . 9. Size of lot: Front . Rear Depth . 10. Date of Purchase ...........I 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............:.. . PLOT DIAGRAM Locate cleazly 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 YORK, S.S COUNTY OF (Name of individual signi • • • • • ' ' ' ' ' • • • • being duly sworn, deposes and says that he is the applicant ng contract) above named. He istlte (Contractor, agent, 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 tltis application; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'work will be performed in the manner set forth in the application 61ed therewith. Sworn to before me this ~ .day of''.. 19 .~G! Notary Public, ...G`~9~K-.P.1 : ~(/.6C.......... County ~ HELEN K DF. VOE ~vv`:\......... . NOTARY PURIIf., State o~ New York (Signature of applicant) No. 47D7S?9, Su4;.,;~~, County` Term Expires March 30,j d9