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HomeMy WebLinkAbout16967-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z17057 Date July 5, 1988 THIS CERTIFIES that the building . .T..h.e.a.t.r..e ......................... .~ ............ Location of Property Mattituck Plaza Route 25 & Factory Ave. Mattituck /2/~s~ ~o: ........................................................ Street Hamlet County Tax Map No. 1000 Section .... ].4..2 ..... Block ...... ! ........ Lot 2 6 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 21, 1988 pursuant to which Building Permit No. 16967Z dated lqay 12, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfich this certificate is issued is ......... .... Theatre # 7 Mattituck Plaza A & P Shopping Center ' The certificate.is issued to . ALA~ A. CARDI~AL~. .................... io~.'e; '~'~6~.._.X' .................... of the aforesaid building. Suffolk County Department of Health Approval .... 1~./..A ................................... UNDERWRITERS CERTIFICATE NO ........... P.e..n.d.i.n..g..6/.3.0./.8.8. .................... PLUMBERS CERTIFICATION DATED: I~]A Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building .... .~.h.e..a .t.r.e. ................................... Mattituck Plaza Route 25 & Factory Ave. Mattituck Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section ...1.4.2. ...... Block ...1 ............ Lot ...2.6. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .Ap.r.i. 1...2.1.,...1.9.8.8.. pursuant to which Building Permit No..1.6.9.6..7.Z .............. dated ..... .M.a.y.. ! ~.,.. ! 9. .8.8 ......... 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 ......... Theatre t~ 8 Mattituck Plaza A & P Shopping Center The certificate is issued to ...A.L.A..N..A.....C.A.R.~ .I .N.A.L.R. .................................... (owner, ~.~X~X of the aforesaid building. Suffolk County Department of Health Approval ..... I~../.A .................................. UNDERWRITERS CERTIFICATE NO ............. ~..E.N.D.I.N. ? . .6.1. 3. .0 ./ .8. 8. 8. .................. PLUMBERS CERTIFICATION DATED: lq/A Building Inspector Rev. 1/81 APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building InSPec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: .J~ 1, Certificate of occuoancv ~ -~ ~)' e o / 2' Certificate of occupanc~ on pre-existing dwelling / land use --Fre-E×±st±ng C.0, $15.00 3. Copy of certificate of occupancy $1.00! Vacant'land C.O. $ 5.00 ti>AvA- / O LCY -7 ~ ~ ~T'I~.A'rE-~ $ Date ...... I.I. !/.i.~/~.1'~ .......... Buildin_q~ New Building ............. Old or.e-existing ............ Vacant Land ............. Location of Property ,..COj~..~,~~-- - ~-~). ;,.. ..... ].~.~.~,r...U.~.~...l.~.y' ....... .J.J.~)~?~'.. .... House No. Street Ham/et Owner or Owners of Property ....~..l~J .... .~.....~. ~.p,/.¥..~. ~.~ .......................... County Tax Map No. 1000 Section ..... t.~..7-,. ..... Block ...... J. ........ Lot...~.~. ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant. ~i'[., ~%[.. ~.~..~/~)./J~..~.~,...E~... Health Dept. Approval ' .Labor Dept. Approval ..... Underwriters Approval .... ~.. ....~'. ............ Planning Board Approval . .% ................... Request for Temporary Certificate ..................... Final Certificate L.~ ....................... Fee Submitted $ ................... Construction on above described building and permit meets all applicable codes and regulations. ~,~.;~':;~ \--~'10C~ Applicant~~¢~..,,*...-¢~...~~ .................. Rev. 10-10-78 FOUNDATION ( 1 s t) FOUNDATION (2nd) ROUGH FRAME & .FLUMBING INSULATION ?ER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: APPROVED. AS NOTED ~E: ,~ '-~ BY: ¥. ~.L. NOTIFY BUILDING DEPARTMENT AT 78B-1802 g AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY E/vt YLO'Y E ,c_... 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-180:2 Examined ' ''' ' ' 19 ~i:;i BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: Approved ... !'?']..cN-.:~ ' . .... .~.~.., 19~".;. Permit No.." ~ {o~..-~.. Disapproved a/c ..................................... / · 4.." .~ .:. %.-... - ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 inspections. ''' i~g~t;r;'~[ J[;l~Jcant, or name, ifa corporation) . .T..o...qsox. .... (Mailing address of applicant) State whether applicant i(~ne~Q lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . C}.J,.-,~.-., .0~. ~ ........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No .......................... LICENSED Plumber's License No ......................... Electrician's License No...~ ."6 .~[ 5..~. ............ Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. House Number Hamlet County Tax Map No. 1000 Section ...... I.t-~..7-'. ........ Block .......... [ ........ Lot....~--..~ ............. Subdivisiou ..................................... Filed Map No ............... Lot ............... (Na,ne) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended'us~ and occupancy . ."~__~L~. ~..~.'.~....~ T q.,,---o--,.,..~ ,-~.,, ~, ..... -,~ · ?-" .' ................... ~,.~4-' '. '..: :.'.;'; ......... 3. Nature of wo.rk (check which applicable): New Building Addition Alteration .......... Repair.. :'. ........... Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ~Oa C)O~) (Description) ..................................... Fee ............... (to be paid on filing this application) 5. [ / gd2;: lgl}7 gn,unmU~br eorfOcfa7 7 l!iy.g.u.n, i t s ............... Number of dwelling units on each floor ................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................ 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number'of Stones Dimensions of same structure with alterations or additions: Front ............. Depth ................. Rear .................. ...................... Height ...................... Number of Stories .................... 8. Dimensions of entire new construction: Front Rear ............... Depth .... i i ......... Height ............... ............... Number of Stories 9. Size of lot: Front 10. Date of Purchase ...................... Rear ...................... Depth ...... i i i i i i .......... ............................. Name of Former Owner 1 1. 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 ................................ 14. - ........................... Will excess fill be removed from premises: Yes No Name of Owner of premises .................... Address Name of Architect ................... Phone No ................ ........................... Address ................... Phone No ................ Name of Contractor .......................... Address .... : .............. Phone No.;a ............. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No .v.. *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRakM 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 ~QRK~ CODN-FY OF 5. w.}..~./.% ........ S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lie is the (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 this 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 filed therewith. Sworn to before me this ......... i~.~.~. ~.~ ....... day o f.../~..~.t-~..t75..C...~. ~ ........ 19~.~ · X/otaryeuJ~lic, O~-~.c_ ~ /F ............. '. ,,: ;/.~ I .: .'-.Il .... County NOTARY ~J~l~ S~ [~l~t~ll~[ (Signature of applicant) .%. 52-4812888- .8t.~ik Goufl~ ;~ t STEEL ~J£,~aS I S~¢T~O~r oF / ,/ F4 BOTTOM OF EXISTING FOOTING 4-'0" MIN. TYPI :AL ©® A ~--BOTTOM OF UNDERPINNING NOTE EXCAVATE & PLACE PANELS "A" FIRST, "B" SECOND, "C" THIRD, "D" LAST, MINIMUM CLEAR DISTANCE SIMULTANOUS CUTS SHALL BE 12zO". ELEVATION OF UNDERPINNED WALL - IF ~Eq'O HAVE ENGINEER SUPERVISE CONSTRUCIION ) BETWEEN 0 C A\ ,7 ',%: ~F ZECT~O Co,c, ST~?s-- 3L ~r ¸'1 ~z CA I~T~tL ~/ 61~ 7n IVEw- /2~o~-EcT,o~r /5oo?H I O/C ~T~u c 7~OA"' ~/2w ~ coo s/'-lC ~ / TILE k/LI,~'C~ cL'o II ~o¥ 3E C 7,o ~ WALLS : 4!o'' Hlotl 13t-"/ W,~t.L ,,*I/ 4~0 !0" ~cRE~ I J I~Emoue 00o~- I *1 :S,Q, ® /~ oo/'// r,- "~ llr - r--lll' Il II I ~f 45.~* ¢7-¢P = //zsP, ~ P ~ ~lmT EX, 8" Co~c ~L, 1~/./.,, Lov, rg~. E~IST~NG C.~PA c/Tz' I I ' ¢/~' HeAL ~q'd~ e 16"o.e VERIFIED 1N FIELD, 'Z'l~¢¢~°F"/f;~'~'e'~r;'~'°alf~f¢°e~(¢^a'~6'~') 3) COMP[~SSI~ ST~NC~I OF ~L CONCI~TE AT 28 DAYS TO BE 2500 PSI. . .. -, ~ . = ~ 2) PROPOSED TI~TRES rio BE AiR CONDR'IO~D, ~W A/C UNITS ~ -- ~ ~ PROVIDED ON R~F. ~CI~IC~ VENTI~TION TO BE FILED BEFO[~ ....... w~ZL~o4~o (F,~coO~ e~) o~ v,C~°TH 6odd> BIVIDItJO WALL [~ rIPE "A" ~~? PLUMM~: NOl~S: ~ -- i LI 2) TtB MOTION PICIUI~ PRO~Ci']ON EOOTII DOES NOT CON'IAiN MOI~ ~ - - ~¢(,/~,~,~ ~CJI[~. 7}B~F0~ 0~ ~ATUR CLOSEF ~ O~ D~VATORY 0N ~ J... 18 ¢fl- G,,TH, ~g~JL sZuc5 ~ ~$" o.c, W/~a I p~$':'> ~:m ~ LE~iL WITIIIN 20 F~T OF TI~ l~O'l'iI 1S NOT I~QUII~D. ,', ' ' J ,7 /z_ ~ ,, ~ 1) E~C'i'I{i~L WIRING CON~iT ~O EQUIPb~NT Skil CONEOIBI TO insvZfipoa . SEaLanT ~ fl~ ~ OEILi~G, ~+~~ ~ -- BUiLD1NG CONSTNUCTJON CODE. VERIFI~TiON TIgT TIE E~C'I'I/]~ ~ wife t ~J[~ off ~Jd" 7~c~ GJYs~m 2) ~mRggSm' LIGiHING IS ~QUI~D. SUCII LIGHTING SI~L BE ~JC~- (~S~ W/~ I~ ~lZg~). / t/,8, SEE CODE SECTIONS 1032.3, 2~ 1-1032. ILL~iINATING SUCII SIGNS Si~L BE ~PPLI~ WITH EW~ //GDT ~ 5/G~ ' ~7~-~ ~mROENCY LIGHTING SYS'I~I. ~,k, E~GENct ZtOaT/~¢ (~arr~/ ~P~) &sa o8 4) E~CTRI~LY o~wrnD ~ ATrAO~NTS FOI~IINO PM/T OF I:'l I]'. ILt:I