The URL can be used to link to this page

Home My WebLink About28568-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspeceor Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30142 Date: 04/19 04 · £H±$ CERTIFIES that the ~uilding ALTERATIONS Location of property: 46520 CR 48 SOUTHOLD (HOUSE NO.' (STREET) F3kMLET) Coui%ty Tax Map No. 473889 Section 55 Block 5 Lot 7 S%~bdivision Filed Map No. Lot No. conforms substantially to the Application for Buildin9 Permit heretofore filed in tluis office dated JwJLY 15, 2002 p%~rsuant to which Building Per, nit No. 28568-Z dated JULY 16, 2002 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 INTERIOR ALTERATIONS OF EXISTING DELI IN A COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to THOMAS J MCCARTHY (OWNER) of the aforesaid building. SUFFOLK COUlqTY DEPART~4ENT OF ~FJ~ST~t ~-PPROVAL N/A ELECTRIClkL CERTIFICA~I~ NO. PLHMBERS CERTIFICATION DATED Rev. 1/El FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PER~iT NO. 28558 Z Date JULY 16, ~002 Permission is hereby granted THOMAS J MCCARTHY 46520 COUNTY RD 48 SOUTHOLD,NY 11971 for : CONSTRUCTION OF INTERIOR ALTER3~TIONS OF DELI IN Ai~ EXISTING COMMERCIAL BUILDING AS APPLIED FOR. (REPLACES BP #26413-Z DATED 3/21/00) at premises located at 46520 CR 48 Cou~nty Tax Map No. 473889 Section 055 pursuant to application dated JULY Building Inspector to expire on JANUARY SOUTHOLD Block 0005 Lot No. 007 15, 2002 and approved bythe 16, 2004. Fee $ 200.00 Rev. 5/8/o2 ORIGINAL FORM NO. 3 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) PERMIT NO. 26413 Z Date MARCH 21, 2000 Permission is hereby granted to: THOMAS J MCCARTHY 46520 COUNTY RD 48 SOUTHOLD~NY 11971 for : CONSTRUCTION OF INTERIOR ALTERATIONS FOR AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. at premises located at 46520 CR 48 County Tax Map No. 473889 Section 055 pursuant to application dated MARCH Building Inspector. Block 17~ 2000 SOUTHOLD 0005 Lot No. 007 and approved by the Fee $ 150.00 ? ? A~thorized Signature Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF Sou~iiOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICA, TION FOR CERTIFICATE OF OCCUPANCY Th/s applicati°n must be £flled in by typewriter or ink and subn'Utted to the Building Department wilh the following.' A. For new building or new use: l. Final survey of property with accurate location of all buildings, property Iines, slreets, and mmsual, natural or topographic features. 2. Final Approval from ~ealth Dept. of water supply and sewerage-disposal (8-9 form), 3. Ap~ro~jalo£ele~trical insmllat~n fi.om Board ~fFire Underw~ters. 4. Sworn. sta~eme~ fi-om plmnber cert/Sfir~ that the solder used in system conta/ns less than 2/10 of 1% lea& 5. Commer~ial~b~l~g, industrial building,,mul~ple residences and similar buildings and installations, a certificate ofCq0e 9~lnpli~ce __fi.~ ~ ar¢tdtect or engineer responsible for ~he building. 6.~ Subm/t Plhnn/ng B~ard~ AplYroval of completed ~ite plan requirements. B. For existing buil~n~ (prior to April 9,1957): non_conforming uses, or buildings and .p~e.exisfing. land uses: 4. Accurate s ~urvey ~f pr~perty sh~wmg`a~~ property ~ines~ str~ets~ bui~ding and urmsua~ natura~ ~r t~p~graphi~ features. 2. A p~:ol3erly comPleted applicat/on and consent to inspect signed by the applicant, if a Certificate of Occupancy is derffed, the Buitding Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to~Awelling $25.00, Alterations to dwelling $25,00, Sw'.. ~m~g pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50 00 2. Certificate of Occupancy on Pre-ex~sting Bu/lding - $100.00 3. Copy of Ceflific~te of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate' of Occupancy - Resident/al $15.00, Commercial $15.00 New Construction: Oid or Pre-existing Building: Location of Property: House~..Nq: ~ Str.ee[ O v:-7-ff~ wner or Owners of Propert,~,,_ t~,l ~, ff~,//~. Suffolk County Tax Map No 1000, Secti~i Subdivision Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ (check one) Hamlet Block Filed Map. Date of Permit.~ Appligant: Underwriters Approval: Lot Lot: Final Certificate: /check one) SingI¢& seg ~sal¢ ~(equu-¢d ~ ~ Projec~ Descfiptio a AGENCY PE~ !TS ~QUI~D FOR ~EW N.A. Suffolk Co~ Heal~ Dept. ~ __ NO YES Permit Number New York State D.E.C. Town Trustees [ Town Zorfing Board approval: Town Plmming Board approval: Flood Plane Eleva ion ??? Flbod Zone: Notes: 765-1802 BUILDING DE:PT, INSPECTION [ ], FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING [ ] ROUGH PLBG. [ ] IN/$1~TION [ :~]~INAL [ ] FIREPLACE & CHIMNEY REMA/~KS: DATE / FO~A~O~ (],ST) FOIINDATION (2ND) ROUGH FRAME & PLUMBING INS ULATIONPER N. STATE ENERGY CODE ADDITIONAL COI~ENTS: g~,n~ ued .................. , 19 .... -FORH IlO. I TO~ OF SOUTHOLD BUILDING DEPARTItgNT TOlf/l HALL SOUTttOLI], N.Y. 11971 TEL: 765--q 802 INSTRUCTIONS BOARD OF HRALTB ......... 3 SETS OF PLANS ............ ~ SURVEY ..................... CI~CK ......................... SEPTIC',~FORt4 ................... a. 3his applicatiou -,,At he completely f~lled in by;.typevriter Or in ink aud sulxuitted to thetBuildlng Inspector 3 sets of plans, accurate plot plan to scale. Fee acco~l~ng to schedule. b, Plot plato showing location of lot and of buildings ,c~ p~dses, relationship to adjoining pr~nises or public streets or areas, and giving a detailed description of layout of property u~st be ara~n ou the diagran ~hich .is part of this applicatiom c, The work covered by this applicatiee .may not he ~ane~eed before issuance of l~uilding Permit, d. ~ approval of this application, the Building im4peetor wiiI issue a l~aildirg Permit to the applicant. Such pemit shall be kept on the p~ises available for inspecti~m throughout the ~ork. e. No building shall he occupied or used in ~4hole or il~ part for turf purpose ~faatever until a Certificate of Occupancy shall have been granted by the t~,ilding Inspector. APPLICATICiq IS ]~ult MAIE to the Building l)p. ~l~gn~n. t~ for the ismamce of a Building Permit pursuau~ to the 'l~ilding Za~e Ordinance of the T~ of ..S~.thold, Suffolk, :0~/ty, New York, and other applicable Laws, Ordinasees or Regulatioas, 'for the construction of buildings, addifi~O~ alteratiorm, or for re~va~ or demolition, as herein described. The applicamC agrees,to comply with all apPl~.'~able lm,~, .~..~?~mees, building code, hotming code, and regulat~ous, and to -~t~,t authorized m.M~eetors ee p, eta.mes a~d m building_for ~ ifmpeet~ees. ($ig~dre of applier, or ~e~. qf a eo~porat~on) (ltailiug address of applicator) State ~aether applicant is ovmer, les~ffageet, architect, engineer, general contractor, electrician, plumber or builde: (a~ on ~ tax roll or latest deed) If app '~is ~-~'poj~t~on, signature of ~al'y authori~l officor. ..... .... , ................. (Naae ~ title of corporate officer) Builders License No .......................... Plt~hers License No .......................... ~.lectriciams License No ...................... Other Trade's Liceime lto ..................... Locatio~ of land on Tihich proposed 14ork will be dome .... : ......................................................... ~ [i~oer Street [ta~et ti. ...... ..... ...... ....... ...... /. ........ Subdivisiau ...................................... Filed ~ No ................ Lo~ ............... State existing use a~d occupancy of premises ar~ inteed~d us~ and occupancy of proposed ceestmc~ion: a. K~isti~ use ~ oeeupao~ ................. Z': '" ~'"~',>'~ ".: ..... "'"': .......... :~?'~ ............. ~epair ........ Remo~l ............. llemolition ............ Other I~ork (Description) Estfimred Cost ................ fee .......................................... 0o0 ............ (to be paid on filing this application) 5. If dueIling, nu~r of Oaelliag units ............ blumber of d~lling onits on each t'Ionr ................ If garage, n~ber of cars ...................................... 6. If l~sieess, crmmreial or ndx~l occupancy, specify eemre and extent of each type of use..__ __/~.-ff~-----~?A ...... 7. Dimensions of existing structures, if any: l~ront ................ Rear ............... Depth ................. Deight ......................... lxluu~r of Stories ...................... Dimensions of sane streemre with alterations or additions.' laront ............... Rear ............... Depth .................... Reight .................... ~ of Stories ............... 8. Dimen$iens of entire ee~ construction: Front ................ Rear ............... llep~h .............. Daight ......................... lla~l~r of Stories ..................... 9. Size of lot: Front .................... Rear .................... llepth .................... 10. Date of Purdmee ..................... I~ of Former Oaner ........................................ I I. Zone or use district in ~hich premises are slt~aated ............................................................... 12. Does proposed construction violate any zoning la~, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will mss fill be re~ from premises: YES I~ 14. Ra~es of Oaeer of pre~sss ........................... /kldress .............................. ttxme bio .............. tla~e of Architect .................................... &ldress .............................. Phone l~o .............. tla~e of Contractor ................................... /~ldress ............................... l~none No .............. 15. Is this property ~rlthin 300 feet of a tidal ~etland? * ~ES .......... hlO .......... PLOT DIAGRAI4 l~cate clearly and distinctly all boildings, ~0he~her existing or prol~scd, and indicate all set-back dimensions property lines. Give street and block n~r or description according to deed, and sho~ street hanes and irdicate ~hether interior or corner lot. //O .... ~_~ ............. ~...~ .............................. ~ ~ duly (~ of {Mivi~ si~ing of ~id ~r ~ ~rs, ~ i~ ~ty ~ori~ to ~rfom 0r ~ ~rfo~ ~ ~id ~ ~ ~o ~ ~ ~ie this a~li~ti~; ~at all stat~nts ~taiM in ~is a~li~ti~ an tmto H~at ~ ~ will ~ ~rfo~ in tim ~r ~t ~r~ ~ ~ a~li~ti~ fil~ ~m to ~gmm ~is ....... ......... ............. EU~ A STATHtS NOTARY PUBUC. S~e of ~w Y~ No. 01~8173, ~lk ~un~ Expires June APPROVED AS NOTED