The URL can be used to link to this page

Home My WebLink About30497-ZFORM NO. 4 TOW~ OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30499 Date: 10/09/04 THIS CERTIFIES that the building ALTERATIONS Location of Property: 2745 PECONIC LA PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 5 Lot 9.2 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 21, 2004 pursuant to which Building Permit No. 30497 Z dated JULY 20, 2004 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 ALTERATIONS TO EXISTING BUILDING CREATING A COFFEE/BAKE SHOP USE WITHOUT COOKING FACILITIES AS APPLIED FOR The certificate is issued to JOHN ROSK0 of the aforesaid building. (OWNER) SUFFOLK CO%~i~f DEP~RT~T OF ~TH APPROV~-L ELECTRIC3~L CERTIFICL~TE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A 2022594 09/14/04 10/08/04 CUTCHOGUE EAST PLUMB.HEAT ~A t~rl~azure 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) PERMIT NO. 30497 Z Date JULY 20, 2004 Permission is hereby granted to: JOHN ROSKO 129 POTATO FIELD LA SOUTHAMPTON,NY 11968 for : ALTERATIONS TO AN EXISTING BUILDING CREATING A COFFEE/BAKE SHOP USE WITHOUT COOKING FACILITIES at premises located at 2745 PECONIC LA PECONIC County Tax Map No. 473889 Section 074 Block 0005 pursuant to application dated JUNE 21, 2004 and approved by the Building Inspector to expire on JANUARY 2~ 2006. Fee $ 200.00 ~~z d Si n tur Lot No. 009.002 ORIGINAL Rev. 5/8/02 Town Hall, 53095 Main Road P. O, Box 1179 ~outhold, New Yor~ 11971 Fax (516) 765-I $23 Telephone (516) 76f~-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD ' (please p+[nt) ...... con%sins less than 2/10 I certify that the solder used in Ihs water supply system 1% lead. Sworn to before me thim Notary Public, ~ County SUSAN J, NAGY Notary Public State of New York No, 489673S Qualified ~n Suffolk County Comm/ssion EXpires May BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by J.FITZER ELECTRICAL CeNT 68 BAYBRIGHT DR WEST SHIRLEY, NY 11967, JOHN ROSKO 2745 PECONIC LANE PECONIC, NY 11958 Located at 2745 PECONIC LANE PECONIC, NY 11958 Application Number: 2022594 Certificate Number: 2022594 Section: Block: Lot: Building Permit:30497 BDC: ns11 Described as a Commercial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 14th Day of September, 2004. Name QTY Rate Alarm and Emergency Equipment Emergency Light 1 0 Exit Light 1 0 Appliances and Accessories Furnace 1 0 Wiring and Devices Outlet 7 0 Fixture 6 0 Fixture 1 0 Outlet 9 0 Receptacle 7 0 Switch 3 0 Receptacle 2 0 Rating Circuit Type Gas Fixture Flourescent Incandescent General Purpose General Purpose General Purpose GFCI An ~s built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. sea/ 1 of 1 This ce~ificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. NYS UNIFORM FIRE PREVENTION AND BUILDING CODE COMMERCIAL & MULTIPLE DWELLING OCCUPANCIES NYS BUILDING CODE (B) NYS FIRE CODE (F) NYS PLUMBING CODE (P) NYS MECHANICAL CODE (M) NYS FUEL GAS CODE (FG) NYS ENERGY CODE (E) Date: Reviewer: Building: Location: No Topic Section Req'd or Allowed Actual 1 Occupancy B-302 A- ~-- 2 Type of Construction B-Table 601 3 Height & Bldg Area B-503 Tabular Area B-Table 503 Stories allowed Tabular Height 4 Height Modifications B-504 Sprinkler Tabular Height (feet) Tabular Height (story) Increase Allowed Total Height Allowed / / 5 Area Modifications B-506 (See work sheet) Area increase formula Eq 5-1 Frontage B-506.2 Eq 5-2 (P) perimeter of bldg (F) frontage of bldg (W) width, open space Sprinkler B-503,3 Single story 300% Multi story 200% Total Area Allowed Page 1 of 8 No Topic Section Req'd or Allowed Actual 6 Atriums B- 404 Definition B- 404,1,1 Sprinkler Protection B- 404.3 Smoke Control B- 404.4 Enclosure B- 404.5 Auto Fire Detection B- 404.6 Interior Finish B- 404.8 Travel Distance B- 404.9 7 Distance Separation B-Tb1602 Extedor Wall Openings B-Tb1704.8 8 Fire Rated Const'n Incidental Use Areas B~Tbl 302.1.1 · Accessory Occupancy B-302.2 Fire Walls B-705 / Fire Barrier B-706 Shaft EnClosure B-707 Fire Partition B-708 Smoke Barriers B-709 Opening Protectives B Tb1714.2 Fire Blocking B-716 Draft Stopping B-716.3 Interior Finishes B-Tb1803.4 9 InteriOr Environment Min. Rm. Dimensions 8-1207.1 Min, Ceiling Height B-1207.2 Ventilation B-1202.1 Light B-1204.1 Page 2 of 8 No Topic Section Req'd or Allowed/'Actual 10 Exits - Occupant Load B Tb11003.2.2 One Exit Permitted B Tb11005.2.2 Egress Width B- 1003.2.3 (per occupant) Ceiling Height B- 1003.2.4 Exit Signs- B- 1003.2.10 Egress Illumination B- 1003.2.11 11 Egress Components Doors Door Size B- 1003.3,1.1 Door Swing B- 1003.3.1.2 Locks / Latches B- 1003.3.1.8 Panic Hardware B- 1003.3,1.9 Stairs Width B-1003.3.3.1 Headroom B-1003.3.3.2 ~ Tread/Riser B-1003.3.3.3 /'~ Vert!cal Rise B-1003.3.3.6 / Hehdrails B-1003,3.3.11 "12 E×it Access Remoteness B-1004.2.2.1 Travel Distance B-1004.2.4 Corridors Fire Rating B-1004.3.2.1 Width B-1004.3.2.2 Dead ends B-1004.3,2.3~,'/ 13 Exterior Wall Coverings B-Tb11405.2 Combustible Finishes B-Tb11406.2 14 Roof Assemblies Chapt 15 Material type(s) Page 3 of 8 No Topic Section Req'd or Allowed Actual 15 Structural Snow Load - Ground B Fig 1608.2 Snow Load - Roof ASCE 7-98 (calc.) Drifting Snow B-1608.7 Pond~ng B-1608 3 5 / Floor Loading . B Tb11607.1 .~/~ Balcony Loading B.Tb11607.1 Flood Plain B-1603.1.6 ~// Wind Loading B-1609 Seismic Loading (calcJ B-1614 ., Foundation Depth B-1805.2 16 Swimming Pools B-3109 17 Electrical Exit Signs B-1003.2.10 Emergency Lights B-1003/~-.11 Emergency PoWer B-10~3.2.11 .~ / 18 H/CACCESS Exempt Buildings B-1104.4 Parking B-Tbl1106.1 Route B-1104.1 Entrance B-1105.1 #of sleeping R .o~. ms B-TbI-1107.6,1.1 # of Dwelling Units B-1107 6.2 Toilet Facilities B-1109.2 ' Service Counters B-1109.12.3 Supplemental Appendix E Requirements Page 4 of 8 No Topic Section Req,d or Allowed ActUal 19 Fire Protection Eq'p Sprinkler Systems F-903 Extinguishing Systems F-904 Standpipe Systems F-905 Fire Extinguishers F-906 Fire Alarm Systems F-907 Smoke Detection F-907 Hi-Rise Fire Safety F-907.2.12 Visible Alarms F~Tb1907.10.1.2 Smoke Control F-909 Smoke Vents F-910 Fire Pumps F-913 / Kitchen Hood Ext' ? F,609.8 20 Plumbing Code Fixture Count P-Tb1403.1 / Water Supply Service PiPe SiZe P-603 Fixture Pipe Size P-603.1 Pipe Material P-Tb1604.5 Labor Law Art. 10-A NYS-904.6 Pipe Insulation Energy Code / Lawn Irrigation P-608.16.5 Pipe Freezing P-305.6 Sanitary Draina(~e Dr.a!n Pipe Size P-Tbl 709.1 Drain Pipe Matedal P-702 Vent Size P-Tb1910.4 Pipe Hangers P-Tbl 308.5 Air Admittance Valves P-917 Page 5 of 8 No Topic Section Req'd or Allowed Actual 21 Mechanical Code Ventilation Rates M-Tbl 403,3 Propane Below Grade M-502.8.10,1 Dryer Exhaust M-504 Kitchen Exhaust M-506 Kitchen Hoods M-507 Kitchen Make-Up Air M-508 Chimney Termination M-Tb1511,2 Air Plenums M-602 Fire & Smoke Dampers M-607.5.1 Combustion Air M-701 Confined Spaces-Def. M-202 22 Fuel Gas Code Appliance Location FG-303 Combustion Air FG-304 Clearance to Combust. FG-Tbl 308.2 // Pipe Material FG-403 Shut Off Valves FG-409 Chimney Termination FG-Fig. 503.5.4 Gas Vent Termination FG-Fig. 503,6.6 / Exit Terminal Location : FG.503.8 Clothes Dryer Exhaust FG-613 / Unvented Room Heater FG-620 23 ! Energy Code Chapter 7 (ASHRAE) E-701 Chapter 8 Building Envelope E-802 Mechanical System E-803 Service Water Heating E-804 Light ng and Power E-805 Total Building Perf' E-806 Page 6 of 8 so 7 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL FIREPLACE & CHIMNEY'~IRE SAFETY INSPECTION REMARKS: DATE/O~~~~---INSPECTO~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]/~OUGH PLBG. / [ ] FOUNDATION 2ND [~] INSULATION [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: ] FINAL ] FIRE SAFETY INSPECTION DATE 765-1802 BUILDING DEPT. INSPECTIO N [ ] FOUNDATION 1ST [ ',/] ROUGH [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~'-P~ · ~ ~ PLBG. [ ] INSULATION [ ] FINAL DATE "~ / \~ l°"t INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~,~'~NAL [ ]FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS.-- ~4.~. ~.¢.r ~ DATE ~//~/~ INSPECTOR ~ TOWN F S BUILDING TOWN HALL SOUTHOLD, FAX: (631) 765-9~- ~. no~hfork.neffSou~ol~ Examined ~ ~ / ,20 Approved 20~ Disapproved a/c / Expiration f /~_,.-d ,204 / BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey. Check Septic Form N.¥.S.D.E.C. Contact: APPLICATION FOR BUILDING PERMIT Date ,20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plan.s, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining prem/ses or public streets or areas, and waterways. c. The work covered by th/s application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Perafit to the applicant. Such a 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 ~:¢.any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. " f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or tins not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition-six months. Thereafter, a new permit shall be required. 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, housingj~ode, Nd regulations, and/to adrrdt authorized inspect ors on premises and in building for necessary inspecti (Signature of applicant or name, if a corporation) (" J/ '~l~ing~addressof~pplicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ----~ (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. /,,5-.--/~ Plumbers License No. Electricians License No. Other Trade's License No. ,...~,,~ 1. Location of land on which proposed work will be done: House Number Street County Tax Map No. 1000 Section Subdivision ~ (Name) Hamlet Block fi, ~,o ,~v ~ Filed Map No. 0r: [ 3. Nature of work (check which applic~.ble): New Building Repair ~'"' Removal&~,~7~>--' Demolition ' State existing use and occupancy of premises and ini~e~x~de~[ use and occu_p~ll.¢y o£p~posed conslruction: a. Existing use and occupancy ~",,d~',,f,,,--~' ~ ~,~'~ ~' ' b. Intended use and occupancy ,,~o.-,-/ - ~_ .Addition --------. Aiteration.,~_~_~__~.~ Other (Description) 4. Estimated Cost -- --~ -- Fee If dwelling, number of dwelling units If garage, number of cars -- (To be paid on filing this application) Number of dwelling units on each floor ----"' 6. If business, commercial or mixed occupancy, specify nature and extcmt of each type of use. 7. Dimensions of existing structures, if any: Front He. ight_ Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth_ Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear .Depth 10. Date of Purchase ~/.,~ Name o f Former Owner ~, _,~/~4 ~" ,~.~,,~,'~ fi/' 11. Zone or use district in which premises are situated ,~,~.,~/,~-.r,, 12. Does proposed construction violate any zoning law, ordinance or regulation? YES __ NO~ 13. Will lot be re-graded? YES NO Will excess fill be removed fro~u,pr~ni~es,2 YES NO - ,..~._/ ,~' / /.2 ~' 14. Names of Owner of premises ~,, ~'~- '~"f~" Address ,,~'/,,/.,*,~/:;~"~ Phone No. ,~/~""~$'~ Name of Architect ~ -~---*x A'~,'~ . Address .r'j,~,~?, eff~-,~',,'f Phone No Name of Contractor e::>~-"~'~',~,7-7~.,~-~-7c Address ~' Phone No. / 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__lx~__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQDIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ^, SS: COUNTY OF.~b~a/,/( ) '~---O Z,~'~ ~$~ he, ing duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He 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 /~/g day of, /'~,Te , 20~ Signature of Applicant