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HomeMy WebLinkAbout31250-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31140 Date: 08/29/05 TRIS CERTIFIES that the building ALTERATIONS ~ocatlon of Property: 28320 MAIN RD CUTCHOGUE (ROUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 102 Block 6 Lot 15 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23, 2005 pursuant to which Building Pez~tit No. 31250-Z dated JULY 5, 2005 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 AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to VICTOR CIERACR of the aforesaid building. ( OWNER ) ~JFFOLK COUNTY DEPARTMENT OF REALT~ APPROVAL N/A ELECTRICAL c~TIFICATE NO. 2064604 08/16/05 PLUMBEP~ CERTIFICATION DA'r~u N/A Authorized Signature Rev. 1/81 Form No. 6 TO%~qN OF SOUTHOLD BUILDING DEPARTMENT TO~VN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application nmst be filled in by typewriter or ink and subnfitted to the Building Department with the following: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and uuusual natural or topographic features. 2. Fhml Approval from Health Dept. of water supply and sewerage-disposal (S-9 fom~). 3. Approval of electrical installation from Board of Fire Under~vriters. 4. Sworn slatement from plumber certifying that the solder used iu system contains less titan 2;10 of I% lead 5. Conm~ercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect ot engineer responsible for the building. 6. Submit Planning Board Approval of cotnpleted site plan requirements. B. For existing buildings (pr[or to April 9, 1957) non-conforming uses, or buildings and "l)re-existing" land uses: I. Acctuate sup:ey of property sbov¢ing all property lines, streets, buikling and unasual natural or topographic 2. A pxoperly cmnpleted application and consent to inspect signed by the applicant. Ifa Certificate of Occupan%' is denied, the Building Inspector shall state the reasous therefor in writing to the applicant C. Fees 1. Cemficalc ot 3ccupanc5 New dwelling $25.00, Additions to &veiling $25.00, Alteratious to dwelhng $25.00, Swmmfing pool $25.00, A~esso~' building $25.00, Add ti )ns to accessoo' build~g $25 00 Bnsmesses $50 00 2. Ceniticate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Cemficate of Occupancy- $50.00 5. TemporaD' Certificate of Occupancy - Residential $15.00. Commercial $[ 5.00 Old or P~e-existing Building: ~ (cheek one) Street Hamlet New Constructiml: Location ofProl!elty: o~ g~ o~ O House No. Owne~ or Owners or'Property: ~,/ I C T O,~--_ ~q~[ ~ ,~/q'(2P7/ Suffolk Coanty Tax Map No 1000, Section [O ~ Block Lot ~/~..~___ Subdivision Pemfit No. ~ I o'15-0 Health Dept. Approval: ~1 /~ Plamung Board Xpproval: ~ [ .~ Request for: Temt)ora~T Ce~ificate Fee Snbmiued: 5 ~ ~ Co % Filed Map. Lot' Underwritei s Appro~ al: Final Certifica , : ( Applicant Signtre d 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. 31250 Z Date JULY 5, 2005 Permission is hereby granted to: VICTOR CIERACH JOCKEY CREEK DR SOUTHOLD,NY 11971 for : ALTERATIONS TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR at premises located at 28320 MAIN RD County Tax Map No. 473889 Section 102 Block pursuant to application dated JUNE 23, 2005 CUTCHOGUE 0006 Lot No. 015 and approved by the Building Inspector to expire on JANUARY 5, 200~77. FeeS 200.00 ~'"~'~'--'~~ ORIGINAL Rev. 5/8/02 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 ROSLAK ELECTRIC P.O. BOX 164 CUTCHOGUE, NY 11935-2453, * CIERACH 28320 MAIN ROAD CUTCHOGUE, NY 11935 Located at 28320 MAIN ROAD CUTCHOGUE, NY 11935 Application Number: 2064604 Certificate Number: 2064604 Section: Block: Lot: Building Permit: 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, Outside, 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 16th Day of August, 2005. Name QTY Rate Rating Circuit TYpe Miscellaneous minor renovation Alarm and Emergency Equipment Emergency Light Exit Light Wiring and Devices Receptacle Receptacle Fixture I 0 [ 0 8 0 General Purpose I 0 GFC! 4 0 Incandescent seal I of 1 This ceAificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~FINAL DATE ~-~/~-'~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ [~FRAMING [ [ ] FIREPLACE & CHIMNEY [ ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: FIELD'INSI~CTIONI/-- REPORT i DATE COMMENTS FO~DATION (2ND) ROUG~ F~I~G & PL~IB~G - ~S~ATION PER N.Y. - STATE ENERGY CODE .~D~ION~ COMMENTS TO'%~ OF DOUTI~IOLD BUILDING DEPARTMENT TOX~Tq HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~v. no rthfork,net/Southold/ PERMIT NO. Examined ,20 x Approved :~ ,20 3 Disapprox ed a c Expiration 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 Y.S.D.E.C. Trustees Contact: Mailto: I'~r~O. rct_ ~b(~l veq ~( v \~\ APPLICATION FOR BUILDING PERMIT ~ ~ ~t~c~ I ~ INSTRUCTIONS - ~ T~s a~lisg~y~b~pletely filled in by typewriter or in ~ and submitted to the Bulldog Nspector with 4 sets of ~ xs,~ plot plan to scale. Fee according to schedule. bkPlot ~showing location of lot and of buildings on premises, relationship to adjoining pre~ses or public streets or areas, and watem'ays. c. The work cox ered by this application Ina>' not be commeuced before issuance of Building Permit. d. Upon approval of tiffs application, the Building Inspector ,,','ill issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection tbxoughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Eveu~ building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has 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 e~ension of the permit for an addition six momhs. 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 Count>', New York, and other applicable Laws. Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolkion 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 tbr necessa~' inspections. ,/15 / (Sibmamre ofapp~ant ar name, ifa c~rporation) (Mailing address o{qa~plicam) d State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name o f owner o f premises V t~--~-o,l (__t o_o~ Agk (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. Plumbers Licen~,e No. Electricians License No. Other Trade s License Location of land on which proposed work will be done: House Number Street ') Hamlet County Tax Map No. 1000 Section Subdivision (Name) tOP mock 6 Filed Map No. 2. State existing use and occupancy of premises and intended use and occupancy of proposed constmctton: a. Existing use and occupancy x/&ca4qT ,-% b. Intended use and occupancy C~,n~,/ i6iffT I $. Nature of work (check which applicable): New Buildin~ Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost oq~OO - Fee ) 5. If dwelling, number of dwelling units N I Pr If garage, number of cars N IFt (Description) (To be paid on filing this application) Number of dwelling units on each floor N [/q / 6. If business, commercial or mixed occupancy, specie' nature and extent of each type of use. ~6j 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories 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 of Former Owner 11. Zone or use district in which premises are situated l 2. Does proposed construction violate an5' zoning law, ordinance or regulation? YES NO ~ 13. Will lot be re-gaded? YES NO ~h Will excess fill be removed fi'om premises? YES NO ~ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet ora tidal wetland? * YES__ NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO ~ 16. Provide sum'ey, 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) o 5. llcS)s: '~0t~ ~)~tl'-~ ,~q~,l ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individ~l si~ng contract) above named. (S)He is theWS[ ~55 D ~ ~ ~ (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is dui3' authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief: and that the work will be perfomxed in the mariner set forth in the application filed therewith. Sworn to before ~e th~s da> of,JO ~)q'~otaO' Public M~rtz K Schwartz, AIA -Architect, PLLC P.O. Box 933 Cutchogue, New York 11935 Phone: (631) 734 -4185 Fax: (631) 734 - 2110 July 01, 2005 B's Treats 28320 Main Road Cutchogue, New York USE AND OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: V BUILDING HEIGHT: 11'-0" +/- TOTAL OCCUPANT LOAD: 15 M FIRE AREA: EXISTING PROPOSED Re, il Area 669 SF Retail Area Storage Area Office Bathroom 35 SF Bathroom Utility Room 10 SF Utility Room Total Area 714 SF 370 SF ' 195 SF 104SF 35SF 10SF 714 SF INSTALL FIRE EXTINGUISHERS AS PER CODE INSTALL SMOKE DEI'ECTORS/CO2 DETECTORS AS PER CODE EXIT SIGNS TO COMPLY WITH SECTION 1003.2, NYS CODE EXIT DOOR TO COMPLY WITH 1005.2.1, NYS CODE FIRE INSPECTION REQUIRED BEFORE OPENING OCCUPANCYOR USEIS UNLAWFUL WITHOUTCERTIFICATE OFOCCUPANCY COMPLY WITH ALL COD~'S OF NEW YORK STATE & TOWN - ?'DES AS REQUIRED AND CONDI't'~, :uS OF _ ~. . ?¢1 PLANNI' ~ / N.~.S. DSC UND£R~NR~lERS CERTtRC~klE REQU)RED APPI~OV~ED AS NOTEO 765-1802 8AM T J, ~k'~ FOR THE FOLLOWING INSPECT;ONS: 1. FOUNDATION - ~",','O REQUIRED FOR POURED 2. ROUGH . FRAM,~ ~ PLUMBING ~. INSU~TION -k FINAL - COK~'CTION MUST ALL CONST~UCT'ON SHAL~_ MEET THE REQUIREMEHTS OF THE CODES OF NEW YORK STATE, NOT RESPONSIBLE FOR ~ OR CONSTRUCTION ERRORS. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE.