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Home My WebLink About31705-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31584 Date: OS/26/06 THIS CERTIFIES that the building INTERIOR ALTERATION Location of Property: 57225 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 63 (STREET) Block 3 SOUTHOLD (HAMLET) Lot 21.5 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 2005 pursuant to which Building Permit No. 31705-Z dated JANUARY 23, 2006 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 ALTERATION TO AN EXISTING RESTAURANT/INN AS APPLIED FOR. The certificate is issued to GERARD HAYDEN & CLAUDIA FLEMING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2092407 OS/22/06 PLUMBERS CERTIFICATION DATED OS/25/06 ROBERT VANETTEN PLUMBING ~ fl. '/)/J~ ..../~ ..-- Au horized Signature' Rev. 1/81 r qO- LflJ- 17Y.3 i: L,: ,.-' r Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 . ~ . . :'/26' '1 L"" I.. ......., '.'.-.2-J.... '[ ,. r': ,-,~, ,;, -... -.; 'T. l ,~~__. ~-~--"ji:2!- 9 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (8-9 fonn). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifYing that the solder used in system contains less than 2/10 of I % lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. .,.... B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. New Construction: C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, 8winuning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, COl111nercial $15.00 Date. .5 / ;:} G / () ~ 1/ (check one) 1'1 AI /u t2. rl, 50 u TAold Street Hamlet AJofZr1-( r;f2- K TAb Jt: IZ-E1"IIT'I./ 6~~p~/~ ( C-/Al/d/AFI€.....,(./"i Suffolk County Tax Map No 1000, Section 065' _ Block ~<::::'d6 3" Lot I? ;::) /. 0(1 S if Old or Pre-existing Building: Location of Property: 57:;2 ;)-5 House No. Owner or Owners of Property: Subdivision Filed Map. Lot: DateofPellnit._~J6r; Applicant: ~OE,J/r/~,'tfVCJ '_'_ Underwriters ApprovaL Permit No. J /705 Health Dept. Approval: Planning Board Approval: v (check one) Request for: Temporary Certificate Final Certificate: Fee Submitted: $ h~ ~(1 ..- Applicant Signature .............. ~ 70J5fo CO .f:.3/5~Lf 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. 31705 Z Date JANUARY 23, 2006 Permission is hereby granted to: AYIOS INC GEORGHIOS 57225 MAIN RD SOUTHOLD,NY 11971 for : INTERIOR ALTERATION TO AN EXISTING RESTAURANT/INN AS APPLIED FOR at premises located at 57225 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 063 Block 0003 Lot No. 021. 005 pursuant to application dated DECEMBER 20, 2005 and approved by the Building Inspector to expire on JULY 23, 2007. Fee $ 200.00 19nature ORIGINAL Rev. 5/8/02 1\,wI\ noll, ~llJQ! Mlh. It...d 1'.'1, Ilna 1111/ S"wlhold, N.w YUli IIV71,1ll15v I I' II I'.. (h.ll) 70~'''' T.l.,k",n. (li'l:' '/0' , :) DUIWJNQ IDIII'AAu.cllN'I' 1'OWN 0' IOVI'IIOW ~Ui.A.J:.LU llttt:_.. .?J.<?{I~~ I 8"'1dUtI 'Il'mll No -.Z1-1 6 -'i..___.... .. Ow...,: h.~~e_1ii.e;; i: l!77r.tL€f.V II ~ 'Iumb.r: I ,,~o..h/J.iJ Vd-.tv' ~!JZ::J. ..!.pv 8'-;? . . ,<'fi"" 111111) / / II: I I. loertlt)' Ih.. 'h~ .iJldllr i i J.I III 'hI! WRhlr ~\lII:II)' .)'~l\"1l j.lllllllijl.~ IIJ:~ .hllll ZIIU u( 1% ICI/lII. Sworn 10 boloro In.lhl. ;2,(::, ~ day of lJ~~",,,, ~;.o~ .~:....~~ ~l}/ ~. .. .. ...' _....~_._.__._-,- (l'hllllb.FIl Sip.'lIrt' NOIlII')' Public, . 111101)1 I I ~1t~~- CommfaIlciri EiPIi';; ~<21 I' I! I OS/25/2005 14:58 17184g4582g PAGE 01 ~ I ~ ~ I ~ ~ I ~ I Located at Iil I I I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIRES THAT Upon Ihe application of upon premises owned by Q.C. ELECTRIC INC. P.O. BOX 518 LAUREL, NY 11948-0518, NORTH FORK TABLE & INN.LLC. 57225 MAIN RD. SOUTHOLD, NY 11971 57225 MAIN RD. SOUTHOLD. NY 11971 Application Number: 2092407 2092407 Certificate Number: Section: BOC: n811 Block: Lot: Building Permit: Described as a Commercial occupancy, wherein the premioes electrical system consisting of electrical devices and wiring, described below, located inion the premises at: Basement, fjrsl Floof, 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 fauna to be in compliance therewith on the 220d Day of May, 2006. ~ QIX Ba B!!iml ~ hi!! Alarm and Emll1QCY Equipment Emer&enCY Light Exit Light AppUuces and A<<essori<s Exhaust Fan Electric Heater Unit 5 0 3 0 Furnace Wlrlnll and Dovlces OuIJet Fixture Oullet Receptacle Switch Dimmers Reeept""le Disconnect 2 0 I 0 I 0 F.H.P. KW Gas 23 0 Fixture 23 0 Incandescent 24 0 General Purpose 18 0 General Purpose 9 0 General Purpose 10 0 t 0 GFCl 2 0 50 amp R:mge seal or 1 ThiS certificate may not: be altered in any way and is validated only by the presence of a raised seal at the location indicated. -_= ~ . == Ilrrr.: CONSULTING ENGINEERING SERVICES l":. '-!rI 2074 MAIN ROAD. P.O. BOX 456. LAUREL. NY 11 94B 631-29B-5252 March 23, 2006 Mr. Jerry Hayden 1485 Mill Creek Drive South old , New York 11971 Hayden Restaurant 57225 Main Road Southold, New York Dear Mr. Hayden: Please be advised that a 2" x 12" ledger board can be installed to support the new ceiling joists in the dining room at the new 7" x 11-Y. " L. V. L. This in place of the individual U210 joist hangers shown on Drawing #2006-1, dated 1/31/06. Very truly yours, Robert O'Brien P. E. l "" Ira Haspel Architect P.c. 126. E. Main Street Bayshore N.Y. 11706 Phone (631) 665-7525 Fax (631) 665-7595 Mr. Damon Rallis Building Department Town of Southold Southold N.Y. 11971 ,- r .2 ,. Re: !AN 3 ; , l \,' __~ '" ,:=:0-; I The North Fork Table- Restaurant and Hotel (Formerly - Coeur de Vin, Main Road Southold) 57-2'2.5 Dear Damon, Per our telephone conversation regarding the above referenced project, I hereby submit my certification that the seating capacity of the renovated restaurant will not be increased from what it had been previously. This certification is based on the new owner's affidavit stating the same (see attached). If there is any question, please call. Thank you. License No. 012256 cc file, Claudia Fleming, Gerry Hayden I .. NORTHFORK TABLE 57225 Main Road Southold, NY 11971 . ~'I 0 " , , , , , " n " f;' ;' \ " . ~ \ -, " !; . ..~.'.' j. JAN- 3 January 3, 2006 I I I L~.. -Ic_?___ To Whom It May Concern: Request for permit at 57225 main Rd. is to be used solely for the reconfiguration of floor plan to improve flow and efficiency. The seating capacity will not be increased from the previous owner. Thank you for your consideration, Fenri..mmc-d~ ~ if/alp N P '--rM,L-.Z- ~~J TOWN OF SOUTH OLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~IRE SAFETY INSPECTION REMARKS:JUtx:>\) tilS\ (JV fil2B1h-?'?" EAS.T SiDE '~)\L \D ~~~ ~ IY'('_ LEYf:,-- 55 ~TI c oer<-i"fA2- IJU-.l-l - 3> ~ ~ ()~1{) CL.~~ 00 ~L.....- ~.4'S"'ZA/l,,-~i--l"'" CJ,L. fbr2- CD K2. I\'-JS~~ ~ 7Y-IT 0!f, ~ DATE 51 2~ -Db i 071K<:; INSPECTOR~~ J) 70>"7- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING Ip<(FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: r~~, I .:..-;z 0 I::: r ~ae oL ~ 7-~ ev.t: ~ '0( ~ S:-??"~O(, DATE INSPECTOR ~~ ~ ... ~.. _. ......-. 3170.> Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND o{lNSULATION [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS:~ ...... ' >. t:.w Of( ~ ~ DATE 3 --- ')-t{- - 6 f.o INSPECTOR ~~ J /105 z TOWN OF SOUTHOlD BUilDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PlBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING [P(FINAl ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: .- I!;~ . ~ ~ ~.-4-~..h r N~ ~ ~r DATE s-- -r~" 0' hl~ L 'A/L INSPECTOR ../ r./~ 3{70s~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [~OUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [~MING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION / DATE 5/3 (01# INSPECTOR ,. .. FIELD INSPE<nioN REPORT DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL '. ~ COMMENTS lJJ'll :i~ 0.... \J\~ ,~ 125 (LI7~ L' ~ :.va f.J-..J A'L. wJ C/...L' JI/ f".~ .P Vd I / V //1 / f/ E~~r Ij-t~~ Z 9- U\P~ ..j ~~ ll) ~ .., UJ,,/f'I, ((I//I -/ '/ };.'_I> >M. f/ !~ )- \ - ~ iOrtJJ-'C.r,Il^,,~ r ~ >6t'" ~ .., 3_"':UL 0(". .lL IJn ~ .n ...,(1... - J' y,p-5-~' FtL /li/I .L /? ~ ok r .L A-I. J \ ~ . f1. '" -r- r A t1A) -'<I , v . I'S,P--o " ~ y If/' j)' "' () ,.9-," ~,' 1;\ (' ~ ;::l -Q-..,. JL A~ ~.' ~~ ,,/ A .A . /L'd,/ e:P' o.ff . ~'/# ADDlTIONAL COMMENTS r- fa=- ,~~ 00 9 \.f)~ ----- y~' ";i1 ..L - ~. {7.,c'2 (fU ~~ I 'll 9-1.... w~ \ .., o 0 ---JZ = ~ ::z..~ ~~ ~ 'll ~ . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southoldl PERMIT NO. ~I -;.as-e- -- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans V" Planning Board.approval Survey ./ Check.d:f II '1--- Septic Form N.Y.S.D.E.C. Trustees Contact: Examined C" Approved Disapproved alc Mail to: Expiration ,20~ Phone:7G6 - J 075 r.-.-...-..- i'1 is r;-, C7' r; r I. I' . , .' or R .. 1 1,.li I~ I r! I . ---" i I I I '! J ,APPLICATION FOR BUILDING PERMIT -- nEe 202005 Date ~c fC{ ,2005 - 'iL.____ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 set~ of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location oflot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. \ 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 issue a Building Permit 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 for 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 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 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, housing code, and r lations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of a /' I iJJJ- rt;J III 85 UltV C/l-E5IL-- SOUTriof-f; (Mailing address ot applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. -, -- 1. Y'cation of land on which proposed work will be done: v- 1)111-") 0A1N ?t) House Number Street SOVTHOlrD Hamlet (Name) Lot Lo(" 21.5 County Tax Map No. 1000 Section Subdivision G3 Block 03 Filed Map No. . co, , - .;1;_,;;' ~. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy R ~ ~ ~I i-\drCl..- b. Intended use and occupancy RCSo.'TAlJ P-ANT HoTel..- 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost,,;'" Addition Other Work Alteration V' (Description) Fee 5. 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. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ~ f!o']eL... 7. Dimensions of existing structures, if any: Front_4:4,' I' Rear 4'3. i' Depth S4 .~ Height .';7) Number of Stories ~ / . I Dimensions of same structure with alterations or additions: Front 44 /' Rear 43.1' Depth ~4.s' Height 3D' Number of Stories .3 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front ?-IO .ce Rear 14~Cf. 2- f3 '" \ Depth 2' 7 . {, <i 10. Date of Purchase )/biJ, 3D I U>tJ!J Name of Former Owner ( II. Zone or use district in which premises are situated He ll",tt l'180 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO_ 13. Will lot be re-graded? YES_ NOA- Will excess fill be removed from premises? YES_ NoL A:'W~/tJ fie<W?> S/)1I'Pf04-~) 14. Names of Owner ofpremises~'1 J/1}'t(Y=A/ Address/iRK 111"" ~ Phone No. 63/-76r-830'2. Name of Architect IRA tt^5PE'-' AddresslU.o. 1-1",,1/01 &r-aA.'61tpfhone No fb31-l>br-7S 2S" Name of Contractor Address ~ Phone No. IS a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _ NO ~ * 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 REQUIRED. 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' COUNTYOF~ Ct.lJtIlJ/1t ft-!:J-(IJfl6 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) Hbove named, (S)He is the O{j/))-FA. (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 ___ 1L{;:;:~r~~CA-(/ Notary Public !L ture of Applicant LINDA S. TAGMRT Notary Public. State 01 New Yorll No. 4948506 ~<'fo~u 7