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HomeMy WebLinkAbout32138-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 2-31616 Date: 06/20/06 THIS CERTIFIES that the building ALTERATION Location of Property: 31525 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 97 (STREET) Block 5 CUTCHOGUE (HAMLET) Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 2006 pursuant to which Building Permit No. 32138-2 dated JUNE 20, 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 IN EXISTING BUILDING FOR ENLARGEMENT OF KING KULLEN GROCERY STORE AS APPLIED FOR. NOTE: THIS ALTERATION WAS ORGINALLY DONE IN 1995 UNDER BP #22614-2. The certificate is issued to SEROTA CUTCHOGUE LLC (OWNER) of the aforesaid building. N/A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 06/23/95 ELECTRICAL CERTIFICATE NO. N-356078 PLUMBERS CERTIFICATION DATED Rev. 1/81 FR'] 03:48 PM SEROTA PROPERTIES MAR-IO-2006 FAX NO, 15165619378 p, 05 Form No.6 TOWN OF SOVTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 , This application must be filled in by typewriter or ink: and submitted to the BUilding Department with the fOllowing: APPUCATION FOR CERTIFICATE OF OCCUPANCY A. For new bUilding or new use: I. Final survey of property with accurate location of all bnildings, property lines, streets, and unusualllatw'aI Or toPOgraphic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonn). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Swam statement from plumber certifying that the solder used in system Contains less than 2/10 of I % lead. 5. Conunercial building, industrial bUilding, multiple residences and similar buildings and installations, a ceHilleale 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 nses: 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 OfOcCllpancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory bUilding $25.00, BUsinesses $50.00. 2. Certificate OfOccllpancy on Pre-existing Building _ $100.00 3. Copy of Certificate of Occupancy _ $.25 4. Updated Certificate of Occupancy _ $50.00 5. TemporalY Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. .;;1a3;~c" ./ Old Or Pre..existing Building: Location of Property: S/6-Zti ". I"i~" House No. Owner or Owners of Property: NIJIj{Af./ L. SL5}~m Suffolk County Tax Map No 1000, Section 17 Block MAoJ /U) Street (check one) /'./n7'A-k:7~~ Hamlet J Lot /,z Subdivision "- Date of Permit. b 1.26 f IJ 10 ( Pennit No. 3;;' I 38-l \~P:x1.J1;-2:x,/'f~) Health Dept. Approval: Planning Board Approval: Filed Map. Lot: Applicant: KlfLJt;- kV/j~A.J r.;~~P-ey &..:L~ ---- Underwriters Approval: Request for: Fee Submi tted: $ Temporary Certificate ______ Fina] Certificate: ~ (check one) 50. g1j . ~.K' 70Lf/7 (0 ~ 31& 1(P ~~ Applicant Signature fJPt7.Tt!f'eT /)1({,;c.... Ifl ~ /cuu.eJ .~ ,- c":'~~MIE';J2;f ; . "'--"'~~;c""'1-'~:- THE NEW YORK BOARD OF FIRE UNDERWRITERS PI\GE 1 1(J00760 BUREAU OF ELECTRICITY r- 85 JOHN STREET. NEW YORK. NEW YORK 10038 DatI' JUNE 23,1995 Application No. onfUp '176753'15/95 N 3'...t..C)g THIS CERTIFIES THAT only the electrical equipment (U tIe.cribed below and introduced by tlu! applicant nomed on the above application number in the premise. of KING KULLEN , ROUTE 25, CUTCHOGUE, N.Y. in the follolCinf( location; o Buement IKI ht Fl. 0 2nd n Sf>{'tion Block Lo. tl'G" exa,nined on JUNE 20,1995 andfound to be in compliance with the National Electrical Code. FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FlUORESCENT OTHER IoMT K.W. IoM1. K.W. IoM1. K.W. .,,, K.W. IoMT. H. P. 40 16 6 16 24 DRYERS FURNACE MOTORS FUTURE APPLIANCI! FEEDERS SPECIAL REC'PT TIME ClOCKS BEll UNIT HEATERS MUlTI-OUTLET DIMMERS TRANS. SYSTEMS IoM1. K.W. 0" H.P. G" H. P. IoMT. NO. A.W.G. IoM1. 10M'. IoMT. AMPS. IoMT H.P. NO. OF FEET IoMT. WATTS 4 30 SERVICE DISCONNECT NO. OF S E R V I C E METER NO. OF Cc. COND. A.W.G. A.W.G. NO. OF NEUTRALS A.W.G. IoMT. 10M'. TY'" EQUIP. IJl2W 1,l3W 3.3W 3,#4W PER' OF CC. CONO. NO. OF HI.lEG OF HHfG OF NEUTRAL OTHER APPARATUS: , - ROLANDS ELECTRIC INC. LIC.#147-E ~K~ 307 SUBURBAN AVE. DEER PARK, NY, 11729 GlNHAL MANAGU 11 p" . / This certificate must not be altered in any manner; return to the office of the Boord if incorred. Inspectors may be identified by their credentials, COPY FOR WILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS Ph.Gt,; , 10IJ0":.'G() BUREAU OF ELECTRICITY r- 85 JOHN STREET. NEW YORK. NEW YORK 10038 Datf' MAY (1H ,l'-~91__i Application NQ. onJile ,'\'71'~ 109:;/ '~~'l N 3'){,'.ii-, "3 THIS CERTIFIES THAT only the electrical equipment.. described belo", and introduced by the applicant named on the above application number in the premues oj KING KULLEN, ROUTE 25 f CUTCHOGUE, N.Y. in the following location; o BaJlement [K] htFI. 0 2nd f'I. .""'("fion Block Lot was examined on MAY 02,1995 and found to be in compliance with the National Electrical Code. FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS KEPT ACLES SWITCHES INCANDESCENT FlUORESCENT OTHER "",. !C.W, "'" K.W. '-", K.W. '-", K.W "",. H.P. 59 10 2 57 1 12,0 DRYERS FURNACE MOTORS FUTURE APPliANCE FEEDERS SPlCIAL lEe'PI TIME CLOCKS BOLL UNIT HEATERS MULTI-OUTLET DIMMERS "'" TRANS. SYSTEMS K.W. 0" H. P. GAS H.P. "",. NO. ".W.G. "'" "'" "",. AMPS. "'" H.P. NO. OF FEET '-",. WA.TTS 6 .. :~ 40 SERVla DISCONNECT NO. OF S E R V I C E '-", TYPE METER NO. OF CC. COND. A..W.G. A.W.G. A.W.G. "'" EQUIP. 112W 1,3W 3'3W 3,J,W PERH Of CC. COND NO. OF HI.lEG OF HI.lEG NO. OF NEUTRAlS OF NEUTRAl OTHER APPARATUS: FRYER 9.6 KW-l PARTIAl. FINAL FOR PRODUCE & DELI-1 DEPT.-1 MOTORS, 34-F H.P. ,1-1 H.P. ,1-7.5 H.P. PANELBOARDSI1-42 CIR. 400 . NOTE , This is a partial, not a 'Complete certificate. ROLANDS ELECTRIC INC. LIC.#147-E ~f~ 307 SUBURBAN AVE. GlNHAL MANAGIR DEER PARK, NY, 11729 p" 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. MAR-IO-20G6 FRI 03:49 PM SEROTA PROPERTIES FAX NO. 15165619378 p, 06 Town Hall, 53095 Main Road P.O.. Box 1179 Southold, New York 11971-0959 21 i I Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Pennit No :;~C,;/'i z... Owner: {Aj i-hM QJ_~ b I '-f c.. (Please print) ,--- Plumber: W tLL~~ ~l'\-VJ!- (Please print) lead. 1 certify that tbe solder used in the water supply system contains less tban 2/10 of I % Sworn to before me this ....3. "'~"",!H,~..f" day of I\prd ,20_06 (?),1JoJ ~:$- Notary Public, 01'''';r,{\ County CHRISTI~IA DADY . '( "t I"" .-'-:'.... of L_ " NOTARY ~U~iDA563is20 Qual~~ in Nassau cou~ty 2007 Commission Expires January . 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. 32138 Z Date JUNE 20, 2006 permission is hereby granted to: SEROTA CUTCHOGUE LLC 70 E SUNRISE HIGHWAY VALLEY STREAM,NY 11581 for : CONSTRUCT ALTERATION IN EXISTING BUILDING FOR ENLARGEMENT OF KING KULLEN STORE AS APPLIED FOR. (THIS REPLACES BP #22614-Z) at premises located at 31525 MAIN RD CUTCHOGUE County Tax Map No. 473889 Section 097 Block 0005 Lot No. 012 pursuant to application dated MAY 23, 2006 and approved by the Building Inspector to expire on DECEMBER 20, 2007. Fee $ 1,794.00 ORIGINAL Rev. 5/8/02 ~!EbDINSrECT!O~_B~rQB!___ ~~~___ _____ _~Q~N!S________ _ ___ --=.=~-~~~-===-=----------r~-------U-----~======================------=-=--------=-=-----== II II II J' " I" II I If---jf--- II II II II ~ I II II II ---'I II II II II II II ---" II FOUNDATION (1ST) FOUNDATION (2ND) --------- --------- II II ROUGH FRAME & PLUMBING I II II ~ II II ~ II II ~======-========== ~ INSULATION PER N" y" STATE ENERGY CODE FINAL II 'II II II II ============~=_========i========~========_============___============================== ADDITIONAL COMMENTS: =====================================---================================================== //~ .. ~ \!- '" '1:1 ~ ~ "" >-l~ ... ~~ ~~ ~ ~1 E:j' ~~ ~ ~~ % ~~~ '~ ~ ~ 1~ "'" l"l ~~ ~~ "" \ ~~ ;J ~ 5l ~ ~~" ~ ' :J~ ~.e# .-- 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY :- DATE ~~" INSPECTO~~ L. ~,<<__~:.".~,.",-'- ''''~!'''''''''''IlIl'~~''----"i'-~.~':~,~r.7~''c<~ ~ _, .J:"'.. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. l J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE 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) .-- ~lte:~................................................. 199.~ Permission Is hereby grante~ /,,;;:J. ~ _/ 1~ 1l.....~~4..!l~tY/...L~oJ4 cet:'4::~~m~m (.0#~:;'%)' ~.....~..,...'ajfj'T.//.:?..;??'r? . to.~~a4/4~.....~... . ~~/....~j.&.............. h.~~. . ....~~....~ @b.r...cr~.......~......~~~ PI;...4"~"""'-~~~!:l~.....~q#:~..~~.. ~if=;'~~~~r;;.~~~<< j;;,~ ...0;t;;~ff:~r:!!i~7ff.C?7~' ~premlseslocaat.""a/&1l~""'~"'~"""""''''''''''''''...................................... ................................................................~............................................................. County Tax Map No. 1000 Section .....9.7............ Block ......~.............. Lot No. /~..................... pursuant to application dated ......//:3.......................................... 199~~.... and approved by the Building Inspector. Fee$1111~ ~iJ&i~...................... Rev. 6/30/80 'Y FROM : , FAX NO. :6315896528 Apr. 05 2005 10:24AM P3 M~mum. Environmental Management, Inc. 840 Lincoln Avenue, Suire 18 2 2 Bohemia, NY 11716 Phone: (631) 589-1225/ Fax (631)589-1157 ~&;;~~~.o~." ~ . ,~_~~~ . ....~~..;:~~~~~:~~r~,\ "~'~A-=" h~.~~__ ' ~_ - -~"-, ~~~~~~-; _~~,," ;~~:'~ Report Prepareel For: BERNINGER ENVIRONMENTAL, INC. 90-B KNICKERBOCKER AVENUE BOHEMIA, NY 11716 Sample ID # 06030191 Dale GoI/ected: 3/2712006 Time Cof1flcted: 10:00 AM Matrix; Solid Location: King KuUen &ore 113 31 &-25 M$in Road Culc NY Sample Origin: D4II Prep SinK Area CIW Pipe REPORT SUMMARY PAGE Total Lead In Solder 0.05 % 0.01 % 3/2912006 3/2912006 _mod: NIOSI1 _'hod 7300 . ~ -- ~", LOfl!llBlllml Ana/ytk:tII NYS El.AP# 11Bf13 .... (\J ll.. ll.. w a:: H IT W > H t- ll.. IT U E ll.. IT> (\J I/) '" I/) IT> , '" .... a:: IT f ., IS' r---------------1. r-----l , r! : : o o L---_-_-1---J Z4.DO" V,DO' I 36.01)' HOOD . J 21.0U" DRAVJNG" NUttBERt r:1\ACAD'\fS" P'iUJIi\311lKrtiJR DAT JOb"l~ Job NIlI'lE!'t lUNG KIJII FlI-CU1ntD&\If Str.l!"'t- 3IS-?3 M.lN RD City.. tb..te Zlpo1 I1:Jrmnr'lm: NV n9~5 Drown .Byt ..B.W Systa. Slzel Mt!:::UI -3JI 1 anN ~~.b,1'l - T ~-te.1 S,V"'itl?I\ rJ> - 9 om COQtact Nanet . 1::oD1:o.d Phon~ It ( ) HDod . 1 6' Df long )( 48' Wide K 24' Hig" Dl.lct . 1 Slzet 1fJ" M S'" . . ~ - SU;EVING. [lIDW$. TEES. ,..,.0 NDZZLES SUPPLIED JJY CAS - RELDCATE 'AJZZLES IF'" F1.D\I PATJE..RN fS a..m::kEll BV SHD..VDtG,. SALAf<ANIlERS. He. - ....)COO'" 9 E:LBO\n. m SUPPLY LINE. - MINIMUM 1i! INCHES or MiENT LJNE fRml TIIlNK TO ffR:S.T t<DZlLE. - Ir APPLlCABLr. PRC--9JPE>> atMllRfJlLD J)RDPt Am:: stfJPPEIl lODSE. - f"AClDIl'( ptPIltG EXRNDS " M'UCJ"UH IF 6"" ABDVE THE TtP Of" THE HOOD. - APPLIAHCE mMEH~OI'S USTED REPRESENT THE CODKHi SURFtt.a. Sl~ HOT THE: OVERALL APPUANCE SIZE. - THt:s fmE SYSlDt COMPLIES WITH UA.... 300 ~UI~ENTS fACTORY PIPING rIElD PIPING APR t. (j 1995 Final connections by: Fire Command Company, 475 Long Beach Blvd. . P.O. Box 337 Long Beach, New York Inc. 11561 ~ __.fi--= . ___- -- "lZ!fI~ ....- - as===- JOB LOCA TK1N DATB DIlU HErr. KING KUllrn CUTCHlIUGE. NY 3-10-95 JOB 311Jl(1NJR DNA J'N BY RCIl SCALE NOT TlJ SC4 MAR-02-9S 11.41 FROM. SEROTA ANO SONS 10. PACE ~ JVatkuv ft. f/~ 70 EAST SUNRISE HIGHWAV. SUITE 810 · VALLEY STREAM. N.V.11581-12aO (518) ~61-8500 . FAX [51S15B1-9378 FAX NO. (516) 765-1823 March 2, 1995 Mr. Thomas Fisher, Building Inspector Town of Southo1d Town Hall P.O.B. 1179 Southold, N.Y. 11971 Re: King Kullen Supermarket Cutchoque, N.Y. Dear Mr. Fisher: In reference to the above, please De advised that I, as owner of said property, guarantee, as I discussed with you this morning, to give you a modified system as per NFPA. Our intention is to buy another 10,000 gallon reinforced tank that will be installed underground tied in with the existing system, have a compressor that pumps and will give us the pressure required to operate this system properly. This shall De completed prior to King Kullen finishing their construction and opening for Dusiness. I appreciate your cooperation and courtesy in working with me on this project. 01J'i jds ~ 1,701 rJv A~o 1 CJl fl-e~o 1o~ ~. '. r'):)@: @ ~ D\YTi;:~ .; I! ~ :V.! f\\JfIf-4l984 ,~ l~ ! ....aLl..-.I"'OL--?j L TOWN OF sou-'-;" TEL.: 765,1802 Examined~7..~........,IW- ,~ Approved ~Z......, I 99.SPermit No.~ ?C?/Yr Disapproved alc (;re......................:.... ................................~;&.... APPLICATION FOR BUILDING PERMIT FORM NO.1 BOARD OF HEALTH ....... ) SETS OF PLANS ......... SURVEY oo.................................. CUCCK ................... SEPTIC FORM _............ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. N.Y. 11971 r:01'! F'f: CALL .................. HAIL TO: .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . ................................... . 1\3 "I ~ Date. .. . . .. . I. .. . . . . . ., 19. .- INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 setsof 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 ne:es~~~. i.~~?~;:1. . . . . . . . . . . . .. . .. . . . . . . . . . . . - . (Signature of applicant, or name, if a corporation) .~.'f6. .5.0.l1+G. ~+t:~.t.~!(fdtl1.ctt. N.y. .I);;.~9.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. '. .......... ..A!.c,~.\.te.-c.\..........'................................. ............................, Name of owner of premises ..1'1 ":\:biJ..'1 . ... h: .. ~ !:C.(QJq. . . . . ..... ....... .. . . .. .. ... ... . .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriied officer. ~().J.lP. ~.~'?-f.~<M'\\", .-{\e.~;.d~-t............... '. (Name and title of Corporate officer) Builder's License No. ......................... Plumber's License No. ........................ C'lk\,\",,+lj kY\d~ bld Electrician's License No. ...................... Other Trade's License No. ..................... I. Location of land on which proposed work will be done. ................................................. .... .?I. ~~.~.?.............. .r:'!.~'.').. :RJ......... C~-t<,:.~~.... .~;{. .(~~.~.~........... House Number Street Hamlet County Tax Map No. 1000 Section .. ,'1.'7. . . . . . . . . . .. Block ...5..........:... Lot... \ ~ . . . . . . . . . . . . . Subdivision. . , . . . . . . . . . . .-:. , . . . . . .. . . . . . . . . . . . .. Filed Map No. ..... -:-. . . . . . " Lot,. ~. . . . . . . . . . . . ' ~am~ .' 2, State existing use and occupancy of premises and in tended use and Occupancy of proposed construction: a. Existing use and occupancy.... .M~r.ch~t"+t~.. .S!J.pH,"r\~ .k~-t................................. b. Intended use and occupancy ..... H ~ .chl).~+J k:. . ~ \A.(X~.{. M.tll.k\',1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " h k h' h .. . . .: .,..JI'. . Nature of work (c ec w IC appliCable): New Building, '" . . . . . . Addition.. . . . . . ... AI~.,.......,.. Repair .............. Removal . . . . . . . . . . . . .. Demolition ....;......... Other Work. . . . . . . . . . . . . . . ~ - ',. .. . . ~.. - 'lbscription) 4. Estima'cd Co~; . . . ~.~, I?.c?<?. . : . . . . . ... . . .. . . . .. .. . . . . . . Fee. . .. ... .. . . . . . . .. .. . .. '" . . . . . . , . .. '" (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . ~.It . . . . . . . .. Number of dwelling units on each floor. 1-1~. . . . . . , . . . . . . If garage, number of cars .......... tJ. A . . . . . . . . . . '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 6. If business, commercial or mixed occupancy, specify nature and extent of-each type of use ..................... :> 7. Dimensions of eXisting structures, if any: Front. . . -N A . . . . . . . . Rear .............. Depth............... Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ................. Rear.................. Depth. . . . ~ .'. . . ... . . .. .. . . . . Height. . . . . . . . ..... . . . . . . . ... . Number of Stories.. .. . ..... . ;...... . . " 8. Dimensions of entire new construction: Front t-IA. . . . . . . . . . .; Rear . . . . . . . . . . . . . . . Depth ............... Height ............... Number of Stories. . . '" .. . . . . .. . . .. . . . .... . .. . . . . . . . . . . . . .. ..... . . . " . . . . . 9. Size ofIot: Front. . . . . . . . . . . . . . . . . . .: .. Rear...................... Depth ...................... 10. Date of Purchase . . Nftl. ....................... Name of Former Owner .~L?. g~~.~l1'\f:"")':j.... II. Zone or use district in which premises are situated. . . . . . . . . . . . . . . . . . . . . . . . N.' . . . . . . . . . . .. .. . . . . . . . . . . .. 12. D?es proposed construction viol~e any zoning law, ordina~ce or regulation: ... . ~.... ...................~ 13. Will lot be regraded ....... N . . . . . . t.. . . . . . . . . . . . Will excess fill be removed from premises: Yes CQQ.J 14. Name ofOwner.ofprem.ises t\.o.-I-hM. k..~:t;O..... Address................. " Phone N9, ...,......:..;... . Name of Architect (\\a.r.{\>. Y.-o.(~C)..\'o............... AddresslD%. 'S,."'fu.";,:\'. .~~"."phone NO,S~~.l't? .':;>J.~~.. Name of Contractor .T.I;I-.~. . . . ~.":'If.~V\':l. . . . . . . Address '.",oP. f W'f~ ~t .!v.:... . . " Phone NJ..5;0. ~?)~ .: I. ~ ;~ . . 15.' I.s this property within 300 feet of a tidal wetland? *Ye~~ .".. /:1. ';'~o.. .~..... . *If yes, Southold Town Trustees Permit may be required. . . PLOT DIAGRAM 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 comer lot. . , r- , I I :31G.IS ---. ---', I i~ '2.0), I..~' 58 ,~ I E.)(,T. SiJP~"'A.Rl:.E.T A/.1}';K-~'1IOA.1 ~ tloo SF b V1 '0 t~ , 10 L.____ ul :z 00( ...! I X _ . ~ j'3D01:.t)(} MAIN ROAD STA TE OF NEW YORK, COUNTYOF..~,.... S.S .. /(ll;~I~"~~~~gf:~ici~~I'S;~~i~~'C'O~t;;c't)""""" above named. being duly sworn, deposes and says that he is the applicant He is the....~: f.o;-4.. .C:~1...... ... ........ .. . ....... . . .. . ... ...... ............ .'. .,............ . (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 :3 .d . j",,,, . q5 . . . . . . . '. . . . . . . . . . . . . . . . .day of. . . . . . . . . .. . . . . . . . . . ., 19 . . . :'-Iotary Public, . County . ..............~.f~.............. . . (Signature of applicant) . :. ntJ;~^.WlI"''''''~';''''fl. ~';"I ~. i~ I t:-.......~ I August 1/;, 198:5 Mr. William LaMorte Key rood Supermarkets 21 Ponquogue Avenue Hampton Bays, N.Y. 11946 Dear Mr. LaMorte: . . Thank you for the cooperation during the fire in~;pection of Key rood Supermarket in Cutchogue on July 9, 1985. During.the inspection the following items that require attention were noted. 1. All exit doors must remain without locks that stop the exit of people from the store. This refer~ to the solid metal bars that are locked into the door jambs. Any time the store is open to the public these bars must be Qnlocked. 2. The rear east exit Cat the end of the meat counter) must be kept unlocked while the store is open to the public. The egress way along the east wall through the storeroom must be kept clear so as to provide an egress to the e.it door. '---' 3. The sprinkler system, while fed by a pump, may be taken into consideration in determining e.it paths if a fire department connection can be pr,:>vlded, with proper disconnects, so to allow the fire department's generator to power the sprinkler system In case of an emergen.cy. This would allow the present number of e.its to suffice for the occupancy load of the store. Without the sprinkler system consideration an additional ..it would be required somewhere in the southeast corner of the store. Distance traveled to the nearest exit is the determining factor, not the occupancy load of the store. The generator connection must have the approval of the Chief of the Cutchogue Fire Department. The Chief is aware of this consideration as well as the Board of rire Commissioners. A certificate of testing and proper functioning of the sprinkler system shall be available for inspection by the inspecting agency. 4. Exit lights must be lighted any time that the store is open to the public. 1 I(ey'" Market .....-,-~.,~'.- --- ~'-"'--. "'" ~ ~-~ 5. Fire e~tinguishers must b. mounted properly on the walls. Size and type to be determined by the hazard involved. Locatiot1s shall be .;:,bvioll!; and ....11 indicat.d. 6. An Electrical Underwriters Certificate which is Cllrrent and up to date shall be available for inspection by the inspecting agency. 7. There shall be no storage within the electrical panel rOOM. The access doors to the patleI yoom shall remaitl clear of all obstructing materials. 8. Th& access doors to the sprinkler room shall remain clear of all obstructing materials. The sprinkler controls shall be clearly identified as to function ~nd location. . 9. Exhaust hoods in the bakery and in the deli require automatic extinguishing systems installed as both hoods are larger than three square feet. The hood system in the bakery needs, in additi,;:,n, an aut.;:,matic gas cut off ,:,;:,nnected to the e~tinguishing system. 10. Some type of venting or ceiling protection will be necessary in the bakery as the ovens are discoloring the ceilings above because of the heat. Also ov.n connections to &lectricity are inaccessible. Some prevision for reaching emergency shut offs must be provided. 11. General housekeeping improved and cleaned up. removed from the area. in the storage areas ffillSt be Llnused class A materials should be 12. All emergency lights must be kept in proper ...orking ordel". YOUI"S tl"uly, Robel"t rishel" Fire Inspector _w._. "") <- f(ey Fcu;:,d Mill'" he.t