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Home My WebLink About32256-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32002 Date: 11/16/06 THIS CERTIFIES that the building NEW BOILER Location of Property: 620 (HOUSE NO.) County Tax Map No. 473889 Section 61 TRAVELER ST (STREET) Block .!..- SOUTHOLD (HAMLET) Lot 13. 1 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 28, 2006 pursuant to which Building Permit No. 32256-Z dated AUGUST 1, 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 INSTALLATION OF A NEW BOILER IN AN EXISTING RESTAURANT AS APPLIED FOR. The certificate is issued to LLC FHV (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~zed~ Rev. 1/81 NOV I 3 2006 j\ _._...1 I .,-.- , :-.'0l'1_ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 f3.0. (blYf I:J 95 ~1J.lj, I '1'3.5 ,-- :;: .~, r: (' , , i'''' 1 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: 1. 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 (S-9 form). 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 1 % 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, Swimming 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. T"""",,,, """,," Om""p..,, . R~;d"";. 115.00, Cornrn:,:l $15~ ;jq/t> t V Iln/ Old or Pre-existing Building: 5 J1 'if /4;., II, /cfi.lA) 11/ r House No. .I Street ~tJ/I, LL. G J 7-73/// (check one) -(In,H2// I Hamlet Location of Property: Owner or Owners of Property: Suffolk County Tal' Map No 1000, Section Block (lf1C'/ Lot 0/], t'tJ I Subdivision Permit No. J) 1 S6 - z.. Date of Permit. Filed Map. Applicant: Underwriters Approval: Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporlll)' Certificate ~ Fee Submitted: $ SO. Final Certificate: V (check one) ..f;t/l!/;s~ Applic Si ure ~.u:.ll?Lf.3 C~32.DD:J... 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. 32256 Z Date AUGUST 1, 2006 Permission is hereby granted to: LLC FHV PO BOX 1295 CUTCHOGUE,NY 11935 for : INSTALLATION OF A BOILER AT AN EXISTING REST.AS APPLIED FOR REPLACES BP# 28307 at premises located at 620 TRAVELER ST SOUTHOLD County Tax Map No. 473889 Section 061 Block 0001 Lot No. 013.001 pursuant to application dated JULY 28, 2006 and approved by the Building Inspector to expire on FEBRUARY 1, 2008. Fee $ 200.00 ~~ , Authorized Signature ORIGINAL Rev. 5/8/02 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD November 2, 2006 Mr. Rod Stankewicz P.O. Box 401 Peconic, N.Y. 11958 To Whom It May Concern: Weare unable to complete your Certificate of Occupancy because of the following reasons: L An application for Certificate of Occupancy is not on file. (Enclosed) _ /NO Electrical Certificate on file. L The Check is not on file. -$50,(11) No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984.) Certificate of Compliance from Southold Town Trustees. BUILDING PERMIT #32256-Z (FEATHER HILL BOILER INSTALLATION) 3 ?-'J-S b L TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING M FINAL ..&- ~ ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECT~ REMARKS: ~ ~ ./tP1j.- \~,) Fwl4- r f)k~ ~ DATE jo-}/_O t, INSPECTOR ~~ . .~,. '2/' .~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE S INSPECTION n ~ ("~ - REMARKS:--f'fW-yiRt ~.brM. khl9lU ~Sr~~ feI..-. ~Og~) . rLlU~ ~ ~...s{f /HLU~rs->- DATE INSPECTOR I 3 'J-J- S fa Z- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION [ ] FRAMING I STRAPPING ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ---tk , A~~ ~~~, , DATE r-;;1.-/ -~~ INSPECTOR ~ ~ I / . C III ... A- Z C :::I ~ ~ ~ ~ ~ ti "'" z Ii; D ~ - Z Z ,.. C'I U Z Z lIS 0 0 ~~V\ - - !; !; C Z C~ - D D - ... .. Z z :IE A- U) :::I :::I II w ~ 0 0 lie D: - II. II. II. II. ~ ~ ~ ~ ~ ~ ~ ~ ~ FIELD INSPECTION REPORT DATE COMMENTS . g~ 1~~ "frlJ tN"': ~~g r- ~,l"l ~ ~~ h~ FOUNDATION (1ST) ------------------------------------ FOUNDATION (2ND) ';'C'. ROUGH FRAMING & PLUMBING - - ~ INSULATION PERN. Y. STATE ENERGY CODE ::c 5' ~ '-" l"l ;, ..., t- A""7A L. fl Lh J / ...L . L..) r.;-./'; -' $I ... '7(: / / o.,-;~ /r.k*. P. 'L ~. tA..rr.U.A /// 7 W) .Ii! ~. , ,*/ h..~_.~/.,/ "J v;a/"~A,j.IfJr.r" V FINAL ,,_.. .".7. J :. ',p L ~ "' ~ ,. f- ....,? J ~'/...- /~-y;;..,/./ ; t /)-")-1-- ~ Y.J.O ~'.dsid;d/ ,... A fA ,6 /3) nJ:ltIJ ~~, .. ~~'UI ~ ~':J l.-a.-.J J. 7J:T 4- v ~..: ~~\.q" ~.<.. -' v v -rl ADDmONAL co ,." .:1= ~ /I1lL (CU~.. '../0 .I:;.j~J. ~ :IMa;. ....:1..> h. ~,,:, {J.'J.n~" 5\ \ I 't &i:.J 14--.,,~ hL c/~rf- ~~, j ./ P! ~ ^ " / 1 J L A r- < IO--Jl.....Ob~ ~. ,<f' -, fJ.A.A.JlO-. l...4:;J1(,~--fi"'LA./, .. ~ AMI"R, Lx, p/ u " ~ &" l"l , ~ ~ - ',.. IQ- ~ ~ g Z := I ~ 1:1 l"l ~ , - ~'. < <"" . . . , - r:-=- - LiQcc - (01- (-\::, .\ OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD ..- . DIST. SUB, LOT " , "t () (",,{ C~ LAND / , ud -k FH~ LU! 4~~('4MO FRONTAGE ON WATER FRONTAGE ON ROAD TILLABLE DEPTH WOODLAND MEADOWLAND BULKHEAD HOUSE/LOT TOTAL . <. , , , I ' , I I I I I I ~. " _-'-c,"",I,.,,,,,,~,~J,,l,~b...,,.,,., , "', .... .~ 13. ( I .- I I I I I I I I TOWN OF SOUTHOLD pROPERTY RECORD CARD STREET 53 2>4S' VILLAGE' DIST. 1::10100 ,:"" :;'>0'."- I fv\~, -':,lo i ::;'~ sue. LOT ."'~ \ ',.i. FORMER OWNER ..'. ) ': '"'' , ;V~l ,d ". \ "j:) j 1, ,-....... ,'h,~~ ;:--"',0- N '2,', j' r;:L,I=:' -' ~,t:.:,. ~. ..., ,~ I E L! ia.\2 A-l'2-1...{ . W ' L::oL.G 46.lCr\f 5 -\-I::O.~ER \-+1 LL ~.Ri~xl . TYPE OF BUILDING $\..l,O'Df'J\U ,:: . :. S F"" l} \, /; --. '.... ~ \ 'i'v'\A.LI. V3.4 '- ~ "'. , RES, SEAS. VL. LAND IMP. FARM COMM.",+ t:; 2- TOTAL DATE REMARKS .;;>4(',,00 ...' > '~,\':.C':C'" :..iP'" , ["'\\1'"",) '111.' .~ Il;;h,/t? C.O'l'n2>\l'''=:'\) (01- I 12..? <;.{"I-I-\? /? JrrJ~';) $.,.,' '/ c:;J('j\./ s'Jn/~t) 7).3dey- r~P# 17a1.fQ- 5hCf' Y~OClI:- ;hCD - Ec:. 41 :Joe; h i 6/-.: :l?-I?;fJ#'/7f)o4- r31r1r,#'rn -ior:i,ec beai-'enl^' -:,{-V)'1:c/"JDlX'() ! .lJ..::J//'l:K.I!,jJttJ'7o :>,f,... /i3ida'~;),,, ,'1,>(1, i :::..h,',c-, .;k .l:c-C'<#jO 0'-\) 19b, ~/f.'l' 1~P#17"'{1)?;- ',::C'~:)r. I6Jc!rJ ojtc;l kC :tf"SC cDu ' :iIIlJli"?-KP~O ~:n-L.onC;+~ \.Inr. <-+ c:fl _" _./t.- , I lsee ~~Ck .t",.,,,, f'rlnjJ'p ';':AIJc 11::.;.;.,;,+< \ - \ "'ll''"".:.',.'" ,.'/"""(""_"~"-'1 1.........0....'\.1 ''''t;,^,\-r.O'L/ ",j:,;; :r::-T ;... ! ;.l,',j, J\ j '1\\," 1 ";2 <..:'""t"'L) -_. ~..} l",...I '...J ... ",. +'\.C1':::' '":-. ! d loAJ' (c n::t ,., -~ w# _j ";J'~':,'J,_, . ~<~<.:'-.' ".. br;;: VVl C> '0~, S'e 1'-><..:::> . I I " QC,O() ,'n 10/,0 10 ("OQ I ~ t()t) to f7 ()C 0 "'1 i , G.n I:) ,) . .' \,~ ,,;: I" \ 'T' :-., . V?< I \':"" ,~"{1'. ~~ . ,'" r;k\ I ~ \ I --Cc"i' /'" L ,/ FRONTAGE ON WATER FRONTAGE ON ROAD -' .17 (\{ )r) r , . , --:.~"'1 l''1\ A;'J '<C\. \ "I ... . <': "~";"H\(.X:.I..~-I; ':'? WOODLAND ; I b(jO TILLABLE DEPTH BULKHEAD ~ .2.-V 0 <!'.. 30,~' 74 ~. t)..~ -4Cp ~(;..{, ,. MEADOWLAND HOUSE/LOT {:~4 rz?,. e. /e 7Bc;tJ LT;" /94", TOTAL " aH"~ aHO~3H Al.H3dOHd a10Hl.nOS :10 NN\U.L I()OC-(~/- /-/3,/ TOWN OF SO~THOLD PROPERTY RE.CORD CARD OWNER STREET - -. VILLAGE --. DIST. SUB. - LOT PLI1- c \ {'I t.-! ACR. REMARKS TYPE OF BLD. PROP. CLASS ~._,-y-"., -~--- ~,,~.<-_.,~ .--.. '.-' "-'/- , ,DDO, . ~ . r:.i' .... #,...,{)/-. -s-l ;'" ,~ S -~ I;Lc:-.t: f' - :fI :J. . FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL oral, I ,,.t;~;j J STREET VILlAGE DIST SUB. 3,/46 v' 8 ~ ~ 5 ... II Wt 'j, Jf- TYPE OF BUILDING p~ i I CB. MISC, Mkt. Value DATE REMARKS 4 - 175" --0 J 85 ><.;;z.zo' L 11 J' 0 - P >l t: 7"- S,,<{v<? 1-, ~~ L " Purl, '(.R. ~fj"-;' jlJ' Fi1~ IA L.s e", 1m:',. (E.(p>.,.r' I _ I f.:J mif.-I/ E/c 1r/MS/J",,, Value 'I~, lc,qv,~), '*"1-0 8.~ ~ ----- /1.,/)0:;,. '" /6.0 -:'''''4 ;' .d.~ "'.~-........... BULKHEAD 16:!l /,?Jo 7J'f 0 It...- - ~ tal - -- DOCK ," ;.1 .- \-'iLt.'C:;O s-r , " I I GE ?N' - i NORMAL \RM Acre ab'~i 1 ablJ! 2 ;, 3 Ise lot ~, STREET VILLAGE " QJST" ~ .d.'"' E / SUB. S .' ACR;. ,t.. ..S~ TYPE OF BUILDING .2 VL. FARM COMM. CB. Mkt. Value TOTAL DATE REMARKS ---- 2 rl/i117~ ~"73 4 ~ BUILDING CONDITION BELOW ABOVE Value Per Acre Value "i,,; > ;'~ 0(,,\-->-, ~...~' ' :~) I-r~,? ' J ?,: '1'-:1., (t,'( ....! "r, i ') J ~';J .; 0 c) FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD ,. " DOCK ,.. 0 fft (^ l) /' "':1 '" ~" , , ,.,,~ "- I., < z...- ;::)j TOWN OF SOUTHOLD , BUILDING DEPARTMENT TOWN'"HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 1/ ,20 20 17 '- BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval PERMITNO.2&~o 1- 2; ~~ Septic Form N.Y.S.D.E.C. Trustees Contact: Examined Approved Disapproved ale Expiration ,20_ Mail to: Phone: 63/. I' ~ 2--2-00 I rBl ,lLU.-1Jl ~ijt, UUliWR 18 ~ J~ 1r\1'n,l:.~~>:'.t;~~::,":;~~:~a Building Inspector PPLICATION FOR BUILDING PERMIT Date ~/1 20c72-- '- INSTRUCTIONS a. This application MUST be completely f1l1ed in by typewriter or in ink and submitted to the Building Jnspector with 3 sets of 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 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 Jnspector 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 Jnspector 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 Jnspector 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Si ture of applicant or name, if a corporation) 5f.?J ~~~ ~ ~ //7'-0/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises F' ~ ~ LL C. (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. i ~\ (Name and title of corporate officer) 1. Location of land on which proposed work will be done: ~~JH' tn~i" .eJ. House Number Street .f'o~olJ JJYI/n) Hamlet } COWlty Tax Map No. 1000 Section Subdivision tor ,-~', ('~ ,~ ,- Block tl,/wc:"', ", Lot L ) Filed Map No. 11''' '.--- Lot ...,t /'3?I1j . .",,- (Name) ...-....';., 2. State existing use and occupancy of premises and intended J!se and occupancy of proposed constructi~n: a. Existing use and occupancy ~t.l". ~ .~ / awl'1 ' b. Intended use and occupancy ~/o.l'\t /Dwf,IJ 3. Nature of work (check which applicable): New Building - Repair V Removal Demolition Addition Other Work - Alteration (Description) 4. Estimated Cost Fee . ~ ~ ~~N (To be paid on filing this application) 5. If dwelling, number of dwelling units '"'" f Number of dwelling units on each floor ~/irRC()rM-.; --4 Q7 If garage, number of cars - 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. ~,.f~~~ . ~1\lo.Id (l.,~ _... ~ 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 I Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth 10. Date of Purchase ~/OI Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO X 13. Will lot be re-graded? YES_ NO-L Will excess fill be removed from premises? YES_ NO~ 14. Names of Owner of premises Name of Architect Name of Contractor FIH"llc' . Address 6-.c1J.)SJ~Jttlflt8Phone No. 611-?I'1- 6't~ Address Phone No Address Phone No. 15 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) COUNTY 04;).,S:_ . .. ? C7FrL- J--II ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (!~/r~k/' (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. swomillllefore me thit1~ I y.{ day of 20 0 2- dCbliCfbJJ- LYNDA M. BOHN t<<)TARY PUBLIC, State of New York No. 01806020932 Ouallfled In Suffolk Countr . Term expires March 8, 20 ~ Signature of Applicant I:o..~.~.\s"."..~~ ~ UNDEliWRifERS CERTIfiCATE REQUIRED . . R,RQVED AS NOTED . DA~.7/.JI'I'7 B.R~ rett~ BY: ~ NOTIFY BUILDING DEPA TMENT AT 765-1802 9 AM FOLLOWING INS CTlONS: 1. FOUNDATIO - TWO REQUIRED FOR POURED ONCRETE 2. ROUGH - FR MING & PLUMBING 3. INSULATION 4. FINAL - CO STRUCTION MUST BE COMPLET FOR C.O. ALL CONSTRU TION SHALL MEET THE REQUIRE ENTS OF THE N.Y. STATE CONSTR CTION . ENERGY CODES. NOT ESPONSIBLE FOR DESIGN OR CON TRUCTION ERRORS '0....0- ~ \.p..,i) __ - _;..A <::L OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ?~~ J "VA- ' (I (., ~l\~ o ~tV"l-'-' 7~,,:.Q.. f<~ 15~~~ ~\On