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Home My WebLink About33262-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33456 Date: 12/19/08 THIS CERTIFIES that the building INTERIOR ALTERATION Location of Property: 54100 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 61 Block 4 Lot 20 Subdivision Filed Map NO. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 2007 purs,,~-t to which Building Permit No. 33262-Z dated JULy 20, 2007 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 PRIVATE OFFICE IN AN EXISTING BUILDING AS APPLIED FOR. The certificate is issued to ROTHMAN'S DEPT STORES, INC (OWNER) of the aforesaid building. SUFFOLK COI~NTYDEPART~NTOFHEALTHAPPROVAL ELEL-£KICAL C~TIFICATE NO. PLU~ERS c~KTIFICATION DA'r~u N/A 4018096 11/21/08 N/A ~utho~i~ed '~ignature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO%VN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Depamnent with the following: A. For new building or new nse: 1. Final su~ey of property with accurate location of all buildings, prope~y lines, streets, and unusual natural or topographic features. 2. Final Approval from Itealtb Dept. of water supply and sewerage-disposal (S-9 fo~). 3. Approval ofelect~scal installation fi-om Board of Fire Undem, riters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Co~mnercial building, industrial buildiug, multiple residences and similar buildings and installations, a ceaificate of Code Compliance fi'om architect or engineer responsible for tbc building. 6. Submit Planing Board Approval of completed site plau requilemenls. B. For existing buildings (prior to April 9, 1957) nou-coaforming uses, of buildings and "pre-existing" land uses: 1 Accurate survey ofpmpett5 showing all propcrt5 lines, sheets, building and uuusual natural or topographic features 2. A properly completed applicalion autl coll~;enI 1o m:;i)c~l s~gued by the applicanL Ifa Cellificate of Occup:~ncy is denied, thc Build/lag luspecha shall slate Iht ~casous lh~efo~ in whtingto the applicant C. Fees I Certificate of Occupant5 New dxvc g $25 (}~ . .kddiliom; Io dwell ~g $25.00, Ahelations to dwelling $25. Switmningpo( $250(LAccesso~> Imildiug, $25 00. Adchlionsloaccesso~ybuildmg$2500 2 Certificate Of()ccupaliC)OI1 t~IC existing Iguilclinl~ $100 00 3 Copy of(Tertificate of'()ccupanc5 ' 5 $2_ 4 Updated Cel~ificale of ()ccupancy - $5000 Next, Constm~tiou: Locatiou of Propmly: OwBer o1' Owllers (if Plopelly: Date. (.)Id or Pre existing l'tuilding: t~ House No. St~ ecl one) Hamlet Suffolk C(nmty Tax Map No 1000, Scclion ~' Block ~ Lot ~ O Health l)epi Approval: llnderwrilers Approval: __ . Planning Board Approval: ..... Request for: T · ' emporary (,ert~ ltcal e Fee Subnfitted: $_ '~.5'" 190 Final ( :erlificatc: Applicant Signature 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 JIM SAGE ELEC. INC. ROTHMANS DEPT STORE PO BOX 38 54100 RT 25 GREENPORT, NY 11944-0038, SOUTHFOLD, NY 11971 Located at 54100 RT 25 SOUTHFOLD, NY 11971 Application Number: Certificate Number: 4018096 4018096 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, 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 2]st Day of November, 2008. Name OTY Rat~e Rating Circuits Type Wiring And Devices Lighting Track 48 0 fl Paddle Fan 2 0 Receptacle 6 0 Gen, Purpose Switch 3 0 Gen, Purpose seal I of 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. 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. 33262 Z Date JULY 20, 2007 Permission is hereby granted to: DEPT STORES INC ROTHMAN'S P.O. BOX 727 SOUTHOLD,NY 11971 for : CONSTRUCT A PRIVATE OFFICE IN AN EXISTING BUILDING AS APPLIED FOR THIS PERMIT REPLACES BP # 17793 at premises located at 54100 County Tax Map No. 473889 Section 061 pursuant to application dated JULY MAIN RD SOUTHOLD Block 0004 Lot No. 020 19, 2007 and approved by the BuildingFee $ Inspectorl00.00to expire on JANUARYo__ ___20, Authorized ign~re Rev. 5/8/02 ORIGINAL I~u~ Date Electrical Inspection Certificate Electrical Inspection Service, Inc, AppllcaUon Number 375 Dunton Avenue 123469C Eaet Patahogue, NewYork 14772 ($31) 286.&~42 Issued To: Michael J. Rothman, CPA Street: 54100 Main Road Village: Southold Zip: 11971 Section: Block: Lot: Contractor: Lademann Electric Inc, (L) Town: Southold Lic.# 4141-E Was examined and found to be in oompllance with the National Electrical Code. Commercial ,-1NVDefect~ ~ I Pool '] latFIoor [~ Indoor [j Basement ~ IHotTub Residential I ] DeL Garage I Attic t.] 2n;I Floor [~: Outdoor :~ Addltian I ] Survey : Swftches Receptacles Fixtures GFI Heaters A/C Pans Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Pumace Oil Gas Circulators Smoke Detector Bell Trsnsf~nner Meter Amps Phase UG/OH Jacuzzi Television CO Detector 1 100 I /~xl Bldg. Permit: Other Equipment i:100 amp M/B Panel President Rbugh Inspection[ Inspector: t~1 [rlspecbion: 0c~4,'2008 Inspector: John Mc Mahon Itl This ce~ficate muSl not be altered in any mannez Inspectors nmy be ktenltfled by their c~edentials. I~OR.M NO. S 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) N~ 017793 Z Permission is hereby granted to: ...&..~~...~..:..2..:..t.~.~...t. ....... ~'"'~r'"'"-~":-'"'"'";~ ,,o .............. : ........... r"~'"-~":~"~ ......................... at premises l~ted et .....~.~ ................~.~.....~.-..~~~ ........................ County Tax Map No. 1000 Section ....... .C~..~e..I ...... Block ........ ..(~....~. ...... Lot No....,,,'~, ~.. ............. pursuant to application dated ..... ~C...o.,<~.~L~ ...... ./....'~.. ....... , 19.~..~.,, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Rothman's Dept. Store, Inc. Bob Rothman Ron Rofhman Box 878 54180 Main Road Southold, NY 11971 Telept'~ne 631-765-3770 Fax 631-765-2642 Town of Southold Building Department PO box 1179 Southold, NY 11971 Dear Sirs: Please amend our building permit # 33262 for the property at 54100 Main Rd to include a non-structural partition wall and some electrical work which UL certification will be provided, as discussed with Robert Fisher Fire inspector. The wall will be as indicated in the sketch provided and will be done in compliance with the inspection by Mr. Fisher on March 20, 2008. Thank you: Ron Rothman 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION /FRAMING [ ] FINAL TOWN O~ $OUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIREPLACE & CHIMNEY ~-.~.IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION[ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL FIREPLACE & CHIMNEY [~q/FIRE SAFETY INSPECTION [ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE C~ ~'~ ~)~ INSPECTOR :~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS CALL ....... ~ ........... MAIL TO: Date ................... 19... ~ 7,_~r~: f_d:ly auth°r~fficer' .. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... a. Tiffs application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. e. 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 throu~out 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 o$..cLe~molition, as herein described. Tb~ applicant agrees to comply with all applicable laws, ordij3~veve*,~b,,uilding code, h6~sing ~ode, and regulations, and~o admit authorized inspectors on premises and in building for n£cessary~ injpections. / OCCUPANCY OR (Signature o/' applicant, or name, if a corporauon) · USE IS UNLAWFUL ffbX WITHOUT CERTIFICATE (Mailing a~ress of applicant) · fl CI UP. AflC¥ ................................................................ -...~-7....~.97 . . . , ....... .art's Dept Stores Ibc. NOTIFY BU!LDING ,)F~, .,~tEN, AT Name ot~owner of premises ....R.O.~..I~. ............................... 7. i},~ .1 ~jp2.9 .?~ ~,,~..r(. :.~; .,~. i:(~. 1 ~E ..... (as on the tax roll or 1. gOUNDA, TiON TV~O REOUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. INSULATION 4.=FINAL CONSTRUCTION MUST SE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENT.~ OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS Off, er Trade's License No...~..4.Q4 ............ I. Location of land on which proposed work will be done ..... 5.4J.~.O...M93.n...~.cl...,. Southold $~uthold ..... 5.4.1.8Q .................. o ....................................................... tlouse Num bet Street\ ~ ' Hmnlet County Tax Map No. 1000 Section ...ill ........... Bl~ck .... 4 Lot 2.0 ..... Subdivision ..................................... F~i!ed Map No ............... Lot ............... (Name) ¥ ' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy .Bg~a.-l-]- .,T~ ...................... '.-".. b. Intended use and occupancy · · · Ke. CounLing. O~iee.~ .................................. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition . inside ......... Alteration .par Lt.f, lor Repair .............. Removal .............. Demolition ............. ~ ~k~l~. ........... 4. Estimate'dCost S. 2 OOO OQ (Description) .... ) · ....................... Fee 5. If dwelling, number of dwcliing units ...... (to be paid on filing this application) If garage, number of cars ........ ' ........ Nnmber of dwciling units on each floor .... ' . If business, commercial or mixed occupancy, spec fy nature and extent of cae ' Dimensions of existing structures if any' Front t~p.~ of use 7. 60 ft b~ .... h"'5_'C .... -' ............... Rear : .... Heght Nu ' · · · Dept .............. tuber of Stones ................................... . Dimensions of same structure with alterations or additions: i .................... Depth ................ tleight ..... yront ...same ......... Rear .............. .............. ... Number of Stories ...................... Dimensions of entire new construction: Front ..... Rear .......... Depth .... Height Number of Stories .................... 9. Size of lot: Front .... 70 ........ ' ...... : ................................. · · · ..... Rear ....... 'Z0 ............. Depth ...200 ....... ' ....... 10. Date of Purchase ... 196.5. ...... . Name of Former Owner ~,l.q]tefi.o.e .Kra,~el:'. ' ........ 11. Zone or use ............ · 12. district in which premises are situated... ~Oln~ergia.1 ......... ocs proposed construction violate any zoning law, ordinance or regulation, no 13. Willlot be re~-raded n9 ......................... ............................ Wiilexcess fill be remov ' ' es "' ~ Name of Owner of premises . from premises. L 14. Ro:bh.t0~ t r~ n=~,+ .... ~1:1 . ....... v .... ^uuress .. ,o.o.X. 878.,.. $. Old Phone No...7.65.3.2'/0 .... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ............ · .. 15.Is this property located wlthln300 feet of a tidal wetland? ~YES .... N0.X.. · If yes, Southold To~n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-hack dimensions from property lines. Give street and block number or description according to deed, an& ~how street names and indicate whether interior or corner lot. · 8. ' ' · ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. lie is tile ' ' ' (Contractor agent corporate officer ) ............... etc ' ' of said owner or owners, and is duly authorized to pe,rform or have performed the said Work and to make and file this application; that all statements contained in this application are ~rue to the best of his knowledge and belief; and that the Work will be performed in tile manner set forth in the application F~led therewith. SWorn to before me this Notary Public, .~.~. ' ' 'NOTARY PL!BL~C State eT New York ........................... ~ '~' ~. 470)'878 Sufl0~ er n ~6 Me~ 30, 19~ (Signature of applic~t) CONSENT TO INSPECTION '5~-/F ~"~o~ //f/¢ , the undersigned, do(es) hereby state: Owner(s) Name(s) " That the undersigned (is) (are) the owner(s) of the l~emises in the Town of Southold, located at .~z,//~) /-.'/ t/-/ ~V ,r'd/.) ~ .7.5 which is shown and designated on the Suffolk County Tax Map as District 1000, Section_~'/ ,Block O' ,Lot ;/O That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: That the undersigued do(es) hereby give consent to ihe Building Inspeclors of tl~e Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to detem~ine that said premises comply with all of the laws, ordiuances, rules and regulations of the Town of Sonthold. The undersigned, in conseuting to such inspections, do(es) so with the knowledge and understauding that auy information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, roles or regulations of the Town of Southold. D at ed: OCT 9 2008 (Signatu~, (Print Name) (Signature) (Print Name) 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 July 11th, 2007 Rothman's Dept. Store, Inc. P.O. Box 727 Southold, N.Y. 11971 RE: 54100 Route 25 (Interior alteration) SCTM # 61 4 20 To Whom it May Concern: Please be advised that your Building Permit # 17793 issued January 30th, 1989 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $100.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. 4 t ~ ~ ~OG~ !~ ooe ] 9