HomeMy WebLinkAbout1000-143.-1-1 (2)REQUEST FOR INFORMATION OR ASSISTANCE
Date: ~L~S'~c)_oo~,
Telephone:
(c[ ~7'~ ,~\g,- \OhO
Mailing Address:
SCTM# of site you are inquiring about: ! ~oo- I~ 2> - I - I
Query:
(Please be specific about the information you need. Provide supporting
documentation - surveys, maps, sketches - where possible.)
For Office Use Only:
Routed to: ,~ ,~
/
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~ m~ (21)
NOTfCE
SOUTHOLD
~' ~ooo 1 ~ 3
FOR~ NO, 4
TO~N OF SOUTHOLD
BUILDXNG DEPARTMENT
Town Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at .... 9.6~.0. ~4.a.~.D. ~.o.a. ql ....... Str~
Map No... a01 ...... Block No ........... Lot No ....... .1..p~T.~..q.f..2. .............
conforms substantially to the Application for Building Permit heretofore filed in this office
dated .. September...6 ..... , 19.7.7. pursuant to which Building Permit No..9ld~7,.
dated .. September...6 ...... , 19..77., was issued, and eonforrns to all of the require-
men~s of the applicable provisions of the law. The occupancy for which this certificate is
issued is .......... R es.~au~ant .................................................
The certificate is issued to ...... Choo..Chi.an. Sl~en ................................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval ....................................
UNDERWRITERS CERTIFICATE No .............................................
HOUSE NUMBER ..... 9650 .... Street ............. Main. Road ..................
................................................... Matt£'cu¢Ic,..New..York .....
Building Inspector
County Tax Map -#
1000-143-1-1
BUILDING PERMIT
{THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL ·
COMPLETION OF THE WORK AUTHORIZED)
N?
Permission is hereby granted to:
,~ ..... .~~~:-~~"-~=~...~..~~'= ~.......--- ..................
Building Insp~tor,
TOWH OF $OUTHOLD
, Building Department
Town Clerks Office
$outhold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings or new use:
l. Final survey of property with accurate location of all buildings, property |ines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 farm or equal).
3. Approval of electrical installation fram Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Muitiple Residences and similar buildings and
installations, a certificate of Code compliance from the Architect or Engineer responsible for
the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
I. Accurate survey.of property showing all property lines, streets, buildings and unusual natural
er topographic features.
2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in-
formation required to prepare a certificate.
C. Fees: 1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
New B~ilding ................ Addition .(~....;.'..~.... Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property ...~..~..~?. ....... ./~.X~.-/'~. ......./~..: .........................................................................
Owner Or Owners Of property__~.¥~..~._.~>.....{~q/2../,.~/.~....~.~.¢.~.. ..............................................................
Subdivision ..... ./Z'J,,~.. ,~....~.~.~ ............................. Lot No. 4.....~,,~ Block No ............. House No .............
~ ·
Permit No..~./-~..~.(~.:~.:.. Date Of Perm t .,?./.~...~..~-.Applicant ....~.-----/~9Z~7,~....'~.~..t~.~,~.. .........................
Health Dept. Approval ............................................ Labor Dept. Approval ................................................
Underwriters Approval .............................................. Planning Board Approval ........................................
Request For Temporary Certificate ........................................ Fin~ Certificate ,...~... ................................
Fee Submitted $ .~.'~......~.. .....................
Construction on above described building and op
Sworn to before me this
................ day of ............................................ (stamp or
Notary Public ....................................County ~[~:>c, ~-
THE NEW YORK BOARD ~OF FIRE .UNDERWRITERS
~---~' 85 JOHN STREET, NEW ~O]~K, NEW ~ORK 10038
i~ tha following tacation; ~ B~e~nt ~ 1st FL ~ 2nd Fl. S~tion Block ~t
",; ~ ~ . ~ O~EI~.~AOER
Th~s certificate must not be a~er~ in ony armor; return to the office of t~ ~ard if nco ~t. Ins~ct6~; moy be identifi~ by their'credentials.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
' BUREAU OF ELECTRICITY;
~-~' 85 JOHN STREET, NEW YORK, NEW
in the following location; [] Basenze~t
DRYERS
OTHER APPARATU~
E R I
C
This certificate must not be altered '
return to the 'office ¢f tl~
THI.$
Lo4 4
bi
To','¢v~ .OF 'L'%C.:'FHOLE,
'P L O 0 /"~
TOWN OF SOU'mOLD ~
, INSTRU~IONS V
a. This opplicoti~ must be completely fill~ in by ~pewriter o~ in i~ and ~mitte8 in triplicate to the Bui~ing~
Insp~tor, with 3 se~ of p~ns, accurate plot plan ~ ~ale. F~ a~o~Jng to s~edule.
areas, a~ g)vJng a detalled description of I~ut ofpr~e~ must be drown on the diagram which is pa~ of this application.
d. Upon approval of ~is applioation, the Bui~di~ I~p~tor will issue a Building Permit to the opplicant. Such permit
shall be ke~ on the premZs~ available for inspecti~ th~ough~t ~e work.
e. No building shall be ~cupied or u~ in whole or in ~ for any pu~e whoever until a Ce~ificate of ~cupancy~
shall have been granted by the Building inspector.
APPelatION IS HEREBY ~D~ to the Building Department for the i~uance of a ~uilding Permit pursuant ~
Buil~ing Zone Ordinance of the Town of ~uthold, ~ffolk Count, New York, and o~er opplicab~e ~ws, Ordinates
~egu]ations, for tbe co~tru~i~ of buildings, add~ti~s or alterations, or for mm~al or demolition, as herein describe~
~m~t authorized i~pecto~ on p~mise~ and in buildln~ for n~e~a~
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .............. ~'..~.~,,....~.~ .................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ...................................
Plumber's License No ........ ~.....~ ..................
Electrician's License No ................ ~..~. ...... / 0 ~ 0 -- / ~-/...w - I --{ ~"
Other Trade's License No ............................ ~.. ...............
1. Location of land on which proposed work will be done. Mj~ No.: ......~....~...[ .......................... Lot No .........................
Street and Number ...,~. ,..~...l~.......~t~.,.,.~..~.~'~; ......................................... ~..
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ......... ~ ................ ~._ ~ .................
3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ....~ ..........
. · Repair Removal > .................Demo it on .... Other Work ...................................................
............ ~ ../ (Description)
(to be ~id on filing ~his application)
5. If d~lling, number of dwellin~ units ............................ Number of dwelling units on each floor ...., ......................
If garage, number of ~rs ...ZC .......................................................................................................................................
6. if business, comrnercial ~r mixed occupancy, specify 'nature and extent of each ~pe of use ............................
~elght ........................ Number of Stories ................................... . ..............................................................................
Dimensions of same structure with alterations bt'additions: Front .................................... Rear ............................
Height ............................ Nu~er of Stories ................................
Depth
8. Dimensions of entire new ~nstruction: Front ~~.~......-/~ Rear ............................ Depth ........................
I 1. Zone or use district in which premises are situated ............... ~ .................................................................................
~2. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~ ........... ..........................
14. Name of Owner of premises ...~..~.~ .......... Addre~ ~ ............. ~, Phone No .......................
Name o~ Architect ........... ~:..: .................................Address ................................ .Phone No .......................
Nome of Contractor ............................................... ~';"Addre~ ................................ Phone No .......................
PLOT DIA~.~.~ ,' ' '
L~ate clearly and distinctly all build,ngs, whether ex,sting or pr~ed, ~d,cate
property nos Give st~et and block number or description according to ~ and'show .~treet na~s a~ radiate
STATE OF NEW YeP, K,
COUNTY OF .......................... -(~ '~
...................................... ~,~'~=~',~ing duly sworn, deposes and soys that he is the applic~m
(Name of in~a~signing
above nam~.
He is the .................................................................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~nd is duly authorized to perform or hove performed the said work ~ to ~ke and file
this application; that alt statements contained in this application are true to the best of his knowledge and belief; and
thru the work will be performed in the manner set fo~h in the a~lication ~d therewith.
Sworn ~ before me this /
........ o, ......
Nota~~Pu ' , ............................................... ...~ ~n~ ......... ~;~;~ .............. ~ ..........
FORM NO. 4
TOWN OF SOUTHOLD -
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18668 Date DECEMBER 21~ 1989
THIS CERTIFIES that the building. ALTERATION
Location of Property 9650 MAIN ROAD MATTITUCK~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 143 Block 1 Lot
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 18~ 1988 pursuant to which
Building Permit No. 17260-Z dated July 22~ 1988
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 REPLACE EXISTING WINDOWS IN RESTAURANT AS APPLIED FOR.
The certificate is issued to MOKAI LIM
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRO¥~L
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Building Inspector
Rev. 1/81
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
/
N_O 017260 Z Dar, ...P'../....'2.
Perm ,ss ,o~~nt,~.,.~.,~, .,,..~ ....... ...~...~......~......~
.d .............
~, ,.m,,, ,o~,ed o, ..~..b..~ ........... ..~'.~ .......... ~ ..................................
County Tax Map No. I000 Section ....~.. ,,~.~. ....... Block .......... Z ........ Lot No...Z. ,'~...'/~.'~:~,.,.
pursuant to application dated .......~...-E....~.~.. ................................. 19.~., and approved by the
Building Inspector.
~, ,..../..o....o~
,
............. ~'~ ;:~io7 ..................
Rev. 6/30/80
TOWN OF S0UT~OLD
TOWN HALL
$OUT~OLD~ HE~ YOR~
765 - 180Z
11971
APPLICATIO~I FOR CERTIFICATE OF OCCUPAIICy
D ~_. I? ~'
ATE ..........
-
~w c0~s~uc~0a ....... O~n O~ ~.S-~X~S~n~C ~U~D~C. -.V*C~Z ~ ........
uous~ ~o. s~s~
O~uer or O~ne~s o~ Property
,County Taz Hap No. 1000 Sec~io~ ~.. ~loch ..} .... LoC' .../ .....
~ubdlvlsioa ....................... ~iled ~ap ........ Loc ..........
~eal~h Dept. approval .................. Und~rvri~rs Approval
PlanniuE ~oard Approval
Request for Temporary
....... Final CertiflcaCe
Fee Submitted: $ ....................
APPLICANT
rev.
¢o
De
er. I0/I~/S8
APPLICATION FOR iCERT~FICATE OF OCCUPANCY INSTRUCTZONS
·hls application muaC ble £11ed in Cype~rrlter OR ink and sub~iCtcd to the ~uildleg
Inspector vlch the folllovlng; for new buildings or new use:
1, Final survey of property vlth accurate location of all buildings, l~operty lines,
streets, and unusuall natural or topographic features.
Final approval of Hela~th Dept. of water supply and sewerage-dlsposal(S-9
Approval of elcetrlc~al installation from Board of Fire
Sworn statement fro~ plumber certifying that solder used in system contains less'
than 2/10 of !Z leaR. . .
5. Commercial buildingS, induatrlul buildings, multiple residences and similar.
· buildings and iusta~latlous, a cer~iflcate of code compliance from the Architect
or Engineer responsible for the bull'dlng. · '
6. Submit Flannlug Board Approval of completed site plan requirements.
[- .
For existing buildings ,(Prior to April 9. 1957] uon-con£ormlng uses, or buildings
and "pre-exisClng' lane uses:
1. Accura£e survny of ropercy sho~ing all property lines, streets, buildings and
unusual natural or opographlc features.
2. A properly complete appllcarlon, a consent to inspect signed by the appllcaaC
and a certified nbsl'raat of title issued by a tlCle company vhlch shall
ahoy single and sepiraCe ouncrshlp of £he entire loc prior Co April 9, 1957.
. lga Certificate of!Occupancy is denied, the Building Inspector shall state the
reasons therefor ini~clclnE to the applicant.
3. Date of an~ housing]code or safety inspection of bhildings or premises, or other
p~rtiueut information required to prepare a certificate.
For Vacant Laud'Certificate of Occupancy: '~'~,'-,
I. An appllcatlou for Vacant| land Certificate of Occupancy shall be submlt~ed,
and a iertifiod abstract of title issued by a title company showing siogle and
separate ownership ~f,the entire lbo prior to lprll 9, 1957 shall al~o accompany
the application. Ii a Certificate of Occupancy is denied, the iuild~ng Inspector
shall state the reasons therefor gu ~iting to the applicant.
I. CERTIFiCAtE OF OCCUPANCY - Ne~ D~elllng ~25.00~ Additions co D~olllng
Alteration ~o ~elllng ~25.00~ Swlnn~ing Pool, ~25.00. Accessory building ~25.00
Add~tlon to Accessory buildlngs, ~25.00 -'Businesses
2. Certi£1cate o~ 0ccupaney on pre-existing dwelling - $100.00.
3. Copy of Certlfi~aCe of Occupancy - ~5~00 - over 5 years - ~10.00
~. Vacaut Land Cerilfieate of Occupancy - ~20.00
5. Updated CertifiCate of Occupancy - $50.00
6. Yempozary Certificate of Occupancy -$15.0,0 Residential
Co~merelal
TOWN OF SOUTtIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 1179
TOWN IIALL
SOUTIIOLD, N.Y. 11971
December 20, 1989
TEL. 765-1802
LIM HOKAI
P.O. BOX 15
HATTITUCK, N.Y.
11952
To Whom This May Concern,
RE:. LIM HOKAI
We are unable to complete your Certificate
of Occupancy because of the following reasons.
/_-~/ An application for Certificate of Occupancy
is llot on file. (ENCLOSED)
/_--/ No Underwriters Certificate on £ile.
/.~f/ The check i:;(~X~(fl~/nut on file.)
/-/ No Heal. th Dept. Approval on file.
/-i/ No final ins['~acticn has beel~ made.
$50.O0(BUSINESS)
Please contact ()ur office on this matter.
Thank you for your cooperation.
Building Permit II I 7 2 $ O Z
Builc]%;~g Dept.
***/~/ Ho Plumber solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984 )
?iELD I~SiIEC?ION
FOUNDATIIDN ( 1 s t)
FOUNDATION (2nd)
ADDITIONAL COMMENTS:
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
' S. INSUI,.AI~
4. FINAt - CONSI~{UCTION {U
AtL CONSTRUCTION ~ ME~
THE REQUIR~E~ ~ ~E N.Y,
STATE CONS~ ~ ~
CODES./ N~ RES~NSIB~ ~R
~:~{GN OR C~S~U~ON ~RO~
GREENP~, M.~-. 11~f,4
FORM NO. 1
TOWN OF SOUTHOLD
flUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
7/~..2.-...~. TEL.: 765-1803
Ex=mined .......... 19 ~.~
Disapproved a/c .....................................
INSTRUCTIONS
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK ......................
SEPTIC FORM ................
NOTIFY
CALL .....................
MAIL TO:
a. Tlxls application must be completely filled in by typewriter 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 pubhc streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of fi'ds applL
· cation.
e. The work covered by this application may not be commenced before issuance o f Building Permit.
d. Upon approval of tiffs application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throu~daout the work
e. N~ building sha~I be ~cupied ~r used in wh~e~r in part f~r a~y purp~se whatever unti~ a Certi~cate ~f ~upaney
shall have been granted by th~ Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuanc~'~bff'~ Buildifig P.e ~n~it pursua~t to the
Building Zone Ordinance o£ the Town of Southold, Suffolk County, New York, and~fh~r a'pptidable. 'Iia~¥~, O~inances or
Regulations, /'or the construction of buildings, additions or alterations, or for r~mo~fl 9r~te,ntoli$ipn as herein d~scribed
Tl~e applicant agrees to comply with all applicable laws, ordinances, building e~ l~'.~,~e~, !and r~g,uJatibns, and to
admit authorized i~specto~s on premises and in building for necessary inspectionS'.
.... .....
(.~fftfife 6i appE~faht;-or name, if ~ corporation) '
....3~q...~.~.b.:. 3.~ ;~ '3..:~.~l~: ...........
(Mailing address of applicant)
State wl~¢ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder·
...... ........ .................................................................
Name of owner orpremises ..........~.. ,O.. k.~.% ........ .L,.~'.~ ;. ....... ~'~J.O.//f,~ i..L.i.ttt~ ..................
(as on the tax roll or latest deed)
If applicant is a carpomtion, signature of duly authorized officer.
Builder's License No ..... I~ ~ .~ ..........
Plumber's License No .........................
Electrician's License No .......................
Other Trada's License No ......................
1. Location of land on which proposed work will be done ..... ~i~....~: .... ~.~). ..................
House Number Hamlet
County Tax Map No. 1OOO Section .... I~ ......... Bi?ok ...... J ........... Lot ........ ~.~. ~.~...
.............................. Riled Map No ........ Lot ...
Subdivision ...... (Name) ' ~/ ...................
2. Sla~e existing use nnd occupancy o[ premises and intended uge and occupancy o[proposed ~onstruction:
a. Existing use and occupancy ~f~ ~ ~w~
b. Intended use and occupancy ................................ .... ~g ;.. ..... ................
3. Nature o f work (check which lapplicable): New, Building ..... . ....
· , ~.~. . Addition .......... Alteration .........
R. epair .............. Removal., i~l"l'~,~,?~,.. Demolition .............. Other Work ..............
I - ~'t ,,,4 ~-~'~:,- ' (Dascdption)
4. Esfimatc'd Cost .. ~ ao
'" FI" ' 'l ........................... Fee ....
~ ' (to be paid on filing this application)
$. If dwelling, number of dwelilrtg units .... ": ~'.; ....... Number of dwelling units on each floor. . ."7~-.. ' . .....
If garage, hum bet of cars ... 1...., .... : ..........................................................
6. If business' c~mmercial °r mi'3ed °ccupancy, sPecifY nat Ire and oxtent o f each type of use
7. Di~ensions ~.f. existing stmcturcs, lf any: Front .~ ~" ~ 4¢' ........ ; .........
Height .. J.~: .......... NUmber of Stories ., I ............. ear ...... . ........ Depth ., .~...o ..........
Dimensions of same structure With alterations or additions: Front ., .'~PL"'e. Rear ....
Depth . ...n~j~i. ~t,~U .... . Height ..... ,~'T~.;':~ '-- ........Number of Stories .... .-;".'.'.'.'.'.'.P~..~ .............
· 8. Dimensions ofentirenewcon,~truction Front , ..* ~ Rear '
He g It ~ X,u_,. .... - ...................... Depth
9. S~zeof of'Front ; , r ~. ,~ ''"L~. .........................
10. Date ofPurchase ~, ................ Depth .......
...................... Name of Former Owner .... ~ ...... , '
11. Zone or use district in which premises are situated .....
12. Does proposed construction violate any zonino .~, k.,~ ........ ; .......... '/~ i; ................
Will lot be regraded . .. o. . . ....................
I3... ~ '~" ·: .......... ; .... Wdl excess fill be removed from remises Y
, · ........... ~ · · ,".aaress':'~.~: ~.....,.%.~.~.t.~:.,~.~. p ~one No ~.'/.~':.~.q.~.l ....
Name of Contractor. J~..~!; '~'i,'~[I;' ' 'I ..... ^ ur¢,s ......... :/~,;'' '6,;" hon~ No ................
15.'rs this propert'- locZ~'-~l' ~i:;-"' '22~" Address .~.~'P..~.rC.q..., ~...~hono No..
- '~ PLOTDIAGP. AM ' q ·
Locate clearly and distinotly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
.OCCUPANCY
USE IS UNLAV
WITHOUT CERT
OF OCCUPANCY
:UL
FICATE
STATE OF NE~V YORK,
COUNTY OF ............. $.$
............................. : ................... being drily sworn, deposes and says that he is the applicant
(Name of indivldual slgni~g contract)
above named. I
He is the ~ '
(Contractor, agent, corporate officer, eta,)
of said owner or owners, and is duly[authorized to pc;form or have performed the said work an
application; that a I statements contaifled in t ds a,,-lic~tio ...... , ........ d to make and file this
,-,- ,* ,, ,,,u irt e to Ina 0est ot his gl~ow edge and belief; and that the
Work will be perfommd in the manner ~et forth in the application filed therewith.
Sworn to before me this
....... , .... ......... day
143-1-1
03/05/14
2003 NorthForkGrill
~~ Chronology of Events ~~ Page 1 of 1
Last Fire Inspection on 8/25/99. Closed on 7/21/00, 8/01, 8/02, and 5/03.
473889 143.-1-1
NUMBER# DATE TYPE CO #
9440 0/00/00 PERMIT 9288
17260 7/22/88 PERMIT
18751"~ 0/00/00 PERMIT
18668
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
0/00/00
OWNER: ANTONIA BURRIESCI
USE/DESCRIPTION
ADDITION
WINDOWS REPLACEMENT
RESTAURANT
Fl=More F7=Permit Detail FS=Co Detail F9=Preco F12=New Swis/Parcel F3=Exit
Lo~l'. l' j
~JJ
bl
473889 SOUTHOLD
9650 MAIN RD
= OWNER & MAILING INFO ===I=MISC
BURRIESCI ANTONIA & ~RS-SS
CHRISTINA 1
8 PINEVIEW LANE BANK
HAMPTON BAYS NY 11946
NYSRPS ASSESSMENT INQUIRY DATE : 08/07/2003
SCHOOL MATTITUCK SCHOOL ROLL SEC TAXABLE
PRCLS 421 RESTAURANT TOTAL RES SITE
TOTAL COM SITE
ACCT NO 14
I======== ====== ASSESSMENT DATA ===========
I **CURRENT** RES PERCENT
ILAND 900 **TAXABLE**
~TOTAL 4,100 COUNTY 4,100
**PRIOR** TOWN 4,100
ILAND 900 SCHOOL 4,100
ITOTAL 4,100
==DIMENSIONS ===~======= SALES INFORMATION ==================================
ACRES .24 IBOOK 11004 SALE DATE 01/11/90 SALE PRICE 180,000
IPAGE 490 PR OWNER MOKAI LIM
=======TOTAL EXEMPTIONS 0 =============1== TOTAL SPECIAL DISTRICTS 4 =====
CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE
~FD030
IPK071
IWW020
ISW011
Fl=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC
75.10- 03-050 F6=GO TO INVENTORY F9=GO TO XREF F10=GO TO MENU
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTI-IOLD
July 15, 1998
Mr. Philip Gemelas
9650 Main Road
MatlJtock, NY 11952
Dear Mr. C-emelas:
lhank you for the cooperation during the lire inspection of the North Fon~ Grill on July 10, 1998. The
occupancy load of your establishment is 45. This figure is shown on the occupancy ce~ficate, which is to
be posted conspicuously in the public area of your establishment.
During the inspe~on the following violations were noted and should be corrected immediately.
All exit signs shall be illuminated any time that the establishment is open to the public. The exit sign in the
dining room was not lit.
Deep fat fryers shall be located so there is a minimum of sixteen (16) inches of clearance to surface fiame
appliances. A metal separator would also suffice.
The compressed gas cylinders shall be secured in such a manner that they will remain uptight at all §mes.
Good housekeeping is a very import, ant part of fire prevention. The floor, walls, ceiling, and exhaust hood
system shall be maintained free from grease and cooking films.
If you have any questions or the required modifications are completed, please contact me at the above
office.
Robert Fisher
Fire Inspector
NFGRILLDOC
143-01-001
Page 1
, To~ Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-I823
Telephone (516) 765-1802
Augur26,1999
Mr. Philip Gemelas
North Fork Gdll
9650 Main Road
MaUJtuck, NY 11952
Dear Mr. Gemelas:
Thank you for the cooperaUon dudng the fire inspection of the North Fork Gdll on August 25, 1999. The
occupancy load of your establishment is 45. This figure is shown on bhe occupancy co~ficate, which is to
be posted conspicuously in the public area of your establishment.
During the inspe~on the following violafions were noted and should be corrected immediately.
All exit signs shall be illuminated any time that the establishment is open to the public. The exit sign in the
dining room was not lit.
Extension cords shall not be used to replace fixed widng. Where extension cords are used they shall be of
proper type, size, and length for the electrical load. Extension cords shall not pass over, under, or through
walls, floors, windows, or ceilings.
The compressed gas cylinders shall be secured in such a manner that they will remain uptight at all times.
Ail fire extinguishers shall be mounted in accessible Iocafions and cleady marked.
Were a building permit and a cerfificate of occupancy issued for the addition to the rear of the building?
NFGRILL99.DOC 143-01-001 Page 1
PLANNING BOARD MEMBER~
BENNETT ORLOWSKI, JR.
Chairman
WILLIAM J. CREMERS
KENNETH L. EDWARDS
GEORGE RITCHIE LATHAM, JR.
RICHARD G. WARD
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-3136
Telephone (516) 765-1938
PLANNING BOARD OFFICE
TOWN OF SOUTHOLD
TO:
FROM:
RE:
DATE:
Edward Forester, Building Department
Robert G. Kassner, Site Plan Reviewer
North Fork Grill
Main Road, Mattituck
SCTM# 1000-143-1-1
October 23, 1998
The Planning Board has m~ with Mr. James De Lucca, R.A.,
regarding the above project.
Mr. De Lucca plans to complete the project in two phases. Phase one is
to install a pitched roof, and phase two is to construct the vestibule and
porch.
The Board has agreed to allow Mr. De Lucca to construct the pitched
roof with out site plan approvai.
The second phase and the parking lot will require a site plan.
If you have any questions, please contact this office.
Southold Town Hall
Planning Board Office
P.O. Box 1179
Southold, New York 11971
Re: North Fork Grill, 9650 Main Road,
James De Lucca,R.A.
12 Linda Lane East
Riverhead, N.Y. 11901
(516) 727-1611
October 7, 1998
Mattituck, N.Y.
outhold Town
Plannin§ Board
11952
the following:
Dear Mr. B. Orlowski
Enclosed please find
(1) An updated survey showing:
(A) Proposed 5'-6" x 4'-6" vestibule addition to the existing
5'-6" x 4'-6" vestibule.
(c)
Proposed 5'-0" x 4'-6" covered porch.
Proposed 20'-0" x 14'-0" wood deck with attached handicapped
ramp.
(2) Elevation drawings showing new pitched roofs, vestibule and
covered porch.
(3) Photographs 1 thru 5 showing the existing structure.
I would appreciate it if you would review the above documentation
to determine the permit process my client would have to follow before
construction can begin.
If possible we would like to perform the construction in stages.
First: Construction of the proposed pitch roofs over the existing
roof, as shown on elevation drawings.
Second: Construction of the proposed vestibule and covered porch.
Third: Construction of the wood deck with attached handicapped ramp.
The reason for staggering the construction sequence, we feel, the
governmental approvals required for the first stage of construction
(proposed pitch roofs) would require a building permit only.
Thank you for your cooperation in the above matter and I await your
response.
If any additional information is required please do not hesitate
to contact me
Ver~f? Truly Yours/~
James De Lucca,R.A.
2 of 2
LASER FICHE FORM
Planning Board Site Plans and Amended Site Plans
SPFile Type:
Project Type: Site Plans
Status: Incomplete Application - In Active
SCTM #: 1000- 143.-1-1
Project Name: North Fork Grill
Address: 9650 Main Road, Mattituck
Hamlet: Mattituck
Applicant Name: Burriesci, Antonia & Christina
Owner Name: Burriesci, Antonia
Zone 1: B
Approval Date:
OPTIONAL ADDITIONAL INFORMATION
End SP Date:
Zone 2:
Location:
SC Filin.q Date:
C and R's:
Home Assoc:
R and M A.qreement:
A date indicates that we have received the related information
Zone 3:
SCAN Date:
SCANNED
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