HomeMy WebLinkAbout34789-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP~GqCY
No: Z-34044 Date: 10/27/09
T~IS C~'rIFIES that the building ALTERATIONS
Location of Property: 835 FIRST ST
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 117 Block 8
Subdivision
NEW SUFFOLK
(HAMLET)
Lot 15
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 16, 2009 pursuant to which
Building Permit No. 34789-Z dated JUNE 16, 2009
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 RENOVATE ROOF, GENERATOR AND INTERIOR ALTERATIONS TO AM EXISTING
COMMERCIAL KITCHEN AS APPLIED FOR.
~e certificate is issued to DENNIS & DIANE HARKOFF TRT
(OWNER)
of the aforesaid building.
SUFFOLK COUN~f DEPARTMENT OF ~E;~LTH APPRO~7%L
ELEC77~ICAL c~TIFICATE NO.
PLiErS CERTIFICATION DATED
N/A
1185245 02/06/04
N/A
Rev. 1/81
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANi
This application must be filled in by typewriter or ink and submitted to the Building Dep~
A. For new building or new use:
1.
'tme~
TOWN OF $OCITHOCD
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 Compliancefrom 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 wr/ting to the applicant.
C. Fees
t. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwel!ing $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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
LoCation of Property:
House No.
Owner or Owners of Property: /?
Suffolk County Tax Map No 1000, Section
Subdivision
:'ermit o.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Old or Pre-existing Building:
Street
Date of Permit. / O///'qg[(Y~
(check one)
a/
Hamlet
Block ~ Lot
Filed Map. . Lot:
Applicant:
Underwriters Approval:
BY THIS CERTIFICATE OF COMPLIANCE THE
N-L 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
ALL-NU ELEC. CONT., INC
P.O. BOX 2121
GARDEN CITY, N.Y. 11530,
* LEGENDS RESTAURANT
835 FIRST STREET
NEW SUFFOLK, NY 11956
Located at
835 FIRST STREET NEW SUFFOLK, NY 11956
Application Numb~er: ~1185245
Certificate Number:. 118524.5
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:
Outside,
was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was
found to be in compliance therewith on the 6th Day of Febma~,2004.
Name QTY Rate Ratin~ Circuit Type
Miscellaneous
1-400 AMP main disconnect
1-100 aMP fused disconnect
Alarm and Emergency Equipment
Generator
Transfer Switch
Wiring and Deyice_s
Disconnect
Receptacle
1 0 100 KW
1 0 400 Am
1 0 30 amp Appliance
2 0 GFCI
- seal
1 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.
BUII~)ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 34789 Z Date JUNE 16, 2009
Permission is hereby granted to:
DENNIS & DIANE HARKOFF
PO BOX 1269
MATTITUCK,NY 11952
for :
RENOVATION OF EXISTING ROOF & INTERIOR ALTERATIONS TO EXISTING
COMMERCIAL KITCHEN AS APPLIED FOR. REPLACES EXPIRED BP # 25781
at premises located at 835 FIRST ST NEW SUFFOLK
County Tax Map No. 473889 Section 117 Block 0008 Lot No. 015
pursuant to application dated JUNE 16, 2009 and approved by the
Building Inspector to expire on DECEMBER 16, 2010.
Fee $ 150.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
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. 25781 Z
Date JUNE 8t 1999
Permission is hereby granted to:
DIANE HARKOFF
120 CAMP MINEOLA RD E EXT
MATTITUCKtNY 11952
for :
RENOVATION OF EXISTING ROOF & INTERIOR ALTERATIONS TO EXISTING
COMMERCIAL KITCHEN AS APPLIED FOR.
at premises located at 835 FIRST ST NEW SUFFOLK
County Tax Map No. 473889 Section 117 Block 0008 Lot No. 015
pursuant to application dated APRIL 27 1999 and approved by the
Building Inspector.
Fee $ 150.00
Autho~d Signature
Rev. 2119/98
ORIGINAL
765-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ~.~J)LBG.
[ ~]~INSULATION
REMARKS:
[ ] FINAL
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION l ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] IN. StaTION
[ ] FRAMING [ ~/FINAL
[ ] FIREPLACE & CHIMNEY
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ] ROUGH PLBG.
[ ]~LATION
[ ~'~ FINAL
[ I FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REM.ARKS: ~
,'LD INSPECTION RI~PORT DATE
INDATION (IST)
JNDATION (~ND)
ISULATION PER N.
STATE ENERGY
CODE
FINAL
#
fl fl
fl
#
ADDITIONAL COMMENTS:
FORI4 NO. !
TOTgN OF SOUI'HOLD
BUILDING DEPART14ENT
~ nAT.T.
SOUTHOLD, N.Y. 1197!
TEL: 765-1802
Dia~v~ed ale ............................... . ..
BOARD OF HEALTH ...............
3 SETS OF PLANS ......... ......
SURVEY.o.o .................. o .
CHECK .........................
SEPTIC FORH .......
NOTIFY
CALL
NAIL TO: .............
APPLICATION
FOR
BUILDING
PERHIT
........
~ D~ D~: - -
¥" , ,.~ F ~ ~' ,~0~ ~ ~J INSTRUCTIONS
3~tsofpl~, ~~p~e- F~i~~le.
b. ~ pl~ ~ l~-~im of lot ~ of ~il~ m ~, ~lati~ip ~ ~joiui~ p~s or ~lic
s~[s or ~ ~ ~ a ~1~ ~i~ of 1~ of ~ ~ ~ ~ ~ ~ di~ ~i~ is ~ of
~is ~li~ti~.
c. ~ ~ ~ ~ ~ia ~li~im ~ ~ ~ ~ ~ i~ of ~ildi~
d. ~, ~a of ~s ~i~tim, ~ ~i1~ ~t~ ~11 i~ a ~ldi~ ~t to ~ ~li~. ~
e. ~ ~ldi~ ~1 ~ ~i~ ~ ~ in ~le ~ in ~ ~ ~ ~ ~t~r ~til a ~ifiate of
~ ~ ~ ~ ~ ~ ~ldi~ ~ ~ ~ i-~ of a ~ildi~ ~t ~ to t~
~ldi~ ~ ~ of ~ ~ of ~ld, ~lk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~s'or
~a~i~, ~ ~ m~tim of ~ildi~, ~iti~ ~ Ite~i~, or ~ ~ ~ ~liti~, ~ ~in
.......... f~...N~ ........ ~ ....... ~. ;~. .
State ~r ~limt le~, ~t, ~i~t, ~i~, ~ ~t~t~, el~tricim, pl~r or ~il~
~ of ~ o~ ~ ...~.fd~a ..... ~a~a[ ...........................................................
(~ m ~ t~ roll ~ last ~)
......... .................
(~ ~ title of ~,~ ~f~)
Electfiei~s l.i,~,t~ [b ...........
Oh~er Trade's License No .....................
I. Locatic~ of l~d on ~hich prop~ vodt rill be done ..............................................................
.... ................... /. ........ ............................... ........................................
Hotme ~ SL-~eet ~let
CountyTaxl~pl~. 1000 Section .... IL.~ ....... Block .....
-~aivision ...................................... Filed l~p 1~ ................ Lot ...............
2. S~ate existi~ ua~ aad c,~ .m~ey of la--sea and iht~a use and occupancy of p,,~,~ed eor~tmctitm:
,. ~i,ti~ ,~ ~a o~.,-~ ...~,.~f.Z~.~.~..4,~..~.. ........ ~.7. ................................ : ....
~. ~,~d ~ .a ~ ..,.,..,.-- ....................................................
3. Hatore of ~a~rk (check ~hich applicable): Ne~ Building .......... Addition .......... Alteration .........
Repair ............ I~ral.. .... .. ... .. I)emolitioo ............ OCher ~/ork ..........
4. Estimated Cost .2t .................... fee ............
(to be paid on filing this applicatioo)
5. If duelling, mmtmr of deelling units ............ lb~er of d~elling units oo each floor ................
If garage~ mm~er of cars ........
6. If h~iness~ ~-~,~reial or mi~,d occupant, ~peeify nn~re ~d extent of e~h type of use ............
~ / ~-~! ! /
..............
~th .13!..d.C ......... mi~t .. ~ ~ ~ ....................
. d~dd.!..~.. £.. ~r of Storlee .... ~ ..........
~.0i,~io~ of,,tit, ~-, ~t~,' ~ ..Yz(.t.'~ .....
*~ ....... ~....~(... ~ o~ ,~o~,, .... Z ...............
~. ~. ~ ~ ~ ...... ~. ........ ~ ..... ~.~ .......... ~th .... ~.~ ..........
I I. ~ or ~ district in ~i~ p~o~i~s a~ ~i~t~ ................... ~ .........................................
12. ~s ~ mt~tim violate ~ ~i~ lin, o~i~ ~ ~latim: ..... ~ ..............
13. ~ill lot ~ ~ .... ~ ........... ~ill m~ fill ~
15. Is ~is ~ ~in ~ f~t of a ti&l mtl~ * ~
PLOT DIAGRAH
l~cate clearly and distieetly all Imildi~s, ~bether existing or p~opol~d, a~d indicate all set-beck di~ensioos
~ p~,,perty liees. Give street a~d block m~ber or description acoo~ding to deed, a~d ~ street um~s and irdieate
daether interior or comer lot.
- .~.~ ~ .a.~./? ................... being
.../). (f~/~/Z. ..... ~ ~,
~ of i~ivi~ ~i~iq ~tr~t)
~ Js the ....................................
(~tr~tor, ~t~ ~te officer, etc.)
,f ~d ~r ~ ~rs, ~ in ~Iy ~t~rl~ to ~r~m or h~ ~r~ ~ ~id ~ ~ to ~ ~ file this
,~llcatio~ ~at ~1 star--ts ~tni~ in ~is ~li~i~ a~
hat ~ ~ ~ill ~ ~r~ in tbe ~r ~t f~rth in ~ a~li~ti~ fil~ ~.
~t~ ....................... : ~ .........
V~CKI J.
~ota~ Public, Sta~ ~ ~w Yor~
No 0~ED48913~ - Suffolk ~u~
gomm~o~ ~pir~ May 4, I~'
TOWN
OWNER
FORMER OWNER
SEAS. VL
IMP.
~'oo
OF SOUTHOLD PROPERTY RECORD CARD
STRE~ i4~
VILLAGE
DISTRICT
ACREAGE
O. t4~
SUB.
LOT
AGE BUILDING CONDITION
NEW NORMAL BELOW
Form Acre Value Per Acre Value
Tillable 1
Tillable 2
Tillable
FRONTAGEON ROAD
BULKHEAD
/D
DOCK
Brushland~.
House Plot
Total
' I
-- i
Ext. Wolls ~, Interior Finish ~__
L_
Patio Rooms 2nd Flor
Driv~ay Dormer