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Home My WebLink About35229-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34164 Rte: 01/15/10 THIS u~TIFIES t~at the building ALTERATION/RENOVATION Location of Property: 46520 CR 48 (HOUSE NO.) (STREET) County Tax ~4ap No. 473889 Section 55 Block 5 subdivision Filed Map No. __ Lot No. __ SOUTHOLD Lot 7 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in t~is office dated DECEMBER 18, 2009 purs~u~nt to which Building Pez~it No. 35229-Z dated DECEMBER 18, 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 ALTER AND RENOVATE EXISTING RETAIL STORE TO THERAPIST OFFICE AS APPLIED FOR. The certificate is issued to THOMAS J MCCARTHY ( OWNER ) of the aforesaid building. S~FO[~I)~II~fDEF;%RT~ITOFf~%LTHAPPRO%~%L N/A EI~EC'~RIC3EL u~TIFI~TH NO. N 452002 04/28/98 I~LU~ERS u~'rIFICATION DA'r~s3 01/12/10 PECONIC PLUMBING & HEAT Rev. 1/81 Form No. 6 TOVv~I OF SOUTHOLD BUILDING DEPARTMENT To1ArN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN This application must be filled in by typewriter or ink and submitted t° the Building De!: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 3. Approval o f electrical installation from Board of Fire Underwriters. 4. 5. JAil 1 3 20 0 BLDG. DEPT. TOWN OF $OUTHOLO Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commemial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. 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. 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Owner or Owners of Property: Suffolk County Tax Map No 1000, Section ~'~'~' Old or Pre-existing Buil~gg: . House No. (check one) /d St~'eet Hamlet Block ~ Lot q Subdivision Permit No. ~-~xq Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~0 ,t.~ Filed Map. Lot: _ ,. Date ofPermit. '4 1~ IOr) Applicant: M.~~ -~--~, ~/~d 1~.4~ Underwriters Approval: Final Certificate: .~ (¢hockone) THE NEW YORK BOARD OF FIRE UNDERWRITERS PA;;. 1 10~1071 BUREAU OF ELECTRICITY ~'- 40 FULTON GTREET, NEW YORK, NY 10038 Da~ APRIL 28,1998 ApplieationNo. on.fil~ 15805998/98 N 452002 THIS CERTIFIES THAT only ;Itt electrical equipment a~ d~scrib~d below and introduced by the applicant named on th~ above ttpplication number is in th~ pr~mis#s of EAST F~ND THERAPY, 46520 ROU~I'E 48, UNIT 7-8 & 9, SOUTHOLD, NY mtn, foUowin~ ~ocndo.; [] Btn.ment [] ;st FL [] 2nd FZ Sec,o. B~ck w~ e~andn~d on APRIL 21,1998 and found to be in compliance with the National EloctTical Code. FIXERS INC, A.I~ FIX'KIRES 12 36 14 12 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SERVICE DISCONNECT NO. OF~ S E R RANGES SPECIAL KC'PT. V TIME CLOCKS U. UNIT HEATERS m. *M.S. NS. NO. OF FEET C EXHAUST FANS DIMMERS BOX 215 AN'B* SOU'I'HOLD, N1~, 11971 GENERAL MANAGER 11 This certificate must not be altered in any manner, tatum to the office at Ihe Boa~l ff incon'ect~ Inspecto;s: may be identified by Iheir credentials. 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 CERTIFICATION Date: Building Permit No. ~-r~. Owner.. (please print) Plumber: ~COv'X i' Q~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Swom to before me this dalof .~ ~.-x , 20./O Notary Public, ~ l fi) I(_Cotmty No. 01L06070081 6 (4~ lu~b er s ,gffgf~"~ e) 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. 35229 Z Date DECEMBER 18, 2009 Permission is hereby granted to: THOMAS J MCCARTHY 46520 COUNTY RD 48 SOUTHOLD,NY 11971 for : TO ALTER & RENOVATE AN EXISTING RETAIL STOKE TO A THERAPIST OFFICE AS APPLIED FOR. REPLAECS EXPIRED BP # 24656 at premises located at 46520 CR 48 County Ta~ Map No. 473889 Section 055 pursuant to application dated DECEMBER Building Inspector to expire on JUNE Fee $ 150.00 SOUTHOLD Block 0005 Lot No. 007 18, 2009 and approved by the 18, 2011. ~i~ed ~ture ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDIN4) DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UN11L FULL COMPLE11ON OF THE WORK AUTHORIZED) 24656 Z Permlsslonls herebygrantedto: ........ T~..fl...~...~P~ ................................... ........ ~Q...~PU~I~..~...~ ..................................... ........ ~PU~P~P~%..~I~ ........................................ to ........ ~..~.~..~..B~N~..~..~.~[~..~[~..~E..~..~..~EIEP,,~[~T ........... ~EE~...~..~.~.~..~g~ ................................................................................................ at prennlses located at .............. ~.~..,.. ~.~...~ .................................................... ~g~g~ ........... Counfl/ Tax Map No......4,7,.~..~.~?.. ..... Section ...0..5...5. ............. Block .....,0,0.,,0,,.5. ........ Lot No..,0.9.,7, ............... DECEMBER 15 ~7 pursuant to application dated .......................................................... 19 ................ and approved by lhe Building Inspector. Fee $ ,,,, ,,~ .5. ,.0.,....0.? ..... Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE ~¢~Z INSPE~O~' TOWN OF SOUTHOLD BUILDING DEPT. 765-t802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/.~ISULATION [ ] FRAMING / STRAPPING [~/]' FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS.~=:~/)~/_~ /~',~-/./'-~ _~_.~__ /~?-~ INSPECTOR DATE FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & (2nd) PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL Disapp ~ a~c ........ (Buil~t~/in~£or) FORI4 BO. I TO}iN OF SOUTBOLD BUILDIlqG DEPAB'I'}ffilqT TO}IN BALL '- SOUTBOLD, lq .Y. I 197 I TEL: 765- 1802 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORK .................... NOTIFY: CALL . ~ HAIL TO: .................... ~ INSTRUCTIONS a. lhis application n~t be completely filled in by type~iter or in i~ and subnitted to the Building Inspector: 3 sets of piss, accm'ate plot plan. to scale. Fee according to schedule. b. Plot plm dm~ing location of lot and of building,q on premises, relatio~t~ip to adjoining proaises or I~bilc strt~ts or areas, md giving a detail~l description of l~yont o£ p. ooerty mu~t be drmm on the dingrm ~hich ia i~rt this appl icat ic~. c. lhe ~mrk co~ered by this application may not be consented before i~quance of Building Pemit. ,d. ~ ~,~al of this application, the ltuilding In~ector will imme a Building Pemlt to the applicant. Such pemit aball he kept on the la~,dses available for in~p.~ction throughout the ~ork. e. Bo building aball be occupied or treed in ~t~ole or in part for any lXmpr~e ~mtever tmtll a Certificate ~ ~Imll hav~ bec~ granted by the Iluildir~l lm*~ector. Nt~LIC~TII~i IS ~ }~JE to the Building ~l,arb,~t for the immm~e of a Building Permit pu,~mt to the Building ?~ne Ovdlnon~ of the Tosn of ~outlmld, Suffolk F~mty, ~ York, and other applicable I~,~, Ordinmees or Ile~lations, ~or the cmmtmetion of buildings, additions or alterations, or for :~,~al or dm~lition, a~ h~reln described. ~1~ applicant agrees to c~ply with all applicable 1~, ordinasees~ building code, vesulations, md to ad, it mthoriz~! inspsctors on pvmfises and in building for necessary ...... ~ ...... \~-"_':'! ................... (Signature of applicant, or 04ailing address of ...."' ' .......... ............ v .............................................................................. ....... ...................................................... (as on the tax mi1 or latest deed) If spph of duly mthortsed officer. ............ . -: ........... ~ ........... Builders License No .......................... Ph~hers Lice~e lqo .......................... El~ctriei~ Li~ Ilo ...................... O0~r Trade's Lice~tse No ..................... 3. i~ture of stork (d~ck ~id, al~dicable): N~a I~ildi~ .......... ~iti~ .......... I~ir ............ ~ai ............. I~)1 iti~l ............ Otlmr ~ ............................. (to ~ ~id ~ filing this . 6. I~ ~hm~, ~,~rei~l or ~ ~, ~ ~tu~e mfl ~tent of e~ ~ of I~i~it ......................... ~r of 8torie~ ..... ~ ................ IIi~i~m o~ ~m at~ture ulth alterati~ or ~iti~m: Fret ....... ~ ...... ~ar ~l~h .................... l~i~tt .................... ~i~i~r o~ gtoriea ............... ~. Di~i~m'o~ entire ~ mt~tia~: lkmt ................ ~ar ............... I~i~t ......................... ~r o~ Stories ..................... 9. Si~ of lot: l~t .................... ~ar .................... ~h .................... lO. I~te of ~lrdm~ ..................... g~m of Fonmr ~mr ................................... II. ~ or ~ diatrict i. ~lidl praui~a me ,i~td .......... O' .... 13. ~111 lot ~ ~rm~ ..... '...~ ........ gill ~eaa till I* r~ ~o9 prmi~at 15. 1~ fl~i~ p~r~ ~ithin ~ f~t of ~ till ~tl~d~ · ~ .......... · ~ ...... I'i.OT DIAGRAH I~ate clearly ~ dlsti~tl~ ail ~ihli~a, ~mtlmr ~isti~ or pro~, m~ i~icate ~rm prq~rt~ lima. Gi~ st~t ~ bl~ ~r or ~ripti~ ~co~i~ to ~, ~ ~mtlmr interior or co~r lot. (~.,~ of i~divi~[ siDti~g c.~tract) (Castrator, age.t, corl~rate officer, etc.) of ~id ~mr or ~rs~ m~ is ~ty ~i~ tO I~rfonn or h~ I~rtom~ tim ~hi ~ m~l to ~ m~ file al~l icati~q ~mt alt stat~mnts c~tai~ in this Ol~licat i~ are tn~ to Om Imst of his h~l~ m~ ~liefj llu~t tl~ ~k ~ill I~ I~rfon~l in tim I~mr ~t forth i. tim al~lic~ti~fil~ tlmr~ifll. ....... t.S. ...... .... ........ ,,..72... HELENE o. HORNE No!,.ry Public. g~te of New %rk Ou~tif~ec i~ ~.[!,~L County ~ o o SUtt¥£¥ FOR . ANDREW MICHAEl- ' AT SOuTHOL O SU~OL~ ~ M ~ -o7 LTD ,~ ..... ~ & WATER L'NES NEED ~ ~ ~~ ~ 'r," ~ ~,~' T~ST'NGBEFOR~COVE~N~ ~ II II ] ~ I I CERTIFICATE OF OCCUPANCY ~ ~" ~ ~ ~ SOLDER USED IN ~TER SHOWER~, Ill ~ II SUpPLY SYSTEM CANNO, LOCKER I I ' [ ~ F~CEED 2/10 OF .............. I I I I If copper tubing is used ~ ~ Il ,, for water distributing ~ I I ~ system; piping shall be / % J ~ ~ I of tVPes K or L only , X //I~ ¢ ~ ~ / ~ m TR~TME~ I IHERMAL SHOCK PREVENTING ~ 4,-~ F - _ _ ¢~ ¢ ~,-~ ~ I,~ ~ li'-~ ~ DEVICES AS TO PART, 902.6(K) i N.Y, ~TAlE BUILDIN~ COOE. m LUHCH/WR)TING RM. TR~TMENT m TREATMENT ' ' ~ I ) ) I )~ICE/LIB~RY -- ~ .....~ ....... m UNDERWRITERS CERTIFICATE I F ........ ~ REQUIRED ~ r ~.~.~.~ ~ OCCUPANCY OR ~ ~ ~ USE IS UNLAWFUL ~ ~ ........ ~ ] WITHOUT CERTIFICATE TREATMENT ~ J ~'-~o'-~ ~ ~ ~ ,~,o. ~.~ OF OCCUPANCY PROPOSED PLAN ~ ~ ' SCALE 5/16"=1'-0" ] TR~TMENT I I ] I ~ ~ WA~Tm~ RO0~ , _ ,, . THE RE~U~EMEN~ OF ~E N.Y, ~l / STATE C~NSTRU~ION ~ ENERGY /x . SHOWER/ ~ il ~ YDRO ARE~ . ~__p4.~ ............ mm 2 /,, ,, LOCKER' ~i II '~ fill ,, ,, ~ ~ ~ / m TR~TME~ I · ~ 4'-~ F - - - ~ · ~'-~ · ~'~ ~ l~'-~ m LUNCH/WRiTING RM. II TR~TUENT ~ m TREATMENT ) ) m )~[C[/LIB~RY __ d m ] ~ TREATMENT TREATWENT r J 6"-CXIO'-C I I~ RECEPTION AR~ J lg'-~ f~ ~ ~ IIe m il TR~TNENT I m ~ ~ WAITING ROO~ m m TREAT.ENT I 6'-~X10'-~ MHP fl /