HomeMy WebLinkAbout38207-Z ~i~`~.-~~~ Town of Southold Annex
y6F ~ ~ 8/13/2013
a P.O. Box 1179
54375 Main Road
~'3®~;~ Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36443 Date: 8/13/2013
THIS CERTIFIES that the building OTHER
Location of Property: 62375 Route 25, Southold,
SCTM 473889 Sec/Block/Lot: 56.-4-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated
7/12/2013 pursuant to which Building Permit No. 38207 dated 7/24/2013
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:
fire sunnression svstem as apnlied for.
The certificate is issued to Bonvino, Joseph & Bonvino, Maria
(OWNER)
of [he aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authorized ignature
9`'~=~ TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~ TOWN CLERK'S OFFICE
'a~~t~ SOUTHOLD, NY
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BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit 38207 Date: 7/24/2013
Permission is hereby granted to:
Bonvino, Joseph 8< Bonvino, Maria
79 First PI
Brooklyn, NY 11231
To' install a Fire Su
ppression System as applied for
At premises located at:
62375 Route 25, Southold
SCTM # 473889
Sec/Block/Lot # 56.-4-6
Pursuant to application dated 7/12/2013 and approved by the Building Inspector.
To expire on 1/23/2015.
Fees:
NEW COMMERCIAL, ALTERATION OR ADDITIONS $250.00
CO -COMMERCIAL $50.00
Total: $300.00
C
Building Inspector
form No. 6
TOWN OF SOUTHOLD
6UILDING DEPARTMENT
TOWN HALL
765-1802
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 ezisting buildings (prior to Apri19, 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 [he reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy -New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $25
4. Updated Certificate ofOccupancy - $50.00
5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $ I'Sj.00
Date. I ~
New Construction: Old or Pre-existing Building: (check one)
Location of Property: ~ c~.~~ ~ y ZN LL ~ ~ ~ ~
House No. Street Hamlet ~
Owner or Owners of Property: j
Suffolk County Tax Map No 1000, Section ~ Block Lot
Subdivision Filed Map. Lot:
Permit No. 3"552--~ ~ Date of Permit. Applicant:
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted:
Applicant Signature
i
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHE~ L
BUILDING DEPARTMENT Do you have or need [he following, before applying? 3
t TOWN HALL (r7
Board of Health
SOUTHOLD,NY11971 4setsofBuildingPlans ~
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.North Fork.net PERMIT NO. ~ check
Septic Form
N.Y.S. D.E.C.
Trustees
203 r - ~ d P
Examined C ~pqm-'~Etei~ s ment Form
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Approved,2f~~ ~ Mail m_ i ~SpGN ~ ~~G /%zol~-itnw
Disapproved a/c ~ .f y R Sf. ~/_,tiS~a~/< / /~Y /r 7'i i
L Phone: - 77 $ - ygq~
Expiration ~ a` ,20~
Ei DC~. D!P7.
"~.:JJII'nlD
Buil m
APPLICATION FOR BUILDING PERMIT
Date C,r Z7 203
INSTRUCTIONS
a. 'T'his application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 no[ be commenced before issuance of building Permit.
d. Upon approval of this application, the Building Inspector 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 Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if[he work authorized has not commenced within 12 months after [he date of
issuance or has not been completed within I8 months from such date. If no zoning amendments or other regulations affecting [he
property have been enacted in [he interim, [he Building Inspector 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 Depanment for the issuance ofa 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 ahera[ions 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 premtses and in butldm& fur neges nspections.
EIRE INSPECTION ~I;
REC~.~'~'ED BEFORE, a - Isi~,amre ap r~ n ,a ~fa~nrpnratinn,
OPENwNG ~ ~ ~ ~>u „~Y,
a re a a
. 7 g ' ~
State whether applicant is olvri~r, fpsgp~'agent,architget, engineer, gene ~,r~p
i
/'3-I'e //2u~~-ccrSOni QC_.uricgcro~ ~ FEE~~572 BY
[.UN~`Irlo NOTIFY BUILDING DE ARTMENT AT
Name of owner of premises 76 -186 RAM TCt d P n 1=np n ~
(As on the tax roll Fd@Ue® INSPECTIONS:
If applicant isacorporation, signature of duly authorized officer FOUNDATION-TWO REQUIRED
FOR POURED CONCRETE
(Name and title ofcorporate officer) 2- ROUiH -FRAMING, PLUM6'VG
EPPING, ELECTRICAL 3 C:.U'~
Rudders License No.
Plumbers License No. '!CATION
Electricians License No. ~ =L-CONSTRUCTIONSELECTRICP'
Other g'rade's License No. RE COMPLETE FUR C 0
I' '~:irvSTRUCTION SHALL M,c=i THE
I. Location of land on which proposed work will be done: ~,f =U~.nEMENTS OF THE CODLS C:- ~
Gz37~ oars zs 1'rr,v ~~~,,/hjg{~SPONSIBLEFcR
i lorse Number Street ` DE t~itairildR CONSTRUCTI N ERRORS.
Couny Tax Map No. 1000 Section G ~ Block~_Lot~
Subdivision Filed Map No. Lo[
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~~~si
~xn,ur-_
h. Intended use and occupancy- ~
c.5 %AUa q.~
3. Nature of work (check which applicable): New Building- Addition Alteration
Repair --Removal- Demolition- Other Work ?nis.-A~iq,-row Or /.1 ~?a ~o iynTr~
4. Estimated Cost_ Fee_~,ZSO (Description)Ex rvc'wra~r:Ny SYa~_en
(fo be paid on filing this application)
5. If dwelling, number of dwelling units -Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. acs ~
//q~gti;
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot Front Rcar Depth
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO_?
13. Will lot be re-graded? YES NO -Will excess fill be removed from, premises? YES NO
Ft2G~c:,~$ 3~- Ss FkA2lS s~;
14. Names of Owner of premises 0 Eet,q QQ(tr.ps Address ~f_t~5f(-t Phone No.
Name of Architect Address 1 1 °77D Phone No
Name of Contractor /ISr OESG~.n. r~=ra Address ~z1v G+Nark as. Phone No. ~ 3 • - t>b - ya 9r,
~i2eTECTfeN ~
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IP YES, SOUTHOLD TOWN TRUS"CEEB & D.G.C. PERMITS MAYBE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? *YES_ NO_
* IF YES, D.E.C. PERMITS MAYBE 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.
18. Are there any covenants and restrictions with respect to this property? *YES NO
* IF YES, PROVIDE ACOPY.
STATE OF NEW YORK)
~ SS:
s x COUNTY OF ~u,=r-o.n
~ i l7A?zo
~ ; ' ~~9Re rs.e y being duly sworn, deposes and says [hat (s)he is the applicant
ti z < o (Name of mdrndual signing contract) above named,
Q ~ U
~ N h " (S)He is the ~
oN rPn ~ r 2
A
ti z i w (Contractor, Agent, Corporate Officer, etc.)
z ? ° ~ o of said owner or owners, and is duly authorized [o perform or have performed the said work and to make and file this application;
~ n i = ~ [ha[ all statements contained in [his application are true to [he best of his knowledge and 6clief; and that [he work will be
o o performed in the manner set forth in the application filed therewith.
~ Z U
- Sw to before me [his -
~ -day of c7Ul y 20 ~3 C
Notary Public a r o A tic
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>upply Pipe Size: 3/8 Branch Pipe Size= 3/8
Ias Valve type: /ye<n Size Hanufacturer ~;)aa~
)etector Temperature rating .340' 9SO° ~ ,3 3
{ood Size: /a ~~5` Duct Size: (z1 /7`'x/o°
Hood Size: Duct Size• -
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X Fryers "to have High Limit Control to shut ofif fuel at 425 deg:. I ~
X Detectors shall be located over every piece of equimerit. - ~f19346 /I~~~~~01~{j{
X The System installed as per manufacturers specs ar>d the AHJ_ ~~jy g -3N- j
X The System has been installed as per OL300_ _
X The follottirtg fwxtions to operate upon system discharge: 230 `~1Q`',b0 ~>-1~-I{j~~I
* Supply air dapper closes ' Gas fuel shuts otf in kitchen ~Q ~ ~ 1-118'a$3 ~ F- y~q~~ I
* Exhaust fan remains on * Electric fuel shut off ir~der hood 3 Gal C,`y}fnder 429862 ~
* All systeas to activate smJltaneously in same hazard area. A7~stQ alnio>nan 429~3y~
* Fire Alarm shall activate it one is installed in bui lding. Tankl_'nelosure 429871)
X All fuel sources are GAS unless otherui$e noted_ C03tem a7 Svr7velAdaptuc 423571 i
- Bkw Off Cap ?7695
coNrRACTCa: ~(o _t.~ ~ Series Deieclor 417369
- TctminalI~ctr_cznc 417368
ABT DESIGN & FIRE PROTECTION-. cotl~rp>sn~y 4z32s1 j
1724 CIIT_JRCR STREET 3~ sal 77285 NE
IIOLBROOK, NY 1:1741 sew j W
631-878-4896 FAX: 63'I-87~-5727. 1?nIi station 4535 ~ ~
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