HomeMy WebLinkAbout38566-Z
Town of Southold Annex 12/12/2013
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 36658 Date: 12/12/2013
THIS CERTIFIES that the building FIRE ALARM
Location of Property: 2255 Wickham Ave, Mattituck,
SCTM 473889 Sec/Block/Lot: 114.-3-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/12/2013 pursuant to which Building Permit No. 38566 dated 12/12/2013
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 Alarm System for an existing restuarant as applied for.
The certificate is issued to Strong's Marine Inlet LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
utho ' ed Signature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
ffi SOUTHOLD,NY
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 38566 Date: 12/12/2013
Permission is hereby granted to:
Strong's Marine Inlet LLC
2400 Camp Mineola Rd
PO BOX 1409
Mattituck, NY 11952
To: Fire Alarm System for an existing restuarant as applied for.
At premises located at:
2255 Wickham Ave, Mattituck
SCTM # 473889
Sec/Block/Lot # 114.-3-1
Pursuant to application dated 12/12/2013 and approved by the Building Inspector.
To expire on 6/13/2015.
Fees:
FIRE ALARM $250.00
CO - COMMERCIAL $50.00
Total: $300.00
Building Inspector
f oOf SW/ryo*
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING Z[F'NAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: 2 S 2-
DATE 15J3
Z )2-1 13 INSPECTOR
TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following, before applying?
TOWN HALL Board of Health
SOUTHOLD, NY 11971 4 sets of Building Plans
TEL: (631) 765-1502 Planning Board approval
FAX: (631) 765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Permit
Examined , 20 Storm-Water Assessment Form_
Contact
Approved , 20 Mail to:
Disapproved a/c
Phone:
Expiration , 20_
Building Inspector
APPLICATION FOR BUILDING PERMIT
DEC 1 2 2013 U
~ Date L~Cernhc^l 19. , 2013-
INSTRUCTIONS
& This application MUS be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
lets of-pijana -occ i6te scale. Fee according to schedule.
b. Plot plan showing location of lo[ and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
a 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 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.
E Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the 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 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 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 premises and in building for necessary inspections.
L~ o Y asc, ~eci-Lek-InA 1 nc.
Signature of applicant or name, if a co ion)
TI; Zrn I q L) &4(-- lYOA I iq 01
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
CO~pdpr
Name of owner of premises
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No. 1 a-00 0 C) ;L e'7- 11 If
1. Location of land on which proposed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section I Block 03 Lot 001
Subdivision Filed Map No. Lot
r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy Q
b, Intended use and occupancy 1 Y_ftura
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work P-( sr
4. EstimatedCost 'Fy ,,}}OqOc¢ Fee 4Z6~ 0~ (Description)
(To be paid on filing this application)
5. If dwelling, of dwelling units Number of dwelling units on each floor
If garage, number o of
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.royyllh{ f<0 1 a l
7. Dimensions of exist tructures, if any: Front Rear Depth 109 4 Height Number of Stories
Dimensions of s structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire ne struction: Front Rear Depth
Height Number of Stories
9. Size of lot: Fr-dM Rear Depth
10. Date of P hale Name of Former Owner
11. Zone or use district in w t remises are situated
12. Does proposed const n violate any zoning law, ordinance or regulation? YES_ NO
13. Will lot be re- ed? YES_ NOWill excess fill be removed from premises? YES_ NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor McIS YtY_ Address Phone No. 1-1' - aC~
1 vCYhfCI ^r/ 11 X10 I
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YESNO _
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED7
b. Is this property within 300 feet of a tidal wetland? * YES_ NO
* IF YES, D.E.C. PERMITS MAY BE 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 A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF )
being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Swom to before me this
day of 20
- - L-1
Notary Public Signature Applicant