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HomeMy WebLinkAbout28323-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28846 Date: 09/05/02 THIS CERTIFIES that the building ALTERATION Location of Property: 54280 MAIN RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 61 Block 4 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 23, 2002 pursuant to which Building Permit No. 28323-Z dated APRIL 23, 2002 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 INTERIOR ALTERATIONS TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. The certificate is issued to LAOUDIS OF SOUTHOLD LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 466656 09/29/98 PLUMBERS CERTIFICATION DATED 08/13/02 HENRY P SMITH AuYhorized gnature Rev. 1/81 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. 28323 Z Date APRIL 23 , 2002 Permission is hereby granted to: LAOUDIS OF SOUTHOLD LLC 23 VAN BUREN CT CRESSKILL,NJ 07626 for . INTERIOR ALTERATION TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. (REPLACES BP #25156Z) at premises located at 54280 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 061 Block 0004 Lot No. 022 pursuant to application dated APRIL 23 , 2002 and approved by the Building Inspector. Fee $ 746 . 90 Authorize Signat e ORIGINAL Rev. 2/19/98 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. 25156 Z Date SEPTEMBER 31 1998 Permission is hereby granted to: EDWARD G DANOWSKI 400 DEER PATH RD MATTITUCK,NY 11952 for INTERIOR ALTERATION TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR. at premises located at 54280 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 061 Block 0004 Lot No. 022 pursuant to application dated AUGUST 6 1998 and approved by the Building Inspector. Fee $ 605 . 75 2 Buildirtr Inspecal6r ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 !i 92002 APPLICATION FOR CERTIFICATE OF OCCUPANCY -, issiThis application must be filled in by typewriter OR ink and submitted to the u` l� inspector with the following: 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. 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 a 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. 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - _ .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . � c.�t. r?�,.4?dJ. . . . . . . . . . . . . . w Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . (� cation of Property. . . . . � . ./. [ l�!: .. . . . . . . . . . . . . . . . . . . . . . . .�1. tAA . . House No. Street Hamlet wer or Owners of Property. . . . . , _h,fOOde r-C.. .��:A�t4. . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . unty Tax Map No 1000, Section. . . . . . . . . .Block. . . . . . . . . . . . .Lot. . . ..... . . . . . . . . . . . . bdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . rmit . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. WV . LLPh^./7Pr:�Z?�: (.L6.�.�:?� alth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . anning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . quest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .� . . . e Submitted: $. d . . . . . . . . . . . . . . . . . . . . . . . C' • • • . APPLICANT • . P Q 5101 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1135107 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date SEPTEMBER 29,1998 Application No. on file 16766598/98 N 466656 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of CENTURY 21 ALBERTSON 54280 MAIN ROAD SOUTHOLD, NY in the following location; Basement LSU lst FL n 2nd Fl. Section Block Lot was examined A SEPTEMBER 21,1998 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS RECEPTACLES SWITCHES OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 4 2 2 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALRECTT.1 TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E METERNO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 0 2W 1 0 3W 3 0 3W $e 4W PER a OF CC. G. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: G.F.C.I:-2 JAMES MURRAY LIC.#3653 L P.O.BOX 305 LAUREL, NY, 11948 GENERAL MANAGER 11 Per This certificate must not be altered In any manner;return to the office of the Board If Incorrect.Inspectors may be Idenflfled by their credentials. \ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road n Fax (516) 765-1823 1 R. O. Box 1 179 Telephone hone (516) 765-1802 y0 � : � Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: J �' Building Permit No . Owner: (please print) Plumber: 'e L/ P, (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. umbe Signature) Sworn to before me this )y T"- day of n q G" Notary Public , StiFFOLK County WILLIAM D.MOORE Notary Pubo.,state of New York Qualified in Suffolk County Commission Expires January 31,V990'' 2:�4' 1. PLANNING BOARD MEMBERS �SUFF0j/( BENNETT ORLOWSKI,JR. �, O Town Hall, 53095 Main Road �O Chairman Gym P.O. Box 1179 o Southold,New York 11971 WILLIAM J.CREMERS N Fax(516) 765-3136 KENNETH L.EDWARDS 1- G GEORGE RITCHIE LATHAM,JR. y • � Telephone (516) 765-1938 RICHARD G.WARD �JJ�l �aO PLANNING BOARD OFFICE - TOWN OF SOUTHOLD October 6, 1998 Robert J. Scalia Century 21, Albertson Realty P.O. Box 598 Southold, NY 11971 Re: Request for site plan waiver for Robert J. Scalia 54280 Main Rd., Southold SCTM# 1000-614-22 Dear Mr. Scalia: The following resolution was adopted by the Southold Town Planning Board at a meeting held on Monday, October 5, 1998: WHEREAS, Robert J. Scalia is renting the property known and designated as SCTM# 1000-61-4-22 located on Rt. 25 in Southold; and WHEREAS, a business office is a permitted use in this Hamlet Business (HB) zone; and WHEREAS, an examination has been made of all uses and the existing parking was determined to be adequate for all uses; and WHEREAS, the proposed change from a former use as a retail store to business office will not be a more intensive use of this property; and WHEREAS, a handicapped parking space will be provided; and WHEREAS, any violation of the conditions of this resolution may be grounds for rescinding this waiver; be it therefore Page 2 Site plan waiver for Robert J. Scalia October 6, 1998 RESOLVED, that the Southold Town Planning Board grant a waiver of site plan requirements. Please contact this office if you have any questions regarding the above. Sincerely, Bennett Orlowski, Jr. � '1� Chairman cc: Ed Forrester, Director of Code Enforcement Gregory Yakaboski, Town Attorney 765-1802 BUILDING DEPT. INSPECTION [ j FOUNDATION IST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /[�-a � DATE - INSPECTOR INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �INULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY R ARKS: f �� DATE INSPECTOR 765-1802 ?�� BUILDING DEPT.���,� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING P�o [ Z INAL [ ] FIREPLACE & CHIMNEY REMARKS: v IL r DATE INSPECTOR c;2 765-1802 BUILDING DEPT. INSPECTION [ j FOUNDATION IST [ ) ROUGH PLBG. [ ) FOUNDATION 2ND [ ] IN ULATION [ j FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: C \ DATE �o INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION 1 [ ] FRAMING [ L FINA / [ ] FIREPLACE & CHIMNEY REMARKS: �.- � DATE D7 . di— INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ) IN CATION l [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 07 / 3 a Z INSPECTOR I i i �I • � ISI .a 1 FK 64 1 - MIS MIMMOwed ISI ��!• =-� EK s� r /' BOARD OF HEALTH .J � • . • • . •• • • • FORIi No. 1 3 SETS OF,,�S . .. . . . . Q TOWN OF SOUTUOLD SURVEY ✓..... . . .. . . ... . . . •• ' . . BUILDING DEPARTMENT CIIECR mss.... ... :. . . . . . . . .. . . . . C TOWN HALL SEPTIC FORH . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 ' TEL: 765-1802 NOTIFY: 5'e �'L- CALL . . . . . . . . . . . . . . . . . . fE: nined.Q ! �J, 19.... HAIi. TO: . . . . . . . . . . . . . . . . . . . . Ajj)rov(.K1.. ... 19.... Permit tb. ................ .................................. . 1)i sas JM4)rw ed a/c ........... ................................... ...................................................... d ,,. (lknilding Inaliector) . AUG — 6 APPLICATION FOR BUILDING PERMIT 1pG.DEPT 'Date.. . . .�.. . . . . . , 19. . . . B INSTRUCTIONS a. 'Ibis application must be caapletely filled in by typewriter or in ink and mA nutted to the Building Inspector wi 3 sets of plans,,accurate plot plan to scale. Fee aceording to ad"le. b. Plot plan allowing location of lot and of buildings on premises, relatioaalnip to adjoining premises or pul>lic streets or areas, and giving a detailed description of layout of property must be drawn on the diagram Whid► is part of cilia application. c. 'Ihe work covered by this application may not be crnnmenced before: issuance of Building Permit. d. Upon approval of this application, the Wilding Inspector will issue a Building Permit to the applicant. Such permit shall be.kept on tine premises available for inspection througlhout the work. e. No building simhll be occupied or used in wi►ole or in part for any purpose Whatever until a Certificate of Occupancy shall have been granted by tlhe Building Inspector. APPLICN17I(N IS IERM ABBE to the Building Department for the issuuof a liuildirg Petmit pursuant to the Wilding 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. 'Ane applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and rebnulations,ma+.; to alit authorized Iruppectora an premiaeq and in building for necessary inspections. (Si Cure of applicant, or nage if a corporation) AC)'/'30x.".7 �.rala7mvA,0E'. . ...... (Mailing address of applicant) Scale whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plurher or Wilak ....................................................................,...................................... Name of owner of premises ...6G 4.1O/1� i�n/OU/ .. .. .......................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ...............................I......................... (Name and title of corporate officer) Ikhilders License No. ......................... Pludl)era License No. 6 ��.... Electricians ]license No. Other Trade's License No. .................... 1. lcxacion of land on whidm proposed work will be done...V T`�v.�� /�.yl eJo......bL p ...................................................................................................................... !louse tk mber Street Hamlet County Tax lisp No. 1000 Section ......�r...... Block ... .......... not .�.f .le�......... Subdivision ........ ... ........................ Filed Map No. ........:,..... Lot ............... (Name) 2. State existing use and occupancy oemises ante i1)tgnded use and occupancy of proposed construction: a. Existing use and occupancy .. �i£�Fr.. . .. ...................... . . 03JJlq.I AlWa ............ ../.T.N%ti'lr .��. Ase � �� rata ISGa+?' :w....... b. Intended use aoc] occupancy .. .. ... .... ........ ...:•.... Ci biditu .E Yhammdsl tsmQu3 AoirttilpmN� Nnlaare of work (dtedt Milds applicable)I New Building .......... Addition Alteration Italia Ir ...... Removal tknnlitlon •• .....`. ............. ............ Other Fbtic '• ... .. Meacription) L+alimnte<I Coat .. ... fee .paid . .... .(fo be pals cxr flung thSa.appllcacSon).. .• If dwell Ina, cooler of duelling units ............ haler of dwelling units on each floor ............. ... Ifgarage, cooler of care ...................................... If Ixaainess, ca...ercial or mi,redocc"Paricy, specify Cure and extent of�Qcl tyre of use. fAL�S?ATe � Q Olmensla's of existing strictures, If any, Front.ZQ., .,...... gear ,.+•.rtr- ,, I . .. Hulett ....................1..4. Mnber of Stories .... . ,, Depth Dimensions of am stricture witit alterations or'additiona, Front .." ZYJQ,�, Depth ............. . llel tt .. hear ............... •••••• Bi ..... Nunler of Stories ............... 1. Diaensioas of entire new construction, Front r,�-,s,?!j��. gear Depth Ileit}at ......................... lknirer of Stories ..................... i �^ 1. Sim of lot., Front ..�.Q. ......... hear ax-3ca I0. Hare of 13ardaeae ....l .. ,,ll'� n 71 ...... Name of lronrer (lvaiet�Y. .. i,7.......� r ... .. ... .zu �1 _ . If. Za>e or use district In ahidt premises are situated ....°"� .1 1.,,.. 12. Does proposed construction violate any zon[ng leu, onllna,tce or regulations ., / ,,, +. .�a __...... r0 �lr 13. Will lot be regraded .,11' Will excess fill he removed from {ses= YES,.�.., NO � .. . ......... 14. Nares of Dwner of ees 4: .l ex-1 Address �?Yzw?72' e4 �1"t�ar)a No. ��F Name of Ardtitect � ... 1�1�1.�/(y�.�.. �11�1Y�7�....r►....... Ackiresa� f�!`t. l�i'f�oi�e No.� :✓..1./� Name of Contractor .......... 1............... eai ......................... No. ........... . 15. is this property within 300 feet,of a tidal wetland.? * Y93 .......... iD *lir Yes, SCXMM Tam 14ailstl= PL mrr k1AY fig (Egjll m. PLOT DIAGRAM locate clearly and distinctly all buildings, uftetber existing or proposed, and indicate all set-bade dimensions frac imperty lines. Give street and block mober or description according to deed, and allow street ncarea arxl irxlicate %Anther Interior or corner lot. gL4()A Y��INr5- Y � o • n 1Co. ��jZ� 6 r M 5 p s 2 51'AII. (IllIN1Y(1r ...... 2, ,S. O" .• ••••.•••.••••.••.................Ire i og duly Sworn, clelx>Ses arxl Says that• he in the arypl.i mm: (Nme of iaxlividual signing contract) aline maned, Ile in Lire ......... .. •. (CartracC r, agent,-corporat4ofrc , etc.) of said (owner or owners, mxl is duly authorized to perform or hrrve laerfonned the said cork mel to nuke aril file diia slilAlentim; tint all statements contained in this npplicaticnr are true to the lest of his kcxxwledge mud Ix;dSef; mxl that the work will In peOmired in the roomer set forth in Lite nppl.leation filed tlferewlth. yaorn yc� [®r re me this q l/S!-......... ny of ... .19.1.. Notary ['crbl ... ...:..�.. E01MINA L CALLENt; ... ..•......... ....... NftyPubfit,State of Rm%A (SI ructyrre �i lennt) 'No.4991462 Qualified in Suffolk elslnam"EKOns Febrmry 3. f,. -Fro 4 • ,� j�: 'acs §• �:; �rtR:�tSl�rv� t � . :lit', • ,til ;•� r E +fir �.• r+ •1•�/•WWi 4 100.0 . .. •vitt',= �1ti.•�:'•��• �'r9'. OVAeveylp *VOR J i. �� �'• _t•iI�9C• •1'J"�d t1=�'CMh?0!'•.�J7"�i • ,'. . w .'o!r 1�I• Noe f.�,Mr.n •I ..�TYlA9 r fs�r.. ' +o - �•ln.rcf'M/r•.�h •..• ��.�1i►�.. i��l�rtC�rG�M`7L14�.. Pte.. .T. . r I �gtMr�MM� l-%Ce wR G� �O.vz� =t' .! :19 .!fe,•ftf 1a+1Ngb CjmAj "a4lcw: �w�r�MMwwrwu s Srri✓ery/.9rd �•• r:.G)C1, ac.-f.vb! asfE: mw .i._. t�IM�MIINwMIr