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Home My WebLink About28865-ZFORN NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29112 Date: 12/10/02 THIS CERTIFIES that the building ALTERATIOINS Location of Property: 10095 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 142 MATTITUCK (STREET) (HAMLET) Block 1 Lot 26 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 16, 2002 pursuant to which Building Permit No. 28865-Z dated OCTOBER 25, 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. The certificate is issued to ALAN A CARDINALE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF r~RALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'~'~a3 Rev. 1/81 N/A 1063493 09/16/02 N/A 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. 28865 Z Date OCTOBER 25, 2002 Permission is hereby granted to: AL~ANA CARDINALE PO BOX 77 MATTITUCK,NY 11952 for : INTERIOR ALTERATIONS TO AN EXISTING COMMERCIAL BUILDING at premises located at 10095 County Tax Map No. 473889 Section 142 pursuant to application dated AUGUST Building Inspector to expire on APRIL MAIN RD MATTITUCK Block 0001 Lot No. 026 16, 2002 and approved by the 25, 2004. Fee $ 418.40 Authoriz~'d~igna~re Rev. 5/8/02 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING 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. Bo 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. Co 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: I 0 0(~ ~' House No. Owner or Owners ofProperty: g lo n Suffolk County Tax Map No 1000, Section Subdivision PerrrfitNo. o~8 ~:~5~" Dateofeenuit. Health Dept. Approval: ttkJ] Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 5'0,0 C> Old or Pre-existing Building: Date. Street (check one) Hamlet Block 000 t Lot Filed Map. Lot: Applicant: ~}]~lq ]~f- l~J/dll~tJ-te ~-¢~l?jCOLC, Underwriters Approval: S br., //e Final Certificate: V~ (check one) Applicant Signature BY THIS CERTIFICATE OF- COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NE~/ YOI~K,, NY 1003~./ CER*FIFIES THAT Upon tile application of upon premises owned by NOFITH ELF:CTFIIO CO. AlAN CAF:IDIN^LE 500 FIOCKY POINT FIOAD P.O. BOX 77 FIOCK¥ POINT, NY 11775, MATTITUCK, NY 1195~ I. ocaled al FIT.~5 ( M^IN FIO^D) M^TTITUCK, ~¥ 11952 Applicalion Number: 10524D2 Certilicale Number: 1052,4~2 Seclion: Block: [ol: Building Permit: Bt)C: N$11 Described as a Co~nmercial occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, was inspecteO in accordance with the ~ational [lectrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on tile 16th Day of September, 2002. Name QTY Rate R~ating Circui~ Ty~ Alarm and Einergency Equip~nent Emergency Light 4 0 Exit Light 5 0 Generator I 0 60 kw Transl~r Switch I 0 200 amp Appliances and Accessories Air Ctmditione~ I 0 30,000 BTU Air Conditioner I 0 60/000 BTU Exhaust I:an l 0 F.H.P. Wiring and Devices Receptacle 43 0 General Purpose Switch 9 0 General l>m'posc Fixture 24 0 Eluorescent Service 3 Phase 4W Service Rating 200 Amperes Service Disconnect: I 200 cb Meters: i -seal I 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. WARREN A. SAMBACH, SR. CONSULTING ENGINEERS , PLANNERS 7675 COX LANE . P.O. BOX 1033 CUTCHOGUE, NY 11935 631-- ~734'7492 File No: 6602 November 13 2002 Buildin§ Departmen% Town of Southold Town Hall 53095 Main Road Southold NY 11971 Mattituck Shopping Center 10095 Main Road Mattituck NY 11958 SCTM: 473889 SectionL 142 Permit ~28865Z Block: 0.001 Lot: 026 Robert Fischer, Fire Marshall! Ail pipe penetrations in masonry walls, partition walls of metal studs and sheet rock have been foam filled and conform to the Building Code. Existing partition walls and new partition walls of metal studs and sheet rock are one (1) hour rated. S~erely, - Warren A. Sambach Sr. P.E. was:s BUILDING PERM~ER CHECK LIST APPLICANT: ~--~ ~ ' SCTM# DISTRICT: 1,000, SECTION: /~2-, BLOCK: /, LOT: STREET ADDRESS: /&20 ~~',,~. CITY: PROJECT DESCRIPTION: DATE REVIEWED: / /0 DATE SUBMITTED: / /0 SUBDIVISION: ESTIMATED PROJECT COST:t/~ o.>x:> ARCHITECT/ENGINEER: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? NOTES: LOTS 40,000SF -100-24. Lot recogmtion.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25 Merger.(A nonconforming at any time after 7/i ZONING DISTRICT: REQ. LOT SIZE: REQ. FRONT PmQ. REAR CONFORMING? ACT. LOT SIZE: __ REQ. LOT COV. PROP. FRONT REQ SIDE PROP. REAR REQ. HEIGHT ACT. LOT COV. ACT. SIDE PROP. HEIGHT WATER FRONT? PANEL #: FLOOD ZONE: DESCRIPTION: APPROVALS REQUIRED SUFFOLK COUNTY HEALTH.T: YES o~BED #): TOWN SEPTIC RECEIPT: Y o~ NEW YORK STATE DEC: PRE-DECg/1/T5 YES or 1~ SOUTHOLD TOWN TRUSTEES: YES ~;~ TOWN ZONING BOARD APPROVAL: YES TOWN PLAN. BOARD APPROVAL: TOWN HISTORICAL PRE (SPLIA): NYS ENERGY: YES OR NO : EGRESS (18 H min.? 4 sq total) YES or ~ YES orE DTE: / / PERMIT #:R10- VENT (SQ. FT. x 4%). LIGHT (SQ. FT. x 8%). BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- ., -Z/C HAVE PRE CO'S: Y ORN ~ BP. J0,,,Z- , NOTES: ~_ / ~' Cb' ' ~ ~- 'J~'~';~"' FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOO~: OTHER: TOTAL: 1. (/7,74 2. ( SF)- ( SF)= SF SF SF SF OTHER SF FEE INIT FEE 7)'~ SF X $ · :~Q-$ ~'1~'/'~/("~* .,~oO.t.,o+, =$ SF X $ =$ +$ +$ = $ TOTAL FEE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [_ ]I~U~j'A~N [ ~ FINAL [ ] FIREPLACE & CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~FINAL [ ] FIREPLACE&CHIMNEY ~.,~ REMARKS: DATE /I --7-~ o '~ INSPECTO~~--.. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING ROUGH PLBG. INSULATION FINAL [ ] FIREPLACE & CHIMNEY ~X~ ~__.~ ~ REMARKS: DATE ///~/ 6 2-----~ iNSPECTOR~ FIELD INSPECTION REPORT , DATE COMMENTS FOUNDATION (2ND) ROUGH FRAMING & PL~B~G ~S~ATION PER N. Y. STATE ENERGY CODE F~ ~DITION~ COMMENTS FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT. TOWN HALL $OUTIIOLD, N,Y. 11~71 TEl_.: 765-1802 DiSapluoved a/c ................................... BOARD OF IIEALTII . · ,, ..... 3 SETS OF PLAitS ........ SURVEY ................. CHECK .................. SEPTIC FoRtl CAI.! .... FlAil. TD: ..... (Buildi,g Inspector) fi' ~AO~I CATION FOR BUILDING PERMIT Date ...... 3 2092 ~ INSTRUCTIONS a. This application must be cOmplel~ led in by typewriler or in ink and submitted to lhe Building Inspector, wilh sets of plans, accurate plot plan toscale. Fee according to schedule. b. Plot plan showing location of lot and of buildi,gs on preniises, relationship to adjoining premises or public stkee or areas, and giving a detailed descrJplion of layout of property must be drawn on the diagram which is part of this apF caJioll. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon al)proval of this application, the Building Inspector will issued a Building Pemfit to the applicant. Such pern 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 whatever until a Certificate of Occupan, shah have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buikling Permit pursuant Building Zone Otdiuance of the Town of Southokl, .Suffolk County, New York, mid other applicable Laws, Ordinances Regular}OhS, for the conshuction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit atdhorized inspectors on premises and, in building for necess~~ . - (~r~licant, or name, if a cort orati(,) ..... .... (Mailing address ~appli a t) Slate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde (as on Ihe tax roll or latest deed) If applicant is a corporation, signattue of duly authorized officer. (Nan]e and lille of corporate officer) Iluihler's License No .......................... I'lumber's License No ......................... l£1echic'a i s License No ....................... Othe~ '1 rades License No ...................... I. Location o£1and on which proposed work will be done. ~< ~.~4(...~4~ ..................... Ih)use Number Street llamlet Subdivision .................................... '. Fil&l Map No ............... Lot ...... : ........ (Name) 2. Slale exisliug use and occul)ancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy .......................... ~ ~ ~ ~ ~ ........ ................. 3. N,tnrc of work (check which applicable): New Building .......... Addition .......... Alteration Rep~dr .............. Removal .............. l)emolition .... : ......... Othe~ Work ............... ~ ~ - (Description) 4. Estimated Cost .... ~. ~ .......................... Fee ...................................... (to be paid on filing this application) 5. If dx~,elling, numbe~ o('dwe)ling units ............... Number of dwelling traits on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nah~re and exteut oreacb type of use .~/.~g.. ~. 7. l)imensions of existing structures, if any: Front ............... Rear .............. l)eptb ............... Ileight ............... Numbe, of Stmies ........................................................ Dimensions of shine st~uc:ltn'e wilb alterations or additions: Front ................. Rear .................. Del)Ih ...................... lleight ........... · ......... ·.. Number of Stories ...................... 8. l)imensions of entire new constnlct on: Front ............... Rear ............... Depth ............... · I leight ............... Number of Stories ....................... , ................................ Size of lot: Front ......... . ............. Rear ...................... Depth ...................... DateofPurcbase ../~7.~ ..................... Name of Fonner Owner ............................. Zone or use dislricl in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will 10t be legraded ' . Will excess fill be removed from premises: Yes No Nmne of Owner of prenlises .................... Address ................... Phone No ................ ' Name of Architect ........................... Address ................... Phone No ................ Name of Contractor . ......................... Address ................... Phone No ................ 5. fs this property ulthin 300 ~eer of a tidal uerland? *Yes ........ No ......... · [f yes, Southold Town Trustees Permt[ may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, xvhetber existing or proposed, and. indicate' all set-back dimensions from ,roperty lines. Give street and b)ock number or description according to deed, and show street names and indicate whether ntcrior or corner lot. II. D[./NT¥ OF~ S.S ................................................ being duly swords, depose.s and says that he is the applicant (Name of individual sighting contract) i~ u,~ ... AL&~..A... QA~D. ~, ~.~ .............................................. ' .............. (Contractor, agellt, corporale o~ficer, etc.) said owner or owners, and is duly anlborized to per[orlll or have per[orn~ed lbe said work and to make and file Ibis plicalion; that all statements contained hi tbis'applicalio~l are lrue tO lhe best of his knowledge and belief; and lhat the )tk will be performed in the manner set ~orth in the application filed tberewilb. ,'0111 lo ~)e[Ore ille this .......... ......... ........ '., )[aly .~.~. ,~ ............ .. · . ~ ~, $~ 0t ~ ~ ............. (Signat~ · , ~o. 01~1~ licanL) RO~DAS NOrD SCALE: l/e"-~'~'o· ~,~,~ , ALL CONSTRUCTION SHALL MEET ~.~ THE REQUIREMENTS OF THE N.Y. --*~-T~TE CONSTRUCTION & ENERGY COOpE ES. NOT RESPONSIBLE FOR DE~I.GN OR CONSTRUCTION ERRORS r~ L MAIN ROAD RTE 2,5 'SITE - PLOT PLAN SCALE: ~1"= 100' FIRE INSPECTION REQUIRED BEFORE OPENING