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HomeMy WebLinkAbout23325-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24293 Date APRIL 18, 1996 THIS CERTIFIES that the building ALTERATION 20 NEW SUFFOLK ROAD & Location of Property 28080 MAIN ROAD CUTCHOGUE NY House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 6 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 18, 1996 pursuant to which Building Permit No. 23325-Z dated MARCH 21, 1996 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 RENOVATE AN EXISTING RETAIL FLORIST SHOP TO AN ICECREAM PARLOR AS APPLIED FOR. The certificate is issued to JOSEPH NOLAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING APRIL 9, 1996 PLUMBERS CERTIFICATION DATED APRIL 18, 1996 GINGER TOMASZEWSKI B i ding Insg ctor 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) Date........... ... �............................. 19./... .. NP 23325 Z Permission Is hereby granted to: sK&... .........................................I...... rPo �..... ?��`1.✓.... ................................... wa ... �i�...s ��✓ C r ............ .......... ......... ....... .�...............,, ..../. ..2.................................................................................................................................................. ..................................................p..�........................................................................................................... . at premises located at........�o.' C � �iL� <`�!.: ........................................................ !�-............................................................... County Tax Map No. 1000 Section ....A��.......... Block.........11�'7............. Lot No. .....6...................... pursuant to application dated ............,IMP, .. .. ................, 19... .. ......, and approved by the Building Inspector. Fee .... ....... ............. .... ................................ ilding Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE. OF OCCUPANCY . A. This application must be filled in by typewriter OR ink and submitted to the building 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. B. 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $2 , -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 Buildinct - $100.00 JAW i- 3. Copy of Certificate of Occupancy - 25c, - 4. Updated Certificate of Occupancy - $50.00 p 5. Temporary Certificate of Occupancy - Residential $ 5.00, Commerci �o Date . . �. . . . . . . . . . New Construction. . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . ... ./ . . . . . . ... . . . . . Location of Property. . . r? . . . House No. Street Hamlet'•.,­� Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 lock. . (• . County Tax Map No 1000, Section. . yC�:. • • • • • •�� . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • .Filed Map. . . . . . . . . Lot. . . . . . . . . . . . . . . . / . . . . 1 � Sic;�• 3 a� .Date Of Permit. . l��. . . Permit No. . • • • • " " Applicant • ' • Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . .'. . . • •�4��• • • • Request for: Temporary Certificate Fi Certicate. . . . . . . . . . . 5PFee Submitted: $. . . . . • • • • • • • • • • • • • • • • • • • • Cogr—N)Q 3 APPLICANT Town Hall, 53095 Main Road y Z Fax (516)765-1823 P. O. Box 1179 Telephone (516)765-1802 Southold, New York 11971 ® ®� 1D a jOFFICE OF THE BUILDING INSPECTOR '? TOWN OF SOUTHOLD C E R T I F I CAT I O N 0 DATE r Building Permit No. L�' ` Owner: (please print) Plumber: please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (P mbers Signat re) Sworn to before me this f � y of 1996 Notary Public '�lac,y.. Count HELENE D. HORNE !Votary public,State of New York No.4951364 Qualified in Sul-folk County Commission EXPires PAay 22, 19�7 THE NEW YORK BOARD OF FIRE UNDERWRITERS FAGS 1 8059528 BUREAU OF ELECTRICITY F_ 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date APPRIL 1.2,1996 Application No.on file 11453.396/96 H 049527 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of GINGER TOI LP.9MISY.I, 28080 MIN ROAD, CUTCIiOGUE, N.Y. in the following location; ❑ Basement ® I st Ft. ❑ 2nd Ft. Section Block Lot was examined on APRIL 09,1996 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 2 30 SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE METER EQUIP. 1.02W 1 AF 3W 3 0 3W 3,B'IW NO.OF CC COND. A.W.G. NO.OF HIAEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER b' OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: i i s i SCOOPS P. O.BOX 1274 CUTCHOGUE, NY, 11935 GENERAL MANAGER 1.1 ' Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. o��SpFFO�,�coG o� y1 CA Z Town Hall,53095 Main Road p • Fax (516)765-1823 P. O. Box 1179 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD April 10, 1996 Ms . Tracy Ryan & Ms . Ginger Tomaszewski Scoops Inc. P.O. Box 1274 Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $50.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23325-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. f I Irhl)� I tl�il'I:(,C tl)tI itEl'nll'Il;Utllllitl l'�i I II --- - - • (tlln) N I(MIGIl F RAH1; & o hl.utm I tic. { � �1 Z I IISI11.AT I 011 I'lili if. Y . - S'I'A'I'li I.tll;l(c;Y I (OD KI { — ------------ — --===a E�t� F I IIA I. ------------- --------- — -- ------=-= ------ -------- s.====m—mese=a—m.,maeeo—e@=daamma=e=—, c*I nun t't'I nt1Al.. CUt'll'fl?tI'l'S -------------------- ------------ 1 U . ........... PLANNING BOARD MEMBERS �oS�FFO(�CO Town Hall, 53095 Main Road RICHARD G.WARD �O Gy P.O. Box 1179 Chairman = ` Southold,New York 11971 GEORGE RITCHIE LATHAM,JR. y Z Fax(516) 765-3136 BENNETT ORLOWSKI,JR. -Pry Telephone(516) 765-1938 WILLIAM J.CREMERS O� KENNETH L.EDWARDS PLANNING BOARD OFFICE TOWN OF SOUTHOLD :-7 IrV March 6, 1996 eLOG.DEPT. TOWN OF SOUTHOLD�� Tracy Ryan Ginger Tomaszewski Scoops, Inc. P.O. Box 1274 Cutchogue, NY 11935 Re: Request for site plan waiver SCTM# 1000-102-6-8 Dear Ms. Ryan and Ms. Tomaszewski: In response to your request for a waiver of site plan approval, the Planning Board reviewed your proposal and determined that a site plan amendment will not be required. Please contact this office if you have any questions regarding the above. Sincerely, �G�06 vf" Richard G. Wards Chairman cc: Southold Town Building Dept. PLANNING BOARD MEMBERS ZglaFF04 RICHARD G.WARD Town Hall, 53095 Main Road Chairman -Z may,, P.O. Box 1179 GEORGE RITCHIE LATHAM,JR. cm Southold,New York 11971 BENNETT ORLOWSKI,JR. y Fax(516) 765-3136 WILLIAM J.CREMERS O Telephone(516) 765-1938 KENNETH L.EDWARDS y ' - -�— - PLANNING BOARD OFFICE i' 96 II h TOWN OF SOUTHOLD U BLDG.DEPT: - TOWN OF SOUTH OLD D r March 6, 1996 Tracy Ryan Ginger Tomaszewski Scoops, Inc. P.O. Box 1274 Cutchogue, NY 11935 Re: Request for site plan waiver SCTM# 1000-102-6-8 Dear Ms. Ryan and Ms. Tomaszewski: In response to your request for a waiver of site plan approval, the Planning Board reviewed your proposal and determined that a site plan amendment will not be required. Please contact this office if you have any qubstions regarding the above. Sincerely, Vl(/.41 Richard G. Ward ins Chairman cc: Southold Town Building Dept. ` BOARD OF HEA1:1'11 . . . . . . . . . . . . . . . FOItM NU. 1 L�5 3 Si:'I'S ON PLANS . . . . . . . . . . . . . . . i'' �jj J�` _- - -_ '1'O1JN OF SOIITHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . I1I111.U1 NG DEPAR'niRNT CIIECR . . . . . . . . . . . . . . . . . . . . . . . . . 6 TOWN HALT. SEPTIC FORt1 N p Soll'1'1I01.1), N.Y. 11971 '1171.: 765-11102 NOTIITY• BLDG.DEP1: 5-2o0i TOWN OF SOUTI-9Clt__lD �A.��. ('Al.l. 1/. . . . . . . . . . . 19. � 2 HAIL TO: . . ... . . . . . . . . . . . . . . . . Alrlrroved...... / /_...., 19�W Permit N). 02 3. .z .................................... Disapproveda/c .................................. .................................... ...................................................... v..... (ikrildi I, _.slx--ctor) APPLICATION FOR BUILDING PERM I'T / Date. . U!. . . . . , 19:�1A INSTRUCTTONS a. Ibis application oust lie comliletely filled in by t:ylxa•rriter or in ink atxl solxtiitted to Lire Ikrilding Inspector With 3 nets of plans, accurate plot plan to scale. Fee according to schechrle. b. Plot plan shoring location of lot: aril of Imildings on premises, relationship to adjoining; premises or lxiblic streets or areas, arxl giving; a detailed description of laycxut of property must lie drawn on the diagram Which is part of this algAication. c. 1he Mork covered lry thin alrlrlicadon may mt Ire ccnntercecl before isstkrnce of Ikrilding Permit. d. lllxxr approval. of this applicadotr, the lkrilding; inspector will issue a lkrilcling I'etmit to the applicant. Stich permit t;irall Ire icept on tine premises available for inspection thronglxxrt the work. e. No Ixrilding nliall be occupied or used in whole or in lkart for any lxurlxnse whatever tnntil a Certificate of Occupatxy shall have been granted by the Wilding Inspector. APPLiCAI10N IS IL-111311Y 11ME to the Ikrilding; Department for the issuance of a Ikrilding Permit tursuant to the Wilding Zone Ordinance of the 'Town of Southold, Suffolk County, New York, and other applicable Laws, Orlinancea or Regntlations, for tine construction of Imildings, acklitions or alterations, or for removal or (kenulit]on, as herein described. 'The applicant agrees to conloly with all. alq)licabl.e laws, ordinances, Ixrilding code, horsing code, atxl regulations, atx] to admit atrtlrorhed inspectors on premises atxl in Ix i 'rug for nec ssarynninspections. .................. nature of applicant, or name, if a corlxnration) r x:.WN c oqug,.t�y....►I►g3s..... (Mailing address of applicant) State wltetirer aiq)licant is owner, lessee, agent, ardnitect, engineer, general contractor, electrician, plurirer or builder. :�►,?✓.:...��.. . APPROVED AS NOTED�►Sir?Qfs................... . .................... ....-. •-T i DATE: 11r>,rre of ortrer of premises .. J �� ...� �i� .:.............................FEE: � BY, . (as on the tax roll or Latest deed) NOTIFY BUILDING DEPART ENT AT If al>(nl icanl' .is a corporation, sigr>ature of: thrly authorizedofficer. 765-11302 9 AM TO 4 PM FOR THEFOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED - ........ ............................................ FOR POURED CONCRETE (N.itre :ntxl title of corporate officer) 2. ROUGH - FRAMING & PLUMBING 3. INSULATION JJ 4. FINAL - CONSTRUCTION MUST ikui lders License No. .... 1�......... '. BE COMPLETE FOR C.O. ALL 'CONSTRUCTION SHALL MEET l'ludoers License No. ....(��................. THE REQUIREMENTS OF THE N.Y. Electricians License No. .J-0A............... STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR Other 'rrmle's License No. .................... c DESIr O(R� CONSTRUCTION ERRORS I. Location of larxl of which proposed work will be done.....................-Rd...`...k ��r1:�,..t..1+C�3S - .......•............................•.................................................................................. Ilouse Amber Street r, 11milet ('.cxrtnt:y Tax KIP No. 10(X) Section ...�(}a........ Block ...� ........... Lot ...a............ SulAivisio n ...................................... Filed Mall No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises aril intemI&I use arxl occupancy of prolxosed construction: a. Existing; rise and occupancy ...` )l ►S .. /" ��il . 5: ............... . . • ................ lo. inletxlecl true aril occupancy .....:'� !, ................................................. 'I it•ilure of work (clieck idii(Ji 1114Ai(:11111e): lk!tj Ikrilding .......... Mklit'iou ...........Alterat.ion ..... MINI lr ............ Itaimal ............. Dam Il:ioir ............ Other Ikirk .................................. T (I)escrllit too) 4. Issl:i Ina tecl ((iliL' .. ®O ......... fee .............................................. (to Im paid on filing this alilAicatioo) 5. If thmi I hill, ixniier of (knell Ing units .. � ..... lkwo 'er of ckael I ing units oar each floor .....iJ.J A...... fgrrri►Ile, lxulier of cars ...... .......................... G. If Ixrniman, c(amiercial or mixed oc:culitimy, Specify nal.oreaixl extent' of: each type of use...................... 1. IliiIK-11- icaln of exisl:ir►g ntrucLi(res, If 1111y: Front....l.l A..... Itear ............... Depth ..50�:.A0j, X• 1kiglu' Usiber of Sloriea ........I............. (+ Diniensi(r of stone striwAtire with alternHooe or ixklitlons: I�ronL' .....? .... hear ............... fiepiIt ..... k...fPPM,... llei&L .................... Astirer of itorien .............. II. I)imenalons of enLire new (xxrstnx:tiar: FrooL ......K41A..... hear .....?��l?..... Depth ...�.h.:..... MAJOl: ...PIR................. Rinbsr of Sl.ories ....Aft. ........... 9. Size of loL: Prmst ....... .ln.......... Rear .......t-A`A......... ik:litIk ...! tint ............ 1(). Ikrle of 11rr(:lrrrlie ......^!ll!" ........ Fl.iiix! of Dormer (wirer :................................ 11. ZA)iie or use district Ili wlridr promises rive nituated ................................`.............................. 12. ioea prolxised constro:t'ion violate any zooing law„ordinaoce or regulntAon: .....A).Lj>............... H. Will lot be regraded ..! ............. Will excess f111 lie ro ixwed froin premises: YIcS U) 14. ilrniea of l nw.r of premises .�t?, Q�?.!JD�I ......... M lienB `' !►ICJ ¢r..s. i° .^ ... llxxxi No. yet . r Mme of Architect .................................... Mklress ... ........................... Mone lb. .............. Moue of Contractor ..... .................. ikklreas ...............................Plooe No. ............ 15. is this prripert:y within300 feet' of a tidal w0aml? * YI.S ....... R) ....k.... *iF y1m, S(ArI1KMl) lam '11111ml-ws I131tMI'1' FLAY 111; itU- PIR1iU. PLOT DIAGRAM Icx:ate clearly nixl distinctly all Ixrilclings, %Aielher exial:ing or prolxised, aixl )(xllral:e all set-back dlnieoniona frois prol►erty lines. Give at'reet arxl block lumber or descriptloo according to deed, nrxl Aim street nilues n►xl imlicafe r,Aiether interior or corner lot. _=�7f� :il'A'II? (M-11,11. AK,Wilily U . fed l../ '.. rp.k,; c,, ... ..Ixl y sworo, elx inll dul duien aixl nays that he lit tile t appl.icfiot (Fl;sir. of iixli kith. nigniiig coii,Crac:C')' Y/f' - ' alxrvc riruit:d ' 1 Iksit, Ole .......:.......... ' ................... .............................................. ((cnrl:rnclar, nlle11L corlwrnte officer, Of Maid ucnx!r or ow►xiru, iicxl in duly aulhorized 1:0 Ixirfurm or have In:rfurmmI the maid work nrxl to malcr, nixl file Min applic:aLion; 1.1nl: sill atatuiieoLo contai(xrd in Oda npplic:ation are trr►e to [lie bent: of hin kriowledlle mid ixii.ief; oid that. the vmilt will I►e perfotmed Iu OIL, nvnnrer net ford► in the npplic.1111on filed lhereai11.11. :I•acirn to ►efc rc urn l.his I`J�� /g.... cl cif: ........ MA.ary Ikilil .. . . CL-AIREL GLEW ,illnatti a OfAppi icnoL) . Notery Pubbli �State 8��50f New York No.Qualified in Suffolk County Commission Expires December 8,19 IJK -- rb 1_ i I , I f j i b 1 1 I f ` - I f i I i I I ! I I I I i I � ! I I i I I! I I I ! 1 I I I I I 1. , I 1 - f.... _ r I L. I L I I -I i L- i- I 1 I - ' I I I 1 I i I if -- -- I ' I I i I 1 g I i I I I 1 I I I I I I i i 1 I i — !1 I I ! I i -r x �o i i ; 1 i ! . o �o`-iIfIfIII�1-'.qp—�6��3 i�I-.Lna��-.:�, �f�iII,�+►_i1 I!i�I! - - ,y Ii --' PLUMBER CERTIFICATION ' 0R If copper tubing is used ON LEAD CONTENT BEFORE tingPL� f�lNC for water distribuUSE IS UNLAWFUL CERTIFICATE OF OCCUPANCY ALL PLOMBING WASTE system; piping shall be & ��TER Les NEED CERTIFICATE of apes CorLonly SOLDER USED IN WATER TESTI; G s�-���cov��lioI �CY SUPPLY SY5 TE CANNOTOF OCCUFA � I_'- .: - UNDERWRITERS CERTIFICATE REQUIRED EXCEED 2110 of I% LEAD.