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HomeMy WebLinkAbout23492-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25497 Date: 01/23/98 THIS CERTIFIES that the building ALTERATION Location of Property: 23005 MAIN RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 1 Lot 8.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1996 pursuant to which Building Permit No. 23492-Z dated JUNE 12, 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 NON-COMMERCIAL KITCHEN IN EXISTING WINERY FOR THE PRIVATE USE BY THE EMPLOYEES AS APPLIED FOR. The certificate is issued to ROBERT PELLEGRINI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-439976 12/09/97 PLUMBERS CERTIFICATION DATED O1/15/98 KENNETH DAUPHIN Building Ins ctor Rev. 1/81 FORM NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, IN. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23492 Z Date ...00�..................................... 19. E Permission is hereby granted to- . .<2 .%..... . .�.�.�. -.... �. ......,. ./.............. ta`fc9y ...fg7�L fG9Ee,9:{GYj.....!a�y �'YE�y ....�• 0 •JIi{7. •. . P at premises located at .., .—�... . ��:? ..C� � ........................................................................ ............................................... ............................................................................................................./..��................................................... County Tax Map No. 1000 Section .. ..... Block ........l........... Lot No. �J.�.y� pursuant to application dated .....6/Z-; ..................................... 19�+ and approved by the Building Inspector. Fee $...�.��.� .... .....:d.. .. .z 1....... .... ..................... B �Inspector Rev. 6/30/80 O��g�FFO(,�co Town Hall, 53095 Main Road y 2 Fax (516)765-1823 P. O. Box 1179 Telephone(516)765-1802 Southold, New York 11971 Oy • �� OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 8, 1997 Robert Pellegrini 23005 Main Road 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. r0� xx The check is not on file. $50.00 , No Health Department Approval on file. final inspection has been made. xx::��/�No Plumber Solder Certificate. on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23492-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Form No. 6 2ii-cattion 2must TOWN OF SOUTHOLD BUILDING DEPARTMENT OTOWN HALL jAN 1 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY tb ";;. OLDGNA.'. •.. app 'be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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 $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 - .25v,,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1//5.00,�yCommercial $15.00 Date . . vr.�L.O.j.( . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building . . . . . . . Location of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . . . .�`.fL:'� � .�. ... ,. . . . . . . . . County Tax Map:.No 1000, Section. J .0. . . . . .Block. . . . .1. . . . . . . . . . .Lot. . . . . .l. . .t. . . . . . . . . . . . Subdivision. . .) . . �I. . . . .!. . . . . . . . . . . . . . .Filed Map. .1vJJA . . .Lot. . . . l:.J .�:. . . . . . . . . . . Permit No.4,��. �.�. . .'. .Date Of Permit. .�?1 .�2_j.�.��. . .Applicant.TZ YO? Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . FACtic . . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LICANT. . . . . . . . . . . . . . . . . . . . . . . . CoSY�7 'FFOL4' IDGPI � Town Hall, 530 5 Main Roo '76 50 � �N � Fax (516)765-1823 P. O. Box 1179T��.®'"`" Telephone(516)765-1802 Southold, New W ork 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD - C E R T I F I C A T I O N DATE: / /cY Building. Permit No. Owner: (pl ase print) Plumber: kelilve.7% av , o (please print I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. l r (Plumbers Signat Sworn to before me this day of r)Ua 19 �g Notary Public, County WVIRY N ZORSE Notary Public,State of New York No.4844772 Qualified iA 6ta� tit� z Chun J . Oomnlissiort Expires Jan.20,T9-- �Q THE NEW YORK BOARD-OF FIRE UNDERWRITERS PAGE ns5on BUREAU OF, ELECTRICITY 85 JOHN STREET,-NEW YORK, NY 10038 Date DECP,MBER 09,1997 Application No.on file 1515169 7/9 7 id 439976 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 PF,L. GgTNT'VT ITEY .RDS, . '`005 R07JTE 24, C{JTCHOGUE , M in the following location; ❑ Basement 0 1st Ff. ❑ 2nd Ft. .Section Block Lot uws examined on DECEI-IBER 04,1997 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTAClES.SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. C :'f 4 2 1 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. I AMPS. TRANS.I AMT. H.P. NO.OF FEET AMT. WATTS 1 20 SERVICE DISCONNECT. NO.OF S E R V I C E AMT. AMP. TYPE METER A,4W AY 3W 9 B 3W 3,�'4W 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 HIAEG OF NEUTRAL OTHER APPARATUS: 30 pDD-31TH7ASIM1.R.-I P_Ad�I'.,LE�.�1`�;Dti S'3.'.L�1 ��.�•:`-'1.2�:., . G..0 F.Cry.I: _4 v — 390 OPERATING CORP. LTC` #268 � � L L 1555 LOCUST AVE. BC.?1*111TA` MY, 1.1716 -216 2 GENERAL MANAGER 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. \�J COPY FOR BUILDING..DEPARTMENT. THIS COPY OF..CERTIFICATE MUST NOT BE. ALTERED IN ANY MANNER. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] �INSCATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS DATE 0 /� INSPECTOR 765-1802 BUILDING DEPT. INSPECTIO"--- [ ] FOUND TION 1ST [ ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: DATE 1 1' INSPECTOR 1.I?LD INST'EC'1'ION REPORT DATE COMMENTS ______________=____________________ II II H FOUNDATION ( 1ST) cl FOINDATION (2ND) ------------------ -- — — ---- -------------- --- -------- u tr � ROUGH FRAME & — PLUMBING I� INSULATION PER N. Y. STATE ENERGY I 'CODE II II FINAL ----------------------ADDITIONAL COMMENTS: H H v - H BOARD OF HEALTH . . . . . . . . . .. . . . . FORM NO. 1 ,,3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD ,,,�WRVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT /CUECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: Lf (I - �� dn . . . . CALL . _ . . . . . . .r Examired.r/ .!W MAIL TO: . . . . . . . . . . . . . . . . . . . . -... 19. l Permit No. - .............................I....... Disapproveda/c .................................. / .................................... ...................................................... . �— c L_1;12g n tor) APPLICATION FOR BUILDING PERMIT / Date. . TNSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. }?lot plan sh nd owing location of lot a of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. She work covered by this application r',.V not be connmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICNrION 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, ina es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in ildir or necessary inspections. (Signature of applicant, ,.,,;.if.a.corporation). d:.Cap (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner.of premises .�.....�...P���: J._t !d,... I Tom'. .-� .0�. (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. Location of land on which proposed work will be done.............................................................. ....�:.... .. ._......� I+Ilv...!0.�............... �..l -.. � .............................. House Nmbher Street IIamlet County Tax Map No. 1000 Section C.(.Le�rr......... Block .../........... Lot ...e.<.:-1-.... Subdivision ........ :?:_:`.kf�! ................. Filed Map No. ... !� ........ Lot .... ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..�ll� l�1.... ... �j ..... ............. b. Intended use and occupa ,, _ -✓.. 3. KiLure of work ((beck whi(1r applicable): Nc-w Mildini; .......... Acklition .......... Alteration . ........ Itepair ............ Renmal ............. Dam IiLion ............ Other Work .................................. (Desc:r i pt icon) 4. Estimated Cost 04 Do...... fee .............................................. (to Ire paid on filing this application) 5. If dcael l ing, comber of ti ell inn units ...0...... timber of. Ah el l ing uniLs on eacin floor ...9.......... If garage, comber of cars ...................................... G. If Ixrsiness, cornrrercial or mixed occupancy, specify nature aril extent of each type of use.......... ............ 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Ileiglrt ......................... Nurber of Stories .....1................ Dimensions of same structure with alterations or additions: Front .......fLJ[.:. lteal �:...�......... DepUr .................... IleiglrL Nurber of Stories ............... Dime nsions ensions of entire new construetion: Fr(xlt .'/V/�.... Rear ............... DepLh .............. Ileigirt ......................... Nirrixer of Stories ..................... J. Size of lot: FronL .... ............... Rear .................... Deptl► .................... 10. Mite of Purchase /.o.(.61......01. Nane of Fornier OAier .. 1 I. Zoibe or use district in %Atich premises are situated .s ....�1........................................ 12. Does proposed construction violate any zoning -law, ordinance or regulation: .A Ole............... 13. Will lot be regraded Will excess fill lie renoved Limn preinises: YES NO n M. Mnes of Omier of premises ...... .................... Acklress ............ ................. Phone No. .......... rp�-, Imo' 52('2 Name of ArchitecLd��� 08 1.. ��`�/�`t�... Acklress(.��.�°..5"��..��.:....... Pfwne No�a-3 3 1�!'... Name of C(xntract:or ................................... Acklress .... ...........................Mone No. ............ 15. is this property within 300 feet of a tidal wetland? * YES .......... Na ..... *IF YES, S(Xlll]()ID '1nWN '18llSLLG.S PLRMrr MAY BE RE(X)1RIil). PLOT' DTAGIiAM Locale clearly and distinctly all Wildings, %Aiether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block ramber or description according to deed, and show street nines and indicate Mietlier interior or corner lot. SAIL' 01- W W YMK', (XXINIY ()r. . T.� � ••� �� r '�/ ..•.••............Ix,ing duly sworn, delxnses a�xl says tl�al he is the appl ic<inL (Male of imlivid ual. signing contract) alxove rmed, Ik! is Lire ...v. /.'. -7 .......................................... ...................................... (ContracLor, agent, corporate officer, etc.) of said owner or owners, aml is (July authorized to perfonu or have perfonied Lhe said work and Lo nkike aril file this appl icatiou; that all staLements containe4l in this aril ication are true to the best of hi.s kmwl.edge and Ixal.ief; and thaL Life work will be performed in Lhe itu n►er set fordi1n Lhe application filed Oierewidi. '-M)rn to bpefo nre this A J .....da oC .... 9. �`!.. Not.ary 1( Aic .. ........ ........ CLAIRE L.GLEW grnature of Applicant) Notary Public,State of New York Igo.4879505 Qualified in Suffolk County Commission Expires December 8,19 G U1" L-t r.1lE„ _ m. . _......... .._ . . ■ n■ nnr ■ n ■ ■■ r n ■r ■ n ■ rTrrm ._ _ _ _ `■■■■rrr■■■■t■■rrr■trr�� ■■rr■r■■Kill rr■trrrr■■■r■r■■rtt■■■■rrrrtrrrrrrrrrrr■r■r■■rrrrr■r■r■■■■tit■t■■■r■■r■rrrrrrrrrrrrr■r■rr■■■rrrr■■r■■■rrrrrr■■■■■rrrrr ■■■ ■�■■■■■■ r■ t■■t ■■ ■■ ■ ■■t■t r ■ t t ■ ■re■rrrn■■ J - r GENERAL NOTES - .1. THIE PROPOSED WORK DOES NOT ALTER THE OCCUPANCY, BULK, EXTERIOR APPEARANCE OR MEANS OF EGRESS OF THE BUILDING. = 2. ' THIE PROPOSED INSTALLATION OF A COOKING FACILITY COMPLIES WITH THIE ACTION OF THE TOWN OF SOUTHOLD BOARD OF APPEALS ON APPLICATION NO. 4237; THIE COOKING AREA (98 SF.) IS LESS THAN 100 SOUARE FEET. • THE KITCHEN FLOOR AREA (8'-2"X 12'-0") DOES NOT EXCEED.12 FEET BY 20 FEET. • NO COMMERCIAL CHAMBER-TYPE OVEN OR REFRIGERATION IS TO BE USED KITCHEN SINK IS A SINGLE COMPARTMENT • ` REFRIGERATION IS LESS THAN 19 CU. FT. IN SIZE. � - • COOKING FACILITY IS TO BE ONLY FOR WINERY EMPLOYEES, PRIVATE USE ' , = Up VaEE:A-FFAfRS'�A&-PR tEIEII iNQER ##APT R '� �'C'� /OC>- 3/ OF THE CODE OF THE TOWN OF SOUTHOLD. l; � � - � t�W. • 21 Za EQUIPMENT SCHEDULE 1. REFRIGERATOR/FREEZER: TRAULSEN MODEL RDT 1-26 WUT L L = &4-et4 TV E)c'& 2. C00KTOP: VIKING MODEL VGRT360-40; GAS, FOUR BURNERS AND 12"GRILL �--�` �L' ��''I� mum"",* 3. OVENS: VIKING MODEL VGS0166; GAS, DOUBLE CONVECTION/THERMAL tui''ur!:!n^jr��,+!w477 4 . DISHWASHER: HOBART MODEL LX18 UNDER-COUNTER r'�..V� j�.) �' �� TESTPois E''_r-o-n CCI"`r' r N o S(SAt_ : : r_..W A-TO, I It PLUMBER CERTIFICATION _ LDUt•l C� LEAD CONTENT BEFORE ON DI Y �-{/�L_L__- _ CCUPANCY CERTIFICATE OF e�c'e 1 USED IN U'IAT ER SUPPLY SYSTS4 CANNOT — 41-- - -- - - - - - -- S D Z�1 p OF 1%LEAD' G �ootz.>S EXCEE ., �. y. '� r, °IZ- C New If copper tubing is used I yz.''<p H�^L- Ex'� DOdI'`- for water distributing ri P F_- fc-Al t.- Imo►-oG' �'2`� tyettern;Pifl shall - - - - - - - - - - - - - - - - - pin I of types K or�Y �1 `� -fi�7 ' �%'G H.G. 1 / EXL-� tt-G-- r q� • Lra 1�zl T�-tr.IC� t�M 0 _ �,e , 4'c' Ku t u�l r.t(� M E'ZZ/*N I N F- of-F--1 G-E 2 GooK-Tvr po r�v�'iTvrJ - - � O Z _ � -•- FaW AuyT U",�Elit"RITERS MRTIFt",!'=TE t- REQUT D - t s-r.5�E�4L_ _ N OFF _— � s �v�,,►5 E� f� � - N � /I G � I7oo� I - � r ■nrrrr�nrnnrr■rrrrrrnnrn■■■r�rrl a"'4 .w Ej� OF OCCUPANCY : PIPS ��� ��� I�+-�G, •-- - _ E><.� O�•IGE� NEW _ A m Foi TTION r LEI ._ ... �®f�t,IGTI t�rl '� JI lrl]IrJ& C F0"�a ��t�t_ss�El•?CONCRETE . �sF,:('0gl! s.E�T r F()R C. . J C : ALL ��ON'f')TRUICTION SHALL MEET = �1STIhJ62 C.ar.JST►�.uvt'IoN '(o (��M/41►.1 �,�•I� : �� Fr r��� I�Fnf ITS OF THE R.� : .swill■■■r■rr■■■■rr■■■■rn■rrrrr■rnr ■. ,;;�:I •�'.��SST-RUCTION & ENERGY � c`.1:�';D S. NOT RESPONSIS F FOR � .— 7_— F_�I`.�T I�►(� C.oN ST fZUGTIV IJ '("c7 6,E- TRUCTION ERRORS 11 - =r ��R�' N�1 f A K--1•I T'I O�/�; tom'�g a gyp, I:�oA-fzr7 0� ``` A R Cy�r�f sFrrfi ��° •' : O '��� �� PM�,,.tT' Sr-t-i �u�.� d '�lam �;:• �:. 1 `1% QFrD o4�16ppT rerrex 6. TOWN of ---—— — _. .... _ ._ _ ..., _r. _ ..._..._....._ • ti J Kitchen and Related Alterations at . wT- C�F-, NY _ PELLEGRINI WINERY ot4 elovwlf ` 'i•Rx M -P IPJ'"9-e-E_L_ No- f Ooa- 109 - 1 9.7 Cutchogue, New York Job# 9606 BELMONT FREEMAN ARCHITECTS, 110 West 40 Street, NYC 10018 Off,