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Home My WebLink About21262-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPD~CY No Z-22589 Date SEPTEMBER 16~ 1993 THIS CERTIFIES that the buildin~ ADDITION & ALTERATION Location of Property 750 PACIFIC ST.& 12510 SOUND AVE. MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 4 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building permit heretofore filed in this office dated MARCH 5~ 1993 pursuant to which Building Permit No. 21262-Z dated MARCH 10~ 1993 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 CONSTRUCT BATHROOM ALTERATION & KITCHEN ADDITION TO EXISTING OFFICE BUILDING. The certificate is issued to of the aforesaid building. NORTH FORK BANKCORP. (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-288003 - AUG. 30~ 1993 PLUMBERS CERTIFICATION DATED SEPT. 10~ 1993 - H. SMITH PLUMB & HEAT.INC ~~'/~/~~Inspector Rev. 1/81 FOYer NO. 0 T~OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE~T? 2126~ Z Date ...~.../.~..~.. ................ / ..~...~~.....~? ./...~ ...... ~~......~ .............. '~'~'' '~'at premises located at ....~..~..,...~...~ .......................................................................... .................................... /~...~./...o...~/~/~..~.~ ................................................ co..~ ~o~ ~o~ ~o.,0o0 ~,~,,o~.../..¥~. ....... ,,~, ....... .~ ....... ,o,,o...~ .......... pursuant to application dated ...... ..~...../..~ ..................................... , 19~., and approved by the Building Inspector. Fee $...~...~ .................. uil~g/ In~q~ect&r Rev. 6/30/80 , .... Form No. 6 TOWN OF SOUTIIOLD i i BUILDING DEPARTMENT i ! "' " 765-1802, ~~Zi~:~z~:.~,':.~ ........ ~PLICATION FOR CERTIFICATE OF OCCUPANCY \. 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 ali 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 C~piiance from architect or engineer responsible for the building. 6. Submit Planning Boa~d Approval of Completed site plan requirements. ;. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '~re-existing" land uses: I. Accurate survey of property showing all property ~ines, 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 Building - $i00.00 3.Copy of Certificate of Occupancy - $5.00 OVer 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential. S15.00, Commercial $15'.OO e~ Cons'truction....~.. .... Old Or Pre-existing Building ............ ' ..... ocation of Property ........... I' '~ ...... ~''' house No. /~3/0 ~bt/b~LC6~c~ Str~ ...... Hamlet nwer or Owners of Property ..... . ' ~ ......... '~'r ..... . mnty Tek Map No I000 Section ' .............. Block ................ Lot .... bdiviszon .................................. Filed Map ............ Lot ...................... .......... Date Of Permit..$ni.nq~...Applica.t . 0W Id.; alth Dept Approval ........... Underwriters Approval ......................... arming Board Approval ........................ quest for: Temporary Certificate ........... Final Certicate....~.. .... e Submitted: $'i · ....... ~ ............ INSPECTORS Thomas Fisher Building Inspector Gary Fish Building Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 DATE: September 10, 1993 Building Permit No. 21262Z Owner: North ~ork Bancorp. (please print) Plumber: H. Smith Plumbing & Heating Inc. (please print) I certify that the solder used in the water supply system contains less than 2/IO of I% lead. Henry P. Smith President Sworn to before me this lOth day of September , 19 93 Notary Public, Suffolk County Notary Public SUFFOLK SECURITY CORP, P.O. BOX ~ · GREENPORT · NEW YORK ff~4~ (Sf6) 477-2487 Control Unit Brand and Model Number Protection Installed Date Installed Burglary [] Fire ~Panic [] Low Temperature [] Flood [] Gas [] Other Type of Alarm Premises Audiable only [] Phone Line Communicatioo to a~U.L. Certified Central Station ~ Long-Range Radio Communication to a U.L.Certified Central Station [] U.L. Certified Central Station /7 /~ METRODIAL 516-938-9077 ~/~.~ fSal Prato, O~v~ner THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,~c~ .t 1~(')() 7.07 J. BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 o~y the electrical equipment ~ ~scribed be~ a~ intr~uc~ by t~ applicanE ~med on the a~ve ap~ication number in the prem~es of in theJollowlng lacation~ ~ Basement ~ Ist Fl. ~ 2nd Fl. Section Bl~k Lot ~sexamlnedon OC ~0 L{~ [~ 2~ ~ ~,~]93 and found to be in compliance with the N~onal Electdcal Code. FXTURE IRCEPTA LESI SWITCHES [ FIXTURES RANGES COOKINGDECKS OVENS DISH WASHERS EXHAUST FANS ;' 7'"" ~. ~. 11~ METEK. l~2W l~3W 3~3W 3~4W ~O~ CC. CON~. k,W,O. NO.O~ Hi.[E~ ~.~..O NO. OFNEOTRALS ~ ~um ~, ~ o~ cc CONO 0 . L~o o .~ OTHER APPARATUS: GENERAL MANAGER J ! This certificate must not be altered ~n 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 THE NEW YORK BOARD OF FIRE UNDERWRITERS 8~)42632 BUREAU OF: ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~llcatio. No. on ~h. o~y t~ el~trical equipment ~ ~scrlbed be~w a~ int~uc~ by t~ applicant ~med on the a~ve application nu tuber in t~ prem~es of in the followlng location; ~ Basement . S~ ~{}3~,N J4 1993 Section Bl~k Lot ~s exam nea on ' and found to be in compl~nce with the NaMonal Elect~cal Code. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS A~? K.W, OIL H.P, GA H.P. AMT NO. A, W. G. SERVICE DISCONNECT I .o METEI OTHER APPARATUS: RANGES AMT. K W, SPECIAL REC'PT E R It,P, TIME CLOCKS BELL LJNIT HEATERS MULTI-OUTLET AMPS TRANS. ~---'~-'~-'~-'~-'~T~ SYSTEMS NO. OF FEET NO, OF CC. COND PER ~' V I C E A. W. G NO. OF HI-LEG OF CC. COND, AWG. OF HMEG NO OF NEUTRALS EXHAUST FANS DIMMERS OF NEUTRAL HAT~'T~IJCK, NY, 1,19§2 GENI:RAL MANAGER 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. ,~OUNDA~ION (lst) fOUNDATIO|! (2nd) ~,OUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE FI;~AL ADDITIONA' : INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervis~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 TO: FROM: SUBJECT: DATE: Jamie Richter, Town Engineer Gary J. Fish, Building Inspector Nutrition Center - Mattituck, N.Y. Suff. Co. Tax Map $1000-141-4-24 September 1, 1993 Enclosed is a reference sheet I thought you may find useful in drawing up your plan for the nutrition center in Mattituck. You are aware I am sure, that the classification of the building has changed from a Cl to a C5 occupancy. Hence the required changes to be made or upgraded are outlined on the attached page. I hope this helps you in your plan design and feel free to call me if I can be of any further assistance. GJF:gar (attachment) NUTRITION CENTER-MATTITUCK, N.Y. SUFF.CO.TAX MAP ~1000-141-4-24 (PUBLIC ASSEMBLY) (BUSSINESS) C5.1 OCCUPANCY CHANGED FROM C1 SEE ATTACHED PART. 1231.1 NYCRR 9 (B) SMOKE DETECTING SYSTEM: NYCRR 9 (B) PART. 1060.3 - 850 - 610 - 1250 REF. NFPA 72 EXITS: NYCRR 9(B) EMERGENCY LIGHTING HANDICAP: NYCRR 9 PART. 735 TABLE VI (B) PART. 1032 NYCRR 9 (B) PART. 1100 HANDICAP PARKING: NYCRR 9(B) PART. 1102.4 765 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [, ] ROUGH PLBG. FOUNDATION ZND ~NS~TION FRAMING REMARKS: FINAL INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND ~] INSULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR ~//~/--- · 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ~ST ]~/RROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE INSPECTOR ?65-J.80Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST H PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 [0@ 7.07 [ BUREAU OF ELECTRICITY ~- 815 JOHN STREET, NEW YORK, NEW YORK 10038 THI~ CERTIFIES THAT o~y t~e e~ctrtca] ~ulpment ~ ~seribed be~w and intr~uc~ by t~ ap~icaflt ~med on the a~ve ap~ication number in the prem~es of ~ 1st FI. ~ 2nd FI. O[I~ Section Bilk Lot in the followlng location; Basement ~sexamlnedon g~Gl}'~' ~']~ andfoundtobeincompliancewiththeNa~onalElect~caICode. FIXTURE OUTLETS 31 FIXTURES 1 ;)) / IECEPTACLSS SWITCHES INCANDESCENT FLUORESCENT 1 ~ ? 'L / DRYERS AMT. K, W SERVIC~ DISCONNECT NO. OF OTHER APPARATUS: OTHER FURNACE MOTORS t FUTURE APPLIANCE FEEDERS O1% H. P, GAS H.P.I At, AT, NO, A. W, G. S RANGES ~ECIAL REC'PT R NO OF CC, COND PER ,~ ICOOKING DECKS ] OVENS I DISH WASHERS I TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET NO. OF FEET V I C A W G, NO. OF HI-LEG A W, G, EXHAUST FANS 2AMI ~ "' P DIMMERS NO, OF NEUTRALS OF NEUTRAL GENERAL MAHAGER 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. ^ V~UF- soUND ~o^~ I ~ ~ORTH AREA = 1.184 Acres SURVEY FOR ~ THE NORTH FORK BANK & TRUST COMPANY AT MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 - 141 - 04 - 24 Scale: 1" = 40' Mar. ;3,1993 Prepared in accordance wit)~ the minimum standards for lille surveys as established by the L.I.A.L.$. and approved and adopted for such use by The New York State Land T/lle Associalion. Po MAIN ROAD SOUTHOLD, Y.S. LIC. NO. 496t8 ~'~'ORS~ P,C. '0 ~09 N.Y. 11971 93-174 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 Approved ., 19~,.~. Permit No...~.(? .~...~./ Disapproved a/c ..................................... ............................. ~(Build~g~Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIlECK .................... SEPTIC FORH .............. LL a. This application must 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. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and gi¥ing a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the w6rk. 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. 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. ~. :i ~ .7'~..c> .,~... ~..,e..~. ~. i ....... -- (Signature of applicant, or name, if a corporation) ..... (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ;... ............ amc of owner of p~mises.../Y..O~... ~. (a~ .~a.x,r~t,. ~e.d.) ..................... If applicant is a corporation, signature of duly auth~orized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... lectmcmn s License No ....................... Other Trade's License No ...................... 7~-¢} L°cati°n°fland°n~z~c,~12r°p°sedworkwillbe'done .~ ~ .~,¢~,,4~ .'"~~.. / /o '" House Number Street Hamlet County Tax Map No. I000 Section ............. Block ................ Lot ................ Subdivision .................. . ................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~,~.~ ~ , ~.. ~ b. Intended use and occupancy .... ~.. ~.. r/~.~ .~..~.~..~~....'. 10. 11. 12. 13. 14. 15. property lines. Give street and block interior or corner lot. Naiure of work (check which aEplicable): New Building .......... Addition.. ~ ..... Alteration . <.. ..... Repair .............. Rem6val .............. Demolition .............. Other Work ............... t .~./. ~. ~ (Description) Estimated Cos .Oj .~)..~.~ ........................ Fee . .~.~ ........................... (to be paid on filing this application) If dwelling, number of dwelling lnits ................ Number of dwelling units on each floor ...... Ifg ........... · arage, number of cars ..... : .................. ify typ ' ' If business, commercial or mixe occupancy, spec nature and extent of each e of nsc ................ Dimensions of existing truct if any: Front ............... Rear .............. Depth ............... ight .]. He .............. :. Number of Stories .. , ........... truer fth ............... Dimensions of same s ure w alterations or additions: Front . Rear .............. Depth ....... """: ...... "I' ' Height ..................... Num?er °f ~t°..rils a~. ~.. Dimensions of entire new co~st ct'ion: Front .......... Rear ............ D. epth Height ............... Number of Stories .... / ................... ' ......... Size of lot: Front ' Rear ........... i ................................. Depth ...................... Date of Purchase ........... ~ ......... . .......... Name of Former Owner Zone or use district in which premises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ............ . .................. Will lot be regraded ......... i ................. Will excess fill be removed from premises: Yes No Name of Owner of premises : ' Add?ess · · ' ~ .................................... Phone No ................ Name of Architect .......... i ................ Address ................... Phone No ................ Name of COntractor ......... i ................ Address ......... . .......... Phone No ................ Is this property within 3100 feet of a tidal wetland? *Yes ........ 'No ......... · If yes, Southold Tbwn Trustees Permit may be required. · '-.PLOT DIAGRAM Locate cleai'ly and distinctly all >uildings, whether existing or proposed, and. indicate all Jet-back dimensions from amber or description according to deed, and show street names and indicate whfither STAT~OFNE ~Y.~ORk~ Il/ '! C'OUNTYDF. i .~..~.'.0~...'-YT~.~..kK s..s . ..... ~. ~.S .... ~'~ ,~ ....... being duly sworn, deposes =d says that he is the applicant fName of individual signing contract) He is the .... ~. ' · ntra r ra e offic . ~f said owner or owners, ~d is duly ~uthorized to perfom or have perfo~ed the said work and to m~e and file this ~pplication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the ~ork w~l be perfomed in the manner s~t forth in the application flied therewith. ¢wom to before me t~ i ' (S~gnaturc of apphcant) Oualifled in Suffolk CounN Commission E~ires DeCem~r 7 / r-_x f.~s IO H U J Z__ ~%gFHRLl' fRoFI PIf&H I I SEPTIC SYSTEM DESIGN: OCCUPANCY: STAFF - CAF~TEEIA DINING - (Lunch Program Only) ADULT DAY CAEH - MHALS PREPARED SEE DAY: CAFETERIA ~INING - MEALS ON W~HLS - WASTE WATEH PRODUCED GEEAS~ TRAP: USE 8' DIA.I WITH SEPTZC TANK DESIGN: 1~405 GAL. ~ 2 USE 12' DIA. WITH LMACHING POOL DESIGN: SUFFOLK COUNTY DEPARTMENT ~F HEARTH SERVICES APFROVEO FOR COHSTS~CTIOH This approval is R~a~d ~r the conaruci~ d ~ ~nita~ disposal and we~t s~pply facilites pur~ A~icl~ V6 and 7 el the Surfak Coun~ Sanib~ ~e ~M ~ ~ an ~essed FROM THE ~AT[ ~[LOW. q FEB 2 G 1993 l~O FINAL,%, r' ,,.~, .. ~ f, OU£ APPROV,4J. BY WATER QUALITy UNIT QF, g,'3:Sg TE ,P DB %l L lO @ ?0 @ 12 @ ?0 140 210 MEALS 12 GAL./DAY = 120 GAL. 2,5 GAL./DAY = 175 GAL. 5 GAL./DAY = 60 GAL. X 5 GAL./DAY = 1,050 GAL. TOTAL FLOW = 1,405 GAL. LIOUID DEPTH 2,810 GAL. LIQUID DEPT~ REQUIRED LH~CHING ANNA: 1,405 GAL. - 1.5 GAL./NO,FT. = 936,67 SO.PT. ( 1 VERTICAL POUT OF 10' DIA. POOL = 31.42 SO.FT.) 936.67 NO,FT. I 31.42 SO.FT./V.F. = 29.81V,F. USE: 3-10' DIA. X 8' DEEP LEACHING POOLS (HFFNCTIVN DEPTH 7'-6") 1-10' DIA. x 8' DEEP DISTRIBUTION POOL (EFFECTIVE DEPTH 7') 2400 REii IRED - cflLf iRoN fR~FiB gl/~oLIO Cov~g.. pn'c. 1/W': 1' Izl. od Ol Al'Itlf~.~.. ~4/ SOklO CO¥~I~ L JlS, PILL F~K cLFm~N LE CFII N WOOL DP.,T IL5