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Home My WebLink About5921-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22242 Date APRIL 5~ 1993 THIS CERTIFIES that the building. ADDITIONS & ACCESSORY Location of Property 12585 SOUND AVE. & 4140 CTY RD. #48 MA'£T±TUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 141 Block 3 Lot 38.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 5~ 1993 pursuant to which Building Permit No. SEX BELOW dated ........ 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 ACCESSORY BUILDINGS & ADDITIONS TO EXISTING BUSINESS BLDGS The certificate is issued to of the aforesaid building. G.L. PENNY~ INC. (owner) *** THIS CERTIFICATE OF OCCUPANCY UPDATES TH~ FOLLOWING : BP #3333Z-C0 Z-2757 DATED 7/20/67 FOR ADDITION & ALTERATION ON EXISTING BUSINESS BLDG. & OFFICE SHOWROOM. BP #5921Z-C0 Z-6301 DATED 1/14/75-NEW BUSINESS BLDG. ,(OFFICE USE) BOH APPROVAL DATED 1/14/74-UNDERWRITERS CERT. #N-57920 DATED 11/29/72. BP #8938Z-C0 Z-14636 DATED 7/14/86 ADDITION TO EXISTING OFFICE LUMBER YARD SHOWROOM - UNDERWRITERS CERT. #N734440 DATED 2/6/86. BP ~11202-Z-CO Z-14637 DATED 7/14/86-STORAGE & SALES BUILDING UNDERWRITERS CERT. #N-734438 DATED 2/6/86. BP #14066Z-CO Z-14634 DATED 7/14/86 - ADDITION TO EXISTING BUSINESS BUILDING (CARPET STORE). BP #14071Z-C0 Z-14645 DATED 7/15/86 - ACCESSORY STORAGE BUILDING BP #14072Z-C0 Z-14646 DATED 7/15/86 ACCESSORY BUILDING - UNDERWRIT~KS CERTIFICATE #N704533-DATED 8/13/85 BP #17285Z-C0 Z-17357 DA'£~D 9/27/88 ALTERATION TO CARPET STORE, UNDERWRITERS CERT. #N-038891 DATED 10/12/88. Bu~ing Inspector Rev. 1/81 FORM NO. 4 TOW~T OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, BI. Y. Certificnte Of Occupnncy N Z630~ o ............. Date .............. J.~l....~..~, ...... , 19.~.~. THIS CERTIFIES that the building located at . .8/1~. ~lddle. BO. ad. [.C.P~7) Street Map No. ~ .......... Block No..:z~. ....... Lot No.XZ;X ..... .l~.t.t.~,~.u.e.k....N.o.Y.: ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. .Ap.r..~.1...,2~19' .7.2. pursuant to which Building Permit No.. dated ........ A.p.r..~.1....2.~ .... , 19.7.2.., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .B~..z..~n..e.s.s...B~..~.l.d..~.n.~..( .o.ff.$.~..C.e..tl.S.~. ). ................................... The certificate is issued to ...(ll.o. ,. ~.,..Penny. ~.l .... C~ll~' ........................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .J..a~....~.~... ~..~.... bY...R:..v.~..1.1.a.... UNDERWRITERS CERTIFICATE No...N..~.7.920 .... .N.oy.,. 29... ~ 9~.2 ............... HOUSE NUMBER ...1~..%~.0 ...... Street .. E~,dct],e. Bo~d...(.C.~27.) ................. FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5921 Z Permission is hereby granted to: ..~.g~..~,..2~nu~...I~ ................................ ........ i~.t~k .................................................. to ...~d~ld..nev...bus~e~..b~tl4inl..~.ot.f-iet...bt~l.y ..................................................... at premises located at ........S.~..~i[4d.'].4~..,~O~s~...-{.G"~2~) ............................................................... ........................................................ )(at.tibia....]l.,~[.,. .................................................................... pursuant to application dated ........................~/~:[~,....~.~, ......... , 19..~..; and approved by the Building Inspector, Fee $..~e~O .......... i: qT INCLUDES APPROVAL i~.: ..FA.~OVE EXCESS FILL F~,OM /~BOvE PREMISES BY REGRAC;i',iG t I / CESSPOOL C()b~S, Rt ~rL.I t ..;'a . ~ CELLAR CONS1 ~uC/~0,~ ~ oTHER ~~~ Building Inspector FORB! NO. 6 TOWN OF SOUTHOLD Building Department Town Clerk~ Office Southold, N. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, industrial buildings, AAultiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. ~ccurete survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 pete New Building .................... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property .~`.~./.~.~.J~.~.~`g~!~.~..~.~?..~.~.~.~.~.~?~./~.~.~.~.~"`~..~/~..~..~..~..~..~.~!~: Owner Or Owners Of Property ....................... ~ ............. ; .................... .~.. ...................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit bio....~'.?...~.f...'..?':'... Date Of Permit/...~....':51~..-~.~)../c. Applicant ~¢~' '~ · ~-' ..~..e.. Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board ,~oproval ........................................ Request For Temporary Certificate ........................................ Final Certificate ........ ~. ............................. Fee Submitted $ ........ 5...~....~... .............. Construction on above described building and.~_~mit meets all ~ble codes and regulations. Sworn to before me this ' I .... ./.....~...... day of (stamp or seal) Nota Public ~... ~oun ~..,,..~u~/.~u/ ry ...... ty //' ...... · ru~c, St~e ~£ New Yc~ FOEM NO. S TOWN OF SOUTHOLD Building Delmrtment Town Clerks Office Southold, N, Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: ]. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $I.00 / (1~ ~ / ~ ~ ~' ~ Date ............................................ New Building .................... Old or Pre-existing Building ...................... ~.... Vacant Land ............................ Location ~ Pr~e~y ..... ~t .......................................................................................................................... ~ . ~ . ..... .......................................... Su~ivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No.~..?.~L..~.. Date Of Permit ~.~2.~Applicont ~'"" ' [' ~< ~" 7fa ................... .................................. ..... Health ~pt. Approval ............................................ Labor ~pt. Approval ................................................ Underwriters Approval .............................................. Planning Board ~provol ........................................ Request For Temporo~ Ce~ificote ........................................ Final Ce~ificote .......................................... F~ Submitted $ ~ ~ Construction on above described building and permit meets all applicable codes and regulations. Applicant ......................................................................................................... Sworn to before me this f ~'~ _ . .. /~ ~¢- ......... Notary Public ....~.....?...1..."'~..?..!.. ........... County Notc~ry Public, State of New York No. 52-0344.n63 Suffolk CountY. x.j Comt~r~sJon E~pi~es ~arch 30, 19_~ (stamp or seal) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Riverhead, New York Building Permit No. TYPE OR PRINT LEGIBLY IN INK t ~.~ Health Services Department Plan No. Application for Approval of Commercial Sewage Disposal System / TO: The Suffolk County Department of Health Services Date Loc~ion: Name Hamlet Village Application for approval of commercial sewage disposal system is hereby requested. (Name, side of street, name and distance to nearest intersecting street) Applicant's Signature Title Reedy for inspection (Builder - Owner) FOR USE O~ HEA~TI~ERVICES DEPARTMENT ONLY Inspected by ~/~~/~q-~.~ "'/ '~ Date ,/~ ~_/~O/'~L[' Installation satisfactory- Yes ~'; No Based on the information stated hereon by the applicant and other information made available, it is the option of this Department that this system with proper maintenance can be expected to function satisfactorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not included. Date IA I~I I ~. ~L~Tc SCHD - S-13 TOWN OF . OUTHOLD OF'FlOE: OF' BUILDIN~ IN~PEOTOR TOWN OLERK'S OF'FlOE SOUTHOLD, N. Y. April 21 1 972 Mr. R. Kammerer Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Low of the consolidated Lows of the State of New York, this is to notify the Commis- sioner of Public Works of the Count~ of Suffolk that ...................................... George L. Penny III , oound Aver Mattituck N.Y. has applied to the Town of Southold for a permit to construct a building as shown on the attached plot plan, submitted in triplicate, dated .....~:::~ E~ 1LF~ 1972 ~.y...¥a~y.~. ................... and titled !?.~'A...°..~..~.Lo.~.e..T..C.Z...o..[..~.e..o..:..L.... ?e rm y 't ne We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. q/26/72: Approved to the Town of Southold pursuant to See. 239K of the General Municipal Law; as per revised plot plan. A permit required under Sec. 136 of the HiEhway Law. SUFFOLK COUNTY DEPT. PUBLIC WORKS R. M. KA~IERER, CO~ISSIONER Wil. liam s: Matsuna~b,;3~i ..... /~ \ Very truly yours, Building Inspector I Town of Southold, N. Y. / '~j~/\r~ TOWN OF M~UTHOI~ ~ ~ ~oti~ No ....... ~,,: ................... ,.. Exami,~ ...~..~..( ........ , 19.~ / II ~ r % ~ Y PP / "~ ....................... ~ r, ....... ~ ...... ~.~t~ .................... ...... ................ ........ APPLICATI~ FOR BUILDING PIRMIT . ' % INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee a~cording to schedule. b. Plot man showing location of lot end of buildings on promises, relationship to adjoining premises or public streets or areas, and~' giving a detailed dl~cription of layout of property must be drawn on diagram which is pert of this application.. ¢. The work covered bv this application may not be eommeneed before issuance of Building Permit. d, Upon approval of this application, the Building Ink, meter will iasua a Building Permit to the applicant. Suoh permit shaft be kep! on the pramim available for inspoction throughout the work. e. No builditlg shall be o~upied or used in whole or in pert for any purpose whatever until a Ce~ifi.cate of Occupenc~ Shall have been ~:~: gfentld by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building permit pursuant to the Building Zone Ordinanee of the Town of Seuthold, Suffolk County, New York, and' other applicable Laws, Ordinances or Regulatiens, for the elal~tructiorL~, 'i buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to cOmply with ali al~icable laws. ordinencas, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for neces~ i. nipeCti0r?. (Address of applicant) State whether applicant is owner, lessee, agent, amhitact, engineer, general contractor, electrician, plumber or builder. ................................... ................................................................................................................................. Name of owner of premises ........... .~ .................................. ~..~ ..................................... ;;; ..... If applicant ia a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of laRd, on which, proposed work will be done. Mg, p No.: ...... ~. .......... Lot No.....~'~...., ................................ 2. Stem exi~ing u~ and o~upancy of premiss and inmnd~ u~ and ~cupancy of propo~ co~ction: b. In~n~d u~ and ~u~ncy ........................................................................................................ t ....................... ~ Nature of work (check which applicable): New Building ....................... Addition Se e 10. 11. 12. 13. 14. ..................... Alteration ............... Repair ......................... Removal ......................... Demolition ........................ Other Work .................................... (Description) Estimated Cost ........... ,.....,t .................. : ......... Fee ............................................................. (to be paid on filing this application) If dwelling, number of dwelling units ................. Number of dwelling unit~ on each floor. ............. ,..[ ....................... If garage, number of cars ............................................................................................................................................ If business, commercial or mixed occuPancy, specify nature and extent of each type of use l~ / ~- J~-,. Dimensions of existing structures, if any: Front ................ V:....B~,~ar .;~ ...... .~ ............... Depth ............................... ,.. Height ........................................................... Number of Stories ............................................................................. Dimensions of same structure with alterations or additions: Front .......................... Rear ......................................... Depth ............................................. Height ......................................... Number of Stories ........................................ Dimensions of entire new construction: Front .......... ~...~..t. ...... Rear ......... .~.....C~....~ ........ Depth ................................. He ght ................................................. Number of Storms ..................................................................................... Size of lot: Front ...................................... Rear .......................................... Depth .................................................. Height .................................................... Number of Stories ............................ Zone or use district in which premises are situated ~ ~--" Does proposed construction violate any zoning law, ordinance or regulation: .........~....~. ............................................. Will lot be regraded __ ~...~...~ .................. Will excess fill be_remoVed from premises: [~] yes [ ] No -~ ,# (~Kldtess) ~ (Phone No.) (Phone r~o.l (Address) Name of Contrector ~::~ o~-~_( L. ~< ~,,,y- 'Z~ ,~..~.~//,,c/~ /".Z 2.~ .~? (Address) (Phone No.) PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate wheth- er interior or corner lot. STATE OF NEW YORK, ~ ) ,) ,., 'g ro l k SS COUNTY OF ..................................... ~r.= ............ ) ................ ~e'--..~.?..~..<......~...,'..'..../-?...?....~-.~...~....."ill ................ being duly sworn, deposes and says that he is the applicant above named. (N&me of individual signbig contract} Heis ~ ~ h ~'~,- ( ¢onl~c~or, 4gen[, corpor4re officer, e[c./ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all s~atements contained in this application are true to the best of his knowledge* and belief; and that the work will be performed in the manner set forth in the application filed therewith. ///' ,o.s 4o 5 '" * ,ota, '"' - ............... ......... · mm r. xp,res Marc. ~, ~ (Signature of appltcenrJ ~'~ ,r PERMIT REQUIRED UNDER SECTION 136 H'WAY LAW FOR ACCES~ TO COUNTY ROAD IVi l D D L E. ROAD COUNTY ROiJT~z7 o ~LACI' LUM~E~ 5TOF. A6E I$UILDIN$ 256' ,+- NOTE o BUILD[NE~ LOCAT I,ON5 /kPPg. Og, I MAT E ONLY · SCA-LE ,o 40' = 1'" I, AONU MENT ' LONG ISLAND RAIL~O/kD CD. MAP OF PROPFRT¥ O,F PERMIT REQUIRED UNDER SECTION 136 II'WAY LAW FOR ACCESS TO CZ:UNTY ROAD GFORGF_ L. PENMY, lklC. SITUATE AT MATTITUCK -[OWk[ OF $OUTIAOLD ~ KI,~V. MAP COMPILED ~ : ~ APRIL 1.4.,' tg72 VAN' TUlL :~'SDH, :,_. / / / /