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HomeMy WebLinkAbout6963-zNo Z-22241 Date THIS CERTIFIES that the building Location of Property 67480 MAIN ROAD House No. County Tax Map No. 1000 Section 53 Subdivision FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY APRIL 5~ 1993 ADDITIONS & ACCESSORIES GR~NPORT~ N.Y. Street Hamlet Block 2 Lot 27.1 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. SEE BELOW dated ....... was issued, and confolnns to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued for ACCESSORY BUILDINGS & ADDITIONS TO EXISTING BUSINESS BUILDINGS '*** The certificate is issued to of the aforesaid building. GEORGE L. PENNYf INC. (owner) ***THIS CERTIFICATE OF OCCUPANCY UPDATES THE FOLLOWING BP ~4123Z-CO Z-3818 DATED 6/8/70 FOR ADDITION BP #4739Z-CO Z-6703 DATED 9/24/75 FOR ADDITION TO ACCESSORY LUMBER STORAGE BUILDING BP #6963Z-& BP #7687-C0 Z-6704 DATED 9/24/75 FOR ACCESSORY BUILDING AND FENCING. BP #8454Z-C0 Z-14648 DATED 7/14/86 FOR ADDITION & ALTERATIONS ON EXISTING BUSINESS BUILDING - UNDERWRITERS CERT. ~N-756952 DATED 7/1/86 BP #10584Z-C0 Z-14641 DATED 7/14/86 FOR 2ND STORY ADDITION TO EXISTING STORAGE BUILDING FOR LIGHT STORAGE-UNDERWRITERS CERT.#N-756950 DATED 7/1/86 BP ~10965Z-C0 Z-14639 DATED 7/14/86 FOR ALTERATION & RELOCATION OF EXISTING STORAGE BUILDING UNDERWRITERS CERT. #N-756953 DATED 7/1/86 BP #12653Z-C0 Z-14640 DATED 7/14/86 FOR ADDITION/~ EXISTING BUILDING AS APPROVED BY PLANNING BOARD, UNDERW~TERS CERT. ~N~56951 DATED 7/1/86. %~'Bu~lding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at ...P~..~...R.o.~d. ............... Street ~lap No.P.e.c,. Bay. E~lock No .......... Lot No, . 200~20~ ~202 ...... G~.eenport.. conforms substantially to the Application for Building Permit heretofore fried in this office ~o~l~ V~.3 6~)63Z dated ........... Dec. 25.., ~9 .. pursuant to which Building Permit No. 768~Z. · lfov 1 73 dated ........... Ja~..%0.., 19.7~., was issued, and conforms to all of the reqoJre- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . ACC#~s.~01~..~;P~.~g~..(~l,~.m.b#.r.Y.a%'d)..bB;t~l, clJ, ag..&. F~l~q~n~ .......... The certificate is issued to ...~.e..o..L.:..P.e_n._ny..I.I.l. .... .0MI~..e..r ......................... (owner, lessee or tenant) (ff the aforesaid building. Suffolk County Department of Health Approval .N.'.B: ............................... UNDERWRITERS CERTIFICATE No..NAR.: ....................................... HOUSE NUMBER .... .6..~..80.... Street ..... [l.a,~J~. p~o.o,~ .......................... Building Inspector TOWN OF SOUTHOLD 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) N? 6963 Z Permission is hereby granted t~O~ ,, ~ , ....~.-.....~.....~...~.~ ~o ....... ~..~.....~..~ ...... ..C...~......~~ ...... ~.~.~ .......................................... ~'"~;~'2;~'~'~"~ .................. ~. ~ ......... ~'~':~";~'~ ..... ~'""~"~'~' ................. ...~...~. ................. ~..~..~...~ .............. ~ .................. 13uilding Inspector. , I;ee $ ........................ FORM NO. 6 TOWH OF $OUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 AFPLIGATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE 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, aha 2. unusual natural or top~raphic features. Final approval of Health Dept. of water supply and sewerage disposals(S-9 form or equal). '~ 3. Approval of electrical installation from Board of Fire Unde~riters. ~&~,;,4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a ce~fficate of Code comphance from the Architect or Engineer responsible for -. the building. 5. Submit Planning Board approval of complet~ site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate su~ey of proper~ showing all property lines, streets, buildings and unusual natural or t~ographic featu~s. 2. Sworn statement of owner or previous owner as to use, ~cupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or promises, or other pedinent in- fo~ation requir~ to prepare a certificate. C. F~s: ]. Certificate of occupancy :$5.00 2. Certificate of occupancy on pre-existi~ dwelling or land use $5.00 3. Copy of ce~ificate of ~cu~ncy $1.00 ~,~ ......... ~%.~.....(..~..L~Z.~ New Building ................ Addition ................ Old or Preexisting Building ................Vacant Land .............. ~,:~,o~ of ~ .......... ~.~.~.~...~.~.L~ ......... ~.~.~..~..r...~.~.~.z ........................... ~mer Or ~nem ~ Prope~ .... ~..~ ...... ~....~:~.b~...:..~.tL~....j)..~.U=...~.~...~.~ .................. Subd,v,s,on ......................... ~ ................................. Lo ~o ............. Bilk No ............. House No ............ Pe,~i~ No...~.~.~..~ P~ .~4..Z~.~...Applica,~ .... ~~...~[~ .................. Heolt~ ~pt. ~ppro~ol ......................... ~. ................ Lo,or ~pt. ~p~vol ............................................... u,,~,,~, ~o~ .............................................. ~,o~ ~,~ ~p~o~o, ............. ~:.~ ............. Requ~t For Temporo~ O~ificote ........................................ Fin~ Oe~ificote .......................................... Fa. ~ $ ...~. ............................... Notary Public~ ........... ~nty Ca~struction on above described building and permit meets all~pplicable codes and regulations. Sworn to before me this . (stamp or seal) ~.Q~TO ./0~- /,P'~- 7j. F.~ TOWN CLmC'S OmCE '~*/~.b~ ~" ~. o ~ ~ Examin~ ........................ ... .............. / ...................................................... ~'~"~'-'"t~ ~' ~ ~ ~.~.~' , ......................... .IN~EU~IO~S Ins~toB with 3 ~ of plato, accurate pl~ plan ~ ~le. F~ ~i~ to ~h~ule. b. Plot plan shying I~ation of lot and of buildings on premises, relationship to adjo n ng premiss or public areas, and givi~ a detail~ d~ripti~ of la,ut ofp~ must be drawn on the diagram which is ~ of ~is a~licati~.~ c. ~e wo~ c~er~ by ~ a~lication may n~ ~ c~me~ before i~uance of Building Pe~it. d. U~n a~mval of this applicati~, ~e BuildJ~ In--tar will issue a Building Permit to the applicant ~ch shall be ~t on ~e premises available ~r in~i~ th~h~ the work. e. No building ~all ~ ~cupi~ or u~ in whole or in pa ~ for any pu~se what,er until a ~ifica~ of ~cupancy shall have b~n gmnt~ by the Building In~r. ~T~.A,P,,PLI ~CATI? .IS HEREB. Y.MA_DE to the Building Department for the issuance of a Building Permit pursuant to the u.a n.g. ~on.e ~Jr.a~nance at t. he ~own o.f. Southold, Suffolk County, New York~ and other applicable Laws, Ordinances or gu~ahons, tar the construchon of buddings, additions or alterations, or for removal or demolition,, as here n descr bed e app icant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) ...... ...... ....... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~mame and title of corpbrate officer) ~ Builder's Liconse No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which~7/_ .~../n ~-~ ~ . f .@Cgp°sed work. will be done. /V~3p No.:~..~.....~....~...~.~. Lot No../...~..~.~../..s~...:.f.~?- Street and Number ..... ~..f~.~...E.~~~.~.....~{ ............................. -- ~ ' ~ ~ Munici~li~ State existing use and ~cu~ncy of promises and intended use and ~cu~ncy of p~sed c~stmction: ~ '~,~ ~ ~.~..~ a. ~isiting u~ a~ ~cupancy ? ~ I ~ ~ b. ~.~e.~ u. ond ~.~ncy ~~ C~ ~ 3: Nature of work (check which applicable): New Buildio~ ............... Addition .................. Alteration .....-':2.....,~..., · Repair Removal Demolition ...... ~ Other Work ' -'~ C.J ,~ ~ 0 '.~* ~ (Description) 4. Estimated Cost .......... .~/.. ............................................. Fee .... ~....." .................................................................... (to be paid on filing this application) 5. tf dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars .......................................................................................................................................... ~- 6. If business, commercial or mixed OCcupancy, specify nature an~ extent of each type of use ...~..~..~.~.~... 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... .I.....~....?. ................ Rear ..... .~.....o......?. ....... Depth ....~......?.. ............ Height Number of Stories ~ 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated .i~......~ .......................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ...... ~ ........................................... 73. Will lot be regraded ............. ~ ........ Will excess fill be removed from premises: { ) Yes ( ) No 14. Name of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM LOCate clearly and distinctly all buildings, w~ether existing or proposed, and indicate all set-beck dimensions from property lines. Give street and blOCk~.~um.,~be~-or description according to deed, and show street names and indicate whether interior or corner lot. ~ STATE OF NEW Y/Ot~J~,~./~, t c c ..................... ~~...*'~%~. ................. being duly sworn, deposes and soys that he is the applicant (Nok:~ of i~livid~ol signing c~ontroctO above named. He is the .............. ~~~~'~'~i~'~'~';i ......... : ......................... :'"; ...................... of said owner or owners, and is duly authorized to perform or hove Performed the said work and to make and file this application; that all statements contained in this application ore true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Swam to bef~e me this ~ ~ / ~ ................... ............· Notary Public,~~....-~ounty ..... ~.~ ............ ~,...~'~ ............................. ~' ~ ' (Signature of apptiEt~a~") JUDITH T. BOKEN Notary Public, State of New York No, 52-0344963 Suffolk Count~c C~mmi~ion Expires March 30~