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Home My WebLink About8938-z FORM 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 MATTITUCK, 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 ~ursuant to which Building Permit No. SEE BELOW dated ........ was issued, and conforms to ail 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 G.L. PENNY, INC. (owner) of the aforesaid building. *** THIS CERTIFICATE OF OCCUPANCY UPDATES THE FOLLOWING : BP #3333Z-C0 Z-2757 DATED 7/20/67 FOR ADDITION & ALTERATION ON EXISTING BUSINESS BLDG. & OFFICE SHOWROOM. BP #5921Z-CO 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-i4636 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-C0 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 - UNDERWRITERS CERTIFICATE #N704533~DATED 8/13/85 BP #17285Z-C0 Z-17357 DATED 9/27/88 ALTERATION TO CARPET STORE, UNDERWRITERS CERT. #N-038891 DATED 10/12/88. B ding Inspector Rev. 1/81 _~o~ ~ro. ~ Towt~ oF $Oul'HO~ ~' BUILDING DE ~ART,~'E~T TOWN CLERK'S OFFI~E SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8938 Z Permission granted to: ....... ~~..~,_1~,~,,~..... ..~ . ............... --, .. ,_, ~...:.:,.~..~ ..... ,o ...... ~~.~.....~-~~....~....~.~..~~...~ ...... ..... ~..~.....~~~.:;..: ............................................... at premises located at~/......,/f~-./..~~. ....... ~/~...,..~4'~"/~"~ ................................................... pursuant to opplicotion doted ......... .~.....~...~.. ..................,]9.~,~., and approved by the Building Inspector. Buil)~ing Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. z14.636 ......... Date ..... July. l&, ................... 19 86. THIS CERTIFIES that the building ....... Addi.tion..to. e~istin~ .off.ice. Lumber. yard show room Location of Property .1.2.5.8..5..N.o.r..~ .h..R.d. :..&..4. 2. .5.0..C..ry..R.d. :..%.4. 8. ,..M.a.t..t .i.t.u.c.k. ,..N.: Y. :.. House No. Street Hamlet County Tax Map No. 1000 Section . .1.4.~ ....... Block ....0.3. ......... Lot 38.1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .C.c,.qb..o.r..2. 9. ...... 19.7.6pursuant to which Building Pernfit No...8.9.3. 8..2 .............. dated ..... O..c.~.qb.e..r..2.9., .......... 19..7 .6, 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 ......... Addition to existing office lumber yard show room The certificate is issued to ....... 9e.o.r;cJe. ,h ... p~r~y,..~n.¢, ........................... (owner,::l~4~ of the aforesaid building. Suffolk County Department of Health Approval .......... ~/..A ............................ UNDERWRITERS CERTIFICATE NO ..... N 7 3 4 4 4 0 Rev. 1/81 Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CER'I'IFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted iI~mm~m to the Building Inspec- tor 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 installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15,00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 .~ 5.Updated C.O. $15.00 Date .... ~.$.,..I.~.~..(p... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. ...... Location of Property ~..~..~.~..~-...~...~....~.....~.....i~.,~,...~.. ~¢' House No, Street Ham/et Owner or Owners of Property ....~. ~,~..~..~. · .L,.....~ .~.~...j.~..~... ......... ~ '~L~'~ ]' ' ' ' ' County Tax Map No. 1000 Section ....~.c~/ ........ Block .... .~.~ ....... Lot ............. ~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~..~,~ .~-,,, Date of Permit ~.°,l?,~,J.l.~. ,Applicant..~ .~.. ~ .~.~..~.. ~'~...--~?.~.~.. ~..NI.~ .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Approval . . .~.-~!~¢,~t~ ............ Planning Board Approval ...................... Underwriters Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...~'.: .O.o. ..................... Construction on above described building an__d~oermit meets all~a~plicable code~egulations. .................... Rev. 10-10-78 THE THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 only the electrical equipment as described below and introduced by tl~ applicant named on the aboiye application number in the premises of in tbe following location; ~ Basement 2~ Ist FI. ~ 2nd FI. Sect~o~ Block Lot was exa~nlned on ~J~P ~;~? ~ .~0, ~.~,~ ~ and found to be in compliance with the requlreme~ts ~ff this Board. FIXTURE FIXTURES COOKING DECKS OVENS DISH WASHERS FANS OUTtETS SWITCHES FLUORESCENT DRYERS SYSTEMS NO. OF PEET OTHER APPARATUS: S E R AW.G, OF CC COND. NO. OF HI-LEO A. WG OF HI,lEG NO OF NEUTRALS OF NEUTRAL GENEI~AL MANAGER This certificate must not be altered in any manner; return to ~he office of the Board if incor~rect InspectOPs may be identified by their credentials. cOP~ FOR BU ~J ANY MANNER. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×amined ....... ......... Approved ........................................ , 19..~... Permit No ............ Disapproved a/c ..... ........... :'"'"'"'"'"'"(Building Inspector) APPLICATION FOR BUILDING PERMIT ....... INSTR, UCTIONS o. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate 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 o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shah 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 buildings for necessa~i, nspections. ....... (Signature of 6'pplicont, o2r~name, if a 66rporation) ................ ...... .; ............... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber~or builder . ¢ ¢ ................. ............................................. Nome of owner of prem,ses .............................. ~...~ .......................................... .~..7.~........~.~ if opplic~ is a corporate, ~i~ure of duly authorized officer. ................................................~~d title o{;~;~cer) Builder's k[cense ~o ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on which propose~J work will b~t done. Map No.: ......................................... Lo,t J;qo ......................... Street and Number ............ ~~......~.~....~....~...~.~.........~....4.~.:'~.~.~...~.....~.~ Municipality 2. State existing use and occupancy of prero.L~s and intended use and occupancy of proposed construction: o. Exisiting use and occupan¢y .............. ................................................... b. Intended use and occupancy ........................................... ........ ~..-~. ................... 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ................................................ (Description) 4. Estimated Cost ............................................................ Fee .......................................................................................... (to be paid on filing this application) 5. If 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 and 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 .................................... Rear ............................ 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 ore situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . ........ i'. ................. Will excess fill be removed from premises: ( ) Yes ( ) No 14. Nome 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 ali 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 whether interior or corner lot. STATE OF NEW '~C)RIKj,, ~ I S S COUNTY OF,..~~.~' ' : ..................... ...... ~.~1~..~.H.<.....-~...:.~.Z~...~...~.....~./.C.--....being duly sworn, deposes and says that he is the opplicarn (Name of individu"ol signing controcf) above named. He is the ................................................................................................................................................................................. ~(~c,~e4,er,~, corporate officer/'e~.) 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 statements 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. Sworn to before me this ..... ~.~.?..~..~-'day of ?......~.....~...'.~.. ........................ , 19..':~.?.. ~.~ Pabl c, ........... Count ............ ..... .... ~. ///'~' (Sigr~oture o~ applicant) NOTARY pUBIJC, S~'a're of Now York No, 52-4522026 - Suffolk Coun~fy~.~ Comml~sion El:p[re$ March 30,