HomeMy WebLinkAbout12498-zFORM NO. 4
TOWN OF 5OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z12212 Date g..a.n.u.a.v.¥ .2.4. ............. ,1986
THIS CERTIFIES that the building-.-:a cl d,i.t, % ¢,~ .....................................
.5.6?.2.0. Main Road & Cottage Place Southold
Location of Property ~ouse No. ' ............ 'S't/e~{ ' ' Hamlet
County Tax Map No. 1000 Section . . 9.6.2. ...... Block .. 9.3 ........... Lot ·..0.2.0. ...........
Subdivision X d M p N .X Lot N X
............................... File a o ........ o ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
....... .g~.r.i. ~_..lA ..... 198. 3. pursuant to which Bui!ding Permit No.. J.K4. 9 .8..Z. ...........
dated ..... ~ u. g.u.s.t:. ?.4 ............. 19.8.,.3, 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 .........
an. addition to garage For auto sales &. ss. vyice d.ealer..
The certificate is issued to MULLEN MOTORS, INC.
{owner,.lee~e.or.tenaotl
of the aforesaid building.
N/.~
Suffolk County Department of Health Approval ..........................................
630069
UNDERWRITERS CERTIFICATE NO .......... i.q .......................................
1/81
Building Inspector
FO~M NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPL~nON OF THE WORK ^UTHOR~ZED)
N.° 12498 Z Dote~.~..~........~...~.. ................. , 19.~..~.
Permission is hereby granted th: ~ ~.__, __ ~ __
...... '~d.....~..~. ..........................
· ..~.~...~£ a, ,
~.~.~..~.Z~.-~. ................................................................. ~ ...............
at premises located at ...~:...~...~.'.~.....b......J~.~......~......-~....-...~...°..~..:.0~...~..'..?..~..~.~........~.~.~{~
County Tax Map No. 1000 Section ..... ..O...(c?...~.. ....... Block ........ .~. .......... Lot No .......~.....Q ............
pursuant to application dated ... .~.. ...................... , 19.~..~.., and approved by the
Building Inspector.
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y, 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Fina~ survey of property with accurate location of a~ 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty 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 or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date .... //.~. '?,/~.~.: ...........
II
New Building ...... ~... Old or Pre-existing Building .. ,~ ......... Vacant Land .............
Location of Property .5-~1.~ ..... ~.~.~...~., .P-~. P.~...~..~,~,'T[-~.~/' E~...~.~ ...... ~'c2.~. ~£,.~)
House No, Street Hamlet
Owner or Owners of Property ... ~ .~J ,Lt.E~ ~... ~k~.. ~..T.~..(~. % ................................
County Tax Map No. 1000 Section .... ~(42 :~- ..... Block ...... ~ ....... Lot .... .~.~). ........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No..'2,,.~ Z- Date of Permit '~'l"~'+']~'~'Applicant..
Health Dept. Approval ....... h J] ~ ............ Labor Dept. Approval .... ~-~./~ ...............
Underwriters Approval .J~ .~:A'~.~(~).~~. .~ ......... Planning Board Approval . , .~ ~ ...............
Request for Tempo rary Certificate ..................... Final Certificate ...... / .............
Fee Submitted $ .... ~.~ ~ ~ ..................
Construction on above described building and permit meets all applicable codes and regulations.
Applicant...~..~.. ~'~~ ......................
FIELD INSPECTION COMMENTS
FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
FLUMBING
INSULATION PER N.
STATE ENERGY
qODE
FINAL
ADDITIONAL COMMENTS:
HENRY E. RAYNOR, Jrt, Chairrt~an
JAMES WALL
BENNETT ORLOWSKI, Jr.
GEORGE RITCHIE LATHAM, Jr.
WILLIAM F. MULLEN, Jr.
Southold, N.Y. 11971
TELEPHONE
765-1938
June 24, 1983
Mr. Victor Lessard
Building Administrator
Southold Town Hall
Southold, New York 11971
Re: Mullen Motors
Site Plan
Dear Mr. Lessard:
The following action was taken by the Southold Town
Planning Board, Monday, June 20, 1983.
RESOLVED that the Southold Town Planning Board approve
the site plan of Mullen Motors, for the construction of an
additional two bays for repair work.
Very truly yours,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Susan E. Long, Secretary
cc: John Bertani
JUN.
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
To ~/t/~ '~t~,~.~t' 7~,,,t~(.~... ~n~..
................. ~ ............. I l
PLEASE TAKE NOTICE that your application dated ................ 7. ]'.'. .... , ....
.~ pe~][ ~0 C~n~uuc[ ................................................... ~ .... - '
Looafion of ~rop~rty .............................. ~3i ....................... hjki~i
House
0
County Tax ~ap No. 1000 Section ~g' Block
Subdivision .... · · .. · · .Filed Ma o ................ Lot No ..................
............ .q f:, , ,/.Y. (V, ,,q, ,', ,
Building Inspector
RV 1/80
z000z2z THE
January
Date
THIS Ct=RTIFIES THAT
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
1.6 ~ ~L~$4JOHN STREET, NEW YORK, NEW YORK 10038
~pp,~,,tio, ~Vo. o,,~iie 235432-83 N
. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Mullen Motors, Main Rd. Cot.
in the following location; [] Basement [~ 1st FI.
wasexaminedon January 9, 1984
FIXTURE FIXTURES
OUTLETS ~ECEPTACLES SWITCHES
17 6 ~ll 4 13
DRYERS
Cottage,.S0uthold, N.Y.
[] 2nd FI. Section Block
and found to be in cotnpliance w th the r~quire,nents of this Board.
RANGES
FUTURE APPLIANCE FEEDERS
Lot
TiME CLOCKS UNIT HEATERS
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
Motors :2-, H.P.
Panelboards:l-gcir. 125amps.
1- 200amp, transfer
S E
R
OF CC. COND
3/0
c
AW, G,
OF HI-LEG
N~U A. WG
NO OF TRA/$ OF NEUTRAL
2/0
Paul Burns
Town Harbor La.
Southold~ N,Y.,
11971
This certificate must not be altered in , manner; return to the office
LICo #282
Inspector[s
be
COPY 'HIS
1,4,
fCO~O
SCALE: 40'~ ?
- , .,,-, TUV'L,~C'
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
(~ TEL.: 765-1803
Examined~.t~o.XCT..~, ~. ,, 19 ?.~.
Approved ~,.~q.~..~...~., 19',~~. Permit No./..~'. .~. ?..~.~.~:
Disapproved a/c .~t..q'.~.~.~....'..~../~.<~.t.7./~.¢,~.~.~...d..&.4'~..~q ,ttk',to,~ )
(Building Inspec~'~
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. T~s 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 giving a detailed description of layout of property must be drawn on the diagram which is part of titis 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 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.
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.
...... ~.,¢..~.. ~a~7~...2Y~,>~.~..~
(Signature of applicant, or name, if a corporation)
...&...&. ~:,.-.~<......~...~.../. ZA~.Vd~.Z. ~. ......
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...,~.~.~ .................................................................................
Name or owner or premises ... ~/2. ~. ,¢~. .... .~. ~Z"d>,,?~-. ..... ,~. A,',~ ..................................
(as on the tax roll or latest deed)
If applica t is a corporation, signature of duly authorized officer.
(Name and tit e of corporate o truer)
Builder's License No....~....~.d(../ ..............
Plumber's License No ....
Electrician's License No.../d./,~l ................
Other Trade's License No..
1. Location of land on which proposed work will be done ..................................................
................. 9. ..... .................
House Number Street Hamlet
County Tax Map No. 1000 Section ........ ~ ..... Block ......... ~ ....... Lot....'~ ............
Subdivision ..................................... 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 ..... .~. ?¢~.~d C .... ~g~.~..d~,. ....................................
b. Intended use and occupancy ...~7. ~L//d('~... .dO.. ~ ..... ~-~. d~).d~./../~.,r~ .....................
3. Nature of work (check which applicable)! New Building .......... Addition ...... Alteration ...........
Repair .............. RemOVal .............. Demolition .............. Other Work ...............
.~ .~.~. d2rL) ~ (Description)
4. Estimated Cost .................... Fee ..........................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number o f dwelling units on each floor ................
If garage, number of ears ..... i ..................................................................
6. If business, commercial or mixeff: occupancy, specify nature and extent of each type of use ...~-~.~-(e~. ~.k .-~....
· i ,x)sting structures', i ~ 7- ~..~.
7. D~mensonsofe fany: Front ............... Rear ........ Depth ...........
Height .... /.~. ........ Number of Stories ..... /. .................................................
Dimensions of same strhcture with alterations or additions: Front ................. Rear ..................
Depth ..................... !. Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front .... ~. ......... Rear ... ~ ~ ....... Depth .... .,¢'~<~. ......
Height ..... /. >5. .......Numb~er of Stories ...... ./. ............................
/'t$~) ~ Rear ........ ./.~? ~ ....... i. 'D;p;h .... .,~r~.~.' .' ~.' 'r'
9. Size of lot: Front ............ . .........................
10. Date of Purchase .............................. Name of Former Owner .............................
11. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ... ~ .........................
13. Will lot be regraded ..... A~Z~.; .................. Will excess f, fil be removed from premises: Yes
14. Nmne of Owner of premises .~t~q~t/~,~/t,,O~<~ ,.~ge-Address//4r~'~.. ~-O.. ~t~t-~t~Phone No ...............
Nmne of Architect ........... i ............... Address ................... Phone No ................
Name of Contractor .~. ~. ,~!~&~.,~-e~,'~t~'/-,~9~. Address ~...~--~.~.D{hO. ~ ...... Phone No..~'~.~/.0-~..5~. ....
PLOT DIAGRAM
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 whether
interior or corner lot.
STATE OF NEW/YO~K, .
COUNTY OF-- ~ ~'~... ~'~
............. ~ P..~.~...7~.. A~'~..~'~,~.L i ............... being duly sworn, deposes and says that he is the applicant
(Name of individual signing co~tract)
above named.
[ (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly anth'orized 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
~lc, st~_~..o~ ?_~ ¥0~ ( ignature o applicant)
lerm ExgireS M,areh
cul'
DATE:. '~1~/~' B'P' '~f.(~a~'BY: /~-'
DEPARTMENT
9 AM TO 4 PM FOR THE
IDATION - TWO REQUIRED
FOR
2. iH - ,FRAMING & PLUMBING
3. AT,ON
4. CONBTRUCTfON MUST
BE FOR C O.
ALL SHALL MEET
'.,.ir OF THE N.Y.
OHLJ iSDn-TALl I ~
'4,¸
~ ~
I~t~- ~2 ~.'
.
/ '~- I - "~ BUILDING DEPARTMENT
L "~ ~ A~ TO ~ ~ FO~ TH~
~ -'WING INSPECTIONS '
'2 POURED CONCRETE
COMPfTE FOR C.O,
CONSTRUCTION SHALL MEET
-E CONSTRUCTION & ENTERGY
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