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Home My WebLink About12557-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ...... ~ .e.L?.l...s.~.o.v.a.g.e..s. 13 .e.d ..................... ............................................ q u..~.c.h, qg .u.e ......... Location of Property $305 Cox Lane House No. Street Hamlet County Tax Map No. 1000 Section .0.8.6. ........ Block ...OFF. .......... Lot ...... .~ ...0.0. l. ..... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... .0.c.~.....~ .q .......... 19 .8.3. pursuant to which Building Permit No. 1.2.5. 5. 7 .Z ............... dated . .D.e..c :..1.2. .................. 198..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 ......... ., .[~e.t.~],. &t.qr. ~g.e..~ ;L~c[J,~g., .~/1~ ;L.c.tl .1'~.]~9~..~..~ 9.d.e.~. ~.t~.tt~ ~p?.e. ...... The certificate is issued to .. ?.v. ~..m .e..~ u. r y.e.y.o..v .s.,.. ~..n .c.. ................................ (owner, ~ XeEe~JX X of the aforesaid building. Suffolk County Department of Health Approval ....... .~/.& ............................... UNDERWRITERS CERTIFICATE NO .............. ~.~ ~ .6.1.9. 6. .8 .2 ........................... Building Inspector Rev. 1/81 FO]~.~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO 12557 Z Permission is hereby granted to: .............. ...~..~.~.....~...~..J. ........... ! .................................... ,o.i..~..~ ...... ~.,~.....~~.....~....~....~~ .................. - . ,. f ~-~,. ~ at premises located at ....~...~..~....~......~.~.;~..L-.~.-~...~;...i?.iJ.;.....~~.~ County Tax Map No. 1000 Section ...... ..0....~..~ ...... Block ....... .~...~ ....... Lot No....!..~...°...°....I ...... pursuant to application dated .....~..?...~...~.....L.~ .................. , 19.~..~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A, This application must be filled in Wpewriter OR ink, and submitteG-~md~j~tiea~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. 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 featu res. 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 dwellin9/ landuse--Pre-Existing C.O. $15.00 3. Copy of certificate of occupancy $1,00 Vacanb land C.O. $.5'00 Date../(,4¢~, .'%.. ~, .¢. ~ y New Building t.~,.. Old or Pre-existing Building , , , Vacant Land ............ Location of Pr~;~;t; i ~:21~.' ~,~/~.. ......... .~. '~...~'.'~i i ...... .~...~~~ House No. ~7t ~ . /~) ~Street t d~' Ham et 1. /... County Tax Map No. 1000 Section . .¢ ........ BIock....~L.~ ....... Lot... ?.. Subdivision ................................. Filed Map No ........... Lot No. ~>~ Permit N o~,.~v~'. ~.Z Date of Permit ~'../~.~pp licant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval/V.~. ....... Planning Board Approval ...................... Request for Temporary Certificate . .Final Certificate ..... Fee Submitted $.~ ........................... Construction on above described building and/l~ermit meets all applicable codes and regulations. ~O"~-~.'~{ Z~J ~- Applicant. ~, .~, ,~ .¢~,. ,~,, .~, ,~'. ,~',~, ............................ Rev. 10-10-78 FIELD INSPECTION FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & ?LUMBING (2nd) INSULATION FERN. STATE ENERGY ~ODE FINAL COMMENTS ADDITIONAL COMMENTs: HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSK[, Jr. GEORGE RITCHIE LATHAM, Jr. WILLIAM F. MULLEN, Jr. Southold, N.Y. H971 October 26, 1983 TELEPHONE 765-1938 Mr. Victor Lessard Building Administrator Southold Town Hall Southold, New York 11971 Re: Prime Purveyor's Inc. Site Plan Dear Mr. Lessard: The following action was taken by the Southold Town Planning Board, Monday, October 24, 1983. RESOLVED that the Southold Town Planning Board refer the site plan "Prime Purveyor's, Inc." to the Building Inspector for certification. Four copies of the site have been attached, one of which has been marked by the Chairman during the presub- mission conference. Attch. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Susar~ E. Long, Secretary j DLDG DEPT TOWN OF SOUTHOLD HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM, Jr. WILLIAM F. MULLEN, Jr. Southold, N.Y. 11971 December 7, 1983 TELEPHONE 765- 1938 Mr. Victor Lessard Building Administrator Southold Town Hall Southold, New York 11971 Re: Prime Purveyor's Inc. Site Plan Dear Mr. Lessard: The following action was taken by the Southold Town Planning Board, Monday, December 5, 1983. RESOLVED that the Southold Town Planning Board approve the site plan "Prime Purveyor's Inc." for a warehouse to store dry goods and office space, subject to a one year re- view by the Planning Board. cc: Robert D. Hamilton Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD ~ ~ THE NEW YORK BOARD OF FliR£ UNDERWRITERS 19007~I BUREAU OF ELECTR~ICITY~: ~ 85 JOHN STREET, NEW YORK, NE~V THIS CERTIFIES THAT in tae foltowing location; ~ Basement ~ 1st Fl. ~ 2nd FI. Sectloa B~ck ~t and found to be in com~liatice with the r&quirements of this Board. FIXTURE OUTLETS FIXTURES VAFOR RANGES OVENS DISH WASHERS EXHAUST FANS SERVICE DISCONNECT S E R ~V I C OTHER APPARATUS: NO OF CC. COND. PER ~ OF CC, CO, ND. NO. OF HI4EG AWG OF HI-LEG JNO OF NEUTRALS AWGL OF NEUTRAL £/o Ruland Electric Co. P.O. Box 143 < Mattitack, N.Y. 11952 Llc#242 ..~ . CO~Y F~B ~BUILDiN¢ may /~.~ MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802~ Examined J~....~...:~. !3.., 198.3. Approve~C4z..~...~&..)'.~..., 19~. .~. Permit No. J.X..%-.~..7. Disapproved a/c ..................................... Application No../. ~...~C.77~..~. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- 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. APPLICATI(~N 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 ail applicable laws, ordinances, building code, housing code, and regulations_, and to admit authorized inspectors on premises and in building for necessary inspections. ,~ (Signature of applicant, or,~a/me, ' p ' ) · (Mailing a~:fdress of applicant~TM ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~...~:7~.ff.. .... ..................................... (as~Fthe tax roll or latest deed) If applicant is a corporation, signature o~f duly authorized officer. ~/ (Name and title of corporate officer) Builder's License No ..... · .~. ~... · .~. · · .-:'~'/~' Plumber's License No .... .~1~.~.~ ....... Electrician s License No...~ · .~..'..~..~.?.7 .~ Other Trade's License No ...................... I Location of land on which proposed work will be done .................................................. .... ..................... ............... House Number Street Hamle(~ County Tax Map No. lO00Section..~...Z~. .......... Block' "'~"~7' ........ L°t'''/z'(~''FF"'/ ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occul3ancy of proposed construction: b. Intended use and occupancy ..//'. ..... ~~....~Z...~-,~F.~...~:~z--~. ~;&~.~.~. 3. Nature of work (check which applicable): New Building ....... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (to be paid on filing this application) 5. If dwelling, number of dwelling hnits ............... Number of dwelling units on each floor ................ If garage, number of cars ..... i .................................................................. 6. If business, commercial or mixer 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 ............... 9. Size of lot: Front . .,ex./F~'" ?' '" ........... Rear.·..~:~... ~ ......... Depth . ~../~..~,, .... 11. Zone or use distri4t in which pr(mises are situated .... (_...~ .--: .[.. .................... .~../ ..... 12. Does proposed construcfi~on violfl~a~ning law, ordinance o~ regulation: ...... f/rtl. ,ff../~.. .... 13. Will lot be regraded ....... ,~ :,c .!. ~·..,~ ...... ~ .....~. Will exces~ fill be removed from premises: Yes No 14. NameofOwnerofpremises~?~ff~f./f¢~ddress ../f.~~ ..... PhoneNo ................ Name of Architect f{,O:tc~'~, t,~.. ~,~~. P~ddress ................... Phone No ................ Name of ContracJ~~. '"7~A,~..,~,~.. 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. STAT[:, OF NE ~ ~ . ' , ' COUNTY OF.~ .... 7'~ , , ..................... being duly 'sworn, deposes and says that he is the applicant L/' (Name of individual signing contract) above named. I ~' (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file application; that all statements contained M this application are true to the best of his knowledge and belief; and that the wbrk will be perfomed in the m=ne~ set forth in the application filed therewith. Sworn to before me this Nota~ Public · ·: ................ County ~ .,..,.,.. ,.,,,.,..,,, ,o, ,~ . , '~ · ~.-. - .~ (Signature of applic~,) V 3TIFY B' ~!L~ING DEPARTMENT AT ~ ~ - ~' -~ o~9 o AM TO 4 PM FOR THE F J, '., , - TWO R~QUIR[D ; ~, I - F~ ...... ~"~-"~ CONCRETE , ~._,,q I MEET I ~ ~ .... .,". K'TS OF THE N.Y. ' ' ...... ocqoONSIBLE FOR ......... " "- t i C"ECK~ 8': '-¢-'-- DATE: I ~':~ JBUILDINGS, fi,lC. REVISED BY: _ . - DATE: ~- ~ -- - 3 IHS STEVE