HomeMy WebLinkAbout10965-zNo Z-22241 Date
THIS CERTIFIES that the building
Location of PropertF 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 Bull
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
APRIL 5, 1993
ADDITIONS & ACCESSORIES
GREENPORT, 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 cQnforms to all of the requirements of the applicable
previsions 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. PENNY, INC.
(owner)
***THIS CERTIFICATE OF OCCUPANCY UPDATES THE FOLLOWING
BP #4123Z-C0 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 ~LLTERATION & 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, UNDER, PraTERS CERT. ~N~56951 DATED 7/1/86.
%-/B~ilding Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. 3.1.4~3~ .......... Date ........ q.u.].Sg' .1.4., ................ 19..8.6
THIS CERTIFIES that the building ...~.~.~.o.~A~. ~. 9.n..~..r.o.l-.q9 .a.'c.i. qn.. 9.~. .e..x.i.s.~.Sr.ng..~.~.orage
building
Location of Property .. 6 7.4.8.0. ~l.&J~. C9.a.d., .............. .G.r.e..e.nkq. qr..~.,' .N... ¥.. ..........
House No. Street Hamlet
County Tax Map No. 1000 Section .. 0 -5 3 ....... Block ...Q .2 .......... Lot .... 2. 7.-.~ ........
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
......... .O.c~;ob~:. 2 9,,19.8~Q pursuant to which Building Permit No .... .1.0.9. fi..5 .z ...........
dated ... Ixl.oxtemb.er. 1.7., ........... 19.8.0., 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 .........
The certificate is issued to ..... .G.~.o..r~.~. ?..o.n.n.y...I.V ....................................
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval ......... ~q./3~ .............................
UNDERWRITERS CERTIFICATE NO ................ ~. 7..5.6.9.5. 3. ..........................
Rev. 1/81
Building Inspector
TOWN OF SOIJTHOL~
TOWN HALL
BUILDING PE~ITL
COMPLETION OF THE WORK AUTHOR ZED)
UNTIL FULL
~o~er ~7 ............. .~9.,,8.g,
N°.10965 Z Dc~te ...... ,...,, ................. ~. .............
Permission is hereby granted to:
George L, Pe~Y Ill :~.
................... ; ......................... , ..... ~ ......
Mattituck, NeW York ~1 L9~2
~teratlon ~d relooatton o st&ng gtorage ;~tld~ng
67~80 Main Road
~t premises located ut ..................... ; .................... , ..:....~ ........... · .,4 ....... ~ ..........................
Oreenport, New Yo~
~eoonio Bay Emtate, ~iled Map 658, L~%~ ~5~, 15~,' Pl~5 ~ Describe
pur~uan~ *o ~pg~ic~fion ~t~ .............................. , ............ ,...~ .... , .... ~}-- ~pprov~ by the
Building Inspector.
2~: oo
l~tor
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted 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.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existi6g"
land uses:
1. Accurate survey of p~operty 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 dwelling $ :[5.00
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
C.O. $15.00 Date ...~v'~...~.-..../..~.?.~....
5.Updated
New Building ~.~..~.~.... Old or Pre-existing Building ............ Vacant Land .............
Location of Property . ~'7~/~0 ~F/~,30 ~o~ ~'h~'.~'~-7~og~T~
House No. Street Ham/et
Owner or Owners of Property .........................................................
County Tax Map No. 1000 Section ............... Block ............... Lot ................
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. ]..O.~. (p.~'.~... Date of Permit ! {).;.~J.~.o...App licant...~..~'?..~.~..~...J'~-~...~.'1. ~ .....
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........... Plannin oar royal ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $..~.'...O~.. ....................
Construction on above described bu,lding~,~2rm,t m~eets all ap~cable codes~ons.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
]~000~18
BUREAU OF ELECTRICITY
~ .]'[L'[Y ]-, '[~ 85 JOHN STREET. NEW YORK. NEW~6~j~YORK 10038
THIS CERTIFIES THAT
only the electrical equipment ~ ~scribed be~w a~ introduced by the up. leant ~med on the a~e applicot~n number in the premises of
Pem~y I~r, M~n l~ad~ C~n~rt~ N,Y.
in thefollowing locatlon; ~ B~sement ~ Ist FI. ~ 2nd FI. Section Bilk Lot
wusexaminedon J~ ~ ~ andfoundtobelncomplianceu'ththerequirementsqfttisBoard.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES FLUORESCENT
8 4
DRYERS
OTHER APPARATUS:
C
NO. OF NEUTRALS
OF NEUTRAL
tIall ~ Service
Charles
760 Long Ck'eek Drive
Southold, N,Y. 11~1
GENERAL ~NAGER
-Ii
I
~Iemorandrum from · · · ·
BUILDING INSPECTORS OFFICE
TOWN OF $OUTHOLD
Towta H^~.L, SOVTnOrV, N. Y. 11971
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
^pproved... 19 .&. Lmit No../. ¢.? Z----
Disapproved a/c ................... ~ ............... '.
(Building Inspector)
APPLICATION [:OR BUILDING PERMIT
INSTRUCTIONS
Application No..( .~..?(~?.~ ......
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 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 appli-
cation.
c. The work covered by this application may not be commenced b~fore 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 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 buildings for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.... ~..-(3 .~.~.~ .~..'. .............................................................................
Name of owner of premises .. G .~'~ .~).~3~.~...~..~...?~.~...J~...~.. ~'. .............................
(as on the tax roll or latest deed)
If appl_[cant is a corpgratj~h, signature of duly authorized officer.
...
(~ (Nam~tna'tftle of corp6rate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
..&..7. %.~.0. ............ ?.~:~. ~...~. ~. ..... ~ ~. ~ .......... ff.~..e.-v..--~..~..~ .~. :. ........
House Number Street Hamlet
County Tax Map No. 1000 Section ...... .-~.....~.. ......Block .... . .~.. .......... Lot .?~....?.~. 7 ........
SubdivisionS..(.~...{~.. 3..~..~,q~..~.....~.~'.~-. '.C4 .~..6'.-~ . Filed Map No.
(Name) ' '
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ... ,_,~. ]...O..~...c?. ~ .~. ..........................................
b. Intended use and occupancy ...~c-.~..~.(.~..O. .r~...Gl..~). :~ .................................................
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .,.-~ .......
Repair .............. Rempval .............. Demolition .............. Other Work .....
~1~' ,~ i ' (Description)
.. Z4 o
4. l~sttmated Cost ................................ Fee ......................................
(to be paid on filing this application)
5. If dwelling, number of dwelhngiumts ............... Number of dwelling units on each floor ................
If garage number of cars .'
6. If business, commercml or m~xed occupancy, specify nature, and extent of each type of,qse ~.~T~..~ .g...G ¢.~. ......
.... , , ~ ~ ~
7. Dmaenstons of ex~stmg structures, if any. Front ~- ~.. f .~,- . Rear ...~..~i..I...~__ Depth..~.~..t..~.
Height .~. i~.* ...... ~ '
· .. Number of Stones ..... Z-~. ................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ................... i · · Height ...................... Number of Stories .. ~ ..
8. I)ime~/sions of entire new constrUction Front.. ~ ..'~ ..... Rear...~.~ ?..Q .'I.. Depti~' i ~'~ .~(
E[eight ............... Number of Stories .... ! ...................................................
9. Size of lot: Front .......... i ........... Rear ...................... Depth ......................
10. Date of Purchase .......... q .................. Name of Former Owner .............................
11, Zone or use district in which promises are situated .....................................................
12. Does proposed construction rio!ate any zoning law, ordinance or regulation: ................................
13. Will lo( be regraded ............................ Will excess fill be removed from premises: Yes No
14. Name 9f Owner of premise~.~.~., .~. (-~..."3~..~..~/.. ~..~-~F.. Address ~A,,.O...'~.; t.~.c~..q .Cq.. Phone No~..~.[~. 7~..
Name of Architect ......... ; ................. Address ................... Phone No ................
Name of Contractor ......... i ................. Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block aumber or description according to deed, and show street names and indicate whether
interipr or 6orner lot.
A =
ST TL OF NEW YORK, ,
...... .~2...o~-~>...~. ~ .e~... (_~..·..~.~..~....,~?..,~...-..~. f.. being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named·
He is [he ~ .~..~..--/~...~...
. , (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dui authorized to perform or have performed the said work and to make and file this
applic~,tion ;ithat all statements eont[ined in this application are true to the best of his knowledge and belief; and that the
work will be performed in the mann(: set forth in the application filed therewith·
Sworn to before me this ~
....... ~ .... ~.. ~) ...... day of~.
Notary Publ!c, ~4~[~ 7
Commission Expires March 30,