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HomeMy WebLinkAbout11202-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 P~rmit heretofore filed in this office dated MARCH 5, 1993 pursuant to which Building Permit No. SEE BELOW dated ........ 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 ACCESSORY BUILDINGS & ADDITIONS TO EXISTING BUSINESS BLDGS *** The certificate is issued to of the aforesaid building. G.L. PENNY, INC. (owner) *** THIS CERTIFICATE OF OCCUPANCY UPDATES THE FOLLOWING : BP ~3333Z-CO Z-2757 DATED 7/20/67 FOR ADDITION & ALTERATION ON EXISTING BUSINESS BLDG. & OFFICE SHOWROOM. BP ~5921Z-C0 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-CO Z-14636 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-CO Z-14634 DATED 7/14/86 - ADDITION TO EXISTING BUSINESS BUILDING (CARPET STORE). BP ~14071Z-CO Z-14645 DATED 7/15/86 - ACCESSORY STORAGE BUILDING BP #14072Z-CO Z-14646 DATED 7/15/86 ACCESSORY BUILDING - UNDERWRITERS CERTIFICATE #N704533-DATED 8/13/85 BP #17285Z-CO Z-17357 DATED 9/27/88 ALTERATION TO CARPET STORE, UNDERWRITERS CERT. #N-038891 DATED 10/12/88. '0~ B~f~ing Inspector Rev. 1/8i TOW~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ Yo BUILDING P'ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N°. 11202 Z Permission is hereby gr~nted to: ..... ....... .~a .a..~...~.~_..~a. ..... o, p~m~ses,~o,~ o,....Z.~..~...~ ......... ~a..~.~....~.~.*.,~ .................................... County rex Mop No. I000 Section ..Z'....?../. .......... Block ..... /,~.,~ ......Lot No. ~/.~..7......--./~,~6~ ,u~uon, to op,,,co,on do,ed .~.....a.~ ...................... . ,,.~..~.. ond o,,ro,~ by ,he / Building Inspector. Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. z 1.& 6 3 7 ......... Date ........ g..u..1 y..1. 4., ................ 19 . .8.6 THIS CERTIFIES that the building.., c.o. rlst:r.u~q~;~.d..l~c2.r..s.~q .r.a~.e...a.n.d..s..a.lp.s...b.u.i. lding Location of Property ...12585.. Sound. A.v.a, ......... ; ........ ~Jo.t.~.&t;g.c.k. ,...I5...Y... ..... House No, Street Hamlet County Tax Map No. 1000 Section . . .1.41 ...... Block ...0.3. .......... Lot . ,3.8.o.1. ........... Subdivision ............................... Flied Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ~a.y..29 ...... , 19132[. pursuant to which Building Permit No...1.:[ 202 .............. dated ..... Jane. 25.~ ............. 1981., 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 ......... Storage and Sales Building The certificate is issued to ..... .G .ep.r. cje...L.... P..e.n.n?. ~...I.n.c.: ............................. (owner, ~~ of the aforesaid building. Suffolk County Department of Health Approval ........ ~./.A. .............................. UNDERWRITERS CERTIFICATE NO .......... ,N.7.B. ,4.4.3.9. ............................... Rev. 1/81 Building Inspector 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 ~ ~"-'~-" 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 featu res. 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 Unde~riters. 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 pZt~perty 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 $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 .~. 5.Updated C.O. $15.00 Date ... ~%~...~.~..~.~...~.... New Building .~.T'.~..~.~..~?'.... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ./..~.~..~..~. ......... ....~ .................. House No. Street Hamlet Owner or Ow.ers of Property..~..~...~..~..~'...~--~.. ~ .~..~...~.'.~.: ........ '"' ~'.'1"" ' County Tax Map No. 1000 Section ...)..~./. ........ Block ..... (~). ~. ...... Lot..~%"~r?~..~ . Subdivision ................................. Filed Map No ........... Lot No .............. ......... ~. ¢~ ~-...~..~ Permit No II ~.o~. ~.. Date of Permit .~/.~.~.].~ ~..Applicant ........................ .~...J..~.~. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval..' ~'~'J~'~' ' ' '~' '1 ........... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~'.,..o~.. ..................... Construction on above described building and permit meets all a~l~lidable codes and regulations. ' ..... ................ Rev, 10-10-78 THE ~00771 NEW YORK BOARD OF FiRE UNDERWRITERS BUREAU OF ELECTRI(~IT¥ 86 JOHN :STREET, NEW YORK NEW YORK 10038 THIS CERTIFIE~ THAT only the electrical equipment as described below and int~duced by t~ appl~ant Ca'ed on the abdve application nu~tber in tko pretntses of ~n the~ol~ow~ng Joca~on; ~ Basement ~ ls~ FL ~ 2nd FI. Section Block Lot was exatnined on J~L~ ~0 ~ ~ and found tO be in corn olia~ce with the r~qulrentents of this Board. DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: C OF Hj.I. EG OF NEUTRAL 1 3/0 must not be altered in any mann~r~ return to the office of the Board if GENEI[AL MANAGER may be identified by their credentials, N ANY MANNER. FOUMDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: RF-80 GENERAL INFORMATION STANDARD SIZES -- (Nominal)* BUILDING BUILDING BUILDING WIDTH HEIGHT LENGTH 30' 10', 12', 14', 16', 20' 40', 50', 60' 10', 12', 14', 16', 20', 24' 42'8" plus increments of 20' bays. 70', 80', 90' 12', 14', 16', 20', 24' 100' 14', 16', 20', 24' 52'8" plus increments of 25' bays. 120' 16', 20', 24' *Actual overall width and length varies upon the type w, all covering used. Standard Design Loads DESIGN LIVE LOAD SBC-80 (Standard Building Code) 20 psf** S~..~C.~110 (Standard Building Code) ~* ~(Uniform Building Code~ BOCA-20/15 (Ba~ ~56J~' 20 psf BOCA-40/15 (Basic Building Code) 40 psf WIND LOAD REFERENCE 80 mph (13 psf) 100 110 mph (24 psf) 101 ~ 102 15 psf 103 15 psf 104 **Minimum Recommended Live Load 20 psf-purlins & roof cover ' 12 psf-frames Buildings are designed to meet the loading requirements of the listed Model Codes. Standard Bay Lengths n_lnterior or End Bays -- for all Design Loads ~e._rior or End Bays for all Design Loads Roof Slope Gable Roof'-- 1/3" in 12" (1" in 36") Frames Main structural members, supporting the purlin and girt systems, are welded plate sectior~s. They are basically composed of columns and rafters, spanning the width of the building and spaced on standard bay length centers. Purlins Members supporting the roof panels are stiffened cold-formed sections, spaced horizontally on approximately 5'0" centers. They are designed as a continuous beam, spanning standard bay lengths, lapping the adjacent purlin at each interior support. Girts Members supporting the wall panels are stiffened cold-formed sections. They are designed as a simple beam and span the standard bay lengths. Vertical spacing of girts is variable, depending upon the type wall covering and wind load design. ARMCO RF-80 TITLE t) ©© /.~_h~,.~...~/,N.~.,ARW- l/ WALLS CNLY Foundations I DATE I SHEET NO. I I ~NCHOR BOLT SHEAR IS BASED ON HIGH ;TRENGTH STEEL HAVING A MINIMUM YEILD ;TRENGTH OF 43.3 K.S.I. - SUPPLIED BY kRMCO MPD - AND 3.0 K.S.I. CONCRETE ~HERE BUILDING CODES OR DESIGN REQUIRE- lENTS DI~¥ATE LESSER STRENGTH CONCRETE )R MINIMUM ALLOWABLE SHEAR VALUES, A ;HEAR CHANNEL MAY BE REQUIRED... SEE ~PPLICABLE "SUPPLEMENTAL DESIGN DATA". 'U' ANCHOR BOLT SCHEDULE ASSEMBLY qUANTITY BOLT DIMENSIONS SHEAR ~JJMRr~ & DIA. DEPTH A PROJ. B (KIPS/ i~ 2 "-)~ I @ 7/8" i12 5/8" I @ I 1/4'18 3/4" 2 1/4" 4 2 ~ I 1/4 18 3/4" 2 1/4" 64.0 5 3 ~ 1 1/4~18 2/4" 2 1/4" 96.0 10 4 @ I 1/4'118 3/4" 2 1/4" 128,0 IHEN PREPARING SIDEWALL FOUNDATIONS FOR PORTAL COLUMNS AND/OR FRAMES, SEE APPLICABLE ~LTERNATE SIDEWALL BRACING INFORMATION FOR ANCHOR BOLT REQUIREMENTS. ~OTES AND DETAILS SHOWN HEREON ARE ALSO APPLICABLE FOR INFORMATION SHOWN ON OPPOSITE ~AGE. TYPICAL ASSEMBLY ~2 & ~3 AT INTERIOR FRAME OR ENDWALL COLUMN TYPICAL ASSEMBLY '~5 AT INTERIOR FRAME TYPICAL ASSEMBLY ~4 AT INTERIOR FRAME TYPICAL ASSEMBLY '/~10 AT INTERIOR FRAME ARMCO \/ RF-80 I TITLE Rigid Column Anchor Bolt Assemblies DATE 11/79 SHEET NO. BR-410 1/31 2 2 A SECTION 1-1 SECTION 2-2 D ~--- C 48'-6' 49'-6" ~' >=- TABUI. ATED CLEARANCE DIMENSIONS ARE NOMINAL FOR NORMAL DESIGN P~R'~OSES ONLY, IF PRECISE DIMENSIONS ARE NECESSARY, AN INQUIRY MUST BE MADE. FOR STANDARD BUILDING SIZES AND LOADS SHOWN, FINAL CLEARANCE DIMENSIONS SHOULD NOT BE LESS THAN THOSE TABULATED. DESIGN BLDG, BLDG. DIMENSIONS LOAD WIDTH HT A I B CI ~- E F G H 20' 43'6', 2,6,, 8- 19,5 V4, 20'11V4" 6- 4- 17,53/4" 24' 43'2" 2,8,, 8,, 23,5 V4, 24'11¼" 6- 4- 21,53A,, 10' 44'6" 2'0" 8" 8'3 ~/~'' 10'11%" 6" 6" 7'3-5/8" ~.~ ---~'~' 12' 44'6" 2'0" 8" 10'3V4' 12'11¼" 6" 6" 9'3-5/8' 24' 43'6" 2'6" 8" 23]5¼'' 24'11¼" 6" 6" 21'4¥4" RF-80 TITLE Interior Frame Dimensions DATE SHEET NO. BR-436 ~'. ~ ·., ¥ · '4. j ,~, ~., .,~.,:~q. Post & Beam or Interior Frame at Endwall 11/79 B R-469 +l 0 © PLA~ ^T ~i~T W~LL. I TITLE · · RF-80 I ARMCO I Typical Details at Interior Frame DATE SHEET NO. W,~LL I,'U'IAID /-OAO 7rA~L~ WA Lt.. J INFoP..M~,T~oI4 ARMCO ,,._, ,.,. WALL PANEL - DESIGN INFORMATION DATE SHEET NO. P~RMC~) ARW-IV Nestahle TITLE Typical Wall Details DATE 1/81 SHEET NO. W-914 12LAST/C Z~ ,4 .S E C O F-e /V E,~ ,5£C TION THRU (/I/-L /-/0L£.5,0/Z£~,OU,VC/-/£O) ', AIOI, fi'I, IAL [SUll..l)lt, lo L£t,/OTI-I IvlIAIU,5 ~3A,SF LAYOUT ~k qM~O ARW-IV I TITLE Shelf I. avout W-913 TELEPHONE: 298-8559 GEORGE L. PENNYi INC. NORTH ROAD, MATTITUCK NEW YORK 11952 February 27, 1981 Gentlemen I wish to build a storage buildin9 50 x 100 as shown on the attached survey. The lot, #38~ is owned by George L. Penny, Inc. and is C zoned. The county tax map #1000-141-3-37+38. Please address all correspondence to George L. Penny, IV~ PO Box 57~ Greenport~ NY 11944. Sincerely George Penny IV Treas. GLP:cb Enc. TO%¥~ OF SOUTHOLD, NE~V ¥O]~K ACTIO~ OF THE ZO~G BOARD oF APpEAL~ Appeal No. 2792 Application Dated March 3, 1981 ACTION OF TFIEZONING BOARD OF APPEALS OFTHETOWN OF SOUTHOLD Mr. George L. Penny IV To GreenDort Lumber Co., Inc. P.O. Box 57 Greenport, NY 11944 Appellant at a meeting of the Zoning Board of Appeals on April 2, 1981 was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( ) Request for a special exception under ~he Zoning Ordinance (X) Request for a variance to the Zo. ning Ordinance Art. VIII, Sec. ( ) 100-81 the appeal ~a~ed ( ) be denied pursuant to Article .................... Sect~n ...? ................ S~section .................... para,apb .................... of the Zoning Ordnance and the decision of the Build~g I~peat~ ( ) be reversed ( ) be co~irmed b~ause Public Hearing: 4/2/81: Application of George. L. ~enny, Inc., 12585 Sound Avenue, Mattit~ck, NY for a Variance to the Zoning Ordinance, Art. VIII, Sec. 100-81 for permission to Construct storage building in a C-Zone with insufficient rear and side yard areas at 12585 Sound Avenuel, Mattituck, NY; bounded north by Penny; east by North Fork Oil Heat; south by Sound Ave- nue and L.I.R.R.; west by Parrish; County Tax Map Item No. 1000-141-3-37 and 38. (SEE REVERSE SIDE) 2, VARIANCE. By resolution of the Board it was determined that (a) Strlet application of the Ordinance (would) (would not) produce practical hardship because (SEE REVERSE SIDE) difficulties or unnecessary (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same uae district because (SEE REVERSE SIDE) (e) The variance (does) (does not) observe the spirit of the Ordinance and (would) change the character of the district because (SEE REVERSE SIDE) (would not) and therefore, it was fm'ther determined that the requested variance ( ) be granted ( that the previous decisions of ~he Building Inspec%or ( ) be confh, med i ) be reversed. be denied and CG:lk FO~M ZB~ ZONING BOARD OF APPEALS The Board finds and determines as follows: By this Appeal, Appellant seeks a variance tO oonstruct a 50' by 100' storage building with a proposed sideward setback of 3 feet at the east side and proposed rearyard setback of 3 feet, and 3 foot minimum sideyard at the west sade. Erected on the subject premises are a 2½-story frame house with accessory building (County Tax Map Parcel No. 1000-141-3-38)! and office building with two lumber-storage buildings (County Tax Map Par- cel No. 1000-141-3-37). The premises in question iis zone "C" with a nonconforming use permitting the storage of building materials since prior to the adoption of zoning. ~ ~he Board finds that the relief requested is inot substantial in relation to the Code requirements; that the relief requested is within the spirit of the zoninq ordinance; tha~ the variance if granted will not change the' character of the neighborhood; that no adverse effect will be produced on available governmental facilities of any increased population; that the ihardsh~p and/or practical difficulty is unique; and that the interests of justice ~ will be served by granting the relief requested aSd as noted below. On motion by Mr. Goehringer, seconded by Mr. iGrigonis, it was RESOLVED, that George L.. Penny., .Inc. be granted a variance to the zoning ordinance, Appeal No. 2792, SUBJECT TO~-~E FOLLOWING CONDITION: ; That the minimum side and rear yard area set~acks be five feet. Location of Property: North side of Sound A~enue, Mattituck, NY; bounded north by Penny; east by North Fork Oil Heat; south by Sound Avenue and L.I.R.R.; west by Parrish; County Tax Map Parcel Nos. 1000-141-3-37 and 38. ~ Vote of the Board: Ayes: Messrs. Grigonis, Doyen, Douglass~ Goehringer and Sawicki. APPROVED ': TOWN OF SOUTHOLD, NEW YOP~[ DATE ...4.[3.0.l.8.1 ACTION OF THE zONInG BOAI~D OF APPEALS Appeal No. 2791 Application Dated March 3, 1981 ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWI~ OF SOUTHOLD To Mr. George L. Penny IV Greenport Lumber Co., Inc. P.O. Box 57, Greenport, NY 11944 Appellant at a meeifng of the Zoning Board of Appeals on April .2, 1981 was considered and the action indicated below was taken on your ( ) Request for variance due to lack of access to property ( }O Request for a special exception under the Zoning Ordinance Art. VIII, ( ) Request for a variance to the Zoning Ordinance ( ) the appeal Sec. 100-80(B)(3) L SPECIAL F.~XCEPTION. By resolution of ~e Board it was determined ~at a special exception ( ) be gra~ed ( ) be denied pursuant to ~t~ .................... Se~n .................... Subse~n .................... para,apb .................... of the Zoning Ordinance and the decision ~ the Build~g I~pector ( ) be reversed ( ) be coniirmed b~ause Public Hearing: 4/2/81: Application of George L. Penny, Inc., 12585 Sound Avenue, Mattituck, NY for a Special Excep- tion to the Zoning Ordinance, Art. VIII, Sec. 100-80(B) (3) for per- mission to construct storage building in a C-Zone afl 12585 Sound Avenue, Mattituck, NY; bounded north by Penny; east by North Fork Oil Heat; south'by Sound Avenue and L.I.R.R.; west by Parrish; County Tax Map Item No. 1000-141-3-37 and 38. (SEE REVERSE SIDE) 2. VARIANCE. By resolution of the Board it was determined that (a) Strict application of the Ordinance (would) (would not) produce hardship because (SEE REVERSE SIDE) practical diffieultlee (b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties alike in the immediate vicinity of this property and in the same use district because (SEE REVERSE SIDE) (e) The variance (does) (does not) observe the spirit of t~e Ordinance and (would) change the character of the district because (would not) (SEE REVERSE SIDE) and therefore, it wRe further determined that the requested varianc~ ( ) be granted ( that the previous decisions of the Building Inspector ) be confirmed ( ) be reversed. ) be denied and CG:lk FOR~ ZB4 ZONING BOARD OF;~PEALS The Board finds and determines as follows: By this Appeal, Appellant.seeks a Special Exception for permis- sion to construct a 50' by 100' storage building" a ~n C-Zone at 12585 Sound Avenue, Mattituck, NY. The subject premises has erected thereon a 2½-story frame house with accessory building (County Tax Map Parcel No. 1000-141-3-38) and office buildingiwith two lumber- storage buildings (County Tax Map'Parcel No. 1000~141-3-37). The premises since prior to the adoption of zoning has retained a nonconforming use permitting the storage of build%ng materials, and it is the opinion of this Board that a SpeciaI Exception is not required for this use requested inasmuch as the use has existed prior, to zoning. On motion by Mr. Goehringer, seconded by Mr. Grigonis, it was RESOLVED, that the application of .~eorge L. ~enny,. Inc.., Appeal No. 2791, be withdrawn without prejudice. Location of Property: North side of Sound Avenue, Mattituck, NY; bounded north by Penny; east by North Fork Oil Heat; south by Sound Avenue and L.I.R.R.; west by Parrish; County Tax Map Parcel Nos. 1000-141-3-37 and 38. Vote of the Board: Ayes: Messrs. Grigonis, Doyen, Douglass, Goehringer and Sawicki. RECEIVED AND FILED BY APPROVED FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ApplicationNo../~..rf?..~. ....... Examined ................ ,19 ... Approved. fJf'. · .~...~.. ~. ..... 19 .~../. Permit No. '~~~(' ?/~PP LICATION FOR BUILDING PERMIT ' a. Thi~pNication must be completely filled~n by typewriter or in hnk and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bulldogs on premises, relationship to adjoining premises or public stre~ or areas, and giving a detailed description of layout of property must be drown on the dia~am which is part of this cation. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approv~ of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such peru ' sh~l be kept ou the premises avaQable for inspection throughout the work! e. No building shall be occupied or used in whole or in pa~ for any pu~ose whatever until a Certificate of Occupan shall have been granted by the Bu~ding Inspector. APPLICATION IS HEREBY MADE to the Buildhzg Department {or the issuance of a Building Pemit pursuant to t Budding Zone Ordinance of the Town of Southold, Suffolk County, New:York, and other applicable Laws, Ordinances Regulations, for ~e construction of buildings, additions or alterations, or .for mmov~ or demolition, a herein descfib* The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ~d · ' admit authorized inspectors on premises and in buildings for necessa~ inspections. (Signature of applic~t, or n~e, if a corporation) .... State xvhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ Nmne of owner of premises ..................... ~ ................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. 0 tXa~an~ title of corpbrate officer) Builder's License No .......................... Plumber.'s License No .......................... Electricmn's License No. ~....~. ~ Other Trade's License No ...................... Location of land on which proposed work will be done ................................................ ............................................... House Number Street ' Hamlet : County Tax Map No. 1000 Section ............ Block ~ ............... Lot ........ Subdivision ..................................... Filed MapNo ............... Lot .............. (Name) State existing use and occupancy of premises and intended use and .OcCUpancy of proposed construction: .,.,- 6 a. Existing use and occupancy .. . .(&./..c.,,~. .~.1 .(j...K.tr3.. {:~, t .:~'~.. l .O'.(,~ .......................... b. Intended use and occupandy ........................................................ 3. Nature of work (check whtcb applicable): New Building .......... Addition .......... eration .......... . Repair Removal ' Demolition Other Work . '' (. escriptio ) t Estimated Cost / · · ': (to be paid on ~ing this application) L If dwelling, number of dwelling 5nits ............... Nmnber of dwelling units on each floor ............... n mb , ....., .: ......... . ............................................... . ...... ~. If business, commercial or m~efi occnpancy, spec~y nature and extent of each type of usa .~ J ~ ~ ......... 7. D~ensions of existing st~cturei, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... D~enfions of same st~cture wiih alterations or additions: Front ................. Rear ................. Depth ................ ~.. Height ................ Nmnber of Stories ............. . ........ HeiSt ..... Number of Stones ........... ' ................................ ~, S~zeoflot: Front ........... i ........... Rear ...................... Depth ..................... 1. Date of Purchase ........ :...: .................. Name of Foyer Owner ............................. 1. Zone or use district in which premises are'situated... 2..~ ............................................. L Does proposed construction violhte any zoning law, ordinance or regnlation: ................................ L Will lot be regmded ......... ~ ................... Will excess fill be removed from premises: Yes No I. Nme of Owner of premises ...: ............ . .....Address ................... Phone No ................ Nme of ~chitect .......... 1 ................. Address ................... Phone No ................ Nmne of Contractor ......... ~ ................... Address ........ ~ .......... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all lbulidings, whether existing or proposed, and, indicate all set-back dimensions from :operty lines. Give street mad block mmber or description according to deed, and show street names and indicate whether ~terior or corner lot. rATE OF NEW YORK. ................. .' '; .' · · · '.' '."' · · ' 5 'r ........... being duly sworn, deposes and says that he is the applicant (Name of ~n&wdual s~gn)ng contract) 5ove named. (Contractor, agent, corporate officer, etc.) f saki owner or owners, and is dul'y authorized to perform or have performed tlYe s~id work and to make and file this pplication; that all statements conthined in this application are true to th~ best of his knowledge and belief; and that the ,ork will b~ performed in the mannOr set forth in the application filed therewith· worn to before me this NOTARY PUBLIC, State of New Yor]~ ........ .~ · ~ ....... ~O, 4693093, Suflol~ County 0 ",.~ ~ (Sig[hature of applicant) Commission Expires Mamh ~-u:,~ iSLaND E~.IL~.O~D CO. APPROVr-o AS NO.I'EO~ .~ NOTIFY BUILDING DEPAR'I~/~ENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING ]N~ECTIONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE . 2. ROUGH - F~MING & PLUMBING' 4; ~INAL ,CONST ~ ALt. CONSTgUCTION S~ALL:MEET': TIlE REQUIREMENTS OF ~HE N, y. ~ATE C0NS~UCTION & ENERCY ~t(- ~nT,,~_ RESPONS BLE FOR D~ GN OR CONSTRUCTION ,ERRORS. ..... GREENFORT LUMBER ~O. iNC. OlV'M°~a George L Penny In~ Greer~ar~ LL, N.Y. 11244 GREENPORT LUMBER CO. {NC. Div. of George L. Penny Inc. Main Road - Box 57 Greenport, LI.. N.Y. 11944 %% / ~C0 ,0 LUMBER STO~AGE t~'UILDIN6 LUMB~R STORAGF= BUILDING. '~$6' + LONG ISLAND R&ILP..OAD CO.