HomeMy WebLinkAbout14316-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z15434 Date December 2, 1986
h 'IW ~Addition to existing retail marine sales room
THIS CERTIFIES that the vm.~m= ................................................
Location of Property .... ~.?..5.5. ?..~. ~.n..R.o. ~.d ........... H.. a.L.t i .~?c.~ .~.e?.
House No, Street Hamlet
County Tax Map No. 1000 Section .. ! .~.2, ...... Block . . .0.2 ........... Lot . .
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Augus..g 17 ....... , B9.8.4. pursuant to which Building Permit No' ! .4 .3.1. 6. ,Z ..............
dated .Se ptemb.e.r. 30 ........... 19.8.5., 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 .........
.~.d.d.~. ~..~.o.n..~..o. ?.x. ~..s >.~.n.g.. ?.~. ~..~.! .m.a..r.~.n2...s.a?. ~...r.o.o..m ..........................
The certificate is issued to DOLORES STRONG
(owner~Ye~( ff~'Tt~t~KtX X X
of the aforesaid building.
Suffolk County Department of Health Approval iq / h
UNDERWRITERS CERTIFICATE NO... iq 7539 13
Rev. 1/81
~ng Inspector ' '
FOR~f NO. ~
TO~H 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)
N-° 14316 Z
...... ./..~ ............... ~ ......... ~ ..~ ........
..... ........ ....... ...............
... ~/..o...Z.~.~ ...... ~..~..~ ..................
· '' ~ ~ ~'-~ .1.~ .~'C.
~o .......... ~.~. Z.~~n. ........ ~...' .~...~.w/.~ ~_...~.~/. ~.l~....~.~z~ ............
.... ~..~,..~....~..~..~.~.~ ......... .~ .......... ~ ......
o, premises located at ...... ./../...~....~..~ .......... ~..../~../..~.....Z~..~...., ....... ~j..~...~/.(Z.~..~.Z....~.~..~
County Tax Map No. I000 Section ..... ~....~..1~. ..... Block ....~.~. ........ Lot No..(,~..~.. ...........
~urs.ont to opp,~otion do~ ···.~ ....... /'"7 ........................ ' '~ '~''~''' o.d opp,o¥~ ~
Building Inspector.
Fee $.~-~)...~... · .~...~....
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
InstruGtJons
This application must be filled in typewriter OR ink, and submitted m ~mmmmm 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 unusua~ 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,
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling
3. Copy of certificate of occupancy $1.00
4.Vacant Land C.O. $5.00
5. Updated C.O. $15.00
$15.00
NewCons tz*uction ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property ....
House No. Street Ham/et
Owner or Owners of Property ..... .~.
County Tax Map No. 1000 Section .... /.Z/...~. ..... Block ..... .~.~ ...... Lot .... .0./.'7 .......
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. . Date of Permit ...Applicant ¢ ~
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate . ,~"~. · ..................
Fee Submitted $ ..... ~..~'...r~. ...... ~/..~. .......
Construction on above described building and p~,rC~it ~eets all applic~c~l,e cod~es and regulations.
Rev. 10-10-7a
THE NEW YORK BOARD OF FIRE UNDERWRITERS
tBUREAU OF ELECTRICITY
J~,;t~t~,~ ~, ~ 85 JOHN STREET, NEW YORK, NEW~/~YORK 10038
THIS CERTIFIES THAT
only the electric~,~jp~ ~q~b~lo~.in~c~ ~ .(he ~ n ed the able application nu~nber in the premises o
in the following location; [] Basement [~ 1st FI. [] 2nd /'7. Section Block Lot
was examined on J%~ 0,~ ~ l~)~J(J and found to be in compliance with the requirements of this Board.
FIXTURE
OUTLETS
~ECEPTACLES
SWITCHES FIXTURES RANGES =OOKING DECKS OVENS
FLUORESCENT
DRYERS
FURNACE MOTORS FUTURE APPLIANCE FEEDERS
TIME CLOCKS
MULTI-OUTLET
SYSTEMS
NO. OF FEET
EXHAUST FANS
DIMMERS
SERVICE DISCONNECT
S E R V I C E
NO, OF CC, COND
PER ~'
A W G. NO, OF HI-LEG A, W, G
OF CC. COND. OF HI-LEG
NO OF N TRAI OF NEUTRAL
3jg
GENEI~AL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
P,O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
,TEL. 765-1802
March 25,1985
Planning Board
Town of Southold
Main Rd.
.Southold, N.Y.
11971
Subject:
Strongs Marineland Store
Site plan dated 1/25/85
Gentlemen:
This will certify the above site plan in
meeting zoning regulations.
You~ Truly
Edward Hindermann
Building Inspector
EH:dsm
Southold, N.Y. 11971
(516) 765-1938
March 6, 1985
Jeffrey Stronq
P.O. Box 1933
Mattituck., NY 1'1952
Re: Site Plan for
Strong'S Marineland Store
Dear Mr. Strong:
The following action was taken by the Southold Town
Planning Board, Monday, March 4, 1985.
RESOLVED that the Southold Town Planning Board, following
a field inspection, refer the site plan of Strong's Marineland
Store for the construction of an adddtion on the existing
building for boat display to the Building Department for certification.
The Boar~ also, requests that the blacktop be extended
to the rear of the property, and on-site drainage be provided.
Would you please forward three (3) surveys with the above
information for our referral to the Building Department.
If you have any questions, please don't hesitate to contact
our office.
Very truly yours,
BENNETT ORLOWSKI, JR., CHAIR~4AN
SOUTHOLD TOWN PLANNING BOARD
By Diane M. Schultze, Secretary
cc: Building Department
.~,~ ~PPROVED ~Y
T_~OWN OF .50UTHOLD;..?, -
FIELD, I~Q S~%ECT ION DATE COM~dEN TS
FOUNDATION (2nd) / /
ROUGH FRAME & '-
IN3ULATION FERN. Y.
CTATE ENERGY --
C..ODE
~~ .~ ~ '~.,
~4~J~ , C.o. ,' ~,"
FINAL
ADDITIONAL COMMENTS
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [/] INFLATION/
FRAMING [~']' FINAL
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ]INSULATION
[ ] FRAMING [~ FINAL
REMARKS, /~o ~ ~ ~
~'~ J',~ ~ Z,/-
DATE '~/~-~/ ~b INSPECTOR ~{. C,L.
' FORM NO. 1
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Approved ................. 19... Permit No ............
Received ........... ,19...
Disapproved a/c ........................... /d. .........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT ?..~. ~'
Date ... .~. ......... 1
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 s(ieets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap, pli-
cation.
c. Thc 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, l~usiiag cgd~e,jand regulations, and to
admit authorized inspectors on premises and in building for necessary inspections./'~/'~Z,, ,,,,o._~'f'~--
............ : . d.( 7 ~ .................
(Signature ~"~tQ o~, ~; corporati, on)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
.O .t~3..Xex.~,*. ~..?.<:~.,:~-..~x~L,~' ....................................................................
Name of owner of premises. ~... V?~-[ {:~ .V. (~. · .~..'~.~7. o.~ .~ .................. .................... (as on the tax'*611 or latest deed)
If applica~ is,a~corl>eqatig~/signature of duly authorized officer.
.... ...... ....
//~f0Name and titlL~bf corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No .......................
I. Location of land on which proposed work will be done .... '.- · '~"~..'~..t. ¥' ! -I'CL-T/'~'r'¢CA e.~.,.~..
. . . I. /. . q. 7. . . . . ............. . . . . . ....................
House Number Street Hamlet
County*ax Map No. I000 Section ../..Z/..g ......... Block ...~k ............ 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.. 1 7.........................................
b. Intended use and occupancy ....~..V.\C.L.~cP.~ ~X .... .~ .<~3~.....~..}. ~.¢[ .cq~t ..........................
3. Nktpt60/~cti'~Ske~'ff[4~plicable) New Building ~ ..... Addition ./~Z~...... Alteration . .
ReRalr . .. :,~,t ·; ~. ~. ~val ............ Demolition ... ~ ..... Other Work .......
~ ' ~ - ~L~,~.~ ,~ .......................
. ~: . :, '?~ ~.~. ~ ' ~' /(to b~ paid on filing this application)
5. If dwelling, number of dwelling hnits.. ': ............ Number of dwelling units on each floor.. ~ ........
If garage, number of cars ' . ..'. .........................................................
6. If business, commercial or mixe~ occupancy, specify ~ature and extent of each type of use. ~ ~.~[ ~ .....
7. D~ensionsofexistingstmctures, ifany: Front .~.~ Rear ~ .... De~th . ~ t
eight ~ ~'~, Number of Stories I ..................
D~enmons o~sa~e structure w~th alterations or additions: Front .... ~ ......... Rear .. ~.~ ...........
Depth ..... ~ ............ ~.. HeiSt .. ~.~ ................ Number of Stories . / ......
8. Dimensions oX entire new const~ction Front ~ Rear ~ ~m ~-O
[[eight ,.. ~.~ ........ Number of Sto~es . . . ] ......... ~ ............................. · .............
~. S~z~ onot: ~ont ...~':~Y..,..~. .......... ao~../~ .' .............. ~e~tn . ~.~ .............
10. Date of Purchase ...~~ ............... Name of Fo~er Owner .~.g~.~..~.
11. Zone or use district in ~hich pr~mises are situated .........................
12. Does proposed constructio~io~ate any zoning law, ordinance or regulation: .............................
13. Will lot be regraded .... l ~.~ ................... Will excess fill be removed from premises: Yes ~
~4. N~e of Owner of premises ...~ ................. Address ................... Phone No ................
..... i ................
~ · · · Phone No ................
Nme of Contractor n ..
PLOT DIAG~M
Locate cle~ly ~d distinctly MI~ bufld~gs, whether existing or proposed, ~d, indicate ~1 set-back d~ensions fr~m
propeay Hnes. Give atreet ~d block ~number or desc~ption according to deed, ~d show street nines aha ~dicate whe~er
inte~or or corner lot. i
· "' ' / / g/ <~ (S~gnature of applicant)
.............. '..day o .. . .....
Notary Public ............
..... : HEtEN K, DE
,NOIARY PUBL O, S ate o Ne"'" 'k
T~m Ex,res March, 30,
STATE OF NEW YORK,
COUNTY OF .................
............................. ; .................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dn!~y 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 manndr set forth in the application filed therewith.
Sworn to before me this
,' /
VAN K,, W"-;5 W',zK L
AI:iDI"T Itg N
/-
///
//
,~r~"'~-~LD NG D~R~MENT~T
9'AM TO 4 pM
G INSPECTIONS; '_...-.~'"' ',,
~3UG~'- FRA~ING & pLU~B~G
C3MPLE~E FOR C, O. -
'COMSTRUCTION SHA~E MEET
NOT RESPONSIBLB , FOR
. ::..,.',. ~'
it
of
*do
Ail ~hop
accordance ' '
Wertdin~ S cte~y
CenStruc~
welder <
furnished when
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shmll
as
$~eel,,'
galv~nimed
wi~h dOubletam