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Home My WebLink About17285-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. #4$ 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 Permit 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 G.L. PENNY INC. (owner) of the aforesaid building. THIS CERTIFICATE OF OCCUPANCY UPDATES THE FOLLOWING BP #33332-CO Z-2757 DATED 7/20/67 FOR ADDITION & ALTERATION ON EXISTING BUSINESS BLDG. & OFFICE SHOWROOM. BP #59212-CO 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 #89382-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 #140662-CO Z-14634 DATED 7/14/86 - ADDITION TO EXISTING BUSINESS BUILDING (CARPET STORE). BP #140712-CO Z-14645 DATED 7/15/86 - ACCESSORY STORAGE BUILDING BP #140722-CO Z-14646 DATED 7/15/86 ACCESSORY BUILDING - UNDERWRITERS CERTIFICATE #N704533-DATED 8/13/85 BP #172852-CO Z-17357 DATED 9J27/88 ALTERATION TO CARPET STORE, UNDERWRITERS CERT. #N-038891 DATED ~10~/12/88. B Sing Inspector Rev. 1/81 1R013ai NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N G ~ 17 2 g ~ Z Date ...l:~~ ~ 19. ~C5 Permission is hereby granted t ~o ..............d ~ ct premises located at ....y.......~..J......~o .~~j...~~.~l~f........~/...L........1....~~~./.......1../ County Tox Map No. 1000 Section ..1...~~........... Block Lot No. ..jj a pursuant to application dated ............................P.~.~........, 19.~C'7, and approved by the Building Inspector.~> Fee S...f.•~.1~..•df~. i ~ ......~:.~...r....~. Building inspector Rev. 6/30/80 t Form No. 6 > , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, properly lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1~ lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1: Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50,00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date March 5,,1993 New Construction........... Old Or Pre-existing Building...FRAtI~P.GP.... Location of Property....~2,6SS.Sound.Avenue Mattituck. N Y.,,,,,.,,,,,. House No. Street Hamlet Onwer or Owners of Property......,G:L:.PENNY; INC County Tax Map No 1000, Section... .ti:4~.....Block.... 3:.........Lot.....:38':~~............ Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... , Fee Submitted: 50:00 CQ..ec., 4 ~ 7 o y ~ ~ . ola,~c.~f. e b z 1 a a y~ APPLICANT . FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17357 Date SEPTEMBER 27, 1988 THIS CERTIFIES that the building ALTERATION Location of Property 4140 COUNTY ROAD #48 MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 141 Black 3 Lot 38.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 28 1988 pursuant to which Building Permit No.17285-Z dated AUGUST 2, 1988 was issued, and conforms to a1I of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ALTERATION TO CARPET STORE The certificate is issued to GEORGE L. PENNY, INC. (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING - SEPTEMBER 26, 1988 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1f 81 - rr r~=r.~ FORM NO. 6 y~ 3~ t ~ TOWN OF SOUTHOLD AW Building Department Town Hall Southold, N.Y. 11971 WN S 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ e....~ to the Building Inspec- torwith 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, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. .e B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25:00, Accessory ]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 year's $ 10.00 . 4. Vacant Land C.O. $ 20.00 5. Undated C.O. $ 50.00 Date. ~,'.~.(,1,p 1~, ~NOUvt4 ~ NewConstruc ionG N ,Old orPre-existing Building Vacant Land , , Location of Property C-;'~- ~ S ~ .1. a .1..4-t C.. Nouse No. Street Ham/ei Owner or Owners of Property , .~L..~r , , , ~Fl~, ~ ~ l~. C , County Tax Map No. 1000 Section . T , , , , , , , , Block ....3 Lot ~ ; , , , , , Subdivision ~ . , ,Filed Map No. ..........Lot No. c~ 17 1.8~ Z ~ p........... Permit No........ ~ , Date of Permit ..~~,gpplicant tr , 4; , (7, ,~it,t,~,~~ k ~ Health Dept. Approval , , , , , , , , , ,tabor Dept. Approval . Underwriters Approval . I7.f"?".i? ! , , , , , , , ,planning Board Approval . Request for Temporary Certificate .....................Final Certificate . Fee Submitted$..:5. • Construction on above described building and permit meets all a icable codes and re ulations. 9 Applicant , ,C, , . ~~JJ . ..,`Lv...,. . Hev. 10.10-78 ~ o ~ 173s ~ _ _ _ ~.-d. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~<;r. ']000771. BUREAU OF ELECTRICITY _ ~ BS JOHN STREET. NEW YORK. NEW YORK 10038 Date (>CTORP:R 12, 1Qkk gpplicationNo.onfile 56`~`ilkkkikk N 03$kA7 THIS CERTIFIES THAT only the alectrleel equipment os descrifAed 6elom and introduced by the opplicont nerved an the a6ooe epplieetiws number in the premises of t;NNY FI,(X)RfNG, SIS ttTt1 4a1, 91AT~Cf'PUt°K, N. Y. in the olbKCin lucotion• e py U(Pl' I R SEP'~'k:M~ It~6~, I.Yk$~ Ixt Fl. ? Ynd Fl. Sectian Black Lot u~as examined an and found to be in compliance with the reyuirementx of this BKAerd. RXTIME RXTURES RANGES COOKHtO DECRS OVlNS pSX WASNBTS lXNAUST FANS OUTLETS ltt1TAC1ES SWITCHES INCANDESCENT FlDg1ESCENi v AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. N. P. f1 DRYNtS RIRNAG! MOTORS wTUREAt7UANCE TpRERS SFEGAI RELIT 71ME ClOCRS RHt uwT NEAT ~TT~TtET DIMMERS AMT. K. W. ql N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP.. AMT.: AMPS. TRANS. .VAT. N. P. Oi yuT AMT. WATTS SlRVICE OISCONNRCT NO.OF S E R V I C E AMT. AMP, 1YPE Rf 1 / 2M' 1 F SW 3 / 7W 9.f AW ffRCOND. Oi CC ~ dID. NG. Of NIAEG Oi'NI{ O NO. OF NEVTRAIS ~ 'NlUTGRAI OTHER ARARATUS: 'rRncx. r,lcffrlNr:-I.7a ~'~"l kll[IANll FLF.(:/p.13, RUY,ANi7 AQX 14 ZKA'CT'T'f'IICR, NX, 17.952 OROtAt ~ ER ?7 , [.!('f:NSk NO. '3.4;1 N; Psr This certificaM must not be alNrad. in any monnsr; rNUrn to fM office of the Booed if iMOrrod. Inspectors moy ba identified by tMir crodentiak..- CdrY FQR WILDING DEPARTMENT. THIS CAPT OF CERTIFIGTE MUST NQT BE Aj,TER i~N1I~~1AN118R, r'Ir:LD I::SPEC:i0;7r ~ ~~DATE ~ COMMENT° ~ -a ro V 1. ~ 3 - y M FOUtJDATION ~ (1st) m FOUNDATIOIJ (2nd) 2. z 0 ROUGH FRAME & ~ PLUMBING e ti H 3. ~ ra _n IIJSULATIOAJ PER N. Y. y M\ "`Z STATE ENERGY CODE x r [n 4 . FINAL Na ~ C•O. A z ADDITIONAL COMMENTS: x tit p_ x N ro \ H 9 ,y ~ y \ H O 2 1 [*J a • r y ' T d ro H BOARD OF HEALTH 3 SETS OF PLANS FORM N0. 1 SURVEY . 70WN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM • ~ TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY ~1 TEL.:7S5-1802 CALL 19C~ /y MAIL T0: ExamOVed jj App 19~~Permit No. U Disapproved a c Q , . . ....~~~~ildtn ins:.eC~~nG~3~ 1I' C g P APPLICATION FOR BUILDING PERhl11T --7 PP Q~ Date 1...~ 14i. U. . ~ 111 ~ 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 shoeing location of lot "and of buildings on premises, relationship to adjoining premises or public streets of 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 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 Yotk, and other applicable Laws, Ordinances br 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. ' ~ (Signature of"applicant, or name, if a~rporauon) ~j • b c);?~: ~ l~c~ I.M. ~ . ! .1. j"!^.c. IG , ?`.'.1 ` - (Mailing address of applicant) / ~ g,''.Z State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . "!'U~ rr• , , • • ,L,;, , ,~4 . !"r. !~a'"~ ~ . (as on the tax roll or latest deed) if applicant is a corporation; signature of duly authorized offic~epr. ~ ~,(~l ~ ~ r - ~~.%(;,,..4 ~ ~ ..":+a»:«. 9" ' 1. r~ ,~,,~Av { (Name and title of corporate officer) • , I ' j { Builder's License No. j Plumber's License No . . ~ Electrician's License No . . ~ Other Trade's License No . 1. Location of land on which proposed work will be done. '`xr ~ House Number Street Namlet County Tax Map No. 1000 Section ~ .y..I• • • • • • • • • Block Lot ! . Subdivision Piled Map,No. Lot........•...... (Name] 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing useahdoccupancy...C°"'~-~•1''~~;~••••.~~••1•,~•1'~~'°•..•••••••••••.•••••••••• b. Intended use and occupancy . • ~ ~ ~ ~ • rZ ~ " " 3. Nature of work (check which a pl Addition . • Alteration p cable): New Building . , Repair:. , .I....... • Remov~l • Demolition , -Other Nark . . . . _..criptia~~n9 ~ .Fee . ' Q. Estimated Cost....Z-:`~.!~. ~ (to bo paid on filing this application) S. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars . , i . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each typpe off' use .~.17.~(1~.~y'(,-C l la S•: 7. Dimensions of existing structures, if any: Front ....1.:~ .Rear , .:4...... Depth . , ..2:-:"1 , . Height . Numb~r of Stories ~ ...S.'~':~r+:~`.°~ ~ . Dimensions of sa a structure with alterations or additions: Fi(ont ~ fr•....... Rear . ."7.: Z. . Depth z•r ~............1 Height . . . • Number of Stories ~ $.T.4!'~.`:' ' . D~ th ' " 8. Dimensions of entire new construction: Front ; • Rear p . Haight Number of Stories . i . . 9. Size of lot: Front , . Rear Depth , . 10. Date of Purchase ' . Name of Former Owner ' • . 1 1, Zone or use district in which prertjises are~situated ....5,~"~ , L_d.~ t~ S ~2 I .~~r:..... . 12. floes proposed construction violate any zoning law, ordinance or regulation: N. ~ . . 13. Will lot be regraded ..:AJ. A. ' Will excess fill be removed from premises: Xes No ' 14. Name of Owner of premises ~1^.~.(''fi f-N!~:y: Address Y.YI A a;'CS.r~.G~S, • Phone No.?•~ $.^5t.,~`•-}. Name of Architect .........Address ...................Phone No, Name of Contractor .Address .Phone No.. . IS.Ia this property locatjed within 300 feet of a tidal wetland? *YSS....NO,X.. *If yea, Southold Town (Trustees PIATDIAGaRAM a required. Locate cleazly and distinctly al! 1{uildings, whether existing or proposed, and. indicate all setback dimensions from I property lines. Give street and block number or description according to deed, and show street names acid indicate whether j interior or corner lot. ~I I ~ ~ ~ ~ ~ I _ 'I ~ ~ ~ ~ I ~ ~ j ~ ~ ~ ~ ~ . t I STATE OF.NEW YORK, $ ~ COU(N',TY 4F . , , 'S ~''""••ti • • • ~ •(1 W~' • • • • I• • •`'•a: . ; ~•n;, . being duly sworn, deposes and says that he is E :applicant (Name of individual signing contract) t above named. He is the ....'j", . f . . ~..,..t`~.~':t:.'.~l`:•::~ . , ltir. . (Contractor, agent, corporate officer, etc.) of said owner ar owners, and is duly) autltorized 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; a~ind that the - work will be performed in the mannerlset forth in the application filed therewith. Sworn to~before me this ~ •~.~s{- , ......day of . . i'.L~.V • , 19~. Notary Public, • . . f.~~!~...... , County • ~ JANET K. EHL ~ / - n , u NOTARY PUBLIC, State of New Ygr4 ' 2,(.: ~~~-K~f No. 4845920 ~ ' 1 Qualified in SurRoVK Etiv'^~`3 «IPTI',p T11PN bf "'s'?i?li,~•+rft! Commtasin^ €ri(>~{~S `x'p'~:3C~ 1989