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HomeMy WebLinkAbout33285-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32569 Date: 08/30/07 THIS CERTIFIES that the building ALTERATIONS (STREET) Block 11 MATTI TUCK (HAMLET) Location of Property: 13520 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 114 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 1, 2007 pursuant to which Building Permit No. 33285-Z dated AUGUST 1, 2007 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 ROOF ALTERATION TO AN EXISTING BUSINESS BUILDING. The certificate is issued to JOSEPH & BETTY A HARDY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /ft::t::ed~ Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 , \ \\IJS 1. ~ , \ ) _..--- APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tilled in by typewriter or ink and submitted to the Building Deparirnent wi{.~.!he following: A. For new bnilding or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fonn). 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 snnilar 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 nses, 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 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. Ceriificate 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Celiificate of Occupancy - Residential $15.00, Conunercial $15.00 Date. g -;)7 - () 7 Old or Pre-existing Building:?< (check one) 1\O~D Mf1T1liUCJC,j N House No. Street Owner or Owners of Property: JoS€-p~ +-iC\r~ y Suffolk County Tax Map No 1000, Section --'f 1 ~ <iJ tv; New Construction: Location of Property: \3S 2-0 -+ Be Hamlet Block~Lot Subdivision Filed Map. Applicant: JDSeph Lot: HQV7 Permit No. 22US- - Z Date of Permit. Health Dept. Approval: ~_.______ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ~ (check one) Fee Submitted $ SO. \)__0 ~~ pphcant Signature 8-..vc. t:JJ 3/ c.o .c. 3.;? 5 (P q FORM NO. 3 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) PERMIT NO. 33285 Z Date AUGUST 1, 2007 Permission is hereby granted to: JOSEPH & BETTY A HARDY 1654 CO. ROAD 39 SOUTHAMPTON,NY 11968 for : CONSTRUCT NEW STORE FRONTS TO AA EXISTING BLDG. AS APPLIED FOR. THIS PERMIT REPLACES BP # 15976 o.~l'd.eJ - 0 v.Jo. <s d.P ('\e <:5Y\ at premises located at 13520 MAIN RD MATTITUCK County Tax Map No. 473889 Section 114 Block 0011 Lot No. 005 pursuant to application dated AUGUST 1, 2007 and approved by the Building Inspector to expire on FEBRUARY 1, 2009. Fee $ 250.00 '" ORIGINAL Rev. 5/8/02 3:?rgS-.2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. [ ] INSULATION [.xfINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: 11 j~' k ~_ " f4- CD ~ 1J\.~ ~4- .~ A ~ ,~ ~ DATE t:--IO-e>7 INSPECTOR ~ ~ _:.LLI ~- -...... ~I...'.. QUtlDA TI.2.~1 ( 1 s t) yU!lDATIO:l (2nd) OUGH FRAI"IE & PLUI1BING - . , " ::ISULATION PER N. Y. STATE ENERGY CODE - FIliAL ~ . " I!..,I.",\..:' Ii 1...1.........:..:.......... I ~~ :::l n. = }.J :~ I I I ~ . f/l ~ r 1: s:-" -?~ - ~ Cl , ~ W .f.. ~ = . , ~ = "" C/] ':f- >-,l () '" - gj ~ >-,l r ~ . If-Io' "i)7/ ftIIn A ~ 11...." ::I: (' ..7., f- ~L~'; Co. Me ~ ' I '"U- ",' .. . r ,:- T. "'" ;;L ~----l5 II. ~ )j,_ Il \ --,.--,. 1+ . '7"" '/..1' >:..: v ~ r ADDITIONAL COMMENTS: "J:::- .~}' '" :rJ ~ . :. --,L. { . . '" >< - ..". ~ ~. ~.~ g ~ , 1 - . - '" "'" c ["" >-,l ~ ::I: ~ '" . ",' .." >-,l . "" uicT C'J~~ ~ FonM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL f.OUTHOLD, N.Y. 11971 TEL.: 765-1802 e~_:# .J JIll - JI I ~I , (/V .J 4,;t:? f3J0l<J 4G 1Y-(J~L ~v.y Examined. . \JI/ C')" ...,1917. Approved .. .M~ .'8..., 19V. Permit No.) .~.~?~~ Disapproved ale ................ . . . . . . . . . . . . . . . . . . . Received..... . . . . . . ,19.. . ~~I D t ~O -{ ~ .} ~\ ........................ ...... ................. .'(~'. .... ~J (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . .~~~i.r. .~~ .. .... .., 19 .~~ 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 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 York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or aIterations, 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. .~p'~n.c.~r: .1:.. F.i.s.h.e.r:,. .I.n.c... .(Dav.id .5. .Lantz) .. .. . (Signature of applicant, or name, if a corporation) P.O. Box 867 Riverhead, New York, 11901 .. ,.... ......'.... .... ....... ,.. ,... " ,.. ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . . .Gener.aL .CQT1tr.ac;tQr: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises .. .~qs.p'~~ .~~r:<1x .. .. .... .. . ., . . . .. ..... .... . .. .. .. .. .. ... . .. . ... ..... . .. .. . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. .. ~~~ . . . . . . . . . . . . . . . . . . . . Plum ber's License No. ..................,..... Electrician's License No. ...................... r\4-t.__ 'T'..~.-1.....'... T :........._........ lIo.T~ ......u....,.. ................. .......................... ......... ..................... I. Location of land on which proposed work wi\l be done. ................................................. /2>550, 135'10 { /3:5/0 ...... .Mqi.~ .~Qqcj... .MqW~Y~~................................................................ House Num ber Street Hamlet County Tax Map No. 1000 Section ..114............. Block . .11 . . . . . . . . . . . . .. 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 .. ~I,l~ j ~~~ ~ . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b.lntended use and occupancy .~~I]Ie;..... .~':5:~... ~.r~.~._. P~...)t~........................... 3. Nature of work (check which applicable): New Building. . . . .'. . . .. Addition.. . . . . . . .. Alteration .1<........ Repair .............. Removal . . . . . . . . . . . . .. Demolition .............. Other Work. . . . . . . . . . . . . . . (Description) 4. Estimated Cost . ~~?:???:??..... .. ... ... ..... ........ Fee.. ... .. .. .... .......... . .. . ........ . . . ... (to be paid on filing this application) 5. If dwelling, number of dwelling units. . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . . 7. Dimensionsf{,existing structures, if any: Front. .~4'. .2':....... Rear. .48'.......... Depth .32'............ Height ............... Number of Stories. . .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front .~4'. .2'~:. . . . . . . . .. Rear. .same . . . . . . . . . . . . DepffifT!~ . . . . . . . . . . . . . . . . . . . . Height. . . .~1ITne: . . . . . . . . . . . . . . Number of Stories. . . t . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .. Rear . . . . . . . . . . . . . . . Depth ............... Hp;oht . Numhpr of St()riP~ 9. Siz;oflot: Front... .6.~..1?........... . Rear . .6.~.V............... Depth.. .32~..Q.............. 10. Date of Purchase . .A.P.r:i.l. .8.7. . . . . . . . . . . . . . . . . . . . Name of Former Owner .Ch.a.r.l.es. .a.oo .Je.a.11 :r:.. .z,a.h.r-a. . . . ! I. Zone or use district in which premises are situated. . .B.Us.i.l'\es.s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ... J{o. . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded .. .N.a. . . .. . . . . . . .. . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises J.o.s.e.p.h. .Ha.r.d.y. . . . . . . . Address .N.or.t.h. .H.w,y... .s.o.u.thJ1Ip.tJ>hone No.72.8.-.9.3.3.3. . . . . -::-:- Name of Architect . .G.o.r.d.o.n. .K... .AN.er.s. . . . . . . . . . Address .M.a.n.or. .L.a... .J.ame.s.p.or:lPhone No.722-3227. . . . . . . . Name of Contractor .SP.eJl.c.er. .T... f.i.sh.er.,. .In.c... . . Address PooD... B.O.x. 86J. RIuI... . Phone N0.72.7-484J. . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, wlrether 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 comer lot. See survey annexed hereto. ~1'01~$~~~~9~~ . . . . . .. S.S D7v"rrs~" ~antz (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant lIe is the. . . . .~~nY:~C.~~r:l.a.g.e.n.t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 lhe work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ..... .. ... .. .J..~Y1",-.. .day of... ~ r (.;.\.... ..,19 .'\;:.7 No, '0"". ..... '~':i'" ..~~;~\Jelt C~~1'\0." ~........... ~~'fa'_~~~~c 5~~ru~o~keCo=-- '(~~;:~ of upplkuut) Term Expires ctober31.19~ ----7 5" I . 1195028 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG!~ 1 BUREAU OF ELECTRICITY OCTOln;R 06, 19^15 JOHN STREET. NEW YORK. ~2l/~~lfl~038 Dotf> A.pplication No. onfi'f> i. THIS CERTIFIES THAT ' only the electric8l equipment.. _cribed beloul and' introduced byt"" eppllccint named on the above appllccition number in the pre~. oj I N 03BO'i.~ SlIVICI DlSCONNlCT AMT. ANI. TYPE NO. Of Mini IOU". 1 S _ l.12W l,3W 3,3W 3'.W NO.OFPE~c..COND. NO.Of= HI.lfG C A.W.G. Ot' HI.l.fG _ NO. OF NEUTRAlS Lot HARDY PLUMB tHG, MUN ROAD. MA'I'1Trt!CK, N. Y . ,x., 0111' in the following loc~iP.P1'~~~:Jf''''''?~''M8f/--J lot Fl. 0 2n~ Fl. .......'ion Bloch wcu examined on and found to be in compliance with the N'r,uirernenttc oj this Boanl. . AXTUn OUTUTS 17 EClPTAClES SWITCHES 7, 15 FlXTUIES INCANOl:SCENT flUORESCl!NT 7 10 , ""'T, NGIS IC.W. COOKING 'GlCKS ANlT. IC.W. OVENS ANlY. IC.W. DISH WASHEIS NIIT. IC.W. . i / " AMT. !C.W. OIl H.P. GAS H.P. "'Tun APPUANCIIIIllIRS SPEClALRIC'PT nMEClOCKS lEU UNlTHIATIIS MULTJ.OUTlIT NIIT. NO. A. W. G. AMT. AMP. AMT. NIIPS. TRANS. NIIT. H. P. SYSTEMS NO. OF PUT DIMMERS ""'T, DIVERS RlINAC_ MOTOIS 1 200 ell x 1 I A.W.G. OF CC. OND. 1 \1 v OTHER APPAIATUS: I p" This certificate must not be altered in any manner; return to the oHice of the Board if incorrect. Inspectors may be id 1.,J,O:NS!: NO. R9'l-]i; SKY gl.f:CTRIC R'r 104&1,,;\11 S NO ~;A5'r QUOOIH:, NY, 11942 COPY FOR BUILDING DEf'IJlTMEl'lT. :rH1$ ~ OF CERTIFICA TEIotU$T NQT 8~ ALTERED IN!tH'J MANNER. - ~ ' l' 1 \~Lt~~ · PO_ NO. . TOWN OF sOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, N. Y. BUILDING PERMIT ~ 1-?- ~ " 'J , , J <THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15976 Z Date ..........~.,..i.................... 19.7..~ ..~""m......, .~~.""....D......P.~....b:...... ~.eJ.t...)l.~..J.................................................. ( ""\.~~~r...!Y..:.~..:.....ll..~.~..\........... to...~?'\~.~....~...~~....~....~....~~,...~.,.. ~...~~....~..................................................................................."'.....::...........;........... ot premises located at .L~.#?'i.P..~L~.?..~~..'!':.I..~P.~.....h:t.~...~..........C'q.~ ....%.....~............................................................................................................................................ ,.......S.........................H.~.................................................................................................... County To Map No. 1000 Section (J}.,~.t~...... Block ........I.L........ Lot No. ...~.<:............ pursuant ta application dated .......~....;)...1.................... 19:Rl... and approved by the Building Inspector. Fee $1.n..:..~ ~. ~ .......&................. ......................................... Bul ding Inspector ~\) 11 (p'fIJ-- Rev. 6/30/80