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
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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
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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:
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INSPECTOR ~ ~
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QUtlDA TI.2.~1
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yU!lDATIO:l
(2nd)
OUGH FRAI"IE &
PLUI1BING
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::ISULATION PER
N. Y.
STATE ENERGY
CODE
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ADDITIONAL
COMMENTS:
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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
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Examined. . \JI/ C')" ...,1917.
Approved .. .M~ .'8..., 19V. Permit No.) .~.~?~~
Disapproved ale ................ . . . . . . . . . . . . . . . . . . .
Received..... . . . . . . ,19.. .
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D t ~O -{ ~ .} ~\
........................ ...... .................
.'(~'. ....
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(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~
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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
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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
,
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NGIS
IC.W.
COOKING 'GlCKS
ANlT. IC.W.
OVENS
ANlY. IC.W.
DISH WASHEIS
NIIT. IC.W.
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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
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A.W.G.
OF CC. OND.
1 \1
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OTHER APPAIATUS:
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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.
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PO_ NO. .
TOWN OF sOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTH OLD, N. Y.
BUILDING PERMIT
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<THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 15976 Z Date ..........~.,..i.................... 19.7..~
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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..:..~
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.......&................. .........................................
Bul ding Inspector
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Rev. 6/30/80