HomeMy WebLinkAbout33952-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33535
Date: 02/10/09
THIS ~KTIFIBS that the building ALTERATION/REPAIR
Location of Property: 67480 MAIN RD GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map NO. 473889 Section 53 Block 2 Lot 27.2
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 14, 2008 purs,,mnt to which
Building Permit No. 33952-Z dated JUNE 3, 2008
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 ALTEP~ATIONS TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR.
The certificate is issued to GEORGE L PENNY INC
( OWNER )
of the aforesaid building.
SUFFOLK COD1T~YDEPARTME~TOFHEALTHAPPROVAL N/A
~t-rKICAL CERTIFICATE NO. 4021847 01/23/09
CERTIFICATION DA'r~u N/A
Rev. 1/81
TOWN OF SOUTHO'ED
BUILDING DEPARTMENT
gDeJ~ .................... mg:
........ -j tl g:l ,gl t.,.,
TOWN OF SOUTHOLD
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCC
This application must be filled in by typewriter or ink and submitted to the Buildi~
A. For new building or new use:
1. Final survey of property wRh 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 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 Planalng 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 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 - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Date.
Old or Pre-existing Building:
Owner or Owners of Property: ~ ~. o ~
Suffolk County Tax Map No 1000, Section
Subdivision
Street
(check one)
Hamlet
Block
Filed Map.
Underwriters Approval:
Permit No.~.~~ Date of Permit. ~_c,~e, '~ ,Z°°~Applicant:
U t
Health Dept. Approval:
Lot ~.~, ~
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
GEOFF PENNY GEOFF L. PENNY INC
67380 MAIN RD 67380 MAIN RD
GREENPORT, NY 11944 GREENPORT, NY 11944
Located at 67480 MAIN RD GREENPORT, NY 11944
Certificate Number: 4021847
Application Number: 4021847
Section: Block: Lot: Building Permit: * BDC: ns11
Described as a Commercial occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Outside,
A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on thez3rd Day of January, z0og.
Name OTY Rat__.~e Rating Circuits True
Miscellaneous
lighting in over hang in front of
showroom(out side)
Wiring And Devices
Fixture 7 0 Incandescent
Receptacle 1 0 Gert, Purpose
3 0 Gen, Purpose
Switch
I of 1
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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. 33952 Z Date JUNE 3, 2008
Permission is hereby granted to:
GEORGE LINC PENNY
MAIN ROAD
GREENPORT,NY 11944
for :
ALTERATION/REPAIR TO AN EXISTING COMMERCIAL BUILDING AS APPLIED
FOR
at premises located at 67480 MAIN RD GREENPORT
County Tax Map No. 473889 Section 053 Block 0002 Lot No. 027.002
pursuant to application dated MAY 14, 2008 and approved by the
Building Inspector to expire on DECEMBER~m~-~09-
Fee $ 250.00 ~
// ~A 'or ed S ure__~
ORIGINAL
Rev. 5/8/02
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TFJ,: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork-net
Approvad I ' ,20
Building lnsp~'~or
APPLICATION FOR ilUILDI~G PERMIT
INSTRUCTIONS
a. This application MUST b~ completely filled in I~ typewriter or in ink and submiltcd to the Building Insp~-'lor w~h 4
sets o~plam, a~o~trat* plot pl~a to s~ale, F~ according to sc.l~uio.
b. Plot plan showing location of lot and of buildings on premises, telntlonshlp ia adjoining prenr~is~s or publio
amiss, and waterway*, , befor* ~ssutmcc of Building prmmt.
c. The work covered by this appllcatinn may not bo
d. Upon approval of this application, lbo Building Insl~otor will issue a Biniding l'mmit lo th~ tspplict~ Saeha lY*rmit
shall be kepi on the pi-cruises available tbr ioapeetion throughout the work.
e. NO building ~hall be ocecpie~ or used in whole or in part for any purpose what no ~'e~ until the Building lasln~or
is~l*s a Cm~ifieete of O~mlpancy., ......... ~.~.:.~n h-- not comm*nc~d w bin 12 months afl~ thc thltc
pml~rty have b~n enactod in tbu int~im, the Building Inapt~tor may authorize, in writing, the oxt~a*inn of th~ ponnil for an
addition six moml~, Tbor~afl*x, a ~w p~wmit ahall ix~ ta~qair~cl. . . . .
APPLICATION- 18 }ffill.~Y MADE tv ibc Building D~patlmvnl for thC i~sat~t~v of a Building penmt purmant to th?
....... ~' lk Coo-'~' Now york, and oth¢t appl{~le l,awa, Ordinan~n or
Building Zone Ontintm~ of tbu lown ut ,ou~olu, ~c~o
l~gulations, for the construction of binldings, additim~n, or alterations or far r~aoval or demOlition t~s hc'~q n deserlbod. Tbu
applicant ages to comply w th a~l applicable laws, ordinaac~, building ced~ hcmaing code, and r~guintions, and io admit.
au~Imriz~d in~Oe~o~ on pl~mir~ sad in building tbr nec~sal3, ins0ectiom.
( 5ignalum-of stagnant o~ ml~. ifa
. , .
t I rorbu d¢,
State whether applic~mt is owner, lessee, agct~ oxchitect, ~gineer, general contraclnr, electrician, plum '
· ~?n the u~oll or latest d~l) !
Builders License No._
Plmnbe~s Litmus* No.
Ele~'tficians License
Other'Fr~de's License No.
Hous~ Nvnxb~ Str~
.... Fil~ Map'No. ,
Subdivision
2. State exisling e~c ~ad occuPancY°f premises and intended usc attd Ooc--u~ pa~ncy rlf ~[~p°A{xl~'c°a~i~°l~ f'
a. Ex~stmguse~occup~cy ~ ~ ~ ~ ~ ~ ~ -
3. Na~e of wo~ (check w~ch appli~ble): Now Build~g.~ Addifion_~ AIt~
R~a~ ... R~oval D~olifion . 0~ Work.
~. Estimated Cost ~ ~O ~ 0 ~
(To be p~id on liling this applicon)
5, if dwell~g, n~bg of dwelling units N~b~ of dwelling units on cach floor
If flamg~, number of ~m
6. If busings,eomme~al °r ~xed °~upancy' s~d~ nature ~d exlcnt °f ~ch l~e °fuse'
7. ~mcnsions of existing s~, if any: Fr°nt~.~~~
Heiuhl ~0 ~ Numar of S~rtes~~
Depth [V / C Height ~/~ Numar'of Stofles
8. Dimensions ~ ' ~ ~- _
Height ~,~ Number of Sto~e ~/C.
9. Size gl'lot; From Rear D~th_
10, Date of Purc~s~ N~ne of Fo~ Own~
11 Zonooruscdi~fict~whichprmfis~esitmod ~ ~) ~W ~B~
12, ~es pmpos~ com~ctlon~m ~Y ~ning law, {ndinm~ or ~gulatim~? YES
1~. Will lot be ~-~d~? ~S ~ Will ex~s fill bo r ' " -
14. N~ ofOm~ ofprm~sm -~Addrms~' "~ -~Phone No_
Name of Amhit~ ~.
Nme of Contractor ..... Add~s _ -
15 a, Is this pmp~ wi~n 100 I~t of a tld~ wetland or a fr~hwater w~l~d? *YES NO _
* ~ ~S, SOl' 'HOLD TO~ TRUSTEES & D.E.~, pERMrI'g ~ BE REQUIRED.
b. ~ ~s Wop~ty wit~ 300 ~ ora tidal wet andl * YES NO~
* IF YES, D,E.C. PERMITS ~Y BE REQUIRED.
16. Provi& su~ey, to acme, with a~umte Ibundafion plan and tllstanom to pmpe~ lines.
17. If eleva~on at ~y ~Jnt ~ ~p~ i~ at 10 fe~ or below, meat provide tt~o~ph~ * 8 NO
1 fl. A~ thee ~y ~venanL~ ~d r~ctions with r~t ~ this ~pe~ YE ~ .....
* IF YES, PROVIDE A ~PY.
STATE OF NEW YORK)
SS:
COUNTY OF.~)
' ' ~ont~or, ~cnt, C,o~oratc Oll~r, ~.)
~ ' NO. 01CU6174322
~mml~l~ ~ ~pmm~r 17, 20//
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING / STRAPPING ~"FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE /~-~//_~'-~ 0 ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[~ ] INSULATION
-] FINAL
] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRA110N
REMARKS: /~-~. ~
DATE
INSPECTOR~
FO~ATION (1ST)
FOt~DATION (2ND)
~S~ATION PER N. Y.
STATE ENERGY CODE
~DITION~ CO~S
SURVEY OF PROPERTY
A T ARSHAMOMAOUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y,
1000 - 53 - 02 - 2Z4
SCALE' I" = 40s
JUL Y 31, 2003
AREA = 120,942 sq. ft. or 27764 ac.
CERTIFIED TO'
gEORGE L, PENNY~ INC.,
BRIDGEHAMPTON NA TIE,,,AI. BANK
PIRST AMERICAN TITI'E INSURANCE
COMPANy OF' NEI¢ YORK
'~ "[ ' ~UR~ORS, P.C.
03- 204
A5 X
NOTIF~ BUILDING DEPARTMENT ~T ~-
FOLLOWING INSPECTIONS:
1. FOUNDATION . TWO REQUIRED
~ FOR POUREB CONCRETE
2, ROUGH - FRAMING & PLUMBING
Bg~Sg~BI }.~ ~ BE COMPLETE FOR C O.
ALL CONSTRUCTION SHALL MEET THE
O~ ~¢~ ~ REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONStBLE FOR
D~SIGN OR CONSTRUCTION ERRORS.
oCCUP ANC~ OR ANG~ OF ~NDOW5 TO FO~ P~OVID~ IL6" DEEP
CHOU~ER H[IGHT AND CENTE~ WINDOW5 fO~
WITHOUT CERTiFiCATE
OcCUPANC~
OF
MEET T~E REQUIREMENTS OF THE
CODES OF N~W YORK STATE. ~
CO~,;PLY WITH ALL CODES OF -~
NEW ~C)aK STATE & TOWN CODES
*s RaOU}aa~ *H~ CO~:amONS O~
~ SOdTHOLD TO~ PMNBIN6 BOARD . . ~, ~
SO~OLDTO~TRUSTEES ~ _ ~ .. .. [
t/W' = I '-0" SCALE
~ '-J J'-- ~ISTJNG H~,%D[~ HEJGHT ~
BE D~INE[ ~AC~ COWMN WITH
AN451 1070 307( 1070 ~ISTING ~ISTING ~I~TING ~T~U~UKE , use O~IONAL ~TENING ~T
~ ( TO REMAIN
PORCH P~N
-~)~,,%- ILO'' 5CALE
I ~' X 9 ~' LVL EiOGe I ~ X 9 ~ LVL RIDGE
~E~AC~T COLUMN ~ / PE~AC~T COLUMN m~
6ECTION "B" PAKTIAL 6ECTION ..