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HomeMy WebLinkAbout35003-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z 34075 Date: 11/17/09 T~IS CERTIFIES that the building PORCH ADDITION Location of PropeI~cy: 2740 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 75 Block 4 Lot 21 subdivision Filed Map No. LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 2009 pursuant to which Building Permit No. 35003-Z dated SEPTEMBER 16, 2009 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 PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERALDINE MCCONNELL (OWNER) of the aforesaid building. SL~FFOLK CO~DEPARTMENTOF~EALTHAPPROVAL N/A EI~-,-KIC3%L u~MTIFICATE NO. 4028617 05/22/09 PL~ER~ CERTIFICATION DA'r~ N/A - / futh~rized Signature Rev. 1/81 Form No. 6 TOWN OF $OUTHOLD BUILDING DEPARTMENT ~ TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 (8-9 form). 3. Approval ofetectricalinstallation fi.om 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. Commemial 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~ For existing buildings (prior to April 9, 1957} non-conforming uses, or buildings and "pre-ex{sting" 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. Co 3. 4. 5. 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. Certificate of Occupancy on Pre-existing Building - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. ,~' Old or Pre-existing Building: (check one) House No. Street / Hamlet Owner or Ownera of Property: Suffolk County Tax Map No 1000, Section Subdivimon VcmatNo. Health Dept. Approval: Planning Board Approval: .Request for: Temporary Certificate Fee Submitted: $ ~x(~-°'~,,.~ Date of Permit. Underwriters Approval: Block Lot Filed Map. if Lot: ~L / ? Applicant: (~ ~ l~,a, zD2>/,t),5~ l~c [O ,O/d ~ /[ Final Certificate: (check one) 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 B.J. ELEC. CO. GERALDINE McCONNEL 4300 STILLWATER AVE 2740 MAIN BAYVIEW AVE CUTCHOGUE, NY 11935, SOUTHOLD, NY 11971 Located 2740 MAIN BAYVlEW AVE SOUTHOLD, NY 11971 at Application Number: 4028617 Certificate Number: 4028617 Lot: Building Permit:* BDC: ns11 Section: Block: Described as a Residentlai occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, Pool/Spa, 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 the22"d Day of May, Z00¢. Name .Q~Y_ Rate Rating Circuits Type Appliances and Accessories Pool / Spa Bonding 1 0 Time Clock Switch 2 0 Miscellaneous as built 2008 this certificate covers a swimming pool and a small "mud room'' adddition Panels 1 60 3 Wiring And Devices Fixture 1 0 pool Incandescent Fixture 2 0 Incandescent GFCI Circuit Breaker 2 0 pool Outlet 2 0 Fixture Outlet 4 0 Gert, Purpose Receptacle 1 0 Gert, Purpose Receptacle GFCI 1 0 Receptacle 1 0 20a~poool Special / twist lock Switch 5 0 Gert, Pure~6 Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 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 B.J. ELEC. CO. 4300 STILLWATER AVE CUTCHOGUE, NY 11935, GERALDINE McCONNEL 2740 MAIN BAYVlEWAVE SOUTHOLD, NY 11971 Located at 2740 MAiN BAYVlEW AVE SOUTHOLD, NY 11971 Application Number: 4028617 Section: Block: Lot: Certificate Number: 4028617 Building Permit:. BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, Pool/Spa, 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 the22.d Day of May. ZO09. Name ~_ Rathe Rating Circuits Type (Swimming Pool): This certificate covers compliance at the date of inspection only Because of unusual environments it is advisable to have frequent test and/or repairs made by a qualified person An as built visual inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in conformance with the applicable reference standard I'or the estimated period o£construction of the premises wiring system 2 of 2 seal 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. 35003 Z Date SEPTEMBER 16, 2009 Permission is hereby granted to: GERALDINE MCCONNELL 2740 MAIN BAYVIEW RD SOUTHOLD,NY 11971 for : PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED BP # 31986 at premises located at County Tax Map No. 473889 Section 075 Block pursuant to application dated SEPTEMBER 16, 2009 Building Inspector to expire on MARCH 16, 2740 ~LAIN BAY¥IEW RD SOUTH/PEC 0004 Lot No. 021 and approved by the 2011. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 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. 31986 Z Date MAY 8, 2006 Permission is hereby granted to: GERALDINE MCCONNELL 2740 MAIN BAYVIEW RD SOUTHOLD,NY 11971 for : PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 075 Block pursuant to application dated MAY 8, 2006 Building Inspector to expire on NOVEMBER 8, 2740 MAIN BAYVIEW RD SOUTHOLD 0004 Lot No. 021 and approved by the 2007. Fee $ 150.00 AuthoriZed Signature ORIGINAL Rev. 5/8/02 3 s3 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING [~'~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ~,/~FOUNDATION 1ST [ [ ] FOUNDATION 2ND [ [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ REMARKS: //9~_,~ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION INSPECTOR ~ ~ DATE. TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST DATION 2ND NG / STRAPPING [ ] FIREPLACE & CHIMNEY REMARKS: ~"'~ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION INSPECTOR FIELD INSPECTION REPORT DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRA-MI~G & PLUMBING I~SULATION PER N. Y. STATE ENERGY CODE COMMENTS FINAL , ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 5 [ tO ,20 9£- Approved Disapproved a/c Expiration O/tO ,20 07 PERMIT NO. '.~ ! :,tf- Building Inspector BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying'? Board of Health 4 sets of Building Plans Plamfing Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. c. The work covered by this application ma), not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available tbr inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, housing co~te~ and rl~ulations, and th admit authorized inspectors on premises and in building for necessary inspections. ~ J~'-(~4~[/' [~ ~Si~nature o~'apphc~nt ~r name, if a corporation/ (Mailing aadre~s of alJpl~cin0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises ~__~.-~.J.~{~l.~ ~A~-- (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which l~ro~Qsed work will be done: } %0 NX I lq house Number - -' Stree~ l ' Hamlet County Tax Map No. 1000 Section '0 5 Block ~[, .... Lot Subdivision Filed Map No. Lot ~ame) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ~IZ>~0_3~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Other Work Fee Alte~:ation (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear ~Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front Rear _Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES__ NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO/>( 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) COUNTY OF~k ~]~a ~.S)S: ~-°g¢~.)d{ Ix.&. J~ ~ ~ I ~ being duly s;vom, deposes and says that~h~ the applicant (Name of individual si~ing contract) above named, the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to pertbrm or have performed the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this r:~ dayof )Actq _ 20eDq:~ Lorraine La NOTARY PUBLIC, State of J',lo 01LA6059257 Qualified In Suffolk Couoty._ Commission Expires Msy ~, ~-'L REScheck Software Version 3.7.3 Compliance Certificate Project Title: GERALDINE McCONNELL Repod Date: 04/15/06 Data filename: C:\Program Files\Check\REScheck\MC CONNELL.mk Energy Code: New York State Energy Conservation Construction Code Location: Suffolk County, New York Construction Type: Detached 1 or 2 Family Heating Type: Non-Electric Glazing Area Percentage: 6% Heating Degree Days: 5750 Construction Site: 2740 MAIN BAYVIEW SOUTHOLD, NY Owner/Agent: GERALDINE McCONNELL 2740 MAiN BAYVIEW SOUTHOLD, NY Permit # Permit Date Designer/Contractor: JAMES DEERKOSKI JAMES DEERKOSKI, P.E. MA~FITUCK, NY 11952 Ceiling 1: Flat Ceiling or Scissor Truss: Wall 1: Wood Frame, 16" o.c.: Window 1: Wood Frame:Double Pane with Low-E: Door 1: Solid: Floor 1: Ali-Wood Joist/Truss:Over Unconditioned Space: 58 21.0 0.0 3 118 15.0 0.0 7 7 0.330 2 20 0.280 6 58 21.0 0.0 3 The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code rec~irements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are in compliance with this Code. Builder/Designer". Company Name Dat~ GERALDINE McCONNELL Page 1 of 4 REScheck Software Version 3.7.3 Inspection Checklist Date: 04/15/06 Ceilings: [] Ceiling 1: Flat Ceiling or Scissor Truss, R-21.0 cavity insulation Comments: Above-Grade Walls: Wall 1: Wood Frame, 16" n.c., R-15.0 cavity insulation Comments: [] Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.330 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? __ Yes No Doors: Door 1: Solid, U-factor: 0.280 Comments: Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-21.0 cavity insulation Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be 1) Type lC rated, or 2) installed inside an appropriate air-fight assembly with a 0.5" clearance from combustible materials. If non-lC rated, the fixture must be installed with a 3" clearance from insulation. Vapor Retarder: Required on the warm-in-winter side of all non-vented framed ceilings, wa/Is, and floors. Matefiata Identification: Materials and equipment must be installed in accordance with the manufacturer's installation instructions. Materials and equipment must be identified so that compliance can be determined, Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided, Insulation R-values and glazing U-factors must be cleady marked on the building plans or specifications. Duct Insulation: [] Supply ducts in unconditioned attics or outside the building must be insulated to R-8. [] Return ducts in unconditioned attics or outside the building must be insulated to [] Supply ducts in unconditioned spaces must be insulated to R-8. ~1 Return ducts in unconditioned spaces (except basements) must be insulated to R- 1--1 Return ducts in unconditioned spaces (except basements) must be insulated to ~ Insulation is not required on return ducts in basements. Duct Construction: [] All joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic*plus-embedded-fabric, or tapes. Tapes and mastics must be rated UL 181A or UL 181B. GERALDINE McCONNELL Page 2 of 4 Exception: Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in. w.g. (500 Pa). The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Each dwelling unit has at lesat one thermostat capable of automatically adjusting the space temperature set point of the largest zone. Electric Systems: [] Separate electric meters are required for each dwelling unit. Fireplaces: Fireplaces must be installed with tight tiffing non-combustible fireplace doors, Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction provisions of the Building Code of New York State, the Residential Code of New York State or the New York City Building Code, as applicable. Service Water Heating: [] Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system, [] Insulate cimulating hot water pipes to the levels in Table 1. Circulating Hot Water Systems: Ct Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources, Pool pumps require a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F must be insulated to the [evels in Table 2. GERALDINE McCONNELL Page 3 of 4 T~ble 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature (°F) Up to 1" Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-139 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Piping System Types Range(°F) Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1" and Less 1.25" to 2.0" 2.5" to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1,0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) GERALDINE McCONNELL Page 4 of 4 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Telephone (631) 765- 1802 Fax (63 I) 765-9502 April 8*h, 2009 FIRST NOTICE Geraldine McConnell 43 Shaughnessy Road Lagrangeville, N.Y. 12540 RE: 2740 Main Bayview Road (Porch Addition) SCTM: # 1000-75.-4-21 bear Ms. McConnell, Please be advised that your Building Permit # 31986 issued May 8th, 2006 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued before the use of the structure. To renew your Building Permit, please submit a fee of $150.00: at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 765-1802. Respectfully, 5OUTHOLb TOWN BUILblNG DEPT N/F ROSENBUSH~SMITH 175.00' 27d'- $ 88'26'00"W N 84'45'00"E 129.00' N/F CROTEAU SURVEY OF DESCRIBED PROPERTY SITUATE SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR: GERALDINE McCONNELL TM// 1000-075-04 025 GUARANTEED TO: GERALDINE McCONNELL SMPR ABSTRACT CHICAGO TITLE INS. CO CITIBANK SURVEYED: 10 AUGUST 2005 SCALE 1"- 20' AREA - 13,513 SF OR 0310 ACRES SURVEYED BY STANLEY d. ISAKSEN, JR. P.O. BOX 294 NEW SUFyOLK. N.Y 11956 ~/ N¥S Lic_ VNo. 49275 v 0581429 LEFT ELEVATION SCALE: 1/4": 1'-0" FRONT ELEVATION SCALE: 1/4": 1'-0" ON UND~TURBED SOIL W/#5 RE-BAR {VEEICAL} iii,- FOUNDATION PLAN SCALE: 1/4": 1'-0' WIND~ FOR WOOD STRUCTURAL PANEL CERTiFtCAI'[ON Oh NAILING & CONNECTIONS REQUIRED. ENC. PORCH APPF[OVED AS NOTED FEE: /,S~J BY:. , t p ~AI]ON - ¢ REQUIRED FO ~D COr~ORETE ALL CONST~U~,I,3D ]HALL MEET THE REQUIREMENTS OF T,~E CODES OF NEW SECTION A-A SCALE: 1/4" = 1'-0" FLOOR PLAN SCALE: 1/4" = ALL CONSTRUCTION SHALL MEEi)' THE REQU~REMENI S OF FHE CODES OF NEW ~ORK STATE. ADDITION ]CCU PANCY OR . GE~LDINE ' JSEIs,UNLAWFUL ~,;. Mc CONNELL, 2740 MAIN BAWlEW, SOUTHOLD OF OCCUPANCY