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TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at .~.~...f~.O.:~.,k.~,~..~.~-..~C..,T~.C.~s.t~..~J~r, eet
Map No ..... ~,~...B~. ....... Block No ......~:~XX~..X~( ......... , ~.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
........................... · ~O, St.....~. ....... 19..~..., pursuant to which Building Permit No ....~..6.~. .............. ,
dated ........................ A~l.~l.~.t,...9 ............. 1 9.~.~...., was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is ............
........................... GAS0.LINI~L ..FILLING..A~fD...~ ~3~.I~3F,...STATION ..............................................
This certificate is issued to ..Q~..~a~d~...l~,~ ........ (,,,o~1~$~,,~,,,~,~4~o,~,,d.~. ....................
(owner, lessee or tenant)
of the aforesaid building~ Special ~c~[otion For thi~ gasol~l~t station
granted by action of the Board of Appeals Aug. 8, 19~7~ and it now
complys with all Town requirements as of May 26, 19%8.
....................... ........... .............
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.rY.
~ r
TEMPORARY
120 day to make a corr. ection in signs
No ..... Z..~.~. .......... Date ............. Mar. ch..21 .......................... 19..~'~..
THIS CERTIFIES that the building located at l~ain..~.t..&..Loc.~ls.t..A,~'e .................. Street
Map ~A~Q~,e.....B. arl~. ........... Block No .......~cx~:~f~ ............... , ~ ..~.o~lth~l~7.....$,..~'.
conforms substantially to the Application for Building:~Permit heretofore filed in this office dated
.................... ~l~U~t......C). ............. 19...~., pursuant to which Building Permit No ....Z...~.. ............... ,
dated .......... AUg. US.t..~ .......................... 19..~.~.., v;as issued, and conforms to all of the requirements
zonin~
of the applicable provisions of the~aw. The occupancy for which this certificate is issued is ............
.............................. .QA~.O. LI~..EI LL IN.G.. At~.. S~RMICF,..S~AT. ION ...........................................
This certificate is issued to ...~.Caldw~ll..Hurd.le.....A/G..Locus.t..~Talle¥...Cor.~........(....o.wrier)
(owner, lessee or tenant)
of the aforesaid building. Special exception for this gas station was granted
by action of Board of appeals Aug. 8, 19%?.. Temporary certificate
of occupancy autherized by Board of Appeals March 20, 19%8.
......................... ............. .........
SEIUTHnLD, L.I., N.Y.~
Terephone SO 5-2660
APPEAL BOARD
MEMBERS
Roberf W. ®~J[]spie, Jr., Chairrn~n
Roberf Bergen
Herberf Rosenberg
Char!es Gregonls, Jr,
Serge Doyen, Jr,
Narch 21, 195E
Nr. Howard Terry
Building Inspector
5outhold,New York
Deer Mr. Terry:
At a regular meeting of the $outhold Town Board
of Appeals held on Narch 20, 195~, the following
resolution was adopted:
"Re~olved, that the Board direct ~r. Howard Terry,
Building Inspector, to issue a temporary Certificate of
Occupancy to ~r. Hugh C. Hurdle for 120 days or upon
completion of the Job of moving the sign~ in question if
done prior to 120 days, this certificate to become per-
manent providing the sign~ at the corners of the property
are moved to conform to the original specifications
submitted to the Board. of Appesls."
RWy. ag
oUthOld own(~
Jr., Chairman
~rd of Appeals
[~HILIP ]~, IV[ATTHEW$
ATTOI~NEY ~NU COUNSELLOR AT L~w
March 21, 1958
Mr. Terry
Building Inspector
Town of $outhold
Sout~old, N.Y.
Re: $_~oMt~ho.!d Locu~.t Ave.. Corp..
Dear Mr. Terry:
This is to advise you the Q. Caldwell Hurdle, acquired
all the stock of the above named corporation on Janu~2
7, ~958.
PB~/ss
Very truly your~s, ,
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Exa mined......~.....~Z..¢} ....... ~ ............ 19..~'.'.~...
Approved ....................................... 1 9.~.Perm~t ~o ....... ~.~..~ .......
Disopproved o/c ............. ~...~ ........ ~ ........ ~.~.....~. .....
..... .......
................................ ......... .....................
APPLICATION FOR BUILDING PERMIT
Date .................. ........ ............. ,9, Z ....
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
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 location.
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 issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection throughout the progress of 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 alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
(Signature of op.pli%a¢, or name, if a corporation)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrican, plumber or builder.
prem ses l(.' .~..''~ ~-' ~x._~~ -
Name of owner of .............................. ............ ~~ .............................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Location of land on which proposed work will be done. Map No ................................... Block ....... %.~ ........................
Street ond Number [4 ~
............................ ~....~.~ .........
Store existing use and occuponcy of premieses and intended use and occuponcy of proposed construction:
~. ~xis~g ~,~ ,~a o,c~p,~y ....... ~.....~.~. ...... ... ... .... .....
b. Intended use ond occupancy .......
3. Nature of work (check which applicable): New Building ..... ~...Addltion .................... Alteration ....................
Repair .................... Removal .................... Demolition .................... Other Work (Describe) ....................
4. Estimated Cost ............................................................ Fee ...j..~......u...--. ..........................................................................
(to be paid on filing this application)
FEES:
5. If dwelling, number of dwelling units .............. ' .............. Number of dwelling units on each floor ........ ~ .............
If garage, number of cars ........................................................................................................................................
6. If business, commerical or mixed occupancy, specify nature and extent of each type of use..j~L.~t.~ ....
7. Dimensions of existing structures, if any: Front .......... ~ ............. Rear ........... ~ ................ Depth ........~'~. ...................
Height ................... -~. ........ Number of Stories ..............................................................................................................
Dimensions of same structure with alterations or additions: Front ................. '""r .............. Rear .......... ~ .....................
Depth .............................. Height ........ "'.~ ..................... Number of Stories .......~-', ........................
8. Dimensions of entire new construction: Front .......... ..~.i...?....~.... Rear ...... ...~.......*~......i ..... Depth ......~..'.~ ...............
Height .../...~........~. ......... Number of Stories ....b'9~..~ .........
9. Size oF lot: Front ..... ./...~..~..) ............ Rear ..... ./...~...O. ............ Depth / ~' '~-
10. Zone or use district in which premises are situated ....... ~ ....... ~..,~..~ ...........................................
1 1. Does proposed construction violate any zoning law, ordinance or regulation? ...... ~.....¢..). .................................
12.
Name of Owner of premises ........................................ Address ............................................ Phone NO .....................
Name of Archltect.....,/..~./~.,...k..'kf./~.L.g&.,~, ................. Address ............................................ Phone NO .....................
Name of Contractor .................................................... Address ............................................ Phone NO .....................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from
property lines. Give street and block numbers or description according to deed, and show street names and indicate
whether interior or corner lot.
STATE OF NEV~YORK' ,, ) ,
.... ~..,/~.~.~.~-.~£.~_..~...~.;~.~.~....: ................................... being duly sworn, deposes and soys that he is the oppl~cont
(Name of in~l~v~i~al signing application)
above named. He is the ..........................................................................................................................................................
(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 the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
q'r¢, (1.2 '-' "
........................ day of ... 3 /
Notary Public,. .................... ~ ....... ~ ................ C y
(Singature of applicant)
t I LIST OF DRAWINGs AND EQUIPMENT
1
~-~ ,, , ,
; ~ ~ ~F~o4c~ ~ ~} ,'~,~11 ~o4c~ q~.5o ' A.~ ~u~
~PPROVAL RECORD
"**~ "~ THE TEXAS COMPANY
DOMESTIC SALES DEPARTMENT
REVISION RECORD
SCALE /", /o'.o" DATE
DRAWN BY ~.~.C. TRA6EB BY
APP.OW.~L *~,~,~ N9 A/Od