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HomeMy WebLinkAbout1322-zFOl~i NO. 4 TOWN OF $OUTHOLD I~.UILDING DEPARTMENT TOW~,I CLERK'S OFF/CE SOUTHOI.D~, I~l. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at "~'/~..~'~'..~'"~O~J.~' .......... Street Map No ..... ~ ...........Block No .................... .~[~t No ................... ~.~ ........................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............. .~...~.~.~.~?.....~...~. ................................. 19....~..~,. pursuant to which Building Permit No..~....~.~... dated ...~..j~-.,~..~ ........................... , 19....~ was issued, and conforms to oil of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .......... .............. ~.~.'~..0~.. ~.~ ~.. ~;F~,:~Z~(~ .................................................................... ............. This certificate is issued to .....~../:..~.~..~...~.~....~...~..~.~.O.~.~...~.~..~...~.. ........................................................... (owner, Iessee or tenant) of the aforesaid building. Building Inspector I TOWbi OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, bi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1322, Z Date ............................ A]~:~'].- ....... 6' ........ 196~l'..- Permission is hereby granted to: Vine~n.t,..~.imeo~ .................................................... ................ S~ttthotd.~......N.,.~.~ ............................ to .]Bu.i. lct...new...or~e...~.ami.~.y..~we~..~.ing ..................................................................................... ..~(y~....~.:per.~.t...~.eq~u.~.~.e~.a...9~.~..~.~.~.~aek...~.~em...£~.en:~...~pe.~.~.y...~$ne~ at premises located at ']~'/'~"'"[fo~'~]~'"~O~d"'(~') ............................................................... ...................................................... l~eeen.~e ¥.....~q.~.~. ......................................................................... pursuant to application dated ............................ H~C~ ...... "fLl, ............ 19~]...., and approved by the Building Inspector Fee ~0.~.00. ............ ~uilding inspector TOWN OF SOUTHOLD EiFFIBE GF BUILDING INSPEDTE]R Mr. H. F. Bishop ;Commissioner of Public Works Suffolk County Yaphank Ave., Yaphonk, N. Y. Dear Sir: Ndrth Road CR 27A In accordance with Section 239K of the General Municipal Low of the dbn~olidated Eaws of the State of New York, this is to notify the Commie sioner of Public Works of the County of Suffolk that ...... .V.~.~aez~t ............... · ...'..S..e...m. ............................................................. bbs .applied tothe Town of Southold for a permit to construct a building a§ shown on the attached plot plan, submitted in triplicate, darted :.[~,.....[[ ................................. and titled .~/~...P~..~D.D~.~..D~..~c~t Si~eo~i Peconlc ~e sS~l 'withhold fu~her action on this application for ten days 'or as Otherwise provided in the aforementioned Section 239K. 4/4-/6i ~t~i~'~10,VED pursuant to Sec. 239K of t he.k~-¢neral M~tcipal Law~ery truly yours, subject to applfc~t obtaining permit under Sec, 136 of the Highway Law. Setback should be the minim~ requirements plus ~0o~ feet for future wiBenlng of North Road. SOFFOLK COUNTY DEPT PUBLIC WORKS H. Fo BISHOP, COMMISSIONER W' ._' . Matsi]naye,dr, Ch'~ef E~g~neer ~) ~ Howard Terry Building Inspector Town of Southold, N. Y. ! I / ol Permit N o....Jg, i~/,J ........ PERMIT UINDER SECTION 136 of ARTICLE VI of HIGHWAY LAW WHEREAS, a certain highway known as the ~',]O~t~% $~0~.~ has been improved and is on the Suffolk County Road System and No. 27A construct te~npor~,y a~h~Ittc ~'a~p .i'~"o~ exlatin~ ~ad l~l%8requests pe~ssion to to edge of ~ave~ent, fo~ access to ~esidence N/~ "North i'~oa~."~ 700~ 'as per s~e~cn or map ' fut~'e widening of NOW, THEREFORE, permission is hereby granted to said to do said work upon the following conditions: CONDITIONS AND RESTRICTIONS 1. When co~erete is removed, cut concrete with concrete saw two feet outside the limits of the proposed excavation ~nd for the full panel width. When the cut is made in pavement within 10 feet of the p~nel joint, the pavement shall be removed for full panel width from the cut on the f~r side ~f the excav~tion to the panel joint. 2. Backfill and thoroughly compact fill using power tamper, placing soils so that v~rious types of soil are in s~me relative position ~s before excavating. Grade to original surface. 3. Replace pavement, sidewalk or surface s~me as existing; if concrete, replace using 1:1~:3~ mix stone mix concrete; if bituminous material, replace using same type ~s removed. 4. If concrete curb is removed, replace with similar curb 1:1~:31~ mix. 5. Notify the Maintenance Department at Yaphank 4-$451 when the work is to begin so that ~n inspection can be made of the operation. This permit shall not be assigned or transferred without the written consent of the Commissioner of Public Works. The work authorized by this permit shall be.performed under the supervision and to the satisfaction of the Com- missioner of Public Wbrks or his representative. Particular attention is called to the necessity of thoroughly compacting the back fill, which will be required by the Commissioner of public Works. The Commissioner of Public Works shall be given one week's notice by said applicant of the date when it in- tends to begin the work authorized by this permit, and prompt notice of its completion. The said applicant hereby agrees to hold the State, County and Town harmless on account of damages of uny kind which may arise during the progress of the work authorized by this permit or by reason thereof. Applicant certifies all persons concerned with actual work under this permit are duly covered by workmen's Com- peasation Insurance and the State, County and Town shall be held harmless on account thereof. The Commissioner of Public Works reserves the right to at any time revoke or annul this permit should the said applicant fail to comply with the terms and conditions upon which it is granted. The applicant agrees to pay all necessary expenses incident to supervision and inspection by reason of the granting of such permit as certified by the Commissioner of Public Works, such payment to be made within ten days from the rendering of the certified account. Work under this permit to be commenced within thirty days from the date of permit and continued in an expeditious manner. The applicant shall submit a detailed plan of structure to be built, with a description of proposed method of construction. It is understood that should future changes in the alignment or grade of the highway require changes in the work covered by this application and permit, the applicant shall on reasonable notice from the Commissioner of Public Works make such necessary changes at his own expense within the time so specified in notice. Traffic shall be maintained by the applicant on this section of the highway while the work is in progress and until its final completion. Certified Check A ~ntl ~tl in the sum of $~_0 s ____payable to the County Treasurer of Suffolk County, is ~i~ security that the highway will be restored to its original condition where disturbed at the expense of the deposited as applicant, as soon as the work has been completed, and the said Comn~ssioner of Public Works is hereby authorized te expend all or as much of such deposit as may be necessary for that purpose, should the said applicant neglect or refuse to perform the work. In consideration of granting this pern~it the undersigned accepts it subject to conditions described. ~ ...... ~ate Commissioner of Public/~ro~k~s, Suffolk County TO AVOID SERIOUS DAMAGE TO VITAL UNDERGROUND GAS AND ELECTRIC FACILITIES, PLEASE CALL LONG ISLAND LIGHTING COMPANY AT JUNIPER 2-9000 BEFORE STARTING THE WORK AUTHORIZED BY THIS PERMIT. TOWN OF $OUTHOLD . BUILDING DEPARTMENT '~ TOWN CLERK'S OFFICE Exam ined..... ~.~....~.~...!...~...... 19.~.!.., Approved ....... .~..k(.~....~. ........... 19.~J...Permit No...~......]..'.~....?...~.. p,., Disapproved a/c .... ....................... ......................... APPLICATION FOR BLIILDING PERMIT INSTRUCTIONS t o. This application must be completely filled in by typewritRr or in ink and submitted in duplicate to the Building Inspector. b. Plot plan showing location of Jot 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 a Iterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......................... f).~.~.¢~. ................... Name of owner of premises ..............~.~i~¢.~..~.~111~,,~r1~ .................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ..:X~.'~ ........... ~ .......... ............ Lot No: ..~ ........... Street and Number .....N../.~.....~.g.:~.~....(.,,~j~c;1.~J,f~..~oad.) ....... ~e~o~e.~......~C...Z:.~. ........................ .~ ................. Municipality 2. State existing use and occupancy of premises and intended use and oc~-upancy of proposed construction: a. Existing use and occupancy......~.f~.O.f~%..~a~d. ..................................................................................................... b. Intended use and occupancy ...... .q~.¢...,~.9,V~zL~Y...c~1~.~L~J.~.g ............................................................................ 3. Nature of work (check which applicable): New Building.....~ ....... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... (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. Dimensions of existing structures, if any: Front ............................ Rear ............................ Depth ............................ Height ............................ Number of Stories ............................................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front.....~6.!..P/.M ...... Rear ....... .~.6.!...P/..~L... Depth .... .3OL..~...,.~6...P/~ Height ............................ Number of Stories ..... ,.O..~.~ ................ 10. Date of Purchase ........ ~.c~{.7. ...................................... Name of Former Owner ...... ~O,S.o...1~'l~ ..................... 11. Zone or use district in which premises are situated.....[!~.[!..~.e,.~ .......................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation? ...... ,,l~p. ........................................ Name of Architect ........................................................ Address .............. ~.~ ............................. Phone NO ..................... Name of Contractor ................... ~.~. ...................... ~.~. ....... Address ............. !~ ............................. Phone NO ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate oll set~bock 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 NEW,,YQ~K~, ) S S. COUNTY OF ...~.~.Z;$.Q.z..~. ........ ) .................................. .~...J:..~.,.q.e...~.~..~..~..e..o.~ .......................... being duly sworn, deposes ar~ says that he is the applicant (Name of individual signing 0bplication) above named. He is the ........... .0.14'~eZ'....-....~.~.J.:Lcl, e.t't ............................................................................................................. (Contractor, agent, corlborate 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 c~re true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the opplicqtion filed therewith. Sworn to before me this JtfDITFI T. BOKEN _ Nota~ Puhhc, State of New York ................... ~ day of .................1¢~9.~ .......... ],9./~].52..Q~44963. Suffolk County,s(Signature of ajAplicont) ~ ./7 ' / ~'-'~'..'1',',',',',',','~ /-/ / Cemm~ssion Expires M~ch 30 19 ~,D Noto , Pub,,:,