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HomeMy WebLinkAbout1773-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No .~..~3,~, ............ Date ......................... ~,J'k~.....~ ............ , 19.~... THIS CERTIFIES that the building located at ...J~I.~..~CI~,I~..&..N~W...~.~!~,~D.~,..JL~.e.. Street Map No ...... ~ ....... Block No ......... :ZZ:Z~... Lot No ~ ......... ,V~;~l ~1,O,~...~[~, .................. conforms substantially to the Apphcation for Building Permit heretofore filed in this office dated ................................... ~.L1D,~t ..... ~ ........... , 19.~.. pursuant to which Building Permit No..~,~..~_~... dated ........................... ~.lj_tl~....~ ....... , 19(:~. .... was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for whzch this certificate is issued is ........ ..... ~LI~;L ~e a~.. ~hu~ ding; ..... (. s.upem .-.max'ke t ~). ........................................................................... The certificate is issued to ...T~R~.~,~...~.~.T:.~.e. ................ O~C~q~. ........................................................ (owner, lessee or tenant) of the aforesaid building. E.D. Approval-~ Building Inspector FOI~M ~0. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° '1773, z Date .......................... ~'~ ....... ~ .......... 19.~2.. Permission is hereby granted to: C. lr..t~ ...A/o ·. ~t,,:l;. sa. · ce ~,~ ...................................... ........ lh~,.tl, te~...L~n® ........................................... .................. ~ve~.head ........................................ to ... ~L~..ld...1~¥...~,1~11-~.. btl~],d~l~ ....................................................................................... at premises located at {]//~..Nev..$'d~'~'].k..~ve..&..l~'/'~...]~l~..]~o~ ....................................... .............................................. Natt .~.tu~k~..... 1I. ~. ............................................................................ pursuant to application dated .................................. 'o~lt'~'""].~ .......... 19..6.2. and approved by the Building Inspector Fee $ ' ']r.O~' OO .......... Building Inspector STATE OF NEW YORK DEPART//,ENT OF LABOR DIVISION OF INDUSTRIAL SAFETY SERVICE BUILDING PLANS ENGINEERING UNIT APPLICATION FOR APPROVAL OF PLANS PREVIOUS CORRESPONDENCE Attached___ No~e County OCCUP~ Approval of plans is re~ested for ~e o~ building in accordan~ wi~ ~e {oUowing ~M~men~: 7. WHI .,,y radiological evic*~ or radioactive mater_als be operated, used, repaired or stored in this structure? ................................ $, ivla~erzals or s~ticles ,,~na£~ :~ed ................................................................ Merchaad~s¢ sola ...... ~....~E_.~7. ...................................... ~_~JX PROPOSED CONStrUCTION '~' I ~..'~W~ ~ ~ ~ 9. New buildin12L;d, ~ddition ':~ - , Mterafion . , ~at~ cost 10 Number of floors above ~ound ~ ~ , ~low - .11. Automac spnn~ers ~ AI~ areas . ~,~ <~ 12. Materials of waHs~' , ~- m..- ~C~ Roo/ (t't=~ ~S. aoonng ~ eF , Hoo: framing .... , Roof framlng~5r'- 35, ~ W~ndowa a~$~ 14. Access to adjoining building .... -~ ~at floo~ By ~hat m, .ns -:~' 15. Heating system: T~_ k.~.~q &~'~ ,. D~buaon ~'T~ ~,~Z~ ~,t~ 16. erected: ] Prior to Oct l, 1913 EX:~TING PART OF BUILDING I O,t l, I91S1' [ J~y 1,1924/ Aft~ _] ._ Betw~n J~y 1, 1924J._ Betw~ J~e 1, 1935J June 1, 1935 ....... 17. Was the structure occupied as a factory on July 1, 1948 By whom 18. Most recent occupant Type of business 19. No. of stories above ground , Below , Sprinkler system over all areas 20. Materials oi walls , Floors . , Roof , Roofing , , 21. Have any variations been granted relative to features of this structure? *O/lice employees include stenographers, accountants, typists, engineers, surveyors, designers, draftsmen, bookkeepers, clerks, etc. **Manufacturing includes tuakmg, altenng, repamng, finishing, bottling, ca.mng, cleaning, laundering, packing, sorting, crating, etc. ~ Plans should be submitted in triplicate for each project accompanied by an application form filled out in triplicate. ~ Describe proposed alterations in space provided therefor on reverse side of form. ~ Furnish plot plan in space provided therefor on reverse side of form. ~ When proposed construction exceeds $10,000 in cost or 30~000 cu. ft. in volume or involves structural alterations in existing buildul. plans shall be prepared by and bear the seal of a Licensed Professional Engineer or Registered Architect entitled to practice in the State of New York. I$s-~oo (7-59) ALTERATIONS. Describe in detail all proposed alterations: FAILURE TO PROVIDE COMPLETE INFORMATION MAY DELAY ACTION ON PLANS. POINTS OF COMPASS Addr ~ ~ IN SPACE ABOVE DRAW PLOT PLAN OF PROPOSED WORK AND ALL CONNECTED STRUCTURES Designate ceeb section by proper ntnnher and name; ~ndicate height in stories o£ cech section; give date oI erection oi each portion; plan must show enUre outhne of connected structures and approximate overall dimensions; show north point; give name of and show location oI adjacent streets, railroads, canals, nvexs, braidings, lot lines, etc. LABOR LAW -- DEFINITIONS Sec. 2.- 11. "Mercantile establishment" means a place where one or more persons axe employed m which goods, wares, or mexchend~so are offered for sale and includes a building, shed or structure, or any part thereof occupied in connecuon w~th such estabhshment.---- Sec. 2.--9. "Factor~" includes a mill, worhehop or other manu[acturing establishment ,#her.e. one or more persons axe employed at manufacturing,-.--and includes all burkhngs, sheds, structures or other places u~ed for or ra connection thercvnth, e~cept (a) dry dock plants engaged in waking repairs to ships, and (b) power houses, generating plants and other s~'uctures owned or operated by a public service corporation other than construction or repair shops, subject to the jurisdiction of the puhhc semce commission, .... FOI~M NO, I TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. Approved .......................... '.~ ........... , 19.~.~....Permit No. ~Z' / 7 '/ ~ Disapproved a/c ......... I~~ ..................... ....................... ................................ A~PLICATION ~OR BUILDIN~ PER~IT Application No.../...~...,."(....~ ........ Date ........................... ~.lJ~e..... L~ .......... , 19.~.~ .......... 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 thediagram which is part of this application. 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been gra.nted 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 applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................................ .............................................................................................................. Name of owner of premises ....... L~.t.8~...C:g,lt.]~.. .................................................................................................................. 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: ....... ~ ........................... Lot No: ...... ~ ....... Street and Number ..S/.~..~e.~..S.ll_f'~.o,l.k..A.~.e..&..E/S...~l.l~...1~.oad.~..~.~.~.¢.~ ...................................... Municipality 2. State existing use and ~cupancy of premises and intended use and ~cupancy of proposed construction: a. Existing use and occupancy ...... ~.~C~..~ .................................................................................................. b. Intended use and occupancy ....b~e. 8~ b~i~d~ .................................................................. 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ..................... h;: 4. Estimated Cost ...... ~.O~.0Q.0 ......... P./.~.................... Fee ....... 1.O .............................................................................. (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 natureond extent of each type of use ...blls~.~.e~.s .......... 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 ...... L2.1..~..I0 ....... Rear ........ 3,~*~L ...... l0 Depth ...~0. ................... Height ............................ Number of Stories....O/l~ ....................... 9. Size of lot: Front ..180~g/-..2~-~.... Rear .~37d..]-2~...6~ Depth ........................................ 10. Date of Purchase ................. ],9.61 ............................. Name of Former Owner ..~eP~v.e...Br. os .............................. 11. Zone or use district in which premises are situated ....... .'.'ll.'!...cllst, ....................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ...................... /1~ ........................... 13. Name of Owner of premises ...... ~/~J,.,~,...CkO/~]~. ....... Address ............ Rt.v. er.b. ead .......... Phone No ..................... Name of Architect ..... .0..~...,~P,~f~.~ ........................... Address .......... J_~=_m..e.~0.Qt.t. ............ Phone No ..................... Name of Contractor .g.O.~.ti.~.~.~...~[~g. ............ Address .....i....Ri~'.e~ea~l ............ 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. See attached plans STATE OF NEW YORK, ) COUNTY OF ..S~ffQlk ......... ) S.S. ............................... Q.Q~.~.~$~..Ki~g ........................... being duly sworn, deposes and soys that he is the applicant (Name of individual signing application) above named. He is the .................0H~f~r....-....b.utlder. .................................................................................................... (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 tbj~%.application are true to the best of his knowledge and belief; and that the work will be performed in t ~h~..~D~e~P~r~ f~h in the application filed therewith. Sworn to before me th.s ' ~o n344963, Sufl0~k CoU ty_/~ ~ .................. . .doyof ....................., ........................ Notary Pubtic, .. .~...~4.~)~-~...~o n y (SignatUre4°fapPliCant),.----l"-*- ~"~'"'""-'"'-~ ,! 15 SUFFOLK COUNTY DEPARTMENT OF HECLTN ~,4 ~- ~o./f,~ '¥ ~or ,4¢ p i= t~ ,"" 5~¢4~/¢/ ~lioation o~ file in the off~ce ~f the Suffolk County Departme this, .,~dorsement appears in the o~fice of ~"/~* ~ I oLP'' ~kk atpI "'m.a~.r 9.~. ./ I,m .:,,r. L, i, h~'; York ... LOL~Q'' _ 1 J t ,c u..~, F Loo g:". C -] L J =0 L_5' Lou I i ,:larcesport, L. I., NeW York _i II _9, t G l,I '] r / ~ ....... ;.._~._._ 6-0 N d ' O! E L F_. v A-F'i oI'.4G .4-L ~o'_- ©" . ..................................... '*% BOROOh tl :~!L'.i:~, 2 ~am~sporl, L, I., N::,v