HomeMy WebLinkAbout1786-zF~DM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No ..... ~.z.k~.k ........... Date oe~o~e~' S ~9 62
THIS CERTIFIES that the budding located at w'/~ ~'OI~.~.~S Ave Street
Map No..~ ........... ~ock No. ~ .............. Lot No. ~ ....... S..O.~..o..Z.~ .................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.................................. ~ ........ .~. ............... , 19..~.~.. pursuant to which Build,ng Permit No....~...~.?..8..~...
dated ~ ~T1]Xte 2~'1 ~ 62 was ~ssued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this cerhficate is issued is ........
Business building
The certificate is issued to
(owner, lessee or tenant)
of the aforesaid building.
Buitding Inspector
FO]~I~[ NO. ~
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? 1786 Z
Dote ................... ~ ..... e~' .........]~, ....
Permission ,s hereby granted to:
.......... ~e~Ld ..............................................
to 'lt~ '~ ~:8" ~":l~t~'~ ~" 1~:1:8 ~i~ ..........................................................................................
at premises located at W~,.~F~O~:~..i~kTi~ .....................................................................................
................ , .............................. ~1:h~]t/ti/"'N';'~ ;' ...........................................................................
pursuant to applicahon dated ~,~,..~..&..:~,]L~t~,.~,I~,~..~:¢ ........ 19..~.,, and approved by the
Budding Inspector
Fee $"3.:0~'00 ..........
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Riverhead, New York
Building Permit No.
TYPE OR PRINT LEGIBLY IN INK
/ 7~ ~ ~ Health Department Plan No. ~'~-.. "-~
Application for ,Approva~ pf ,C,ommercia~..Sewa~e ,Disposal~stem
TO: The SuffolkCounty Department of Health Date 7/~O/
Application for approval of commercial se~mge disposal system is hereby
requested.
(Nam~ and side of street, and name and distance tb nearest intersecting street)
Village
Town
~ hereby certify that this commercial sewage disposal system has been con-
structed in accordance with plans approved by the Suffolk County Department of
Health on (.~:~e). and wibh all the requirer~cnts of %he~ l~test
bnlletins on.sewage disposal of the Suffolk Coqnty Department of He~th.
(Builder - Owner)
Ready for inspection
~-~ FOR USE ~ HEATH DEP~,I~'IT G~
Installation sati~acto~ - Yes_~_)~, No
~s~ on ~e _~n£o~a~on stud hereon ~ the ~p~c~t ~nd other i~o~ati~
ma~ava~a~e, it is the opinion of this Department that this system with proper
maintenance can be expected to f~ction satisf~tori~ a~ is not like~ to ca~e
a n~,~a~e, prodded ~s~ned ~ge flow is not ~ceeded. Struct~al features
are not included.
SCHD - S-13
/58
STATE OF NEW YORK
DEPARTJ~ENT OF LABOR
DIVISION OF INDUSTRIAL SAFETY SERVICE
BUILDING PLANS ENGINEERING UNIT
Mr. Charles A. Wood
Parker Road
Wading River~ Long Island, New York
NO JURISDICTION
June 12,
1962
P/an No.
Owner
Location
62-12.20
New Building
Mrs. Edward Goubeaud
W/s of Young's Ave., 75' S/o Main Road
Southold, Suffolk County, New York
This project, when used and occupied as described in the above numbered application and plans,
does not come under the iurisdiction of the Department of Labor because it either will not constitute a
factory, mercantile establishment, place of public assembly or is exempt in accordance with Section
472 of Article 17 of the Labor Law.
The approval of these plans by this Division will therefore not be necessary and the plans and
application submitted are being returned without action.
~'4B:EC
Eric. plans & appls., 3 ISS 600
lc O
Very truly yours,
Harry Silberberg, Assistant Director
FOR THE C(IMgRSSIONER
j_~s -6,2 $ (5- 62)
STAt'E OF NEW YORK
DEPARTMENT OF LABOR
DIVISION OF INDUSTRIAL SAFETY SERYICE
BUILDING PLANS ENGINEERING UNIT
~OV. ALFRED E. SMITH STATE OFFICE BUILDING
ALl,ANy 1,
NEW YORt( STATE
DEPT, OF
APPLICATION FOR APPROVAL OF PLANS
FACTORY OR MERCANTILE BUILDINGS
I SUBMIT APPLICATION IN TRIPLICATE
Attached No~,. ~
Munlelptllt3, ~trset and Number County
3. Lessee ...................................................................................................... ,. ............... Address ............................................................................................................
4. Engineer or Architect .......................................................................... ~. ........... , .......... Addres~ .....................................................................................................................
,~CCUPANCY
5. Approval of plans is requested ior use o/ building, in accordance with the following statements:
~;. Total number employed at office work* no~$ 6a. Total number employed at manufacturlns**
7. Will any radinlostcul devices or radioactive materials be operated, used, repalted or stored in this stmcture~ .... ,.~...0.. ........................
8. Materials or atttclea mauuEtctured ......... .l~..O....~.~. ............................................. Merchandise sold ......................... ~...O....ELO .........................
PROPOSED CONSTRUCTION
10. Number o~ floors above ground,,,.,,,~ .................... , Below,.,,,.~ ...................... 11. Automatlo sprtnlder&,,,.,,,~,,°,. ............ , All areas,,,,,.,,,~,q. .............
12. Materials oi waHs,,,,.,,,~lllld,e~,.,,,.b3.o~Ic ........................ , Irloor~.,,,..~.,°.,.,.O,,.,d. .................................................. , Roof,.,,,,.V.,~,o,d{ ....................................................
13. Roofing,,.,,,~l~lD~hfl~,,~ ........ , Floor framing, ,,,,!~,,~.~ ..................... , Roi)/ frumlng,,,,,.,,,~.O,~ ........................ , Windows,,,..a,.~,,.u,,,,m.,,.~.,,,13.1tll~ .............
14. Access to adjoinin~ buildln~,,.,.. I1,0, ................. Whal floort ....................... .,-. ............................................... By what means. ........... ,.',.. ...........................................
EXISTING ,PART OF BUILDING
When / / ' ? ....
Prior to Oct. 1, 191B July 1. 4 A~ter
17. Was the .tructur/occupled .n ,ao/to/ry on July 1, 194~,/ .................... J~y wh/f~ ......................................... / ................................................
19. No. of stoa/e/above groun&.,,~ .................... , Below,..7~ .................... , Sprln~[e~ system over all ar~gs~
21. H,ve~f7 variations been/~ranted relative ,o i~ure~ of this etru~re? ...................................... ~ .............................................................................
*Office eIAployeeo include stenographers, accountants, tyl{ists, enginccr~ surv~ors, deg~ners~ draftsmen, booldteeper~ clerks, ets.
**Manufl/c,~rins includes making, altering, repairing, finishing, bottling, ennn!'nR', cle~milw~ laundering, paching~ sorting, crating, e~.
~ Plans should be submitted la ttiplicate for each project accompanled by an application form flllea out i n triplicate.
~ Deactlbe vroposed alterations in apacel provided therefor on reverse side of form.
~ Furnish plot olin in space ptovlde~l thereJor on reverse nlc~ of {ottm
~ When ptopoae~d construction exceeds $10,000 ia cost or 30~000 cu. ft. In volume or involved structural ~lter~ttona ia extatln8 building
plans shall be prepared by and bunt the seal of s Licensed Professional Engineer or Registered Architect entitled to practice la the
State of New York.
ALTEI/ATIONS: Describe in detail all proposed alterations:
TO, er, e~ # n~w b~lfllng, 2t~xiO~
F~ame ~nd ma~ol%~2, con~tr~otton.
One (1) employee1 in, building.
.Basement a~ea of ~40 St, ~t, tOh~se ~he..heat~.n~..~.~ and the
. . .w. ater.pu~..a., N.o one employed ~ no s~or, a.ge in thin area..,
FAILURE TO PROVIDE COMPI,E~E INFORMATION
I~IAY DELAY ACTION ON PLANS.
POINTS OF
COMPASS
iN SPACE ABOVE DRAW PLOT PLAN OF PROPOSED WORK A~D ALL CONNECTED STRUCTURES
Designate each section by proper number and name; indicate height in stories of each ~.ction; give date of erection of each portion; plan must
show entire outline of connected structures and approximate overall dimensions; show north point; give name of and ~how location of adjacent
streets, raJlroads, canals, rivers, buildings, lot lines, etc.
LABOR LAW -- DEFINITIONS
Sec. 2.- 11. "Mercantile establishment" means a place where one or more persons are employed in which goods, wares, or merchandise
are offered for sale and includes a building, shed or structure, or any part thereof occupied in connection with such establishment, ....
Sec. 2.--9. "Factory" includes a mill, workshop or other manulacturtng establlshn.~.ent where, one or more persons ~re employed at
manu{acturing,----and iacludes all buil&ngs, shed~ structures .or other places used for or m connection therewith, eXcept (a) dry deck plants
engaged in making repairs to ah/ps, and (b) power hon~s, generaunt~ plants ?,n.d other structures, owned or operatel{ 1~ a public service corporation
other than construction or repair shops, sub~cet to the jurlsdiction ot the pumic servies commission, ....
TOWN OF SOUTHOLD
BUILDING DI:pAKTMENT
TOWN CLERK'S OFFICE
Examined ........~...~.~.5...., 19.~..? SOUTHOLD, N. Y.
,,
Approved ..........v. ......... .~ .............. , 19 ........ Permit No. ~.,~:....'... .............
Disapproved a/c .~
(Building ~lnspector}
APPLICATION FOR BUILDING PERMIT
.................
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 application.
c. The work. covered by this applicati°n may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspecto~ 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 gr~nted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk. C~unty, New York., and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or aJteratior)s, or for removal or de~l~, as herein described.
The applicant agrees to comply with all applicable laws, or~linano~s and regulations.
........... ...........
~(.~i~r~J~ure o applicant,,~'~narrje, if a corporation)
-v ~__. YF / '
....
(AddreSs of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Nome of owner of premises ~"J~/~' F '~ "'~' ~' J~" .~...~ ..~. /.~,,.Z~
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. Mop No: '"-" Lot No: .......... '~. .........
Street and Number .~./..0.. ~ ...N.....C~...~....~......~. ,,it-, .
..................................................................
2. State existing use and occupancy of ipz~ises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ......... '.~..~..C~..~..~.~.,,T........L.....~...../~......~.. ........... ....
b. Intended use and occupancy ...... ..~.....~.....~.....L*....,~..,...~-...~...~......~........~...~..~.. ~....-~.., y......~...~....~...~. ..........................
3. Nature of work (check which applicable): New Building ........ Addition .................. Alteration ..................
Repair ....... R~,,rnoval .................... Demolition ...... ~ ........ ~.... Other Work (Describe} ........................
4J'~O~ ~"'- /' Fee /~ ~ ................
· o o ..e~ o ~o ........................................................................
5. If dwelling, number of dwelling units .............................. Number o+ dwelling units on eoch flor ............................
If gorQge, number of cots ..............................................................7..'~ ......................... ~ .......................... ~ ...................
6. If bUsiness, com~rciol or mixed ~cuponcy, specify notureond extent of eoch ~pe of use .~.~.~.~.~.~.~ .....
7. Dimensions of existing structures, if ony: Front ........ ~.~ .......... ReQr ...... .~,~ ........... ~pth ...... .~.~ ................
Height ...... /~..~. .............. Number of Stori~'~ ...... ~. ..................................................................................................
Dimensions o~ some structure with olterotions or odditions: Front ................................ Reor ................................
Depth ............................ Height ................................ Number of Stories ........................................
8. Dimensions of entire n~ construction: Front ....... ~.~..., ...... Rear ......... ~...~ ....... D~th ...... ~.~ ..............
Height ....... ~. ........... ~umber of Stories ........... ~ .....................
9. Size of. lot: Front .......... ~.~. .............. Rear .........~.~ ........... ~pth ....... Z..~...~. ................ ...
10. D~e o~ Purchase ......... ~.~.....~.~..~.?...~....N.~e o~ For~e~ ~.e~ ..../~...~.~.~.~.8~.~ ......
1]. Zone or use district in which praises are situated ......... ~.~..~...~[~..~.~ .................................................
12. Does pr~osed construction violate a~oning law, ordinance o~egulation? ..... ~.~. ..........................~ .........
13. Name of ~ner of premises ~~~.~ ............. ~.~.~..~.... Phone No. ~.~.~.~
Name of Architect ................... ~ ...../~.~ ................. Addr~s ............................................ Phone No .....................
Con ,.c,or ....... ..................................... , on..o .....................
PLOT DIAG~M
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. /,~ O
(Nam~ of(-fndividual sign ng app cat on)
above named.~'l-le is the ~ ' ...·.'. .................................................. ~.'"'~'~ .................................
(Contractor, agent, corporate office, e .)
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..j,g,fl~ismgd~l~lication are true to the best of his knowledge and belief;
and that the work will be performed in th~, ~1~'~ .~.~ll~f~l~Cou~nt~ the app~ation filed ,herewit~ .
Sworn to befo e me this ~ :4~963, sufl0 : i / ~ , --
........... ...... . ......... ...... ......
Nota~ Public, .~.~~ X(~mgnature o~
~AAIW £OA~ '
I
f R 0 M T H e
CHARLES
A R C H
P A R
0 F F I C E 0 P
A. WOOd, R.A.
I T E C T
WADING
[DIJII r--~kJ,LQ
PHONE
PLAN NO. z ~ ~; ,:, SCALE
K E R
RIVER,
R 0 A D
NEW YORK
WA 9-4310
T
'd
SHEET NO.
THIS PLAN IS THE PROPERTY OF THE ARCHITECT AND
SHALL NOT BE DUPLICATED WITHOUT HIS PERMISSION
I
r
'
~ R O M T H = O f f I a = O f ~(C~4) 'O>% PLAN No. , a,=,= SCALE
CHARLES ~. WOOD, R.A.
P A R K E R R O A D -~ ~ ,"; Is~ Rev.
WADING RIVER, NEW YORk
+ [ '
F R O M T H E' O F F I C E O F
~'~ .... ~ "~,- PLAN NO. ~ ~,~ SCALE ~/u' ilo" SHEET NO.
WADING RIVER, NEW YORK
....... ,,,. PLAN NO. z c o .-, SCALE ~/'~" ~ I.o' SHEET NO.
CHARLES A. WOOD, R.A. ~w,? :.,-~.~
P A R K E R R O A D ~ -,~ . :,.~,~
W A D I N G R I V E R, N E W Y 0 R K ' .? "-~,~-'~m'~j' THIS P~N IS THE PROPERTY OF THE ARCHITECT AND
' %,.,'~ r"~ ~,L~ SHALL NOT BE DUPLICATED WITHOUT HIS
P ~ 0 N E j W A 9 4 3 1 0 -'~,,-~
~ ~
I ~-- a :~' ~.~,,,~ PLAN NO. SCALE
F
p H O N E W A 9 ~ 4 3 1 0