HomeMy WebLinkAbout1879-zFO~M ~TO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
THIS CERTIFIES that the building located at ,.l~/~'.....~t~j~j.,~,t, oD,..A~'~....(.~]~'..). ........... Street
Map No. ;F.7,~-~ ............ Block No. XX~aX ............. Lot No...~,7,3f~, ....... }/~.~.~.:~.~!~Ig..~,...[f.~.~.*. ...............
conform~ substantially to the Application for Building Permit heretofore filed in this office dated
............................ ~e~temb~......12 ...... , 19..6~.. pursuant to which Building Permit No ..... .Z...~.~.~.~
dated ...................... OO'Y, O1~V.....~ ........ , 19..~:., 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 ........
............. ~,r.~.v.a.te .. ~ne..~.a~i.1 ?/~ .. d.we3, l&ng. ........ ~ ........................................................................
The certificote is issued to ......~rohll..}I,~,~$..,c~..~J~f,~g .................... OklD,~2..$ .......................................
(owner, lessee or tenant)
of the aforesaid building.
H.D. approval Febt~ra~ 8~ 1963 by R. Villa
Building Inspector
FOI~V~ NO. 2
TOWN OE 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.o 1879, Z
Date ..................... O~tO~'"'"~ ............ ]9.~..
Permission is hereby granted to:
· To me~h" Dme~:m~k~'""~K/O" '~'ot~" 'l[mm~r ................
............. Plal:~%~e~ .............................................
to 'B~x,t'ld" n~r ..on~...gam~.l~r-. dwe ~.~gng .....................................................................................
at premises located at ~l/5'"l~a~.'Itan'"/,?e'"¢CR27') .....................................................................
................................................ ~tl't~k' .........................................................................................
pursuant to application dated ........................... ~pterl~l'""]f~ ...... 19..6~.., and approved by the
Building Inspector
Fee $..~1.010~....: .....
Permit N o....~..~,~..~ .......
PERMIT UNDER SECTION 136 of ARTICLE VI of HIGHWAY LAW
WHEREAS, a certain highway known as the ~-~
has been improved and is on the Suffolk County Road System
as per sketch or map at~che& C&r~Stx~xe~io~'x of ;:lidd~
NOW, THEREFORE, p~missiun is hereby ~unted to said
to do said work upon the following conditions:
CONDITIONS AND RESTRICTIONS
1. When co~orete is removed, cut concrete with concrete saw two feet outside the
limits of the proposed excavation and for tho full p~el width. Wlten the cut is
made in pavement within 10 feet of the panel joint, the pavement sh/dl be removed
for full panel width fram the cut od the far ~de of the excavation to the panel joint.
2. Backfill and thoroughly compact fill using power tamper, placing soils so that
various /~-pes of soil are ia same relative poslttsn as before excavating. Grade to
original surface.
3. Replace pavement, sidewalk or surface same ms existingl if concrete, replace
using l:l~:$~/z mix stone mix concrete; if bituminous nmterial, replace using
s~me type as removed.
4. If concrete curb is removed, replace with similar curb l:lZ~:8~/z m~.
5. Notify the M~intenanee Dep~rtment at Yaph~k 4-g~51 when tho work is to begin
so that aa 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 Works 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 any
kind which may arise during the progress of the work authorized by this permit or by reason thereof.
Appl/cant certifies all persons concerned with actual work under this permit are duly covered by workmen's Com-
pensation 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
It is anderstood 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,
'l'ra[fie shall be maintained by the applicant on this section of the highway while the work is in progress and
until its final completion.
A ~, ed Chain-- the sum of $ ~0,~]C} payable to the County Treasurer of Suffolk County is
deposu~d ca security that the highway will be restored to its original condition where disturbed at the expense of the
applicant, as soon as the work has been completed, and the said Commissioner of Public Works is hereby authorized
to 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 permit the undersigned accepts it subject to conditions described.
TO'CID SERIOUS D/iAGE TO VITAL ~ERGROUND GAC~%~S~RI
LONG ISLAND LIGHTING COMPANY AT JUNIPER 2-9000 BEFORE STARTING THE WORK AUTHORIZED
BY 2~HI$ PERMIT.
TOWN OF SOUTHOLD
BFFIBE BF BUILDINB INSPEBTDR
TOWN CLERK'S BFFIBE
~BUTHDLD, N.Y.
Mr. H. F. Bishop
Commissioner of Public Works
Suffolk County
Yaphank Ave., Yaphank, N. Y.
Dear Sir:
In accordance with Section 2391( of the General Municipal Law of the
consolidated Laiws of the State of New York, this is to notify the Commis-
sioner of Public Works of the County of Suffolk that ......................................
..... J.~,e,...and..~,th..Na~s ........................................................................
............ ~.~¢..Z.~...~p.,~,~l.,...~.C.ti.~u~...~[~, .........................................
has applied to the Town of Southold for o permit to construct a building
..... N~.Ii&,.,, ~$.ddle._ 2o&d... (¥~zLC.on..A.v.e...-.... CE2.~. ) ~......Ne.t t i tuck
as shown on the attached plot plan, submitted in triplicate, dated ................
We shall withhold further action on this application for ten days or as
otherwise provided in the aforementioned Section 2391(.
unde~ Sec. 136 eft the ~g~ay ~.
Very truly yours,
Building Inspector
Town of Southold, N.
EDGE O~ EXIST., 'PAV~I~ ~
M I DDt-F-
PAVE, TO EDGE,
OE EXIST, pAV'T.
MAP OF' LAt~tO
dOl.-IN ,,J, · [~UTH '~, ~-'~AA$
IS/~ATTt TU C ½
'Tow~ oF ~Ot~THOS. O, tq.Y.
PERMIT
£XIST/N G
' .oAW~jvl~
TYPICAL SECTION
F'OI~
I?_.E5 IDENTI A L D P-_IVEWAY
PITCH A,S DI/~£CTED
/ 0-'-o"
P,4 V~
TYPES OF PAVEMENT
Bituminous Macadam ESasg-WiTlq AsphQIT
Concr¢°c~ Top.
Cinder Or 8tone 5crggninc~.5 5c15~ With
AsphQlt Concr¢t¢ Top. _
Cinder Or STone Screen i n~a' Bose Wit h
Bituminous 5u~{oc¢ Treatment And Stone
Chips.
POETLAND CEMENT CONC. WILL NOT J~E PF_P..M1TT~.D
TOWN OF SOUTHOLD
BFFIOE OF BUILDING INSPEBTOR
TOWN CLERK'S OFFICE
cMor~q }~i~ s i o~"e r ~0~ ~c Works
Suffolk County
Yaphank Ave., Yaphank, N. Y.
Dear Sir:
In accordance with Section 239K of the General Municipal Law of the
consolidated Laws of the State of New York, this is to notify the Commis-
sioner of Public Works of the County of Suffolk that ......................................
..... ~eb~..~.nd...~¢t~b..~s~t .......................................................................
............ ~4tb~.~..~,~...~.~k~...~.~.~:~ .........................................
has applied to the Town of Southold for a permit to construct a building
tue~
as shown on the attached plot plan, submitted in triplicate, dated ................
..... ~"~r~e~t}~*~t~""'~'"'~]dtitled "~,~'r't~'L~'"t'~'"~,~'v~W~re~'"'~o~ ~.~o~r~. ~ ~t~ ~ ~
We shall withhold further action on this application for ten days or as
otherwise provided in the aforementioned Section 239K.
Very truly yours,
Building Inspector ~
Town of Southold, N. Y.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Application No..../...?....,,7...~.. .........
APPLICATION FOR BUILDING P£RMIT
INSTRUCTIONS
o. This opplicotion must be completely filled in by typewriter or in ink and submitted in duplicate to the Building
Inspector.
b. Plot plon showing Iocotion of lot and of buildings on premises, relationship to odioining premises or public streets or
oreas, ond giving o detoiled description of layout of property must be drown on the diagram which is port of this applica-
tion.
c. The work covered by this application m~y 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 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, alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances and regulations.
............. Jg.s e.Dh..~] e.a~.koski .............................................
(Signature of opplicont, or nome, if a corporotion)
(Address of applicant)
State whether applicant is owner, tessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
....................................... .C. Qn~r.ac.t or ................................................................................................................................
Nome of owner of premises ..... $phri..lzLg. ss ..........................................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Nome and title of corporate officer)
1. Location of land on which proposed work will be done. Mop No.: ........ ~ ...................... Lot No.: ...2~Z, ...........
Street and Number ..N/~..~ai~i,t.~o~..A.~e.....g.-~. 2.~.A .......... N~¢.~%¢~. .........................................................
,Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction.
a. Existing use and occupancy ...... ~.~q~...~g.~ ..................................................................................................
b. Intended use and occupancy ................... ~ .................... ~ ..................................................................
3. Nature of work (check which applicable): New Building....................3EX: Addition .................. Alteration ..................
Repair .................. Removal .................. Demolition .................. Other Wore (Describe) ..................
4. Estimated Cost ....,],~.~.Q.O.(~..~.~ ................................. Fee ........... ~0 ........................................................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ....O.1:1e ..................... Number of dwelling units on each floor ............................
If garage, number of cars ....... m~A
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 ........ ~/~..-..~ ............ Rear ....... 6~.-..~. ............. Depth .......... ~,6 ...............
Height .............................. Number of Stories ..g.~ .....................
9. Size of lot: Front ....2,~6~.1~]. ............ Rear ....... ~..{~,~. .............. Depth '.~)'~/'.-..3-~,~ ........
10. Date of Purchase .......................................................... Nome of Former Owner ........................................................
1 1. Zone or use district in which premises are situated. "ii,# cl:l_~;
12. Does proposed construction violate any zoning law, ordinance or regulation? .................. ~ .......................................
13. Name of Owner of premises ...~.~j3J),.~T,8,~ .............. Address ................................................ Phone No ...................
Name of Architect .................................................... Address ................................................ Phone No ...................
Name of Contractor ....... ~To~et~h..]~e~.~l~oslc~.... Address ................................................ Phone No ..................
PLOT DIAGRAM
Locate clearly and distinctly a]i buildings, whether existing or proposed, and indicate all 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 YORK, '~'"~'~t~ ~
COUNTY OF .... ~.t,l~o].l¢ ....... ) S.S.
........................... ;T.c~2~l~h..D~erko~lk~, .............................. be?g. duly sworn, deposes and s,ays that he is the applicant
(Name of individual signing application)
above named. He is the ............... {3.O~l.t:~l.e.t,O~ ...................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or ownem, and is duly authorized to perform or hove performed the said work and to make and file this
application; that all statements contained in this application are true to the ~st of his knowl~ge ~nd belief; and
that the work will be performed in the manner set fo~h in the application filed therewith.
Sworn to before me this
................. of ................... ,Sap ember..., 19...~ ~. ~ ~ ~,
.(I ...... ......................................
Nota~ Pub,,c ~~~.....~oun,~ (Signature of applic~,)
~, ~u: ss~on ~pires ~arch 30, Z~ ~
~V~ I D D L ~
dOMN
I'VIA~ OF' LANI)
['v~AT l t fi.J C K