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HomeMy WebLinkAbout2125-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ....~/~.....~...~.~..~.~..,~..q.~..d. ............................ Street Map No.....~...~.~ ...... Block No... ~...-~... .......... Lot No...,~J:~ ........... .(J.~t~lQE, l,t,~.~.....~.~.~.~: .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...................................... ~.~. ....... ]L~......., 19..63.. pursuant to which Building Permit No ..... dated ............................... ~.~...]:~........2..~'......., 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 ........ .............................................................................................. The certificate is issued to ..... ~.,~..~.,.~.O,~f~.....E~.l~l~.~.~:.~//~ .............................. .~...~....~.~.~. ............ (owner, lessee or tena,nt) of the aforesaid building, Building Inspector FOEM TOWN OF SOUTHOLD BUILDING TOWN CLERK'S OFFICE $OUTHOLD, N, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? Z Permission is hereby granted to: ~ffank" Eaune'¢k~s ............................................. ...... ~"F~'~- ........................................................... .............. Cuteh'~Eue ............................................. to. but'td'"nu~v~" 'on'e" ~a~ri ty"d~'~ 't±ng .................................................................................... at premises located at 't~/S"'"Flid~}t~*.R'oad ......... (*l~...-A.}vtth.*.e...Ea.) .......................................... .............................................. ~tehe~ue~..*.N,.¥, .............................................................................. pursuant to application dated ................................ ~'ll]L~' ....... '~"~ .......... 1963..., and approved by the Building Inspector Fee $"t0;;00 .......... Building Inspector TOWN OF SOUTHE]LD GFFIBE F1F BUILDING INBPEETBR TBWN BLEF~K'S BFFIBE ~]BUTHI3LD, N. Y. Mr. }~o ~,, ~i~l~ Commissioner of Public Works Suffolk County Yophonk Ave., Yophank, N. Y. Middle Road CR Dear Sir: accordance with Section 239K of the General Municipal Low of the consolidated Le,ws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ...~t~,k..~.~~ ........ ............................................................................ has applied to the Town of Southold for o permit to construct o building as shown on the attached plot plan, submitted in triplicate, da,ted ................ ...... eT~1~....~.~,...,'~9~.~..., and titled. .. We shall withhold further action on this application for ten days or os otherwise provided in the aforementioned Section 239K. 7/22/63 Approved to the Town o£ Southold pursuant to Sec. 239K of the Gen~l VeW truly yours, M~icipal Daw; and before building access d~ive to the. Cotn~ty Road,~ applic~t must obtazn a permit ~de~ Sec. 136 o~ the Highway L~. S~FODK CO~TZ DEPT P~LIC ~O~S H. F. Bishop, Co~issioner ~ 1~~~~~ Town of Southold, N.Y. Wi~li~ S, ~ats~aye,Jr. ~ Chzef Engineer ~ TOWN OF SOUTHOLD BFFIBE OF BUILDING INSPEBTE]R TOWN ~LERK'B OFFICE SDUTHOLP, N. Y, Commissioner of Public Works Suffolk. County Yophank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated La,ws of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that '""&~3~"~;¢.~i~ ......... ::'.,~gA¢.~.~.~...::~.~.~, .......................................................................... has applied to the Town of Southold for o permit to construct o building on .~,~/k~...l~4 ~&.~..,Ae~.~.~...~,~ [~.,.~A~ ..... ¢'tt.t;.~:~g,~ ~...~.~.~(~ ............ as shown on the attached plot plan, submitted in triplicate, da,ted ................ ....... ~.~;~.....~J~ ~..&.¢,,~,.. and htled ...,: ~,..(~Jj'...¢,,:~.(~.~;~;~¢...~¢~..¢ ~...~?t~8 We shall withhold further action on this application for ten days or os otherwise provided in the aforementioned Section 2391(. Very truly yours, Building Inspector Town of Southold, N. Y. SEE SECTION TYPICAL SECTION FOI~, IDEM-T'I A L D ~tVEWAY 'ri iV G POETLAND CEMF_NT CONC. WtLL t~O'r I~E PEP_Ivl~TTF_.D h,41D D L,~ ~O~D l'ermi ' ...... PERMIT UNDER SECTION 136 of ARTICLE VI of HIGHWAY LAW ~EAS, a certain highway known as the has been improved and is on the Suffolk County Road System and NOW, THEREFORE, pe~qission is hereby granted to said to do said work upon the following conditions: CONDITIONS AND RESTRICTIONS 1, When concrete is removed, cut concrete w~th concrete saw two feet outside the limits of the proposed e~cavation and for the fnll p~nel width. Wben the cut is made in pavement within 10 feet of the panel joint, the p~vement shall be removed ~or tull panel widtb from the cut on the ~ side of the excavation to the p~nel joint. 2. B~ekfiU ~nd thoroughly compact fill using POWER TAM]PER, placing soils so that v~rinus types of soil are in s~me relative position as before excavating. Grmle to original surface. g. Replace pavement, sidewalk or surface same as e~isting; if concrete, replace usiag 1:1~ :$1/z mix stone mL~ concrete; kf bit~ninous m~terinI, replace using same type as removed. 4[. If concrete curb is removed, replace with similar curb 1:1~ :$1~ mix. 5. Edge et J~cking ~qts or any other excavation shall be not less than 5 feet from Edge of Pavement. No undercutting allowed in Pit. 6. Notify the Department at Yaphank 4-345! when the work is to begin so that 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 euthovized by this permit shall be perfo~ed under the supervision and to the satisfaction of the Com- missioner of Public Wori~s or his representative. particular attention is called to the necessity of thoroughly compacting the back fill, which will be required by the Cmnmissioner of Public Wori~s. The Commissioner of Public Works shall be given one week's notice by said applicant of the date when it 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 hm'rnless on account of damages of any 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- pensation Insurance and the State, County and Town shall be held ha~maless 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 tm~ns and conditions upon which it is granted. The applicant agrees to pay all necessary expenses incident to supexwision ami inspeofion by reason of the granting of such permit as certified by the Commissioner of Public Works, such pay~nent to be made within ten days from the rendering of the certified account. Work under this permit to be commenced within thirty days h~om the date of permit and continued in an expeditious maturer. 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 i~ the alignment or grade of the highway require changes in the work covered by this application and permit, the apphcant 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. A ~l~l~d~z~,°~,~ash~:~l:*~"~le~k~'~' -~. in the sum of $..~..~.~.T..~?....payable to the County Treasurer of Suffolk County___ is ~b~g~" as 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 Commissloner of Public Works is hereby authorized to expend aft or as much of such deposit as may be necessary for tha~ 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. Applicant ..................... /. .............................7../ Oommlssio er of Coanty TO AVOID SERIOUS DA1VrA,GE TO VITAL UNDERGROUND FACILITI']~S, PLEASE CALL LONG ISLAND LIGHT- ING COMPANY AT JUNIPER 2-9000 OR FOR TELEPHON.E FAOILITIES CALL N. Y. TEL. CO. FLORA~L i~ARK 2 ~ OFFICIAL 25 BEFORE STARTING THE WORK AUTHORIZED BY TLIIS PERMIT. y FOI~M NO. I ~j~TOWN OF SOUTHOLD (~\, .,,~JILDING DEPARTMENT aak~ k~\,, TOWN CLERK'S OFF~E ~ SOUTH~ /? Examined ...1..~...~-~ ............... , ........ Application No ............................. ....... L.. ................................ Doto ..............................7~~ X~q-~ ~~' ~ ~ ~ ............... / , 19...~ ..... ~,~plicotion must be~ by typewriter o~~ duplicate to t~e ~uilding ~spector. b. Plot plan showing location of lot and of buildings on p remJses, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drown on the diagram w~ic~ 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, t~e Building Inspector will issue a Building Permit to t~e o~licant. Suc~ permit shall be kept on t~e premises available for inspection throughout the progress of the work. e. No building s~all be occupied or u~d in w~ole or in pa rt for any purpose whatever until a Certificate of Occupancy shall ~ove 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. (Sigr?ture of applicant, or name, if a corporation) ....... (Address aP'applicant) J State whether/~gpJicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ ~.~.~..~i~ ....... ~...~~ .......................................................... 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: ..................... ,~ ......... : ...... ~'.... Street and Number ................. //Municipality State existing use and occupancy ofjgremises an~,4~tend~j u~ and occupYt~yxG'~r~)osed constr~ction: a Existing use and occupancy ~/~-"~' ~'~"~"' ' -',.-- o.- .o.c ...... .............................................. D.n e aea use a acc p y ........................................ .-~/. ............................. ~ .............................................. V 3. Nature of work (check which applicable): New Building ......% .......... Addition .................. Alteration ....... Repair .............. .~I~.. Removal .................... Demolition .................. .~ther Work (Describe) ........................ 4. Estimated Cost .7~...,~.0~....~...O...~. .................................... Fee .......... .~.../...~. ................................................................... (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 ........................................ .~..~ i ! i 8. Dimensions of entire new construction: Front ......................... Rear ...... ~...~1. .............. Depth .......~....~. .............. Height ............................ Number of Stories .................................. ! ..../...~..~.. / ,~,~ ,, -,., 9. Size of lot: Front ..... .................. Rear ............... Depth ..~..~..~.:../.~.. .................. , , . .................. ...... 11. Zone or use district in which pr~nises are situated.....~...1. ........ ~.._ ,2. oes prepaid constructio ,o'atej onz on,?g) w. ..................................... 13. Nome of Owner of premises/~.',~Gsr~../...~ddress/.'/.:..'~.'...,~....~..~~ Phone No/~ .-..~:'.~.-J~'J Nome of Architect~.f.~.....~.....J ........ Address .~4[~,~.~/~---.~..~..~..~~. ..... ..~ Phone f r Name o Contracto ~....~.....~.~ ............. Address .~ ............ Phon~ No~..~..7~.r.~..d..~ PLOT DIAG~M Locate cl~rly and distinctly all buildings, whether existing or proposed, and indicate ali set-~ck dimensions from prope~ lines. Give street and bilk numbers or de~ription according to deed, and sh~ street names and indicate whether interior or corner lot t .90± STATE OF NEW ~t'O. PJ(, ~'~ ) _ _ COUNTY OF ) ~'~' .......... ~..~ ..................................... being duly sworn, deposes and says that he is the applicant (Nome of individual signing application) above homeriC'He is the ~ .................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to oerform or have performed the said work and to make and file this application; that all statements contair~!l I'nl~ ai~pJlication are true to the best of his knowledge and belief; and that the work will be performedN4n the i~e~_J~.~l~th ' he app 'cat'on f led therew th. Notary Public, ..~..,-~..:._~~ (Signature of applicant)