HomeMy WebLinkAbout4040-zTOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD. N. Y.
CERTIFICATE OF OCCUPANCY
No..Z. 3505.. · Date .......... ~e .... 11, ........ ,
THIS CERTIFIES that the building located at .Ml~l~e. ~5 ............... Street
Map No ............. Block No ............. Lot No.. ~O~I~OI~,. ~ .¥O~,k ..........
conforms substantially to the Applicati. on for Building Permit heretofore filed in this office
dated ........ l~l~t:...19,..., 19.~ pursuant to which Building Permit No.
dated ........ &~.. 22, .... 19. ~, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ...~l~lV&t~. ~. £8~,1~. ~1151~ ........................................
The certificate is issued to .~'~.~.. ~e~ .......................................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .~F. [,. 19~., .[Ol~tt..V. IlI& ......
Building Inspector'[
44600 #lddle ~to~d
FORM NO. 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? ~0~0 Z
Permission is hereby granted to:
~'~..J..r~..~:-~.. ~..~..e.~.....~ ...........
............. ,T~z'.t.~,l~..JlJk ........................................
............ ~s. ......... IIL,,Y,,.e. ............................
to ... ~:..~.~4.~.r,.~.~...~_......~.e~:L~:..~.~ALIaJ ................................................................................
................................................ tJeM~ ....... W.~e ............................................................................
pursuar~ to application dated ........................ ~ ........ ..~.JJ .............. , 19.~.., and approved by the
Building Inspector. JJl~! PeJ~J,t mibJ.ee~ t~
Dopt of' Public wo~kS (see 23~ and hoaXth i)ept
Building Inspector
S-9
SCHD
SUFFOLK COUNTY DEPARTHEN~F~.~EALTH
,l~g. Fermit~o. ~ ~
TO WHOM IT MAY CONCERN:
The sewage disposal facilities for a structure located
at S/S Middle Road (CR 27) 782' W/O Railroad Avenue, Southold, New York
(Give deed location)
have been inspected by this department and found to be satisfactory.
District Engineer
District Engineer
LE~ITER C, aCKART
TEL. YAPHANK 4-3451 - 3452
COUNTY OF SUFFOLK
DEPARTMENT OF PUBLIC WORKS
R. M. KAMMERER, COMMISSION£R
YAPHANK, NEW YORK. ~gso
Date: ~ ~ -~ l& t=''
#~ 3e~'ieho Tto,lqdke
NLaeoJ. I, M.Y. llSO{
Dear Sir: Re: Per~,~it No.,
County Road
27 - NL~.i.m Read
County Treasurer has been authorized to
refund your se~u~tty in the a~ount o~
( ) Bond Nee to cover york
on this permit is herewith released and retur~edo
This is to advise you that work done under the above captioned
permit has been inspected and found to be completed in a manner satis-
factory to this department.
WSM:EWJS:ee
l~e.
ce: B~ndln~ ~o.
Building'Dept. v"
Ch~/~r~neer
TOWN OF SDUTHDLD /
OFFICE: OF BUILDING INSPEOTOF~
TOWN CLERK'S OFFICE
SOUTHOLO, N. Y.
Mr. )~, C,~rmerer
Commissioner of Public Works
Suffolk County
Yaphank Ave., Yaphank, N. Y.
Dear Sir:
In accordance with Section 239K of the General Municipal Law of the
consolidated Lows of the State of New York, this is to notify the Commis-
sioner of Public Works of the County of Suffolk that ......................................
.....~...,... ~ .o..s...e.l~..h... ~.e.r..r..e...n. ,.. 3 ~.!.....,T.o....~....s..q..n.......z~..? s ...~.q.~ .t....~.e..~p.~ ~d,
(~.u.~.r.....-..~.~.r.~.~.~.m~.~.¢."..?.$~.h...~.~p.~.~...~..~.~.~:~ )
has applied to the Town of Southold for a permit to construct a building
on ~s~/~d~d~%e~3~?~d~c~?)~h..~`~ ................
as shown on the attached plot plan, submitted in triplicate, doted ................
..... ~.1~ .......... ~.9.68. ......... andtitled .....Y~..~I...g.:~...~,~:L~3~....~.....~..O..? ,Toseph Perz'o~
We shall withhold further action on this application for ten days or as
otherwise provided in the aforementioned Section 239K.
9/9/68: AppPoved to the Town of Southold, Very truly yours,
pursuant to Sec. 239K of the Gen. Muniaipal
Law; a permit unde~ Sec. 136 of the Highway/
Law will be required for access to
Middle Road, C.R.27.
SUFFOLK COUNTY DE~. PUBLIC WO~S
~.~RER, CO~ISSIONER Building Insp~tor
Town
~OGM ~0. 3
TOWN OF SOtrr~/OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
NOTICE OF DISAPPROVAL
File No ........~. ~.~., ..~...~ ,,. ,..~..lJ~ ...1..~. .......... Date .......................... .A....~,....~.. ...... ~ ......... 19......~..
....... bal8 ....... I,X, ......................................
PLE~S~ TAKE ~OT~CE that ~,our applic.Uo, dated ................. ~......1..~ ...... 19...~.....
for permit to construct ....tbMl~],~ll~ ............... at the premises located at ..... ~ ..~.....?..?~.?I
.... 1~..~1.~1~ ............................................. Street
Map .......................................... Block ....................................... Lot ............................ ..................... ~s
returned herewith and disapproved on the followinF grounds .......... M...~...~.$...~...~. ......
..and...no..plo~..plaa..shoam ...............................................................................................................
X am hol~ plans ami oheok ~ending ~eaeipt of eor~eoted appXieation
Examined
^ ved. ..... .................... , p. m,t No._
....... .......
...... .............. .................................
BUILDING DBPAP, I'MEN"r. / / /.,~· .~.~_.~,~ ,Z~'~-- ,admm~--
TOWN CLERKS OFFICE~-/~' .c,(J"~" ,, ' ~..,~'. . _ ,~
Al~olicotion No...~.-.~.-..~.. ........
APPLICATION FOR BUILDING PERMIT
Date ...Ax~..3.,~e..,1,,96.~. .......................... , 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 the diagram which is part of this appl cat on.
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.
APPL C.~TION IS HEREBY MADE to the Building Department for the issuance of a .Building Permit pursu.a, nt to the
Building Zone Ordinance of the Town of Southotd, Suffolk County, New York, and other applicable Laws, Orainances 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, building code, housing code, and regulations.
f applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engi.neer, general contractor, electrician, plumber or builder.
Nome of owner of premises ............ ~-...~'.¢le~l~..~,~.,l~l~ ....................................................................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
I. Location of land on which proposed work will be done. Map No.: .......... ~..~..~.......~.. [.at No.:
Street and Number ........ ~ ....... ...~.-!.~....~ ...................... ...~...u.i~ .............................................
~ /?/-~/~ aa Mun,cipelity .
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ........... ~a~ ..............................................................................................................
b. Intended use and occupancy ....... ~,e~;[~eaf,;L~ ..................................................................................................
3. Nature of work (check which applicable): New Building Z Addition Alteration
Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................
4. Estimated Cost ...... ...~...~...~... ........................................ Fee .................. ....~_.?l~... ...........................................................
(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 ~ Dear ~1~ D th ~
...... t'" "("i~i~" J~;~'~ j' "~':.": ..................... ~ ........................
Height ....... .Z.~ ......... Number of Stories ...............................................................................................
9. Size of lot: Front ..... ~ ................ Rear .......... ~ .................... Depth ...... ..~...~.. ................... ' ......................
10. Date of Purchase AII~III% ~.~ ~ Name of Former Owner ~ ~
11. Zone or use district in which premises are situated ................................................. ~ ............................................
12. Does proposed construction vi~late any z6ning law, ordinance or regulation? ............................................................
13. Name of Owner of premises ..~..?....l~.....~....e~....?~... ........... Address ....~...~....~.o.~.....~....a~.. ......... Phone No. ~lr.. .......... ~.........
Name of Architect ...................................................... Address ....~?..I.~...~...e~...]J~..~...l~... ........... Phone No .....................
Name of Contractor .................................................... Address ............................................ 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 number or description according to deed, and show street names and indicate
X\whether interior or corner lot.
STATE OF NEW_YDRK, ~. ¢ ¢ 0'*~'~
cou,
...... ~.~...'..Y"~..~ .................................. being duly sworn depose~ and soys that he is the applicant
/ / [~r~ame of individual signing application) ~ ~
~/e named. He is the .................................................................... ~....(~.........~...~ .....
(~'ntractor~ 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 this application are true to the best of his knowledge and belief; and
that the work will be performed in the manner set forth in the erpp'lication flied therewith.
Sworn to before me this
............ ................
Notary Public~~.~.~z..:.~t ...... ' ~ .....
(5M)-(5/1/67)
Permit No. ~' ~* J"
PERMIT UNDER SECTION 136 of ARTICLE VI of HIGHWAY LAW
WHEREAS, a certain highway known as the ~J~ ~ C~ No.~7
h~ been ~p~v~ ~d is nn the Suffolk County Road System and
~ ~r sketch or map attache.
NOW, THEREFORE, permission is hereby granted to said
to do said work upon the following conditions:
CONDITIONS AND RESTRICTIONS
limits of the proposed excavation and for the full panel width. When the cut is
mado in pavement within 10 feet of the panel joint, the pavement shall be removed
for full panel width from the cut on the far side of the excavation to the panel joint.
2. Backfill and thoroughly compact fill using POWER TAMPER, placing soils so that
various types of soil are in same relative position as before excavating. Grade to
original surface.
3. Replace pavement, sidewalk or surface same as existing; if concrete, replace using
1:1~ :3~ mix stone mL~ concrete; if bituminous material, replace using sa~ne type
4. If concrete curb is removed, replace with similar curb 1:1 ~ :3 ~/z mix.
5. Edge of Jacking Pits or any other excavation shall be not less th~n 5 feet from Edge
of Pavement. No undercutting allowed in Pit.
6. Notify the Department at ¥~phank 4-3451 when the work is to begin so that an
inspection can be m~de of the operation.
This permit shall not be assigned or transferred without the wcitten 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 fi]], which will be required
by the Commissioner of Public Works.
The Commissioner of Public Works shah be given one week's notice by said applicant of the date when it
tends to begin the work authorized by this petTnit, and prompt notice of its completion.
The said applicant hereby agrees to hoId the State, County and Town harm]ess 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 ail persons concerned with actual work under this penmit are duly covered by Workmen's Com-
pensation Insurance and the State, County and Town shall be held harm]ess 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 c~rnply 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 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.
'rro-ffic shall be maintained by the applicant on this section of the highway while the work is in progress and
until its final completion.
~ }~ified Check
~ ~ in the sum of $:.v:-.::.v ..... payable to the County Treasurer of Suffolk County is
on file as security that the highway will be restored to its original condition where disturbed at the expense of the
deposited
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 accept~ it subject to c~ditions described.
................ Commissioner of Public Works, Suffolk County
TO AVOID SERIOIYS DAI~AGE TO VITAL UNDERGROUND FACILITIES, PLEASE CALL LONG ISLAND LIGHT./
INa COMPANY AT JUNIPER 2-9000 OR FOR TELEPHONE FACILITIES CALL N. ¥. TEL. CO. FLOP~AL PARK
2- Ov'r'ICIAL 25 BEFORE STARTING THE WORK AUTHORIZED BY THIS PERMIT.
COUNTY OF SUFFOLK
DEPARTMENT OF PUBLIC WORKS
R.M. KAMMERER, COMMISSIONER
YAPHANK,N.~
TYPICAL SECTION
FOR
PERM IT NO,
RESIDENTIAL DRIVEWAY
ADJACENT TO:
FLEXIBLE TYPE PAVING)
~ ~PITCH AS I~-~ I ~
~~::~ PAVE J ROAD LINE
EXlSTING ~ LINE ~ P,. PROPERTY
PAVEMENT L~ NE~._
TYPES OF PAVEMENT
1. BITUMINOUS MACADAM BASE WITH ASPHALT
CONCRETE TOP.
2. CINDER OR STONE SCREENINGS BASE WITH
ASPHALT CONCRETE TOP.
CINDER OR STONE SCREENINGS BASE WITH
BITUMINOUS SURFACE TREATMENT AND STONE CHIPS.
R:3-65)
PORTLAND CEMENT CONCRETE WILL NOT BE PERMITTED
N
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