HomeMy WebLinkAbout4125-zFO~M NO. 4
TOWN OF SOUTHOLD
BUII.r~ING DEPARTMENT
Tow~ Clerk's Office
$outhold, N. Y.
Certificate Of Occupancy
THIS CERTIFIES that the building located at . 8~t8 .Middle. P,o~. ~CP~7.) Street
Map No... m ....... Block No .....~-...Lot No...x~ .... 8outhold.. K,Y. ......
conforms substantially to the Application for Building Permit heretofore filed in this office
dated ............Nov,.. ~., 19. ~ pursuant to which Building Permit No..t~ 2~2~ ..
dated ............. flor...13., 1968., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is ..... l~u~msa .bulldi,,g. ·. (of£$ce. bld g) .............................
The certificate is issued to ... Rober. t .Gllles~ia .III .... Owner ...................
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval I~,. ~,..1969...bY. .ti,. '.V~l, ll~ ......
Building Inspector
FOR~ NO. :~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
Cfi-IlS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 4125 Z
68
Permission is hereby granted to:
&~lm e~.t, .~,~.~l,~ .................................
................. · Y4~~.....4~,'Z, .....................
to ~.~,,~..~u.~a~..t~ j.~ .......................................................................................
at premises located at .............. .~J~....,{~/,{.d~g..~g41~...(,(~.~ ......................................................
pursucu~t to app{ication dated .......................... ]{l~ ....... .1~ .............. , 19.(~.., and approved by the
Building Inspector.
Fee $..'~d~(JO. ..........
Buildin~g In~
Lester C. Eckart
Deputy Commissioner
County of Suffolk
DEPARTMENT OF PUBLIC,WORKS
R. Mo Kammerer, CommiMsioner
Yaphank, New York 11980
Tel. Yaphank g-3451 - 3452
William S. Matsunaye,
Chief Engineer
Date:
May 25, 1970
Mr. Robert ~9. Gillespte III
Box 296
gas~ Marion, N.Y. 11939
Dear Sir:
Re:
Permit NOo 87B~
County Road Middle' Road~CR 27
County Treasurer has been authorized to
refund your security in.the amount of
Bond No~ to cover work
on this P~'rmit is herewith released and returned.
This is to advise you that work done under the above captioned
permit has been inspected and found to be completed in a manner satis-
factory to this department.
Very truly youra~
WSM:EWJS:ee
Enc.
tsunaye, Jr.
cc:
Building Depto Town of Southold
COUNTY OF SUFFOLK
DEPT. OF PUBLIC WORKS
R. M. KAMMERER, COMMISSIONER
YAPHANK NEW YORK
PERMIT N.o-
RAMP' ADJACENT TO ./././~?~/D .~/] ~
C.R.
I
i
VALLEY GUTTER
EXISTING- PAVEMENT~
BUILD PAVEMENT:
4"BITUMINOUS MACADAM
1-1/2" ,, CONCRETE TOP
(FO~'~ ~'-~$~ REVISED:5-~O~r'''~
SECTION THROUGH
(NOT TO SCALE)
RAMP
_~ - TO ROAD OR
0
PITCH DOW~ ~
Permit No....~Z3# .....
P RMIT UNDER S YION ART! LE VI of HIOHWAY LAW
Whereas, Sectlon 136 of Article VI of the Highway Law provides: "No st~t surface or other railroad shall be constructed upon any
~EAS, a ce~n highway known as the · ~i~(]l~ ~ CR NO. ~7
has been improved ~d Js on the Suffolk County Road System and
r~uests pemission to
Ro~d. C.R. 27, 950~ f~. w/Rsllroad A~,~e~ of );~thold, To~n of
~ ~r sketch or map attache. :'~OM~O~a.
NOW, THERE~RE, pem~ission is hereby grant~ to said ~b~t ~ ~$~ I[~
to do said work u~n the following conditions:
CONDITIONS AND RESTRI~IONS
1. ~xen concre~ Is remove, cut eoncre~ with cqncre~e saw two ~eet outside the
limits of ~e proposal excavation and for the full panel wtd~h. ~en the cut is
rome in pave~nen~ ~Ithin 10 feet of the panel joi~it, the pavement ~all ~ removea
~or ~ull p~el width ~rom the cu~ on the fay side o~ the excavation to the panel jo~t.
2. B~IH ~d thoroughly comp~t fill using POWER ~PER, pl~lng soils ad that
orl~n~ su~ace.
3.Replace pavement, sidewalk or surf~e ~m ~ ex.ting; if centare, repl~e u~ng
i:1 ~ :3 ~ mLx stone mix concrete; if bl~l~nous mate~ak repine using sine ~pe
4. If concrete curb is r~oved, replace with sl~l~r curb 1:1~:8~ ~.
5. Edge of Jacking Pits or ~y other excavation shall ~ not less than 5 feet from Edge
of Pavement. No undercutt~g ~owed in Pit.
6. Notify the Depar~ent a~ Y~phank 4-3451 when tho work is to be~n ~ that m~
lnzpecHon can be made of the operation.
This permit shall not be assigned or transfevr~ without the written consent of the Commissioner of Public Works.
The work authorized by this pe~it shall be perfo~ed under the su~rvision and to the satisfaction of the Com-
missioner of Public Works or his representative.
ParticuI~r attention is called to the necessity of thm'oughly ~pacting the back fill, which will ~ required
by the Commissioner of Public Works. :
The Commissioner of Public Works shall be given one W~k's notice by said applicant of the date when it in-
tends to begin the work authorized by this pe~fit, a~ prompt notice of its completion.
The said applicant hereby agrees ~ hold the State, County and T~n hamless on account of damages of ~y
kind which may arise during the progress o~ ttxe work authorized by th~s ~it or by reason ther~L
Applicant certifi~ ail persons concerned with actual work under this pemit are duly covered hy Workmen's Com-
~nsation Insuran~ ~d the State, County and T~,n shall be held h~mless on account ther~f.
~ ~ The ~m~ssioner of Public Works ~se~es the right to at a~ t~e revoke or annul this ~mit should the
......... :, +~ ~nl~ ~ith ~e terror,nd condit OhS u~n which t is granted,
SUFFOLK COUNTY DEPARTMENT OF'HEALTH
Riverhead, N~w York
TYPE OR PRINT LEGIBLY IN INK
Building Permit No. ~+1~!~ g Health Department Plan No.
A_Rpl~ig~ti~n_.for A_p~l of Commercia___! ~wage Dispqsal Sys$.e~
TO: The Suffolk Ceunty Department of Health Date . ~'11
Agplication for approval of commercial sewige disposal system is hereby
requested.
Location~
(Nam~-~nd Side of street, and name and distance to nearest intersecting street
Name t. obert W., GihLI PIE 111
Hamlet of ~ OUT~ODD
I 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 (date) 12 - 4 - 6~ and ~lth all the .requirements of the latest
bulletins on sewa~a-~--~of the Suffolk County Department of Health.
Title Ow~er ,,
Address ~ , c-~ ,, ~ ~__ .... ~', v
?~38~ ~;a~t ~rion~ .~,, 11R59 Tele. No.
Ready for inspection , Will call
FOR USE O~ HEALTH DEPAR%MENT~ ,,NLY
Inspected by ,k~L2_~ ,'~,, '' ~--1 __ J ~
Installation satisfactory - Yes --'-~]-~"~ ....... :,
Based on the information stated hereon by the applicant and other information
made available, it is the opinion of this Department that this system with proper
maintenance can be expected to function satisfactorily and is not likely to cause
a nuisance, provided designed sewage flow is not exceeded. Structural features
are not included.
Date
SCHD - S-13
STATE OF' NEW YORK
DEPARTMENT OF LABOR
Building Plans Engr. Unit
State Office Bldg. Campus
Albany, New York 12226
IMPORTANT NOTICE
September 10, 1968
Increase in Plan Examination Fee
For
Building Plans for Places of Public Assembly
An amendment to Section 204a of the Labor Law by the 1968 legislature,
authorized the Industrial Commissioner to chacge up to $100.00 for
examination of plans submitted for approval for the construction or al-
teration of a building used as a place of public assembly.
Accordingly the fees for examination of plans postmarked or delivered
in person on and after October 1, 1968 will b~ based upon the estimated
cost of construction or alteration as indicated below:
Estimated Cost of Construction or ALteration
Fee
Less than SL0,000
$10,000 or more but less than $20,000
$20,000 or more but less than $30,000
$30~000 or more but less than $40~000
$40,000 or more but less than $50,000
$50,000 or more but less than $75,000
$75,000 or mo~e
$ 10
$ 20
$ 30
$ 4o
$ 5o
$ 75
$100
(Note that such examination fees are identical with those now charged
for the exmnination of plans for a building to be used or occupied as
a factory or mercantile establishment)~
A check or money order payable to "The Industrial Commissioner" must be
submitted together with the application and plans to the Building Plans
Engineering Unit at the address given above~ No plans will be examined
until a fee in the proper amount is received by the Unit.
CARL J. ~TEI, Director
FOR THE COMMISSIONER
STATE or NEW yoRK
DEPARTMENT OF LAB~oR
DIVISION OF INDUSTRIAL SAFETY SE~RVICE
B0 CENTRE ST.
NEW YORK, N.Y. 1001~
L
Location:
;Date:
Address Reply To:
BUILDING PLANS ENGINEERING UNIT
Plan 68..~307
~.~' W/O 2~l~oad Ave,
~e (To~ of 8~athold),
~. (~ffolk Go. )
NO JURISDICTION
We are returning the plans which you recently sent to the Department of Labor for
examinatiom
Approval of such plans by this Department is not required for the reason checked below.
[_f~j a~ It will not constitute a factory, mercantile establishment or place of public
assembly~
~] bt It will constitute a place of public assembly ~xempt in accordance with Section
474a of Article 17 of the Labor Law°
EJ c~ It will constitute a factory or mercantile establishment tO
City of New YorL
be located within the
Very truly yours,
Garl J. Mattei, Director
FOR TIlE COMMISSIONER
[SS-621 (10-63)
TOWN OF 8OUT:HIDLD
OFFICE ElF BUILDIN[3 INSPECTOR
TOWN I~LERK'S OFF!GE
Date 0Cteber 4~ 1968
Mt.R, Rammerrer
Commissioner of Public Works
Suffolk County
Yophonk Ave., Yophonk, N. Y.
Deor Sir:
In accordance with Section 239K of the Gen~eral 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 th6t ...... .~,..O..b...~.?..~.. .................
.... ..........
has applied to the Town of $outhald for a permi} to construct o building
on ...............
os shown on the attached plat plan, submitted in triplicate, doted ................
A~g~ 28~ 1~.68 andtted Ma~ of land surveyed for Robert Giiles~ie
..................................................................................................... III
We shell withhold further action on this application for ten days or as
otherwise provided in the aforementioned Section 239K.
] 1/6/68; ADp~oved to 'the Very truly yoors,
See, 2~lK of the Gen. ,Muni. eSpa] t f
]',aw. A PeymJt under' See~ 136 o'P/~/~ . t~, ~
the ]f~ghway Law w~]l be pequ:fped~~
for' access to C.R. 27.
SUFFOLK COIJNTY IJEPT. PIJBLJC WO~ding Inspector
R. M. Kamm6, per% CommlssioneP Town of Southold,
TOWN OF SFIUTHEILD
nFFICE OF BUILDING INSPECTOR
TOWN CLERK'S OFFICE
SOUTHDLD, N.Y.
Mr.R, E,~e~er
Commissioner of Public Works
Suffolk County
Yaphonk Ave., Yophonk, N. Y.
Dear Sir:
In accordance with Section 239K of the General Municipal Law of the
consolidated Laws of the State of New York, this is to notify the Commis-
sioner of Public Works of the County of Suffolk that ...... ~O~G~-~ .................
.... ~:).l~p~,e..;Z:tZ,.....~,~&n..~to~..~,~i~.~i. ~!~[$~...R,.~., ..........
has applied to the Town of Southold for a permit to construct a building
o....a/.a..~..~.~.).,.....~.~l~,..~,~.,. .............
es shown on the attached plat plan, submitted in triplicate, clo~ed ................
· ~Ug,.....28+..].t~6.~ ................. and titled ...~t..,~..~l~.~.....S..~, .,~...~.~.~..~...~..O...~.
We shall withhold further action on this application for ten days or as
otherwise prpvided in the aforementioned Section 239K.
Very truly yours,
Building InspeFtor
Town of Southold, N. Y.
,FORM ~NO. 1
TOWN OF SOUTHO~D
BUILDING
TOWN CI~EI~K'S OFFICE
SOUTHOLD,
Examined . ~.: .~... ~. ~..., l~.d ~.
~ '~ P mt o~/
Approved ......... :... ~ ..... ,19 .... er i N . ~ ................
cation No. Z I~-)j;
Appli ~[. .............
(Building Ihspecbav)
APPLICATIOiN FOR BUILDING P~ERMIT
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 l~ocation of ~at and ~of buildings ,o n premises; relationship ~o ad0~oining premises or public
streets ~(r~ areas, and giving a detailed descripti,on of layout of property must be drawn ,on the diagram which is
part of this application.
c. The work covered by this applicat[an may not be commenced before issuance of Building Permit.
d. Upon approval ,of this application, the Building In spec~ar will issue a Building Permit to the applicant.
Such permit shall be kept ,an the premises available for insp,ectim~ through~ut the progress ,of the work.
e. No building shall be occupied or used in whole o~ in pant ~o~ any purpose ~vhatever until a Certificate
Occupancy shall have been granted by the Building InspectOr.
APPLICATION IS HlgRJBBY MAI)E to the Building Department [or the issuance of a Building Permit pursuant
to the Building Zone O~dinance of the Town of S.c~uthold, Suffolk (~ounty, New Y..ork, and other applicable Laws,
Ordinances .or Regulations, for the construction .of buildings, additions or alterations, .crc ~or reraoval or demo-
litton, as herein described. The applicant agrees to corn ply with all applicable laws, ~ordinances, building code,
h.~using code, a~d regulations.
.. Yiol~.e.r .t..~lile~.pie.. t ~ ~ ........................
(Signatm'e of applicant, or name if a corporation)
..... East. J~a~.iolu. ·..~l .~. ........................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or
builder
Name ,of ,owner of premises .. l%obe~t, t3il.%es.pie..~[I1 ......... ' .........................................
If applicant is a corporate, signature of duly authorize d ,officer.
(Name and title of corporate officer)
]. Loeat}on ,of land ,on which prop,o.sed w~ork will b e done. Map No... ~ ........... Lot No...XX .........
Street and Number .... &/S...Midd.~o · Road..¢ ,R.,.2g ..... ~I ~1~*~ ..............................
· ~wunicipality
2. State existing use and occupancy ~f premises an d intended U?e and occupancy of proposed construction.
a. E'xisting use and occupancy .... '0'~allf;. J.~alld ..................................................
b. Intended use and ~occupancy ...... b'U~ltl~,SS, hUil~lllu~ .......................................
3. Nature of work (check which applicable): New Building . ~.. Addition ........ Alteration ..... , ·.
Repair ......... Removal ........ Demolition ........ Other Work (Describe) ......................
4. Estimated C.ost '~2'~0(~& ....................... Fee ...~0~00 .......................................
(to be paid ,~n filing this application)
5. If ,dwelling, number of dwelling units .mOll8 .... Number ,of dwelling units .on each floor ..............
If garage, number .of cars ..........................................................................
6. If business, commercial ,~r mixed occupancy, specify nature and extent of each type of use..
7. Dimensions of existing structures, if any: Fv~nt .............. Rear ............. Depth ...........
Height ................ Number of Stories ........................................................
Dimensions ,of same structure with alterati,ons .or additions: Front .............. Rear ...............
Depth ................ Height ................ Nambev of Stories .....................
8. Dimensions ,of entire new construction: Frcnt ...~O ........... Rear ..~(~ .......... Depth -]6. ........
Height ............ Number ,al S~ories .... 'Or~0 .....................................................
9. Size of ~ot: Front ~ .............. Rear . .-~?.~ .~.. Depth .... ~8 .~+. ....
10. Date of Purchase ..... ]00~ ..................... Name ~f Fc~ner Owner .... .I/,..K~ea~l
11. Zone ,or use district in which premises are situated..."I~'. · · D.~;. .....................................
12. ~oes proposed construction violate any zoning law, .ordinance or regulati,~n? ..... ~a~ ...................
~3. Name ,of Owner.of premises · {~ob~rt' Oi'~4'zs~pJ.~'dflress · .E~$t..l/.a~i~ ..... Phone No ............
Name of Architect ............................. ~ddress ...................... Phone No ............
Name .of Contractor .J~..(;a.~I~el~%i~Pi ........ Address .. 3ay~i~l~ ......... Ph~ne 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 whether interior ,or corner
See filed y~lot plans
STA~iqD OF NEW. YORK,
COUNTY OF $~f:~'D~lk .....
.............. R. Q.~.97.~. ~.l.~..e,~.~l.e.. ~.~ ............ beige duly sworn, ,deposes and says that he is the
(Name ,of individual signing application)
cant above named. He. is the .... ~ReD .................................................................
(Oontra~r, age, t, ~o~ate .officer, etc.)
of said owner ~or ,owners, and is duly authorized ~o pe~rm or have pe~ormed the said w~k and to. make and
file this application; that all statements oontained in this application ~e true to the best of his kno~ledEe and
belie~; and that the w~erk will be De~o~med in the mann er set for~ in %he application filed therewith.
Sworn to before me this~
........... · , ·
, .....
II