HomeMy WebLinkAbout3708-zFORUM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'5 OFFICE
5OUTHOLD, N. Y.
T~MPORARY
CERTIFICATE: OF OCCUPANCY
No....~....~..3..0.f~. ........... Date ................ O~t,O]::~l~ ....... 21, ......... , 19.68-
THIS CERTIFIES that the building located at ...... N. or.th..J~oac]. ....................................... Street
Map No ....................... Block No ....................... Lot No....Gr. ee~por~'-,...Ne~..~'ork .....................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
................................. ..O..q..~..O..~..e.~._...2...~...., 19..~.?... pursuant to which Building Permit No...3.~01~..Z
dated ............... ~.O..V.~li~...e.~.....~..c .......... , 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 ........
.p.~ ~..v..a..t...e.....o.0..e....~ .~3,.v:...~el ~ng...~.~th. ~d~.~on ............................................................
The certificate is issued to ..D...a.O.~..~..~,....O..~..,.~.~.B~..~B ...........................................................................
(owner, lessee or tenant)
of the aforesaid building.
Health Dept. Approval, September 11,/~9.6~' Robert
Building Inspector
FOI~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFIGE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
3708 Z
Permission is hereby granted to:
............... ~ ~.~-.~...T~{[ ........................................
..., ........... ~[~t~.....~[,~, ..........................
to .~.~t.. ~..~...~'~.'~;L~.~;~.~ .......................................................................... : ............
at premises located at ..~/~..~3,'.~..~.~!J,~..~.~.~.~.....i .................................... ~ ............................
pursuant' to appl!cation dated ............... ~ .............. ~:~.~,..., ..........., 19.1~.~..., and approved by the
'Building Inspector
TDWN DF SDUTHnLD
OFFICE DF BUILDING INSPECTOR
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Mr. b:.
Commissioner of Public Works
Suffolk County
Yaphank Ave., Yaphank, N. Y.
Dear Sir:
In accordance with Section 239K of the General Municipal Low 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 ......................................
has applied to the Town of Southold for a permit to construct a building
as shown on the attached plot plan, submitted in triplicate, dated ................
....... ~,;~F~.....~.¥..~.9~..... and titled/~.,....¥.::,,~...~,~....~.,qJ.~...~iP~:.~,~.tri..
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.
BARNEY' A. EVANS, P.E.,
DEPARTMENT OF PUBI-IC WORKS
Mr. Daniel G. Conklin
North Road
Greenport, New York
Date July 8, 1976
Dear Sir:
Re: Permit No.
Connty Road
8150
27 '(Midd~ Road)
(X) County Treasurer has been authorized to
refund your security in the amount of
$ 200.00
( )
Bond No. to cover
work on this permit is herewith released
and returned to the Bonding Company.
This is to advise you that work under the above-captioned
permit has been inspected and found to be completed in a manner
satisfactory to this Department.
Verv truly yours,
William S. Matsunave, Jr.
Chief Enq~.neer
WSM/ELB/~m
cc: ~-~emmamM
t,,-~uildlnq Department
Town of $outhold
Main Road
Southold, New York 11971
Attention: Howard M. Terry
SCHD
SUFFOLK COUNTY DEPARTMENT OF HEALTH
Date September 11, i768
Bldg. Permit No.
TO WHOM IT MAY CONCERN:
The sewage disposal facilities for a structure located
at Country Road27 on S/S Middle ~oad 9~0' West of MoOre's Lane
(Give deed location)
Gr~enDor%~ Seuthold
have been inspected by this department and found to be satisfactory.
~wner-Daniel Conklin
District ~ngineer '
8cmt. E : /00 ':1"
' i
GcaL£ : lO0'=/"
,.:q gq
~3 A c t<
·
' (5~)- (5/1/67)
Permd No. 8150
PERMIT UNDER SECTION ]3& of ARTICLE VI of HIGHWAY LAW
Whereas Section 136 of Article VI of the Highway Law provides: "No street surface or other railroad shah be constructed upon any
portion of a road constructed or Improved on a county road system, nor shall any person, firm. corporation or municipality enter upon
or construct any works in or upon such road, or construct any overhead or underground crossing thereof, or lay or maintain therein
drainage sewer or water pipes underground except under such conditions and regulations as may be prescribed by the county super-
intendent, notwithstanding any consent or franchise granted by any town or by the municipal authorities of any village or town. Any
municipal cot oration may enter upon any road constructed or improved on a county road system for the purpose of widening the
pavement or ~r any other purpose authorized by this section, but only after securing a permit as provided herein. Notwithstanding
the limitations in any general or special law every municipal corporation shah have and is hereby given authority to depos t w th the
county superintendent such a sum of money as may be required by the county superintendent as a condition precedent to the granting
of the permit provided in this section. Any person, firm, or corporation violating this section shall be liable to a fine of not less than
one hundred dollars nor more than one thousand donuts for each day of such violation, to be recovered by the county superUUendent
and paid in to the county treasu~ to the credit of the county road fund created under section 117 of Article VI, of this chapter for the
· construction, reconstruction and maintenance of county roads on the county road system in accordance with the provisions of said
Section 117 of Article VI. and may also be removed therefrom as a trespasser by the county superintendent upon petition to the
county court of the county or to the supreme court of the State, and
WHEREAS, a certain highway known as the Hiddle Road CR No.
has been improved and is on the Suffolk County Road System and
requests permission to
build res/dent/al e~pha.ltie driveway aee~ ~om new ~e~tdenee to Co.~d, 27
on n/s Htddle ~oad, C.R.27, 950±s ~/o~ Hoore% L~ne~ Hamle~ of G~eenport,T~
as per sketch or map attached. Of 8outhold
NOW, THEREFORE, permission is hereby granted to said DANIEL G. CO~IG, IN
to do said work upon the following conditions:
CONDITIONS AND RESTRICTIONS
1, When concrete is removed, cut concrete with concrete saw two feet outside the
limits of the proposed excavation and for the full panel width. When the cut is
mode in pavement wltlfin 10 feet of the panel joint, the pavmnent shall be removed
for full panel width from the cut on the far side of the excavation to the p~nel joint.
2. Backfill ~nd thoroughly compact fill using POWER TAMPER, placing soils so that
orlglnal surface.
1:1~ :3~ ~nix stone mix concrete; if bituminons nmterial, replace using same type
4. If concrete curb is removed, replace with similar curb 1:1 ~ :~ ~/z nflx.
5. Edge of Jacking Pits or a~y other excavation shah be not less than 5 feet from Edge
of Pavement. No undercutting ~llowed in Pit.
6. Notify the Department at Yaph~nk 4-3451 when the work is to begin so that ~n
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 perfonned under the supervision and to the satlsfacfflon of the Com-
missioner of Public Works or his representative.
Particular attention is called to the necessity of thoroughly c(ympocting 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
tends to begin the work authorized by this pe~anit, 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.
Applicant certifies all persons concerned ~vith actual work under this permit are duly covered by Workmen's Com-
pensation Insurance and the State, County and Town shaIl 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 marmer.
The applicant shah submit a detailed plan of structure to be built, with a description of proposed method of
construction.
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.
Traffic shai1 be maintained by the applicant on this section of the highway while the work is in progress and
until its final completion.
A ~~-- in the sum of $~00.u0..... .... '~ .....payable to the County Treasurer of Suffolk County is
on file as security t'hat the highway will be restored to its original condition where disturbed at the expense of the
deposited
applicant, as soon as the work has been completed, and the said Comm/ssioner of Public Works is hereby authorized
to expend all or as much of snch deposit as may be necessary for that purpase, should the said applicant neglect or refuse
to perform 'che work.
Applicant ................ ;..
.~/~./.~...~--. ~../~.y..D/~.ff...~.~.. Commlssioner of Public Works, Suffolk Co
TO AVOID SERIOIYS DAMAGE TO VITAL UNDERGROUND FACILITIES, PLEASE CALL LONG ISLAND LIGHT-
lNG COMpA1WE AT JUNIPER 2-9000 OR FOR TELEPHONE FACILITIES CALL N. Y. TEL. CO. FLORA~ PARK
2- OFV'ICIAL 25 BIDFORE STARTING THE WORK AUTHORIZED BY THIS PERMIT.
TDWN DF SOUTHE1LD
OFFICE OF BUILDING INSPECTOR
TOWN OLERK'S nFFIOE
~OUTHOLD, N. ¥.
Mr. }¢o ~f.a~t~or~o~
Commissioner of Public works
Suffolk County
Yaphank Ave., Yophank, N. Y.
Dear Sir:
In accordance with Section 239K of the General Municipal Law of the
consolidated ka,ws of the State of New York, this is to notify the Commis-
sioner of Public Works of the County of Suffolk that ......................................
has applied to the Town of Southold for a permit to construct a building
on .t~?~..... i,f rmttt..~oaa, j....(.¢~r/.}.....~.z.,,,,~e~r,~:t~,.t.~....~f., ~:., ................
os shown on the attached plot plan, submitted in triplicate, da,ted ................
--t~tt~V'~ ']:j' '19{;:~' ' and t,tled ~pm~..',, a?.r~:~...~.~i..4J~k~.:$~. ~L~t~tto
We shall withhold further action on this application for ten days or os
otherwise provided in the aforementioned Section 239K.
~t IZ'~/67 ~ Approved to the, To~n oz ,:mutn~ Very truly yours,
]36 of the lI~fd~wa~ law t~'~
ao~es~ ~<, Co.'~.,,,. 27.
i~,~ER~ (,(M~Jo,.if~Nb~{ Building Inspector
Town of Southold, N. Y.
COUNTY OF_SUFFOLK
DEPARTMENT OF PUBLIC WORKS
R.M. KAMMERER, COMMIssIONER
YAPHANK,
TYPICAL SECTION
FOR
PERM IT NO.
RESIDENTIAL DRIVEWAY
A D J A C ENTTO: 7'7~?TZTZ~ 7~:-
cT .~T--,~-7-
FLEXIBLE TYPE PAVING)
I ,[.--PITCH AS il~l~l~ll~ -~ ___
???.,~.!~.?~!~///////////////////////{/~///~///'77z/////~-~/,/_/~
~: ~ ,~ ~ ~] ,,/ I
ROAD
LINE
[EXlSTING~ d~ LINE -~ ~PROPERTY
PAVEMENT LINE~
~C, TYPES OF PAVEMENT
1. BITUMINOUS MACADAM BASE WITH ASPHALT
CONCRETE TOP.
2. CINDER OR STONE SCREENINGS BASE WITH
ASPHALT CONCRETE TOP.
CINDER ORSTONE SCREENINGS BASE WITH
BITUMINOUS SURFACE TREATMENT AND STONE CHIPS.
PORTLAND CEMENT CONCRETE WILL NOT BE PERMITTED
TOwN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
~o~,~ ....... ~......~ ............. .~,~..~.
Approved ...... ~..../...-/~..~....., 19.~...~... Permit No..~....?....~......~..~
.......................... ~....~.....~ ...... ~ ......
................................. ~..~.~.~;~.~.~.~ .............
Application No....'~...Z..~...,~,. ..........
APPLICATION FOR BUILDING PERMIT
o,e ................... .......... ........ . .....
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 application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue (3 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.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordh~ance 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, building code and regulations.
(S'gnature of applicant, or name, if a corporation)
....¢..~..~.~~~.~..~.¢..: ....
(Address aT applicant) f/
State whether applicant is owner, lessee, agent, architect, engi.neer, general contractgr, electrician, plumber or builder.
..... ~.~...¢....~~......2~...~.....~ .................
Nome of owner of premises ~4~..~..~..~~.~......~.~..~
If.applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)~' ~ ' '~
1. Location of land on which proposed worls..will be done. Map No.: ~~...~ot No.: ........................
Street and Number ...~-~..~.{2--~,.-.~.~.~J~...~...~...~,..~,~,~....~.~.~.
Mu~i~ipality
2. Store existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ............................... ~~ ........................................................................
..
b. Intended use and occupancy ............................... ~ ...................................................................... "
3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ..................
Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................
4. Estimated Cost ...~...~.~...~..~...: ...................................... 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 ........ ..,~...O..~ ................ Depth ......./.'..~...~. ......
Height /~ I Number of Stories / '
Dimensions of same structure with alterations or additions: Front ......... ~'~..O...'. ................. Rear ......... .~...~...~ ..........
Depth ........ ..~...~..'. .............. Height ......... ./..,~...~ ........... Number of Stories .............. ./'.. ...............
....... · ~....~.. ............. D~pth ........................
8. Dimensions of entire new construction: Front ........... ~...~.. .................. Rear
Height ...... ~...'. ...... Number of Stories .......................... ../. ........................................................................................
9. Size of lot: Front ....~....~...~....~ ............ Rear ..... ~...~..-..~....~ ............... Depth .....
10. Date or°f usePUrchase ....... '/'"?""~'""~"premises ................................ are Name o~:~w~r~//~,~, ~ Z¢/~,~,~ ./- 'Y~./I ~'~ x~
12. Does proposed construction violate any zoninfi law, ordinance or regulatior, l? ............... .~.~ ....................................
13. Name of Owner of p~ses ~~i..~-~-,~,~ddress
N o. ~. ~', .,~.:..~.. ~.0. Jo
Name of Architect ~~..~-f~.~.~ ........ Address -~.'~,,.,~m~PPhone No.~.Z~..~.~..~.~.b
Name of Contractor .~.~r/,4,~..~....~.~ ....... Address ~.~.~...~LY~..~.~.~'~one No.~ZZ.~.~..~...O..~
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 i n t e r i o r -~J,~-,,~'"~
IA
STATE OF NEWPYORK, ~ ~ '~ce
COUNTY__./7-~.~~-~'' ~/
................ ~..~,~.......~....:....~.=~-,m-...¢~... ....... being duly sworn, deposes and says that he is the applicant
(Name of individual signing application)
above named. He is the .........................................................................................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, 'and is duly authorized to perform or hove performed the said work and to ~ke 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 performe~ in the manner set forth in the application filed therewith.
Sworn to ~fore me this ~j' ~ ....... ~,~ ~ /) I ~ ~ ~ /~ --
....... _..... _ .................... .............................