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Home My WebLink About3732-zFOI~ ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N, Y. 5EI~TIFII~AT£ rIF InI~.5UPANCY No..Z.. -'~00.~.... Date ................ t/ax'eh...2~ .... , 19.68. THIS CERTIFIES that the building located at (~/.~.~ql~l,],e. ~O~%. ~1~2.~,). Street Map No. ~ ........ Block No... ~ ..... Lot No. XXX...~olll~ho. tcl$..l~.~. .......... coniorms substantially to the Application for Building Permit heretofore filed in this office dated ........... ~O.t~., ....~.0.., 19.~. pursuant to which Building Permit No. ~2.Z. dated ......... })Otto..~0 ........ 19.6.~.., was issued, and conforms to all of the require- ments .of the .applicable provisions of the ~aw. The .occupancy ~or which this certificate is issued is .B.t)./);~))~.~. ~).qJ~l~J, Ilg .... (})/)~lX.ty. ~.aX'~Ol'.) ................................. The certificate is issued to ~..O.O.l~.gP...~..~.~.~.a...]~:~. .......... 0~IlO~5 .............. (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval ...~.a.l/~0h.. ~l.i)..]L96.8.. ~]y. R,..V.~,~.. Building Inspector House ~69~0 TOWN OF SOUTHOLD ....... BUILDING DEPARTMENT ; '",'~ TOWN CLERK'S OFFIGE SOUTHOLD, N. Y. BUILDING PERMIT (THis PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETI'ON OF THE WORK AUTHORIZED) 373~ Z O~e. ................... :..~~.....~..., )9...~.~. Permission is hereby granted to: ........ ~!~ ......... .ll..~. ......................... :::.~... .... ~....~ .................. :.- ................ ;...~ .................. : ......... .~ to ~,~;~..;~,~..~,.~'~..~tZ~.,~ ........ L.::.....i ............... : ........... : ......................................... ....................................... .. .................................................................... :- ............... ~ ......... . .......... =....:. ........ at premises located at j~j~.,J~lj~G..~..~.l~j~t~') ................................ i .................. i....~ .............. ........ .......................... ~;i~,~..tto~., .................. ;.-....~ ................................................................... pursuan~ to application dated ........................... JJo~4,--~jO ................ , 19.i~.., and approved by the Building Inspector. JJ'O~J~t(OOJ~ltej'J~:J4~L ~e~e~t~e I:JJ,~pOG~ S~J~t4~ ~qu:t~e~t) ,Fee $.~J~{~ .......... Building Inspector SUFFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR PRINT LEGIBLY IN INK. ~uilding Permit No. ~_~ ~ Health Department Plan No. S-~ Application for Approval, o,f Comercial Suws~e Disposal System TO: me Suffolk County Department of Health Date f~, ~/~j~o~ Application for approval of commercial sewage dispossl system is hereby requested. (Name 'and side of Str6et, and n'am~ and distance to nearest intersecting str'eet 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)/~'~ ~, ?~ ?~/~ and with al~ the requirements of the latest bulletins on sewage dfspo~al of the Suffolk County Department of Health. Installation satisfactory . Yes ~ No ........ 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. .--'.--..~ · . DEPARTMENT OF PUBLIC WORKS Date Dear Sir: Re: Permit No.. ~ ,~.~,~. ~,.,.,,~ County Road a~ *~ ~ County Treasurer has been authorized to refund you~ security in the amount of $ Bond No, ~31J~ to cover work on this permit is herewith re~eased. and returned to 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, wSM:ELB:~ encl. Very truly yours, ,/,~ > ,' wil.Liam' S, Matsunaye, Jr. Chief Engineer Bonding Company v,B4r//ding Department DPW-107 F James Ho ltich~ [~resident Addvos$ Reply To: BUIIJllNG PI ANS ENGINEERIN(~ UNFI' November L~ 1967 Cleor~;~'~ ~3arzac Beau'by Parloz NO JURISDICTION We are returnlnp; d.e plans which you recently sent to the Department of Labor for examination Approval of snch plans by this Department is not required for the reason checke,t hclow ' ~] a It will not constHute a~acmry, mercantile establishment or place of public assem, bly~ .i b. it will constitute a place of public assembly exemv~ in accordance with Section 474a of Article 17 of the Labor Law~ I I co It will constiulte a factory or mercantile estahlishmem to be located within the City of New York. Very truly yours, Carl J, btattci, Director I"OH I'IIE COMMISSIONER Ogden W. Brown~ R. A. $,8°57'30'' E. ~63,42 194,,, tBUILD ADEQUATE IJRAINAG~ STRUCTU~:~F£S TO R~TAIN WATER FALL- lNG ON NO 9NI TOWN OF SOWTHOLD OFFICE OF BUILDINE; INSPEOTE1R TOWN CLEt~K'S OFFICE Mr. i~.o lf-ammorrmr Commissioner of Public Works Sbffolk County .. Yaphank Ave., Yaphank, N. y. Dote ..... ; ................ ~..e.~..~.c.,~!.b.?.~ . 26 Z967 Dear Sir: In accordance with Section 239K of the G~neral Municipal Low of the consolidated Laws of the State of New York this is to notify the Commls- sioner of Public Works of the County of Suffolk that ...................................... 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 ........ We snail WithHold fu~her"~oct~on on this applicqti,on fbc ten days or as .otherwise provided in the aforementioned Sedtion '23~l<:"' , Ver truly yoOr~ TOWN OF SIDUTHEILID BFFIIDE OF BUILDING INSPEIDTBR TOWN CLERK'S DFFICE SOUTH[3LD, N. Y. 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 La~ws of the State of New York, this is to notify the Commis- sioner of PobIic-Works.of the County of Suffolk that ...................................... .. ~o~. ?~..~t~e ~,.....~ ~f~ ~¢¥~t~.~...%~...~!~.~.~...~:~X~, has applied to the Town of Southold for a permit to construct a building on .~/.a. ~. :t,~,~ J&u...~,~,~,,C... ~ !;~':~,: Zi..,... :i ~!l::..%~t.~&~.~.. ~. ~ k ~ ..................... as shown on the attached plot plan, submitted in triplicate, dated ................ ..... ~J,~.....~,~.t...~.~...... and titled ..~:~T.t.~....~...~...~.~g~f..~..~.~Z..~:~....~.~.~.~...~. f~ op~cat~on for ten days or os otherwise provided in the aforementioned Section 239K. §/27/6? - Approved to the To~n o£ Southo~d pursuant to See, 239K of g. M. ~RER, C~SSION~R . Town of Southold, N. Y. Very truly yours, Building Inspector (5~)-(5/~/~7) Permit No ........ §~. PERMIT UNDER SECTION 136 of ARTICLE VI of HIGHWAY LAW Whereas, Section 136 of Article VI of the YIlghway Law provides: No street surface or other railroad~shall be constructed upon any one hundred ~]lars nor more than one l~musand dollars for each day of such violation, to be recovered by the county superintendent ~EAS, a ce~n highway known as the ~e R~d C.R. No. ~7 has been ~p~ved ~d is on the Suffolk Count~ Road S~stem and WHEREAS, G~ 9~C, Boimseau Ave~. $~thold, Ney Y. rk levt~sd with t~ieml NOW, THERE~RE, pe~ission is hereby granted to said O~ ~ to do said work u~n the following conditions: limits of the propo~ exemvatlon and for the full p~nel width. ~en the eu~ m~o In pavemen~ ~thin 10 fee~ of the panel joint, the pavemen~ sh~l ~ removed oH~nM su~aee. 1:1~ :~ ~ stone mk concrete; if bit~.ous maioHal, repla~ using s~e ~ 4. If concrete curb ts r~moved, replace with similmr curb 1:1~ :3~ ~. 6. Notify the Depar~ent m~ Ymph~k 4-3451 when the work Is to he~n ~ flint ~n This permit shall not be assigned or transf~red without the w~tten consent of the Commissioner of Public Works. The work authorized by this pe~it shall be performed under the su~rvision and to the satisfaction of the Com- missioner of Public Works or his representative. Particular attention is called to the necessity of thoroughly c~pacting the hack fill, which will ~ required by the Commissioner of Public Works. The ~mmlssioner of Public Works shall be given one week's notice by said applicant of the date when it in- tends to be~n the work aut,horized by this pe~it, and prompt notice of its completion. The said applicant hereby agrees to hold the State, County and T~n ha~less on account of damages of ~y kind which may arise during the progress of the work authorized by th~s ~mnit or by reason ther~f. Applicant certifi~ all persons concerned with actual work under this pe~it are duly covered by Workmen's ~nsation Insurance ~d the State, County and Town shall be held ha~less on account thereof. The ~m~ssioner gf Public Works reserves the right to at any time revoke or annul this ~rmit should the said a~licant fail to ~mply with the te~s and conditions u~n which it is granted. The applicant agrees to pay all necessa~w e~nses inMdent to super]sion and inspection by reason of the granting of such permit ~ certified by the Com~ssioner of Public Works, such payment to be made within ten days from the rendering of the certified ac~unt. Work under this pe~it to be commenc~ within thirty days from the date of ~it ~d ~ntinu~ in an exp~itious ma~er. ~e applicant shall su,bmit a detailed pi~ of st~cture to be built, with a description of p~s~ met'h~ of It is underst~ that should future ch~ges in the alig~ent or grade of the highway require changes in the work covered by t~s application and pemit, the a~licant shall on reasonable ~otice f~ ~e C~ssioner of Public Works make such n~essary changes at his o~ expense within the time so s~c~fied in notice. Tr~c sh~l ~ maintained by the applic~t on this section of the highway while ~he work is in pro~ess and until its final ~~ A ~er~ln~~~ in the s~ of $. ~O'~ayable ~o the ~unty Treasurer of Suffolk County ~ Bond ~ ............. on file de~sit~ as security fhat the highway wiI1 ~ restor~ to its original ~ndition where distur~ at the e~ense of the appHc~t, as soon as the work has been complete, ~d the said Com~s~oner ~ Public Works is hereby autho~z~ to expend all or as much of such de.sit ~ may be necessary for that pu~se, should the said applicant negl~t or refuse to ~rfo~ the work. In consideration of ~anting this ~it the undersign~ acce~ ~/~-"- z · [~ eO / ~ 2 Commissioner of Public Works, Suffolk Cou~ Date ~ AVO~ S~IO~S DAMAGE TO V~AL U~ERGROUND FA~LITIBS, PLEASE CALL LONG ISLAND LIG~- ~G ~MPA~ AT JUNI~ 2-9~0 OR FOR T~LEPHONE FA~L~S CALL N. Y. ~L. CO. 2- O~AL 25 B~ORE STA'R~NG THE WOR~ AUTHORIZED BY ~IS FOI~M NO. 1 TOWN OF SOUTHOLD BUILDING D£PARTME~T TOWN CLERK'S OFFICE SOUTHOLD, N. Y. c) 19~7 Approved .................... L.' ................. ,19...~ .... Permit No.~...~......Z..~.. Application No ............................. APPLICATION FOR BUILDING PERMIT Date .......................... 7 ....................... , 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 or 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 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. 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, building code and regulations. ... ............................... (Sign~ure of applicant, aflame, if a corporation) .................... .......... ........ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~, z:~ )--~.~ ~o~c ~ ? ~, Z ................ Name of owner of premises .: .......... =.....~ ............ ~..:.: ......... ~.....=., ~..r.~.....~.~E.~(...~-:.~.~....~.~x...~. If ~pplicant 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.: ............ ? ........................... Lot No.: ........... ~ ............ Street and Number ~',~ ,- ~r, ,'~'_c~ ~'~, ~ ~ , L~ /5 Municipality 2. State existing use and occupancy of premises and intended use and occupancy of propos~ construction: ...................... ................................................. b. Intended use and occupancy .............................. ~ ........................................................................................ 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair .................. Relnovol .................. Demolitian ............. ,.... Other Work (Describe) ........................................ (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 ...........¢.~.~..O..¢~ ........................................................................................................ , ............ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ¢~g. 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ~-~ Number of Stories Dimensions of same structure with e.iterations or additions: Front ......... ..~..: ...................... Rear ........ ~..~. ............... Depth ............... ~.;~ ............ Height ............... '-:; ........... Number of Stories ................ t:.£: ........... j 8. Dimensions of entire new construction: Front ........ ~.¢~. .................... Rear ........ ~.~ ............ Depth ,~4Z z Height ../~.....= ......Number of Stories .............¢..~.,~ ............................................................................................. 9. Size of/of: Front ...... ~.¢. ............. Rear ........ .~ ...................... Depth ..................... 1 1. Zone or use aistrict in which premmes ore situdted ........... ~;L.~......~,~.~L.~-,: ........................ , ........... ~2. Does praposed canstructian vialafe any zoning Jaw, ordinance or reguJation? ........... .~..~. ......................................... Name of Architect .~/~.: ................~y n~ ¢' ¢~,. ......... Address ..... M¢c")rY~/~ .................... Phone No ..................... Name of Contractor .~.~, .... ~.C.~.~.C ...... Address ff~,/~.~ff~i~ff....~.g.~.1.... Phone No~Z.~.~..' PLOT DIAGRAM Locate clearly and distinctly ali 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 lot. ~, ~dl~,d, STATE OF NEW ~RK, t/ l S S 6'~, ~ o ~ ................ ~.~P.$~..&~.~,,....~....].~.~L~.Z~¢~.C ....................... being duly sworn, deposes and says that he is the a~piicant (Name 6f individual signing application) ' obave nomod, He is the .............................. ~.A. .~.} ....................................., ............ (Contractor, o~ent, corporoto officer, etc.) ' of sold ownor or owners, ~nd is duly ~uthorixed to por{orm or hovo per{ormed tho s~id work ond to make Ond this applic~tion~ thor ~11 statements contained in this opp[icotion are true to the best of his knowledOe ~nd befief~ ~nd thor the work will be performed in the monner sot forth in the opplicotion filed thomwith. Sworn to before me this ~ ~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN C:LERK'S OFFICE $OUTHOLD, N. Y. Examined ......... ~h:~....~'/....~. ........ , 19 .. Application No ............................. Disapproved ....... ....... .......... (Building Inspector) APPLIGATIO~ FOR ~ PERMIT Date .~.~.~-.~ ......... ~.;~ .............. , INSTRUCTIONS o. 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 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. 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, building code, housing code, and regulations. (Sig nat ~-~pp fica nt,'~ '~'*~r~:~?on) ......... ...... ............... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................... .......... ....................................................................................................... Nome of owner of premises ............. .~....~......?~ ................... ..~..~..:~I,..C->. ....................................................... If applicant is o corporate, signature of duly outhorixed officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ............... ~ .................... Lot No.: ......... ~ .............. Street and Number .... ...~...~.....~...~,~..~. .......... ../..~../..~..~....~../...~.~c.~/..~.(~..(~..~....~.~*.~../~.~.~..~..~.~ .~...~Z~ ............ --Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy ..... ~.....~..~ .~...U.../.~. ....... .~ .~....~...~Z~.. ~ ....................................................................... 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration .................. Repair .................. Removal .................. Demolitian .................. 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, Jf any: Front ............ ~ ..........Rear .............. '--EZ' ............... 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 ........ .~.¢7>. .................... Rear ~' Depth . Height .../..~...~ ........ Number of Stories ......... Z ................................................................... ! ..................................... 9. Size of lot: Front ........~...~.~.. ............. :.Rear ......... .................. Depth ............ ~..z~*~ .............. 10. Date of Purchase ..... .~....~..~..: ....... ¢./...~.....~. ..................... Name of Former Owner ~....c~..../.;.cf...~...~......~....~......~.M....~...~..4 .~.~......: 1 1. Zone or use district in which premises ore situated .............................................. ~)r ................................................ 12. Does proposed construct on v elate any zoning Iow, ordinance or regulation? ..... .~.?....~. .............................................. 13. Name of Owner of premises ...~..~?./;.,.e..c......~.,..~...¢'7.(..z..~.,.~daress ....... ~.O....~'.¢.?.Z~..ff.~...u'.. ..... Phone No. ?..~..~..?..:.?:...o...~..,~ Name of Architect ...................................................... Address ............................................ Phone No. ' Name of Contractor ...~..,/~., ~.:..~..1-Z.& .C./ ..~.C~. Address " Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-b~ck dimensions fromi property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ¢ STATE OF NEWY~I(~ ~ // ~cc COUNTY OF ...... .'-2..?./.-::~..~../.../...~-~ f .... ...... '.......(?....~...¢..~-¢¢...~,........~..t...?~,.,?~..I~-'* '~ "~ Z' q¢'~.C,¢--~C" being duly sworn, deposes and says that he is the applicant (Name of individual '~i~[~b"~'~'l'i~ ............ '/ above named. He is the .......... ~.~.~..~..~.~.....~.K:C~¢.~ ........................................................................... , ........... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m.d<e end file: this application; that all statements contained in this appIication are true to the best of his knowledge and belibf; and: that the work will be performed in the manner set forth in the applicatign filed therewith. Sworn to before me this A. - n/ ........... ; ................................. . ........ ...... ........ Notary Public, .....:~Z~~~ ....... County ~~,~ignature of ap~ L ROTARY PUBLI~STATE OF NEW YOR~ ~OTARy PUBLIO, SLATE DF NEW YOR~ ~esid/ng in Su[ld~ County Resid,~o 52.1957550 %mm, ssm. Ex.,res ~ar~h 30. ,. g, m Suffolk County '