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HomeMy WebLinkAbout3545-zFOI~I 1~0. 4 TOWN OF SOUTHOLD ~UILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. OEI~TIF'IOAT£ OF' OOOUPANOY THIS CERTIFIES that the building located at tl~..Naif,. Roa~, ............. Street Map No. ~ ......... Block No .... :g~ ...... Lot No. ;~t~... ~l;.~:.t. .1~.~.~ ....... conforms substantially to the Applicati~on for Building Permit hereto~,~re filed in this office dated .............. 0'l;l~l.y...13., 19.6.~. pursuant to which Building Permit No..3~'~$.. dated ............ ~'.1~ ... '1'3- 19..6~ was issued, and conforms to all of the require- ments of the .applicable provisions of the law. The .occupancy for which this certificate is issued is .~..~.q~..~.~.O. ~"y..~).~.~,~g .~..!;h~.~..$~.0:~.~ ................................. The certificate is issued t,o . .J~ei~. ~. P~r~,y ........ 01¢~er ........................... (owner, lessee or tenant) of the afore.said building. Suffolk County Department of Health Approval FOR~I NO. ~ 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? 3545 Permission is hereby granted to: ..................... 9.3.....:~im...~':t ................................ ............................ ..z.~....x,~... ....... ~.....g..... ...................... to ~ .~.~.~ ..t~¥/...~.~.~,~.~ ~.~....(... ~.t.,~'.;,,,je,,i .. ~'il~;r~, ............................................................ at premises ocated at ~e/..~.... ~.~o;LD,..~QIi,~J ................................................................................. ................................ ~at~ ~,t~J~ ..~.~;~.~ ........................................................................................... pursuant to application dated .............................. ~T.~,~. ....... ~j~ ........ , 19..~.., and approved by the Building Inspector. Fee $...J..(.~.~..g..g.. ......... Building Inspector FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ...... . , Approved ........................................ , 19.~;! ..... Permit ............................. Disapproved ale ~.':.:z~-~ ........... '~"':z'~:~' ......................................... ...... ,nspec, ................................. 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 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 15 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. Arthur Mannale (Signature of applicant, or name, if a corporation) 93 Lake St Islip (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor Name of owner of premises ...~fl.~...~.~....~.~.fl,Y. .................................................................................................................. 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.: .......... ~..z;~ .................... Lot No.: z-~ Street and Number S/E Main Road Mattituck Municipality 2,State exJstin§ use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... .~a.O.a~,.~,2~.,.~...5.~.0.~.,.~$J~.$.~g 't'o...be built ) b. ................. .............. 3. NatUre of work (check which applicable): New Building ....~.~. ..... Addition .................. Alteration Repbir .................. Removal .................. Demolition .................. Other Work (Describe) (to be paid on filing this application) 5. If d~elling, number of dwelling units ........ ~..o..~..e. ........... Number of dwelling units on each floor If g~rage, number of cars ................................................................................................................. 6. If bus~ness, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dirt ensions of existing structures, if any: Front ............................ Rear ................................ Depth Hei!lht ........................ Number of Stories Dim ensions of same structure with alterations or additions: Front ....................................Rear Dep:h ................................ Height ............................ Number of Stories ................................ 8. Dirr~ensions of entire new construction: Front ........ .Lk...©. ....................... Rear ........ ..L[;0 ............... Depth ....... ..~,.O.,,. Height .................... Number of Stories ......... 9. Size of lot: Front ........... ~.0..0.. .......... Rear ................ .].-.9.©. ............. Depth ......... ,~.~,~. ............... 10. Dat~ of Purchase ........................................................ Name of Former Owner 11. Zor~e or use district in which premises are situated "B" disC 12. Doe~ proposed construction violate any zoning law, ordinance or reguJationP ............ 13. Naqne/of Owner of premises ..~T.A~e.s...L.,...G~ay. ...... Address ............................................ Phone No. Na+e of Architect ....'T.:.....Z.~.o...o..~?.f.,o.A ....................... Address ............................................ Phone NO. Narpe of Contractor &......~..~.Z'z..~..&..1...e. ............................ Address ....... ~.~$~. ......................... Phone No. PLOT DIAGRAM Locat~ clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions property l(nes. Give street and block number or description according to deed and show street names and indic whether infer or or corner lot. See filed plans STAT~ al NEW YORK, ~ ~ ~ COUNTY :DF .... .~.Q~,~ ............. ,f '' ....... ] .. A.r.~.~.~.:.~....~...a:.~.&.~..e. ............................... being duly sworn, deposes and says that he is the appiic (Name of individual signing application) above nar~ed. He is the Co~tractor (Contractor, agent, corporate officer, etc.) of said o~,ner or owners, and is duly authorized to perform or have performed the said work and to make and this appli,:ation; that all statements contained in this application are true to the best of his knowledge and belief; that the ~ grk will be performed Jn tbe manner set forth in the applJca~led therewith. ~ , Sworn to E efore me this ' ' //' / // ~"/ ................ ,,.1~. day of .............. ~.:Ly ..................... , 19..6~.. ~,,-~ ~,~'~ ~'~ -'~ ~ -'"'~~-~', .r ~ '4 ' ' ~ n A~ ,~ ,...~-~q.,~:...,d'-_.~._~........wL, ....................... '...T FOEM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ,~tOWN CLERK'S OFFICE ) " SOUTHOLD, N. Y. Examined .(;~ ................................ , 19 ......... ,', ./ ~ Approved ........................................ -~'~'~ ~/' 1,9~....:~ Permit ~/ x~-,~~'~'~' ............................... Disapproved a/c .,.-,.;;:.~ ...... .~.~.~; .............. .Z'm~.~..~.. ........................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT / Application No ............................. Dote ...................... ,.J.g.]-. ~ ......... ..1.3 ............... 19...6.~'.. ..... INSTRUCTIONS o. This opphcetion must. be c6.mpletely filled ~n by typewriter or in ink and submitted id duplicate to the Building Inspector. ' ' b. Plot plan showing loc'at on of lot and oflbulldmgs on premises, relationship to adjoining premises or public streets or areas, and giving a detailed d~scrip'~ion of layou~t of property must be drawn on the diagram which is port of this application. c. The work covered by this ap, phcat on may- not be commenced before ~ssuance 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 av,a!leble for inspe~ti0n throughout the progress of the work. ~ e. No building shall be occuPLed or used in whole or in part for any purpose whatever unt!l a Certificate of Occupancy shell have been granted by the Building Inspector.; APPLICATION IS HEREBY MADE to the Building Department for the issuance of (3 Building Permit pursuant to the Building Zone Ordinance of the Town of Sauthold, Suffolk County, New York, and other oRplicable Laws, Ordinances or Regulations, for the construction of buiid}ngs, 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. ... ........... L ............................................ " (Signature of applicant, o~' name, if o corporation) ? . ......... ............................................ (Address of applicant) f State whether applicant is owner, lessee,/oge~nt, architect, engineer, general contractor, electrician, plumber or builder. ............................................................ ............................................................................................................. Name of owner of premises .~'~e~.,.L.,...~.a~, ................................................................................................................... If applicant is o corporate, signature of duly 9~Jthorized officer. .................................. .......,, .,. .................. (Name a.q~J ti~tJe/~'o~f co'rpofote o{ficer) 1. Location of land~6n,wlli~h;proposed work will be done. Map No.: ........ ,~'~ ..................... Lot No.: .,..,,~J~ ............... Street and Number .....~..~..~....~,~...~..~.....~.g~.~. ....... 1~.~....~..~..~...~.~.0...~. .......................... .....'...: .................................................. Municipality 2. State existing use and Occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and Occupancy ..... .~'~,e~,~..~..~cl,...(...J3.1~o~.e.,~t~].~,~.,...o..~e...b~,~,~) ........................... b. Intended use and occupancy ............... .~.~.~..~.~q~.~.~.~.~(~.~g~.f~.~.~1~.~g~g~ ............... Nathre of work (check which applicable): New Building ..~ ...... Addition .................. Alteration Repair .................. Removal .................. Demolition .................. Other Work (Describe) Estimatedj Cast ..,~0 ~.,.QO,0.,~/J¢I, .............................. Fee ...... J (to be paid on filing this application) If d~welling, number of dwelling units ..?~....~..O...~.I~. ........... Number of dwelling units on each floor if J~usihess, commercial or mixed oc~;upancy, specify nature and extent of each type of use Dirrjensions of existing structures, if any: Front ............................ Rear ................................ Depth Height ........................ Number of Stories ............................................................... ~ ............... Dimensions of same structure with alterations or additions: Front .................................... Rear Dep..L~h ................................ Height ............................ Number of Stories .................. : ............. Dirjens ons of ant' re new construct on: Front ....... ..~.0 ....................... Rear ........ ~ ............... Depth ....... ~ID ....... Height ................ ~:.. Number o~ Stories .........O~. Siz~of lot: Front .......... .~..Qg.. .......... Rear ................ .]....0.0 ............. Depth ......... Datj~~ of Purchase ................... /. ................................... Name of Former Owner Zayre or use district in which p"remises, are situated liB" Doei proposed construction violate any zoning law, ordinance or regulation? ............ ~O ........................... Narhe of Owner of premises .,.~T~,m~2..~...(J~.a~. ...... Address ............................................ Phone No. Nor~e of Architect ....~,*..~,.~.f~.8~...: ................... Address ............................................ Phone No. No, ne of Contractor.~;~j. Jt~)~lA~,~. ............................ Address ....... ~],~,~. ....................... (. Phone No. PLOT DIAGRAM ,~ clearly and distinctly 0,.Il building%, whether existing or proposed, and indicate all set-back dimensions f~m nes. Give street and' bl~ck number or description according to deed, and show Street names and indicl~te !erior or corner lot. 10. 11. 12. 13. kocat property [ whether in ~ee'fil'ed'plan~ STATE OF NEV~ YORK. '~. ~ ............................. · ,~.?.~.~.~.~..-~.,.~.~.,~.~, ........ i ........................ being duly sworn, deposes and says thor he is the appli( j(Name of indiyidual s gning applicat on) / Contractor above no~ed. He is the (Contractor, agent, corporate officer, etc.) of said o~ner or owners, and is duly authorized to perform or hove performed the said work and to make and this appU~ation; that all statements contained in this application are true to the best of his knowledge and belief; that the wprk will be performed in the mahner set fo~h in the applicon filed therewith. Sworn to ~efore me this /~ ~ ~f~,-' // . J Co , / SUFFOLK COUNTY DEPARTP~NT OF HEALTH Riverhead, New York Building Permit No. ~YPE Og PRI[T LEGIBLY ,~ INK Health Department Plan No. /~//~ /O Application for Approval of Com~vgial Sewage Disposal .Sy~teM TO: The Suffolk County Department of Health Date ./~/-~ / // ~'~ Application for approval of commercial sewage disposal system is hereby requested. Location: (Name and side ~f street, '~n~ name and distance to nearest intersecting street Villag~ 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 all the requirements of the latest bulletins on sewage disposal of the Suffolk County Department of Health. Ready for inspection Applicant' s Signature Title (Builder - O~er) ~o.R ,,U. SE ,OF ~EALTH DEPARTMENT ONLY Inspected by .~ ~'~-~' Date ~/~ Installation satisfacto~ - 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. /'~. SCHD - S-13 6/58 0 O::: o{ ~. H. Boutcber NOTE: · =MONUMENT SURVEY FOR 58 LIBERTY REALTY, INC. MATTITUCK TOWN OF SOUTHOLD SUFF. CO., N.Y. G~RANTEED TO, SOUTH SHORE FEDERAL SAVINGS SCALE: I"= 40' & LOAN ASSN. OF FREEPORT MAY 24, 1968~oN~ ~e, HCE~"~'~ER AND L.O.N O SURVEYOR, N .°~'.S. LIC. N0.12845 RIVERHEAD, N.Y. zl ~TO~ E L.F--VAT I 0 7FW' ~i C~ L_ ot '/g' .= 1:::~ L A h...l