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Home My WebLink About5218-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupnncy No.Z 1+289... Date ... JuJ,.lr. 19 , 1971. THIS CERTIFIES that the building located at . Sound ,ave & ItT 27 Street Map No. xx~ Block No. XXX Lot No. x~t MattLtuCk N.T. conforms substantially to the Application for Building Permit heretofore filed in this office dated · Ap~'il S, 19 7~ pursuant to which Building Permit No..521 dated Apri~L 7 , 19 71 , 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 .Businesa building - restaurant The certificate is issued toGat~rtel. Ko~u~gu~.es. · of the aforesaid building. Owner (owner, lessee or tenant) Suffolk County Department of Heedth Approval July... 19.,.. 197.1.. · by..~,. Villa. FORM NO. 2 TOWN O~ $OUTHOLD 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? 5218 Z Permission is hereby granted to: .... ~&~z~....~~ ............................... ............ ~.~.~ .............................................. ............................................................. )lat~tm~ ......... ~ .......................................................... pursuc~t to application dated ..... ................... ~i~.....6. ................. , 19..7.t., and apbroved by the - Building inspector. ? ..... TOWN FIF' SFIUTHE)LD OFFIOE OF BUILDING INBPEOTOR ToWN OLERK'S OFFIOE SOUTHOLD, N. Y. Mr. R, Cammerer Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Deor 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 ...................................... has applied to the Town of Southold for a permit to construct a building (restaurant) on . ~.. ~'. ~.....g..R... ~.7....~....,S.f~.~r~.d.....A..v.~..,.., .~.~.~ .~.t. ~...t.~.qk .,...E.,~.~ ..................... as shown on the attached plot plan, submitted in triplicate, dated ....... ..~/...27 / 71 ............................................ and titled ..... We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. Veto/ truly you~, 4/14/71: Disapproved to the Town of Southold pursuant to Sec. 239K /~6C~ ~-~ of the Gen. Municipal Law. Proposed plan should be revised to provide access in area denoted "access Building Inspector I~ allowed" on the County plan attached.Town of SouShold, N. Y. SUFFOLK C~UNTY D]~~-, OF PUBLIC WORKS R. M. Kai~.~ierer, Co~i[issioner By: ~Jae~SUn~i J. ' , ~~-' FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor w~th the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dmposa[--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. AccLrrate survey of peoperty showing all property lines, streets, buddings and unusual natural or topograph ic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ............. Old or Pre-existing Building .... ~. ....... Vacant Land ............. Location of Property . .~09~. +~(~t)_1~,~,, .Ave~e,. ~.t;~; .~.~.~.c..~,..~.....7.. ........................ House No. Street Hamlet Owner or Owners of Property ....... G..J~..~.[.~..~..~.0.~..O.U.._~.~. ................................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Map No ............... Lot No ............... Permit No. 5.~.~.~...~... Date of Permit . ~./.~./. ?.'t..Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... 0oP,7 of Request for Temporary Certificate ..................... F ina[ Certificate ....................... Fee Submitted $....'1...0..0 ..................... Construction on above desc,bed building and permit meets all applicable codes and regulations. Applicant .................................................... Rev. 10-10-78 S~FFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR PRINT LEGIBLY IN INK Building Permit No. ,_~ / ~'~ Health Department Plan No. Application for Approval of Commercial Sewage Disposal System. TO: The Suffolk County Department of Health Date ~ ~ Application for approval of commercial sewage disposal system is hereby requested. (Name, side z str et, na~e an d stance to nearest intersecting street) Name .~~( /~-~.~ ~ Hamlet ~ ~-~.~ ~e.~ ~ Town P~Z~~ ~ ~ ~ Village~ ' . _ I hereby certify that this commercial sewage disposal system has been constructed in accordance with plans approved by the Suffolk County De- partment of Health on (date) and with all the requirements of the latest bulletins on sewage disposal of the Suffolk County Department of Health. Applicant's Signature ~ % Ready for inspection FOR USE OF HEALTH DEPARTMENT ONLY Inspected by C~ ~O~_. Date Installation satisfactory - Yes ~ ; No Based on the information stated hereon by the applicant and other information made available, it is the option of this Department that this system with proper maintenance can be expected to function satis- factorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not inclu~e~t~ Date ~[ ~ ~ ~Z~ ~~~' ~~ ~h~ef of Gener~lEngtn~eringServicem SCHD - S-13 6/~8 TOWN I-IF SOUTHE]LD OFFICE OF BUILDING INSPECTOR TOWN CLERK'S OFFICE E~OUTHOLD, N. Y. Mr. Il,, CiI~I~ Commissioner of Public Works Suffolk County Yaphonk Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Low 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 ...................................... has applied to the Town of Southold for o permit to construct o building on ..................... os shown on the attached plot plan, submitted in triplicate, da~ed ....... ~...~'~ ............................................ and titled ..... ~.. ~..~... ~.~1~1~ I....G..1~,~.91 ~...~.ell~lL~ I1 We shall withhold further action on this application for ten days or os otherwise provided in the aforementioned Section 239K. Very truly yours, Building Inspector Town of Southold, N. Y. NEW YORK STATE DEPARTMENT OF TRANSPOR'I'ATION Region 10 Office: 325 West Ma~n Stroet, Babylon, Long Island, New York 11702 ~iay 10, 1971 Howard Tgrry Building Inspector To~n of $outhold Office of Building Inspector Town Clerk' s office Southold, .NY 11~71 ROUTE 495 CR 58 TO 2'~.TTiTUCK Dear ~ir: Reference is made to your letter date~] .~pri! 7, !~7i~ con- cerning an application to construct a restaurant at ~ inter- section of County Road 27 and Sound £~enue in [~attituck. ~indly be advised that this subject property may be aftected by the proposed extension of the Long islan3 E]:3ressway. ?his project is, however, only in the prelimina~- planning stage of development. Under the new rules and r~gu=ations '.;hich ',,/ere cecently re- vised by the Federal High%~av ..ct of t~ ~%9, the Depart~ent must hold the prescribed num%~tr o£ t~.%%~lic i~earings. For this pro- ject, the Depart~-nent must %,.ol~ t-:o s~[ch hearings, one called a Corridor Public IIearing and the other called a Design Pub- lic Hearing. It is ' ~-'-" an~?_,.tpated that the Corridor Public Hearing mal~ be i~!d i.~% January of 1973. IIowever, this is only a tentative .late and is subject to change. The Department cannot ac¢luire any propcrty in advance until the prescribed public hearings ~re held, a recommendation for location approYal is submitted to the Federal High~ay ~- ministration, and approval is obtained f~om the Federal High- way Administration. Under these procedures, ~le Department cannot acquire the subject property even though it may be affected by the proposed future construction, nor can we deny the owner the use of said land until t~.e above mentioned ap- provals are obtained. The o%~ner of' the subject l)roperty did come to ray office to discuss the effect of this project upon his property, llow- ever, as mentioned above, ~%e Depar~nent cannot acquire this property as an advance ac~.~isition. Howard Terry 2 ~ay 10, 1971 I am sorry for any inconvenience this proposed extension of the Long Island Expressway may have caused you and your De- partment. However, your cooperation is still requested in that affected owners be advised to contact this office for info~%ation relative to the effect of the project upon their ~roperty. Very truly yours, I. SCHE INB~ ~.T Regional Planning Engineer P. E. HALBIN Senior Civil Engineer 19 ........ Permit No. ................... ......... ......... ...... APPLIGATION FOR BUILDING PEKMri' Date ........................ .~...z~1,.3,...6. ..................... , 19...7J ...... INSTRUCTIONS a. This application must be Completely filled in by typewriter or in ink and submitted in duplicate t° the Building Inspector. b. Plot pion ~wing location of lot and of buildings on premises, relationship to adjoining premiees 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 he occupied or used In whole or Jn 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 o.f buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply w~th all applicable laws, ordinances,building code, housing code, and regulations. (Signature Cf applicant, or name, if a coq>oration) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................. t]ene~-e.i.- ~seee'oet' ........................................................................................................................................... Name of owner of premises ......... ~....b...z~.e.~..~..og..§...cS~...g.e. ......................................................................................................... applicant is a corporate, signature of duly authorized officer. (Name and title 'of corporate officer) 1. Location of land on whlch propor~t work wiU be done. MapNo.: ........................................ lotNo.,- Street and Number No~h border C~ 27A ~ut, h boz'de~' ~Gmd Ave. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: rloFle a. Existing use and occupancy ................................................................................................................................... b. Intended use and occupancy' .~...U".~/..../~....L.'~~-'''~ 3. Nature of work (check which aPplicable): New Building ....... ~ ........ Addition .................. Alteration .................. Repair .................. Removal .................. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ..........~X)~i .............................. Fee ....... _J~l)~'~ .... (to be paid on fi!lng this application) 0 0 5. If dwelllng, number of dwelling units ........................... ~Number of dwelling units on each floor ............................ If garage, number of cars ...... 0. ........................................................................................................ 6. If business, commercial or mixed occu ncy s~eci nature and extent f · ~.~.e o~' ~'ooc[ D~m~n i n , pa -, :~ fY 2~o ach type of use ......... ~ ............... 7. ' . s'o s of existing structures, if any: Front ............................ Rear ............................ Depth .................... Height ~ Number of Stories Dimensions of same structure with alterations or additions: Front gA Rear Depth ................................ Height ............................ Number of Stories ................................ 25 25 ........................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ;30 Height ....1.6.. ............ Number of Stories ]- 9. Size of lot: Front ............................ Rear .................................... Depth ................................ 10. Date of Purchase ..... .d'..'9~....e...1..~.~.~. ................................. Nome of Former Owner 0. 11. Zone or use district in which premises are situated coz~ercta.t 12. Does proposed construction violote any zoning law, ordinance or regulotionP i3. Name of Owner of premises ~'~bZ~e3,..K(:~l~l.~.....Address ..~.~e, cth..~Y,~,~.. Phone No..~.-.J~... Name of Architect aoz'ctoa fi:. A.h].ere -,. F,a~o~ T-~.~Ta~e..s~.oz,t, .................... ...................................................... ^aaress .......................................... Phone No. 722-3227 Nome of COntractor ...¢,~.b.~.fl~..~(:~[~ ............... Address ..i~J~'l~..~,g~l..~l?~]~r~.~.~.... Phone No...2.~.~...~.{J..2.~... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from properh/ lines. Give street and block number or description according to deed, and show street names and indicot-e whether interior or comer lot. See At~ched STATE OF NEW YjOI~/ . ~' J *x'~c"~'(N ~'~~'~"~¢;/t;~;I -.;:~..::-..;- ............... be,ng duly sworn, deposes and says that he is the applicant t or nOlvlauol slgnlng-appllCaTion~ . above named. He is the ...................... ~. ......................................................... .:~ ................................... (Contractor, 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 Jn this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Swam to before me this · ......... ............ Notary Public, .~'~-~r~ln~L~s~.~f~'i~.fl~l~..-..~....~nty .......................... (~n;'~" ;~'~'~""~'-'"~ .............. No, 52-6806770 Residing in Suffolk ~ Commission Expires March 3~, ~T ,I 7 COUNTY OPSUFFOL~ D~PA~TMDI,~T UP PUBLIC W0~5 H.P.DISHOP'-'COM yAPHAMg_. PERMIT REQLqREI~ UNDER SECTION 136 II'WAY LAW FOR TO COUNTY ROAD YOLAN BI- bULLOCK Z/L/Z= o ¢ .- op,,¢ ~o II dY/VZ= - OYt: ~,¢,' OF,= GRADD il, CD PROFILE, JOS~'PH ~ T. f4"IL/6 ZI, f/D 6_ PAVEMENT · 5CA~ u ' ¸,1, ~FP 65' RECORD PLAH 27 ---7 IOFiLE' v. ~ -- ~oo' \