HomeMy WebLinkAbout8945-z FORM NO. ~
TOWN Oi; $OUTHOI~D
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 8945 Z
Permission is hereby granted to:
Pond,..E...n..t...e.t:p.~.~.$..~.S....I..~.q....~.e.:.ql!~.~,,,.?.~.~l'.~c.~a Kzmpsk! owaer
................ .~k...P..o~O,...tt~.at ................ .O.~t ~ ~o gue
at premises located ot ....~,.~.,.~.,.....~/~..D~c~..P~..~ad .........................................................
pursuant to oppllcation dated ........................ ~Y. ...... .~ ............... , 19.....~ ond approved by the
Building Inspecto[.
"\ '~x
~,y $....~.~..,..w.......!... ~5~
BOARD OF 'FIRE UNDERWRITERS,
SUi~EAU 'od ~-~CTR~c~T¥ :, :', ': ,: ~:i'
equipment a~ des;ribed betow and introduced by t~ applicant ~med o~ ~h~ ~bove application ~umber in t~ premises
Be~h COmber Motel, Depot La., Cutchogue, ~.~. '
~./oUo~.~o~ao~; ~ ~.~.~ ~ ~.~ n.' ~ ~.d n. outside ~o.
~e
ptember 29~ 'Z97~ and found to be in compliance ~ith the req~iretnents of zhis Board.
RANGES COOKING DECKS OVENS
;,1-G.~.C.I,
: ('Swimming Pool) This certificate covers compliance at the dat~ o~
inspection only. Because-of unusual environments-it is advisable
t° have frequent test and/or repairs made by a qualified per~o~?
Enchanted Pools of Suff ,,,.
This certificate must not be attered i~ an,/ m<~n~er; return to the office of the Board if incorrect. InspeCt=.
S~tffolk Comity Department of Health Services
Ocneral E\n~inecring Services
C'ERTIFICATE OF APPROVAL
OF PLM~S FOR THE CO ~S...U~TIO,I CR Ct~NGE OF
App%ication ha~ng ~een duly'~de to the S~Eolk Co~ty Department of Health
~icos, as provided ~der Chapter 1~ Part 6, of the New York State S~itary CcJe
for the approval of plus for Beachcomber Motel
are gr~ted to En~b~~~.
subject to the following conditions:
TI~T the proposed artificial swiping pool and treatment cq~pment
'sho'~ on the plus amd specifications approved
fully constr~mted smd instated in complete conformity '~d_th such
plans and specifications or approved amendments thereto.
II. THAT the engineer of reco~ shall ~orm the Department h8 hours
in advance for the p~oses of m~ng a joint~ as built~ pip~
spection.
III~ TI~kT the eng~e r of reco~ shall ~orm the ~partm~nt h8 hours
jm advice for the purposes of ~]~ng a joint~ final ~spection
to ascertaS]~ conformmnce to the approved plus.
'IV. THAT the om~er or operator will'not open the s:~i~mdng pool ~mtil
a certificate of co,mpliance has been received,
V$
THAT th~ swishing pool shall be operated at all times to conform
with the requirements of Part 6 and the criteria for operation
of a swimming pool and to the satisfaction of the per~t issuing
officer. -.
VI ..... THAT if a~y interruptions in treatment or other conditions occur
· which ~nay affect the sanitary quality of the water in the pool~
"" the pool shall be prouptly closed and not reopened ontil authori-
zation is received from the per~Jt issuing official.
Town 6f Southold Bldg.-Dept, '
Beachcomber Motelv/ ~' '-'
..'/
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING DEPARTMENffC~a~'~ ,.
g 2~-~:, a/~ :~ , APPLICATIO~ FOR BUILDING PER~IT
I~STRUCTIO~5
a. This application must be completelg filled in bg Wpewriter or in ink and submitted in triplicate to the ~uildin~ Inspector,
3 sets of plans, accurate plot p~an to scale. Fca accordin~ to schedule.
b. Plot plan showin~ location of lot an0 of buildings on 0remises, relationship to adjoinin~ premises or ~ublic streets or areas,
~ivin~ a detailed description of lagout of pro~erW must be drawn on diagram which is part of th~s application.
c. The work covered b~ th~s aoplication mag not be commenced bafore issuance of Buildin~ Permit.
d. Hpon approval of this apphcation~ the Bu[Idin~ Inspector will issue a ~uildin~ Permit to tho applicant. Such permit shall be kept on~
the ~rem[sos auailable for inspection throu~hout the work.
o. ~o buildin~ shall be occupied or usod in whole or m ~ar~ for ang 0urpose whatever until a Certificate of Occu0anc~ shall have bee~
~ranted bg the Buildino Insoector.
~P~klCATIO~ IS H[~[BY MAOE to the B~[Idin~ Department for the issuanco of a Buildinfl Pormit 0ursuant to tho Bu[Idinfl ~ono~
Ordinanco of the Town of Southold, Suffol~ CounW, ~ew York, and other applicable kaws~ Ordinances or Be~ulations, for the construction of
buddinfls, a0ditions or alterations, or for remoual or demolition, as herein descdbed. The applicant a~rees to com~ly with all a~licable laws,
ordinances~ buildm~ code, housm~ code, and regulations, and to admit authorized inspectors on premises and in buddings for necessarg inspect[ons.~
(Address of applicant)
State whether applicant is owner, lessee, agent,,~rchitect, engineer, general contractor, electrician plumber or builder.
.:....: .......... : ..................... ......................................................................................
Nameofow.erofprem ses ' ............
If applicant is a corporate, signature of duly authorized officer.
.......... ......................
~, (Name and t,tle of corporate officer) ~,~ -/
Locatonof andonwhch ro osedworkw bedone Ma No' Lot
1. P P · p ...................... N ............ I.. .....................
Street andNumber /{.',.~...~_.C(~'q-~, ,/~'~¢) ,~)' ~/"r
.................................................................... : ............... ,~.r. ........ ;..:. ................... ~..~....7~
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~.~ ~t,-~ .
Intended use and occupancy ~J~g.~`~.~i~*~`~.~./.~.?~'~.~.~.~./~/'~)~.~(Z~ .................................... \~.
b.
3. ature of work (check which applicable): New Building ................ Addition ..................... Alteration....;....~..J,.
'Repair". ........................ Removal ......................... Demolition ........................ Other Work ....................................
(Description)
4. Estimated Cost .....~,.g~).4~11~.:'...~77.. ................ Fee ..../.~Z~i .........................................................................
(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 ........................... Depth ...................................
Height ........................................................... Number of Stories .............................................................................
Dimensions of same structure with alterations or additions: Front .......................... Rear .........................................
Depth ............................................. Height ......................................... Number of Stories ........................................
Rear .......'.~...O. ............... Depth .................................
8. Dimensions of entire new construction: Front ......... ...~..../. ........ ' ! o20 /
Height.........................~2' ( ...... ..... ..... . ....... Number of Stories ...... ./. .................................................................................
9. Size of lot: Front ...................................... Rear .......................................... Depth ..................................................
Height .................................................... Number of Stories ......................................................................................
10. Date of Purchase ......... /..~...~...~.. ............... Name of Former Owner ...~.~...q...~.......~...~..~R.}..~g.L~'..~.~./:......-~...~..c, ..........
1 1. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ..~..~ ................................................
13. Will lot be regraded ......... i~..O. ..................... Will excess fill be removed from premises: [ ] Yes [~-~'"No
14. Name of Owner of premises ../:..e.~.:.:/.~..&'.?..~/~. ........ .7.~..4~':~.C~.~.:.L".~.~4~.C..*..::.Z.~...e..-..&.O.~..°.. ....
- ~ .(Address) ~ t ,~(Phone No.L
Name of Architect ...,~,.O.(4.. i¢.....~.~.~..4'.:.~..c..O..~.c]..~ ....................... .~.~..~.~..~.~....~..°-.....~.,...~.....O}. .............. ~.~.7..T.~./.~.~ ...............
/ (Address) . (Phone No.)
Name of Contractor ~d. ' ¢/(/.~:..'//.~* .~.~. ~. ~.,r/~ 0/f~ E.~ .~..~.~. ~.~' .~ ~
.......................................................... r' 'i×~a;~;'~ ................. r ............. i~'~'~'~:i ...............
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 wheth-
er interior or corner lot.
STATE OF NEW YORK, ) SS
COUNTY OF ................ ~.~..~..~..o.. J,~ ................... )
................................... ~[.t.~,.I'IO].&I[L..~].iL~IlO ............................. being duly sworn, deposes and says that he is the applicant above named.
(Name of individual signing contract)
Ne is the .............................................................. Ol~rl~ .....................................................................................................................................
(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 alffi
statements contained in this application are true to the best of h~s knowledge and belief; and that the work will be performed in the mannel
set forth in the application filed therewith.
.................. ,,.,,, ........... ,a,,o, ...... I ,, rm ' '--
NotaryFubllc, ...; .............. i; ................ ~.....: ................... uounty ............... %...I ............................. ~ ..........................................
~ {Signature of applicant)
APPROVED AS NOTFD
~'/Z~..,,.. ~ '~' [~ 7.7
_~Y:~
5. ~L'. Cr~¢~:'~ "-~:'"~ "
AND · ~v¢.~
CODE
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M OT'~L.
79 ~77