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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 b M OT'~L. 79 ~77