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Home My WebLink About8664-zTOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.. Z.~I~.I?? ..... Date ........... J'$'V- .... .~ ......... , 19..7.7. THIS CERTIFIES that the building located at . .~./'.~..~$.~.~.1..~..R.o.a.~..(.~..1~. ?.). Street Map No .... .x.x. ......Block No. · xX ...... Lot No, . .x;c.X.....3.o.u..t.h.o.~.~...N.,.¥: ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............. ~'~e... ~.~, 19 ?.~. pursuant to which Building Permit No, . dated ........... ~]v~e...21.., 19..7~ was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ... '.~.~.~.~.e.~.~..~.¥.:[~.4:J:r.g.....(.'1..f..1.qq?..~.J:.l?~..$.h.e.~.). ........................ The certificate is issued to .. ?:~¢~).d.~w.a. ~r..o.~..S.o.u.t..12..o~. ~..J..~..d.J:.n.g..C. ql,.p .... . .0~Zn..e.r.... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .~.a.~.. ~ .]~??....by..B~. ¥~.~.1..a ....... UNDERWRITERS CERTIFICATE No, . .~.3~t}.~i,~ ...... ~f~7.,..2~...I¢J7~5. ............ HOUSE NUMBER ...... ~3~... Street ...... .k?!.~.],.e...RP.a4. ~.C;.~;~?) .... $0Rth01~l, Building Inspector FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 866] Z Date .......................... ,]'.~'~.....2.1 ........... , 19~.6 .... Permission is hereby granted to: Win~sw~y..J3~il~i~..Co~p ............................. ........................ ~o~kald .................................... to build ne.w..hB.$.%~.~.$...hui~din~ ....... (. -Appreve4 .by ~d Agpe.at.s.&..r. tae~.ning at premises located at ......S./.$...~.:4d.~l.~...RQa.d......(.QB.22). ............ .(..Z~as...co~.ty..acaeas..approval) ............................................. ~o.u~hold ....... N...%.. ........................................................................ pursuant to application dated ........................... ,]'.'0Zte...~.l ............. , 19.7.6..., and approved by the Building Inspector. Fee $.~.0......0..0.. ........... TOWN OP $OUTliOI. D , Building Dep. rfment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CEKTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, on6 unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings and unusual natural or topographic features. 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 formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ........ Addition ................ Old or Pre-existlng Building ................ Vocont Lond .............. Location Of Property ..... ~,/,' -~ L ..... ~'£J..~,~/~....Z~......,,.:~,~... Owner Or O~ners Of Prape.y ...~......~.~.~.~.,~ ., ......................... Su~i~i~i~ ................................................................ L~f ~ ............. Block ~ .............Hous~ ~ ............. ........... ............. ............. Underwriters Approval ....................... Planning B~rd Approval ........................................ Request For Tempora~ Ce~ificate ........................................ Fin~ Certificate ..... ~ ................................ Fee Submitted $ .~. .............................. Sworn to before ........... day ..... Notary Pubhc ~.~,~......-,,:~. County Construction on above described building and~p~/mit me,~.ts all applicable codes and regulations. ~pplica~t ........ ~..~. ............ ~.1~ ................. ~.~,~..,,.~ .............. (stamp or seal) BARNEY A, EVANS, P.E., L.S. DEPARTMENT OF PUBLIC WORKS Date ~h 9~, 1977,,, Winasway Building Corp. Glenn Road Southo1~, New York 11971 Dear Sir: Re: Perr~it No. ]~60~ , (X) County Treasurer has been authorized to refund your security in the amount of $ 300.00 Bond No. to cover work on this permit is herewith released and returned to the 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. Very truly yours, William S. Matst~nave, Jr. Chief Enq4 near WSM/ELB/~ ~Jm Enclosure CC: ~ Town of S~thold, / Build]n~ Department Building Permit No. OEPARTHEN] OF HEALTh SUFFOLK COUNTY E~R~,~.F H ALTH SERVICES Riverhead, New York TYPE OR PRINT LEGIBLY IN INK Health Services Department Plan No. Name Hamlet Village Application for Approval of Commercial Sewage Disposal System TO: The Suffolk County Department of Health Services Date ~ _ Application for approval of commercial sewage disposal system is hereby requested. (Name, side of street, name and distance to nearest intersecting street) Address / ~ '"~ (~:~:~ Ready for inspection FOR US~E OF HEALTH SERVICES DEPARTMENT ONLY Installation satisfactory - Yes ~' ~ 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 satisfactorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structur~al features are not included Date SCHD - S-13 TOWN OF OUTHOLD OFFICE DF BUILDING INSPECTOR TOWN CLERK'9 OFFICE SDLITHDLD, N. Y. 11~71 TEL. 76~-266D October 26, 1976 Mr. Robert Wendell 1020 Glen Road Southold, NY 11971 Re: 44365 County Road 27, Southold, New York STOP ORDER On the request of John Wickham, Chairman of the Planning Board, I issue Lhis Stop Order on construction of the site plan work. The site plan work does not comply with the approved site plan dated April 6, 1976, and approved by the Planning Board on May 24, 1976. No further work can be done until a written approval is given by the Planning Board. Yours truly, George H. Fisher Building Inspector TL"lWN DF SBUTHBLD DFFIBE BF BUILDING INSPEBTBR TBWN BLERK'S B, FFIBE Commissioner of Pdblic Works Suffolk County Yaphank Ave., Yaphank, N. Y, Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Laws of the 'State of New York, this ~s ~o notify the Commis- sioner of Public Works of the County of Suffolk that ....... ~tll~. ........... has applied to the Town of Southold for a permit to construct a building as shown on the attached plot plan, submitted in {riplicate, dated ....~..?~...~.. .................... and",t'ed We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. Very truly yours~ l Building Inspector Town of Southold~ hi: Y. 00' TOWN OF $OUTHOLD ~'~ BUILDING DEPARTMENT ~ TOWN CLERK'S OFFICE/~/~ ~UTHOLD, N. Y.~~ ...................................... ................................ ............. ........................ .................................... {Buildin~ Inspoctor) APPLICATION FOR BUILDING PERMIT I~STRUCTIO~S ~. This ~pplicotion must be completely filled in by ~pewriter Inspector, with 3 sets of plans, accurate plot plan to ~ole. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving o detailed description of layout ofproper~ must be drawn on the diagram which is pa~ 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 o Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Ce~ificote of ~cuponcy 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 buddings, additions or alterations, or for removal or demolition, as herei~ described. The applicant agrees to comply with all applicable laws, ordinances, building code, houslpg code, ~nd regulations, and to admit authorized inspectors on premises and 'n bu'ldings for n~essa~ in~ections. ........ ....... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ...... ..................................................................................... Name of owner of premises ...... ..~.~..)..~..~..J.S..~..~..~.. .................................................................................................................. I f applicg~4, is a corporate, signory authoriz~ ~f,f~icer. .~ ,/ - (Nome and title of corporate officer) Builder's License No ..................................................... % Plumber's License No. ~...~....'~...~....'~Jr~XbJ~/~ ~ Electrician's License No....~?.~...~.....~.....JJ~......~..~ Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ........................................~ot No ......................... Street and Number ..~J~...~.~.~.j~.~ ...... J..~.J.~.~.....~.~.~...~.~ ...... .~]~.~,%.~.~ ..... / / ~' Municipali~ ' 2. State existing use ond occupancy of premises and intended use and occuponcy of proposed construction: a. Exisiting use and occupancy ................................................................................................................................ b. Intended use and occupancy ........................................................................ ~ .................. ~ ........ 3 Nature of work (check which applicable): New Building'. ...... Addition .................. Alteration .............. Repair .................. Removal .................. Demolition .................... Other Work (Description) 4. Estimated Cost ............. .C..',~..,..~ ...................... Fee ...2 .......... ~i~ii..-7. .................................................................. (to be paid on filing this application) 5. If dwelling, nurnber of dwelling units .... ~ ................. N,'mbor 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 ................................ 8. Dimensions of entire new construction: Front ...... ..~..~. ...................... Rear ........ .~ ................. Depth ....~..~.?..~. Height .....~..~ ......... Num?r of Stories ........ I....~ ................................................................................... Z'"'";'Z"*I .... 9. Size of lot: Front ...... ..~,..~.. ........................................... Rear ........ ~....~...~.~... .......... Depth ..... ~...~. ........ ~ .......... 10. Date of :Pur~:hase ....~1,).(~..~ ......................... Name of Former Owner .:.%. ...... "..: ........................................ 11. Zone or use district in which premises are situated ......... .~...J .................................................................................... 12 Does proposed construction violate any zoning law, ordinance or regulation: ...~....O.. ............................................ 13. Will lot be regraded ....1~.~ .......... Will excess fill .be ,re~n,~v~e,d, from premises: ( ) Yes ( ~ 14. F ame of Owner of nremises ~.. ~ .~.~,,~bS--..~.~..~, /~'/ ~r~s~2.%~L.~...,.~.. ~hon~'~..O~...~...~..%~...~...O. ..... · " '- ........... ~ ....................... t¢~' ~ ~-~,~ ~-~.,~'~...--.~.., Name of Architect .~.f~...~..P~..?~...bl~r~..~... ........... Address ..~.~,~,~ ........ Phone'lqro'f.....f.~.,l~...'~. ...... Name of Contractor M.;~....~..~.l).~..r~)-~'.~-~.~...... Ad~eOs~........~,.!..~....~.,,1~.'>., ...... Ph°~e~o'~"!"~'"'~"~'"'"'~" Loccnte 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 ~vhether interior or corner lot. ETA'FiE OF NEW~R~,/--~ ~.~ ISS COUN'i-Y OF ..~.¢.k..K, ...... f" ........ 7~..~....~.~..%~.~:....~....~-~....~..)~.~¢...~. .......................... being duly sworn, deposes and says that he is the apphcorn (Name of individual signing,contract) , above named· ' ' He is ............................................................................ .... I (Contractor, agent, corporate off car, etc.~ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file ~his application; that all statements contained in this applicction c*e true to the best of his knowledge and belieF; thor the work will be performed in the manner set foRh in the OppHcation filed therewith. Sworn~ before me this ~ : ............ ;",;7. ........ co.. ......... ....... ~otary P b' , .............................. ~ '~ ~ ............ --~ ~- ~, ~ ........ ~ign~ture of applicant) [LIZABErH ANN N[VItLE NOTARY PUBLIC, State of New Yor~ N~. 5~,8125850. Suffolk Term Expires Marc~ 30, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy '. : 85 JOHN STREET, NEW YORK, NEW YORK 10038 -Da'eNovember 24,' i976 ,~pplic.tio,.,~o.o./ile 81717~; N 3~4~63 THIS CERTIFIES THAT ordy the electrical equiprner~t as described below and introduced by the applicant named art the above applicatlol~ number in the premise's of ~ Wtndsway Bldg. Corp., North Road, Tucker & Hortdn Lanes, Southold,L. I. -~ i..,e/oll~,.i;,~oc~,o., X~e~e~., ~t~'l. ~ ~.~ rt. ~ s~ctlo. ' ' ' ' * ' outside fiXTURE-; ' RXTURES RANGES DRYERS R V I~. OTHER APPARATUS: Panelboard/s: 3-2cir. 125amps. 1-~.Skw Hot water heater 2- 3 Ton A.C. Units 1 1-5cir.125amps., 125amps., Robert~ Goodale, RR#1,'Box 15A, Main Rd., Matti~uck, L.I. 11952 Lic.783E Per-- D This ce~ificate must not be alfred in any manner; return to the office of the Board if incorrect. Inspectors may be identified by credentials P.rnlt N.....~,3...G..O.~.. P[RMIT UND~II SECTION II& .~ &RTICLE ¥1 .f HIGHWAY LA~ WHEREAS, a certain highway known as the ~l~d~ ~[1)~$ No. h~ ~en ~p~v~ ~d is on the Suffolk County Road System and r~u~ts ~ission to ~ild ~cess ~ pe~ ~evis~ p~o~ p~ m t~i~a~ se~ion, ~inder of NOW, ~E, ~ission is hereby grant~ to said ~Y ~X~ ~* to do said work u~n the following conditions: 1. ~en concre~ is remove, cut conere~ ~th concrete ~w two feet outside the limi~ of the pro~ excavation ~d for t~e full ~nel ~Ith. ~n t~ cut ~o ~ pavement ~t~n 10 f~t of the panel Joint, ~e pavement sh~l ~ removed for full p~el width from tho cut on the far side of the excavation to the ~nel o~ suHace. 1:1~:~ ~ s~ne mk concrete; ff bl~nous m~te~al, repla~ using ~e i. If conc~ curb Is remove, replace wl~ si~lar curb 1:1~ :~z ~. 5. ~ge of J~king Pits or ~ other excavation s~H ~ not less than 5 f~t from ~ge of Pavement. No undercutt~g ~owed in Pit. 6. Notify tho Depar~ent at Y~ph~k 4-S~1 when the work Is to ~n ~ that ~is ~it shall not be assigned or tra~f~r~ without the wNtten consent of the Commissioner of Public Works. ~e work authorized by this ~it shall be perfo~ed under the su~iaon and to the satisfac~on of the ~m- m~ioner of Public Works or his ~presentative. Particular attention is call~ to the necessity of thoroughly ~paeting the ~c~ fill, which will ~ requi~ by the Com~ssioner of Public Works. The C~missioner of Public Works sh~l ~ given one w~k's notice by said applicant of the date when it in- tends to ~n the ~rk autho~z~ by this ~it, and prompt notice of its ~mpletion. ~e said applicant he.by agrees to hold the State, County and T~n ha~less on ac~unt of d~ag~ of ~y kind which may arise during the p~gress of the work authoriz~ by this ~it or by reason ther~f. Applicant certifi~ all ~rso~ concerned with actual work under this pe~it are duly ~vered by Workmen's ~nsation I~uran~ ~d the State, County and Town shall be held ha~less on account ther~f. ~e ~ssioner ~ Public Works ~se~es the right to at any t~e revoke or annul this ~it should the said a~lieant fail to ~ply with the te~s and conditions u~n which it is grant~. The applicant a~s to pay all n~essa~ e~ inddent to supe~ision and insp~tion by reason ~ the ~ting of such ~it ~ certifl~ by the Com~ssioner of Public Works, such pa~ent to ~ made within ten days from the rende~ng of the ~rtified account. Work under this pe~it to ~ commenc~ within thirty days from the date of ~it ~d ~ntinu~ in an ex~ous ma~er. ~e appHc~t shall submit a detailed pl~ of structure to ~ built, with a description ~ pm~s~ metb~ of It Is unde~t~ that should future ch~ges in the aiig~ent or grade of the highway require cha~es in the work ~ver~ by t~s application and ~rmit, the a~licant shall on reasonable noti~ f~ ~e C~ssio~r of Public Works make such n~essa~ ~anges at his o~ expense ~thin the time so s~cifl~ in noti~. ~c sh~l ~ maintain~ by the applic~t on this s~tion of the highway while the work is in pm~ess and A ~ in the sum of $..~0.~0.0...payable to the ~unty ~easurer of Suffolk County is d~ ~ s~urity that the highway will ~ ~tor~ to its original ~nditi~ where distur~ at the e~ense of ~e appHc~t, ~ soon as t~ work h~ ~en ~mplet~, ~d the said ~m~saoner ~ ~blic Wor~ is hereby autho~z~ to e~ ~1 or as much of such de.sit ~ may he n~sary for that pU~e, should the s~d a~licant n~l~t or ~use to ~o~ the ~rk. In consideration of ~ting this ~it~,the undersign~ a~epts it subject W ~nditio~ des~i~. Date ~ AVO~ S~O~ DA~AG~ TO V~AL U~GROU~ FA~L~, PLEBE CALL LONG ISLAND LIG~- · pprov~d: ........ _ The m~tez thAI l~ildil~ w~XX ~mmform to ~ ~ta~d~ / nrdm mf the I~ffol~ Co,at! Dept. of ileait~// ~ ~ervices. ~ I[ober t #e~deXX May luildin~ ~o:p. $outhold, N.Y. 11971 d .~, Li';. COt~.NTY DEPARTMENT OF HEALTH ~)IV~$1ON OF PUBLIC HEALTH da-~ments for-~age dtsp~al a~ water ~upp~ i~ ap',~ro'¢ed in accordance nd a,c~afions on ~ in the Office of ~e Suffolk COun;y [er~a~m9nt of Heal~ iai i~ g~ed~ on c~dElon ~at the ~roposed faci~ties are ~nstahed" in conforml~ ~la.~.-~his appro~ ~ net ~u~ u~s pl~ UTHOLD m 35- .'50LYf ~OLO