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Home My WebLink About7947-zNO. 4 TOWN OF SOUTHOLD BUll,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . I~..~ ~ .& .~...1..P.o..n~.. ~ Street Map No.F.o.~. ~,e.,Block No.$.e.~ .I .... Lot No.. 7...(}r.e. emp.o.~.~;,. N.-.~ ~ ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... l~ay.. 9 .. , 19 7.~. pursuant to which Building Pemit No. 7 .~.~... dated ......... N~y...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 P.r..iv.~.e...o.n.e.. $~.y..~W~.$1~g ................................. The certificate is issued to ~P.] 8PO .H. ~.e.~. Ileal ................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . I?o¥: .2.~..~.~.7.~...~.It R.: ?.i~.l.a. .... UNDERWRITERS CERTIFICATE No. ~2.6~..%2 .... .J.a..n.. J.~...~.7.6 ................ HOUSE NUMBER ... 3b,8.0 ...... Street ..... ~1~..Boad. I%T25~. ................... 7~ (hill Pon4 FOII~[ NO. 2 TOV~N 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? 7947 Z Permission is hereby granted to: ... ~ ~?~c.d...~!~ ~z~e.s .. Zzm, ...................................... .......... ffz.~Luz~ ..... ]q.,.~Z4 ................................ to .~.~.~.:....r.,:.a~....o. ~:c~....C ~ f,:i ~:.. ~':.;.~.~. ~.~ v,~ ................................................................................... at premises located at ..~fz.i...~.....Eo~c'~l~..Ac~z~..a~o..J. ........................................................... ............................................. ~.~ !~..~o~cL..~...~ ~.£..~.o~..~e ............ O~.e~or.t .................. pursuant to application dated ........................... ,¥~/' ....... ~[~. ......... , 19...~, and approved by the Building Inspector. Building Inspector FO~ NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Yo 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcation must be filled in typewriter OP, ink,, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use' l. Final survey of property with accurate location of oil buildings, property lines, streets, unusual naturnl or topographic features. 2 Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical mstallohon from Board of Fire Underwmters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings end installotlons, o 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 ]957), Non-conforming uses, or buildings and "pre-existing" land uses: ]. Accurate survey of property showing all property hnes, streets, buildings end 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 in- formation required to prepare a cerhficate C. Fees: ]. Certificote of occupancy $5.00 2. Certificote of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 .... ..... Now Building ....~... ......... Addition ................ Old or Pre-existing Budding ................ Vacant Land .............. Locot~or~ Of Property E.~.~."c~...'.~....~.c.~.z..e...s.~....~...~g~.B..°.~.d..~.~.'G~...[~...P....°~...4.~.~.e.~.~..q.=..e...e...~..°...~.~ ........ Owner Or Owners Of Property ~...a~.~....~....o~...e...s.~...]~.c..s ............................................................................ Sec. 1 Subdivision ................................................................ Lot No..?. ......... Block No ............. House No 75 Permit NoT.?.,~..?.,Z.. ......... Date Of Permit .................... Applicant .,~,?,~.,~,.?~..,~,,.??,.,e..s..t...~,.?.,c..,~ ....................... Health Dept. Approval .5..T..S. 0...:.~...2. ..... .]:.l.../..2...~../.7..,5..,.Labor Dept. Approval ............................................... Underwriters Approval N 264912 1/14/76 Plannin~ Board Approval yes Request For Temporary Certificate ..~...o. .................................. FinaJ Certificate ........ .7..e...s. ........................... Fee Submitted $ .5...,..0..0.. .......................... Construction on above described building an~ peters a~/pplic/eble codes and regulations. Applicant ..................................................................................... Kenneth W. Thurber - INLkND HOHF~, IN,C. Swornc)~to before me{'~this ........ · ,~,,-Z, day of ...~ ...... L.~,,.~..~.. (stomp or seol)~;~:.~7 0 Pub,,c ............ ,t ,5.66'o1'~0"a'. - t00.0 FO]III~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~ ~ TOWN CLERK'S OFFIGE~ .................................................................................. ................................ ...... ................... ~uilding Inspector) Date INSTRUCTIONS a This applicahon must be completely filled in by typewriter or ~n ink and submitted in triplicate to the Buildin Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showmg Iocahon of Jot and of buddings on premises, relahonsh~p to adiom~ng prem.ses or public streets c areas, and g~ving a detailed description of layout ofproperty must be drawn on the diagram which is part of this applicatior c The work covered by th~s application may not be commenced before issuance of Buildmg Permit d. Upon approval of th~s application, the Building Inspector wdl ~ssue a Budding Permit to the apphcant. Such perm shall be kept on the premises available for inspechon throughout the work. e No building shall be occupzed or used in whole or ~n part for any purpose whatever until a Certificate of Occupanc shall have been granted by the Buildmg Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Buildmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of bullrings, addibons or alterahons, or for removal or demolihon, as herein describe, The apphcant agrees to comply with all applicable laws, ordnances, building code, housing code, and regulations, and admit authorized inspectors on premises and in, buildings for necessary inspections. (Signature of applicant, or name, if a corporation) Box 117, Mattituck, N.Y. 11952 (Address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises .......................................................................................................... If opphcant is a corporate, signature of duly authorized off ruer. (Name and title of corporate officer) Builder's License No. - Plumber's License No .... .5...1..?..i.P. ................................. Electrician's License No. ~.~.~...-.~ ................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No. Fozcl~ Acze$ Lot No. Street and Number Gull Pond Lane, Greenport, N.y. Municipality State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction' a Exmiting use and occupancy ...................................................................................................................... b Intended use and occupancy ....................................................................................................................... Di~pprov~ a/c ....................................... ~ ~ ~Z ....... ................................ ................... ( APPLIGATI~ FOR BUILDING PE~IT ~g ~ Date ~y 19 ~ 75 INSTRU~i~S b. ~lot plan ~howino I~ation o~ lot ~nd o{ buildin~ on premlse~, r~lotion~hip to od~oinin~ premise~ ~rea*, ~nd ~ivi~ ~ d*t~il~ d~cripti~ o{ I~ut o{pr~ mu~t b~ drown on th~ dioorom ~ich i~ ~ o{ ~i~ ~lic~fi~. c. The work covered by this a~lication may n~ be comme~ before issuance of Building Pe~it. d. Upon approval of this application, ~e Building Inspector will issue a Building Permit to the ~plicant. Such ~rmit shall ~ kept ~ the premises ~ailable for in~ti~ throughout the work. e. No building shall be ~cupi~ or u~d in whole or in pa~ for any pu~ose whoever until a Ce~ificate of ~cupancy shall h~e been granted ~ the Building Ink,tar. APPLI~TION IS HEREBY ~DE to the Building Depa~ment for ~e issuance of a Building Pe~it pu~ant to thee,. Building Zone Ordinance of the T~n of ~hold, ~ffolk County, New York, and other applicable ~, O~inanc~ or~ Regulations, for the constru~ion of buildings, ~iti~s or alterati~s, or for mm~al or de~llti~, as heroin d~ri~.~ ~e applicant agrees to comply with all applicable laws, o~inanc~, building c~e, h~si~ c~e, a~ ~Ul~i~, a~ admit authorized inspe~o~ ~ promises a~ in buildings ~r n~ i~tions. .... .................................................... (Signature of applicant, or ~me, if a co~mtion) ~ 117, ~ttit~, N.Y. 1195~ (A~d~ss of opplicont) Sfofe w~et2er opp]icont is owner, lessee, o~enf, o~hitect, engineer, Generol controcfor, el~tricion, plum~er ~ome of owner o~ premiss .................................................................................................................................................... ]~ opplicont is o co~orote, siGno~re of duly out~orize~ officer. ................. ~th..~.,..~,...~e~ .............. (~ome on~ title of co~orote officer) Builders Lic~ ~o ..... .~ ............................................. Plum~r's Ucense ~o. 517-P E]~tr~cion's License ~o. ~ ................................. ~er Tm~e's kicen~ ~o ............................................... ]. [~ot~on o~ )o~ on whic~ p~ose~ work will ~e ~one. ~op ~o.: FO~ AC~ 2. Stole e~i~inG use ond ~cu~ncy of premises on~ in~en~e~ use on~ ~cu~ncy of pr~ c~st~ction: a. Exisiting use and occupancy ................................................................... .~ ............................................................ 1 - FAm/ly Dwell/~g b. Intended use and occupancy ................................................................................................................................ '3. Nature of work (check which applicable): New Butlding ~: ................ Addition .................. Afferation .................. Repair .................. Removal .................. Demolition. ................... Other Work ...................................................... (Description) 4. Estimated Cost .~2$t/OOOeOO ' ; Fee ~' (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 ................................ 8; Dimensions of entire new construction: Front ....... ~5 .......... ~ ............ Rear ...~,~. .................... Depth 3~. ................... Height ...... ~.8...~ ........ Number of Stories 1 ............................................................................ 9. Size of lot: Front .......... ~J ...................................... Rear ...... .~..9.O.. ............................ DePth .~.D...O.. ........................ 10. Date of Purchase ..... ~ ...... ~ ........................................... Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ...~/~........~..!.~...~Z ......................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....~..?. ................................................ 13. Will lot be regraded' . ...... ~.O. ............. :.. Will excess fill be removed from premises: ( ) Yes (:1~ No Name of Architect .............................................................. Address ................................ Phon~ No ....................... Name of Contractor ............................................................ Address ................................ Phone No ....................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all s~t-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE )F NE'~v.~(~I.I.I.K~.4'I ~ e ~ cou z, ........................ ~..~.~.....~~ .............. being duly sworn, d~oses and says t~t he is the applicanl (Namer i~iv~ual signing contlac~ above ~ mm~. J - ~ He is t~e .......................... ~ ....... ~.}~.-...~..-.~': ........................................................................ ~ntroctor, of ~oid owner or own~r~, ~nd i~ duly'a~hori~ed to ~orm or h~ve performed tho s~id work *nd to rake *nd file this *pplication~ that ~11 stotem~nts contoined.in thi~ ~pPlicotio~or~ true to th~ best o{ hi~ knowled~ ond holier; ond th~ th~ work will b* p*fformed in th~ m*nn~r *~t {o~h in the .pplioetion filed therewith. Swom to ~{om m~ thi~ .............. .......... . ............ .................................. JUDI~ T, BOKEN Nota~ Public, State ~f NeW Yo~ No. 52-0344963 SuffoJk Counlv Con,mission Expires. ] March 30, 19~ 3. Nature of work (check which applicable). New Budding ................ Addition .............. Alteration ........ Repair ................. Removal ................ Demolition ......... Other Work ............................................... ~., ~ (Descr,pt~on) 4. Estimated Cost ...~..2,..5..~..O..O...O......O..O.. ............................ Fee ..................................................................................... (to be pa~d on filing th~s apphcat~on) 5 If dwelhng, number of dwelhng umts ..... ~ ................ Number of dwelhng units on each floor ....................... If garage, number of cars ........3. ...................................................................................................................... 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ................ 7 Dimensions of ex~stmg structures, if any: Front ....................... Rear ................................ Depth .................... Height ........................ Number of Stones ........................................................................................... D~mensions of same structure with alterations or add,hans Front .................................... Rear ... Depth ................................ Height .....................Number of Stories ................................ 8 D~mensions of entire new construction' Front .... .6.5 ...................... Rear ...~,5 ................... Depth ~9. ................ Height ......~.8...~ ....... Number of Stories .~ ......................................................................................... 9 Size of lot. Front ........ ~q.~. ..................................... Rear ...... 3.9.0.. .......................... Depth ..3..5. O. .................... 10. Date of Purchase ................................................... Name of Former Owner ...................................................... 11. Zone or use distr,ct ,n which premises are s,tuoted''~'/~.'. .... ..~..!..~....~..~ .......................................................... 12 Does proposed construchon v~olate any zomng law, ordinance or regulation no 13 Will lot be regraded ...... ~.o. ................ Will excess fill be removed from premises: ( ) Yes (:x~j; No 14. Name of Owner of premises ...~.~...~...a~....d.....~..o...~.e..8., ...~..q... ...... Address .~.9~....]:.3-...7. z....l~..a'..~JPl~No. ?,...9..8...-.,9...6..9..6...: Name of Architect ................................................ Address ................................ Phone No ...................... Name of Contractor ...................................... Address ................................ Phone No ...................... PLOT DIAGRAM Locate clearly and dmtmctly all buddings, whether ex~st~ng or proposed, and red,cate all set-back dimensions fron property lines. G~ve street and block number or descriphon according to deed, and show street names and indicat, whether interior or corner lot STATE COUN'I ........ (Name of 's . being duly sworn, deposes and says that he ~s the apphcar i above named He ,s t~e ......................... ~.~..~ ...... ~~.~.......~....~.~ ................................................................ ,/~ntractor, agent, corporate officer, etc.) of so~d owner or owners, and Is dulyL.z,_--'--authorized to perform or have performed the said work and to make and fil th~s application; that all statements contained ~n th~s apphcat~on are true to the best of his knowledge and behef; an that the work will be performed in the manner set forth m the apphcatton filed therewith. Sworn to before me this .-,. ~ -- t day of , JUDITH T BOKEN Notary Pubhc, State of New Yc~ t'~o 52-034496~3 Suffolk County Cc~ rmss~on Exp*res March 30 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY dl 8..5 JOHN STREET NEW YORK. NEW YORK 10038 O.,e January 23. 1976 ~.pl*~,*,,,, ~,,.,.,,~t~821312 N THIS C E~IFIES THAT only the e~t~al equipment ~ de~'rib~ below a~ int~u~ by' rhe ap~lcunt ~med on the a~ve applicetlo, number i~ ~he premises of The Sea Gulls Nest, Moores .Lane s/o Route 25, Cutchogue, L.I. ~..,.yot~io~.t~.,,; ~ ~..~.~ ~ ~.~r:, ;-} ~ ~'t. outside FIXTURE COOKING DECKS OVENS OUTLETS SW~TCHE$ .t8 OT~R APPARATUS: Motor/s: 2-1/2hp 1-6.0kw Hot water booster R V I C E '12 3/0 1 1/o Main Rd. . - m~AL~ ' $outholdp' L.t. 11971 ' 962 ~~rrect. t~spectors ma)' be identified by ,heir~ais. SUFFOLK ~OUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Applicant ~) ~? ~ Address PLoPationC ~ -. Section 2. Property . Lot Number ~~~ n~;~ 8. Private Well Village w '~ ~ 9. Public Water 3. Public Water Company Namet Lengt feet ~istance to main 4. Lot size: Width )d)Ofee Phone~. Subdiv.~ lO. Sewage Disposal System: A. ~gallon septic tank: Precast~ .Equivalent Block B. Leaching pools: Number of pools Precast~ Block ll. __~pecial__ If private wellj fill in the fol- lowing blanks: A. Tank capacity_~gallons B. Pump G.P.M. t/ C. Total well depth D. Depth to ground water (For Health Services Dept. Use) E. Amount of water in well ~ ~ The undersigned CERTIFIES: "Construction of authorized installations w~lQ'~ ini~.ordance with the Suffolk County Department of Health Services' current standards tb~l~eto~ iThis application will be valid for one year from the date of approval indicat~]d'~lew ~.~ may be renewed if a current local Building Department Permit is in effect. ~ .~ Date ~ ~, 1975 Signed ~~ ~ FOR THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Based on the information presented here- with, it is the opinion of the Department of Health Services that an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on this plot. S-15 Rev. 4/1/73 ? ti · I' I iL WIRING SYMBOLS ONVENIENCEOUTLET CORD ,R££.~. /h'4LZ, /P .7 4 g'T~P£L J £ A/V/ ,~ tO/U/V/N ~)~ T4 IL o//v/,,v~ WALL &£D ~2 00PI FI~.ZT z/i,//,,v4 aoo/~ , FI ~o~ MZAN 'ir