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Home My WebLink About12035-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zl1911 Date September 9 . 1983 THIS CERTIFIES that the building 7:-.commercial building Location nfPrnn~rf~ 31935 Main Road Cutchogue House No. ' ....................... Street Hamlet County Tax Map No. 1000Section ..0.9.7 ....... Block..,......,...,05 .Lot.....r..009 ...... ~,.:.- Subdivision X ............................... Filed Map No...X. ..... Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 24 19 8 2 pursuant to which Building Permit No. 1203.5 Z dated November 24 82 . ............................ 19..., was ~ssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... a commercial building for retail sales. The certificate is issued to EUGENE MO.TT (owner,'fe~s~ dr~'r~ ..................... of the aforesaid building, Suffolk County Department of Health Approval C-22 2/1/83 Robt. A. Villa F..E. UNDERWRITERS CERTIFICATE NO. N 5888 0.9 Building Inspector Rev. 1/81 BUILDING ,DEpARTMEN~ TOWN-H~LL : SOUTHOLD, N. Y. BUILDING PBRMI? ~HIS PE~IT MUST BE ~EPT ON THE P~E~IS~ UNTIL I ULL C~PL~ION OF THE WO~ AUTHGRi~ED} N.° 12035 Z ~ot. ............................. , ~.. Permission Is hereby granted to: .~ r ...... ;~:.~.::... / tO at premise~ located at : "~:~' ~ ~'" ~ ; 'cD County Tax Map No. 1000 Sectio, .J,¢~.~.~. ..... "'=k .L~.~. ..... L~ No. ~..~..~ ....... Building Inspector. 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 with 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 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 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"_ land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling land use $/ 5.00 3, CopV of certificate of occupancv $1.00 Date ...................... New Building ., ¥~/...~:~... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 3 [.?~ .~..~..C,N,.~ . .~;~.., .~.O~'~.~k~ .~L.~ .... I~l~u~ N'o. ' ................. h ' 'S)r'e;t .... ~ ......... ~lamlet Owner or Owners of Property . .~,-..~.~.~..~ ~ .0~.. 1¢. '.r~ .~. ~'.l. ,% )..~A.... J:.~.*. I...I.. ........... County Tax Map No. 1000 Section ... ,~..~..~. ...... Block ...{~..~. ........ Lot...~..O.c~ ......... Subdivision ............. ~. ................. Filed Map No .... ~ ..... Lot No...X ......... Permit No. t.~. (~.q~..~Date of Permit .~.-..~.~'.~.&plicant. ~...~ ~ ........... p. p, .... /. .~. . 2. .-v ........ ,Lab D p,Approval ..................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .... ~ ............ Fee Submitted $..~.~.~. · ~ . ........... Construction on above described building a~. er~it, meets all appl~codes and regulations. Applicant . .~-~-~., ~ ..... .., ........................... 100o681 THE NEW YORK BOARD OF FIRE UNDERWRITERS j~ 85 JOHN STREET, NEW YORK, NEW yORK 1OO3~8 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the apph'cant n~n~. ~ on the above application r~umber ~n the pre.~ses of Antiques & Old Lace, 31935 Main Rd., OaCchogue, . . in the following location; [] Basement [] 1st Ft. [] 2nd 1'7. Section Block Lot was exarnlned on D~)~r 30~, ~.98~ ar~d fouttd to be in co,npliance with the reqtdrements of tbis Board. RXTURE OUTLETS 17 DRYERS ~ECEPTACLE$ SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUET FANS FLUORESCENT 2O 9 10 OTHER APPARATUS: Motors :1-1 H.P. 1 -Maergency Lit:e. 1-Lite Cell. E R V C 1 2 1 2 Paramount Electric 35 Frances Blvd. Holtsville, N.Y., 11742 L:Lc.,~2294-E This certificate must not be altered in any manner; return to the office of the Board if COPY FOR BUILDING DEPARTMENT, THIS COPY OF MANNER. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY Certificafe O~ Occupancy No. T. Z11485 Date Februar~ 22 ,1983 THIS CERTIFIES that the building ................................................ Location of Property . .3.1.9.3.5 ................ M..a.i.n..R. 9.a.d' ............. .C.u.t.c.?)9.g.u.e' ..... House No. Street Ham/et County Tax Map No. 1000 Section .... 0.97 ..... Block . . .0.~ ........... Lot .... 0.0.,9 .......... Subdivision... ~( ........................... Filed Map No..~ ....... Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated · .S.e. p .t.e.nlt? .e .r..& q ...... 198..2. pursuant to which Building Permit No .... ] .29.3.5...Z .......... dated .... ~Jgyy.ra~ .e r..2.4. ........... 198..2., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .... o..c. Qwww~.p. ~ ¢ ~.~...~u.~.~.c! $.ng..~. 9r..r.e. ,t.a.~.~...s.a).e.s.: .* ........................... The certificate is issued to EUGENE MOTT (owner,/e,~uu'or of the aforesaid building. Suffolk County Department of Health Approval . .C 7.2.2.,..2./. UNDERWRITERS CERTIFICATE NO .................................................. *This is a temporary Certificate of Occupancy~ which will expire on May 26~ ~984, the expiration date for B.P. 320~5Z. Building Inspector Rev. 1/81 FORM NO. 8 TOWN OF SOUTHOLD Bui~c~ing Depar~men~ Town Hail SouthoJd, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR in!<, and subr~itted in duplicate to the Building lnspec- tot with 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 tocograohic features. 2. Final approvel of Heaith Dept. of water supply and sewerage dispose --(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, industrial buildings, Multiple Residences and similar building~ 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 appJicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate supzey of peoperty showing all prooerty lines, streets, buildings and unusual natural or topograph ic features. ' 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3, Dale of any housing code or safety inspecti,gn of buildings or premises or other pertinent informa- tion required to idrepare a certificate. ' / * ' 1. Certificate of occupancy $5,00 2. Certificate of occupancy on pre-existing dwelling or land use 3 Cody of certificate of occupancy $1.00 $5.00 V// Date S/ i ! '' New Building ............. Old or Pre-existing Building{Z) ........ = /Vacant Land -' . ........... Location of Property ............. ~' 0...~ ~ 0~ ¢v. ~' Ham/et 02:7 ' County Tax Map No 1000 Section ....... Block .~.~ .......... Lot.. ~.~ ........ Subdivision ................................. Filed MapNo...; ....... LotNo...' ........... Permi[No. . Date of Permit /. .AdD cant ~ Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ....................... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ..... · Fee Submitted S~ ........................... Construction on above described building and pertain'meets all apP~cabl~odes and regulations. Rev. I0-~0-7S PERM 42d (9/80) Permit Fee $ NC Ins, Fee $ 2.50 Total Received $ 2.50 Check or U.O. No. 90677 Liability !ns~urance -'~ 'Eecetpt Policy No, 'r STATE OF NEW YORK -- DEPARTMENT OF TRANSPORT~T ON ~ SH N9. HIGHWAY WORK PERMIT ~Permit Nb. Deposi.~Rec. for $ Expiring 8229 X'82-0337 ..... "' Check or M,O, No. Disability Benefit Coverage \ Dated Poliqy No, __ itt t or Name Address Add[ess City ~ ' State. Zip . City ~ State Zip Under the pio~I~ior~s of the Highway Law or Vehicle & Traffic LaW permission ;is h~reby grantedl to the pe~mittee to CD,t3 the n/s Route ,25:, ~"dT~HOt~UE for the in the county of ~U~O~ k as set forth and represent~ i~ the attac~ed appmicatioh; at the pa~icular location or area, or over the rodtes as stated therein, if required; a,nd pursuant to the conditions a~d ~ulations, w~ether general or special, and methods' of performing work~ if any; all of which are ~t forth in the application and for~ part of this per~i~, Dated at , Ha~paage . N.Y commis~,n~of m~a~sp0rt~tio~ ITHIS PERMIT, WITH APPLICATION AND DR~WING (Q'R ~OPIES ~HE~O~)AT~ACHED, . I SHALL BE PLACED?N THE HANDS oF THE CONTRA~T~'BEFORE ~Y ?ORK S STARTED. NOTICE ~ It ms absolutely ne~ssary that the perm ittee notify ~ ~; ~Engmeer, whose address i~ ~S ~ ~. ~m~.~V..Ha.nna.~.NY ~ ~. RO~¢a[~O. The i~uing authority ~ese~es the right to suspend or revoke thi~ permit, at:its discret)o~ w~thout a hearin~ or the necessity of showing cause, either ~fore ct du~i~g t~e o~/etions authorized. ~ . The Permittee,will ca~ an approved copy of~khe apphcation to be and re~ain attached hereto until aU work under the 3ermit is satisfactorily com- pleted, in accordance W'ith the t6rms of the attached application. (SEE OTHER SIDE) ,D HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSK[, Jr. GEORGE RITCHIE LATHAM, WILL[AM F. MULLEN, Jr. Southold, N.Y. 11971 TELEPHONE 765-1938 December 2, 1982 Mr. and Mrs. Eugene Mott Middle Island Blvd., RFD #1 P.O. Box 38 Middle Island, New York 11953 Dear Mr. and Mrs. Mott: The following action was taken by the Southold Town Plan- ning Board, Monday, November 30, 1982. RESOLVED that the Southold Town Planning Board approve the parking of the site plan of Eugene & Patricia Mott, located at Cutchogue, subject to the issuance of a certificate of occupancy being issued for an antique shop as stipulated by the applicants. The Board also discussed consideration of a common curb cut with the adjoining property. It was the concensus of the board, not to enforce a common curb cut between the parties of Eugene & Patricia Mott and A.J. Bodenstein. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD cc: By Susan E. Zoning Board of Appeals Building Department/ Long, Secretary Re,qion 10 Office: New York State Ofhce Buikimg Veterans Highway, H auppau.qe, Nr;w Ym k 1 1 ?g? NEW YORK STATF D,UPARTMENT OF TRANSPORTATION Date.' September 9~, 1982 To Mr. E_wane Mott R.F.D. ~l Box 38 Mi'ddle Island Blvd. Re: Curb cut Ri, 25, Cu_t_ch__o~_ue_ .... The site plams foc the above n~ted project have been re~Lewad by this office. Please be advised that before a Highway Permit can be issued at this location the item (s) checked below must be forwarded to Ibc Permit Department. ~ Check or money ordeg to the State of New Yo~'k fo~ $ [] Bond (sample enclosed) for $ ~ Three copies of revised prints showing ~ more should include shoulder w?dtb_, e~istinq curb ~nd sidm~alk, ~ro~osed cur~ and ~l-~etc, ----- Sincerely yours, H R.THYBERG Regional Permit Engineer Region 10 HRT:RD Southold Town Board of ApPeals MAIN ROAD- E~TATIE ROAD 2...% :~OUTHE)LD, L.I., N.Y. 119"71 TELEPI~ONE(516 765-~nn° APPEALS BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONIS, JR. SERGE DOYEN, JR. ROBERT J. DOUGLASS JOSEPH H. SAWlCKI Mr. and Mrs. Eugene Mort Middle Island Boulevard, RFD P.O. Box 38 Middle Island, NY 11953 May 13, 1982 Re: Appeal No. 2973 Dear Mr. and Mrs. Mott: This letter will confirm that the following action was taken .at a Regular Meeting of the Board of Appeals held last Friday, May 7, 1982 concerning your appeal application: RESOLVED, that the application of ~ugene and Patricia Ann Mott, Appeal No. 2973 for permission to construct commercial building in this B-1 Zone with insufficient side and rear yard setbacks, be and hereby IS GRANTED, SUBJECT TO THE FOLLOWING CON- DITIONS: (1) That the subject building be constructed not closer than five feet to the northeast side property line; (2) That this variance is subject to obtaining parking approval from the Southold Town Planning Board [Section 100-112 of the Code]. This resolution was unanimously adopted. An official determination and findings will be filed with the office of the Town Clerk as soon as possible and simultaneously forwarded to you for your records. Please contact the Planning Board office concerning your proposed parking plan. If you have any questions, please do not hesitate to call. Yours very truly, CC: GERARD P. GOEHRINGER / CHAIRF~N Building Department By Linda F. Kowalski Planning Board Secretary FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated .............. /0..~...I.L. ....~., 19 . .~..~. County Tax Map No. 1000 Section ..... ~' 7' .... Block ..... >.~.. ...... Lot..y; ......... Subdivision ................. Filed Map No .............. :.. Lot No .................. is returned herewith and disapproved on the following grounds../g/~.ff .~..t.C./~ .~... ~ .t~....L~. .~.. ~Pr'~- I 84.64 j NEW YORt( STATE DEPARTMENT OF TRANSPORTATION W~lliam C. Hennes. sy, Commissioner Region 10 Office: New York State Office Building Veterans Highway, Hauppauge, New York 11787 DaCe: Januar~ lO~ 1983 Building Department .%own of Southold 53095 M~in Road _Southold. N.Y. 11971 Gentlemen: Permit # X82-0337 - EUGENE J. MOTT - To OPe~ 1001~ w/o Cox Lam, the n/s Route 25.1CUTCHOGUE for the purpose of installing one 25' wide cuFb cut, remove existinq sidewalk and i~stall new c~ncret~ curb, etc. We have no objection to the issuance of a Certificate of Occupancy for the BUILDING located at the above noted site. This is not, in any way, to be construed as final acceptance of the work required under the State Highway Work Permit, since all aspects of this work may not yet be satisfactorily completed. We thank you for your continued cooperation. Sincerely yours, HARRY R. THYBERG~' ~ Regional Permit Engineer Region 10 HRT:RD cc: File FIELD INSPECTION ~ 1. FOUNDATION ( 1 st ) COMMENTS FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMEN!S: $outhold Town Board of'Appeal MAIN RI]AD- STATE RI]AD 25 sr~UTH~LD, l.l,, N.Y, 11971 TELEPHONE (5'~6) 765-18(]9 ACTION OF THE ZONING BOARD OF__APPEAL~ Appeal No. 2973 Application Dated April 9, 1982 T0: Mr. and Mrs. Eugene Mort Middle Island Boulevard, RFD P.O. Box 38 Middle Island, NY 11953 [Appellant(s)] At a Meeting of ~he above on your the Zoning Board of Appeals held on Ma~_~_,1982 appeal was considered, and the action indicated below was taken [ ] Request for Variance Due to Lack of Access to Property New York Town Law, Section 280-a [ ] Request for Special Exception under the Zoning Ordinance Article , Section [X] Request for Variance t~ the Zoning Ordinance Article VII , Section 100-71 [ ] Request for ?ublic Hearing held May 7, 1982: Upon application of ~e and Patricia Ann Mort, Box 38, RFD %1, M~ddle Island Boulevard, Middle Island, NY 11953, for a Variance to the Zoning Ordinance, Article VII, Section 100-71 for permission to construct building in this B-1 Zone with insufficient side and rear yard setbacks, at 31935 Main Road, Cutchogue, NY; bounded north by Imbriano; east by Mostupanick; south by Main Road; west by Boyd; County Tax Map No. 1000-97-5-9. The board made the following findings and determination: By this appeal, applicants seek permission to construct a 40' by 100' building for commercial use on this B-1 Zoned Parcel located at the north side of Main Road, Cutchogue. The premises in question is vacant, and fronts along the State Route approxi- mately 85 feet and has a depth of 166 feet. The proposed building h~ proposed to be setback 35 feet from the Main Road property Line, 38 feet from the westerly parcel, 6.64 feet from the easterly parcel, and approximately 3l feet from the rear property line. It is the unanimous opinion of the board the setback from the easterly property line should be a minimum of eight feet, and this location appears to be the most feasible and useful area, particularly due to the lot size. In considering this appeal, the board determines that the variance request is not substantial in relation to the code require- ments; that the circumstances herein are unique; that by allowing the variance no substantial detriment to adjoining properties would be created; that the difficulty cannot be obviated by a method, feasible to appellant(s)/ other than a variance; that no adverse effects will be produced on available governmental facilities'of any increased population;-that the relief requested will be in har- mony with and promote the general purposes of zoning; and that the interests of justice will be served by allowing the variance as applied for and as specified below. On motion by Mr. Douglass, seconded by Mr. Grigonis, it was RESOLVED, that the application of Eugene and Patricia Ann (CONTINUED ON REVERSE SIDE HEREOF) 'Vi'ED: May 18, 1982. ,u ZB4 (rev. 12/£~ ) CHAIRMAN, SOUTHOLD TOWN OF APPEALS ZONING BOARD ~,k~/ PERM33d(3/81) STATE Of NEW YORK - DEPARTMENT OF TRANSPORTATION PREPARE HIGHWAY WORK PERMIT APPLICATION FOR NON-UTILiTY WORK 3COPIES Application is hereby made for a highway work permit ~ Highway Permit No. ~2-0337 £U~NE ~. ~TT 1. ~equested aura ion rom Effective Date I ENTER NAME AND MAILING ADDRESS IN THIS SPACE __J thru 19 2. Protective Liability Insurance covered by Policy No. ; 3. Workmen's Compensation Insurance policy No. expiring , to apply to the operation(s) checked below: expires on 19 Check Type Permit Show Ins. Fee in !Total Amount Guarantee Fee Amt. or PERM- of Fee and/ Deposit Amount of Operation 17 pr Under- or Insurance and/or Bond [] CommerclaI $100 ~ Temporary access toad or street $ 90 ~ [~-~, Miscellaneous Construction [] Traffic control signals $200 [] Demolition ~ Moving N C -- ----r~. Impro ..... t to meet Department standards NC -- -- ~;'~ -- ~e~ -- --~ -- -- TOTAL PAID Work may be desoribed briefly as ~oII .... TO Open Acceptance of t~e requestst~pepermit subjects the permittee to the restrictions~ regulations and obligations stated on this application and on the permit. 19__ PERM 33d (3/81) REVERSE RESPONSIBILITIES OF PERMITTEE PROTECTIVE LIABILITY ItlSURANC~ COVERAGE F~ermittee must have protective liability insurance coverage in accordanc~ with Department requirements. (See Infor- mation on Protective Liability Insurance Required for Highway Work Permits and/or Special Hauling Permits, Form PERM-27). ExpiraHon of, .or lock of, J/obi/Jify insurance automatically terminates the permit. Insurance coverage may be prbvided by furnishing the Department with one of the following: a. A Certificate of Protective Liability Insurance for permits on State Highways (Form PERM 17, NYSDoT). b. A $2.50 remittance (check drawn on a New York State Bank or Certified) for coverage under the Departmental Blanket Policy. c. iAn Undertaking may be furnished by Public Service Corporations and Government Units only and must include the wording required by the D~partment. COMPENSATION INSURANCEi AND DISABILITY COVERAGE The applicant is required to hbve compensation insurance end disability coverage as noted in the provlslons of the Workmen's Compensation Lawand Acts amendatorythereof for the entire period of the permit, or the permitis invalid. NOTIFICATIONS Notify Commissioner, throughl Regional Office, one week prior to commencing work, except emergency work by public service utilities which should be reported the next work day. Work must start within 30 days from date of permit. Notify area gas distributors 72 hours prior to any blasting. No~ify Utility Companies with facilities in work area (permission must be obtained before doing work affecting utilities' facilities) before starting work. Nqtify land owners of abutting lands, before disturbing trees. Notify Department of Transp6rtation at conclusion of work and return original copy of permit to Regional Office. Annual Maintenance Permit Notifications: Notify by telephone the District or Resident Office, one week in advance, each time regular maintenance work is to be performed, in emergencies, notification by telephone should be made the next work day. SITE CARE AND RESTORATION Ad Undertaking, a bond or certified check in an amount designated by the DepartmentofTransportation may be required bytheRegional Office, before 'a permit is issued, to guarantee restoration of the site to its original condition. If the Department is obliged to restore the site of its original condition, the costs to the Department will be deducted from the amount of the permittee's,guarantee deposit at the conclusion of the work. The permittee is responsible ~or traffic protection and maintenance, including adequate use of signs and barriers during work and evening hours. Anv6ne working within the R.O.W. will wear an orange vest and hard hat. No unnecessary obstruction il to be left on the pavement or the right of way or in such a position as to block warning signs during or between workihours. Nq work shall be done to obsiruct drainage or divert creeks, water courses or sluices onto the right of way. All falsework must be remov6d and all excavations must be filled in and restored to the saHsfactlon of the Regional Traffic Engineer. COSTS INCURRED BY ISSUANCE OF THIS PERMIT All costs beyond the limits o~ the protective liability insurance, surety deposits, etc., are the responsibility of the permittee. The State shall be held free of any costs incurred by the issuance of this permit, direct or indlrect. SUBMITTING WORK PLANS' The applicant will submit wdrk plans and/or a map as required by the Department, This shall include such details as mbasurements of driveways with relation to nearest corner, positions of guys supporting poles and a schedule of fha number of poles and feet of excavation necessary for completion of the work on the State right of way. A description of the proposed method of construction will be included. Plan work with future adjustments in mind, as any relocation, replacement or removal of the installation authorized by this permit and made necessary by future highway maintenonc% reconstruction or new construction, will be the respon- sibility of the permJttee. The permittee must coordinate his work with an}, state construction being conducted. TRAFFIC MAINTENANCE Traffic shall be maintained bylthe permJttee on the highwav, in a safe manner, during working and non-working hours until struction is completed. Suitabie safeguards, to reduce conditions dangerous to life, limb and property to a minimum, must be pro- vided by the permJttee (including flsgmen when requested by the Department). COST OF INSPECTION AND SUPERVISION J~ in the accounts kept by t~e Department, costs of supervision are found to be exceedingly high, the Department re- serves the right to bill the permittee for actual expenses incurred by the supervision and inspection of the permittee's project. ' SCOPE a. ~,r~as Covered Permits issued are for highways, bridges and culverts over which the New_Yorl~.State Department of Transportation ; has jurisdiction. (LocaJlgovernments issue permits for their own jurisdictior~.) ' b. Le~lal : The privilege granted bylthe permit does not authorize any infringement of federal, state or local laws or regulations~ is limited to the extent 6f the authm"ity of this Department in the premises end is transferable end assignable only with the written consent,of the~omm~ssloner~o~Transpor~,~tlon,. c..Commissioner's Reservqf!ons ~TheCommissioner of~T~nsportation reserves ~he right to modify fees and to revoke or annul the permit at any fime~ at hi~ disc'~tion withou~ a hearing or the necessity of showing cause. d~. Locations ~ions must me~t approval of the Department. (Additional pages to thJ~ application vary according to the purpose, and type of work to be permitted) FORM NO, 1 TOWN OF SOUT,LtOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordiug to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre~ or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part ~'this apr cation. c. The work covered by this application may not be commenced before issuance of Building Pe~t. d. Upon apprc.'al of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such peru shall be kept on the premises available for inspection throughont the work. e. No build/ag shall be occupied or used in whole or in pa~ for any purpose whatever unt~ a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for th~ issuance cfa Building Pe~it pursuant to t Building Zone Ordinance of the Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ~d admit authorized inspectors ou premises and in buildings for necessa~ inspections. (Signature of ~ppllca_.t, o. name. L a corporation) ....... ~i&&it ~S~ (Mailing address of applicant) I~, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build (as on ti] If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's Lieens~ No`X/ /~..'5~0 P NCLUDES APPROVAL ~O t:t, EMOVE. FXC[-.S* - . -~ FILL FROM AgOV~ PRI::,V[~SES BY REG RAt; h',,!G k'yr DRIV..VV,¥ ( ON,-f'RUCTION L. Ot JS~ CELLAR CONSTRUCFIO~ OTHER Other Trade's Licci~e No ....................... ' ~ ' ~"'-..r--..-{ .,,.o ~.. ,, 1. Location of lan~, whicl~.Joposed work will b~~.~V..~d..~.t~~..:zZ ........ County Tax Map No. ! 0O0 Section .~Z-.O~.].~.,. Block .................. Lot ................. Subdivision ...... ~ ............................. Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of premises and intended us~ and occupancy of proposed construction: .. ( , ........ . Intended use ~d ccupancy .......... .. .............. roperty lines. Give street and bloc', :tcrior or corner lot. Nature of work (check whicl, ~pplicable): New Building ..... Addition .......... Alt'oration ......... Repair .............. Removal ............ Dc~m olitlon .............. Other Work .............. ~ ~,~/--O ~ (Description) / (to be paid on fihng this application) If dwblling, munber of dwelhn~g units ............... Number of dwelling units on each floor ............... Ifgarage, number of ears ...4 If business, commercial or mix'ed occupancy, specify nature and extent of each type of use . ~O.~ Dimensions of existing structures, if any: Front .}1'/'~ Jr? .P_>, ..... Rear .............. Depth He gilt NtinberofStores '' ~'- Dimensions of same structure with, alterations or additions: Front ............... · . Rear ... ........... . Depth .................. 2... Height ............... ~ ...... Number of Stories ............ Dlme,nslons of entire new cons,truction: Front . . ~.. Rear .. ~ ...... Depth ./,,~"0 ....... Heiglit 8'~... 0nber et' Stories ../.. Size ¢flot: Front . "-~' "4. -.'.' ......... Rear l~.d). ~.¢ ~ Depth ./0.~, w ............ Date 6f Purchase . .' ....... ~ ................... Name of Former Owner .~.*~a:i,-. ...... ............. Zoneor use district in which premises are s tuated l~-I Does protSosed constrqction violate any zoning law, ordinance or regulation: ...'-~.. ~'ilJ lot be regraded ...t~..a, . .. ....... -- ....... ~.. Y~lJ.ex2~ess fill be removed from premises: (~ .N.c ..... ~ ................. ~,-.~,. ,~ .~.,,~-,,~,~-~.~ .,/~.. vnone No.'~.~.~. :~--Y.._.O.f. ...... Name of Architect ........ ; ............... , Address .................. Phone'No .... ,~,~. ......... Nam~ of Contractor ~ Address Phone No 7,~ .5".-; .~.~.~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from : number or description according to deed, and show street names and indicate whethm , (Nanie o~individu l~'~gnmg con'roe{) { being duly sworn, deposes and says that he is the applican~ ~[ove named. e is the (Contractor, agent, corporate officer, etc.) or said bwner or owners, and is du y authorized to perform or have performed the said work anti to m~e and file ~i= a~plicafio~; flint all statements co~tained in tiffs application are true to the best of his knowledge and belief; and that th~ ~ork will be performed in the manaer set forth fl~ the application filed therewith. worn to before me this .......... v°r... Ed'E, 80,9( JOB: STRAT-O-SPA~ BUIlDINgS [TOP CI{ORD 2XIZ SO. PINE ~1 [)KD 15~ BOT CHORD SO, PI~E ~1 DKD 15% (2)-2X4 STACXED NO WANE OR KNOZS S~OULD OCCUR IN T~E PLATE CONTACT AREA. ALL PLATES ARE~ TO BE ~ENTERED ON T~E~JOINT, LEFT TO RIG}{T 'A~ TOP TO BOTTOM, EXCEPT WIIEN LOCATED BY CIRCLE OR DIMENSION. SEE D~;IN~ 13f FOR "PLATE LOCATIONS ON TYPICAL JOINTS." DIRECTION 'OF ELONGATED BO~ES IN SQUARE PLATES MUST BE EITHER HORIZONTAL OR PA~LLEL WITH T}IE CHORDS. SYM z~ ~BOUT ~ I'OXIO * 2~4 ~3 tI~M-FIR OR BETTE~ CO~TI~UOUS L~TBRAL ~RA~I~ TO BE EQUALLY SPACED. ATTACH WITH [2)16D NAILS. BRACING MATERIAL TO BE SUPPLIED BY ERECTION CONTRACTOR, +NOTE~ 2X4 #3 IIEM-FIR OR BETTER CONTINUOUS LATERAL' BOTTOM CHORD BRACING ~ If'f" MAX. O.C. REQUIRED. ATTACH WIT~ '2-16D NAILS. BRACING MATERIAL' TO BE SUPPLIED BY ERECTION CONTRACTOR. .TOP CEORD SHALL BE LATERALL~ BRACED WITH PROPERLY CONNECTED PURLINS SPACED AT A MAkIMUM OP 24" O.C. IT IS THE REsPoNSIBILITY OP THE ~UILDING DESI~NZR kND TRUSS FABRICATOR~TO REVIEW T~tIS DRAWING PRIOR TO CUTTING LuM~ER TO VERIFY TI~AT ALL DATA, INCLUDIN~ DIMENSIONS AND LOADS, CONFORM: TO TIIE ARC~IITECTURAL PLA~S/SPECIFICATIONS AND FABRICATOR'S TRUSS LAYOUT. 5X7 ALL TO~ CHORD SPLICES OCCURRING BETWEEN PANEL POINTS ARE TO BE LOCATED AT APPROXIMATELY 1/4 OF PANEL LENGTH FRO~ PANEL POINT (WITMIN 6") AND SHOULD NOT OCCUR IN PANELS NEXT TO A PANEL POINT;SPLICE. 4x6 lO~lO ~ '~i s18-5×1o PLFITE TYPE-- ~EON-~.7202S2 311 ,. lp NOTE:This d~'sign is ,also applicable for loading: ~._~- ~~.nn -- ~c ~ 38.0 ~s~ ~ ' TC DL 2.0 PSF 1,15% DuratiOn ~ ~ 3x5 ' BC DL 1.0 PSF 96" d.c, ~... ~~.~ 41,0 PSF, k //' ~ ' ~ ~12 ' ~' 8" Nominai Bearing D~ITE 10/_O~j/8~. DN~'B ,~ 522,0661:. O/R LEN.r 3G~O~O, PITCH~ q;O/12 'ECH-MATiC PLATE 'ECH co~ INC. ALLOWAB.LE ,51RE$$[$ pI~R 1~77 UNIT STRtSS ~R~: , ~, G~DI~O RULES, : ' STEEL ROOFING 2' WALLIGHT5, STEEL SIDING 'ii t00'- O' I I. ~ 'STEEL ROOFING Id 8" , i ', W . _ . 2 ALLtGHTS , t ~ ~-'-STEEL 'SIDING t I DOOR FLOOR 'PLAN lC FEE: ~'.. ,~,,,,,.,..~-- ..... 'i,~ DEPAg. Ti~EMT AT 765-1 $~z- ":' --~,-I~;~' ~," 'u,--' ,oxS. FOLLC~ v.., ~_' -' -~,-~ REO'ClRF-D 12 Au~U~,~ ION- ~.,.. ; ~ , ~ ~,,..~ ~ ~ } ~,. C.O- ~--- ; ' '~ ~E REQU"R~MEh__ r~oN'S OF ~THE _~ _.,., :SPOMSIBLE FCA 56L O" ~u~ ..... ~ 3G'- 0" ~! ELEVA'TIONS - POST x IOOxtO'-8" ORNDORFF JOB gCALE ~;'RAT-O-SPAN BUILDINGS,, INC. R~R. l, BOX 8A ~REESB ILLll~OIS .62230 ROOF L O A D= 30* LL_. ZCDL_. /2._ '_CROSS SECTION DRNDORFF JOB ~.,¢~f-O-SPA~N BUILOINGS~ R~R. 1, BOXSA - ~REESE, ILLII~OIS 62230 rl ~ Zl~ ' ~- ~ ~ '' - ~ . ._' .-', ' 1 ~ ~' - ,~7"~:.- ':: . ' . ' ~. : "~ :~-'-~ ' .;_.t:: : - I' su~~~: :;: ~:.-'~'.:::~.-~ ~, ~ . .:f~ :.: :-] ROOFING -- SIDING LO" 8£ l.,i 'STEEL ROOFNG .. . -~--2' WALLIGHT§ I I .~.-:- gTEEL G ' I ' 15× ~LIDING DOOR ~d 8'_' 12 12 36'-0 36:0" FLOOR -PLAN ELEVA'TIONS POST ,36 x IOOxlOC8'' FRAME ORNDORFF . dOB ~iR~T-O-SPAN BUILOINGS, INC SCALE R,R. 1, BOX8A BREESE, ILLINOIS 6~230 ROOF LOAD=30~ LL 2~D~. CROSS SECTION .ORNDORFF JOB ~.. ~'~-O-SPAN BUILDINGS~, R.R. 1, BOX 8A ~R~ESE, ILLINOIS 62230 .... io0~ If copper tubing is used for water distributing sys o~; piping shaJl be ~f types K or L onJy