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HomeMy WebLinkAbout12068-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.l.q. 8..4.3 .......... Date ....... a..u.g.u.s.~..q .2 ................ 19.8.3. THIS CERTIFIES that the building 7.-.P.e. ~..a.i.1..s..~ .o?.e. ............................... Location of Property . .3. ! 9.5.5. ................ ~a.$.n..R.o.a..d ............ .C.u.~. c..h.o.g.u.e. ..... House No. Street Hamlet County Tax Map No. 1000 Section . .0.9? ....... Block ...0.5. .......... Lot .... Q ! .0 .......... Subdivision...X, ........................... Filed Map No..X. ...... Lot No. X conforms ~ubstantially to the Application for Building Permit heretofore filed in this office dated · . . .g.u.~. 7..2.7. ......... , 19 .8.2. pursuant to which Building Permit No..~.2..0.6.8..Z. ............ dated .... .D.e.c, .e[n.b.e.~., .q .0 ........... 19 .8.2., 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 ......... a retail store. The certificate is issued to ...~..L.B.E.R.T...g....&...E.L.E.A..~.0.R..5. :..B.O.D..E.N.S.T.E..Z ~ ................. (owner, lessee ~) of the aforesaid building. Suffolk County Department of Health Approval .... .G.-.2fi. ................................. UNDERWRITERS CERTIFICATE NO ............ .N..6. Q ! .3.0.1 ............................. Rev. 1/81 Building Inspector TOWN OF BUILDING DEpAR'rM~N~ TOwN 'HALL $OUTHOLD, N. Y. BUILDIHG' PERMIT*'' :~ (THIS PEP,~IT MUST BE KEPT ON THE PREMISES UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) 12068 Z Date Permission is hereby granted to~_ /~ ; ! ~' ~. ....... ~ ..... ~ ~.~. + ......... ~ . , ro .. ......... , .......................................................... ~'"~'~"'~'7'~'"~"~'~'":'"~ ....................... ............. ................ ~ .......................... ~.;...~ ......... ~ ...... :.?...~ ............ . :. ._. ~/~ /~-~/~ ~) .......... at p~m~se~ ~a~ ar ........... , ...................................... ; ......... ?...+...-~.~.~...~ ............ Oo~ T~X ~p No. 1000 Section ................... ,... Bilk ... ? .......... ..;~Lot No. ~. ...................... : ~4 ~7 : ~: ,. ' PUrsuant" application dat~ ........ t'~' ................... ....... :..~....{~...., 9~ and ,pprov~ by the B~lldlng I~spector. FOItM NO, 6 TOWiq OF SOUTHOLD Building Depa~tment Town Clerks Office Southold, iq. ¥. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate 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, 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 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 in- 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 3. Copy of certificate of occupancy $1.00 $5.00 Date New Building ..........~ ....... Old or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ,~,.~.5 ~$~ ~oad, ~utcho~ue~ ~.e...~. ygrk ............. Owner Or Owners Of Property A.J. Bodenstein Subdivision ............. Zt.Q10.f~ ......................................... Lot No..0..!.0...... Block No ...... .0...5... House No.-3..]:.8...5..5. Permit No. 12068 Z Date Of Permit .]: . .2. ~ .]-. .0. /. .8. . .2. Applicant Garrett A. Strang Health Dept. Approval ............................................ Labor Dept. Approval ................................................ Underwriters Approval .............................................. Planning Board Approval ......... .......~.... .................. Request For Temporary Certificate ........................................ Final Certificate .......... ~"// ............................ Fee Submitted $ .................................... Construction on above described building and ~ermit meets qll,,j~p~licable codes and regulations. Sworn to before me this ................ day of ............................................ /~ ~) ~ (stamp or seal) Notary Public .................................... County THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy 85 JOHN STREET, NEW YOR~, NEW YORK 1003~8 THIS CE~IFIES THAT only the eJ~tr~cal equip.~ent ~ described below artd i~troduced by tl~ applicant nalned on the able appJ~catlon number i~ ~he pretn~ses of was examlned on Ap~'il ~8, FIXTURE FIXTURES RANGES OVENS EXHAUST FANS DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: S E R V I C E 11971 LJ.o#b78 GENERAL MANAGE~/ . 11 ~Z~ Per_ This certificate must not be altered in any manneo return to the office of the Board if incorrect. Inspectors may be identified by their credentials. CO~Y FQR BU LD~NG DEPARTMENT TH S COPY OF CERT F cAT~ MQS~NQ~T BE ALTERED IN ANY MANNER. ~D HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSK[, Jr. GEORGE RITCHIE LATHAM, Jr. WILLIAM F. MULLEN, Jr. Southold, N.Y. 11971 TELEPHONE 7654938 November 18, 1982 Mr. Garrett Strang Main Road P.O. Box 1412 Southold, New York 11971 Re: Bodenstein Site Plan Dear Mr. Strang: The following resolution was passed by the Southold Town Planning Board, Monday, November 8, 1982. RESOLVED that the Southold Town Planning Board approve the parking of the site plan of A.J. Bodenstein for the construction of a retail store subject to the issuance of a certificate of occupancy being issued for the utilization of a clock and watch repair shop with the sale of some antiques and clocks as applied for, and Plan- ning Board consideration of a common curb cut with the parties of A.J. Bodenstein and Eugene & Patricia Mott. - Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD cc: Zoning Board of Appeals Building Department By Susan E. Long, Secretary FIELO IN'~PECTION FOUNDATION (1st) COMMENTS  '.FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ,D HENRY E. RAYNOR, 2ir., Chairman JAMES WALL BENNETT ORLOWSK1, 2ir. GEORGE RITCHIE LATHAM, Jr. WILLIAM F. MULLEN, Jr. Southold, N.Y. 11971 December 2, 1982 TELEPHONE 765-1938 Mr. Garrett A. Strang Main Road P.O. Box 1412 Southold, New York 11971 Re: AoJ. Bodenstein Site Plan Dear Mr. Strang: Please be advised it was the concensus of the Planning Board at a regular meeting November 30, 1982 not to enforce a common curb cut between the parties of Eugene & Patricia Mort and A. J. Bodenstein. If you have any questions, please call our office. Very truly yours, HENRY E. RAYNOR, JR,, CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Susan E. Long, Secretary cc: Building Department/ TrlWN n F' S O UTH [] LD OF'FIE:E: OF BUILDING INSPEDTE)~ TOWN OLERK'~ OF'FlOE: Date ......... ..~ Commissioner of ~ublic Works Suffolk Count,/ Yophank Ave., Yophonk, 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 is to notify the Commis- sioner of Public Works of the County of Suffolk that ...................................... ~.e.~..n...._~., ......... .g.z .......................... .~..~.-Z.b.~.L~..t...u.,..y...~....t./.~ 7 has applied to the Town of Southold for o permit to construct o building OS shown on the attoched plot plan, submitted ntr plicote, doted ...~.J.7~.~.[. ~'- ............................................ and t~tled..~--'~/. ~ - We shall withhold further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. AVery truly yours,/ Building Inspector Town of Southold, N. Y. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ .~..~. :~..~.,.....Z~....&~../~:~ ..... PLEASE TAKE NOTICE that your application dated ... ZP~/.~...~.: ........... , 19 .~..~..~. for permit to construct..2 .~.~-. ~.~./. ~... ~rT. ~.. .................................... at Location of PropertY.House '~'No.~' ..... ~: ~' Z~Street ........ ~'~5~i~, ~ County Tax Map No. 1000 Section .... ~ .... Block .. ~ ...... Lot ..~/~ ...... Subdivision ..... :.. w. ....... Filed Map No ................. Lot No .... 7: ............ is returned herewith and disapproved on the follg, wing grounds .~).....~.~6:'. (.r.<..<~?./.~...~g~:~-.E'~... :~. .~,~n~ ~). .~. . .~ ~,~. . ~ .~~ /~ .~ . .& z. . ~. . ~~. ~.~. ~. ~~,.~ ~ . A~ .:~. . . :¢. . .,~. ~ ~ HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM, Jr, WILLIAM F. MULLEN, Jr. Southold, N.Y. 11971 TELEPHONE 765-1938 November 18, 1982 Mr. Garrett Strang Main Road P.O. Box 1412 Southold, New York 11971 Re: Bodenstein Site Plan Dear Mr. Strang: The following resolution was passed by the $outhold Town Planning Board, Monday, November 8, 1982. RESOLVED that the Southold Town Planning Board approve the parking of the site plan of A.J. Bodenstein for the construction of a retail store subject to the issuance of a certificate of occupancy being issued for the utilization of a clock and watch repair shop with the sale of some antiques and clocks as applied for, and Plan- ning Board consideration of a common curb cut with the part~es of A.J. Bodenstein and Eugene & Patr±cia Mott. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD cc: Zoning Board of Appeals Building Department w''~ By Susan E. Long, Secretary PERM 42d STATE OF NEW YORK - DEPARTMENT OF TRANSPORTATION ~ SH No. Permit Fee $ lO0. O0 Ins. Fee $ ~ Total Received $ ~ Check or M.O. No. ~ Liability Insurance Policy No. --'' HIGHWAY WORK PERMIT Expiring ..... Disability Benefit Coverage Policy No. ALBERT J. & ELEANOR J. BODENSTEIN Permittee d/b/a Peconic Clock Shop Address_ Indifin NPnk [fine City pprnnic State NY Zip llq~R Mailing Address for Return of Bond or Deposit (Complete only if different from above.) Est, Compl. Date 8229 X-82-0 ,63 Permit No. Deposit Rec. for $ Check or M.O. No. Dated or $ _2 ;000 Chargeable to Bond No. ~L~=~. or Undertaking on File Workmen's Compensation Policy No. Return of Deposit Made Payable To: Name Name Address Address State Zip . City State Zip City Under the provisions of the Highway Law or Vehicle & Traffic Law permission is hereby granted to the permittee to open the cul"b cut: remove ~xl _ rmplmnmm~nt tO h~ ? 1/?" Ras~ As.nhalt.. 1 1/?" Tn.n; intp~rnal in the county of SuffO1 k as set forth and represented in the attached application; at the particular location or area, or over the routes as stated therein, if required; and pursuant to the conditions and regulations, whether general or special, and methods periorrning work. if any; all o, which are set forth in the application and for~j~.art ~e. rmi,, //.2 Date Signed-- r).t-p~l~. ~q . l O R? ~"~" ~ - J THIS PERMIT, WITH APPL CATION AND DRAWING (OR COPIES THEREOF) ATT~, J SHALL BE PLACED IN THE HANDS OF THE CONTRACTOR BEFORE ANY WORK IS STARTED.J NOTICE - It is absolutely necessary that the permittee notify H, R. Thybera, NYS ~T Permi $ ~ Engineer, whose address is NYS 0ffi ce B1 dg. ,Vets .Mem.H~. ,Hauppauqe 24 hr. notification required TeLNo. 979-5166 before work is stamed and upon its completion.l l TB8 The issuing ~uthority re~es the right to suspend or revoke thru permit, at its discretion w~thout a hearing or the necessity of showing cause, either ~fore or during the operations authorized. The PermJttee will cau~ an approved copy of the apptJcatlon to be an~ ~e~&[~ sttBc~ed hereto unt[l ail work under the permit is satisfactorily com- pleted, in accordance w~th the terms of the attached application. (S~E OTHER SIDE) ~ I¢37°58'20"E. 8Q,O~ I Southold Town Board of Appeals MAIN ROAD- STATE EOAD 25 SnUTHDLD, L.I., N,Y. 119'71 ACTION OF THE ZONING BOARD OF A] July 28, 1982 Appeal No. 3019 Application ~ated TO: Mr. Garrett A. Strang, as A. BODENSTEIN Main Road, Box 1412 Southold, NY 11971 agent for At a Meeting of the Zoning Board of Appeals held on November 18, 1982 the above appeal was considered, and the action indicated below was taken on your [ ] 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 IX] Request for Variance to the Zoning Ordinance Article VII , Section 100-71 [ ] Request for The public hearing on this application was held on November 18, 1982. Upon application for A. BODENSTEIN and wife, by Garrett A. Strang, as agent, 54655 Main Road, Box 1412, Southold, NY, for a Variance to the Zoning Ordinance, Article VII, Section 100-71 for permission to construct retail store with insufficient sideyard areas on this substandard parcel located in this B-1 Zoned District. Location of Subject Parcel: 31855 S.Ro 25, Cutchogue, NY; County Tax Map Parcel No. 1000-97-5-10. The board made the following findings and determination: By this application, appellants seek permission to build a one-story frame retail store (antique shop) in a B-1 Zoned District. The parcel in question has an area of approximately 13,267 square feet, with frontage along the Main Road of 80 feet. The proposed building will have approxi- mately 1,066 square feet (exclusive of ramp), and will be set back from the northwesterly side property line 10 feet at its nearest point and from the northeasterly side property line 24'6". For the record, it is noted that the adjoining parcel on the east (presently of Mott) was granted a setback from its easterly side line to be no less than five feet [Appeal No. 2973, decision rendered May 7, 1982]. It is the opinion of the board that the narrowness of the existing parcel lends itself to the difficulties in locating a building within the required buildable area, and the board agrees with the reasoning of appellants under the circumstances. In considering this appeal, the board determines that the variance request is not substantial; that the circumstances are unique; that by allowing the variance no substantial detriment to adjoining properties will be created; that the difficulty cannot be obviated by a method feasible to appellant other than a variance; that the relief requested will be in harmony with and promote the general purposes of zoning; and in view of the manner in which the difficulty arose and in consideration of all the above factors, the interest of justice will be served by allowing the variance. On motion by Mr. Douglass, seconded by Mr. Goehringer, it was RESOLVED, that the relief applied for in Appeal No. 3019, applica- tion for A. BODENSTEIN dated July 28, 1982, be and hereby IS APPROVED SUBJECT TO THE FOLLOWING CONDITIONS: DATED: December 9, 1982. Form ZB4 (rev. 12/81) CHAIRMAN, SOUTHOLD TOWN ZONING BOARD OF APPEALS ~ Page 2 - Appeal No. 3019 Mat%e~ of A. BODENSTEIN Decision Rendered November 18, 1982 1. Subject to Planning Board approval; 2. Subject to review by the Suffolk County Planning Commission pursuant to Sections 1323, et seq. of the Suffolk COunty Charter. Vote of the Board: Ayes: Messrs. Goehringer, ,Doyen, Douglass and Sawicki. (Member Grigonis was absent.) This resolution was unanimously adopted. NEW YORK STATE DEPARTMENT OF TRANSPORTATION Region 10 Office:-New York State Office Building Veterans Highway, Hauppauge, New York 11787 Date: September g~ 1982 To g~rchttect Main Road ~,,~,q. Box 1412 Southold~ N.Y. 11971 Retail Store for ~.J, Bod~.nst_ein, Rt. Cutqhogue .... Gentlemen: The site plans for the above noted project have been reviewed by this office. Please be advised that before a Highway Pex~it can be location the item is) checked below must be forwarded Department. [] O~eck or money order to the State of New York for $ [] Bond (sample enclosed) for $ ~000~00.. · [] Three copies of revised prints showing ]. Increase curb ,cut from 24~' to 30~. 2. Rep].~ce exist~n9 s~dewalk fu~l...f~o_~nt_.ale, , 3. Alt~n curb to meet existing cu~ to the ~est, issued at this to the Permit .102~50 ~l Sign the enclosed Highw~k' Permit applicat(°ns Sincerely yours, H.R.TEYBERG R~Oflal,F~it Engineer STATE OF NEW YORK - DEPARTMENT OF TRANSPORTATION PERM 33d (3/81) HIGHWAY WORK PER~I~' AJ~C'LICATION FOR NON-UTILITY WORK Application is hereby made for a highway work permit Highway Permit No. Albert J. Bodenstein Peconic Clock Shop.~ Main Road SouthoLd, New York 1197~ 19 2. Protective Liab,lity Insurance covered by Policy No. 3. Workmen's Compensation Insurance Policy No. 4. D~sobiJity Benefits Coverage Policy No, ENTER NAME AND MAILING ADDRESS IN THIS SPACE . thru .. 19 [-]4. Single lob - Permit issued for each lob [~] Subdlvlslo. Street ?- ] Temporary access road or street Tree Wo~k Removal or planting ~[---]Beautifying R OW -(for Civic Graups only) ~TrafJic control signals [--]Warning and entrance signs One per,nD issuance which remains in eHect Indefinitely and reguires continuous insurance for encroachment~ caused by DoT acquisition of property, -]6. Compulsory perndt required when work porJormed [~a. Buildings (wlthm State highway right-of-way) PREPARE 3 copies to apply to the operation(s) checked below: expires on 19 Show Ins. Fee in Total Amount Guarantee Amt. or PERM- of Foe and/ Deposit Amoun~ 17 pr Under- Insurance end/or Bond taking on file TOTAL PAID Work may be described briefly as follows: ~ Additional work description is attached; ~--] Plans__ pages and/or -- ~Map ia filed showing work to be per~ormed at~ LOCATION ( ~ ~ ~ State Highwey Ne.__ between ,ration__ ~ and station in the Town of ,. County of Applicant Signature C~.~'-*~ ~ ~'~"~'~". J)c~te of Application 'J' Approved 19 By Reglonal Traffic Engineer PIzRM 33d (3/81) REVERSE RESPONSIBILITIES OF ~ER/~I'tTEE ..PROTECT VE LIABILITY INSURANCE COVERAg_E,_ Permittee must have protechve liability insurance coverage in accordance with Department requirements. (See Infor- mation on Protective Liabilit~ Insurance Required, f_o~ Highwa~y Work Permits and/or Special Hauling Pormlts, Form P ERM. 27). i ,~ Expiration of, or lack of, liability insurance automatically terminates the permit. J~s~Urance coverage may be provided by furnJshlng the Department with one of the following: a. A Certificate of Protectiv,e Liability Insurance for Permits on State Highways (Form PERM 17, NYSDoT). b. 'A$2.50 remittance (check!drawn on a New York State Bank or Certified) for coverage under the Departmental Blanket Policy. c. An Undertaking may be furnished by Public Service Corporations and Government Units only and must include the wording required by the D~partment. gOMPENSATION INSURANCE,:AND DISABILITY COVERAGE The applicant is required to have compensation insurance and disabilitycoverage as notedinthe provisions of the Workmen's Compensation Law?nd Acts am?ndatory thereof for the entire period of the permit~ or the permit is invalid. .NOTI.FICATION$ Notify Commissioner, through Regional Office, one week prior to commencing work~ except emergency work by public service utilities which shoul~ 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. Notify Utility Companies with facilities in work area (permission must be obtained before doing work affecting Utilities* facilities) before starting wo~k. Notify land owners of abutting lands, .before disturbing trees. Notify Department of Transportation at conclusion of work and return original copy of permit to Regional'Office. Annual Maintenance Permit Notificatlons: Notify by telephone the DisHict or Resident Office, one week in advance, each timq ragu ar ma nt~nance work is fo be performed. In emergqncies, notification by telephone should be made the next work day. SITE CARE AND RESTORATION An Undertaking~ a bond or certified check in an amount designated by the Departm&nt meTra~sportation may berequired by the Regional Office~ beforej a permit is issued, to guarantee restoration of the site to its original condition. [f the Department is obliged to restore the site of its original condition, tile costs to the Department will be deducted from the amount of the permittee~sl guarantee deposit at the conclusion of the work. The permittee is responsibleifor traffic protection and maintenance, including adequate use of signs and barriers during wor~< and evening hours. Any,one working within the R.O.W. will w?ar m~ qrange vest and hard hat. No unnecessary obstruction js to be left on the pavement or the right of way or in such a position as to block warning signs during or between'worl{ hours. No work shall b~e done to obstruct drainage or divert creeks, water courses or sluices onto tire right of way. All falsew0rkt mbst be removed and all e~cavatlons m~st be filled in and restored to the satisfc~ction of the Regional Traffic Engineer. COSTS INCURRED BY ISSUANCE OF THIS PE~MI.T AIl costs beyond the limits 6f the protective liability insurance, surety deposits, etc.~ are the responsibility of the permittee. The State shah be held freeiof any costs incurred by. the issuance of this permit, direct or indirect. SUBMITTING WORK PLANS The applicant will submit wgrk plans and/or a map as required by the Department. This shall include such details as measurements of driveways with relation to nearest corner, positions of guys supporting poles and a schedule of the number of poles and feet of ~xcovat on 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 malntenance~ reconstruction or new construction, will be the respon. sibiJ~ty of the permJttee, The pe, rmittee must coordindte his work with any state construction being conducted. TRAFF C MAINTENANCE Traffic shall be maintained b9 the permlttee on the highway, in a safe manner, during working and non-working hours until con- struction is completed. Suitable safeguards, to reduce conditions dangerous to life, limb and property to a minimum, must be pro- vided by the permittee (including flagman when requested by the Department). COST OF iNSPECTION AND SUPERVISION If, in the accounts kept by the Department~ costs of supervision are found to be exceedingly high, the Department re- serves the right to bill the )ermittee for actual expenses incurred by the supervision and inspection of the permittee*s project. SCOPE a. ~r~.as Cqvered Permits issued ore for h'ighways, bridges and culverts over which the New York State Deportment of Transportation has jurisdiction. (Locat governments issue permits for their own jurisdiction.) ' T~he privilege granted b~ the permit does not authorize any infringement of federal, state or local Iowa or regulations~ is limited to the extent ef the authority of this Deportment {n the premises and is transferable and assignabJe only with the written~consent of theICommissioner~'~Transportation'. c..C.q.mm ssloner s Reserv~tlons TheCommi?_~ioner of,Transportation reserves ~he right to modify fees and to revoke or annul the permit at any time, at his discretion without a hearing or the necessity of showing cause. d. Locations ~ions must me.et approval of the Department. (Additional po~ ~ to this application very according to the purpose and type of work to be permitted) - THE HAR ORD P. N449SI4~ KNOW ALL MEN BY 9~ESE PRESENTS, That we,_ AI~E~T .J. & ELEANOR j. BODENSTEIN DBA PECONIC CLOCK EMOP ' . having its prln~ipal place of business at NNDIAN ~ECK LANE, PECOltlC, ~EW YC~K as Principal, and the ~ar~'~ord ~c~ident & Ind'emnit'~y Company's Con'~ecticut corporation duly authorized to transact business in the State of New York having a~ office and usual place of business a~ 99 Sunnyside Blvd. ~e~sion, Woodbury, New York, as Surety, are held and fi~y bo~d ~to. the DEP~ OF ~POBTA~ON OF ~ ~ OF ~ YOP~ in the s~ of ~WO ~OU~D AND 00/100--~ .................... , ............... for the pa~ent of which, well and t~y t~' be ~ade, we bind ourselves, o~ ~xecutors, a~istrators, successors and assi~$, Jointly and sever~y fi~y by these presents. ~S, ~e' Prin~i~l wi~ audit and has su~itted plugs and specifioations for work, wit.s a State Hig~ay, deemed ne~ess~y by the C~issioner o~ ~a~s~ortation, or d~y autO.zed delegate, and WHEEE~S, The Principal has received and will apply from time to time for permits for the purposeof constructing drive entrances, sewer lines, water mains, gas mains, street intersections, curb, sidewalk, drainage and excavating for miscellaneour structures, etc. on or within She right of way of highways under the Jurisdiction of the State of New York, Department of Transportation. WBEREAS, this bond is for the purpose of insuring and guaranteeing the timely and work- manlike completion.of such work as reasonably determined by the Cc~missioner of Trans- portation or his duly authorized delegate. IT IS AGBEED and understood among the parties hereto that upon the reasonable determina- tion that such work is not being timely performed or is not being or has not been per- formed in a manlike manner by the Principal the Co~m~issioner of Transportation or his duly authorized delegate may direct completion of said work with forces chosen by the Cc~is- sioner, the costs of which work will be reimbursed by the Insurance and Indemnity Company up to the amount designated above, all of which determinations shall be within the so~e and exclusive discretion of the Commissioner of Transportation or his duly authorized delegate. IT IS FUETRER AGREED that the Principal and the Insurance and Indemnity Company shall indemnify and save harmless the said State of New York, Department of Transportation, from all liability, damages and expenses of every kind and nature resulting directly or indirectly to persons or property and arising from and in consequence of any license or permit, and shall well, truly and faithfully perform the duties and privileges pertain- ing to any license or permit and shall restore such State Highways to their original conditions. IT IS FURTHER AGREED that the Principal and the Insurance and Indemnity Company shall further indemnify, save harmless and pay the New York State Department of Transoortation, any damages, loss, charges or expenses which shall, in anyway, be sustained or ~ncurred by it in relation to or in connection with any and al~ such claims., actions, suits pr pro- ceedings at law or in equity. This bond takes effect November 29, 1982 and shall remain in ~ull force until the work is satisfactorily' completed and accepted. - November,'1982L PECONIC CLOC Kt/SHOP . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DE?ARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1805~ APPLICATION FOR BUILDING PER~IT Application No ............... INSTRUCTIONS 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 according to schedule. b. Plc. t 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 diagram which is part of this ap[ cation. c. The work covered by this application may uot be commenced before issuance of Building Permit. d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the.applicant. Such shall be kept on the premises available for inspection throughout tile work. e. No buildiag shall be occnpied or used in whole or in part for any purpose whatever until a Certificate of Occupan st'.all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to t Building Zone Ordinance of the Town ~f Southold, Suffolk County, New York, and other applicable L~ws, Ordinances Regulations, for the construction of' buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary insp.,cetions. // (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engiueer, general contractor, electrician, plumber or build ...~....~..~.~./.~,~..~. 7Z... .................................................................... mine of o,v,,0r ofpr~,n~ses .../.d.~. ~ 17..,,/:.. ~......~:..,.,. ~o..~. .........'~2.~..~ ~:y...... (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....~..~7~...-~.~.~./~.~.~.~..~.~... z / Plumber's License Ne ......................... Electrician's License No.' ...................... // Other Trade's Liccase No ...................... 1. Location of land on which proposed work will be done ...... fi~/q~ .~. ~¥~.~... ~ .-rS..../~.,q.,c4R...¢~..~.~..~. ..... ...... . ............ ......... ....... House Number .:~'t' 8::~'~'-~' Street Hamlet County Tax Mat> No. 1000 Section ........ '~. ,~. ...... Block ...... ~ ........ Lot ..... / .~. ........ / .............. '~),.,____ ................ Filed Map No ............... Lot .............. Subdivision 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ .~.,ff'.~.~../¢j..,'~../.-~. ............................................ b. Intended use and occupancy ....'~. ~..~q (.~... ~ .q .~, .~'.: .~. ,4¥..,~. :-y...7'/.~f.t.,./.??....' ........ '..,. . 3. Nature of work (check whicl, applicable): New Building .. ddition .......... Alteration .......... ' Demolition Other Work Repair .............. Removal ......................................... .~..4). ¢i (Description) ' Estimated Cost ~ Fee (to be paid on filing this application) ;. If dwelling, number of dwelling unit,s~ ......./..Lf.~../-~. Number of dwelling units on each floor ................ If garage, number of cars .... '...,f~/d'.,Z'~ .......... ; ..................... . .......... ,.'9 .................. ;. If business, commercial or mixed dccupancy, specify natu, re and extent of each type of use ./¢'tff. ~",4 I. Dimensions of existing structures, if any: Front .... .,52,,/',/,~ ...... Rear .............. Depth ............... lleight ............... Nuinber of Stories ................................................. Rear Dimensions of same structure With alterations or additions: Front . '. ., .................. Depth ' Height ' Number of Stories ~. Dimensions of entire new construction: Front ............... Rear ............... Depth ......... Height ............... Number of Stories..: ............................ '..,; ............. }. Size of lot: Front .... 2~,,.47... .......... Rear ........ ~.~. .. · ," ........ Depth ..... ,/.~. ~ ........... ). Date df Purchase .... ~ ............... Name of Former Owner ............................. I Zone or use district in whicia pYemises are situated , . .' '7 ............... ': > Does proposed construction violate any zoning law ordinance or regulation: 1. Will 10t be regraded ........ tC.d. 4>. ............... Will excess fill be removed from premises: Yes No ,t. Name of Owner of premises ~: .-/,..,~5~,~,.~..,M. ~r~ t'~4.. Address . .z~.~.~.,~.. ,d'~. ,, ~ .... Phone No..7(~2'7-,. ,~.-5.~:.. Name of Architect .~. ,g4'.~.,"?; .,~... ~...~.~.mq.-~.:¢ .... '.. Address .~,~¢~,r,//~,.t~ ~2 ....... Phone No. Nam~ of Contractor ......................... Address., ................... Phone No ................ Locate clearly and distinctly all roperty lines. Give street and bloc ,terior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whethe~ 1ATE OF NE¥/,cYZ)R,,K~ //A "S S OUNTY · ...."'""~" ////~ ~' .~:~. · ,r~'. ~%:, .... ~:._...~'"..Z'?~?f .,'~..~'. · ..... being duly sworn, deposes and says that he is the applican- (Nanie of indMdual sikning contract) >eve named. e is the ,~ ...................................................... . ............. (Contractor, agant, corporate officer, etc.) f said owner or ownem, mad is ~uly authorized to perform or have performed the said work and to m~e and file tiff )plication; flint all statements cohtained in this application are true to the best of his knowledge and belief; and that th~ 'ork will be performed in the manner set forth ha the application filed therewith, worn to before ln~ ~ , · .~ ............. d, ay~ ....... ~:.., 19 ~.~ otaw Publ c, ~~.~ , a p ~" - r'~,*~'r '~.. ......... ~ county //~ _. ~.' i NO. 52'0344963 guffo,k-Z_ '~? ,~ ~'~/. ~. ~ ./(~ . II i; ~."," ~- z.",'' ~ ~"~-,,_.' , .-' ~A?p~(~ ~,~ NGTED ~l~ (~¢~ -~ THE pEOUIREMENTS OF THE N, Y. .. ~ STATE CONSTRUCTION & ENERGY Architect and Engineer's Seal and Signature only ~ood for initial use of drawing, Chnnges, atteraLions or re- visions to or re-use of dr~?fngs with- out Architect or Engin~r's Approval voids Seal and Signature on same. "Alteration of this Document except by an Architect or Licensed PrOfes- sional Engineer, is illegal", Section 7209, Subdivision 2, N.Y. State Education Law. GARRETT A. STRANG architect Main Road RO. Box 1412 Southold N.Y, 11971 516- 765 - 5455 Architect and Engineer's Seal and Signature only good for initial ose of drawing. Chenges, alterations or re- visions to or re-use of drawings with- out Architect or Engin~r's Approval voids Seal and Signature on Sams, "Alteration of this Document except by an Architect or Licensed Profes. siona~ Engineer, is iliegaJ". Section 7209, Subdivision 2, N.Y. State Education Law. GARRETT A. STRANG architect Main Road P.O. Box 1412 Southold N.Y. 11971 516- 765 - 5455 A,~J. "'" ' ;'~' [" ;"~ '"'." ~ .... ' .... "' "' .... "~'"7 ....... ' "~'" ' ?': ?'" - .... - . . .:. :, ,, ,: ~ ..... I ~A6T ~VA~ I Architect and Engineer's Seal and GAR~ETT A. BTRANG Signature on~y good for nitial use of 'Alteration of th's Document except drawing Chcnges, .alterations or re- ~y an Architect or Licensed Profes- a r c h i ~ e c ~ ' ~ ~ visions to or re-use of drawings with- sional Engineer, is illegal". ~~2 out Architect or Enii,er's ~prova' S e~tion 7209, S u~ivis,o~ 2,. M ai.,oad P.O. Box 1412 S out hold N.Y. 119,1 m 015244 ~ voids Seal and Signature on same. N.Y. State Education Law. 51 6 - 765 - 5455 ~ ~I ' ' ~' ~ l[ copper tubing is used , , for water distributing ' ' sys~em~ piping shall be ' ~ ~v' of types K or Lonly Arcflitect ,,~ EnEinee?s Sea, a,~ "Alteration of this Document except GA'RRETT A. STRANG A.a. ~O>~a'~ ~ I ~ SiEn*ture 0nly Eooa for initial ~se of by an Architect or Licensed Profes. drawing. Changes, alterations or r~ sional Engineer, is illegal,,, architect LOC,TION /~1~ ~A~ ~, ~OX~.~ visions to or re-use of drawin~ with- Section. 7209, Subdivision 2, ';CALE OUt Architect or Engineer's Approval ~. Y. State Education Law. Main Road RO. Box 1412 Southold N.Y. 11971 ~ .~v.s.. .,.w~.~ .~ 'X t/ x,. // /' ~ ' ' t , .~ [ GARRETT A. STRANG ~,.~, ,~~~ Main Road P,O. Box 1412 Southold N.Y. 11971 ~,,~.._ ,~ ~ ~- ~ 516 - 765 - 5455 ="~. =' ~;,~..~ GAL_. GARRETT A.' STRA:NG I I architect Main Road Pi 0I Box 1412 Southold N.Y. 11971 516 - 765- 5455 Main Road P.O. Bo~ 1412 Southold N.Y. 11971 I .