HomeMy WebLinkAbout11730-zFORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Sou.thold, N.Y,
Certificate Of Occupancy
No.g&544t ..........
Date .. pg.c.e. .~. 9.r. . 3. ................... 19.8. 6.
THIS CERTIFIES that the building.. Ac]d~..~.J,q .n ....................................
Location of Property ... 7~.5.5...M.a.~?...R.o.a.d. ........................ .~.a.u?.~..~.. "*- '
Hou~ No. Street H~mlet
County Tax Map No. 1000 Section ... ~-~ ...... Block .... 0.6 ......... Lot .... .3.5...5.. i-. .... '.'
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore Fged in this office dated
·.. ~.ur~e.. 3. 8 ........ ,1,9 .~2 pursuant to which Building Permit No. 1 l 730
dated June 18 19 82, 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 .........
... Ad4L~.L~...~.o.. ~..h.e..v.~.~.% .s..~.a.e..o..~..~ ~..s.~.~.n,~..~.u.~.~..a?.n! .. ....................
Harvey. Bagshaw
The certificate is issued to .........................................................
(owner~e~e~mY~e~a~xx
of the aforesaid building.
Suffolk County Department of Health Approval ......... .N/?. .............................
UNDERWRITERS CERTIFICATE NO .................................................
Z.B.A, Appeal #2953 4/3/82 subject to conditions.
Building Inspector
Rev. 1/81
FO~lW NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
11730 Z
Permission is hereby granted to:
..... ............
et premises located et ...........................................................................................................................
County Tax Map No. ]000 Section ~"~ ~ Block (~ Lot No .....~.,..,~,,.~ .....
Building Inspector,
Building Inspector
Rev. 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupnncy
No...Z.~.1.6.9. ] ......... Date ....... F..e.b.r.u.~.~. 2'. ~.~. ............. 19 .8.3.
THIS CERTIFIES that the building ................................................
Location of Property . j?.~5. 5. ............. .FI.~.J: .n. fl. qa..d ................. .L.a.u.R .e.]. .........
Nouse No. Street Ham/et
County Tax Map No. 1000 Section ...1.2.2. ...... Block ...0.6. .......... Lot . .0).5.: 9.0.5 ........
Subdivision.. ~( ............................ Filed Map No.. ~( ...... Lot No....X ..........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... 4!~R~. ] 7 ......... ,198..~. pursuant to which Building Permit No...1. ~..7.3.0. .g. ...........
dated ..... 4!a.n.~. ] ~3 ............... 19..8.~, 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 .........
.... .~. X~.s..~.e.v.~.y.g.~.~. ~..~.~.qn...t.o..e.x..~.sA~..rig..a.u..t.o.-.~.o..~ y. ?.e.p.~.i.~...s.n.o.p.: ...........
The certificate is issued to ........ .H..~I~ V.E.~..B..~9.S.~..~.,..~.i~ .~.. ...........................
(owner,/ea~e-o~ ~
of the aforesaid building.
Suffolk County Department of Health Approval .... n./. v. ...................................
UNDERWRITERS CERTIFICATE NO ........... fi.. 5. .5 .~.~. 8. .7 .............................
Building Inspector
Rev. 1/81
FORM NO, 4
TOWN OF SOU'fHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
TEMPORARY
Certificate O[ Occupancy
No...T.-.Z.~. 1 ~).~.0. ...... Date ..... J.ur~e..1.~ ................... 19.8.~
THIS CERTIFIES that the building ................................................
Location of P~operty 7255 Main Road Laurel
House No. Street Hamlet
County Tax Map No. 1000 Section ...1.~ ...... Block ...0.6. .......... Lot .. ,3.5.; .~ ..........
Subdivision ..... ~ ......................... Filed Map No..X ....... Lot No .... .X .........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·.. J UD.~. ] 7 ........... 19 .82. pursuant to which Building Permit No..1. ~. 7. ~5.0.. Z. ............
dated .... ,T.u.n.e...~ .8 ................ 19.87. , 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 W~.~C~. ~0.di.t.$9~ t..o an .e.x.is.t..ip~ auto-bod)~ repair' shop.
The certificate is issued to ....... ~t.~r. y.ey. ~agshaw~ Inc.
.... i~e'~,'/~¥~;~'d .....................
of the aforesaid building.
Suffolk County Department of Health Approval .. P./. r. ....................................
UNDERWRITERS CERTIFICATE NO ....... ~I 5 5 ~iB.~.7. ....................
IS TEMPORARY, AND VALID FOR TWO
THIS CERTIFICATE OF OCCUPANCY
WEEKS FROM THIS DATE.
Building Inspector
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y'. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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
topograph lc 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.
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
New Building ..... ~ .... Old or Pre-existing Buildi~g(:~) ....... ~ tVacant Land.~. ..... ., .....
Locat,on of Property ....
Hou~ No. /~ Street ~ Hamlet
-- ...........................
County Tax Map No. 1000 Section .... ~.~..~. ..... Block....~'. .......... Lot.
Subdivision ....... I~ ......................... Filed Map No ........... Lot No ..............
Permit No. ~?..~/.z_. .... Date of Permit ,-:~'-,,,~/~.Z~.Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval .........................
Underwriters Approval . . Z~ ~..~..~ .2,~..~ .......... Planning Board Approval .................. , ·.,
Request for Temporary Certificate ..................... Final Certificate .... ~ .......... -
Fee Submitted $ ...... 4~...42C~, .................
Construction on above described building and perrn~i,~_et;s all ap,,~p~,~o~es and regulations.
Applicant ...... .~.(~,~....~. '.. ' ,
..v.,O.,0.Te ~/ ' -- ' ~.0.-'~ ,,O~
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
$outhoid, N.Y. 11,971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and subn~itted in duplicate to the Building Inspec-
tor with [he 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 topograohic features.
2. Fina~ approval of Health Dept. of ~vater 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 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 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 es 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, x
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or ]and use
;3. Copy of certificate of occupancy $1.00
$5.00
New Building ............. Old or Pre-existing Building{X) .. ....... ~/Vacant Land ...........
Locat,on of Property .... .......... .....
~ou~ No. ~ree~ Ham/er
Owner or Owners of Property ~ --. . .............
Coonty Tax Map No .lO00Section ./..~.~. ' Block ..~.~ ....... Lot.~~..'..
Subaivision ................................. Filed Map'No... i ....... Lot No...' ...........
Health Dept. Approval ..................... · .. Labor Dept. Approval ......................
Unde~riters Approva~ .... Planning Board Approval ..................
-
~eque~t for Tem~orarg Certificate ..................... ~inal Certificate ...........
Fee Submitted S .....................
Construct,on on above d~scr/bed bu/,d/ng and per~',~ meets ~l app~ca~o~nd r'gulation,,
............. . ....
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y, 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted mm 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 pz"operty showing all property lines, streets, buildings and unusual natural or
topograph ic featu res.
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:
I. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling $15.0 0 ,
3. Copy of certificate of occupancy $1.00 /
4.Vacant Land C.O. $5.00 / //_
5.Updated C.O. $15.00 Date ..~.x/< .~.~/~ .~..~T--"' ...........
NewCons t;ruction ...... Old or Pre-existing Building ............ Vacant Lan, d ...,,,~ ........
Owner
County Tax Map No. 1000 Section ..... /. ........ Block ............... Lot.. ~. ............
Subdivision .............. %1 .............. ./..Filed Map No ........... Lot No ..............
Permit No. //.~..,~9~... Date of Permit ~/~.7/.~..~.Applicant ..................................
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Tempgrary Certificate .................... .Final Ce rtificate . ...................
t
Fee Subm tted $ ...........................
Construction on above described building and permit nteets all applicable co~'~nd regulations.
Apphcant ..................................
Rev. 10-10-78
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 instailatfon 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.
B. 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 or land use $5.00
3. Copy of certificate of occupancy $1.00
~ Date .. ~_ 7-/~ -&~'~' ..
New Building ..... Id or Pre-existing Building(Z) ........ = ZVacant Land ..........
Location of Property ,,~'~ ,,~ ....
No.' .......... ;":' .......................
Owner or Owners of Property ...... .~.~. ~./~.~?. ~_ ~ Hamlet
Cou //, v / ......................
nty Tax Map No. 1000 Sect on ~ .... xx..~.2- Bock ~¢,
............. · ............ Lot....
Subdivision
................................. Filed M~p No ........... Lot No ..............
Permit No~'/.~. ,,~.~'.~_Date~of Permit,S..l~//~.,~pplicant 2f-4q~
Health Dept. Approval ........ ~/~ ~.. ...... Labor Dept Approva - ,
Underwriters Approval ~ .Planning Board Approval .....
Request for Temporary Certificate ..................... Final Certificate .....
Fee Submitted $....~.,..~.. ~.... .
Construction on above described building and permi~.m/~s all apP~cable~, es and regulations.
c, ,0
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
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.
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land
3. Copy of certificate of occupancy $1.00
use $5.00
New Building ~ Old or Pre-existing Building()[} . = ~Vacant Land
Locat,on of,roper ....... .... -//... ................
Hou~ No. / /- ~treet ~z' Ham/et
Owner or Owners of Property ...~,~_~ ~ .~.'.~-~.- .~.~'. ......................
County Tax Map No. 1000 Section ..... ./.'2..~, .... Block ........ ~'. ...... Lot '-~
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval ........................ L ~'a~'~t-*~4~[~ ...................... ,.
Underwriters Approval .j~. ~. ~..~...<~'. ~.~...Planning Board Approval ..................
Request for Tempo ra~ Certificate .... ~~. ~J Certificate'....~ ....... -
Fee ~ubm tted S.. ~ ~ ....................
Construction on above described building and permi~mee[s ~11 ap~bl~odes and regulations,
............... ..........
1000771 :: THE NEW YORK BOARD.OF FIRE UNDERWRITERS
THIS CE~IFIES THA~
in the followlng location; [] Basement [] 1st Il.
~ 2nd Fl. Section Block Lot
and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS
14 1 3 5 9
DRYERS FUTURE APPLIANCE ~EOER$
Motors: 1-~. '
Ruland Electric Co.
P.O. Box 143
,i: Mattituck, N.Y.. '11952 Lic#242E
This certificate must not be altered in any mcinner;.'~'e~urn fo the office of ~he Board it incorrect. Inspectors ma), be
FIELD INSFECTIO~
FOUNDATION
(1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CpD
COMMENTS
FINAL
ADDITIONAL COMMENTS:
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
(Building Inspector) .~
APPLICATION FOR BUILDING PERMIT
Date ..... ~.T~. ~ ...... , 1~?.
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted~::?[, ~ to the Buildin~
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street.
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
cation.
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 a 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 Certificate of Occupancy
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 o~
Regu ations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tc
admit authorized inspectors on premises and in buildings for necessary inspectio~?~ /~ ~
(Sign~*ai~re of a~Splicarft, or name, if a corporation)
........ .v. ...........
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ..... .-~ ..~...~..meqv
(as on the tax roll or latest deed)
If applicant is ~a 7Poration, sign~e o f duly authorized officer.
~rne and title ~'~)~;r'at/;?fi~ir') .........
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
I.
Location
on which proposed work will be done. ~
House Number Street Hamlet .~ ~ .~ ,.~
County Tax Map No. 1000 Section ..... ~.9-....~7-. ....... Block .... ~ ............ Lot..~ ...........
Subdivision
..................................... Filed Map No ............... Lot
(Name) .: ...............
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
·
3. Nature of work (check which applicable): New Building .......... Addition ....'.~..... Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work ...............
~ . .~f~4' (Description)
4. Estimated Cost ........... -.~?.~. ..................... Fee ......................................
(to be paid on filing this application)
$. 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 us~ .....................
7. D~mensions of existing structures, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ...................... Heisht ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Height ............... Number of Stories ................................... · .....................
9. Size of lot: Front ...................... Rear ...................... Depth ......................
10. Date of Purchase ........................ -. .... Name of Former Owner .............................
11. Zone 6r use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance_ or regulation: ................................
13. Will lot be regraded ............................ Will ~xcess fill be removed from premises: Yes No
14. Name of Owner of premises ..... ~%'~ .......... Address ................... Phone No ................
Name of Architect ............ ,~.~..-:~. ......... Address ................... Phone No ................
Name of Contractor ........... .~"../.-~. ......... Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street nnmes and'indicate whether
interior or corner lot.
~PPR~V~E.~S NOTED
FEE: ~- BY:
NOTI~ "UILDING DEPARTMENT AT
7~5-]802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
~. FOUNDATION - ~O REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING 8 PI.LJMBING
~. INSULA-[~ON
4, FINAL CO~Tq~J~mlqN MUST
BE C~MPl 5TE cmR C O.
ALL CONSTR' ~CT~ON SH~LL
THE REOL.II~r ~A5hffS
STATE CONCTRU~IO
CODES. NqT
D~IGN OR CON~DIDJ [[.
OCCUPAI4CY OR
STATE OF NEW YORK,
COUNTY O/F .............~ ~.. S.S
..... .~//.~..xyy..~.. ~__~.~.~ ................... being duly sworn, deposes and says that he is the applicant
// (Na~me of individual signing contract)
above flamed.
He is the ....... ,..( ~. ~ .......................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and f'fle this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application fihd therewith.
Sworn to before me this
.............. ....
No.,~ Public ....
~ ~u~, ~ ~u~ .... '~)" · · -Cfi'~a::>"/' "" ;;.: · ·: .... ;" '.'.'' '.:
~Ot~RY PUBLIC. ~ ~ I~w ~ J / v ~.~lgnat"d3'~ Ol appacanH
. :, ~',.;~;."J,*2R",:.~ ~ / /" ·
Ir'
FORM NO. 1
TOWN OF SOtlTHOLD
BUI LDINC.~OEP~TM ENT
TOWN HALL
Examined ...... f~..'. ...... 19... _ Application No ..................
/
O,sapproveda,c ...... ............. ........... __ Z-
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ... ~.%"?. ........ , 19d~.
INSTRUCTIONS
a. This application must be completely fried in by typewriter or in ink and submitted ~-. ~;E- ~__~ to the Buildin
Inspector, with 3 sets of plans, accurate plot plan to scale. 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 a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
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 a 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 Certificate of Occupancy
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 buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessary~nspections.~ /
../7_~U~ea.~./· . ~f.~. .~.~. . .~.-7.~. ../ ..............
j (Signature of applica~nt, or name, if a corporation)
... .....................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .......... ~ ................... i ......................................
(as on the tax roll or latest deed)
If applicantS-s a corporation, ~/'gnature of duly authorized officer.
Builder's License No ..........................
PI mber s License No.
Electrician's License No .......................
Other Trade's License No ......................
1. Location ofland on which proposed work will be done. .z~. .~.-
.. ............. .....................................................
House Number Street Hamlel
.... 22_ ~ -d..~,~
County Tax Map No. 1000 Section ..x/: ........... Block .... ~. ............ Lot ............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... <~.~,y .............. . ...........................................
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Removal .......... 'c" ' .Demolition .............. Other Work ...............
,~' (Description)
4. Estimated Cost ........ ~'t~ : Fee. ......................................
(to be paid on f'fling 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 extant 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 ............... Number of Stories ........................................................
9. Size of lot: Front ...................... Rear ...................... Depth ......................
10. Date of Purchase ............................. Name of Former Owner .............................
11. Zone br use district in which premises are situated .....................................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ............................ Will &xcess fill be removed from premises: Yes No
14. Name of Owner of premises ....,~i~e..¢ ............ Address ................... Phone No ................
Name of Architect ........ .~e-,tJ~. ............. Address ................... Phone No ................
Name of Contractor ....... . ...~-...Lff... ............ Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot. __ / /
STATE OF NE~'ORK. ,, ~ S
............... being duly sworn, deposes and says that he is the applicant
(Na~ne of individual signing contr~t)
above named. /
He is the ............... ~ ............................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
No~.b.~,/.~: ~..... ~.~~... · County ~~~
TOWN OF $OUTHOLD, N~W yOltK
ACTION OF TH~ ZO~G BOARD OF APPEALS
Appe~ No. 2953 by application Dated February 3, 1982
Filed February 18,
ACTION OF THE ZONING BOARD OFAPPEALSOFTHETOWNOFSOUTHOLD
To Philip J. Ofrias, Jr., Esq. as attorney for
Harvey Bagshaw Inc.
737 Roanoke Avenue, Riverhead, NY 11901
Appellant
at a meeting of the Zoning Board of Appeals on~n (l~r~ 3,
was considered and the action /ndicated below was taken on your
( ) Request for variance due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
(X) Request for a variance to the Zoning Ordinance Art. VII,
( )
1982
Sec. 100-71
the appeal
1. S i~ ~ :~/:m~Xl~ ~1/2 ~ wr ~m ~ X~!,'~-~ ~IF,,~ ~ Xo~,~i~6X :I~F~K X~ ~d/0ill X~V~filllii/~ x ~ ~/~e
~d ( ) be denied purs~nt to Article .................... S~on .................... Subsec~on .................... p~a~aph
.................... of the ~ning ~din~ce ~ ~e d~ision of the Building l~pector ( ) be reversed ( ) be
~x/txl~/av~Public Hearing 3/19/82: Application of Harvey
Bagshaw Inc., in care of Philip J. Ofrias, Jr., Esq., 737 Roanoke
Avenue, Riverhead, NY for a Variance to the Zoning Ordinance,
Article VII, Section 100-71 for approval of the construction of
additions at the east and west sides of the existing building
with insufficient setbacks and insufficient total yard areas at
7255 Main Road, Laurel, NY; County Tax Map Parcel No. 1000-122-6-34.
(SEE ATTACHED PAGE TWO)
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (woUld not) produce
hardship because
(SEE ATTACHED PAGE TWO)
practical difficulties or
(b) The hardship created (is) (ia not) unique and (would) (would not) be shared by all properties
alike in the immediate vicinity of this property and in the same use dtstria~ because
(SEE ATTACHED PAGE TWO)
(c) The variance. (does) (does not) observe the apirit of the Ordinance and (would)
change the character o! the district because
(SEE ATTACHED PAGE TWO)
(would not)
and therefore, it was further determined that the requested variance (
TIlE SOUTHOLD TOWN CLI~RK
) be granted ( ) be denied and
) be confirmed ( ) be reversed, lk
ZONING BO;RD OF A~PE;~LS
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TOW~ OF $OUTHOLD, NEW yOI~K
ACT/ON OF THE ZO~I~rG BOAR~ OF APPEALS
Appeal No. 2953 by application Dated February 3, 1982
Filed February 18, 1982
ACTION OF THE ZONING BOARD OF APPEALS OF THE TOWN OF SOUTHOLD
To
Philip J. Ofrias, Jr., Esq. as attorney for
Harvey Bagshaw Inc.
737 Roanoke Avenue, Riverhead, NY 11901
at a meeting o~ the Zoz~ng Board of Appeals on ,~-,r-~,
8
2
was considered and the act/on indicated below was t~ken on your
( ) Request for variance due to lack of access to property
( ) Request for a special exception uuder the ZonLng Ordh~ance
(X) l{eque~t for a v~a~ce to the Zoning Ordinance Art. VII, Sec.
( )
100-71
the appeal
1. SFle~ x'a~a~k°~.2,C~ ~ x'ae~ ~ ~ XI~g/~tY,,~V2~ ~ xdele,'e~a~c~t/dc xax ~/~ xali~/a/~abx ~ x $ x~
grated ( ) be denied p~s~nt ~ Art/Ge .............. ...... Section ....................Subsec~on .................... paragraph
.................... of the ~nthg Ordinance ~,8 ~e d~ision of the Building I~pector ( ) be ~versed ( ) be
c~Ne~.~ePublic Hearing 3/19/82: Application of Harvey
Bagshaw Inc., in care of Philip J. Ofrias, Jr., Esq., 737 Roanoke
Avenue, Riverhead, NY for a Variance to the Zoning Ordinance,
Article VII, Section 100-71 for approval of the construction of
additions at the east and west sides of the existing building
with insufficient setbacks and insufficient total yard areas at
7255 Main Road, Laurel, NY; County Tax Map Parcel No. 1000-122-6-34.
(SEE ATTACHED PAGE TWO)
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (won/d) (would no:) produce
hardship because
(SEE ATTACHED PAGE TWO)
practical difficulties or unnecessary
(b) The hardship created (is) (/s not) unique and (would) (would not) be shared by all properties
alike in the hnmed/ate vicinity of this property and in the same use district because
(SEE ATTACHED PAGE TWO)
(c) The varLance (does) (does not) observe the spirit of the Ordinance and (would)
change the character of the district because
(SEE ATTACHED PAGE TWO)
(would not)
and t. herefore, it was further determined that the requested variance (
THE SOUTHOLD TOWN CLERK
) be granted ( ) be den/ed and
) be cordLrmed ( ) be reversed, lk
ZONING BOARD OF APPEALS
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