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Home My WebLink About10475-zFO RM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Zl ~ 0t5.8 ......... Date ........ ,J. uly..9. ................. 1982. THIS CERTIFIES that the building ................................................ Location of Property . 623.00 ............ ~la,t~n. Po~.d ................... So.ughol.d .... House No. Street Nam/et County Tax Map No. 1000 Section .. 056 ....... Block . .06 ........... Lot ... 0O~ .......... Subdivision..Ioow~t~ .15oma$ ................ Filed Map No..535 .... Lot No..1~5/,. ~.Jlq~U~ive conforms substantially to the Application for Building Permit heretofore filed in this office dated .... l~o-¢emhe~'..9 ...... ,19 .~0pursuant to which Building Permit No....1.Qq75..7. .......... dated ..... 1~ ~ g .~ ia ~. ~ ~?..1.4. .......... 19 .?. 9, was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... . .a~.. Oqt.d.~.~. S, on..~0. ~x~ ~. I~p.~.. ~.~.o.r. o&~..~. ~.e.t,~..d~p;~.~. l~.u.~ J,~t~.r~ ~ ... The certificate is issued to ......... ~P.~.g.. 9~'..lSgyP.h. ~rL~.a.l?. p?.:[.~.q ~ /owner, of the aforesaid building. Suffolk County Department of Health Approval ....O/.a .................................. UNDERWRITERS CERTIFICATE NO ........ /t/.~. 5.~02~2 .............................. Building Inspector Rev, 1/81 ~FORi~f NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10475 Z Permission is hereby granted to: · ..~,~x.~z:.~:?~.~.~x.~/¢r,x~, ,,~c. .. Z,,/4,4.~.... Zr%'--: ~ 4.~ ...................... ...... '~"~ z~ "'~"~":'"'~" r74" ....... ~o ....~c~,z~z. zc~.cz:.......4~,,~z..'o..,~.....~:o.. ~.,~.~;,~z~.~.,~.~.,~.. .~......~./.~/~. ~.....~.r. zx//.Z~.. -.~.~ .............................................. Building Inspector. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southotd, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Th~s 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: i. Accurate survey of peoperty show)ns all property lines, streets, buildings and unusual nature) or topograph ic 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 Date .. Jun.e, .23, 1982 .. New Building ............. Old or Pre-existing Building(Z) ........ ~/Vacant Land ..... Co2300 Ma±n Road, $outhold, N.¥o Location of Property ................................................................... House No. Street Ham/et Owner or Owners of Property . Port o£ Egypt ~,~terpr±ses,Ine., Southold, N.¥. County Tax Map No. 1000 Section . .~..00.0.~.6. ...... Block ....6. .......... Lot 6 (4) Subdiwsion ................................. Filed Map No ........... Lot No .............. .1.1./.!.4./7.9. Port o£ Egypt Enterprises,Inc. Permit No. 10475 Z Date of Permit Applicant So~tt;~zo"]-d.¢ .N~¥....1~¢~$ · Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. A590292 Underwriters Approval ........................ Planning Board Approval .................. ~ . · ~ Request for Temporary Certificate ..................... Final Certificate ....... .- ......... - 5.00 Fee Submitted $ ............................. Construction on above described build~ng and permit meets all appl~cable~co_de$ and regulations.,~ ,, FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined~ .~.../'. ~. ..... 1977 Approved ~..~....[..~'-. ..... ,19~. ~. Permit No./(.~...~/.7~. E Disapproved~ a/c ....~ ....... ~~~ .............. ~'~ ............. i i ,~.', .~.'. ii~iildi~.'in~sp ect~i ........ APPLICATION FOR BUILDING PERMIT Application No..t(.O. .".4~. .~.~..T ...... Date.NOV~mh~r.9.,..39~9... INSTRUCTIONS a. This apphcation must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, wfth 3 sets of plans, accurate plot plan to scale. Fee according to. schedule. b. Plot plan showing location of tot 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 inspections. · .POX.~. Of..E~yp.~..E~ ~.r.~ ri.s.~ ~. ~.~ ......... (Signature of applicant, or name, if a corporation) · Bain. aoa~ ..... ~uth.c~l d ,..NY...~ .1 ~71 ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... Owner .................................................................................. Name of owner of premises ...Por.t..elf. F.gy.p t;. [rlt~orp.r. iaas.}. I OB ..................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. William H. Lieblain, Prosident (Name and title of corporate officer) Bmlder's License No ........ N./.g .............. Plumber's License No ....... N,~.fi ............. Electrician's License No ..... N~A ............. Other Trade's License No .... N./(/t .............. 1. Locatioq of land on which proposed work will be done...~.. ~li2ce. Weal . o f. ~lii~ 1..Ge e ~ k ................. gE 50 o · ,.lx[a4q, a~.. ..................... Ma.tn. Ro.ad ................... Sou.thold ...................... House Number Street Hamlet County Tax Map No. 1000 Section .../. ~9, O.~.~%.~ ..... Block ..... ........... Lot...& .............. Subdivision ................................... Filed Map N° ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructi°n: a. Existing use and occupancy . B.c~at. t~..gcca.s, aor.y. Oispiay ............. , .......................... b. Intended use and occupancy S.ame/ .z.,.,./..,g..'/t(d.~.~.~.?-~... ................................. i 3. Nature of work (check which applicable): New Building .......... Addition... )~ ...... Alteration ......... Repair .............. Removal .............. Demolition .............. Other Work .............. 4. Estimated Cost ..... $2.,.[1004.0.Q ...................... Fee ............................... (to be paid on filing this application) 5. I f dwelling, number of dwelling ~nits .... N/g ........ Number of dwelling units on each floor... N/.A ......... If garage, number of cars ..... ! ................................................................... 6. If business, commercial or mixed occupancy specify nature and extent of each type of use 1 ?. D~nens]ons of e×~stmg structures, it' any Front. A. 3& .......... Rear ....1 ~.0 ....... Depth 2 2.5 ............ Height .... 30 ......... Nun}bet of Stories .... 1 ................................................... Dimensions of same structure wIth alterations or additions: Front .,..1.36 ! ......... Rear .... ~ 3.6 ~. ........ Depth ...... 225.' .......... i. · Height ......30 ! ............. Number of Stories... 3 .................. 8. Dimensions of entire new construction: Front ..... 36.' ....... Rear ..... .1.6 ~. ......Depth ..... 41 .~ ....... Height ...... ~ 3.[ ..... Nun~ber of Stories ..... 1 .................................................. 9. Size of lot: Front .......... ~ ........... Rear ...................... Depth ...................... 10. Date of Purchase gp¥~.l,. :r~6.9 .......... Name of Former Owner .P. 0r.t.,.~ .t'. £.~ty.p.t..F.~.0O~- .ilg... · .': .'' , '. "' · " Station & R~stauran~ 11. Zone or use district in which pr~mlses are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...[~q ........................... 13. Will lot be regraded .. ~o. ....................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises P. OE..ENIERREI SE.$, Ill[tdress ~aJ,~. Rcl~d ........ Phone No. 765,~24.45 ...... Name of Architect .8a¢~.rl. &.i Ah~,or~ .......... Address 5.405~..~$o..Rc~O¢. Phone No. 705.-.~455 ...... Name of Contractor P. 0[..[O~: ~;qP.~YJ-~.e.q,. ~[ Jq.~,. Address ~l,a,J~ .n..~,qo qt ........ Phone No. 70.5.~2/~.4.5 ...... 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. AI1ACHED STATE OF NEW YORK, COUNTY OF ................. ...... W£.Lli am..H o. I.J~ b ~, ~,~.r) .................... being duly sworn, deposes and says that he is the applicant (Name of individual sigfiing contract) above named. (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, ~e this ' '. ..... , QuahheO m Suffolk County (Signature of applicant) Ier~ Ex,,res March THE NEW YORK BOARD OF FIRE UNDERWRITERS ].(~}U.'~ 7 BUREAU OF ELECTRICJT~ 41 STATE STREET, ALBANY, NEW, YQRK 12207 THI~ CE~I~I~ THAT only t~ e~t~al equipment ~ ~scdb~ bel~ o~ int~uc~ by t~ appl~ant ~ on t~ a~e appllcat~ numar in the p~mises of ~ort of ~yp~ M~rine~t,25 PoLe B~wee~,~ Poe, & So. Fts~il,t, Creek Brid~e & ~,aurel L[~ ~ Sou~ld ~N. Y. in theJollowing Iocatton; ~ B~e,nent ~ 1st FI. ~ 2nd Fl. Section Block ~t w~ examlned on ~ ~ ~L ~ y ~ , .~ ~ ~] ~ and fou~ to be it~ complia~ce with the requirements of this Board. exxutt BX;U~tS ~ ]~k;na otc~s ] OVtNS ]O;S~ WASHERS DRYERS FURNACE MOTORS SERVICE DISCONNECT OTHER APPARATUS: FUTURE APPLIANCE FEEDERS SPECIAL REC'FI S R NO OF CC COND. A W G, 1 3/0 EXHAUST FANS DIMMERS .HO Josel~h J, Frohnhoe~cr ,:~outhotu ~N, Y, .L1971 BRANCH MANAGER Lie. 962 ~ COq FOR BUILDING DEpAiTMENT. THIS ¢OP~ OFiC~I~TiFICAI'$~M~s~ri~NgT qJ~_ ALTERED IN ANY FI_ELD ~[NSPECTIO ~N FOU~A~ION FOUNDATION 2. ROUGHFRAME& PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY co~ FINAL COMMENTS ADDITIONAL COMMEN~,~: i '