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Home My WebLink About10134-z FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ..... ..... :'::: : . ~ . . .~ ..................... Disapproved a]c ............................. ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No../..O..(~/~. ....... Date ~.->~ ........... 19 .~.J7 a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 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 0r public streets,. or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli2 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 1S 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, find to admit authorized inspectors on premises and in buildings for necessary inspections. /;; , .............. r" 'Z' '~ '/"'~ ...... . ...... / "': ...... (Signature ~ff apphcant, o/4'name, ~ a corporatmn) .~.~,~ ..... ,5.~:.,-. .:. .~ .:.~¥ . . : ,-,,..z, (Mailing address of applicant) whether applicant is owner, ~s~_e..~agent, architect, engineer, general contractor, electrician, plumber or builder. State · ~, . [~. ~ .y~ .. ~...~, , ~ ~qame of owner o f prem,ses. ~....2~., '.... '-~. -:..~'~'. ~..~%. :.'Ur..~..~~~~.. ............ . (as on the tax r~l or ~t~leed) If app. licant is a corporationcs, ignature of du. ly~authorized.officer. /,? /? X>'.// ×:.,,.., ,/7 2~- [.-:" (Name and titl~'~ corporate officer) / ~.,:' ~'.. Plumber's License No. '?.: . ./4. . :.'..: : '.P.&";-.~,:. ..... /? I'~., > /,,~,/. d~ Electrician's License No. :'...6/:-: .(;'..':.. t~t .6.. Other Trade's License No ...... ': ........... 1. Location of land on which proposed work will be done ..... ~ ./~'... . / ~ ............~. ~..~. ~:.,.~: ~ ~.,. ~,~,~ :._,~ ,,:, ,~,.,~. ,~. /.:_.¢, .................................. .... ~'~.: ,'I./. ............... House Number Street Hamlet County TaxMap No. 1000 Section..~..~-.~...~ ......... Block .(...~,~.~.~_ ..... Lot...~.. .............. Subdivision. ~-~..J~/(~...~.~ .~.: .... Filed Map N° .... ~ .......... Lot .Z.'T...~? ........ (Name) 2. State existing use and occupancy of premises and intended use and c~cupancy of proposed construction: a. Existing use and occupancy .t~::.&".':~'.'".'~.~...:r-/:.~.-.~. ~?-.,, .... :~.,~,.. ....................... b. Intended use and occupancy il.. :... ; :-. . ::r.,>. ?. ~. .,..~. /. .~..r~'. ' " ' ' ~OEi~ NO. ~ TOWN OF $OUTHO£~ BUILDING DEPARTMENT TOWN CLERK'S OFFICE SGUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 10134 Z Date ......................................................... 19 ........ ~ ......... ~ ........... ~ ................................................- ....................... ) at premises located at ............................................................................................................................ .... ~x.: .............................................................................................................................. z ........................ pursuant to application dated /t~ ~( /& 19 and approved by the Building Inspector. Fee $ ........................ /'/. '~_/___._/ '../ .......... ~..'Z.:.. ........ :.!.':. ...... X-.~:.:i:: ...... Building Inspector 3. Nature of work (check which applicable): New Building .......... Addition ~ Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... ~ (Description) 4. EstimatedCos~./~., d*)~x~d) .................. Fee ...... ~ .......................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ........ ........ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nj~t~re and extent of each tyge ofpse ........ ; .....d.._.,... 7. Dimensions o;f existing structures, if any: Front..ff..~. ~.~.*: .~.. .... Rear ~..q...~. :.~..~... Depth. Df.~.~.e:~.-./~..'~7. Height ]~O.p.-..P. ] ...... Number of Stories . fi/. #.E~. .......... :p ..................................... Dimensioniof same structure with alterations or additions: Front ~r~-~ ......... Rear ..~i~h~ ........ Depth ,~-C ............. HeiSt .~¢ ............ Number of Stories... ~t~ .............. 8. D~ensions of entire new construction: Front ............... Rear ............... Depth ............... HeiSt ............. ,..,Number of Stories ............. ~ ........................... ~ ............... 9. S~zeoflot Front .~.7~..J~ ........... Rear.~.5 ................ Depth ~ ...... Z~ .... / 10. Date of Purchase ............................. Name of Fomer Owner ............................. 11. Zone or use district in wh)ch premises are situated .................................................... .:~; 12. Does proposed constr~c~Jon violate any zoning law, ordinance or regulation: ~5~ .......................... 13. W~I lot be regraded ~V~ ..... Will exce~ fill be removed from premises: Yes 14. Nme of Owner of premises ~:g ~[~Z ~ l ~. Address .~~¢~... Phone NotifY..,~ .... Name of Architect ........... Nme of Contractor ~~. . ~:~::::] :AddressAddress ~¢~-.~/~w .......... .... .,/¥~nevPh°ne No No.~ 5:-.ff. ................ ?.~ ~... PLOT DIAGRAM Locate clearly and distinctly ~1 bulldogs, whether existing or proposed, and, in,ate all set-back dimensions from prope~y lines. Give street and block number or description according to deed, and sh~street nines and indicate whether inte~or or corner lot. / STATE OF . ....................... being duly sworn, deposes and says that he is the applicant (N~divid~a~signing contract) above named. He is the. ~..: .......................................................................... (Contractor, agent, corporate officer, etc.) of s~d owner or owners, ~d is duly authorized to perform or have perfomed the said work and to m~e and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. ...... ]~ ......... dayof .... ~r*,~ ~,~%;;, ..~ ~,, ~ ' ~ -J~ature of applic~t) April 23, 1979 Inspection Report-Public Assembly Inspection of Port of Egypt Restaurant Main Rd., Southold, Ne~ York Edward Cappa, proposed operator 1. Seating for approximately 80-90 2. Entire building has sprinkler system Kitchen, range hood has built-in extinguisher with fusable heads foam type system 4. Toilet facilities are ample Signs (exit) are required for exits Doors from kitchen to dining room reG~ire metal clad for kitchen side of door also glass in door require wired glass. 5. ALL CC?'~57P_U']'-F. ~D TOWN h ;