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Home My WebLink About10656-z fORM NO.4 TOWN OF SOUTHOlD BUilDING DEPARTMENT T own Clerk's Office Southold, N.Y. Certificate Of Occupancy No. .. . . .Z995.Q. . . . . . Date. . ... . MEl-Y. ?.Q.. . . . . . .. ., . . . . ,. ., 19 ~.Q THIS CERTIFIES that the building .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . Location of Property .,. . 135.QQ . r:ff'i.:i,:q . B,p.a.4. . , . . . , . . . . . . . . . . . .l:i~.~i;:!:!:]l.c.k;.. ' \'I.' X ~ . . . . House No. ' Street Hamlet County Tax Map No. 1000 Section .....1 ~ t+. . . .Block .... .11 . . . . . . . .Lot . . . . . .5. . . . . . . . . . . Subdivision. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. ....... .Lot No. ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated . .. . M.ay. ,6. . . . . .. ., . ,,1960. pursuant to which Building Permit No. .... .IP~5.Q?. .... .,. dated. . .. . . M~y.. 7. . . , . ,. . . .. . . . . . 19!?9. , was issued, and confarms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is .. . . . . . . . ... . , . . . . . Two .stp.r.ee. f!Jnd!or:'. .Of;f.iC1~. UI3.e.. . . . . .. . . . . . . , . , .. . . .. . .. . .. . .. . . ., . The certificate is issued to ...., .~ge.:Q~. MQ.. P.i.a.l)!j!. !iA~P~~. . . . . . . . . . . . . . . . . . . . . . . lowner,~~ of the aforesaid building. Suffolk County Department of Health Approval.. . . ., .~!!'t.. . .. . . . .. . . . ... .. .... .. . .. . . .. . UNDERWRITERS CERTIFICATE NO... . .. . ...... ..~~7.7::??9. . .. . .. . . , . . .. ... . .. .. . ... . Rev 4/79 I ; " ,.._i, .1i J FORIII NO. 2 TOWN OF SOUTH OLD 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? 10656 Z Date ...~x...L...............,......................, 19.~9... Permission is hereby granted to: ....i),!,g"'.~~...IW,~..p.~.~~...!U~9.~~..... ...... .. ....~.!...9.~...~~~..~.o?~.L............., . . .."" . "...... ... .~.~~~.~~~~~,... ~~~. .!.?~~ ..~.~ 9.?~,.,...,.. ' make alteration and ohange the use of a (Restaurant) to .................................,....................,.......,. .,.....",.. ......................................,...........,.........,.."............ to 2 stores/offioe use. ............................................................................... ,............................................................................ at premises located at ......1.),~QQ...M~$,~...~.9.~~A..~~~.1i~.1i~9.~..............................,...... ................. ......................................................... ...................................................................................................... ............................................................................... ........ ...................................................................... pursuant to application dated ................~.~1....~.... ........,..,.........." l~q...., and approved by the Building Inspector. 2$.00 Fee $........................ ~ ;?~:P <:: ~[ , ~-'" / . / '4/~-1..--/ . .............................................................................. Building Inspector h I. 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- tar with the following; for new buildings or new use: 1. Final sarvey of property with accurate location of all buildings, praperty lines, streets, and unusual natu ral or topograph ic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposai-(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- tians, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval af completed site plan requirements where applicable. B. For existing buildings (pnor 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 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 ar 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 .M.1t.. .~~ ~. !9.~o...... New Building. . . . . . . . . . . . . Old or Pre-existing BUilding ...!...... Vacant Land _............ Lacation of Property !'I.5:,/o.. i.!??~-~....... .1:1.1!'{v'. .R.O.I/.~.......... hf/.1T~-r:~(-;k). ."!f... House No, Street Hamlet Owner or Owners of Property ..(I(jo(/I!~ .1. P~',.;'lF. _.. .~~~~~c:~{. . . . . . . . .. . .. . .. . .. . . . Caunty Tax Map No. 1000 Section..... .//.'1.... Block...... 11....... Lot..... .~....... Subdivision. . . . . . , . . . .. ..,... ............ .Filed Map No. ....... .Lot No. ............. Permit No. (f?(,.~-~ .4. Date of Permit ~ '!j ?~. .Applicant .4'fll~":'F: /. ./:>!?(1,tJ:. . a(o?:;r/?pf7.<'. . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . Labor Dept. Approval ........................ U d . A I:lN L/77Z'2.o . n erwnters pprova.....7.. .............. .Plannlng Board Approval. . . . . . . . . . . . . . . . . . . . . . Request for Temporary Certificate. . . . .. . . . . . . . . . . . . . . .Final Certificate. . . . ~. . . . . . . . . . . . . . . . . ,K; 0" Fee Submitted $. . 1-1:. '.-. . . . . . . . . . . . . . . . . . . . . . Rev. 10.10-78 ~ J. ~ oL ~ .", j, "'_ !i ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS mpg BUREAU OF ELECTRICITY r- 85 JOHN STREET, NEW YORK. NEW YORK 10038 tllT\7 6, 19811 069748 177?20 Date \~.. Application No. onfUe N I "... THIS CERTIFIES THAT only the electrica' equipment as described below and introduced by the applicant named on the above application number in the premises oj Gene ti~!ii!t~~ H.Qt1te :2 'j Oppos:!..t:e tHll,i.am Ave. ~tt1tl.\ck. N.Y. ~ o Baselnent ~ 18tH. o 2nd Fl. in theJollowing location; Section Block La, was examined on Mu y l;.j 1980 and found to be in compliance Wttlt the requirements of thIs Board. FIXTURE FIXTURES RANGES COOkiNG DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT fLUORESCENT M~RCURY AM1 KW AM'i KW AM1 KW AM1 K W AM1 H P "roo< 15 2l ) I; 6 9 :2 1<' _~.3 DRYERS FURNACE MOTORS FUTURE APPLlANC!: FEEDERS SPECIAL REC'PT T(ME CLOCKS BELL UNIT HEATERS MULTI-OUTlET DIMMERS TRANS SYSTEMS AM1 K W OIL H P GAS HP AM1 NO AWG AM1 AMP AM1 AMPS AM1 HP NO. OF FEET AM1 WATTS 1 20 SERVICE DISCaNNECT NO.OF S E R V I C E METER NO OF CC COND AWG AWG AWG AM1 AMP TYPE EQUIP. lH2W IH3W 3/K3W 3,J{4W PERiJ OF CC COND NO OF HI-LEG OF HI lEG NO OF NEUTRALS OF NEUTRAL OTHER APPARATUS: Signs g .I. F.lourcscent a tgri Imv:l.ng 1 lamp totaUng 96 Wtit,ts. - "~I : ~?f (~ood<l.le Electrical Cont, Inc. : RRl Box 15.1\ Main Road : \ Matt.il;uck. N,Y. .1.1952 Uc,183E GENIRA~ ~GE\ j Pet 11 )-"'" This mtl/"ale mu,t not be oltered in any manner. return to the offICe of ~~'~~~tFln~;~:i,~~~~~~r; I COpy FOR BUILD~G DrPA'TM~NT. THIS COPY OF, ie, '."::, I ," D N I ,. " , _ 1-,. ~,_ ,. _ ",.,L ~'. ".y~~ .4 "";\_h _ > ._.,". ,k. _ _ c/'-'-<.-tf Ok 0 (p rj (y V TVev ... . , '13f (r 0--- . <: ~ \-VI I oj r ~.... " ~~ I TO ,/. 0" '" J'> . 1;_ ,~ 0 ..,r lo~ a \)."1'''' 3;;;'/;'.::10 -:. )I;> r1r'? '" , 0 ~O "" , '" '" ~ I vl't \1\ ; ~ ). <.- /1 I ~ I , ; \ ! ",.J t -! 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E-.r::= f \ IJ i-, --, . ~ .. , \ ' .t 'Q 1\1 I.. F~ ! M AP.oC PB9P:C: RT,' .' \, ~ ~~: E> \ ~ '. -- <o::r... '01 , 5ur:?1./c'lF.::D FOI2.. ~ log ~, ~. z .. ~ . '!C.i '" 0..<:; 1 :("j Q EUGt:~NE G7AN;VONE . t~:,~ ~ ~!. t; __'"' ...,.....~,_..._....._...,.-...__._-______-____ ~ T 1\ I I ~.... 'J I ''-I Ai · LL L_.J '.. D (~ k .~ IC, "t /'y?fI 7: ~n !:!! CJ:::.. ~ ~ ~ I~ \): ' <:> :t', ~ "u'Cf".~"..EO~L."',.f. } ~ ! r 0 " . ' 'I ~ i ;:;-.. ~ .. I ~ , . !JI f ~ <5 C'AG.c': 30 '=! ;" 1 '\ ~--;;-~/ONUM~r;;- '.. ~ ~~ , I' ~ ...:....~.''3..EA: ?::I, 905 :5<';1. F:'7: Ii - ..---.- ,--'-'-"-"- ..---- --.y "'. -1-....-. ..'....-- .. .' ; k I Ii\ 01..n::PQI,I':' Ce>. "{"AX PAr.:? C~:rl..1 /()OO-II'L:-If-tf ri CJ ~ err -:.. ! L.i arc '1 : ,k () i I ~ I t [~- burtl.,~' -.- . -- ....c ~ '-+ - ~' ~ i) __ _p' )~!f.:'::: (> p I)j 'I !JI G Lid rCri1'fe (::.J ro w C I]. '-(;C!'1::J riff c ltJ':; lj,..+C/rJce t';) G~Q~ ~ I A !.JJ- // 8 I /9.8D. (..) () 06 .s u r-V<?-:;.JC l\) 720') ""f,;"r.;u V,9,c/ TUY1_ P. C, (:J ?4 ____ L c: ~....; Ii::, , C! "'7 \/. r"--' ~ ,/":;:'~. . ,c;,--- ~-~.,._ ~ {jCOf/$€'; lr:nf(/ 6urV<'NjO/':; "'. " " a re<r:nfoJ'"r, N. yr. It. UN^UTHORIZW ALHI1ATlON OR ADDITION. TO THIS ~Uf.V~Y IS A \'IOl....lION Of SECTluN 72C9 (;f mr t~EW )'OW< STAff EDV!.ATI~H lAW \!))I!,III"I CO'I~'i (..f n':; s "\~I,' ',f> NOT ~tARIHG ,\1\\ '\. "~I \ 1,\ ),1/, , TIU 1.1.,:,- ~J ' e I. .~/lL (i': .: \" I ..' .- ',) '!'! .---.. fh';:'>~S_!) _" _ ' : - f I/i Lu ~::,!c;,H/fl) " . ---:-:r- . ~to, , TO BF ^ 'II -,11'- "i't . .. . - 30"~<I.' G8.17; \ , - , <'i'I',:' {\,\ : ( , ",1, "{-',- ~;;S7" . ! .. ... ., '7 .. \ FORM NO.1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAll SOUTHOLD. N.Y. 11971 TEL.: 765-1802 Examined. . . . . . . }J:;~7' :7, 19 !;(J ., / {)b 5'{> ApphcatlOn No. . . . . . . . . . . . . . . . . . Approved . . . . . . . ~I . .7. 19mermit No. .!P .~ ,~~ 7' - Disapproved a/c . . . . . . . ~_' . , .. .,.....,......... -.---, .----- ....... ............. .....,........ .~~.~~~ " '....... i'.. . .... .., ,. (Building Inspector) APPLICATION FOR BUILDING PERMIT DateI'! h(....b........, 19~. INSTRUCTIONS 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 lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed descnption 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 occuplep 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 alteratians, 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 ,dmit "thori"d ""'"'''''' ,~.'" "d m bwld"", f" '=_~oti'" i. . . .. (~~~:. nt, ~~~~~~~;ati~~)' .. . .f'O.~. .4:0.~,. .M1~!f?~1.. !!/.... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. , .. .. . . ,.Q.0.J;Y.~I(.. " . .. ,. . .. . .. . .. ., . . " . ., , , .. . . .. .. . . .. . , . .., ,. . .. . .. . .. .... .. . . .. . .. ... ... . .!:~(P.(7/\Jl''''./ })/,/;:nt.c Ci!/ri~r7 on t.::' Name of owner of premises ........ ~. . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . , . . . . . , . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ..... ...................... ,.... -. ,.. ,........ (Name and title of corporate officer) Builder's License No. ...'....."....,."....,. Plumber's License No. .................,.,.". Electrician's License No. ,..................... Other Trade's License No. ..................... I. Location ofland on which proposed work will be done. ......................,....,..................... ,~~. .ft11/.J?, .If! !. 4!~(!(r?/'(l0. :?v.<=;,. .!'1 ~0.!,":(/.(I-.1(. .. . . . . . . . . .. . .. . . . . . , . . . , . . . .. House Number Street Hamlet County Tax Map No. 1000 Section ......... 11.11: oooo Block ..oo 11.. . . . . . . . . .oo Lot... roo . , , .. . .. .. 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 . . .I . . .~. ~ ~ ~. . . . . .? . . . ??PI!. tf.~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy ..t.. ./I"e!~4f. ... .~.. .. . '?!Pt!~.... .. . .. . .. .. .. ... . .. . .. . ..' .. ; ,J; ft 3. Nature of work (eheck whic]1 applicable): New Building. " .. ... .. Addition... ... . ... Alteration .. .C:. .... Repair .............. Remqval . . . . . . . . . . . .' .. Demolition .............. Other Work. . . . . . . . . . . . . . . 70 ' .' OQ (Descriptian) 4. Estimated Cost. . . . . . . . . .~. q:. ~ . . . . . . . . . . . . . . . . . . . . . Fee. . . . . .~. ?':~. . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling, number of dwelling ).Inits . . . . . . . . . . . . . .. Number of dwelling units on each floor. . . . . . . . . . . . . . . . If garage, number of cars .....j................................................................... 6. If business, commercial or mjxe~ occupancy,. specif3crture and extent of ea~ type of use . . ;?7?:'?~V . . . . . . . . . 7. Dimensions of existing structur~s, if any: Front. . . . . :f . . . . . . . Rear .~. ...5:'. . . . . . " Depth. . .. .<?....... Height ............... NUrrlber of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front ................. Rear . . . . . . . . . . . . . . . . . . Depth. . . . . . . . . . . . . . . . . . . J . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories. . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new const!uetion: Front. . .;$1-!'>1 f. . . . . .. Rear............... Depth .. . . . . . . . . . . . . . Height ............... Number of Stories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size ofJot: Front . . . . ?>. ~ . . . : . . . . . . . . . .. Rear..... (;,. r. . . . . . . . . . . . .. Depth .....? 7 if:: . . . . . . . . . . . 10. Date of Purchase .......... J . . . . . . . . . . . . . . . . . . Name of Fonner Owner ............................. II. Zone qr use district in whieh premises are situated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: ... .I!/! . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded ........ j . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .. j . . .. . .. . .. . . .., . . Address.. .. . .. .. . .. . . ... . . Phone No. .. . ... . ...... . . Name of Architect ...t. M' ; . . .,. . . . . . . . . . . . . . Address .. . . . . . . . . . . . . . . . . . Phone No. ...... . . . . . . . . . Name of Contractor .. !.. '!I.tft.'.tt.,~""""" Address . ~o.~"'Hp.t,..b..... Phone No. 7/p,5:.1.".'~ PLOT DIAGRAM J,,:.I Locate 'clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from t :'property lines. Give street and block,number or description according to deed, and show street names and indicate whether , interior or corner lot. ;/ ~ STATEOFN~~;S.S . COUNTY OF ." '. . , .......... ~~'<'l'" .,.f,,,.. .~<-,~... being duly sworn, dePos,esand says that he is the applicant ( ame of ~ dividual sigJ1ing contraet) . above named. ' , .6-" ~ He is the.. . .. . . .. . . .. . , . . . .. " . Q -. .d.~....^. .....~-;){,~L................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have perfonned 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 perfonned in the mann,er set forth in the application filed therewith. Sworn to before me this '~ ....... .;.. .6..U.... ..dayqf... ..... /Ylay' .., 19~a N~Ct.~ CO",,, tJ 1/. . I !. (\. ..:&1'1:".(;~........... ~ 2:;' fDl:!Jh....L.&:.... / (A , el:1tl81;'1 . at New york J. .. ... 7' J,-,.. . . . . NOfARY PUBLIC, Sta ' (Signature of applicant) fto 52.8145850, SUlfolk ~;r 1.~m E<plles March 30. 19