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Home My WebLink About11265-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin~ Impector Town Hall So~thold, N.Y, Certificate Occupancy THIS CERTIFIES that the building ................................................ Locatio of Property ~,~Q0. D ' ]~.P ~9~] $o thold rfoo;e ~vo. S/met H~m/et County Tax Map No. 1000 Section . .(15 6 ....... Block . 13.6 ........... Lot..0.Q/t ,. ~5. ~. t~ ..... Subdivision. L~/iO. Ji9~9~ ................. Filed Map No. 5.3.5. ..... Lot No. ~..'~.~...i.n.c~l.u..~ivo conforms substantially to the Application for Buildin~ Parmit h~retoforo filed in this office dated .... ~l.~l~e. 9. ......... ,19 .~.1. pursuant to which Bu/ld~ Permit No... ? .~ .~.6.5...Z ........... dated ... J~J.y. l D ................. 19 ~.~., was iasu~d, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ~, ~.~ ~0?.~gV ?.~.k bqil.din.~. The cartificate is issued to ...l~O~'.t~..q/'. ~igYP~..~r~l;9.Ev.~..i.s.~.~ ~..~.n.c. v .................... of the aforesaid building. Suffolk County Department of Health Approval ...q ./~ .................................... UNDERWRITERS CERTIFICATE NO ........... r~ ~ 9 .................................... Rw. 1/81 TOWN OF SOUTHOL~ BUILDING DE~ARTME~IT TOWN HALL SOUTHOLD, N. Y. BUILDING P,ER~IT Building Inspector. Fee $ ........................ (THIS PERMIT MUST BE KEPT ON THE PP. EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~,~t v ~ o ~....~./ N°.11265 Z Date ....... : ...................... , ........................... Permission is hereby granted to: at premise~ Ioc~to8 ~t ............................................................. ,....¢ ......................................................... ...... ~ ~ ~2Z ~-~* ~.~)~ .....~/';/, Co~n~ TOX g~p ~o 1000 Socfion .................. : .....Block ¢....~ ............. pursu*nt to opplication d~t~d ............................. ~.~..~ ......... , 19.~ ond~ ~pprovod by the 5 Buildln§ ilnspector Rev. 6/30/80 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 featu res. 2. Final approvat 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 s~te 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 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 $5.00 1982 New Building ....... ~ ..... Old or Pre-existing Building(:~) ........ ~/Vacant Land 62000 Mal~ Road~ So~thold, ~.y. Location of Property .................... House No. Street Ham/et Owner or Owners of Property , .1~.°~.~...o.f ~Egy;p~. E..n_.~.e?.pr~..s.e.s. ~..I.n.o.: ~..S.o.u.. ~.h.o.l.d. ~....N.o.Y. ;..1.1971 County Tax Map No. 1000 Section ..... 5.6. ....... Block 6 Lot.. 4~5,6 Subdivision ..... ~e.w.$.s..~o.m..e.s ............... Filed Map No....5.~.5. .... Lot No..1...-I;.h.~.u....9... 11265 Z 7/10/81 Port o£ Egypt ~nterprises~Inc. Permit No ........... Date of Permit .......... Applicant. 8.pomth<>td, · N.,.¥ ~ ............... Health Dept. Approval ""-- .... Labor Dept. Approval ...................... ,.. Underwriters Approval ~ . Planning Board Approval ......... ~ ... Request for Temporary Certificate ..................... Final Certificate .............,...~ - - Fee Submitted $ .... 5 oOO Construction on above described building ancj, pern~.~meeAs all appl~ca, bIF_..codes al~ reqmlations. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: HENRY E. RAYNOR, Jr,,Cha~rman FREDERICK E GORDON JAMES WALL BENNETT ORLOWSK1. Jt. GEORGE RITCHIE LATHAM, Jr. Southold, N.Y, 11971 November 13, 1980 TELEPHONE 765- 1938 Mr. Wi!liam Lieblein Port of Egypt Enterprises, Inc. Route 25 Southold, New York 11971 ~ Dear Mr. Lieblein: The following action was taken by the Southold Town Planning Board at a regular meeting held November 3, 1980. RESOLVED to approve the amended parking plan of Port of Egypt Enterprises, Inc. dated December 20, 1979, to include the placement of a boat storage rack not closer than ten feet from the metal building on the westerly side of the property. Yours truly, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Muriel Tolman, Secretary FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ..,,,.,m,,.,.,d ..... . .... ro ........ (Building ~ns~ector) APPLIOATION FOR BLHLDli~G PERMIT Date ...... ~,~ ...... , INSTRUCTIONS a. This application must be completely filled'4n 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. Plot 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 apF cation. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon approvM of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such shMl be kept on the premises ava~able for inspection throughout ~he work. e. No building shall ~e occupied or used in whole or in pa~ for any pu~ose what~ver unt~ a Ce~ifieate of Co,pan shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant to t Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for ~e construction of buildings, additions or alterations, or for remov~ or demolition, ~ herein descfib~ The applicant agrees to comply with all applicable laws, ordinan .es, building code, housing code, and regulations, ~d admit authorized inspectors on premises and in buildings for neeessa~ inspections. (Signature of applicant, or nme, if a corporatio~)g ........... ' ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Name of owner of premises ....~.0./~. ~".....0..~.. · · -~...-~..'? ~../-. · · .../~.../77...../..~r..~. ...................... (as on the tax roll or latest deed) If applicant is a coilporation, gw. tnature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... O..L.A.)./V.C, .'~..-. ..... Plumber's License No ........ p/t/~ Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...0.0..~..~....0?7...~.'~. ~..~. · .~". .................. House Number Street - llamlet County Tax Map No. 1000 Section .... .~..~..~-- ....... Block ...... /~ .......... Lot .....~'~./..'~..'~-~..~ .... Subdivision ..................................... Filed Map No .............. Lot (Name) 9_. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............................................................. B...oT&...r. . b Intended use and occupancy ............... f ( ' ppi' )' Alt ti ur0 o work check which a lcable. New Buil,iing .......... Addition .......... era on .......... R 'pmr Removal Demolition Other Work /. ~', O O~::~ Fee ,~ D (Description). ~ Estimated Cost ' · (to be paid on filing this application) 5. If dwelling, number of dwelling ulni't¥',/~-''hz ~' '~' ' .... Nmnber of dwelling units on each floor,.... If garage, number of cars ..:.. ~ t g .................................................. ' L If business, comm. ercial or mxxed.oezupanc¥, specify nature and extent of each tyye of use/O~e~o, i~i,~ ?. Dimensiou~.f~,~ing stmctures~, if any: Front .... ,/.~. ~, ...... Rear .... /.~. (~ .... Depth . .~.~-, ~'~'. ...... Height ...~[.~..', ...... Number of Stories ....... ./ .................................. Dimensions of san~st~¢t~.~ wi~h alterations or additions:,... Front ...... ~..'.'.~ .~. .... Rear .... i~i .~i ~ ii Depth ......... ,-~-~, .~-r~. .... ;. Height ...."~.t~.~..~I~.. .......... Number of Stories ...... ( ............... D~mens~ons of. en~tj~e new construetmn. Front ..... ~ . ,~. .... Rear .... ~:~..~. .... Depth .. ~,~..~ ........ 5. Height .... ~ ..... ._. Num_b. gr of Stories.. J..'7....-~Trg~C.~.~..O~../.~ ......... ~. ,.: ................. Size of lot: Front .....n,~O.. ~. ......... Rear .... .-~-./~,~....:~. ............ Depth . .~. ,~.'g:~.......~.. w.,... rote ofPurohase . .. ..... I..~. ~ ...... : ......... N~ne or Fo~mo, r Owner PO.~.a.~.. Zone or use district m which pre~ises are s~tuated ..... ,.~ .................... ; ~, .................. .. ~ .... Dc?es proposed comtruction rip,ate any zoning law, ordinance or regulation: ..... t~. C) .................. .'.... Will lot be regraded ...... ~.67 ................. Will excess fill be removed from premises: Yes Name of Owner of premises ~'.0~. ~..~.. ~.~..~..C~. .... Address ~ t%-/./3/..~..~. ....... Phone No..'~L~'.-.~.~. N~,une of Architect ......... ~ ................ Address ....... ~ .......... Phone No ................ N,une of Contractor ... ~f~ ~"VT.'P~tg.f~. ~O-~.q~... Address .se~..~'.z..../~./"~.... Phone No..~:i~.~.'~ PLOT DIAGRAM Locate cleaxly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from :operty lines. Give street m~d block nmuber or description according to deed, and show street names and indicate whether ~terior or corner lot. rATE OF NEW YORK, ~.S OUNTY OF ................. · ../,4~,J. l ~.C~ ~q;~. ~.... ~..'... X f- (:r~7~.~. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) hove named, e is tile ...... 7z, .......................................... . : (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the sqid work and to make and file this pplicafion; that all statements contained in this application are true to the best of his knowledge and belief; and that the ,ork will be performed in the manner]set the application filed therewith. w~rn to before n~his ........ ~./ ..... day .~. .......... ,197./ rotary Public, .x ......County (Signature of applicant) r7 F f~ ~g N '1 OCCUPANCY OR USE IS UNLAV~FUL WITHOUT C[R'flFICATE OF OCCUPANCY APPROVED AS NOTED DATE: ~ f~.~B.P. '~ [ ( ~5~ ELEV,ATtDN NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INCULAT!qN