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HomeMy WebLinkAbout16427-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bumlding Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18670 Date DECEMBER 22r 1989 THIS CERTIFIES that the building. Locatmon of Property28145 MAIN ROAD House No. County Tax Map No. 1000 Sectmon 102 Subdivlsmon FIVE RETAIL STORES Street Block 05 Fmled Map No. CUTCHOGUE Lot 003 Lot No. Hamlet conforms substantially to the Application for Bumldlng Permmt heretofore filed mn thms offmce dated SEPT. 4~ 1987 pursuant to which Bumlding Permit No. 16427Z dated SEPT. 4~ 1987 was issued, and conforms to all of the requmraments of the applmcable provisions of the law. The occupancy for which thms certificate is issued ms CONSTRUCT FIVE NEW RETAIL STORES AS APPLIED FOR AMENDED TO INCLUDE LOADING DOCK. REPLACES B.P. ~t4223Z ISSUED AUG. 30r 1985. The certlfmcate is mssued to ALFRED J. TERP (owner, ~) of the aforesamd bulldmng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N103t36 & N050687 & N000149 PLUMBERS CERTIFICATION DATED LEE SANDERS~ INC. 9/27/89 ' Buildln~ ~Hspector' Rev. 1/81 lvOR~ NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) Perrn,ss~on is hereby granted to: ~uddlng Inspector. Rev 6/30/80 FOtt:~' NO, B TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14223 Z Permission is hereby gronted to: ~ ~ ....... ~.~.,~.-~,,m..........J....- - . ...... /~.~- ...... ~.~ ..... ~/~.~ ....... ~.~.~ ................................. ...~_~..o..?.~z.,.,~:.,'./.= .................... _ r o ..... ~2 ~.. .v. . ~. .-7.. z~ ~ ~ /. . ~-~ ~ . . . . . m /.~-. c ~. .~ . . ~ . . . ~. . . ~ ~. ~` ~.z`~. .~ ~ . . . . ~c~. . ~ ~/~ . . . ~z ~ ~ ...... at premises located at ..... ~~." .......... ~- /....~.~..'~,Z.. ~.'."g~.' ......................................................... .......................................... .~.~.!~<~. .................................. ~.~.~..~j~.v..~..~:..'.../..:. ....... County Tax Map No 1000 Section ...//(~...~.... Block ..~.....~..']. ......... Lot No...~...CL.~'. ........ pursuant to application dated ...... ~/.~.--~........'~.. ....... , 19~...~,-~nd approved by the Building Inspector. Building In,t~ector Rev 6/30/80 TOWN OF SOUT~OLD BUILDING D~PARTHENT TOWN BALL BOUT~OLD, NEW YORK 765 -- I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ...~....OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET 0~ne= o= 0~ner~ of Property. b.~.~.~..~:...~.~. .. ............................ County Tam Hap No. I000 Section 7.q..~. Block o.6~'..~..--~--Lot .~...~'.~... Subdivision ....................... Filed Map ........ Lot .......... Per=it No..~.~..~.%3...Date of Permit .~.~..~.\o~..~.Applicant {~.O.6~./~../V2~.j~/~~ Planning Board Approval .......... Request for Temporary Certificate ....... Final Certificate ...... ...~... ..... Fee Submitted: $ ....~..~..'~. rev. FORM ~O. ~6 TONN OF SOUTUOLD BUILDING DEPARTMENT TOWN HALt. 765- lg02 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, pToperty lines, streets, and unusual natural or topographic features. 2. Final approval of Dealth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that solder used in system contains less than 2/10 of II lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (Prior to April 9, ]957] non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streets, buildings and unusual matural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, ]957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: h An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, ]957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor iu writing to the applicant. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $]00.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Dpdated C~rtificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.0n Commercial er. COMMENTS FI Ei~D £~ISPECTION - -~-~ %~ 1. FOUNDATION~ {1st) ~ FOUNDATION 2, (2nd) ROUGH FRAME & PLUMBING INZbL~TION PER N. Y. ~,TATE ENERGY ~ C, ODE ~ FINAL ADDITIONAL COMMENTS: Les Sanders, Inc. PLUMBING AND HEATING 137 HALLOCK LANE ROCKY POINT, NEW YORK 11778 (516) 744 6363 Thia :~ to c _or[ ify thai, J,h(~ solder tlaed for the dome-,tie war, er lineq wa~ CANFIELD 100% Lead free. IL is a silver,%in copper aloy Le~ INFORMATION FOR BUILDING DEPARTMENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE TIlE NEW YORK BOARD OF FIRE UNDERWRITERS APPLICATION NO (~ '~ ~ '~ ' ~ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765P1802 FAX (516) 765-1823 Town Hall, 53095 Mare Road P.O Box 1179 Southold, New York 1197I OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD JANUARY 26, 1989 ALFRED J. TERP, SR. 28095 MAIN ROAD CUTCHOGUE, N.Y. 11935 DEAR MR. TERP: PLEASE FIND ENCLOSED THE PLANS FOR YOUR STORE. PLEASE BE ADVISED THAT THE BUILDING PERMIT WILL EXPIRE ON 3/4/89. TF:hkd 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FINAL DATE CUTCHOGUE DRUG STORE C:U TC:HOGU e NEW YORK ONLY THE BEST 2-18-87 Southold Tov~ Building Dept: Re: Building Permt~ i~sued to alfred J. Terp: Dated: 8-30-85 Covering premises ~ ~8095 ~ain Road, Outchogue. Gentlemen: It is requested that a six month extention on the above oaption per. it be granted. Sincere y o ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS .uRsAu o,, S-SCTR,crrY 85 JOHN STREET. NEW YORK. NEW YORK 1003B NOV~M~ ~0,~9~ ~pplica~ion~o. on~il~ 635~7~/~ N ]0313f, THAT RXTUll l RXTUIIS RANOIS OVINS OU~LITS ~C~IS HC&ND~SCENT fLUORESCENT OTHER SII~/~CI OIS~ s ! R V ! C PANEhBOARD$: I-7 CIR. ELEC~ WATER ffEATgR$: :2-1.5 250 E NORTH EhECTRIC 121 ACACIA ROAD R(~.EY POINT, NY, LiC.t890-g 11778 ~ ~ 11 ~r This certificate must not be altered in any manner; return to th~ office of the Board if incorrect. Inspectors may be identified by their cmdentlels. COPY BE ALTERED IN &.qY MANI~It. _ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- E5 JOHN STREET, NEW YORK, NEW YORK 10038 Date Application No. on fil~ THIS CERTIFIES THAT ordy ~he eI~c~ ~lu~omen~ ~ d~eribed ~ a~ ing~ by t~ ~g ~ ~ the ~ ~t~ ~um~r ~ examln~ on and found to be in ~mpliance with the r~ulremenis of th~ ~rd. D~Y~ FUI~ACJ MOTORS /UTUII API'UANC~ ~ TIM~Ci~CJ(S SBIVIC:E 04SCONN~T S E R V I J M.M~t~BI This certificate must not be altered in any manner; return to the offlc~ of the Board if incorrect. Inspectors may be identified by their THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY "OYE]~D~R I7, I~JOHN-- ETREET. NEW YO"K. -'-'" "------ '--~j~/~38 N 000~9 ~pplicati~ No. on file ~ exami~ ~ ~nd to be in ~m~ian~ with the ~ui~me~ts of th~ ~. SIII'V~I DISCQfWqJICT S I R V I C l ~' %1~~' o, ¢~.~:~x,~,. ~. ~, .,-~ ,.,o. ~,,~,,,, 500 CLIFFORD CORMELL 325 giLl,OM POI#T ROAD SOUTHHOLD, NY, 11971 This cet'tificate must not be a#emd in COPY FOR manner; return to the ~ o~ I~ Board if incorrect. Inspectors .~ 0,~5 Y5 t~H 0 ,..,,,../$ 7,3'00 77oo~ /9 1) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. 2) HEATING CONTROLS TO MEET 7813.13 RANGE 45 TO 75 DEGREES FAHRENHEIT. 3) WATER HEATING PER 7813.31 THRU .38. 4) PIPE INSULATION 7813.19 5 ) ~NDOWS - DOUBLE GLASS. 6) ~qDNSTRUCTION TO MEET N.Y.S. ENERGY CODE. 0.17' 0 OW 0.5,5 0 ~0 005 0 05 0 Il Y'q,3 °° t TO THE BEST OF MY KNOWLEDGE, BELIEF, AND PROFESSIONAL Examined ......... 19 Approved ......... 19 Dmapproved a/c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y 11971 TEL.. 765-1803 Permit No Received ........... ,19. (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Ttus application must be completely filled in by typewriter or m ink and submitted to the Bmldmg Inspector, wltl sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc stre or areas, and glvmg a detmled description of layout of property must be drawn on the diagram which is part of ttus ap! cation. c The work covered by ttus application may not be commenced before issuance of Building Permit. d. Up~nappr~va~fthmapphcati~n~theBm~dmg~nspect~rwd~issuedaBu~dmgPermitt~theapphcant Suchpen shall be kept on the premises avaflable for inspection throughout the work· e. No bmldmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupar shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Building Department for the zssuance of a Bmldmg Permit pursuant to i Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmances Regulations, for the construction of buddings, additions or alterations, or for removal or demohtmn, as herem describ The applicant agrees to comply with all apphcable laws, ordinances, buildmg code, housing code, and regulations, and admit authorized inspectors on premises and m bmldmg for nyessary~/~./~.~. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electnman, plumber or bmld Nameofownerofpremlses ~.~1'/~.. e~'..~~-i/:~. .~-'~- . ....... (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 qt~ ..... Plumber's License No. . Electnclan's License No ~?~ . .. Other Trade's License No I. Location of land on which proposed work will be done.lq[.~'-~ ~t)~.'~[ ~. t~. I"[A~ ~A:g'_'_~O .... House Number ~ ~ Street Hamlet County Tax Map No. 1000 Sechon ~O~ .... Block ~ . . Lot. ~ .. Subdxv~smn . ~ Fried Map No .. Lot (Na~e) .... 2 State exmtmg use and occupancy of premises and intended use and occupancy of proposed constructxon a Ex.~hng use and occupancy ~ ~ ~ } ~ ~ ~ ~Xl ~ 'q~ :~O~{ $. b Intended u~ and occupancy ~) ~O> ~T'T .... 3. Nature of work (check which applicable) New Braiding . .X/' A~Id~tmn ...... Alteration ..... Repmr .... Removal .... Demohtaon . .~'. ...... Other Work ..... 4 Est~ated Cost . ~ ~9.~:.~ ............ Fee ....................... __ ~ (to be p~d on fihng this application) 5. If dwelhng, number of dwellm~ units..~ '--~ ..... Number of dwelhng units on each floor.. ~. .... If garage, number of ca~ ~ ........................ k ]~ .......... 6. If business, commercml or mtxed occupancy, specify ~ge ~d extent of eac~typ~ of u~ .. ~ ........... 7. D~enaons of ex~tmg structures, ffany Front , .-~ ..... Rear . ~'~ ..... Dept. A~ ~, ~ Q.. Height ... ~ .... Number of Stones ~ ~) ....................... D~ens~o~ of same structure w~th alterations or addmons Front ........... Rear ........... Depth ~ ....... HeiSt .......... Nu~er~of Stones ....... ~ ...... 8. D~ensl~ entire new construction Front ~*.. X... Rear .. ~ ....... Depth ~ ...... 1 1. Zone or use &stnct m which premises are satuated .~b.- ~ ......................... 12 Does proposed constructmo vmlate any zomng law, ordinance or re~latmn ~ ................... 13. Will lot be regraded . ~ ._... ~ ...... Wall excess fill be removed from prgmises Yes 14. N~e of Owner of pgem~ses ~%~ ~ ~ .~: Address~lq~, ~ Phbne No Nme of ~chxtect ~- .......... Address n .......... Phone No ....... N~e of Contracto~5 .~. ~ %C. .. Address :. · ........... Phone No ~ ....... P~T DIAG~ Locate cle~ly ~d &s~ctly ~ buildings, whether existmg or proposed, ~d, ~n&cate ~1 set-back d~ensions fro, prope~ hnes G~ve street ~d block number or descnpt~on according to deed, ~d show street n~es and ~d~cate wheth. interior or corner lot. STATE OF NEW YORK, COUNTY OF. ~.. ~-.o~ .K . S S ~-~0 ~.- ~ ~-.. being duly swo~, deposes ~d says that he ~s the apphcan (Name of ~nd~v~dual sagnmg contract) above named He xs the ~S ~~ ............... (Con.actor. agent, corporate officer, etc.) of sa~d owner or ownen, ~d ~s duly author~ed to perfoma or have peffo~ed the smd work and to m~e ~d file apphcat~on, that all statements contmned m th~s application are true to the best of his ~owledge and behef; and that th work w~l be perfo~ed m the m~ner set forth m the apphcation filed therewith. Sworn to before me th~s ............. ~.~ .... dayof .~~ .... ,19.~ ~ , . .................. ~ ........ ~o nty "~ ~ ~ ~ ~ ~ ~ ~t.~ ~,~ . . ~-/z. ~/~_. ..... Examined ~. Approved .~. Disapproved a/c 'FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL aeOUTHOLD, N.Y 11971 TEL.: 765-y_.~ ~-~t~J Recelved,~5~..~.... (Building Inspector) Date ...... 7' ..... 19e~ ~7~~ ~,~. J~ INSTRUCTIONS a Tins application must be completely fiiled m by typewriter or in mk and submitted to the Building Inspector, wltt sets of plans, accurate plot plan to scale Fee according to schedule. b Plot plan showing location of lot and of buddings on premises, relahonsinp to adjoining premises or public sire, · or areas, and g~ving a detailed description of layout of property must be drawn on the diagram which is part of this aP! cation c The work covered by tins application may not be commenced before issuance of Building Permit. d Upon approval of this application, the Building Inspector will issued a Building Permit to the apphcant Such pern shall be kept on the premises avmlable for inspection throu~lout the work, e No building shall be occupied or used in whole or in part for any purpose whatever until a Certfficate of Occupan · shaI1 have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Braiding Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demolition, as herein describe The apphcant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and , admit authorized mspectors on premises and m building for necessary inspections ~. ~ (~ /.._ ...... (Signature of applicant, or name, if a corporation) .... (Mailing address of affphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bullde · Name of owner of prem,ses ~'~'~--V,-~Y~ Z ~J~--~r~t~ ~"tr~i ' ' i ..................... (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No ......... Plumber's License No. /4.. ~a~/4-'~c-?~/~? ' EIectnc~an's L~cense No ........... Other Trade's License No .... Location of land on which proposed work will be done ltouse Number Street County Tax Map No 1000 Section . . ./'.0~c4... . Block . Hamlet ~'~ 2 Subdivision (N'ame) ' Fried Map No Lot ........ State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction a Existing USe and occupancy ~--~r-~ b. Intended use and occupancy .~'~]~4'(-~ -~.~7~ ./[.,4~'W.../~qa,./../.~.~..,~-:..'~.~.-~.. 3. Nature of work (checkwhlch applicable) NewBui/dmg ...~.'..... Additlo/1 ........ Alteration .... Repaxr ........ Removal .......... Demohtxo~..e~.G..~., Other Work ......... 4. Estunated Cost.. (to be prod on filing thas application) $. If dwelling, number of dwe[hng umts .............. Number of dwelling units on each floor If garage, number of cars ........................................................... 6. If busaness, commercial or m~xed occupancy, specify nature and extent of each type of use .............. 7 Danensions of exastmg structures, if any Front ...... Rear ............. Depth ......... Heaght .......... Number of Stones ........................................ Dimensions of same structure wath alterations or addations Front ............... Rear .......... Depth .............. Height ................... Number of Stories ................. 8. Dimensmns of entire new construction. Front ............. Rear ............ Depth .......... 9. Saze of lot' Front ....... Rear ..................... Depth .................. 10. Date of Purchase .................. Name of Former Owner .................. 11. Zone or use d~stnct In which premises are satuated ............. ..: .... .~ ............. 12 Does proposed construction vmlate any zomng law, ordinance or regulation' . ...................... 13 Wall lot be regraded .................. Will excess f'fll be removed from premise~: Yes _ 14. Name of Owner of premises/~: ~ {~Z,~... . Address ................ Phone N~'.'f'.-.//'7.~. 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 fr, property hnes. Give street and block number or description according to deed, and show street names and indicate whetl anterior or corner lot. STATE OF NEW YORK, COUNTY OF ........... S.S (Name of individual s~gnmg contract) above named being duly sworn, deposes and says that he as the apphca He ~s the ........................ (Contractor, agent, corporate officer, etc ) of said owner or owners, and as duly authorized to perform or have performed the said work and to make and application, that all statements contamed in th~s application are true to the best of his knowledge and behef, and that tJ work will be performed m the manner set forth in the application filed therewith. Sworn to before me th~s ............ day or .... ....... ota P bhc ....... . Oounty ~st~, stm o* ~ ~t f (/ (~/gnature of applic~ _ ~7878, Suffolk Coup_ ~ ~ March 30, 19 R~ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY gOUTHOLD, N.Y. 11971 , TEL.: 765-1802 CALL ................ Examined ..,19 Approved~..Z[~' . .,19~f'~erm,tNo/~ D~sapproved a/c ........ (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins application must be completely filled m by typewriter or in ~nk and submitted to the Bufldmg Inspector, wi: sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relatlonsinp to adjoining premmes or pubhc sir or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of tins cation. c. The work covered by tins application may not be commenced before ~ssuance of Bmldmg Permit d. Upon approval of this application, the Bmlding Inspector will issued a Budding Permit to the applicant. Such pe~ shall be kept on the premises available for mspectmn throughout the work. e. No budding shall be occupied or used m whole or in part for any purpose whatever until a Certificate of Occups shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmlding Permit pursuant to Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmanc. Regulations, for the construction of buildings, additions or alterationS, or for removal or demolition, as herein descri The applicant agrees to comply wlth all apphcable laws, or&nances, budding code, housing code, and regulations, an admzt authorized inspectors on premises and m bmldmg for necessary mspectlon~ ,~, n (S~gnafhre of,ap~hcant, or name, ff_a~corporatlon) .... (Malhng address of apphcant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or bull Name of owner of premises ...... (as on the tax roll or latest deed) If apphcant is a corporation, slgnature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S }lUST BE SIJFFOLK COUNTY LICENSED Bmlder's License No . .. Plumber's L~cense No Electnc~an's License No Other Trade's License No 1 Location of land on whmh proposed work will be done House Number Street County Tax Map No 1000Section / ~t ff~. Block Subdivision Filed Map No Lot (Name) State existing use and occupancy of premmes and ~ntended use and occupancy of proposed construchon a Exmtmg use and occupancy . ..~"~ . ..T..n~ .. b Intended use and occupancy .. 3. Nature of work (check which applicable) New Building . . ~hon ........ Alteration ..... Repmr .... Removal ........ Demoht~on ......... Other Work ...... (Description; 4. Estimated Cost . ~'~.~,~ ....... Fee ~ /.4~./*. ~"~. ............. · (to be paid on filing this application) 5. If dwelhng, 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 use .............. 7. Dime.nsions of exmtmg structures, if any Front .... Rear ...... Depth .......... Height ......... Number of Stones .................................. Dunenmons of same structure with alterations or additions Front ......... Rear ........... Depth ........ Height ........... Number of Stones ............. Dunensions of entire new construction Front ....... Rear .......... Depth ........ Height .... Number of Stones ....................................... Size of tot Front ........... Rear ..... Depth ............ 10. Date of Purchase ............. Name of Former Owner ..................... I 1 Zone or use d~stnct in which premises are situated ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation ....................... 13. Will lot be regraded ............. Will excess fill be removed from premises' Yes 14. Name of Owner of premises ........ Address ........... Phone No ......... Name of Architect ....................... Address ............ Phone No Name of Contractor ................ Address ............... Phone No ........... 15. Is this property located within 300 feet of a tzdal wetland~ *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and distmcfly all buddmgs, whether existing or proposed, and indicate ~dl set-back dimensions fro property knes Give street and block number or descmption accordhxg to deed, and show street names and indicate wheth, interior or corner lot. STATE OF NEW YORK, S S COUNTY OF .... ....................... being duly sworn, deposes and says that he is the appllcan (Name of individual signing contract) 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 tln application, that all statements contained m this application are true to the best ofhm knowledge and belief, and that th work will be performed m the manner set forth m the application filed therewith Sworn to before me this ............ day of .............. 19 Notary Public ....................... County (Signature of apphcan~ \~0 0~ 0 ' 0 CP 0 O; NOTE EXISTING BLDG NOT SHOWN HEJ:~EON TO SE REMOVED Prepared in accordance with the minimum standard~, for htle surveys as established by SURVEY AT TOWN ~7: E R P CUTCHOGUE OF SOUTHOL D ,he LI.A.L.$. and approved and adopted SUFFOLK COUNTY , tar such use by The New York State Land ,, - - - i- lO 2 - 0 5 ~P[c0~c~~~ ~ eNS~[[~S, P. C ( 516 ) 7S 5 ~ P 0 BOX 909 MAIN ROAD ELEVatiONS ARE REFERENCED SOUTHOLD ~ N Y, ~97t ~b ~?~ED DATUM \'50 O~ , J 0 0 NO EXISTING BLDG. NOT SHOWN HEREON TO BE REMOVED (.516) 7'65 .50~0 P 0 BOX 909 MAIN ROAD SOUTHOLD , N ¥, 11971 BLDG DEPT TOWN OF SOUTHOLD SURVEY FOR ALFRED J. TERP AT CUTCHOGUE TOWN OF SOUTHOLD UFFOLK COUNTY , I00 102 05 SCALE I" = ~0~ JUNE 20,1986 JAN ~3, 1987 N Y S LIC NO 49668 S ~ ENGINEERS , P C N.Y. O3 Land REVISION 7-7-87 2_9 ~ pip£ Hencha Two Company 150OB' NOTE AREA: 19, 908 SO FT ZONING USE D/STRICT- "B I " GENE~II£ BUSINESS SUFF CO TAX MAP DIST SECT B£~ PARCEL I000 lOP 05 005 SURVEY FOR ,4L F/:?E'D J AT CUTCHOGUE TOWN OF $OUTHOtD SUFFOLK COUNTY, NEW YORK DATE SEPT SCALE 1":20' NO YOUNG a YOUNG ALDEN W YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR NYS LICENSE NO 12845 HOWARD W YOUNG, LAND SURVEYOR NYS LICENSE NO 45893 400 OSTRANDER AVENUE RIVERHEAD , NEW YORK LI 0 o O. '7 LoT 'S~ f APROX, GRADE PECONIC SURVEYORS 516 ) 765 - 5020 P,O BOX 909 MAIN ROAD SOUTHOLD ~ N Y 11971 VENT~ I I I MAIN ROAD E L E VATI0N ii. C£'It iFiCA T£ I I DETAIL I/8" = I'0" APPP'©['~D AS NOTiW~d'Y-B I~J-N G 'DE~~ 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ,1. FOUNDATION . TWO REQUIRED FOR POURED CONCRETE 2, ROUGH . FRAMING & PLUMBING 3. INSULATION 4. FINAL . CON3TRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL M~ THE REQUIREMENTS OF ~E N.Y. STATE CONSTRU~iON & EN~Gy CODES. NOT RESPONSIB~ FOR DESIGN OR CO~RU~ION ERROr. GRIFFIN STREET BUILDING It II1~1 I1~1 Ii Ig~l / _ II _ ~ + 0'0" ENGINEERS , P.C. GRIFFIN STREET E L EVATI ON SCALE 1~8" = I'O" YPI(~AL BRACES lY8"= I'O" PECONIC SURVEYORS (516) 765 - 5020 P.O. BOX 909 MAIN ROAD SOUTHOLD, N.Y. 11971 COVERED WALK I23'4" .=~ J, ~ , ,. , ,, ~: ~ TYPICAL ENGINEERS , R C. FLOOR PLAN SECTION S I G N TYPICAL: ARCH.- SIGN - COL. ON GRIFFIN ST. I/2" = ['0" SECTION 5, [4 J I/4"= I'0" SECTION "I -H -G -F" 1/4" I'O" Jo 1575 ELEVATION CROSS SECTION ALONG GRIFFINS l/8" = I'O" 3TR EET I BUILDING L4I~~ it'/2~' SECTION 'E-D-C" I/4" = I'0" TOP OFEXIST. FOUNDATION 50'0" HORIZONTAL DIMENSIONS 1/8''= I'0" SI G N TYPICAL: ARCH. - SIGN -COL. ON MAIN STREET I/2" = ]'0" SECTION "C -B-A" '1' 13'8" MAIN ROAD do" (ASSUME PECONIC SURVEYORS (516) 765 - 50;:'0 P.O. BOX 909 MAIN ROAD $OUTHOLD , N .¥. 11971 BEAM ~"COL A" C/z" ¢. 12" ¢ wALL to" ~ EN61NEERS , P,C. +12' SCALE '/2": I'D" 12' 2_~6 20 ~ A-ocA 2-+A A 'CED L, AI' --I