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Southold, N.Y. 11971
HENRY E. RAYNOR, Jr" Chai,man
JAMES WALL
BENNETT ORLOWSKI, Jr.
GEORGE RITCHIE LATHAM, Jr.
WILUAM F, MULLEN, Jr.
TELEPHONE
765-1938
October 13, 1982
Mr. Victor Lessard
Building Administrator
Southold Town Hall
southOld, New York 11971
Re: Irwin Thompson
Site Plan
Dear Mr. Lessard:
The fOllowing action was taken by the Southold Town Planning
Board, Friday, October 8, 1982.
RESOLVED that the Southold Town Planning Board approve a re-
duction in the number of parking spaces, from 28 to 27, on
the site plan of Irwin Thompson, located at Southold, for
the construction of a ramp for the handicapped.
Please contact this office if you have any questions.
Very truly yours,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTH OLD TOWN PLANNING BOARD
By Susan E. Long, Secretary
cc: Irwin Thompson
HENRY E. RAYNOR, Jr.. Olairman
JAMES WALL
BENNETT ORLOWSKJ. Jr.
GEORGE RITCHIE LATHAM. Jr.
WILUAM F. MULLEN. Jr.
Mr. Victor Lessard
Building Administrator
Southold Town Hall
Southold, New York 11971
.
.
Southold, N.Y. 11971
TELEPHONE
765.1938
August 31, 1982
Re: Irwin Thompson Site Plan
Dear Mr. Lessard:
The following action was taken by the Southold Town Planning Board,
Monday, August 30, 1982:
RESOLVED that the Southold Town Planning Board grant final approval
on the site plan known as Irwin Thompson, located at SouthOld, for
the issuance of a final CO.
cc: Irwin Thompson
Very truly yours,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Susan E. Long, Secretary
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O,~ TRANSPORTATION
DEPARTMENT
AUG 19 REC'O
Willi;lm C. H.nneuv. C,;(nmiSllaon.r
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Rc-glUIl 10 Office. New York State Office Building
Vetl;:rans Highway, Hauppauge. N~w YOlk 11787
Date:
August 17. 1982
Building Department
Main Road
SOllthold. N.Y.
llq71
Re: Permit # 81-0551 - open the n/s Route 25
e/o Boisseatfi Ave.. SOUTHOLD for the purpose
of installing one 30' curb cut. remove old
and install new curb and sidewalk. etc.
Gentlemen:
We have no objection to the issuance of a Certificate of Occupancy for the
BUILDING
located at the above noted site. This is not, in any way. to be construed
as final acceptance of the work required under the State Highway \Iurk
Permit, since all aspects of this work may not yet be satisfactorily
completed.
We thank you for your continued cooperation.
Sincerely yours,
-;)0 J
J! Ie: v/''''-7A,-v /
HARRY R. THYBERG (1/ (rlt C..
Regional Permit Engineer
Region 10
HRT: RD
cc: File
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PLANNING-BOARD
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Southold,N.Y.l1971
HENRY E. RAYNOR, Jr.. Chairman
JAMES WALL
BENNETT ORLOWSKI. Jr.
GEORGE RITCHIE LATHAM, Jr.
WILUAM F. MULLEN, Jr.
TELEPHONE
765.1938
July 7, 1982
Mr. Irwin Thompson
82 Topping Drive
Riverhead, New York 11901
Re: Irwin Thampson Site Plan
Dear Mr. Thompson:
Pleae let this confirm our conversation this morning regard-
ing the curb cut on the Main Road and the additional curbing
on the west of your construction site.
The following action was taken by the Southold Town Planning
Board, Tuesday, July 6, 1982:
RESOLVED that the Southold Town Planning Board approve the
amendment on the site plan of Irwin Thompson to realiqn the
existinq curb cut approximately four feet east of that which
is designated on the approved map, along with additional curb-
ing and sidewalk to be placed west of the construction site;
east of Boisseau Avenue.
We would request such amendments to be designated on the filed
map for our records. If you have any questions, please do not
hesitate to contact this office.
Very truly yours,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Susan E. Long, Secretary
cc: Sup't of Highways
.
.
~ig4fna\l ~cpartmct1t
mown of ,;&outl)olli
'~ronir, ~. 1. 11958
JUL 1 1982
RAYMOND C. DEAN
Superintendent
Tel. 765-3140
734-5211
June 30, 1982
Mr. Henry Raynor
Chainnan Southold Town
Planning Board
Southold, New York 11971
Dear Henry:
I reccmnend to the Planning Board that curbing and sidewalks
at the new construction on the NE comer of Route 25 and Boisseau
Avenue, Southold connect to the curb existing cuts. This being on
the east side of Boisseau on the west side of the construction.
I reccmnend this for two reasons.
1. Curbing will control the traffic on this street.
2. Sidewalks will keep customers out of the roadway.
Y~rulY yours,
~~
c...-- RAYMOND C. DEAN
Sup't of Highways
.
.
<SI8) 722.3511
TELEPHONE
DONALD A. DENIS A.I.A.. P.C.
ARCHITECT
AQUESOGUE SQUARE. RTE. 25
P. O. SOX S6S
AQUESOGUE. N. Y. 11931
May 4, 1982
Mr. George Fisher
c/o Southold Town Building Dept.
Main Road
Southold, New York 11971
/
Re: Proposed New Building for
Mr. Irwin Thompson
NE Corner Main Road & Boisseau Ave.
Dear Mr. Fisher:
Please be advised that the use of PVC for the drainage
piping on the above captioned project meets with our approval
in lieu of the cement
Drawings.
aSbestoJrfiPing, as indicated on the
. \ i'\
truly yours, \
~!-,
DENIS, lY. I. A.
DAD/lv
cc: Mr. Irwin Thompson
82 Topping Drive
Riverhead, New York 11901
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- Permit Fee
Ins. Fee
Total Received
Check or M.D. No.
Liability Insurance
Policy No.
Disability Benefit Coverage
Policy No.
$
$
$
STATE OF NEfoRK - DEPARTMENT OF~AN.SPORTA!N
"'iiIf " SH No.
10~:~~ ~.,.{li } ; Est. Compl. Date
102.50 ,~l!
509 . ""'~,..
HIGHWAY WORK PERMIT
8229
.
PERM 42d~9/801
Permit No.
Deposit Rec. for $
Check or M.D. No.
Dated
X-81-_ 0551
Expiring
Permittee
Address
City
IRWIN AND SANDRA THONPSON
82 Toppill$S Drive
Riverhead State -.l!Y.. Zip
11901
$ 3.000
Chargeable to Bond No. lli831 - Indef.
or Undertaking on File
or
Mailing Address for Return of Bond or Deposit
._...(Complete only if different from above.)
Name Name
Address Address
City State _ Zip City State ~ Zip
Under the provisions of the Highway Law or Vehicle & Traffic Law permission is hereby granted to the permittee to open the fils
Route..25.-.eLo-BoiSSeall..AYe....-.SOllTHOLD.~urp.OSe....oLinst~inVn n~~1 rum rut,
remo.ye..ltldJrld..JnstaU..DelLCu!'b...and side~Lalk.......asphalt replace ouldpr >Irea.wlll hp
UL2~Jlase AsRhaJ.Ll..lJ2-"-I.Qp...J1:lQt..mi~lttemal drainage....e1c. Notify this office 211 hrs.
erior to star~ing constructi"n. in the county of
Suffolk 3S set forth and represented in the attached application; at the particular location or area, or
over the routes as stated therein, if required; and pursuant to the conditions and regulations, whether general or special, and methods
of performing work, if any; all of which are set forth in the application and form part of thO mit.
Dated at HauppauQL- ,N.Y. C r-
Date Signed Februar.v
Workmen's Compensation
Policy No.
Return of Deposit Made Payable To:
(Complete Only it Different From Permittee)
IMPORTANT
THIS PERMIT, WITH APPLICATION AND DRAWING (OR COPIES THEREOF) A, ,. 0,
SHALL BE PLACED IN THE HANDS OF THE CONTRACTOR BEFORE ANY WOR K IS STARTED.
NOTICE - It is absolutely necessary that the permittee notify H. R. Thyberc, NYS DOT
Permi t , "~Engineer. whose add res, is NYS Offi ce B 1 dg. ,Vets. l"emlllri a 1 Hwy. ,Hauppauge
24 hr. notification required Tel. No. q7q-5166 before work is started and upon its completion. NY
The issuing authority reserves the right to suspend or revoke this permit, at its discretion without a hearing or the necessity of showing cause, either 111
before or during the operations authorized,
The Permittee will cause an approved copy of the application to be and remain attached hereto until all work under the permit is satisfactoril'{ com-
pleted, in accordance with the terms of the attached application.
(SEE OTHER SIDE)
.
.
.
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PERM33d \- STATE OF NEW YORK OEPARTMENT OF TRANSPORTATION
HIGHWAY WORK PERMIT APPLICATION FOR NON-UTILITY WORK
Application is hereby made for a highway work permit Hir;;'w.'.1V r='''r!T:it No.
I
l
{ENTER NAME AND
MAILING ADDRESS
IN THIS SPACE
~~;r! :'l~m s:\r~'":.''"'p. T:i:Y!PScr:
';".Y'" _.; r~"s ~~ri \;-'~
I~i verhead. iI. Y. 1l9!)~
L
_.1
PREPARE
3 COPIES
'tI"'_~t;":l
Effective Dote
r.;c~:::: !tJ,:J00
!'71 J,,31
In(ef.
19 _ I to apply to the operation(s} c~ecked below:
1. Requested duration from 19 _ thru
2. Protective Liability Insurance covered by Policy No.
3. Workmen's Compensation Insurance Policy No.
41. Disability Benefits Coverage Policy No.
expiring
Check Type
of Operatiar
[KJ 4. Single job. Permit issued for each job
- [] o. Driveway or roadway
o Private
00 Commerc:lol
D Subdivision Street
o Temporary occeS$ rood or street
EJ'b."" I;ro::me:; - - - - - - - - - - - - - - - --
o Private
D Commercial
Cheek additional description below:
D Install sidewalk, curb, paving,
stabi I ized shoulder,drainage, etc.
o Grade, seed, improve land contour,
clear land of brush, etc.
o Resurface existing roadway
or driveway
_ _ _OM~cetlone~s_ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Dc. Tree Work
o Private
o Commercial (not required for pruning if
utility has annual maintenance permit)
Check additional description below:
o Removal or planting
O~runin'g,~p.!!in~h.::ic~s t~stu~s~tc..:..... _ _ _ _ _ __
Dd. Miscellaneous Construction
D Beautifying ROW .(for Civic Groups only)
:=J Temporary signs, banners, Christmas decorations
o Traffic control signals
o Warning and entrance signs
n Miscellaneous
05. One permit issuance which remains in effect indefinitely and
requires continuous insurance for encroachments caused by DoT
acquisition of property.
06. Compulsory permit required when work performed
at the request of Deportment.
Do.
Buildings (within State highway right.of-way)
on State lands when not covered by contract
specifications of the Department 4
_D Demolition _ D ~vi~ _
b. Improvement to meet Department standards
expires on
19-
I~p..'m;t IShOW In.. F.. ;ntTotOI Amount
Fee Amt. or PERM. of Fee and/
'7 pr Under. or Insurance
taking on fi Ie
---.-- ....-..-----...--
Guarantee
Deposit Amount
and/or Bond
NC
$100
$200
$2~
$2.50
~1f)2.51)
x
NC
$ 20
NC;
$ 20
NC
$ 20
$200
$ 20
r1--'- "C_C'~'Cl
NC;
NC
TOTAL PAlO
102. ~O
k
o Additional work description is attached;
LOCA TION Ion I I (llonQ I
DPlans
lacrossl
pages and/or. n. Mop is filed showing work to be performed at:
~"'T'
State tpghway N\1;', ,.i..~.';" between station __ _ ..__n. _ __
-,0 utilO I G C f S utto I k
ounty 0
and station
in the Town of
known os
Acceptance of the rHed permit ~~he permittee to t~e restrictions, regulations and obligations stated on this application and on the permit.
;I Applicant Signatur~ J (Jl Date of Application . 19 _
I ORIGINAL SlmlE]) B't
19 _ By Resident Engineer j. &.IiJlOn No.
11.. R.. :l'JitlJ<01\lt
Approval ,.commended
App,ov.fER
g
19
By Regional Traffic Engineer
1982'
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1.
PRO'
WE LIABILITY INSURANcE COVERAGE
rements. (See lnfor-
. Tc
PERM.
Expiration or, or lack of, lia'oility insurance automaf:c~ii'f ~ermfn.::;~:;::; ~ ~~r;:'i:-.
Insurance coverage may be provided by furnishing the Deportment with one of the following:
o. A Certificate of Protective Liability ]nsufc:n-:e ~:Jr Permirs Gn State Highway,;; Fcrm PERM 17, NYSD..,-)
b. A $2.50 remittance (check drawn on a New York State Bonk or Certified) for coverage under the Departmental Blanket
Policy.
c. An Undertaking may be fur-nished by Public Service Corporations and Government Units only and must include the
wording required by the Department.
2. COMPENSATION INSURANCE AND DISABILITY COVERAGE
The applicant is required to have compensation insurance and disability coverage as noted in the provisions of the
Workmen's CompensaTIon Law and Acts arnendatorythereof for the entire period or the permit, or the permit i s invalid.
3. NOTIFICATIONS
Notify Commissioner, through Regional Office, one week prior to commencing work, except emergency work by public
service utilities which should be reported the next work day.
Work must start within 30 days from date of permit.
Notify area gas distributors 72 hours prior to any blasting.
Notify Utility Companies with facilities in work area (permission must be~ob,toiAed before doing work affecting utilities'
facilities) before starting work.
Notify land owners of abutting lands, before disturbing trees.
Notify Deportment of Transportation at conclusion of work and return original copy of permit to Regional Office,
Annual Maintenance Permit Notifications:
Notify by telephone the District or Resident Office, one week in advance, each time regular maintenance work
is to be performed. In emergencies, notification by telephone should be made the next work day.
4. SITE CARE AND RESTORATION
An Undertaking, a bond or certified check in an amount designated by the DepartmentofTransportation mCly be required
by the Regional Office, before a permit is issued, to guarantee restoration of the site to its originai condition. if the
Department is obliged to restore the site of its original condition, the costs to the Department will be deducted from
the amount of the permittee's guarantee deposit at the conclusion of the work.
The permittee is responsible for traffic protection and maintenance, including adequate use of signs and barriers during
work and evening hours. Anyone working within the R.O.W. will wear an orange vest and hard hat.
No unnecessary obstruction is to be left on the pavement or the right of way or in such a position a:; to block warning
signs during or between work hours.
No work shall be done to obstruct drainage or divert creeks/ water courses or sluices onto the right of way.
All falsework must be removed and 011 excavations must be filled in and restored to the satisfaction of the Regional
Traffic Engineer.
5. COSTS INCURRED BY ISSUANCE OF THIS PERMIT
All costs beyond the limits of the protective liability insurance, surety deposits, etc., are the responsibility of the
permittee.
The State shall be held free of any costs incurred by the issuance of this permit, direct or indirect.
6. SUBMITTING WORK PLANS
The applicant will submit work plans and/or a map as required by the Department. This shall include such details os
measurements of driveways with relation to nearest corner, positions of guys supporting poles and a schedule of the
number of poles and feet of excavation necessary for completion of the work on the State right of way. A description
of the proposed method of construction will be included.
Plan work with future adjustments in mind, as any relocation, replacement or removal of the installation authorized by
this permit and made necessary by future highway maintenance, reconstruction or new construction, will be the respon-
sibility of the permittee.
The permittee must coordinate his work with any state construction being conducted.
7. TRAFFIC MAINTENANCE
Traffic shall be maintained by the permittee on the highway, in a safe manner, during working and non-working hours until con-
struction is completed. Suitable safeguards. to reduce conditions dangerous to life, limb and property to a minimum, must be pro-
vided by the permittee (including flagmen when requested by the Department).
8. COST OF INSPECTION AND SUPERVISION
If, in the accounts kept by the Department, costs of supervision are found to be exceedingly high, the Department re~
serves the right to bill the permittee for actual expenses incurred by the supervision and inspection of the permittee's
project.
9. SCOPE
a. Areas Covered
Permits issued are for highways, bridges and culverts over which the New_ YorkState Department of Transportation
has jurisdiction. (Local governments issue permits for their own jurisdiction.) ,-
b. Legal
The privilege granted by the permit does not authorize any infringement of federal/ state or local laws or regulations,
is limited to the extent of the authority of this Departme~t in the premises and is transferable and assignable only
with the written consent of thetommissioner-i~Transportation'.
c. Commissioner's Reservations -, '
The Commissioner of. Transportation reserves ~he right to modify fees and to revoke or annul the permit at any time,
at his disc-~etion without a hearing or the necessity of showing cause.
d. Locati on s
Work locations must meet approval of the Deportment.
(Additional pages to this application vary according to the purpose and type of work to be permitted)
.
Southold, N.Y. 11971
HENRY E. RAYNOR. Jr" Chairman
FRElYE1R.lem E. 88RB6U
JAMES WALL
BENNETT ORLOWSKI. Jr.
GEORGE RITCHIE LATHAM. Jr.
William F. Mullen, Jr.
TELEPHONE
765 -1938
January 20, 1982
Mr. George Fisher
Senior BUilding Inspector
Southold Town Hall
Southold, New York 11971
Dear Mr. Fisher:
At a regular meeting of the Southold Town Planning Board, Monday,
January 18, 1982 the following action was taken:
RESOLVED that the Southold Town Planning Board approve the site plan
of Irwin Thompson subject to the applicant receiving approval for a
curb cut from the state.
Yours very truly,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
~i<-rCZ, f~~. ~,
By SusUn E. Long, secre~y
cc: Irwin Thompson
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TEL. 765-1802
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
January 8, 1982
Planning Board
Town of Southold
Southold, NY 11971
Re: Letter of December 30, 1981,
Irwin Thompson
Gentlemen:
The site plan, one of four, and plans for a proposed
store at Main Road and Boisseau Avenue shows:
1. A new one-story building (60 X 80) with 4396
sq. ft. of office sale floor area
2. A former dwelling with approximately 1150 sq.
ft. of office sale area
3. A present 18 X 20 garage to be relocated on the
parcel.
In B and B-1 Zone Districts, no site plan is required for
retail store, office, or restaurant use, 100-60A and 100-70
A (1)( c) .
Off-street Parking (100-112) states eating places require
one parking space per five seats. The office-retail store use
shall have reasonable parking determined by the Planning
Board.
The site plan shows sufficient access (100-112D) located
over 50 feet from the street intersection and the minimum
parking area (350) per each of the proposed 28 parking spaces
(100-112 C). It shows drainage and surfacing (100-112 E).
The parking area is not in or adjoining a residential zone
district (100-112 K).
An off-street loading (100-113 A & A 3) parking berth
will not be required as the total three buildings' floor
area (7048) is less than 8000 sq. feet. A parking berth area
could use 12' of the north driveway and there still would be
the required 2 ten foot lane access (100-112 D).
cilSM
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Page 2
Changes of access to the main road need the State Highway
approval. Access to Boisseau Avenue, a Town maintained street,
is in the jurisdiction of the Superintendent of Highway.
Yours very truly,
~4-<' }y/ ~
George H. Fisher
Senior Building Inspector
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Southold, N. Y. 11971
HENRY E. RAYNOR. Jr.. Chairman
PREBBRIgn B. ~9RB9tJ
JAMES WALL
BENNETT ORLOWSKI. Jr.
GEORGE RITCHIE LATHAM. Jr.
William F. Mullen, Jr.
TELEPHONE
765. 1938
December 30, 1981
Mr. George Fisher
Senior Building Inspector
Southold Town Hall
Southold, New York 11971
Dear Mr. Fisher:
At a regular meeting of the Southold Town Planning Board, Monday
December 28, 1981 the following action was taken:
RESOLVED that the site plan of Irwin Thompson be referred to the
Building Inspector for certification, at which time the Planning
Board can make a determination.
I have attached the site plan maps for your review.
Yours very truly,
HENRY E. RAYNOR, JR., CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Susan E. Long, Secretary
attch.
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FORM NO. 1
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
f" ~ .
Examined
........................................,
19........
Applicatian No. ..............................
Approved
........................................,
19........ Permit Na. ....................................
Disapproved a/ c ..................................... ......... ............................ ..................
........................................................................................................................
................................................................................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ..!?~!?~:??~.~...?~!:.!..............., 19..~}....
INSTRUCTIONS
a. This application must be completely filled in by typewriter ar in ink and submitted in triplicate to the Buildin,
Inspectar, with 3 sets of plans, accurate plot plan to scale. Fee accarding to schedule.
b. Plot plan showing location af lat and af buildings on premises, relationship to adjoining premises or public streets 0
.......- areos, and giving a detailed description of layout of property must be drown on the diagrom which is part of this application
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon opprovaI of this application, the Building Inspector will issue a Building Permit to the applicant. Such permi
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 Occupanc'
sholl have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th,
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 0
Regulations, for the construction of buildings, additions or olterations, or for removal or demolition, as herein described
The applicant agrees to comply with all applicable laws, ordi nances, building code, housing cade, and regulations, and t.
admit authorized inspectors on premises and in buildings for necessary inspections.
..............~...J~.~tf.2.<J.~..J............................
(Signature of oppl icant, or name, if a corporation)
Irwin Thompson
.. ~ ~... ?;'.9p.PJ. !}.9... R. r. ~ .Y.~.r... ?-J.Y.~.r.h~.?!~. t... ~~..... .~. t~ 9. ~...
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
OWNER
...................................................................................................................................................................................................
Name af owner of premises ..I;}:lJ!)....'!;!f.g!!lp.R.<?n.,....~.?...!<?.p.pJ!)..9...R.r.t.Y~.t...?.-J:!'.~!;h~.?!~.f....~~Y!...~.<?!;~.....U.~.QJ.
If opplicant is a corporote, signature of duly authorized officer.
........................................................................................
(Name and title of corporate officer)
Builder's License No. ..!J.N,I);N9.1ffl...~:+...J?M;;:.j;;N.o;r:......
II " II
Plumber's License No. ................................................
" II II
Electrician's License Na. ............................................
II II It
Other Trade's License No. ..............................................
1. Locotion of land on which proposed work will be dane. Map No.: .........................".............. Lot No. .........................
Street ond Number . .N.g);'.t.h!?~~.t... .Sg.,?I;\~.;:.. 9,( }.~~;i,..I;\.. .~q.,.. .f!. ..~9.;i,.9.? !??\~...-1\ ;[!;!.n),l.~ I... .9.91JtJ:\Q.:j..I'!.. ...NJ..
Municipality
2. State existing use and occupancy of premises and in~2nded use ond occuponcy of proposed construction:
a. Exisiting use and occuponcy ..............~9.1)lrr,l.~.);'(;:J~.1. .... ......................... ............. ................................................
b. Intended use and occupancy ..............<;;P.I)lrr,l~r.~J.~J........................................... ................................................
3. Nature af work (check ...1ich applicable): New Building ......){.J.<:~. .... Additian
Alterution
Repair .................. Removal.................. Demolition.................. Other Work
4.
(Descriptian)
Esti mated Cost ..~.~.R ...R R.9.... .9.R.... ......... ....... ............. .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 cors ........................::-.:-:::-.:-:::-.-::..................................................................................... . .
, R~tail St~fie &
If business, commercial or mixed occupancy, specify nature and extent of each type of use ..lJ.t.+.q!,1.e........9,p
D. . f' t' t t 'f . F t 44 R 44 D th 24
ImenSlons 0 eXls 1n9 s rue ures, I any. ron ............................ ear ....................,........" ep
Height .........~.9..'.......... Number of Staries .................~.O....<.2.).................................................
Dimensions of same structure with alterations or additions: Front .....NQ..c.m\NG.?. Rear
6.
7
8.
Depth ................................ Height ............................Number of Staries . ..............
D. . f t' t' F t <0) 60 R
ImenSlons 0 en Ire new construe Ion: fon .................................... ear .....
Height ......;\..5.......... Number of Stories ........9.~!':....CU.................................
Size of lot: Front .......X~.'l.,.7Q.~............................... Rear}.8.0..~.6.~~..........
Date of Purchase .................................................... . Name of Former Owner
Zone or use district in which premises are situated ... ...!?:::;\...JlM"';i,J.\~.!?"'..............
Does proposed construction violate any zoning law, ordinance or regulation: ...~.9....... ..n..,.....
Will lot be regraded ........~.~~............. Will excess fill be removed from premises: ( ) Yes lCX) No
Name of Owner of premises ....~.r.\N.i.!!-...~!:.()~.~!>.()Il............... Address~.~.:r.~r.!:.::~.<?:!....~~.. Phone No.5.~.?:::???-:-.?2
Name of Architect ...);19X\R-Jg..b.,...P..e.n.tl?(...l\.~.:I:~f:I:.~... Address~Sl~~.e~.~~.~!....~~.. Phone No.5.~.?:::?2.~.-:-.~5
. Hunt~ngton
Name of Contractor ..~.e.l?yS?...B.'!-.J,.J,~.'?.~.s.!....:I:I1.c:............. Address $.t.G\t.i..O'l\.....r..r....... Phone No. ~;\..9:::.?n7}.'l[
PLOT DIAGRAM
60
. .... Depth.
80
9.
10.
11.
12.
13.
14.
Depth
53.99 .
Locate clearly and distinctly all buildings, whether exding ar praposed, and indicate all set-back dimensions fron,
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
***SEE ATTACHED SITE PLAN***
~~~~~~~~!.~~~.................... being duly swam, deposes and says that he is the app!'ce",
(Name of individual sign(ng contract)
above named.
H . h OWNER
e 1$ t e ................................................................................,............................................................. ........,.... ..<.
(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 contoined in this appiication are true to the best of his knowledge and belief; en,'
thar the work will be performed in the manner set forth in the application filed therewith.
~~~~~!!lt~.~e ;:yt:~ ....(f;Ju<r.. '~'-"" 19~-t
, '.
Notary Public, ........'D::-........ . '.' County
~----;l ELlZ ETH ANN NEVillE
NOTARY PUBLIC, Sial. of New York
No. 52,8125850, Suffolk C~..fl .
Term Exoires March 30. 1~
() ~
.. ..b1.-...... .,,--~tu.w;.........j. t:~Mi/Q...:~/-:.i,,~........
(Signature of l:.pplicant)
"<",_. ".,.-"'.,.-.....,,-~~.,., . - ."^.._."""~....'''''''''....._.,.''''-,~"..''',''''\"''''"'',,,.,'''-,~,.,,,
/
.
.
FORM NO. 1
.
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined
........................................,
19........
Application No. ................................
Approved
........................................,
19........ Permit No. ....................................
Disapproved 01 c ..... ................. ........................... ........ ...................... ..... ........
........................................................................................................................
................................................................................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ...1?~.~E'!~~.~...!~I..............., 19..~.L...
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 01
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application.
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 po rt 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 opplicant agrees to comply with all applicable laws, ordi nances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in buildings for necessQPections. . '. .
............~~~..(l:fn;lfQ:?:.LL.................
(Signature of applicant, 6r name, if a corporation)
Ir.lin Thompson
.. .?il...r. Q!?Jl in g...R .+,J Y.? &.. .'Riy.~ r..t.~.~ g..... ~.....;J, .l? Q J...
(Address of applicant)
State whether opplicant is owner, lessee, ogent, architect, engineer, general contractor, electrician, plumber or builder.
...........................Q~~.R.............................................................................................................................................................
Name of owner of premises .. .:t-P'l.in...Th.Ql\IP.SPXI~.. .!lZ... "".o.r;ming:. .p..+.;l.y'~.... .~.i.x~.;:p...~.9.~..... !~.~'I!'...Y. 9.;:)}... ...U~.9.1
If applicant is a corporate, signature of duly authorized officer.
........................................................................................
(Name and title of corporate officer)
Builder's License No. ...!1.tlKJ:lm:lli..1\'l'...ERESEU:!.....
" " "
Plumber's License No. ................................................
Electrician's License No. ...~.............~...........~.............
d' L' N " " "
Other Tra e s Icense o. ..............................................
1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No. ........................
Street and Number .. .N.QJ;':tl:l~.<I;;;.t...J::.QhXl!'l.~. .P.t.. ~:I..I!.n.. B,(lA.. .Ii<.. .~9.i;;;>>.~.<lP.-...P.>.Y!'lXlP.-~A.. .S.p.lJ:t;hQ.:j,g.....~..
Municipality
2. State existing use and occupancy of premises and in;2nded use and occupancy of proposed construction:
a. Exisiting use and occupancy ..............~9.~E!:r.c:~<l..1........................................... ................................................
b. Intended use and occupancy ..............<;;.9.~E!:r.c:;i,~.~.......................................... ................................................
3.
Nature of work {check which applicable): New Building
YX',,_
Addition .........
Alteration
Repair .................. Removal.................. Demolition.................... Other Work
4.
(Description)
Estimated Cost ..s.~.?~.().~~.~.~.?...................................Fee . .......... .................. .......................... .
(to be paid on Iiling this application)
5.
II dwelling, number of dwelling units ............................Number 01 dwelling units on each floor
6.
7.
------
If garage number of cars .........................................................................................................................1.."..........
If b . ' . 1 . d . f t d t t I h t I P..K~H"uc; tS'fi6p ~
USlneS5, commerCia or mlxe occupancy, specl y no ure an ex en 0 eoe ype 0 use ..:......~"..........:,.._:.
Dimensions of existing structures, if any: Front .....4.~................... Rear ...........~.~................ Depth 24
30' . -::'10 (7)
Height ........................ Number of Stones ............................................................................
D. . I t 'th It t' dd't' F t ~IO C;;l\tU;E R
ImanSlons 0 same struc ure WI a era Ions or a I Ions: ron ..................................., eor
8.
Depth ................................ Height ............................Number 01 Stories .... .. ..........
Dimensions of entire new construction: Front ..........(:.~....6.O'............... Rear.... 60
. 15 . ONE (1)
Height .................... Number of Stones .........................................................
Size of lot: Front .......?~.4.~.:.':'..~....................... .... Rear .?~?~.f;1..
Dote of Purchase .................................................. ...Name 01 Former Owner
B-1 Business
80
. Depth ...
9.
10.
11.
12.
13.
14.
Depth
53.'11)'
Zone or use district in which premises ore situated ... ..............................................
~...,r
Does proposed construction violate any zoning law, ordinance or regulation .../
Will lot be regraded ........Y.E..S.............. Will excess fill be removed from premises: ( ) Yes '(X) No
Inrin Thorrscn ?iv"rnel"!. NY 516-727-02
Nome of Owner of premises .................................................... Address ................................ Phone No. ......................
N f A h. Donald ~'. nanis, A.I.A. Add ~'quehoque, 7iY Ph N <;16-722-3';
ame 0 rc ,tect .......................... ..............~................. ress!.m'tif'i.ti!Jl:~'tI......... one o. .....................
Nome of Contractor .~.~!?~...~\~~.~.:l::.':.!';.'...~.':'~.~........... AddressS~.~~.~P~LJ~....... Phone Na.~.~.~::-.~.?~~?~:
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether exi<ting or proposed, and indicate 011 set-bock dimensions fron'
property lines. Give street and block number or descript;on according to deed, and show street names and indicate
whether interior or corner lot.
"..SEE A'!'T1V~!i~!) ::;IT~ P!.AN*ft*
STATE OF NEW YORK, l5S
COUNTY OF ................................f .
................................................................................................belng duly sworn, deposes and says that he is the appllccnl
(Nome of individual signing cantract)
above named.
.........-.........
He is the .............................................. .................... ........... ...""""""""""""" ....................................... ... .............
(Contractor, agent, corporate offjcer, ete.)
of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file
this application; that 011 statements contained in this application ore true to the best of his knowledge and belief' one:
that the work will be performed in the manner set forth in the application filed therewith_
Sworn to belore me this
........................ day of ............................................, 19.......
Notary Public, .................................................... County
(Signature of applicant)
/
.
FORM NO. 1
.
'.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH OLD, N. Y.
Examined
........................................,
19........
Application No. ..............................
Approved
........................................,
19........ Permit No. ....................................
Disapproved of c ............................................................. ............ ...... .............
........................................................................................................................
................................................................................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ...~~.~~!:.~~E...?~~..~.............., 19..~.~....
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildin,
Inspectar, 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 0
areas, and giving a detailed description of layout of property must be drawn on the diagram which is port of this application
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this applicatian, the Building Inspector will issue 0 Building Permit to the applicant. Such permi
shall be kept on the premises available for inspection throughout the wark.
e. No building shall be occupied ar used in whale or in pa rt for any purpose whatever until a Certificate of Occupanc'
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 tho
Building Zone Ordinance of the Tawn of Southold, Suffolk County, New York, and other applicable Laws, Ordinances 0
Regulations, for the constructian of buildings, additions or alterations, or far removal or demolition, as herein described
The applicant agrees to comply with 011 applicable laws, ordi nances, building code, housing code, and regulations, and t.
admit authorized inspectors on premises and in buildings far necessary inspectians.
..............Ow1..dfiiW&!::~~......................
(Signature of opplicont/or nome, if 0 corporation)
Ir..'lin '~1)or~pscn
..~.?!'2!?.t!~.n.~...?. :r:.~Y!':.,... 3~ Y~!:~.~~?f....~.. ....~~.?~;~...
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
OHNER
...................................................................................................................................................................................................
Nome of owner of premises ...~~!~.~..~!?l!'!p..s.!?~.'-...~~...:.~J?p.~.~5!...l?~.~.Y.e.f....~~.v.~.::.~~~.~.~...!~~...~~.~~.....~.~?.9}.
If applicant is 0 corporate, signature of duly authorized officer.
........................................................................................
(Nome and title of corporate officer>
Builder's License No. ...~~.l.~~~!.~~~~~..~~...~:r:~.~f..~~~......
.. .. ..
Plumber's License No. ................................................
.. .. ..
Electrician's License No. ............................................
.. .. ..
Other Trade's License No. ..............................................
1. Locotion of land on which proposed work will be done. !vlop No.: ........................................ Lot No. ........................
Street ond Number .. .N.~.r.t;~~~.~t;.. .~~~~.~~...?~.. .:~':'.~~.. .!t.d.~.. ..5... .f:l.().i.~~.~~.~..!" :V:~~.~~.L .~.o~.~~~~~.,... .r::...
Municipality
2. State existing use ond occupancy of premises and in;ended use and cccupancy of proposed construction:
o. Exisiting use and occupancy ............c:.?:::I:"":.r.~.i.C!~............................................ ................................................
C . ,
b. Intended use and occupancy ...............~r:~~.r.c:.~.<l:':............................................ ................................................
/
3. Nature of work (check "nich applicable): New Building ......Y;:x.~: ... Addition ..
l\lt~r(Jtlon
Repair .................. Removal.................. Demolition................
Other Work
(Description)
6.
7
Estimated Cost . .~.~.Q., .O.~.Q.,..Q.9............ ..................... ..Fee .. .....................................................
(to be paid on filing this application)
If dwelling, number of dwelling units ............................Number of dwelling units on each floor
If garage, number of cars ........................::-.::.-:-::::-:.~. ................................. ..................... ....................... .....:C ."'.........
If b . . I . d 'fy t d t t f h t f R~~Urru~tSE6p I;
us mess, commercia or mlxe occupancy, specl no ure an ex en 0 eoe ype 0 use .........":1..............-_
Dimensions of existing structures, if any: Front ....A:4................... Rear ............~.!\................ Depth 24
. 3~' . TWO (2)
HeIght ........:............... Number of Stones ............... ............................................................. .........
D. . f . h It t. dd't' F t NO CmmGE R
ImanSlons 0 same structure Wit a era Ions or 0 I Ions: ron .......................:-....,....... ear
4.
5.
8.
Depth ................................ Height ............................Number of Stories .....................
Dimensions of entire new construction: Front ..........~L..~!l............... Rear ...........6.0.. ........... Depth ... 80
Height .....J.!?.......... Number of Stories ........().N.~....l.U..........................................
Size of lot: Front ........?:.4.~.,.7.~.~.................. Rear ..?8.rl~..6~.
Date of Purchase ..................................... ..................Name of Former Owner
Zone or use district in which premises are situated . ...13:::;J,...Il':1:~;i,.z.:\~:!:l.~..............
Does proposed construction violate any zoning law, ordinar.ce or regulation:
Will lot be regraded ........~~.s.............. Will excess fill be removed from premises: ( ) Yes ~X) No
. Irwin Tnompson Rivernead, NY 516-727-021
Name of Owner of premises .................................................... Address ................................ Phone No. ......................
Name of Architect ....l!.9.n~J~...!\.,...I)'?!\;i,.s.Li\.~.!\:~... Address:~.'i\~:,S~.'J.~~.!..y::.. Phone No.5.~~.~:?~~351
. nunL~ngLon
Name of Contractor ..,Tl"bco .~.ll.~.~d~~l'J.r....I.l'\.c:~........... Address$.D.t;i,9.n.,..y~....... Phone No.~;I..~.~.2.?1.-:-.~4(
.... Depth.
53.99'
9.
10.
11.
12.
13.
14.
l~O
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether exding or proposed, and indicate all set-back dimensions fron.
property lines. Give street and block number or description according to deed, and show street names and indicate
whether interior or corner lot.
***SEE ATTACHED SITE PL~l***
STATE OF NEW YORK, l55
COUNTY OF ................................) .
(Name of individual signing contract)
above named.
being duly sworn, deposes and says thot he is the applic-oni
I'"\T...,....,T:'IT"I
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
this application; that 011 statements contained in this application are true to the best of his knowledge and belief; M
thor the work will be performed in the manner set forth in tr,e application filed therewith.
Sworn to before me this
........................ day of ............................................. 19......
Notary Public, .................................................... County
-'
(Signature of applicant)
',.. ....,.~,...,,,..,"''",,.,,+,,.,,~..,~.,..,,',<.'''''''.'''.,,'''',.,.'''..,",^'',-~~..~".