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Home My WebLink AboutNorth Fork Beach Condo Motel SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE 16 South Street Main Street Greenport, N. Y. BUILDING DEPARTMENT Southold, N. Y. Tel. Greenport 7.0550 T.I. Southold 5.3783 TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. BUILDING I'NSPECTOR'S OFFICE � CERTIFICATE OF OCCUPANCY No. 'I 19L Date June 28 1965 THIS CERTIFIES that the building located at JJS North Rd (CR27A) 3 Sound View �f�reet, Map No. fix XL , Block No. = Z a s , Lot No, XX [ Southold, N•Ye in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated Feb* 27 191� ; pursuant to which Building Permit No. 162 , doted fth 2719-A� was issued, and conforms to all of the require. ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Multiple Aesidoace (®or.i ) This certificate is issued to Lamp Amis Tinto OYners (owner, lessee or tenant) of the aforesaid building. H.D.Approval June 289 1965 by Re Villa Building Inspector (The Cooificato of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances pr regulations affecting the promises, and in conformity with the approved pians and specifications.) TOWN OF SOUTHOLD Multiple Residence Law Permit PERMIT NO. 162 Feb, 27 19 65 APPLICATION NO. M.R. 162 Feb. 27 19 65 LOCATION HIS North Road @ Sound View Ave* Southold, N.Y. Application having been made on Feb1R'a= 27 1965--, for a permit covering construction on a rkeY (new, altered, or converted) multiple residence building, by or in behalf of F+dw. LflaksO (owner) for a dwelling located as above stated, and the said application having been examined and recommended for approval on Feb, 27 19-0, a PERMIT is hereby issued for the performance of the construction (architectural, stmcturat, mechanical, etc.) work described in the above numbered application and any accompanying plans and specifications. If no work is performed within one year from the time of its issuance, this PERMIT shall expire by limitation. Fee paid ; 317.00 by checks subject to adjustment upon filing final affidavit of cost if cost exceeds estimated 250,000, Approved 19 Febura" 27 65 a^ t (- -4 Enforcement Officer Ore Si i'e� cP/1/ �r K.aoct«,! �' ,a04aw,9 Xooc woks vr4p -or, rX c•�r . reM Ottme 4s s w, a Li JM .�r A /OZo --- - —- --- A// coo creht .4 ano ,As, nlioinru4F. 40 ref elir�4k /weer -� cc.A c. AwO ►N)w. It p p r.2091+0- TbrAl s/sPf�o. c tAvc/T X32 zgoo Cm.. 4"0° .000 ®,!A" Z077 644 3000 GAL..( .e-oo Gam' aW 25ya 0 35 571'8 G etaQO.4K ; cow IV 8=00i .3/cy „ I f I {- 4 s 1 5040&a-, Vow i7gi s=o' 4'cf ro-� 40� � I PRECAST SEPTIC TANK 8Y._11(16______.OATElZA4_Y_ S LI 8,J ECT. �.. {[f_�.ZP_Q.aAI.___ aZ_ ___ BHCET Na.- ___DF CHKD. BY.________DATE--------• ______atI_a_r_BLl_-Q__,UVT .WrLLCZS�I__c___. J09 Na.________r_..-..y_Tt�. e __- -_. DEPT. an PROJECT.__LE c baw 2t�aL ._. "` 4 : UNS E N . S' n kA 019 PAvEA�� I . 6K-k rl".-L- WITH ('J�AR�E SAUl7 OQ � ` AfPD ?Zf C-AST Ri�� of ams, o N ?ZFusr c 6 Ec"I'�onJ o ' S \ N oT pKgAlI-r ro IF -- _ x � - - S PJ D o u -� APP�,�xIMnT � vSAa�_£. S�DEr WAu_ Sq.F-T AREA I. 1 fir.'.. BY__ -------DATE]?.-i --40 9L18J ECTc7�i..1Ly(.� L�s1,,A��1��E'I��4.Ta!______ SHEET Noti_�____Df_ CHKD. BY.________DATE________ SYrt_LAS`_`SpA,L�f-12011M�I}_�L�1p_____- JD9 Na.____________________. . AAaf- —__—w______________________ DEPT. ow PROD ECT.__ �l..Yc _J1S�L1L_____ .________------ -----_..--- 2Z4 . G(Z To CI¢ADC �9 W ATER nJSBGTpROoF _ E�1J FC�K.G$D CdvGi� ��I�ISEc.T PRocF 'TtiL�ouT' i F3 'IL�c.+t� ---pRFGA4aT ^n.,<,R�rr Biu+) Mo¢�kR „ covEK -- -�"¢— - 4„ C. rzr_ �4e TRAP s 4c A6 • 3� :�� SUUTHOI.�, N*( / TOWN OF SOUTHOLD `OFFICE OF BUILDING INSPECTOR TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Date ........XQVemb9P..... $.t. ..1..9.4.... Mr. H.F.Bishop Commissioner of Public Works Suffolk County Yaphank Ave., Yaphank, N. Y. Dear Sir: In accordance with Section 239K of the General Municipal Law of the consolidated Lows of the State of New York, this is to notify the Commis- sioner of Public Works of the County of Suffolk that ...Gord.on..Ahlers.}. P.E. ..A/C.....Laakso....Brothers...,.........Hanor..Lane,...dames.PAxxt, L.I. ......................................_.................... ............................................................ has applied to the Town of Southold for a permit to construct a building on ..N/., ..klxddle..�iQad...G�'...Nort .,Road,,.(,.CFt2.7A.).., �?.Sound. View Ave as shown o the attayh(,ed lot plan, submitted in triplicate, dated .............Southold, N.Y. 107649c a 7...l...2b.. ..6'+....... .... and titled .u!ex #F�..A�.SPOSa7 ..$5.. ?ighway access for North FoFk Motel, Southold, N.Y. We shall withho d further action on this application for ten days or as otherwise provided in the aforementioned Section 239K. 12/9/64 Approved to the Town of Southoae truI pursuant to Sec. 239K of the Gentl ry yyours, 11unicipal Law as per revised plot p an; before building access drive to I; I� � �� County Road, a permit under Sec. �� (4A' /L] 136 of the Highway Law will be required. I SUFFOLK COUNTY DEPT PUBLIC WORKS Building Inspector H. F. Bishop, Commissioner Town of Southold, N. Y. By William S. J33 Chief Engineer Original for Municipal Building Department STATEMENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement, the municipal building department or en- forcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Building Code Commission, 1740 Broadway, New York 19, N. Y. 1. Location of multiple dwelling: (a) Street and number ...NA!.....N.aR,th..aa4.d...=27.A)... „Ave (b) Municipality Southold. ...1?.Y........................................................... 2. Description: (a) Type of construction .FYame............................................................................... (b) Height of building, including number of stories .....NCO..................................... (c) Type of heating facilities ..Baaebo.ard..heat............................................... (d) Number of apartments One......... ........................................................................ (e) Number of living rooms .......41........................................................................... (f) Number of kitchenettes .2-.Qae,...(Mgr...Apt.)....ASle...ill.Juj .tQ................... (g) Number of bathrooms ....1f:3............................................................................... (h) Number of water closetsA4............................................................................... (i) Number of occupants for which building was designed or intended to be occupied or used ..3_7.5..MaXimum.................................................................................. 3. Age of multiple dwelling: (a) Date when constructed .....J=e....19.6.5............................................................ (b) Dates of substantial additions, alterations or modifications of dwelling, with brief description thereof ..none........................................................................ .................................................................................................................................... ........................................................... ........................................................................ (c) If now under construction, state when construction commenced and anticipated date of completion .Feb/...June..19b5......................................................... ...................................................................................................................................... 4. Use: Describe the principal use made, or, in the case of buildings under construction, to be made, of the multiple dwelling (such as apartment house, hotel, apartment hotel, lodging house, boarding house, school, convalescent, old age or nursing home, pri- vate dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other classification of multiple dwelling including those specified in sec- tion 33, Multiple Residence Law). ...Xo t el..r o.ams....................................................................................................... .................................................................................................................................... .................................................................................................................................... Dated at .....a5.authold................. New York ...............Janne........28.................... 19.96.5..... ka4kfo os Irr �Y " .. ... ............... ......^ :...- (Name of Owner) .................be.m.It.....1°>:..... a�k,,��o CQ.Vf,-v .... . . (Address of Owner) T STATEMENT OF FILING Filed with the .....Building...Inspectar........................................................... of the (Building Department or Other Enforcement Agency) Town..vt..ss?at? Mid..... ................. . h..... ., ...........1 -66. (Name of Municipality) (Date of Filing) rz �— (Signature and Designation of Offi 1aT with whom Statement of Registry was led) FORM NO. 5 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Affidavit of Final Cost of Construction STATE OF NEW YORK ss.: COUNTYOF ................................................ Enbert Laakso .......................................................................... being duly sworn, deposes and says: (applicant or agent) that he (she) is the applicant (or agent of the applicant) named in the Application for Building r Permit dated .. Feb.......Z6 19 6� .. relating to construction or other work to be i performed on, or in connection with, the premises located at ....VS `dorth Road at Soundview ....................................................... Ave . Southold .; that LLhe estimat d c st st t dd in saal'I� opplicattion of the construction v....................... Ttao 14unare� � ftv Thousand ��' �� rv -�nndrrd- -Six-�hensand-Eibht-Hnndrdd-F_--Fort or other w e e erein was ,, a............................... S' Dollars ($ e6..e4.....e6- ) that the actual final cost of such construction or other work was Two 'T dgnQ and ��A f1 q"and eight "undyed .S2U.b,tf4 ..................Dollars ($.2.06.,.840.,�Q.......) and that the . . .................................. ................. said construction or other work was performed in accordance with the applicable provisions of law. V,,bert Laakso - President ...........................(..................................................... Lali .sb" e03 . TnC . go Sworn to before me NATHAN SHOE.NFELO ..••....•••••••••••••.• .• .•. ...•.• •••.•••.............MJTRRY PUBU C,STAT° OF NEW YORK Notar Public NO. o�::czoo / QUALIFIED IN NAB..AU COUNTY �A Permit No. ...1:LR.16.2............ TERM EXPIRES MARCH 30, 14 Filed Cost $.2§04.000.,.Q0.. Permit Fee Paid $.3,17,.,00 Final Cost $, 2Ohx840,,,00,, Additional Fee $............................ (Costs for the work described in the Application for Building Permit include the cost of all of the construction and other work done in connection therewith, exclusive of the cost of the land. If the final cost is less than the estimated cost stated in the Application for Building Permit, no portion of the fee paid upon the filing of the application will be refunded.) owy ieac c�1�r firMind "nttrb of Ni r,Al IRBS rf FCTRICTyJOH STREET aw NEW YORK• NEW YORK 10038� iI N4 I• I C'� Dan June by-_ $,that/hrFlec/rir1 I)rment_ ---_A �'n 79 X PPIk'ahnn . 318 M1•i. ' ns t_ --- _ laaimey -I tA- MQ��de.�cribed brlour and inlror(rr,.e�� is on Ihr- h—''"_e+nCIlt_ �trPremises S�ii rn Of- ir _ l`.______—__—.-- tl us P,r appliration on —floor of No._ _�- NOrth p� ° frle rn /Pic o gLI. -r� f d ort rsting of; ld +fit � ru an � h' sOuthO llndytPw ' I 'XTUF--- - 2,n JL- -S AND CAMP RECEPr --- '� w946 Ar'LES,' HEAT!'- App`YAr�IS 135 .I 4 -2kV wranges 1.1�� 2 fra I Service& 87-lkw elee. �C�T ,. �. 2- c�-ex.f room heat 4 - - 1/8hP oil furnace & cc 3 phase_ 2 __sets of 4�Y OOMC Meter. cor�' —�M. 1-800 - - ��— — — - amswitch --- -------- �v u as ecamined on date o — 23� _--- C'f J June 1 6 -- -- - -- --- - _ { - _--and Joand to beim tom --- ' �- N445565 Plianrewith/fmrr r ruts a i 'eq of this Buardat of this date. �.I Carney Elec, ppp � l 553 Willow Const. Corp, Cedarh Ave' L urst, L.I. This Certificate STATE SUPE�R �/�I _ must nat be alta J --cr DENT - retl in any manner;return W the wfice of the Board it int: __ ��_.—___—_•-'� orrett. Ins rr•r Pectora - may be itlentifie by their c -- --_-- retlentiats. s SUFFOLK COUNTY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR PRINT LEGIBLY IN INK Building Permit No. Health Department Plan No. Application for Approval of Commercial Sewage Disposal System// TO: The Suffolk County Department of Health Date-_LO ! ro Application for approval of commercial sewage disposal system is hereby requested. Location: i�ltiv�H �V Ljj (Name - n ss`i a of scree . an name and i.stance to nearest intersecting street) Name EbR-TH Fney< MOTE .�M e Fo La, ► scj -D Mor R It rolet :>n,--)-rt'' ot-J Town `Y?t3THot-%) Village I hereby certify that this commercial sewage disposal system has been con- structed in accordance with plans approved by the Suffolk County Department of Health on (date) III 1 (4.:± and with all the requirements of the latest bulletins on sewage i pos of Suffolk County Department of Health. Applicant's Signature"', ,-'J Title ..;, Builder - Owner Address_mj oy- LA",)E. Tel.No, Jk Z- 3 26 7 Ready for inspection - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FCR USE OF HEALTH DEPA EPMENT ONLY Inspected by f Date 5`6 I Installation satisfactory - Yes /^ . No Based on the information stated hereon by the applicant and other information made available, it is the opinion of this Department that this system with proper maintenance can be expected to function satisfactorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not included. _ �l Date JUN 2 8 1965 Q U SCHD - S-13 6/58 SUFFOLK COU14TY DEPARTMENT OF HEALTH Riverhead, New York TYPE OR MrMf LEGIBLY IN INK Building Permit No. Health Department Plan No. Application for Approval of Commercial Sewage Disposal System TO: The Suffolk County Department of Health Is Q Application for approval of commercial sewage disposal system is hereby requested. Location: I(►nF_TlfplYLNPhz' no.i _d, �)oJrju Uteuj�J£ (Name and side" of street,, n=ame and distance to nearest intersecting street) Name- No"H Fyrz►e, MOTS, ,, �f_ M¢,fQ i _aAL<:AD —ZL.J�E ott /�Tl�'outi�ul►S. ,vte�' 1T�'7' ,et Tfc2+-q Town SOOril0L-ip Village I hereby certify that this commercial sewage disposal system has been con- structed in accordanceth plans approved by the Suffolk County Department of Health on (date)_ piand with all the requirements of the latest bulletins on sewage di$posal of the Suffolk County Department of Health. Applicants Signature Title Yi'.,:.., � ..i-.r-u..=, L ..ssati,.tt � / builder - Owner Address f]&kA,)jlt A)- el.No. Ready for inspection / //ofX"t - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - FOR USE OF HEALTH DEPARTMENT ONLY Inspected by .- = � ''� Date Installation satisfactory - Yes y— ; No Based on the information stated hereon by the applicant and other information made available, it is the opinion of this Department that this system with proper maintenance can be expected to function satisfactorily and is not likely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not included. �/ Date JUR 2 ' 1965 �. V� SCHD - 5-13 6/58 FORM P. 136 (SM)—(9/30/63) Permit No. . ....... PERMIT UNDER SECTION 136 of ARTICLE VI of HIGHWAY LAW Whereas, Section 136 of Article VI of the Highway Law provides: "No street surface or other railroad shall be constructed upon any portion of a road constructed or improved on a county road system, nor shall any person, firm, corporation or municipality enter upon or construct any works in or upon such road, or construct any overhead or underground crossing thereof, or lay or maintain therein drainage, sewer or water pipes underground, except under such conditions and regulations as may be prescribed by the county super- intendent, notwithstanding any consent or franchise granted by any town or by the municipal authorities of any village or town. Any municipal corporation may enter upon any road constructed or improved on a county road system for the purpose of widening the pavement or for any other purpose authorized by this section, but only after securing a permit as provided herein. Notwithstanding the limitations in any general or special law, every municipal corporation shall have and is hereby given authority to deposit with the county superintendent such a sum of money as may be required by the county superintendent as a condition precedent to the granting of the permit provided in this section. Any person, firm, or corporation violating this section shall be liable to a fine of not less than one hundred dollars nor more than one thousand dollars for each day of such violation, to be recovered by the county superintendent and paid in to the county treasury to the credit of the county ro.� fundWeated under section 117 of Article VI, of this chapter for the construction, reconstruction and maintenance of county roads on the county road system in accordance with the provisions of said Section 117 of Article VI, and may also be removed therefrom as a trespasser by the county superintendent upon petition to the county court of the county or to the supreme court of the State, and WHEREAS, a certain highway known as the Middle Rand Sov"02.d CR No. 27 has been improved and is on the Suffolk County Road System and WHEREAS, fLa wo HRei R hera Oordon Ablere ✓`, 1' requests permission to Manor Loa$ Jaalaapart„ N.Y. build concrete curb, concrete mope, concrete bumper aurb, concrete sidevaug asphalt pave. as per sketch or map attached.)Mt tW a***" to DW aetel U/S Middle Read-8antheld C*R. 27s Wdo SOMW tve.o HathawaWA@k* 300WIDld NOW, THEREFORE, permission is hereby granted to said Lack" ftwumWe to do said work upon the following conditions: CONDITIONS AND RESTRICTIONS 1. When concrete is removed, cut concrete with concrete saw two feet outside the limits of the proposed excavation and for the fall panel width. When the cut is made in pavement within 10 feet of the panel joint, the pavement shall be removed for full panel width from the cut on the far side of the excavation to the panel joint. 2. Backfill and thoroughly compact fill using POWER TAMPER, placing soils so that various types of soil are in same relative position as before excavating. Grade to original surface. 3. Replace pavement, sidewalk or surface same as existing; If concrete, replace using 1:13/4:3%2 mix stone mix concrete; If bituminous material, replace using same type as removed. 4. If concrete each is removed, replace with similar curb 1:13/4:3%2 mix. 5. Edge of Jacking Pits or any other excavation shall be not less than 5 feet from Edge of Pavement. No undercutting allowed in Pit. 6. Notify the Department at Yaphank 4-3451 when the work is to begin so that an inspection can be made of the operation. This permit shall not be assigned or transferred without the written consent of the Commissioner of Public Works. The work authorized by this permit shall be performed under the supervision and to the satisfaction of the Com- missioner of Public Works or his representative. Particular attention is called to the necessity of thoroughly compacting the back fill, which will be required by the Commissioner of Public Works. The Commissioner of Public Works shall be given one week's notice by said applicant of the date when it in- tends to begin the work authorized by this permit, and prompt notice of its completion. The said applicant hereby agrees to hold the State, County and Town harmless on account of damages of any kind which may arise during the progress of the work authorized by this permit or by reason thereof. Applicant certifies all persons concerned with actual work under this permit are duly covered by Workmen's Com- pensation Insurance and the State, County and Town shall be held harmless on account thereof. The Commissioner of Public Works reserves the right to at any time revoke or annul this permit should the said applicant fail to comply with the terms and conditions upon which it is granted. The applicant agrees to pay all necessary expenses incident to supervision and inspection by reason of the granting of such permit as certified by the Commissioner of Public Works, such payment to be made within ten days from the rendering of the certified account. Work under this permit to be commenced within thirty days from the date of permit and continued in an expeditious manner. The applicant shall submit a detailed plan of structure to be built, with a description of proposed method of construction. It is understood that should future changes in the alignment or grade of the highway require changes in the work covered by this application and permit, the applicant shall on reasonable notice from the Commissioner of Public Works make such necessary changes at his own expense within the time so specified in notice. Traffic shall be maintained by the applicant on this section of the highway while the work is in progress and until its final completion. $j • A Bond wC'm to the sum of $.......... ....payable to the County Treasurer of Suffolk County is Te sI as security that the highway will be restored to its original condition where disturbed at the expense of the applicant, as soon as the work has been completed, and the said Commissioner of Public Works is hereby authorized to expend all or as much of such deposit as may be necessary for that purpose, should the said applicant neglect or refuse to perform the work. In consideration of granting this permit the undersigned accepts it subject to conditio scribed. ' A ]ican � ........................... Commissioner of Public Works, Suffol County Date TO AVOID SERIOUS DAMAGE TO VITAL UNDERGROUND FACILITIES, PLEASE CALL LONG ISLAND LIGHT- ING COMPANY AT JUNIPER 2-9000 OR FOR TELEPHONE FACILITIES CALL N. Y. TEL. CO. FLORAL PARK 2-OFFICIAL 25 BEFORE STARTING THE WORK AUTHORIZED BY THIS PERMIT. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE --77 SOUTHOLD, N. Y. //gy�pp Examined .... .`�....1............... 19..(..5. n, Application No. ^�/5 ...� . ...... Approved ............... /Yl G L Disapproved a/c n......................."';s- .......... -- PF .................. _., _.�. 1 .. ._ .......................................................... ............................................................ ................ ....................... ............................................ (Building spector) APPLICATION FOR BUILDING PERMIT Date ...................... ....................... 19.4k Z.. l INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 description of layout of propertymust 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 progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION 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 applicant agrees to comply with all applicable laws, ordinances, building code and regulations. (Signature of applicant, or name, if a corporation) (Address of d *74 pplica State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..................................f C.jC.=l:�..1........-...., ..J.N......... t{v�,./Nc—. Nameof owner of premises .....................(-. ........r.-{+!ti'<w�?......................................................................................... If applicant is a corporate, signature of duly authorized officer. ................................................................................................. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Mop No: ............................................ Lot No: .................... Street and Number —4e.00.03)..111J ". .l. . 4]/C ... ..NQ k4?...y..iA?9?.�tr.Q-1).............................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..........`ffls rRT1.T..!.twirl..... ....................................................... b. Intended use and occupancy ....................... .............................. 3. Nature of work (check which applicable): New Building ....�...... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition.................... Other Work (Describe) ...................................... 4. Estimated Cost .A.Z.1w.420Q..................................Fee ........,r.4.11f.QQ.......................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ Ifgarage, number of cars ........................................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth ............................ Height ............................ Number of Stories ............................................................................................................... Dimensions of some structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height ..............................Number of Stories ........................................ `( 2 .�-.��....... Depth .L.. � 8. Dimensions of entire new construction: Front ...1 ./.A........ Rear ..... .... Height ........... .......... Number of Stories ......W..Q............ 9. Size of lot: Front ....;.Juf./.$ ...... Rear ......3.,.�.�•.. .7..�. Depth ....... ... 10. Date of Purchase ..............!X/4g...........................Name of Former Owner 11. Zone or use district in which premises are situated.........at ....zb- ........................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ............Ac10................................ 13. Name of Owner of premises lf�-.Vl Av9l:C.SQ.................Address?-4-PF.(.Nf?.T.T.tOZ t. Phone NoAQt4:7s .> / in/Er�Gr Nome of;9xEalwt ... h�i A:M!cF..t�T..�r, Address !�'/1.�(!��V�..S�.`rT.I�.T Phone No.�:?..-�.'�.7 ... ..... ..... .... Nome of ContractorFW. `�4°,A.......................Address r.l rMR.i7 Inf4S. ... Phone NX. 'f'(.... t-Aorve o 13OC6 �cx+CwuEcF-+�7�2 PLOT DI M Locate clearly and distinctly all buildings, whether isting oosed, and indicate all set-back dimensions from property lines. Give street and block numbers or descri igt�accordi deed, and show street names and indicate whether interior or corner lot. 41 k 27 aj•� Z i tl ll- x, �/jLLB I-cC) J ?' Fo O m 0 STATE OF NEW Y R NoeT.1 ¢.ono COUNTY OF .., . ..... S.S. .... ...( 4 .....................being duly sworn, deposes and says that he is the applicant (Name of individual signing app licatio ) abovenamed. He is the ..................................5 1 �. ............................................................:..................... (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 contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to befo a me this / ........U�. ... day f lot 44 w;� ew.Y .., 191 ................. ........... Notary Public, ....... ........ � a. s.4` ., // County (Signature of applicant) arch 30,196fp FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .............:... `�.. �.............., 19.....5. Application No. .................. 41 Approved ............ ...........................1 19........Permit No. ........... ................... Disapproved a/c ....................... j J ....................................I.................................................................................... ................(..... ........ .......::...... ............................................ (Building spector) APPLICATION FOR BUILDING PERMIT ��// Date ..............?r../.....2..(......................., 19CR4S....... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 description of layout of propertymust 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 progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION 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 applicant agrees to comply with all applicable laws, ordinances, building code and egregulations. ..04<1 .L/ .. //.. ... '........... (Signature of applicant, or name, if a corporation) �Z ... .......... . ... . �.�! .... (Address�y!{applico C/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................../.. 4'44 =!�... ........-.... .N sus-T�.!,?.ct...t+�?.S.!.t�+. ...................................... Name of owner of premises .........r—..-P......L! . ►lG!Sp....................................................................................................... If applicant is a corporate, signature of duly authorized officer. ................................................................................................. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................ Lot No: .................... Street and Number . �t?.! .R.! l.f..4�l.t}!!.F.-.. ...No.�???S.1 otil?. ....Sf?4�.T. o�rrP.......................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...........................V&.L&N.T.... -.14.N..Q.. ... r$!.D.IG .4.E...................... b. Intended use and occupancy .................7JV.SI.A�Es`7....CMOTr�! .. ��E`J.Tu '! /T�.................. 3. Nature of work (check which applicable): New Building ....Y.......... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition.................... Other Work (Describe) ...................................... 4. Estimated Cost R9 s .00.0...............................Fee .........f°..3I..�e.QQ...................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ Ifgarage, number of cars ...................................................................................•..................•.................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if any: Front .......................... Rear .......................... Depth ............................ Height ............................ Number of Stories .......... ............................................................................................. Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth .............................. Height ..............................Number of Stories ........................................ 8. Dimensions of entire new construction: Front ............ Rear .......... Depth Height .......... ........ Number of Stories ... LLlQ......... 7 9. Size of lot: Front ... Rear ..35.�a 42....... Depth ....V1�.`�a,...�i�IIjv'vtiS . 10. Date of Purchase ........(��.. .�f..............................Namee/h�o�fFormer Owner . P(K .fe�i../76/4.k1.4M.O..Y.......... 11. Zone or use district in which premises are situated..........V. j�.... .-.................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .... Na . ...........•................ .. 13. Name of Owner of premises .F-rA....�r./.t/.t.v.<S.Q...........Address ;U.QfIyA.T.T...&J4<,!E.... Phone No. ..R.4.41F. Name of I�Et .. .�. �.ptN. y iS.�P� .......Address .M4AA.04?-A h/•e1..... Phone No.4A.Z,-.4ZL-?.. Name of Contractor Ar�..(41�4C ,(Q�.S.............Address A7 ;."..QV.. a...• Phone No4...rf•::&"/•. PLOT DIAGRA Locate clearly and distinctly all buildings, whether existin or propo nd indicate all set-back dimensions from property lines. Give street and block numbers or description 96rting to e d show street names and indicate whether interior or corner lot. ,y9 to SC.A Lf o I C� I(/ A\ 3� \ o Z o O h m to �- M2 I 0 Z c b33i5 5400S&vw — STATE OF NEW Y RK I S S NO�TN QO A� COUNTY OF � �Q1�.... •, ,,.... ./F.........................being duly sworn, deposes and says that he is the applicant (Name of individual signing�1pplication abovenamed. 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 all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn toobefore me this ///� /�/� �/ do ......r��. 6.....................y.. ........................... Notary Public, .... /. o ......••••• County (Signature of applicant) 00 P )rcb 30, 196 6 FORM NO. 5 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Affidavit of Final Cost of Construction STATE OF NEW YORK ss.: COUNTYOF .............. ............................... ............. ........8g�� L9akb....................................................................... being duly sworn, deposes and says: (applicant or agent) that he (she) is the applicant (or agent of the applicant) named in the Application for Building Permit dated ...�e10.A...26............................ 19...65.... relating to construction or other work to be performed on, or in connection with, the premises located at ..... ($•,AgrIgA.Ap d..ti .SamRdviev Air..t...SS...ft.0A14.............: that the estimated c t st n s ' o licot'on of the construction r� a, rs� & Y�It 7 d or other wY 'sb&dtberein was 2R UnOvd!!a`..�...'...B x... ld'..... k.t..............l..i...d.....�..�. Fdl�• Dollars ($.jk 0#07007....); that the actual final cost of such construction or other work was !«...d d and faad eight tivadrears ) and that the t .. .............................. .�...............................Dollars ($..ZQ6.t. said construction or other work was performed in accordance with the applicable provisions of low. tg§!R t Laekso - Pseeideat ..................................... (>yp 1n6 Sworn to before me?5�. Lor t>. IaC. . M . qq�p- this...... .....doy of. ::.. ..�. ......... ........ 19�?..1�..... ........ ....................N I AN SvoeN^r LD .................. . . ... . ... otary P lie NOTARY PUaLi'^, STAT' OF NEW YORE NO. 30-3ter300 QUALIFIED M NAi5AU COUNrY Permit No. ....!48...162........... TERM EXPIRES MARCH 30, 19.67 Filed Cost $.,2MV2W..0.0. Permit Fee Paid $...3.17.OQ........... Final Cost $_9Q6 s$t►QP.QQ. Additional Fee $ ........................... (Costs for the work described in the Application for Building Permit include the cost of all of the construction and other work done in connection therewith, exclusive of the cost of the land. If the final cost is less than the estimated cost stated in the Application for Building Permit, no portion of the fee paid upon the filing of the application will be refunded.) \ \ ~ lormty w~th the~s $/<£ T ¢ /-/ .4:'JA C£NF 7'0 / / LB u/cp co,cc. I -*,---To ", / . / TO RETAIN ALL WATER OR FAC~' / J JOB NO, SHEET NO, DATE REVISIONS ,o..o. BHEET OF SHEETS 0l ,/ ~oc-¢_F v~F. '% 6 t~_- JOB NO. SH£ET NO. REVISIONS JOEl NO, ISYO IZ 'l'Al /~0 ~ ~ co,,'V'$T,~ uc.T/o/v' ......... 2-_ / /