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HomeMy WebLinkAboutSouthold Fishing StationNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No..:~..2.113, ............ Date ................... ~=~laX.~.. ~ ............ , THIS CERTIFIES that the building located at ..... [~a,l,m..ll, oa,~,...Soutr,~c~l,d, .................. Street Map No ...... ,,.,,.~,,, ..... Block Ne.,., ........... Lot No ........................................................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................... J~.ar~h...J,'1 ..................... , 19.6~.. pursuant to which Building Permit No. dated ............... ,t/k'~Ch..~4 ..................... , 19.....6~J was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ ..................................... mat~l .. un :l..t.~ .................................................................................................. The certificate is issued to ....iI~I:~...~,...I~3~'X~[~, .............................................................................. (owner, lessee or tenant) of the aforesaid building. Building Ir~spector SUPERVISOR'S OFFICE 16 So,th Street Greenport, ~1. Y. Tel. Greenporf 7-0550 BUILDIN E BUILDING DEPARTMENT TOWN OF $OUTHOLD SUFFOLK COUNTY, N. Y. JEW 2 STORY ~0TEL UNITS CEi TIFICATE OF OCCUPANCY TO~N'N CLERK'S OFFICE Maia Street S~thold, N. Y. Tel. Sou~old g-3783 No. 1~1~ Date A~t ~ 19 68 THIS CERTIFIES that the building located at ~J/~ MAa~ B/~.~,. Street, Map No. Z313~ , Block No ~ , Lot No, in the Town of Sou~old, confo~s substantially +o the approved plans and specifications heretofore fi~d ~n ~is o~ce wi~ Appli~fion for Building Permit dated ~ ~1 19~, pu~uanf to wMch Building Permit No. ~9~f1~ , da~d ~ ~1 19 ~, was issued, and conforms to afl of the requlm. ments of the appllcab~ provisions o~ the law. ~e occupancy for which this ~Hificate ~lent oeeu~ey ~O~L This ce~ificate is issued ~ ~ ~ ' Morrll t (owner, lessee or tenant) o~ the afore~id building. ' (The Certificate of Occupancy will be ;ssued only after the Building Inspector is convinced of the completion ~f the construction in compliance with fha Multiple Residence Law end with other laws, ordlnances.or regulations affecting the premises, and in conformity with the approved p~ens and specifications.) FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. g~. ~.~. ...... Date .............. £~Ug.U~¢. ~.! ...., 19 25. THIS CERTIFIES that the building located at . .617.~0. ~q/~ .M~d.n ..q.o~ ... Street Map No... ~D~ ....... Block No...X~ ..... Lot No. ~2A ...... ~outho3At .N.,~ ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ Deo,-2.~, 19. ?0 pursuant to which Building Permit No...~.~L~ dated ............ ~)eo,. ~.~-., 19.70, was issued, and conforms to all of the require- merits of the applicable provisions of the law. The occupancy for which this certificate is issued is . }.9~C:ti~e. Residence. (Motei. units) ................................. The certificate is issued to ... ]~L~ehae~. J¥ .t4er~iz ................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .................................... UNDERWRITERS CERTIFICATE No.. p, _n~i~ .................................. HOUSE NUMBER .6~920~. 6185~treet ...Main .Ro~,~ ............................ .................................................... 8ol~th~ld.~..If, ~... ........... Building Inspector I I~ - ~ ~ 1~ ~o. f: ~h, prgposgd arF~n~e*eg~ for. serape disposaI~~~ ~O~ion on file in the office of ~e Suffolk County ~partment .j~ ,:~~~reby ~iven for the filin~ of th2s~, plans ~s ~°r~enent appears ~n the office of ~ approval' does not ix elude structural features and is grante~, I eomlft'!~n that the p~s~ facilities ~e ~ns~lled in oo~ ~y with these pl~m~ .~. ~ tstrict ~neer 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 enforcement agency is required by section 300, Multiple Residence Law, to file a duplicate copy hereof with the State Build- ing Code Commission, 7740 Broadway, New York 79, New York. I. Location of multiple dwelling: (b) u. c pa,ty Description: (al (b) (c) Type of heating facilities ~-'~ (d) Number of apartments (e) Number of I;v;ncj rooms (fl Number of kitchenettes (h) Number of water closets Type of construction F,~_ ,~ ~1~ ~ Height of building, including number of stories (il Number of occupants for which building was designed or intended to be occupied or used 3. Age of multiple dwelling: (al Date when constructed '/qO'c:~ (bt Dates of substantial additions, alterations or modifications of dwelllng, with brief descrip- tion thereof - If now under construction, state when construction commenced and anticipated date of completion 4o Use: Describe th.e princ;pal use made, or, in the case of buildings under construction, to be made, .of the multiple dwelfincj (such as apartment house., hotel, apad. ment hotel, lodging house, board- mg house, school, convalescent, old age or nursing home, private dwelling two or more stories in height w~th five or more boarders, roomers or lodgers, or other classification of multiple dwelling inc?~ding those~specified in section 4., subdivision 33, h4ultiple Residence Law): New York , 19Eib_ (Addre*s of Owner) STATEIdENT OF FILIN~ ~ { Build;ng~e~artment or Othe~ Enforc~ent Agency) (N~e of ~umc~h~}' // (Daf~ of ~]ing) {Signature and Designation of Official wlth wh~m S+afemen~istry was ~,ed) / FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ........ Permit N .......................... Disapproved a/c ..;~ ........... ..~.:~-,~ ....................................................... ................................ ................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS '~ a. This application must be completely filled in by typewriter at in ink and submitted ia duplicate to the Building.~ Inspector. b. Plot plan showing location of lot and of buildlngs on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn en the diagram which is part of this application. c. The work covered by this application may ncr be commenced b~fore 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 ~'ork. e. No building shall be occupied or used in whole or in part fcr 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 pureuant 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, housing code, and regulations. ~,J±chael Mo~s A/C 5o~thold ~J_s~in~ St~t±on (Signature cf applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~lchael ~ [,~ar}' ~uOI tls 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 N~ .................... Street and Number S/S ~ain Road Southotd ]~.Y. ~,~?' ~ / ~ ,~ ~ ~ ~ / ~0 Munici~ll~ 2. State existing use and occupancy of premises and intended use and occupancy o~ prop~ construction: o. Existing use and ~cupancy ....~.~.~.~..~,~...~:...~.~.~.J.~...~.~.~..,~ ........................................................ b. Intended use and occu[:anc, . ....... ~.~..~.~...~.~[.~.~...~.~D.~..~..~.~.~...~.~..~.~.~ .......... s~[~o~ s~oTe. 3. Nature of wo~k (check which applicable): New Building .... Addition ~ Alteration Y'~: Repair .................. Removal .................. Demolition .................. Other Work (Describe) ....................................... 4. Estimated Cost ~:~500 ~ ~- (to be paid on fi!lng this application) 5. If dwelling, number of dwelling un,ts ...bf....~.e..~t..~.~.....L~..~r~ber 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. Dimensions of existing st'ructures, 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 .6..../.....J..O. ...... Height Number of Stories one 9. Size of lot: Front ............................ Rear .................................... Depth ................................ ]0. Date of Purch3se ........................................................ Name of Former Owner ........................................................ l 1. Zone or use district in which premises are situated "~" ~ist 12. Does proposed construct;on violate any zoning law, ordinance or regulation? ....... ~.O. ................................................ 13. Name of Owner of premises .~...~.....~....~o.~?...J:.S. .......... Address ...... ~..o..~..~...h..o...]:..5: ................... Phone No ..................... Name of Architect ...... fln%~ ....................................... Address ............................................ Phone No .................... Name of Contractor ......... ~..a...m..e. .................................. Address ........ .s..a..q.~. t...h...o..ld .......... Phone No ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner Jot. see attached sketch STATE OF NEW YORK COUNm' OF .'..S.~.f.f[~.~..k. ............. ~-~. ....................................... ~i.~.c...h..a..e...]:..~!.o..~.~.:L.s. ....................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the owner - builder (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 therewlith. Sworn to before me this \ ..................... .............. -..,.~,,~,~,'.WL, ...... ty / ~, (Sign/~Gre/of applicant) MARION A. REGENT // / NOTARY PUBLIC, State ol New YOH( NO. 52-3233120 Suffolk County Term Expires March 30, 19~. I TOWN OF SOUTHOLD Multiple Residence Law Permit PERMIT NO. I_l~-0.._ _'nO,- --,.,~'~ 19 '~0 APPLICATION NO. 1 LOCATION ._q/$ _u. o4~ ~C._~_ _~c._.+~.cld Applicet;on having been made on Dee ~,~ . 19._~7.0__, for a permit covering construction on a __ . = ...... ~ &ddltion ~ ~it~-~t~, af~V~.~/d~ ~Le~ unit~ multiple residence building, by or in behalf of , for a dwelling located as above stated, and the said application having been examined and recommended for approval on n~. ~ is hereby issued for the performance of the '"'~"~!~+ ~_911 (archltecturel, structural mechanical, etc.) , 19 ~"0' a PERMIT work described in the above numbered application and any ee4:ompanylng plans and specifications. If no work is performed within one year from +he time of ifs issuance, this PERMIT shall expire by limitation. Approved na~, 73 Ig ~ Filed estimate $ ~000 _+ Fee Paid $ 17.00 Enforcement Officer TOWN OF $OUTHOLD Multiple Residence Law Permit PERMIT NO. ',~',', LOCATION 19.._(~.__ APPLICATION NO. 19 ~ Application having been made on covering construction on a . 19.~.~, for a permit (new, altered, or conveMed) multiple residence building, by or in behalf of ~.~.-~. ~. Iowner) , for a dwelling located as above stated, and the said appficatlon havincj been examined and recommended for approval on · .-~u~& ~. 19~., a PERMIT is hereby issued for the performance of the ,.,---,..~.~,..~ __ ~"~ ~' ~'~'~architectu.r~l, structural, mechanical, etc.) work described ;n 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. Approved Suf£olk County Health Dept. Fee paid $~.00 on estimate o£ $~0,000 cost. Enforcement Officer Subject to approval of ~e~era~e disposal & ~ater ,upT~lu by the FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 272 Z Date .................. .~. J~... ~.]-.. ....... ~..Q ................ 19~..~.... Permission is hereby granted to: RoBert L. Ityat.~....A/CL...lttchae]_..l~r~ ..................... ....................... Jlouth~l~ ..................................... to ...... l~ak~..an.. &l.tera.tAon...to.. an..ex:Lst~ng...lms~ne~ s...bu~ld~ng ........................... ........... ¢l~.ll....pr.e~L s~s.). ................................................................................................................. at premises located at ........ .~../.~.........~..gC.~.~ ................................................................................... .................................................................. 8,,t~tho ld ,..... N.o.~'~, ........................................................... pursuant to application doted .................... A]~I'~,~-..],O. ........................ ]9.~..., and approved by the Building Inspector FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. ¥. Examined .......~ ............. .~.....! ........ , 19~/ ~'( Approved '' /!/I.J~ I Co ........................................ , 19 ........ Permit No ................................ D isop[ roved o/c ........................ :.~...4 ........................ ~2'":~ ......... (Buildin~lnspector) Application No..../?~..?..../...~.?.{ ..... APPLICATION FOR BUILDING PERMIT Date .................................. O=to~en....21, 19.~.~. ...... 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 ~o 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. ]'he applicant agrees to comply with all applicable laws, ordinances, building code and regulations. M. Mo~.r i s.. ·. A/.C...~a~.¥...l~r.r.i.s ............................................. (Signature of applicant, or name, if a corporation) ....................... Southo3~l ...................................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......................................... Agent...~...b~tld~r ................................................................................................................ Nome of owner of premises ....~IA'.~..~....M~I~r-~.5 ............................................................................................................. 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 ....S/-S.....Ma;I.a..R4)a4I .......... S~)l~t~he'l.d .................................................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... alOt, e.'L..&.-~-J;s~..~.&~..:[.Oll~ ..................................................................... b. Intended use and occupancy ..... ;~..~o~e...e3c~,~l;$~g...bla.~..]..d$~L~,~...a,,~l(j...bt~.3~..~.~ .............. 3. Nature of work (check which applicable): New Building ..~.... Addition .................. Alteration .................. Repair .................... Removal .................... Demolition .................... Other Work (Describe) ...................................... 4. Estimated Cost ............. ~DO0 ................................. Fee ......... .~.~..OO ..................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... ]2. ................. 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. 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 ...1.0~ ................. Rear .....'10~ ............... Depth .......~o6. ............... Height ............................ Number of Stories ....t~O ................. 9. Size of lot: Front ............................ Rear ............................ Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ......... .~-~...d.:[-s.t~ ..................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ................ D.Q ..................... ~'i .......... 13. Name of Owner of premises ...~...~..~.,y.....~..O.~.~..~..~ ........... Address ......~.o...u,..t...h..o..~.~. .................. Phone No ..................... Name of Architect ...... .G,...Ah'le.~.s .......................... Address ........... ,IalAe,.q. Do;tt ........... Phone No ..................... Name of Contractor ..[~.,..I~or~.:~L,S ............................ Address ......... ~Q!lt~]..].d ................ Phone No .................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. See filed plans STATE OF NEW,~._O~.I~,.. COUNTY OF .....q..u:f....z...o..&.K. ........... / S.S. ............................. .]~...~...~.~?,..1.....M..O.~.~..~.~ .............. be ng duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named. He is the ........ .A.J[?..D..tc.....&;..~.~l,~,,~.d.~. ............................................................................................................. (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 before me this \ ~, . ................... ~],.. day of ................. Oetnb~a~. .......... , 19...(P~I'. '~,, ' " Notary Public, .~~..~.~.~.~.. ~"-~i~tf. - /~ (SignqY~e o'f ap~l;~o.,tL SUffOLK COUNTY DEPaRTMEnT Of HEaLTh SUFFOLK COUNTY CENTER RIVEI~HEAD, NEW YORK I~lo! November 25, 1966 Mr. Howard Terry Building Department Town of Southold $outhold, New York Re: Southold Fishing Station Notel Unit Dear Mr. Terry: The sewage disposal and water supply facilities for the above referenced building meet the requirements of this department. Assistant District Engineer JHH:nb TOWN OF $OUTHOLD Multiple Residence Law Permit PERMIT NO. ]_~(~ I~_h Ih, 19~. APPLICATION NO.'I.~, ~.!~.,h 'l~ 19 ~1~ LOCATION ~./.q t4nl,n ~,_,~,~; -_n~f.~n t~,~, ~-In~,~ _Rd & i'4t1'I P.~t.- ~-,-~,~IL,,~; ~O~_t._h_olrl Application having been made on covering consfructlon on a n'l~.r~.~r] m~]'l~ ~]~ ~'[d(~_rie~ (new, altered, or converted) multiple residence building, by or in behalf of ~[~'~ ~. M~,h 1'1 , 19 t~ , for a permit · .... (ow.ed .......... ' ..... , for e dwelling located es above stated, and the said application having been examined and recommended for approval on H;a~'~h 114. , 19(~)-1, , a PERMIT is hereby issued for the performance of the ~.~s,-,l'.~l~n'l .f n~ f'n~nrtn'l'.t nt~e_ nl~r.~,n~r.'lr~n~ ~ ~ndrq~ ~,fO~ (architectural, structurat, mec[~anicai, etc.) work described in the above numbered applleaf[on 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 limlfatlon. Approved 14arch ll+ 19 01~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E om, ed ....... Approved Disapproved a/c ...... : .. ~;~ ~r:~ ..... ~::~ .~~-~ . ................... ...................................... ~ (Suildin~ Inspector) APPLICATION FOR BUILDING PERMIT 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 ony 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 Southoid, 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) ....... 1~ai~ .i~o.a~ ~.....S~thold .......................................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises .....~.Y....~.,...~c~':r.:l~q ................................................................ 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: .......... X.XJsT.X ........................ Lot No: ....... ~ ...... Street and Number ..~./.S.....~[8.~.XX..RQ&d~ ..........S.C~I,I,~O.~.~, ...................................................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ............ !~ ......... ~ ....... .wi.th...&'lte~.l~..~,OZlS..&..~d~:X.~,X~::~ .............................. 3. Nature of work (check which applicable): New Building .................. Addition ..,~r~r,,X, ..... Alteration ..:$,7~C~.. ....... Repair .................. Removal .................... Demolition ............. ~..... Other Work (Describe) ...................................... (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 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 ............................ 9. Size of lot: Front ............................ Rear ............................ Depth ................................ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are s~tuated ............. .~......d..~.'l;; ................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? .............. ~.O. ................................... Name of Architect u u ...................................................... 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 from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK~ ~ COUNTY OF .~.1~'.~.O~lr ..............t S.S. ................................ ..l~...?.~...~O.r.~'.~l,~. ...................................... being duly sworn, deposes and says that he is the applicant (Name of individual signing application) above named.~rle is the .......... ox,/laGz'....-....bl.l:l.'lde~. .......................................................................................................... (Contractor, agent, corporate officer, etc.) o~ 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 before me this .......................... day of .................... ~,~lt~Ja ............ ' 19'~'bZ'" ~'),/~ LC/ ~ .... 2 )/ .... ~' /2 .., _i z~ .................... ...... ................... Notary Public,~ .~-,~ ..~:.~-a.¢~.~ C~upty ,~ ~' (Signature of applicant) ...... TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW Altered or Converted Multiple Residence Building APPLICATION NO. ! ~L i LOCATION '~'/~' House Number Street Distance from Nearest Corner (I) Type of Occupancy of Building to be altered or converted (2) Type of Construction (Permanent, Transient, or PHvafe) (Fireproof or Non-flreproofI (3) Use and Occupancy after Alteration or Conversion (4) A new C of O (will) (will not) be required Story (include EXISTING OCCUPANCY PROPOSED OCCUPANCY Cellar & Basement) Persons to be Apts. Rooms Apts. Rooms Accommodated CorB Second Th;rd Fourth Fifth Sixth Seventh TOTAL (5) State generally in what manner the Building will be altered or converted ($) Est;mated Cost of AJfecaflon or Conversion (7) Is Application made to remove violations? If yes,: State Violation Number (a) State what disposition will be made of waste an4 sewage ~ ir0~'~v- *~'/~ (Public sewer, private sewer, cesspool, etc.)~f] '' I ~ ~ ' C ~ Page I COUNTY OF SUFFOLK ~ ~' [,,-,-~ /' I ~'~ (Typewrffe N.me) applica+ion (or +~e approval o¢ ~ v~. ~ ~ ~ plans an~ spedficafions ~erew~ subm;ffe~ and ma~e par+ ~ereo(, an~ +~a+ +o ~He ~es+ o( ~ls Enow)e~ge an~ ~elle~. +~e wore or conskucfion ~(] be carrle~ ou+ in compliance wH~ such plans and specifica+ions, an~ +~a( ff wi)) con(orm +o aim app]ica~le provisions o( +~e maws governMg multiple residence cons+rue+ion. Sworn +o before mem +his ; ~"' d.y of -Z"~ , Notary Pub)lc or Commissioner of Deeds ~ing in Suffolk Co~ No. 52-0~7800 ~ ~mi~ion ExpJrcs March 30. If application is +o be executed by someone other than owner, acting in his behalf, +he followbg addiHonal [nform- atlon should be supplied: Address __ (If a corporaflon, give full name and address of af le.st two officers) (SIGN HERE) Sworn to before me, this day of , Applicant , 19. Notary Public or Commissioner of Deeds FOR OFFICE USE ONLY Examined and Recommended for approval on \pproved on 19 19 Superintendent, Work commenced on 19 Date Completed 19 I HEREBY CERTIFY that +he above report is true in every respect and that the work indicated has been done in the manner required by law and Rules and Regulations of this Department. Signed Page 2 TOWN OF SOUTHOLD Multiple Residence Law Permit PERMIT NO..,.-....'~ ,~'~ ,u..~.-~. ~ 19 ,,~'~'s~ APPLICATION NO. LOCATION .~./~ ~,,~,~ ~n~ ~',,,fhnl~l . N. ~'. Application having been made on .~'.'r.~' 6 z~..~,~ ~A (new, altered, or converted) multiple residence buiJding, by or ;n behaJ~ ~[~iz~[z~ o ~Z~ner) i 19 ~ , for a permit F..:i ....... ~ S~,uthc, ld, N.Y. . for a dwelling located as above stated, end the said application having been examined and recommended for approval on ~.:&~_ ~ is hereby i~sued for the performance of the ~ ~,~ LA~' ~,tAA'/:L1. (archltectural, structural, mecNan~cal, 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. Approved /. Enfor~ment..~fficer -I FOR~ No. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date .......................................................... 19 ........ , (owner or authorized ageht of owner) ................................ v ................................. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violat ion of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations ..~.~..~..~:~ ot premises hereinafter described in thor ....................................................................... (state character of violation) ...... ......... ........................ in violation of ............ . ....... (state section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith in or before the '/ /¢~ 7~f 19......~......~' The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ................ ~..~..'~...'~..L....~l.. ............................ County of Suffolk, New York. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................ 19 ........ Approved ........................................ 1 9 ........ Permit No ................................ Disapproved a/c ........................................................................................... Application No .......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Oct. ~ J-~57 Dote ............................................................ [ 9 ............ 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 ar areas, and giving a detailed description of !ayout of property must be drown on the diagram which is part of this location. 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 and regulations. (Signature of applicant, or name, if a corporation) Southold ~. y. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricon, prumber or builder. owner Mary Sweeney Mor?is Name of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location of land on which proposed workwitl be done. Map No .................................. Block .................................. Street and Number ..................................................................................................................................................... State existing use and occuponcy of premleses nnd i nteaded use and occupancy of proposed construction: storage a. Existing use and occupancy ................................................................................................................................. mo~el unz~s- ~four/ b. Intended use and occuponey 3. Nature of work (check which ap.plicable): New Building .................... Addition .....~. .............. A tarot on .................. Repair ....................Removal .................... Demolition .................... Other Work (Describe) .................... :~zbO0. OU 4. Estimated Cost ............................................................Fee .......................................................................................... (to be paid on filing this application) FEES: four four 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ......................................................... mo '~ e 1 6. If business, comrnerical or mixed occupancy, specify nature and extent of each type of use ................................ 64~ 64' ~0' 7. Dimensiong~f existing structures, if any: Front ............................ Rear ............................ Depth ............................ on~ Height ............................ Number of Stories .............................................................................................................. uimensions of some structure with alterations or additions: kront ................................ Rear ................................ Depth ..... .2,6.t .................. Height ....... ~! ................... Number of Stories one 8. Dimensions of entire new construction: Front...~.z~J .................. Rear ............................ 64' Depth 96' ~ '.~'~,~. Height ............ ~.~. ............ Number of Stories ...... ~i~ ............... 450~ 450~ 500'+ 9. Size of lot: Front ............................ Rear ............................ Depth ............................ ]0. Zone or use district in which premises are situated ....... '.., ....................................................................................... ~ NO 11. Does proposed construction violate any zoning law, ordinance or regulation ..................................................... Mary Swe~ney Morris Sou~hold N.Y. Phone NO~Z'~.'~i.O..u.. ........ 12. Name of Owner of premises ........................................ ~c]'dress ............................................ Name of Architect ...................................................... Address ............................................ Phone NO ..................... Name of Contr~-t~' Rouert L. Hyatt Address$°uth°ld ~' Y' Phon N~'~...3.~..©. .......... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether inter~/corner lot. STATE OF NEW YORK, ) COUNTY OF ............................ ) ~[ary ~weeney L~orrls ................................................................................................ being duly sworn, deposes and soys that he is the applicant (Name of individual signing application) ~h~ owner above named, r~e s 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 to before me this ........................ day of ........................................ 19 ............ (Singature of applicant) Notary Public,. ............................................................. County FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ........................................ 19 ........ Approved ........................................ 1 9 ........ Permit No ................................. Disapproved a/c ........................................................................................... Application No .......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Oct. ~ Z~57 Date ............................................................ 1 9 ............ INSTRUCTIONS o. 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, relotions¼ip to odjoining premises or public streets or areas, and giving o detailed description of layout of property must be drown on the diagram which is part of this location. 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 o 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 port for any purpose whatever until o Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o 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, os herein described. The applicant agrees to comply with all applicable lows, ordinances and regulations. (Signature of applicant, or nome, if a corporation) ~outhold ~.~. (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricon, plumber or builder. owngr ~ary Sw~ney ~orris Nome of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Location cf land on which proposed work. will be dane Mop No ................................. Block .................................. ............................... .q ::, ....................................................................................................... Street and Number ~'~ai~ road ~ r, Stole existing use and occupancy oi' premieses and intended use and occupancy of proposed construction: o. Existing use and occupancy ................................................................................................................................ mo~el uni v s~m~x~l ~four) b Intended use end occuporlcy .............................................................................................................................. 3. Nature of work (check which applicable): New Building .................... Addition . Aterat on ................... Repair ....................Removal .................... Demolition .................... Other Work (Describe) .................... I500.oo 4. Estimated Co~t , Fee ...... , ..................... (to be paid on filing this application) FEES: four 5. If dwelling, number of dwelling units....'~:~ ............... Number of dwelling units on each floor ............................ If garage, number of cars ........................................................................................................................................ mo~e 1 6. If business, commerlcal or mixed occupancy, specify nature and extent of each type of use ................................ 647 64~ 20' 7. Dimensio~s~of existin9 structures, if any: Front ............................ Rear ............................ Depth ............................ Ol~e Height ............................ Number of Stories .................................... ~'i ........................................ ~i ...................... Dimensions of same structure with alterations or additions: Front ........... .............. Rear 26' Depth ..............................Height .............................. Number of Stories ................................ 8. Dimensions of entire new construction: Front:.2.' ...................... Rear Depth 8 ~ one Height ............................Number of Stories ........................... 450' 450' 500'+ 9. Size of lot: Front ............................ Rear ............................ Depth ............................ ]0. Zone or use district in which premises are situated ............................................................................................... No ]]. Does proposed constructio~ violate any zoning law, ordinance or regulation? ........................ ,~-~.2b~/ ............. ~Iary Sweeney Morris Southold ~. Y. 12. Nome of Owner of premises ........................................ Address ............................................ Phone N~ ........... Name of Architect ...................................................... Address ............................................ Phone NO ..................... ~ . . Robert L. Hyatt ... Southold ~. Y. ~. N~-3390 Nome o~ ~omIrGcYor .................................................... ~oo~ess ............................................ ~mone .................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions 'From property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. vJ STATE OF NEW YORK, ) '? " SS.' , COUNTY OF ............................ ) .... ; ~ary twe~ney [~orris ................................................................................................ being duly sworn, deposes and says thotShhe~is the applicant (Nome of individual signing application) .. owns r above nomed.~'~ is rne ....................... (Contractor, agent, corporate officer, etc.) 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 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 before me this ........................ day of ........................................ ]9 ........... (Singature of applicant) Notary Public,. ............................................................. County Mike Morris, Owner Howard Raynor, Manager SOUTHOLD FISHING STATION Route 25, Southold, Long Island Telephone Southold 3200 or Selden 3121