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HomeMy WebLinkAbout8324-zNO. & TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy THIS CERTIFIES that the building located at . N../~y...~.~.n. l~.o.a..d ........... Street MapNo, XXX BlockNo. XXX LotNo, XXX Laurelt N.Y. ( Matt. P.O.) conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... .0.~.~..7...., ~.?~. pursuant to which Budding ~emit No. dated ...... De.c...~. ..... , 19.7.~., was issued, and conforms to all of the req,,ire- ments of the applicable provisions of the law. The occupancy for which this certificate is (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval J..un.e. 1~.~..~9.7.6...by. R.*..Villa .... NOTE~ State Hwy approval pending ~0~ NO. ~ TOWN OF $OUTHOLD 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? 8324 Z Permission is hereby granted to: H,~v E'C ~A~-5 H AvV FORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLiCATiON FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Budding Inspector w~th the following; for new buildings or new use. 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2 Final approval of Health Dept. of water supply and sewerage d~sposal--(S-9 form or equal). 3. Approval of electncal installation from Board of F~re Underwriters 4. Commercial buddings, Industrial buildings, Multiple Residences and simpler buildings and installations, a cerhficate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buddings and "pre~existing" land uses: 1 Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings 3 Date of any hous,ng code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate C. Fees: 1 Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5 00 3 Copy of certificate of occupancy $1 00 Date ........ J .,~... ,~.! ../~ .....~...?./.. !, .~....7.. ,~.. New Budding ................ dition ................ Old or Pre-existing Building ................ ¥ocant Land .............. Location Of Property ........ .,~....~..~,, ...... .,/~...~.!..N..... ~.0..~..,~,.! .......... ..~,.,~,.,~,..'~..E....,,/x~,.' .................................... Owner Or Owners Of Property ......... ,~/~...~...~,.~),: .......... .,.~.,,,~.,.,,~,..~..,H,.,,~,..,V~..: ............................................. Subdivision .............................................. .~ ................ Lot No. -- Block No. - House No..~...7-....~...--% Permit No .........~...~..~..?.ZDate Of Perm,t ..~..~..C...~l.Z.5.~pplicant ..... .~..~..~.?.~..Y.. ...... ..--~.....~...~....~...F/....A.....~... ......... Health Dept. Approval .d.~.~!.~..!~,.!.~...-/...~. ......... ..~...~...~...~Labor Dept. Approval ........ .~..~...~../...~'...~.. ................... Underwriters Approval ..~/.....~..?....J)....~'...~..~ .................. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ FincLI Certificate ......................................... Fee Submitted $ .......... .g.. ........................ . ~ // // ...--- ~ Construction on above described buiiding~"~e~~ll apph~u~ ~ u~.d ragu ions~..~ Sworn to before me this . ~/ / ................ day of .......................................... ( p ) Notary Public .............. i~ ......... County ~/ (stamp ar /g DATE: /'-g FEE: NOTIFY BUILDING t~,-~ 765-2660 9AM TO 4PM R REQ,~Ir~ ED INSPECTIONS: 1. BEFORE BACKF/LLING FGUNDA~ TION OR START FRAMING ~ 2. BEFORE COVERING PIPLLINE 3. FINAL WHEN JOB COMFLETED NOT RESPONSIBLE FOR DESIGN OR CON-~ STRUCTION ERRORS B SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES R~verhead, New York Building Permit No. TYPE OR PRINT LEGIBLY IN INK Health Services Department Plan No. Application for Approval of Commercial Sewage Dispos,al System TO; The Suffolk County Department of Health Services Date Application for approval of commercial sewage disposal system is hereby requested. (Name]/side of~reet, n~/me and d~stance to nearest intersecting street) Name /-//~d/2c)~ 5-~ Hamlet Village - f Town Address Ready for inspection (Budder - Owner) Tale. No. FOR USE OF HEALTH SERVICES DEPARTMENT ONLY Installation satisfactory - Yes ~ Based on the information stated hereon by the applicant and other information made available, it is the option of this Department that th~s system with proper maintenance can be expected to function satisfactorily and is not hkely to cause a nuisance, provided designed sewage flow is not exceeded. Structural features are not included. C, hfef of General Rnginee~in~ Ser~16el SCHD · S-13 II HI IN K ltIY0RK 'BOARDII OF FIRE UNDERWRITERSliq llll TI H_I I II I n 1 ul m d �l i 11 III IIf 111E III III—III—III tl -III BUREAU OF! F[EGTRICITY tll III Ih II(=11 .IL�f-'"II f18 °I OHN THE T, NEWY RK NEW'Y0ftK 10038 ill -I! III II'-II; III II` 111 BI ll _III:- T� rl *5 a ,I w' ,i;. III III '- II' ILllf"fii ITETIYm m=ul li—u-ul ill f 839490 " Nit 290244 ill 1' tpl 100 iglit III Q�RI III III 1 , "IAPphEation No on ile -I II- III IU 1I I I .. + Ig (tiEFfTf�ilEeS RNPI�III III III _TI` I I I I I '' 1 ' , � ., i I application number in the remises o ppl�lt�a�#s�e�P9NiPfnYtlt w d�an¢ed below and introduced 6y tlteapplicont Homed on the obove app - P f. h 111—III w (isfar ItIrl f ullSod n/S Route 25 Mattituck, L. I . you=1 lite%,Auta Y, r gdllll m a I lit a lu 'li ul, ul lit— III d IU- -IIn d L- Section Block Lot , TFs,F44fdlpw}pd*Rtloni 111"4W �aswlnant � Ist FI. 2nd Fl• I ', outside II, 1 0 - 1 and found to be in compliance with the requirements of this Board. rml�t#an IuJuneul2l m1976 !Ili--I III III 1;1= III III -.III IF , I, - FEYTURE " FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS i�OUTIETSIdI ECIEPTACIES $WI CI I T INCANDESCFNT FLUORESCENT vA K AI K.W. AMT. K.W. —1, K.W. AMT. K.W. AMi. M.P. I—!;-�"Id 111 III =III III 1 :n . ,1 0 21 I ., 1131 III 123'llll i DRYER$ Ill Ill I FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS ,AMT-r Fwl, -IpLi, H.P. GAS H.P. NnT. NO, A.W.Q. AMT. /JAP. AAIT AMPS. TRANS. AMi. H.P. NO.OF FEET AMi. WATT$ III-11i III IIII -III I II II I IJII II II if 50 VIDE DISCONNECT I _ NO. n 11..-n1-SP avEia°N°' R.._. V I C _E 14 F , ' NO.OF HIiEG A.W.G. NO. NEUTRALS Of NEUTRAL .. II!lAiil ,AAY.dI 1 TYP 1 011 A2W IX4W 303W 3AIW H Of ccCOMa OF III.LEG I—III,°f, 'll 111. I I II II . . 3/0 I 3/0 Ill th III ilin 0 i" CB itI . III:'I11 I 1 , I 3/0 T t LTA A US:. - 1 II .I < Pn€_r I�Irl ,l WI IL N l Illllllll�.11l it li It 'InlILL II PF=111 �n III III yl `I"otor/f I , IOh! Ira/4hP m 1 III III I ii II, It- m2. hr�'t water' heater Ills III q ' I ii Qkwl I I II' li 10 lit I 1 ' Photo I Ce I I FIT1- It II =I ll III fl li III i> -II( I III h t Ill 11 'Ill tll I,'i'I II ' l III .li 1 Ili 'I ,�.I II 11 i G IIII�J.III �ii II II' III I - 1, b lil=III n IIIt 1 1, III—pI I,I r 1 111 -lu III IIWe@IRy T .' Hat III ls ' IIIIIIJi ' I''II n la t u: In w III—il III IIIRF�u 1 rBOx A3 R88Y85 ;Park IJ-lu 11 IJ ;i1 GENERAL MANA u`III—III III III I III 1, II II L i C 377 "III-_li 111 IIIRiYIerhead ,l L, I , 11901 ,II -I 1, II II I t II�- fll III III JI If I t III 1 Per 0 IIIII�IIIIII III Iillllllllllllll ,I it a IIII 1 III' '.ibfz"RetflF�caia [oust not ba.altered m any manner; return.to he office of the Board if incorrect. Inspectors may be identified by r credentials. ' 1 708K NO. I S/ 7 aCt �TOWN OF SOUT c dQn D BUILDING DE T '�� �� 0 K(c O TOWN CLERK'S OPPI ''^ 'u `M ���£� SOUTNOLD, N. Y. / Examined ......................^�'......3.. 19..7 S Application No. ....a......�ci...�/.......... AApproved 'ec 3 19�5 Prrmit No 30� / Z— pp ........ ................. Disapproveda/c ......................... ..................................................... ............................................. .... .......................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ....... ......rL.................... 19.275.... �2 INSTRUCTIONS 4- a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 soft 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 or 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 v 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 Occupancy ivy 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, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ..................................................... .A Si a of lice e or name, if a co ration) g .(re... ��..i/ . (Address of applicant) State whether applicant is ow�n�err, lessee, agent, a hitect, ngi er, general contractor, electrician, plumber or builder. Q...................... 23W......:ra� ....................................................................... ............ Name of owner of premises .................... i.✓e7,0. ........................................:..................................................................... If applicant is a corporate, signature of duly authorized officer. .................................................................. (Nome and title of corporate officer) Builder's License No. ................................................::.. Plumber's License No. �� ' �.Q�«'�_......./..�....................................... Electrician's License No. ..1....!:°:�!.9..... .^ ... Other Trade's License No. .............................................. 1. Location of land on which roposed work will be ne. Map•No.: .............. ......... Lot No. . '. ......... . Street and Number .� .....� .yr..�lP....��te .............y , G . Y Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..........!.ei.c 4��........................................................................................ b. Intended use and occupancy .............at6t Q.. ................................................................................... 1 N N N J 3. Nature of work (check which applicable): New Building ... .. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition............ ... ... Other Work ...........................................::... ..... (Description) 4. Estimated Cost ...........1.. Qy. .....................Fee ....................................................... ............................... (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 ............................... 8. Dimensions of entire new construction: Front ..... ................ Rear.... ..i.............. Depth ....../ .............. / Height ../"5........... Number of Stories ........../......................................................................................................... 9. Size of lot: Front ..........1,-C. .................................. Rear .......Z44.......................... Dept ../� 10. 'Date of Purchase ... ...tq.7�5 ......................Name of Former Owner ..�I.Q�SC"�. .......... 11. Zone or use district in which premises are situated ..... ........................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................................. 13. Will lot be regraded ........2Q..... ....... Will excesill be removed fr remi s: ( ) Yes (*--"a 14. Nome of Owner of premise ... ....... Address r"T" ... . Q.... Phone NO/S.7.G1.7.a:.AZ Name of Architect .. �=` � .. ........... Addre ........... Phone No. — Nome 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 number or description according to deed, and show street names and indicate whether interior or corner lot. Q � �e e STATE OF NEW YORK, I S ............... . S COUNTY OF,- .�..,�}� .........f h �3 A G S N 11 U✓ Ybing m duly sworn, depos and says that he is the applica . . ... . .......... ...................... ........ (Name of individual signing contract) above named. Heis 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 or@,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 �7 ......................1. day of ..................................(9c.T—...... 19.7.5....... SUf�-oir / Notary Public. .................................................... County ..........................f 1....::...�1. .....:..:.r�'�-..................... \I ""(Signarfire of applicant) urti (try/E nin She of� a;to ,MANY PUBS SofloN Cot{��i� �FerM2ExDi..SSMarch 30. ��'!� After investigation and inspection the Board finds that applicant requests permission to build and operate an automobile body repair shop on the north side of MaimRoad, Laurel Dist. ~1I, ~4attituck Post Office, New York. The findings of the Board are that this is a favorable location for this type of operation as it is bounded by industrial property on the north and west and business property to the east; aaa across the street there is a gas station. The Board agrees with the reasoning of tha applicant. The Board finds that the public convenience and ~lfare aaa Justice will be served an~ the legally eshablishea or pe=mitted use of neighborhood property and adjoining uss districts will not be permanently or substantially injured, and tho spirit of the Ordinanco wall be observed. THEREFORE iT WAS RESOLVED, Harvey Bagshaw, Deep Hole Drive, Mattituck, New York be GRANTED pe~%is~ion to build an~ op~ratm an automobile body repair shop o~ th~ north side of ~in Road, Laurel Dist. %11, Mattituck Post Office, ~ew York, as applied for, subject to the followin~ conditions~ Entrance and exit driveways shall have an unrestricted width of not less than 12 feet and not ~ore than 3O feet and shall be located not less than 10 feet from any property line, and shall be so laid out as to avoid the necessity of any vehicle backing out across any right of way. ~uhicle lifts or pits, dismantle~ automobiles and all part~ or supplies ~.hall be located within a building. Ail service or repair of motor vehicles, other than such minor servicing am change of tires or sa!~ of gasoline Or oil, shall be conducted in a building. The storage of gasotin~ or fl~.%mable oil~ in buzz shall b~ located fully underground and not than 35 feet from any property line other than the street line. ~:o gasoline or fuel pumps or tanks shall be located less than 15 feet from any street or property line. The building shall be located no closer than 35 feet to the front property line on Ma~n Road. The building shall be located no closer than 25 feet to the easterly side lin~. The building sk~11 bo located no closer than i0 feet to th~ westerly side line. Vote of the Board: A~cs:- ~essrs: Gillispte, Grtgonis, Hulso. Zz Z /zz.,4 / 0 0 Th~s approval Is ~ra~ted on cond~flo~ that the proposed facilities are nstalled n conform ~s[,p~ans. Th~ approve s not author,zed to be u~d as pa~ of any apphcatlon for ny Ioca~ ordinance or requirement. /]//',z)