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Home My WebLink About2534-ZFORM N~O. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 'I'OWN CLERK'S OFFICE SOUTHOLD, N. Y. P.E:I~TIFICATE OF OGr. UPANCY THIS CERTIFIES that the building located at .~..~.8...? .~,..l~..~$...I~...~...8~..~.pl~.~.Fl~treet Map No..~ ....... Block No...~ ...... Lot No. ~ .... ~n~..~ ............ conforms substantially go the Applicati,on for Building Pemit heretofore fil~ in this office dated ............. ~.~ .... ~,.., 19~. pursuant to which Building Permit No. ~. ~. dated .............. 0~...~.., 19.~., was issued, and conforms to all of the require- men~ .of the applicable provisions of the law. The occupancy ~or which this ce~ifieate is issued is .~Se~ .~..(~~ .P~b~.!O. ~) ............................. The mificat t,o ................. (owner, lessee or tenant) of the ~oresaid building. Suffolk County Department of Health Approval . ~*R.~ .................................. eap&eity of hall. D~I~CING ~J~ SEATII~G ~.btlN FLOOR SEAT~O ~ FLOOR Building Inspector TOWN O~ $O~TNOLD 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? 2534 Z Date ........................ J)Jl t, o1)e~ ....... ,~ ......... , 19...(~1, Permission is hereby granted to: ................... O~.i~t .............................................. to..~ ~4.. eh.. ~ i.t ien.- e~..~ tt~ek..H~]~. ...................................................................... Gt premises located at .~k~.pj~gl~...]~..&..{4s~.~..~...~V.~.~a~e...]~l~.) ..................................... ..................................................... ~.i~n~.~..... g~.~ ~. .............................................................................. pursuant to application dated ................................ ~.~v .......... ~. ...... 19.~Jl,., and approved by the Building Inspector Fee $....5~,D,0 .......... FO~M NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved ........................................ , 19 ...... !.Permit No.........D ........... ~'3.............~7~ ~-~ 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, 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 corporo.tion) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ ...................................................................................................................................................... Name of owner of premises ....~...x/~/...~_...~...~... ..... .C.~.../~..~.~../'~...J..~..~.. ..... ~..~..7..I..~.../..~..~._l~..~.....././~...~;. .................................. If applicant is a corporate, signature of duly authorized officer. ....... ........................... ~' (Name an~itlf~of corporate officer) 1. Location of land on which proposed work will be done. Map No: ............................................Lot No: .................... Street and Number ~./.~.~./.J..~'...~'...~...,~'..~.~..~...~.~.~'...-~....~.~./~,/~'~. ...... ..~..~./.,~.../~.. 7' MunicipaliJy ............................................................ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: o. Existing use and occupancy ~...~...~...?'Z'.//J~......~.....~...~..~..~..~..~....7'/..~...~..../l~..~.~....~....C~~.~.~' ......... b. Intended use and occupancy ................ .-~..,~....~....~'.. ................................................................................................... 3. Nature of work (check which applicable): New Building .................. Addition J Alteration Repair .................... Re~moval .................... Demolition .................... Ot~er Work (Describe) ...................................... 4. Estimated Cost .........~.~../.~...~....~... ................................. Fee ................ :.~...'~.'....~... ............................................................. (to be paid on filing this' application) 5. If dwelling, number of dwelling units ..... ~ ...... .C ............. 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 ...... ./'..J]....~ .......... Depth .....~...~.....~ ............... Height .....~..~. ................ Number of Stories .... /. ................ ]~..~..~.'(..~ ..... ~......~'..~.O...ff..~. .............................................. Dimensions of same structure with alterations or additions: Front ........... ~.~ ............... Rear ...... ~.~..7.. ............. t .... Depth ....... 7...~.. ................. Height ........ .~..~.. ............... Number of Stories ...[. ............ .J..~.....~..~..~ ...... 8. Dimensions of entire new construction: Front .......... ~. ................ Rear ....... /..~... ............... Depth ...../..G...( .............. Height ...... ~...~...~ ............. Number of Stories ..... ~ .................. 9. Size of lot: Front .... ~.....,~.,...?..?...: ...... Rear .... ~..~..~...j~....z. ........ Depth ......c~ff..,..~.?... .......... 10. Date of Purchase .... ~'..~.../~.,...{..~...~.~. ......................... Name of Former Owner ~...~../..~..~....~...~...~..(....~..~...~......~....~...~.~.G- 11. Zone or use district in which premises are situated ........ ~....~...~'../.../~....~...~..?.. .............................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ...... /~...~.. ...... ' ................................. 13. Name of O~ner of premise~ .~.Z'~,.....C.~.../~./~'-...~....~...7.'.].~.(Address ......... ~..~..{4~./~..?.. ................. Phone No. ~':')'~'~W Nome of-~t,~,~t .............. : .................................... Address ......... :~ ......................... Phone No. Nome of Contractor .......... :.....: ................................... Address ............................................ Phone No.......'"~. ............. PLOT DIAGRAM Locate clearly and distinctly oil 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. T /i C O.r /'f l STATE OF NEW YOI~,~/ . COUNTY of ....... ................. ~::~~..~..-.../.....~--~.. ~ ................................. being duly sworn, deposes and says that he s the appl cant '" (Name of i~dividual si~,~n) above named. He is the ........... ~~ .................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file 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. Swo~r,~~ me this ~~2 Z~~ '~~~ ..~~ ..... day of ......... Notary Public, ......~.~.,~~ .......... y ~ig~e of applicant~' ..... ' ....................... OU TH £L£ VA TI ON T; STAIRWAY PO@UATUCK HALL ADDITION 50UTH EL£VATIOI~ ~ STAIRWAY 0m CLOSET ~ IO'l x 5'5 60~ HAIN FLOOR VESTIBULE ,"' q-6 x 6-¥ "HERS" · ',.5'6 ~' 8"7 FIRST FLOOR POR C H ~$-0x6-0 STORAQE ~ ?-~ ~ 6-~ BALCONY KITCHEN ',,10-0 x ~- ? V'---E5 TIB ULE ~~-~ x q-z :30" STORAGE ~ 5-6" $-II SECOND FLOOR POQUATUCI( HALL ADDITION FLOOR PLAN Sc~,le: ~ Z~ck -- I foot Dr~w~ B~ : W~II~e.. W. ~chr~lve~ Date: ~&wv~r~ 25, 1965 EAST ELEVATION WE,ST ELEVATION POQUA TUCK HALL ADD/T/ON EAST & WEST ELEVATION5 STATE OF NEW YORK DEPARTMENT OF LABOR BOARD OF STANDARDS AND AP A DECISION CASE NO. ~53-62 PLAN NO. PETITIONER~ Orient Lyceum Association, Village & Skippers Lanes Orient, L.I., New York DATE~ Inc. January 6, 196& PREMISES AFFECTED: Village & Skippers Lanes Orient, L.I., New York New York City PUBLIC HEARING AT APPEARANCES AT THE PUBLIC HEARING: DATE: November l&, 1963 FOR PETITIONER: Floyd F. KinE, Jr. Howard Terry H. Koehler, Supervising Inspector FOR DEPARTMENT: MOTION CARRIED: To Grant part and Deny part. BY VOTE OF AFFIRMATIVE NEGATIVE 2 0 1. WHEHEAS. ABSENT 1 THE RESOLUTION Orient Lyceum Assoc. (as ~ o~ner filed on ¥~rch 28, 1962 a petition SS~-5 (8,-6O) for a, variation from the provisions of Sections Rules 35; 9 ss cited in the order of the Division ce Industrial Safety Service ~ept. 19, 1961 of the State Department of Labor dated Feb. 18, 1963 affecting sanitation, fire extinguishers, exits, exit signs, red lights, handrails,sprinkler system and fire curtain. Case.No. 2. NHER?~5, a notice off the Division o~':In~us~rial 8~fety 8ervi~e cited' the ffollowing orders related t= ~he subject off this pe'~ition: Date of Notice: September 19~1961 - February Order Numbers: 1 to 17 incl. - 1 3. ~E~EA~, the Division of Industrial,~Safet¥ Service has ed the Board with a report describing thg physical and ope~atx fac~ra relevant' to t~a petition, ~ich ~eport ~s been ~d~..a p~t o~ ~he ~d~e record..,",A~t&ched heret~ Xs an extrac~ the report. ~igned by: A~Rapp, ~uperviS~ng InsPector Date of Report: ~arch 22, 196~ ~, ~HEREA~, the Board has reviewed the hardshi, ps an~ d~f. ficultiea cited by the petitioner and fimds that the following variation observes the spirit Of the'laW and secures public safety. 5. RESOLVED, that the Board, pursuant to the provisions 'ofSe~,~ion 30 of!the Labor Law, does hereby make the following Variatl0~t'~ub- Jeer. to any conditions set forth below. THE VARIATION ~_d ~_s a-~ressing r$o~ and ~en the dressing area is 'used it shall be deai~na~ed By spot, able ~,.barrier. There shall be provided a compliance fire ex~inguishe~ in ~hia dressing area. Th~ded a compxlance eXX~ '~rom ~he eo~l~heas~ corner ~f ~he auditorium floor. Case No. ~53-62 -3- Re:.. Order No. 17 (dated SeDtembe~ 19,.1961) The curtains shall be fire~'resisting. 6, BE IT FURT R RESOLVED, ~hat the Board finds that a variation from Order Nos. 1,2~3,$,5,?,9,10,11,12 and 15 dated September 19, 1961 would not 'observe the spirit of the law and seCUre public safe~y. The petition for a variation from ~heee orders is hereby DENI£1D. GEORGE S. allq~D ~eorge 3. Raymond-- Member - a ' ' PAGE 2 STATE OF NEW YORK . DEPARTMENT OF LABOR . DIVISION OF INDUSTRIAL SAFETY SERVICE SECTIOfl 31) - INVESTIGATION REPORT IChecked By -Date Supervising Inspector Date '' · PAGE STATE OF NEW YORK · DEPARTMENT OF LABOR · DIVISION OF INDUSTRIAL SAFETY SERVICE SECTION 30 - INVESTIGATION REPORT .~~~~.,:,. ~,~ ~ c~o. J ~ J PAGE STATE OF NEW YORK . DEPARTMENT OF LABOR . DIVISION OF INDUSTRIAL SAFETY SERVICE SECTION 30 - INVESTIGATION REPORT lmm ~he ~ ~oe~ an~ ~ ~ a~e tn g~ed a~Ar ama la a cl~m nor is a ielC aZ~An~ s~s are not ~ ~n the ~u~xt~rA~= e~ el~re prehibAtin~ ~ (Z~ ~). At ~ ~~0~ ~r ~ ~ ~~ ~ ~ a ~ ~* ~ ~e 36'wi~~~~~ (2) ~:e~ A~ ~he mbaf~ end of ~ t, udJ.~: Xn the proMen:lnn Im3X. ~bo~o :b a ~" vide v~ct door opentn~ :L~to ~e eudt~a)~4-- (.T,t,m f~,~.,) ~t, mna :Me vAdo tn~wior, uneueloae~ Checked By [ Date [ Supervising Inspector Date PAGE STATE OF NEW YORK . DEPARTMENT OF LABOR . DIVISION OF INDUSTRIAL SAFETY SERVICE SECTION ~0 - INVESTIGATION REPORT Case No. [ Checked By I5S-505 (9-60) Date