The URL can be used to link to this page

Home My WebLink About12465-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13216 Date Feb. 15 .................................................. 19...85 THIS CERTIFIES that the building New Building Location of Property ..1.q5..9 King St. Orient House luo. ' ' ' ' '~'t[e~i ' ' ' Hamlet County Tax Map No. 1000 Section 026 .Block 02 ..... Lot 039.7 Subdivision... X p N ............................ Filed Ma o ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 3 19 .8 .3. pursuant to which Building Permit No. 12465 Z dated ...... .A.u.q: ....8. ............ 19..8.3, 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 ......... Private One FamilI Dwelling SCHORER, DAVID The certificate is issued to ..................... [o~,,'e'r, ~&'~'='~4 ...................... of the aforesaid building. Suffolk County Department of Health Approval ..... l. 3. .-.S.O.-7 .8 .7 ............................ UNDERWRITERS CERTIFICATE NO... N 636795 Building Inspector Rev. 1/81 FORM' ~TO. ~B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, N? BUILDING PERMIT ~TH'S P~T MUST BE ~p'r ON 'rH~ P~M,S~S UNT,~ ~U" COMPLETION OF THE WORK AUTHORIZED) 12a.65 Z Dote ...~.?.~......'~ .................. , ~..~..'.~ Permission is hereby granted to: · ..~.~:~:.~......~.~.~....F.: ......... ....... ~.~.~.~..:f~4 ................................. at premises Iocoted o, .....l...~....~....~. ............. l..'~'..:~.':~.~.~....,.~--..~-.-r~...~.~.l~.~. ............. ~.~ ............ County Tax Map No. 1000 Section ~.,,,..,0,..~.~ ...... Block. ....... ~ ........... Lot No .......~....~.:..~. ....... dated ....... ~..~....,..~.....~.. ................ ,19..~..,~ end approved by the pursuant to application Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bui|ding Department Town Hal~ ~;outhoid, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. iThis application must be filled in typewriter OR in,k., and submitte~eto the Building Inspec- · ~tor with 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 disposal-{S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-. tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: I. Certificate of occupancy $5.00 / 2. Certificateofoccupancyonpre-existingdwelling/landuse--Pre-Ex±sf.±ng C.0. $15.00 3. Copy of certificate of occupancy $1.00 Vacant lan) C.O. $ 5...00 New Building Old or Pre-existing Building Vacant Land Location of Property .. ~.~..~¥.~. House No. Street Ham/et Owner or Owners of Property ....... ............... ,,/ ..... ......................... CountyTax Map No. 1000Section ............... Block ............. Lot.. ~ ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .. <~.~......~..7' .~..~..~..~.../9..~. .... Dept. Approval . I ~ .~.. ~ ~'.~ .~. .......... Labor Dept. Approval ....................... Health ., Underwriters Approval . . . Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ..................... Fee Submitted $ ~ ........................ Construction on above described building and permit meets all applicable codes and regulations. ~ ~l.~ d) Applicant .... ~. ~,~,,, / Rev, 10-10-78 FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: 1000708 THE NEW YORK BOARD OF FIRE UNDERWRITERS 'flf~ BUREAU OF ELECTRICITY ~ E5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIE~ THAT only the electrical equipment as described belo~ and introduced by t~ applicant ~m~ on the abo~e application number in t~ premises of David Schorer~ King St:, end of Village La,, Orient, N.Y~ ~. ~ /o.o~,,~ ~o~.~o,,; ~ ~.~,.~,,~ ~ ~t r~. ~ ~,,d r~. s~¢~o,, ~o& rot ~.~.,.i.odo. March 8 , 1984 and found to be ia compliance wlth the requirements o/ tl, isBoara. 59 53 4.5 59 2 2- 14 1 3 10 1 30 1 200 CB x 1 4/0 1 4/0 Electric Room Heaters ~ 2- . 245 KW, 6-~330 KW,1-.475 KW, 3-.600 KW, 1-.825 IiIq, 6-1.0 KW. Tracklighting: 72 ' -0 t~ack 1-4.5 I{6t Water Heater 1 -The~o s t at 2-Smoke Detectors Wiggins La. Greenport, N.Y. , 11944 LIC.$1049 $$N~t~ ~NA~ / COPY FOR B;UII~D,~I? DE?aRTMEN~T. THIS ¢op~ OF MANNER. FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined Q..t~,..x~ .~..., 19 ?:.~ Approved ............ , 19~..~ Permit No../?'../. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No. / '~ ~ /~ ~ a. Tins application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work, e. No building shall be occupied or used in whole or in 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, housing code, and regula_tions; and to admit authorized inspectors on premises and in building for necessary inspections. O (Signature of applicant, or name,'<~-if a corporation) ..... N..o..~. ~. ,.,o.~....~.?. .... .o..~. f~,,..C..~. ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... .~'~..,//..~....,F.~r'.o..~..~'~ ................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. · .; ......................................... ...... .......... ;?.. .... ....... :'. ........... ................ House Number Street ' . Hamlet County Tax Map No. 1000 Section ~> ~' C Block 2 Lot .8 ~'. ~. Subdivision ................ (k.a~) ................ Filed Map No ..... ~ ........ Lot .... .~. ........ 2. State existing use and occupancy of ~p?mises and intended use and occupancy of proposed construction: a. Existing use and occupancy.....~...(~..Q .(3~2~.. ~ .................................................. ..... ............................... b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ............ Other Work ............... (Description) 4 Estimated Cost &~.~ ~ ~ ~ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If gai~age, 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... ~..q.~.~.~? .... Rear ....q.'t'.*..o. ..... Depth . .~. ~i i i°.'i ...... /{eight ...2. ~ ~.:..~. ..... Number of Stories ..... ~. ................................................. 9. Size of lot: Front ...... /.~..~': .o ........... Rear ... ?.tr..o ............... Depth .. v~.q~ ................ 10. Date of Purchase ............................. Name of Former Owner ... g.~.~'&~.....~..o.o. ~f.,.~ ~rj .... 11. Zone or use district in which premises are situated ..... 8. ~..~. g'.$.e~. ~.~..r7 ~.~ ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... .~..o. ........................ 13. Will lot be regraded ...... ~.~',-q. .................. Will excess fill be removed from premises: Yes 14. Name Of Owner of premises ~4~,~. ¢¢~ .~¢~.~..~;~.. Address .... A~: ~. .......... Phone No.~.. ¢.~..~..~?.. Name of Architect . .~.~:~.~4' .... ~,~-~ J. ....... Address . ~ .~tt~/~'.~f p. erF.~r .... Phone No...~.~.~. ~,.~F.// .... Name of Contractor ../< ~I..! ~'.f~.qey. ~ ..... Address ....~.~-. t'~ew'.~. ...... Phone No.. ? ~.J,..~.~./. ~..... 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 Iot. STATL OF NEW YrORK-) ., ~, S S COUNTY OF . ... above named. being duly ]worn, deposes and says that he is the applicant He isthe ...... ~t'~C ~ ~~ t..~..ag : n ent, 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 applic~,tion;!that all statements contained in this application are true to the best of his knowledge and b~lief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this LP !* a 0 ~ IPtKOVED AS NOTEI~( / / ~f~..-~ DAT.~E: ~ ~' ~.~ B.P.' FEE:/~,) ~ BY: NOTIFY BUILDING DEPARTMENT AT 7z~ 1802 9 AM TO 4 PM FOR THE T TC,T/~L- DONALD A. DENIS A.I.A., P.t~. ARCHI TECT '1. ARCHITECT A. DENIE A.LA., p.C. ----i ~L-P-LV~,T ~o ~q DONA. I-D A. DENI;I A.I.A.~ I=.C. ARCHITECT ~_cc-V~T i oH t bL..~VZ~TIc~4 ~ DrtNALD A. DENIal A.I.A., ARC HI T~EIP-.T