HomeMy WebLinkAbout15407-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildin§ Inspector
Town Hale
Southold, N.Y.
Certificate Of Occupancy
No. Z15931 Date July 8, 1987
THIS CERTIFIES that the building remodel & addition to restaurant.
.4 q2. g9 M..a .i.n.R..o .a.d. Orient
Location of Proper House No. Street Hamlet
County Tax Map No. 1000 Section 15 .Block 9 .Lot. 8
Subdivision.. X .Filed Map No. X .Lot No. X
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... .O.c..tg.b.e.r..' .1.0.,...1.9~86 pursuant to which Building Permit No, 15407Z
dated .......... .O.q t..o.b.e.r...1.7.,.. 1..9 .86 . 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 .........
....... ~,.e.m. Qd..e.1..&...a.d.d.i.t.'.xp.n' ..tg..a.n...e.x.i.s..t.i.n.g. restaurant.
The certificate is issued to ........... .M.G.H...E.N.T.E..R.P.R.I.S, .E.S.,.. I..N.C.... ! .O.R.I.E.N..T..B.Y...T.H.E..S. ,E.A)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO ..................... N809727
PLUMBERS CERTIFICATION DATED:
N/A
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDinG PEI~,~IT
(THIS PEP. MIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby granted to:
.... ~~ ......................... /.!..~...~..7. ...............
.............. ......
at premises located at ...,~,...0,..,,~...~.....~.~.....~ ....... .(~).~ ...............................
Count,/ Tax Map No. 1000 Section .....(~../..,.,~.'~.. ...... Block ..... ...(~..,~ ........ Lot No ..... ,,~, ~... ............
pursuant to c~pplication dated ....(~..~.?..~......~.....0. ............. , 19.~..~.., and approved by the
Building Inspector.
Fee $.L..~....:..~
Building Inspector
Rev. 6/30/80
FORM NO, 6
TOWN OF SOUTHOLD
~ilding Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ,,-~ to 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
natu rat or topographic featu res.
2. Fina{ 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 p~operty 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 housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees:
1. Certificate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $]0.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $15.(~0
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ...... ~.~ ..................
NewConstruction .... Old or Pre-existing Building Vacant Land .............
Loeat,on of Property .. 40 0 //¢F. 7.
Owner or Owners of Property .../.~.'.~..' ..... ~.~-
County Tax Map No. 1000 Section .... ~/..~. ....... Block ...~. ........... Lot ....~. ...........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit Date of Permit ...... Applicant...OAt( .....
Health Dept. Approval ........................ Labor Dept, Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Con~struction on above described building and p, er/nj¢ me~s all ~oplicable codes and regulations.
,,pp,,ca ..................................
Rev, 10-10-78
:ouotT THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
['~ BE JOHN STREET, NEW YORK,
NEW
YORK
10038
~a~ 1.4, J. 9~ 475342/87 '~ ' '~ '
THIS CERTIFIES THAT
in the followlng Iocatlon~ ~ B~sement ~ Ist FI. ~ 2nd }'1. .~ection Bilk Lot
~s exumlned on ~ O ~ z ~ ~ and found to be in compllo~ce u'ith ~he req~ire,~e~ts o~ this Board.
FIXTUEE FIXTURES RANGES C~KtNODECKS OVENS DISH WASHERS EXHAUST FANS
SYSTRMS
NO. OF FEET
OTHER APPARATUS:
E V I C
NO OF HI-LfG
AW.G*
OF HI-LEG
R
tNO OF NEUTRALS
AW, G,
OF NEUTRAL
Alc £hur Rul'oe~te
L~c# 23341~I
GENERAL MAN~.ER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlals.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
'OUNDATION
'OUNDATION
{1st)
(2nd)
tOUGH FRAME &
?LUMBING
~NSULATION PER N.
STATE ENERGY
CODE
ADDITIONA'L COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ;ZND [ ] INSULATION
[ ] FRAMING
REMARKS:
~t~NAL
DATE ~'~//~//~7,
_INSPECTOR~~/
7~5-X802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION :;ND [~I~sULATION
[ ] FRAMING
[ ] FINAL
7~5-~1802
BUILDING DEPT.
INSPECTION
FOUNDATION ~ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FINAL
//
INSPECTO~
76S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION &ST [ ] ROUGH PLBG.
~'~OUNDATION//~/' ZND [ ] INSULATION
[ ] FRAMING
[ ] FINAL
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No. /~zO
Owner /h~ ~ ~-
(please print)
Plumber /~ ~/~,~
(please prin~f)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber ' ature)
Sworn to before me this
~ day of _ ~ ,'
Notary Public, ~
County
Notary Public
HEI,EN g. DE
NOTARY PUOUC, State of
No. 4707878, Suffolk Ceuntyo
T~rm Expires I~lm~h 30,
/L.~OVED A~ N~OTF. D
~.L~-~ ,~ ~ ~ L,
NOT~Y ~u~LD~ D~PA~TMSNT AT
FOLLOWING iNSPEC~ONS:
FOUNDAtiON ~O ~Q~RED
~ ""q N A ENERGY
~T~TE JO~T~U~ O,
COOES ~OT ~SPONSI~-E ~R
OCCUPANCY' OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
K'l 'T.C H E N
iPlNINr~
ROO~
~ 3tO,, f
~'
~'~? S~Z,'~-
~ACK ~AR
3
TACI(LF
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN TIlE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH.OU~
DISTRICT OFFICE. ,/_/,),/
THE NEW YORK BOARD OF FIRE ~DERWR~ERS
PI'I,ICA'I'IO~ NO,
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No. /~"~,/~
' (please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
Notary Public, _/~~.County
IIENR¥ P. SMITH, President
JOHN M. BREDEMEYER, Vice-Pres.
PHILLIP J. GOUBEAUD
ALBERT KRUPSKI, JR.
ELLEN I~. LARSEN
BOARD OF TOWN TRUSTEES
TOWN OF $OUTItOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
'['EI,F, PItONE
(516) 765-1892
September 25, 1986
Mr. Robert J. Douglass
Marine Surveying
Orient, New York 11957
Re: Orient by the Sea Marina
Dear Mr. Douglass:
The following action was taken by the Board of Trustees during
their regular meeting held.on September 25~ 1986 regarding the above
captioned matter.
WHEREAS, the Board members have personally viewed and are familiar
with the premises in question and the surrounding area and
WHEREAS, the Board has considered all of the documentation submitted
concerning this request and
WHEREAS, the Board made the following findings of fact:
1. By this request appellant requests permission to construct
a~ additio~ to an existing structure to be constructed to
approximately 15' x 20' and to be constructed over the
existing eating deck area, to a point even with the south
end of the eating porch area. To drive new spiles into the
deck area for support of same.
2.Property is located off of the Main Road, Orient.
Accordingly on motion made by Trustee Smith seconded by Trustee Krupski
it was
RESOLVED to APPROVE THE WAIVER of the Wetland Ordinance as requested by
Robert J. Douglass on behalf of Orient By The Sea Bar Room as requested
with the following provisions:
1. Care shold be taken so as to preclude the entry of any
construction material into the wetland/water area.
Board of Trustees
Orient By the Sea Bar Room
Please remit a $10.00 fee to this office for inspections
made concerning your request.
Thank you for your cooperation in this matter.
HPS: ip
cc: Bldg. Dept.
Board of Appeals
C.A.C.
file
Very truly yours,
Henry P~ Smith, President
Board of Town Trustees
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-180:3
Examined .O..O~....o~...]?. .... 19~.G.
.......
Approved .~..e~.q~. ~ .'l .... 19~¢ eermitSo .... c~ ......
Disapproved a/c .....................................
(Building Inspector)
APPLICATION' FOR BUILDING PERMIT
INSTRUCTIONS
Received ........... ,19.,,
Date ................ , 19
This application must be conipletely filled in by typewriter or in ink an'd 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 heroin 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 building for neces~jy i,nspections.
....
~/<::~.,Z. IL, ~.,~ i~i'g~t~re of agplica.nt, oK name if a corpgration)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician plum,ber or builder.
.....7. ....................................................
Name of owner of premises .t ./~i: . ~'.. ~. ..... ".~..~_~. ~'.t~..ff. ~. 1.47. .............................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
Builder's License No. ~.~.0 ~). ~,..~...,~,~ .~...~.
Plumber's License No. ,~'~.~.~. ~..
Other Trade's License No ......................
1. Location, of land on which proposed work will be done ..... dt~.~, .-~. ~..t~.../q~../J/~.....~...~..~...~ ..........
House Number Street Hamlet
County Tax Map No. I000 Section ...... -.~. ........ Block .... p ...... - ..... Lot...
Subdivision · ~ ~ - Filed Map No ................ Lot . .~.-:': · · .~; ....
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing u~e,and occupancy: ..... ~ ~'~'~' ~'" '~" '~' ]~.~'~ %; iff4 ..................
b. Intended use and occupancy ...........
10.
11.
12.
13.
14.
15. Is this property locatedi'withintiO0 feet of a tidal wetland? * If yes, Southold Town Trustees Permit may be required.
· PLOT DIAGRAM
Nature of work (check which applicable): New Building .......... 'Addition .......... Alteration .........
Estimated Cost..~. ',~,~ ~.~'~.. m ~' Fee
(to be paid on fling this application)
If dwelling, number of dwelling ~umts ............... Number of dwelling units on each floor... ~.....-'Wrxw... ....
If garage number of cars ~
If business, commercial or mixe~ occupancy, specify na,t~..re ~nd extent of each type rof use .............. ..,~. .....
Dimensions of existing structures, if any: Front... ~...~7. ....... Rear .. Z .~. ....... Depth... ~'~..,~,~.
Height .... ,/~...~ ...... Number of Stories ........ ~. ................. , ................... ;. ? .......
Dimensions of same s~tructure ~ith alterations or addition~: Front ..... ~..~..' ...... Rear .... ,Z ~ .........
Depth ...... ~-¥~ff,,_~ .... i" Height ...... ~.~.. ,~ .......... Numbe' r of Stories ..... ~. ...............
Dimensions of entire new const~ction.: Front ..... ~5..?. ~..,. Rear....~.7. ~..'1.~.. Depth . ..,~.tg~. f. ......
Height . . .~& f. ....... Number, of Stories ...... ~. .................................................
Size of lot: Front ...... ~.~. ........... Rear ...... ~. ~. ~. .......... Depth ... ,~,~'~ .............
Date of Purchase ...... ~. ~., .~..~. ............. Nam,,~o f Forr, Jler Owner ,i~ ...........................
Zone or use district ~n which pr~mlses are situated ...... .~ .... /.. .....................................
Does proposed,construction violate any zoning law, ordinance or regulation: .... ,~F'.~:~. ......................
Will lot be regraded ....... ]f~-,~.., .............. Will exce~ fill be removed from premises: Yes
Name of Owner of premises ."'"~'~0..~../~, ~t~-, ,, Address ~'~.~,/.l?~'..,~.. .... Phone No. ~,~..~
Name of Architect ~ ............. Address ................... Phone No .............. ...
Name of Contractor ~. t4~.,~r.~. ~ ............ Address~r,~,~.,~./~.~*,/~.~.. Phone No ................
~ Yes ..... No ~
Locate clearly and distinctly al! 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.
%
STATE OF NEW YORK, S.S
COUNTY OF ................
. sworn, deposes ~d says that h~ is the applicant
(Nam~ of individual si~ning contract
above named.
~.~ ~ ~ (Contractor,~co~porate officer~, etc, ~ )~: :~--~l'~" ~ ~_
of said owner or owners, ~d is dply authorized to perform or have performed the said work and to m~e and file this
application; that all statements coatained ~ this application are true to the best of his knowledge'and belief; and that the'
work will be perfo~ed in the m~fier set {orth in the application filed therewith.
Sworn to before me this
19~