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Home My WebLink About28631-Z FORM NO. 4 .TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector : . Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30018 Date: 02/12/04 I THIS CERTIFIES that the building ADDITION/ALTERATION ;Location of Property: 425 KING ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 1 Lot 28 ;. Subdivision Filed. Map No. Lot No. I .`conforms substantially to the Application for Building Permit heretofore filed inthis office dated JULY 9, 2002 pursuant to which Building Permit No. 28631-Z dated AUGUST 6, 2002 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 ADDITION AND ALTERATION. TO AN EXISTING ONE FAMILY DWELLING AS APPLIED L FOR. The certificate is issued to NORAH M BISCHOFF & ANO (OWNER) . of the aforesaid. building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 110356 08/09/03 ' PLUMBERS CERTIFICATION DATED 09/0 03 KING PLUMBING a Authorized Signatur Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS 'PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) .PERMIT NO. 28631 Z Date AUGUST 6, 2002 Permission is hereby granted to : NORAH M BISCHOFF 35-16 154TH STREET FLUSHING,NY 11354 for I' CONSTRUCTION OF ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 425 KING ST ORIENT County Tax Map No. 473889 Section 026 Block 0001 Lot No. 028 pursuant to application dated JULY 9, 2002 and approved by the Building Inspector to expire on FEBRUARY 6, 2004 . Fee $ 150 . 00 Authorize Signature ORIGINAL Rev. 5/8/02 t Form:No.6 TOWN OF SOUTHOLD _ BUII:DI 6DEPARTMENT F '� T 'i 3 TOWN HALL ;€ 777 ; 765-1802 � R,a APPLICATION FOR CERTIFICATE OF OCCUPANCY sP This application must be filled in by typewriter or ink and submitted to the Building Depart A. For new building 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 from Health Dept.. of water supply and sewerage.-disposal(S-9 flan)i 1 Approval of electrical installation from Board of Fire Underwriters, 4. Sworn statement from;plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Cmnmercial biuilding,industrial building,multiple residences and similar buildings and installations, a certificate of Ood'c Compliance from architect or engineer responsible for the building. 6. Submit Pla ming Board Approval of completed site plan requirements. B. For a . j g buildings (prior to April,9,1957)A� u-conforming uses,or buildings and"pre-existing"land,uses: I- 44ct rate s ey of property showing all property lines, streets,building and unusual natural or topographic feat=ures_ 2. properly cibnipleted application and consent to inspect signed by the ap,plicant. If a Certificate of Occupancy is 4ed,the Building Inspector shall state the reasons therefor in writing"k%,*ie applicant. C. Fees s: 1. 6e4fficate of Occupancy-New dwelling$25.00,Additions to dwelling$25.00,Alterations to dwelling$25.00, ShNiffimingpool$25.00, Accessory building$25.00,Additions to accessory building$25.00,Businesses $50.00. 2. Ce `"cate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial $11l5.00 Date. 7/?L✓/03 New Construction: Old or Pre-existing Building: (check one) Location of Property: 4125— /�,//W&- j}/&&W j House No.// Street) Hamlet Owner or Owners of Property: Ne>g6w_ 66 C{(D6E Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ o Applica i ure T — o�Su�ft�t,��o s Cz y Z Town Hall,53095 Main Road •' Fax(631)765-9502 P.O.Box 1179York 11971-0959 y�v Telephone(631) 765-1802 Southold,New BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Q, O22 Building Permit No. �2 Owner: r n9 i f (Please print) Plumber: * fJ (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ( (Plumbers S' ature), Sworn to before me this S day of 2003 Notary Public, County Claire L. Glow Notary Public,state.of New York No.0101.4879505 Qualifled in Suffolk Count / commission Ez}ites LONG ISLAND ELECTRICAL INSPECTION"SERVIC'E'S .,... INC. ' 670 MIDDLE COUNTRY ROAD Application No.: 110366 ST.JAMES, NEW YORK 11780 Permit Number: 28631 (631)265-3075 Block: Lot: Fax(631);265-6057 Section .n, *+*l, m .y4 tsr,.c+a -e�y^rv3:'^t^3T ' ' ^.�^'ane a. ..geq•..,nw Owner 66ischoff and W insch Agent:' Three VillageElectric i Address: 425" King Street Address; p0 Box 136 Municipality;Orient NY Stonybrook NY 11790 License#: 2312E the 'CrwherPhorie: Agent: G - 6, S witc"h' s'�!'.•�• 'D u, e s �i' ,,t" 0 P`oolsAbvBlo s., spyF, 6 ' .Recepfacr"es ''` 0 1 •GFCI Devices }r 0 Tra s�`'- 0 Poofs Fd[er i t Dimmers 0 .CEga ntra. ,. 0 Pools Lights 5 MedwmBaseFixtures, 0 Ei ui indoW 0 c0 Dete"c`t61rs, t fflu oescentFortures 0 0 ibli posal i 0 4iID"-^""� 0 of` #£ 0 Metal Halide Lamps X 0 R ng e"6venCockM0 0 otYu 0 Refriglfnits 1 DryerElectnc 0 0 WalkmBox �. j 0EzheustFans `�; � -040at IRctr0 EzhaustUmt 0.. .. 0 CedmgFane `: 0 riibl2e e '�',;a t ; . 0 SteamShower a` t I 0 D IAi t ':_ 0 �a Lijghtin . . ;� 0 Breadwiii;WF4 c i1 1 ri<r< 0 r eatT 0 GarbageDssp' 0 ¢ gmpMotors... � 0 !r 0 Centralt/ac . 0 Extt3igns ss i#y+>w''• r ,. 0 Ds c Fiq 5 0 Chand IierLiRs r' .,t 0 Emergency Signs 0 Rutu"re 3"in 0 Ele%ato_rLiHs Y. LOCATION OF WORK F3a men't" ❑Jt •f ❑ dFlooi;' ❑ ;Outside ❑J Addition Serve' � s�Const" Comm' " ' first Floor Addition Final 8/08/03 r d 55tib� i trq A OH,L 11G Amp: Fitase: 1 Volts: Wire- CU -":Conductor -#of- ' Temporary ❑. Type: Size: Meters: i of 2 Ix•.� . _. e _... ... . 'Member l A.E 1. Electrical Certificate Certificate No. 110356 LONG ISLAND ELECTRICAL INSPECTION SERVICES, IN Certificate issued on: $/9/03. THIS CERTIFIES THAT OU LOC L ICT INSPECTOR CONDUCTED AN INS CTI OF THE Issued to Bischoff and Winsch VISIBLE PORTION OFT, ELEC ICAL i INSTALLATION DES 1B DHE IN AN IS Address: 426. King: Street COMPLIANT WIT HE RRE NAT]' NAL Orient NY ELECTRICALC E. Three Village Electric PO Box 136 Stonybrook NY 11790 AEl Certified Inspector �� y September 28, 2003 a Southold Town Building Dept Town Hall, 53095 Main Street P.O. Box 1179 G Southold,NY 11971-0959 Ref.-Budding Permit #28631-z Norah Bischoff/Jane Winsch 425 ging S4 Orient X1957 Gentlemen: Attached please find my check # 4232 for $25.00 covering the cost of Certificate of Occupancy application fee. We confirm that you can void the expired permit # 25440 which was issued in 1998 and never acted upon. Asper ourvisit to your offices, last Thursday, September_25`h we filled out the application and made arrangements for the on- site visit (which the do not have to be present). The only outstanding requirement left is the survey and hopefully that will be completed within two-three weeks. Thanks for your assistance, and looking forward to receiving the certificate of occupancy shortly. Sincerely, Norah Bischoff TOWN OF SOUTHOLDPERTY RECORD CAR® OWNER— STREET VILLAGE DItTRICT- SUB. LOT FORMER OWt1Egr( __ N W,rt �LIr (/�✓� �trt ACREAGE. Y�, f W TYPE OF BUILDING /f2ES. c�lU SEAS. VL. RM COMM. I IND. I CB. MISC. Est, Mkt. Value LAND IMP. TOTAL DATE REMARKS F. 41 C-1 P t7 t7 ' c,. —4j16(,3 X7344 g6&5?2 r t GE 'Jta6 I D 0 ?�✓ �rro dun �n anFrJu rys - �c cera r, - O 1P�No EW 5 B E FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD _ -- Tillable 2 DOCK Tillable, 3 — --..— Woodland Swampland -- i Brushland --- — House Plot — ---- — ti Total — f ; _, -r- •`Ii-=- ..r :� - - - ��R .� .--fir � �r � �1 '"3r d M. Bldg y � ' Foundation Bath s _ JOY — Extension tr"- y: s ! �' I Basement Floors1: . LLL Extension �o'$ v alls { ' % , Interior Finish I y Extension �0 2 Fire Plac �lq /�� Heat z _ porch 61' �.i Roof Type ' Porch Rooms lst Floor Breezeway i ( q �Z65 Patio Rooms 2nd Floor 2 fit? garage "' �x t,7 yf�riveway Dormer�� I b°7,66 5 2 < tS -?0 L ff14 1�� V sal Fax(516) 765-1823 x p,n , T6*n Hall, 530 5 Main Road Telephone(516)765-1800 O� `"' _ 'sr ~� 1179 Southold,New York 11971 SOUTHOLD TOWN LANDMARK PRESERVATION COMMISSION TO: Southold Town Building Dept. FROM: Southold Town Landmark Pres. Comm. - Herb Adler, Jr. DATE: August 2, 2002 RE: Nora M. Bischoff/Jane L. Winsch Residence 425 King St. , Orient Tax Map E26-1-28 SPLIA No. OR-129 The Landmark Preservation Commission has reviewed the proposed addition to the mud room and endorses such plans. i I� � 765-1802 BUILDING DEPT. E INSPECTION [�X] FOUNDATION IST [ ] ROUGH PLBG- [ ] FOUNDATION 2ND [ j INSULATION r FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: it A" DATE re-zye-c- INSPECTOR < EM k M-1802 BUILDING DEPT. INSPECTION [ ] FOUND IST [ UGH PLBG. o ] FODATION 2ND [ j INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY R ARKS: _ d 4. DATE lZ o� INSIDE M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION FRAMINGFINAL [ l I ] FIREPLACE A CHIMNEY REMARKS: DATE /� INSPECTOR gt;; 765-1802 x BUILDING DEPT. i' INSPECTION [ ] FOUNDATION 1ST [ ] RO GH PLBG. [ ] FOUNDATION 2ND [ } 1141SULATION [ ] FRAMING [ FINAL [ ] FIREPLACE &/"CHIMmommy REMARKS: d zt �y DATE G INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG. ] FOUNDATION 2ND [ ]; INS ION [ ] FRAMING FINAL. [ ] FIREPLACE & CHIMNEY REMARKS• DAT/RW INSPECT I'� FTF+LD M§7 ECTCON REPORT , DATE C01VtME FouNvaTroN tisT> ZA rn�Ir�'tM CTl FOUNDATION(Zn'D) - I1 � ROUGH FRAMPI G& ( PLUMBING n Y LNNS-CLATION PER N.Y, STATE ENERGY CODE. le , FINAL 1 _ i r � CONIlI�ENTS NN o lJ 1r �i ( H ti i i ec W TOWN OY SOUTHOLD BUILDING PERMIT APPLICA'T'ION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 �/2 Survey PERMIT NO. 29 31 F Check Septic Form S 6 N.Y.S.D.E.C. Examined 120 Contact:Trustees Approved r; ,20 ?/� Mail to: Disapproved a/c Phone: 4j/-j�3-� I� Expiration 12 O 20 Building Inspector APPLICATION FOR BUILDING PERMIT Date ��a�/ , 2002— INSTRUCTIONS a. This 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 waterways. 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 a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 building for necessary inspections. (Signature of appAi4ant or-name,if a corporation) (Mailing address of applicant) X State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder OGt>Ne� Name of owner of premises s on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. X1. Location of land on which proposed work will be done: #as dlLt; .G House Number Str t Hamlet t County Tax Map No. 1000 Section Oa.b-00 Block Lot D.ZB:Q9 X Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy MuD 2no&1 b. Intended use and occupancy Mu_6 h' MY w ;rNY 4ts6 Cr ,4 NAs/f-t A✓�`��-- Nature of work (check which applicable): New Building Addition >e Alteration \ Repair Removal Demolition Other Work (Description) Estimated Cost qP,0 ,J, 'I aD 000 Fee (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 S. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 1). Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. "Lone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO Will lot be re-graded?YES NO y( Will excess fill be removed from premises? YES NO �( Nd'QAN M 8)cs4/%F-- P.o•��8z 1 Names of Owner of premises •TAnre k/iIUS04 Address Phone No. XO/-323-4247-3 Name of Architect Address Phone No Name of Contractor Address Phone No. a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO X' * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. h. Is this property within 300 feet of a tidal wetland? * YES NO X * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) S: COtJNTY OF 4Sl �_ rf G�i�/ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0WNe-7,C_ (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 C� day of 20 0 Notary Public Signature of A cant LYNDA M. BOHN NOTARY PUBLIC,State of New York No.01 B06020932 Qualified in Suffolk Count Term Expires March 8, 20 SURVEY o SRO 51TUA TE: ORIENT TOWN: souTHOLU SiJFFOL{0 COUNTY, NY B i 1 SURVEYED 10-23-03 5UFFOLK COUNTY TAX n r �na w E N- 1000-26-1-28 ... ..,T ,,".'t r i�u�"e; >L7 CERTROD TCD; N�ltll sehoff Eanel Winaclt Nor- � \p �"f r ! street Navy,ays ov pm mnnt O mT /� 5423' N86°18'20"E�: 64.03' ce = l i x ; m c o0 9Z I( r ..p I m� 9 i I Frans p� c p } .mom IalI etorg � o l o to 2 story Frome House 44% s —d'oodo Fere a`p��` r<' ---S89°22'2U"W- -SSG` aa9e or pwe apt ��'�—�' Kkg Street I NOTES: _ u ^ m gp 4 MONUMENT FOUND PIPE POUND � k �Ter¢zzpm Y 1 3^Y )mahj Frs F AREA = 131640 sf or 0:31 GRAPHIC JOHN C. EHLERS LAND SCALE 1 20. 6 EAST MAIN STREET ��VEYOR RIVERHEAD,N.Y. 11901 N.Y.S.LIC.NO. 50202 369-8288 Fax 369-8287 REF.\\Hp serveAd�PROSM-263.pro OCCUPANCY C01901e Tsf - Ill91ft£U, - - - 0 O"UPANCY IAT �• ,_:_ �r 6A Bv:, �� _ .NOTIFY'SUILDING DEPARTMENT AT T Iaw AM TO=- PM FOR THE �p �Q4COWC�IGINSPEOTIONS` UND.A'CION • TWO REQUIRED ?X8poU1gED CONCRETE r ` 4i RbIIC�N • FRAiilllNQ & PLIIMRINti 16"0 =1t u�1Jilte `� '" INAL '-CONSTRUCTION MUST - _ Bt COMPLETE FOR C.O. J ZAP 16"oc- � AL1:CONSTRUCTION SNA1.�,. MEET - i TRk-REOUjREMENT$ OF THE N-y- �. �{ " STATE tO4STRUCTION a ENERGY — i Z� COOR$� NCIT RESPONSIBLE FOR 1 " t 1Gl� ONSTRUCTION 61IR eel FTTI �( t Cita }02.w i ID el' 4 P � 3 } cG z CCA iii € C,. _ I tl �'TF :btht4 ils SeFt�c2 4Qe ` m �^ lie" IJVA'ret� As i —......M......ue...__ ems.,... .a....w...{_e..��.,.....�.,_..._..............�.�.,...�.__._.. t '. ,�... ..... f .APPROVED BY: r SCALE: DRAWN BY �I sR?lct I! RA DATE: REVISED - DRAWING NUMBER, � i -r - -- -- - - -- - -- --- - - - -- --- - -- --- -- - - - { ir I J'> 1 I� — — _ s SN � q ro 1 �4 J A } FE: APPROVED SV: DRAWN By -g ` c 13 . DATE: REVISED DRKyVINGNUMBER `: