HomeMy WebLinkAboutZ-26845FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26845
Date: 12/20/99
THIS CERTIFIES that the building DWELLING
Location of Property 21165 MAIN RD ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 017 Block 0004 Lot 009
Subdivision Filed Map No. __ Lot No. __
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 26845 dated DECEMBER 20, 1999
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 ONE FAMILY DWELLING *
The certificate is issued to LYNDA CARBONE
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Building Insp~tor
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTEOLD
HQUSING CODE INSPECTION REPORT
LOCATION: 21165 MAIN RD ORIENT
SUBDIVISION: MAP NO.: __ LOT (S) --
NA~ OF OWNER (S): LYNDA C3~ONE
OCCUPANCY: SINGLE FAMILY
ADMITTED BY: MR. CARBONE
K~Y AVAILABLE: SUFF. CO. TAX MAP NO.: 17.'4-9
SOURCE OF REQUEST: LYNDA C~ONE. 10/25/99
LYNDA CJ%RBONE
ACCOMPANIED BY: SAME
DATE: 12/20/99
TYPE OF CONSTRUCTION:
FOUNDATION:
TOTAL ROOMS!
BATHROOM(S):
PORCH TYPE: ~IDE
BREEZEWAY:
DO~STIC HOTWATER: ~
TYPE E~AT: GAS
OTHER:
CELLAR: ~ CRAWL SPACE: __
TOILET ROOM(S): 1.0 UTILITY ROOM(S): **
DECK TYPE: PATIO TYPE:
FIREPLACE: ~ GARAGE: 1 CAR
TYPE HEATER: hlAT~ AIRCONDITIONING:
WARM AIR: HOTWATER: ~$~
FRONT TER/tACE ** 2ND FLOOR [~AUNDRY ROOM
SIDE
GARAGE, TYPE OF CONST.:
SWIMMING POOL:
OTHER:
STORAGE, TYPE CONST.:
GUEST, TYPE CONET.:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
SEC.
DATE ON INSPECTION: 11/05/99
TIME START: 10:00 AN ENq)~ 11:00 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
Tli)G 2.?L, APPLIFATION FOR CERTIFICATE OF OCCUPANCY
A. This~ppllcation must be fllled in by typewriter OR ink and subm±tted to the bu±lding
inspector with the following: for new building or new use:
1. Final survey of property with accurate location of all buildings, property lines,
streets, and unusual natural or topograph±c features·
2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form)·
3. Approval of electrical ±nstallation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of Ig lead.
5. Commercial building, industrial build±ng, multiple residences and similar bu±lding
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing bu±ldings .~ior to April ~ lq57) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed applicat±on and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesse~,.~
2. Certificate of Occupancy on~_r_~-existing Buildin~ ~ $100.00 ~
3. Copy of Certificate of Occupancy - .
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00~ Commercial $15.00
New Construction ........... Old Or Pre-existing Building...~' .............
House No. Street Hamlet
County Tax Map No 1000, Section ...~ V Block 0 .~ .Lot.
Subdivision .................................... Filed Map ............ Lot ....................
· Appli . ..
Permit No ............... Date Of Permit ................ cant ........................
Health Dept. Approval .......................... Underwriters Approval .......................
Planning Board Approval ........................
Request for: Temporary Certificate ........... Final Certicate ...........
Fee Submitted: $. ~ ~
CONSENT
TO
INSPECTION
Owner(s) Name(s)
do(es) hereby state:
· the undersigned,
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at c~ ~o o~ ~-'S- ~ I ~ E b
O ~ ~ ~% , which is shox~ and designated on the Suffolk
County tax map as District 1000, Section ~ 7, Block 0 ~, Lot % .
That the undersigned (has) (have) filed, 'or caused [o be filed, an applica-
tion in the Southold To~ Building Inspector's Office for the follow.g: __
That the undersigned do(es) hereby give consent to the Building Inspectors
of the Town of Southold to enter upon the above described property, including
any and all buildings located thereon· to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws· ordinances, ~rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained In the conduct o£
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances· rules or regulations of the Town of Southold.
Dated: 1D/e~-/ ~0 ("~" (/~~
(print name)
(siEnMure)
(print name)
October 9, 1999
Mr. & Mrs. Jeffery Carbone
Main Road
Orient, New York
Dear Mr. & Mrs. Carbone:
In reply to your question about the kitchens at White Shingles. Mrs.
Knox had installed a Kitchen in the front apartment for herself when
she settled in Orient in the 20's. The rear kitchen in the back
apartment was originally there from when the White Shingles was
operated as her restaurant. The west kitchen was there since at least
1950 when Judy Hall had her gift shop and lived there year around
with Lou Grow. A small kitchen also existed in the upstairs apartment
since, I can remember, for Mrs. Robinson, a very close friend of Mrs.
Knox. My memory goes back to 1949 when I was seven. Our family
had lived in the back apartment during the summer months since
1942. There were no additions to the house since that time. My
father bought the house from the estate around 1958 as the town
records will reflect.
If
may be of any further assistance, please feel free to contact me.
3hn F. Cockerill
52 Lynwood Road
Scarsdale, New York 10583
Tel/Fax 914-723-8403
~inW
Filed in Broll~ ~
November 1, 1999
I, Stewar[ W.Y. Horton, the undersigned, being duly sworn and deposed, state that I have resided at
21335 Main Road (Route 25), Orient, New York 11957 since June 1962. This residence is immediately
adjacent to and East of the prope~zy of Knox/Cockefill/Carbonne, known locally as the "White Shin~les", a
residence and "tea shop" of the 1930s and early 1940s nm by Hortense Knox. I have been familiar with
this property (Whil~ Shingles) since the 1940s when I delivered Sunday papers to Mrs. Knox for several
years. I have been through the house many times and my personal family and I lived there for three months
in 1976 following a fire at our next door residence.
During the period of ownership by Adrian Cookerill and family this house contained at least four usable
kitchens, three downstairs and one on the second floor; I believe there was an additional kitchen in earlier
years (tea shop days). The four kitchens at one time or another over the years were areas where I, on
occasion, drank or dined. I believe the ir, lent is to use only three of these kitchens in the future but I know
there is long team histoxy of use of all the kitchens in the past and I am wimess to the fact.
Given this day on the above date.
Stewart W. Y. Horto7
STATE OF l~Ew YO~ ~ ~
COUNT~ O-~ ~
ELIZ. A~'T~ A STAI'~
NOTAF~ F~BI.IC, State of Ne~ ¥01~
~. ,~ ~-.f,
1
fOrmerF' ,M /Wills
~ u' ~/ackay)
(former & Oth'erHs°rton
U/Cora Dan forth)
Yot~ng & Yot~ng, Land Surveyors
NOTES
AREA = 47074 SQ. FT.
SCHNURR, NYS,LS NO 49517
W YOUNG, NYS,LS NO 45895
SURVEY FOR
LYNDA
CARBONF
At Orient, Town of Southold
Suffolk County, New York
County Tax Map o,~,,,:1 1000 S.choo 17 B,o~ 04 co~ 9
TITLE SURVEY ]
AMENBED ADJA£EN1 OWNER APR 20 f999
MAP PREPARED FEB. 8, 1999
SCALE 1"
JOB NO 99 0086 ! OF 1
DWG, NO, 990086