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Home My WebLink About11582-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g. 1..13.3.3. ......... Date ....... .d..a.n..u.a.r.7. .1.8 .............. 19 83. THIS CERTIFIES that the building ................................................ Location of Property 215 Garden Court Southold h3~s'~ ~io: ....................... 'S't/e3i ....................... h3~/oi County Tax Map No. 1000 Section .. 0.6.3t ...... Block .. 0.7 ........... Lot .. 0.1.7., 005 ....... Subdivision..~gk~.t.h.Q)..d..G. or.d.er~$ .......... Filed Map No. 68.12,...Lot No...fl .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... .H.a.r.ql?.,. ~1.6 ....... 19.8..2pursuant to which Building Permit No .... 1.1. $8.2..5 .......... dated ...lyl.a.r.c..h..1.9. ................ 19.8. 2., was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ...a..~.r SXa. t..e..o.n.e .-.f.a~m. Z. &Z .d.w.e ~.li, r~g ............................................ The certificate is issued to . . . ~9~R.:[ .~9..~,~. T.~.R.P.I~.I.S~s. ~..I~q: .......................... (owner,-t~e-m"termrrd- of the aforesaid building. Suffolk County Department of Health Approval .1.~ .- .S.O.-.~ ~ ,..1./. ~ .7/.8.~ ~. jRQI~t:,. J~,..Vj, J. J,a~. UNDERWRITERS CERTIFICATE NO ........ .N.. 5. .8.9.7. 7. 5. ................................ Rev. 1/81 11582 Z Peru ~o ,ission,is hereby granted to: pu~s!ant t6 applicati6n dated Buil41ng I~spector. ~;~., $.......,.,., ........ :... BUILDING SOUTH' COMPL~ ON OF THE work AUTHORIZED~; COi~ty Ta:~ Map No. lO00 'Section .'. .... I°~ Rer. ~6/30/80 and ~pproved by the FORM NO. 6 TOWN OF SOUTHOLD :' Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subr~itted in duplicate 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 natural or tooograchic fe3tures. 2.Final approval of Heaith Dept. of water supply and sewerage dispose --(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar building~ 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 topograph ic 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 85.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $~.00 Date ..... New Building ......... Old or Pre-exbt[ng Building(X) ........ =/Vacant Land Location of Property . .. House No. ................ Planning Board Approval .................. Request for Temporary Certificate ..... Fee Submitted S... ~ Construction on above described building and regulations. Applicant Rev. 10-10.78 -'.' ?..':~ .. . . - ... .~, FIELD INSPECTION FOUNDATION ( 1 st) COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ?DE FINAL ADDITIONAL COMMENTS: looo68i THE NEW YORK BOARD OF FIRE UNDERWRITERS ~)~ BUREAU OF ELECTRICITY J-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oa,e Deee~ar 2.9, 1981 Jp. llcatlonNo, on~file 145115 ~ 81 T.IS CEaT,F,ES T.^T N 5 ~{, 7 C C 4 only the electrical equip~nent as described below and introduced by the applicant named on the above application number in the premises of Mohring Eat,~prises, n/s Garden Cto, 500' e/of Well Rd., Southold, i,,theyollo~i.Sloo, tlon; I~n.~me.t {~.~t~l, [~ ~ad rt. Sectlon63 aiD& 7 rot 17.8 was examined on D~ec~]l~r 21, 1981 and fou.d to be in compliance with the requirements of this Board. FIXTURE OUTLETS 28 ~ECEPTACLES SWITCHES FIXTURES RANGES OVENS EXHAUST FANS FLUORESCENT /~ERCURY VAFOR FUTURE APPLIANCE FEEDERS DRYERS FURNACE TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E' R V I C OTHER APPARATUS= i~G.F.I. 2~.SnDke Detec~o£8 NO. OF CC COND. PER ,~' A W G, NO OF HI.LEG OF CC, COND 2/0 AW.G, OF HI-LEG AWG. OF NEUTRAL Parm~unt Elec~ Co. 204t Shelley Place F~st Meadow, N.Y. 11554 This certificate must not be altered in any manner; return to the office of the Board if 'i~ 1£c. 533-E GENEI~AL MANAGER~ may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF, C MUST BE ALTERED IN ANY MANNER. lo00681 THE NEW YORK BOARD OF FiRE UNDERWRITERS fl BUREAU OF ELECTRICITy N 589775 THIS CERTIFIES THAT only the electrical equipment as ~scribed below and intuited ~y t~pllcant natned on,he abqee a~pJication nutnber ~n the pretrdses of aad found to he in co~npliance wi~b ~he rFqu~re.tents of this Board. FIXTUR~ REC~PTAC[B FIXTURES RANGES OVENS DISH EXHAUST OUTLET5 22 42 DRYERS SYSTI~MS NO. OF FEET OTHER APPARATUS: E R V NO. O~CC~COND A W. o, · *Fu~u~e Appliance £eedera: 1-2#~A, 1-2~12, ~1-3~8. 1GFI, 2 smoke de~ecto~s--- C E A W.G NO OFN~UTRAI5 A,W.G OF HI-LEG Paramount Elec. Co. 20~1 Shelley Pl. East Headow,N.Y.11554 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectoi;s may be identified b the r cre rv~ uu ~lllq DEPARTMENT, THIS COPY OF CERTIrlC~TE ;: ~ .... MANNE~. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .~..~...rc/./.Z./. 2, 19~?.. Permit No...,//.~...~.~.~. Z (BuildingVlnspector) APPLICATION FOR BUILDING PERMIT Application No...//..~., .~..Cfi, .... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre¢ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apt: 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 issue a Building Permit to the applicant. Such peru 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building c.c.c.c.c.c.c.c.c.~ous.~g code, and relations, and admit authorized inspecto rs on premises and in buildings for necessary i~~,~/ff ~,~,~ (Si~ure of ap~ o .~ame, iy.,~orporation) , .... .-.. ........ ~ ~. (Mailing address of applicant) ~ State whether applicant is ow(~..~ lessee, agent, architect, engineer, general contractor, electrician, plumber of,~uildc..J Name of owner of pre~nises ... (./ (as on the tax rm'l or latest deed) If applicact,,C'~orP9/gtion,,O.[gpa, tuy~f duly authorized officer. ... 7 ......... ...... ~~ officer) Builder's License No .......................... Plu,nber's License .... /¢ 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. 1000Section ~>~.~ Block .O..7. Lot ./'~° ?. Subdivision...~..O.tf-.fh.~/..~...~....~...~.~. ~ ...... Filed Mat, No ............. Lot ............. (Name) 2. State existing use and occupancy of premises and intended use;2 occupancy of proposed construction: a Existing use and occu afc ~4~.K,,~.~.~. '~'.~..~.~// b Intended use and occupancy ~}t,O~,///,e/ ~ Nature 6f work (check which applicable): Repair .............. Removal ... Estimated Cost ...... ~ ...... ,... roperty lines. Give street and block ,terior or corner lot. J New Building ...'~. ...... Addition .......... Alteration .......... ........ Demolition .............. Other Work ............... ~ ,~ ~.._ (Description). .............. Fee .~.../..¢~. .................. ¢ ........... (to be paid on filing this application) / Number of dwelling units on each floor ................ If dwell~ng, number of dwelling ~units ........... If garage, number of cars ..... ~ ................................................................. specify hature and extent of each type of use If business, commercial or mixedI occupancy, · .................. Dimensions of existing structures, if any: Front ..... J ......... Rear .............. Depth .............. Height '. .............. Number of Stories ....................................................... Dimensions of same structure wi~h alterations or additions: Front ................. Rear ................. Depth .................... .. tteight ........ ~. /! ...... Number of. Stories ............ ,, ........ D,mensmns~of.?~re new construction:, Front. ~.P..~. ....... Rear . 2.9. ~. ........ Depth ..~ .......... Height . .~{~.~/. .......... Number of Stories . .. ~ ................................................... Size of lot: Front .../.~. ~ :~..~. .......... Rear· Z~.~., .~..] ....... . ...... Depth ...].~..~.: ............... Date df Purchase ....~..~'..~P.]/;../.~.~/ ........... Nfime gf Former Owner . .,~.;~J~..~.o.~. ~ ................ Zone or use district in which premises are situated ................................... '. ................. Does proposed construction viol!re any zoning law, ordinance or regulation: . .P/..~. ......................... Will lot be regraded .... ~ .~.~.. ,..., .... ..,,., ...... Will excess fill be removed from premises: Yes Name of Owner of prer~ses . .~. ~/../~'. '.~J~..~'¢~ll~ddress .'~.~..~...~'..~4,t..~1~./~ Phone No...~.~./...:. ~..t.?~... Name of Architect . .,dd,~.]..p.t~X/,4/~IIp~/.'.. :... Address /~'.er:l:'~-~.~...~.~.... Phone No .... ?./.'~ ~..f'.~. ·. PLOT DIAGRAM Locate clearly and distinctly all lbuildlngs, whether existing or proposed, and, indicate all set-back dimensions fi'om aumber or description according to deed, and show street names and indicate whether TATE OF NEW YORK, OUNTY OF ................. ........ .... . .~'..k~..~ ~r.~ ~.I . .P~..~.,~,/~4/f ....... being duly sworn, deposes and says that he is the applicant . (Name of individual sig~ing contract) >ove named. e is the .................................................... ........ ~ (Contractor, agent, corporate officer, etc,) f said owner or ownem, ~d is du~y authorized to perform or have performed tlie said work ~d to m~e and file this oplication; that all statements contained in this~application ore true to the best ofihis knowledge and belief; and that the 'ork w~l be performed in the m~n~r set forth ~t the application filed therewith. worn to before me ~ ~o~e~ Publl~ ~ ~usIlfled In Nassau Coun~ : ~mmlsslon Expires U~reh 30, 198~ ~ ~ MO~HING £N~£1~P~I$£$, INC. ~e s:'"': ,~. c . .. - ~ .. :..o.~oee ~ ~T ; OUTHOLD DATE: AUG. R~ 19~1 to be S~~ I%- ..... , ~ ' . ~. , ~T I ~ ~ ~lO[~D TO~ A V&LIO TRUZ COPY HE~ O~ARTMEHT-DATA ~ APPR0~ TO C~STRUCT ANpC i.~ ~M~ m ~T~E'CW~Y, GOV~ - N~F~T~MAP~T~ SECTION . ~K~OTI-/,~y . H~E~,~OYO ~EA$~ISN~SO&THELENDING WlL~ ~F~ i ~ THE STANW OF THE S~K COUNTY DEPARTMENT TOE~ ~T~ ST~U~W~$S ~[ FOR ~ SPECIFIC ~ICMT, P~PI ~y~ ~INES OR FOk THE ERECTION ~ FENCES / / ~OIVIS/~PP/Z~OIN~ . ~ ~ J ~4~ ~ND Sq. VEYOR N.%S. UCENSE NO. la845 Su~Y F~ A~ ~EW ~RK STAT~ E~CATI~ LAW ffC~iES ~ ~iS ~VEY NOT ~R~G THE ~AHD HE~ DEPARTMENT-DATA ~PRO~ ~ C~STRUCT ~ ~ ~R WHOM THE SU~EY IS PREPARED NEAREST W~ ~IN--MI. ~ NSOUR~ WATER, ~I~rE ~P~IC ~ MENTAL A~NCY A~ LENDING INSTITUTION LISTED Wl~ ~FO~ ~ T~ ~Afl~ OF THE S~K COUNTY O~TMEHT ~ EXISTMG STRUC~RES ~E F~ A SPECIFIC NOT~ : I = MONUM~N~ O = STAKE S~F~K ~NTY~M~Y Y, 197~ ~FI~.~/~ AND ~ND SURVEYOR N.Y.S. UCENSE NO. HOW~RO ~,YOUNG~ L~ND SURVEYOR N~ L~ ~ ~L(W),~KIC TANK(~I CE~O~(~) ~N ~E~ N.Y.S. LICENSE N0.45893