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Home My WebLink About12504-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12080 Date November 22 1983 THIS CERTIFIES that the building .-.zn..e.w. .d.w..e.l.l.i.n. g ............................... Location of Property 1135 Bridle Lane & 90 Bridle Court Cutchogue I:l~s~ ~oi ....................... 'S't/e~i ....................... County Tax Map No. 1000 Section 102 .Block 08 .... Lot 020 Subdivision .... .H.i. gh..1.a.n.d...E.s.t.a.t. 9.s ........ Filed Map No...6.5.3.7...Lot No...2..3 ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... J. tt..n.c...1..5 ........ ,19.8..3pursuant to which Btdlding Permit No....1.2.5..0.4..Z. .......... dated ......... .3.~4 .ly..2.3. .......... 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 ......... a .p.r..$v..a.t.e. 9.n.e..~f..a.m.i.l.y .d.w.e..1.1i.n.g: ..................................... The certificate is issued to 75 HIGHLAND ROAD CORP (owner,'tE'2~'07' of the aforesaid building. Suffolk County Department of Health Approval . .13-80-101, 11/17/83, R.o. bt. A. gi.lla, UNDERWRITERS CERTIFICATE NO N 622108 Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12504 Z Permission is hereby granted to: ..... ~.~...2~....~.'....~.:... ~%.,,,....~t1.,,...~.:.~ ........ }J...~.~..~.. ,o .......... ...... ii ..... ........................................ 'i' ............................... ~ ..~, ~';": ................................ V, ...... '4"; .................. at premises located at ....... L.~.~........~,~?~f~.~...~....~- ................................................... County T,× M~p No. lO00 Sectio~n..l..~....~.. ....... ~ock ..... ~...~. ....... Lot Uo ..... ~..~ .......... to ,ppll¢otion dottel ..... ..~ ....... ./.....~-.. ................ , 19.~...~..~ ond opprov~:l by th~ ~ursuont Building Inspector. Fee $...,.~..! ./..'.. ff ..~.... Building Inspector _ Rev. 6/30/80 '-~ 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 submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: I. 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 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 $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 landuse--?re-Exist±ng C.O, $15.00 Vacant land C.O. $ 5.00 Date .......................... New Building ............. Old or Pre-existing Building ............. Vacant Land ............. Location of Property .c~..~. Hou, No. Street ........ ' ' O " fPro e-~' ...~-.~.~.~.~.~.~.,..~.~~ .L~.._~..~..~...~ .... wner or uwners o p rty ..... ~-~.- ................. ;' ....... Section ~ounty/ax ~wap r~o. ~uuu ..... CK ........., ............. Subdivision.., ? . ....~...Fi ed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval .. ................... . . . Labor Dept. Approval ........................ Underwriters Approval... ................... .. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building a~~~~~d regulations. FIELD INSPE~T%0~ COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL ________. ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION /~ FOUNDATION 1ST [ ] ROUGH PLBG. -"~ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: INSPECTOR 1000681 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET~ NEW YORK, NEW YORK 10038 .at~ Nove~..er 2, 1983 ~p..catlon ~o. o. flie 224816-83. N 6 2 2 1 0 8 THIS ~ERTIFIES THAT · only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Morhing & SONS, N/S of Bridle La. C/O Bridle Ct., Cutchogue, N. /~ ~ 8 23 in thefollowlng location; [] Basement [] 1st Fl. [] 2nd FI. Secl was examined on Oct~o~' 20 , 1983 and found to be in cotnpliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 37 56 32 37 DRYERS FURNACE MOTORS FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V ~ I C OTHER APPARATUS: 1-G.F.I. 1-Smoke Detector NO OF CC. COND. A.W. G, NO, OF HI-LEG A W. G NO, OF NEUTRALS A.W.G. PER ~' OF CC COND OF HI-LEG OF NEUTRAL 1 1~ 1 1 *Future Appliar~e Feeders:l-2~14, 2-2~12, 1-3~8. Pex~aoun~ Elect. Co. ~~ 2041 Shelley Pl. East Meadow, N.Y., 11554 LIC;#533 , GENERAL MANAGER/~ ~ Per 11 ,~.?~/ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their ~redenfia~s. 3 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ., 19~..~. Permit No.J..~.~ .Q .q..~.. Disapproved a/c ........ ~ .... ~.. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS State whether applicant is~essee, agent, 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 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 hereinflescribed. The applicant agrees to comply with all applicable laws, ordinances, bui~x~code, housing code, ajxd regulaJ~ns,~and to admit authorized inspectors on premises and in building for necessaw i/n~c 'ons~/$/~.J . .//~~' · ' ' · ' '/'/'~' · '~'~ ~ .... ~d..o.,, ~. ~., r~..~./4..o.... ......... (M_ailing_ad_dress pf al~plican, t) _ ~.. architect, en~neer, general contractor, electrician, plumber ~ Name of owner of premises...7.~... ,~,~ ,~. ~/~..,~.d..~ff,..&~.., ........................... 6/ (as on the tax roll or lategt deed) If applicant is a c~f~rati~, sig~aty~re of~uly authorized officer. ....... Builder's License No ......... b(. ............... Plumber's License No .... ~lectrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed ~.qrk willie done..; ........................................... .~. · · ....... ~.3 ............... ~ ............... , ............................. . ....... House Number O Street ~ t ~ ~-_ ~'. Hamlet ~o~ty T~x Ma~ ~o. ,000 S~tio~ ...[~ ......... ~o~ ...~.~ .......... ~ot.4.~ .... ~.. ~./.. Subd~o~..~'9~/~d..~. .... F~dM~pNo. ~.~ ?..~.. Lot ~}.~¢...~.. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy....~-~...~..-~. .......................................... b. Intended use and occupancy ...... Repair .............. Removgl .............. Demolition ........... Other Work ............... (Description) 4 Estimated Cost .~0 i.Q00, Fee (to be paid on ~ing this application) 5. If dwelling, number of dwelling ufiits.. ~ ............ Number of dwelling units on each floor If ghrage, number of cars . .r'~,. [ .. __ 6. If. business, commercial or mixed 6ccupancy, specify nature and extent of each typ? of use ..................... 7 .... if any: Front Rear Depth · Dmaenslons of exlstmg structures, ............................................ Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions Front .......... Rear ............. Depth ................... I. Height ........ ~ ............. Num,b~r of Stories ............. t. ...... 8. Dimensions of entire new constru tion' Front 7 ~ . Rear 2~ D~nfh c~O ' ' ' Height .............. .lgumb~r of Stories ....................... , ................................ 9. Size of lot: Front.../a~...~:... 'l .......... Rear./..~J:.... ....... ....D pth . .......... 10. Date of Purchase .............................. Name of Former Owner ............................. 11. Zone or use district in which pren dses are situated ..................................................... 12. Does proposed construction viola any zoning law, ordinance or regulation: ................. 13. Will lot be regraded ...~.~.~.. .................. Will exq~ss fill be removed from premises: ' ~ ' 14. Name of Owner of pr~,ml~es'~r.B. ~'q-,1, ,v3~, : ....... Address .~.~..~/~t.~..C~-t~?~PhoneSo. Name of ArchiteCt.r~ .~..e~.~.[..i~. ~.~~^_,~ ~}q .~..~.~-~-4e-_ ~ .~,_ ,._ '~ ...... Address: .~.~...t~.~.~. ~"~'~:) '~' .' .~,' ~: ''~ .~'.... Phone No. J Name of Cent actor. ¥:.~-, . . .I.7~.~!*',~Address Phone No. 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 n ~mber or description according to deed, and show street names and indicate whether interior or corner lot. / STATE OF NEW YORK, COUNTY OF ..... ; ......... ............. . (Name of individual signi: above named. He is the ................. of said owner or owners, and is dui, application; that all statements contai work will be performed in the marjn~el; Sworn to before me this ~..~../..'~.~. ........... being ~g contltact) duly sworn, deposes and says that he is the applicant ...................... 2~day of. Notary Public, ................................ County . I~ G. _L~ ,EL~.~, j,. (Contractor, agent, corporate officer, etc.) mthorized to perform or have performed the said work and to make and file this aed in this application are true to the best of his knowledge and belief; and that the et forth in the application filed therewith. .................... ,19 .~.. * SURLY FOR . ~OGER BURNS ,' ~' z ~~ ~OT NO. ~3, ' HIGHLAND ~S~AT~S" NO~ 14,/983 ~e S~t~L~C'COI'~~. ~(~ ~,.. '~ SURVEY ~AVI~ATION ~SECTION 72ON.THE HEW YORK STATE E~CATION LAW ' ~COPIES ~ ~1S ~VEY NOT ~AR G THE CANO Chte~ of General E~gineerin~ su~vE~'s IRKED SEAL On EMBOSSED SEAL SHALL Services NOt BE CONSIDERED TO ~E A VALID TRUE COPY ~GUARANTEE$ INDI~TEO HEREON ~ACL RUN ~LY HEAL~ D~PARTMENT-DATA F~ APPRO~L TO C~STRUCT AND ~ HIS BEHALF ~ THE TITLE C~P~Y, GOV~N- SUBDIVISION MAP FI~FD IN THE OFF/CE ~ ~HF CLERK ' ALDEN W. YOUNG~ PROFESSIONAL ENGINEER OF~UFFO~ COUNTy oN AP~/L~,IgFFASF/LFN~E~3F. · AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 ~= ~TA~ ' HOWARD W. YOUNG~ LAND SURVEYOR M~ L~T~ ~ ~L(W},~IC TANK(ST)I C[~S(~) ~N <n[~ N.~ S, LICENSE N0.45893 ° SUFFOLK COUN1Y D~pA.~TM~zHT OF I-~L,ALJt*, S~:~vJ¢ F: FOR APPROVAL OF 'CONSTRUC~'JON ONLY 'HEALTH DEP~T~ENT-D~T~ F~ ~PP~O~ TO C~ST~UCT A~ ~ ~ELLIN~ WITHIN IOO FEET OF T~S PROPERTY OTHER THAN THOSE SHOWH HiR[OH, SU~DIVISIO~ mAP FILED .¢ SURVEY FOR ROGER BURNS LOT IVO. 25, "ttlGI-I£11AID E'STATE$ " AT CUTCHOG~IE TOWN OF $OUTHO£O SUFFOLK COUNTY, NEW YORK property is located in an agricultural area, the possibility exists that the water supply may contain trace amounts of pestlcidbs and/o.r nitr. ates, ~pecial an.a, lysis~ed' DATE: ~IUN~ SCALE: /"-' "~0' No. #U~UTHORIZED ALTERATION OR ADDITION TO THIS SURVEY I~ A VIOLATION Olr SECTION 7209 OF THE NEW YORK STATE EOUCRTION LAW I~ICOPIE$ OF THIS SURVEY HOT I~ANINel THE LAND SUNVEYqDR*S INKED SEAL OR EMDOSSEO SEAL SHALL NOT ~E CONSlOEREOTO lEA VALIO TRUE COPY YOUNG e, YOUNG ALDEN W. YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.$. UCENSE NO. HOWARD W. YOUNG~ LANO SURVEYOR N.YS. LICENSE N0.45893 400 OSTRANDER AVENUE RIVERHEAD~ NEW YORK q copper ':F" 'D, o K) T I-on t CERTIFY THAT THiS P~AN I~,.IH ACCORI)ANCE WI1H THE N~ YORK STATE EflF, RG~. COI)E i F° b. I 'V'l T 7--4 '.~ ?.+~ iLO ,Ir