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Home My WebLink About12332-z 1 o�S�FfOtKcoTown of Southold 11/17/2021 o a y� P.O.Box 1179 0 o _ Ze53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 11888 Date: 8/31/1983 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 2765 Crown Land Lane, Cutch'ogue SCTM#: 473889 Sec/Block/Lot: 102.-8-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/15/1983 pursuant to which Building Permit No. 12332 dated 5/17/1983 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 new one family dwelling_ Corrected 11/17/2021 for Suffolk County Tax Map number only. The certificate is issued to Forte,Robert&Rosemarie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 13-SO-62 8/30/1983 ELECTRICAL CERTIFICATE NO. N10863 7/21/1983 PLUMBERS CERTIFICATION DATED �\ �\ 0 ,( Aut 6 'zed g ature FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building . .lq..q~..Z~A. ql..1~~ ................................ Location of Property ~5..0. aTggr,0, .~. o~.e..8~. ~.r?.6..5..Hj_.~h.. 2]_.a.n.d...13¢.. .... 9.u.~.e..hggu. e. ....... House No. Street Ham/et County Tax Map Ho. 1000 Section . . . .q .02 ..... Block . . .Or~ .......... Lot .... q..6 ....... ;... - Subdivision Highland ~states .Filed Map No. 6537 .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated April fl 5 19 8.3. pursuant to which Building Permit No..~. ~33.~Z. .... dated .IYIay..q 7 .................... 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. lqe.~, one..£ami2Ly../L~rellS~qg ............................................ The certificate is issued to 75 Highland Road Co~p. ..................... ?oWn'o), 'l$~de' dr'tbJa'n'tl ...................... of the aforesaid building. Suffolk County Department of Health Approval .. ?, 3-so-62 UNDERWRITERS CERTIFICATE NO ..... 3IG.flO~B¢3 ........................ Rev. 1/81 Building Inspector No. TOWN OF $'OuTHOL~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. frillS PEmlT MUST BE KEP~ ON THE P~EglS~S UNTI~ COMPL~ ON OF THE ~ORK AUTHOR ZED) !233~ Z ~o~ ...................... Permission is hereby granted to: .~ ...........~ ~.../~..~..~...% .....~. ........... ~...~...x~....~,~,~..~..- ........ ,, ......... ,~.. ,/.~ .//~...,~.,~i....x~.~..~ . ~~ ~ ~,/~ ~/~...~.~ .......... ............................................. ~~~...~....~..~ ....... ~ ......................... ..~z~.....~....~.~7,?...?~ ....................... co~ ,~ ~op uo. ~ooo s~,o~ ...~..~. ....... ~k .2~.Z ........ ¢~ ~o..~.r~ ......... appmv~ by the Building InSpector. Building I FORM NO. 6 TOWN OF SOUTHOLD I~uilding 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: , 1. 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 electricaLinstallation 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 featu res. 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 / t 2. Certificate of occupancy on pre~existing dwelling q'r land use 4~/b-/$5.00 3. Copy of certificate of occupancy $1.00 / / Date .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property... ['~ .~ .~ .~ .~. ~1[~..~..'~...~Stre~ . .~.. ~...~m~/e?~ Hour; ;v;.' ' ; ............ Owner or Owners of Property .... ~...¢~,.~...~...~". ... .~..~..~. .. County Tax Map No. 1000 Section . . .~',. ...... Block ............. Map No. ff$..5 .Lot No... ....... Permit No. .................................. · Date of Permit .......... Applicant Health Dept. Approval..~..~.."..~...'..~J~.~,, ..... Labor Dept. Approval ........................ U nderwriters Approval. · .~ .~..~...~. ,~..~. ....... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .~.. .................. Fee Submitted $ ............................. Construction on above described building an~~~~ions. Applicant .................. Rev, 10-10-78 'tooo681 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~--- ~ 85 JOHN STREET, NEW YORK, NEW YORK tOO38 ~'"'" July 26, 1983 .~pp.ca,ionN..o..f, le 218~S8-83 N610863 THIS CERTIFIES THAT only the ale trical equipment ~ described below and $r~tr~uced by the applicant named on the able application nurnber in the premises of ~,,~Zo,o~.~o~o.; ~ ~.~.~ ~ ~r~, ~ ~.d r~. s~o,~02 ~o~ 8 ~o~ 16 was ex.mined on J~,y 2~ , ]0983 and found to be in compliance with the r¢qulretnents of this Board. FtXTURR FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 21 31 20 21 DRYERS FURNACE MOTORS i FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS~ ~otors; 1-F 1-G.F.I, 2-.~e De~ectors S E R V I C E NO, OF CC COND A W G NO OF HI-LEO A W O A W O 1 Paramount Elect, Co. 2041 Shelley Pl. East Mea. do~% N.Y., 11554 LIC.~533 This certificate must not be altered in any manner; return to the office of the Board if'incq/rect. Inspectc~rs may be COPY FOR BUILDING DEPARTMENT. THIS COPY OF CI their credentials. NER. I~SP~C~ION COMMENTS FIELD 1. FOUNDATION (1st) F, OUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY %ODE FINAL ADDITIONAL COMMENTS: ? FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Examined. ~.~.../../~..., 19 .~."~ Approved·. ,/fC~.c~..../. '.~..., 1~~. Permit No. · ' '2J ....... 7..-TT. .................... ,.:, Dlsapprovcda/c ~ ' ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No./o~2 .~.~..~. · ....... a. This application must be completely tilled in by typewriter or ih 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. herein described. The applicant agrees to comply with all applicable laws, ordinances, building c~/de, h~gosin~cq~e,~an~/l~gulations, and to admit authorized inspectors on premises and in building for necessary, in~/~___ -~t . .~ (S~ature of applicant,~r name,/~ corporation) ........ ~ (Mailing address of applicant) g entg ., archi ect, en neer.~ene~raI~co/nttr~&~, ,5~c~icla/n(~lu/m~bber, o State whether applicant i ow~,'lessee, 't gi g ' ' p ......................... O. .Cu. . . . . . : . .............................................. Name of owner of premises..?..~... ~.[ ~'~ .[.f-&~(.~'' '~' '~' '(as on the tax· '~' '~" '~' 'roll or 1/ttest ............................... deed) If applican~~o~uthorized~;.,._..~_; ',;,~' 2 ~..r ~ officer. ........ (Name and titid~ ~'~r '~o~i~ ....... Builder's License No .......................... Plumber's License No .... .~. ~..~..~.~.e~..../~...... Electrician's License No ....................... Other Trade's License No ...................... 1. Location ofland on which proposed work will be done. . . .2 .~.(~.'~...~..../-~ff~..?..~...~.~...~. ............ ................ ...... County Tax Map t, No. 1000 Section..../~ ~ ......... Block...O..7. ............ Lot../~. .............. Subdivision . . ~t.'~.~ ./~t~..(~ )~..~.&? ........ Filed Map No. ~..~.3..~. ...... Lot . .(.4 .......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... i .O .~...~... ~.O..~.. ............................................... b. Intended use and occupancy.../, ff~..~.t.' .~...~....~t,~_..//./~t~ .................................... 3. Nature of work (check which applicable): New Building ........ d ition .......... Alteration .......... Repair .............. RemOval .............. Demolition .. ............. Other Work .............. i (Description) 4. Estimated Cost ................................. Fee /~...~.~.! ........................... (to be paid on filing this application) 5. If dwelling, number of dwellingiunits... · ...........[ 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 ............... tteight ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... :.. Height ....................... Nu~orie~, ............. v..~a' .... 8. Dimension.s o~ntire new constrUction Front..6~, .......... Rear .~.~9... Depth ...~..q. ~ .... Height g'.~. .-- Number of Stories .! . . . ' ' ' 9. Size ofl;t:'3;;~t' i l.~ili,i~.'i~.- ........... 'l~;a~ i i i. i .2.q. ~"~" i' i' i i '~)~[t~' '~.-~,' '~' .~". i i i i i i i i i i i 10. Date of Purchase .......... 2 .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12~ Does proposed construction vioiate any zoning law, ordinance or regulation: .~r~.O. ........................ ~ 13. Will lot be regraded ' .. ~.~. j ................... Will excess fill be removed from premises: Yes ... ~,C~' 14. Name of Owner of pr~es,~..~'.~.~q~.~[ .~.~.1.~.. Address .q~0.(4'~.~...(r~....~...~t.~l>hone No..~.~.[..'~..~.~.]. .... Name of Architect .. ~ .~....~b-.I...IO..[...~.p_ .~ .f .... ;:~.. Address .~.~.~-.~.~0'.~-~ Phone No...(4.}./. .'.~.~..~.~... ' Name of Contractor ...~..~.~ ~ .~'~ .~.g,;~_'_~. Address .q ~.~.~V~ 6~¢g..~. Phone No.. ~ ~.~..'..$'.g~.. 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 number or description according to deed, and show street names and indicate whether interk)r or corner lot. STATE OFNEWr~RK, ~ ~ /2J, l~ - COUNTY OF. ~ i~'~ ~'~t~5~;O~'X~!.°~p~x.~.~... being duly sworn, deposes and says that he is the applicant (N~,,, -.~, o~--' 'g i g contract) ....... above named, i He is the ........ .Q~,~fL.~O~e4~v~IZ · . (Contractor, agent, corporate, officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements cont~ined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed therewith. Sworn to before me this_ i , ....... ' Pu~blic, ELIZABETH NOTARY PUBLIC, Stat~ No. Term Expires LLI~ New York HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT x NOTE: S08D/VI$10N M, dPFILED /N THE OFF/CE OF THE CLERK OF SUFFOLK COUNT)' ON ,~PR. ~6t ISYY &S FILE NO. G~$F '~ THE LOCATION OF WEI. L(W ), SEPTIC TANK(ST)~ CESSPOOLS(C/z) SH(W/N HEKEON ARE FROM FIELD OBSERVATIONS AND OR DATA ORTA/#ED FROM OTHERS SURVEY FOR MOHRING ENTERPRISES,/NC. LOT NO. /6, " H/Gl-/LAND ESTATES ' AT CUTCHOGUE TOWN OF SOUTNO£D SUFFOLK COUNTY, NEW YORK ~p,e,. /6, /~)~,~ DATE= ~UG. 30,198~ SCALE: / "-' 50 ' NO. 82 - 398 N UNAUTHORIZED ALTERATION OK ADDITION TO TH.IS SURVEY ISA VIOLATION OF SECTION 7209 OF THE NEW YORK.STATE EDUCATION LAW N COPIES OF THIS ~URV~Y NOT SEARING THE LAND SUNVI~YOR~S INKED SEAI~ OR EMDOSSED SEAL SHALL NOT BE COHSIOENEDTO~AVALID TRUE COPY KGUANANTEES INDICATED HEREON SHALL RUN ONLY 10 THE I~RSOH FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN* OWNERS N DISTANCES SHOWN HE~EON FROM PROPERTY LINES TOEXI~TINS STRUCTURES ARE FOR A SPECIFIC PURPOSE AND ARE NOT TO DE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF PENCES YOUNG a YOUNG ALDEN W. YOUNG, PROFESSIONAL ENGINEER AN~ LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YoUNG, LAND SURVEYOR N.YS. LICENSE N0.45893 AVENUE RIVERHEAD~ NEW YORK gU~FOla~ COUNTY HEALTH DEFA~T~b~ SHR~ ~O~ ~. 8, 1983 DgfS AUG 5 0 ~985~. ~. ~. ~. ~~ MOHRING ENTERPRISES, INC. ~. ~ ~eZ O~ ~o~%1 En~il]oo~$~ ~EW YORK STATE E~CAT~N LAW 7209 ~ THE ~C~l~S ~ ~tS ~V~ NOT ~&R~ TH~ HEAL~ DEPARTMENT-DATA FOR APPROV~ TO C~STRUCT a.o m HiS ~LF ~ file TITLE C~Y, GOV~N- '" : I YOUNG a YOUNG RIVER~AD, NEWYORK OF $EFFO4K ~ENFY ON ~P~. ~6,19FF AS FILE ~.$~3F AND'~ND SURVEYOR N.Y.S. UCENSE NO, 12845 ,1 'L 1, FOUNnA~ IOF! - TWO REQUIRED FOR PC'U?zD CONCRETE FL* =1 -o ' I ,0 ;L i _,l 37179 -- code compliance slabs SLAB INSULATION Degree Days Min. By Zone R Value 5000 5,5 6000 5.5`/ 7000 5.5 8000 5.5 9000 5,5 The insulation must extend at least 24" under the slab or at least 24" below grade down the foundation wall. FOUNDATI 0;~ [~ALL The insulation is installed on the inside face of the foundation wall and provides a thermal break between slab and foundation. alternate location OUTSIDE FOUNDATION WALL The insulation is installed on the outside face of the foundation wall and provides a continuous thermal barrier at the slab edge and foundation wall, All exposed exterior insulation above grade should be covered with a protective material. )rotecti over insulati 32 ~"~'~ DUILDING D'~¢ARTMENT ~-t~02 9 AM TO 4 PM FOP- THE FOLLOWING [N?ECTIONS: FOUNnATION - TWO R£QUIP-ED m ReD CONCRETE FOR ROUGH - FRAMING & PLUMBING .r-L L~_~F7 5 tbS- ?____ L.F. LVA7 !O k3 ~__OL5T E.L.~WAT ~ Ok3 p__, '/ . '~AI'dIL'T T~AT~ .40.0 ,I 4 t ~-Ot) ix3 ~,, AT/Ok5 [~LALJ