HomeMy WebLinkAbout12582-zFORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
5outhold, N,Y,
Certificate Of Occupancy
Date ..... February 14 ..... t984
THISCERT --new dwelliog
IFIESthatthebuilding .............................................
215 Bridle Court C~og~e
Location of Property ...........................................................
House No, Street Hamlet
County 'rax Map No. 1000 Section . . }P~ ...... Block . 08 .Lot 018
,., '. Hi hland Estate ·
St, udiws~on ..... ~ ........................ F~led Map No ...... Lot No ..............
conforxns substantially to the Application for Building Permit heretofore flied in this office dated
August 18 , 19.8..3pursuant to which Building Permit No. 12582 Z
dated ..... S..ep.t.e.m..b.e.r..6. .......... 19.8, 3~, was issued, and conforms to alt of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
a private one-family dwelling.
The certificate is issued to .. RICHARD MOHRING ;...
[owner,
of the aforesaid building.
Suffolk County Department of Health Approval . ~ ~.-.8.Qr .1.3.1.,...2/.1./. 8..4 ~..R,o..b.t....A. :..V.i. 1. ]...a.,.
UNDERWRITERS CERTIFICATE NO N 627899 -
PoEo
Building Inspector
Rev. 1/81
FORM NO. ~
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)
12582 Z
Permission is hereby granted to~-, , ... f~ t
..~).d;.d~.&.._~.~.~ ........
..... ~.~.~....~.~.....~...~.., .....
...~..~.....~:~...~..,~=.~.~.~.~.¢ ........ ~,
.....
~t premisos located at ..~,.....~. ......... ~ ......
County Tax Map No. 1000 Sec~...,(...O......~.. ...... Block ..... ..~..."~ Lot No J k~
pursuant to application dated .~ ............. ,...~. ................... , 1~.~....~. and approved by ,he
Building inspector.
Fee ......................
I~ilding Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF $OUTHOLD
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:
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 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1, Accurate survey of peoperty showing alt property lines, streets, buildings and unusual natural or
topographic features.
2. Sworn statement of owner or previous owner asto use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion requ ired to prepare a certificate.
Fees:
1. Certificate of occupancy $5.00 !
2. Certificate of occupancy on pre-existing dwelling/ land
3. Copy of certificate of occupancy $1,00
use--Pre-Existing C,O. $15.00
Vacant land C.0. $ 5.00
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property .........
House No. Street
Owner or Owners of Property ...~.....~...X.d.-..~..~r-~ ~....~..~..~..~..~.. ~- ..................
County Tax Map No. 1000 Section .. ~.O..~. ........ Block . .~,~. ~ ........ Lot.. ~. ~. .........
~j
Permit No ........... Date of Permit .......... Applicant ..................................
Health Dept. Approval . .~..~ ................... Labor Dept. Approva~ ........................
Underwriters Approval..~.../~..~..?. ?...~. ,~. ...... Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
lations.
Rev
101078
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.Y.
NOTICE OF DISAPPROVAL
File No ................................
......
....................... .~..~:~...
...~....~../~.~%..~..~ .... ~:~ -
PLEASE TAKE NOTICE that your application dated ...~ ~..~ .... ~, 19 .....
fo~ pe~it to const~ct.. ~. ~[.~ ~ .~"~ ~'~ .( (~.~/. ................ ~ ~.~' at
Location of Property hb~sb~o: ..... '~O~e~i ......~Z~~/ei
coa~ty T~x.~p No. ~000 S~tio~ .. ~ ..... ~o~ . .~.~ ........ ~t .~(.~ .......
Subdivisi~~.~.~. F~ed Map No .... ~.... Lot No .... ~/ ..........
is returned herewith and disapproved on the following gro~ds . .~ .~.~]../~ .....
...~z~.. ~.T... a~ a.. ~z~..:~..,: .........
ilding Inspector
RV 1/80
FIELD INSPECTION
COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
~ODE
Y t
FINAL
FO~tM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPART~Et4T
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Dote October 19 19..8...3...
(owner or authorized agent of owner)
460 Glen Cove Ave., Sea Cliff, NY
(address of owner or authorized agent of owner)
11579
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance ..... .C- *~,a; ~,~ ,e. *.~- * · ] ,9..0. .............
Other Applicable Laws, Ordinances*ar Regulations ............................................
at premises hereinafter described in that ....~.~..o.~.e.e..~.j;..~.~....~..i..~....c...o.~.~.?..c..~...i.,o.,~. .....................
(state character of violation)
without necessary inspections.
in violation of 100-143
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the
conditions above mentioned forthwith on or before the ....1...9.,t..,h. .........................................................
October ........
day of ...................................................... , 1983
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
215 Bridle Court, Cutchogue, r'~' ~*' of Suffolk, New York.
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
STOP ALL WORK STOP ALL WORK
....... 'i ',';
Curtis W. Horton
76S-:L802 ~
BUlCOINa DE~. ·
INSPECTION
FOUNDATION 1ST [ ] ROUGHL :P~BG~
FouNDATION 2ND [ ] INSULA~IdN
FRAMING [ ] FINAL
REMARKS:
looo681 THE NEW YORK BOARD OF FiRE UNDERWRITERS
~- Tt~ BUREAU OF ELECTRI~IT~ ~
B5 JOHN STREET NEW YORK, NEW ~ORK 10038
THIS CERTIFIES THAT
o.[y the e~ectr~caJ equipment as described below and introd.ced by the applicant na~ed on the able applicatlo. .umber in the pretnlses of
Mohring & SONS, W/S of Bridle Ct, 150' ~/O Bridle La., Cutchogue, N.Y.
102 8 21
in the followirtg location; [~Base~uent
w.~x.,~i~do,, December 12, 1983
FIXTURE FIXTURES
OUTLETS SWITCHES INCANDESCENT FLUORESCENT
27 24 27
DRYERS
[] 2nd FI. Section Block Lot
and found to be in complia(~ce with the r~quirements of this Board.
OVENS DISH WASHERS EXHAUST FANS
MERC Ry
MULTI-OUTLET
SYSTEMS
NO. OF FEET
OTHER APPARATUS:
Motors: 1-F.
1-G.F.t.
2-Smoke Detectors
S E R
NO OF CC, COND,
i i
V I C E
AW.G,
OF Hi-LEG
Paramount Elect. Co.
204! Shelley Pl.
East Meadow, N.Y., 11554
This certificate m~st not be altered ~n an manner; return to the
OR EIUI[DING DI
; of th~ Bbard if i
GENERAl. MANAGER
Per
may be identified by t,~eir
MANNER.
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-1802
Examined ....... , 19~.'~
Approved ~ 19'~~ Permit No
Disapproved a/c .....................................
.............................
(Building Inspector)
Received ..... , 1 9 .~. ~ )
APPLICATION FOR BUILDING PERMIT
'~ Date ................ ..~...~.~ 19...
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 giving a detailed description of layout of property n~ust 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, ordinancesy)el)ilding code, housin.~ code, and regu!atiqn~, and to
admit authorized inspectors on premises and in building for ne
.... . .........
(Mailing address of applicant)
State whether applicant~essee, agent, architect, engineer, gene~a~ contractor, et~ctrlcmn, ptumoer or builder.
Name of owner of premises . . .~tL'%\r"~/~ ........................... ~.~...~,~...~..~.~,. .....................................
(as on the t~ roll or latest deed)
If applicart~ col~o~rat)~natl~e of duly authorized officer.
/~ (Name ~md fi7 of'c°r~ate off'cbt)
Builder's License No ..........................
Plumber's License No ............ ..~... .
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
House Number Street .
County TaxMap No.,1000 Section ./O...C~.. ........ Block .:.~.'.~. ........... Lot../.~. .......... :4.
Subdivision .~.~./.~/~/~/~d .~.~.. ~~ Filed Map No .~...~.~. · ~ Lot ~7' /
2. State existing nsc and occupancy of premises and intendedffse and occupancy of proposed construction:
a. Existing use and occupancy ...... ~)J~./~..W .................. , ................................
b. Intended use and occupancy ........ /. ~, .~..'. ~/.~ . ~Z~./.~ .............................
3. Nature of work (check which apphcable): New Building ....... Addition .......... Alteration ..........
Repair .............. Removal .............. DemOlition .............. Other Work ...............
~ ~ (Description)
4 Estimated Cost '
. (to be paid on filing this application)
5. If' dwelling, number of dwelling Oll~ ............... 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 strncture~, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ' Height Number of Stories
8. Dimensions of entire new constructzon? Front ................ Rear ............... Depth ...............
Height ............... ~[Num'ber' of Stories ..... i i ~ ~ I' .................... ' ....... .~....~. [ ...............
9. Size of lot: Front .... .~. .... i ........... Rear ............... Depth ................
10. Date o .f Purchase ........... i .................. Name of Former Owner .............................
'Y'I 1. Zone or use district in which promises are situated ........................ 65 ...........................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..O ..............................
13. Will lot be regraded .... ~..... Will excess fill be removed from premises: Yes
Name 9f Contractor .\~.~..¢A,~ ~P"~Xt4 .~ ........ Address 74(~1 .C.~.'~L~t.4 .e/~.~Phone No. ~' ?~'.-.~6.~'...
PLOT DIAGRAM
Locate clearly and distinctly alii buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block humber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NE
.....
.......... ...: ..... /.C/.(.n~'.'J~.~..t~O~,/~/,~ ....... being duly sworn, deposes and says that he is the applicant
. (Name of individual sigrdng contract) ~t
above named.
He is th~ ..............................................................
(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 cont¢ined in this application are true to the best of his knowledge and belief; and that the
work will be performed in the mann{r set forth in the application filed therewith.
Sworn to before me this
N0;ary eu b~iic' ~ } ~o~un
33116 -~t . . .......
Comm,ajion Expiro),,~ rCh ai, 1~-Y~ ~pplicant)
~ ~0 L = . '~.
~ = ~50~
~ur~
~EAL~ DEPARr~ SU~ FOR
~ MOHRING ENTERPRISES, INC. DEC. /6, /983
OArE~.~ ~. D. ~EF. ~~ LOT*NO. 21, "HIGHLAND ESTATES" AUG. 24,198Z
faellitJo~ fo: tL~% l,,,: t ~:~ have been ~ ~N ~SOUTHOLD SCALE: I "= 50
tolnSpeet°~be 'satisfactory.bY thJ.:~ d,~oav'~,,~m~.~,~,:.' and found suFFOlK, COUNTY, NEW ~RK NO. 83- 553
HEALTH DEPARTMENT-DATA F~ APPRO~ TO C~STRUC T ~.o~ HIS. BEHALF ~ THE TITLE C~P~Y, GOV~N- ~
'YOUNG YOUNG
~. ~ ~: ~ ~ OS~NOER AVERS
RIVER~AD, NEW YORK
NOTE ' m = MONUMENT ~ = STAKE ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUPFOA~ COUNTY ON AP~. 26, 19 7Y ~S FIZ[ NO. 65J 7 AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845
HOWARD W. YOUNG, LAND SURVEYOR
~ L~L(W),~PTIC TA~K($T)aCE~$(~} ~N ~RE~ N,~$. LICENSE N0.45893
BRANDIS & SONS, INC, 1618
"It should be noted that sbce tMs
p~opert~ is located in an agricult~al
a~ea, the possi~ilffy exNt~'that t~
,water slopply may contain trace
amounts of pesticides and/or nitr~te~,
a~alysls T~/~ r~qu]red.
LOT NG, 2/, ' ~H/GHLAND EETATEE ,
~ APPROVAL OF CONStRUCtION O~Y
~--/--~ ~W~_._.~. _ ~.~SOUTHOLD SCALE: / = 50
- , --
~ , ~ "- '
M~FCO,:T~MAP m~T~SECTION Io~ ~CK O~ LOT IS
' , ~u 0 - ~ ~ OS~NDER AVE~E
~,¢~, ~.~ ' ~t- ~ ~ YOUNG ~ YOUNG
RIVER~AO, NE~ YORK
, , ,
~ P / ~ ~ ~ ; :' ; ALDEN W YOUNG, PROFESSIONAL ENGINEER
SUBO/F/S/ONMA F/LEO NTHEO F/CE 0 ~ECLEBKOY AN
~ [.~ HOWARD W. YOUN~, bAND SURVEYOR
L~LIW),~ICTA~K(S~ICE~OLS(~ WN ~RE~ ~ ~ I ~ I NYS~ LICENSE: NO 45893
A
, .L [
I ~£R1'1~ THKf IHI$
N~ yOR~ Sl'Al£ £N~R6~ ~OOE
765-1802 9 AM TO 4 PM FO~
FOLLOWING INSPECTIONS: ,
' ,], FOUNDATION _ TWo REC '
FOR POURED CONCRETB
2. ROUGH - ERA~ING & PLUMBP'.',
3, INSULATION ', ,'
per luGing is used NOTIFY BUILDING D~ARTM~' ' ., r:
4. FINA~ - CONSTRiI¢~!mN M'
DESIGN OR,_,CONStRUCtION. -,ERRORS
OF OCCUPANCY "
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