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Home My WebLink About12135-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southoid, N.Y. Certificate O[ OccuPancy No. Z1182@ Date August 2 ., 198.3. THIS CERTIFIES that the building ................................................ Looation of Property 2605 Crown Land Lane Cutehogue House .......................................................... No. Street County Tax Map No. I000 Section . . . ! .0.2 ...... Block . .0.8. ........... Lot 012 Subdivision...U .~.~.~.a.n. ¢. ?.s..t.~.~.e.~. ......... Filed M~p No..6.5.3..7., .Lot No...1.5 .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... J..ap.u.a.~. ¥..6 ..... , 19 .8.3. pursuant to which Building Permit No.. ] .2 .~ .3.5...Z ............ dated .... .F.e.b..~.u.a.~.y...~ ............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 ......... ..... ~.. ?r.~.~.~..~?..o.~?.-.~.~.~..C~z , d. ?.~.~. ~..~.~.. ........................................ The certificate is issued to RICHARD MOHRING of the aforesaid building. Suffolk County Department of Health Approval .1.3= S 0.-.Q3 ,. 8.Z2/83.,..1~ oD.t, ... A,...V. i[[~.a ~. ?. E. UNDERWRITERS CERTIFICATE NO. iq 607136 Building Inspector Rev. 1/81 Per~nissior) Is hereby g BUILDING (THIS PERMIT MUST BE KE~T 0N ~tHE PE~ COMPLETION OF 'I~HE WORI~ ^~TH~. RizE~ .~, and, ~pproved by the FORM NO. 6 TOWN OF SOUTHOLD Bu ildlng 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, propertv lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supp y and sewerage d sposal-(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 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 ~r land use 3;/ $5.00 3. Copy of certificate of occupancy $1.00 Date ..... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ......... ,~., ,~, ,~., .~,,..~. ,~, .~. County TaxMap~o. 1000Section ..~ ..... Block .~,S,.~Lo~.... Subdivision , · ~. .... Permit No. I.[I),~. Date o, Permit .......... Applicant~ ~.~..~~% ...... .ea,t, ~.,t. *,,rova, .t~ .~ ~ ~ ~...~a~o, ~.,t. *,,rova ............... .~. ..... ..... ...................... Request for Temporary Certificate ..................... Fina~ Certificate , .~ .................. .e~S.~itte, ~ .... ~.,~ ................ Construction on above described building and per Applicant.. Rev. 10-10-78 FIELD .I NSP~gCTION COMMENTS POUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N, Y. STATE ENERGY G,ODE FINAL ADDITIONAL COMMEN2'S: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT' TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ ....~.c. ~....~. ~.. ~. ~.. ~Z..~.~.,. ...-~.c~.. ~../.,..~. ~.~ ~... ~:~ ~ PLEASE TAKE NOTICE that your application dated ..... ~... ~ .......... , 19~. for pe~it to construct .... ~4 ~... ~~..~Y~ ~ ~.: ...................... at Location of Property .,~,~ ....... ~./~,~ ....... ~ouse ~vo. ~ Start ~let County Tax Ma~No I000 Section .../~'~... Block ... ~.~ Lot S.bdivisi~//~ ~ Filed M.p No. ~ ............................... ~t~ ~w~t~ ~a ~i~p, ow~ o~ t~ ~o~ow~ ~ou~a~ ~ ~7~ ...~~C~ .....~ .............................. .... .................. ................' .......... .. :~~~~., ........ ~ ' Building Inspector RV 1/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examine~....~. :?...., 19.~. Approved . .~..~...../ ...... , 1~..~TPermit No..Z~/..~.'~.~...~ Disapproved a/c .. APPLICATION FOR BUILDING PERMIT ,to/0% Application $o...~6~.F..~..~. ....... Date 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 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 thee 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 me, hj~asing~code, ~d regulations, and to admit authorized inspectors on premises and in building for necessary ins~~ (Si~Tf .app. licaffi,?r ~, if.a corporation) . ............. o~.~(Mailing address of applican, t~_ ,. /, dI, q, / AS z 'zr State whether applicant is~ssee, agent, architect, engineer, general~ ~ electrician, plumber or builder. Name of owner of premises . .?.~.....~.I.~¥~ ~.. ~..~:~ ................................... v (as on the tax roll*or latest deed) If applicant i~)~rporjla'ion,~g~a, ture o~duly auJ, horized officer. ....... . v (N~itle o f ~orp ora~t~l~c er) Builder's License No .......................... Plumber's License No.....~..~..~...~..~..~. ~.. l~ /I Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done ............. : .................................... · ............. ............. ........................ ttouse Number Street County Tax Map No. 1000 Section . ~.O. ~ ............ Block . .~..~,. ............ Lot...O. {..?'7. ........... Subdivision.. ~.,'.~.~.~Vt¢~ .~,..~-~o~.~ .... Filed Map No. ~:}~'~7 Lot .... ~,J ....... (iq'a~) .......... ::.'..;'.~' ...................... 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 ...... ................. ............................. 3. Nature of work (check which applicable): New Building . .~. ...... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............. ' J..~..~..~.~.o. (Delcripti~n) 4 . l~stlmated Cost ...................... Fee (to be paid on tiding this application) 5. If dwelling, number of dwellingiunits.. ·............] Number of dwelling units on each floor ................ If garage, number of cars .... ~-~ ...................... 6. If business, commerciai or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth.. i ............ Height ............... Number of Stories ........................................................ Dimensions of same structure wiith alterations or additions: Front . ~ ............ Rear .................. Depth ................... ~.. Height ....................... Num. b~r of Stories ........ ~, .......... 8. Dimensions of entire new constrUction Front .~. ~ . . Rear ~ .~/.. Denth 49~:~ Height ./(.gl.* ..... ,...Nurnb, er of Stories . . ./. .... ' .... iii,: ....i...."'iiiiiiiiii...'...iii~iii"i ..... 9. Size of lot: Front ../.0..I~....~' .......... Rear..[{~.~ IO.'. ........... Depth . ."~..q.b.: .q.~.'. ........... 10. Date of Purchase .......... i .................. Name of Former Owner ............................. 11. Zone or use district in which promises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation:~5. ~ ............................. 13. Will lot be regraded ...~.~,'~. ~ ............... ~... Will excess fill be removed from premises: Yes (~ 14. Name of Owner of pr~mises .~/{g. ~.~.~.~.I~-X.,[. Address I~..6~...<~.[ ~ .t,~e,~l~. Phone No.~...7..~.~..~. ~. .... Name of Architect '~A~,~ .~..?,~ t, ......... Address~*.~...~..& ...... Phone No. ~..~. t...~.~..r~. .... Name of Contractor .~.h, tU,.h~. ~ .~.~.. Address .q'. ~.O...C-W.t.~ .ff~.~. CJ'4~Phone No. ~.~./...-C3g~../. .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block inumber or description according to deed, and show street names and indicate whether interior or Corner lot. ~ ~ ,~ ~ NOTARY PUDLIC, State of No. 52.812 T~rm Expir~ . Yo~ COUNTY .......... /~; · ~..~ ..~Off. ~... ~. ~/0~/~/.~ ........... being duly sworn, deposes and says that he is the applicant (Name of individual signing ~ontr~t) above named. He is the ....................................................................... (Contractor, agent, corporate officer, etc.) of said owner or ownem, ~d is duly affthofized to perform or have perfomed the said work and to m~e and file this application; that ~1 statements contfiined ~ this application are true to the best of his ~owledge and belief; and that the work will be peffo~ed in the manner set~ forth in the application filed therewith. Sworn to before me this r 7-/T/£ NO. T/283-/~7~ Lot 17 Lot 18 O~fV,'~7 ,/;-.'i r.- L of/~ / , / ............... ............ ~ ' :: ~, 20' ~ /~a. ao / %' % ' ~~~.86'L =~ .S39~ . 1410 .~ · ~ ~1'~ : WlLglAM D. CATO PATRICIA E CATO ESTATES" ~ree~l~+i~;~ r~ i',,[s loc';~~ ~m h~v~ b~n ~WN OF SOUTHOLD SCALE: I"=~0' Lns~pecl. eO b~ th~% a~;p~utm~.nl, n~ fouled 'SuFfOlK, ~ COUNT~, NEW YORK NO. 83-516 C)]lef Of GenoPal ED~xJee~i~ NEW ~RK;STATE EDUCATION LAW THE TITLE GUARANTEE COMPANY ~COPI~ES~r THIS SURVEY NOT SEARING T~E LAND CHEMICAL BANK SURViVeS INKED SEAL OR EMBOSSED SEAE SHALL S~y'vt Ce~ NOT BE CQ ISIOEREO TO BE A VALmO TRUE COPY WILLIAM D, & PATRICIA K CATO ~eUARA~T :ES ~NOI~TEO HEREON ~ALL RUN ~LY ~ THE ~R~ r FOR WHOU ~HE SU~EY ~S PREP~EO HEALTH DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT AND ~ m~ BEHALF ~ YHE TITLE C~P~Y, ~OV~N- OTHER THAN'THOSE SHO'N HEREON TO AOI'JTIQNAL INSTITUT,~S OR SUBSEQUENT o,,...,,_,,. _,,.,....o,,o._.o...,,. YOUNG a'YOUNG ~= MONUMENT ~ = 8TAKE 8UBDIVI$10N MAP FILED INTHE OFFICE OF THE CLERK OF SUFFOLK COUNTY AL~EN W. YOUN~, PROFESSIONAL , ON APR. 2~, 1~7~ A8 FILE NO. 6537 ANO ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 ELEVATION~ ARE REFERENO~ TO U.S.O,a e. MEAN SEA LEVEL DATUM HOWARD W. YOUNG, LAND SURVEYOR ~ L~T~ ~ W~L(W),~PT~C TAN~(ST)a CES~OLS(CP)~N HERE~ N.Y.C. LICENS~ N0.45895 /' OCC§~^[;CY OR OF OCCIJ~^[~CY AP;~%9 AS NO1~D NOTIFY BUILDING DE~ARTME~ AT I I-'o' 1; T rf ,i -I ~COpper iul~ihl~. & I~sed' [or water distributing system; p/ping shall be of h/pes K or L only TO If copper tubing is for Water distributin~ syslemi piping shall of types K or L only ~I:JOA /A:IN 'AINfl03 )f'iO'l.dflS Q-IOHIflOS .40 N~O/. 3ngOHD.LNO iV ,,S'31V1.S3 ONV-IH~)iH. ~gl .LO-~ :3NI 'S3SI~d~31N3 9NlIJHOfl I:10.-I ),3A~flS