HomeMy WebLinkAbout11186-zFORM NO. 4
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
O£flce of the Building Inspector
Town Hall
Sou£hold, N.Y.
Certificate Of Occupancy
No. ZI073 7 October 21 81
............... Date ................................. 19...
TI{IS CERTIFIES that the, bmkhng ................................................
Loca/lonofProperty .. 1850 fiighland Road & Spur Road, Cutchogue, New YoPk
/louse No Street I~amlet
County Tax Map No. 1000 Sechon 102 · .Block 8 . .Lot 29
SubdMsion .. Higill.~.p.d..$9.t.a. tes ........ Filed klap No. 6537 .Lot No. 32
conR>rms substantially to the Apphcation for Building Permit heretofore filed in this office dated
June 1 fl
.................. ,19 81pmsuant to which Building Permit No. . . 11186 Z
dated June 14 198.!
............................ , was lSStled, and conforms to all of the requirements
o£ the apphcable proviszons of {he law. The occupancy for which this certificate is issued is .........
Private One-Family Dwelling
The cemflcate ~s issued to Highland Road Development
of the aforesaid building.
Suffolk County Department of Health Approval 10/21/81~ t1-80~66, Robert A, Villa
UNDERWRITERS CERTIEICATE NO. N537194
Budding Inspector
Re','. 1/8'~
SOUTH'OLD, N~Y,:
BUILDING:,,. P,E~!T~
(THIS PERMIT MUST BE KEPT ON ~H.E PRE~IS~S UNTIL EULL
COMPLETIQN OF THE WORK AUTHORIZED)
...d.: ......... ~ .... ~.'~ ~,..~/
Pormission is hereby 9rodted
· "~ "'- '~-~'"' ~'z~w ..........
................... ~.~.2 ....... ~.~.... L~....
.................................... ........ ....
..................................... "~ ......................... ~'"'"'7'T77"~,~~"~'.~ '¢": ............
t p, .,. ................................... ~' ,"i ..... , .............. ~ ....... ~ ...........................
..... · : ...L ..~. .............. ~...: :.~...
CounW Tax Mop No. 1000 Section ........ /..~... B ace L...ig ......... iLar No...
d~ted .......................................... ...,..:..5-,.., 19 ...... , ~nd 0pprov~ by the
pursuant to application
Building Inspector.
to~ ~
Fee $ ........................
Ir~spedtor
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:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res.
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 sup~ey 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.
Fees:
1. Certificate of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use
3. Copy of certificate of occupancy $1.00
$5.00
Date...~.' .~. ,~.?. ~/.. ?Z°~/
New Building ............. Old or Pre-existing Building ............ Vacant Land .............
Location of Property .......................... . .~.¢,~/~.. ~../~..E'-.~.Z4Z ....... ..~:.~...~..~(~....
House No. ~ Street ~ Hamlet
Owner or Owners of Property ............................................................
County Tax Map No. 1000 Section ~ Block ~ Lot..
Subdivision ..... ~ .... Filed Map No.. ~.~..Lot No. ~.~ ........
Hca th Dept Approval //~' ~ * ~' Labor Dept A royal
......................... pp ....................
Unde~rtersApproval.. ~ ~ ~ PannngBoardA royal
· ., ..............
Request for Temporary Certificate .................. Final Certificate
Fee Submitted $.. ~'~ ~ ............... ~ ~ ~'
Construction on a~ve';~s~;,~;;'~, ;i~;'a~;';~i~e~l ,c 'e co sand ,egulatio~
R,,. 10-1o-,8 Applicant. ~~¢¢ ................... ~..
1000681!!'' ' THE NEW. YORK BOARD OF FIRE~ UNDERWRITERS !?~ ,'j~ ?
D.,. September 30, 1981 Apm,,ca,lo,, No. o.~,,. 122812 - 8~ N 5 3 7 1 9 4
75 Hilled ~. ~., e/s ~l~d Rd., Inters. Sp~ Road, ~tcho~e, N.Y.
in thefollow~nglocatlon; ~ Basement ~ ~t ~, ~ ~,~d ~:. S~t~o~ lO~to& 8 ~ot 32
~.~.,.,.~,~o. Sept, 28, 1981 andfoundtobelncompliancew~ththereqnlrementsofthlsBoard. ~
) 3o
SERVICE DISCONNECT
i 150 CB
~ OTHER APPARATUS~
COOKING DECKS OVENS DISH WASHERS
*Future Appliance Feeder/s: 1-2#14, 1-2#12
1-G.F.i.
3-SmokeDetectors
Motor/s: 1-F
Para~)unt Elec, Co.
2041 Shelley Place-
East ~adO~,r N.Y, 11554
i-3#8
must not b'e altered in any manner; return to the office of the Board if ~ncorrect. Inspectors may be idenhfied by their
FOUNDATION (1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATIO! N.
STATE ENERGY
FINAL
ADDITIONAL COMMENTS:
D
T~
HENRY E RAYNOR, Jr., Chairman
JAMES WALL
BENNETT ORLOWSKI, Jr,
GEORGE RITCHIE LATHAM, Jr
William F. Mullen, Jr.
Southold, N.Y. 11971 '
TELEPHONE
765- 1938
October 20, 1981
Mr. George Fisher
Sr. Building Inspector
Southold Town Hall
Southold, New York 11971
Dear Mr. Fisher:
At a regular meeting
October 19, 1981 the
of the Southold Town Planning Board, Monday
following action was taken:
RESOLVED that CO's be issued for lots located at HighlaNd. Estates,
starting from the Main Road, North to include lots number 11 and
30.
Yours very truly,
HENRY E. RAYNOR, JR. ,CHAIRMAN
SOUTHOLD TOWN PLANNING BOARD
By Susafl E. L~ng, Socre~a~
Enc.
FROM: John W. Davis
COMMENTS:
9/22/81
9/2 /Sl
OWl'
193
Date: Sept. 22, 1981
Sept. 25:, 1981
Sept. 25, z os1
H£d~liA-~D ESTATS~ at CUTCH,qOUE
RE :~ Ct~b Repai~J ~dSe¢l Coat wiih S~d Cover
I met ].ir. R. Mohring~ ~.mer, on the site at his requesi to go OVer agein cor-
rective ~rk 8nd reoairs on cc~crete curb. Accordil~ f,o Mohring~ ]ke seal COat
would be done on 9/26/81. I also advis ed him of Some corrective wsrl¢ for
Corraz zini.
~arb subcontrac+or~ F andJ Concre*e Cc~]3., stab+ed w~k on curb repairs today
removing 'damaged curbs~ setting £orras~ e?c.
? and J Concrete CorD. placed new c~lrb at 13 di£¢er~qt locations on Highland
Rcad ,9nd ,~pur Road: amounting ~o 338.6 L.?.
Corr~zzini and Sons on the si te in P. k. r(,shaping the pulverm~ course~
PlaciIE blacktop in soft areas at tke inter~ection of Hichlard kce, d and
Spur Road and at olaces where curb was replaced. ]J4 to~ of pls~nt mix used
for this operatio~o
Seal coat with sand cover placed today. ~he ~ulvermzx base was re-z'olled crier
to the seal coat l~,+h an 8 ton tandem ~l]er and a~ p~ved for ~ oil applica~on.
~xon RC-250 used as follcws:
1st l~d delivered at 15'.50 gal. Returned 1CO +~al. Used 1~50 g~.
2nd load det!w=red at 15[~0 gal. Retur-ned lj[O gal. Used 17¢~0 ~al.
3rd lold delivered at 890 gal. Returned 100 gal.. Used ?50 ~al.
S.Y. Covered ?1~ (~e Rep~ t No. 1~7)
Yield per S. f. 3~0% ?1~ ~ .~01 (Spec. Yield O.~O)
~]e ss. nd c~er was drag brocmed and rolled.
C.C. Sou%hold To~m Planning Board
C.C. Highway Co~+,tee
C.C. L.M. ~+hill¢ P.E.
..~ "
Nature of work (check which applicable): New Building .......... Addition .......... Alteration ..........
Repair .............. Removal ..... , ...... Demolition ............ Other Work ...............
. /~ ~.~.~- (Description)
Estimated Cost ...... ?..Ox .~.O..a... p..O ................. Fee .........................
(to be paid on filing this application)
'<-' i /i Numberofdwelilngunitso eachfloor
If dwelling, number of dwelling gnits . ........... n ................
If ga ge number of cars ..............................
If business, commercial or mixed occupancy, specify nature and extent of each type of use ....................
Dimensions of existing structureg, if any: Front ............... Rear .............. Depth ..............
Height ............... Nmnloer of Stories .......................................................
Dimensions of same structure with alterations or additions Front ................ Rear .................
Depth .................... e~ '.. Height ....................... Number pf S~ries ........ ~-' :.'t' · g'/' ....
Dimensions of en,t~re new construction: Front . .G.?..~ ........ Rear ....~....~ ....... Depth .~L~..q.. ~ ......
Height ............... Num,?er of Stones .... .~ ..........................................
Sizeoflot Front. ~..7.~..t~.~-... ... Rear... ~..2.?.../..~. ....... Depth .../.~..~.'..~..~. ........
Date of Purchase ........... ~ .................. Name of Former Owner ............................
Zone or use district m which premises are situated ....................................................
Does proposed constructiol~ viol,ate any zoning law, ordinance or regulation: .~tO ........................
Will lot be regraded .... ~!l~. ?.n .................. Will excess fill be remoy~ed from premises:
Name of Owner of prero~ses . ._'~..'~-~../.~. ?~?f?.~.. Address ....t~..~...~....~...~... Phone No...~..~.~.. Az. .~.~.
Name of Architect . .~-~t,/. ~?/.a 0r~-.~-.~..r~.t...~... Address ...~:-..~m .~ ?.~ ....... Phone No..iq. ?./,~..~..~..~..
Name of Contractor . .~O/{~[.~/...ntt..~,.~.$ ....... Address . ~e. 4{5..C_~..~g..~4....t?_~p. hone No...O. ?.4~ .~..~.~.....
PLOT DIAGRAM
Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate 'all set-back dimensions from
· open'y lines. Give street and block inumber or description according to deed, and show street names and indicate whether
terior or comer lot.
/
rATE QF NEW YORK, S.S
........................ : ....... ~. ............ being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
oove hal ned.
e is the ......................................................................................
(Contractor, agent, corporate officer, etc.)
f said c ~ner or owners, and is duly authorized to perform or have performed the said work and to make and file this
pplicati~n; that all statements contained in this application are true to the best of his knowledge and belief; and that ~e
~ork wfl~be performed in the m~ner set forth in the application filed therewith.
worn t~before me this : --
_. ..... ...............
~ ~ ~;~ n~ ~ ~ ~(Signature of a~ticant)
~: ~',. ': ~ PAUL LISSANDHELLO d~.
' '"" /,' '~O ' LOT~. ~2, "~IG~D ESTATES"
'" , , . AT CUTCHOGUE v~f[, ~OG. 87, 19~1
,, : ,,, S~FFO~ CO~TY~ ~E~ ~K ~o. ¢1 -~
HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT ~ ~ ~ ~H~ ~,E iU~EY IS
M~NTAL A HCY AND L~HOmG INSTITUTION LISTED
ff ~F CO. ~P mT I~ SECTION I~ ~K6 LOT ~
H~E~ A~ ~ ~ELLI~ WITHIN I00 FEET OF TMS PROPERTY INSTi~UTI~. GUARANTEEt ~E ~T T~SFERABLE
OTHER THAN THOSE SHOWN HEREON TO A~I~AL ~STIT~S OR tUB~QUENT
oF H~LTH S~C~S. ~oEx~s~m~ S~UC~I ~e Fo~ , s~Ecmc
~LIC~T, PURPOSE ~NO ~E ~OT TO BE USED TO
SU~OIVIS/ON M~P ~1~0 IN ~HE OF~/C~ OF ~ ~HK OF ALDEN W. Y~NG~ PROFESSIONAL ENGINE ER
~FO~K ~V~FY ~ ~. ~, /gZZ~ F/~E ~. ~3Z ~ AND ~ND SURVEYOR N Y.S UCENSE NO i2845
& ~ HOWARD W. YOUNG, LAND SURVEYOR '
~ L~T~W~L(W),~ICTANK(ST)BCE~OLS(~)~ HERE~ , ~ ~ NY.S LICENSE NO 4589~
"It should be noted that since this
property is locnted in an agricultural
area, the possibility exists that the
water supply may contmn trace
amounts of pastimes and/or nitrates.
S~cial analysis (~ required.
m~n~.
SUFFOLK COUNI~ O~AR'fit~t~ C~ HEALTH ~ERVICES
FOR APPROW~I OF co~ ONLY
AP~ROV~D~~
HEALTH DEPARTMENT-DATA F~ APPROVAL TO C~STRUCT
SuBoIvl$/OW MAP Fl~EO IN I'H£ OFF/CE OF T~£ CI~t~K OF
SUPFO£K COUNI'K ON APB, ~6, 19Y. 7..,45 Fl£E
SURVEY FOR
MOHRING ENTERPRISES,/NC.
LOT NO. $2, , H/Gl/LA/VD ESTATES"
AT CUTCHOGUE
TOWN OF $OUTHOID
SUFFOLK COUNTY, NE~ YO~K
DATE. MAY 18, 1981
SCALE: /
NO. 81-
MENTAL A~i~NCY AND L~.NOiN6 INSTITUTION LISTED
H~E~ON, AN~D TO 11~E AEEiSNE[$ OF THE LENDING
E
YOUNG YOUNG
ALDEN W YOUNG, PROFESSIONAL ENGINEER
ANO LAND SURVEYOR N Y.S LICENSE NO
HOW~RO W. YOUNG, LAND SURVEYOR
NYS LICENSE NO 45893
SU~Y F~
SUFFO~ COUNTY, NEW ~RK No. 8/- ~3
~EW ~.K ~TAT~ E~CATf~ LAW
~T~CO~IOE~DTO~AVALID TRUE COPY ~ /~ ~ L~
HEALTH DEPARTMENT-DATA F~ APPROVAL TO C~STRUCT AND ~ Nit ~LF ~ THE ~TLE C~Y, eOVMN- ~ '~ TM ~ '~ ~ ~.
~ THE~ A~ ~ ~ELLIMI WITHIN IOO PEET OF T~ PROPERTY m~T~UTIM~ 6UA~ANTE~ ARE ~T T~SFERABLE ~ ~ ~ ~ ~ ,~
~HE~ THAN THOSE SHOWN HEREON TO A~i~RAL MSTIT~ OR ~UBSEQUENT ~ ~ ~' ~ ~ ~ ,~ ~
OWNERS ' ~ .~ A~ .~
NTHEWATERSUP~YA~SE~GE DI~AL SYSTEM~THISR~IDE~ NDI~TANC~S SH~N HEREON FROM PR~ERTY ~NE$ ~-r~ ~ /// ~
WILL. C~FO~M ~ T~ STAH~ OF THE SUFF~K COUNTY O~ARTM~HT rD EXItTiNG STRUC~REI ARE FOR A SPECIFIC '/~,, ~.~D~ /
U~ /UUIIO ~ I ~UI~ ~VER~AD~ NEW YORK