The URL can be used to link to this page

Home My WebLink About11187-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z10736 Date October aa 98.1 THIS CERTIFIES that th~; building ................................................ ,Loc to of Property 1295 Highland Road, Cutchogue, New York ,dt~,'~se 'No .................... ~'}r'e~ t ........................ Cotlrlty"rax Map No. 1000 Section . . .1.9.2 ..... Block . 8 .... Lot · 6537 . Subdn,iqon.. H:Lghland Estates .Filed Mat) rqo ......... Lot No. conforms substantially to the Applicahon for Building Permit hei'etofore filed in this office dated Flay 25 19 81pmsuant to which Building Permit No. 11187 Z dated June 14 19 81 ............................... , was issued, and conforms to all of the requirements of thc applicable p~ovlsions of thc law The occupancy for which flus certificate is issued is ......... Private One-Family Dwelling The certificate ~s issued to ..... l~$gha, r'..d .M. qh .17~p.g.... of the aforesaid building. Suffolk County Department of Health Approval 11 -80-49, 10/20/81 , Robert A. Villa UNDERWRITERS CERTIFICATE NO N533869 Building Inspector Re~ 1/81 ~or~¢o. TOWN 9! BUILDING Tows SOUTHOLD, BUILDING P,ERM!T~ (THIS PERMIT MUST BE KEPT ON ~H,E PREMISS UNTIL COMPLETIO'N OF THE WORK AUTHORIZED) ULL Permission is hereby gradted to: County Tax Map No. 1~00 Sect,on ...... /.. ....... Building Inspector. FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application rnust be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- top wilh the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual na ~u ral or topograptnc featu res. 2. Final approval of Health Dept, of water supply and sewerage disposal-(S-9 form or equal), 3. A~)proval of electrical installatior~ from Board of Fire Ur~de~riters. 4. Commercial buddings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code comphance from the Archit~t or Engineer responsible for the building. 5. Submit Planning Boa d approval of completed site plan requirements where applicable. B. Fo~ ex~stmg buildings (prior to Apt-ii 1957), Non conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unu~al 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 requn'ed to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelhng or land use $5.00 3~ Copy of certihcate of occupancy $1.00 New Building ........... Old or Pre-exrsting Building ............ Vacant Land ............. County ~ax Map No. 1000 Section .~ Block ~ Subdiv.sion. ~~~ .Fi~ed Map No. ~3) ,Lot No. Permit No ........... Date of Permit .......... Applicant .............................. Health Dept, Approval .~- ~ ~ ~ .Labor DepL Approval Underwriters Approval ~ ~5 ...................... Planning Board Approval ................ Request for Temporary Cert~hca[e ................ Fina~ Certificate . Fee Submitted $ 1o0o681 THE NEW ,YORK BOARD OF FIRE UNDERWRITERS ng ~ BUREAU OF ELECTRICITY [~ 85 STREET, NEW YORK, NEW YORK lO03S JOHN DateSeptember 2, 1981 JFplication No. oa/U~122815 - S~ N 5 3 ~ o g ~ THIS CERTIFIES THAT only the electrical equipment ~ described below and introduced by the applicant nam~ on the above apptication number in the premises of 7~ ~hl~d Road Co~., w/s H~hl~d Road, ~cho~e, ~.Y. in the followlng location; [~ Basement [] 1st FI. was examined on August 28, 1981 FIXTURE FIXTURES OUTLETS 31 39 ~ Znd FI. Eeetlo,,lO2BIoe~. 8 Lot 7 and found to be itt compliance with the require,nent$ o.f this Board RANGES COOKtNG DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS TiME CLOCKS UNIT HEATERS MULTi-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT OTHER APPARATUS: ~'~Future Appliance Feeder/s: 1-2~/12, 1-G.F,I. 2-Smoke Detectors S . _._E R AWG OF CC CONO 3/0 ~ .I C E NO OF HI LEG AWG OF HI-LEG 1/ 3/O 1-3#10, 1-3¥/8 2041 Shelley Place ' East Meadow, N.Y. 11554 lic.533~E This certificate must not be altered in any manner~ return to the office ~( the ~a~d if incorrect. Inspectors ma~, be identified by NAGER FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 (Building Insvector) APPLICATION FOR BUILDING PERMIT Application No. (.( f. ~ .9~..:.... INSTRUCTIONS Date a. This application must be completely filledqn by typewriter or in ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap!: cation. c. The work covered by this application may not be commenced before issuance of Building Permit. / d. Upon approval of this apphcation, the Building Inspector will issue a Building Permit to the applicant. Suc~pem shall be kept on the premises available for iuspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupm~ 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 '~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ, The app,cant agrees to comply with all applicable laws, ordinances, buildin~le//housing j~de, and regulations, and admit author/zed inspectors on premises gild ill buildiugs for necessa~.~~~.' _~'~'- '~ ~..' ' '~ {~81gnature of a~plic~a~, or name, if a c;rl~oration) . ........... ~_.tMailin~ address of applicant) applicant lessee, agent, architect, engineer, general ~..__..__~ ,~ electrician, plumber or State whether build, Name of owner of premises .?~ B)~"3..~..OXY...c~... ,'~...1~ .~:>.~..~ .................................... (as on the taxaroll or latest deed) ..... ......... Builder's License No .......................... Electrician's License No..& . .~....~..~....T'~-~. .... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................. House Number 1 County Tax MaE N9 1000 Section /0 c:~ . . Block. ~ . Lot..~. ............ ~,~' t~ d,,~ ~,~,:~ ".~, - ..... ; ........................... SubdivisiontV:~;~~o.~Z*~ ..... Filed Map No. ~.~. 7 ..... Lot ...Z ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................................................... h. [ntended use and occupancy .................. .".~. ................................. . ). 1. !. Nature of work (check which applicable): New Building ........ Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ ~ ~'- (Description) Fee Estimated Cost ................................................. ¢ .......... (to be paid on filing this application) If dwelling, nu.mber of dwelling--Units /. Nmnber of dwelling units on each floor If garage, hum ocr of cars ~ ........... If business, commercial ormixedloccupancy, specify nature and extent of each type of use ................... Dimensious of existing structures, if any: Front ............... Rear .............. Depth ............. Height ............... Number of Stories ...................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................ Depth .................... ~. Height ......... ¢., .......... Number, or,Stories . .r(~.,,.,k ...... Dimensions of_,entire new constniction: Front . . ?..~,.?. ...... Rear . .~.~Y. ?.': .......... Height . .~.~. ......... Numher of Stories ...~. ....... Date of Purchase ........... ! ........... '; ..... Name of,Former Owner ............................. Zone or use district in which premises are sit Does proposed construction violate any zoni Will lot be regraded Name of Owner of pcC..mi~es~f.e, Pf,~l'~ ]~I Name of Architect ..~..g~i'C~-~l; .. Name of Contractor . .~. [~Zf~a,q~.. e,, .~f~ Locate clearly and distinctly all .buildings, :operty lines. Give street and block ~umber or ~terior or corner lot. lated .................................................... ~g law, ordinance or regnlation: .1%~ ........................... ......... Will exces~ fill be remo,~e41 from premises: Yes {~ .... Address ................... Phone No..~.~Y.~.~ .. ...... Address ~.1~O~.. ~.~, Phone No. ~2 l: PLOT DIAGRAM hether existing or proposed, and. indicate all set-back dimensions from ;scription according to deed, and show street names and indicate whether TATE OF NEW YORK, OUNTY OF .,; ............... ............................................ ·... being dub sworn, deposes and says that he is the applicant , · (Name of individual..~gtr~ con,tract) e is the ........... ~. ~ ..... l:k .... ~W .............. . ................................... ~ ~ (Comra~ agent, corporate officer, etc.) . f saki owner or ownem, ~d is duly authored to perform or have performed t~e s~id work and to m~e and file pplication; that ail statements contained h this application are true to the best of his ~mwledge and belief; ~d that the ,ork will be performed in the m~ndr set forth in the application filed therewith. worn~~t° before me thisff~x f/~ . I ~ ~~~~~/~ a~ ............. day of .............. ,19 rota~ Public, .. -~ .... ...... County . ......... pplicant) "It should i~ noted that since this property is located in an agrict~ffural area, the possibility exists that the -. water suppl~ may contc~n trace amounts of pesticides an~ / or Special analysis ~ required. C ' · ~ ' to SU~Y F~ SU~FO~ COUN~ 0~ ~ H~C~ SE~WC~ M~/~ ~p~/~, /~. ~ ~V~ ~ CON~UCTI~ ONL~ AT ~~ ~~~__ S UFFO~ COUNTY, NEW ~RK HEALTH DEPARTMENT-DATA FOR A~RO~ TO C~STRUC T AND · ~E~ AK K ~ELLINt WITHIH I00 FEET OF T~S PROPERTY IN'ritUally-GUn,iN,EEl A~E ~T T~SFEHABLE ~ ~% ALDEN W. YOUNG) PROFESSIONAL ENGINEER ~F~ COUN~ ONAPE ~6,19ZZAS FIL~ NQ ~5~7~1 ANO ~0 SURVEYOR N Y.S. UCENSE N0.1~845 ~ ~ J HOWARD W. YOUNG, LAND SURVEYOR M~L~T~W~L(W),~ICTANK(ST)eCES~OLS(~)~NH~E~ L ~ lJ N.Y.S LICENSE N045893 4aE ~W FIELD, ~Tl~S MO Oa DATA Oer~N[O Fe~ ,OT.EeS SURVEY FOR MOHRING ENTERPt~ISES, /NC. su~ou~ couN~ O~ART~ O~ H~'~ s~wc~ LOTNO. 7, "HIGHLAND ESTATES" AT CUTCHOGUE ~ MAY 19, I~1 ~WN ~ SOUTH~D sc~cg. I ' = ~0 ' SUFFO~ COUNTY, NEW ~RK No, 81 - ~72 DA~ ......... HS ~, ~Oo,~ ........... ~UTH~ZEO ALTERATI~ OR ADDITION ~ ~IS.~~ -- APP~OV~ ................. - ................. ~gw ~K State E~CAt~ CAW ................ NCOPIE~ ~ ~IS ~VEYNOT ~AR~G THE LAND NGUARA~T~S-I~OI~TEO HE~ON ~LL RUN ~LY ~ ~'~ ~M THE SU~EY ~S PREPARED ~ ~ HEAL~ DEPARTMENT-DATA F~ A~RO~ ~ C~STRUCT AaD ~ HfS ~M~LF ~ T~ ~TLE C~P~Y, GOV~N- WILL C~FO~M m THE STAN~ OF THE SUF~K COUNTY DEPARTMENT ff OISTA~ES S~N HEREON FROM PR~ERTY LINES ~O~A~ [~ YOUNG YOUNG RIVER~AD~ ~E~ ~RK SUSD/VIS/~ ~P F/LED IN ~EO~ICEOF ~E C&Effff OF ALDEN W. YOUNG, PROFESSIONAL ENGINE ER ~F~ COUN~ ONAPff. ~ 19~AS FI~E NO ~5~ AND ~ND SURVEYOR N Y.S. UCENSE NO. 12845 HOWARO W YOUNG~ LAND SURVEYOR ~E ~ FIELO ~TI~S ~ OR DATA OBTNNED FR~ OTHERS N Y.S. LICENSE NO 45893 HEALTH OEPARTMENT ~DATA FOR APPROVAL TO CONSTRUCT AODRE$$ TEL SUFFOI,.Iq COUNTY ON AIaR. ~, I,¢?YA$ FII. E' N~ ~,~$7 -% SURVEY FOR HARRY F. PRUSSNER & BETTY C PRUSSNER LOT NO. 7, "HIGHLAND ESTATES " AT CUTCHOGUE TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK #~N~UTHO~IZED ALTERATION OR AODtTION TO THIS DATE OCT §, SCALE= / '*' = ~0 ' NO. 81 - 600 GUARANTEED TO~ 7'H£ T/TLE ;UA/?A,'VFE£ CO, ER AVENUE YOUNG e, YOUNG RIVERHEAD, NEW YORK ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S, UCENSE NO, 12845 HOWARD W. YOUNG, LAND SURVEYOR N Y S LICENSE NO 4§893,