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Home My WebLink About11196-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date ..... ~?.b?.u.a..~y..8. ............... ,198.?. THIS CERTIFIES that the building ................................................ Location of Property .2.~. 79 ........... .~.i.~.L:La.n.d.. ~.o.afi. .... Cuthlao~ue House No. Street Ham/et County Tax Map No. 1000 Section .1.0..2 ........ Block 08 .Lot 027 Subd~wsmn..h.~. ~$.h.l.a.L~ ·d. .~.~.t: .a.~.e.a~ ......... Filed Map No. 653'7 .Lot No. 30 conforms substantially to the Application for Building Permit heretofore filed in thi? office dated ..,.~.p.r..~i[..2' ......... ,19.~.l. pursuant to which Building Permit No. 11196 Z dated .... .d.u.n..e. 3.8. .......... i .... 19 .8.1., 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 g~,lvate one-~'amily dwelling. The certfficateisissuedto .... '75 Highland Boad Corp. {owner,_~.e~ee. of the aforesaid building. Suffolk County Department of Health Approval .1.'t -. 5.0.-.2 ~ ,. D.q ¢ ,..9. ~..1 ~.8. ~,. B.qb. 9 .r'.t..8 ,. y:[ 1 la, UNDERWRITERS CERTIFICATE NO...KS463Y,3 ....................................... P ' E' Building Inspector N°. 1~1196 ~,7 Permission is hereby granted to: FOI~M ~/0, 2 · BUiLDIN~ TOWN!HALl; SOUTHOLD, N~ BUILDII~G (THIS PERMIT MUST BE KEPT ON -~H.E PRE~IS iSUNTIL F~ULL COMPLETION OF THE WORK AUTHORIZED} ~ ~ ,Doto ....."~.....~ ........................... 19. ! at premises located at ..... ~ '' ~ ' ~} ~,~, ~ ~/~"..w,~v/-/. .........................................,, ; ........................................ ; ............ :;....L.~..~...~ ........ ~ ......... ......................... ./... ..... .-~.~/~.~,~.~...£~_.z~..~ ................... :: ........ .~.~...~..:.~..~ .............. !..d~-.....~..~.. ........ County Tax Map No. 1000 Section ...,/~.r.r~. ........ BloCk, ~..,~.~"~.. ......... ~Lot NO..~/4~.~./Z... ......... p~rsuont to application ...... 1 ., and approved by the BUilding Inspector. Fee $.~'../. a./...~?...... Rev. 6/30/8O FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tot 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 Under~vriters. 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. 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 New Building ....~. ....... Old or Pre-existing Building ............ Vacant Land ............. Locat'on of Propert . //~'~/ y ....................... ......... ou~ No. ~ Street ' 'Y Ham/et Owner or Owners of Prope~y .. . . ................. County Tax Map No t000Secton ~ Block ~ Subdivision.~/~H~/~ .... Filed No~ ~ Lot No Permit No. ~Z~ .............Date of Permit ~' ~)' App ,icantMap ~~~ Health Dept. Approva~ Z/] ~ -~ ...... Labor Dept. reval ..... .................. App ................... Unde~riters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ............. Final Certificate Fee Submitted $ . . .~ , ~ Q Construction on above described building and~~~es~ regulations. Applicant ~~ ~%~~ ...................... Memorandum from .... BUILDING INSPECTORS OFFICE TOWN OF sOUTHOLD Town HnLL, SOUTHOLD, Iq'. Y. 11971 765-1802 , ,¢ FORM NO. 3 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To .~/~C~..~.~/~../~..¥~.. · .~.. ~/~../.~. ~. ~ .~... ....... ..~. ~.~.~z~ ..... *~ PLEASE TAKE NOTICE that your application dated ~(~..~. ......... 1~/.. fo~ p~mt to ¢on~t~t .... *~...Fmm~ ~<7" '~4~ ................ }. ~t County Tax Map No. 1000 SeCtion . ~ ....... Block ... ~.~ ...... Lot . ~.~ ...... Subdivisiofi ~/~~ Fried Map No.. /.(~ ~ .~ .... Lot No.. ~ ~ ........... is returned herewith and disapproved on the following grounds. ~Z~/.. ~/~L/~ g P RV 1/8Q FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CpDE FINAL AD FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 ~xamined .,.4,X..,:,:.~,..2:..... l~,':. ,p~ro,,ed ~,_.~...Z .:..., l~. ~'ermit No.. ............. 'X ...................... ?~ .... APPLICATION FOR BUILDING PERMIT Applieatlon No...~. ~"/, v?.?. ...... Date . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building nspector, 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 )r areas, and giving a detailed description of layout of property must be drawn on tl~e diagram which is part of this appli- 'ation. 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 issue a Building Permit to the applicant. Such permit .hall 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 ,hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or t~.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, a~ herein described. Fhe applicant agrees to comply with all applicable laws, ordinances, buildin~m:rd~ho~)~ojle, a~regulatioljg, and to tdmit authorized inspectors on premises and in buildings for necessary~~". ~4,~/.- -'--~~ ' · '~/~'~' ' ' ' · ~tate whether applicant is ~J~,vne~lessee,~ agent, architect, engineer, general contractor, electrician, plumber &r~ilder:>) (as on the tax roll or latest deed) tf applic orp at!o s' tut duly thori~'ij,~cer. Builder s License No ....................... ~.. Plumber's License No /~-~ ~.~.~ /! ! c , I,. Electrician's License No .............. Other Trade's License No ...................... I. Location ofland on which proposed work will be done ~--~/ ~,.~O ............. i' ii i i' ii i' .......... v Street ' ' m~l;; ..... ~'" ................ House Number County Tax Map No. I000 Section ~..O.~,~ ............ Block .... ~ ............ Lot.. 7 Subdivision .~..'~t~.~/~/~''$?~'~''-~ Filed Map No. Lot..~.(~. ....... '~' ...... (h'aifil) ..................................... State existing use ~d occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. [~te~ded us~ a~d occupancy .............. ~ ................................. Nature of work (check whleb applicable): New Building .......... Addition .......... Alteration ....... ~. Repair .............. RemoYal ............. Demolition .............. Other Work ............... (Description) Fee .~./. ( .e~.' ~ ~7 Estimaied Cost .......... , ,' ................... ~ ............... ~- ........... (to be paid on filing this application) I~ ~arW:lgl~,ngn, unmU~breor?cfardT~lling.. U. fl,..ils.:: :~.'' .. .......... .. Number of dwelling units on each floor ............... If business, commercial or mixed occupancy, specffy nature and extent of each type of use ................... Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............. Height ............... Number of Stories ...................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................ Depth .. ................... ,.. Height ........ i ........... Numbe, r of ties ........ _. ?$O ' ........ Dimen~ions of ~tire new construction: Front .'~._.~ .. Rear. Depth · ~, I Height,...~. ....... Nmrlber of Stones ........ · ..~--..,-...*..--......-----.' '~.~>'/' ~..w ........ Size of lot: Front ....,'~-~.~...~}2' .~.~ ........... Rear ................... '~°/. ' ./:.t"7. ' ' ' ' ' ' ' ' ' Depth ' /.~.a7': ~.. ~. ' ). Date of Purchase ........... i .................. Name of Former Owner ........................... ~. Zone or use district in which pmm~ses are situated .................................................... !. Does proposed construction violate any zoning law, ordinance or regulation: . ~tO ............................ t. Will lot be regraded ...J .e.~.. ~ ........ ~,. 4'!,.! .... ,Will excess,fill be, rqmoved,,from premises: Yes *. Name of Owner of pre~ises . ~.~../..~..~,. ,~'..~t... Address . .~':./.~..~...~.~/.e...~2q~.,... Phone No...~._ ...- 2/..~..~.$. . ./~. Name of Architect .~/. '.~.?~ O~e. ...... Address . ~ ./¢~..~,..o,~ .... ,. Phone No..~. 2t.'. ~?r?. ..~..,~..~.~,'..~..J'e~ Address. ~'~.e.~'..~.~..~t~.PhoneNo..~...~.~....~..~..~.{:; Name 9f Contractor PLOT DIAGRAM' Locate clearly and distinctly all buildings, whether existing or propos.ed and, indicate all set-back dimensions from · operty lines. Give street and blocklnumber or desc~tio~n·. . according to deed, and show ,street names and indicate whether terior or corner lot. OF oove of individual being duly sworn, deposes and says that he is the applicant is the ........................... f .................................................... ' ~ent, corporate officer, etc.) said owner or owners, and is dt ly authorized to perform or have performed the said work and to make and file this pphcatmn' that all statements con ;ained in this application are true to the best of his knowledge and belief; and that the ,ork will be performed in the mann =,r set forth in the application filed therewith. worn to before me this ............ ....... lotar,z Public, ......... ... ...... I.~. · · County ~tO. §2-812§S§~, Salfoll{ COU~/ tpplicant) Term ~xplres March 30, 191;~/ ~ SUFFOLK COUNTY DEPARTMENT OF HEALTH ~J::RVICES FOR APPROVAL OF CONSTRUCTION ONLY DATE._ ... HS R~F. NO._ ..... APPROVED HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUC N NEAREST WATER IIAIN~MI -+ MSOURCE OF WGTER, Pf~IM~TE l/ PUBLIC ~ ~FC~ T~MAP ~/~p~ SECTION~B~CK ~, LOT ~g~ A~ ~ ~ELLI~I WITHIN IO~ FEET OF THIS ~ROPE~TY OTHER THAN THO~E sHOWN HEREON N THE WATE~ SU~Y ~ 8E~eE OlS~AL SYSTEM ~ THiS WiLL G~FO~ ~ THE STAN~ OF THE SU~K COUNTY OF H~LTH TEL ii; MONUMENT (2. STAKE ~DDDIVI$10R MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON APRIL E~, ID?? AS FILE NO. SURVEY FOR MOHRING ENTERPRISES LOT :~0, "HIGHLAND ESTATES" AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK N U~UTNORiZED ALTERATION OR ADOITION TO ~HIS NE~ ~OJ~K STA~(E EDUCATION LAW tHE PEI~ON~_~OR WHOM THE SURVEY IS PREPARED AND ~ HI~ mENALF TO T_HiE TITLE COMPAHY, OOVE~N- HE~E~,~Ai~ T~O mE &SSl4NEES OF THE LENDING INSYI~U~i~. GUARANTEES ARE ~T TWSFERAB~E To A~I~ON~L iNSTITUTI~S OR SUBSEQUENT DATE: MAR. 17, 1981 SCALE. I" -' 50' NO. 81 - 104 YOUNG & YOUNG , VE.UE 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 45893, TITLE NO, 8108-Z7Z780 SURLY FOR ..... LOT 30, "HIGHLAND ESTATES" AT CUTCHO~UE OATE' ~WN ~ SOUTHOLD SCA~E. F'~SO' SUFFOLK COUNTY, NEW YORK NO. ~,* ~UTH~iZED ALTERATION OR AODITIO~ ~ ~lS GUARANTEED TO: ~ ~ ~Ew Yoe~ STATE E~C*T~ON ~AW FORE.ST ABSTRACT, INC. NGUARAN~EES INDICATED HEREOH ~L RUN ~LY NEAREST WAT~ MAIN__MI ~ NSOURCE ~ WATER, ~I~TE~puBLIC MENTAL AG(NCY AND LENDING INSTITUTION LISTEO *EL ~ RIVER~AD~ NEW YORK ON iPRIL ~I, l)77 AS FILE ~ 65~?. AND LAND SURVEYOR N Y.S, UCENSE NO, HOWARD W YOUNG~ LAND SURVEYOR ~o~ is located in an agricultural area, the possibility exists that the Special analys~s (T~ ~,c) required. Contact this Department prior to ... SU~Y FOR SUFFOLK COUNTY DEP~RTMENT OF H~LTH Sd:~V~;-~ MO~IN~ ENTERPRISES LOT ~0, "81a~LANO ESTATES" FOR APPROVAL O~ CONS~gUC'[~OH ONLY AT CUT~O~UE DATE. MAR. 17, IgSI ~WN ~ SOUTflOLO SCA~E: ~ ~UTflOR~ZED ALTERATION OR ADDITION m ~1~ " ¢ ~ SU~V~ · A VIOLATION ~ SECTION 7209 OF THE ~pP~OVED NCOPI~ ~ ~IS SURVEY HOT KAR~G THE ~ANO SURVE~RS~INKED SEAL OR EMBOSSED SEAL SHALL NOT ~E ~CG~SIOE~D TO ~ A VALID TRUE COPY HEALTH DEPARTMENT-DATA F~ APPROVAL TO C~STRUCT ANO ~ NIS BEHALF ~ THE TITLE C~P~Y, GOV~N- N NEAREST AT~ lAIN--MI, ~ NSOURCE ~ WATER ~I~TE ~PUBLJC -- MENTAL A~HCY AND LENDING INSTITUTION USTED H ~F ~, ~gMAP MST/ePe SECTION /~& B~CK 8 LOT ~7 H~E~, ANQ TO ~E ASSIGHEES OF THE LENDING WIL~C~FORM TO T~RD~FF~K C~NTY DEPARTMENT ~DI~TANCES SHOWN HEREON FROM PROPERTY UNES TOEXIS~ING STRUCTURES ARE FOR A SPECIFIC ~ O~AN~R AVE~E ~UBDIVISlON ~P FILED IN THE OFFICE ~ THE CLERK OF SUFFOLK COUNTY A~ DEN W YOUNG, PROFESSIONAL ENGINE ER ON APRIL ;e, 1~77 AS FILE ~ e537. AND LAND SURVEYOR N Y.S. UCENSE NO. 1~845 HOWARO W. YOUNG, LAND SURVEYOR ~ ~ L~T~ ~ W~L(W},~PTIC ?AflKiST)a CES~OLS(CP) SHaH HEH~ ~.. N Y S* LICENSE NO 45895