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Home My WebLink About13390-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13094 Date Dec. 28 .................................................. 19 84 THIS CERTIFIES that the building ....N.e.w., .D.w.e.1.1..i.n.g. ' .............................. 7.7.9 .B .r .a.y. Ave Laurel Location of Proper House 19o. Street Ham/et County Tax Map No. 1000 Section 126 .Block 01 ...... Lot 017 Subdivision G.I. Tuthill .Filed Map No. 861 .Lot No. 29 conforms substantially to the Application for Building Permit heretofore fded in this office dated Aug. 1 5 1913 ~. pursuant to which Building Permit No. 1 3 ~ ~ 0 Z. dated ........... A..ug... 2 7 19 8 4 , at issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... New Private One Family Dwelling The certificate is issued to GERARD P. GOEHRINGER (owner, ~.te~an. fl- of the aforesaid building. Suffolk County Department of Health Approval 14- SO- 1 6 7 UNDERWRITERS CERTIFICATE NO ............... P..e.n.d.i.n. g ........................... Building Inspector Rev. 1/81 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) N? 13390 Z Permission is hereby granted to: ..~~....~..-...: ......... ;. ....... ..._... ........................ ~, ........... ~ at premises located at ....~...7... ........... .~~...,, ........ ~.~ ....................................... County Tax Map No. 1000 Sectien~..J.....~..~. ....... Block ........... l ......... Lot No ......L...~. ............ pursuant to application dated ...~.~.....~......~...~.. .............. , 19..~l...~., and approved by tho Building Inspector. Building Inspector Rev. 6/30/80 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 Wpewriter 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 p~-'~operty showing all property lines, streets, buildings and unusua~ 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date.../.~ .~..~.~.~..~..~.: ....... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property...~.Z.~...._ Owner or Owners of Property . L~'. ~/~'~d.../:; .~J~'./.;.~..P%~.~./~.'~. · ......................... County Tax Map No. 1000__~Section . ?../. ~..,-~. ...... Block ..... Z ........ Lot. J./. ......... Subdivision...~. ,~.~. · i Z~>//.//~. '~'~. ........ Filed Map No ........... I'ot No..~". ~'.. ........ Permit No. L~..~... ,ff,~. · · · Date of Permit .......... Applicant .................................. '[c~ -~f3 '.iLar. Labor Dept Approv I Health Dept. Approval ........................ a ........................ Underwriters Approval . 1~~. ....... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~...~ ..................... Construction on above described building and~,pe,r.~eets all apple codes~d regulations. A .can ' .... pp ' t ./.'.. ~.~..'. ~ ....................... FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted--ia=d~p~cc',; 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. ~.. ~i;~al 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 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: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling/ landuse--?re-E×±st,±n~ C.O. $15.00 3. Copy of certificate of occupancy $1.00 Vacan~ laqd C. 0. $ 5 · O0 D at~,~..,~.~. · ~. ·~" ............. New Building · · .~. ......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 77.0. Bray Ave T.aure 1 House No, Street Ham/et Gerard P. Goehringer Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 126 Block O1 Lot 017 Subdivision G.I.. Tuthill .Filed Map No. 861 .Lot No. 29 PermitNo ........... 13390Z Date of Permit ............ 8/15/84 Applicant ................................ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ...P.e..n,d.i.n. cj ............. Planning Board Approval ~ ..................... Request for Temporary Certificate...X .................. Final Certificate ....................... Fee Submitted $ ...1, .5..,0.0, .................... Construction on above described building and pe_0/fitTmeets all applicable~de3,and regulations. . _ , appucan[ ................ ~ ~ ....... /. ~,~.. ................. R~. 10-10-78 / ' ~0oo7~4 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~at~ .~',~LU~:~ :S, ~ ~,,,~o.~o.o.~,~ ~oTv~ N 673082 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the able appllcat~on number in the pretnises of Ger~ C~ehrln~r~ B~y Aw~ue, ~in P~d, ~ell~ ~ad, ~,ttitu~, N~Y~ in the following location; ~ Basement ~ 1st Fl. ~ 2nd FL Section Block Lot was examined on ~fi~ ~0 ~ ~ and /ound to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 1 1~ cb [ X 1 4 4 -I 1~. F.C. I~ L~S~P~ Det~tor. HI.rd ~lyer l~~~ P. O. ~X I~urel, ~.Y 11~ L~c. / F 1 E~,D, I~SPECTION COMMENTS FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE 4. FINAL ADDITIONAL COMMENTS: , 'FORM NO. 1 TOWN OF gOUTHOLD '~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Exa,nined~. ~o.~'. .~..~., 19~.xi~, Approved .~~...~.q..., 19~ 1. l'e~it No. 1.~% 9 ~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19.o, a. This application must be completely fill~d in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 st'feets )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be commenced before issuance df Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ;hail 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 ~uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ,~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. rhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applica.nt is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder: Name of owner of pre!iises..~..~/~.~..~. ·. · · '~, · ~4r~~ ......................................... (as ~/fl the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 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 Hamlet County Tax Map No. 1000 Sectio~ .>....~ ."',~...~q ...... Block . ~)h, . Lot,..0.~..~ ............ (Name) L State existing use and occupancy of premises and inten~,~.and occupancy of proposed construction: a. Ex~stxng use and occupancy ......... . .................................. b. Intended use and occupancy.., d .~..~./.~. ~.. &'"...~5.~.. 3. Nature of work (cheek which alpplicable): New Building ....~.', .... Addition .......... Alteration .... ~. Repair .............. Removal .............. Demolition .............. Other Work ............... 4 EstimatedC~st'~ '7.Z'./~/~...~.. ! (DescriptioiO · Fee ~" (to be paid on filing this application) $, If dwelling, number of dwelling milts ............... Number of dwelling units on each floor ....... : ........ If garage, number of cars ........................................................................ 6 If business ' ' specify nature and extent of each type oft commercml or m~xed occupancy · ' , .lSe ..................... 7. Dimensions~ of existing structm'es, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front Rear Depth ................... ... Height .......... Number (~f Stories ...................... i~/'~i.~..'., i .. Rear.. ?.7.V/....~ ...... Depth .. 8. Dimensions of enti,r,e new construction: Front . ' ..... r ..... lte~ght .... ~...tc~. .... Number of Stories ' 9. Size of lot: Front .... ~,./~ ;/ ............ Rear ................. Denth ...... .~ ............. 10· Date of Purchase ·..~.Z/..°~..~.: ................... Name of Former Owner .... 11. Zone or use district in ~hich premises are situated.· ~. ................................. 12. Does proposed construction v ate any zoning law, ordinance or regulation: . . : ........................ 13. Will lot be regraded ........ .................. Will excess fill be removed.from premiseg .Yes ' No 14.. Name of Own. er of premises .'.~4~.'.'.~: ........... , , Address . ~qxff. ~.( .~.,..,.~]]~.~. ;' .' Pholle No. ~..~.'7 ~./..~'.~.... Name of Architect ........................... Address ................... Phone No Name of Contractor .......................... Address ......... f ......... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions f~om property lines. Give street and block number or description according t~'deed, and show street names and indicate whether interior or Corner lot. ,'fATE OF NEW YORK, :OUNrI'Y OF.-,icl ~.ffo..Mc: ...... (Name of individual slgi bore named· S.S Iff,.F. ................ being duly sworn, deposes and says that he is the applicant nag contract) Iota, Public, LINDA F, KOWA[.sK[ NOTAI~y PUS[lC, State of New Yor~ No, 52-4524771 (Signature of applicant) Ie is the ..................... (Contractor agent corporate officer etc ) .f said owner or ownhjl, and is dui authorized to perform or have performed the said work and to make and file this pplication; that all statements contgined in this application are true to the best of his knowledge and belief; and that the turk will be performed.in the manner set forth in the application filed therewith. worn to before me this : , ~ . . d .. 19 ................... ay o ....... , . 0 · J ~a~e ~ot been verified. ' NGLE FAM' v ~VEY FOR ~OT IVQ 29, 'G~O~GE / TUTHI~, SEC~ A AU~ I~ 1984 ~ ~AU~E~ ~ AUG, ~, ...... ~~ ~ ~U~K COUNTY, NE~ .~RK NO, e~-688 ~UY~Z[D ~L~[~ON O~ ~0DmO~ m m~S GUARANTEED APpiIOV~D NEW YORK ~TATE E~CAT~ LAW ff~FCO, T~MAp ~T~SECTION I~ ~CK ( LOT ~ H~E~ A~D TO mE ASSIGNEES OF THE LENDINS ~ ~ ~' ~ ' SMBDIW$ION MAP P/ZED IN TH~ OFF/CE OF FHE ~NK ~ ~ I AND ~AND S~VEYOR N.Y.S. ~CENSE NO. 12845 M~L~L(Wi,~ICTANK(ST)eCE~S(~)WN~RE~ ~ I) N,~,LICENSE N0,45893 ,, GERARD ~ GOEHR/NGER AT LAUREL DATE AUG. 8, /984 SUFFO~ COUNTY, NEW ~RK ~o, HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUC T AND ~ HIS BEHALF ~ THE TIT~E C~P~Y, 6OVa.- / ~p; H~E~,ANOTO ~E ASSIGNEES OF THE LENDING i /~' ~LIC~T, P~PERTY LINES OR FOR THE ERECTION ~ FENCES ~ ~ ~/~ ~ ER AVE~E '~' J l, ]YOUNG ~ YOUNG NOTE~ ~=$TAKE AL~EN W.~UNG, PROFESSIONAL ENGINEER SUBDIVI~I~ M~P FI~ED IN THE OFF/CE OF THE C~E~K OF ~U~VEYOR N.Y.S UC[NSE NO. SUFFOLK COUNTY ON dAN. 15, 1929 AS Fl~E NO ~61 & ,mi, HOWARD W. YOUNG, LAND SURVEYOR BRANDIS & 80N$ INO, 1046