HomeMy WebLinkAbout15738-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPkRTI~ENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17268
Date
SEPTEMBER 7~ 1988
THIS CERTIFIES that the building
Location of Property 3000
House No.
County Tax Map No. 1000 Section
ONE FAMILY DWELLING
LAUREL AVENUE
80UTHOLD
Street Hamlet
55 Block 7 Lot 3
SubdivisionLONG POND EST.-SEC.1Filed Map No. 8037 Lot No. 8
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 5, 1987 pursuant to which
Building Permit No. 15738Z dated MARCH 11~ 1987
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 ONE FAMILY DWELLING W/BREEZEWAY & ATTACHED TWO CAR GARAGE.
The certificate is issued to MOHRING ENTERPRISES~ INC.
(owner, ~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-35 8/3/87
UNDERWRITERS CERTIFICATE NO. N821649
PLUMBERS CERTIFICATION DATED CHARLES SANDERS PLUMBING & HEATING 9/2/88
Building Inspector
Rev. 1/81
FOB~ NO. lB
TOWN OP SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N9 15738 Z
Permission is hereby granted to: , L
~..~..
.....~,~.....,4..A. ........... .t. ..............................
to ............... ~ .... .4 ......
~ ............................. ::; ............... "_"~ ........... '~'"'~'";'_'""'"'"~'~:'3"'2
at premises located at ...~..~.?.....~.~[....~ ........ ' .~- ....................................
County Tax Map No. 1000 Sect,an ....... .o...~.~...~.~.....-Bloc~ ....... .?....~ ....... Lot No ...... ..(~....~ .........
approved by the
pursuant to application dated ............ ~~ ~ .................... , 19..~...'/.., and
Building Inspector.
Building Inspector
Rev. 6/30/80
FORM NO. 6
TOWN OF $OUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted m~ 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.
B. 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 unusual natural or
topograph ic 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.
C. Fees: Additions $25.00
1. Certificate of occupancy New Dwelling $25.0,0, Accessory,,,$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5 00, over 5 years $10 00
4.Vacant Land C.O. $ 20.00 ' ~-~ ' ! j/_.
5.Updated C.O. $ 50 O0 Date C~'g~.~.~'~'-./../~. ~,.~ //
...... ......... .,.. ,K. ./
NewConstructlon..~...
//
Old or Presexisting Building ...,.~... Va~cant Land ......... .~..
Locat on of Pronertv ~"/'~ 6~---~/~' ~/01~' ~('~f--4. ~0/ '
House No. ~ /,~ / ~i' ~ ! Street, ~ Hamle't
Owner or Owners of Property . ~ .... ~ ~'"~~("~
...... ..............
County Tax Ma No. 1000Section .~.~.F ~)'~' ...............
p Boc - .
........... k .... ~. ......... LOt ................
Subdivision. ,~, ,~//~, .~'~,, .~, ,~ .~..~-t-, ,~, .... :...Filed Map No.. ~ ~, .Lot No...~.
Permit No,~. Date of Perm t ~2 App cant
HeathDept. Approva ..~.?~..~[[.~Labor
Unde~riters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate . .~ ...................
Fee Submitted $. ~;~: .... ~.~.~ .....
Construction on above described building and~/e~ll~,lica/o~nd regulations.
AppUcant ~~. l ./~ .......
../.../ir .......................
THE
,JUly
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~,~7 85 JOHN STREET, NEW YORK, NEW~~
only the electrical equipment o~ described belom and introduced by the applicant named on the above application number in the premises of
Mohring & ~ons~ n/o Lon9 Creek Drive, Southold,
~ X
Section O 55Block
O7
O3
~s examined on and found to be i. compliance ~'ith the requlre.te~ts of this Board,
FIXTURE
OUTLETS
3,2
rECEPTACLES
42
SWITCHES FIXTURES RANGES OVENS EXHAUST FANS
28 3g
DRYERS
FURNACE MOTORS
FEEDERS TIME CLOCKS UNIT HEATERS MULTI.OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
2 GoF..C~
2 Smoke Detectors
S E R V I
NO'OF CC' tONI) t /~
C E
AWG,
OF H/-LEG
z/o
General f,lect. Cont. :[nCo
2041 ~he].ley
East Meadow, N.Y. 1.1554
Lio #533E
GENERAL MANAGER
This certificate must not be altered in an), manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY OF ~ IFICATE MUST NOT BE AL IN ANY MANNER.
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No.
,~
OwnerT~k~ ~
(please print)
Plumber ~~ ~
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before ~T9 this
Notary Public, ~~
County
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION ZND [ ] INSULATION
[]FRAMING [ ~/FINAL
__REMARKS-` '~h ~
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] IN~SULATION
FRAMING [.~FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
~/FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
,j
FOUNDATION 1ST
BUILDING DEPT. ~ ~~
I NSPEC~T~.i~~ ~'~
ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[~J'~RAMIHG
[ ] FINAL
REMARKS:
DATE
765-1802
BUILDING DEPT,
INSPECTION
FOUNDATION 1ST [. ]~ PLBG.
FOUNDATION 2ND '[~' INSULATION
BUILDING DEPT,
INSPECTION
FOUNDATION 1ST [ ]
[ ] FOUNDATION 2ND [
[ ] FRAMING
REMARKS
ROUGH PLBG.
INSULATION
FINAL
DATE
L ~/~ BUILDING DE~.
.................. iNSPECTION
FOUNDATION XST [ ] ROUGH PL~
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
[ ] FINAL "
REMARKS:
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ~ZND [ ] INSULATION
OUNDATION
(1st)
OUNDATION (2nd)
OUGH FRAME &
PLUMBING
~NSULATION FER N. Y.
STATE ENERGY
CODE
. ADDITIONAL COMMENTS:
August 10, 1997
Town ot Southold
Building Department
Main Road
$outhold, NY 11971
Att: Victor Lessard
Re: Building Permit # 15738 Z
Sec. 055; Blk.07; Lot #8
Dear Vic:
In regard to the above captioned, enclosed please find the
Electrical Certificate and the Final survey with approval
from the Health Department. Kindly set a date for the
Final Inspection in order that I can get a Certificate
of Occuppancy. Thank you.
Very truly yours,
Ri'char'~Mohr~-- ' ' ~ing yr.
March 4, 1987
Southold Building Departn~ent
Town of Southold
Main Road
P. O. Box 728
Southold, New York 11971
Att: l~'r. Victor Lassard
Re: Lot # 8
Dear Victor:
Enclosed please find the building application for the above referenced
lot.
A check is enclosed, please fill in the amount.
If you have any questions, do not hesitate to call.
Sincerely,
M~. RIi~G ENTERPRISES, IN:.
RM/drn
Enc.
BOARD OF ri'OWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Sonthold, New York 11971
TELEPHONE
(516) 765-t892
March 4, 1986
Mr. Richard Mohring, Jr.
Mohring Enterprises Inc.
347 Glen Cove Avenue
Sea Cliff, New York 11579
Re: ~0ng Pond Estates
Dear Mr. Mohring:
The Trustees reviewed your request for a determination
regarding the above referenced matter at a regular meeting
of the Board held on February 27, 1986.
The Trustees have determined that no permit will be
required at this time, as the work proposed is not
within the Trustees jurisdiction.
Please note that if in the future, you wish to do
work within the wetland area a premit will be required
from this Board. Attached for your information is the
section of the Wetland Ordinance pertaining to the
wetlands.
If you have any questions,
marion, please do not hesitate
telephone number listed above.
or need additional infor-
calling this office at the
Very truly yours,
Henry p. Smith, President
Board of Trustees
Ilene pfifferling,~ -Clerk
HPS:ip
Attachments
cc: Bldg. Dept.
Trustees
File
The w~tet supply & sewage disposal ey$-
tem~ for ~hi~ ~idence will conform to the
standard~ oF the Suff'olk County Depart.
rnent ~of HeaJth Services.
Prepared in accordance with the minimum
=.~=::~c.,.~o ~,,, ;i~;~ ~u~v~.y~ c~s esmbhshed by
the LI.A.L.S. and approved and adopte~
for such use by The New York State Land
Title Association.
LOT
8
i' OF 147,*,LTH SERVICES
P.O. BOX 90g
MAIN ROAD
SOUTHOLD ~ N.Y. 11971
pAOP
HSE
LIC. NO. 49668
,ONG
ENGINEERS~ P.C.
LONG
SURVEY OF
.. LOT 8
"SUBDIVISION MAP OF
'POND ESTATES- SEC. ONE '~
FILED DEC, 27~1985 FILENO. 8037
AT SOUTHOLD
TOWN OF' SOUTHOLD
SUFFOLK COUNTY, N .Y.
I000 - 055 07 ' 03
SCALE I"= 40'
FEB. 5~ 1987
AREA = 42, 747 SQ. FT
OR 0.981 AC.
87 152
~JFFOLK COUNTY HEALTH DEPARTMENI
81NGLE FAMILY DWELLING ONLY
'RIFF. NO .... ~ ~'~" ~?'7-,5'~
~.SAL AND ~ ~R SUPPLYFACILITIE~ F DR
~ON~~ BEHAVE'BEENsATISF~CT~Y~~. ~jINSPEqT~ o¢ BY THIS DEPART~E ~,,A~ D~
~f Of Wa~te~ater ~anage'me'nt S~Ctlon
LOT 8~
0
O.
/
/
/ uot G cREEl&
~. Prepared in accordonce with the, mini,mum SURVEY OF
CD standards for title surveys as establishe~ by
~ the LI.A. LS. and approved and adopted .. LOT 8
~ for such use by The New York State Land "SUBDIVISION MAP OF
,.,.. Title Association. LONG 'POND ESTATES - SEC. ONE
~ FILED DEC. 27~1985 FILENO. 8037
AT SOUTHOLD
TOWN OF SOUTHOLD
· L~;:,. SUFFOLK COUNTY, N.Y.
[ Y S LIC NO 49668
· ,~. _-'-' . ..... . __ SCALE I"= 40'
FEB. 5~ 1987
~-EC~ORS ,~'ENGINEERS, P.C.
July
~1,1987
516)
P, O. BOX 909 AREA = 42 s 747 SO. FT
r~AIN ~OAD
SOUTHOLD , N.Y, 11971. OR 0.981 AC.
87/- 132
,
BOARD OF .EALT -. .....
3 SETS OF PLANS ~-~-~
'FORM NO. 1 SURVEY ..... Oo)?.J~'
TOWN OF SOUTHOLD CHECK ........ ~; Ig.~. ~ ~
BUILDING DEPARTMENT S~T~C FO~H ..... ~~
TOWN HALL
NOTIFY
SOUTHOLD, N,Y. 11971
TEL,: 765-1803
Examined ..~ .~ .( .1..., 19.~.~.
Approved .~.(;~t. 7/ .... , 19~.7. Permit No.
Disapproved a/c .....................................
................................ ........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
CALL ................
MAIL TO:
BLDG. DEP'I.
TOWN OF 8OUTHOLD
Date ............... , 19...
INSTRUCTIONS
a. Tiffs 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 tiffs 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 the 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, bufldins.~le, h. pusin.~ code, anj~,regula~ons, and to
admit authorized inspectors on premises and in building for necessary inSp~~,~, ~_ .,~..~¢~~~,~4... '
c~e,~ (M~iliug.address~f applicant)
State whether applicant is_~ib"wner'-"Jessee' agent, architect, engineer, ~ntraot0r;~leotrioian, plumber or builder.
Name of owner of premises...-~.. !.~..~.c(..~.~....~. O..%~..~ .... .~ .......................................
(ag~n the tax roi1 or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) -
ALL CONTRACTOR'S MUST BE SUFFOLK COU~Y
Builder's License No ..... .~.. ~::~,...~..e~.~.~...~Y...
I"
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
LICENSED
1. Location of land on which proposed work will be done ........................................ ,,~ .........
.......... ~ .......... . .~.O..~.~re;(/~_~g.~.L~....~../~.?~..... ~t&~...¢4..Tf.~..o/..~.. ..........
House Number
County Tax Map No. I000 Section .....(~.~.'-~.. ........ Block ..... .C).. 7 ........ Lot..'~ ............
Subdivision....~..~.ff~..~..,/'(. ~....~.~.~.~..~ ........ FileaMapNo....~..1~.. ~.. .... Lot ...a~.::.~.. ......
(Name)
2. State existing use and occupancy of premises and intended usean~ occupancy of proposed construction:
a. Existing use and occupancy ......... ~'~"~'" "~' ' '~"~'~' ' '~'~'/(' 74x~/
b Intended use and occupancy ...... Z .' .~...~ .i/'~./...~...6q,..~..~.~( '.~F7 ...............................
3. Nature of work (check which applicable): New Building ....... Addition ... ,, ....... Alteration ...! .......
Repair Removal .... Demolition ~ Other Work ........ ' .......
: (Description)
.LO, 5 Fee
4. Estimated Cost ....... I ...................................... ' ...........................
' (tQ be paid on filing this application)
5. If dwelling, number of dwelling units ] Number of dwelling unitsiion each floor ....
If garage, number of cars ........... ~.. ................................ , ...........................
6. If business, commercial or mixed occupancy, specify nature and extent of each type~ of use .....................
7 Dimensions of existing structures, if any: Front Rear ' Depth
Height Number of Stories
Dimensions'of same structure with alterations or additions: Front ............. i ....Rear ..................
Depth ...................... Height ...................... Number of S~tories ............ z .........
-8. Dimensions of entire new construction: Front, ,~.~, ,, ,' ..... Rear . ,~.ff,, ' Depth .,.~', ..........
Height..Z: .2.. g ....... ~/..15!,umb. e,r of Stories .__..?m-.q/(a--t-j Rear.' '~'g/ ' ,~.' ............ .......................... '
9. Size of lot: Front ...................... / .............. n~,th ~,'2 ~ O 2
10. Date of Purchase . . ~ u,\.~.. 7~.-/,~.,, .I.qqr~.. ........ Name of Former Owner .. i ...........................
11 Zone or use district in whicl~ premises are situated ....................
12. Does proposed construction violate any zoning law, ordinance or regulation: ...v'lO. ..........................
13. Will lot be regraded ......... .,.~.~ ............... Will excess fill be removed from premises: Yes
14. Name of Owner of premises . .~...~ .c..h...~..k.~j.~ 3'.~...Address..q..~..~.q~$4..~ .~i Phone No..(q.~.~..-.??l.~.'...
Name of Architect ........................... Address ................ ;.. Phone No .......... ~' 't' ' '
Name of Contractor ~.O.k.~.~. :~f..1~.~..~..~p.~.~9.~-~..... Address ~.q7: 0e.l.e.~ (.~.o.t..~... Phone No..~7./. T.~. ? ......
15. Is this property locate~ within 300 feet of a tidal wetland? *Yesi.~... No .....
*If yes, Southold Town Trustees Permit maybe required.
PLOW DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate ail set-back dimenmons from
property lines. Give street and block number or description according to deed, and show ~treet names and indicate whether
nterior or corner lot.
iTATE OF NEW
S.S
',OUNTY OF .... /. V~.. ·
..'. ........... '.
· (Name of individual signing contract)
bore named.
being duly sworn; deposes
and says that he is the applicant
[e is the 0 c~"'~'~'~
(Contractor, agent, corporate officer, etc.) ~
f said owner or owners, and is duly authorized to perform or have performed the said worl~' and to make and file this
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
tork will be performed in the manner set forth in the application filed therewith.
worn to before me this
............. ././ ...... : .day of..~ ........ 190~.7
,r /
J~OTARYPUBL~O, State of New Vork / ~"~'~_ ~'f~.~.~ ' ~ ff
t I Ouallflod in Naos[q Cotmtv .~ ~ / (~um of applicant)