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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)