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Home My WebLink About14873-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy September 24 1986 No... ~.1.4.~ 9.8 ........ Date ................. ., .................. THIS CERTIFIES that the building ....... A¢c~.~Qp~-..0~P~.g~ ...................... Location of Pro eft .725 Lands End Roa~l Orient, N.Y ~ (louse No. ' ........................ Street Ham/et County Tax Map No, lO00Section .0.1~ ...... · · . Block ...........,09 ..Cot 1.16 Subdivision~(.o Lands End 5909 16 ......... Filed Map No ....... Lot No. conforms substantially to the Application for Building Permit heretofore tided in this office dated M.a.y.. y., ........ . ........ ,19..8.6pursuant to which Building Permit No. 14.8 7.3? dated .... 1.2. t ................... , 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 ......... Accessory Garage' The certificate is Jssued to Kurt & Mary Ellen Werber (owner, Ye~ 'e~ ~e~d~(qX .................... of the aforesaid building. Suffolk County Department of Health Approval ......................................... UNDERWRITERS CERTIFICATE NO ................ N/. ~ Rev. 1181 TO~N O~ $O~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOt. D, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14873 Z Permission is hereb/granted to: ~ ...... .~..~....~ ......... ~,,~..~,,.~.~ ............ 7 ~ .~. at premises located at .................. : ................. : .... ~, ....... County Tax Map No. 1000 Section ...... ..C~..J,...~'. ..... Block ..... .(~...CJ ......... Lot No ..... J..'..!..~. .......... pursuant to application dated ...... ..~.....~..'~ ........................... , 19.~..~., and approved by the BuiJding Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Bu iJding 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 I~ 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 featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal--iS-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 topographic 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5 .Updated C .0. $15.00 Date . .~-.~.~ ~ ,~,~ .~ ~.~; .... NewC°nstruction ...... Old or Pre-existing Building /,~r~o~T(o~,~, Vacantkand Location of Property ..~..~'..~.....~..1~.. ~..s:...~-..~, ?...~:...0......, .O..%.~..~.-~.....~.?/., ............. House No, Street Ham/et Owner or Owners of Property .~'5'. H..(%.~..~. }3.L~..o..~..~-~Ll.~..e~,...~..~.~..~... ................. - County Tax Map No. 1000 Section ...¢. I .~-- ....... Block .. O..ct ......... Lot.. ~, j I~ ......... Subdivision(~7] ~. {)..t~ .L¢~4~.~...-~.~t...i~, ) ..... Filed Map No.~?]..O.? .... Lot No../~ ......... Permit No.l.Oc . 7,3.7-. Date of Permit '.}~!.b.~. J~/.~.(~Applicant .L-.~. $.~..~-~ .oj~..~-i',...~.~.~..~: ........ Health Dept. Approval .\~,.[.o.',.-~....~.~,.c/,~ .......... Labor Dept. Approval ,~;. ..................... Underwriters Approval ........................ Planning Board Approval . ~ ................... Request for Temporary Certificate ..................... Final Certificate . ., .~.. .................. Fee Submitted $...~. ~.-. 0.0 .................. Construction on above described building and pej;mit meets all applicable codes and regulations. App icant LISO CONSTRUCTION CR)RI~' .............. Rev. 10-10.78 ~ $0_~. Main Rd., P. O. Box 439 Jamesport, N, Y, 117~,7 co Iq F1ELD_~I~$k~ECTION 1. FOUNDATION (lst) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. COI~IMENTS STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FRAMING 1ST [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL DATE ~///-~/<9(/L INSPECTOR /~~ APPROVED 76~ ~n~ ~ ........ '~ ~ '=~ THE FOR POU~EL~ 2ROUGH FRAmiNG 3.INSU~TION ~ F~AL ~CTI~ MUST BE COMmiE ALL CONSTR~ THE REOUI~ME~S ST~T~ CONSTRU~ & E~ COOES ~OT ~E ~R ~ES~GN OR C~J~ON ~R~, Examined .....~].%. 1..2~.. Approved.....~% .l. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 ., 19 ?.(? ., 193..¢. Permit No ............ Disapproved a/c ...................... ............... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .~1..~."/( .... 7 ..... , 19 9.4 INSTRUCTIONS a. Tins application must be completely filled in by typewriter or itl 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 aud 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 this 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 tlie 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 g 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 ox Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to qomply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ....... 'k 5..o...c=..o. .tT, ?., ........... (Signature of applicant, or name, if a corporation) /I$O'CONSTRUCTION CORP. ..........."" oln"' Rd.," 'i s; ........... · ............ J. qr~9~Rqr~,. Isl.. Y...1.1,9.47. ........... (mailing address of applicant) State wliether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... .Ca .~.~?.~.~...<_.o. ,~'rT. ~.,.~.,.~.o.~. ...................................................... Name of owner of premises .').'qTt..< .¢?.,--.~..~ J'Tl.~ O.%~..~ 1..1~/~t. ~ .M~...~..O.,¢..~..~..~. x ............................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . . Builder's License No. A/..~ .*..~.¢~. ............ elunlber's License No...7 .~..~.-.'.?. ............ Electrician's License No..~...'.'.~.?.~ .~ ............ Other Trade's License No ...................... ffr~ a~= 1. Location of land on winch proposed work will be done..~'./~5': ~..~.tq~.$... ~.~p...~.0., ~.a./~-.,~(/. ~./..~.~..~.~ ~..~..~.t ................. .o. : . , . H, . . . Ilouse Number Street Hamlet County Tax Map No. 1000 Section Subdivision .h.'~J .~..P.. o.~... ~.~.u.?..¢.. ~*4 J) ......... Filed Map No. ~.~.~..~. ...... Lot ./. ~'.. (Name) State existing use and occupancy of premises and intended use and occupancy of propos,ed construction: Existing use and occupancy ~ b. Intended use and occupancy ...... ~ .~..5T ...... Block . IQ.~ ............. Lot../-..J~ ............ l~.O. zd p..- ....................................... 3. Nature of work (check which applicable): New Building ..... Addition ........ Alteration : ....... Repair ............. Removal .............. Demolition .,;~. ........... Other Work .......... .... ~ ~. i (DeScriptmn) 4. :stimated Cost ,2 .o .O. ................ F/..: ZZ,.i.'Z'./d. ....... .. .............. .... '/ .......... / (to b~ paid on filing this application) 5.If dwelling, nmnber of dwelling units ............... Number of dwelling ufiits on each fioor .............. If garage number of cars ~ .c... ~ 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 '' Rear Depth ...................... lteight ......... ! .' ........... Nmnber 4f Stories ................. 8. Dimensions of entire new construction Front . C~-~. ..... Rear .~.,~.~. , l)e,,th ,,~,~ l-Ie~ght ... ,,~. o4~, ....... , Number of Stones ..... /. ................................... ~ ........... 9. Size of lot' Front /.~,,t'" . Rear .. 3~.t l'~o,,*h 10. Date of Purchase .... /.ff~..~. . Name of Former c~,~ ~ 1 1 ' ' ' in which premises are situated Zone or use &smct 12. Does proposed construction~,vi°late any zoning law, ordinance or regulation: ; ............................ 13. Will lot be regraded ... P,di.~_..._:,; ................ Will ex.cghs fi~,ll?,,,e,~r?~o,v~it-- from premises:.., yes 14. Name of Owner of p?.mises. F..-A'.,~/.. ~. ~.~.ta*t~.... Address ~'2, ',,,~a~fft.~.... Phone Nmne of Architect .~..~..~.40..~.o.~./?..~t.~ ..... Address P~~~$~t-.t,.. t~.: .h<. Phone Name of Contractor)..) .6p..c.e .~. ~?....~. e.a. ?. ...... Address p.a. ~.o.~74 $.~.4'*~i~l, Ar Phone No. '~0~,,2.-. ~.~. ~...-~.:. 15. Is this property located withfnl,o0 feet of a tidal wetland? ~ Yes ..... No * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions frot property lines. Give street and block number or description according to deed, and shbw street names and indicate wheth~ interior or corner lot. STATE OF NEW YORK, COUNTY OF. ,&,~2(2~-ei-:t.',~,<... S.S ..... ~ .................... ~ .......... being duly sworn, deposes ~d says that he is the applican (Name of individual signing contract) : above named. He is the (Contractor, agent, corporate officer, et{.) of said owner or owners, and is duly authorized to perform or have performed the said work and to m~e and file thi. application; that ail statements contained ~ this application am true to the best of his ~owledge and belief; and that the work w~l be performed in the m~ner set forth in the ap~ltcati~n filed therewith. Sworn to before me this .,~./ ~ zjo~ ~ ~. - - . , -."~ ,~07 /_~.~¢¢ % / /~ ¢.~ 5500 I m ~ ~ O' .' I z Z: SU~Y FOR FU¢~OLK COUNTY D~PA~T~f OF ~CTH SE~WC~ KURT WERBER & MARY ELLEN WERBER LOT ~6 "MAP OF LAND'S END" ~ULY Z~ 1985 FOR APPROVAl. OF CONSTRUCflON ONLY ~T ORIENT POINT DATE' FUL~ ~N ~ SOUTHOLD SCALE, I" = 5O' DATE HS REF. NO. SUFFOLK COUNTY, NEW ~RK ~o. 85-559 HE~ O~ARTMENT-OATA F~ APPRO~ TO C~STRUCT ~o ~ ms ~E~LF ~ T~[ nTLE c~e~v, ................. YOUNG a YOUNG NOTES= I=MONUMENT AREA= 55~459 ~.E SUBDIVISION M~ FILEO IN THE OFF~E ~ THE CLERK OF ALOEfl W. YOUNG, PROFESSIONAL ENGINEER 8UF~LK COUNTY ON MAY ~ 197~ AS FILE N0.5909 AND L4ND SURVEYOR N.Y.~.UCENSE N0.12'845 HOW~RO W. YOUN6~ LAND SURVEYOR 8NANOIS & SONS INC. ~046 I I Z , ~ ~ or ~ormerW E ~ now DorCh~ Borner & I 0 I ~0 ~ 0 0 SURLY FOR SUFFOLK COUN~ DEPARTMENT OF H~TH SERVICES KURT WERBER 6 MARY ELLEN WERBER LOT 16 "MAP OF LAND'S END" fOR A~PROVAL OF CONSTRUCTI~ ONLY A~ ORIENT POINT DATE aULY ~1, ~985 .~N ~ SOUTHOLD SCALE: I" = 50' DATE_ . HS ~EF. NO. SUFFOLK COUNTY, NEW ~RK ¢~*. ~0. 85-559 L~'DEPARTMEHT-DATA F~ 'APPRO~ TO "" YOUNG s YOUNG ~O'~ND/RAVE~ERiVER~AD NEW YORK NOTES: ~=MONUMENT AREA= 55~439 S.E SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W, YOUNG, PROFE$SIONAL ENGINEER SUFFOLK COUNTY ON MAY ~ 1975 AS FILE N0.5909 ANO LAND SURVEYOR N.Y.S. UCENSE NO, 12845 HOWARO W. YOUNG~ LAND SURVEYOR ~E ~ FIE~ ~TI~S ~ OR DaTA OIT~O F~ OTHERS BRANOIS & SONS JNC, 1046 00 · z ~ ~ no~ or gorom~ gomer,' ~.S. ~ I 0 SU~Y FOR KURT WERBER & MARY ELLEN WERBER s~P~O, LOT 16 "MAP OF LAND'S END" MAY 14, 1986 AT ORIENT POINT DATE: dULY II, · ~N ~ SOUTHOLD SCALE: 1"=50' SUFFO~ COUNTY~ NEW ~RK NO. NOTES* I =MONUMENT ARIA: 55,4~9 S.E SUDDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W. YOUNG~ PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MAY 3~ 1973 AS FILE N0.5909 AND ~ND SURVEYOR N*Y.S*UCENSE N0.1~845 HOWARD W. YOUNG~ LAND SURVEYOR ~ L~ ~L(W),~IC TANK{ST)ICE~S(~) ~N ~[~ N.Y.S. LICENSE N0.45893 BRANDI$ & 80NS lNG, 1046 0 !4 II II GAF;( A G ~-- '3- Cra--- g A ~-- SIDING o',/. FLODP-.. PLAI'..J '.~¢;&'~¢ _V,./E S-T .c' L..F__..VATI Oi,~ Y4-" P'L'~ W. OCCUPANCY OR USE IS UN WFUL WITHOUT CERTIFICATE OF OCCUPANCY ~ L~ V, nCf'-I CblkJ GENERAL NOTES; I 4" x 8" HEADERS OVERALL OPENINGS UNLESS OTHERWISE SPECIFIED. 2-~ALL STRUCTURAL LUMBER TO ,R~ MIN. P.S.I. DOUGLAS FiR OR EQ, 3, ALL FOOTIR~S TO BEAR ON VIRGtN OR UNDIS- TURBED SOiL OF *CWO TONS PER SQ. ~, B~RING ~PACITY. ~CON Fi~ACTOR TO CONDITIONS ~,~ THE BUILptNG. 5~ALL ELECTRIC WORK ACCOR DING TO CODE. 6--DOUBLE JOISTS UN~R ALL B~RiNG P~. TIONS. FEE' ~9, ~ BY: ~, ~.C, NOTIDY BUILDING DEPARTM~T A~' 765-1802 9 AM TO 4 PM ~R ~E FOLLOW~NG INSPECTIONS: 1 FOUNI~A~ION ~O REQUIRED FOR POURED 2 ROUGH FRAMING ~ ~UMBING 3, INSULATION ~. FINAL COnSTrUCTION MUST B~ CO~)PLETE ~OR C.C. ALL CON~RUCTION SHALL ME~ THE REQUIP~M~ OF THE N.Y 8T~ CONSTRM~ON & ~O~. NOT ~StBLE OWNER t,<,3J;~.'IE' ',JMl~1~.l~.~r_ MERRICK DRAFTING SERVICE ADDRESS - - ...... TEL (516) 868-7510 ~ ~, Ol~ ',' _ : ....... ~ bP.."f WELL, id-O" p4m FIZC~ F"N L'x WALL. Il N r FLODP-. PLAN '~/,¢,1' .- 'I OR USEISUN WFUL OFO UmN GENERAL NOTES: 1---4" x 8" HEADERS OVERALL OPENINGS UNLESS OTHERWISE SPECIFIED. ; 2.~-ALL STRUCTURAL LUMBER TO SE MIN. 1200 P,S.E DOUGLAS FIR OR EQ~ 3-~ALL FOOLINGS TO BEAR ON VIRGIN OR UNDIS- TURUED SOIL OF l~VO TONS PER SQ. FT. BEARING CAPACITY. 4---CONYkACTOR TO VERIFY ALL DIMENSIONS AND CONDIT IONS A1 I NE SUILD~NG, 5~ALL ELECTRIC WORK ACCORDING TO CODE. 6--DOUBLE JOISTS UNDER ALL BEARING PARTI- TIONS, 7--NOTED DIMENSIONS TO TAKE PRECEDENT OVER SC. ALE, APPROVED AS NOTED FE 'n' - ..s¥:X' 6. ,-.. NOTIFY BUILDING DEPARTM~T AT 765-1802 9 AM TO 4 PM ~R THE FOLLOWING INSPECTIONS: ~ FOUNDATION ~0 REQUIRED I FOR POURED CONCRETE 2 ROUGH FRA~ING & PLUMBING 3, INSULATION ~ FINAL CONSTRUCTION MUST AF COMPLETE FOR C.O. ~,, ,~iSTRUCTION SHALL MEET T¢-,, , 'I~EMENTS OF THE N.Y ST~T~ JGNFT~U~ON & ~ERGY CODE5 ~OT HES~NSIBLE ~R qEBtGN OR COmSTRU~ION ~RORS, OWNER ADDRESS LOCATION Oll~,~E ixJ T DAT£ MERRICK DRAFTING SERVICE