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Home My WebLink About14050-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..z.% 4 7.0.q ......... Date ..... g.u..ly..2.4. .................... 19...86 THIS CERTIFIES that the building Alteration Location of Property ,...8.8.5.. 9.%C.~..&~p..S.?: ........ NEW SUFFOLK tYouse No. Street Hamlet County Tax Map No. 1000 Section . .~.1.7 ....... Block . 5 .Lot 41 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .x. 7 .............. ,19.8. 5. pursuant to which Building Permit No...13.0.5.Q .g ............. dated ....... ~7.[J~l~..1.7 ............. 19.8.5., 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 ......... ...... CO~PLE[~LY. R~I~OVATE. ~)~I$TIN.G...O.N.E. ,~ .J~I, ,I,~.Y~, .D.W,E.L. Ie..[.N.G': ............... The certificate is issued to MOHRING ENTERPRISES INC. (ownor,~e~,s~[~X of the aforesaid building. Suffolk County Department of Health Approval ..... .N./.~. ................................. N734401 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION JULY 23, 1986 Building Inspector Rev. 1/81 Ft~e NO. ~ TO'hi O~ $OUT~OLD BUILDING DEPARTMENT TOWhi HALL $OUTHOLD, hi. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETIOhi OF THE WORK AUTHORIZED) N~_ 14050 Z Permission is hereby gra~t~Ltc: ...... ~A..._~...~.~..~.: ..... ~/¥ , ...... ......... ~.~.~....,.~......~..~ ...................................... ~ ......... ~... ..... .................... r- ,'~'~ ~ ,, ~ ~ ,~ ~, ~,,~,,~ ,~,,ed,, ..... ~.!.~.....~~...~t....M~....~.~l.~. ........ County TOX Map No. 1000 Section ...... J.L..'-./ .......... Block ..... .l~...~,.'~.. ........ Lot No ......./~../ ............ pursuant to application dated ........ ....~....~..~....Zm ................. , 19~..~..., and approved by the t Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 instal{ation 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 pZoperty 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 $15.0 0 3. Copy of certificate of occupancy $1.00 5.Updated C.O. $15.00 Date .................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~' ~ .~ ........................ , .............. ......... 5 ................ House No. Street Ham/et Owner or Owners of Property .~. ,~..,~...N~.~......~.~.~...~...~..~..~.[.~...~.~....,~..~..~. .......... County Tax Map No. 1000 Section ...~!.2 ..... '~ .. BIock....~. .......... Lot....~.( ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~/~ .~..~..~..Z¢. Date of Permit~.%".~! ?~/.~..~.Applicant....~.~. ?.~?~'..~.'~...~.. ~.~??..~..~. .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....~.. ................ Fee Submitted $ ............................. Construction on above described building and p~.~cabl~de~ ragu lations. Applicant...~,~-..'.~. Y/.~,~ ............... Rev. 10-10.7a ? ? TOWN OF SOUTHOLD OFHCE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner q~ t~..'~.~ (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this Notary Public,'~/~c County Notary Public DOMINIC ¥1S,~ICHELLI ~[O'~ARY pUBLIC, State of New York Ne. 30-4740331 Qualified in Nassau County -- Commission Expires March 30, 19 ~'r/ THE NEW YORK BOARD OF FIRE UNDERWRITERS .~006~'J. BUREAU OF ELECTRICITY 88 JOHN STREET, NEW YORK, NEW YORK 10038 N 734401 only the e~ec trlcal equipment ~ described be~ and int~duced by tl~ applicant ~med on the able application number in the premises of Mohring & Sons~ ~85 O~ha~d $~:~, New Suffolk, NoY. in the.followi~g location; [] Basement [] 1st FI. was exami,ed o, January. 30 ~ 1986 FIXTURE OUTLETS ].5 RECEPTACLES 34 [] 2nd Fl. Section Block Lot and found to be itt compliance with the requiremettts of this Board. SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT DRYERS OTHER APPARATUS: Smoke Detectors-., E R v I A W.O. NO OF HI-LEG OF CC. COND C E AW, G, OF HI-LEG NO. O~ NEUTRALS OF NEUTRAL General Elect. Contr's., Znc. llc. #533E ~~~z~ 2041 Shelley PI. ace ~ This certificate must not be altered in any manner; return to the office of the Board ,f incorrect. Inspectors may be identified by their cre~nfials. CQPY F~R ~U LDING DEPARTMENT THIS COPY~ ~ t ~ .... ~pFCERTIFIC T~, ~ OT, ~ ~ERED!NANYMANNER. ~ BUILDERS, LAND DEVELOPERS, GENERAL CONTRACTORS 460 GLEN COVE AVE. SEA CLIFF, NEW YORK 11579 516-671-0481 May 2l, 1985 Town of Southold Building Department Southhold, New York 11971 Att: Curtis Horton Re: 885 Orchard Street Gentlemen: Enclosed please find my application and check for the above referenced building permit. If there are any problems or questions, please call. Thank you for your cooperation and helpfulness. Very truly yours, MOHRING ENTERPRISES INC. Richard Mohring Jr. RM/dm Enc. C 765-1802 9 AM TO 4 PM FOR TH~ ._ ~' ' THE 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 Examined...~..~?A'~%...~..~..., 19~.~.''' Approved .. ~%a-r,~4...~."l .: 19~?. Permit No.~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Rec~. , 1 9 · . Date .................. , 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submftted 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 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 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 r~c~oval or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances,~ ~-z~ / ~'buildiy'g~gtfde' ll~fusin~code, and r0g'ulatior~, and to admit authorized inspectors on premises and in building for necessary~~~J:'---~~ ~ ' '~~ (~~/r n_ay~//f~ orp o ratio n ) ,... f ................ ~.~/~ ~;ng a~,e~,o~,~p~,a~t) State whether applicant isOlessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N~ne of owner of premises .. )~O..h~t~.. ~n .~...~ .p~..~..~....~..~.e ..................................... ~3 4(as on the tax roll or latest deed) If applic~~dy authorized officer. ....... ~/~t 1/o f corp~or[t e 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 ~vill be done ..................... ' .... . ......................... House Number Street Hamlet County Tax Map No. i000 Section ...//../. ........ Block Lot.'~'/ ". Subdivision ..................................... Filed Map No ............... Lot ............... (Name) . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ .~ .' ·. ·. ~. Intended use and occupancy ...... /. .~..~. · . ' ........................................ 3. Nature of work (check which applicable): New Building .~..' ..... Addition .......... Alteration .~ ....... Repair .............. Removal .............. Demolition .............. Other Work ............... . i (Description) 4. Estimated Cost ........... Fee ...................................... °" (to be paid on filing this application) 5. If dwelling, number of dwelling units..../ ........... Number of dwelling units on each floor ................ If garage, number of cars .... i .................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... 7. D~ensions of existing structures, if any: Fro~t .... ~.~ ....... Rear ...~ ........ Depth Height .............. '. Number of Stories ........................................................ D~ensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... i' · ' Height ...................... Number of Stories ...................... Dimensions of e tire new construction' Front ~ r ~ ~ Denth 8. at ............. Rea ............... ~ .............. Height ...~ .~ ........ Number of Stories .... .~ ................................................. 11. ~Zone:or use district in which p~emises are situated ..................................................... Does proposed construction wolate any zonmg law, ordinance or regulation: ~ ............................. 13. Will lot be regraded ...... ~[~ .... Will excess fill ber~vO from premises: Y~ No Name of Owner of pr~e{ '/~'~d ~ .......... 14 ........ ,,. ......... Address Phone No.. Name of Architect ......... ~ .................. v Address . .~ ~ .... Phone No ................ Nme of Contractor .... ~/~ ................ Address ................ Phone No ................ PLOT DIAGRAM Locate cle~ly ~d distinctly ~1 bu~d~gs, whether existing or proposed, and. indicate ~1 set-back d~ensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ' S.S COUNTY OF ................. ........ i.~-,~ __ ~A^. --,...~.( .r_~r4.~.0~..~.~. ~ .~.~q....~..~/~. ............. being duly sworn, deposes and says that he is the applicant : (Name of individual sigping c~ract) above named. He is the .......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file this apphcatmn; that all statements contmned m this apphcatmn are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~r er set forth in the application filed therewith. Sworn to before me this Nota~ Public~~~' .......... County NOTARY PUBLt~, State of Now Yor~ , No. ~0.474033~ ~ Q~alified in Hasseu CoOn~ ' ~