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Home My WebLink About26564-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-27552 Date FEBRUARY 9 2001 THIS CERTIFIES that the building ADDITIONS Location of Property 380 KIMBERLY LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 13 Lot 20.18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9 2000 pursuant to which Building Permit No. 26564-Z dated JUNE 9. 2000 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 DECK & TWO CAR GARAGE ADDITION WITH HABITABLE SPACE ON 2ND FLOOR WITH FULL BATHROOM TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN D. & TRISHA MOHRING (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-312519 - MAY 4, 1994 PLUMBERS CERTIFICATION DATED MARCH 23, 1994-CUTCHOGUE EAST PLUMBING *NOTE: THIS UPDATES CO Z-27238 D ED AUGUST 9, 2000. Authorized Si ature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26564 Z Date JUNE 9, 2000 Permission is hereby granted to: JOHN D & TRISHA MOHRING PO BOX 1721 SOUTHOLD,NY 11971 for CONSTRUCT A GARAGE AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. (THIS PERMIT REPLACES BP#20983) at premises located at 380 KIMBERLY LA SOUTHOLD County Tax Map No. 473889 Section 070 Block 0013 Lot No. 020.018 pursuant to application dated JUNE 9, 2000 and approved by the Building Inspector. Fee $ 157 .80 Au V13Ad Signature ORIGINAL Rev. 2/19/98 FORM NO. 3 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) PERMIT NO. 26564 Z Date JUNE 9, 2000 Permission is hereby granted to: JOHN D & TRISHA MOHRING PO BOX 1721 SOUTHOLD,NY 11971 for CONSTRUCT A GARAGE AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. (THIS PERMIT REPLACES BP#20983) at premises located at 380 KIMBERLY LA SOUTHOLD County Tax Map No. 473889 Section 070 Block 0013 Lot No. 020 . 018 pursuant to application dated JUNE 9 , 2000 and approved by the Building Inspector. Fee $ 157 . 80 A i9 izqd Signature COPY Rev. 2/19/98 } Form No. 6 � S - ✓�� TOWN OF SOUTHOLD FEB 9 BUILDING DEPARTMENT TOWN HALL 765-1802 m APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 19 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '-'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25V) 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . .Q 44. Q.97 A 0.r . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . g. . . . . . . . .. .... frY House No. Strom _ eet _tea Hamlet Onwer or Owners of Property. ' `'z. . . ,.,'/0b�- - County Tax Map No 1000, Section. . ) . . . . . . . .Lot. ." rP-. .� . X. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . .�.Q. . . .�. . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. .4?I R./n9P.O.Applicant. . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate.\� . . . . . . Fee Submitted: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _'P�O -tA7 5,5 a APPLICANT ' -U FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27238 Date: 08/09/00 THIS CERTIFIES that the building ADDITIONS Location of Property: 380 KIMBERLY LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 13 Lot 20.18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 2000 pursuant to which Building Permit No. 26564-Z dated JUNE 9, 2000 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 DECK AND TWO CAR GARAGE ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN D & TRISHA MOHRING (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 312519 05/04/94 PLUMBERS CERTIFICATION DATED N/A +a.�Pit Aorized Signature Rev. 1/81 TEL. 765-1802 �pSNFFp�Cp�,� TOWN OF SOUTHOLD f OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL y0/dol �� SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date 3/o- 3 C Building Permit No. Owne 1C� - (plb � 2. -ase ase prin )� 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 02S' day of .' a 19 q4. Cwa o otary Publ2'/ Notary Pu ic91N County / EF.00 N0TAW KMUG,siy0 W304318118 CommE��a,4p. � h�o�SUFFOI.teaG C* y� COD Z Town Hall,53095 Main Road p • Fax (516) 765-1823 Southold, New York 911971 y?101 �.�4� Telephone(516)765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 27 , 1995 Mr. Robert Mohring 380 Kimberly Lane Southold, NY 11971 Re: Building Permit #20983-Z & 21354-Z Premises : 380 Kimberly Lane, Southold Suff. Cc . Tax Map #1000-70-13-20 . 18 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Senior Building Inspector ��gUFFD(,�coGy� h�O Town Hall,53095 Main Roadp . Fax(516) 765-1823 P.O.Box 1179 IO Telephone(516) 765-1802 Southold,New York 11971-09594,1 O BUILDING DEPARTMENT TOWN OF SOUTHOLD July 6, 2000 Mr. & Mrs. John Mohring P.O. Box 1721 Southold, NY 11971 RE: 380 Kimberly Lane, Southold. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. ) ;25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26564-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. r a o�oSu>:Foc,�coG o� s� N = Town Hall,53095 Main Road p Fax (516) 765-1823 P. O. Box 1179 �' 0� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 27, 1996 Mr. ;J n Mohring 380 Kimberly Lane Southold, NY 11971 ***** SECOND NOTICE ***** Re: Building Permit #20983-Z & 21354-Z Premises: 380 Kimberly Lane, Southold Suff. Co. Tax Map #1000-70-13-20 . 18 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Senior Building Inspector Print Key Output Page 1 5738SS1 V2R3M0 931217 SOUTHOLD 02/14/96 08:25 :29 Display Device . . . . . . X5 User . . . . . . . . . . . CLAIRET NYSRPS ASSESSMENT INQUIRY DATE 2/14/96 473889 SOUTHOLD SCHOOL SOUTHOLD SCHOOL ROLL SEC TAXABLE PRCLS 1 FAMILY RES TOTAL RES SITE 70 . -13-20 . 18 TOTAL COM SITE 360 KIMBERLY LA ACCT NO 08 = OWNER & MAILING INFO === !=MISC !_____ __ ______ ASSESSMENT DATA MOHRING JOHN D & TRISHA !RS-SS ! **CURRENT** RES PERCENT 380 KIMBERLY LANE ! 1 !LAND 1,600 **TAXABLE** SOUTHOLD NY 11971 ! BANK !TOTAL 14 ,400 COUNTY 14, 40 TAO2256 **PRIOR** TOWN 14,40 ! !LAND 1,600 SCHOOL 14,40 !TOTAL 14,400 ==DIMENSIONS =__l =====_= SALES INFORMATION ACRES 1 . 03 1BOOK 11435 SALE DATE 03/10/92 SALE PRICE 325,00 !PAGE 274 PR OWNER OVERLOOK COURT DEV CORP __=====TOTAL EXEMPTIONS 0 _____________!_= TOTAL SPECIAL DISTRICTS 4 CODE AMOUNT PCT INIT TERM VLG HC OWN CODE UNITS PCT TYPE VALUE !FD028 !PK070 IWW020 !SWO11 F1=NEXT PARCEL F3=NEXT EXEMPT/SPEC F4=PREV EXEMPT/SPEC 75 . 10- 03-013 F6=G0 TO INVENTORY F9=G0 TO XREF F10=G0 TO MENU FORM NO. f 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°N° aije Date ..... .........., .�— Permission is hereby granted to: +s�.°� .... ,1a. ......................................... ,. . ...t?h�..�....... 1.... ......... . ... . .. . C .... ..yn/...... at premises located at ..� $d... : !^^7.�"�`�(....... a^S?4.......... ........... ..........:"--................ .............................0...........0... ........... 1 ....... 1........ . .... . .. .......... . .. . ... .. . . . . .. . .................. .... .... .... .... .... .... ........ ......... ..................... County Tax Map No. 1000 Section .......Q- —.... Block .......1.1....... Lot No., 9Q. pursuant to application dated .... ................. 191-)-1 and approved by the Building Inspector, Fee $...l�S�w:.��...... c Y i Qn�c Vim., t�..... ........ ....... ... .. ....... . ...... .. ... ' ing Inspector Rev. 6/30/80 TOWN ,OF SOUTHOLD B:1,LDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildic inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property line; streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form; 3. 'Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar build; and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings z '.`pre-existi-ig" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applica, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00_ Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $r15I.00, Commercial $15.00 Date . . . . �ji5/(... . . . . . . . . . . . . . . . . .. .. . . . New Construction.. . . . . . . .7. . Old Or Pre-existing Building. .l. . . . . . . . ( . n Location of Property. . . . :? . . . �,,01?- . .5� Y . . . . . . . . . . . . . . . . . : ?c n�)llY:. . . . . . . . . . House No. U Street�n Hamlet Onwer or Owners of Property.. G7 F77. . . . . .'.'� . County Tax Map No 1000, Section. . . . . . 1� . . . .Block. . . . .1�.�.2 . . . . . � .Lot. . . . . � D. . . . . . . . Subdivision.^^. .rr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Permit No. Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: TemporaryCertificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . n Uc/ Fee Submitted: $. . . . . . � . :. . . . . . . . . . . . . . . . . . . = a'� a� n APPLICANT o��gOFFat Town Hall,53095 Main Road p Fax(516) 765-1823 P.O.Box 1179 W Telephone(516)765-1802 Southold,New York 11971-0959 41 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 27, 2000 Mr. & Mrs. John Mohring P.O. Box 1721 Southold, NY 11971 Dear Mr. & Mrs. Mohring: RE: 380 Kimberly Lane, Southold. It has been brought to our attention that allegedly a septic system has been installed without first obtaining a permit from the Suffolk County Health Department and a permit from the Southold Town Clerk. Please contact this office so we may clear this matter up as soon as possible. Very Truly Yours Southold Town Building Dept. Gary J. Fish Building Inspector 0 Town Hall,53095 Main Road p . ` Fax(5 16) 765-1823 P.O. Box 1179 Telephone(516) 765-1802 Southold,New York 11971-0959 Oy dol BUILDING DEPARTMENT TOWN OF SOUTHOLD July 6, 2000 Mr. & Mrs. John Mohring P.O. Box 1721 Southold, NY 11971 RE: 380 Kimberly Lane, Southold. To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. )$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 26564-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS l,Ti�*amat BUREAU OF ELECTRICITY F— 83 JOHN STREET, NEW YORK, NEW YORK 10038 HAY 041 111104 01511 .094/94 N A142519 Dale f Application No.on fife THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abode application number in the premises of JOHN 11OHRTNr, KTI1RERLY LANE viae, SOIL"HO LD, N,Y, in thefollowing tocation: 9 8asentent '. .F'i tt=:11r{I ❑ Ist FL � 2nd d'I. .Section 8fork Lot was examined on AP"L M19'14 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS _DISH—WASH ERS.� EXHAUST FAN- OUTLETS SWITCHES — OUTLETS INCANDESCFNi FLUORESCENT OTHER_ AMT. K.W. AMT. N.W. AMi. NW AMi � N W _.� AML T.- H.P _ 14 14 1� 14 — DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS __. AMT. N.W. OIL M.r GAS H P, AMi. NO. A.W.G. AMT. MIP. AMT. AMPS TRANS. AMT. H.P NO.OF FEET _IIIbr Mr. IIr WATTS SERVICE DISCONNECT PLO.OF S E R V I C E METER NO.OF CC COND. A W G. A W G A W.G. AMi. AMP. 1YPE EQUIP. 1 SN 1 L SW 3%)W 3 X�W PER a Of CC.COND HIAEG OF HI lEG _I� Of NEUTRALS OF NEUTRAL L OTHER APPARATUS: FEEDERS-1. ELEC. W41 HEAT111k:�;: 1-3eO K.W. MOTORS: 1-F H.Y. PWIL'xOARPSsl -g ('.T..R, IM G.F.C.S:-10 �MnKE 11ETECTOR:-1 rPWT.N FORK EIIEC"I'RTf L7C.#34S3a-E JAHESPORTf NY, 11947 GENERAL MANAGER i ! Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION IST ( ) ROUG LBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACES & CHIMNEY REMARKS: G� f DATE ?�) `/cl/ INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING /'?o FINAL [ ] FIREPLAC CH MNEY REMARKS: 17 DATE / INSPECT s M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL ( ] FIREPLACE & CHIMNEY REMARKS: / � DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [/f--,�tOUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: _ ' ' DATE)/ �� `INSPECTOR 1 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [MING { ) FINAL REMARKS: �.4 2 ADATE5 INSPECTOR r M-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �INAL REMARKS: DATE �'� / �3 INSPECTOR i r • lit �« R \ MRIAM20 { BOARD OF HEALTH . . . . . . . . FORM NO. 1 3 SETS OF, PL INS .. . . . . . . . TOWN OFSOUTHOLD SURVEY i... . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECr Com . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . �_ c aglSOUTHOLD, N.Y. 11971 TEL.: 765-1802 2:oTIFY . �615--t/4/ KI - CALL Examined . �. �...I�_ . . . . . . . , 1qq�-- _ _ _ - MAIL TO: - • . . • • • • . Approved . .asap /mow ti.. . . ., 19?- Permit No. as`1. S3 11I0%2 . . . . . . . . . . . . . . . . . . Disapproved a/cV. X/9 2r.: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . . ?r�IY. . . . . . .. 19 .7 INSTRUCTIONS 11 a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appI cation. c. The work covered by this application may not be commenecd before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such perm 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 Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances r Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, d regulations, and t admit authorized inspectors on premises and in building for necessary inspe i s. . . . . . . . . . . (Signat e f applicant, or namce, if a rporation) . . . . .3. . . . K t . . . . . (Mailing adds of applicant) State whether applicant i owner; lass/ee, agent, architect, engineer, general contractor, electrician, plumberbuilde Name of owner of premises Vf-i-q. . . . . .tttl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � as-on the tax roll or latest deeee d) If applican a co oration, signa(ure f duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( a e and title of++c''orp�ioratgqe offic ) Builder icense No. . .n. 1 O.Q.I.4t0000. . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I. Location of land on which proposed work will be done. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � 0 It?7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3�So. . . . . . . . . . . . . . .��b . Lam. . 1. House Number Street 2 Hamlet County Tax Map No. 1000 Section/ . . . . .7d . . . . . . . . . Block . . . . . .t3. . . . . . . . . . Lota?b! . (S. . . . . . . . . . . . . . Subdivision . .PCsr4c�I5e . .v . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) .� 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .�.►.e.�.Fp1Wh1 . . .AW P�1t . . . . . . . . . . . . . . . . . . . . . .`... . . . e... . . . . . b. Intended use and occupancy . . . �� tsGsCc�yc° . .d . . W. . . . . .0 �' 3. Nature of work (check which applicable): New Building . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . _ Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . (Description) 4. Estimated Cost . . . . . . .?JQgQ. . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) S. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . If garage,number of cars . . . .`�. (_'Ar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . .Idy . . . . . . . . Height . . . . .w . . . . . . . Number of Stories . . . . . . . . . . . . . . . . ._ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . :. . . . . . . . . . Height . . . . . . . . . . ... . . . . . . . . . . Number of Stories . . . . . . . . . . . . . .. . . . . . . . 8. Dimensions of entire new construction: Front . . . . W. . . . . . . . Rear . . . . . . . . , . . Depth . . . 30. . . ... Height . . . . . .� . . . . . . . Number of Stories . . . .?. . . . . . . te+ .�. . . . �3. C.� . . G� . �`N�� .'� . . N . . . 9. Size of lot: Front . . . . . . )S.q . . . . . . . . . . . . Rear . . . . . . . . /�. . . . . . . . . . Depth . . . . .3P?4. . . . . . . . . . . . . 10. Date of Purchase . .ftf�. . !0. . .G2�?. . . . . . . . . Name of Former Owner . . . .mA kr ..j. . .CN('. . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . ,.rr /. . . . . . . . . . . . . . . . - 12. Does proposed construction violate any zoning law,ordinance or regulation: . . . .N.Q . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . .1J.0. . . . . ...M,, . . . . . . . Will excess fill be removed f om premises: es Nc 14. Name of Owner ofp remses . JAA. . .t.� Qt Cf kvS5 . . Address �`{ s Phone No. .�(z ciciif�. . . - Name of Architect . . . Ou b. . .�1J�rti.�MVJ. . . . Address . . . . . . . . . . . . . . l. . . Phone No. . . . . . . . . . . . . . . Name of Contractor . C1�^.j. . .�EP OSC. . . . Address .�4& . . u Nle. Phone o. .0J-4 on . . 15. Is this property within B00 feet df 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 from property lines.Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. '2,0 3 �p AAA ! I�lll 11 � ir� l�ec� `6 ("ej �r �e wh t STATE OF NEW YOR S.S COUNTY IC . . . . ,J.(�YsW. . . �. . .t 'lU�tijd r j. . . . . . . . . . . . . . . . . being duly sworn, deposes and says that he is the applican (Name of individual signing ontract) above named. / p — He is the . . . . . . . . .O'�?INGC. . . .G444t. . . ^?k4?N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi application; that all statements contained in this application are true to the best of his knowledge and belief;and that thi work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . .to. .� .day of. . . . . . . .. . . . . . . . . .. 19 q2 Notary Public, . . . . . . . . . . . County •upN S. YOUNG% NIJIry rUM4 (Sl ature of applicant Stnfa 0 Nr.York, t�1.fi0•m�7r , 31 �(gqrcn sf f "W all, S91}I r M�fz43p 61.00 pe ,9 W la 1 g9 I 1—T—I � - 4 � I aim Will y . _ , r �- - 51 APR VED AS WMEED,'�� ye 11 _ - - N0TIFN'. ®UIISi)ING 'OEBgRTMENT AT ,,. ' r - LPWING'INSF'cC,T,IONS: R THE POW 766+9 BO'L 9'AM'TO 4,PM FO,. 7. FOUNpATION - TWO REQUIRED_', , 1 FORPOUREDCONCRETE 2.,;ROUGH -ROUGH PLUMBING cif PE rte+ 3:;)N56LAT10N , - , NSTRUC-TON MU$TA. FIwAL CO BECOMPLETE;FOR GO, t -ET o '+A r k, ' J '�M 'r va ' RU TIO' %SHALL ACC;evNS7 4 N ' � t N"F.'S'�OF THE, N.Y,' '.&, REGI�IRENI - fl �'l' .�.'�,,.� '., , �. •� .STATE:-..CO'N,3TRUEiT1C1M:&. I�1 RnG M :OCCUPANCY ®R CGUP.A .Y 3; sR IBLE� FPR � +�.. .GOBI✓, �N07(>w' E PNS,. .., �. . . � � -...4_. . ,. ....- E iON� CON57RUCTIO..'ERROIi a r r V "t .d• I b..�.. � tl 4 y � [' ?�, a. r. , .,,,. .:, ,.,.,.�,.., bck , r' i.+ar : ', x✓' it "t „I - y . ^a�.� pV..'✓"r � a�. -s h* ...1 t:d: � � .'� . r,: P' .h .. i �. � v. n � :Y •�" � �Gm -.- r, � v ,phi! . . .,,. .J. .. , ,- ..� .•`;`11P� ,, `de+ R: ' � . ',K �` e.• l I UT « �: ., "2 r...; .,. 4 : x.„ i. 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LP�{vNi-k kik tliie 4016 ralba W700 Gr�.yl4�U - '' itl 41.nttlo.pirlt logo. 4016. f./iF➢ ''fi - .HH34tIMd1'Q,U'�n4 Ad tam'.CoaaiU'1gyM tl0a t/110 -o k Att1m b[.H .11 L W'ite A.at{lM 4sn Hll) 0 he :Lala. ilio Lf_ - talowr �rvfot I o'" 4 „ � 3 11 �,4t..tr�1717f3�aa'�2- _ Root{.. 4b Ptul ]0lba i14a Want fonHl II t I ' u'; �i n i� li t. �>`I 2C[)K>� I'll. All o!0 1 eelartu, flush ��^+ 3 V 01 U' Mme" �� i�'V�I ��' I� li l GII rf�, P el"oe sta lora• lank•{. CO has " ALWetstod In Zw`i' � �tralL e:enAYH with NTM obndeget.M /Hbllttl 4n atnmonH vlN A4C etsM.eda. 40.1451 b be 240 1►. Hl!-.Hunt 4 halt ohblln'. Roll [oailaa. WnoEl "r¢ G '''f1-• •'ld•d. to Ze 1. In., {swab Hnetlo. 41a a+lvq.• A•0blt ohlnllu to 9� 'f? 1i.a os Isla. Hvblt-a•ta[Pt.a tale. owe.vt aawal. loge ga-e. HaVtHa .. F � ba oMaa t An tl. — .. (:?-) 4011 ��1L Wr'ilq"' Lt>�"I,> c e✓ I x>;faP L>-Tt6et _1� 'tI hoodat "its toA b,ia.wldod eat .1l Low ndotAn 1113.. MF4n� Geon Oft. ft 14•• a• Y•-0. goat•fro• Its. dw an I D Ill!Ce�Hdt{r"ilnlatto�Vravidad In 011 11ao[ 'ewne .t I.hotV.lo not o.Ceeatnq an l' a Tr aaLLd wood. .' Htal. "I,/+ halting to as on vie gas iwHH.naa null, .Chedol. .9 the R.T.R. Calla ,i�Iy¢ �tdr(JI' Clay GGA 'llHwl flHot.mi.w t5 as 11"Idm m got evctlan 0-402-1.1. 17.1 �jN�� rub/• , e' �'N Isle.. W31 .Anlbin0 0b11 b nlhhn..e too Lol}awNgr hri��+f,�.�w.r YY p �OUIw`� Cot'ILiir`fL' 1/L� of 2/t• Ikywood ' hal ui+ mil-Nat. libtbHCd .'Il. Regie .bsthl to to has l/]', IAfe et •awl .di Dlywoa. — M dook"otlM b• M t-" INA•[ n-ad t[sdedl 01anoall yN3 AwYkt.kbo b p tWr11e .M 1H.rH at blmR./ on .11 uwapwgtN odau. Yi CfatifllsT�% 5�3 .Irl. 9"416 MAX Ranh H I!It. Double joist. "dog OOIILL .Cliff".e a N., trills stub an 0Mnln. .wo. ! �iY+fin •IRI I! ,SHV lalartq, t O.Pllel to Nos .M b[ ho.dn. sea 1. All roof and wall plywood panels shall be exterior COX grade shall ..net the ' requirements of the, latest edition of toe U.B. Producet Standard PS-1, and �04 ,hall be indenti Tied with thea ppr opiate grade trademark of the American ,.�alymood .t the tion. All plywood vlatest pinion of be same os stove and shall n, s the requirements cl the latest edition of the U.S. Products Standard P6-3 and .hall haw lndenkl tied with the appropriate grade trademark Che Amer 1'ean :. Plywood Aaeo'i align. 12. All structural framing lumber shall be 112 or better. Hem-Fir fb = 115u P,.. E . 1,400.000 del (minlmua). Nall studs shall, be Hem-Fir 02 or better. Raame add headers shall be as indicated on plans. -3. All ,wood exposqd to the exterior and roof blocking thal an Wood prrwsure Irir ated in .c'ordoiicu with the ferjul rea<nts of the current ANPA Standard C2 - I'or water-borne preservwHve treatment. All Wood must be I.belod certifying _ Cy TF coetormsnow to requtremenks dlrNct. 1. Wood structutol gwm44ra in con-act with ms.1 cr or to de must be prHtrvotive txeatbd wlttil ignpi l-bocce cheMM With pr a AWA to aids- to retei)t1and abd peneoratlona h ll be anew doth the ANPA Wood ...be, Land .Illfloating II ,:,i�Hakwe and mpg wturY.4arrf er shall be prmytdNil betwe.n uwod mrmbere entl well, . 11 ;. Where rafters and Jpl.t. frame Into other wood beams, provide Teco U-0, in. _ ff �l�Zl !8 gauge galvanized steel Joist and beam hangers. - 9T(• Uh I1 Flanh' a33 junctions where Work,cel mauls horizontal. � + n' pk4Interior walla and partitions will on 3 4/e"' meCal studs or 2" xt" woad tl. 16" on can with 3/S-- fit. code gypsum board, tap00 and spocklad three bate-or otherwise required by code. - ' •. o.. :Qa . Fast." -eeCurely ell parts of crpentry Work in their proper place. grace, plumb and level all m•{fmy.into and yacuro with soft{cent nails, screws, spikes and boll; "to Insure rigiditw a Nail lapped Joist. over any b.rinq. together with' two (2) lad nails. " LE I t1). ,T'Provide valid .urfede at I...t 1-1/4 Inches aldq !n both direction. all ..� '�( V � �(�hi !'�`Y.JG ' 3 garners for securing aubflbor3nq, tlrywll,, etc. Form sur laces with framing "--'�-"-- -- i tembRre or wjtbrt Wo (2) tnab wind boocking 'w.%'rvd with at leHt"t i iii In