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HomeMy WebLinkAbout20227-z R Q - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20475 Date JANUARX 13, 1992 THIS CERTTFIES that the building NEW DWELLING Location of Property 33610 MAIN ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 2 Lot 13.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 2, 1991 pursuant to which Building Permit No. 20227-2 dated OCTOBER 23 1991 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 WITH ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to MOHRING ENTERPRISES INC. (owner) of, the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-109 - JAN. 9, 1992 UNDERWRITERS CERTIFICATE NO. N-215135 - DEC. 2 1992 PLUMBERS CERTIFICATION DATED JAN. 9, 1992 - CHAS. SANDERS PLUMB.&HEAT. uilding Inspector Rev. 1/81 nixes xo. • TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST 8E KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Na 20227 Z Date ....s~:~ 19.~/.~ Permission is hereby gran ed to: I { .323 G'~~ ~ ~3 3 /a ~ ~ at Premises located ot .,~.-.~~..~~..~®........~f....... ...................................................~~{.r......................................................................... k /J County lax Map No. 1000 Section/ ......d...~......... Block Lot No......~~.:...~~...-. pursuant to application dated ../1.~~'~' 19. and approved by the i ~ Building~,/Inspector Fee S.•T.`•~:3.:..•',ls~^0 / / .J~ Bui g Inspector f Rev. 6/30/80 r FORM NO.6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1II02 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ® to the Building Inspec- torwith 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, acertificate 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 19571, Non-cor4forming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 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 POOLS $25.00 1. Certificate of occupancy Neca Dwelling $25.00, 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 9.Vacant Land C,O. $ 20.00 5. Undated. C.O. $ 50.00 Date ~,_..~._Cj'.a NewConstruction,,,,,,01dorPre-existing Building Vacant Land Location of Property ..3`3 6 ~ ~ /y.9-iN , ~D.... . ~.~~,~~C......~/, t/: _ , . House No. Street y~ Hamlet Owner or Owners of Property ~~~~~!~~~...~/r!T.~!Q?°,~/S',~SS; ~ , ; ! ~/c ; , , , , , , , , , , , , , County Tax Mwap No. 1000 Section Block , Lot , ..~:3; , Subdivision .41e~~7./~~.. ~~T?.7"u~4E,5, , , , ,Filed Map No. ..........Lot No . . Permit No.~4s?v??. Z. Date of Permit! :°?3°.`~~,Applicant . ~'~0.~`}rQla~~ ::1!:/,C; , , , Health Dept. Approval g. , , , , ,Labor Dept. Approval . Underwriters Approval .........Planning Board Approval Request for Temporary Certificate .....................Final Certificate . Fee Subrnitted $ . Construction on above described building and p 'meets all applicable codes d regulations. Applicant. Rw. 10~10J8 ~ 1I55o1~ THE NfW YORK BOARD OF FIRE UNDERWIRiTERS PAC.Y; 1 BUREAU OF ELECTRICITY 65 JOHN STREET, NEW YORK, NEW YORK 10038 i ~ OECEMHFR 02;J991 75d,1;;991/91 N 2I FT 3R Dote Applirotion No. on file - THIS CERTIFIES THAT only the eleetrieel equipment ar dsecribed 6sbw and introduced by [he eppNeent nerved oq the above rygdiceNon number in eke premisse of f40HRING F;NTERPRISES, 33h2 MATH ROAD, Ctl'CCHOGIII';, N.Y. in thefollowinp for [[~~JJ g~ ? /xt Fl. ? Ynd FI. t;AR/0117 Section Bloek Lot ~S~PENB~R U2mt°~`~31 was examined on andJound to 6e in canFpliance with the reyuirensenb of thts Board. ? RXTW! RXTURES RA COOKING DECKS OVENS qSN WASNHS EXNAUST FANS OUTLETS ACTES SWITCHES INCANDESCENT ~ F1U011ESCENT OTHER MAT. K. W. AMT. K. W. AMT. K.W. AMT. N. W. AMT. M. P. ii 6 5 6 i gtYERS RNINACE MOTORS NNE! MNIAHCE REDEES SRRJAL RK'rT llA1E CLOCKS pLL U/NT INATERE AIINT40Ui1ET gMMlRS AMT. K. W. Oll N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMTS. TERNS. AMT. N. I. ~ ~ AMT. WAIri - ~ F 1 12 1 SERVICE DISCONNlCT ftO. OF E E R V 1 C E AMT. AMP. TTIE Vii. i,e aw i ,e tw L s sw a u Aw No. o~ +coNO. oP cc cG' No. of N~.iee a ~ rio. of NEUrtus a '~~i 1 200 CB 1. X I. 4/0 1. 2l0 OT/IEE ARNIRATUS: MODULAR HOME Si'RLAL X44179-1 MOTORS:].-1 H.P. - G.F,C.I:-1. 390 OPFRA'C[i'IG ('.(1RY. LTC,}~26k 1.555 LOCUST AVF.. , e HOHF.N7A, NY, 1.1'71.6 oElARAL `x 71 E Per This nrtificab must not be ol»red in any monnar; roturn to 1M office of tM Eoard if incorrad. Inspectors may be ideMifi~d by their credsntiols. CI'lPPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST-NOT BE ALTERED IN ANY MANNER. Jurtuu~~ 1'Ii1;. 765 18u7, 4~45~~FU(.W~OI~' 'T'OWN t)I' 50QJ'i'~IOLll ~ .z UCFICF.OP lll11LU1PIC INSI'ECI'U12 ~ I'.U. 130X 728 Oj, SOU'1'E101,ll, N.Y. 11971 C E R '1' I F .L C A T I O N Datn F3uilding Permit No. ~G,2a7 z Owner/~-¢~~iV r` . (please print) PlurrWer~~j~,y ~N~G~~1`5'~~ (please prizlt) 1 certify that the solder used in Elie water supply system contains less than 2/10 c7f t~ lead. l,r _ _ (pLU~ er's signatuz;r.l Sworn to bef~s~~ ma this ~ day of 19 e.." q~ J( Mary Pub1.Q~ Notarl Puhlic, County susar~sv.cnNC~ao Nornrsv wetrc, sup a n~wvanc tdo.sasatecra via ~ , ao,,,vy tJwmngelao FxPAup.3U, 16 92 .-'j.•t J .1J:i ~~`Jn:.. 1{ ~.~:.`fi4tNT~ I ~ Q 1 1, M ~ [7~ a i, I ~ ?OUNDATZON (1st) I ~ ~ FOU7lDATION (2nd) 2. I o 'OUGH FRAi-1E & I ~ ~ •PLUbiBING I ~ 1 I fn 3 . ~ I~ a ra n I17SUL;,TI0;1 PER N, Y, I ~ -a STATE E7IERGY II CODE II T 4, ~ m~ ` FIilAL ~ • I ~4~ ADDTTIOPIAL COMMENTS: x S • - ~ F r . X 't7 `~q . ~ 1~\ • y W m r ~ - ( . m y . ~ o ! ~~Z 765-1802 BUILDING DEPT. INSPECTION [ ] F DATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ DATE ~ INSPECTOR UC1~~~W~,~; BOARD OF HEALTH • . • • • . . u i FORMN0.1 3 SETS OF•PL.\NS.•....••.• ~ TOWN OF SOUTHOLD SURVEY Q~ ^ 4Ig91 ' ' BUILDING DEPARTMENT CIIECF . ~ TOWN HALL st:rTlc r•oltrt -m°-°°""""`""°'"' SOUTHOLD, N.Y. 11971 t3LD0 CtCP7 TEL.: 765-1802 t;OTIFY2 TOWN OF SOUYttOLi? CALL Exaaiined~Qa~~ . , 19p~~ ' MAIL T 0 . . . . . . Approved I.Q~j..........., 19/,~PermitNo. /`.l.d.~27~ ! Disapproved a/c . l~u~lding Spector) APPLICAT/ION FOR BUILDING PERMIT Date , tJ~ ~ Zj 19 . INSTRUCTIONS a. This 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 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 f'or 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'I Inspector. APPLICATION IS HEREBY MAD 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 ar Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. pp g p p P 11 applicable laws, ordinances, building code usi~ cue and re tion nd to The a licant a rees to com I with ~ and in building for necessary inspection/s2.~ admit authonzed ins ectors on remise. - - (Signature of applicant, or name, c poration) c~~ ~r~~2i~ ~e ~ecje~~/~'~~' (Mailing address of applicant) State whether applicant is owner, les$ee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......~~~%M ~f~ ,L~c3~~ ~i?C.'.... . (as o the tax roll or latest deed) If a licant is a p a n, s: a r o,f ly onzed officer. pP ( ameandtitleof rpor e'..~.~.~....~.~. ,officer) / Builder's License No. ~:a~ , S.~l~~! F'. Plumber's License No. .........ILL . . Electrician's License No. .......I~' . Othar Trade's License No. I'~ . 1. Location of land on which proposed~,work will be done. .../.I . 3 ~ JO ~ ~ ~ cat' C~ ~v,~`lud~reeX cwt fG~l ~.:e House Nwnber Street Hamlet ~ / County Tax Map No. ] 000 Section ~ Block 2 Lot `3'..Z !y/~na~ C~,f?el4 ~/rie C%2Gf~crL~~.S l Subdivision 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 G K / b. Intended use and occupancy {I ~ •~dH`''"+~ ~ ..(~K , , , , , , , , , , , , , , , , ~ d! 3. Nature of work (check which applicable): New Building Addition Alteration , . Repair Removal Demolition ..............Other Work , . ~s, UO ~ (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 Z 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . imensions of existing structures, if any: Front Rear Depth . Height ...............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 `.7. Rear . 2.~.......... Depth : ~ 1~, , • , , , , Height ....2,~f • , , , , . Number of Stories .....2,....... • • , , • , 9. Size of lot: Front .....~V~.'i? . Rear ,2.J~. ~ Depth ~.:3•..7~.......... . 10. Date of Purchase ~~1.~~~ `j, , , . , , , , • • , , • • • , ,Name of Former Owner . . . 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: `?G 13. Will lot be regraded ......Will excess fill be removed from premises: Yes lvo~ 14. Name of Owner of premises ~G~9PJ.~t5,~-+t. ~ .~/?G, Address . ,3~ Gr~r?~9,~e Phone No. ~?.?~^C:~(Sl , , , • Name of Architect O .....Address ...................Phone No... . Name of Contractor . ~~?t! re •~-xti~ ~tic_ , , , , ,Address . ..~9.~~ phone No..~0. ~,1~.{, 15. Is this property within 00 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 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 COUNTY OF . ~~:SS/a'-~ S.S . • • • • • • • • • • • • • • • ~ G~`~~•~•~ • • • • ~'~f being duly sworn, deposes and says that he is the applicant (Name of individual signing contract above named. He is the ................~''.~~?~-A'~ls-~.C,~~`e~............................................... . (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 this application; that alt statements contained in this app]ication are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ................:?`.a. ~n ...day of ~C 19!'1 Notary Public, ~ •siasrn~:F.cords~AC • ~w.~c~,, County Noragv waw, sue w wew rau w.swsie~v ooMlea a?Aa..u . CaaeabWa EKpka Nq. t9 9~- . ~p~ S nature of applicant) ~tW.c._ Cac~./~-C.o..-GVL~ 0 - . `s~~ai~ +Ent~i~.~r awE~~.iNG ©N ~~~~~`.',P,~E~~E NOTE ' P{RCS TW©Y~ARS•1~F3~Ad i?~17E t~F ~'~R'~1. ~;t"'; iitequite~ `~ptiC tank ° 5~~ t+~c~usa'~ tg~grade. (rj ~e~(~Np CL ~~¢.•,Qp ?om~snow - - ~ Sgso $ or for Mti~~• / i /S~e~ yche ~ i Ss~D / ~ \ h°~ o i ~r~'O 38/s~ \ ~ O~S f 2p.0 '~O / / AJ~ PROP° ~ O ~~D wE`L ~ ~ / ti~ ~~P ~ / i . p / fJ~ 6~/ ~ J yp ~ a B°~ O w ~ PR ~ \ F[a Sv NOrq S~ ~`HTOE° : Fla i \ Z6.p STEMR~~ >ZO bE kO~~,P P ?ap X69 S GeDi br ~ \v ` ~ C / ~ ~ /Sao W R/G~`/ a l\ a~ HT D~~ now \ N (.y fOr p0, ~ ~ - - - - ~ op/k ~ a Wq S4 ss' n Fj , Nseo Y ~ uw or G iS' ?O L~ c F N` S / q/ r nOw OO w k ~ S• rmur/Y ~ f ed or _l 3' 9ui~ s q. V for o o ~ OAS hori ~ Cnh°SSe er/y 2j4ei v a a ~ ~~nh ' ?c D osse/ Fre pow h 0 o NO~CSriC e Or form \ y F Fide er/y F~'aemmO"" $ °~n SURVEY FOR ,urrOLK COUNTY DEPARTMENT OF HEALTr+ sERVtce: MOH RING ENTERPRISES, INC. FOR APPROVAL OP CgMSTRUCTION ONLY AT CUTCHOGUE DATE: SEPT. I5, 1969 Oa TOWN OF SOUTHOLD scALE I so' )ATE ©~IF7- Hs REF. NO~Q SUFFOLK COUNTY, NEW YORK N0. 89 -0994 K UTN01112 ED ALT[RATION OR 4ODITION ro THIS SURV Y 4 A VIOLATION OF SECTION ]209 OF 7NE 4PPROVED ORK STATE EDUCATION LAw ~ ~ O~ NCOPI ES OF THIS SURVEY NOT SEARWG THE LAND tE OF Nfk.6 SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SX4 LL '1P NOT S[CONSIOERED TO SEA VALID TRUE COPY 4 O KGUARANTEES INDIGTEO MEPEON SHALL RUN ONLY TO P.~D W, j N~, NEALTM DEPARTMENT-DATA FOR APPROYIAL TO CONSTRUCT T~ PERSQN FOR WHOM THE su MEY IS PREPARCD O AND W NIS BEHALF ro THE TITLE COMPANY, GOVERN- $ G~ M NLARLST WATU1 \AIN ~,M, I,, S NSOURCE Of WATER~~ PRI MTE _PUSIIC_ MENTAL sGE NCY ANp LENDING INSTITUTION LISTED ~ ~ N S{R? CO. TA%MAP 01ST Iw.. S[CTION BLOCK l0T 13.2 HERE OM, AND 70 THE ASSIGNEES OF THE LENDING y M TNLR[ ARE MO DWELLIINS WITHIN 100 FEET OF THIS PROPLRTY INSTIiUTlp1 GUARANTIES ARE NOT TRANSfERASLE OTN[R THAN THOSE SHOWN N(REOM TO A001 TIONAL INS TITVTIONS OR SUS SEOUENT N TNL WAT[R SLIMLY Alb S[IW1SE DIS/OSAI lYSTLM FOR MIS RCSIDENDC OWNERS WILL CpIfORN ro TNL STANOARDf OF TNL SUMOLK COUNTY DL?ARTM[NT N OI STANCES SHOWN HEREON FROM PRO?EPTY uMf3 TO EKI3 TIMG STRUD TU RCS ARE i0R A SPECIFIC I I~~..~, .;y,~ OF NCAL TN SLMIC[f. PURPOSE ANO ARE NOT TO SE USED TO ES TASLIEN . ..`r. ~ ~~9 & ARLICAMT~ PROPERTY LINES OR FOR THE ERECTION a FENCEf igf, O AOOR[f5 tANO 4UEV "L YOUNG a YOUNG'° E~~"~w YoR E NOTE: p =STAKE ¦ =MONUMENT ALDEN W.YOUNG, PROFESSIONAL ENGINEER ARE ~ LOT 1 ,MINOR SUBDIVISION 'CREATIVE VENTURES". AND LAND SURVEYOR N YS.UCENSE NO t284S HOWARD W YOUNG, LAND SURVEYOR N M LOCATI0110I W4LIW), S[?TIC iANKISTIS CFSSPOOIf(C/) tNOWN NUILON N.Y. S. LICENSE NO 45893 a ARE FROM fl[LD OgERW1Tig1! 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