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HomeMy WebLinkAbout18667-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219520 Date NOVEMBER 20, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2155 LONG CREEK DR. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 07 Lot 07 SEC. ONE Subdivision LONG POND ESTATES Filed Map No. 8037 Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 24, 1989 pursuant to which Building Permit No. 186672 dated NOV. 24, 1989 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, ATTACHED rnuar:r? AND DECK. The certificate is issued to MOHRING ENTERPRISES INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-105 JULY 26, 1990 UNDERWRITERS CERTIFICATE NO. N158426 OCT. 31, 1990 PLUMBERS CERTIFICATION DATED CHARLES SANDERS--NOV. 16, 1990 Building Inspector Rev. 1/81 1011[ N0. f TOWN OF SOUTHOLD lUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. 6UILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N 18 6 6 7 Z Date ..IS~.~-~1~:1,,.... 19 89. Permission is hemby granted to: C.:.. . . ' ~ . . 7 .tea . . . . . . . . . . . . . to .~.'r.~'~9~45~.......9a...i.T.?1.0....~A~^~H,~.I.......J..?..Nk.`.4.~.!'r.4~.w4~ ..S.1rt.......ri~.ILeS4.e( ~ T of promises located at ~!.-?~....~~q...1.~4xf.IR:....k~?..~:........ 'r~` ..................................................................1............................................................................................. . County Tax Map No. 1000 Section ....f.~:a~•a~......... Block ....°..1......... Lot No....Q..] pursuant to opplicotion doted ...~4!:44?:!!~~h......~.~ 19..1.., and approved by the Buildingr~ Inspector. Fee S•••b7d:•• . . Building Inspector Rev. 6/30/80 ;1 ~x~- ~ ~\h 1,~ \ FORM NO.6 15 N L5 l~''~`~ ,l1J.V.1V1',yJ" v'J TOWN OF SOUTHOLD 'J,~~ Building Department Town Hall 'l~ Southold, N.Y. 119]1 ~~o n'~ 765 - 1802 BLDG.OEPT. APPLICATION FOR CERTIFICATE OF OCCUPA CYTOwN DF SOOTIi0L0 Instructions A. This application must be filled in typewriter OR ink, and submitted r• ~ 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 1957), Non-conforming 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 New Dwelling $2.5.00, Accessory I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 1 0.00 4.Va~ant Land C.O. $ 20.00 S.Jndated C.O. $ 50.00 Date ..1~:.!~.-~.6 New~r~^~truction,,,,,,OldorPre-existin Buildin Vacant Land / 9 9 Location of Property LP.N. ~ ...C-.i.~ ~eP/Y.4..,.. ~P.~.e.~Nu~J-~...!~ I'.. . House No, p~ Street / /Hamlet Owner or Owners of Property .~"/cif~i.P!!`!6...~N..T~/~,P~~.P./.~l.~s...~..C/.)!C:-...... County Tax Mllap No. 1000 Section Block ~.7....... Lot ...4.'......... . Subdivision G-v~/6'....~v~?....~~ Z-f??~:5..Filed Map No. ..........Lot No. . . Permit No.l d'(~v.~z. Date of Permit ~/.-P?`f~S~Applicant .~0./.'/.uE'l/Y.G • • • .~N'.~: • Health Dept. Approval ~.°J..:-~~/0. !..dO~....Labor Dept. Approval . Underwriters Approval l,.F~~~-? ~ .........Planning Board Approva! Request for Temporary Certificate .....................Final Certificate ~ . Fee Submitted $ .4TtT . Construction on above described building an it is all app ica a co sand regul tons. Applicant , f.'~. ~ . R~.,o.,a-~a ~ yo ~6y ~'a z lySao Ir~~G~yo ~Q ~7~P~/~tll~~ V 71G. e„Ne.?.~a ~.eme oswwp.. X23 OiM Cow AwnN Ss~ t~ifl, t1~w cork 11579 (515) 571-oe5t BLDG. DEPT. January 8, 1989 TOWN OF SDUTHOLD Southold Building Department Town Hall Southold, NY 11971 R8s Long Creek Dr. Lot #5 Dear Sirs Enclosed, please find the Foundation Location s;uroey in regards to the above captioned. Should you have any questions, please do sot hesitate to call me. Thank you. S erely, Richard bring R?Is ah i _ , .94206 {91BH-25< ~ NEW' YpR% STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEf PFRAIIT`NUMBER EFFECTIVE DATE 10-89-0154; ~ 3/27/89 FACIl1TY1PROGRAM NUMBfgp) PERMIT E%PIRATION DATEIsI Under the Environmental Conservation Law N/A 3/31/91 Article 15, Title 3: 6NYCRR 327, 6NYCRR 608: ~ Article 25: 328, 329: Aquatic Pesticides ~ Water Oualily Certification N Tidal Wetlands r~ P oitecClon otltWater ~ SPDES 17, Titles 7, 6: ~ S lid Waste iMa ageme tRR 360: L_._~ WateBS pplyte 15. ~ ArtiPolluton Control' ~ Hazardous Walste~Management3• Article 15, Title 15: ~ Article 23, Title 27: ~ Article 34: Water Transport Mined Land Reclamation Caastai Erosion Management l___-J Long Island WellsS~ ~ Frelshwater Wetlands ~ F oodplarn Management Article 15, Tiile 27: N-New, R-Renewal, M-Modification, Articles 1, 3, 17, 19, 27, 37; Wild, Scenic and Recreational C-Construct ('only), 0-Operate ('only) ~ 6NYCRR 380: Radiation Control Rivers PERMtT ISSUED TO Richard'Mohring, Jr. (Mohring Enterprises) AUURF55 OF PERMITTEE 347 Glen Cove Ave., Sea Cliff, NY 11579 AGENT FOR PERMITTEEKONTACT PERSON 7ElEPHONE NUMBER N/A NAME AND ADDRESS OF PROIECTIFACIIITY (If dillereM Iwm PermineH Lot 115 Long Creek Drive - Arshamomaque Pond LOCATION OF PROIECTtFACILITY COUNTY TOWNICIIRNII2[a0E UTM COORDINATES , Southold Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY construct driveway a minimum of 75' landward of tidal wetland boundary as per attached NYSDEC approved plan, dated 1/9/89. GENERAL CONDIt10N5 By acceptance or this Dermlt, the Dermitlee agrees that the permit is contingent upon strict compli- ante with the ECL, all applicable regulations and the condiliom specElied herein or attached hereto. 1 the txrmittee shall file in the office of the appropnate regional permit adminisuatoc or other office designated in the special conditions, a notice ul intention to commence work at least ag hours in advance of the time of commencement and shall also notify himlher Promptly in writing of the completion of the work. 2. The permitted work shall be subject to inspection by an a,nhonzed repmsenlalive of the Department of Environmental Conservation which may order the work suspended it the public Interest io requires pursuant to ECL §71-0301 and $APA §IO1DI. ' ~ s :he permntee has acceptad expres>IY, by the execution of the application, the lull legal rrtponsibilitY for ail damages. din•cl or indirect, of whatever nature, and by whomever suffered, arhing out of the Drojec[ described herein and has agreed tq indemnity and save harmless the Slate Irom suits, actions, damages and costs of every name arrd dexrip tion resulting from the said Project a. The Department reserves the right to modify, suspend or revoke this permit at any time after due notice. and, it requested, hold a h4aring when: a) the scope or, the prglect Is exceeded or a violation of any condition of the permit or provisiom of dk ECL and pertinent re0.uRtions are found; or b) the permit was obtained by misrepresentation or lailum to disclose relevenl facts: or c) newly discovered information or significant Dhysical changes are discovered since the permit was issued. 5. The permittee Es responsible for keeping the permit active 6y rvbmining a renewal apphca0on, Including any forms, lees or supplemental information which maybe required by the Department, no later than 30 days I7g0 days for SPDES or Solid or Ha:arduous Waste Management permits) prior to the expiration date. b This permit shall not be construed of conv<Hng to the applicant any right to trespass upon the lands or intedese with the riparian righn of olhen in order to perform the permitted work or as authorizing the impairment of any rights, title or interest in real or peoonal properly held or vested in a person not a DartY to the permit. T. The permillee is responsible fa obtaining any other permits, approvals, lands, easements and rightsal-way which may be required for this project. ' B. lauance of this permit by the Department does not, unleu expressly provided tor, modify, supersede or rescind an order on consent or determination by the Commissioner ' issued heretofore by the Department or any of the terms. conditions. or requirements contained In such order or determination. 9 AeY mgdititation of tfih permit granted by the Department must be in writing and attached hereto. PjgM1T~5$yANGE.DATE PER IT MINI BATOR ADDRESS Bld Q. 4Q>SUNY,Rm. 219 331/YY// ttSS99 Christine J. Costo oulos StoET Brook NX 11794 AUTHORIZED SIGNATURE { - , f it ~,i~ ~_t~ ~ ~ y~-~~.' ~ Page 1 of 3 t cc: Brute t - - 95-206a (1186)-25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34, 36 and 6 NYCRR Part 600 ( ) • lU. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in [he position of the structure or work herein authorized, or project. if, in the opinion of the Department of Environmental Conservation 14. Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly, without leaving large refuse piles, ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage [o navigable channels or to the banks of resources of [he Slate, [he owner may be ordered by [he Department to a waterway. remove or alter the structural work, obstructions, or hazards caused 15. There shall be no unreasonable interference with navigation by the work thereby without expense to the State, and if, upon the expiration or herein authorized. revocation of this permit, the structure, fill, excavation, or other 16. If upon the expiration or revocation of this permit, the project hereby modification of the watercourse hereby authorized shall not be com- authorized has not been completed, the applicant shall, without expense pleted, the owners, shall, without expense to the State, and to such to the State, and to such extent and in such time and m,~nner as the extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require, remove all or Conservation may require, remove all or any portion of the uncompleted any portion of the uncompleted structure or till and restore the site structure or fill and restore to its former condition the navigable to its former condition. No claim shall be made against the State of and flood capacity of the watercourse. No claim shall be made against New York on account of any such removal or alteration. the State of New York on account of any such removal or alteration. 17 If granted under Article 36, this permit does not signify in any way 11 That the State of New York shall in no case be liable for any damage that the protect will be free from flooding. or injury to the structure or work herein authorized which may be caused 10. If granted under6 NYCRR Part 608,theNYSDepartmentofEnviron- by or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not conservation or improvement of navigation, or for other purposes, and contravene effluent limitations or other limitations or standards under no claim or right to compensation shall accrue from any such damage. Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 12. Granting of this permit does not relieve the applicant of the responsi- (PL 95-217) provided that all of the Conditions listed herein are met. bility of obtaining any other permission, consent or approval from 19. All activities authorized by this permit must be in strict conformance the U.6. Army Corps of Engineers, U.S. Coast Guard, NEw York State with the approved plans submitted by the applicant or his agent as part Office of General Services or local government which may be required. of the permit application. 13. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, Such approved plans were prepared by solvents, lubricants, epoxy Coatings, paints, concrete, leachate or any Jahn MetZgerrL, S, 1 ~9~89 on SPECIAL CONDITIONS 1. Driveway shall be constructed of permeable materials. Supplementary Special Conditions (A) ttlrough (J) attached, DEC PERMIT NUMBER 10-89-0154 - PROGRAhyfACILITY NUMBER INCA Page Z of 3 9S206a Dlab)-25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 51, 24, 25, K, 36 and 6 NYCRR Part 600 1;s..Th~if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teratfon in the position of the structure or work herein authorized, or project. if, in the opinion of the Department of Environmental Conservation 14. -Any material dredged in the prosecution of the work herein Dermitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly, without leaving large refuse piles, ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or (loodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State, the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused 15. There shall be no unreasonable interference with navigation by the work thereby without expense to the State, and if, upon the expiration or herein authorized. revocation of this permit, the structure, fill, excavation, or other 16. If upon the expiration or revocation of this permit, the Drolect hereby modification of [he watercourse hereby authorized shall not be com- authwrized has not been completed, the applicant shall, without expense plated, the owners, shall, without expense to the State, and to such to the State, and to such extent and in such time and manner as fire extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require, remove all or Conservation may require, remove all or any portion of the uncompleted any portion of the uncompleted structure or fill and restore the site structure or fill and restore to its former condition the navigable to its former condition. No claim shall be made against the State of and flood capacity of the watercourse. No claim shall be made against New York on account of any such removal or alteration. the State of New York on account of any such removal or alteration. 17 If granted under Article 36, this permit does not signify in any way 11 . That [he State of New York shall in no case be liable for any damage that the project will be free from flooding. or injury[o the structure or work herein authorized which may be caused 18. If granted under6NYCRR Partfi08,theNYSDepartmentofEnviron- by or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not conservation or Improvement of navigation, or for other purposes, and contravene effluent limitations or other limitations or standards under no claim or right to compensation shall accrue from any such damage. Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 12. Granting of this permit does not relieve the applicant of the responsi- (PL 95-217) provided that all of the conditions listed herein are met. bility of obtaining any other permission, consent or approval from 19. All activities authorized by [his permit must be in strict conformance the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State with the approved plans submitted by the applicant or his agent as part Office of Cenerel Services or local government which may be required. of the permit application. 13. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, Such approved plans were prepared by solvents,lubricants, epoxy coatings, paints, concrete,leachateorany John pletzgerrL,S, k/9/89 on SPECIAL CONDITIONS 1. Driveway shall be constructed of permeable materials. Supplementary Special Conditions (p) through (J) attached. DEC PERMIT NVMOER 10-89-0154 PROGRAAVFACILITY NUMBER - N/A Page 2 of 3 . QoS~~FOC~-~o~ ~ ~ c t 1 ~~~ti, O 9~ , ~ ~vO TELEPHONE 1516) 765-1992 BOARD OF TOa'N Tft1197'EE9 TOWN OF SOl1THOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 March 4, 1986 Mr. Richarel Mohring, Jr. Mohring Enterprises Inc. 347 Glen Cove Avenue. Sea Cliff, New York 11579 Re: Long 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, or need additional infor- mation, please do not hesitate calling this office at the telephone number listed above. Very truly yours, Henry P. Smith, President Board of Trustees Ilene Pfifferlinq, Clerk HP S': ip Attachments cc: Bldg. Dept. Trustees File j r.._.m,.~.... / N 85~ 13' 47" E 62.68' j ~ ~ - 1 ~0 / / ~ Ily9 / O V I ~ ~ ypJ W 0/ ~ j a o j ~ ~ to ° ~ ?9 ~ n a I 4 O N AREA=41,980sq.ft. /o f~~ /~~~s I Io o ~ Is.r a Is.r 4 e ~ I 13.T to (VACANT) ' ~1 ~ FpUND~7i0N ~ o r e Q LOT ~ v.~ e ~II 60~- "n i e OII I~ _ ~ ~ N - tb.7' I 7L0~ ~ 20.0. \ ~ C ~ ~ ~ /O I G 3 I Q to _ \ / ~ 1 ~ to ~ • / Q ~ Io d ~ I i ~ \ ~ y .n ,oi \ Qi ~p \ m ~ ~ o 'ES, INC: ~ ~ '~-tld n i o ~ ~ i~~8 "l~ .9_p ,\O i pd n ~ / / ' 9.$ minlmUm ~F9 O6~' 04 0 v dished by ~~v- ~ adopted / / a.a ~ O~ ~ 10.8 tote Land, / / s`s / r 9 TEL. 7G5-E 80? \o~~FFOIk OG~'~ TOWN OF SOUTIIOLD (,j;;oa~.: UI~I'ICEOf IIUILD[NGINSPECTOR Jx. ~ r P.O. [30\ ?28 9b .-r, ~ ~ TOWN IIALL yS,01 ~ ~~~t" SOUTHOLD, N.Y. 11971 NOVEMBER 19, 1990 MOHRING ENTERPRISES INC. 347 GLENN COVE AVE. SEA CLIFF, N.Y. 11579 RE: BP18667z ONE FAMII.Y DWELLING. To lohom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. nn application for Certificate of Occupancy i; not on file. ENCLOSED /%ld No Underwriters Certificate on file. The check is( /not on file.) $25.00 ,ja / Ido t[calth Dept. Approval on file. Nu final inspection has been made. Plcaac contact our office on this matter. Thank you for your cooperation. Building Permit It 1 8 6 6 7 Z Building Dcpt. ***/g$~ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued afCer npril 1,19F34 ) - . .iwx;,:4c;:w a... x:....}, N.r.,w.::. ,3.~i`da::..~".a ,:c~.s?sr.+'a%.~+.':~'s _ TE .7G5-1802 SuFEOGY~o~ TOtVN OF SOY-TT$OLD ara. l ~c OFFICE OF DUILDIhIG INSPECTOR I , P.O. AOX 728 _ c"ntzt ~ TQWNHALL `lc !1 "'0/a~'~ ~~d`c- SOUTHULD, N.Y. I19?1 D 0 ~ ` ~ i 1 ( 1 s~oc. t~r___..... C E R T I F I C A T I O N TOWN OF S :1rF~o~_a , I Datn //-i6-_~, BuildinLg Permit No. ~7z Ownez r~0~{j,Q/~l~ ~N~ --LNG - I' (please print) ~ Plug: 2r ~~/q,Q - ~,e~~i7aER5 Yk/r1 (plesse punt) i~ I cartiEy that the soldex used in the water supply system contains less than 2J10 of l~ lead. ~ ~ / . r ( ber' signature) au~r~~.~ Sworn to befgre me this tar~annw~s+s~~ewrerax ~cy~ n~ww n rYwau cowar day Of comt4YanE~yiu so.~a~ 19 ~O Notary Public gotar~ i~ublic, County ; . • I THE NEW YORK BOARD OF FIRE UNDERWRITERS !>z,lr: f r1 t3tiF'd1 BUREAU OF ELECTRICITY r 83 JOHN STREET. NEW YORK, NEW YORK 10038 Date Q(."'f'OAF,R ?1,19'0 APplicationNo.on,Fd(e ~93k549f:/QO N 7ri$A76 THIS CERTIFIES THAT only the electrical equipment as described 6ebw and introduced by the applicant named on the oboes application number in the premises of yL:~HitTNC ENTERPRISE' N!S 1'dINl3 <'Ith~.E~K l:k'iVF, 5t)f1'THf)i,fl. N.y. in the ollorein bFCation; ~ let F7. ~ 2nd e;AK JAT'P!('(f1(IT Sertionflt 81oe1~IM Lot nr' J q ®Ba ement 1 Of:TQHF.K ?,<^•„794 was examined on and found to be in conrplianre ui th the reyuirentents of this Bmrd. FlxiuRE flXTURES RANGES COOKING DKK$ OVENS DISHWASHERS EXHAUST FANS CUTLETS KEPTACLE$ $W17CNE$ INCANDEXENT FIUOEESCEN! OTHEP AMi. K. W. AMT, K. W. AMT. K W. AMi. K. W. AMT, N. P. 4i~ 1 3Q 4 i i 7 1 2 F' DRYERS FURNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIALRK'P! TIME CUKKS BELL UNIT HEATERS MUlT60UTlET DIMMERS AMT. K. W. Oll H. P, GAS H. P. AMT. NO. A. W. G. AM1. AMP. AMT. AMpS. TRANS. AMT. H. P. SYSTEMS AMr. WATiS NO, OF FEET _ d i ~ H SERVIW DISCONNECT tsO. OF $ E R V 1 C E AMC AMe TYPE ~V~~ 1 X 1`II 1 $ JW 3.e' 3W J,9' IW NG. OF CC. COND. A. W. G. A. W G. A. W. G PER 8 OF CC. COND. ~ NiTEr' GF NI~IEG ~ NEUTRA(5 Df NEUTrAI 7 200 CH 1 X 1 4/0 1 1./+1 OTHER APPARATUS: ~~t4K6 CtETECTOR~-?. / GJ~/~'.cs° l - GF,NERAl, E:hEE'TRII`Ak, i_ON'_('kA L(C.$533A; ~1~41 S'HEd~~LEY SrLAr~l EAST MEA. I)OW, UY, t1S5Q OWIRAt MANAGER a 3r F Per ~ F This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. "~'••°~rT Tule r t1PY AF CFRTI FIFA TP uueT utrr De: a t•~w~w lc _D ~::5: z ..u:. ICU;,:., I~ ;;O:YMEN7C y OUtlDATI01! (1st) ~ / O' c N 0UIJDATIO;J !/(psd) m G o ~ .'.OUGH FRAME ~ PLUMBING . ~ r 0 t y H ^ 3. a (T+ c~ :NSULATI02J PER N. Y. I ~ STAT° ENERGY /3 G~ - CODE ~ T 1,0 4. / ~ FI;lAL • ~ ~ 1 I F pDDITI0t1AL COMMEIITS: x ~e,4,~.a~ ~ t Its I9n _ ~ ~l xY ? ~ H O -0 • a ..-0 • r ~ - / 'j H 0 - c . P7 0 - ~ New York State Department of Environmental Conservation Building 40-SUNY, Stony Brook, New York 11794 \y., ' ~f l r\Cy 1 AMENDMENT TO PERMIT 1 Thomas C. Jorling 1 Former Comm{ss{onsr t`~t~'n'(\Y~o~ ~vl~rpr;s~s ~ Permit a (if any): - 3~3 ~.Ir~ ' . ~U~' ~U~, Owner: S~` C~`~~ 1151 RE: Permit No. b Location: 6 5~ -~rS~eetp~i~~rn~~ ~n~. 50~~ ~d Dear 1{\`(, ~`~~f?~(~~ Your recent request to extend the above permit has been reviewed pursuan i3R, Part 621.__It has been deteriniried that there has not been a material,_Ahang~`in environmental conditions, relevant technology or applicable--law or regulations since the. issuance of the existing permit; therefore, the expiration date is extended to Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the ermit is amended to authorize: hp`~•:~r(1 t_~_` ~'~t~)``~{(r ~ G`~ P~.r 0~~~Q~ac~ til~j ~D~C_ ~~~t1~:~C~l ~Iro ~ ~ ~ ~ ~ -~`ri-~ i1 I1~ - , ~~'t~;,Gt~ This letter is an amendment to the original permit and as such, shall be posted at the job site. All other terms and conditions remain as written in the original permit. Very truly yours, •$G~t~-Regional Permit Administrator ~~.p , ~~~ecQ ~~>1~i~ ior~` ~ ~ s~~~ I Fie ?K, ~IiS~itkYxr~'~- ~ U~jA.~l~l'l`a~ p~ ~p R{ f~~ t~ `.:~~~C~,vA'}q Yc~ r~ Q ~ ~ ~ h~;yV~u{E'S Silb~.r.r'Eft~CC. S1^cal~ i~+c~ ~~.e..~+:ilittd t1.~f,Y`~ ~ePn~ nk. c~~tF7ii(~O ~ FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKl, JR., Vice-President ~ ~a.,, ~ TELEPHONE ~ ~ (5161 765.1892 JOHN M. SREDEMEYER, III Y ° @A JOHN L. BEDNOSKI, jR. HENRY P. SMITH ~s~~l ,r~~ BOARD OF TO~['N TRUSTEES TOWN OF SOUTHOLD Town Halt, 53095 Main Road P.Q. Box 728 Southold, New York I197t November 24, 1989 Richard Mohring 323 Glen Cove Avenue Sea Cliff, NY 11579 RE: SCTM Dist 1000-97-3-13.4 Dear Mr. Mohring: The Trustees reviewed your application and after an on site inspection by the Board of Trustees, it was determined that this project is out of Trustees jurisdiction. All other approvals that may be applicable should be secured prior to the commencement of the project. Very truly yours, ~v~ ~ ~S7L,G~, y~e~ ~ Frank A. Kujawski, Jr. President Board of Town Trustees FAK:jb cc: CAC Bldg. Dept. file h ~ov2~~ t , 7Cii^, F' ~ ~ - A j~~62 ~ ass-iso2 suI6DINa DEPT. INSPECTION [ ]FOUNDATION 18T [ l ROUaN PLBa. [ ]FOUNDATION 2ND [ ] IN8ULATION [ l F'RAMINa [~INAL REMARKB:~~~ C ~ ~ C DATE IN8PECTOR _ _ _ _ _ , l ,~.1~ BUILDING DEPT. INSPECTION [ ]FOUNDATION 18T [ ]ROUGH PLBG. (]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ NAL REMARKS: .L.~ DATE 1 INSPECTOR 765-1802 -BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU [ ]FRAMING [ INAL® _ REMARKS: (h-t ~~C~~ ..z.` DATE ~ ~ INSPECTOR ~~~j ~ ~ T6S-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ROUGH PLBG. ] FOUNDATION 2ND [ ]INSULATION [ ~~ING [ )FINAL REMARKS: DATE INSPECTOR " ~ ~ 765.1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [~SULATION [ ]FRAMING [ ~ FINAL REMARKS: a~ _ ~.o DATE C ~ INSPECTOR f ~ ~~-1802 BUILDING DEPT. f NSPECTION [)FOUNDATION 1ST ( ] ROUGH PLBG. [FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ ~ d INSPECTO x ~ - BOARD OF HEALTH 3 SETS OF PLANS FORM N0. 1 SURVEY 1/r TOW V OF SOUTHOLD CHECK • • - - BUIL"D.INGDEPARTMENT SEPTIC FOR.I TOWN HALL NOTIFY . EOUTHOLD, N.Y. 11rJ71 CALL _ . TEL.: 7G5-1802 MAIL TO : - • • . • • • Examined . a~ 19~~. Approved tuA?".?"n.~ 199. Permit No.~. $(°~°.~.Zi'. D Disapproved a/c ~ ~ , . I .yp.~+ ~J BLDG. DEPT. • %'CdP'a•... .''~'~G.~O:.+......... TOWN OF SOUTHOLD 1YY/ (Building Inspector) APPLICATION FOR BUILDING PERMIT Datd.r.~. 1.~~.~:., 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Itspector, 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 ad}oining 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 I5 HEREBY bIADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Ne~v York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal. or molition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building co u ' g c e d rem ati ,and to admit aut::orized inspectors on premises and in building for necessary inspection (Signs re of applicant, o na , if a corporation) ~.3 <s-/ear G.~ue Sett-C~~,{, " (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. \ame of on•ner of premises ~~y.~../`Se's . (as do the tax roll or latest deed) If applicant is a co r o :gna f dul thorize officer. • • ~ • • ~ e and title of core ate ofr ALL COtiTRACTOR'S MUS IIE SU•FOLK COUNTY LICHNSRD Builder's License No . - Plumter sLicense No. ~p Sa/`~'~~ Electrician's License No. ..../:r!/~~jJ~ Other Trade's License No. uT.. ~ . 1. Location of land on which proposed work will be done . • • ~?,~-~`,~~1j.J....... L"n~ ~ ~e~ v:~ ~`ou fhb / ~ . House Number Street ~7 Hamlet County Tax Atap No. 1000 Sectionp... Block Lot . , , • , ' , • Subdivision Lvrl s ~IJC~ C`S~~`S'..... Filed tap No. , . ~ Lot,;,, vu . Q (Name) State existing use and occupancy of premises and intended use and occupancy of p~p6s8t)'ebil`s`t~r~i"e t'{MPOn: a. Existing use and occupancy ()~fJ ..!nU~ . b. Intended use and occupancy • • • • • • • • • • • • • ~ . 3, Nature of work (check which applicable): Neµ• Building ~C.-..... Addition Alteration , , , , . Repair Removal Demolition Other 11'otk , , (Description) 4. Estimated Cost I?~'.?.,t ~lG~ Fee . ito be paid on filing this application) 5, IC drvcllint, number of dwelling unilt-s Number oC dwelling units on each floor . . If garage.numbcrofcars 6. if business. commercial or mixed occupancy, specify nature and extent oC each type of use . . 7. Dimensions of existing structttres, if any: Front Rear , • Depth , Hci~ltt Number of Stories , Dimensions of same structure ~vitlt alterations or additions: Front Rear , Depth ........Height ,..~.Jf Nu bcr~oCS~fies 8. Dimcnsi~ t~ety construction: Front , •>~!,Z. Rear Depth .lPr? ..l{........ Height ntber of Stories . • • . • • 9. Size of lot: Front .....~U~ Rear /.fit. ~ Depth ~<P`Ir . ~J~. , , 0. Date of Purc}tase ...........................Name of Former Owner - . 1, Zone or use district in which premises are situated . 2. Does proposed construction violate any zoning 1ak•, ordinance or regulation: . ff fJ . 3, Will lot be regraded 'El.... , . 1Vi11 exce s fill be removed from premises: Yes No 4, Name of Owner of.p emises .~ltl s•~. y~~tf,!f ,Address . ~.~.~.C':~4~e !~K. Phone No. ~7~ j~~... . Name of Architect ~44 I'~~l ....Address ~~:lriK ~fV'jPhone No. lD.~~ ~~r. , Name of Contractor .','1GJP~~ ~!~'p .....Address .°:43 ~eit ~~:'.!'"1=:C Phone No. G~~I . 5. Is this property locate within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit may be re uired. PLOT D1AGI~AM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from :operty lines. Give street and block number or description according to deed, and show street names and indicate whether ;tcrior or corner lot. ,ti SATE OF \Ett' YORK, S.S ~C;~'TY OF .............%~.~ceBG~ . , , • , , , , , , , , , , , , , , , '~J.... bcin; dul}' sworn, deposes and says that he is the applicant (lame oC individual signing contract) ovc named. / - C_'fJKf~l4t~~G~3t~°~ ~isthc (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~Sication: that all statements contained in this application are true to the best of ltis knowledge and belief; and that the rk will be pcriorm ~ rcr set Corth in the application fllcd therewith. om to before rt~9undNwrriA ~ ~ 5 9b. 964899747 i~ . 19 Gjl~lgjp'ffNAS~ R~' /i, . ~)~)~$~~h. County tart' Public, • .i~atureotapplicant) . , Prapusd in aoc©ldance with the minimum ~ N 85' 13r 47" E 82.68' . ~ ~ ~ ' standards !or title survey: as established - t by the L.LA.L.S and approvgd and adopted u~ /or such use byy The sw York State Lan Tifi~ AaaOC%aNOn. 11~ ~ 1 109 N N N x r N E'3A~ as ~ (4 O J Z n Y w O I b 0 w~ w y p a3i ~ ~ ~ 10 O ~ 4 ~ i0 .a O m 'J K J N $ s, ,q-{ ~ ~ ~1 6~O- ~ CV ~ ~ d"C~C.. -y t? O ns W C V O 0 Wes- N.C V i Q w~ J y AREA= 41, 980Sq. f t /o fe ~~~`s N j._ _ .~2 .0 N _ J ~ C w .C O V ~ O W dy~ L ~ I O N o~ Y o ~ o y 16.4' a 15.7' 4 13.7 ~I ,u ? (VACANT) 0 2 STORY I ~ FRAME 6 BAY W ' ' M HOUOSAE~~ 3 WINOO LOT er 2 ~ o I 1~= N i 7&0~ ~ ~ 75.2' _ SG, 20.3. _ . . 1 /O ` 10 I ~ ~ ~ ~ ~ ~S L>° I i \ ~ I 1~ ~ i, ~ ~ ~ 0~ ~ j~~ . ~y ~ 'a ~ ~ ~ ~ ~i 6L ~ 1 1 rl ~ ~ h ~ I i' CERTIFIED T0~ ~ ~ ~ MOHRING ENTERPRISES, INC. l~ ~ i ~ ~ N o ~ h s. o ^O L ~ o o O1 , rc ~G ~ ~ s.Q t V 4 v V a.a 3 ~ \ roe / ~ s.s O SURVEY OF tis~p /Q~~~ LOT 5 `~~~oo, o V SUBDIVlSI4N MAP OF ~ a LONG POND ES TA TES ~ Lor `.3 SECTION ONE © ~ 7~6 ~ '.7 ' FILED DEC. 27, 1985 FILE NO. 8037 A T SOUTHOLD ~ O TOWN OF SOUTHOLD ~~Nn,s UFFOLK COUNTY, N. Y. .s~`~ N~c. Mer24~'~'t~~, 000 - 55 07 ~ 07 ~ G F,~ o Scale 1 3p ~..~'.~s ~ ~ ^ " Jan. 9, 1989 `~sa o. ~ * Des 22, 1989( foundation location) s' qK June 5, 1890 (fina/1 1a . r.~.: Llc. No. ass! e ~ 11 gl ~nf . PECON/ RVEYORS, Pc. LONG C~'~~K.,,~.;i~{~~~E (51B)J65 - 5020 i~/Poi~o9e0 f/ouJP r?r. <o<,vf,c a t - Fes- T 'i' N P. O. BOX 909 ' ~ v,¢oA>osea Noy3E RELOCATgD 8~ 7 89 (0 }~t~ld~ n '{i 1~~~6 MAIN ROAD ~,eovases+ c.p ,Feeoceneaq b-2-9y ~uav,j~ji~e(etk~z~~ SOUTHOLp, N. Y. 11971 ecevnrio.rsAaE d~~~2Eiic~o, To NGVO NO1t; ,{q~9 NQUSEST,t4BD . ~ 8S - 735 G x Qj ~ / • / N 85° 13' 47" E 62.68' . W (~y lam. V ~Cf ~(\9 ' Xl L/NE Q tO ,11~1~e/ ~ u" ~ ~ ~ ~ ~ tits ~ j I Z ~It. w O 0 ~ A ~1 to 0 1~? ~ M ~ ~Y o~ ' ~ ~ oo I ' AREA= 41, 980sq. f t.~ N i ~ A ~ r'' ~ ~ ~ L T Z ~ w ~ _ .a.. pp ~ ~ ~ T I ~ Z ~ ~ ~ to j5' (VA AN~ N ~ ~ a+ f~0 • '11 C ~po PO'fGnl ~00 i'. Gt /5 ~ ~ s Q . LOT > 3~ C}At'. v, ~ to U ~ _ 99,L7 ~ O~ 1~ m ffVV11 re ~ ~ g ~2`~-'r° ~ ~ ~ LLi tll ~ . D Q ~ ~ ~ ~ !0 75. ~ ~ I 13 ~ ~ ? ~ d I ~ ~ ° 4 _ 1„ ~ ~ ~ lo.e - - ~ a I .o ? W" ~ ~ l ~ ~ / ceRrlFlEO Toy ~ ~,a MOHRING 'ENTERPRISES, INC. / " 0 ti ~ ~ 4 0 i op " ~ / ^O ; y ~ 9_0 ~ 1 / % ~ a4 04 so. t c / ~A 6~ Q DO 3.4 2p / r ~ i ~ ~ `C- 10.8 9.6 `rv~ 9~ wd 2 c, ~ SURVEY OF tis,u /Q~~~ {ti=. ~ LOT 5 `~e- V , ° o ~ ~ SUBDIVISION MAP OF 4 t. .n- / . a J `r LONG POND ES TA TES Lor i " 4 ~ ~.y ~ SFC TION ONE j6 z es> FlL ED DEC. 27, 1985 FlL E NO. 8037 4. ~A T SOUTHOLD ~ O TOWN OF SOUTHOLD The water supply & sewage dkposal sys• SUFFOLK COUNT V, N. Y. lama for this residence wlli conform to fh® m standards of the Suffolk County Depe/1s Yj tePored in accordance veldt fke e$n1 1000 - 55 - 07 - 07 msnt of Hsolth s.svkee. ~ tandards fot title e„r„eye ae ii - ~ ~C t e L.1. A. 1. S. and a by Sca/e 1 - 30 ~ ~?S r such uae b The rrror.d ane adO Sf4nNDSG9' Jan. 9, 1989 ` "6'bS ' Ie ArtwefaRon New rack Stole l r _ o o ~ . Y.,S.. LIC. NO. 4961 B oRS, Pc. - ONC:~ CREEK DRIVE .tea t~lt9 ~ PROGOSED HoU3E RELOCATED ,8' 7-89 ~tawtonN WfLIS qeJ GESSV00LS SNOwx twKUn ANE FROM fIEtO MA frRoVpSEL C' R REC OtpT1E i7 S' Z' $9 cltalVFTION3 AMD Oe rROM eMT~ 061AINEe fAOe eMERB. SOUTHOLD, N. Y. 11971 E~SVA7ioNS AaE rzeFEaeNC~o To Neva __6 RR _ 7.~R .a ~ / ~ N 85° 13' A7" E 62.68' UNE 1 1~~~ O / n.s ~ 9 O 91 W ° ~ o ~R ID o a ~ ~ ~ n I ° ~ o v AREA=41,980Sq.fl. ~o fe /fines ~ ~ i ~ v O 16.0 v ° 15.7' LU ~ ~ 13.7 ~ ro (VACANT) o V fOUNDP iION 0 ~ v Q r 9.9' i° ~7 0 ~..w [ ~ o_ O - 16.0 ~ I Ira 1O N - 70.0_ - ~ ~ 1b.2' _ SC 20.0 3 _ _ ~o Ia \ = r 3 \ ~ cn m ~ t~ ° - _ - _ I (7 I^~ ~ \ ,J \ ceariFieo ror a •o~ ~ MOHR/NG EN rERPRISES, lNC: ~ W ~ ~ n a ~ o 5. ~l/~+~p p ~ s.o / o o r~ sue. / Prepared in accordance with the minimum t~ ~ ~ c standards For title surveys as established by ,A`9?57~ ~~6~ 4°a .p~~ 9 q , die L.I. A. L. S. and approved and adopted / J 4 ~1 / w for such use by The New York State Land / ~ ~ ~ ~ O Io.a Title Association. s1e /~R y~24' SURVEY OF LOT 5 sue" SUBDIVISION MAP OF ~ 4 1j J LONG POND ESTA TES ~ ~ SECTION ONE Lor i~ © I 7.6 ~ R 7.7 FILED DEC. 27, 1985 F1LE NO. 8037 I Z A T SDUTHOLD _ TOWN OF SOUTHOLD O SUFFOLK COUNTY, N. Y. ~~:n~~ s~ 00 - 55 - 07 - 07 MerK4,9r~~ Scale 1" 3®' `"~~a , Jan. 9, 1989 mss°o. ~ Dec. 22 1989( foundation location) s- ~ ~ ~ ~ ~ r, ' "?t~~ - N~K~: LIC. NO. 48618 PECON/ aV =YOBS, Pc. LONG CREEK DRIVE (518)765- 5020 ,~a„PSe~ ~°,P <ofAr~F/~ r/- /~_g~. P. O. BOX 909 PROposea /1oU3E RELOCgTED 8- 7-69 MA/N ROAD ,~Qaos~.~ c. a, Qr~oci?rrFq 5- 2. 89 SOUTHOLD, N. Y. 11971 ELEVA7/ONS A2E ?EFE2ENG~tl 7b NGVQ ~Q~f~ 301 iS18C3 u0U5E STAKED