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Home My WebLink About12570-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ...... .N.e.w...B.w.~.l. ~ .i.n.g. ........................... Location of Property 935 Robinson Lane Poconic House No. Street Hamlet County Tax Map No. 1000 Section ... 9.9.8 ...... Block ... 0..4 ..........Lot..0. 3. .2 ............ Subdivision..Rqc. gp.S.c.. B..a.y... O..a.k. ...........Filed Map No..3. 4..3.4...Lot No ..... 6. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated Aug. 25 19.8.3. pursuant to which Building Permit No. 125703 dated ....8.o.p. ~: ...... .4 ............ 19.8.3., 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 ......... New Private One Family Dwelling The certificate is issued to FOEHR, KATHRYN ..................... ?o¥.'o;. 'l '~;4v' ;,'Xt~'r~ ..................... of the aforesaid building. Suffolk County Department of Health Approval .......... .~ .3.-.S.O, 7.1.4,7. ..................... N636994 UNDERWRITERS CERTIFICATE NO .......................................... Building Inspector Rev. 1/81 FOBM NO. 2 TO~N O~ $OUTHOL~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJ~AIT N~UST BE KEPT ON THE PP, ENHSES UNTIL FULL COMPLETION OF THE WORK ^UTHOP, IZED) 12570 Z Permission is hereby gran~to: .... .................................................. , ..................................... ~ ...... ~.~.~, ........ , ......... ~,~..~ ......... ~..:.:~ ............. .; ............................... ot p,e,~ises ~ocoted ot .."/'.~.~....~.J~...~ ........ .j~.,....~.:....~ .......... County Tax Mop No. 1000 Sec,~..(~.~...~.. ........ Block ..... (~.~.. .......... Lot No.....~.~ ......... pursuant to application dated ~.~.. o~ ~' 19.~~ and a--roved ~ " Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 Nay ~7, ~985 TEL. 765-1802 Miller Place, NY 1176~ Dear Sir: Enclosed please find a copy of Certificabe of Occupancy No. Zd3388 issued on Apri.1 24, ~985 to Kathryn Foehr. Please let us know if we can do anything else for you. Your~.t~ Victor Lessard E~ecutive Administrator VL:ec Enc]_. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted-~=~7, l~c=tc 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 supplv 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, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occup,ancy 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. Fees: 1. Certificate of occupancv $5.00 1 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date..~ ~. ~,-I . . . J ?..~..~--~.. New Building ~, .~...~,u,~.~?,~?,~OId or Pre-existing Building ............ Vacant Land ............. Location of Property .~..~, .5'~. ,O.l~.,,t~,?.o..~4. J~./~ ........ ~,~.'~,. ,~', ........... Hou~ No. Street Ham/et Owner or Owners of Property . .~~.~. ~...~ ~.~ ........................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Permit No..I.~, .O~, ?, ,C).~ Date of Permit~.(~/I.~.~..Applicant /~..,.~ ~,L~eO~. Health Dep . Approval ........................ Labor Dept. Approval ........................ Unde~riters Approval ..................... ~, ,Planning Board Approval ...................... Request for Temporary Certificate .................... Final Certificate Fee Submitted $ Construction on above described building and perfects ~p~ca~ and regulations. .............. FIELD INSPECTION 1. FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: looo7s8 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRIC~'I'Y~ ~- 85 JOHN STREET, NEW YORK, NETM Y]ORK 10038 Date Marc'h 15, 1984 JppHcatlonNo. onfile 2~S68~-83 N 636994 THIS CERTIFIES THAT only the electricaJ equipmen~ as described below and ir~troduced by ~hr~ T. Foehr, W/S Robinson La. ~. thefollowinglocation; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lot w,s~x,~i~do,, Na~ch ~ ~98~4 andJoundtobe~ncom~llaacewlththerequirementsoftb~sBoard. fiXTUa~ RXTU~ES ~ANGE5 OVENfi DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 18 42 28 18 DRYERS ~URNACE MOTORS FUTURE APPLIANCE FEEDERS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E E V I C OTHER APPARATUS: Motors: I-F. Tracklighting ~ 16 ' ~0' 1-Smoke Detector O-lites. OF CC COND, PER ,~ 3 1 5 Rocky Point Elect. : 12 Fountain Rd : Rocky Point, N.Y., 11778 LiC.~333 This certificate must not be altered tn any manner; return to the office of the Board if DERARTME COPY OF 11 may be identified by ? MANNER. FORM NO. 1 TOWN OF SOUTHOLD . BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved...c;~Az.. fY....I. .... Permit No. Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT M g ~._ 2.'~' ....... INSTRUCTIONS Received .......... ,19... a. This application must be completely filled in by Wpewriter or in ink and submi{ted 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, builcting code, housing code, and r?gu.latiq~_s, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............ G.~.:..":m~... ~.+....a..o..'Yr. ~.~..'~..~..r.q..'E: .............................................. Name of owner of premises . .~..~..~.~..t~...~..,~.....~.....~_-...~..~.'.~. (.~. ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of cort Builder's License No. ~~ Plumber's License No....~.2~..~. ..... Electrician's License No...~..~...'~. .............. Other Trade's License No ...................... 1. Location of land on which proposed work will be~do~5 ~/I~...J~.~.~..t.t~..~.o..~:. d.~....~. ?..~.. ~ ......... House Number Street Hamlet County Tax Map No. 1000 Section 0 C~ ' Block .C)..L~. Lot , ~. ~X..- Subdivision..~..-.a~.ep.~t..t.~... ~.~..y..O..~?./.~.~. ........ 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 ....................................... H.~jJ?..~,v. .~. ~. ................ b. Intended use and occupancy ............... .~t x0t..~aa ~%t~t~,~,~;~ ............. 3. Nature of work (check which applicable): New Building . /'~ Addition Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost .... ~OjO ..................... Fe .~..].' ............................ (to be paid on filing this application) 5. If dwelling, number of dwellin~ units... ~. .......... Number of dwelling units on each floor~.'./.~.~. .~..gl..'~.~..~.~. If garage, number of cars .... ./~..~..~...~. ................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Din~ensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Nu ,mber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. ~ ~32tehnsio~; o~f e~tire ~;w c;~s'~'~J~o~.'~h~r;~t'.'~:. ~.. ~ ................... RearNUmber.,~. ~..°f Stories ...................... Depth..~...~. Height ~1...~. ........ Nurgber of Stories ..... /. Z'.,~ .... ~ ..... .,-:..~. .............. , ......... , ....... 9. Size of lot: Front %O I · , . .. Rear..I.o.C~ ................ Depth .~-..~.q~...~.~1!O ........ 10. Date of Purchase .......... . ................... Name of Former Owner ............................. I1 Zo d'str' ' wh'chp~em' 't at d · ne or use 1 ict in i lSeS are si u e ................................................. .... 12. Does proposed construction viqlate any zoning law, ordinance or regulation: ...~..~ ~ ...................... 13. Will lot be regraded .~..O,.,O,.'i~.~. ............... Will excess fill be removed from premises: . Yes t4. Name of Owner of premisesl~.~..~.~..~.~....'~.o...~..~.. Address . .~..~..~..{~.'e~....N,;,,,,,,,,,,,,,,,,~hone No. ~.1...'7..I.~.~.--~'~. Name of Architect .~: .~'...~ .~.~.~. ?-. ?-. .......... Address ~ ~.~.,,~¥~,.~ .~. ...... Phone No..~. ~--. ~.. :~.'~..~.... Name;of Contractor ~1~7~. ~ ~.~.~.,.~-.~o?..~..O~..pAddres~..~.~..A-' .1~. :.~.~t~liltone No. ~. ~..~..~ ¢ ?..,?.. PLOT DIAGRAM Locate clearly and distinctly ali 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 ~..o?.. ~.o..~.t.~ ...... !S.S ............................ ' .................... being duly sworn, deposes and says that he is the applicant (Name of individual sign:lng contract) above named· He is the .......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dully authorized to perform or have performed the said work and to make and file this application; that all statements conthined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne~r set forth in the application filed therewith· Sworn to bsfore me this . .... ....... .............. Z N 77° 26' 10" E ?_10.00' ~./~ \ FD. O.I'N.& E. 6 56.~' 67_.0' 5 MaP OF PECONJC BaY OAKS OCT. 1B,1961 MAP N0.3434 SUF~I( COUNTY R~,A~TB DEPART~ ~he sewage disposal ~d ~ter ~ppl~ [acilities fo~ ttis location ~ve been Inspected bF this de~tmen~d ~ Se~loea GUARANTEED TO KATHRYN T. FOEHR MAP OF LAND LOCATED AT PECONIC TOWN OF SO~J"~HOkD COUNTY OF SUFFOLK SURVEYED FOR KA'THRYN ~ FOEHR ROCKY POINT, N.Y. 11778 o^,r~: 8 - 18- 8 3 so^L~: I"= 30' N 77° ~6' 10" E O ? 10.O0' Z 577° 26' 10"W 5 226.68' MAP Of PECONIC BAY OAKS OCT. 115,1961 MAP NO. 3434 ~.00' DIA, TYPICAL PRECAST SEPTIC TANK NO ~C'ALE SURFACE TYPICAL PRE:CAST LEACHIN~ POOL 5~tl%TDRE'~T i~LEH AREA OF PLOT PROt:~ It,, FLOR ~ ~ FL~ ~ ~EMENT ~ GARAGE DATU~ ~.~,~- THERE IS NO SURFACE WATER WITHIN 2O0 FEET OF THE PLOT THERE ARE NO WELLS WITHIN 100 FT. _0F Tt.~ PLOT. - NAiL 0 - PIPE · · ' STAKE · - MONUMENT · --, UTILITY POLE SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOR APP~OVA,,L OF CONSTRUCTION ONLY DATE ~H.S>,~EF. NO.I'~~C''''''~''' ~ ~'"~ JSUF~:OLK COUNTY ~ MAp J J 1000 I 9e I 4'_J ~Z I I GUARANTEED TO KATHRYN T. FOEHR MAP OF LAND LOCATED AT P ECON I C TOWN OF $OUTHOLD SURVEYED FOR KATHRYN T FOEHR ROCKY POINT. N.Y, 11778 516-744-2055 COUNTY OF SUFFOLK DATE:8-- 18--83 SC^~E: V'= 30' ,.,^P ,o. [6034 7 0 C~ ,I>'¢T~D'O'2'N'$ 77° 26' I0" W 5 UTILITY POLE 2-10.00' Z 226.6B~ SUFFOLK COUNTY TAX MAP DIST SECT BLK LOT I FINAL LOCATION 5-1-84 MAP OF P/CONIC BAY OAKS OCT. 18,196l MAP N0.3434 GUARANTEED TO KATHRYN T. FOEHR MAP OF LAND LOCATED AT PECONIC TOWN OF SOU~HOLD SURVEYED FOR COUNTY OF SUFFOLK KATHRYN '[. FOEHR ROCKY POINT. N.Y, 11778 516-744-2055 8-18-83, I"= 30~ 16034 · .I I O I I_ 9 - ! 7654802 9 AM TO 4 PM FOR THE iodd fer Initial ~ of drGwlng except By a Licensed Profel- -t FOLLOXArlNG INSPECTIONS' I. FOUNnATION - TWO REQUIRED FOr~ pOURED CONCRETE 2. ROUGH FRAMING & pLUMBING FT · .t