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Home My WebLink About12974-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13192 Date Feb. 5 ., 1985 THIS CERTIFIES that the building Addition Location of Property 305 Wgnds[ Dr. Laurel House No. Street Hamlet County Tax Map No. 1000 Section .... .1.2.7. .... Block ...... 0.8. .......Lot .... .0.1. 8. ......... Subdivision ........... .X ................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ·...~.a.r..c.h .... .2.6 ......, 19.8.4. pursuant to which Building Permit No....1.2.~. 7.4.~ ............ dated ..... ?.12 .r.i.1.....4 ............ 19.8.4., 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 ......... Addition To Existing One Family Dwelling The certificate is issued to CARL M. FALKENBACH (owner~o~t~ of the aforesaid building. Suffolk County Department of Health Approval ............ .N./..A .......................... N660120 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 I~OR~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12974 Z Permission is hereby grante~t~to: ,, ~_4 ~ ! ,~. ....... .L.~.....~.......~~...~.~..~ . ' ~ ...~...o.. ~. ~..~.! .................................. ~o ...~.~.....~.~>~.~.,o......~~....~.....~~ ..... -.~...~.?..'.-~..~....~?...?~..t~..: ................... ...~....,~ ................................ ! ...... at premises located o, .....~..c.?,~........~..9~)..~..¥k.~..~.J~....~.~...~ ........ :~~ .................... County Tax Map No. 1000 Section ....... ]...'.~....~. ...... Block ......... .~. .......... Lot No. I ~6) pursuant to application dated ...... .~..~.r~..~...~..~.. ~[p . , 19..~.~ and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ,~;=uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 0LDG. DEFT, TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitte '..d-W~_ _;p?;c;t; to the BuUd[ng 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 featu res. 2. Final approva~ of Health Dept. of water supply and sewerage disposa~-(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 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: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $ 1.00 use--?re-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............................................................. House No. Street Ham/et Owner or Owners of Property . ~.~1~...~:...~...~.~.~...~....~.'.~..~.~.~. · '~' · · ',' · .... County Tax Map No. 1000 Section ............... Block ............. Lot .............. Subdivision ........................... ,..,...Filed Map No ........... Lot No .............. Permit No ~.~. ~..~..~ Date of Permit //~/~..Appl cant .~.~.~.. ~.,. ~..Z~..~.~.~'...~..~.. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval..~J .[~.~.(~.~. ~Z~ .L~. ......... Planning Board Approval ...................... i,, Request for Temporary Certificate ..................... Final Certificate , ...................... Fee Submitted $ .6u.~.. ....................... Construc_~tion on above described building and_Eermit mee, ts,all a~lic,~3ble co)~es and regulations. ~ ~.'~2 [ ~ Applicant..~..~ .~.~ ~~.~..~_~ .................. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8,5 JOHN STREET, NEW YORK, NEW YORK 10038 Date T.,S CERTWlEST.^T N 660120 only the electrical equipotent as described below and introduced b5 the applicant named on the above application number in the prer~ises of Ca~'l F~lk~o~h, ~an(~y tkrtve, Laurel, ~.Y. in the following location; [] Basement '~ 1st ~7. [] 2nd Fl. Section Block Lot ~3~9~' ~ 9 ~'~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 'Z RECEPTACLES. SWITCHES DRYERS FURNACE FIXTURES RANGES OVENS EXHAUST FLUORESCENT VAPOR FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E NO. OF CC COND A W G NO OF HI.LEG A, W. G. PER ,e' OF CC. CONO OF H~-LEG NO OF NEUTRAL= A W, O OF NEUTRAL Drive This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors GENERAL MANAGER may be identified by their crude COPY FOR ~ COP' ~EL~INSPECTION DATE t CUMM~ l~ ADDITIONAL COMMENTS FOUNDATION FOUNDATION ( 2. ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY C,ODE FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: h--.--~-* Y~ DATE ..//,/×~//?~' ,INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ ] ROUGH PLBG. [.~" INSULATION £ !· FOUNDATION ;ZND ,I~~] FRAMING [] FINAL REMARKS: DATE--' '* ~';" INSPECTOR 'FORM NO, 1 , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .~ ./.~." INSTRUCTIONS a. Tins 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 publ/c 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 tins 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 throu~out 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, building code, housing code, and~regulations, and to admlt anthorized inspectors on premises aaa in building for necessa~-i~,~/ .< .v .'. · ......... ....... (Signature of applicant, or name, if a corporation) Box 311, Laurel NY 11948 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner ......... . .................................................. Name of owner of premises Carl G Fatkenbach and Carmen Falkenbach (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. ~. ,F~[ ,~. ................. Plumber's License No ......................... Electrician's License No ....................... Other ~rade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ~0~~. Wendy Drive, Laurel ' }louse Number Street Hamlet County Tax Map No. 1000 Section 127 Block 8 18 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... R.e.s.i.d.e.n. qe. ..................................................... b. Intended use and occupancy ...... R..e.si .d.e.nc. ·e ...................................................... 3. Nature of work (check which al~plicable): New Building ..... ' ..... Addition .. x Alteration Repair .............. Rem~vai .............. Demolition .............. Other Work_ ............... , ~- (Description) 4 Estimated Cost $1o .oo,o. . ............. Fee ................................... , *" (to be paid on filing this application) 5. If dwelling, number of dwelling!units ...... 1 ........ Number of dwelling units on each floor ................ If garage number of cars ' 6. If business, commercial or mixe;d occupancy, specify nature and extent of each type of use .................... ..... n ............ ,. .. 7. Dnner~s~ons of ex~st~ng structur s, if a y Front... 60 ' Rear ........... Depth ........... Height .16 ' ......... Num. ber of Stories.' ....... 1...~ ..... Dimensions of same structure with alterations or additions: Front ...6.0., .......... Rear .... 6.q, ......... Depth ....... .3.5? ...... ! Height ..... 16.' ........ Number of Stories .................... 8. Dimensions of entire new construction: Front ...... 2.4.,. Rear . Depth 9., Height ...1.6.' .......... Number of Stories ...... 1 ................................................. 9 Size of lot: Front .... 132.-.661 ........... Rear .... 158-34 Depth ...2.2.6.Z8.7. ...... 10. Date of Purchase .... .L2./3_.5./.7£ ................. Name of Former Owner . .l~qEb. e.v. fq .1~ ...l~q]jqq ~ ......... 11. Zone or use district m whxch premises are situated ............................................... .. .... 12. Does proposed construction ' we.late any zoning law, ordinance or regulation: . .ha ............................ 13. Will lot be regraded ... ~a.. ,. ................... Will excess fill be removed from premises: xxyes No 14. Name of Owner of premises . .clan1..c~...F.a,l.~e.r~b.a,c.h. Address .B. qx..3.1.1.,..L.a.u.~ql.... Phone No..2.9.8.-:4.9.3.1. ...... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ........ ; ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockI number or description according to deed, and show street names and indicate whether interior or coruer lot. SEE ATTACHED ' STATE OF NEW YORK, ! $.S COUNTY OF ................. ......... "~a'n~ ~)~]ndividual .............. s,,,.ting~;,~ con ~"rac ~i- above named. ..... being duly sworn, deposes and says that he is the applicant He is the .: ................... ; ............ i (Contractor, a;;~t', ~;;;;;a't; ~'f~i~;;,'e't~.') ...................... " ..... 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 all statements contained in this application 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 ........ ~..~...~.. ........ day o~. t~7..,~¢-~. ............ 19~..~'. I,IEI~N K. Dff VO£ '""~'-~.. NOTARY PUBLIC, ~qtate of New York t~o, 4707878, §~ffolk Count~ ~ ~etm ff.~mres ~rc~ 30. 19~ (Signature of applicant) ...... ~_e~__°~ v~o~~°n '* '"'~" YOUNG & YOUNG REViSiONS · .DEC. 1~9.,/97Z 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ,-. u*~/v~ ~// /.~7~' ALDEN W. YOUNG HOWARD W, yOUNG SURV~ FOR: CA~L G.'F~KENBACH~CARME . A, LAUREL s~ ~~R~ . ~oWNO~ SOUTHOLD '~'C~~ ~5s9~/ /