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Home My WebLink About13908-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .......... Z. ? Date July I 1985 THIS CERTIFIES that the building garage and storage building. Location of Property 800 Salt Harsh Lane Peconic House No. Street Hamlet County Tax Map No. 1000 Section 68 .Block 3 .... Lot p/o .8. Subdivision ............................... Filed Map No .... .x .... Lot No.. x conforms substantially to the Application for Building Permit heretofore fried in this office dated ....A.p..r.i.1..~..9 ......... 198.5.. pursuant to which Building Permit No .... ~.~.9..0.8.Z. .......... dated ....M.a.y...5 ................... 195.5.. ,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 ......... Construction of garage and storage building. EDWARD & CHARLOTTE POCHTRAGER The certificate is issued to ..................... [o~,n'e'r,~.':J ...................... of the aforesaid building. Suffolk County Department of Health Approval ......... N/A N/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FORM NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13908 Z Date 3 .... ;~..V... .................................. , ,,.2~- Permission is hereby granted to: ~ ....... ~../../Z...Z-.~..~/~ .............. / z~..~.~ .... ....... 49~.~ .~.....~..~......~ ........ z/..~:~ ot premises located at ....~0 ....... . .~...~./.~...-~.........~...~..~.,~.Z/2(.........~.....¢~...~.~. .................... /. ........ ......................................................................................................... ~~.~...,.~.¢... .... ' Building inspector. Fee $../...~...~......,~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 JUN Z 81985 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted iall~ 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 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- dons, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty 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. Fees: 1, Certificate of occupancy $5.00 2, Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $I,00 4.Vacant Land C.O. $5.00 $15.00 Date...~/...Y~. ........ [..~..~..~. · New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .............. %0(~ ~-~,~. ~-'~' ......... V'~.O.. ?. ~..k ..../-',. ,d~.O ........................ %o Owner or Owners of Property ..... ( .... ~' .......... County Tax Map No. 1000 Section ~) (~ ~ B~ock '~ Lot Subdivision ................................. Filed Map No ........... Lot No ...... : ....... Permit No..~..~.~, .08. ~ Date of Permit . .~J.~./.~..~.-Applicant ................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ..... .../ye ............ Request for Temporary Certificate ..................... Final Certificate ....... ,~ ........... Fee Submitted $ ...... .0'~'.: .,(~, ,(~.. J. ,~.. 2. ,~,, . Construction on above described building and permit meets all applicable code~, regulations. P" Applicant ............................ FIELD iNSP~CTION COMMENTS FOUNDATION (2nd) :OUGH FRAME & PLUMBING INSULATION ?ER N. Y. STATE ENERGY C,ODE F£NAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1B02 ...... l ,,pprovedT' . .¢ :, .... ,1 . .. ermit :: ..... ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ts 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 ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 Buildhag Permit to the applicant. Such permit hall 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 hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or [egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to [dmit authorized inspectors on premises and in building for necessarY,4inspection '~'" i~i~atu~e' ~ a~lila*n~, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 'amc of owner of premises .-7 ...................................................................... (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... ~ .2.~ ............... Plumber's License No ......................... ? Electrician's License No ~ Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ~ ~ ~ ~ ...... Block ~ ... Lot.. ~.//.~..~ .......... Subdivision ............................... : ..... Filed Map No ............... Lot ............... (Name) State existing use and occu~¢ncy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... / .... :'. ................... : ....................................... b. intended use and occupancy . ;Z. ................................................................. 3. Nature of wor~(check which a~plicable): New Building .......... b~[,~jon ...... i... Alteration . .'.~. .... ':. Repal~ .............. Removal .............. Demolition .... ~. ...... Other Work ............... Estmiated /~ Z/z i , ,~c~- '~¢/~. 4. ' Cost ............ i ......................... Fee/~.. ....... ,~,.¢: .... /~'.~-...~.-...~. ...... J ~'~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units 0n each floor ................ If garage, number of cars .... 1 ......"(' · · · '~.. ..9.~.~.~..~.~.-.~.-- ........................................... 6. If business, commercial or mix6d occupancy specify n,aturre and extent of each type of use ..................... 7. Dlmepsmns of existing structu~'es, if any Front .... .~. ........ Rear ..../.4 ........ Depth ~ ~ ..... Height .... ./.O.( ......'. Number of Stories ....... ./ ............................................... Dimensions of same structure with alterations or additions: Front ... ~...~ .~. ....... Rear .. ~-~. ............ Depth ..... ~2~. ..... ; ....5.. Height ..... /.~f. ............ NUmber of Stories ...................... 8. Dimensions ofent~re new construction Front ....... ~. Rear .8~ . Denth . ~ ? Height .../.~. ......... Number of Stories ......... /. .............................................. 9. Size of lot: Front .... Z'..d'../.~ .i.~.. ~. ........ Rear ..... ~..O.~. ~...~ ......... DeptI~ ... ~../.o.¥ ............. 10. Date of Purchase . ~.~ ./..~.. ~..7~. ........... Name of Former Owner ... ] ./,~.~..&'-../¥ ................. I I. Zone'or use district in which plemises are situated ..................................................... 12. Does proposed construction vi61at~ any zoning law, ordinance or regulation: ................................. 13. Will 10t be regraded ....... /. ~.q .......... , ........Will excess fill be removed from premises: Yes PLOT DIAGRAM Locate, clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc~ number or description according to deed, and show street names and indicate whether NOT TO SCALE ! ALI orCARMICHAEL ;, raFOo"a interior or ,corner lot. 41300 N,AXIEN STATE OF NEW ~ORK, COUNTY OF..."q~].'~./~...a~, ..... S.S (Name of individual signing contract) above named. ,/ being, duly sworn, deposes and says that he is the applicant He is the (Contractor, agent, corporate officer, etc.) of said owner 6r owners, and is d¢ly authorized to perform or have performed the said work and to make and file this application; that all statements CCh'rained in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Swo~ to before me this ........ , .... .... $ota~ P?lic, ........ ~..~. ~. ~County . NOTARY PUBLIC, Sta~e o~ Ne~v York .~ 'ff, · · ~ .... ~ .~ ........................ . ; . N0.4707878. Su?0~k C0ypt~ [/ ' (S~gnature of applic~t) , ~ , lem~ Expires 30, / T DATE:~B P NOTIFY BUILDING D,:PARTb~FNT AT FOUNDATION PLAN AND FLOOR -2×4 stud between eoch4x4posf-plotefo shoe 4"x 4' C,C,A, 4'0,C. A,L,L, TO 13E IN CONCRETE AT BASE 36*BELOW GRADE I'DIA. All (4)windows 28x46 dbhhung 2-2"X4'PLATE 2"x 8'COLLAR 4'0,C, hu~fl,from ridge of cfr, Z/fY b ol ts d( ~fter 24"0,C, -- I/2" CDX 51b. T, felt 235 Ib,Asphalf ;om.pine ~ 0.0 t-Siding over 15 lb. felt 4X 4 C.QA. SHOE TYPICAL CONCRET (ALL POSTS) tamped grovel floor --alum, fr~r,-r~t,- shield - I'CCA gravel retainer SCALE ED½'$ RD AND CHAF 'LET POCHTRAGER SOO SALT MARSFI LANE PECONIC ~TOWN OF SOUTHOLD 174"= F DRAWN 13Y