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JOHN A:GRAMMAS
830 WILLIS AVENUE
ALBEETSON~ N,Y. I 507
STOR,AGE ,BUll:DING'A/:',
HOI~TONS iLANE i
~OUTHOLD ,~ N.Y. ,
FOR ,
PUDGE CORPORATION
5(3800 MAIN ROAD * ' ' I
iSOUTHuLDcN.Y-- 119'7[
DATE. " DRAWIN6: NO '
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SUFFOLK COUN~ BEPA~TM~T OF HEALTH
'~ For Co,struction Only ~.0. Ref. No. %- 6
,~(~ dispo~l and water supply facilities for ~
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22124
Date JANUARY 26~ 1993
THIS CERTIFIES that the building.
Location of Property 1040 HORTONS LANE
House No.
County Tax Map No. 1000 Section 63
Subdivision
STORAGE BUILDINGS
SOUTHOLD~ N.Y.
Street Hamlet
Block 1 Lot 10
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 30, 1987 pursuant to which
Building Permit No. 16491-Z dated SEPTEMBER 30~ 1987
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 MINI STORAGE BUILDINGS UNITS A-4 & B-5 AS APPLIED FOR
The certificate is issued to PUDGE CORP.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-90-12-JAN. 16~ 1991
UNDERWRITERS CERTIFICATE NO. N-079605 - 7/6/89 & N-229079 ~ 3/20/92
PLUMBERS CERTIFICATION DATED N/A
Inspecto~
Rev. 1/81
!~0~' NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO_1647~ z
Permission is hereby granted to:
...........
~"o ~ ~.,........~.9~....~.,,,'~ ...............................
........
M"~.......,......V.~.....~ ........ .~ ............................... ~, ............... ~ .................................................
at premises located at ...-/..~)...~..(~.. ...... ~...~....~,~......~;~~ .....................
County Tax Map No. 1000 Section ...... ~.~...~ .....Block ..... .~..! ........... Lot No ...... /....0. .............
pursuant to application dated ....~...~..~....~ ....... , 19.~..~., and approved
by
the
Building Inspector.
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAOE 1
1001381 BUREAU OF ELECTRICITY
~ 85 JOHN STREET, NEW YORK, NEW YORK 10038
/)a,~ OCTOBER 17,1988 ,~p/,li~.tl.. ~'o. o, fl~ 56694988/88 N 039915
THIS CERTIFIES THAT
Onl~ the eJ~r~ ~ulpmen~ ~ ~scr~b~ be~w a~ lnt~uc~ by t~ oppllcant ~m~ on the o~ve ~plica~n numar in the p~m~es of
SOUTHOLD SELF STORAGE, HORTON LANE, /POLE ~10,BLDG.A, SOUTHOLD, N.Y.
in the following location:
~s examifl~ on OCTOBER 03~98~ and found to be ln con*pllance u'ith the reqt~ireo*efl~s ~f this Board.
%.t'
S$R~I~ OI~ONN~CT ~
OTHER APPARATUS:
30 MIN TIMER SWITCHES-88
PANELBOARDS:i-ll CIR. 125
JODY PUMILLO ~
,~.~,~.,P AT LANE
L~CENSE NO. ~oo ~ ~" ~
This ce~ificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their c~edentia,s.
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ~m ~ 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-
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 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 ALTERATION $25.00
1. Certificate of occupancy New Dwelling $25.(]0, Accessory ,$]0.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ I00.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date -/z~/
NewC one tPuc t ion Old or Pre existing Building
....... Vacant Land
Location of Property. [Od&d).. · · ....~.O.C.~. Q?. .~-~).' · .~..(:~'..,. ~:Q0.~Q l~ ......
HouseNo..~.(~ ~1~Street --'-JO' ............ Hamlet
Owner or Owners of Property ... . ..................................
County Tax Map No. 1000 Section .0..~.~. ........ Block C~ .J. ........... Lot .~.~) .............
Subdivision
................................. Filed Map No ........... Lot No ..............
Permit No. ~.[~.ut. ~' ~-- Date of PermJt;~- ~O .~.Applicant ' '~" 'q~...C.~.~...C~. ....
Health Dept. Approval . ~.~. .................. Labor Dept. Approval [~,~ .....................
Underwriters Approval .J~..'~..~.~. !..~T ......... Planning Board Approval . .,-~..'.~...
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .............................
Construction on above described building and permit meets all applicable codes and regulations.
Rev. 10-10-78
THE NEW YORK BOARD OF FIRE UNDERWRITERS
EUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
THIS CE~IFIES THAT ' .
o~y t~ e~t~M ~uipment ~ ~ ~w a~ int~ by t~ ~t ~ on the a~ ~t~ numar
in the.following location; [] Basement [] Iht FI.
wasexaminedon NOYEIIBER
SOIJTHOhD,
[] 2,,.d Fl. OUT .%etinn Block
and found to be in compliance u'ith the requlremeats of this Board.
Lot
fiXTURE RXTURES RAHGIS OVENS DISH WASHERS EXHAUST FANS
OUTleTS SWITCHES FLLK~ESCENT OTHER
5~ ~1 ~ 45 10 4
SHVlCS DISCONNECT S E n
P~EbBO~RD$:I-18
C
A. W, G. NO. 04: Hi. LEG
OF CC. COND.
JODY PUMILhO
PAT LANE
MA~T[TUCK, NY,
11952 ~ ~
Pen
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000930
BUREAU OF ELECTRICITY
I-- JUbY 06,1989 85 JOHN STR"~ET, NEW YORK. NEW YORK 10038
49937187/87 N 079605
'~D~te Applic.tion No. on fil~
THIS GE~!FIES THAT
PUDGE CO~P., 1040 ,O~TON bANE, UNIT A, SO~HObD, N.Y.
~ examin~ on and found to be in ~mpllan~ with the ~qui~ments ofth~ ~.
RXTUIRS
SWITCHES
3 4
RANGRS OVENS DI~N WASHERS EXHAUST FANS
ELEC. ROOM HEATERS:3-.5 K.W.,2-1.5 K.W.
3/0
E
1 3/0
ROBERT NEDDERBURN
219 PIDGEON HILL RD.
HUNTINGTON, NY, 11746
blC.{g-910
Per.
Thil terlifi~,te mu~t not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
· ~-~-~ ~ COPY FOR BUILDIHG DEPARTMEHT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY ~INER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1000930 BUREAU OF ELEOTRICrTY
85 JOHN STREET, NEW YORK, NEW YORK 10038
Dote JUbY 10,1989 Al~olication mo. onfll,, 62932689/89 N 080167
THIS CERN'IFIEB THAT
P~E 1
mdy tire e~etrl~d equipment as d~eribed b~.me aad intrm~leed by the opp~lt~nt Mined mt the abo~ ~pp~ieation number bt the premises ay
PUDGE COOP, 1040 HORTON AVE, SOUTHOLD, N.Y.
in thefo~l~wlng location; [] Basement [] Iht FI. [] 2nd FL ,~tion Bioek Lot
was ex.mined on JUNE 19,1989 and found to be in compllance u'ith the requlrement s of thls Board,
RXTU~II RXTUIII$ RANGES OVEN$
~9
49
55 8
S E n
1
ROOH BEATER$:6-.5 K.W.,4-1,5 K.W.
WATER HEATERS::2-2 K.W.
FAN$
Sm
CC. COND,
3/0
I C E
I u 3/0^ w o
ROBERT WEDDERBURN
219 PIDGEON HILb RD.
HUNTINGTON. NY, 11746
blC.IglO
certificate muet not be altered in ony manner; return to the office of fl~e Board
s.U~¥' FOR BUILDING DEPARTMENT. THIS COPY OF
11
moyb~
THE NEW YORK BOARD OF FIRE UNDERWRITERS
..~93~ BUREAU OF ELEGTMICr'r'Y
85 JOHN STREET. NEW YORK. NEW YORK 10038
THIS CE~IFIES THAT
EUDG; CORE., 14}4e I{~I~ON Avm, U#I? 'B"~SOU?HOLO, N.Y.
in the~follow;nR loc=tion; ~ Basemen{ ~ Ixt FI. [] 2nd Fl. .~ction Block
tc~sexaminedon K~CH 13~1992 =nd~oUndtoheineompllancewiththerequiretnentso~t~isBo~rd.
Lo{
D~IYERS R,It'RA~ MOTORS RJTUR~ TIME C3QCKS
MU~II-OUTLIT DIMMERS
SYSTIMS
~,OF NET
S~RVICE S E R V I C
SLNC, ROOK RBA?HRSl2-,5 K.#.,2-1.5 K.#.
BLEC. #ATBR HBA?NRN*~I-2 K.W.
£ONNN? #BDDERBURN
219 PIDGBON HILL
~Per_
This certificate must not be oitered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by theb credentials.
FoR BUI~ING DEPARTMEHT. 1~11S_ _~PY OF~IFICAT~E: idUST lI31'BE A~L.T, ERED ltl i~4Y~k~IJ, lidER.. ..... .~
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
?LUMBING
INSULATION FERN. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
BOAI(I) OF HEAETII ......
3 SETS OF PI,ANS ..-".'
FORMNO. t SURVEY
TOWN OF SOUTHOLD CHECK ..........
BUILDING DEPARTMENT SF~PTIC FORH ............. :
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
NO'[' I FY
CAEI, - ...............
HAlt, TO:
Examined . '~..~
19.~.
Ap proved<~.....-lPg... ?'P., 1
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .................. , 19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to tile 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 tile applicant. Such permit
shall be kept on the prenfises 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 Occupauc5
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for tbc issuance of a Building Pernfit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~
Regulations, for the construction of buildings, additions or alterations, or for removal or demolitiou, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessfir~ inspections.
(Signature bf applicant, tlr na!Xa,L, if a corporation)
..........
(Mading address of appiicant)
State whether applicant is owner, lessee, agent, architect, engineer, general cuntractor, electrician, plumber or builder.
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALI, CONTRACTOR'S NUST BE SUFFOLK COUNTY LICENSED
Builder's License No .... %_ .................
Plumber's ~icense No ..... ~ ...........
Electrician s,License No ........... .~x ..........
Other Trade s License No ............ ~ ......
I. Location of land on which proposed work wi,il) be done .................................................
..... ....... .......................
I louse Num bet Street 1 lamlet
County Tax Map No. 1000 Section ..... (2~.~..-~ ...... Block ...... (~. t ........ Lot .... t/. .O. ..........
Subdivision ..................................... Filed Map No ............... Lot ..............
(Name)
2. State existiug use and occupancy of premises and intended use aud occupancy of proposed construction:
a. Existing use and occupancy . .{~,)..~.~ ....................................................
N Intended use and oct,, ~~..~ 5 - · -'~. · 00'.7z-5 ......................................
3. Na.turc. o?work (check which applicable): New Building ..... ..... Addition .......... Alteration .........
Repair .... ~ ...... Removal .............. Demolition .............. Other Work ..............
~ (Descriplion)
4. Estimated Cost..~..~:~.- ..d. ~ ..................... Fee.. ;'~.~..,~..l~. ...........................
~dwnbeXl~ ' (to be paid on filing this application)
5. If dwelling, nu elling units ............... Number of dwelling units on each floor ...............
If garage, number of ~:a.'t'3~ ......................................................................
6. If business, co~rnn!e?al Or ~"?3e~cupancy, specify nature and extent of each type Of use ....................
7. 1)i~nensions of exisn'ng structures,'lf-q.~y: Front ............... Rear .............. Depth ...............
lteigbt ........... ~! ~b,_e r_ ,o,f ~ ........................................................
Dimensions of ~re with ~ll~ion~,~tions: Front ................. Rear ..................
Depth ......... ~leigh_t . ..... ~ ............ Number of Stories ......................
8. Dimensions ofe~w co~: Front ...... ~ .... Rear ............... Depth ...............
tleigbt ............... Number of Stories .......................................................
9. Date off urcha~~"F~l'er ............................
10.
I 1. Zone or use district~ ........ ; .; . . . .'"~,,.~. .............................
12. Does proposed~/jo_n_.'__...__~: ......................
13. Will lot be regrade~ fill be removed fr'0m~remises: Yes Nc
14. Name of Owner of premises .................... Address ................... Pho No ...............
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor .......................... Address ................... Phone No ................
15. Is this property located within 300 feet of a tidal wetland? *Yes .....
*If yes, Southold Town Trustees Permit may be required.
PLO~ DIAGRA~
Locate clearly and distinctly 'ali buildings, whether existing or proposed, and indicate all set-back dimensions freer
property lines. Give street and block number or description according to deed, and show street names and indicate whetbe:
interior or corner lot.
S-['ATt~ OF NEW YORK,
cov v c/c.. s.s
.... .~.'~.q,'*/'~. :i. ~.: ~.~.~....~J~ ./'~.'. ................. being
(Name of Jndividbal signing contract)
above named.
duly sworn, deposes and says that he is the applican~,
lie is the . . .~t.+)..AA4 ?. ............................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is dnly authorized to perform or have performed the said work and to make and file
application; that all statements contained in this application are true to the best of his knowledge and belief; and that
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
........ ............ ....
- · LINDA ~
NOTARY P~BUC. State of N~ ~ ... ~. ~ ~. ~. ~] ~ .................
uo ~2.4524~1 ~/ ~ (Signature of applicant)
~u, rff,ed ,n S~folk Count, //