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Home My WebLink About45144-Z �ofooFF ojk G Town of Southold 9/4/2020 P.O.Box 1179 o • } 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41405 Date: 9/4/2020 THIS CERTIFIES that the building ACCESSORY Location of Property: 7405 Route 25, Laurel SCTM#: 473889 Sec/Block/Lot: 122.-6-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/31/2020 pursuant to which Building Permit No. 45144 dated 8/31/2020 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: accessory storage building as applied for. The certificate is issued to Konkel Jean Marie Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au o ' e Signature �s�FEot TOWN OF SOUTHOLD BUILDING DEPARTMENT m TOWN CLERK'S OFFICE �� > SOUTHOLD, NY �Ol �0 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 45144 , Date: 8/31/2020 Permission is hereby granted to: Konkel Jean Marie Trust 5 Chasso Ct Dix Hills, NY 11946 To: Build accessory building as applied for. Replaces BP# 5277 At premises located at: 7405 Route 25 SCTM #473889 Sec/Block/Lot# 122.-6-32 Pursuant to application dated 8/31/2020 and approved by the Building Inspector. To expire on 3/2/2022. Fees: PERMIT RENEWAL $52.50 Total: $52.50 f . Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) O 5277 Z Date ................. .................. ............ .... 19.....7 Permission is hereby granted to: X J ........... .......... °.,.: 0 ::£ ..:: ............ .................. ............. '.+�.C'..........� f':�.. +� � y. � to ... .... ...................................................: y.......... ............ ................................. le at premises located at ..6... .-.......... ' ...... °. )..`....`:.................................................... ...... :. `.............................................................. ................................................................................................................................................................ pursuant to application dated ......................... .. " .�..... ......, 19. ,E .., and approved by the Building Inspector. Fee $,�.��................... ....... 8 .. .N" .. ...... ...`�.�...` .. ...... ...... . . ..: . ::. . . Building Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%lead. 5. Commercial building,industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings(prior to April 9, 1957) non-conforming uses,or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 �1 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: 7 7 D Z s /"l&M&Ck— House No. �,(Street Hamlet Owner or Owners of Property: �r I r�e ' � fi4r,e -7XIl Suffolk County Tax Map No 1000, Section I .Z Block (p Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: Y (check one) Fee Submitted: $ SO �l Applicant Signaturel • o�yOE SOUTyo �O , �� 1��L� - ti � TOWN -OF SOUTHOLD BUILDING DEPT. �O • �O 765-1802 - INSPECTION [ ] FOUNDATION 1ST - [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ], FINAL [ ] `FIREPLACE &CHIMNEY [' f FIRE SAFETY INSPECTION ' [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE IST"ANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] CTRIC INAL) i [ ] CODE VIOLATION PRE C/O Xe, - •I REMARKS, r T:071) A�_ ' bvl1 - ow I (V t II , 1 _ (�P Li q q • i DATE Y 'INSPECTOR loci y bl u FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .. 'q,.........., 19.. 1 Application No. .J.7X..'?a.. .. ......... Approved ........ 19........ Pemit No. .................................. . �/ ` Disapproveda/c ................................................. ............................... / � "�"`3 ✓�� ` ................................................................. .................... ........... Z-/i7/7� (Building Inspector) APPLICATION FOR BUILDING PERMIT C - e^� �1 Date ........... .........:. ....4........., 19...`.1.... INSTRUCTIONS w a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 application. 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. Y 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. .................................................................................................. (Signature of applicant, or name, if a corporation)_ , In ��.......�...................?gr (Address of applicant) State whether applicant is owner, lessee, agent, architect'engin er, general contractor, electrician, plumber or builder. ......................... ........................... ` d`r ....... I �' •`•••`•` .............................................................................................. Name of,owner of premises .1 If applicant is a corporate, signature of duly authorized officer. `1 (Name and title of corporate officer) .j 1. Location of land on which prop ed war ill be drone. Map No.: ........�. ...................... Lot No. Street and Number ........ .......... .. 4.....'............. ..`.`...................��, ......... Municipality 2. State existing use and occupancy ofp emises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ................................I................................................................................................. CA/- b. Intended use and occupancy .......... ..f:......... ......°�............ ... "�, .................... 1 , 3. Nature of work (check which applicable): New Building .......?....... Addition .................. Alteration .............,.... Repair .................. Removal .................. Demolitior.................. Other Work (Describe) ........................................ 4. Estimated Cost ..........(...�°....................................Fee .......... .. ......................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ............................ Ifgarage, number of cars .............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............. 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................Number of Stories ................................ l/ 8. Dimensions of entire new construction: Front / �:-.............. Rear f�............ Depth I Height .................... Number-of Stories ............... , ................................................................................................... 9. Size of lot: Front .....4 ga.............. Rear .........G-0................... Depth ..... �r.U............. 10. Date of Purchase ........................................................NAS of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..........�✓..� .. .. ........................................ ................................... . 12. Does proposed construction violate any z g la rdinance or a ulat' .................................... 13. Name of Owner of premise .... ddress . . .................. .. .......... Phone No. .................... Name of Architect ......................................................Address ............................................ Phone No. .................... Nameof Contractor ............... ...................Address ............................................ Phone No. .................... PLOT DIAGRAM Locate clearly and distinctly all 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. G'� 9 ® --j STATE OF NOR Z S S COUNTY OF .. 4—..! ............................. . . ....... . . ................ !- ......`.!.`.. ing duly sworn, deposes and says that he is the applicant (Name indivi ual signing op l[cation) abovenamed. He is the .................... ............................ .......................................... ............................ (Contractor, agent, corporate officer, etc.) 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 of ......... 19. .� 44-` . ................ ........ ........ . ... ..................... Notary Public, . .. .......... Count (Signature of applicant)• ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No 52.8125850, Suffolk Count Term Expires March 30, 191