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Home My WebLink About11373-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z10764 Date November- 5 19 81 THIS CERTIFIES that the building ................................................ 350 Navy Street Location of Property ..... 35.5 .Kir~g .S~r. ee % .......... 0riant ,. ~ew. ~o~.k ........... House No. Street Ham/et County Tax Map No. 1000 Section ...Q2 6 ...... Block ...... 0.1 ....... Lot .... C} 2 7 .......... Subdivision ............................... Flied Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8ugunt 28 19 81pursuant to which Building Permit No. 11373 Z dated ·..S.e..p ?.e.m.l?..e.r,..~. 5. ........... 19..8.1, was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ,~ Accessory .S.g. 9.r.a.g.9 Buildin~ The certificate is issued to ..... C. 9 .v.1' .H. :..K.i.n.g..h..$.np., ................................ (owner, ~Xse~l of the aforesaid building. Suffolk County Department of Health Approval ...... I~/It ................................. UNDERWRITERS CERTIFICATE NO ...... N./.t~ ........................................ Rev. 1/81 Building Inspector N? 11373 Permissim is hereby granted to: SOUTHOLD, N~ ¥. : lNG P,E T' (THIS PERMIT MUST BE KEPT ON, THE PREMISES UNTIL ~ULE COMPLETION OF THE WORK ^UTHORIZED) Z · ~o~e pursuant ~O application dated B~!l~ing ~spect0r. !, :: . InSpectd~ ,.,~, ~nc~ ~roved by the atp[emlse$ ~ocatea ar ..~,.~.s~,.~.,...~...,.~.~.~/'~,F,..,.we.~; ......... .......~,.. · ..: ...... ry., ,- · .~ ........... ~ ......... CoUh~ T4x Map No. 1000 Section FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail Southotd, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 topograt)hic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial boildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Plannin§ 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 or land use 3. Copy of certificate of occupancy $1.00 $5,00 New Building ..... X ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...355..K£mg..S.t ~'e¢.~., .... .O.r.J, .ep.f,.,..,..N.e.w,, .Y.o.r?. z..1ol. 9.5..7 ............ House No. ~ ' Street Hamlet Owner or Owners of Property . .Co~'~-..l-J,. J(.~.rig..&..A.n..o.. .................................... County Tax Map No. 1000 Section .... 2.~ ......... Block . 1 Lot 27 Subdivision ................................. Filed Map No ........... Lot No .............. Oc~.. 19~19B1 Permit No, 11373Z Date of Permit .......... Applicant , C~z'J~ ,H....l~img .......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ............... Request for Temporary Certificate ..................... Final Certificate ...... X ........ Fee Submitted $ .... 5., 00... ................... Construction on above described building and permit meets all applicable codes and regulation Applicant . ..~. ~.~.../.~ ............. .~.. Rev. 10-10-78 F FI~L~ INSPECTION DATE CO~MMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION FER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUT~IOLD, N.Y. 11971 TEL.: 76,q-lB02 Disapproved a/c ~-~'/~.~. m .......... ./' ;. ~ (Building Inspector) APPLICATION FOB BUILDING PERMIT Application No./. Date .A.u.g. .u.s.t. .2.8. ¢. .1.?.8. .1, 19. INSTRUCTIONS a. This application mnst be completely filled ill 'by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according te schedule. b. Pict plan showing location of lot and of bnildings on premises, relationship to adjoining premises or public stre~ or areas, and giving a detailed description of layout of property must be drawn oil tile diagram which is part of this apg cation. c. The work covered by this application may uot be commenced before issuance of Building Penni,. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern 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 Occupan shall bare been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department fo,' the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Soutllold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, fox tile construe,leu of buildings, additions or alterations, or for remoYal or demolition, as l~erein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. · ................. (Signature of applicant, or z~me, if a corporation) ' r (Mailing address of appiicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Owner ~ Nalne of owner of premises .Oerl' H'.' 'King' .end' &no ~ .............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly aufilorized officer. (Name and title of corporate officer) Builder's License No...~..~ ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land ou which proposed work will be done..3.55 · bla.v.>¢ . S t r.ee t t. ID.r.i e n t.~..b.l.Y....11 ? }.Z ..... House Number Street Hamlet County Tax Map No. 1000 Section ... 2.& ............ Block ... -}- .............. Lot ..... 2.7. .......... Subdivision ............. 'w:x'v: ................... Filed Map No. '~-----' Lot (Name) State existing use and occupancy of premise/5 and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ,f~f~~J.,-~(. ......................................... b Intended use and occupancy Storage Building O it,~on ~' -~. L Nature of xvork (check which apphcable): New Building ...X ...... Add .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) Estimated Cost ..... ,$-800 ............................ Fee ...... 10...00 .......................... (to be paid on filing this application) ;. If dwelling, number of dwelling units ............... Nmnber of dwelling units on each floor ................ If garage, number of cars ........................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use . $ to.r-oge ............ Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... lleight ............... Num bet of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Itei~t ............. ~ ........ Number of Stories ........... ~ .......... ~. D ne~sonsofentre ~ewconstruction Front ...1.0. ..... Rear ............... Depth ..I..~ .......... Height 7. [ . II.-'J~-~X ..... Number of Stories ... 1 .................................................... I. Sizeoflot: Front ...................... Rear ............... - ....... Depth ...................... ). Date 6fPurchase ............................. Name of Former Owner ............................. I. Zone or use d/strict in which premises are situated .................................. ~'. ................. 2. Does proposed construction violate any zoning law, ordinance or regnla:ion: ........ 2 ....................... ~. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No L Name of Owner of premises . .Carl..H.. K£n9 ,. & .~ess '350' 'K'~:n9'.5't:; .... Phone No. '12~1--345~5 ...... Name of Architect ........................... Address 'Or ie~t: -' · N...Y- ..... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether tcrior or corner lot. VA TE O F N E W/'JP/O R K _ OUNCe.. S.~ (Name of imhvid'i~al signing contract) being duly )ove named. sworn, deposes and says that he is the applicv, nt e is the ........... (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the · ork will be performed in the manner set forth fl~ the application filed therewith. worn to before me this ota*mublic,~ ..... '" ~2v:i~;2~i,.. County __ e'~"~**. ~,. ~.,~ a0, ~ ................................ ~ ............ . . (Sign~$ure of applicant)