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Home My WebLink About13633-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-31009 Date JUNE 27, 2005 THIS CERTIFIES that the building NEW DWELLING Location of Property i350 CROWN LAND LANE CUTCHOGUE. N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 7 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 1984 pursuant to which Building Permit No. 13635-Z dated DECEMBER 17, 1984 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 ONE FAMILY DWELLING WITH A1-FACHED TWO CAR GAPJNGE AS APPLIED FOR The certificate is issued to ALBERT H. & I~qRY DANKLEFSEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-S0-219 UNDERWRITERS CERTIFICATE NO. N-693328 DATED MAY 24, 1985 PLUMBERS CERTIFICATION DATED MAY i7, 1985-BAY PLUMBING & HEATING *NOTE: THIS UPDATES CO Z-13594 DATED JULY 5, Rev. 1/81 1985. -. ' ........... ~--- Form No. 6 TOWN OF SOUTHOLD t l ii ~0i'J ~} 1 ~ .__ I! BUILDINGTowNDEPARTMENTHALL ~ ~ ~ 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: Ao For new building or new use: 1. Final survey of property with accurate location of all buildings, propet'ty lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water suppty and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Undem'riters. 4. Sworn statement from plumber certifying that the solder used in systexn 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 Plmming Board Approval of completed site plan requirelnents. · 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 cousent to inspect signed by the applicant. Ifa 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 $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00. Accesso~' building $25.00, Additions to accessory' building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupant5' - $50.00 5. Temporary, Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Location of Property: Old or Pre-existiog Building: ~ (check one) Hamlet Lot / C9 House No. Street Owner or Owners of Property: /ql. 13l~.~']"' 2/, ~A~ KL 6P$~,V/ ~ ~ti,':]/e ¥ Suffolk Count5' Tax Map No 1000, Section / d> 2. Block '7' Subdivision Filed Map. PermitNo. /g~,- .~3 ~.- DateofPennit. ,,ttO~ 2./~/~oOq. Applicant: Health Dept. Approval: Platming Board Approval: Request for: Temporary Certificate Fee Submitted: $ .~0, oo IOO? Unde~vriters Approval: Final Certificate: w/ (check one) TppW Wm S'g FOU~_ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJV, IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13633 Z Permission is hereby granted to:~.~ ....... .~...f ....... :.. .... ...... ,~.~.....:../.Z ............................................... .... ~~ .~.....=..~..,.~......./../.~.~ ,o ...~.o.~.z,,~.~-....~.....:~..~~......~.~/./.,~..~.~.~q ....... ~ ...... .............................................. .~./~,,.~,. ~./,/~.....~o..~ ~.~_ .~..~.~ ...... at premises located at ...../,~,.,...~..~..(~.. ....... ...~..~..../.--.~.~I,Z..~..-.,~ ~.~. ....... ~ ................ .......................................................................................................... -:F'.~.~.~ ...... ~:~ .... · ~ ........ ~....: ...... ~:.s.. . ,,,.,..z.?.,, i/~ "'~'~'~ ~' ~"' ~ .............. "7" .................. ~ ..................................... County Tax Map No. 1000 Section ....~/~.x~. ......... Block ..~...~.. .......... Lot No...~./....~.. .......... Building Inspector. Rev. 6/30/80 FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.?.5. 9..4 .......... Date ...... J.u.~ .y..5. .................... 19.8.5. THIS CERTIFIES that the building One family dwelling Location of Property 13,50 Crown Land Lane , Cutcho.~ue ..... /'/[~[ts'o 'NO.' ...................... 'S'*/eel ..................... Ham/et County Tax Map No. 1000 Section . .1.0. 2. ....... Block ...0.7. .......... Lot ...0. ~. 0. ........... Subdivision..H.i.g.h..1.a.n.d. Rd. Est .Filed Map No. 6537 LotNo. 010 conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. [q.o.v.,. 8 ........... ,19 8.6. pursuant to which Building Permit No...1.$ 63.3.~ ............ dated .... D e c....~ .7 ................ 1955., 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 ......... ...... Qram..f.gn~$ ~y..c~v~.~.~og ..................................................... The certificate is issued to ALBERT H. & MARY DANKLEFSEN (owner, ~$lt~X ~14~b~ of the aforesaid building. Suffolk County Department of Health Approval 16 -S 0-219 UNDERWRITERS CERTIFICATE NO. iq 69332 PLUMBERS CERTIFICATE May 17, 1985 Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-lSd9 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. 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, Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling ~r 3. Copy of certificate of occupancy $1.00 [ / land use $ Is-/$5.00 Date June 26, 1985 New Building .... X.X. ....... Old or Pre-existing Building(Z) ....... :/Vacant Land - Location of Property 1550 Crown Lane, Cutcho~ue~ N. Y. House No, Street Ham/et Owner or Owners of Property Albert H. &.:.M._a._r.3. Danklefsen County Tax Map No. 1000 Section 102 7 :10 ............... Block ............... Lot Dcl'o Subdivision ............................. Filed Map No. , .6.2..8.9 .... Lot No .............. Permit No. 1..3.6.3.3.Z..., Date,of Permit~J'.2/.?-7/.8?..Applicant INLAND HOMES, INC, Health Dept. Approval 6/14/85 .Labor Dept. Approval ...... Underwriters Appro ........................ Planning Board Approval .................. ~ ,. ~ Bequest for Temporary Certificate ..................... Final Certificate . ~e..s...- ......... . Fee Submitted $ 5°00 Robert E. Hiltz, INLAND ~S, INC. Rev. I0-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date May 17, 1985 Building Permit No. 13633Z Owner Albert H. & Mary Danklefsen (please print) Plumber Frank Pazienza d/b/a Bay Plumbing & Heating (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ' '(plu~er ~ signature) Frank Pazienza Sworn to before me this Notary Public, ~/~ County ~ ~ ,~~, ~ / Not'rtl Publ'ic JOYCE M. SKWARA Not~r~ PubHe, State ,~f New Y*rk No. 5:/- 46~49! Qualified in ~ffolk ~ty '-'ommf~u Exp~ Ma~h 80, 1~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-~ 8,5 JOHN STREET, NEW YORK, NEW ~ORK 10038 Bate i4ay 24, 1985 ApplicatlonNo. onfile 3[5573/85 · .,s c~.~.~,~s ~.AT N 693328 Albert Da~elefs~, Crown Land Lane, ~/S 183'S/Spmr ~a~, CutchWue, NY in the fotlowing locatlou; ~ Basement ~ lst FI. ~ 2nd Fl. Section 102Block 7 Lot ~y 20, ~955 and found to be in compliance with the requirements of this Board. ~XTURE ~ FIXTURES RANGES ~COOKING DECKS OVENS DISH WASHERS OUTLETS RECEPTACLES SWITCHES NCANDESCENT FLUORESCENT ~Y ~T. K W AMT, K,W. ~T KW. kMT K.W 21 33 22 21 11 · 7 1 1.2 DR~ER~ ~ FURNACE MOTORS r FUTURE APPLIANCE FEEDERS iPECIALREC'PT TIMECLOCKS I BELL JUNITHEATER MULTI-OUTLET DIMMERS OTHER APPARATUS: ~eoo ~lect. Corp.-Cliff Cornell 325 Willow Point Road $outhold, NY 11971 Lic#2816 This certificate must not be altered in any manner; return to the office of the Board if incorrect· Inspectors may be by thelr credentials. ANY MANNER. ~I ELD~ INSPECTION FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CeDE FINAL COMMENTS ADDITIONAL COMMENI BUILDIN~ DEpT, ~' INSPECTION f ]'FOUNDATION XST [ ] ROUGH !F)LBG.' [,] FOUNDATION ZND £ ] INsuLATI°N [ ] FRAMING [ ] FINAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Disapproved a/c .... ~...~.~-~.- ......... :..,,'7'~..~... ,~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. DatcNpy. e.m..b.e.r..2. .......,1984. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 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 issue a Building Permit to the applicant. Such permit 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 Occupa~ncy 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 admit authorized inspectors on premises and in buildings for necessary inspections. - INLAND HOMES, INC. (Signature of applicant, or name, if a corporation) BOX 117, Mattituck~ N. Y. 11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General. Contractor ..................... Name of owner of premises ...A.l.b..e.r.t.. IJ.,..& .MO~cy.. Dank 1 els.eh ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. t Robert E. Hiltz, President (Name and title of corporate officer) Builder's License No....- ...................... Plumber's License No. 517~P 2816 Electrician s License No ....................... Other T}ade's License No ...................... 1. Location of land on which proposed work will be done.n./$..c}f. Cz. own. Land. Lane,. Gutchogue-~..N ~ · Y-.. · - l .0 ...................................................................... : ......... House Number Street Hamlet C~hnty Tax Map No. 1000 Section .lQ.2 .............. Block ..... 7...: ........ Lot...19. Subdivision.. ~.'~..~)'~ ....... Filed Map No...6.2.8..9 ........ Lot .. ).:~ .......... 2. State existing use and occupancy of premises and intended use and °ccupancy °f pr°p°sed c°nstructi°n: vacant ...................................... a. Existing use and occupancy ............................... 1 .F. amily dwelling ..... b. Intended use and occupancy ................................ p~li XX Addition ......... Alteration, .......... 3. Nature of work (check which a cable): New Building .......... ' Other Work ............... Repair .............. Remoial .............. Demolition...~. .............. ..-.: '. (Description) 4. Estimated Cost .... .,.~. ,~i Fee ................ ........................... ppli ) , (to be paid on filing this a cation Number~of dwelling units on each floor If garage, number of cars ............. 6. If business, commercial or mixed occupancy/sp~if~ature'/~fid'extent of each type et use ..................... 7. Dimensions of existing structurei, if any: F/o~.,. ............ Rear .............. Depth .............. Height ............... Number of Stcf~s '/ ...................................................... Dimensions of same structure wi~h alterations or additions: Front ................. Rear .................. ' Height Number of Stories ...................... Depth .................... i ........................ 62 Depth Dimensions of entire new construction: Front ...... 6..3 ........ Rear ........................... 8 . Number of Stories ........................................................ Height ........... . 2.02 51 Depth 1.9.9 .4.7. Front 167.2.2 .. Rear ......... · ........ · ' .............. 9 Size of:lot: .... ; Name of Former Owner ............................. 10 Date of Purchase ........... : .................. Zone or use district in which pr~mises are situated ..................................................... 11 · 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 1 lot be re raded . .. Will er~,q~4'~ll bt~rr~e~avw~ from premises: Yes. No Wil g ....... . ........... u ~ ~c 212-478 5561 13, ,. ..... ~ .... :~, Al,bert Danklg£seXAddress~o~t~i~, ~ ~...PhoneNo ................ 14. ~ame oi uwn~r m v~--~*~ · - .. ................ ' ' ' *' Name of Architect .......... ................. Address ................... Phone No ................ Nam e of ContractorI~l.l-d~l~lP..I'IQI~I~3. ~.. ~[IN.C., ..... Address Bg~..~ ~ ?, l~& ~ 1: iL.t. tl ql~hone No.2.gO .- 9.(~96 ...... Locate clearly and distinctly al! property lines. Give street and blocki number or description according interior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from to deed, and show street names and indicate whether iq~'t STATE OF NEW YORK~ j S.S COUNTY 9.u ...... ..... R. 9~.~.~. ~...E....H..~ .:l..~.z. .... ! ...................... being duly sworn, deposes and says that he is the applicant (Name of individual siCning contract) · above named. He is the ................ C..°.n.~.r.a..c.~9.r' .............................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is July authorized to perform or have performed the said work and to make and file this application;that all statements cc ntained in this application are true to the best of his knowledge and belief; and that the work wil[be performed in the manner set forth in the application filed therewith. Sworn to before me this .... ............... ,19.'. 5:48 LOT" ~7 --" 'ZQ2L 5'T ~'>-''' ~67,22 Pl