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Home My WebLink About12841-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. z-15325 Date March 5, 1987 THIS CERTIFIES that the building AGRICULTURAL STORAGE BUILDING Location of Property 38030 Main Road Cutchogue, Ne~ York House No. Street Hamlet County Tax Map No. 1000 Section 085 .Block 03 .Lot. 008 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated January 13, 1984 12841Z ........................ pursuant to which Building Permit No ...................... January I9, 1984 dated .............................. 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 ......... AGRICULTURAL STORAGE BUILDING The certificate is issued to ALBERT J. KRUP SKI, SR. ..................... ................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 FO~~_ NO. 2 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) 12841 Dote ,., ..................... ~ ......................... , Permission is hereby granted to: ~ , ....... ....... /i. ........................................ : - .~. // ~ , ....... zC.;,....~..: .......................... et premises located at .......... ~./~/. .................. .~.'j · County Tax Map No. 1000 Section ..~..~.~.~.. ........ Block ..... .~....~.. ........ Lot No...(.~...~.. ......... pursuont to opp,co,on doted '.~..~..(~-~:~:~....l.~'... ............. , ~9~.~., o,d opprov~d by the Building Inspector. · Eruilding Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD 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 mmmmmmm 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 unu~al natural or topographic features. 2. Final approval of .Heal.th Dept, of water supply an.d. sewerage d!sposal-(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- tlons, 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 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· C. Fees: . ' ' 1. Certificate of occupancy Now Dwelling. S25.00, Accensory :$10.00 Bus[nes.~ $50.00 2. Certificate of occupancy on pre-existing dwa,lltr~g $ $0.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10o00 5.Uodatod C.,O. $ 50.00 Date ..... ~. .~. ........ 6. Alteration $25.00 NewCons t, ruct, ion Old or Pre-existing Building ~ Vacant Land Location of Property ....................................................... Hou~ No, i Street Ham Owner or Owners of Property ./~/.~ ~.,~F/P~./~'. /~/~ .~f...~../~ ! County Tax Map No. 1000 Section . .d.~. ..... Subdivision .............................. Health Dept. Approval ..................... .... Block , ¢.~ ........... lot ............... ·..Flled Map No ........... Lot No .............. .~.¢Applicant ................................. ·..Labor Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval ..................... Fee Submit ted $ ' '/(~'"~'~ * ' < ' "~' '~?/'~Request for Temporary Car tific~te .......... ........ ii ......... Final Certiflcate ...................... Construction on above described building and permit meets all applicable codes and regulations. n~v. 10.t0.78 F I E L~D ~IN~PECTION FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY ~ODE FINAL COMMENTS ADDITIONAL COMMENTS: TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 Thls is to advise you that the job under building permit no. 12841Z issued to A J Krupski Sr on1~/84 for .Agricultural Building is completed n final inspection has ( ) has not ( x ) been done. and fn order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a cheek fo~lO.O0 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection (late Occupancy or use is unlawful without a Certificate of Occupnncy. Please help ,s to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly y~. Victor Le~sard Executive Administrator VL:gar encl 3. Nature of work (check which aPplicable): New Building .......... Addition ....... ... Alteration ........ c ' Repair ............ Removal ...... ~ .... Demolition .............. Other Work ............... 4. Lst~mated Cost ......................... Fee .- .................................. (to be paid on filing this application) 5. If dwelling, number of dwelling gnits...- ............ Number of dwelling units on each floor ................ If garage, number of cars , . .............................................. 6. If business, commercial or mixed occupahcy, 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 8, Dimensions of entire new constrUction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9 Size of lot: Front ' Rear Depth 10, Date of Purchase ........... : .................. Name of Former Owner ............................. 11, Zone or use district in which pr~emises are situated ..................................................... 12. Does proposed construction vie!ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... . ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . .: ................ Address ................... Phone No. '7.3. ~z.'r. ~./~. ~. ~.. Name of Architect ........................... Address ................... Phone No ................ Name Of Contractor ~ Address Phone No PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. ~ve street and block number or descnptmn according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF...o~.r.(..~.~.~...... !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 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 ~his 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 .......... ........ dayof .... L~NDA F. KOWALSK[ ~OTARY pUBlIC, Stata o~ ~ew No. 52-4524771 Qualified in Suflolk County Commiss on Expires March 30, 198,. / (Signature of applicant)