The URL can be used to link to this page

Home My WebLink About15991-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ..Z-.1.6..228 ... Date. September 29, 1987 THIS CERTIFIES that the buridmg DECK ADD ITION 5135 Indian Neck Lane Peconzc, New York Location of Property H~use JVo] ............ '~t/e~t ................... I~r~le~ County Tax Map No 1000 Section 09 8 .Block 0 1 .Lot I. 2 Subdivision ............... Fried Map No ...... Lot No .......... conforms substantially to the Application for Building Pernut heretofore Fried In flus office dated May 5, I 9 8 7 pursuant to wl-uch Braiding Permit No I 5 9 9 I Z dated . . ~.a.y..I 3.,. J 9.8.7. .... was issued, and conforms to all of the requirements of the applicable provlmons of the law The occupancy for which tlus certificate is issued is .. DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to of the aforesaid bml&ng Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO... FRANK & FLORENCE KULL "' ?own'~r, ~4~iZ~4~x ......... N/A N/A PLUMBERS CERTIFICATION DATED: N/A Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15991, Z Permission is hereby granted to: ..~.~..,...~.~......~.~....~.:... .....%...o...~...!.!...~. ................................................... ~.~.....~.:.~..:... u..~...~ ................ ro ....... ~, ........ ~ ..... ~....9,~ ........ ~. '~~~"~-'~"~.~~,~o,,~o~ ~_.~-~:: ,~..~ ~ ~ -~ .............. ~ .............. !~.. at premises -. ~-~..}- .~ .~.....~'~'.;..~.......'.Y....--~..~..... ~/......a~o~ ..,... · .~...~' .......... County Tax Map No 1000 Section .... ..~..~ .~. .... Block ....... ...(~....[ ...... Lot No ) ' ~' to opp,,co,ion dot.a ...... .'~.~ ~. .............. . ,,.~.?.., ond opp~ved by pursuont Building Inspector. Fee $ ~ .................. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This applicattoo must be filled in Wpewr~ter OR mk, and submttted I~ to the Buildmg Inspec- tor w~th the followmg; for new bullrings or new use 1. Final survey of property with accurate location of all buddmgs, property lines, streets, and unusual natural or topographic features. 2. Fmal approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electmcal installauon from Board of Fire Underwmters. 4. Commermal buddmgs, lndustrml buddmgs, Multiple Remdences and simdar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5 Submit Plannmg Board approval of completed rote plan reqmrements where apphcable. For existing buddings (prior to April 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of p~perty showing all property lines, streets, buddmgs and unusual natural or topographic features. 2 Sworn statement of owner or prevmus owner as to use, occupancy and cond~tmn of buddings. 3. Date of any housmg code or safety mspectlon of buddmgs or premises, or other pertment mforma- tion required to prepare a certffmate. C. Fees: 1. Cerbficate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $~0.00 2. CertRmate of occupancy on pre-exmtmg dwelhng $ 50.00 3 Copy of cert~fmate of occupancy $ 5.00, over 5 years $i0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ......................... New C on s t r uc t z on ...... Old or Pre-ex,sting Budding ............ Vacant Land ............. Locat,onofProperty .~. /'~'-.'~ /.~. .O././?.,~.J. . W~ .C!<./-. . . ./. ;v;. ' ....... Owner or Owners of Property ~.~/~../.~.../~.~/.../~..~/. ~ . County Tax Map No lO00Sectlon ...~.~ ...... Block Subd,wmon ...................... Flied Map No ........... Lot No .............. Perm,t No./.~. ~72'/...ZDate of Perm,t .~.~/~..~. ,Applicant ././~./~.'~...~.,.~.....'<¥~...~-,- ........... Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ........................ P[annmg Board Approval ...................... Request for Temporary Certificate ............... Final Certffmate ...................... Fee Submttted $..'~.~ .................... Construction on above described budding and permit meets all apphcabJe codes and reguJatlons. g4o 33 TOWN OF $OUTIIOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL 765-1802 To Whom This May Concern, We are tlnable to complete your Certificate of Occupancy becaur, e of tile following reasons. An application for Certificate of Occupancy is not On file. No Underwriters Ccrt&ficate on file. The check !5(outdated/ot_D~_~_~B~.)4~.O~ /~/ No }lealth Dept. Approval on file. No final lnspect.~on has beea made. Please contact our office on this matter. Thank you for your cooperation. Building Permit I[ _/_/.~ ~ ~ ,[, g Buildinq Dept. ***/~/ No Plumber solder Certificate on file. { all permits involving plumbing being issued after April 1,1984 ) OUNDATIO.U ( 1 st) OU~DATIO:~ ( 2nd } OUGH FRAME & FLUMBING ~'~SULATION PER N. Y. STATE ENERGY CODE ADDITtO~AL COMME~ITS: 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND FRAMING REMARKS: ROUGH PLBG. INSULATION [ ~FINAL ~/~ ~, DATE ? Examined Approved Disapproved a/c BOARD OF HEALTH ...... 3 SETS OF PLANS ....... romNo. suRvEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ............. TO~N HALL NOTIFY $OUTHOLD, N.Y. 11071 TEL.: 765-180:;3 CALL ................ MAIL TO: (Building Inspector) TO'~g,l r' ' ' APPLICATION FOR BUILDING PERMIT Date .......... , 19. INSTRUCTIONS a. Ttus apphcatlon must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w~tl sets of plans, accurate plot plan to scale. Fee according to schedule b Plot plan showing location of Iot aill~of buildings on premises, relationstup ~o adjoining premises or pubhc stre or areas, and g~vmg a detmled descnptlo~yo~f pro2e[ty must be drawn on the d~agmm which m pa~ of t~s apl c. The work covered by ced before msu~e of Budding Permit d Upon approval of t~~g~t~$~tor will ~ssued a Building Pem~t to the apphcant Such pen sh~l be kept on the pr~a~~~tout the work e. No building ~ci~e~ u~ql~ or ~n p~t for any purpose whatever untd a Ce~fficate of Occupm shall have been gr~t~&~B~n~sp~ ~PLICATION IS g Dep~tment for the ~ssuance of a Bmldmg Pem~t pursuant to t Building Zone Ordinance B[~~old, Suffolk County, New York, m~d other apphcable ~ws, Ordm~ces Regulahons, for the cons~~s, add~tmns or alteratmns, or for removM or demoht~on, as hereto descnN The apphcant agrees to ~p~ a~phcable laws, oramances, building code, housing code, and rogulat,on% and ~,'m,~ s~!horm~d mspoclom ~ building for n~cessa. (Marling address o~ apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmldc N me of owner ofpr m,ses (as on the tax roll or latest~,,,~ .- If apphcant ~s a co~orat~on, mgnature of duly authorized officer By. V, .... ,,.,~v ~[LD~NG DEPARTM~ AT · ~ , ,-O7 FO~ OW~N/~ ~SP~CTIONS: =O~.~ OAV~ON ~O FOR ~UR~O COMCRETE Other Trade's L~cense No. M. ~.OM , ~ ~OR C O 1 Location of land on which proposed work wall be done. ~ /~/~Ji~!~+'- (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ~ Plumber's License No Electrician's License No .... ltouse Number Street ,q .ll Sec/1 County Tax Map No 1000 Secnon Subd~v~mon (Name) Block . Lot .. FdedMapNo ~'t -/ -/ '~. Lot . . State extstmg use and occupancy of premises and intended use and occupancy of proposed construction a Ex~stmguseandoccupancy / :£0'27'//}/,/,0c'':?(~ ......... b. Intended use and occupancy 3. Nature of work (check which applicable) New Building Additlont/"7'~'x... Alteration Repmr . Removal Demolition . Other Work (Description) 4 Estimated Cost ~j~?~SdP ........... Fee .................. ' (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . Number of dwelling units on each floor ...... If garage, number of cars ................................ 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use ......... 7 Dimensionsofexmnngstrnctures, lfany Front,.Go,~t.Xc~-3'~' Rear ....... Depth Height ...... Number of Stones ........................ Dunenmons of same structure with alterations or additions Front .... Rear . Depth Height . .. Number of Stones .... 8. Dimensions of entire new construction Front I~(X/~.~' Rear ....... Depth .......... Height ....... Number of Stones .............................. 9. Size of lot Front / ~cr~-. Rear ...... Depth ............. 10. Date of Purchase ................. Name of Former Owner ............. I 1 Zone or use district in which premises are situated .................... 12 Does proposed construction violate any zoning law, ordinance or regulation ................... 13. Will lot be regraded '~..~9. . Wlll excess fill be removed from premises. Yes No 14 Name of Owner of premlses .~.',~.'~',~UJ~_L~' t~. Ad~rZp~Z/f4~f~f¢~. PhoneNo..~.. :.~.?G.~.... ..... . ~. ~o;-/,ik' :~' ~_ Name of Architect .. .. ^oaress ............ rnone mo .............. Name of Contractor . ~ ..... Address ............... Phone No 15. Is this property located wzthln ~00 feet of a tidal wetland? *Yes ..... No ..'~... *If yes, Southold Town Trustees Permit maybe required. PLOT D lAG P,A~ Locate clearly and dmtinctly all bmldmgs, whether existing or proposed, and indicate all set-back dnnenmons from )roperty hnes. G~ve street and block number or descnphon according to deed, and show street names and mdb. cate whether ntenor or corner lot. ~ ~ ~ 0F {TATE OF NEW YORK, 7OUNTY OF SS (Name of lnd~vidual signing contract) tbove named ·. being duly sworn, deposes and says that he is the applicant {e is the ............................................ .. ~ ........... (Contractor, agent, corpora%e officer, etc ) "~ ~- ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file flus *pphcatlon, that ail statements contmned m this application are true to the best of hm knowledge and belief, and that the york wdl be performed in the manner set forth m the application filed therewith ;worn to before me this ...... .~ .... day of....~[~ ..... 19~'f 4otarymubhc, ...~,~.~.~ .~..~...fJ/.~.?... County /~ ..~..~.. IgtSW ~1~ ~t~.~.~?~. (Signature of applicant) No. 4707878, Sb~om ~uoun~l?~ T&'m ~ M~ch 30,19.--~ ~ or ~ormed~/ ,;:d~u~d ,josePh "" C ~- ~ou~o~~ ~ov~ c.~echo~ov/~cz go,Ad A~OO~r ~ COUNT~ DEPARTMENT OF I,(EAkTH APPROVAL OF CGN/,~rRi~¥10N ONLY HF'AL.71.1 DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT HIuFIr CO. TAXldAP oii¥'r'o~o SJ'CTIO# O~S B4.QCX ool LOT"T~' OTHI~ r.~ THOS~ SHOWN Wl~ ~FQW ~ ~ STAN~ OF THI S~K CO~TY O~TMJNT SURVEY FOR FRANK KULL JR & FLORENCE KULL DEC m,1985 3'..~- ~ 4o ~ OCT. t t, 1985 JUNE 28,1985 AT PECONIC DATE APR 17,1985 TOWN OF SOUTHOLD SCALE I"= 60' SUFFOLK COUNTY, NEW YORK NO 85-453 SURVEY W A ¥10~.ATIO# OF SECTION ?ZOS ~ THE NEW YORK STATE EOOCATION LAW CHICAGO TITLE iNSURANCE CO YOUNG a YOUNG NYS LICENSE NO 45893