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Home My WebLink About15351-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No ...... Z 149z+2 Date October 2, 86 Accessory shed THIS CERTIFIES that fl~e building ................................................ Location of Property . .Sfi. q..5..~.k..u.n.k..L..a.n.e...~ ............. Cutchogue, H. ¥. House No. Street Ham/er County Tax Map No. 1000 Section 1 04 .Block 03 ...... Lot 12 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Filed in this office dated .Qq .tp.b.e.p...1., ........., 19 .8.6. pursuant to which Building Permit No. 35351 z 86 dated............................Oct°bet 2~ 19 .... 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 shed Alfred & & Maria Kron The certificate is issued to .................................................. {owner, 1~,¢~9;~1( ~Y,a~ × x ......... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ......... N / ~ Rev. 1/81 l~O~ml~ NO. ~ TO~VN OF $OUTHOLD ~UILDING DEPARTM£NT TOWN HALL SOUTHOLD, H. Y. 6UILDING P Elba, iT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15351 Z Permission is hereby gront~~ · ..~-:~....: ......... ~;~ ............................ ..~.~.~ ....... ~.......~....~ .................... .... ~~,,~..,...~:.~..,....!.~..~ .......... County Tax Map No. 1000 Section .... /....0.....~.. ........ Block ........~ .~ ......... Lot No ...... }..~ ............... pursuant to opplication dated ...(~~..~ ........................... , 19~..(~,, ond approved by the Building Inspector. Fee ~,x .............. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD 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 I to the Building Inspec~ tor with the following; for new buildings or new use: I, Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2, Final approval of Health Dept. of water supply and sewerage disposal-(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- 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZ"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 $5.00 2. Certificate of occupancv on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 Date . .0.c.t.o.b.e.r..I.,..1.9.8.6. ......... N Constructiou ew ....... Id or Pre-existing Building ............ Vacant Land ............. Location of Property ...8.4.1.5..l~aS:../~v.e,.., ........... Ne~. Yqrk Cutqho~[ue ..................................... House No. Straet Ham/et Owner or Owners of Property./~I f.r.e.d. ·. · · .............J- Kron and Mar~.a..Kron.... .............................. County Tax Map No. 1000 Section 104 Block 3 12 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Oept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes a~nd regulations. SiS .................... Applicant .. ~ ALF(RE~Y O. KRON GARY FLANNER OLSEN, ESQ ..~.~o-~o-Ta ~/ P.O. BOX 706 ~,c_30q~7 CUTCHOGUE, NY 11935 Co IV cq; LOT.3 LOT.3A LOT. "~, N. 4' 07~'oo" W. - 160.0 - STOCKADE FENCE -' or-- ~Cb~ n, ~-I,~- CD : G9 ~LD INSP~LT~ON· COMMENTS ~DATION ~DATTON (2nd) )H FRAME & PLUMBING JLATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~'~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 7654803 Approved .O.~..--~...., 19~.b.. Permit No./..~'~.~.."i/..'~... BLDG, DEPT, TOWN OF SOUTHOLD Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Oate .i ................. 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 issued 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 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, and to admit authorized inspectors on premises and in building for necessary in,_.s,~s. ,~ . ~, .............. (S' ture of applicant, or name, if a corporation) Zi ................................. ........ ififiiiifi~' fi~fft~i~'$~' fil;3ii~;,~5 ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises C~..~J~~ · .if_ ............. (~} ~' i~e'ia~' ;dli ~ idt~t' ......................... If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. __~.~ D.~~i . lfouse Number Street Hamlet County Tax Map No. 1000 Section .... ~04 ........... Block . .3 ............... Lot..[~ ............... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .................................................................... 3. Nature of work (check which applicable): New Building ...... Addition . ......... Alteration : ......... Repair .............. Removal .............. Demolition ~ .......... i ....Other Work ............... ' ~ (Description) 4 Estimated Cost Fe~ ' i (to bt paid on filing this application) 5. If dwelling, number of dwelling units ............... Number olf dwelling ufiits on each floor ................ If garage number of cars i : 6. If business, commercial or mixed occupancy, specify nature and ext~nt of each t?pe of use ..................... ' 7. Dimensions of existing structures, if any: Front ............... ear ...... ~ ........ Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front .~ .......... ~ ...... Rear .................. Depth ...................... Height ........... : Number df Stories 8. Dimensions of entire new construction: Front ............... Rear ....... i ........ Depth ............... Height ............... Number of Stories ............ · .....i ...................................... 9. Sizeoflot: Front .............. Rear .......... ~ ptl ........ . .~ ......... De I ...................... 10. Date of Purchase ............................. Name of Fohner Owner ............................. 11. Zone or use district in which premises are situated .............. i ....................... .............. .. 12. Does proposed construction violate any zoning aw, ordinance or regulation: ................................ 13. Will lot be regraded ............................ Will excess Ifill be remo~ *d from premises Yes No 14. Name of Owner of premises .................... Address .... i .......... i .....Phone No ................ Name of Architect ........................ Address ' Phone No ................ Name of Contractor Address !" Phone No 15. Is this property located withinl.00 feet of a tidal ~etland? *i Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM j Locate clearly and distinctly all buildings, whether existing or proposed, and, ihdicate 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. : Application for permit for Shed. : STATE OF NEW YORK, COUNTY ..... ... s.s .... .A.l.f.r.e.d..d....K.r.o. ll ............................... being duly sworn, (Name of individual signing contract) : above named. deposes and says that he is the applicant He is the ~ ' (Contractor, agent, corporat0 officer, etc.i of said owner or owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application; that all statmnents contained in this application are true to lhe best Of h{s 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 1 st day ~ October 198.6. Notary Public, SUF. F. 0LI{ ' - County / (Signature of applicant)