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Home My WebLink About15121-zFORM NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23653 Date MAY 17, 1995 THIS CERTIFIES that the building Location of Property 38030 MAIN ROAD House No. County Tax Map No. 1000 Section 85 Subdivision FArM STAND CUTCHOGCE, NEW YORK Street Hamlet Block 3 Lot 8 Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1986 ~ursuant to which Building Permit No. 15121-Z dated JULY 22, 1986 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 FARM STAND AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF 8EALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ALBERT J. & HELEN A. KRUPSKI N/A H--034366 -- APRIL 15, 1993 ding Inspector' FO~ NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15121 Z Permission is hereby granted to: ....... .~..~ .................. ~..~ ..................................... ~-~ L~. ti ..c) ~-,~ . ..~..~ .......................... ~ ........................................ ..._o..., .._' ~. _ ,o...~~.~.....~ ...... ~.~.....~~.......~....~.~...~ .......... ot premises located at ...~...~.....~....~....~.........~...~ .... : ...................................... County Tax Map No. 1000 Section ...... .,0..~....~./. ...... Block ....... ..~....~. ....... Lot No ...... ~ ....... to application dated ........... ...~. ~.....:~..J .................. , 19..~..~.., and approved by the pursuant Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 5 1995 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: i. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final Approval from Health Dept. of Water supply and sewerage-disposal(S-9 form). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contairs 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 Planning Board Approval of completed site plan requirements. 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 a consent to inspect signed by the applicant. If a 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, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00' Date ........ New Construction ......... :. Old Or Pre-existing Building .......... ''i;~'~'~/~'~ .... Location of Property ..... ~.~.~.~.~. ......... ' ...... ~.~,~.~. ~.i.~..'~.' · House No. Street % '' '~J~le"~' '~ .......... · ~. . ,. ....... ~/...~ ...... County Tax Map No 1000, Section ..... .~ ..... Bleck ..... ~ ......... Lot ...... ~ ....... Subdivision ......................... ........ Fi] .... .... ed Map ........ Lot ......... 1~.4~ ~ ~ ~ ~ ~& ............. Health Dept Approval ' ' ..................... Underwriters Approval ....................... Planning Board Approval ..................... Requem~ for: Temporary Certificate ........... Final Certicate...~ ....... Fee Submitted: ~ ~,~ ~ ~ ....... ~__ ~ .-~ ..... - ....... ~,.{;~.~.~.~ ..... co ~3~33 ~c~ . · ..... THE NEw YORK BOARD 'OF FIRE ' UNDERWRITERS 8039591 , ~ ? BUREAU OF ELECTRICITy mB JOHN STREE:T, NEW YORK, NEW YORK 10038 Dat~~ ~PR~L 15~1993 /ippllcation/Vo. onfile 04334493/93 H 034366 THIS CE~IFIES THAT traduced by t~ appli~a~ ~ ~m~d on the ~e application number in the premises of ~LB~R~ J. KR~EI, ~AIN ROAD, PECONIC, N,~, ~'asexa,nlnedon APRIL 12,[993 Sectioh Bilk Lot FIXTURE Fix~ RANGES FLU~ESCENT OTHER DRYERS FURNACE SERVICE DISCONNECT OTHER APPARATUS: STORAGE BARN-1 *NO VISUAL DEFECTS~ "An eleetrLcal survey has been made of the exposed electric~l equipment in the premises indic~ted," "N~ obvious ,u_nsat!ef~ctoryfconditio~ ~ae found, A~ERT KRUPBKI ~;~N ROAD FEEDERS TIME CLOCKS MULTI.OUTLET DIMMERS SYSTEMS NO. OF FEET S E R V ' I C ; E NO, OF NO OF' HI-LEG NO. OF NEUTRALS · A. W, G ? NEUTRAL '~ r , ~ AMOUNT . ~ , ~yogK BOARD OF HER UNDERWRITERS 1AS CASH SENT BY MAIL WILl. BE AT * ~RISK OF SENDER. Town Hall, 53095 Main Road ?, O, BoX 1179 Southold, New Yo~k 11971 Fa~ ($1 ~) 765-1 a2a Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 24, 1995 Mr. Albert Krupski 38030 Main Road Peconic, NY 11958 Re: BP#15121-Z - Farm Stand To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. /~-~ xx The check is not on file.-$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 15121-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS~ATION FRAMING ~]~FINAL REMARKS: O/ /~ Town Hail, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 24, 1995 Mr. Albert Krupski 38030 Main Road Peconic, NY 11958 Re: BP#15121-Z Farm Stand To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: Please contact our office on this matter. cooperation. xx An application for Certificate of Occupancy is ~ not on file. (Enclosed) , ' No Underwriters Certificate file, on xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 15121-Z Thank you for SOUTHOLD TOWN BUILDING DEPT. F1ELD INSFECTION FOUNDA'TION FOUNDATION (1st) (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1803 Approved . .~r..*.~.., 19~.~. Permit No. l .~"./.&.}...~.. Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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, hous~g code, and regulations, and to admit authorized inspectors on premises and in building for necessary/iIl~/~ectio,~,~,..t7 ~/~.~, ~ ~ ~,,'~ . /]. ¢) (Signature of_applicant, or na..me, if a corp ation) (Mailing address of applicant) State whether applicant is_qwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · I/ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · Builder's License No...,~. · .-. ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... House Number Street Hamlet County Tax Map No. 1000 Section ..... .O..~..~. ...... Block .... .(~..~. ......... Lot .... 1.~. ~..~ ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and, occupancy of proposed construction: a. Existing use and occupancy ..... V~~ ......... .~.,~z~,j~'}!~'~.~.:,..~ ............. b. Intended use and occupancy_ .... -(,J'~'_/.,/~'~4,d3 ...... ........ T..,{~?'. '.'.~:...? ?'Y: .. ............. 3. Na ur.e of work (check whlch apphcable): New Building ..... ' ..... Addition .......... Alter~ .... Rep:air . ':',c,;c ~ .r~. ~ t.. · Removal .............. Demolition . ,/~-t I ~ ~(1[ ' . ............. Other Work~/~4'~ ......... (Description) 4. Estimated Cost .......... '. · ......................... 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. D1 enmons 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 ..................... Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9 Size of lot: Fr~'nt , Rear · ' ......... ............................... Depth 10 Date of Purchase ' Name of Former Owner 1 I. Zone or use district in which pr~mises, are situated ... ......................... 12. Does proposed construction violate any zoning law ordinance or regulation: 13. Will lot be regraded ........ i ................... Will excess fill be removed from premises: Yes No 14 NameofOw fp emi : Add · nero r scs ..~ ................. ress ................... Phone No ... Name of Architect ......... i ................. Address ................... Phone No ................ Name of Contractor Address ........ ' ..................... : .............. Phone No ................ 15. Is this property located lwithin 300 feet of a tidal wetland? ~Yes ..... No ..... · If yes, Southold Town Trdsteea Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all~ buildings, whether existing or proposed, and, indicate all set-back dimensions from interiorPr°pertYorlineS'cornerGiVelot.Street and block;number or description according to deed, and show street names and indicate w~h~. STATE OF NEW YORK, "" COUnty OF . . . S.S ................................................. being duly sworn, deposes and says that he is the applicant .(Name of individual sign: ng contract) above named. He is the ...................... , .................................................................. (Contractor, agent corporate officer, etc.) of said owner or owners, and is dui,. authorized to perform or have performed the said work and to make and file this application; that all statements conta [ned in this 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 (Signature of applicant)