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Home My WebLink About25837-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office Df the Building Inspector Town Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26535 Date: 06/30/99 THIS CERTIFIES that the building ADDITION Location of Property: 555 THREE WATERS LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 7 Lot 10 Subdivision Filed Map No. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3~ 1999 pursuant to which Building Permit No. 25837-Z dated JUNE 30~ 1999 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued im DECK ADDITIOH TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to ALBERT P & KREN & ORS. ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUF~BERS CERTIFICATION DATED Rev. 1/81 N/A N/A FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25837 Z Date JUNE 30r 1999 Permission is hereby granted to: ALBERT P & KREN & ORS. PO BOX 1291 MATTITUCK~NY 11952 for : CONSTRUCT A DECK ADDITION TO A SINGLE FAMILY DWELLING 'AS BUILT' & AS APPLIED FOR. at premises located at County Tax Map No. 473889 Section 015 pursuant to application dated JUNE Building Inspector. 555 THREE WATERS LA ORIENT Block 0007 Lot No. 010 3 1999 and approved by the Fee $ 75.00 Authorized Sign~ure ORIGINAL Rev. 2/19/98 FORM NO, 6 TOWN OF SOUTHOLD · . Building Department Town Hall Soutbold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink. and submit£ed ,= ~ to the Building lnspe tot with tile following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusu natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-[S-9 term or equal)· 3. Approval of electrical installation from Board el Fire Underwriters. 4. Commercial buildings. Industrial buildings. Multiple Residences and similar buildings and install tions, a certificate of Code compliance from the Architect or ~ngineer responsible for the buildin 5. Submit Planning Board approval of compluted site plan ruquirements where applicable. B. 'For existing buildings {prior to April 1957). Non-conforming uses. or buildings and "pre-exNtin£ land uses: 1. Accurate ~utwey of p,~3perty showing als property lines, streets, buildings and unusual natural 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 prem'ises, or other pertinent inform tion required to prepare a certificate. C. Fees: 1. Certiflcate of occupancy $25~00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $10,00 4.Vacant Land c.g. $ '20,00 June 18 19.99 5.Updated c.g. $"50.00 Date ......... ' ............. . NewCons truc Lion Old or Pre-existlng Building ' Vacant Land Location of Property 555 Three Water~ ~..a~.e.; O?.%e?.t. ~ . House No. S~re~,t Peter W. Kren as Co-]Executor of the Estate q,f Albert Owner or Owners of Property ........... . .................................... ' ........... 015.00 07.00 010.000 County Tax Map No. 1000 Section .............. . Block ............... Lot ............. . Subdivision ................................. Filed Map No .......... . Lot No ........... . KREN Permit No. 2.5,8.3.7.-.Z.... Date of Permlt6L.3.0~9..9 .... Appllcant .!~.~.~.E, ......................... . Health Dept. Approval ........................ Labor Dept. Approval .................... .. Underwriters Approval ........................ Planning Board Approval .................... Request for Temporarv Certificate ..................... Final Certificate ..................... Fee Subm,tted $* ......... ' ........ ............---- Construction on above described building' and permeable codes and regulations. Rmv. 10.10.78 GARY FLANNER OLSEN, ESQ, P.O. BOX 7o6 ctrrcHosu~, NY 11935 ld td BLDG, DEPT, T~WN QF S(~UTHOLO ,, FOlfl4 NO. TONN OF SOIITHOLD BUILDING DI~.PART~i~NT TOI~N HALL SOUTHOLD, N.Y. 1197 I TEL: 765-1802 INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLA~S ............... SURVEY ........................ CHECK ......................... SEPTIC FOI~ ................... a. lhis applicatic~ mast be canpletely filled in by typewriter or in ink and suhnitted co ~he Building Inspecto 30sets of plmm, accurate plot plan te scale. Fee according to schedale. b. Flor plan ~xxeing location of lot and of buildings on premises, relatior~ship Co adjoining pr~mises or public streets or areas, and giving a detailed description of layout of property mast be dr~n on the diagr~n ~hich is pert , ~his a~plication. c. ~he ~onk covered by this application my not be comenced before issm~ce of Building Pemit. d. Upon apt~oval of this application, Cbe Building Inspector will issue a Building Permit co the applicant. Si, permit shall be kept on the pr~isee available f~r inspection throughout the ~ork. e. lqa building shall be occupied or used ia vt~ole or in part for any purpose ~aatever uatil a Certificate of Occupemy simll have been g~a,r~d by ~he Building Inspector. APPLICATI~ IS I~_ali ~ Co ~be Building Departmmt for the issuauce of a Building Permit pursuau~ co the lkLilding Zone Ordiru~ce of ~ T~m of Souchold, Suffolk County, Ne~ York, and ocher applicable La~s, Ordinances or Pa~gulations, for t_he construction of buildiugs, additions or alteratious, or for rem~al or a,~olition, as herein described. Tr~ applic~ agrees ~o ~-~.r. ly ~i~ all aFplicab!e Ic~-a, ordinmace~, I:uilding ccde, l-~sing code, ~d rel~lations, and te ~4~it authorized inspectors on premises and in buildipg fOlr eecee_sary in~ectiees. .... : ............. (Signature of applicant, or na~, if a corporation .... Olailing ad. are~ of appllc~t) /1~"~7~ State daet~er applicant is omar, lessee, asent, architect, engineer, Ee~eral co~tractor, electrician, phmber or bui of--r of .... ..... ....................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. · APeROVED AS NOTED ......................................................... "0A~.'?///~ ~P.# (ll~l~ and title of corporate officer) OCCUPANCY OR FEE' ~ BY:.~j USE IS UN~UL Nb~BUI~ING'~T AT ~ u~ ~ .................. ~T~ CERTIFICATE ~c~ci~ ~ ~ ...................... FOR ~URED 2. ROUGH - ~MI~ ~ ~UBING ~ ~s ~ ~ ..................... 3. INSU~ON I. ~cJm of 1~ m ~ ~ m~ ~1 ~ ~ ...... 4. FINAL ~U~N UU~ .............. a~ ~~¢~. ......... ; ...... b--~ ~.~...[~.f.~..~/~.., A~ ~~ S~ ME~ ...................................... ~E' ~~ '~' ~' ~. ...... ~ ~r Star STA~ ~~ ~ ~Y .... .~ ...... ~O~.., (~) 2. S~ ~sci~ ~ ~ ~ of ~s ~ int~ ~ ~ ~ of ~ ~t~i~: .. ~sci~ ~ ~ ~ ....... ~/.~A l.. ~Z4&~.. ~ /~ ............................ b. ~ ~ ~ ~ ...... ~.~ ~..~a~,/.. ff.~.~ ............................... ~ir ............ ~1. ............ ~liti~ ............ O~r ~ ~.~}~..~[..~!~.~ ....... ~ripti~) i. ~ti~ ~st ............ ....... . . . . . . ~ ................ (to If ~, ~r o[ ~s ...~ ................................ S. If ~i~ss, ~mial or ~ ~, ~i~ ~ ~ ~ten~ of e~ ~ of ~ ...................... ~. Dimi~s o[ ~sti~ st~s, if ~: ~t ................ ~a ............... ~pCh ................. ~i~t ................. Z .............. ........ ~r of Stories ...... 9~mi~ of~ stem ~t~ altereti~ or ~iti~: ~ ..i'~.g~ ..... ~,r .~ .... ~pth ...... ~.~ ..... ~,g,t ...~ ........ ~ o~ S~o~ies ....~-~-Z~ ~i~ ...... /.~ ............... ~, .~ ~.,~, ..... M~. ........... ~. si~ .~ ~.~, ~ ....Z/.~....~ ...... ~ ....../~. ........ ~,~, ...Z~...... ~ .... . . l I. ~ or ~ district in ~i~ p~i~s a~ si~t~ ...... ~ ..................................................... i2. ~s ~ ~t~ti~ violate ~ ~i~ 1~, o~i~ or ~lati~: ........................ 13. ~ill lot ~ ~ of ~it~t .................................... ~ss ........................... .. . ~ ~ ............. ~ of ~tr~tor ................................... ~ss ............................... ~ ~ ............ ]5. Is ~fis ~ ~in ~ [~t o~ a ti~l ~tl~ * ~ .......... ~ ..~ .... PLOT DIAGRAH tncate clearly and distinctly all buildings, ~hether existing or ~, and indicate all set-back dimensions property lines. Giv~ street and blnck r~aber or description according to deed, and sho~ street nmos and indicate /aether interior or comer lot. .......................... . ........................... .~-).~'_~?_~¢6~..~.~, de~s ~ ~s ~t ~ i, a~ ~i~ ~ is a~e ........................ ~ ................... ~,~-)~4g-~Cl ................................... (~tr~tor, ~nt, ~te o[[lcer, etc.~ )[ ~d ~r or ~rs, ~ iS ~t~ ~tbri~ to ~rfo~ or ha ~r[o~ ~ aid ~ ~ tol ~ [ile this ~licati~; ~ot ~1 staL~uts ~tai~ in ~is ~llcati~ o~ t~ to ~ ~st o[ his ~1~ ~ hliefi ~ J~t ~ ~A ~ilI ~ ~F[o~ i. t~ ~r ~t [ora b ~ a~li~ti~ [il~ a~t. UNDA J. COOPER Notary Publi~, State of New Yo~ No. 4822563, Suffolk County Term Expires December 31, ~---, ($~;ttwe of Applie~at)