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HomeMy WebLinkAbout9622-zFORM NO. 4 TO~VN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14387 Date May 9 ................................................. 1986. THIS CERTIFIES that the building . .AdclitiQ~ & A~tcratioo Sub-Station (Accessory structures) Location of Property . .1.7.7.5...lyi.i.]:.l...L.a.n.o. .......................... .P.e..c.o.n.J:c. .......... House No. Street Hamlet County Tax Map No. 1000 Section . 0.7.4 ........ Block . 0..2 ............ Lot ...2.3 ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Feb. 28 97..8 9622Z ...................... 1 . pursuant to which Building Permit No ...................... dated .. Y. eb :..2.8. ................. 19..7 .B, 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 ......... &cl0ii~i. qn...& .a.l..t.ex.a.t..i.on .o..n..e.x..i.s.t.i.n.c$..s.u.b. 7.s.t.a,t..i9.n., !a..c.c.e.s.s.?.r.y...s.t.r.u..c.t.u.r.e. s) The certificate is issued to .......LO2qG. IS.LA~qD..LI.GgTING COMPANY .................... of the aforesaid building. Suffolk County Department of Health Approval ....... .N/.A. ............................... UNDERWRITERS CERTIFICATE NO ......... .N/.A. ........................ Rev. 1/81 Building Inspector BUILDING TOWN CLERK'S OFFICE · SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BI: KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9622 Z Permission is hereby granted to: ..~..2.~...~.:....::.:_~....:..~..~:..:.:..~....~.~.~., ......................... · 1775 l{ii2. Lane, at premises Iocoted et ........................................................................................................................... ....................................................... , 19/.~.:.., and approved by the pursuant to application dated f'ebruar¥ 28 . ,-.r, Building Inspector· Fee *..:!.?.?. .......... FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y. 11971 Peconic Substation APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in Wpewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new bud ngs 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, Multip{e 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 bu Idings .(prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of peoperty 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 screw inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Cop,/of certificate of occupancy $1.00 $5.00 Date December 23, 1985 XX Building Vacant Land New Building ............. Old or Pre-existing ......................... at Mill Lane, Peconic Location of Property ................................................................. House No, Street Hamlet LONG ISLAND LIGHTING COMPANY Owner or Owners of ProperW ............................................................ 074 02 23 County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Map No ............... Lot No ............... 2/28/78 · LONG ISLAND LIGHTING COMPANY Permit No. 9 62 2 Date of Permit ......... Apphcant · · Health Dept. Approval .. N/A . .Labor Dept. Approval N./.~. ., '. Underwriters Approval,, N/A. . .Planning Board Approval N/A -- Final Certificate Request for Temporary Certificate ........................................ Fee Submitted $5.. o 0 Construction on above described building and/permit meets a~l~applicable co~es and re§ulations. PP ~ai~;; 'P. ~t(~l'l'~, LILCO Representative Re~. 10-10-78 LONG ISLAND LIGHTING COMPANY 1660 Walt Whitman Road, Melville, NY 11747 420-6052 Mr. Victor Lessard Executive Administrator Town of Southold Off~ce of Building Inspector Town Hall P. O. Box 728 Southold, NY 11971 December 20, 1985 BLDG, DEPT, iOWN OF SOUTHOLD RE: Open Building Permits Dear Mr. Lessard: It has been brought to our attention by your office that two Town of Southold building permits have remained "open" over the past several years because a final inspection/certificate of occu- pancy was never requested. Permit #10096 was issued on April 19, 1979, for LILCO's Southold Substation, and Permit #9622 was issued on February 28, 1978, for LILCO's Peconic Substation. In an effort to complete the paperwork, and close out these two permits, please find attached for each location: 1) A completed "Application for Certificate of Occupancy" in duplicate. 2) Three copies of the location's site plan showing property and equipment locations with survey data. Neither location required a Suffolk County Department of Health Permit, since no plumbing or sanitary work was involved. The type of work at the substations done under these permits is not covered in the National Electric Code and, therefore, Board of Underwriters Certificates are not issued. LILCO Check Number 9754 in the amount of $10.00 is attach- ed to cover the two $5.00 application fees. Please call me at the Town of Southold - 2 - December 20, 1985 above number so we can make arrangements for the site inspections. If additional information is required for the sites or the indivi- dual projects, please do not hesitate to contact me. Very truly yours, Sr. Real Estate Representative Real Estate Department MPF:emc Attachments FOlr,,~ NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................... .~?...~., 19~.~.~.... Approved .................... Z.~..~..~...~.., 19..7~... Permit No ........?....~...g.,.~...'Z.. .............~ Disapproved a/c ........... .~.~...~................................... ....................... ............................................................ ..... ............. ........ (Building Inspector) Application No..?....~...~'.,~. ............... APPLICATION FOR BUILDING PERMIT Date ....................... ...~.../'.~.~....~_ .... ~, 19.1.7...~...... INSTRUCTIONS a. This application must be completely filled in by typewriter o¢ in ink and submitted in triplicate 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 ofproperty must be drawn on the diagram which is part of this application. 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 issue 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 buildings for necessary inspections. Long Island Lighting Company (Signature of applicant, or name, if a corporation) i?~-E. Old Country Road Hicksville, NY 11801 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises Long Island Lighting Compan.V If ap~/c~nt~ ~6 cprpo-r~e,, signat~ure of duly authorized officer. C ('~g~ame and title of corporate officer) · 3. Davis, Sr. Vice-President Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... School Dist. Z Location of land on which proposed work will be done. Map No.:~..~..e..e..~...~.~.~.~.~.~...cl:~ .....Lot No ......................... Street and Number ....~..~.~....~..o..9,.d..~...~..e.~..o.~o.~.q .................................................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .~.]~...e.~.~..~.~...~D.~..~.~..b...~.~..~..~....~..~..b.~.~..8.~..~.~.9..~..~...~D.&~..~..e..~...~..e..~ ..................... b. Intended use and occupancy ..B..~..~..e....~...~]..~.l'. ..................................................................................................... 3. Nature of work (check which applicable): New Building'. ................. Addition ....... ..~. ........ Alteration ............... Repair .................. Removal .................. Demolition ......... ~ .......Other Work .................................................... (Description) 4. Estimated Cost ..$,~.Z..~.~..O.0..,.0..q ................................... 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. Dimensions of existing structures, if any: Front ...... ~L2...£% .......... Rear ........ Z.2..Z::[: ............ Depth ....2.0..~t .... Neight ....... .Z..~,..~.~...... Number of Stories ...................... 1 ........................................................................................ Dimensions of same structure with alterations or additions: Front ............ .-: ...................... Rear ............. :. ............. Depth - Height .......... .': ................ Number of Stories ....... .': ....................... 8. Dimensions of entire new construction: Front .......... Z ......................... Rear ....... .': ................... Depth ........... .: ........... Height ....... :. ........... Number of Stories ................... .- ................................................................................................. 9. Size of lot: Front .... 5~..LI.,.0..[~..,~.~; ............................... Rear ............................. ~i....~.;. ~.~¥~.~...~. ............... 10. Date of Purchase ...O.?.~.,o.b...e.?.....Z...4.~.....Z.~..6.,L} ................ Name of Former Owner ~.....~.¢,~. ..................................... 1 1. Zone or use district in which premises are situated ...!~..A]~....~.,.e..q.$.~.e...~.~.J~f~..L....~...~.~,$..q.u..~,.tr,.~.~,~, ......................... No ]2. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be renraded ~o Will excess fill be removed from premises: ( ) Yes (;sO No ~ ' ........................... 2~0 Old C untr Rd. 14. Name of Owner of premises L~,Q0. .................................... Adclres~ ,l~L~]~.q:La.~.,~Sg~,~n~ No. ~.2,~.~.~.~.~3... · ' ........ 175 E,~, ~_ ~m P~01 CO try . Name o~' Architect .............. L~.a~_.e ..................................... Address ~$,0,~,~.~.~..¢.~..... F'llon~ No, Same Name of Contractor ........................................................... Address .,..S..a..$..e. .................... ~hone No...~.~ .......... *Zrregular, See LILC0 PLOT'DIAGRAM Drawing F-2789~-5 Locate clearly and distinctly oil buildings, whether existing or proposed, and indicate 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. LI LCO STATE OF NEW YORK, COUNTY OF ................................ For Details See LILC0 Drawing F~278~5-5 ........................... .~.,,...~T,,...~ZV.I,% .......................................... being duly sworn, deposes and says that he is the applicom (Name of individual signing contract0 above named. He is the ........... .0..o..r~..O.~..~,~...0.££.Ccem ............................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, end is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained 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, ~;~re me this · ; ~ ~' /~ignature o1' applicant) , , C.J. D~vis~ Sr. ¥ice-Pres~de~t DATE: APPRO~/IA~7 ~TED ~" FEE: NOTIFY BUILt, lNG D~PARTMENT AT r~USING CGgE & ZON~N~ ' 2-(~V FEEMIN~L$ LONG ISLAND LiGHTiNGr COMPANY ENGINEERING DEPARTMENT ]75 EAST OLD ROAD