HomeMy WebLinkAbout10453-zFORM NO. 4
TOWN OF SOUTHOkD~,, ......
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
THIS CERTIFIES that the building ................................................
Location of Pronertv bioOve'.S., .L.a.n..e..A.~..R. 9.u.~.o...2~.~..0..rp.~.n. pg.r.~.,' . .1}l.e.w..Y. 9.r.k. .......
~ ~ ~l~ds'e 'No: ' Street Ham/et
County Tax Map No. 1000 Section ...0./~. ~ ...... Block ....... .~. ......Lot ..... ~. ...........
- Filed Map No ' Lot No -
Subdivision .....................................................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
... ~.ll.g~.~..~..1.~. ........ 19.7.9. pursuant to which Building Permit No...1.0../4.~.~..Z. ...........
dated ...... .O.c .eg.~.e.r..2.~., ......... 1 9.7.9, 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 .........
· .~..~.~.e.p..h.o.n.~..~..u~.l.~..X.ng. ~X..e.h..~. e..e.~.~.~.o..mr..~.~..rU..e, tu. r.e..(tgW, e.r.) .. ................
The certificate is issued to .~al~..~01Pk..~71-.~p. holg.~..~Ol~.SJl~r .......................
...... (owner, ~
of the aforesaid building.
Suffolk County Department of Health Approval ..........................................
UNDERWRITERS CERTIFICATE NO ..................................................
Zoning Board of Appeals #2596-September 27, 1979 - Approval as applied for.
Building inspector
Rev 4179
FOI~M NO. 2
TOWN OF SOUTHOLo
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, bi. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°. 10453 Z
Permission is hereby granted to:
~....(J~¢ ~c~,~.~7'~.....~..:~.~¢.,c...~,~ ..........
~.~'~..~..z~/~..~;...~.......~ ........ x~'o.¢
t0 ....~.~.~.~Tz~.~z ........ z~.~.~.....~o.~...~.~.O.--..~.~. ~ .....................
..~.....~...~/¢~...~.~~..--.~o ....................................................
at premises located at ~~..~..-/--~..*..~---.~-.~.~.~.-~ ~ .........
.................................................................................................... ....
pursuant to application dated ~.~...g~Z .................... , 19~.~,.,
approved
by
the
Building Inspector.
FORM NO, 6
TOWN OF SOUTHOLD
Building Department
Town Hall
$outhold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic featu res.
2. Fina~ approva~ 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.
For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pr~,existin9"
lend uses:
1, 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 safety 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. Copy of certificate of occupancy $1.00
$5.00
Date .August.12~.l 980 ..........
_Po,lc For Radio Rel ay_. . or Pre exi in
New u~=~ ............. L)I~ - st g Building ............ Vacant Land .............
Location of Property ....l~.op?.e.'.s..L~eo ~.to ~pjJ.t.e. ~,. Gr~enp0r¢,, To~. Of. $outb0ld ...........
House No. Street Hamlet
New York Telephone C0mp~ny
Owner or Owners of Property
County Tax Map No. 1000 Section ...0.4.5 .......... Block .... .4 .......... Lot ..... ~ ..........
Subdivision None .Filed Map No. ,Lot No.
Permit No. l (~. Z. o. Date of Permit ,] 9/23/79..Applicant Rose, · C~qul kerf. &. Rese .............
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .5...0~0 .........................
Construction on above described building and per. rr~it meets all applicable codes and regulations.
Applicant .~,~ 4~.
Southold Town Board o£ Appeals
B[3UTHDLD, L, I,, N.Y. 119'7'1
TELEPHONE (516) 765-1809
APPEALS BOARD
MEMBERS
ROBERT W. GILLISPIE, JR., CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
TERRY TUTHILL
ROBERT J. DOUGLASS
August 21, 1979
Rose, Chulkoff & Rose
6 C6rporate Park Drive
White Plains, New York
10604
RE: New York Telephone Company tower to be
erected at Moore's Lane, Greenport, New York
Dear Sirs:
'Your application to the Building Department to erect a
90 foot tower at Greenport has been forwarded to the Board
of Appeals for action. Under the present zoning ordinance
no tower over the height of 35 feet is a~lowed. Consequently,
you must apply to th~s Board for a variance.
Enclosed please find the necessary variance forms, notice
to neighbors forms, disapproval from the Building Inspector,
and some instructions.
If we can be of any further help to you in this matter,
'please do not hesitate to contact us.
Very truly yours,
bce
Enclosures
Babette C. Conroy
Secretary
TOWN OF $OUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, N. Y. 11971
AugUst 4, 1980
TEL. 765-1802
Rose, Chulko££ & Rose
6 Corporate Park Drive,
White Plains, New York
10604
Dear Sirs :
This is to advise you that the job u~der Building Permit
No. 10453 Z issued to N.Y.Telephon~ Co. on
October 23, 1979 for Tower for Radio Relay appears to be
completed as o£ our last inspection. Bafbre you can legally
use or occupy this structure a Certificate of Occupancy must
be issued.
Please fill out the enclosed form and return same to
the above office. There is a fee of $5.00 for a Certificate
of Occupancy
Thank you for your prompt attention.
Very truly yours,
GEORGE H. FISHER
Sr. Building Inspector
encl.
~ T)LuMI~INE'~
il
Al) DITIt_.~t,.IAL l~'t3k-~lt/',-~-/''u'7''J<' "
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined ~.rW.9. ./..'~ ..... , 19 7.~.
Approve~... ~..~. ....... 19~.~. Permit No.../.~..(.~..~.~S ~
Application No..~.~.~'~'~
........
APPLICATION FOR BUILDING PERMIT .~../
Date .... -¢.~ ......., 197.~
iNSTRUCTIONS
a. This application must be completely ~led in by typewriter or 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 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 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 nece~ry inspections.
v (Signature of applica~r, or name, if a corporatmn)
ROSE, CHULKOFF & ROSE, 6 CORPORATE PARK DRIVE,
.W}tI1]E .P. LAINS , .NE~W .Y.Q[I~ . .lOdO4 ................
, (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, geffcral contractor, electrician, plumber or builder.
..... ENGINEER ...................................................................................
Name of owner of premises NEW YORK TELEPHONE COMPANY
(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 ......................
Location of land on which proposed work will be done ..................................................
MOORE'S LANE AT ROUTE 25, GREENPORT, TOWN OF SOUTHOLD
House Number Street Hamlet
County Tax Map No. 1000 Section ...~ .~.. ........ Block . ..~ .............. Lot...~. ..............
Subdivision ....... lt~:iDS~<. ........................ F~led Map No ............... Lot ............... (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy BUSINESS - TELEPHONE E)~CFJANGE
b. Intended use and occupancy ..... .B.U.S.I.N.E.S.S.. 7...T.E,L.E.P.H.0.N.E..E.~ .CH..A.N.G .E ................................
3. Nature of work (check which applicable): New Building .......... Addition... X ...... Alteration ..........
Removal ' Demolitibn Other Work
Repair .........................................................
(Description)
0 ,. ................................................
4. Estimated Cost . ,Q.0Q, D ......... Fe . ~.~. o.
(to be paid on filing this application)
5. If dwelling, number of dwelhnglumts ............... Number of dwelling units on each floor ................
If garage, number of cars .... i ...................................................................
6. If bus{ness, commercial or mixed, occupancy specify nature and extent of each,type, of use ....... I~6 ~ -~;' ........
...... I 61 -0 80 ~ t
7. Dzmenszons of exlshng structures, ,f any. Front ............... Rear .............. Dap h ...............
Iteight . !6. '.:4.'~ ........ Nun~ber of Stories..0. N..E ...................................................
Dimensions of same structure With alterations or additions: Front .... Sg[~l[ ......... Rear . Sg~E .............
Depth... S.A..ME. ' Height . S.A.M..E ................. Number of Stories... $,~[J~ ...............
8. Dimensions of entire new construction: Front ................ Rear ............... Depth ...............
Height ............... Nur~ber of Stories. ~15..FT,. gCC[$$08¥..POL[..F08.0J~[. RgD I 0. g~TE~/~g ............
9. S~zeoflot Front 1 O .Fl[, ..... Rear..]§5,g.F.T ............ Dap.th .539.29 ......... : .....
10. Date0fPurchase ..6./3. Q/6.4. .................... Name of Former Owner ~.V;I~.,,~.~~-~ .....
11. Zone or use d~stnct m which premises are situated ...... (.. G. H.T. ~l[J$. [~[$$)..(~.~.[.). ,~... fl. ..................
12. Does proposed construction mOlate any zoning law, ordinance or regulation: ... N. 0 ...........................
13. Will lot be regraded .. [9.O. ....................... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises NECJ .YORK.TELF. P. HON[ .CONddress 10g5 .gVE, .OF..g~ERICl?hone No.(212) 395,6151...
Name of Architect R.. 0. S. E. ~ . C. H. U. L. K. QF. F.. &.. R. 0. S. E. ...... Address §. C0I~P. 0[~T~. P./~I~ g. I)l~ Phone No.(9 ] 4). 69'4¥1230.
Name of Contractor ........ ! .................. Address ~.UI. TE.. P. LA. I. N.S. ~ .N. ,Y., . Phone No ................
PLOT DIAGRAM
Locate. clearly and distinctly al1 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.
ATTACHED
STATE OF NEW?~ORK,
COUNTY O~,,-~,~//~..
...I).t.
(Name of ~ndividual s~g'nmg contract)
above named.
S.S
~.. ~:,/~..y~.~ ....... being duly sworn, deposes and says that he is the applicant
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is drily authorized to perform or have performed the said work and to make and file this
application; that all statements coq~tained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manqer set forth in the application filed therewith.
Sworn to before me this I
Notary Public ............... i · · · ~. County
j ,./', NOTARY PUBL~, St~a eT a~a ~
· so, ,~,su~s~o, su.ol~ ~ (Signature of applicant)
Term I~res March ~,
Il'Ill I Illll I II