HomeMy WebLinkAbout10454-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold~ N.Y.
Certi[icafe O[ Occupancy
g10106
Date August; 25 t9 80
THIS CERTIFIES that the building ................................................
31775 Main Road Outohogue, N.~.
Location of Property ......................................................... .....: ·
House No. Street ~am~et
County Tax Map No. 1000 Section 097 .Block 5 .Lot 11
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
·. Au~usl; 1 ~ 19 .'(? pursuant to which Building Permit No. 1 0454Z
dated .. ~..O.e.t~ .be?. ?.3 ............ 19.79.. ,was issued, and conforms to all of the requirements
of the applicable prowsions of the law. The occupancy for which this certificate ~s ~ssued is .........
Tower top a,adio RelaT*
New York Telephone Company
The certificate is issued to ..................... [oWn'o;,'t~e$~r~,~ .....................
of the aforesaid building.
Suffolk County Department of Health Approval .........................................
Building Inspector
Rev 4/79
*Zoning Board of Appeale No. 2597,
September 27, 1979 -
Approved as applied for
FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No. 10~15~1 Z
Permission is hereby granted to:
· .~...a..,... £~../.~.4 ~:~....~....~ .6 s~ .........
d..5~.~.~..~...~.~...~.~.,.~.~.,: - ..........
~.~.... ~.~.~... ~:.. ~ ........ /.~.~ ~
to ...C~. ~. ~(~o.c.~ ....~. ~ ~ ~.¢..... ~. ~.~....t~.~ 0.... ~~ ............................
at premises located at .~;Z.~..~...~.Z~ ...... l ....... ~' ~'7''~'~ ......
pursuant to application dated /:~/~.~,~.,~.~.-~......,~'.~.'~.. ............... , 197~..., and approved by
the
Building Inspector.
~e*./~C...~ ....... ~ ~ . /
FORM NO. 6
TOWN OF SOUTHOLD
Building Depar~¥~ent
Town Hall
Southold, N.Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. 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 features.
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 Un~ierWriters.
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 "pre-existing"
land 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
Pole For Radio Relay
New ~J~l~d~R~ ............. Old or Pre-existing Building
$5.00
Date .A,ugu. s, ,t .2,3, ~, ], 9.8,0, ...........
............ Vacant Land .............
Location of Property3] ]7~. J,l~jil. J~pC¢~. ]200. F~-,, $outb.kiest.of. Co,.Large, .Cutcbegue, .N..Y. .....
House No. Street Ham/et
Owner or Owners of Property .)N¢W. YPrk. Tel Cpbooe. Company .................................
County Tax Map No, 1000 Section ........ {~97 .... Block .... 5 .......... Lot ..... ~.l ..........
Subdivision... ~N.o~.e .......................... Fded Map No ........... Lot No ..............
Permit No..1.0.4.5.47 .... Date of Permit ] ~)/¢~/80..Applicant . J~0$e.. Cbul I~o ff .& .l~ose ............
Health Dept. Approval ........................ Labor Dept, Approval ........................
Underwriters Approval ........................ Planning Board Approval
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $ .5...0.0 .........................
,C,~,ri, st~ ~' a[,',~;~, J~ ~,escrlbed budding _and per.m~t meets all apphcable codes and regulations.
_ 'q l App,icant ..........................
xOSE, CHULKOFF & ROSE
APPEALS BOARD
MEMBERS
ROBERT W. Gl LLISPt E, JR., CHAIRMAN
CHARLES GRIGONIS, JR.
SERGE DOYEN, JR.
TERRY TUTHILL
ROBERT J. DOUGLASS
Southold Town Board o£ Appeals
SOUTHOLD; L. !., N.Y. 11971
TELEPHONE (516) 765-1809
August 21, 1979
Rose, Chulkoff & Rose
6 Corporate Park Drive
White Plains, New York
10604
P~: New York Telephone Company tower to be
erected at Cutchogue, NeW York
Dear Sirs:
'Your application to the Building Department to erect a
90 foot tower ak Cutchogue has been forwarded to the Board
of Appeals for action. Under the present zon±ng ordinance
no tower over the height of 35 feet is allowed. Consequently,
~ou.mus% apply to this 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,
bec
Enclosures
Babette C. Conroy
Secretary
~O~.a c"'A H
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSPI~CTOR
TOWN F[ALL
SOUTHOLD, N. ¥. 11971
TEL. 765.1802
August 11, 1980
Rose, Chulkoff & Rose
6 Corporate Park Drive
White Plains, N.Y. 10604
Dear Sir: :
This is to advise you that the job under Building Permit
No. 10454Z issued to N.Y. Telephone go. on
October 23~ 979 for radio tower appears to be
'completed as of 6ur la's~ inspection. Before 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.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
APPLICATION FOR BUILDING PERMIT
Application No../..~. · · .~...Y ......
Date ................. 19
INSTRUCTIONS
a. This application must be completely filled 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 drown 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~'s~ry inspections.
(Signature of applic .~[t, or name, if a corporation)
ROSE, CHULKOFF & ROSE, 6 CORPORATE PARK DRIVE,
CgI $,.NEY.YO ..... 10604 ............
7
_ (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, genera~ contractor, electrician, plumber or builder.
Name of owner of premises . . ~1[~. Y. 01~ .K.'[[L..EP. lJ0~l[. (~OM,, P.,~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 ......................
1. Location of land on which proposed work will be done..00..~ .At. 8..R.0 .A.D ,. 1..2.00...F.E.ET. S..0.UT.~' 7 ..................
WEST OF CO× LANE~ CUTCHOGUE~ TOWN OF SOUTHOLD
House Number Street Hamlet
County Tax Map No. 1000 Section ,..?.~. 7. .......... Block...~.. ............ 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 BUSINESS - TELEPHONE EXCIJANGE
b. Intended use and occupancy BUSINESS - TELEPHONE EXCHANGE "
3. Nature of work (check which a~plicable): New Building Addition .......... Alteration ..........
Repair .............. Removal ............ Demolition .............. Other Work ...............
i (Description)
4. Estimated Cost .... $94,000,00 ...................... Fee ...~.~.f~..~. .............................
' (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
[f garage, number of car~ .... . ....................................................................
6. If business, commercial or mixod occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structurbs, ifany: Front .~..-~... Rear 93~v2'.' ....... DepthS0~? ..........
Depth ................... ... 'gh ...................... ' .....................
8. Dimensions of entire new construction: Front ............... Rear ............... Depth ...............
Hei-ht NurnberofStoriesg0 FT, ACCESSORY Pq)kE FOR T~0 ¢6010 g THSNg$ .
, '/G; ..... i .... b'e th ...... i'i
9 ............................ . ................................. ~4~/... ~ll,',~,,/J'a'~' ..a.% ....
5/7/65:
10. Date of Purchase ............................. Name o f Former Owner f~,: ~...a.~..tlft~,~ ~.~,q, .......
11. Zone Or use district in which premises are situated..D.. (k. I.~.~T..[}.U.S. I.I~H[S. )...(.~. ~_,,J .......................... /
12. Does proposed construct.ig~n violate any zoning law, ordinance or regulation: . .NO. ............................
13. Will lot be regraded ...?. '[~E0 '?0R[{ 'TEI'£PR0rq£ '~.' Will excess fill be removed from premises:. .Yes No
~,~,,ec~,.,,~,,e.,~,~ ~.~1095 AVE OF AMERICASphnne No (212} 395-615.1
................................ .... I 'g .... 9 .................
....................... HI ?kAN , N . e o . .
Name of Contractor ......................... Addres~ .............. : .... Phon N ..............
PLOT DIAGRAM
Locate clearly and distinctly all
property lines. Give street and block
interior or corner lot.
ATTACHED
buildings, whether existing or proposed, and, indicate all set-back dimensions from
number or description according to deed, and show street names and indicate whether
STATL OF NEW ~0/I~K
...., flt[. j~ '~Qt..1~ ....... ~;; 1) k . .(,.. 'r ..........,- 7 ........ being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is dul~ authorized to perform or have perfo~ed the said work ~d to m~e and file ~is
application; that ~1 statements contained ~ this application are true to the best of his ~owledge and belief; and that the
work will be perfomed in the m~ne~ set forth ~ the application filed therewith.
Sworn to before me this
au'm,
r.9