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HomeMy WebLinkAbout12949-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-]6455 Date December 3, 1987 ACCESSORY ANTENNA THIS CERTIFIES that ti~e building ................................................ Location of Property 670 Wiggins Lane Greenport, New York House Ale. St[eot Hamlet 035 4 2 ] County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated blarch 16, 198/4 129/49 Z ....................... pursuant to which Building Permit No ...................... dated......March .... 29..................' 198/4 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 ......... ACCESSORY ANTENNA IN REAR YARD AS APPLIED FOR HAROLD & HATTIE STETLER The certificate is issued to ..................... [ohJn'o),~7~ii~J~X .................... of the aforesaid building. Suffolk County Department of Health Approval .......... .~./.A ............................. UNDERWRITERS CERTIFICATE NO ................. ~(.~ ........................... PLUMBERS CERTIFICATION DATED: N/A Rev, 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BI: KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gronted to: .?...o. ...... ~..~.~.~....~...~....~ ......... .~.~....,...~..:~.: ........ L~..~...~..~... ....... '., , ................................................................................ et premises located at ............................. ..~.~.~....~ ....... ..~ ........... ~ ................. CounW Tox Map No. I000 Section ....C~....~..~ ....... Block ......... .~. .......... Lot No.... ,~....J ............... ~ .J .~. ..... , 19..~..~.1., opproved by the pursuont to opplicotion doted .... ~ ......................... ond Building Inspector. Fee $..1.~ ............. Building Inspector Rev. 6/30/80 TOWN OF SOUTLIOLD OFFICF OF BUILDING INSPECFOR ILO. BOX '/28 TOWN IIALL SOUTtlOI,D, N.Y. 11971 December I, 1987 TEL, 765-1802 Mr. Harold Stetler 670 Wiggins Lane Greenport, New York 11944 3rd NOTICE To Whora Thi~'; May Concern, We are unable to complete your Certificate o[' Occupdncy because .of khc following reasons. /k-_/ Ar] application i,~: uot on fi].~ (ENCLOSED) /-'/ No Undcrwr. it¢,rs Certificate on file. /~j/ q'hc~ ch~ck is~K~L~R~l/not on file.) $~0.00 /i~/ I:~, II~alth Dept. Approval on file. /ii/ I':o final Jnsp(~ction has been made. for Certificate of Occupancy P]ea~;e conkacl. ()ur office on this matter. Thank you for your cooperation. B/iii(ling Permit ~ 1 2 9 4 9 Z Buil.d~nq D~pt. ~/~/ }~o Plumber solder Certificate on file. ( all permits involving plumbing being issuc2d after April 1,1984 ) ~ Occupancy or use is un]awful without a Certificate of Occupancy. Clear up this matter as soon as possible so that legal action does not have to be taken. Thank you. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of propertv 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 Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architec~ or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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. C. Fees: Additions $25.00 POOLS $25.00 1. Certif[cateofgccupancy New Dwelling $25.00, Accessory .$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $~0,00 4.Vacan~ Land C.O. $ 20.00 5.Upda-ted C.O.' $ 50.00 Date .......................... New C on s t p u c t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ~.~ ................ House No. ~ - Street .... Owner or Owners of Property .............................. County Tax Map No, 1000 Section . 0 ,~ ,~' Block .~. Lot.. Subdivision ................................. Filed Map No ........... Lot No ................ Permit No./c~.?.I~'.?.. Date of PermJ~/z/. ~.~)/q'~.~.Applicant .................................. Health Dept Approval ' Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .. . . .......................... Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 TO Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. ///~ An application for Certificate of Occupancy /--L No Underwriters Certificate on file. /~/~'The check is(~u~td~L~d/not on file.) ~ /Z/ No Health Dept. Approval on file. /Z/. No final inspection has been made. Please ~on~act our office on this matter. Thank you for your cooperation. Building Permit # / ~ ~ t/ ~ Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTtIOLD, N.Y, 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 12949Z issued to Harold SteEler on 3/29/84 for Accessory is completed and a fi. aal inspection has ( ) has not ( x" )' been done. [. order to complete this file, it is necessary that a ¢:ertlflcate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a cheek for $10.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection (late Occupancy or use is unlawfnl without a Certificate of Occupancy. l'lent~e help us to clear up thi, s matter so that legal action does sot have to be taken. Thank yeti for ye,Ir prompt attention. Very truly y~, Victor Lessard Executive Adminls~rator VL:gar encl. 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 &pproved · .~P~ ;.cb..~...5) .q .... 19~ ~. Permit No. J.~..¢J. c.J.q.. % )isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of plans, accurate plot plan to scale, Fee according to schedule. b. Plot plan showing location of lot and of buildings on pre~nises, relationship to adjoining premises or public streets ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 t~all 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 hall have been granted by the Bliilding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding 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. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspection~ '~(Signature of ~tpplica~t, or nar.;c, if a-eorpcratL~n) (Mmhng address of apphcant) grate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................................................... Name of owner of premises ~..~.~p.z:..3...~.../.~?/.7-..~'./¢7...~.?.-..~..7-.~. ?.~.t~. .................................. (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 .... -,5'.~[.qq. ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ............................................... . .g.7..o ................. ........... P. .................... House Number Street Hamlet County 'Fax Map No. 1000 Section . .-).3.~. ............. Block ...¢,r. .............. Lot. ~..[ ............... 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 . ¢.(¢!.~.e'~..c.~ ........................................................ b. Intended use and occupancy . fi, ~.r.c.tS-.~'.~P.~..~. · .~..a/.?q-.~A/r~ .......................................... 3. Nature of work (check which applicable): New Building .......... Addition. · 1. 2. 3. ...... Alteration .......... Repair .............. Removal ............. Demolition .............. Other (Desci'iption) (to be paid on filing this application) If dwelling, number of dwelling units ............... Number of dwelling units on each floor .............. If garage, number of cars ............................................ i ............................ If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dhnensious of existing structures, if any: Front ............... Rear ....... i ....... Depth ............... Height ............... Number of Stories ............................ , ............................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of:Stories ...................... Dimensions of entire new constraction: Front ............... Rear ........ ; ....... Depth ............... lteight .............. Number of Stories ............................ , ........................... Date of Purchase ............................. Name of Former Owner .i ............................ Zone or use district in which premises are situated ...... &~..~.~ .~.,v.~. ~ .t.. ................................ Does proposed construction violate any zoning law, ordinance or regulation: . .~*~ ............................ Will lot be regraded .. ~.q. :.. .......... ;.,. ........ Will excess fill be removeO from premises: Name of Owner of premises/d.~.rtdd. ~./.*t.a 0~~. ,S.. {-.e ~[.e.r. Address ~7.° ~ i.~{~0 t..g.ct~e?/oo~4'Phone No..,2..7 7.-.~..q ~.~. .... Name of Architect ..: ........................ Address ............... ; ....Phone No ................ Nmne of Contractor ........................ Address ............... 1 ....Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether derior or corner lot. ,TATE OF NEW YORK F.. (Name of individual signing contract) bore ,lamed. being duly sworn, deploses and says that he is the applicant (Signature of applicant) fe is the (Contractor, agent, corporate officer, etcI) .f said owner m' owners, and is duly authorized to perform or have performed the isaid work and to make m~d file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. ,worn to before me this .. ........ ......... 4otary Public .... ; .K .'.~ .......... County I