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