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HomeMy WebLinkAbout15524-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z17720 Date JANUARY 30, 1989 THIS CERTIFIES that the building ....S.A.T..E.L.L.I.T..E..A.N.T, .E .N.N.A. ........................ Location of Property 2615 WELLS ROAD PECONIC House No. Street Hem/of County Tax Map No. 1000 Section . .0.8.6. ....... Block . . .0.2. .......... Lot I . 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 24 1986 pursuant to which . · · 15524z ............. : ....... Buff&nE Permit No ...................... dated..~. 9Y.-..2..8.<. ! 9..8.6 ........... 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 ......... SATELLITE ANTENNA (GROUND MOUNTED). The certificate is issued to ltENRY & JENNIE PIERCE ..................... ?o¥,,'o;,'l'g~'X~f..~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ...... .N./.A. ................................ UNDERWRITERS CERTIFICATE NO ..... N/A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 TOW~ OF $OUTHOLD BIJILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15524~ Z Permission is hereby granted to: ...~.~......~,-~......'1. ............................................. ..... County Tax Map No. 1000 Section ...... ..(~....~..~. ....... Block ...... ,,,~...~ ..... Lot No ...... (.:'.?....; ........ pursuant to application doted ..... ..~...~~.......~h....~ ........... , lO.~....[e.., ond approved by the Building Inspector. Fee $ ............. ~ .......... Building Inspector Rev. 6/30/80 OUNDATION ( 1st OUNDATION ( 2nd OUGH FRAME & PLUMBING CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [,~']'~1NAL REMARKS: DATE INSPECTOR VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD DATE: January 24, 1989 NAME: HENRY PIERCE ADDRESS: 2615 WELLS ROAD PECONIC, N.Y. 11958 RE: BUILDING PERMIT # 15524z SATELLITE ANTENNA SEC. 86 BLOCK 02 LOT 1.2 This Building Permit has expired. You are now ,in violation of the Town of Southold Zoning Code. Please contact our office, this matter must be corrected. 'Victor G. Lessard Principal Inspector *** This permit requires an inspection and a certificate of Occupancy. FORM NO. 1 TOWN OF SOUTHOL. D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined d0.o:r~.~..[u.~...~.~.., 19~.k Approved .)0.~..~'.~.., 19 .~.[q. Permit No..} .~..' .~'..~.~/.' .'~-e Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date .................. , 19... INSTRUCTIONS a. This application must be completel~ filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to sc~il~dule. b. Plot plata showing location of lot and of buildingsOk~eml~s, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout~r~9~ya~'~ ~chl~t~_on the diagram which is pa~ of this app,- cation. c. The work covered by t~s application suance of Building Pe~it. d. Upon approval of this application~di~~ed a Build~g Pe~it to the applicant. Such permit shall be kept on the premises availableA~~g~~k. e. No building shall be occupie~se~in~le ~in~f~ purpose whatever until a Ce~ificate of Occup~cy shall have been granted by the Building~n~. ' ~X ~ ' ' APPLICATION IS HEREBY MADE t for the issuance of a B~lding Pemit pursuant to the. Building Zone Ordinance of the Town of ~,~ounty, New York, ~d other applicable Laws. Ordin~ces or build~,'a~i~or Regulations, for t~e construction of alterations, ~r removal or demolition, as here~ described. S, ordinances, ~fld~g co~, h~g code, and regulations, and to The applicant agrees to comply with all appli~l~ admit authorized in spec to rs on premises an d in b~ding for ne ce ss a~f~~ (Signature ~ applicant, or name, if a corporation) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... State whether applicant is owner, lessee, agent, architect, engineer, general contract~[q~t~tt~i~, ~rh3~r~'~ouilder. ................................................................ Name of owner of premises .... ~. ~ ~ ~ FEE: ........ B~" ~'E~$ A~' ................................ ~ItLO~NG' g~'~ ' ' ' (as on the tax roll or lat~2 ~ ~,, TO~ ~ ~R THE FULL.OWING iN~C'~ONS: F~NDATtO~ ~O FO~ PO~ED CONC~E'~'~ 3. ~NSULATI~ g, P~NA[, GOHs~UC~iON ~UST ~ c~PLETE ~R A~ CONSTRUCT~N s~L M~ T~ REQUI~ENTS ~ ~ N.Y STATE CONSTROC~ & ~N~ O~e~ ~de's ~cense ~o ...................... }louse Number Street Hamlet 000 S c io, ..... ........ ..... ........... 3 2 ........... 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 ..... ./.~..6'.~.. ~ .~..~"~Z.G..~. ...... .~ ....................................... b. Intended use and occupancy // ~/J~ ~m ~ ~.~ .3. Nature of work (check which applicable): New Building .......... Addition ..; ....... Alterhtion .~ ......... Repair .............. Removal .............. Demolition ........... J.. Other Work .-~..J~../.A~?. 4 Estimated Cost Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ................ If garage, number of cars i 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7 D' 'onsof 't' gst ctu if ny F nt R Depth . lmens1 axis in ru res, a '. ro ............... ear .. J ....... Height ..... .A~a,O~,n~,~Number of Stories ................ ! ....................... Dimensions of ~--;i :,:"4:;ura with alterations or additions' Front . De th ~. ~.&.¢'7~/ Heit .~. t~..e.~ ...... ""';L: ..................... .o~.~.,~..~..'. ~" '}'' p .............. gh ..... .............. l~lu ...... ,~,~,m~lL~. 8 Dimensions of entir stru tion: Fr R ' Depth · e new con c ont ............... ear ....... , .................... Height ............... Number of Stories ............................ D; i 'il .................... 9. Sizeoflot: Front ...................... Rear .......................................... i 0 Date of Purchase Name of Former Owner 11. Zone or use district in which p,remises are situated ..................................................... 12. Does proposed construction vinlate any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded ......... ~ ..... ~,:.. ~.~ ...... Will excess fill~be removed, fro/n premises: Yes 14. Name of Owner of premises . t/~'.~.~....~te,'t ~' Address ~9,~ ,e~'e,//,n ~ Phone No Name of Architect ........................... Address ............ ' .... i... Phone No. Name of Contractor ........... Address ............ ' 15. Is this property located w±thinl.00 feet of a t±dal wetland?''&'Y~'.....eN°No ............... ..... * If yes, Southold Town Trustees Permit may be required. PLOT D~AGRAJM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fi:om property lines. Give street and block number or description according to deed, and show street names and indicate whethe] STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, depos'es and says that he is the applicani (Name of individual signing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and 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 thd work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........... Otg.c/ ......... day of.. ...... .~....~'d~... ..... , 19~. Notary Public, .~--..~.'~ ..... J~)¢. .~..~. ....... County ............. ...:..: ............. . so.31OTSlS, S~fo~k C~.ty~:? (S~gnature of applicant~ lerm ~xpires Igateh 30,1~ ,, /