HomeMy WebLinkAbout24888-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26160
Date: 12/10/98
THIS CERTIFIES that the building ADDITION
Location of Property: 505 BITTERSWEET LA
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 104 Block 2 Lot 6
CUTCEOGUE
Subdivision Filed Map No. __Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 11, 1998 pursuant to which
Building Permit No. 24888-Z dated MAY 15, 1998
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 HAM RADIO ANTENNA ATTACHED TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to JAMES E & DAWN R MULVEy
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTHENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-435899 10/27/97
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 24888 Z Date MAY 15, 1998
Permission is hereby granted to:
JAMES E & DAWN R MULVEY
505 BITTERSWEET LANE
CUTCHOGUE~NY 11935
for :
ERECT AN ATTACHED HAM RADIO ANTENNA TO AN EXISTING SINGLE
FAMILY DWELLING AS APPLIED FOR.
at premises located at
County Tax Map No. 473889 Section 104
pursuant to application dated MAY
Building Inspector.
505 BITTERSWEET LA
CUTCHOGUE
Block 0002 Lot No. 006
11 1998 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumbar certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Co~ercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
~!pre-existing" land uses:
I. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect sigmed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, iw~m~ng pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00
3. Copy of Certificate of Occupancy -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy'- Residential $15.00, Commercial $15.00
Date ....... ~.~.~. ........................
Construction ........... Old Or Pre-existing Building .................
..........
~ation of Property... · ..................
House No. Street
..................
awer or Owmers of Property. · ....................
)unty Tax Map No 1000, Section ...... .~. ...... Block ......... Lot .................
Filed Map Lot ..............
abdivision '
Underwriters Approval · ·
,alth Dept Approval -- ·
[amning Board Approval -
~quest for: Temporary Certif£eat~ ........... Final Certicate...~-....
THE NEW YORK BOARD OF FIRE UN6ERWRITERS
~L(~{~l~9 . .~ . ~· ~ . ' BUREAU OF.EL£CTRICITY
85 JOHN· STREET NEW YORK, 'NY 10038'
r OCTOBER 27,1997 N 435899
Date ~ppiica,ionNo. o.f~ ' i4918797/97
THIS CE~IFIES THAT
o~y t~ e~tr~ ~uipment ~ ~scd~ be~w a~ in{r~uc~ by t~ ap~icant ~med on the a~ve application number in t~ p~m~es of
JIM CUTER CR~TI~, 505 BITTER S~T ~, R~IO/~, .CUTC~[~, NY
~s exarnlned on OCr~ 21 ~ 1997 and found to be in compliance with the NaEonal Electrical Code.
~RVI~ DI~ONNEC~ ~, OF J , S E t V I C E
METER w ~ w No OF ~c COND AWG AWG NO OF ~EUT~ALS AWG
COP~ANDER EI~CTRIC
PO BOX 526
BOHEMIA, NY, 11716
This certificate must not be altered in any manner; return to, the office of the Board if incorrect. Inspectors may be identified by their credentials.
CORY FOR BUILDING DEPAR~TMENT. THIS .COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
765-1802
BUILDING DEPT.
INSPECTION
[ [ ] ROUGH PLBG.
[ [ ] IN.~SULATION
[ [ ~'~INAL
[ ] FIREPLACE & CHIMNEY
.MA.KS= ~~ ~.~.
] FOUNDATION 1ST
] FOUNDATION 2ND
] FRAMING
DATE /2--*/~///~'~ I NSPEG'rOR ~~
76S.1802
BUILDING DEPT.
[ ] FOUNDATION 2ND
INSPECTION
] ROUGH PLBG.
] INSULATION
[ ] FRAMING
[ ] FINAL
[ ] FIREPLACE & CHIMNEY
..,,,,..s,
· OB~[ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERN[iT
('rills PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N.° 2~t112 Z
Permission is hereby granted to:
...~..~..:......~.~..~ .......................
.~:~..,~~.~..... ~...
~:~..~...,~.:...~,,//.~:.:.
.~ .............. ~ .............. z:.~,.. '.,.~ ........ ~.~. ......... z:....~._.:....~. ....... :...~,~,~
,~...:......... ~./..~ .......... /...~,~ ...............................................................................................
at premises located at ............................................~ Z/.~..~..../~..~.~...~.-~. ......... .~' ............. .... ~.,.-.-~...~/.. '. ............ ....
County Tox Mop No. 1000 Section ../.0 .~.... ........ Block .... ~7~ ........ Lot No ..... ~.~.. ........
pursuant to application doted ........ .~.~..~'.~.......~..~.. .............. ,! 9.?land approved by the
Building Inspector.
Rev. 6130/80
azo. O
FORE4 NO. !
TONN OF SOUTHOLD
BUILDING DEPARTE4ENT
TOI~I HALL
SOUTHOLD, N.Y. 11971
TEL:
INSTRUCTIONS
BOARD OF HRALTH ...............
3 SETS OF PLANS ...............
SURVEY
CHECK .........................
SEPTIC FORI4 ...................
HAlL TO: ....................
a. This application nust be c~pletely filled in by typewriter or in ink and submitted to the Building In.~ector with
3 sets of plans, accurate plot plan to scale. Fee according to scheflule.
b. Plot plan ~lg~dug leeati, an of lot and of buildings on praises, relationship to adjoining prendses or pablie
streets or areas, and giving a detailed description of layout of property mast be drawn on the diagr~n ~hieh is part of
this application.
e. The x,~rk covered by this application may not be conneaced before issuance of Building Pemit.
d. Upon ~ppcoval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
pemlt shall be kept on the praises available for insl~etion throngh~t the ~ork. .
e. No building shall be eecapied or used in ~?aole or in part for any purpose ~catever until a Certificate of
Occup~:y sh~l h~ ~ granted by ~ Building Insl~tor.
· ~I~PLIC~13RI~Y IS ~[~[a!3if ~ to tbe Building 10epart~£ for the iss~e of a Building Permit par.~t to the
]~ild{ng ~ Ordinas~e of ~ ~ of ~thold, ~folk O3{m~, ~ Y<~ck, ~ o~her alypllcable I~, Ordir~ces'or
Re~lations, for ~ ~st~tion of buildings, additions (~r alterations, or for ~1 or demolition, an ~rein
de~rihed. ~ ~licant ~o~t~ees to {~0mply wlth ~1 applicable 1~, ord{~es, building c~te, l~sing c~, ~
regulations, aed to a~alt anthorized iaspectors on premises asd in BUil~ ~eec~_es~3g~i~speetions-
~ B g ccm<~c~;~ L~ CuTe
0 ~ 6C~ ..
(E4aillng a~lras$ of applic~it) ,
.............................................. ................... .................
(an on th~ tax roll or latest d~l) NO?IF¥ BUILDINil Of~II~l~/
?6S-1BO~ S AM TO ~ PM FOR
'If applicast is a corporation, sil~ature of d~ly authorized officer. FOLLOWIN6 INBPECllONB:
I. FOUNDATION - TWO REQUIRED
......... FOR POURED CONCRETE
(Name ~xl tltle of corporate of£1cor) 2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE.FOR C.O~
Buitders License No ...........
ALL CONSTRUCTION SHALL MEET
Plt~nbers License No .......................... THE REQUI;~EMENTS OF THE N.Y.
STATE CONST;UCT~ON & ~NERGY
Electricians License No ...................... COD;S. NOT RESPONSIBLE FOR
Other Tr~s License 1~ ..................... DESIGN OR CONSTRUCTION E~RORS
...... ........................ ...................................
Bouse lqu~er Street IL~zle t
· 1o4 Z fL
C~t~ Tax lt~p No. ~ Section ................ Blod~ ............... .~I~t ..... ~ ........
~i~i,lon ..~. ~s..s.~.~..f~. ~..9. ............ ~iled ~ ~...[ L~.~ ....... ~t ...............
(~)
State alst~ng ~ ~ occupallcy of premises ~ il~telld~l us~ ~ occu[~ley of lI~roposed c~lstlco~tion:
h. .. .... .....................
'1. I~d.nre nf ~a[k (cl~ek sddch applicable): Nc~ lhdhliN~ .......... ~iti~ .......... Alteration ..........
l~l~i r ............ l~al ............. I~liti~ ............ Other ~
(Io lm ~id ~m filing this al~li~tl~)
5. If ~[~lling, a~t~r of ~llil~ unitfi ............ t~d~r of ~lling ~mlts ~ ead~ fl~r ................
If garnge~ ~t~r of ears ......................................
6. if I~mirmss, ~rcial or mi~ ~o~, s~ci~ ~mture a~ ~Cent of each ty~ of u~ ................... ...
7. I)i.~nsi~s~isti~ stn~U~res, if eey: ~t ................ ~ar ............... ~pth .................
I~i~t ......................... ~ ~t~r of Stories ......................
Din~nsi~ of sam stn~O~re with alterati~m or ~itJons: Front ............... ~ar ...............
lkpth .................... lki~t .................... ~i~r of ~torie~ ...............
8, Di.~nsi~s of entire ~ ~st~t~: l~mt ................ l~ar ............... ~pth ..............
Ibi~st ~ of Storiee
9. Bi~ of lot: t~mt .................. l~ar /~b ~pth
,,. ........ ..........................
II. ~ or u~ district in ~Jdi pr~i~8 am si~t~ .~.'.~ .............................
12. ~S propel ~mCn~J~ violate any ~Jng 1~, ordit~e or re~lhtt~: ..~ ...................
~itt ~ot ~ ,~....................~ ~itt ~ees ~itt ~ rm~ ~m ~mi~:
~ of fird~itect . . ~lress ........................ ~ ~ ....
~ of Cxmtractor ................................... ~klress ...............................
15. ~s this p~rty wifl~in ~ f~t of a Ci~Ml s~tland? * ~.q .......... ~ .~ ....
PI,OT D[AGRAH
lz~cate clearly and distinctly all buildings, ~lmtlmr existing or proposed, and indicate all set-I~ck dira~nsions
I:rr~n property ltrms. Oi~ street and block r~nlmr or d~scription according to de~l, and sho~ street nan, s ami indicate
sdmtber interior or corner lot.
' '" ....................... ~ .................. ~ ....
(~ o~ indlvld~m], signing
(C~tracter, ~gent~ corporate officer, etc.)
of said r~r or ~mrs~ and J~ dtdy ~tl~orJz~ to ~rFonu or h~e i~rfo~ Ole said ~rk and to ~ and ~il.e thi~
applieati~; that att sta~n~s c~tai~ in Lids al~dieat~on are tn~ to ~e I~t off his k~l.~e and I~l. leFj and
that t[~e ~rk will I~ ~rfont~l in the ~mmr ~t forth in