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HomeMy WebLinkAbout25126-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25907 Date: 08/21/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 105 WEST CREEK AVE CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 13 Lot 20.1 Subdivision Filed Map No. ~ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21, 1998 pursuant to which Building Permit No. 25126-Z dated AUGUST 21, 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 ACCESSORY HAH RADIO TOWER AS APPLIED FOR. The certificate is issued to JOHN A CLARKE of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A ui~ing I~spector 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. 25126 Z Date AUGUST 21~ 1998 Permission is hereby granted to: JOHN A CLARKE PO BOX 256 CUTCHOGUE~NY 11935 for : CONSTRUCT AN ACCESSORY HAM RADIO TOWER IN THE REAR YARD AS APPLIED FOR. at premises located at 105 County Tax Map No. 473889 Section 103 pursuant to application dated AUGUST Building Inspector. WEST CREEK AVE CUTCHOGUE Block 0013 Lot No. 020.001 21 1998 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 BLDG DEPT, ,~j~ ,TOWN O~ S(~UTNOLD ';~ Form No. 6 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 plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial 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: 1. 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 signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 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 ...... ?./~.../.~. ~. ....................... New Construction ......... ..'' Old Or~-~Pre-existing~BuildinR~/~--g~f~ ......... i' ....... ~...~. m .~--.~.~-~ Location of Property ............................................... House No. Streg~~' .... Hamlet Onwer or O ers of Property... Subdivision ...................... Filed Map ............ Lot .............. Permit Ho ................ Date Of Permit ................ Applicant.. · ......... Health Dept. Approval ....................... . . . Underwriters Approval ......................... Planning Board Approval .... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $~ ~09 ............................. ~.~.~..../..,-.~..~ ~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the el~trical ~uipment ~ ~sc~bed below a~ int~uc~ by t~ ap~icant Mm~ on t~e a~e appl~ation no ~ber in t~ prem~es of HR. JOHN A. CIJtRKE~, WEST CREEK AVENUE, CUTCHOGUE, N~ Y. in thefolto,ei,g locatlo,{ [] Basement [] lnt FI. [] 2nd Fl. OUT Section Block ~eas examlned on APRIL 03,1995 and found to be in compliance with~the NaHonal Electrical Code. Lot FIXTURE OUTLETS DRYERS FURNAC AMT. K,W, O H.P. MOTORS FUTURE APPLIANCE FEEDERS FECIAL REC'PT GA5 H. P, AMT NO. A W. Q AMT. AMP TIMECLOCKS ~ELLIUNITHEATERSUNITHEATERS MULTI-OUTLET NO. OF FEET SERVICE DISCONNECT OTHER A~,~ARAT U S* 3.~F X ~EI~' ,,~2W ,~'3W 3~'3W 3,4w EXHAUST FANS DIMMERS S R v I ¢ E NO. OF CC COND, A.W,G A,W.G, A W G, 2/0 NO OF HI-LEG 2/0 Q.C. ELECTRIC INC. P.O.BOX 518 LAUREL, NY, 11948 LIC.#3823-E GENERAL MANAGER 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. COPY FOR BUILDING DEPARTMENT. THIS COPYOF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, ELE CTEI[,* QUALITY CRAFTSMANSHIP AND LIG~NG EX~ ~OX 518 ~UREL N.y. ~ ~ 948 * ~L: 5~ 6-298-5344 PHONE NO PRICE UNE ~OU~ WILLIAM WlCKHAM ERICd BRESSLER ABIGAIL A WlCKHAM LYNNE M, GORDON dANET GEASA HUBERT F, SULLIVAN WICKHAM, ~ICIF, HAM & BRESSLER, ~ ',, ;:-,', ~(M~TTIT~CK, LONG ISLAND ..... ~E~ YORK 11952 516-298-8353 TELEFAX NO. 516-298-8565 MELVILLE OFFICE 275 BROAD HOLLOW ROAD SUITE III MELVILLE, NEW YORK 11747 July 9, 1998 Southold Town Buildin9 Department Southold Town Hall Main Road Southold, New York 11971 Attention: Mr. Gary Fish Buildin9 Inspector Re: McNeil - application for C.O. for tower and fence SCTM #1000-103-13-16, 18.1, 19, 20, 21 and 22 S/corner Pequash, Old Pasture Road and West Creek Avenue, Cutchogue Dear Gary: We currently have pending an application for a pre- existing certificate of occupancy on this residence. If you recall, during your inspection you requested an under- writer's inspection. That inspection has been completed and you should have received an underwriter's certificate. In addition, you required a permit application for an existing radio tower and fence, which~s~nclosed together with a check in the sum of $ You may contact me for an inspection appointment. Please let me know if you require any further information. AAW: jm Enclosures 30-blgdptnd Very truly yours, : FS T " .... .....' -, ~'rl~ ~R ~TLDING PE~IT INSTRUCTIONS BOARD OF IIEALTII' 3 SETS OF PLANS .'.','.','.'.' 7' SURVEY ............... ., ........ CIIECK ............... ./ ......... SEPTIC FORH ......... ~ ......... NOTIFY: CALl ................... HAIl, TO: .................... a. 'Ibis application mast be completely filled in by tl~ewriter or in ink and submitted 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, ~elationship to adjoining premises or pablic streets or areas, and giving a detailed description of layca]t o~ property mst be dra~n on the dlngrem ~aich is part this application.' c. llm work covered Dy this application may not be coaraeseed before issuance of Building Permit. d. Upon apprrmal of this application, the Building Inspector will ia~e a Building Permit to the applicant. permit shall be kept on tim premises available for inspection thranghont the work. e. l~o building slmll be occupied or used in ~t,~le or in part for any purpose ~&ateeer until a Certificate of Occa~paney shall have been granted by tim Building Inspector. APl~.lC~rltlq IS la;.[~l~ ~ to tim Building DepartmanC for ~lm issuance of a Building Permit par.m~ant to the Building Zune Ordinance of the To~n of 8unthold, Suffolk County, ~ York, and otlmr applicable La~s, Ordinances'or · llegulations, for the construction of buildings, additions or alterations, or for re~ac~al or ak~aolition, as berein · described, lhe applicant agrees to comply with all applicable la~, ordinances, building code, l~using code, and regti~ations, and to a&alt an~i~rlsed inspectors un premises and in building ~or. necessary insrCctlosa.. ~ .... ......... (Signature~of applicant, or na~e, if a corpo~ii~atlon) (l, lailing address of applicant) (lxlme and title of corporate officer) Builders l,ieense It) ......................... , Plt~Bers Lzcanse ~ ..................... . .. , . Electriclans lAeeose l~o SLate ~,tmtl~er applicant is o~t~r, lessee, agent, arcl~itact, engineer, general contractor, electrician, plt~l~r or DMlder. 0,~. e.r. ~ ............ Nave of o~mer o~ pr~niseg ..~10hp. J~,..C~ar~e ...... / :'~' ..................... (an ~ tl~ t~ mi1 or latest ~) ' If a~li~nt is a co~ratim, si~tm of ~ly ~tl~ri~ officer. ~~[,~ 1 FOUNDA~ON - FOR ~ 3. INSU~ON 4~ FINAL - CONS~RUOTION MUST od~ ~Y=~ Licee~ ~ ..................... 6E COMPLETE ~R C~O, ALL CONSTRUCTION SHALL MEET ~es~ C~ee~ ~ve~e ~co=~e= ?e~h, 0]~ ~~ & ENERGY .......................................................................... ' ' ' I~ ~r St~t D~.~ ~ONS (RUCTION ERRORS ~a~Tax~p~. I~ kti~ ...~} .......... ,l~k .~} ............. ~t ~,~.~.,~ 19, ~xlivisi~ ........... Fil~ ~p ~ ............... l~t .............. (~) ' e a. ~xistlng ua a ~ .... ~i;l~g--.. ...... ~: ........ ~.- .................................. (check ~hich nH)l~lcallle): I'k_~ ll~Jihling 15. ltx:sto clearly sial dlstlnctly al~ fr~. pl-olmrt-y lines. (live st~e~el: and ~hetber interior or corner loC. Esl il,~te{l Cost'.... ' ............ I ........ fee .... i (ro'be paid on fllinfl this ) I [ ~k~l l init, ,x.~tmr at ~ll h~t ;uslts ............ l[~l~r ag &mi ling um ts (.~ eed~ flrx)r ................ ]f Ilar.ge. g.ml~r er cnrn ...... I ...... I .......................... 1~ Ixmi~ss~ (~mercJal or mlml ~mllm~my, SlmCi~ ~mture m~l extent o[ each tyi~ l~pLh .................... I~[l~~ ......... ~ .......... iall~r oF grories ............... I)l.~nsl(m6 ()~ e~ Lire t~ cmstn~tia}: Frta~t .., .............. I~ar ............... I~l)Lh .............. fi[~ nf ]nl.: F~(a~I' .. . I~nr .................... I~pth .................... h~ el u.o di~t* it:l: iii ~Jd{:h pr~.me~ rite ~[ttmLt~l ............................................................ IS this pm~rt,y withio ~) [~l: of a tirol ~mrla,~l? * ~l~ .......... ~ .......... PI.aT I)[AGRAH ,l~k a.,t~r or (~scrJptitm according to (~1, a~ g}~ 8tree~ trams taxi i~licate 0 o1: ~ai<l Japer nE ~K*rS~ ill~l lB drily i~ll~lorJz~l Io i~rrom vr Imvc I~rl:or,l~J Ihs ~nJd ~rk ami J:o appl J{:lltJnnj lillll; ill I. sltlltli~ll[~ contaim~l ill IhJs IJlll)J J(:~l[ JOll ale I rl~ [o the I~d: o[ hJ~ k~K~l~lge m~l Ix~l. icF~