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~