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Home My WebLink About23023-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~TIFICATE OF OCCUPANCY NO Z-24000 Date NOVEMBER 1, 1995 THIS CERTIFIES that the buildin~ Location of Property 2375 H~J~ORLANE County Tax Map No. 1000 Section 136 Subdivision ACCESSORY Street Block Filed Map No. cuTCEOGUE~ NEW yORK Hamlet Lot 18 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~EPTEMBER llt 1995 pursuant to which Building Permit No. 23023-Z dated SEPTEMBER 25~ 1995 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 ANTENNA TOWER AS APPLIED FOR. The certificate is issued to KARL JOHNSON (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 ~ing~ Inspector FORM NO.3 TOWN OF $OUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 23023 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: ........... ~...~........~~......~ ...... ....... ~~ ......... ..z.~.: .......................................................................................................... Oo~x~o~No. ~000 S~,,o~../~ ............ ,,oo~ ...... ~,./. ......... ~. Lo, N° ....... l~ ............ pursuon, ,o applical'lon do,ed ...J~...~..~ ...... .~./ ....................... ] g.....~..~ ond opproved bythe Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BU[LD!NG DgP ARTHEB~T TOrN HALL AP?LICATION FOR CERTIVLCATE OF OCCUPA}ICY This application must be filled in by typewriter OR ink and submitted to the building inspector ~i~h ~he following: for new building or new use: t. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features- 2. Final Approval from Nee!th Dept. of ~ater supply and sewerage-disposal(S-? form). Approval of electrical installation from Board of Fire Underwriters. &. $uorn statement ~rnm plumber certifying that the solder used in system contains less than 2/10 of t% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and instaila'tions, a certificats.of Code Compliance from architect or engineer. responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements, B. For existing buildings (print to April 9, 1957) non-conforming uses, or buildings~and "pre-existing" land uses: ~. Accurate survey of property showing ail property lines, streets, building and ~ unusual natural or topographic features. 2. A properly completed application and a consent ~o insoect si~ned by the applicant. If a Certificate of Occupancy is denied, the gui±ding Inspector shall state the reasons therefor in writing to the applicant. C, Fees t. Certificate of Occupancy - Ne~ d~eliing $25.00, Additions to dwelling $25.00, A!:erations to d~el!ing $25.00, S~imming pool $25.00, Accessory building $25.00. Additions to accessory building $25.00. Businesses $50.00- 2. Certificate of Occupancy on Pre-existin~ Buildioe - $[00.00 3. Copy of Certificate of Occupancy - &. Updated Certif£cate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $!5.00., Commercial $[5.00 Date .......... ( .............................. Ne~ Construction ........... Old Or P~e-existing Building...~.'~.. ........... ~ocation o~ Proper~ .... ~%]$ .......... ~!a.~.&.OR. ~A.N~ .............. .C.p!C~Q~.U5 ....... ~ouse No. Street Hamlet or Owners of Property.-. .......................................... :o~.:y :=~ ~ ~o ~000, ~;~=~io,, .... I~ ...... ,~,~=~,...9.t ........... ,o~..L8 ................. ]ubdivision .................................... F'iled Hnp ............ Loc ...................... ....... Health Dept. Approval .......................... U.der~riters Approvul- ......................... Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 1197I Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 25, 1995 Mr. Karl Johnson 2375 Harbor Lane Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23023-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FOtFN{)AT [ 0~[ ( I ~S'[' ) ),011i;11 F R ^1'I1:. l'l,~lll,^'['lOtl PER N. ¥. ,qTATE EItERG'i' COl)F, At)L~ T.T tONAl., CO~ElqT$: THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,~: t~(~.1093 BUREAU OF ELECTRICITY ~- 8S JOHN STREET. NEW YORK, NEW YORK 10038 THiS CE~IFIES THAT o~y t~ eJ~trtcol ~uipment ~ ~sc~b~ be~w a~ int~uc~ by t~ ap~i~nt ~med on ~he a~e appllcati~ nu m~r in the prem~es of ~L JO~SON, 2375 in the foJlo~ing location: ~ B~e,ment ~s examined on ~P~ 13 ~ 1995 and found to be in compliance w~h the National Electdcal Code. 1 t 50 CB 1 - 2' RANGES R V I C EXHAUST FAN DIMMERS 2/0 DOROSKI E~C. 425 MONSELL LA~E~ C UTCHOGUE, NY, 11935 LIC.#P941-E (3ENE~AI. MANAGER IJ Per ..... ,~-~' COPY FOil BUILDING DEPARTMENT THIS COPY OF CERTIFIGATE MUST NOT BE ALTERED IN ANY MAI~F,I~R 'g C: 77 /00. 00' 1/4'/ ~ . //B ;- I'tT~ D'~ELLING UND,"'P,. bi( "'_~UNT't' DEPT C~" ! T'H~ .'YATER ?,UPI ~ ~. :,~'WA~,~~_' Il' 'S~RVICE.*'~.')R', . "'i':'t'~S/'o~AE' F,.'.,~ i ;tn RESIOENCfE !/M_ ~ C,.::N.~,T <.'NI~.¥ WILL COI'.IF,.;,RIA 'iO THE STAt40- ......... ARO:.. C~' THE SUF~C;I.K COUNT)' NO ,. ............... DI~'F' T OF HEALTH SERVICES :ED 1.5~ ,-.' ................ . JOl-', NC' 7,,~ - SURf V E'Y E E) FOR' OCCUPANCY OR '"':,,'< ':" ............ "USE iS UNLAWFUL WITHOUT CERTIF .... '~'" '~ ' ICKtE,. '"",. OF OCCUPANCY ." ,,. .;.',. )';- )'t'7,", FIHAL '~,UF.,¥E Y ' NAME <, ' ITEEO ONLY T~~ = tLt.~,lr'14r~N ~,g N Y LIC NO 04~,992 ,AODqESS . .' TEL,[. l- H'~"lE ' N[W YO~g I I 7q2 / . t LC)T NOS. //-~ -/16 /Ncz. TOWN OF ~OUT~OZD- ~ot~ ~o~r~, ~,~ SCALE I" ,, ~O" DATE G-20./q74 'LED MAP NO, ~56 DATE ~OK NO Z.Z. PAGE FORM NO, 1 TOWN OF SOUTHOLD ,SEP I I 19,q5 BUILDING DEPARTMENT.. TOWN ItALL SOUTtlOLD, N.Y. 11971 TEL.'. 765-1802, Examined ..... .,?y~. ~. .... , 19 7..~ ^pprowd ..... .... :9.5? .Pe mit No Disapproved il/C ..................................... BOARD OF tIEALTIt 3 SETS OF PLANS SURVEY CIIECK ............... SEPTIC F O Ri'l H^IL TO; APPLICATION FOF~ BUILDING PERMIT Date .................. , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, sets of plans, accurate plot plan to scale. Fee according to schedule. ~ b. Plot plan showing location of lot and of buildiugs on premises, relationsbip to adjoining premises or public or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of tbit cation. c. The work covered by tlds application may not be commeuced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to tile applicant. Such shall be kept on the premises available for inspection throughout the work. e. No bnilding shall be occupied or osed in whole or in part for any purpose whatever until a Certificate of Occt shall have been granted by the Bnilding Inspector. APPLICATION 1S I1EREBY MADE to the Building Del)aNment fei' the issnance of a Building Permit pursnant Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinal Regulations, for the construct:ion of buildings, additions or alterations, or for removal or demolitiorh as herein des, 'File applicant agrees to comply with all applicable laws, ordinances~ building code, housing code, and regulations, admit authorized inspectors on prelnises and hi building for necessary inspections. ~ ; .... ,,~ ....~ ....,. (Si= t of applicant, or name, if a corporatim :. .:.. (Mailing address of applicant) Slate whether applicant is owner, ]essex, agent, architect, engineer, generai contractor, electrician, plumber or b, (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....~..~.[,[:::: ................. PtLunber's License No ............... .......... Electr'c'an s License No ....................... Other Trade's License No ...................... Location of land on whictt proposed work ',,,,ill be done..5. 9P. TB..S..[9~..OF..~.o..~F. ................ ... a n. S. . '. . . .................. '...: ............ c. .v re. u.o.c.v ....' ......... llonse Nurnber Street Hamlet County Tax Map No. lOOOSection ...[:.~.(? ........... Block ...! ........... '... Lot...I.~. ......... Filed Map No ............... Lot Subdivision ........ . ............................... (Name) , Slate existing use and occup.ancy of prem scs a Id intended use and occupancy of proposed construction: a. Existing nse and occupancy ....... >i} i .~ht P~.l.a~ ..... ' ...... ~ ; .... ' ..... .~ ..... 7"'? b. lnlended use and occupancy ...................... . ..... ~l~][}a~9~a~. 3. Natme ol work (check which applicable): New Buildblg .......... Addition ..... Alteration .......... Repair .............. Removal .............. Demolition .... : ......... Other Work ............... · - . , (Description) I ooo ' .... 4. Estimated Cost ............................... Fee ................ (to be paid on filing this appUcation) 5. If dwelling, nnmber ut dwelliug units ............... Number of dwelling units on each floor ................ [£ garage, number of cars ........................................................................ 6. if business, commercial or mixed occupancy, specii'y nature and e×tent of each type of use ..................... 7. Dimensions of existing structures, it' any: Front ............... Rear .............. Depth ............... lleight ............... Nmnber of Stories Dimensions of shine stmclnre with alterations or additions: Front ................. Rear .................. Depth ' Iteight ' Nmnber of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... tteight ............... Number of Stories ........................ , ................................ 9. Size of lot: Front Rear ...................... Depth ...................... I0. Date of Purchase ............................. Name of Former Owner ............................. 1 I. Zone or use district in which premises are situated ..................................................... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will 10t be regraded ....... ; .................... Will excess fill be removed £rom premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Nmne of Contractor .......................... Address ................... Phone No ............. i.. t5. 1.s this property wtthi~r 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all boildiags, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether -to Fou DAT O,O APPROVED AS NOTED ' NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - T~NO REQUIRED FOR ~UREO C~CRETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATEOF NEW YORK, . coubrrY oF..$H?..F~..ktq .....s.s ...... ~R~. p',. .................. ~O~ ... ..... . ...... being duly sworn deposes and says that he is the applicanl (Name 0f iudividual signing conlract) ..... ............................................................ ' ............. (Contractor, agent, cor'porate officer, etc.) )f said owner or owners, and is duly authorized to perforxn or have performed the said work sad to make and file thi: q)plication: that all statements contained in this application are true to the best of his knowledge and belief; and that th~ york wilt be performed io the mann?r set forth in the application filed therewith. .............. o ut ~}/, ~ ......... ~..., ,.. No. 4725089, Suffolk