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HomeMy WebLinkAbout20520-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-24307 Date APRIL 24, 1996 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 735 (a/k/a 718) WIGGINS ST. GMEENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 48 Block i Lot 21 Subdivision Filed MapNo. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31, 1992 pursuant to which Building Permit No. 20520-Z dated APRIL 2, 1992 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 ANTENNA ~SATELLITE DISH) ~ APPLIED FOR. The certificate is issued to LOWEN Y. KOK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A Building Inspector/ IrOuM lqO. 0 "~ TO~VN OF SOUTHOLD ~ BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ...... ...... .................. /'-' . ."~'~¥?~"~;'"';;~;"'~ .... ~,,~/..~,. ......... County Tax Mop No. 1000 Section ........ ..~....~.. ..... Block .......... .~. ......... Lot No ........ .~....../. ........ pursuant to application dated ........................................................ , 19 ......... and approved by the Building Inspector. Fee $.~~.... Rev. 6/30/80 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 ~ealth 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: 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 signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. ~e(, 1.~ Scertificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, ~A~c~ building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3. Copy of Certificate of Occupancy - ~ .25¢. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.O0, Commercial $15.00 ~x.f/ . ~ Date .... '~'//' ~'' '['~''(''~'/ .................... ~ew Construction. .~.. .......... Old Or cre-existing Building .............. Location of Property..House No.Z~'~'-~,! .fly '~!' '~'~ ' ' ........................ Street .~.2Q"" .~*~.", .Hamle~f.~]-. .~, ......... Sounty Tax Map No 1000, Section...~.~ ...... 'Block ..... Il ........ Lot....~.( ........... Subdivision .... Filed Map Lot Permit L~o..~. ............ Date Of Permit ..... Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ........................ ~,equest for: Temporary Certificate ........... Final Certicate....~ ...... FOUNDATION ( ls t) FOUNDATION ( 2nd ) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI;~AL ADDITIONAL COMMENTS .7£ Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765~1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 28, 1996 Mr. Lowen Kok P.O. Box 789 718 Wiggins Street Greenport, NY 11944 Re: Building Permit #20520-Z - (antenna dish) Premises: 735 Wiggins Street, Greenport Suff. Co. Tax Map #1000-48-1-21 During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, $OUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULA/TIO~N [ ] FRAMING [/--]~FINAL [R ] FIREP~ACE&CHIMNEY~ INSPE '~C~~~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~. ~./~.~. TEL.: 765-1802 Examined/? .............. 19 .~..~ · \pproved..~/~..~ '., 19 .~..ff-"Pennit N .o~.. ~. Disapproved a/c ..................................... ............................. . . ..... · J,~u,ld~J~, Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF ttEALTII .... 'f.~ 3 SETS OF PLANS .......... SURVEY ................... CIICCK .................... SEPTIC FOR:I .............. ,.O, HAIL a. Tlds application must be completely filled in by typewriter erin ink and submitted to the Building Inspector, with 3 :ts of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or publ/c streets : areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ltion. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit all be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bui ding Department for the issuance o ' ' e filding Zone Ordinance of the Town outholcl e..~t~,,. ....... f a Buddm_ Permit pursuant to the · *, . of S ......... u.um ~..ounw, rqew YorK, and other applicable Laws, Ordinances or .=ulanons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. le applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to mit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architcct.~engineer, general contractor, electrician, plnmber or builderl ...... ................................. tree of owner of premises ............ . .............................~ ............. ,.. (as on tile tax roll or latest deed) applicant is a corporation, signature of duly authorized officer. ...... (ka~e'.~r~ci title of corporate omcer) Builder's License No ..... ~/~, .a~.<~. . Plumber's License No ................ Electrician's License No. Other Trade's License No ....................... Location of land on which proposed work will be d'g~'e ........... g ...................................... ~[ N b ................................................................ oust um er reet Hamlet ~ubdivision ..................................... Filed M;ip No. (Name) .............. Lot ............... ;tate existing use and occupancy of premises and int}nde~ use and occupancy of proposed construction: ' . . . ~ ~ ~/ ......... _,~ll~9.~;t,W~.~c~,~,V,~~ ..... - mtenaea use and occupancy .... ~J.~ ~}/~ ~ ~¢f~?~.~ ... - ............. 7 ........,--~~,',,,~~ .... ~'~ Nature of work (check which applicable): New Building .......... Addition .......... ,\lteratmn j I (to be paid on filim: this application 5. lfdw Iling, numberofdwellinghnits ....... Nu ibc ~ ' ' ' ) · If garage, number of cars ~ · · n r ofdwclhng umts on each floor 71 If business, commercral or mixed occupancy, specify nature and elt'c;n} of'each typ; if use ..................... ~lil!lensions of existing structurei, ifa~ y: Front ............... Rear .............. Depth ......... mght ............... Nmnber of Stories . · ..... Dimensions of Same structure wi h alterations or additions: Front Depth ' Heitbt ................. Rear .................. Dimensions of entire new constniction: Front ·. Number of Stories ..................... Height ' ............... Rear Depth ............... Number of Stories ................... ' ........... Front 4 ........................................................ 9. Size of lot: 10 Date of Purchase ..................... Rear Depth ........... ~ ................. Name of Former Owner 11. Zone or use district in which prer rises are situated ..... ' ............................ 12. Does proposed Construction viola;re any zonmg law, ordinance or regulation: Will lot be regraded ........ i ................................ 14 N f O f P ' ', .................. Will excess fill be removed from premises: y N · amc o wnero remises .. i es o N fA ......... Address ................... Phone No ................ amc o rchitect ...... I ...... ..... 1 ................ Address ......... · · ........ lone No ................ Name of Contractor .......... i ................ Address .... ............ Phone No ............... .5. Is this property within 300 feet of a tidal wet v ' '' · · If yes, Southold T~wn Trustee~q por~'~ la,nd. *Ye, s ........ No..~. ~ ....... ~ may oe required. ' ... ' ' PLOT DIAGRAM' · ' , tx-gu~-U~k lOCK hum ocr or descr/ iQ ' . enslons from ntenor or comer lot. pt n according to deed, and show street names and indicate whether ATE OF NEW Y(~(<2, / Il ,ua-fy l . . s.s I ......... ..V. . . . ......... (Name of individual signing c!ntract) ye named· . , 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: I. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2, ROUGH ~ FRAMING & PL, UMBING 3, INSULATION 4. FINAL CONSTRUCTION MUST SE 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 being duly sworn, deposes rind says that he is the applicant · : ontractor, agent, corporate officer, etc.) ............. aid OWner or owners, and is duly authorized to perform or have performed tlre said work and to make and file this ication that all statements contained i this application are true to the best of Iris knowledge and belief; and that the : will be perfo~ed in the manner set f~rth in the application filed therewith. m to before me this i c ..........