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
..........