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HomeMy WebLinkAbout20617-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22472 Date JULY 26~ 1993 THIS CERTIFIES that the building Location of Property 69685 MAIN ROAD House No. County Tax Map No. 1000 Section 45 Subdivision STRUCTURE Street Block 1 Filed Map No. GREENPORT~ N.Y. Hamlet Lot 11 Lot No.. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 1992 pursuant to which Building Permit No. 20617-Z dated MAY 8~ 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 FOUNDATIONS FOR TRANSFORMER & CIRCUIT AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A LONG I~LAND LIGHTING COMPANY Rev. 1/81 FO~ NO. 9 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) N~N? 20617Z .... ~.....~..,...~..~.:~,...~ ......... ~? - . _ ................. .......................................................... at premises located at ..~...~..~....~.....~......~.....~.~.../. ........................................................... County Tax Map No. 1000 Section ....... .~...~.... ..... Block ......... ./.. ......... Lot No ......,/..~. .............. pursuant to application dated ..., ,~,/.Z ........................................ , 19..~.~, and approved by the Building Inspector. Fee Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~65-1go2 . APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. ~his 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 ertgineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirement.~. B. 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 Inspect'or shall state the reasons therefor in writing to the applicant. C. Fees i. 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 o~ Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ....... ~... Old Or Pre-existing Building ...... - Lo ation ~ Pr ' c o onertv . . House No. Street Hamlet On'er or Owners of Pro~ert, ~,O&[G /oC~,,~ .~.£~/~7-1k~ ~ County Tax Map No 1000~ Section ........ ~ ..... Block .... / ..LOC. Subdivision ............................... Filed Map ....... Lot ........... Permit Health Dept. Approval ......... ........... Underwriters Approval ...... Planning ~ ' Board Approval... ; Request for: Tomporary terrOr,cato .... FSnai CerrScaCe. Fee Submitted: $ INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Irapector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L, HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD APRIL 29, 1993 LONG ISLANI) LIGNTING COMPANY 445 BROAD HOLLOW ROAD MELVILLE, 1~/ I]747 PRI~[SES @ 69685 I4~kIN ROAD, GREEh'-'PORT, lIY · To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: z~x An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on'file. The check is ~zx~_~/not on file.)~$50.00 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 $ 20617-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~OUNDA'TION (1st) ~OUNDAT!ON (2nd) tOUGH FRAME & -PLUMBING iNSULATION PER N. STATE ENERGY CODE FI;IAL ADDITIONA'L COMMENTS: (516) 391-6052 LONG ISLAND LIGHTING COMPANY 445 Broad Hollow Road, Melville NY 11747 April 22, 1992 Town of Southold Building Department 53095 Main Road Southold, New York 11971 RE: Southold Substation Dear Mr. Lessard: In the near future, the Long Island Lighting Company plans to add a new transformer and circuit at its Southold Substation. Enclosed is a completed "Application for Building Permit" and two highlighted Plot Plans showing the propose work. The estimated cost of the work is $37,900.00. I will be in contact with your office shortly to determine the permit fee, answer any questions, and set a date that I can deliver the check. Very truly yours, MPF/mo-1370 Attachment Maurice P. Fitzgerald, P.E. Manager, Permit Division 765-1802 BUILDING DEPT. INSPECTION F~UOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND [ ] INSULATION FRAMING ~] FINAL REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION /~NDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~.~ [ ] FINAL NSPECTOR/-~~d~ II Examined .~_.../~ ......... Approved .... ~/.~. ..... / ., 19 .~. 2-- ., 197..~Pennit No.~. ~.~../?. / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-11102 Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... GIIEGK .................... SEPTIC PORM .............. CALL HAIL (516) 391-6052 TO: LI. LCO 445 Broad Hollow Rd.' ' l~i~l~i'll&,' Iq?' '1'17~? ' ' ' Att: M. Fitzqerald Date ...April. 17 ........ 1992. INSTRUCTIONS a. This application must be completely filled in by typewriter 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, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 shall 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 shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Cour(ty, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alter~ations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buliding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .... .............. -- (Signature of applicant, or name, if a corporation) .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Applicant is owner Name of owner of premises Long Island Lighting Co. (LILCO) (as on the t,ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and tibWe/oT~rporate officer) B. R. Mc~f~ey, Vice President of Administration Builder's License No .......................... Plumber's License No ......................... Electncmn s L,cense No ...................... Other Trade's License No ...................... Location of land on which proposed work will be done. Ao.u,t.e. 2.5..(.Mo..iD..Rg.a.d)..w/9..Ch...ap?.l..L.a~..e .... ' ......... · F.,5 .......cC. .............................. ............... ...... House Number Street County Tax Map No. 1000 Section ...... ~5 .......... Block .... .0.1. ........... Lot ....... .1.1. ......... Subdivision ........... N./% ....................... Filed Map No ........ J. ..... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .U.n.a..tt.e.n.d.e.d..E. 1. e.c..txTi, c.. S..ul?.s.t.a..tJ:o.n. ..................................... b. Intended use and occupancy Same as . .a~.ye 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ........ :. Repair .............. Remo!val. .............. Demolition .............. Other Work ~ ~-. ' , oo (Description) 4. Estimated Cost ~.,. ~ c~ O O -- ............ :. ~ ....................... Fee .................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... N/A ...... Number of dwelling units on each floor....N/.A. ..... If garage, number of cars i Iq/g` ' ' ' If bus,ness, commercial or rmxedI occupancy, specify nature and extent of each type of use Electric silbstation 7. Dimensions of existing structureg, ifanv. Front bl/g` Iq/g. .... · _ ~ ................. Rear .............. Dep . Hmght .... N/.A ........ Number of Stories .N./.A. ........... Dimensions of same structure with alterations or additions: Front ................. Rear ............ Depth...~/.-5 .............. ~. Height ..... N./.A. .............. Number of Stories ...... iI~/.'A.' ii ........ 8. Dimensions of entire new construction:. Front ........ .. · .... Rear. ........ ...... Depth . ......... .... . Height . .N/A .......... Number of Stories N/.A. 10. Date of Purchase ........... ! ................. Name of Former Owner ............................. 11 Z d' ' ' hihp mi it d B LIGHT Busir~e~ · one or use ,strict lnw c re sesares uate ... -r ............. 12. Does proposed construction violate any zoning law, ordinance or regulation: No 13. Will lot be regraded ..... ['I9...i .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises I LILCO .... I ............. Address 445.Broad.t;to$~-ow.. Phone No. . .3~1.-:6.0.5.2.... r.ILCO ....... hit . 391-6052 Name of Arc ect ........... i ............... Address ................... Phone No... -'6052 ..... Name of Contractor . L.I.LCO 391 ........................ Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No,..2< .... -*If yes, Southold T~wn Trustees Permit may be required. " i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ncmber or descriptioh according to deed, and show street names and indicate whether interior or corner lot. See L/_LCO I Drawing F-27481-11 ')65-1802 9 AM lO 4 PM FOR THE FOLLOVV~NG tNaPECTIONS: ~. FOUNDATION '~0 REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING ~ PLUMBING 3. ~NSULATION 4. FINAL CONSTRUCTION MUST ~E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ....... Maur.i.ca P... F£.tage. rtag¢l...i .................. being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) ~bove named. teis the ..... .A. Ge~qt for, ,Lo, n.~ Is land. Lighting Company .........."t'r[' i~n ........................................... ac;J~orpora e 't 'ffice~, 'e't~ ')o . )f said owner or owners, andxis duly authorized to perform or have performed the said work and to make and file this tpplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner sdt forth in the application filed therewith. ;worn to before.2?e this j ¢otary Public .............. x ...... County ~' ~'(Signature of applicant) Commission ExJ~lres