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Home My WebLink About17610-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold~ N.Y. CERTIFICATE OF OCCUPANCY No Z18006 Date MAY 8~ 1989 THIS CERTIFIES that the bulldlng Location of Propert~ 1310 LIGHTHOUSE RD. House No. Street County Tax Map No. 1000 Section 50 Block 05 Lot 08 Subdivision Filed Hap No. Lot No. SATELLITE DISH SOUTHOLD Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 4, 1988 pursuant to which Building Permit No. 17610Z dated NOV. 17~ 1988 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 SATVJ~.ITE DISH IN REAR YARD. The certificate is Issued to SCOTT BOGER (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ullding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CGMPLETION OF THE WORK AUTHORIZED) N~ U17610 Z Permission is hereby granted to' ../..~.~....~¥.~.~~. i'~'F 'Zi. .~~...L......~...~.:..u..~.~.~ ...... to .... .~. ....... j. ~ ..... ~.....~:..... ,~ . ~....~~ ........... ~:.., ~-~ .................................................................... =t premises located at ..l..~J..q......L~...~...~...%4..~. .. .d~f-'~e,~. .~:~ .. ...... .~.~~.. ........ County Tax Map No 1000 Section .... On Block ....... ..~..~.. ...... Lot No ....... ..~...~. ..... pursuant to opphcat,on dated . /~.~ .~'~.~ .L~ ...... , 19..~., and approved by the Inspector. Building Inspector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY InstructtQnS A. This application must be fdled in typewrtter OR ink, and submitted ~ to the Building Inspec- tor w~th the following; for new buddings or new use. 1. Final survey of property wlth accurate location of all buildings, property lines, streets, and unusuat natural or topographic features, 2.Final approval of Health Dept. of water supply and sewerage d~sposal--(S-9 form or equal). 3.Approval of electrical installation from Board of F~re Underwriters. 4. Commercial buddings, Industrial buddings, Multiple Residences and s~milar buildings and installa- t~ons, a certificate of Code comphance from the Architect or Engineer responsible for the buddJn§. 5.Submit Planmng Board approval of completed s~te plan requirements where apphcable, B. For ex~st[ng buddings (prior to April 1957), Non-conforming uses, or buddings and 'pre-exi~ting' land uses' 1. Accurate survey of p~operty showing all property hnes, streets, buildings and unusual natural or topographic features 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buddings or prermses, or other pertinent informa- tion required to prepare a certificate. C. Fees: Adc]it:ions $25.00 ?OOLS $25.00 ALTERATION $25.00 l. Cert~hcate of occupancy New DweLlz~= $25.Q0, Accessory ,St0.00 Buszness $50.00 2 Cert~hcate of occupancy on pre-ex~st~ng dwelling $100. OO 3. Copy of certlhcate of occupancy $ 5.00, ove~ .5 yea~s $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ........................ New Cons t ruc t zon ...... Old or Pre-existing Building ............ Vacant Land ............. Locat,on of Property../.~(.~. .......... L~~SL .... ~¢~'J~ ......... 5~., .~....~. O,,,ner or Owners of ~rope~ ..5~.?.. ........................................ Cou,~ Ta× ~ ~o. ~000 S,~tio. .... 5.~. ...... .~o~ .... ~ ........ ~ot ..... ~. ........ Subd~wsion ............................. Fded Map No ........... Lot No .............. Permit No. ......... I"/(~1o~ Date of Permit .~.'//.~/.~. Apphcant ........................... ...... Health Dept. Approval ....................... Labor Dept. Approval ...................... . . Underwriters Approval Planmng Board Approval . Request for Temporary Cert~ftcate Final Certificate ......... Fee Submitted $../.~.: ..."~.. .................. Construction on above described budding and~rmlt ~ts a~hcable codes and regulations. Appl,cant... ~ ~.. ~.~ ....................... Rev 10 10 78 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ j ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~NAL DATE FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, NY 11971 TEL.. 765-1802 BOARD OF HEALTH 3 SETS OF PLANS SURVEY CHECK SEPTIC FORM ............... NOTIFY c~ .·?¢f ~ .19.~. .~ ...... Examined .~~ .J.V., 19 ~.~ -- MAIL TO: ..............................~.,'.: ...... ~~~~,; ~,~??,~ (Braiding Inspector) APPLICATION FOR BUILDING PERMIT Date ......... 19 { INSTRUCTIONS a. This apphcahon must be completely filled in by typewriter or in ink and stJbmitted to the Budding Inspector, wit sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc strc or areas, and gtvmg a detmled description of layout of property must be drawn on the diagram which is part of flus ap cat~on. . c. The work covered by ttus application may not be commenced before issuance of Building Permit. d. Upon approval of thzs application, the Building Inspector wdl issued a Braiding Permit to the apphcant. Such peri shag be kept on the premzses avadable for inspection throughout the work· e. No bmldmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupm shall have been granted by the Bmldmg Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New Yo.~k, and other apphcable Laws, Ordmances Regulations, for the construction of buildings, a.d. dlhons or alterations, or f~(~removal~or d,c.~rnohtion, as hereto descnb The apphcant agrees to comply with all apphcabie la~vs, ordinances, buddn~¢ code, hj~/usl~jcode, and regulations, and admit auth°nzed respect°rs °n premmes and m buddm~ f°r necessary ~nspec~7~/ · . .~,y .",.. ~. · . USE IS UNLAWFUL I~/o /.4 ~.~.~../4~?q3.~ .~c~t~. WITHOUTOEIITiFI~TE .......... ih'~;];;dad~;ess ;} ap~h~artt) ''' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or build 0 ~'z/&-~ A~.OVED AS nOTED .......................... ~'_ ......... :,¢"_'~'>:z~ ............. '.'~.'~,]/~l~"~,'.';,' 007 '""4"~'--'-, 'Y.. , 'ame of owner of prem,ses ...--5¢¢Z77...t2.....(..% .......... .~. ~. ~. . ,,...~. ~ ..... (as o~t the tax roll or t~l~fl,¢~l~ DEPARTMENT AT If apphcant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's L~cense No ......................... Plumber's License No .................. Electrician's License No ................... Other Trade's License No ..................... House Number Street County TaxM~pNo 1000Scctlon ~0 . Subdivision ...... (~qan{~) .......... 7~6-1802 9 AM TO 4 PM FOR THE FOU,OW~G INSPECTIONS. "1. FOt~NDATION TWO REQU, IREO ~. ROUGH - ~ & Pt, UMBING ALL ~ IIHN. L ME~T THI IIIMMiIMINt~ M THE N.Y. Location of Iand on which proposed work wflI be done ......................................... · ./.3../.0 ............... .z/.O~ ~.~ .gO. ........ $~..< .rN.~ .~.. Hamlet · Block .................. Lot ................. Fded Map No .......... Lot ............. 2. State existing use and occupancy of premises and intended use and occupancy oi~ proposed constrtictlon a. ExiSting use and occupancy b. Intended use and occupancy 3. Nature of work (check ~vhlch applicable) Ne~v Budding .... ' .... Addition ..... Alteranon ...... Repair ............ Removal ............ Demolmon ........... Other Work .~>.'~(~.,., 4. ~stlma~0'dCost~ .....Fee .a...~. ....................... (to be paid on filing this apphcanon) 5. If dwelhng, number of dwelhng umts ...... Number o f dwelhng umts on each floor .......... Ir garage, number of cars ........................................................ 6. If business, commermal or my<ed occupancy, specify nature and extent of each type of use ................. 7. Dimensions ofexisnn~ structures, if any Front ............ Rear ............ Depth ............ }tmgt~t .............. Number of Stones ...................................... Dm~enslons of same structure wlth a[teratlons or addmons Front .............. Rear. Depth ..................... I tmght ..................... Number of Stones ................... 8. Dimensions of entire new construction Front .............. Rear . EtT::_~:$~i~ ~2; .-2--'~---Z%~:---' ~--'~,;~'~ · · Height ........... Number of Stones i..,'Y.. ? .............. ' ...... 9 Size of lot. Front 'l:{~; i..[/.'~'*::i ...... ll~ I0. DateofPurchase ...................... ,,.,Na/neofFormerO~r~.t[~. ~ .~.~.. 1 1. Zone or use d~stnct in which premises are situated..K~ .......... ..~,?. ~ .~..~.~ .El:... 12 Does proposed constructtcm w, olate any zoning, law, ordl-'nance or renulatmn' .~. ~(.,~1~...,~,? 15. · .~.~. ......... ~ ....... Wdl e×cess ~ Name of Architect .......................... Address ........... Name of Contractor .......................... Address ......... ~. 15.Is this property located within 300 feet of a tid~q,~,a%c[~:~YgS .... NO,t.~. · If yes, Southold Town Trustees Permit may be requ~e~ PLOT DIAGRAM Locate clearly and &stmctly rdl buddings, whether ex~snng or proposed, ~t~ffnd~cat~-~{-ssei-~ack dtmensmns fr property hnes. G~ve street and block number or descnptxon according to deed, COU~T,' O~ ..3.~ ~.. ~. ( Na n/e"c/f'~?~l~ ~dual t) above named .... ........................... (Contractor, agent, corporate °f~c~'~' ' ' or smd owner or owners, ~d ~s duly authorized to perform or have perfo~ed the said work and to m~e and file apphcatmn, that all statements contained m tins aephcanon are true to the best ofIus knowtedge and bekef; and that work will be pertonned m the m~ner set forth m the apphcanon filed therewith. Swom to before me this ................... day of ............... 19 Notary Public ................................. County (Signature of apphc: