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Home My WebLink About16887-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Zi9544 Date NOVEMBER 29, 1990 THIS CERTIFIES that the building Location of Property 6175 OREGON ROAD House No. Street CountF Tax Map No. 1000 Section 95 Block 01 Subdivision Filed Map No. ACCESSORY SATEI,LITE ANTENNA CUTCHOGUE Lot 0,6 Lot No. Ham]et conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31, 1988 pursuant to which Building Permit No. I6887Z dated APRIL 13~ 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 ACCESSORY SAT~.LITE ANTENNA. The certificate is issued to (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 ROBERT SCHREIBER / ul pector FOIIM NO. ~1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 16887 Z Budding Inspector. Rev 6/30/80 INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Semor VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Ass:stant F~re Building Inspectors THOMAS FISHER GARY FISH SCOTT L HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Mmn Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING n~,ISPF_.C'TOR TOWN OF SOUTHOLD November 2, 1990 Robert Schreiber 6175 Oregon Road Cutchogue, N.Y. 11935 Re: BP16887Z Satellite Antenna Dear Mr. Schreiber: I am writing to you regarding the above permit. This permit has expired and you have never called for an inspec- tion. A Certificate of Occupancy is required for all permits, after completion of the work and an inspection. Please contact our office to set up an inspection. I enclosing an application for the C.O. Thank you for your prompt attention to this since the permit has expired. Yours truly, Eric. c.c. Cross Devices Secretary Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY NOV ? 6 1990 BLDG DEPT TOWN OF SOUTHO[D This application must be filled in by typewriter OR ink and submitted to the building inspector with the followmng: 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 i% 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicatmon 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. 2. Fees 1. 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, Addztions to accessory building $25.00. Businesses $50.00. 2. Certificate of 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 Date ........................... ... . .. ... ~ew Construction ........... Old Or Pre-existing Building ................. .ocation of Property...House~.'~No. ......... ~'~ d'~' '~'~Street .............. ~ ~ .~.O._~=~ ............. )nwer or Owners of Property ................................................. .. . .... ;ounty Tax Map No 1000, Section .............. Block ................ Lot ...................... {ubdzvzsion .................................... Filed Map ............ Lot ...................... 'ermit No ................ Date Of Permmt ................ Applicant ............................. {ealth Dept. Approval .......................... Underwriters Approval ~lanning Board Approval ........................ · e cat ~ . ~equest for. Temporary Certificate ........... Final ~ e...~ ..... ,ee Submitted: $ ........ ?.~.: ................. pLIC ....... OUNDATION (1st) DUNDATION (2nd) DUGH FRAME & PLUMBING ~SULATION PER N. Y. STATE ENERGY CODE FIliAL ADDITIO~AL COMMENTS INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R, WIECZOREK, Ordinance ROBERT FISHER, Assistant Ftre Buflchng Inspectors THOMAS FISHER GARY FISH SCOTT L HARRIS, Super v~sor Southold Town l'hll P O Box 1179, 53095 Mare Road Southoid, New York 11971 F~x (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 2, 1990 Robert Schreiber 6175 Oregon Road Cutchogue, N.Y. 11935 Re: BP16887Z Satellite Antenna Dear Mr. Schreiber: I am writing to you regarding the above pemit. This permit has expired and you have never called for an inspec- tion. A Certificate of Occupancy is required for all permits, after completion of the work and an inspection. Please contact our office to set up an inspection. I am enclosing an application for the c.g. Thank you for your prompt attention to expired. Enc. c.c. Cross Devices this since the permit has Yours truly, Secretary CROSS DEVICES SATELLITE SYSTEMS TYPiCAl. SYSTEM INSTALLATION CROSS DEVICES DAVID B. CROSS P.O. BOX 567 CUTCHOGUE NEW YORK 11935 PHONE' 734-7628 Examined Approved Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N Y. 11971 TEL., 765-1803 19 ~'Permlt No ./. ~ '~.. ~7 ~ APPLICATION FOB BUILDING PEHMIT BOARD OF HEALTH ..~.- 3 SETS ~ PLANS ....... SURVEY ~ SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: ~ Date INSTRUCTIONS a. Tbas application must be completely filled in by typewriter or in ink and submztted to the Building Inspector, with 2 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 pubhc street: or areas, and glvmg a detmled description of layout of property must be drawn on the diagram which is part of this apph cation. ° c. The work covered by flus apphcatlon may not be commenced before issuance of Buildmg Permit 'd. Upon approval of this application, the Building Inspector will issued a Buildmg Permit to the apphcant. Such penni shall be kept on the premises available for mspectlon throughout the work e. No bulldmg shall be occupied or used In whole or m part for any purpose whatever until a Certificate of Occupanc,~ shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th. Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws~ Ordinances o Regulations, for the construction of bufldmgs, additions or alterations, or for rerqoval or delnohtion, as herein described The applicant agrees to comply w~th all apphcable laws, ordinances, building code~ hqusmg code, and regulations, and t, admit authorized mspectors on premises and m bulldmg for necessary inspections. ~, .... ...... , ~(Slgn-atur_e of applibant, or name, if a corporation) (Malhng addres.s of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, ele.:tncian, plumber or bmlder Name of owner of premises . . a~~~~ , (as on tile tax roll or latest deed) Ifapphca t 1 cgrp6' re o ly authorized olficer -'- '-'" (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICgNSED Builder's L,cense No Plumber's License No .. Electncmn's License No .. Other Trade's License No . . Location o£Ianxl on which proposed work will be done House Number ~Street County Tax Map No 1000 Section Hamlet Subdivision Filed Map No .... Lot ......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy ~2.~ ~/~o ~---.~de/? . . .'~,'~'/// ................... b. Intended use and occupancy .... //. . ~C~, ~ ...... 3. Nature of work (check which applicable) New Budding Repair . Removal . Ad&hon'~?... Alteration .. · .. Demolition . . Other Work . . '~d'~,X . (Descfip.tlon) 4 EstlmatedCost..~..~..~?..~.D. .. 5 If dwelling, number of dwelling units . If garage, number of cars ...... · (to be paid on filing this application) ,/. ..... Number of dwelling units on each floor .... 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use .. 7. Dzmenmons of exmtmg structures, if any Front ..... Rear .......... Depth ........ Height ...... ' . Number'of Stones ............................ D~menslons of same structure with alterations or additions Front ....... Rear ..... 8, 10 11 12 13. 14 Depth . . _. ~ ,.~, . Height . Dimensions of ent~e~ew c""""onstruction' Front Height . . ~..~."..~'. Number~ Size of lot Front . .. Date of Purchase · Number of Stones . :,~.., .~, Rear . . . Depth ....... Kx4< . ................... Rear Depth .... · Name of Former Owner ............... 15. Is this property located wmthzn 300 feet of a tidal wetland? *Yes *If yes, Southold Town Trustees Permzt maybe required. PLO~ DIAGRA~ Zone or use district in which prelnlSeS are situated .................... Does proposed construction violate any zoning law, ordinance or regulation ............ ~'. ~q... Will lot be regraded ....... Will excess fiI1 be remov~o~m premises Yes Name of Owner of premises ~,~'r~ ~:4r.,',)¢~. Address . .-"g~ ~.,"~e~'~..~, . Phone No...~?..~.-'/.-r~'-~-.-~. Name of Architect .............. Address ........ Phone No .... Name of Contractor .. ¢"~"~>~'.~'~. '~2.-',~:.~· ·.Address Locate clearly and distinctly all bmldmgs, whether existing or proposed, and indicate all set-back dnnenslomq frc property hnes Give street and block number or description according to deed, and show street names and indicate whe/b interior or corner lot OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED NOTIF~ B01'LDING DFPART~ENT AT '~5 1802 9 AM TO 4 ~ ~R THE FOLLOWING tNSPECTIONR' ~uNDA~ON ~O RFQUIRED FOR PO~ED CONCRET~ ROUGH ~AMIN~ ~ ~_UM~ ~ IN~[J~TIOt 1 ~ FINAL CO~STRUC]ION ,' ~- [~ BE COMPLET~ FO~ (~) ALL CON~TRUCTION S~,'~L *~T THE REQUI~MENTS O~ [HV *'~ ~ ~TATE CONSTRUCTIO~' ~ ~N~RGY CODES NOT ~SPONS~BLE ~O~ ~IGN O~ C[~NSTR~2~ ?0~ ~ RROR~ STATE OF NEW ~',~ S being duly sworn, deposes and says that he is the apphc~ (Name of ln&vldual signing contract) above named ~~¥¢ ~ He is the ..................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file t application, that all statements contained m this application are true to the best of his knowledge and belief, and that work wdl be performed in the manner set forth m the application filed therewith. Sworn to before me this · .-~ day of .....~.~.C.~. .... 19. Notaryeubhc, ..../~-/ ~ .~a.--..f_/A~... · County HELEN&DEVOE NOI~RY PUBLIC, State of New Yerk TermNO. 4707878, Suffolk Ceuntl~ r~ Expires Ma*ch 30,19 ,,/ (Signature of apphca