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Home My WebLink About2930-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-18557 Date NOVEMBER 13, 1989 THIS CERTIFIES that the ~lildin~ Location of Property 550 WELLS AVENUE House No. County Tax Map No. 1000 Section 61 Subdivision ONE FAMILY DWELLING SOUTHOLD~ N.Y. Street Block 3 Lot Filed Map No. Lot No. H~let 8.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 8~ 1965 pursuant to which Building Permit No. 2930-Z dated NOVEMBER 16, 1965 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE The certificate is lssued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ESTATE OF MARY J. GRIGONIS *THIS CERTIFICATE OF OCCUPANCY UPDATES CO Z-2390 DATED APRIL 15, 1966 Building Inspector Rev. 1/81 NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THIS CERTIFIES that the building located at ........ 1~..~.~,.[.8....~.~.~.~..~. ........... i .................... Street Map No....~lO[ ........... Block No ........ ~ ........ Lot No ......~[..~O~C~,¢1, m...~.![~ ................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .............................. ~.~.eJ'~.~.,.l~ ........... , 19..~.. pursuant to which Building Permit No..2..9...3..0.....~... dated ..................... ~...O..~.,~.~..e.~'...~.~. ........ , 19...~...5.,, was issued, and conforms to~,,of the requirements of the applicabl~provisions of the law. The occupancy for which this certificate is issued is ........ ....................... ~e~...o. ne...~.a~t~,~Y....cl~e,l,~.~ng. .................................................................................. The certificate is issued to W~[],l~alit B, 8m~t:h £ox Cha~rlee Gx~gon:i,a (owner, lessee or ten.ant) of the aforesaid building. TOWN OF souTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2930 Z Permission is hereby g~anted to: ..... .~. ............. .~... ............................................ .~. ....... at premises located at .W/.J~...~..iAIZ~ ................ ~.~ ........... [.4 .......................................................... ................................................ :... ~.O:~,t~hol~ + ..H,.Z.,.... ........ ...... ........................................................ :., pursuant to application dated .i ............................ ]~{~.I¢.e.~l~f~.[~........, 19.~;~.,, and approved by the Building Inspector Fee $.~LO.e.(~.~. .......... Building Inspecto~ TOWN OF SOUTHOLH BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 II APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.~...VACANT LAND ........ Location of Property ~ - Wells Avenue Southold HOUSE NO. STREET HAMLET Owner or Owners of Property. Estate of Mar J. Griqonis '~County Tax Map No. lO00 Section O61.~O. Block ~,QQ Lot'Q08.001 Subdivision ....................... Filed Map ........ Lot .......... Permit No ........... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ...~ ............ Fee Submitted: $ ~0%qQ ...... APPLICANT Charles Gr -- ......... ...... rev. 10/14/88 3ts 2 FOP~NO. TOh~NOF SOUTHOLD BUILDING DEPARTMENT TOPOI HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS '3~is application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: ]. F~nal survey of property with accurate location of all buildings, property lines, s~reets, and unusual natural or topographic features. 2. F~nal approval of Health Dept. of water su 1 and sewerage-disposal(S-9 form). .~ . PP Y 3. Approval of electrical installation from Board of Fire Underwriters. 4. S~orn statement from plumber certifying that solder used in system contains less than 2/10 of l% lead. 5. Commercial buildings, industrial buildings, multiple residences and similar. bqildings and installations, a certificate of code compliance from the Architect ow Engineer responsible for the building. fi. S~bmit Planning Board Approval of completed site plan requirements. For existing buildings (Prior to April 9, ]957] non-conforming uses, or buildings and 'Ipre-existing" land uses: I. Aqcurate survey of property showing all property lines, streets, buildings and ufiusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, ]957. . I~ a Certificate of Occupancy is denied, the Building Inspector shall state the r~asons therefor in writing to the applicant. 3. D~te of any housing code or safety inspection of buildings or premises, or other pe?tlnent information required to prepare a certificate. For Vacant Land Certificate of Occupancy: ]. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, ]957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector sh~ll state the reasons therefor in writing to the applicant. FEES :i CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2.i Certificate of Occupancy on pre-existing dwelling - $]00.00. 3.' Copy of Certificate of Occupancy - $5.00 - over 5 years - $]0.00 4.i Vacant Land Certificate of Occupancy -- $20.00 5.1 Updated Certificate of Occupancy - $50.00 g'i Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial rev. 10/14188 CONSENT TO INSP~.CTION ESTATE OF MARY J. GRIGONIS , ., the undersigned, Owner(~) Name(§) do(es) hereby state: .one of the executors of the Estate. of ~ J. Grigonis That the undersigned (ls)/(~) the owner(~) of the premises in the Tovm of Southold located at 550 Wells Avenue, Southold, New York · which is shown and designated on the Suffolk County tax map as District 1000, Section 061~00, Block 03.00 , Lot008.001 That the undersigned (has) (~) filed, 'or caused Co be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: __ Certificate of Oc~cupancy That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and ali buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with ali of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned· in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained In the conduct of such inspections may be used as evidence in subsequent prosecutions for lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: November 1~ 1989. t/ (signature) ~ Charles Grigonis~ Executor (print name) Jr. (signature) (print name) TOWN OF SOUTHOLD BUILDING DEPARTMENT . TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×om,ned ....... Approved ........................................ , 19 ........ Perm t No ................................. Application No. c~ Disapproved a/c ........................... :..,...~ ........................................................... ................................. ................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 propertymust be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. ' d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of 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 County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable lows, ordino~e~?uildi~,~ code an~gulations. ,"-h, 0,3 "' ~'~) '~ ~'~ / -- (Signature of ap~licant,~ name, j,f a corporation) · ;:,- ¥ ,/',~.,~&~ .~...~:'...~;~:..... ~. :...,: .=. :-r ............................... ......... ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... ....................................................................................................................................... Name of owner of premises ~') /'~) /~'x'O ~- .. . If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) ' Location of land on which proposed work will be done. Map No: ............................................ Lot No: ........~- .."i'~.~ ...... Street and Number Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E×istinguseondoccuponcy ........ ...................................................................................... b. intended use and occupancy ~ ~_~/~Z~:",,'~/~ ~ 3. Nature of work (check which applicable): New Building .................. Addition .................. Alteration ............. Repgir .................... Removal ................. .~. Demolition ............ ~.. Other Work (Describe) ................................. 4. Est mated Cost ~/., d O O ~ . Fee . ..~.~' ~ J (to be paid on filing this' application) 5. If d?elling, number of dwelling units .......... ./. ............... Number of dwelling units on each floor ....................... If g,?rage, number of cars ................ ~ ...................................... ; ..................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7, Dimensions of existing structures, if any: Front ..........................Rear .......................... Depth ....................... Height ............................ Number of Stories .......................................................................................................... Dimensions of same structure with alterations or additions: Front ................................ Rear ............................ Dep,th .............................. Height .............................. Number of Stories ........................................ 8. Dimensions of entire new construction: Front .......... .~.....~. ......... Rear ......... .~....~.. .......... Depth ....~...~.. .......... Height ....... ,'(...g~,. ............... Number of Stories ..... ~....>~.. .............. 9. Size of lot: Front ...... /..~..-'~. ............ Rear .....d.~..~.~.. ............ Depth .....~.._~.~ ................ 10. Dar9 of Purchase ............./....~.....~......~. ........................ Name of Former Owner . .....~... ~' ]-'- .~ 6" 11. Zone or use district in which premises are situated ....... ..,/~...../}../~./~'%.....T~....~ ................................................. ]2. Doe~ proposed construction violate any zoning law, ordinance or regulolion? ........ ~,.,f~ ........ 13. Nam]e of Owner, of premises ..~./'~.~..(~..~..G'~...~....~. ~/.~¢..~(t~ress ~..~.~../'-2~...~...?...~......,~.. ........... Phone No: / . Name of ~.....~),.: ........................ t...~.. ............ Address ...~...~..ff...-~..~(..?...~..,~.. ............. Phone No 4, Name of Contractor .................................................... Address ....- ............ .r~ ......................... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr property liDes. Give street and block numbers or description according to deed, and show street names and indic, whether interior or corner lot. t STATE OFiNEV~YO~K~, /z~,~ / ¢ c COUNTY ,OF ,~----~.~'~,~...~,~.-~ ....... f o.~. ~ ..................... ~..~.~.:,;.:; ..... ~.~.:..,..~.-.:.f( ........... be ng duly sworn, deposes and' says that he is the (Nome of individual sigr' 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 this application that all statements contained in this application ore true to the best of his knowledge and and that t~e work will be performed in the manner set forth in the application filed therewith. Sworn to b~for m~ this of ~' Notary Pu61ic, JUDITH 1. ¥0rtSignoture of apl / nt)