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Home My WebLink About6851-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. "Cerfificate ;iOf Occupancy No. ?.10728 ~Date October 13 ., I~.1. THIS CERTIFIES:tIzat the. building .......................... - ...................... ~oca~io~:O~ropert~, ......... 3. ?.5.~ ...... .S.~r?..~.9.~ ............... ~..~.~.~. ?..a.e.:t.o.n.:. ?.w ~o~k House No. E;treet Hem/et County-Ta×~ap!~No?;l;000 Section . .2.2. ....... Block .... 2. .......... Lot . .1 ~l..+...1 .4 ........ Subdivision ......................... ' .......Filed Map No. - .Lot No .............. conforms substantially to the Application for Building Pem~it hei:etofore filed in this office dated .... .S.e.p..t 9.m.b.a..r' .7 ..... 19.7.3. pursuant to which Building Permit No .... 6..8~.1..g. ........... da ted .S.e..p.t.e.m.b..e.v..7. .............. 1 ~ .3.., 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 ......... ...... ~.~..~.~.rA.o..n' ?.o.. p.~.~.z. ~..~.~.s. .................................................. The certificate is issued to James Sarmousakis & Wf. (ownerx~exo~ ~taX'~ of the aforesaid building. Suffolk County Department of Health Approval ..... ~/']~ .................................. UNDERWRITERS CERTIFICATE NO. N/R Building Inspector Rev. 1/81 FO~,~I NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6851 Z Dote ........................... ge.~.t....y. ............ , Permission is hereby granted to: R~i,%,~p...F~n-ti.-.-.A-/-C.-Jame~--~azxmo~seki~ & Wife ............. ~ms.t..hari~n ....................................... at premises located at ...$/.f~.....~.~I~:,...~,D~I. ......... ~..(~.,x). ............................................................... ................................................. ~.~.~...~.~.o~ ............................................ ~. ........................................ pu_rsuant to application dated .. ........................... j~ep~....~ ........... , 19.~3.., and approved by the Building Inspector. Fee $...1...~..;,..0~.,. .......... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11D71 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Ti~is apphcat~on must be filled m typewriter OR ink, and submitted in duplicate to the Building Inspec- tor wnh tile followm§; for new buildings or new use: 1. Final survey of property w~th accurate location of ali buildings, property lines, streets, and unusual natural or topographm features 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buddings, Industrial buildings, Multiple Residences and similar buildings and installa- tlons, a certdicate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planmng Board approval of completed rote plan requirements where applicable. For ex,sting buddings [prior to April 1957), Non-conforming uses, or buildings and "pre-ex,sting" land uses: 1. Accurate s~rvey of peoperty showing all property lines, streets, buildings and unusua~ natural or topograph ~c featu res 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent [nforma- t~on required to prepare a certificate. Fees; 1. Certificate of occupancy $5.00 2. Cert~fmate of occupancy on pre-existing dwelhng or land use 3 Copy of certificate of occupancy $1.00 $5.00 New Budding ............ Old or Pre-exmtmg Building ............ Vacant Land ............. James &Ciara Sarmousakis Owner or Owners of Property ........................................................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdw~s~on ................................. Fded Map No ........... Lot No .............. Permit No..5.8..5.1..~.. Date of Permit .... 9. ./?./.?.~,pp hcant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde~rvvriters Approval ....................... Planning Board Approval ..................... Request for Temporary Certif,cate ..................... Final Certificate .... ~ .............. Fee Submitted $ .... : ....... ................. Construction on above described building and~erm~t meets all applicable cod~s.and regulations. Apphcant FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, 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 buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 Date .... .'~.~. . ! ........... New Building ............. Old or Pre-existing Building . , . ~ ...... Vacant Land , . ~ ......... Location of Property. Hou~ No. b'treet _H'arn/~t Owner or Owners of Property .. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdiwsion ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final CertifTcate ....................... FeeSubmitted$....~./;..~. ................... Construction on above described building and permit meets all applicable codes and regulations. Rev. 10.1o-7a ' ......~ .................... 19~ __ ~plication N0 ...............Z ............ .~ ........................................ , ................ ~ ............................. , ....... ~~A ~. -.~ ............................ ..................... = ........ · .......... ...................... ...... ~,, ................. ~e.~ .... ~... ,~ v3 ..p In--tar, with 3 ~ of pl~s, accurate pl~ plan ~ ~ale. F~ ~o~i~ to ~h~ule. ~' b. Plot plan ~o~i~ I~ation ~ lot a~ of b~ld ~ ~ prem~, relationsMp to ~jo n ng p~ ~s or pukli~ st~ ~l ~ areas, a~d givi~ a detailed d~ripti~ of I~out ~f~ must ~ d~n on tk~ diag~m ~kick i~ ~ ~J tki~ ~li~i~. ~ c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon appravql of this application, tee Building Inspector will issue 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 pa rt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depor~ment for the issuance of a Bu Id ng Permit pursuant to the Zon,e O~nanc~ of .the T,o,~ p~ ~l,d.,. Suffom C~, N~ Yo~, and ~her ~cab~ ~, O~ ~nc? ~ t~egu at~ons, tar the construction or ounamgs, addmt,ons or alterations, or for removal or demohtion, os herein described. The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. Philip Frumentt (Signature of applicant, or name, if a corporation) Stars Rcad East Mario$ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem ses J..a~e~. i~ gla~ ~Q.1),II~;I,A .~.~/...,~ ......... ' " ...... ;~r'-''"'' '~'' '' .................... r ............................. If applicon, is a corporate, signature of duly authorized officer. 7 -- A/~-~ o~-ZA~-~. , (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Mop No.: xx XX ........................................ Lot No ......................... Street and Number E/..~. _U. DDer Stars Road (ODA) East Marion N.Y. MuniciPality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ..... ~.~.~.~.~.~.g ........ . ................ b. Intended use and occupancy sa~e with an addttlozl 3. Nature of work (check which applicable): New Building .................. Addition ~ Ate n ................. Repair .................. Removal .................. DemolJition .................. Other Work ........................... J ....................... (Description) 4. Estimated Cost ...................... .1..A..2.~...0...0.....+. .................. Fee 1~'.00 '~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... .o..~...e. ............... Number of dwelling units on each floor ............................ If garage, 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 .......................... Depth ................................ Height ......................... Number of Stones ................................ 12 R 1'2 12 8, Dimensions of entire new construction: Front .................................... ear ............................. Depth ........................ Height .................... Number of Stories ..... Q~. ......................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ............................ ; .......................... Nome of Former Owner ..................................................... 11. Zone or use district in which premises are situated ...... .I~..~..~....cl:.~..S..~.. ........................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... ~ ........................................... t3.' Will I~t be regraded ....no ................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Name of Owner o~ premises ~' Sarmousakis Address Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Phil Frumenti E. Marion .Nam~ ,o,f ,C~ntmctor ............................................................ Address ................................ Phone .No ....................... PLOT DIAGRAM -boc~ Locke clearly and ~lisfinctly all buildings, whether existing or proposed, and indicate all set property I nes. Give street and block number or description according to deed, and show street nar0qs and indi~ whether interior or comer lot. ~Y ,~. b STATE OF NEW YO~.J~..~n ~ J¢ ¢ COUNTY OF. ........ ..~...~....~..~....'~........~'~ (Name of individual signing contract0 above named. He is the ................................. .~...~.~.~.e...~. ............................................................................................................................... , (Contractor, agent, corporate officer, etc.) of said oWner or owners, and is duly authorized to per~orm or have performed the said work and to make and file this application; that all statements contained in this dpplication are true to the best of his knowledge and belief; and tsh~ot trnh~eowl:Oerfkorewilml eb~pjserformed in the manner set forth in the applic,~lon filed therewith. (/ ~ ~i~natu~e of applicant) JUDITH T. ~ Cornrni~s. '0344963 Suf~ N,,e~ Yo~k ~on Expires ~, ~o~ Coun~e