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HomeMy WebLinkAbout7507-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 263.1.6 . . . . . Date Jan. . .28 , 19.75. THIS CERTIFIES that the building located at •Tasksr• Lane Street Map No. Eastern ShBlock No. Lot No. .51 Greenport. . . .11.Y.. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Aug . .28. . . ., 19. of pursuant to which Building Permit No. . 7.507Z. dated A . 29 . ., 19 714. ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private •ONE •FAMILY• DWELLINO The certificate is issued to . A1exandros• & .Anastasia . .Alezandrou Shiners (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Jan. . $ . . 1975. . by UNDERWRITERS CERTIFICATE No. . N201369 . . . Jan. • 2 • • 1975 HOUSE NUMBER 345 yaetianut Tasker Lane ALP: Building Inspector r ,a ve,f • TOM NO. >< 314" �' �ctom^ 'a- 4--.r TOWN OF SOUTHOLD b,.- dr BUILDING DEPARTMINT C - ((-4./44-74 A-ne y>( TOWN CLERKS onusq�3s/SY c-� C9� yc/ td > Is6 K3 Examined ... 4 l , 197./... `� 7 Application No. 7 ! Approved 1 f 7 197 Permit No. d L-- /eZ9�T5` . Ci- Jo Lrbti, C>` Disapproved a/c/-' C / 1 A4 is At ✓ ex/9/'Y csva-faliA - 0 Lo , ! to- � p i1era R s- _ `'1 (Building I . - ) ,o.,at watt - ce.24--.i A^' A"- `" V. pp..t AtmY10 �i -c)".''''' APPLICATION FOR BUILDING PERMIT - 02-14-- t.-cZwi . ^ T ..144 C-10. c.: Date .hear- S..l 19 74 aowati &A* I/ o� INSTRUCTIONS esti".. , /2pp7-9s }� c+cceae W x�naw+s tmr^ q+�+nr i ns rcUad C.a( or Ino pwv Y .laws' Tom w. ' fn a. This application must be completely filled in by typewriter or in ink and submi in trip to Buildingx Inspector, with 3 sets of pions, accurate plot plan to scale. Fee according to schedule. )14„r ci he b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining remises or pit ii streets or' areas,and giving a detailed description of layout ofproperty must be drown on the diagram which is port of thisispp licationll c. The work covered by this application may not be commenced before issuance of Building Pe 4t aa"L d. Upon approval of this application, the Building inspector will issue a Building Pe it to the leant. Such permit shall be kept on the premises available for inspection throughout the work. ccwwt� un-...IL pti . T` e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate Occupancy shall have been granted by the Building Inspector. QJ�S pw.Ta{et (_ Ad cYtan Z T" RI 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 Lows, 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 laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary�rinspections.ct7� 111.aw..BQkIE l ....RNA (Signature of applicant, or name, if a corporation) P.O. Box 117, Mattituck, NY 11952 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. general Contractor Name of owner of premises Alexandros and Anastasia Alexamdrou If applicant is a corporate, signature of duly authorized officer. .Kenneth..111...3:hlurbez,...V.P (Name and title of corporate officer) %lit\ Builder's License No. '/ oS -/// Plumber's License No. 517 P Electrician's, License No. 273 E Other Trade's License No. 1. Location of land on which proposed work will be doneMap No: .44122. Lot No. 51 Street and Number ...Tasker..Lams („ ` -err t 14.991.Wortt NY Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...)L%PPsllt Sc b. Intended use and occupancy ...OJRe..laAlia.}t...dwell .nig • xY \4 1 V • 3. Nature of work (check which applicable): New Building. k ~ Addition Alteration Repair Removal Demolitior Other Work F5�� (Description) 4. Estimated Cost $..*ial7Q Fee .3 (to be paid on filing this application) 5. If dwelling, number of dwelling units ..1...13it Number of dwelling units on each floor If garage, number of cars ..Y..1 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front s Rear sa Depth 24 Height ..i$ Number of Stories . MISS 9. Size of lot: Front WOO Rear POI Depth 20$' 10.. Date of Purchase .......a......AM Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: W 13. Will lot be regradedY S. Will excess fill be removed from premises: ( ) Yes X ) No 14. Name of Owner of premises..A31S AddresaMia.. U Phone,NO Name of Architect Address �y�tt Phone No. Name of Contractor+. . .... SIt• Address` veils Phone No. illan 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 number or description according to deed, and show street names and indicate whether interior or corner lot. Ps l_ 7 STATE OF NBA/ mak, IIS.S COUNTY OF . Ito •• • • being duly sworn, deposes and says that he is the applicant (Na e •f individual signing contract') above named. He is the Cowntcrug. (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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the-application filed therewith. Sworn to before me this Com./ day of , 19 77 Notary Public, County ... .. . . .. . .... .... .. (Signature of applicant) FORM NO. 2 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? 7507 Z Date August 29..., 19..r+.. Permission is hereby granted to: Inaaad••uomes•Sso A/C••&lsanadros••Akexaadron & wits .....Ilatli#uaic to Jaulld..uew...pns..famuly...dzolliat at premises located at ..iat...51 Eastsrn...Shares..Ssa..I. Tasker...L ns Graeaport pursuant to application dated Aug.. .28 194*..., and approved by the Building Inspector. soul Additional permit and C/0 vill De legnirnd to finish off and use lower floor rooms. Fee $8.45 ift-t....) (2, Building Inspector w SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number j/—J6 —7// APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1 . Applicant INLAND HOMES, INC. Phone 298-9696 5. Subdivhastarn Shores Address PO Boot 117, Mattituck. NY 11932 6. Section 2. Property Location Lot No. 314 Tasker Lass and 7. Lot Number 431, Sutton Placa. Eastornithosips 8. Private Well no Village Or aoott Township Southold 9. Public Water Irmo 3. Public Water Company Name Oraanport Water Co. Distance to main So feet 4. Lot size: Width ioo feet Length205 feet 10. Sewage Disposal System: (For Health Dept. Use) TAnTri 144777 A. e��-gallon septic tank: I � ° 0 V Precast X Equivalent Block_ ' B. Leaching pools : - Number of pools ONS Precast Block Special ' 11 . If private well , fill in the following blanks: (> A. Tank capacity gallons _ B. Pump G.P.M. _ eTh-7.1 C. Total well depth D. Depth to ground water E. Amount of water in well The undersigned CERTIFIES: "Construction of authorized installations will be in accordance with the Suffolk County Department of Health's current standards thereto. This application will be valid for one year from the date of approval indicated below and may be renewed if a current local Building Department Permit is in effect. Date August 13. 1974 Signed , <<, r t. FOR HEALTH DEPARTMENT USE ONLY. Based on the information presented herewith, it is the opinion of the Health Department that an adequate and satisfactory Sewage Disposal System and Water Supply can be in alled on this plot. APPROVAL DATE fo SIGNED T_ 5-15 Rev . 4/1 /73 --- THE NEW YORK BOARD OF FIRE UNDERWRITERS , pc BUREAU OF ELECTRICITY F 85 JOHN STREET, NEW YORK, NEW YORK 10038 t, 4 C 1 DateJanuary 2, 1975 Application No.on file 766839 N N' 905i 369 S THIS CERTIFIES THAT only the e/ectricol equipment as described below and introduced by the applicant named on the above application number in t 4e premises of IP A. Alexandrou, w/s Tasker Lane, 264 ' n/o Sutton P1. , Job # 221, p> Greenport L. I. { in the following location; Basement Q 1st Fl. 2nd Fl. outside Section Block Lot ti 6 ICUs examined on December 19 , 1974 and found to be in compliance with the requirements of this Bocrd. .. '�' FIXTURE 1 FIXTURES RANGES COOKING DECKS OVENS DISHWASHE: EXHAUST FANS :` k� —�OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT '"�PCURT — H P C— - __- __ maw AMI. K.W. AMI. K.W. AMT. K.W. AMT. K.W iM'. y. 14 45 20 14 1 F 4 - - __ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI—OUT—Er DIMMERS ,4` SYSTEMS - Nni. I N.W. OIL H..P. GAS H.P. MAT. NO. nW.G. PMT. MAP. AMI. PMPS. TRANS. PMT H . NO.OF FEET Av,i. WATTS 4P. S';e 5 * * 1 = F Ey;NO.OF S RVICE DISCONNECT METER 5 E R V I C E AMI. N1P. TYPE EQUIP. 1 A 2W 123W 323W 3,434W NO.OPER%COND. Of CC COND. NO.OF HI-LEG Of HIt G NO CF NE."- A NEtv. _ L tRAL IF 1 150 CB x 1 2/0 1 2/0 = — OTHER APPARATUS: — — 444 :; Furnace/s : 1-1/8 hp, 2-1/12hp. N Future Appliance Feeder/s : 1-21112, 3-3#8 i r ^ George Ztmlinghaus 4 Park Place. Patchogue , L. I. 11772 Per D ii < , I4. _ .Isi n:t .J a rt ?urn to 11-: fl., . 1 - ^i I F 1 ,:nzrt - - - FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Clerks Office 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 Inspector 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 installations, 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 in- formation 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 3. Copy of certificate of occupancy $1.00 Date January 22, 1975 New Building ...X Addition Old or Pre-existing Building Vacant Land Location Of Property ....IaSiSer-LvaAe,...Q AOAPPZ:t Owner Or Owners Of Property Alexandros and Anastasia Alexandrou Subdivision Lot No. Block No. House No Permit No. ..7507 ?... Date Of Permit 8'28'74 Applicant DAMP RMS. Health Dept. Approval 1?-24-74 Labor Dept. Approval Underwriters Approval 1-2-75 N201369 Planning Board Approval Request For Temporary Certificate no Final Certificate yes Fee Submitted $ 5.00 Construction on above described building and permit me- shall applicy.le code -; and regulations. Applicant .. ' ... ... .... . .. Kenneth W. Thurber - INLAND HOMES, INC. Sworn to oo-before me th. 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