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Home My WebLink About8958-zFORM NO. 4 TOWN OF 8OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 8outhold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-23829 Date AUGUST 23, 1995 THIS CERTIFIES that the buildin~ DWELLING Location of Property 495 ~LSO DRIVE LAUi~EL, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 2 Lot 10.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 10, 1976 ~ursuant to which Building Permit No. 8958--Z dated NOVEMBER 10, 1976 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 OWE FAMILY DWELLING WITH ATTACHED BREEZEWAY AND GARAGE * The certificate is issued to EAi~BARA SMEEHAN ( owner ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL APRIL 8, 1977- R. Villa UNDERWRITERS CERTIFICATE NO. N-332428 - APRIL 11, 1977 PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO Z-7617 DATED APRIL 25, 1977. Rev. 1/81 FORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, lq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 8958 Z Permission is hereby granted to: .................. ~'a.'t. elt~ gue ........................................ ~o .b.l~.ld..z~ew...om.. £~.mi~..y., .d. we.l:t .l. ng. ................................................................................... at premises located at ...N,ZW..~,Zba..D~.~..vo ............................................... ........................................ ................................................ I.m~aral ....... ~.~. ................................................................................ pursuant to application dated ........................... ~01g'""{O ........... , 19.~6.., and approYed by the Building Inspector. Fee $.95 ~.$0 .......... Building Ins~ctor ( Form No. 6 TOWN OF SOUTIIOLB BUILDING DEPARTMENT TOWN ~LL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 1% 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 application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is dealed, the Building Inspector shall state the reasons therefor in writing to the applicant. 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, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Euildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.O0,, commercial $15.00 Date ~7~. ., . $.995 August. New Construction ........... Old Or Pre-existing Building ................. ILocation of Property.. 495.. .. . . ...... Albo.. Drive Laurel House No. Street Hamlet ~Onwer or Owners of Property ...... G. regory Siliris and Ellen Siliris iCounty Tax Map No 1000, Section....1.2.6. ....... Bluck ..... 0.2. ......... Lot ..... 10.1 ~ubdivision .................................... Filed Map ............ Lot ...................... ........... Of it Applicant.. Wi.lii~g% .D,. ~qOr~ ........ Permit No ..... Date Perm ................ Health Depg. Approval .................... -- · -- · Underwriters Approval ...................... .. . ~ Please amend the CO for the dwelling to Planning Board Approval ......................... reflect that breezeway and garage are included ~equest for: Temporary Certificate .......... Final Certi~t~...X...~. ~ee Submitted: $.7.0...0.9 ..................... William D. Moore FOF2~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPAP~TMENT Town Clerk's Ottice Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at . ASbo. D~.ive ............... Street Map No..~: ......... Block No. Y,l ....... Lot No, . ~i, Laur el... ~) · Y,., ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... .N. OV.. J.O.., 19.76.. pursuant to which Building Permit No. v.×~[l~,.. dated .......... ~[P.¥.. J.Q ...., 19.*~..6., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is )~: .ly.a.~e...o.n.e.. ~.a)~i..].y..~.We. ~.~.i.n. g ....................................... The certificate is issued to . ~4~. &. ~4r~. Pair,ak .I'Iugltes ....... 0wnel~z ............. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .A.p~.t.~_. 8 ] 9~.~. b.~.R*¥1~ ] g UNDERWRITERS CERTIFICATE No. 3.,~2~-28 .... gpY. i$. JJ....~ 9,7.~.. HOUSE NUMBER ....... .~9.~. · · Street ...~.~o .~r£~r~. ; '~": ~ .... .~,.~. l;~ .~ ................. Building Inspector TOWN OF SOUTHOLD , Buildiug Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY {nstructions 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 disp0sal--(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-ex'st'ng' 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 ...~./~ ~./~...~. · ..................... New BLdlding "X .......... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property .x~/~,.~...O...'...~/g, ............... ~"~..Y~.~'~"..~/..~,~/..(~../~, ........... ~'~.~./.~..~. ~. ................ Owner Or Owners Of Property ..~.r-~.J~'x~....../~.~,/[~,~. ......................................................................... Subdivision ................................................................ Lot No ............. Block No ............. House No ............. Permit No. ~.~i~T~..~,. Date Of Permit ./'.~/~/~/...Applicont Health Dept. Approval .~//...~..x/.~..~.. .................... Labor Dept. Appro¥o, ................................................ Underwriters Approval ..... .~../...?.//.~..~... .............. Planning Board Approval ........................................ Request For Temporary Certificate ........................................ Fined Certificate .~.. .................................... Fee Submitted $ .....~.......~ .............. Construction on above described building and permit ,m,~z~pplicable codes and regulations. Appl ica nt~.~C/.~ ........ / ............................................. Sworn to before me this ~/~ 7~'/~7' ....... .C~..c... doy of ........... ~...Z.~...~.~.. (stomp or seol, ~ ~ '. - ~ , ~0~ NO. 1 TOWN OF SOUTHOLD ~ ~ BUILDING DEPARTMENT ~ ~ omc: , ........... ....... ' ........ ........................... .~,,pp~o~,o 0/,~ ......... ~ ............. ~ ............ l .............. ~/. .................................................................................. a his ~pplic~on, mu~t ~e compiete y ~i~ ~d i~ ~y typewriter o~,.in ink ~nd ~ub~itte~ Inspector, with 3 set~ of plans, accurate plot plan to ~ale. Fee according to schedule. b. Plot plan showing location of Jot and of buildings on premises, relationship ta adloininn nre~ises or'oublic str=et= areas, and giving a detailed description of layout ofproperty must be drawn on the diagram w~ic~ is 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 shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied ar used in whole or in part for any purpose whatever until a Ce~ificate of Ocaupanck,~ 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 remova~ or demolit on, as here n descr bed The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors an premises and in buildings for n~essa~ inspections. ......... GEOP~.&~LF~S.,...BUIZ4DF~J~ ,...I~C ........... ~ ......... (Signature of applicant, or name, if a corporation) 250 Cox Lane .......... C~t~ho~e. ,.. ~N.e.~...Y. ark.... ~lD. 3D. ........................ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder Name of owner of premises Mr. and Mrs. Patrick Hughes if applicant is a corporate, signature of duly authorized officer. George Ahlers, (Name and title of corporate officer) Builder's License No ....... .~.'L .......................................... Plumber's License No....~..~..$.?. ..................................... 1529 Electrician's License Na ............................................. Other Trade's License No ............................................... President 1. Location of land on which proposed work will be done. Map No.: ........................................Lot No ......................... Street and Number ..... ~,~.~).Q...,~JC,~,.~..~.~.~ ............................................................ ................... ~,lJu~,~.-i, ..................... Municipality 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exislting use and occupancy ................................................................................................................................ b. Intended use and occupancy ..... ~L~,~.~g ........................................................................................................ 3. Nature of work (check which applicable): New Buildin~g ....... ~. ........ Addition .................. Alteration ...... ~......(... Repair .................. Removal .................. Demolition .................... Other Work .................................................... $37,000.00 ~ ~"/ ~ (Description) 4. I=stimated Cost ............................................................ roe .......................................................................................... (to be paid on filing this application) 1 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ......................... 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 ............... .~..~.,.t ............... Rear ...... .~..~.L ............... Depth 25' I-bight ........ ~,3J. ..... Number of Stories ...'1~ ............................................................................................................. 9. Size of lot: Front 100' Rear lO0' Depth 2].8~ 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ A 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation'. ........................................................ 13. Will lot be regraded ...................... no ...... Will excess fill be removed frc~p~e~n3~ar:zoiSes:.( ~'.es (z) No 14. Name of Owner of premises ~.~t~ck.,gug~e.~ ................. Address ]~.t.,,..J'~.~.e~2..~O~. Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor .~E0~GE..~k.ff~S,...B.O.I~l~)~. ..... Address~0,..CD.:g..,g~f~.... Phone No...~'.].~...5.0.~D.. PLOT DIAGRAM Cutohogue, NY Locate clearly and distinctly all buildings, whether existing or proposed, end indicate oil set-back dimensions from prope~¢y lines. Give street end block number or description according ta deed, and show street names and indicate whether interior or corner lot. STATE OF NEW_YORK COUNTY OF .....~.~..~.~. ........... .......................... ~,~.l$...~......~.~.tl~.l~l~. ................................. being duly sworn, deposes and soys thqt he is the applicanl (Name of individual signing contrac0 above named. He is the ....................................... .11..~..~..~.....~...~..~...~.O.~..~.~1.~..~ .......................................................................... (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 th~s appll,cation; that ell 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 ..... ~$.~..~. .......... day..of ...~.~..~...1~_..~.~. ..................... , 19....~.~ Notary Public,. ........................... .$..~..~..~..O. ~ ...... County (.~gnature of applicant) SURVEY FOR ~RE~ORY ~ & ELLEN $IL~RIS A T ~A TTITUCK TOWN OF SOUTNOLO SUFFOLK COUNTY, N Y 1000- 126- 02- 10. I Scale: 1"= 40' July 25, 1995S CERTIFIED TO' GREGORY M. SILIRIS ELLEN SlLIRIS COMMONWEAL TH LAND TITLE INSURANCE COMPANY (516) 765 P. O. BOX 1230 TRAVELER S: SOUTHOLD~ N. Y, 11971 NO. 49618 95-212