HomeMy WebLinkAbout8166-zFOuM NO. ~
'I'O~N OF SOUTHOLD
BUiLDiNG DEfARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N, Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PEEMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 8166 Z
Date ......................... A'C4~ ....... ~r/ ............ , 19...?~
Permissio~ is hereby granted to:
P.,...i4-e~.eJe-z'a~ ....................................................
...... 30~ ....... h.~'"~t:~,~ii'l= .................................
............. A.~'~.~ ....... ~vYv .................................
toe r~c~..az~d..a~,r,t,a.i~...~.t,~n.$, .. ffel,~ .. £~nc~g .-~wood~'"~u'--s-' · ~" ~"" ~')'
ct premises located ~t ...~.~t..~.....C, el~t~..~d~-..B~'c~,s .............................................................
....................................................... ~e~t~e-l...D~.~e ....... ~e/c t ~'~c~-ek""'~ ;Y'v ..............................
pursuant to application dated .........................X~j~'""~'~ ............... 19.'~.., and approved by the
Building Inspector.
Fee $.:!..~;.00 ...........
I ~J'~" Builcllhg Ins]per'or (
FOIL~ NO. 1
~ TOWN OF SOUTHOi~D
BUDDING DEPARTMENT
T(~/N CLERK'S OFFICE
SOUTHOLD, N. Y.
~prov~ ........................................ : 19..Z~. Permit No...~Z.~..~,.~ ......
Disapproved ~;;:'.': ................... ,,
APPLICATION FOR BUILDING PERMIT
pat .... .~..:~i:~ ........... ~9..~.L..
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building
Inspector, with 3 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 public streets m
areas, and giving a detailed description of layout ofproperty must 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 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 M~ADE to the Building Department for the i~suance of a Building Permit pursuant to the
Building Zone Ordinance qf the~own of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the constr~ction.0f buildings, additions or alterations, or for removal or demolition, as herein described.
agrees to comply with all applicable laws, ordinances, building code, housing code, and regul~ions, and to
inspectors on premises and in buildings for necessary.~ections. /
~(,Signature of applicant, or ndr~e, if a cor~p6ration)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.................... .~...z~:~:~z.~...:~.~....;...~~ .~-.. ..................................................................................................................
Name o' owner of premises ............ ...............................................................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of C/~t,;~.O,~,7~ ,' --
Builder's License No ........ ~~ .......
Plumber's License No .................................................
Electrician's License No .............................................
Oth~[~ Trade's License N° ............................................... ~ ' ~ "~' '~L.°.t...N.:~-Z~: 'L/~'''"'"' .i....'~-..
Municipality
/
State exist,ng use and occupancy or~re~ o.d in:~ded,use and occupancy of proposed
construction:'
a. Exisiting use and occupancy ....... ~;'""i't ............ ............................................................
Repair .................. Removal .................. Demolitior, .................... Other Work ..................... ~..... .... ~ ......
(Descrip¥i~n) '
/ --'~' t--o'" Fee / ~--
(to be pai(~ on filing this application)
5. If dwelling, number of dwelling units ............................ 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 Stories ................................
8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................
Height .................... ,~, --Number of Stories ......................................... ,'~. ~ 0' ..................................................................../~o ..._~..,
9. Size of lot: Front ....~..~.....~.....=. ............................ Rear ........ .~...~.....~,~... ............ Dap, th, ......
10. Date of Purchase ............~......../..7...(~.~./. ................. Name of Former(~wner .............. ~:.
1 1. Zone or use district in which premises are situated ..................................................................... /Z. .............................
12. Does proposed construction do[ate any zoning law, ordinance or regulation: ........................................ ................
13. Will lot be regraded' .,,,~r;.:;~T~:.-'~......,/....~,~ ~'~~Will excess fill be removed from
14. Nome of Owner of premises..~.'. ........... Address one No.
Name of Controctor ............................................................ Address ................................ Phone No .......................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ail 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.
STA-1'E OF NEW,YORK t S S
COUNTY OF .,.J~..~.~..~ ...........f '
...~..JJT,'3..../(.:'/~.[~.~.~.~..[~...~..( ...... ./~.~...Q'...O...J~....~.~..~.~.~.}/. ............ being duly sworn, deposes and says thot~he is the applicam
(Name of individual 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
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 applicatj~9 filed therewith.
Sworn tabefore me this // ,,
.... ~i~..?;~ -V ........ dq¥-'~,f .......~...~...... ................ , 192. J.... //¢/~ ./¢ · .////. ~,~,.
Notary Public, ..~(L~'~.~'....~.~.~.~..'f4~r;~f./...'.. County ....... ~...~ .......... ~...
/// (Signature of a~)plicant)
L/ JAMES DEMETRIS
,Notary Public State of New York
No. 24-4512158
Quatifled in Kings County
~ommiss~.on Expues ~arch 3u, 197'~
�� 41 �a 1�j,'�..� ,,. �. � '�.L� yaJ `7,.,(.�-_�f. -`.��:.dLIiY ��,/+ •'��_• ', '4Y,d� �.
� `\J!FORK
„�
TOWN OF SOUT:Hd 6
-31
BUILDING DEPARTMENT c,
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
Examined ..... � .,. .. .:. .., 19... 5 Application No. ..�1.1.�... .........�J
Approved ....................... .:T........ ,r. ., 19........ Permit No. �..�. ..(�.....
Disappros•veaa ...r........ .......... ...........
u
.................................................................................................. .........
JX%�1�
., ................ ............................ .... ...., ) ................................
(Building Ins r
ay _ APPLICATION FOR BUILDING PERMIT C
Date.....a... . ...a.-S.. ......... .. 19....1.
I NSTRI ;IONS
a. This application must be completely filled in by typewri er oe in i6k and submitted in triplicate to the Building
Inspector, with 3 sets of plans, accurate plot plan.to scale..Fee'according do schedule.
b. Plot plan showing location of lot and of buildin • n premises, relationship to adjoining premises or public streets or 1'
areas, and giving a detailed description of layout ofpr must be drawn on the diagram which is part of this application.
c. The work covered by this application may not a eommenced before issuance of Building Permit.
d. Upon approval of this application, the Buildingq°' I�rispector will issue a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection',t�yhroughout the work. �
e. No building shall be-occupied or used in whole or iti'll:part for any purpose'tv�*never until a Certificate of Occupancy
shall have been granted by the.Building Inspector. "'�• `° t`-
APPLICATION IS HEREBY MADE to the Building,Apartment for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Building,
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',laws, ordinances,bu4ing code, housing code, and r gulations, and for
---admit authorized inspectors on premie"s'arid in_boaildings for necess ry nspections.
..j. .�
.................. .... . ............... .... .....
(Signature of applicant, or name, if a corporation)
............................� .. .......
(Address of a L.
State whether applicant is owner,..lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
........................ ............................................... ...............................................................: .........
Name of owner of premises : y�,.:.. /1: :{. .. .. 1� ,t , S F—.p../.... .�I�'7 ,g=R��).• �
If applicant is a corporate, signature of duly au horized officer.
........................................................................................
(Name and title of corporate officer)
Builder's License No. ....................................................
Plumber's License No. ........... '
Electrician's License No.
OtherTrade's License No. ...................... .:"'....... • • •.•
1. Location of land on which propose',d'•work will be done. Map No.: .... ,. . ..... ............ Lot No. q
Street' and °Number ............�. •..La C.7................�1 e, 1 ri.' ......... ......... ...................... . ........................
Municipality
2. State existing use and occupancy of pre . ':and intended use and occupancy of proposed construction:
.
a. Exisiting use and occupancy ....... .... ......................... ............. ....... ...................................................................
b. Int,,0.ded�+u'"s*espnd occupancy ......................:`.................. `.J ..................................................
•4r..
1
3. Nature of work (check which applicable): Ne Buil'dirig.�i.�............jnA1dditio .....`.'.'R'°_t... Alteration
Repair ................... Removal .................. Demolitio ...................... 1 ther Work ?..... ,
A
(Descr..ipn)
4. Estimated Cost ....... . � ...... ......................Fee .... . .......... ...................... � .....:...............
/ (to be p don filing this application)
5. If dwelling, number of dwelling units ...Number of dwelling units on each floor
Ifgarage, number of cars ....................... ... .. ............................................................. . ...........................................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. ...:.....................
y• -
7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .....::.......:.....
Height ................:....... Number "of Stories ..................................................................................................................
Dimensions of some structure with alterations or additions: Front ..................................... Rear ............................
Depth ................................ Height ..........:.................Number of Stories ................................ '
8. Dimensions of entire new construction: Front .................................... Rear .................. ........ Depth ........................
Height .................... Number of Stories ............................:. ::..: // ..:.................................. ..................
9. Size of lot: Front ...... ylU: Rear ....:. .. 1/...........: epth .,/.. .:..............
10. Date of Purchase .............. ...:.� Name of Forme Owner ..... . ....................................
11. Zone or use district in which premise. are situated .......................
12. Does proposed construction violate any zoning law; ordinance or regulation: ........................................................
,a
13. Will lot be regraded ......... .�.. Will excess'�fill be removed from premises: (,/�) Yes ( ) No
14. Name of Owner of pre, s ./.. �... Address��...`T y .a' : .Y... Phone.No.):.4kY.. � ..
Name of Architect c �-.!-.. ...... ..... ........` Addre ............ . .......:..!"tPlione No. ......................
Nome of Contractor ... ........................... Address ................................ Ph6pie No.
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.
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r
1
k i li: .'a
.. •AID. ••i
L
STATE OF NEW YORK t
COUNTY OF ... i.l.✓.._-(�J.......... . .f S.S �r
......1... !g, f�. .e'........ .......being duly sworn, deposes and says thats-he is the,applicant
(Name of individual signing contract) r,
above named.
Heis 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
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 applic on filed therewith. r
Sworn to before me this
:� ! ...... day /f ...:fit W ��i .. 19.75. r.
Notary Public, .�i�4m7u4? County .... .................... ....... ........... ...............................
( � ;. (Signature.of applicant)
JAMES DEMETRIS
Notary Vyblic State of New York
No. 24-4512158
Qualified in Kings county
Commission Expires March dU, 1977
Ll fry ` .Lf_� - A fl,,. ', f •' r`4 ,rr ���'' '.,
January 9., 1976
Mr Paraskevl. Kalogera's ,
30 52 42nc Street:.
`Astorie,►, N. Y.: 1:1.102
Re z Building Permit '-8166Z:
Dear.'{Nlr: Kalogeras
In .'making an inspection ;'of the 1 split rail 'fence: r
ybu 'nave erected under ``this_ building r mit„--per s It;appear
at, the ;fence Is. In the 'right of a�ay., ,.:was unable
to £Ind property markert to'•e'stablish :your., property
boundaries: ;:..if there ':are,'boundary"',`markers;-tliat` you
`know`.of', please''uncover and stake',theme for easy .
identif icatlon 'arid call for'-a -rei'ispection.
:Your,.
s truly,
t
Ell mm > Edward Iindermann..
:Btt21'cIng: Inspector
TOWN OF SOUTHOLD
Building Inspector's Office
Town Clerk Building
Southold, N. Y. 765-2660
ov z .--
-, 71
a
n J/ G _ ,_I
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
?...................
Date ....... ...... 1917
TO ....... ...................
(owner or authorized'agerit a owner),
.... ...................... ..................
(address of.owneror authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
/..............................
Other Applicable Laws, Ordinances or Regulations ............................................
at premises hereinafter described in that
6 .s&t�'ati�e Zc"Character of violation)
W,6-
. .........................................................
CLW�� Z,�;o
inviolation .... ......................................................
(State section or paragraph of applicable law, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply/with the law and to remedy the
conditions above mentioned forthwith on or before the .......
day of .... //&4'
.
......................... ....................... JK? .
The premises to I which this ORDER TO REMEDY VIOLATION refers are situated at
/..... .................County of Suffolk, New York.
.......... --------
cdr
V
�7 ��
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
.... . ... .............. ... ......... .................... ...................
Building Inspector