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Home My WebLink About8179-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Occupancy No. ZT.1B8 .... Date ......... Jllly. 3.0. .......... , 19.~.(~. THIS CERTIFIES that the building located at N/S. Sotmd .Dl'i.~.e .......... Street Eastern ~hores Greenpo~'t~ E. Map No.~,586 ........ Block No.. XX ...... Lot No, ~[ 16 .............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... Seiatembel,. ~- .... , 19 76, pursuant to which Building Permit No. dated .... ~e.l~tembet'. ~ ..... , 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 . .Pr~vate.-6ne. Femily..I~el.~.ing ...................................... The certificate is issued to ...Chr,~.~ophe~. Pl.~,~,o~a~ .............................. (owner, ~ of the aforesaid building. Suffolk County Department of Health Approval ·..Ju~ .6 ~..$976. · .Robe~;. A,. UNDERWRITERS CERTIFICATE No. N~-9~.~ ................................... HOUSE NUMBER .. 21~O0 ....... Street .SoUnd .D~f~v® ~. ~eentaor'c~. ~,. ~f., ...... Building Inspector FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTJ~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 8179 Z Permission is hereby granted to: CL~ rr.*~.~..:~:: o:~.e tl .,... ~.C...Chr. iat o~h~.....~il aha s ............ G./~ e~q,~.o r.t .............................................. ~o h~-2-.l: i...~;~.~.~a ..~.~';.~.. -?~,~:],1 ~ - ~:J.~,~ 11 ir~ ~. ..................................................................................... at premises located at ........L.O..t..J..1.6 ......... .~.a.%.~rm...~ho~,~.s .......... ............................................... ................................................................. s,9.un~,.. D ~.i.~ ......... ~e.,~ r,~ o.~.t ...................................... pursuant to application dated ........................~¢~.....~ .............. , 19.~..~..., and approved by the Building Inspector. Fee $..t.£~%.,.20 ......... ........ ....... ..................... Building Inspector( THE ak 1~,,~ July 23, NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK I003B 1976 Ap.ollea,io.~,'o. on.fil,, 846445 N 294335 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in Lhe premises of Christopher Milonas, Sound Dr., ~estv,,oo~ Lane, Greenport,L.I. in ~he.followlng locatlon; ~ B.sement ~ IstFI. ~ ~.d Fl. outs i de Settle. Btoc~ Lo, was ~,xamined on J U ~ y ] 5 ~ ~ 9 7 6 and,found to t)(' in com/~lulncc u~ith the requirements ~f this Board. ~IXTURE FIXTURES ] RANGES ~COOKING DECKS F OVE~S J DISH WASHERS EXHAUST FANS OUTLETS 26 SWITCHES 44 28 26 DRYERS SYSTEMS NO. OF FEET j 2OO OTHER APPARATUS: *Special receptac Elec.room heaters I-.75kw, I-.5kw IG.F.I. I E R I J3/O NO OF Hr-LEG es: 1-50amps., 1-30amps., 1-20amps. 2-2.5kw, 4-2.0kw, 3-1.5kw, I-I.25kw, -4.5kw Hot water heater 4-1.0kw, E Mike Siliris, Main Road, East Marion, L.I. 11939 Lic.617E Pem D This certificate must not be altered in ooy manner; return to Ihe office of the Board if incorrect, inspectors may be identified by th, i/o FO~ Naa 6 TOWN OF $OUTHOLD , 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: ]. 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 Reslder~ces 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 certiflcate. C. Fees: ]. 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 ...~.',J ~,']Z .......... ~,.,~ ......., Z..°.?..;,, G ............... B-il~' New ~ _rog .:..:...; ....... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~og~c] grive~ Owner Or ~ners Of Prope~y .fib~o~her S~bd~o, .~5.~M~-. ~?~:~.~...:~?.':.~,.:~.~::.:~ No ],tS ~oc~ No. Ho~ No ............. . ~179 Se~% 4 7~ ,. C. ~?. 'Po~,rell c/o Milon.~,s Permit mo ..................... D~e Ot Permit ....... ....................... ................................................ J~]y 2{~ Underwriters App¢ovaJ ............................................. Planning B~rd App¢oval ........................................ Request Foe Tempo~aw Cedificate ........................................ Fee Submitted $ 5.00 Construction on above described building and permit meets all applicable codes and regulations. App,icont ....... ........................................ Sworn to before me this · ~.~ day of ........... ~.~......,...[.~ N~ Public ........... ~.l~ Count, lC .0- SUFFOLK COUNTY DEPARTMENT OF HEALTH Health Department Reference Number APPLICATION FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY 1. Appl i cant ~ t~. t~wm!l ~ ~ Phone 4?? ~ 2. Property Location ~ ~,~ ~m~- ~ Village ~e~O~ Township ~1~ 3. Public W~er Cdmpany Name~mmmm~m~ ~(lt~m 4. Lot size: Width ).~ ~e6~ ~ ~[~ngt~q~ feet 10. Sew~d~isposal System: A.(~Zgallon septic tank: Precast~ Equivalent Block__ B. Leaching pools: Humber of pools O~e Precast~O° B1 ock__~pecial ll. ~,,,If pri~v~te well, fill in the ,:~ollow ~f~ blanks: _~[~.. Tan~capaci ty~gal 1 ons ''B. P~ G.P.M. -C. T~t~al well depth. '~ D. D th to ground water E. ~ount of water in well 5. Subd!v.~~ 6. Section -.~ . ~ 7. Lot Numb~rlX6 8. Private Well ~o 9. Public Water3r~m Distance to main (For Health Dept. Use) The undersigned CERTIFIES: "Construction of ~ ~t~ons w~ll 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. 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 insta]2qed on this plier. APPROVAl DATE :~ SIGNED ..... S-15 Rev. 4/1/73 FORi~ NO. 1 TOWN OF $OUTHOLD 'row. o...'s omc, d ....... ~LZ~.%...Z. .............. , 19.~,~ Appl~aton No " .... , ............. .......................... ...... .......................... A~P~ItATION [OR B~IL~IN6 INSTRUCTIONS Dote Selq. t emb e,r 4 , 75 ~ o. This application must be completely filled in by ~ypewriter 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 or 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 o 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 ~ork, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or fb¢ 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 inspections. '"'7~o ~,,/ E L L_- ......... ........ $80 Robinson Ro~8, d~eenport, N. ............................... ............................... State whether applicant is owner, lessee, agent, arch:itect, engineer, general contractor, electrician, plumber or builde¢/ ......................... ~.~.~. ......................................................................................................................................................... Nome of owner of premises ...... ¢~Z~.~.9.~.~..~.~.R~.~E ................................................................................................... applicant is a corporate, signature of duly authorized officer. ...... i~i~'g gg~ ~i¥¥~' c~f corporate office;) ....... Builder's License No ..................................................... Plumber's License No...~].o.....e..o...~..t..~.s...o.~.o..~....~..o.....d.?.+,e~ Electrician's License No. ditto Other Trade's License No ............................................... 1. but will be licensed ~¢er~. Shores Location of land on which proposed work will be done. Mop No.: .ES~O,'~ $9.~.$..o.g ~.4 Lot No 116 Street and Numhor Sound Drive G~een!po~t ' ................................ Municipality State existing use and occupancy of premises and in[ended use and occupancy of proposed construction: a. Exisiting use and occupancy Buzldzu~ plot unoccupied b. Intended use and occupancy r~e fe~mily private dwelling 3. Nature of work (check which applicable): New Building ............. Addition .......... ~, ..... Alteration .................. Repair .................. Removal .................. Demo ton ...... Other Work. 'i' ..1 ........................ ', [ (Description) " 4. Estimated Cost ..... ~...44.~.s.0. f).0. .................................... Fee [ 0 (/ ~ ..... '' '. .......... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... .°..~..9. ................ Number of dwelling units on each floor ............................ If garage, number of cars ..... ~.~.o. ................................................................................................................................. 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 72r 72~ ~4~ .. .................................... Rear ............................ Depth ...................... Height 22~ Number of Stories 2 9. Size of lot: Front 100t Rear 106t Depth ~0C)t 't' 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ...... ~.e..s...~..c].?..~..f,..'.z.~.l. ..................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... .~...o. ............................................... 13. Will lot be regraded ...~.e...s. .................. Will excess fill be removed from premises: (X) Yes ( ) No 14. Name of Owner of premises ...~......t~.z.'.~.o,~..s .......................... Address ~,,[at~hasse%¢ ,,, . 869 8840 ................................ rnone ~1o ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... ' 4.77 0.9.95. Name of Contractor C. ~7. Powell Address C~ree~por~ Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from and indicate or description ag. cording to deed, and show street names L. D property lines. Give street and block number whether interior or corner lot. ,Y eu , b STATE OF COUNTY OF ~/.,/f,-/'~r:~..Lw....~,,~.f .......... ~..~.....~..~.~. bein duly sworn, deposes and says that he is the applicant (Nome/~6f ind ividu~;i";i~r;i;~ 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 conta:ined in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to bef9re me this o, .......... · ~/ /~/z -.:z .................... (Signatur;;'of applicant) .................. -t- F/JeST' FZ O0/V '