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Home My WebLink About8266-zNO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certi[icate O[ Occupancy No..Z69.619 ..... Date .............. Ap?.~.i.., ~ ....., 19.7.6.. THIS CERTIFIES that the building located at ~aske~..La. &. S~l~to~l. P. lacd~treet Map NoEa~t.. ,~hs ,. Block No ...... 1 ..... Lot No, . .3~ ..... Gr~enport.. I~.,.Y, ...... conforms substantially to the Application for Building Permit heretofore filed in this office dated ............ ~0.e./;.. 2.~.., 19. ?/~. pursuant to which Building Permit No..826~. dated ............ 9.e.~... '.2~..., 19..7.~., 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 . P~Ava.ta. ona..I:'am&ly, d~.e l~:[ng ....................................... The certificate is issued to .H~¢hael. ~ol~.atlklZ~l ....... °.wneI'. .................... · (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health ApprOval . .~.~..2~..].c).~.~...b.y..R.:..V~..X.~.a. ...... UNDERWRITERS CERTIFICATE No..~.6.8.9.(~. .... .F~.b... J.0..J.97.6.' ................ HOUSE NUMBER ... 70 ......... Street .... ~i'azlce~. Lane ......................... ~+80 Sutton Place Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N? 8266 Z Permission is hereby granted to: ............ ~*~'t t'~:t~c~ .............................................. tO ,.~]~}~.~::~ t~,..-~.,.~ ~, ..:~.~-~?~:~:~'C'..(~?~;-]:~gz~!f~ .................................................................................... at premises located at "L~'~'",~'~'-'""i~'~'~'~'";~'~5~'"'"~ .............................................................. .................. ~'~e~" ..z.~ "~*"':'~c~* ~'"{~ ~', ~ ~'-'~ '~ ........... ~ ]~,' '~' ~-7~ ¥~'~° '~--~ , ................................. ~ - '"L, 19.'./..~..., and approved by the pursuant to application dated ......................ue.!;.....~ ................... , Building Inspector. Fee $'6'~'$'~0 ........... ~ ~.:~ .~ ..~ ........... ~....(.;,,,~.~;.,....~ ................. .......... B~ding In~e:tor ~ #238 FOR~ NO. S TOWN OF $OUTHOLD , Building Deportment Town Clerks Office $ou~hold, N. ¥. 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-0 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 New Building .~....X~.. .........Addition ................ Old or Preiexisting Building ................ Vacant Land .............. Location Of Property ~`~L~p~.~s~`~k"~z~-~`~z?~`e~&~.~S~q~.q~P`~;~~g~ ......................................... Owner Or Owners Of Property ...j.vi...~..c.~.].....~...o..~...~..o..~.t.!~...]..?:.s. ......................................................................... Subdivision Eastern S]~-ores / t ...3.~ ...... Block No ............. House No ............. ............ ; .................................................... o_ No. Permit No.~.~..~..6..~.'.z. ......... Date Of Permit .~..C)../..2.,8./...7.:?Applicar~,~ .................................................................. Health Dept. Approval ..~/..2..7.../.7....6....T....5...~.S...O..-..~..5..~abor Dept. Approval ..~.;.e.~ ........................................ 2/10/76 N268900 "1 ' . ....................................... Underwriters Approval .............................................. t- annmg Board Approval '/es Request For Temporary Certificate .................................. ~ ..... FinaJ Certificate .......................................... Fee Submitted $ 5. O0 Applicant ................................. ~....zw~.. ................... ~..~ INLAND }{OMES, Ii~C. - Kenme~h W. Thurber Sworn to before me this .... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY --- (.i1 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT ' Michael Kourouklis, cor. Tasker Lane & Sutton Place, Greenport, L.I. ~'inthefolh,wi,tgh, cation; ~]Basement ~lstFl. ~2naFL outside Se~ti,,n llto¢~ l~ot 34 "'"'~ ...... ,,i,...,., February 5, 1576 anda~undt°beinc°ml}liancewiththerequretnents°fthisll°ard' F~XTURE 19 DRYERS ~S ERVlC _E. DISCONNECT SWITCHES George Zimlinghaus 4 Park Place Patchogue, L.I. 11772 XHAUST ~AhS' GENERAL fi LIC# E273 D This certificate must not be altered in on)' manner; return to the office of the Board if incorrect, inspectors may be identified by their ~F NEUTRAL SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Health Services Reference Number ~-_~ ~ ,, :,~. APPLICATZON FOR APPROVAL TO CONSTRUCT A PRIVATE SEWAGE DISPOSAL SYSTEM AND A WATER SUPPLY i. Applicant i,.L,~'D ~'C.~>?~S~ ,1:C Phone 29~-t;0~0 5. Subdiv. Address ,',c~,~ 11'/-S15 ~e~t~-~lt~ ~oad~ ~,~tti~uck 6. Section 2. Property Location Su~o., Plo, ce ,, 'Tasker ~e 7. Lot Number 8. Private Well ~a. ge ~, .. ,, ,.,ro~ ,~_.,,~o?t_ Township Southo~d 9. Public Water 3. Public Water Company Name ~3reenpo~f~] !lC vlater Distance to main 4. Lot size: Width 161 feet Length. iS0 feet lO.. Sewage-~isposal System: '.A- (9q~-~allon septic tank: Preca$_~ X)£quivalent Block 11. B. L~a~ching pools: Nonlber of pools Precast ,}~0 Block Special If private well, fill in the fol- lowing blanks: A. Tank capacity_~gallons B. Pump G.P.M. [ ~ C. Total well d~pth (For Health Services Dept. Use) 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 Services' 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 FOR THE DEPARTMENT OF HEALTH SERVICES' USE ONLY. Based on the information presented here- with, it is the opinion of the Department of Health Services that an adequate and satis- factory Sewage Disposal System and Water Supply can be installed on this plot. S-15 Rev. 4/1/73 TOWN OF SOUTHOLD BUILDING DEPA~TM~T ~ TOWN =LEAK'S OFFI~E ~U.HvL., N.. .... ~ ~ 0[~ ~4" ~ ......................................... ........ , __ . . _. ~ /~ . ~ ~ t , ' ,, Diseppro~ed o/c ..~..,..~..~. ~.. ~ '. ........ "5/1 ....................... ~ ~ APPLICATION FOR BUlL ._.~ ,' Q ................ o. lhis ~pplic~tion mu*t be compl~t*ly fill~ in by ~pewritor o~ in ink ond ~u~mitt~ in triplic~I~ to th~ Buildi~ Inspector, with ~ ~t* o{ plan% ~ccumto pl~ plan ~ ~al,. F~ *cco~in~ to b. Plot plon showin~ I~tion of lot ond o{ buildino~ on premise% relotionship to odjoinin~ promise~ or public ~tr~t~ ore,s, *nd oivin~ o detoil~ d~cription of Ioyout ofprop~r~ must be drown on the dio~mm which c. ~o work coverod by thi* ~pplicotion m~y n~ be commen~d before d. ~pon opprovol o{ thi~ opplicotion, th~ Buildin~ Inspector will shall be kept on the premises available for insp~tion throughout the work. e. No building shall be ~cupied or used in whole or in pa~ for any pu~ose whatever until a Ce~ificate of ~cuponcy shall have been granted by the Building Inspector. APPLICATION IS HEREBY ~DE to the Building Depa~ment for the issuance of a Building Permit pursuant to the~ Building Zone Ordinance of the Town of ~uthold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constru~ion of buildings, additions or alterations, or for removal or demoliti~, as heroin described.~ The applicant agrees to comply with all applicable la~, ordinances, building c~, housi~ c~e, a~ regulations, and admit authorized inspecto~ ~ premises and in buildings for n~essaw i~ections. I~AND HC~ES r INC. (Signature of applicant, or name, if a corporation) B cox 117, Ma~tituck, N.Y. 11952 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................................... .~.~..~,....c..~n.~.~.~.~9.~; ........................................................................................ Michael Kourouklis Name of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. - Plumber's License No. 517-P Electrician's I~icense No....2..?.?.~..~. .............................. Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No.: .~..O..~.~.-..~...a:.s...t:..e..r...n....S...~..°...Z~o~ No. 34 Street and Number ..... .C..~...~..n...e..z.~..~.~...s`~e..~.~...~...?..e.~...~.~.d....S...~.~..1:..~..n..~.~.~.~..c..e..~.~...G~..~e.~p-~.~. ........................... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Vacen~ b. Intended use and occupancy .........................]......-...F...a~..~..Z..~. ................................................................................. 3. Nature of work (check which applicable): New Building...~ ....... Addition .................. Alteration ................. Repair .................. Removal .................. Demolition. ................... Other Work ..................................................... (Description) 4. Estimated Cost $25, OOO.OO Fee .......................................................................................... (to be paid on filing this application) ,5. If dwelling, number of dwelling units ...... .l...~..~..~...~..~..~.....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 some structure with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................Number of Stories ................................. v 8. Dimensions of entire new construction: Front .................................... Rear .............5.~ ..........De~th 24 Height ..... ~.~. .......... Number of Stories ....H...i.....R..a...n.~,.h. ............................................................................................... 9. Size of lot: Front ..... .9._1. .............................................. Rear ...... ..9..1. ............................... Depth ....1...5...O. ...................... 10. Date of Purchase ........................................................Nome of Former Owner East:em Shores ! ]. Zone or use district in which premises are situated ..................................................................................................... ]2. Does proposed construction violate any zoning law, ordinance or regulation: ..... rtO .............................................. 13. - Will lot be regreded'. ........................... Will excess fill be removed from premises: ( ) Yes (x) No 14. Name of Owner of premises Michael Kourouklis Address Phone No. Name of Architect .............................................................. Address ................................Phone No ....................... B ox 117, MatS,. 298-9696 Name of Contractor .~.?.,..%~...ND Hi3Jv[]E~, INC. Address ................................~none 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. STATE OF W YORK, ~ c < COUN~ ~ ~'~ being duly sworn, deposes ~nd says is the applicant (Nome of individual signing contractO cbove He Contractor (Contractor, agent, corporate officer, etc.) owner or owners, and is duly authorized to perform or hove performed the said work and to rn~ke and file ipplicotion; that all statements contcined in this application ore true to the best of his knowledge and belief; and the work will be performed in the manner set forth in the application filed therewith. before me this ~ ~~ day of ............................................ , 19 ........ Public, . ................................................... County ..... ~... (Signature of applicant) tVII ¢t-t~i- kKOCt~ OUl~ i-l ~' S~ Co.,N.F, f L _1