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Home My WebLink About9996-zNO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupancy No... ~9~.~.1.4 .... Date ...M.a.~.e.h....9. ............... , 19..7.? THIS CERTIFIES that the building located at .1./d,5. G~,een .Hit.~- .Lane. · · ~ Map No ..... 5~.~&.... Block No ........... Lot No ...... -$32 ........................ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... 0c.~ber...12..., 19.78. pursuant to which Building Permit No...9996Z dated ...... Oc.tober..22 ..... , 197E~.., 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.r. ivat~. One .Family. Dwelling .wi.~h .At.~ache~ .GarAge ...... The certificate is issued to .... .Dimi.t~.ios..Nikas ................................. (ownerx~~j~ of the aforesaid building. Suffolk County Department of Health Approval .. F. eb~.a.r~.. 9.,..']. 97.9.....sms. O.:.~.2.~.. Robert A, Villa UNDERWRITERS CERTIFICATE No ..... .N4.2.~.~J2 ............................... HOUSE NUMBER .. q../*~5 ....... Street ..... .Qr.e.e.n...H.i.l, 1...L.a.n..e ................... N. ew York ........................................... Gr.e.~p.o.~.~, ........................ Building Inspector County Tax Number ~ 000-0~-2-25 FORi~! NO. TOWN OF SOUTHOLD BUILDING DEPARTARENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. . BUILDING PER~IT (THIS PERMIT ~UST BE' KE~T ON THE PREMISES UNTIk. FULL COMPLETION40~,W~ AUTHORIZED) Permi~sk~n is hereby granted to: ~---~/~'~? ~'~"~,,' ~%C - '" ' ~..~.~Z~.~Zm~...:..~:~'~'- ,'- ~ ~, - . ~ ' ......... ' .~ ~~ ~ .. ~...,~.... :~ ........... : ................. ...... ~.~.._...~....~~ ........ ...' ........................................... : ....... ':........ . a~ p~mises Iocate~ at ~?~.~......~ ........................ : ................... ~ ..................... ~....~ ......... ;> .......... / pursuant to 'appJication doted ...... ~C.~C...C~.~.~......:..Z.. ........... , 19...~_~.., and approved by the Building Inspector. Fee $../..~,~.....~'.;, ..... Buifding Inspector FOBM NO. 6 TOWN OF $OUTHOLD Building Department Town Clerks Office SouthoJd, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ~, ~__ ,/~ A. This application must be filled in typewriter OR ink, and submitted inU~~o 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 farm 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 aT 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 23 Februa .~. ~ 19~9 New Building.......,............~ Old or Pre-existing Building ............................ Vacant Land ............................ ]445 Green Hill Lane, Greenport, New York. Location Of Property ..................................................................................................................................... Dimi%rio s ~ikas Owner Or O~ners Of Proper~y ....................................................................................................................... 132 2 1445 Subdivision ................................................................ Lot bio ............. Block No ............. House No ............. 9996Z 10/24/78 Inland Homes, Inc. Permit No ..................... Date Of Permit .................... Applicant .................................................................. Feb 9/78 8-S0-123 N/r Health Dept. Approval ............................................ Labor Dept. Approval ................................................ yes Underwriters Approval ........................... ~ ......... Planning [~oa~d ,approval ........................................ Request For Temporary Certificate ........................................ Final Certificate ...~ ........ ~ .................. Fee ,Submitted $ ~. .: ,0. ,0. ............................. Construction on above described buildi es and regulations. Applicant ~~. ~..~,z~ct ..Home ~.; ...]nay ..2 ............. ~ ......... Sworn to before me this ~(~ ~_~/~,, .~.~ ~_~ ..... 2,~ ....... day of ..F..e.~..r3...%~?.,; ........................... (stamp or seal) Notary Public .......D.u,f,f. oZLk .............. County ~D'~'/-- '/~ / Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF' SOUT~IOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765.,8o2 ~/~77 ~ . TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N, Y. 765-2660 TOWN OF SOUTHOLD Building Inspector's Office Town Clerk Building Southold, N.Y. 765-2660 TOWN OF' SOUTHOLD DFFIOE DF BUILDIN[3 INSPECTOR TOWN [~LE:RK'~ rIFFlE:E: E~OUTHDLD, N. Y. 119'71 TEL. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. prove . ............................... , Permit No. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS O e ................................................, i7 ............ a. This application must be completely filled in by typewriter or" in ink and submitted ntr p icate to the Bu Iding\ Inspector, with 3 sets of plans, accurate plot plan to scale. F-ee according to schedule. b. Plot plan showing location of lot and of buildings on premises relationship to adjoining premises or pub c streets o~ 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 perm 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 MADE to the Building Department for the issuance of a Building Perm t 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 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. · .................................................. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................. ~t~ ~I¢~ ~.. ~J~l~ .~..3~.~.~.~. ..................................................................................................... Name of owner of premises ..D~klII:J.~.M~O~..N.~J~ ............... ... If applicant is a corporate, signature of duly authorized officer. ..... .............................................. //D- / z : (Name and title of corporate officer) Builder's License No .............,.', ...................................... Plumber's License No...~..~.Z.-..P. ................................... Electrician's License No. ~,~.~..'t.~ .............................. Other Trade's License No ............................ ................... Location of land on which proposed work w be done Map No ~-.?.~'..~,_,.~, ..._...~?.?~ Lot No Street and Number ~.~i~ .~..,~. ~'~ ...~IJ~JllJ...~J,...J.4~Jll~l,.~~;,....~..~-~.'~" ........ ;...-.'"'"'"'"'"'"'"'" Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy b. Intended use and occupancy ................ 3. Nature of work (check which applicable): New Building~ ...~ ....... Addition .................. Alteration ................ Repair .................. Remova. I ,. ................. Demolitior, .................... Other Work ................................................. ~... e7~'....7~' .~ (Description) 4. Estimated Cost .q5.~.0OO41[~O ..................................... Fe :. ~ .................................................................... ~to Be paid on filing this application) 5. If dwelling, number of dwelling units ....... .1. ................... 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, Jf any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with offerations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...5..~. ............................. Rear ....... ..5.~ ................ Depth ...~..?. ................. Height .................... Number of Stories I. ............ 9. Size of Jot: Front ................1..O.O. .................................. Rear ...... .J'..0..O. ............................. Depth 10. Date of Purchase ................... Name of Former Owner .................... 11. Zone or uoe district in which premises are situated ................... ~ ............................................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ....... y..e..~.. ............. Will excess fill be removed from premises: ( ) Yes ( ~ No 14. Name of Owner of premises ..... D~I~[~.:J,I~..~lJ~&8 ........... Address ................................ Phone No ....................... Name of Architect Address .......................... Phone No ....................... .............................................................. ~1:~0~ Nome of Contractor ::l:nlslact }Ic~es~ ITIC, Address ~1~,~.~.S...~',11~ .. Phone 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 EW YOBL< ~-- COUNTY OF .....~..,~..~,~....~.. ........... r~'~ ....... ]~3~.t... l~,.. ~t1,1,~, ........................ ......................... .... be in g (Name of individual signing contracf) above nome& duly sworn, deposes ~t he is the applicam He is the ............. ~ll.t~,C~;~ ............................................................................................................................................ (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 fo~h in the application filed therewith. Sworn to before me this ~ ~./~ ...... .......................... ............. NOr 46643~0 d 2[Si[JENCE e( 0 0 FqAP OF F~A.?PEPcTY ~ ),'v,~ ,.,f ]OU'" O, ;; ' 'V t .... _'./ ' ~CAL E-_~O_ q · '), :?'(=2_' i .__ EXCAVATION INSPECTION REQUIRED 5ECUPJ',rY TLT~,E RO ~IC VAN TUY P. LICENSED LAND SURVE~ GREENPORT SUFFOLK CO. HEALTH DEPT. APPROVAL H, S. NO. STATEMENT OF INTENT THE W.~TER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT, OF HEALTH SERVICES. APPLICANT5 ~e~haha SUFFOLK ~Sd~T~ ............DEpT.'"b¢ ...... HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: IQ-lO .. 5 APPROVED: DIET. SECT. BLOCK PCL. OWNERS ADDRESS: ,,VATE. R PP-..O0 FI NC~ -- ~ECTfC)k~ ~ ~G APPROVED AS NOTED F~NAL WHEN JOB COMPLETED OR CONSTRUCTION ERRORS ALL CONSTRUCTION MUST MEET ~ND TOWN HOUSING CODE & ZONING t-RoN'-r- EVA-F b! RM t I r:o" ,% 41L " t FOR Et Q J '3 d FILL $?z' LA. LLY COL, ~-OU NDAT ION