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Home My WebLink About12729-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13183 Date February 1 1985 THIS CERTIFIES that the building One family dwelling Location of Property ..... 1.6.5.. p.aA s. 7' .5. a..n? ......................... Hatt±tuck House No. Street Hamlet County Tax Map No. 1000 Section ... ! .0.6. ..... Block ....0.8 .......... Lot ... ~.3 ............ Subdivision..S.u..n .s.e.t...K pp.]:. 1..s .,..S.e..c....2. .... Filed Map No. 5.4. .4 .8 .... Lot No.. fi. 5. ......... conforms substantially to the Application for Building Permit heretofore fried in this office dated ....O.c.t. :..2.5. .......... 19.8.3. pursuant to which Building Permit No.. ! .2.7.2..9 .Z ............. dated .... .N.o.v.:..4 ................. 19 .8.2., 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 ......... One family dwelling The certifieate is issued to MR. & MRS. DIMITRIOUS ZICOPOUL. OS (owner, I~ ~u~Y:~t.X X X of the aforesaid building. Suffolk County'Department of Health Approval . .1.3...S.O.. 1. .8.6... ~. (.1.8./. 8. 7 ................... UNDERWRITERS CERTIFICATE NO .......... #.N. 6. ~.1.7. ~..2 .... 7 ./.1 .~./..8.4 ................... Rev. 1/81 Building Inspector l~OIt~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ~,UTHORIZED) N~ i2729 Z Permission is hereby granted to,; / ......... !~...~...}.)...-1 ................................................ ...~.~,....~..:~.,....l.ac~ ..... ....... premises located at .....~o...~.....~...~..kJ[......}.~-.c~. a.>,...-~..~ ......................... County Tax Map No. 1000 Section ...... I...C~..~ ........ Block .....,~...~ ......... Lot No....~.~ ............. ~u,suon, to opp,co,on dot~ ..0.....~.....~..~ ................. ~9~..~, and approved by Building Inspector. Fee $...].../...~...'...~...~..... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD ~j)~ ~'-~-'~-~:,'"'i;[ ' Building Department Southold, N.Y. 11971 ill I.[I {~ ~/ .J .... ~LDG, DEPT APPLICATION FOR CERTIFICATE OF OCCUPANC~w~.~T~O~ g ~ Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor 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 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-e¥istin~" land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. C. Fees: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling ~r land use $ 3. Copy of certificate of occupancy $1.00 J Date ..Janus.fy 23, 1985 .. New Building .. XX Old or Pre-existing Building(X) ........ ~ ~Vacant Land ~ ...... 165 Daisy Lane, Mattituck, N. Y. 11952 Location of Property .......................................................... -,=- .......... House No. Street Hamlet Owner or Owners of Property Hz'. & Hz's. Dim£trios Z~copoulos County Tax Map No. 1000 Section 10~ .... Block .. 08 43 ....................... Lot ................ Subd v s on...']$.up.s.e.t...K.qo. 1..1.s.,...S.e.c.., .~. .... Filed Map No....57.4.8....Lot No. g-/_4' Permit No. ;[~.'7.;~0~,... Date,of Permit .1.1/.4../..8.~..Applicant..1.~1.~..ri.cl..~.o, .m.e.s?...17.~: ........... Health Dept. Approval .......................1/18/85 .Labor Dept. Approval ...................... ,.. .N.65. 1762 Planning Board Approval Underwriters Approval ........................................ ~ .. ~ Request for Temporary Certificate Final Certificate Fee Submitted $ 5. OO THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY es JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrlcal equipote~t as described below and introduced by the applicant named or~ the above application numbe~ ir~ the premises of D~m~ri~ Zicopo~!os~ lO5 D~isy Road, Ma~tit~ck~ NoY. in the following location; [] Basement ~ lst Fl. [] 2nd FI. Section~ Block Lot ~ was examined on and found to be in compliance with the requirements of this Board. July 0~ ~ 1~ RXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT DRYERS MULTi-OUTLET SYSTEMS NO. OF FEET OTHER APPARATUS: t-G.F,C.i~ E R V I C NO OF CC. COND, NO OF HI-LEg A. w, G NO. OF NEUTRALS A W.g. Eeco Elect. Corp,, (CliE! Corneil) 825 W!~ ~ P~,, Rd. 8ou~chold~ N.Y. llS~Jl GENERAL MANAGER Per ~rnust not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their creden~ls. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER FIELD ~SPECTION FOUNDATION (,1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY --- QODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [//~ ROUGH PLBG. ~ FOUNDATION 2ND ~'~ INSULATION //~FRA~*~.*"*[''] FINAL REMARKS: 765-~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL --~ ...~'~ / -~' -~ -- DATE INSPECTOR FORM NO. 1 TOWN DF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .~..~)~.....~...~.., 197.~. Permit No. J .~,.~ .~.~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Octobez 25 19 ..8.3 INSTRUCTIONS a. This application must be completely filled in by typewriter or ih ink and submitted 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 of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 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 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 building for necessary inspections. ..... . . . .s.,. . : ................... (Signature of applicant, or name, if a corporation) Box ll7~ Hattituck, N. y. 11952 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................ . .C~.n.~..~.a.1.. C. 9.n.t.~..a .c .t.o.r' .......................................... Name of owner of premises ....D.i.m.! .t.r.i.°.u.s...Z.i.c..op.o.u.!o..s .............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ..............' (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. 517-P Electrician's License No. 2816 Other Trade's License No ...................... 1. Location of land on which proposed work will be done....D~...i.s..y..R.o.a..d..,..!~..a.t.t.i.t..u.c.k.~...N:..y.: ............ House Number Street Hamlet County Tax Map No. 1000 Section ...1.0..6 ............ Block ...0.8. ............. Lot....4.~. ........ ~ .. Subdivision...S.u.n..s.~.t..K..n.o.l.l.s.,..S.e.c..t.:[.o.n...2 ...... Filed Map No...5.4.4..8 ........ Lot ..... .4.5. .... ~.. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy I Family Nature ofworkl(check which applicable): New Building . ~ ...... Addition .......... Alteration ~,. ......... Repair .............. Removal .............. Demolition .............. Other Work ............... ,' I (Description) Estimated Cost! ....... ~ .............................. Fee ...................................... I (to be paid on filing tiffs application) If dwelling, number of dwelling units i Number of dwelling units on each floor ..... If garage, number of cars ............... 1. ........................................................ If business, con ~mercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of, ~xisting structures, if any: Front ............... Rear .............. Depth: .............. Height ................ Number of Stories ........................................................ Dimensions of: ama structure with alterations or additions: Front ................. Rear .................. Depth ....................... Height ...................... Number of Stones ...................... Dimensions of, :ntire new construction: Front ............... Rear .... 4.(~ ......... Depth .2..7 ............ Height ...... [ ......... Number of Stories ........ .2..; .......... , .................................. at ......... 115 ..........Rear ...... 115, ............ Depth ....17.5... .............. e ............................. Name of Former Owner ............................. :rict in which premises are situated ..................................................... :onstruction violate any zoning law, ordinance or regulation: ................................ dad .................... : ....... Will ex c~s _f~be.~ll oveit, fI~QIR 12remises: Yes No of prem~sesD.~..t..t.~..o.u....Z..c..op..~10ditlless -A~oxz~,r .N,..Y. oa.a~t~one No.212,-.721~-1S33. act ........................... Address ............... Lctor .:I...N~-A~N...D..H...CSA~..S.~..I.N.C.: .... Addre~: .it.~.x.'..1.1.7.,..~.a:t?~..~o o 9. Size of lot: Fro 10. Date of Purch~ 11. Zone or use dis 12. Does proposed 13. Will lot be regn 14. Name of Owne: Name of Archfl Name of Contr~ PLOT DIAGRAM ad distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from ttreet and block number or description according to deed, and show street names and indicate whether Locate clearly ~ property lines. Give interior or corner lol STATE OF NEW Y RI<:_ COUNTY OF ...... .m'....OEK. ..... of said owner or o~ application; that all work will be perfor~ Sworn to before me S.S t4~. 52-8125850 Su folk CO Term Exl~ res March 30, 1~'~ ............... Rohelrt. I~,. H/,l,~;$ .~..~ ~..- ....... being duly sworn, deposes and says that he is the applicant (Name ~ ,f i~dividual signing contract) Heis the ......... .o.a: .... ..ii .......................................................... (Contractor, agent, corporate officer, etc.) mars, and is duly authorized to perform or have performed the said work and to make and file this ~tatemcnts contained in this application are true to the best of his knowledge and belief; and that the ed in the manner set forth in the application filed therewith. his ~ .... day of.. ~:...., 19¢ ....... AT M~TTITUC~ O~TE' OCT. //, /983 I ~ O~NDER AVE~E ~' YOUNG ~ YOUNG~[~,,~ ~o~ D£PARi'M£NT OF HEALTH . / HeleO formerl~ property is I~ated in on .gricul~ral non area, the possibility exists that the water supply may contain trace .mounts~of pesticides and/or nitrates. ~ ~ ~ Spatial analysis~l~ required. - ~ .......... ~ ~U~Y FOR ~0.,¢ .... ¢. ..... ¢ .... LOT ~0. 45, "SUNSET KNOLLS, S~CTION · ~ _ iUFFOLK COUNTY, N[~ ~HK ~o. ~- ......... ~n RIVER~AD~ NEW YORK [ ,, ~ , ~ / ~. ~ ~' , . . .. ~ i . ; ~,.~, APP~D'.'ZD AS NOTED DATE:~V/~ B.P. ~ ~ ~ ~ If copper tubing is used ~ for water d,stributing 7~5-1802 9 AM TO 4 PM FOR THE OF,ypes K or L only FOLLO~AdN~ ~NSPECTIONS .... O~NERSHIP OF DOCUMENTS FOR P~HRED CONCRETE THESE DRAWINGS AND SPECIFICATIONS AR~ INSTRUMENTS 3, INClP A 'mb! O~ SERVICE FOR ~iOJECf NO. ~,AND SHALL RBAIN ,% I