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Home My WebLink About12589-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZI5547 Date March 31, 1987 THIS CERTIFIES th ilding A c c e s s o r y at the bu ................................................ Location of Property 1960 Stanley Road Mat t ituck House IVo. Street Hamlet County Tax Map No. ] 000 Section . .1.0.6. ....... Block .... 7 ........... Lot ..... 4. ! .......... S ..... Sunset Knolls Sec. II ~. 5448 15 UOOlVlSlOn ............................... piled Map No ......... Lot No ............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ' S e p t. 1 , 1983 pursuant to which Building Permit No. 12589 dated .8.e.p.t. :..1.3.:......1983 ...... . ..... 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 ......... Accessory storage shed. The certificate is issued to EVANGELOS AND KALLIOPE BAROUS ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval Iq/A N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A · ............. Building Inspector Rev. 1/81 FOE~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PER/VfiT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12589 Z Dote ............................. , 1 ... Permission is hereby granted to: ..~.~..~.~ ........ .~..~.~..~....::~..~.....~ ............................ '~ ' ~ ~'~,.. t/~-~. ,o ..~.~...~.~....~.~...~...~...~:_~,,~ ............ ............... ......................................................__ ............................ at premises located at ..l..:c~..(O..O......~.~...~f~. .......... ....'./...J.~£~ ....................... County Tax Map No. 1000 Section ..... .)....~....-~, ....... Block ....... ...--7. .......... Lot No .......~. ................ pursuant to application dated ....~...~Ll~.d~ ...... ). ............... , 19.~..~.., ond approved by t~e Building Inspector. Fee $ ........................ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec. tar 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 ~llsposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire UnderWriters. 4. Commercial buildings0 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.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 informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwell{rig,S25.00, hcce.~sory ~$10.00 Bus{ness $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00. over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5.U~dated C.O. $ 50.00 Date ....................... 6. ~lteration $~5.00 . ,NewC onst~uc%ion ~. Old or ~re-eXlsting Building ............ Vacant Land ............. House ~o. ~treet ' Ham/et Owner or Owners of Property ~[ J..~ ~0~ County Tax Map No. 1000 Section ......... o ........... o~bdwlsmn ................................. FIl,d ~ ~o~-... ~ .... Lot ~o ......... ~... · ,.o .... ,,'...:. .... '* ..- Health Dept, Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ Construction on above described building and permit meets all applicable cod~s and regulations. Applicant. /~.~.¥ .~./~... ~'.~..~. · .~ .......................... FIELD INSPECTION FOUNDATION (1st) FOUNDATION DATE COMMENTS ADDITIONAL COMMENTS: (2nd) Y. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE F%NAL TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. ! 1971 TEL. 765-1802 This is to advise you that the job under building permit no. 12589Z issued to .Euangelos Barous on ~.~.3/83 ..... for Accessory is completed a fir, el inspection has ( ) has not ( X ) been done. and In order to complete this file, it' is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above'office with a cheek for $10.00 payable to the Town of $outhold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with ti]ks office for an inspection (late Occupancy or uae is unlawful without a Certificate of Occupancy. Please. help us to clear up thi~ matter so that legal action does not have to be taken. Thank you for yo.r prompt attention. Very truly yo~, Victor Lessard Executive Administrator VL:gar encl. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ~1~- } X 1932[ Permit No/,~r~c~ ~. Approved Disapproved a/c ..................................... Received .......... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in 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 bther 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 regulation_~s, and to admit authorized inspectors on premises and in building for necessary inspections. ..... IZ. .~. ~. ,.' . : . ~. . .~. . . . ................. (Sigl~a~ure of applicant, or name, if a corporation) /eGo $~,/e ,'flY. Aqc~H. cr~,l~.~l ~ ~& (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, eno~neer, general contractor, electrician, plumber or builder. . ..&a.~.~ ~.. ac~...45.o.. I } i.~¢..; .... ~o4'. ~-9¥ ................................ Name of owner of premises .......................................................................... (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 ..... J~ ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade s License No ...................... 1. Location of land on which proposed work will be done .................................................. .I. ~.k.o. ....... .~..~....~v...I.~.7....I~. ~ ...hg.~.~:~.~.. ....................... House Number Street Hamlet County Tax Map No. 1000 Section ..... l.O..~ ...... Block .... .... ~ ........ Lot... ~/. ............ Subdivision. ~B~...~.~}lS....~...~. Filed Map No...~ ~.g .... Lot../ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ]~ 0 b. Intended use and occupancy ~OO¢{ O~ ~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ : ~, (Description) D- --'- 1 o .----- 4. Estimated Cost OD3 ~..... Fee (to be paid on filing this application) 5. If dwelling, number of dwelling iunits ............... 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 Di ensio ofe ' 'ngstru 'fany Front Rear Depth . m ns XlStl ctures, 1 ............................................ Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... q.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ......... , ..... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9 ~qize of lot: Front . Rear Depth 10. [)ate of Purchase .......... i .................. Name of Former Owner ............................. 1 1. Zone or use district in which promises are situated ..................................................... 12. Dobs proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ................... Address ................... Phone No ................ Name of Architect .......................... Address ................... Phone No ................ Name of Contractor .......................... Address ................. Phone No ................ PLOT DIAGRAM Locate clearly and distinctly al! 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 NE~W~O~/./~' IS S COUNTY OF/?~.~.~.*T..'w~:~. i ' .... ,lifT:..¥. . .......... (Narrfe of individual sig~ing contract) above named. ' being duly sworn, deposes and says that he is the applicant He is the ............. .. . ....,..~.i .............................................................. ..... : (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!y authorized to perform or have performed the said wbrk 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 application filed therewith. Sworn to before ~ne this .............. /..'7.-: .... ay of...../~..~~, 19 Notary Publi~v..-~....2~./. c~W..~.~...-~.~:~7-COunty -- Notary Public, 8~ate of iNew York ..... ~ ~ ' ' ~'~ ................ No. 52-o~490~ suffo k Coun~5~4 ~ (Signature of applicant) ~ C, omm ssion Expires Mar(ih 30, 76S-1802 BUILDING DEPT~ INSPECTION FOUNDATION 1ST [ ] ROUGH PLUG. [] FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: [ ] FINAL