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Home My WebLink About12594-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z12632 No .................. Date July 23 .,19~ addition THlSCERTIFIESthatthebuild~g ................................................ 780 Yennecott Dr. Southold Location of Property ~$$s$~o[ ....................... County Tax Map No. 1000 Section 55 ...Block 6 .Lot .. 6 Subdivision ..... x Filed Map No. x .Lot No. x conforms substantially to the Application for Building Permit heretofore filed in this office dated September 7 198.3. . pursuant to which Building Permit No. 12594 Z dated ............................September 13 19 .8.3. , 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 ......... Enlarg'ement of existing .p. 9.r.c.h.z..d.e.c.k. addition and accy. ~ara~te. The certificate is issued to LEONIDAS MOUSSAS (owner, !c~.c"~r-te,'~ra~d of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N634000 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FORM 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 AUTHORIZED) N~ 1259~ Z Permission is hereby granted t~: , · .~¥~...~.;...~~ ............ ..... ~'~iii, ;~ ~ .... ...~..~~....~.:.~..l......u...~.:.~..~ ........ ~ ~ ............... ~.~ .............. ~...~~.....~ .............. ~~ ..~ ............ ~'~;Zii'~'i~'~"~'i':~i'~.~'"ii.. . . ... ...... ~..=====================================...... . ... .... ...... County Tax Map No. 1000 Section ......... ..~.~.~. ....... Block ......... ..~.. ......... Lot No ......... ..~... ........... pursuant to application dated ~:t~Y' ~ ~ 19~....~, and approved by the Building Inspector. Fee $.'...~;~.... ............... Building Inspector Rev. 6/30/80 · ~i~LD INS?ECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDIT! ONAL COMMENTS: FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~;~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~7~l[c;tc 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 o~ 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 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: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5,00 V~ Date .......................... New Building ,., ~ ..... Old or Pre-e~x]s_ting.~ilding ..... ~.. ..... Vacant Land ............. Location of Property ... ~..~,-T~- ~ ............. ~ .¢'~. · .~.~.~. ~.'~- ......... House No..~.~~~.-~. Street Hamlet Owner or Owners of Property ......................................................... County Tax Map No. 1000 Section ............... Block ............... Lot .............. Subdivision ................................. Filed Map No..~ ......... Lot No .............. Permit No.[~.~.~...~.. Date of Permit .~//.:2'/~.JApplicant .~.~..~.~..:/~~ ........ Health Dept. Approval ........................ Labor Dept. Approval ........................ Unde riters Approva .#. & .......... P anning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.....~...'~. ,~ ................... Construction on above described building and permit meets all appl~J,e codes and regulations. ~,~ ~ ~L/~/I) ~ Applicant ,~~1. · ~'~ · · .~ ~ ............... loom?a THE NEW YORK BOARD OF FIiRE UNDERWRITERS BUREAU OF ELECTR, IC~IT~, E~ 8E JOHN STREET, NEW YORK, NE~ ~ORK 1OOa8 ~.,. ~b~'y z~, ~4 ~,,,~-,-..~....~,~ ~9~/~ N 634000 THIS CERTIFIES THAT ; only the el~trical equipment ~ dezcrlbed belo~ a~d irttroduced by the applicant ~r~d on the able application number ~n the premises ~n the following loc~tlon; ~ Base,ne~t ~ Ist FL ~ 2nd FI. G~ Section Block Lot was ex~rni~ed on ~'~'Y ~ l~ a~d fou~ to ~e in compliance ~itI~ the requirements of th~s Board, FIXTURE OUTLETS 8 FIXTURES SWITCHES NCANDESCENT ~LUORESCENT 10 8 RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS ,INIT HEATERS FAULT[-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE D!SCONNECT I C E w.G. NO. OF NEUTRALS A, W G OTHER APPARATUS: S E R NO, OF CC COND. A.W ~ PER ,~' OF CC, CQND Electric Co,p. Cliff Ooraetl Willc~v Point P~ ~outi~old, N.Y. llgfl not be altered ' ' manner; return to the office of tNe 2816 MANAGER-. may be identified by their credenticds. .~ DEPARTME 9uT~eeuTWr.~ T~oueD 30 3eTqO AIddns le%~a pu~ I~SO¢ # .~ .c .. ~/~ VACANT UNECO ~T tot 50 · HOUSE S. 88°18' 135. O0 ' Lot 49 ~ ~rea = 22450 sq. fX. ~- S. 88057'30"~. now or formerly Moffa~i /35./5 DRI N, 88 /8 30 , Lot 48 HOUSE "pipe VACANT NOTE: · = MONUMENT O-'STAKE SUED/V/S/ON MAP F/LED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON OCT 9,1968 AS FILE NO. 5187. ~EPT FG, 1977 YOUNG & YOUNG 400 OSFRANDER AVENUE, RIVERHEAD, NEW ALDEN W YOUNG HOV~ SURVEY FOR' .,,,,"%~,- o, UACANT 'COTT ' 50 I ' ........ 155, N. 88 °18 '$0 "~ lot 48 "' ~. HOUSE '~p/pe VACANT NOTE~ m -' MONUMENT sUBOl VI SI ON MAP FIL ED IN THE OFFICE' OF THE CLERK OF SUFFOLK COUNTY ON OCi~ 9~ 1968 AS FILE NO. YOUNG & YOUNG 400 O,$[RANDER AVLNUE, RIV£RHEAD, NEW YOR~' ALDEN W, YOUN(; HOWARD ' FORM NO. 1 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT I TOWN HALL I SOUTHOLD, N.Y. 11971 ~ ~, TEL.: 765-1802 Examined.. i~z~ J~,~/~, 19~..~. Approved . .~.~....~-J~N...~.~, 19~..~. Permit No. ~ .~..~..~ .~/'~. · . Disapproved a/c ..................................... Received .......... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 per,nit 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, N~w ~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, bt~ilding code, housing code, and reg~ati0n~, and to admit authorized inspectors on premises and in building for necessar~i,nspection~. / (S~na~/Jre of applicant, or na~e, if _a corporation) (Mailing address of applicant)(// State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises...~..~..0..,~.. }..~..~.~ .... ~O .~..~..~. ~ t~..~ ................................... (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 ......................... Electrician s License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ........ ...... ............. House Number Street .....Hamlet! ' County Tax Map No. 1000 Section ....... .--*.-~-.. .....Block .: ......... Lot ....... Subdivision .X].~..~..~ ~ .~.~... i .~..~...T~.. ............ Filed Map No...~'~1 .~ .~. ..... Lot .... ~ ~. ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Existing use and occupancy PO ~k ~ [o~~;::~ . , ~ 3. Nature of work (check which applicable): New Building .......... Addition ....lf~...... Alteration .......... Repair! .............. Removal .............. Demolition .............. Other Work ............... i (Description) 4. Estimated Cost . .9~' · ."[.7' ........... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling Units ............... Number of dwelling units on each floor.: .............. If garage, number of cars .... i ................................................................. 6. If busihess, commercial or mixed occupancy, specify_nature and extent of %ach type o_.f_use ............ :~. ...... 7. Dimensions of_~isting structures, if any: Front....~. [: ~ ..... Rear .: .~/.,..~ ..... Depth . l.O.,.~ ....... Height ..... ~.' ........ Num. ber of Stories ....~ ................................................... Dimensions of_same structure w!th alterations or additions: Front . ,;~.~ ............ Rear a~;.~.. ............ r)epth i'.. · ./. ~ ............. i.. Height ..... ~. ............... Number of Stories .. ;~' ................. 8. Dimensions of entire new construction: Front ................ Rear ............... Depth ............... He'ght N _tuber of Stori 9. Size of lot: font ....................... ,~.~ ................ 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construct~o, nvio!ateanyzonmglaw, ord~nanceorregulatmn: ./~..r,.2 ..................... .~.~.. 13. Will lot be regraded .. ~ .4). .!.. ~ ................ Will excess fill he,removed from premises: Yes ~ No Name of Architect .......... ~. ................. Address ....... .~ .............. Phone No ................ ~'~-a'~ .. PLOT DIAGRAM Locate clearly and distincfi¥ 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 NEW~'~RK,/ / ~.a(' · ~~.~.~- · .., · being duly sworn, deposes and says that he is the applicant ~ndt~vidual sign lng contract) ~ above named. He is the .............................. .'?. ..................................................... r, agent, corporate officer, etc.) of said owner or owners, and is duly au~-fiTfi~rized 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 forth in the application filed therewith. Sworn to before me this ., 19 .~.~. ......... i .... f"~' ...... da~. N? ub, .... " i ' : ' '- une< ,0 ............ ~ ~l~ ~ I ~ ] [ ] (Signature 0f annlicant~ t ,f