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Home My WebLink About10789-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hale Southold, N.Y. Certificate Of Occupancy No ...... Z .~ 2.8.08 ..... Date ................ .~.u.g .u ~.~..2. 9 ...... 193.5.. THIS CERTIFIES that the building accessory bJ_dg, 4645 Rocky Pt. Rd. East Marion Location of Property House No. Street Hamlet 21 1 18 County Tax Map No. 1000 Section ............ Block ............... Lot ................. X X X Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated July 17 19.80. pursuant to which Building Permit No. 10789Z dated ......... ~.u.l.y...2.2 ........... 19 p.0. , 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 ......... ....... .~ 9.?.~.~ 9ry..~..~.o?.~?. ?..b.~. ~..~.d.~.~..g: ......................................... The certificate isissued to GEORGE & ANGELA MEGDANIS ..................... /&;.b;~'~4~i~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ................ ~ ./~ ....................... UNDERWRITERS CERTIFICATE NO ....... N/A Building Inspector Rev. 1/81 FOI~M NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 10789 z Permission is hereby granted to: /z~ ................. to ......................................................................... / ......................... ~.. ............ .,~.~..~.,.~../ .~ ........ .....................................................................................................r ,~--e~--~-~.....,,.~..~zcz~./....~...-..~. Building Inspector. ~e, * ...... ~ .............~,, . F~n,,1 NO, ~ TO,~,OF $OUTNOLD Euiiding Deper~men~ Town Hell Sou~ho~d. ' AP, ~IC~,,ON cOR~cR~;~IC~T=O~ w~,~NCY G DEPT TOWN OF SOUTHOLD A. Th,s ~.nnl,sot~cn must be filled tn typewriter OR ink, and submitted in duplicate to the Building Inspac- 1. F:oal sur.'ey of oroperw with accurate location of ail budd;ngs, property lines, streets, and unu~a 2. F,nz¢ :~2rcvs~ of Hca,tn Dec; of water suooty and sewerage d~sposal--(S-9 form or equal). 3. Acs¢cval Bi electrical iNStSJlatlon from Board of F~ra Undap>/riters. 4, Commercial buiMings, industrial buildings, Mu!flora Residences and s[mRar buRd~ngs and installa- ~¢ccs. a ccrad~cate of Code compliance from the Arcmtact or Engineer resoons;Dle for the bu~ia~ng 5 Suam~t P!anmng Board approval of compie~ad site plan requirements where applicable. B. For 8x[st~n~ buddings (pr;or to Aprd 1957), Non-conforming uses, or bui~d~ngs and "pre-existing" ~. Accurate s~pze'/ of peo~arty showing ali property I~nes, streets, buildings and unusua~ natural or 2. Se. ors stctsment of owner or orev~ous owner as to use, occu~ancy and condition of buildings. 3. C:(e o¢ :ny hous,mg cede or safety inspection of bu,id~ngs or premises, or other pertinent mforma- C. ~.~ .... of occupancy SB 00 2, Cer:'f,cata of occupancy on pra.ex~s'.:n~ dwelhng or land use SB B0 3, CCD',' O,~ Cn':[;ICnte Of OCCUO~C'/ SI.C0 ......... O,,vnar or C .vners of Property o,~6~ ~D~ ~ Count'/Tax t. Mo,No. 1000Section , ~/, - ~ -[ ~ ......... Block ............... Lot ................ Su~. ,,on ............... .Filed ~ ' ' Map No ........... Lot No p-~=:~ >:=/02 g~.. D~:~ ~ p~,,~,: .,../ ......... ~ ...... , . .,. H~ .4h O,~:. Approval ........................ Labor Dept. Ap~rovat ...................... ,.. .... f ........................ P',ann,ng Board Approval .................. Request ',er Temporarv ~qrt~,*mate,. .................... Final Caruficate ................. Construct.on on above dazcr:bed build,rig and permit m~ all ae.oiicabl~oodns and regulations. ,. ..... ...... ..... . ............. INSPECTION COMMENTS FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COM~Im~NTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined. ~.~.~..~.¥.~.., 19~.9 Approved ~%~.¥...~7.~., l~. Permit ~o..x~ 7 .~ ................ APPLICATION FOR BUILDING PERMIT Date. 7/.J.'.7 ............ 19 .~."~0 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue 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 buildings for necessary inspections. 'd ..... ~,.~¥&... ~ ~..~I~, ,.,. .......... (Signet'fire of applicant, or name, if a corporation) ~ . . ~.~. . . ~ ~ ~. . . i~.~. .~/- . :.~;. . ,~ ~,, ,~ (Mailing address of applicant) ~2f ',),~ ~;37 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ... O. ~..~". .............................................................................. Name of owner of premises. &.t: ¢~.,.~.e..f.~ .~..~ ~ .~../~,.J.~./~..../f'_~. e .ti ~)c;4~../.~5 ................... ~' ba~ on the tax roll or lat~'st deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No... ~.~ .~.-.4-~ ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ¥~. .... ~ .../2~/~.. £./. £d ................. :~.~.~ .~.~. ~:.~.-.,. ~..,. ....... House Number Street Hamlet County Tax Map No. 1000 Section .... ,.~l.~./. .........Block ......... / ....... Lot .... ~/..~.. ......... Subdivision ................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~.~e ~ l~. ~ c//.~~ a. Existing use and occupancy .... ..... , ..~ .,(~./. ...... pf~. . ~.~. ....................... b. Intended use and occupancy ~.~ .t~.~ .~.~r~'r~.~./~-. .~)~..//.~/ ~'.,q. I~ ..... ~..~.. ...... .~'~.~.~. v// ,il 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost... ~..//.~. ........................... Fee... l./.~. ............................ (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 ..... ' ................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... '.. Height ...................... Number 9ffitories ........... ,. ~,. ! ....... 8. Dimensions of e!a~ir9 o, ew construction: Front .... /.~. t. ...... Rear.../...c~,. ....... Depth .../f~-/ ......... Height ..... 6.. ~...".. · · Number of Stories .... /. .................................. ,~;~., ............ 9. Size oflot Front .... /tQm.~. .......... Rear .... ,,(.~t~..5 .......... Depth .../,,q .i-d.: ............ 10. Date of Purchase ........... ! .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated.. ~.. ~ .~:'~. · .~.g~..~. ~. ~-~Z'_ .,~ ~ ....................... 12, Does proposed construction vio!a, te any zoning law, ordinance or regulation: .. ~[/O .' ......................... 13. Will lot be regraded ........ ,~.e't) ................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .~. ~C~.~. ~/Fl'-SAddress~/~f-.'~d."'/~/¢t~t /~).. Phone No ~. ~. 2 .--/.q.O. Z~. Name of Architect .......... ' ................. Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alll 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 Y,O~R.K, COUNTY OF..~..~/..~/e'.~ ~..~..J~....--- 1S'S .../~A/.~.',~./~,,, Zr/Jrv.(..~./9~ .~. [3. ................. being duly sworn, deposes and says that he is the applicant (Name of individual sigi~ing contract) above named. He is the ..................... i ................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this application; that all statements con~ained 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 ........... /.~....~. · · .... dayo~ ..... ~ ........ ,19.? Notary Public, .. d4~. ' (Sig ppli t) , nature of a can