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Home My WebLink About11494-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z,1,1fi, 2..0 ......... Date ...... ~a. rp.h' .9. .................. 19 .~.3. THIS CERTIFIES that the building ...a.cl.d. ~..g .5 .o.n. .................................... Location of Property .... !~Y.5 ............. F...o .u.n.d.e..p .s. ,P.. a..~ .h .......... Southold House No. Street Ham/et County Tax Map No. I000 Section . .0.6. L~ ....... Block ...Off. .......... Lot ...0.1.5. ........... Subdivision,..F.qu..n.d.e.p.s...E.s.t,a..t.e.s .......... Filed Map No. ~3.3.z~ .... Lot No..~ .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated · .. ~. 9y.e.m..b .e?.. 2. .5 ..... , 19 .~.1. pursuant to which Building Permit No... 1. ~ .~,9,4..Z ........... dated ... D. ? .c.e.m.b..e ?. fi. .............19 .8.1., 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 ......... ·.. ~..a..d ¢.L~.~. 9.n. ,~.o...e.x.~.s..~.~.n.g..d.~.e.~. ~..i.n.~... ..................................... The certificate is issued to ANDREAS F, MARKAKIS (owner, t~ee~r-t~e~) of the aforesaid building. Suffolk County Department of Health Approval .... n../~ ................................... UNDERWRITERS CERTIFICATE NO ............ bJ ~ A..5. ~ 92.7.Q .......................... Building Inspector (THIS pERMIT MUST BE KEPT ON ~H,E PRE~I~S UNTIL COMPLETION OF THE WORK AUTHORIZED) No. I1494 Z Date Permissior~ is hereby granted to ....... .~.~ ........ to ..;......~. ...... at'pi'emise~ located at ..~ ......~. ....... ~ .............. ~'"r co~ ,~ M,p No. ~000 s~t~o, ...~.~...~. pursgant ~o application dated ....... Buil~ng I~spector. Fee $ ............... Rev. ~6/30~80 ~ULL .o.~d~ ......... and i~pproved by the FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Halt Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 propertv 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, Industria~ 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 peoperty showing all property lines, streets, buildings and unusuat 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. Certificate of occupancy $5.00 '2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 New Building ............. Old or Pre-existing Building(X) . ~ .... ~/Vacant Land Location of Property, .~', .~,7,~.. .... House No. Street Hamlet Owner or Owners of Pro petty , .~/~..~.~)..~.~--~... . ./~.'.~ .~../~'/Z] .~./~ .~. .................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. Date of Permit /¢~ 4 Applicant Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planning Board Approval .................. , .. ~ Request for Temporary Certificate.. ~, ._ ............. Final Certificat~ ..... v~. ........... Fee Submitted $..,d.~..~...4,,_~.. ....... Construction on above described building and permit'mee~s all app~cable~co_des and regulations. 7~'- ,~¢ z~ Applicant ....................... THE NEW YORK BOARD, OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY '~.1 STATE STREET, ALBANY, NEW YORK 12207 Dat~ J~I~IJ~C~ 11, 1982 /~vvl~catlon~o. on/ii~ THIS CERTIFIES THAT only the el~t~al equip~nt ~ ~sc~b~ be~ a~ int~uc~ by t~ appli~t Mm~ on the a~ application number in t~ premises of ~s ~S, 1575 F~ Path, ~, in the following location; ~ fl~ement ~ 1st FI. ~ 2nd Fl. Section Block ~t ~ examined on J ~ 7 p ~ 9~ and found to be in complia~e ~ith the r~uirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 3 9 4 3 DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS TIME ~LOCRS UNIT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO. O~ECRC~CON D. OF CC. COND, NO, OF HI*LEG A, WG OF HI,LEG NO. OF NEUTRALS OF NEUTRAL Paul ~ lkem Fmrbor La. Southold, N.Y. 11971 1Ac. 282-g BRANCH MANAGER FOR THIS COPY OF ALTERED IN ANY MANNER. FIELD INSFE~IO~ FOUNDATION (1st) COMMENTS ~ ~ FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 .... ................................ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. ff./..~5.?..~. ...... INSTRUCTIONS a. This application nmst be completely filled' iu by typewriter or in'ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedflle. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre~ or areas, and giving a detailed description of layout of property must be drawn on the diaf,q:am which is part of this apF cation, c. The work covered by this application may not be commenced before issuance of Building Pen-nit. d. Upon apprcval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern 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 Occupan shall have been granted by the Building Inspector. APPLICATION IS ItEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and adnlit authorized inspectors ~ /ff~~... on premises and in buildings for necessary ins ection (Signature of applicant, or name, if a corporation) (Mailing address of applicant) (as on the tax roll or latest deed) If applicant is a corporation, signature of duly attthorized officer. ..................................... (Name and title of corporate officer) Builder's License No. Plumber s Licens,. No ............. ~ ......... Electrician's License No.' ,./.~.. . ~ '--~ . Other Trade's License No...'.-7" ................. 1. Location of land on which proposed work will be done ................................................ · .... ............ ....... ............... House Number Street Hamlet - ff County Tax Map No. I000 Section O 6"r~d Block 6r ~ Lot . .('?./..~. Subdivision ..................................... Filed Map No ............... Lot ........... (Natne) 2. State existing use and occupancy of premises and inteuded use and occupancy of proposed construction: a. Existing use and occupancy . . .~i .t(../21..~..~.~...hq (/. ~.. ·~'.t ....... ~.~.~ ....(-(t~?. V,5-. ..... '2..~...~.A-q ..... .q~..AL/. ..... b. Intended use and occupancy ...... .%~ ................................................... Repair .............. Kem0val .............. k;cmolidon .............. Other Work ............... , (Description) ! (to be paid on filing ttds application) ;. If dwelling, nmnber of dwelling units ............... Nmnber of dwelling nnits on each floor ................ If garage number of cars i If business commercial or mixe~ occupancy specify n~ture and extent of each type of use 1. Dimensions of existing structnr{s, if any: Front ..... ~ ......... Rear .............. Depth ............... Height . .............. Nuniber of Stories .... /. ................................................... Dimensions of same structure w~th alterations or additions: Front ................. Rear .................. Depth .................... i.. Height ...................... Nuraber of Stories.. / ................... L Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Nun~be, r of Stories ... / ..... ~ .............................................. · . , ? ~. S~zeoflot. Front .,'7.~57'.0.z~.3~ ..... . .........Rear..~. .~/ '~..-?'.,/~.~.~..~' ... ). Date of Purchase ~"~'5 ·/' Y'/'~}~' . Nmne of Former Owner ........................... 1. Zone 0r use district in which pr~mises are situated ................................... :'. ................. ~ Does proposed construction rio!ate any zoning law, ordinance or regulation: . ~..~. ................ ../ ........ ~i Will lot be regraded ./~..~. .... ~.' ................... 'Will excess fill be_rem~ved~f~om premises: I,'"Yes ,N'o~ ~-.Name of Owner of premises ~../~ ~/,t,.~'.~-./~¢~.~1'$.. Address /.,~'.7 ,qT. ~._~.¢t'~.~/.~. Phone No.~'/~.-.~./'.~..~.g. .~.~. Name of Architect g.¢ &/~.-4r]YJ}, .! ~,~,~;~.q ....... '.. Address ~.k]. t~..~,~..,P'/ff._~,,~,~... Phone No ................ Name of Contractor C~ ~,r,/e.,,..J~.-r t~'//. ...........Address ~.~'./~/.: k~.r;.,~.~,~. Phone No. PLOT DIAGRAM Locate Clearly and distinctly ali bnildings, whether existing or proposed, and, indicate a/1 set-back dimensions from roperty lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether ~terior or corner lot. rATE OF N_E~'~RK,., . ~' : S S (NaMe of indh/dual sig~ing con tract) >ove named. , being duly sworn, deposes and says that he is the applicant e is the ....................... . .,,,,,,-vZ'T....... ~ .................................................... ~' said owner or owners, m~d iKdul[ a~form or have performed the said work and to make and file this ?phcatmn? that all statements 'contained mttus apphcat~on are true to the best of his knowledge and belief; and that the · ork will be performed in the manner set forth h~ the application filed tl:erewith. worn to before me this