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Home My WebLink About11184-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10741 No .................. Date ...... q9 .t 9.h.e.V..2.6. ............... 19 .~..~ THIS CERTIFIES that the building ................................................ 1400 Sound Road, Greenpot't, New York Location of Property ..... ; ......................................................... House rye. Street Hamlet County Tax Map No. 1000 Section 33 . .Block 6 .Lot 83 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 1 3 19 81 pursuant to which Building Permit No. .111.8.~ g dated Jun e 13 19 81 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 ......... Private One-Family Dwelling The certificate is issued to William Tsigakos ..................... ?o¥.'e x .................... of the aforesaid building. Suffolk County Department of Health Approval ..... J.1.-.S. 9.-p2 ~...9./.1.5../.8.1..R..o.b.o.~. ~.. 3.... Villa... UNDERWRITERS CERTIFICATE NO. N 53990 ? Building Inspector Rev. 1/81 FOF,~I NO, ~ TOWN OF' SDUTHOLD TOWN HALL SOUTHOLD, N~ Y. ~ BUILDING PERA41T' (THIS PERMIT MUST BE KEPT ON ]'HE PREMIS(:~S UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) N? 11184 Z Permission is hereby granted to: ....... ~.o..:. ~.~....~ Z ~'~ ~o ....... ~. ....... .~. ...................................................................... .~ .............. ~ .............................. at premises located at ........................................................... ,,,~. ........ ........................................................................ ~.~.~.~ ........... ~ ........................................ pursuant to application ~dated ................................................ .~.,.., 19 , and Building Inspector, approved by the 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ m..--.~ 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: ' 1. Accurate survey of p~-~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 4~-~ .~opy of certificate of occupancy $1.00 $15.00 4.Vacant Land/ C.O. $5.00 .~.~.. ..... ~..~.~... Date ..... ~ .--L~.' ~ .~' / New Building ..... ~ ...... Old or Pre-ex st ng Bud ng ... Vacant Land . Location of Property ...... ~'~'....~ ..... .~.~?.~...~., .... .~.-~~.~:J. '.~. ................ House No, ~ ~treet .~ Ham/et Owner or Owners of Property .~..c.~.~. ~ .0~/.~.~,~... County Tax Map No. 1000 Section ...... .-~... :~. .... Bock ..... ~ ........ Lot ...... .~. ,"~.. .... Subdivision ................................. Filed Map No ........... Lot No ...... ~ ........ Permit No. \\\~-~-~ Date of Permit App cant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . ~ ................... Peesubm,tted . ....... Construction on above described building andpe~t meets all applicable codes and regulations. // V "f ............... FORM NO, 6 TOWN OF'SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This apphcat~on must be filled m typewriter OR ink, and submitted in duplicate to the Building Inspec- to~ w~th the following, for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natoral or topographic features 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical ~nstallation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a cert~bcate of Code compliance from the Architect or Engineer responsible for the building, 5. Submit Planning Board approval of completed s~te plan requirements where applicable. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of p~operty 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 housin§ code or safety inspection of buddings or premises, or other pertinent informa- tion requtred to prepale a certificate, 1. Certificate of OCCLipancy $5.00 2. Co~ tlflcate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date October 15~ 1981 New Budding . . .N.,?. ..... Old or Pre-exmting Building ............ Vacant Land ............. Location of Property .!4.qq ?p.r.k.. LL .4.4 ...................... Hou,~e No, Street Ham/et Owner or Owners of Property . ,W.i.l,l.i.a.m, .%s.i,g.a.k.o,a ........................................... County Tax Map No. 1000 Section . . . ,3,3 .......... Block 4 Lot 83 Subdw~slon ...]).e.sF.r.i.be.d..P.rp.p.e.r.t.y ............ Fded Map No ........... Lot No .............. Permit No..1,1.7k8.4 . .~. Date of Permit .5/.1.3/.8.~...Applicant .1~%j~.4 ............................. Health Dep~ Approval ....................... Labor Dept. Approval ........................ Underwr tersApprova ......... Planning BoardApprova, ..~/ .... ....... ~.: Reauest for Temnorarv Gert f cate , F -- r-~.. ~ ^..~ ¢ h ~ FeeSubmlttedS.??. ......................... ,, ,. ,'~ ¢' Construction on above described building and permit meets all applicable codes and regulation~.~' ~,/ ~ '~ CE~ TITLE Fex:9146855265 9,2~, THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY THIS CERTIFIES THAT only the electr~al equipr~ent ~ described be[~ end introduced by the applicant ~med on the ab~e application nutaber in the pretnis~g of w,s ex,mined on O&:'~a~2 J 9 ~ .[98t and found to be in compliance with the requirements of this Board. EIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DIMMERS DRYERS SYSTEMS NO OF FEET E R V I E OTHE APP ATUS' ~,&:~,~ ~,,~t,e~l.~,~.~', ~o, 6-4.% ~-t,o, 3~.~ 2-S~1~ Detecto-cs 11 ~ Th,s certificate must not be altered ,n any manner; return to the office of the 8oard if incorrect Inspectors may be ,dentlf,ed ~y FORM NO 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ............................... · ./.~'..~... ~Z....,(-(,q/./,v..~..-'-7.: ....... PLEASE TAKE NOTICE that your application dated . .(~..~.~./-~.~-..~('. (-~... (.~.~. .... , 19.?./.. for ~i~~' .... ~ ~.. ~<~ <~/.~~ < (~' ~. ~.~.~' ..... at Location of Property . f. ~.~.q..~?... ~ ................ ~~?~/:~ House No. Street f ~ Hamlet County Tax Map No 1000 Section ~ ~ Block ~ t~* ~'~ Sub&vismn ....... .-77- ........ Filed Map No ........ "--7. ....... Lot No. ~ ....... is returned herewith and disapproved on the following grounds,.., ,,..'/~,~'d~[/,~.~,~.... ,..-~,..-.... ~.~,~-,:>' .,:.:.,. c/~ ~o.z.. ~-~..:./~:,. ~-v~...= ..... Building Inspector RV 1/80 ~0 ~.~ C"~ ~ TOWN OF SOUTHOLD BUILDIN~ D£P~RT~ENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............... .~:~.....~.?., 19...~~ ~ ~proved .............. ::/ .................. ,-- Permit No./.--...~......... ....... ................. ............................................... ......................................................................... ~ ............ ~ ........................ .~ (Building Insp~tor) Application No. //I ~n/ ~- - APPLICATION FOR BUILDING PERMIT ate ................ ................ , INSTRUCTIONS a. This application must be completely filled in by typewriter o~ 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 prermses or public streets o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this apphcation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will ~ssue o 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. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. built, er Name of owner of premises .....~.t.~,.~#.~...~a~g~g.lF, g.~ .............................................................................................................. if opplicant~.Lr~c~rporate, signature of duly authorized officer. "~"~'~ ~"~ %~"t~'l;";~' ';'~;~;~'t;" ;~fi~er) ....... Builder's Lic~se No ..................................................... Plumber's License No .... ~-~ ................................... Electrician's License No..~3~,, ................................. Other Trade's License No ............................................... Deccribed Location of land on which proposed work will be done. Mop No..~,et~e.~.~.~ ...................... Lot No ......................... ,/~Sound ~,(! ~,325,7~~ ~10 ~atn I/d . greenbelt Street and Numbe~ ................................................................................................................................................ t/~/~)~) Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy ...Y..a.?..a..tt..t....lz..a..~.(1. ...................................................................................................... b. Intended use and occupancy ..... Olte..~a~]~...cl~ei~.tl0~ .................................................................................... 3 Nature o4 work (check which Opplicable). New Building....~. ........... Addition ................. A~teration Repair .................. Removal .; ............... Demo~itiar, ................... Other Work ~ _.~ (Descripbon) 4 Estimated Cost ............................................................ Fee ................................. ~ .......................................... (to be poM on filing this apphcation) 5. If dwelling, number of dwelling units ....... .4 ................... Number of dwelling units on each floor .~. p..~...~...,~....~.~.,.~l, If gardge, number of cars ........i ....... ~ ..................................................................................................................... 6, If business, commercial or mixed occupancy, specify nature and extent of each type of use ......................... 7. Dimensions of ex~stmg structures, ff any: Front ............................ Rear ................................ Depth ................... Height ........................ Number of Stories ................................................................................................................ D~mensions of some structure with alterations or additions: Front ....................................Rear ....................... Depth ................................ H~ight ............................ Number of Stories ................................ .......... ~.~ .............. Depth ., 8 Du'ne~sions of entire new construcbon: Front ........... ~[~ ................... Rear ' ..... ~.~. .......... l-leight .......... ~.~ ..... Number ~f Stories ......... ~ ................................................................................. , .................... ............. I,~.(~ ..................................... Rear ....... ~,0~l!. ........................... Depth .....&&~.~ .............. 9 Size of lot: Front 10. Date of Purchase ....... ?~.t.~,??. . . Nome of Former Owner 11. Zone or use district in which premises ore situated .................................................................................................... 12 Does proposed construction violate any zoning Iow, ordinance or regulalion: ....... ~ ............................................. 13. Will lot be regraded ...,~.~ ......i ........... Will excess fill be removed from premises: (~¢) Yes ~ No _13D Al~,wick.~l~tl l& F~ome of Owner of premises ............... Address t~l~,~f~)Cn~,..,t~. ....... Phone No ....................... Name of Architect ..:;~B.,~;~'.ct'..~.~u~C~,~.~.k~, ....................... Address ~o..¢¢_~[~t~1.... Phone No..~f2~,.3395 ..... Nome of Contractor ~,4~.~.~'~.t~..H~$.~...[l~ ................... Address ~..~.&~..l~'l~none No....:~'~$~95... PLOT DIAGRAM Locate clearly and distinctly oil,buildings, whether existing or proposed, and indicate all set-bock dimensions from property hnes, Gwe street and block number or description according to deed, and show street names and indicate whether interior or comer lot SEE A*]~A(31KD SURVEYS ,CTA"I'~ OF NEW YORK, I ~ S ..................................... R~l~d..~lnd~k.~ .................... being duly sworn, deposes and says that he ~s the opplicom (Name of individual sigfiing controcf) above named. Fie is the ........ ~,~.~.~,~...l;~..b.~t~,X~..~t.~c,,~..~m~mr..Z~ ........................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to p~rform or have performed the said work and to make and f~le this application; that ali stoternent~ contained in this application ore true to the best of his knowledge and belief; and ~ha~ the work will be performed manner set forth in the application filed therewith. Sworn to before /~ \ Notary (Signature of applicant) NOW OR FORMERLY TIME STRUCTURES INC. VACANT DATUM APPROXI MATE LOT AREA 14.110 S(~ F1 WATER mAIN IN STREET TAX MAP DISTRICT 1000 SECTION 33 BLOCK 4 LOT 8 3 S 27° 33'20#E. :322) stk i~27'31 '20'W. lOO,O0 set st k: t~ ~t 0 30.1) 1OO. OO TEST tSORIN G ( by others ) 1325.79 sand g rave I EXCAVATION INSPECTION REQUIRED (32 O) SOUND ROAD (3o.o) SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOR APPROVAL OF CONST. ONLY DATE } ~ -~ H.S. REF. NO.. APPROVED BY NOTE' TEST BORING BY OTHERS NOT GUARANTEED, THE WATER SUPPLY e SEWAGE DISPOSAL FOR THIS RESIDENt;CE WILL CONFORM TO THE STAND- ARDS OF THE SUFFOLK cOUNT,Y SERVICES, GUARANTEED ONLY TO WILLIAM T$1GAKOS & PETER 13,ROUNTZ AS ADDRESS P. O. Box 274 P, lverheod, New York 1190,. NO'. TELEPHONE ? ~' 7-- ~ ;~<:~'~ ~ILE NO, 404 F W~LIAM 7SIGAKOS; PETER E~ROUNTZAS, SITUATED AT OREE~PORT TOWN Of $OUTHOLD~SUFFOLK COUNTY N Y SCALE 1" = 30' DATE 4- 30- 1981 FILED MAP NO. DATE BOOK ~NO: ~4~ PAGE 59 :HAROLD F.~TRANCHON JR. P.C. LANiD SURVEYOR SU~ESSOR T'O WILLIAM G. MEIER ,/] .r~ NORTH' COUNTR~ ROAD-WADING RIVER ~ N Y LIC NO 048992 ; HAROLD F. TRANCHON JR. P~N LiC ~'0 21115E J ~ (516) 9,29-4695 ALT. 473-3626 .... DATUM A PpRo× I--~'~:, ' ~ LOT AREA 14,110 SQ FT WATER MAIN IN STREET NOW OR FORMERLY TIME STRUCTURE:5 INC. TAX MAP DISTRICT 1000 SECTION 33 VACANT BLOCK 4 LOT 83 s~t S.27°33'20~E 100,00 s~t ........... ~ .~ ., S~ k. stk (-32~4) ~nd~i~g W~' fenc~ (3~0] ~ j ~ TEST ~ORIN G 0 ( by others ) ~ ~7. o z U o J o 0 sa d 0 0 J ~ ' o g rave [ ~2) I (30.1)I 1325.79 stk ~27'31 '20*W 100 O0 ~n (32.o) SOUND ROAD (3o.o) NOTE' TEST BORING BY OTHERS NOT GUARANTEED, ~AY, t~, 19~1 ~OP. DWELL. SUFFOLK COUNTY DEPT. OF THE WATER SUPPLY & SEWAGE NAME HEALTH SERVICES FOR DISPOSAL FOR THIS RESIDENCE APPROVAL OF CONST. ONLY WILL CONFOR~ TO THE STAND- ADDRESS DATE ARDS OF THE SUFFOLK COUNT~ H,S. REF. NO. DEPT. OF HEALTH SERVICES APPROVED BY , ~ELEPHONE ~E OFFSETS (OR D[MENSIO"~ ~UA.~EES ~ICATED "EMCON JOB NO. 81- 139 FILE NO. 404 F ~.,~s ~E FO~ ~ S~EC,~m ~U~- P~E~. ~.~ ON mS e~LF m SURVEYED ~OR WI~IA~ ~I~AKOS · ~TER ~OUNTZA~ v~ot~to, 0~ ~c~o~ ~ o~ coP~Sn~m~OF~.~mmtn,~su.v~vs,.v~¥o,.s~P ~0~ TOWN OF SOUTHOLD- SUFFOLK COUNTY N Y ~w S,~L ~OT eE CO"S~O~R~TO e~ SCALE 1" = 30' DATE 4- 30- 1981 GUARANTEED ONLY TO FILED MAP':NO, DATE WILLIAM TSIGAKOS ~ PETER ~ROUNTZAS BOOK'NO. 86 PAGE 59 HAROLD F, TRAN~HON JR. P.(. LAND SURVEYOR / N.Y LIC. NO, 048992 (516)~ 929-4~95 ALT 473-3626 ~HA~OLD F, TEANCHON JR, PEN~ ~}C. NO, 21115-E ,: ~ ~, ~. .... datUM APPROXI MAtE LOT AREA 14.110 ~ WATER MAIN IN STREE] NOW or FORMERLY TIME STRUCTURES INC. TAX MAP dISTRICT 1OOO SECTION 33 VACANT BLOCK 4 LOT 83 S~t~, S.27'33'20"E 100.00 s t · "('32~) ."m~nd'&riffg v~ooct' fence ' ' (3~0) ~ ~ ~ TEST ~ORING ~ ~o~ 0 ( by others ) 0 Oi ~i ~ graw[ (~) (901) 1325.79 (3za)~ SOUND ROAD , ' N,~ InSpected b'~ ~hl~ [NOTE: TEST ~ORIN6 ~Y OTHERS NOT gUARANTEED, may I~, I~l FRpP. p~ELL. SUFFOLK COUNTY bEPT. OF THE WATER SUPPL~ & SEWAge NAME HEALTH SERVICES FOR DISPOSAL FOR THIS RESIDENCE APPROVAL OF CONST. ONLY WILL CONFORM TO THE STAND- ~DDRESS DATE , . ARDS OF THE SUFFOLK COUNTX H.S. REF, NO, DEPT. OF HEALTH SERVICES. APPROVED BY TELEPHONE HE OFFSEl~ (0" DIMENS ) ............ "" THE PEriOD [ JOB NO. SI - 139 FILE NO. 404 F uses ~R~ FOR A S,~C,?c .u.- ~E~',T~O~ 'OV["'~'" I~ SURVEYED FOR W~IAM ~reAgOS , PETER ~OUNTZAS BI SCALE I _ 30 DATE 4 30 1981 _.'.;..~- ~.,,r~'.~ ' ' ' ' F LED MAP NO DATE ~u a ~a ~J~:,~ ,U~L ~u ~1 W[LLtA~ ~tGAEOS ~ PET~ ~ROUNTZAS [;~OOK,,N~.,~ . - - ~ / :'HAROLD F~ ' 1' , sU.w o. / ~ ~ ~ ~ ~ [ NO~T~ COUNTR~ ROAD - WADING RIVER ff~"~~ ~ ' li ~' ~ ~ N~ YORK 11792