The URL can be used to link to this page

Home My WebLink About12938-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building .... .OB.e.. ~'~RJ, ~ y, .v.e. ~ .5_.d.e.q 9 .e .................... Location of Property ~/~s~ ~/i 6 6 0 I~ e e v e I~ o a d iq a % ~; i % u c k .' ...................... 'S't/e~i ....................... Coonty Tax Map No. 1000 Section . ! .0.0. ....... Block .., .3 ........... Lot ., .~ .5...8. .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substautially to the Application for Building Permit heretofore filed in this office dated ....... .D.e.c. :. .2 ........ 198..3. pursuant to which Building Permit No, .3.2.9.3..g.Z .............. dated ....... l.q.a.v.q I~..1.9. ...........19.8..~, 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.n.e., C.a.m.i. % y..d.~e.~..~.t.n.~: .................................................. The certificate is issued to D. EMETRIOS GEORGIANIS ................. ?oU,'o;, 'x'x i ' · · of the aforesaid building. Suffolk County Department of Health Approval . 3. .3 .-.S.0. ~ ¢ 3.6...~ p.v.5.~... 3 fi. ~,. J ~.8.5. ........... UNDERWRITERS CERTIFICATE NO ......... tt ~1 ~3.6 9 ? 5... l~ o.v.... 8 ,..%g ~ .~ ............... Rev. 1/81 Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PEPJ~IT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1~938 Z Dote ....... Permission is hereby granted to: /q ~ ~o-~;~:~ ~,~,. .... ~.~.,...~...~ ...... ~ ....... ; .......... .;: ......... ., ..... ~ . · ........ ............... at premises located at ...i..,cJ.~..Q,..~..~--'~-~..Q'~.,''~'''''~'' ............ '~"'~'~""~"?"' ............................ ~ ,,-~,~ .~.~..~...~...~. ...................................................................... County Tax Map No. 1000 Section ..... ../..,~.,? ........ Block ......... .~ ......... Lot No ...... ]...~.~..:.-..~.. ..... ~-.C.~.!L /~- 19.~.~.., approved ~y the pursuant to application doted ...... ,~ ....................................... , and Building Inspector. Building Inspector Rev. 6/30/80 FIELD ~NSPE~TION COMMENTS FOUNDATION (~st) FOUNDATION 2. ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY QOD FINAL ~r ADDITIONAL COMMENTS: BUILDING DEPT, INSPECTION [ ] FOUNDATION XST [ ] ROUGH pLBG. ' [ ] OUNDATION 2ND I LATIN [ ] FRAMING [ ] FINAL REMARKS: - FORM NO. 6 TOWN OF SOUTHOLD 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 in duplicate 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-iS-9 form or equal). i~ ~z~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: For existing buildings (prior to April 19§7), Non-conforming uses, or buildings and "pre.existing" land uses: 1. Accurate survey of p~"operty showing all property lines, streets, buildings and unusual naturat 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacan~ Land C.O. $5.00 $15.00 Date .... Z. :-//.. New Building Old or Pre-existing Building Vacant Land Location of Property ................................. ~ ............ House No, Street Hem/et Owneror Owners of Prope~y ............................... ,. .. . . . Co tyT xMapNo 1000S ~.~--{~.~ Block Lot un a ecton ....... .,. ,...,.,,~,.. ~ ............. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. [.'~.?~,,~,.. Date of Permit .......... Applicant 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~m_eets~tt~plicable codes and regulations. Applicant~ ............. 1~0~ ~'oo 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved a/c ............................................................................................ Application No ................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTP, UCTIONS a. This application must be completely filled in by typewriter oe 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 m areas, and giving o detailed description of layout ofproperty must be drown on the diagram which is part of this application. 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 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 O~cupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Deportment for the issuance of o 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, os 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) · 7"~ (Addre~'; of applicant) ' ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...7~J~):~4t~.~.IZ)~ ........... !.~..~1. ...................................................................... If applicant is a corporate, signature of duly authorized officer. ........ (Name and title of corporate officer) Builder's License No ........ ..~.....~....~.9......~....../~....?..i ......... Plumber's License No .... ..~.....~..~...~......~.. ..................... Electrician's License No...~..~.~.~·.~..~.......~.. ....... 1. Location of land on which proposed work will be done. Map No.: Lot No .... ..........~ Street and Number ---- .. ,..u Mumcipality 2. State existing use and occupancy of premises and in~,ended use and occupon~cy of proposed construction: a. Exisiting use and occupancy ........ ..~.~.~ ..................... - ...................................................... 3. Nature of work (check which applicable): New Buildir~g................... '~ Addition .................. Alteration ................. Repair .................. Removal .~ ................ Demolition .................... Other Work ................................................ (Description) 4. [;stimated Cost ........... /~....~......~ .................................. Fee .......................................................................................... ~ (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ........ ~.. ............... Number of dwelling units on each floor ..... ,..~.,. ................ If garage, number of cars ....... 6. If business, commercial or m/xed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................Depth .................... J Height ........................ Numbdr of Stories ................................................................................................................. Dimensions of same structure w th alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................Number of Stories ................................ ' ' . ....... ~. ~. ~...,..~'... .......... Rear ..... ~.~..~. '~.. ..... Depth ...... . .~....-;~...: ..... 8. Dimensions of er)tire new construchon: Front 15' Height .................... Number of Storms ........ ~ ............................................... 7' ............................................ 9. Size of lot: Front ../..'~..~..O.~. .................................... Rear ....... ~....?..~..~...~.~.... Depth ...~..~.~,~..Q .......... 10. Date of Purchase ................... i ..................................... Name of Former Owner ........................................................ J 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction vid ate any zoning law, ordinance or regulation: ..~C~D..O. .......................................... 13. Will lot be regraded ....~.....,: ............ Will excess fill be removed from premises: ( ) Yes ( ) No ,4. Name of Owner of premises ~~~, Address :.. Phone No. ~.~.~....~?..~ liO~vo -- Name. of Architect ..............................................................Address ................................Phone No ....................... Nome of Contractor%~'.~..~.....Cd..l~J0~)..~t~!~'t..P~ ..... Address ~J~.q~... ...... Phone PLOT D~AGRAM Locate clearly and distinctly al: buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and blc:k number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................................ ........................................................ ~ ........................................ being duly sworn, deposes and says that he is the eppiicont (Name of individual '' ' s,~n,ng contract~) above named. He is the ....................................... ~ ......................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dgfy authorized to perform or have performed the said work and to make and file this application; that all statements canto ned in th s app cation are true to the'best of his knowledge and belief; and thru' the work will be performed in the manner set forth in the applicetion filed therewith. Sworn to before me this ." ,-. ~ (Signature of applicant) ~OI'^Ry r UBt lC, ~tate ~)f New York ~JFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY HEALTH DEPARTMENT-OATA FOR APPROVAL TO CONSTRUE T # ~ LOC~TION OF WELE(W)~SEPTIC TANK(ST) B CESSPOOLS(CP) sHOWN HEREON ARE FROM FIELD O~SERVATIONS AND OR DATA OBTAIHED FROM OTHERS fDY [~OST [0494 SURVEY FOR DEMETRIOS GEORGIANIS LOT 8, "MAP OF~SEA-AIRE ESTATES" AT MATTITUCK TOWN OF SOUTHOLD~'''~' ~'~ SUFFOLK COUNTY, NEW YORK N UH&UTHOR1z ED ALTERATION OR AODITION TO THIS SURVEY I$ A VIOLATION- OF SECTION 7209 OF THE HEW YORK STATE EOUCATION LAW 'HCOPIES OF THIS SURVET NOT BEARING THE LAND SURVE~OR'S INKED SEAL~OREMBO$SEO SEAL-SHALL NOT BE'CoNSIDERED TO,~E. A VALIO TRUE COPY NGUARa:NTEES INDICATEDiHEREON SHALL RUN ONLY TO THE I~R$ON FOR WHOM THE SURVEY IS PREPARED AND I~N, HIS BEHALF TO THE TITLE COMPANY, GOVERN- MENTAL AGENCY AND LENJDIING INSTITUTION LISTED HEREOH~ AN~) TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRanSFERABLE TO ADD!TIONAL INSTITUTIONS OR SUBSEQUENT OWNERS NDISTANCF~S SHOWN H~I~EON FROM PROPERTY LINES TOEXIGTING STI~UCTORES ARE FOR A SPECIFIC PuRFiOSE AND ARE MOT ~'O BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES NOV. 21,1983 DATE: MAR. 19,1980 SCALE: 1"=40' NO. 80-157 GUARANTEED TO: USLIFE TITLE INSURANCE COMPANY OF NEW YORK (TITLE NO. 80-SE-29REI) YOUNG YOUNG ALDi~N W, YOU~IG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y-S. UCENSE NO. ~2845 How .o W. YOU.G, LAND SU.VEYO. N,Y.~, LICENSE N0.45895 YORK Lot ~ ~'~ \~ Lot 7 , sEA' AIRE LANE ~ief of 6ene~l En~ineerinB Services HEALTH DEPA~TMENT-OATA FOR ~PP~OWL TO C~STRUC T ~ NEAREST WATE. mAN MI. _ ~ SOURCE ~ WATER. ~I~TE ~PUBLIC __ ~ S~F CO. TAX MAP ~TI~O SECTION lq~ CLOCK ~ LOT IS*e ~m[~ ARE ~ O~CUmS W~T,~, ~00 r[gm OF T,IS PROP[Rr~ OTHER THAN THOSE SHOWN HEREON. WlLLC~FORM TO THE STAN~ROS OF THE SUFF~K COUNTY OEPARTMENT OF HEALTH S~VlCES, ADDRESS TEL i=CONCRETE MONUMENT SUBDIVISION MAPFILEDINTHEOFFICE OFTNE CLERKOFSUFFOLK COUNTY ON FES, 5,19T9 AS FILE N~6780. M THE LOCATION OF WELL(W),SEPTIC TAHK(ST)e CESSPOOLS(CP) SHOWN HEREON ARE FROM FIELO OESERVATIONS AND OR DATA ORTAINED FROM OTHERS TOY POST E0494 SURVEY ~R DEMETRIOS GEORGIANIS LOT 8, "MAP OF: SEA-AIRE ESTATES" AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTYt NEW YORK #UN~UTNO~R Z[O ALTERATION OR AOOIT[ON TO 1~llS SURVEY I$ A VIOLATION OF SECTION 7EO~OF THE GUARANTEED TO: USLIFE TITLE INSURANCE COI~PANY OF NEW YORN (TITLE NO. 80-5E"29821) YOUNG a YOUNG ALDEN W, YOUNG, PROFESSIONAL ENGINEER AND~LANO SURVEYOR NY-S. UCENSE NO. 12845 HOWARD W. YOUNG~ LAND SURVEYOR N.Y S. LICENSE N0.4589~ AVENUE RI JEW YORK DATE: SCALE= 1'=40' NO. 80- 157 DEC. 7, 1984 NOV. 2 I, 1985 MAR. 19, 1980