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Home My WebLink About16201-zFORI~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPAi{TMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17156 Date AUGUST 3~ 1988 THIS CERTIFIES that the building. ONE-FAMILY DWELLING Location of Property 68755 NORTH ROAD GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 33 Block 5 Lot 14 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 1, 1987 pursuant to which Building Permit No. 16201Z dated JULY 10, 1987 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 ONE-FAMILY DWELLING WITH TWO DECKS. The certificate is issued to E. PAPPAS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED s7-so-71 7/5/88 N014239 GEORGE MARTINEZ~ INC. 6/20/88 Building Inspector Rev. 1/81 ~0~ NO. ~ TOWN O~ $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEI'ION OF THE WORK AUTHORIZED) N~ 16201 z Permission is hereby granted to: ~,,..,.,.~o '~m.~. ~.k~. '"': ~: ...... 4""'g'o'"'~i"'""t~ .......... ...l.......-1......,~....O_~.~....~..: ............. ~.~.~,.~...~.~.,.....L[...q..q..~ ........ ,o ~m.~.....m,...~;&,..'~~...~.~~.. at premises I~ated at ........ .~.x.~..x~ ............ ~r~.~lee~ ..................... .... ~_~.....~,......~...~ .............................................................................................................. .., co,,~ r,~ uop No. ~ooo s,~,o. ...~ ...... ~k ...... g~ ..... Lot No ..... L.~ .............. Building Inspector. Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I~ 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 Rnnr~ RANDAZZO BUILDING CO., INC. 127 SWAN LAKE DRIVE Mattituck, NY 11952 ~ ,'OOh~.:;q"' I:O81'hO?q;'8': .' O ;, q, .,, q, 5SqO ..... VacaWt L~ Location of ProperW ...... ~ ~ ~ .~ ~ Hou~ No. Street co,,ty~,x~,, ~o. ~ooos,c,~o, .... 0.5~ ..... ,~o,~ .K ............ ~o,.~ ............ Subdivision ................................. Filed Map N~ .......... Lot No, . / ........... ,,,~,, ~,~,. ~,~,o~a~ .... %q..~O.'.~.( ....... ~,~o, ~,~t. ~,~,ov,, ...................... . . Unde~riters Approval ............... Planning Boar royal ...................... Request for qemporary Certificate ..................... Mimal Certificate ,, o ....................... FeeSubm tie .. ~ ........ ........... Construction on.above described building and pe~rmit rpe~ts all,applicable codes and regulations. Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. t~0~ Owner ~, ~¢ (please print) Plumber 0 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ day of Notary Public, County Notary Public ANN HERllA Notary Public, State of New No. 52-6861500, Suffolk Ceun~ Term Expires Merch 30, ~9 ~ UNDATION (1st) UNDATION ( 2nd ) UGH FRAME / PLUMBING SULATION PER N. ¥. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTtIOLD, N.Y. 11971 TEL. 765-1E02 To Whom 'rhzs May concern, We are unable to complete your Certificate of Occupancy because .of the fol,~owing reasons. /~ An application for Certificate of Occupancy is not on file. /--/ No Underwriters Certificate on file. /~ The check is(outdated/~.)~5/O~ /5~ No Health Dept. Approval on file. /-~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit II ~ ~ ,.~ ~ .,!, Z Building D~pt, k3~ ~ ***/_~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION ZND [ ] INSULATION ] FRAMING [/~"i~NAL 765-~L802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~/ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION xST i- ] ROUGH PLBG~ [ J FOUNDATION [/FRAMING 2ND [ ] INSULATION [ ] FINAL DATE _l/~ j''" / ~y '~ INSPECTOR · / / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 7§5-1802 Examined . }. 0 .... , 19~.~. Approved ~.0.. 19~..'{. ~. ~o~1 ::~ · . .., Permit No ............ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLANS SURVEY .... .~.~. . C EC}: d3.q/.°?. SEPTIC FORM . 0:.~J MA~ XTQ: Date.. 5!/! ............ ,19 .e~. INSTRUCTIONS a. This 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 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 pumuant 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, housin~ode, and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r necessary inspecti°ns'_[J~ !~ (Signature of applicant, or name., il' a co~poration) M.. (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineerk.~_____al cent lectrician, plumber or builder. (as on the tax roll or latest deed) If applican.t i[,a corp/5¥tion, signature of duly authorized officer. (Name and t'ffie of 4orporate~fficer) '. ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License N6 ............... Plumber's License NeC. Electrician's License No. P-50~.~ .~"0~.. ~.O.~. Other Trade's License No .............. . ........ I. Location of land on which proposed work will be done ~ ~r....~t./.~.. f"]7.~. ................... ... .,: ......... ........ ................... House Nmnber Street Hamlet County Tax Map No. 1000 Section ... 0.5.'5 .......... Block ...~..~.. I¢ ...... Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupanc¥.0(proposed construction: a. Existing use and occupancy ........ ~¢~..~..~'f..?-- ........... ...................................... b. Intended use and occupancy ........................ , ..... ...................... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition i Alteration Repair .............. Removal .............. Demolition .......... ~. Other Work ............... 4. Estimated Cost t .......... .0 ...... Fee. /.~.?.'. ........................ ' (to be pa~id on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .. 0. ......................................... 4 .......................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typelof use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ~ ..... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front i Rear Depth ...................... Height ...... '~ · .~ ........... Number of S!ories ......... t£:~' t ......... 8. Dimensions of~m~tire new construction: Front ...t.~0 .... ~ ..... Rear . .~.~... i ..... Depth . .~tTtg ........... Height ...o~,~ ....... Number of Stories.....~...r~. .......... ,~ . S~zeoflot:Front..~t,~,.~ ............... Rear .... .~q.~ .......... i'Diepth i~t~[i~iiiiiiiiiill ... Date of Purchase Name of Former Owner Zone or use district in which premises are situated .......................... ~ .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..ldoi .......................... 13. Will lot be regraded . ,~..~ ....................... Will excess fill be removed from premises: Yes 14. Name of Owner of p. rerflises ................... Address ................... i... PhoncNo ....... ~ ..... Name of Architect ~g,~..F_.~. , .'-~.~0 bLT'.(d~.t~L ...... Address/~tkgt/A~(~..~-. .~q~/~fl/~hone No. 7~_r]:.r~.[! ...... Name of Contractor~l}/b!~2.o. ~., .~...wide... Address/S.7.~/~'/f./d~.Ot~. ~~ No. qT.~ 63l. . ..... 15. Is this property located within 300 feet of a tidal wetland? *yes . .... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~indi:ate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show ~treet names and indicate whether nterior or corner lot. iTATE OF NEW YORK, S.S 'ou Y oF (Name of individual signing contract) ,'tbove named. being duly· sw~orn,~ depos?s: and says that he is the applicant te is the ...................tnt, corporate officer,' etc.) I' )f said owner or owners/and is duly authonz~erform or have performed the sa~d work and to make and file this. pplication; that all statemenB contained' in this application are .true to the best of his knowledge and belief; and that the york will be performed in'the manner set forth in the application filed therewith. J ;worn to before me this' ~ ................ /..., .... day of .......... ,' ~otaryPubl/~'.~.4. ~..~: ..... .~ .... County ! ~,~ ,~ ........ [/. i ................. NOTARY PUBLIC, State o! New york~ i (Signature of applicant) No. 4707878 Suffolk Count~*:r-,/ Term Exp res Mat~ 30,19-O-4 i '~0