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Home My WebLink About16214-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16001 Date July 28, 1987 THIS CERTIFIES that the building . .A. 9 .c.e.s.s. 9 .ry .................................... Local fPro 2155 Greenway Road East, Orient t on o perryt~ouse" ......................................................... ~1o, Street k$/~ie;: County Tax Map No. 1000 Section ! .5 .......... Block ! .Lot 8 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...~u~Ly..6.,. 987. .... pursuant to which Building Permit No. . .I.6.2. ! .4.Z ............. dated Ju 1 y 1 2, 1 9 8 7 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 ......... Accessory shed as applied for. The certificate is issued to VASILIOS AND ANASTASIA TSISINOS ..................... ?o¥,,'o;, × .................... of the aforesaid building. Suffolk County Department of Health Approval N / A N/A. UNDERWRITERS CERTIFICATE NO ............................................... PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 I~OB~ NO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 16214 Z Permission is hereby granted to: ..~.a...-:~..~. ........ ~ ............. .~..~.:,~...,....L!..?..~.~. ........... ,.,,--~ at premises located at ..........~...~.. ...... .2 ................ County Tax Map No. 1000 Section .... ..~....~..,.~. ....... Block ...... ,,~,...! ......... Lot No...~...~ ................ Building Inspector. and approved by the Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 ? JUL t -I !! TOWN OF SOUI'HOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 survev 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 property 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: Additions $25.00 1. Certificate of occupancy New Dwelling. S25.00, Accessory,~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 Updated C. O, $ 50.00 Date .~.,~JL~...~?..,. ] .~.~. ~ ........ 5. NewCOnstpuction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .?.!~.. House No. Street Hamlet Owner or Owners of Property ,'~.~ .S. '. ! 1.0, ? .... ~ ?J. S ~,¥ .~ ~?i?.....~. ,~?..~./..A~. ,0.~.' ............... County Tax Map No. 1000 Section . .O.k~. ........ Block ...O.. 1 ......... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. Date of Permit :7/.'. /.ZATpp,icant Health Dept. Approval ........................ Labor Dept, Approval ...................... o · Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant. ~:..-~, .~ ......................... Rev. 10-10-78 Pex.. 731 UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~FINAL REMARKS: DATE ,~~7 INSPECTOR WHOLESALE o RETAIL OPEN 7 DAYS o storage · game room e boat house · cabana ~ play house ~ workshop ~ utility e fire wood Delivery is FREE* 765-3090 Finest Quality e Custom Built e Discount Structures :'i":'!'~, ~ i'OllK WOOD DESIGN h~\ULS LANE l"~'~',ONlg, N.Y. 11958 f!~ tO) 765-3090 ALL THE RIGHT 'REPONS FOR PURCHASING A NORTH FOr~ WOOD D~IGN STO~AGE SHED Customized designing to your specifications Completely constructed and assembled Ready for immediate use No middle man- all work done at our shop Many styles available - all sizes All wood construction - stronger, longer life Fully painted and trimmed Cabot stain paints, exclusively - choice of colors Foundation is 4X4 pressure treated timbers Floor: 5/8 or 1/2 inch.~ exterior ply, Floor joist 16" on center Maintenance free 5/8" exterior grade texture T 1-11 sidin Aluminum jalousie window or wood window Screened vent Reinforced and framed double swin Heavy gauge galvanized hinges and door Roof trusses 2X6 and 2X4 double gussetted for maximum strength Maximun head room 5/8 Exterior grade plywood roof Self-sealing 240 lb asphalt shingles All wood corner molding Weather tight Immediate delivery from inventory. 3 to 4 weeks on custom "OUR" BARN Free delivery within 20 miles. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1802 h Examined '~'~ql j''~ .... ' Approved..~.~ l..'~. .... 19~]. Permit No]./~.~./.~.~. Disapproved a/c .................................. BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY ......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL --' ¢ ..... MAIL TO: (Building In§pec~or) APPLICATION FOR B,UILDING PERMIT Date .~ .... 1997 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 acc~)rding to schedule. b. Plot plan showh~g location of lot avd of buildings on prernise__s, relatioqship ~,o adjoining premises or public streets or areas, and giving a detailed description of layout of property must be ~irawu ontne diagram which is pa~t of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. IJpon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shallpe 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 HERE~Y 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, o~ for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ant'~to admit authorized inspectors on premises and in building for t~ecessary inspections· (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is~owner, lessee, agent, architect, engineer, general contractor, ~lectrician, plumber or builder· (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· (Name and title of co,orate officer) . ALL CONTRACTOR'S HUST BE SUFFOLK COUNTY LICENSED Builder's License No. ' Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done~ ................................................. · .1 ! .5. 5....G.~.~.~..u..~..~:.(....g. 9.~..o...~,., O ~. ~'~. ~'.r... ~o..~..~.r., .~-.~ .,. 0..r.2 ................... House Number Street Hamlet County Tax Map No. 1000 Section .... [.~ ............ Block ....... [. .......... Lot...~..~. ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~-- ,J j ........... D:' ....... '~ ..... ;',:" ........ b. Intended use and occupancy / (7'" ';':;;-L: ;: ;',, ",: ',' '" !'i ;:~"~ ~' ...... 3. Nature of work (check which ~pplicable): New Building .............. Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... o9.0 , (Desc p ion) 4. Estimated Cost · · I Fee ..... ~ · (to be paid on filing this application) 5. If dwelling, number o f dweilin~ units ............... Number of dwelling units on each floor ................ If garage, number of cars .... .................................................. ~ ........ . .......... 6. If business, commercial or mixed occupancy, specify ' "' i ...... . ............ nature and extent of each type of use ... i... ' . 7. Dimensions. of existing structures, if any Front . ·.. ·., .~ ~,....., Rear Height .............. Number of Stories . :~ ~"~ ' ~ Dimensions'of same structure w~J~t~lPr additions: Front~.~ ................ Rear .................. Depth ................... i' · · Height .~. ] ...... / ...... t~,~. N ~mher of Stories ...................... -',8. Dimensions.of entire new construction: Front ./,~. · · ~"~, .~t[;Af_~ ~I~..,~.~,, .... Depth [.O.. .. Height ,)~r ~ Number of Stories , ~ _~\~,- ~', ~ ~,'~ O~ ~,~I(~ ........... 9 Size of lo;" ~;;~t ...... [' i '~.~'~.',-;-~'~"~"~:' '~ ~Y~-''~';t~ ....................... ........... ........... N,"~"I' '"'~'~'~ .....'~'~"~'~ ~'~'~ ...................... ate of Purc?, ..... ......., ......... ............................. ~ ~. z, one or use district in which premises are ~r~l~a~'e~l .~.~ O.~,~. ~ ~. . ; ...... 1 D · ' ~ ~Y .............. 2. oes proposed constructton vl¢late any zo~,ll~.or~'~a~c~'~r r,~l~ ~i'~ .............. 3 ' ' ;~ '~'~ .................. 1 . Will lot be regraded ..... ~ ........... X.~"~...~l~ce~t~ ~emoved from premises: Yes 14. NameofOwnerofpremises i' .. ..~. l~"q~,~\~..~.~., . . PhoneNo ..... ~~c..- ........ ............ .~'~'~A~'~ ................. Phone No ................ N~tor'. ....... ! ................ '~ s~.~d~k;~s'~¢ .... ; .............. Phone No ................ 15. Is this property located: within 300 fee~a tidal wetland? *Yes ...~,. No · If yes, Southold Town Trustees Permit m~J¥ 'be required. ' ,' i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and bloct number or description according to deed, and show street names and indicate whether ~ interior or corner lot. -------~NOTIFY [.~,OlLD~N6 DL?ARTMF~T AT t 3, INS~ R.ArloH STAT OF NEW fl'S S o (Name of individual sig~ing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, md is duly authorized to perform or have perfo~ed the said work and to m~e and file this apphcat~on; that all statements contained m th~s apphcat~on are true to the best of~nowledge and belief; and that the work will be perfo~ed in the m~n~r set forth in the application filed therewith. ~ ' Sworn to before me this i ................... .. ~_~.N ~. _ [ C (Signature of applicant) ~ No. 62-81256~, 8uffMk ~ k '