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Home My WebLink About16239-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z1674I Date March 29, 1988 THIS CERTIFIES that the buildh~g Pool and fence. Location of Property ..... 3. Q 9. M.a. g .1 .e..h a..n .e ................. 9y.~. ~. ~) p.o.r.t. .............. House IVo. Street Hamlet County Tax Map No. 1000 Section 35 .Block 5 .Lot 5.4 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 13, 1987 pursuant to which Building Permit No. 16239Z dated ...J.u. 1..y..........I 9, 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 ......... ..... I..n.g.r.o..u.n.d..p. 9.o.1..a..n.d..f.e. ?.e.e..a..s..a.p.p..1 .i.e.d...f.o.r.. ............................. The certificate is issued to . . .J ?.h.n...a.n,d..A. ?.n.a..C..5 .a.n.n.a..r .~.s .............................. (owner, It~.~O~rREbTu~X X of the aforesaid building. Suffolk County Department of Health Approval ..... .N./.A ................................. UNDERWRITERS CERTIFICATE NO .......... P.e.n..d.i.n.g. ........................... PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 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- 16239 z Permission is hereby granted to: .***JU~. **=..~......~.~.~..~...; ............................... ~f ~rem~ses I~$ed ~f ........................................... co~ ~ ~ ~. ,0oo s~,o~ .... .~.~.~ ..... ~ ....... ~..~ ..... ~o, co....~[~....~.,.~.. Building 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 This application must be filled in typewriter OR ink, and submitted m ~mm~ to the Building In~ec- tor with the following; for new buildings or new use: /. 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 buildiogs, Industrial buildings, Multiple Residences and similar buildings and installa~ dons, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5, Subm(t P[annin§ Board approval of comp!eted site p~an 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: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New Dwelling $25~00, 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 5.Updated C.O. $ 50.00 Dete .......................... NewC ohs tz-uc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Locat on of Property .... ~?/! ...... /?./T, ,/¥.~:, ././.'~ .... .'~.. ?,~,, . , .~-..~ .//,,~.-.[??¥, ,,'¥.'/.*./.,~.7,., ./. , House No. Street Ham/et Owner or Owners of Property .......... County Tax Map No. 1000 Section ............... Block ............. Lot ................ Subdivision ................................. Filed Map No ......... Lot No .............. Permit No./~ ~ ~¢. ;~- Da~e of Permit ~Z~Z Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described build ng and permit meets all applicable codes and regulations. Applicant Rev. 10-10-78 ~ND~TION { 1st) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL · ADDITIONAL COMMENTS: 50~ PROPOSED SWIMMING POOL PLOT PLAN FOR MR. JOHN GIANNARIS ~(k~ 9~1~5 MAIN ROAD GREENPORT, NEW YORK 11944 'FORNI NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEPTIC TOWN HALL $OUTHOLD, N.Y. 11971 TEL.; 765-1802 CALL MAIL Approved....~4,~./..C[.., 19'~..~. Permit No)..~..~..~.o~.~. Disapproved a/c ..................................... (Building Inspector). APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OFJLANS ../- .... SURVEY .......... CHECK ...~'..~.~l~ FORM ............. Date ...... ~.: .'L'.~? ......19 ~.? INSTRUCTIONS a. Tiffs 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 publ/c 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 permil 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 u~tfl a Certificate of Occupanc) 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 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,/.~ilding code, housing code, and regulations, and tc admit authorized inspectors on premises and in building for necessar'~fspections. (Si,,natnre of appliccx4t, or name,~ a corporation) (Mailing address of applicant) State ~hether applicant is owner, lessee, agent, architect, engineer,~.~ral co~n---~or, electrician, plumber or builder. Name of owner of premises ,~.~27-/.,~....~.r .~..~..~'. ?..~../.4 ......................... (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No, .. /~. 7./.3..O.~ ~,--~. Plumber's License No ..... ~/,'~ ................ Electrician's License No..../d./.~. ................ Other Trade's License No...X~/,(/ ................ I. Location of land ou which proposed work will be done..~./..s.,.~,..--~... ~.,.~../~.-..~.~..~. House Nmnber Street Hamlet County Tax Map No. 1000 Section ....~...'~.. .......... Block ..... .fiT.. .......... Lot .... ~/f.o...~...~ .~ .... 'Subdivision. <f~.--~..~,~ /~olov-' .. FiledMap No.,..~...~... ..... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use a nd occupancy ...q .~..e'7-....,~C .,/d..'~. ( .~.~.. ,~.,'..~..~2~. :c7'. ~.%. >,,. } :~? Y~:,;~%' .................... b. ..... ' ......... ¢ .... .............. x ..... " .... · --' .... .................... 23. Nature of work (check which applicable): New Building ..... ' ....(~d~.a,/~m:.~.q.. ~lteration .......... R pair Removal D mol/ti Other ;~ork e .............. ~.. . ...... e on ........... t a, ' ,,~ e/'o .r (Description) L Estimated Cost.. ~ Fee /- /~ ~ ,~ ' (to be paid on filing this application) 5. If dwelling, number of dwelling unit~ .~< .~./.~. ....... Number of dwelling units on each floor....'~Z'.."~. If garage, number of cars ........ ~ f. ............................................. ~ ............... ~. If business, commercial or mixed o¢{upancy, specify nature and extent of each type of use ..... .'~/.~. ............ 7. Dimensions of e~isting structures; if ~ny: Front ..... ~,~. ....... Rear ... ~,~ ........ Depth , ,~.~, ........... Heig ~t .~..~ . : Numb.er 9f Stories . . ..o~. ............... ................. . .................. Dimensions ofg.~rg~s~a~l~lie w~th hlterations or additions: Front ...-g...'~. ~ eT.' Rear . .-'7. ..... Depth ...... ~?~! · .~.~l~. ~ ;~i' .Height ......... :. ........... Number of Stories..-~...'?~..~.~ ........... L Dimensions of entire new constf~fi~tion: Front .... ~...'-~. ...... Rear ~ . Depth ..'fl..~-... . Height L.~f?./~. ? ~ ~ : ' · . r~M~..~..c: '*' ~ ... Numbe~ of Stones L Size of lot: Front ...//e8'..9.'.~/.,.; ! ....... Rear..L.~.~: .~.~ .~ ........... Depth . .~-.. ~ ~ .o. ~ .......... ). Date of Purchase ...... ~].~.~ff...; ............. Name of Former Owner . A'~.'~.;~../"g.~...~. ./.~d. 1. Zone or use district in which premis0s are situated ..................................................... 2. Does proposed construction violate dny zoning law, ordinance or regulation: .~..o. ........................... I. Will lot be regraded ... Aq~. ~. 4 ..~ ~/-..c-v ........... Will excess fill be removed from premises: Yes L Name of Owner of premises .-~.~....~?, ~/.~t-~/"."~. t.~Address ~ /-/',a-,,,,5 .~.o. Phone No g'Z7..'- ./+ · ...... ~ ;.~ ~. ............. Name of Architect .'~,f 4 ~. ........ Address .......... Phone No ................ Name of Contractor .' ..~..,,72..~'~-/~... r..~*:. ¢...~.=,.o.C..~ ..... Address c~.~"; ~,o. ~-I'~ .,-~..,~..< .,~?..Phone No.. ~.~. i~. r. ~. Is this property located within 300 feet of a tid~a~-t~a~.~ffs ..... No .~.... · If yes, Southold Town Trustees Permit maybe required. ' PLOT DIAGRAM Locate clearly and distinctly all builidings, whether existing or proposed, and. indicate all set-back dimensions from 'operty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. ?ATE OF NEW YORK, 3UNTY OF... ~.w ~.~..~..~... S.S ......................... .... (Name of individual signing contract)~ ,ore named. being duly sworn, deposes and says that he is the applicant is th ~ .~.~. ,c~7"-~q-<~wo rt... i (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~rk will be performed in the manner ~etiforth in the application filed therewith.' corn to before me this ......... J.q.,..t~. ..... .~ay o1~. ~ ............ 19 ?..~ NOT/LRY PUBLIC, arm of ~e~ York .... .(~x'...t~.: ......... .,/.~ ............... No, ~805679 Qualified in Nassau Coum ~ ~.J(Signature of applicant) Commi~ion Expires Septembe~ ~0, 19a~ d