The URL can be used to link to this page

Home My WebLink About15611-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z176 26 Date DECEMBER 20, 1988 THIS CERTIFIES that the bulldln~ ADDITIONS Location of Propert~ 18975 SOUNDVIEW AVE. House No. Street County Tax Map No. 100O Section 051 Block 01 Subdivision Filed Map No. SOUTHOLD Hamlet Lot 16 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 12, 1986 . pursuant to which Building Permit 'No. 15611Z dated JAN. 5, 1987 was issued, and conforms to all of the requirements of the applicable provisions of tke law. The occupancy for which this certificate is issued is FIRST ~ SECOND STORY ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to PHILIP COUNDOURIS (owner, of the aforesaid bu~ldzng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N854502 FEB. 26.~ 1988 PLUMBERS CERTIFICATION DATED PHILIP J. COUNDOIIRIS 9/30/88 Rev. 1/81 Building Inspector FO~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15611, Z Permission ~s hereby granted to: ..E..~...~.....~..~.~ ..... ....... LL..,.~......~...~ ......... ~~.L.....u.,.¥... ........ I..L~..~...~. ........ ,o ..~T~....~.~..~. ~,~...~~....~.....~ ....... at ,rem,ses ,' ~ocated at ..~....~...~.L- .~1.'1~, ...... ~J,.~.~..~:~J..... ~..~.... County Tax Map No 1000 Sect,on ....~..~..J. ...... Block ....... .cD.J. ......... Lot No ....... I..~ ..... pursuant to application dated~ ...... .J....~--. ..... , 19..~...~, and approved by the Building Inspector. ,/ ' Fee $..~ ............. 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 A This apphcat~on must be fdled m tvpewnter OR ink, and submitted m ~ to the Building InAoec- tor w~th the following; for new buildings or new use. I. Final survey of property with accurate location of all buddings, 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 electrmal ~nstallat~on from Board of F~re Underwriters. 4. Commercial buildings, Industrial buddings, Multiple Residences and mmilar buildings and instalta* t~ons, a cert~fmate of Code comphance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For exmtmg braidings (prior to April 1957), Non-conforming uses, or buddings 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 co~diDon of buildings. 3. Date of any housing code or safety inspection of budd,ngs or premises, or other pertinent mforma- tion required to prepare a cert~hcate. Co Fees: Additions 825.00 POOLS $25.00 ALTERATION $25.00 1. Cer%ificate of occupancy New Dwelling $25.00, Accessory ,$I0.00 Business $50.00 2. CeFbflcate of occupancy' on pre-existing d~Jhng $ 5 0.0 0 3. Cop¥ofcertlf~cateofoccupanc¥ $ 5.00, over 5 years $10.00 4.Vacant Land C.C. $ 20.00 5.Updated C.C. $ 50.00 Date u-~-~-..%. ....... NewConsb~uctlon ..... Cid or Pre-exist~ng Building ......... Vacant Land ............. Location of Property ,. ~/~..~..7 ~) ....... ~..U. .~/,.~ .¢~.. ,~..~..1~ .............. House No. ^, I Str~,et Namlet Owner or Owners of Property../~/4.1 f¢... CO. .~'..~V.~'.O .~X ........................ CountyTe× No. 000Sea on ......... B,oc .... (. ......... Lot .... ........ Subd~vm~on ..................... Flied Map No .......... Lot No .............. Permit No J'.~'. J~.(~ ~.,_Date of Perm,t .Apphcant . v¢. . .~:~¢~ .~/. ........ Health Dopt Approval ................... Labor Dept. Approval ........................ Underwmters Approval ..................... Planning Board Approval ..................... Request for Temporary Certlflca[e.'..~ .~ ............ Final Certificate ....................... Fee Submitted $ ...................... Construction on above descmbed budding and ~ %rr~s licab~ codes and regulations. App ~cant ................... 'k-~~ Rev 1010-7~ THIS CS~IFIES THAT ~[~ ~hilip J,-~ou~ouris, t~775 srndview Avenue, Southold, N.Y. ~ , i~.~.C.I. 1-Smoke Detector G&S Ele~tri~ ~xz~ Bo~: 215 $outhold, N.Y 11971 Lic. 578-E Per__ This ce~dmcote must not ~ ol~red m any manneL return to t~e office of the ~otd d incorrect Inspectors m~y be mdenhfted by thmr credenhols COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TO~VN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL 765-1802 CERTIFICATION (please print) Plumber ~,~ ,~ CO~q~l~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 7 day of O~ ~/L- , 19 ~ . Notary Public, S&, ~ If~ County Notary Public Commlaefon ~xl~ree ~1~30, 1~..<..~ OUNDATION ( ls t ) OUNDATION (2nd) OUGH FRAME & ?LUMBING NSULATION PER N. STATE ENERQY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [/~/FOUNDATION 1ST [ UGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REARKS: ~.~ ~ '- ..... DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~,~SULATION [ ] FRAMING E* ]FINAL REMARKS, ,, ~~.2~ ,O~-c~- DATE 7GS-'~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~RAMING [ ] FINAL DATE 76S-1802 BUILDING DEPT. INSPECTION ~~DATION 1ST [ ] ROUGH PLBG. //~] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL NSP£ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION REMARKS: , /~ ~., ,, , 0~~, DATE INSPECTOR OCCUPANCY OR USE IS UNLAWI~L WITHOUT CERTIFICATE OF OCCUPANCY T .Z/U ;'/L T-~.,4'TI ~ Al 1) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. 2) HEATING CONTROLS TO M,g~-l' 7813.13 RANGE 45 TO 75 DEGREES FAHRENHEIT. 3) WATER HEATING PER 7813.31 THRU .38. 4) PIPE INSULATION 7813.19 5) WINDOWS - DOUBLE GLASS. 6) CONSTRUCTION TO MEET N.Y.$. E~ERGY ./(~ 75 3/_0 0./?' 0 O5' O 56 0 qO 00.5 O. o.~ O. o;& 3o 0.,~.:/0'~' I.A. - 70'F i 0~o 10,3 z YYo TO THE BEST OF MY KNOWLEDGE, BF, LIEF, AND PROFESSIONAL ~ THESE PLANS ARE IN COMPLIANCE WITH THE CODE. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N,Y. 11971 TEL.: 765-1802 Approved . }~'~.~'. ., 198] Perm,t No./..~"'~./( .~.. Disapproved aJc ......... ~ ................. (Building Inspector) APPLICATION FOR Bum LDING PERMIT Recexved ........... ,19. Date ................ , 19. INSTRUCTIONS a This apphcation must be 6ompletely filled in by typewriter or m ink and submttted to the Bufldmg Inspector, wtth ,ets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing locatmn of lot and of buddings on premises, relationship to adjoining premises or public stre. )r areas, and g~ving a detailed de~scriphon of layout of property must be drawn on the diagram which is part of th~s app .ahon c. The work covered by tins .application may not be commenced before issuance of Building Permit. d Upon approval of this application, the Building Inspector wdl issued a Building Permit to the applicant. Such per~ ,hall be kept on the premises available for inspection throughout the work. e. No but!ding shall be occupied or used in whole or in part for any purpose whatever until a Certfficate of Occupan, ,hall have been granted by the Building InspectoL APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Building Permit pursuant to tl 3ufldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances t Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demolition, as herein describe, Fhe applicant agrees to comply with ail apphcable laws, ordinances, budding coder~ousing~ode, and regulations, and i ~dm~t authorized inspectors on premises and in braiding for necessary ~n/~e~M~ /,~ (Signature of applicant, or name, if a corpgratJon)A State whethe( applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumoer or Duflde~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duiy'authonzed officer· Builder's L~cense No ..................... Plumber's License No .................. Electrician's LJcense No .............. Other Trade's License No. 5* ~'"' '~)' ' ' Location of land on which proposed work will be done ............................. ......... ..... . ....... ltouse Number Street Hamlet County Tax Map No lO00Sectmn ...,~l ....... Block f ....... Lot../;.] .. Subdivmion .............................. Filed Map No ............ Lot ......... (Name) State ex~stmg use and occupancy of premises and intended use aud occupancy of proposed construction' a. Emshng use and occupancy , . ,~. .............. ~/. ........................ b. Intended use and occupancy -..°t ,~"X,~...~ .................................... 3. Nature of work (check which applicable)' New Budding · Addition..h~" .. Alteration ....... Repair ............. Removal ............ Demolition ......... Other Work .............. I (Description) ~ Estimated Cost .... ~..4;7.~C~. .................... Fee ...................................... (to be paid on filing this apphcation) L If dwelling, number of dwelling units ............. Number of dwelhng units on each floor ................ If garage, number of cars .......................................................... ~ If business, commercial or mixed occupancy, specify nature and exteut of e~ch type, of use ......... ,, ....... ! Dmlenmons of existing structures, if any. Front ........ Rear . .. Depth ...... ltmght ../q ...NumberofStones ...I ................. Dimensions of same structure with alterations or add~t2~ns' Fr.~n~ . .(~'i~i i iiiiiii l~;~r' ii i~i~.)i i ...... Depth.· ..~. ........ ,... Height .... ~... ~'~.1 . Num!>~r of Stones . 'I~ ' '~' '-'~.. iepth ,~. ......... D,nen~ionsorentir construction' Front· l..~,. ' .... Rear ./.~ ................ Height .~ ./. lin..,qt ..... Number of Stones . .qffZ:lr"7.9-ec'~. Slzeoflot Front ].O.t~. .......... Rear....//.~. ........... Depth .,4T..Lf.~. ......... Date of Purchase ..................... ~ame of Former Owner ......................... Zone or use district m which premises are mtuated ... r,. e5' ............. ~% .................... Does proposed construction vmlate any zoning law, ordinance or regulation' . .g/L--'. .................... Wall lot be regraded .... .A~.,. ......... ,. . Will excess fill ~e [emoved from premises. ~ , No Ntune of Owner of premises . ~6j~f~>,.,~l.O~.~. Address 5'o¢.'4~. . .~..,qe._~... Phone No. 7~.~. I.~tY ..... Name of Architect .......................... Address ........... Phone No ............... Nmne of Contractor .fL~...~7,-~.o~w*~,*~{ ..... Address g~-~3 Ilo. q~/,4~. Phone No..7._~.~.[ EJTZ~.~ .¢ ,. Is this property located withinl00 feet of a tidal wetland?f~~_ No ..... * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distmctly $!l buddings, whether existing or proposed, and, indicate all set-back dtmenmons from operty lines. Give street and bloc number or description according to deed, and show street names and indicate whether tenor or corner lot. ATE OF NEW YORK, g.~ ~ .~... [--)4~ .~ ~ ~ ............... being duly sworn, deposes and says that he ~s the apphcant (Name of md~wdual mgnmg contract) ore named. 'm the ~a (Contractor, agent, corporate officer, etc ) said owner or owne~, ~d m duly authorized to perform or have perfo~ed the smd work and to m~e and file th~s plicat~on, that all statements contained ~ this apphcat~on am true to the best of his knowledge and behef, and that the ~rk will be perfomed m the intoner set forth ~n the apphcatmn filed therewith. ~om to before me thm ~ & ~ .............. ~ ........... N~ ~bll~, $t~e ~ ~ (S~ature of applicant~ Term E~ires D~em~r i_