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Home My WebLink About15634-z FORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildm§ Inspector Town Hail Southold, N.Y Certificate Of Occupancy No...Z. 16..5.2.4 ..... Date December 22, I987 THIS CERTIFIES that the building .... 0 .n e f .am i.1 y...dw.e 1..1 i.n.~: ................ L t' fP tI /~1~0 East Marion oca mn o roper ~ . . .%be..Lpngway ............................... House No Street Hamlet County Tax/vlap NoI 1000 Section 0 .3.0 .Block ... 0.2 ........ Lot .. 9. .7 ........ Subd~vlszon. Pebble Beach Farms .Ffled Map No. 6266 .LotNo. 64 conforms substantially to the Application for Building Permit heretofore filed in th~s office dated ·...3 a. n ...14, . ) 9.8. 7. . pursuant to which Braiding Permit No ... 15. 6. .34.Z ........ dated J. an... '!.6.,..19.87 ...... wasissued, and conforms to all of the reqmrements of the apphcable provm~ons of the law The occupancy for Much ttus certificate ts msued is ...... One. .fami..ly. d.w..elll..ng w. zt.h..d.e.c, ks an.d.a.n...at.t.a.c.h.e.d..g.ar.a.~e.. ........ PAUL C. & STACY VLAHOS The certfficate is issued to ............. (owner, IM$~i( IUXtI(tF4M-JX X of the aforesaid building Suffolk County Department of Health Approval ... 86 -.S.O.- 2 .5.2 .... 1.2./. ! .5/.8. 7. ............ UNDERWRITERS CERTIFICATE NO ..... N. 84.5.00..2 ....... l 1 4 3. 9/.8 7. ............. PLUMBERS CERTIFICATION DATED: WILLIAM RESVANIS 10/29/87 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETIiON OF THE WORK AUTHORIZED) N~ i5634~z Permission is hereby granted to: .... ...'~...?.~..~.~ .................................................. ..................... ~.~,..~..~ ...... /..~..~..~. "~ ............................................. ';; ............... ~ ................... i; .......................................... ~ ........... o, p,,m,,, ......... .......... County Tax Map No. 1000 Section ...... ~:~.~.?. ,. Block ....... ,.~.,...,~W, ..... Lot No ..... ?1..~ ...... pursuant to application dated .... ~ g~,~... (..~ .......... Budding Inspector. ., 19..~.-/., and approved by the Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Budding Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be fdled in typewriter OR mk, and submitted m~ to the Budding Inspec- tor w~th the followmg; for new bufidmgs or new use. 1. Final survey of p~operW w~th accurate location of all buddmgs, property lines, streets, and unusual natural or topographic featu res. 2. F~nal approval of Health Dept. of water supply and sewerage disposai-(S-9 form or equal). 3. Approval of electrical installation from Board of F~re Underwriters. 4. Commercml buddings, Industrial buddmgs, Multiple Remdences and simdar buddmgs and mstalla- tmns, a certffmat~ of Code comphance from the Architect or Engmeer responmble for the bufldmg. 5. Submit Planning Board approval of completed rote plan requirements where applicable. B. For existing buddings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existmg" land uses: I 1 Accurate survey of p~operty showing all property lines, streets, bullrings and unusual natural or topographic featules. 2. Sworn statement of owner or prewous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety mspectlon of buildings or premises, or other pertment reforma- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certlflcate of occupancy New Dwellzng $25.00, Accessory ,$[0.00 Buszness $50.00 2. Certificate ofoccdpancy on pre-ex~stmg dwelhng $ 50.0 0 3. Copy of certlflcate of occupancy $ 5 00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O~. $ 50.00 Date ........................ NewConstructzon ...... Old or Pre-exmtlng Budding ........... Vacant Land ............. House No. Street Ham/et Owner or Owners of Property p/~U~. E, 0/' ST/~dy County Tax Map No 1000 Sect,on 3 ~ Block .2. Lot. ? 7 Perm,t No/..~'.~..~./~..¥. Date of Perm,t ........ Apphcant ................................ Health Dept Approval ~- ~- No_ ~ - 30 -~.o~ .Labor De Approval ............. Underwriters Approval ..................... Planmng Board Approval ...................... Request for Temporary Certificate .................. Fmal Certificate ....................... Fee Submitted $ ¢¢~-~ ~o Construction on above described budding and permit meets all apphcable codes and regulations. Applicant ~. ...................................... THE NEW YORK BOARD OF FIRE UNDERWRITERS ]-00[07[ BUREAU OF ELECTRICITY ~'~1~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 Paui Vl~os. ~e Long ~ay~ in t~ f~lo=mg t,~ntton: ~ ~e,nent ~lst FI ~ ~se~mtnedon ~O~b~ ~2~ ~987 andfoundtobetncompitamewtththereqatrement~ofthisB~rd 't OTHER APPARATUS Z-G.F,C. 1.2-8moke Detecto:s S Electric 215 Southo]d, N.Y. 1]-971 Ltc. 578E Thts cerhflcote must not be ~ltered tn on), monner, return to the o~ce of the Boord if incorrect inspectors m~y be tdentlfmd by their credent~ols COPY FOR BUILDING DEPARTMEHT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOIYI~OLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION No. Buildi7 Permit Owner ~) (please print) Plumber ~/~ I } iC'~ V~/') '~k,~ ~1 ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this '~ day of L'7')C7--~ ~ ~--~ , Notary Public, ~&/~ County Notary Public MICHAEL A CO~RADINO NO 4777377 OUNDATION ( 1st) OUNDATION ( 2nd ) OUGH FRAME~ PLUMBing-'',~ NSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENT'S: TOWN OF SOUTHOLD OFFICF. O~ BUILDING INSPECTOR P.O. BOX 728 TOWN 11ALL SOU IIIOI.D, N.Y. 11971 October 21, 1987 Mr. Steve Moraitis Box 58I East Marion, New York ~1939 Re: Paul & Stacy Vlahos To Wbo~ Thi~ May Concern, wel are unable to complete your Certificate of Occupancy because of Lbo following reasons. An application for Certificate of Occupancy is not on file. :1o lInderwrltczs Certificate on file. 'the check is(outaated/not on file.)~ No ttealth Dept. Approval on file. P}o final inspection has been made. TEL 765-1802 P]e,ase contact, our office on this matter. Thank you for your cooperation. Building Permit ~ _L ~_ ~.. ~ ~_ g Buildinq Dept. ***~ 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 2ND [ ] ~,,~ULATION / FRAMING [ ~ FINAL REMARKS: DATE [ ] FOUNDATION 1ST 76S-~.802 BUILDING DEPT. INSPECTION ~/~~~ GH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS:, ~~ ~)/~ 765-1802 BUILDING DEPT. INSPECTION [~/~OuNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE J/~/,~ 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]/~U~TION [ ] FRAMING [~J'~FINA~L /~ REMARKS: ~~~~ DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] F/OUNDATION 2ND [ ] INSULATION / FRAMING [ ] FINAL DATE INSPECTOR ~ ~/~/~ Examlned~~l to ;Approved ~~ ~ ~ 1Disapproved a/c . FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180:3 ,19~]' Permit No (Building Inspector) APPLICATION FOR BUILDING PERMIT Rece].ved ........... ,19.. Date , 19 INSTRUCTIONS 1 t tb I 1 a Ttus app ica ion mus e comp etely filled m by typewriter or in mk and submitted to the Bmldmg Inspector, w~th sets of plans, accurate plot plan to scale Fee accordmg to schedule. b. Plot plan showing locatmn of lot and of bmldmgs on premises, relatmnsMp to adjoining premises or public stme or areas, and gwmg a detailed description of layout of property must be drawn on the dmgmm which is part of this app cation. c. The work covered by ttus apphcahon may not be commenced before ~ssuance of Bufldmg Permit d Upon approval of this apphcat~on, the Building Inspector will ~ssued a Building Permit to the applicant Such perm shall be kept on the premises available for inspection throughout the work. _ e. No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY ~MADE to the Building Department for the ~ssuance of a Bmldlng Permit pursuant to tl Bmld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances, Regulations, for the constructson of buildings, additions or alterations, or for removal or demohtmn, as hereto describe The apphcant agrees to comply w~th all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on p~emmes and in bmldmg for necessary inspections. State whether applicant is owner, (ma~l~ng ~s of applicant) '' lessee, agent, architect, en~mneer, general contractor, electnman, plumber or budde Nmne of owner of premises (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No ~ ~ .[ p2 . dq ~'*~ b{ Plumber's L~cense No Electrician's License No Other Trade's License No Location of Iand on winch proposed work wdl be done House Number Street County Tax Map No 1000 Section Subd~vmlon (Name) Hamlet Block Y Lot~ .~ ~.. Fried Map No Lot State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction a Exlsnng use and occupancy ~/~ ...... b Intendeduseandoccupancy .. / j~ ~ ............. 3. Nature of work (check which: ~ppllcable) New Building ....... ~' Add~hon . .. .. Alteration Repair ........ Re~ ~oval ......... Demoht~on .......... Other Work ........... (Descnphon) 4. Estimated Cost~-~. ~..9. ~. ~ ....... Fee ........................... (to be paid on fihng thru apphcahon) 5. If dwelling, number of dwelhng units ........ Number of dwelhng units on each floor ........... If garage number of cars 6. If business, commerciai or m~xed occupancy, specify nature and extent of each type of use .............. 7. D~rnenmons of exmtmg structures, ff any Front .... Rear ..... Depth ........... Height ......... Number of Stones .................................... Dmaenmons of same structure w~th alterations or additions Front ....... Rear ............. Depth ....... ~... Height ........... Number of Stones ................. 8, Dtmenmons of entire new constmctmn Front . Rear Depth Height ........... Number of Stones .................................... 9. Size of lot Front ~ Rear Depth 10. Date of Purchase ... ! .............. Name of Former Owner ..................... 1 1. Zone or use d~stnct ~n which premises are mt ated ........................... 12. Does proposed constructaon wolate any zomng law, ordinance or regulatmn ........................... 13. Will lot be regraded ..... ! ............. Will excess fill be removed from premmes' Yes No 14 Name of Owner of premises J ............ Address ............. Phone No ............. Name of Architect I Address . Phone No Name of Contractor I Address - . Phone No. 15. Is this property located withinl00 feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether exmtmg or proposed, and, indmate all set-back dnmenslons from property hnes Give street and block number or description according to deed, and show street names and red,cate whether mtenor or comer lot. ~TATE OF NEW YORK, S $ COUNTY OF ..... (Name of individual signing contract) above named. being duly sworn, deposes and says that he ~s the apphcant He ~s the ..... (Contractor, agent, corporate officer, etc.) ,~, ~;a~d owner or owners, and is duly authorized to perform or have performed the said work and to make and file this · ,q3hcatmn; that all statements contained m thru apphcatlon are true to the best of tus knowledge and behef, and that the work will be performed m the manner set forth m the apphcataon filed therewith Sworn to before me this Nora. eubh0, . ........... Coun* ~ ~ ~ ~ I~ (S~gnature o f apphcant) SUFFOLK COUNTY DEPARTMENT CF H[,%id bL,,~....a FOR APPROVAL OF CONSTRUCTIOn' ..r /Single Famd~ F',es, denca~ly HEALTH DEPARTMENT-DATAFOR APPROVAL TO CONSTRUCT "K-~NEAREST WATER MAIN__MI -+ ~vc"JOURSE OF WATER~ PRiVATE~PUBLIC ~'SUFF CO T.~X. MAP OIST SECTION BLOCK LOT · V~THER*E ARE NO OWELL[MOS WITHIN IOO FEET OF THIS PROPERTY OTHER THAN THOSE SHOWN HEREON M= MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JUNE il~lgT5 AS FILE NO 6~'66 ~reo~.959~' ~THE LOCATION OF WELL(W),SEFTIC TANK(ST)& CE:SSPOOLS (CP)SHOWN HEREON AR[ FROM FIELD OBSeRVATiONS AND OR DATA OBTAINED FROM OTI,~ERSf SURVEY FOR PAUL C. VLAHOS & STACY VLAHOS LOT 64 "MAP OF PEBBLE BEACH FARMS" AT EAST MAR~ON ~AT[ FEB 2, 1979 TOWN OF SOUTHOLD SCALE SUFFOLK COUNTY, NEW YORK NO, ~UN~UTHORIZEO ~[TERAT~ON OR ADDITION TO THIS GUARANTEED TO S~RVEY IS ~ VIOLATION ~F SECTION 7209 OF TH~ THE TITLE ~UARANTE MENTAL AGENCYAND LENDING INSTITUTION LISTED - / ~ r. m vd. Md ~ V~HM~ ~00 ~TRANDER AVENUE m mHOWARD W YOUNG, LAND SURVEYOR L ) m ~Ys Lm[NSE NO 45e93 SUFFOLK (X~ OEPAJ~ENT o~ ~tmll~ mtill C :I:tF IL* DwEmi oNL:r :a luo~ H.S. R£F. NO. The sewaEe disposal and water sul~ply facilities for lhil tocatiml have been JnspectecI by this Department mid/of other a~ foiled toLp~r~lis~y. .-~ 79: 5':.?. ROOERlCI( VAN T~IYL, P.e. I SUFFOLK CO. HEALTH DEPTI AP'P_~ I sTAT[MENT OF INT~ THe wate~ su~LY AND sewa~E DIs~saL SYSTE~ FOR THIS RESIDENCE WILL CONF~M TO THE STANDARDS OF. THE. SUFF~K CO. DEPT. OF HEALTH ~RVICES. A~ICANT SLIFFOLK COUNTY DEPT. OF HEALTH SERVICES l-- FOR APPROVAL OF CONSTRUCT ION ONLY DATE: H. S. REF. NO.: ~ -:FO-..~ G*...~ APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST, SECT. BLOCK PCL. OWNERS ADDRE~: rt." ;"{'~ 4 77- 1997' DEED: L P. TEST HOLE ~AMP ~,,iM ~ap) ,'Fp,gN-r , OCCUPANCY OR USE IS UN/AWFUL "WITHOUT CERTIFICATE -:OF 'OcCUPANcY PLUMBER CERTIFICATION 'ON LEAD CONTENT BEFORE cERTIFICATE OF OCCUPANCY , , , soLDER USE IN WATER ' Upp£Y SYSTEM CANNOT {or water system; plpin~ Shall be -[ Phone 477-0400 Road GREENPOR1r, N.Y. 11944 ] 9'¢"~ l ' o" ii