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HomeMy WebLinkAbout15700-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ...O.n.e...f.a.m..i .~y..d.¥.e.l.l.i..rig.. ...................... 270 Oak Court East Marion Location of Property ............................................................... House No. Street Ham/et County Tax Map No. I000 Section . ...0.3.1 ...... Block . .0.3. ........... Lot ... ! .1 ...I.2. ........ Subdivision..H.i..g.h.p.o.i..n.t..S.e..c;..t.w..o ........ Filed Map No. 7755 .Lot No. 4 I conforms substantially to the Application for Building Permit heretofore filed in this office dated F e b. I 7, I 987 pursuant to which Building Permit No. I 5700 Z dated F.e..b....2.4. ,..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 ......... One family dwelling, 2 car garage and wood deck. The certificate is issued to PETROS NEOMONITAKIS & wife (owner, lesJ~l~ ~}ri~v~ X X X of the aforesaid building. Suffolk County Department of Health Approval ... 8..7 7.S.q T .0 .2..A.u..g.... [ ! .,.. 1.9. 8..7 ............. UNDERWRITERS CERTIFICATE NO ........... ~. .8 .2.4. 3. 0. .3 . , .s.u.g....0.3. :..1.9. 8..7 ............. PLUMBERS CERTIFICATION DATED: Constantinos Zervos Aug. 14, 1987 Building Inspector 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) N9 15700 Z Perrmssion ,s hereby granted to: ..... ~[:=~.:~.:.....1./..~.~.2. ............. : ....... , . ..... et premises located at ..~...?....0. ........................................ County Tox Map No 1000 Section .... .~....~...~ ....... Block ....... .~....~.. ...... Lot No.....~[.:.! ~ ..... pu~uo,t ,o opp,catio, dat~ .~..~...I.~. .............. , ~9..f~ ]., a,d opp~ved b, the Building Inspector. Rev. 6/30/80 aece,.t No. 52YU2, .......... .: ....... ..... TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hall Southold, New York 11971 Fee for I, Fee for Fee for J--J Yard Sale [] [] ' [~HIC L..~Bufld,ngPerm,t 0.0 ............... ,. /100 Oollar~ ~ ........ ~spec- Fee for ~usual o rtlhcate Occupancy [] Mlsc Idmg. Bu~lchng Department ~lng" 1. Accurate survey of p~operty showing all property hnes, streets, buddings and unusual natural or topographic features. 2. Sworn statemen~ of owner or previous owner as to use, occupancy and condmon of buddm§s. 3 Date of any housing code or safety inspection of buildings or premises, or other pertinent mforma- t~on required to prepare a certificate. C. Fees' 1. Certfflcateofoc~upancy $25 00 -- BUSINi;SS 2 Certificate of occupancy on pre-ex~stmg dwelhng $ 50 3. Copy of certtfic~te of occupancv $ 5.00, over 4.Vacant Land C.O. $ 20 00 5.Updated CoD. $ 50.00 NewConstz~uctlon,J . OldorPre-ex~stmgSuddmg $50.00 ACCESSORY $10.00 O0 5 years $10.00 Date .~ ....... Vacant Land ............. Hou,~e No. Street Ham/et Owner or Owners o rope .. .-; ............................................... County Tax Map No lO00Soctlon ~'~ ~ Block .(~,. ~ Lot .... ~.[ ~') Subdw~s~on .................. . Fded MapNo ..[~;'f'Q.. LotNo .~ [ ........ Health Dept Approval .~.-.~ .................. Labor Dept Approval ........................ U nde~rlters Approval , ~ .S ',~ ~ ~ ~ ...... Planmng Board Approval .................. Request for Temporary Certificate ............ FmaI CerTificate ,. , ,/ .............. Fee Sd~mJtted ~ . .-~-, . .; , - .............. Construction on above descr*bed budding and permit meets all apphcable codes and regulations Apphcant .. .% .. ~ .~..-~.-'~.~.G/> ...................... Rev I0 10 78 COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT 13E ALTE~ IN ANY MANNER TOWN OF SO[ITllOI,B OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOLTTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building PermitINo. ~00 ~ (please print) (pleaSe print) I certify that the solder used in %he water supply sys%em contains less than 2/10 of 1% lead. (p~mber' s signature) Sworn to before.me this /~ day of 19 ~7 ' Notary Public, County Notary Public aeoe,p, No. 529[)2 ,ece,v~o,...~-__ ,~ ~ ~;;. ....... .... . o, c,0,..z/.~ ~. ~. :.. ~..I~ ...... ~~ TOWN of SOUTHOLD OFFICE OF BUILDING INSPEC IOR Town Hall Southold, New York 11971 °ate ........ /100 Dollar,. ~ .... ~spec- Fee for tusuaJ Fee for Fee for Fee for rT~rt~flcate Budding Department ~ting" topographic featu res 2. Sworn statemen~ of owner or prewous owner as to use, occupancy and condmon of buddings. 3. Date of any ho~smg code or safety mcpect~on of buddings or premises, or other pertinent informa- tion required to prepare a C. Fees' 1 Cemfmate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY SJO.O0 2. Certtflcate of occupancy on pre-ex~stmg dwe mg $ 50 00 3 Copy of cert~flc~te of occupancy $ 5 00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 NewConstructxon, . . Old orPre-ex~stmg Budding ........... Vacant Land ............. Hou~ No Street Hamlet wrier or Whets r er County Tax Map No 1000 Section .... ~ Block ~,. ~) Lot Subdw~slon . .Fded Map No ~% 1%' Lot No . L ..... Perm,t No 1..7.C .C~ Date of Perm,t '"l '~ J/" I.Apphcant..[~C;~L,..','5,~.L'.t ?.'.t Healtll Dept. Approval ~;~[ j.~ .J .......... L~bor Dept Approval .................... Unde~r~ters Approval H ~')k~ 2 ~, L~ .,~, . J.4~ ~ .b ..... Planmng Board Approval ................... Request for Temporary Cerufmate ............... Final Certificate ... ,~'. ................ Fee Submitted $ · ~%" oO ConstrucBon on above described building and permit meets alt applicable codes and reguiatrons App,,c~nt .. t1., ¢..~,-:.,: % ~.. r..,: ;,.~...~ ................ OUNDATtON ~'~l ~st) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. FOUNDATION ZST FOUNDATION FRAMING INSPECTION ~/~O/uGH PLBG. ZND [ ] INSULATION [ ] FINAL DATE ~-*'~~ INSPECTOR 765-t802 BUILDING DEPT. INSPECTION [,~FOUNDATION 'IST I' ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL RE:MARKS: /~ ,~/'~ / , / / DATE ,NSPECl'ORi ~~ ~'~ ]65-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~IN_AL/ REMARKS: ~ DATE ~/~/~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ,ST [ ~ROUGH PLBG. [] FOUNDATION 2ND [/] INSULATION FRAMING REMARKS: FINAL DATE INSPECTOR 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [/~SU~TION FRAMING FINAL *FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y 11971 TEL, 765-1802 Examined ~'~..~-~-~, 'i19 gT. Approved-,-~ x~,,-~.~ :~q~ , 119g .-/ Permit No D~sapproved a/c i .... (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Ttus application must be completely filled in by typewriter or in ink and submztted to the Building Inspector, wit? sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing locatiqn of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc stm. or areas, and giving a detmled d~scnptlon of layout of property must be drawn on the diagram which is part of flus apl- cation. c. The work covered by tins apphca~lon may not be commenced before issuance of Building Permit d. Upon approval of this apl~hcatlon, the Building Inspector will issued a Btnldmg Permit to the applicant Such pern shall be kept on the premises available for inspection throughout the work e. No bmldmg 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 iMADE to the Bmldmg Department for the issuance of a Btnlding Permit pursuant to tl Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances, Regulations, for the constructaofi of buddings, addlbons or alterations, or for removal or demohtmn, as hereto describe The applicant agrees to comply with all apphcable laws, ordinances, bufldmg code, housing code, and regulations, and ~ admit authorized mspectors on pr~mlses and tn bmldmg for necessary insoections _~ (Signature of applicant, or'name, ir a corporatmn) .P,o..t ox. zo .5, s , (Maflmg adffress of apphcaflt) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or bmlde~ 733.. ............. Name of owner of premises .P ..~?~.O..~. .. NEO.~.O.N..ITlet~.%.%. . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No }~]~ ~' Z..kY~.~- Plumber's License No ~r..~!~. P .... Electncmn's License No Other Trade's License No ........... Location of land on which proposed work will be done. 0 ,..ont< House Number Street Hamlet 9 '' County Tax Map No lO00Sect,on O~1 ..... Block. {~ ...... Lot Jl...IJk Subdivision . .. Filed Map No -~ {~ ~ G Lot . (Na}ne) State existing use and occupancy of premises and Intended use and occupancy of proposed construction a. Ex,sting use and occupancy , .~..?.Ty... L~.T. ....... b. Intended use and occupancy ...... ~.. l:::?r .~tlt .L.? .... ~:,kx)~l-l.. Ilq~... ... property hnes. Give street and b! interior or corner lot 3. Nature of work (check which applicable). New Building ¥/'. .... Addition ..... Alteration Repair ~ ,: [,~ 4' Removal .... Demolition ........ Other Work ........ (Descnptmn ) 4. Estimated Cost .'.~' . ! ~.~0,½ I~.~O .0 ~. O ......... Fee .... ~ (to be paid on filing th~s apphcat~on) lz ' I u ' ~cxrwl, - 5. f dwelling, n tuber of dwelling units . . ~ .... ¥ Number of dwelhng umts on each floor ........... If garage, hum bet of cars .'.~._ C.c~ i'..OHO, ?~, .~- ...................................... 6. If business, commercial or mlixed occupalficy, spec~ffy nature and extent of each type of use ................. 7. Dnnensmns of existing structures, ff any Front .... Rear ......... Depth .. Height ........... l~lumber of Stones ................................. D~nensions of same structure w~th alterations or addmons Front .......... Rear ............ Depth ...... I . Height ......... Number of Stones 8. Dlmens~on~,qfi, entlre new construcnon Front (~.' ...... Rear .. &.~. * ........ Depth' ' ' ' ,.~. :~ '~ c ~.;,~ ..... ..... Height .Y~,L.~.~. ..... Number of Stones · ~ .Sfl ¢r7..: '1- ' .......... . ..... 9 S~zeoflot Front ........ Rear .,~..~.1...'1 ....... DepthJ~.6:~l~..i'?:'159'.q'/'' 10. Date of Purchase ................. Name of Former,Owner 11 Zone or use district in which premises are situated l~ ~ r~.~ ~.~ ~ ct. [ ......... 12 Does proposed construchonj vmlate any zomng law, ordinance or regulation 3N. .................... 13 Will lot be regraded . . ~qO . , . Will excess fill be removed from premises. Yes 14 Name of Owner of premisesl[~, D .~o,~. o.~3~o~;~.. Address .~'<~'~%T.%.KL.~..~:'(: Phone No~'ll~ ~ Name of Architect · ' ' t .......... Address ............ Phone No ........ Name of Contractor l>ltqO~..Z..~V. OE; ..... Address P.,~,.%Dj( .gO55 .. Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildmgs, whether existing or proposed, and. indicate all set-back dunens]ons fro ock number or descnphon according to deed, and show street names and indicate wheth © STATE OF NEW YORK, S S COUNTY OF .. . ................... being duly sworn, deposes and says that he is the apphc (Name of individual signing contract) above named He is the .............. (Contractor, agent, corporate officer, otc ) of said owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and file application, that all statements contained m th~s application are true to the best of his knowledge and belief; and that work will be performed m the manner set forth m the application filed therewith. Sworn to before me this ....... ,'. ...... u y .... .-?.~. .... / .... lP ..~..- Notary Pubhc, ",B.~.~..~ ...... ~" ~?~' ' '~' 't~-q2°nnty " .~" ~b ~I~i~h ~ ~---'~7 (Signature of applic N 89° 17' 0 H,D, LOT 41 THE LOCATION FOUND TO CERTIFIED TO PETROS NEOM LOT 42 55' 4ffg lo ~9~, CEDAR DRIVE SOUTH OF 256 ?$' ~__~ ,re',~ ~ SUFFOLK COUNTY HEALTH DE~RTMENT SINGLE FAMILY DWELLING~O~NLY \ AUO I ! Jo AN£ ' Chief ¢ Wastewater SUPPLY FACILITIES FOR THIS BY THISA~EPARTMENT AND :tlOn ~Y ~ LIC NO 49618 SOUTHOLD I N ¥~ I SURVEY OF LOT 4 I "MAP OF HIGHPOINT AT EAST MARION ~ SEC'~ONTWO~INC FILED JULY 13, 1984 FILE NO 775,5 AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY , N.Y. I000 - 031 03 II SCALE I" '- 40' DEC. 3, 1986 MAY Il, 1987 dreporod in accordance with the minimum ~/~,tuolds for title surveys as estabhshed by the L LA. LS. and approved and adopted for such use by The New York State Land Tmtie Association, ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM 86 -715 Prepared in accordance with the rmn~mum the L I A.L.$. a~d approved and a~opted for such use by The New York State Land T~tle As$ocmtion / ,s-~t LOT 41 CERTIFIED TO I PETROS NEOMONITAklS ~ $UFI OL{, · I ' ..... ~T OF HEALTH SERVICES I 1;C N ONLY Y $ LIC NO 49618 PECONIC SURVEYORS' ~ ENGINEERS , P C ( 516 ) 76B - ,5020 P O, BOX 909 MAIN ROAD SOUTHOLD , N Y 11971 ~E SOUTH 256 73' 0~3 d~dr 5,2. 6'~ ~0 SURVEY OF LOT 41 OF HIGHPOINT AT EAST MARION, SECTION TWO~INC :ILED JULY 13~ 1984 FiLE NO 7755 AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY , N.Y. I000 - 031 03 - II 12 SCALE I' = 40' DEC 3, 1986 The wafer supply & lewage disposal terns For lh~s re~*dence WlJJ conform fo the standards of the Suffolk County Depart. ment of Health 5e~*ces ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM 86 -715 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE C~ OCCUPANCY / ~'7d'9 ALt COnSTrUCTION S~L MEET 'rH~ ~6Q~R~ENTS ~ ~E ~TE CONS~U~ & CODer NOT ~NS~E ~ r L A rt sOLDE~ uSED,~ wATE" suPPLY sYST~TM cANNOT ,f dlu. ~ r~,-l~z.cm u./ ~,"~," ~ I,~ ',J.kl.~.XCEED 2/10 of 1% LEAD. If copper tubing is used for w~er distributing system; piping shall be of types K or L only, PLUMBER ~ERTIFICA TION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY I F~LlldPAT I ~rl L '¸1 PLAd ! I, iI K..l'l-orl P-. ~-{ ~) z,qz mt, ld/gz ~., ~t.lroa It, _ L~*t AOi=HAt4-- ~4,qli-}61bE.5 I ~_z-g.r-I ' o '/EH'I- ~ L.E_.VA I 'l~d v'lhly'~ 5.1 p~ d ~.I - BI& fit LBPI ~L4~.VAT'I arff ]--L..i_ LL A Pt4 ~L~AIC l~ g~r-fqT ps, ~Tq~. ~ I'~" ~,H: ~I/~HT, V~.MT~-P ~IT