The URL can be used to link to this page

Home My WebLink About16472-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16756 Date March 31, 1988 THIS CERTIFIES that the building A d d i t i o n Location of Property 415 CLARK ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section ,..0,5,I ....... Block 0 3 .... Lot 2 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... 8. e. p.t.... ! .8.,.. [ 9. .8.7. pursuant to which Building Permit No .... 1.6fi..7 .2.Z ............ dated ...8.e.p..t:..2.5..,..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 ......... An addition and deck to an ex±sting one family dwelling. The certificate is issued to ALEXANDER & EUGENIA SPIRIDAKIS (owner, XeYi~YJ~tJ[ X of the aforesaid building. Suffolk County Department of Health Approval ....... ~ ./.A ................................ UNDERWRITERS CERTIFICATE NO... N 004395 2 / 8 / 88 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 · Olil~ NO. I TOWH 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- ]~472 Z Permission is hereby granted(~ ~.~..~......~.:~.,.....H...%;.~. ,o ...~..¢.......~.....~.~.~.rA...~.o....~..~ ..... at premis~es located ~t ...~.~...~........~....~...J~ ......... ~ ................................. County Tax Map No. 1000 Section .... ..(~...~....J ........ Block ...... ..(~...~ ......Lot No....~,,..I ............. pursuant to application dated ,,.~.~,~...../...~.. ........ , 19..~..~.., and apprOved by the Building Inspector. ~), ~ Fee $ ........................ 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 A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec- tor with the following; for new buildings or new use; 1. 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 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 Aprit 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusum natural or topographic features. 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 ,St0.00 Bus£ness $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.00 3, Copy of certificate of occupancy $ 5.00, over 5 years $10,,00¢ 4.Vacant ,,and C.O. $ 20.00 /~,/.[?./.~.?. 5.Updated C.O. $ 50.00 Date ...3 ............ NewC°~st'ructi°n ...... Old or Pre-existing Building ............ Vacant ~.and ............. Location of Property..cJ, J..~ .....~,( .f4.~ k../~'~... ................. ~,~, g, ,~,, ,/, 'c~, ........... House No. Street Ham/et Owner or Owners of Property ...... -... .ct ..... I ................ County Tax Map No. 1000 Section . .0.;'.] ......... Block . .(~..~.~ ......... Lot. ~-- ] Subdivision ............................. .,...Filed Map No ........... Lot No .............. Permit I~o, 1./2.~ 7. ? ~. DateofPerm t ? ].-Z S;) .C:/.Applieant ...... ~.~.~.~:¢.",.. ~'~. ?.'~¢¢.~;5. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Su bm itted $...~--~,. ~. ~ ................... F~ELD FO UN D A~.t.) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER .~Y. STATE ENERGY CODE ADDITIONAL COMMENTS: TOWN OF SOUTtlOLD OFFICH OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLI/, N.Y. 11971 March 17, 1988 TEL. 765-1802 Latson Construction 12425 Sound Ave. Mattituck, N. Y. 11952 To Whom This May Concern, RE: ALEXANDER & EUGENIA SPIRIDAKIS We are unable to complete your Certificate of Occupancy because .of the following reasons. /~ An application for Certificate of is not on fil~. (ENCLOSED) /'~/ No Underwriters Certificate on file. /~ The check is(~d/not ou file.) /~/ No Uealth Dept. Approval on file. /~? Pie final, lnspec ~ion has been made, Occupancy $25.00 Please contact our office on Thank you for your cooperation. Building Permit # I 6 4 7 2 Z Buildin~f [)()pt. ~*/~/ this matter. No Plumber Solder Certificate on file. ( all permits involving plumbing being .rst~ued after April 1~1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING REMARKS: ROUGH PLBG. INSULATION [~FINAL 765-~1802 BUILDING DEPT. INSPECTION 765-1802 BUILDING DEPT. INSPECTION [~~ION 1ST [ ] ROUGH PLBG. [/]~FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ~ 76SJ.802 ~' INSPECTION / [ ] FOUNDATION 1ST [ ]7OUGH PLBG. / [ ] FOUNDATION 2ND ~/] INSULATION FRAMING FINAL 1'HE NEW 'YORK~:~OARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIGi'rY [~ FEBRUARY 018,1~{[[8JOHN STREW. NEW YORK, N]~)~38 ~ 004395 ~ ~ppl~a~i~ No. on ~ile THIS CB~I~E~ ~T A~X SPIRID~KI$, 415 Ch~RK ~O~D. SOU~O~D, X m examl~ ~ and/~nd to be i~'mll RXTUI{{ IA~ IXHAUST FANS ~lllVICl OlSCONIICT S I I <;.F.C.I:-i TRACK I.,IG#TING: -8 I c PAUL R. BURNS 275 TOWN HARBOR LAME SOUTHOLD. NY, 11971. This certificate must not be altered in any manner; return to tim office of the Board if incorrect. Inspectors may be identified their crldenflak. BOARD OF HEALTH .. 3 SETS OF PLANS ~ -- 'FORM NO. 1 SURVEY ..P-.~ ..... TOWN OF SOUTHOLD CHECK .,.3.2~ ..... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N,Y. 11971 , TEL.: 765-1802 CALL ................ MAlL TO: Approve . ·. :. Pe=,t No. : Disapproved a/c ................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ..... ~ ......... L I ~ , 19~'7 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 according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public 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 permit sh~ll 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 until a Certificate of Occupancy 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 or 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, building code, housing~d~, and regulations, and to admit' authorized' inspectors' on premises and in building for necessary insl~cti~s. ,4.~) ,4/5.--' - . ..... ..... ,,. ............... (Si n~ure of aj~plicant, pr name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner ofpremzses .... e.Y.~..'~ f.~. ....... -t~g~ i .ti ...... I/. .C( .I. a(~/on the tax roll or late~t deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSEO Plumber's License No. ' Electrician's License No ..... ~g..~. ~. ........... Other Trade's License No ...................... 1. Location ofland on which proposed work wiil be done .... .~.i.~....C.{~e..[( 1¢o$ ............ : ....... ............................................. ............. House Number Street / .~.~ ~:' .~.~. 0 .[.J. ~,'... ~: 1 County Tax Map No. 1000 Section ..... .-.~. !' ..........Block ..... ~. ........... Lot.. ,=P,../ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed, construction: a. Existing use and occupancy ........................~ ........................... '.- ..... b. Intended use and occupancy ...... ~ ~ .(,2e~. .... .... ' ............................. ..... ..... 3. Nature of work (check which applicable): New Building . ' ... Addition .......... Alteration .......... Repair .......... ~.~. Removal .............. Demolition .............. Other Work ............... : . .. (Description) 4. Estimated Cost C[__/ '~ (J~'" .0.0. ............... Fee ................................... i " (to be paid on filing this application) 5. If dwelling, number of dwelling! units ............... Number of dwelling units on each floor ................ If garage, number of cars .... ~ ......................................... .......................... 6. If business, comm?¢iaJ oKmixed occupancy specify natut;e and extent of each ty. pe of Use ................... 7. Dimensions of existing st ~urcs if any' Front ~q . Rear .'Jr. ' Devth . ~..g'.( ........ Height ............... ~umber of Stories .... 1. i..' ....' ........... ~ ........ ' ......... Dimensions of samefitr~cture With alteiations or additions: Front ............ Rear .................. Depth ...... ~ ............... Height ......... ., ............ Number of Stones ...................... - 8. D~mensmns of entire new construction: Front ...... ¢...' ..... Rear ... 1 .~ ......... Depth .. ~-.O ......... Keight .... 1.5.I ......,. Nur~ber of Stories ...... 1 ................................... ; .............. 9. S~ze..o~?t:.'Front ...... t.~OJ..:. ......... '.. Rear ....... ~ .0.; ......... D~pth . .[.~.~. ..... ~ .......... 10. D~'~e of Purchase ...5'J?,~ .[~.~ .................. Name of Former Owner d~.~.~.~.e~.~'i~/.q. 1 1. Zone or use district in which premises are situated ............................................ ~ ........ 12. Does proposed construction vioilate any zoning law, ordinance or regulation: ............................. ',,-r',~ 13. Will lot be regraded ........ i .................... Will excess fill be removed from premises: Yes /No,) 14. Name of Owner of premises ..: ................. Address ................... Phone No ................ Name of Architect . ' Name of Contractor i .~f;i;i ' '" ' ' ' ............ Address .. Phone No. 15. irs this property locatediwithin 300 feet of a tidal wetland? *Yes ..... No .~... *If yes, Southold Town Tr9stees Permit maybe required. ; PLO~r DIAGRAM Locate clearly and distinctly ali build/ngs, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether1 interior or corner lot. STATE OF NEW YORK, ' S.S .. COUNTY OF ................. ............................ , ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ' i i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is 4uly authorized to perform or have performed the said work and to make and file this: application; that all statements coS~ained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ ./..ff. ........ day of .......... , 1 Notary Public ........ i . . Co~niy IX'c-" , ,ti State of NOW yin.k (;i~;' '] "ql ]uffall< Counl~ g PP 7 ........... Ho£~ ~UDYEU_ _ __ .5 C^E'F'' V,~" = . X;i:h'~LT .-t