HomeMy WebLinkAbout16602-zFORM NO. 4
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17939
Date APRIL 11~ 1989
THIS CERTIFIES that the building_
Location of Property 69125MAIN ROAD
House No.
County Tax Map No. 1000 Section 45
Subdivision
ALTERATION TO MOTEL UNIT
GREENPORT, NEW YORK
Street Hamlet
Block 1 Lot 13
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 2~ 1987 pursuant to which
Building Permit No. 16602-Z dated NOVEMBER 5, 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 ALTERATION TO TWO ROOMS IN MOTEL UNIT AS APPLIED FOR
The certificate is issued to MINNIE COSTAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-037140-OCTOBER 3, 1988
PLUMBERS CERTIFICATION DATED APRIL 4, 1989-K&K PLUMBING & HEATING
Building Inspector
Rev. 1/81
~gO~ NO. ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 16602 Z
Permission is hereby granted to:
/d,/~..~.ll~.~..,~.. ...............
County Tax Map No. 1000 Section ...~ ...... Block ....... /. ............ Lot No..~ ..........
pursuant to application dated .~.~....,.~. .................. , 19~....,Tond approved by the
Building Inspector.
Rev. 6/30/80
TOWN OF SOUTHOLD
EUILOINC DEPARTMENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
I]971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
DATE .... ~./.~ /~ .....
NEW CONSTRUCTIOH ....... OLD OR PRE-EXISTING BUILDING.o' .~..VACANT LAND ........
Location of ~o~,~,, ............ .o~ ~o. ~~,~ ........ ~~,,~'~'~ .....
couu,y Ta~ .ap No. ~ooo section ..V.~7..loeR ~ Lot /~
Subdivision ....................... Filed Map ........ Lot ..........
Permit No...L.4~..Z~;t~of Permit .......... Applicant ...................
Health Dept. Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final
Fee Submitted: $. . '~'~)"~""
Certificate ................
rev. 10/14/88
TOWN OF SOUTtlOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTHO£D, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No./~bO~~-~
Owner /~/~d>~o ~l~>~\ -- (please print)
(please print)
f certify that the solder used in the water
contains less than 2/10 of 1% lead. ;
supply system
Sw~ to before me this
__ day of
Notary Public,
County
~'///'~ Notary Public
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION.
[ ] FRAMING
REMARKS:
FINAL
DATE INSPECTOR ~ .
TOWN OF SOUTtIOLD
OFFICL: OF BUILDING INSPECTOR
P.O. BOX I179
TOWN IIALL
fiOUTIIOLD, N.Y. 11971
February 16,
1988
Wilcox & Son Builders
,~O'~ .... and--V-~-~--Lane
Re: Gus Costas
To Whom 5his Ma,¥ Concern,
We are unable to complete your Certificate
of Occupancy because ,of the following reasons.,
TEL. 765-1802
An application
is not on file. (ENCLOSED)
No Underwriters Certificate on file.
The check i:;(Xgi~i~axtYe~not o1% file.)
/~/ No Uea].th Dept. Approval on file.
No final inspection has been made.
for Certificate of Occupancy
$50.00
this matter.
Please contact our office on
Thank yo~l for your cooperation.
Building Perm.it t~ I 6 6 0 2 Z
Dui ld in!l Dept.
*~*/--_~/ Uo Plumber Solder Certificate on file.
( all perm'its involving plumbing being
issued after April 1,1984 )
VICTOR LESgARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 25, 1989
Mr. Gus Costa
c/o DROSSOS MOTEL
69125 Main Road
Greenport, New York
11944
Re: Building Permit ~16602Z
Tax Map 91000-45-1-13
Dear Mr. Costa:
During a review of our files, it was noted that the above
building permit has expired and a Certificate of Occupancy has
not been issued.
According to the Code of the Town of Southold Article XIV,
100-141 and 100-144 a Building Permit is needed for any
alteration work done on a existing building. It is unlawful to
occupy said building until a Certificate of Occupancy has been
issued.
Your final inspection has been made. Please fill out the
enclosed application for Certificate of Occupancy and return to
this office with a check for $50.00. Also, please submit the
plumbers certification from your plumber.
In order to avoid any legal action, yon must correct this
violation immediately.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VRW:gar
encl.
Vincent R. Wieczorek
Ordinance Inspector
FOUNDATION
{1st)
FOUNDATION ( 2nd )
ROUGH FRAME~/~
,PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
765-~1102
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND ~INSULATION
FRAMING
FINAL
REMARKS:
DATE
' I
~ :~z ~
BOARD OF HEALTH ......
3 SETS OF PLANS .......
'FORM NO. I SURVEY ..........
TOWN OF SOUTHOLD CHECK ..........
BUILDING DEPARTMENI SEPTIC FORM ............. :
$OUTHOLD, N.Y. 11971 .c/."~ 7.'"-. ,~.~. %/.
TEL.: 765-1802 CALL ....
MAIL TO:
Disapproved a/c .....................................
(l~uilding Inspector)
APPLICATION FOR BUILDING PERMIT
Date.///04? ........... 19 .~.7
INSTRUCTIONS
a. This application must be completely filled/n 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
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 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 code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections. [
..... ..................
(Signature o,f appli~cant, or name, if a corporati2n)
.... (!/,. . /. . . ce . . ....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder·
....... .... ...........................................................
Name of owner of premises....'~.. ~. .... :O.~. L .~.. ....................................................
(as on the tax roi1 or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) ·
Builder's License No ........................
Plumber's LicenseNo .........................
Electrician's License No .......................
Other Trade's License No ...................... .~.,.~ .c~ .~. ~.
Location of land on which proposed work will be done: ......... t...C. ...... ~. ~..~.~. .............
........................ ............................... . ........
House Nmnber Street Hamlet
County Tax Map No. 1000 Section ...4/..~".. ......... Block ....... l ......... Lot ..... /~ ..........
Subdivision ..................................... Filed Map No ............... Lot ............... (Name)
State existing use and occupancy of premises and intended use and occupancy of prqposed construction:
a. Existing rise and occupancy ..... I...~'.'. ·C.' .........................................................
b. lntended use and occupancy .... .~...\ .~c~..~..[ .......................................................
3. Nature of work (check which applicable): New Building ..... ' ..... Addition . ......... fAlteratiog/ ..... ~ .....
Repair ........ .,74/... Removal .............. Demolition .......... ! ....Otherk"' ._~-~-~vmk~. .... : .........
qqt ~,,2/ ! (Description)
4. Estimated Cost..?.'...~(~Y,~Jt .C-f~.'~ '"" '~ - '" '"'" ................... Fee . .~./f~.~. ~.'.,.~"~ --" ~.~.. .....................
· * ~ (to b~ paid on filing this application)
5. If dwelling, number of dwelling units ..... / ........ Number of dwelling uriits on each floor ................
If garage, number of cars ........................................... i ............ "'~ ......... ;/f ' ' '
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use e270~/..2..-~.~.-~(/...
7. Dimensions of existing structures, if any: Front ............... Rear ......... Depth ...............
ight [ ,'
He ............... Number of Stories .......................... ~ .............................
Dimensions of same structure with alterations or additions: Front ........... I ...... Rear ..................
Depth ...................... Height ...................... Number of Stories ...... f. ...............
Dimensions of entire new construction: Front .......... ' ..... Rear ....... '. Depth
Height ............... Number of Stories ........................... . ............................
Size of lot: Front ...................... Rear ...................... ! Depth ......................
D teofP hase Nam off O '
a nrc ............................. e ormer wner i .............................
1 1. Zone or use district in which premises are situated...
12. Does proposed construction violate any zoning law, ordinance or regulation: ... ..........................
13. Will lot be regraded yr?/~/ty ................... ,... Will exc, l~s fill be removed from premises: ~esD No
14. Name of Owner of pr~fis~s .~-d~. ~~O~"~.~.5'Address ~..f, 2.~...~/'f. ?~.~. Phone No . C/~. · .7~. ~.~ ~...
Name of Architect ......... Address . .
15. Is this property located w~thin 300 feet of a tidal wetland? *~es ..... ~ .....
· If yes, Southold Town Trustees Permit may be required·
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, an& ilndicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and ~nd~cate whether
interior or corner lot.
9.
10.
STATE OF NEW YORK, S.S ;
COUNTY OF ..................
· . f-~..(~LJ~'(~) ........................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contra.ct).
above named.
.... ............................................. .........................
(Contractor; agent, corporate officer etdr.]i]~(! ~ /i~ 'i '
of said owner or owners, and is duly authorized to perform or have performed theis*~i~work and to makefnd'!file this
applicationi'that all statements contained in this application are true to the best of f~i~,~a]~["~Sa~,k;alt~ql~hha (that the
work will be performed in the manndr set forth in the application filed therewith.
Sworn to before me this
Notary Public ........ ~_¢~.. ~... P.~..~/~,...
HI~.EN I(. DE ~E
N~A~ PUBLIC, ~ ~ ~w Y~
No. 4707878, S~ik ~
Te~ Expir~ Msrch ~, 19 ./
· County
(Signature of applicant)