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Home My WebLink About15198-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy Z-15635 April 13, 1987 No ................ Date ............................. ONE FAMILY DWELLING WITH ATTACHED WOOD THIS CERTIFIES that the building ................................ 1440 Green Hzll Lane Greenport Location of Property H[~us~, ~'o .................. 'S'tf*et .................... H~r~le~t County Tax Map No. 1000 Section 33 .Block 03 .Lot 03 Subd[vlmon M/o Eastern Shores $ec.5 Filed Map No. 5234 .LotNo 137 conforms substantially to the Apphcahon for Bmldmg Permit heretofore filed in ttus office dated August 6, t986 15198Z ........... pursuant to winch Butldmg Permit No .................. dated Aug,....ust 27....., 198...6 .. was issued, and conforms to all of the requlrements of the applicable provmlons of the law Tile occupancy for wtuch ttus certificate is issued is ....... ONE FAMILY DWELLING WITH ATTACHED WOOD DECK LINO & HELGA QUIRKO The certfficate ,s issued to ..... (dwner,.ie,~ly~j .............. of the aforesmd building. Suffolk County Department of Health Approval 86 - S O- 122 UNDERWRITERS CERTIFICATE NO. N 8007 t 4 December 29, 1986 PLUMBERS CERTIFICATION DATED: DEC Building Inspector Rev 1/81 TOWN OF SOUTHOLD BUll-DING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEP, J*AIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 1519~ County Tax Map No 1000 Sect,on .~..~. pursuant to apphcahon dated ~ ~' Budding Inspector B~o~k .. ~. ........... Lot No . .~.~.. ......... ..., 19~::~,, ond approved by the Building Inspector Rev 6130/B0 FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPAI BLDG DEPT. TOWN OF SOU~0LD Instructions A Th~s apphcat~on must be filled ~n typewriter OR ~nk, and submitted ~n duplicate to the Building Inspec- tor w~th the following, for new buddings or new use: 1. Final survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topograph ~c featu res. 2 Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal) 3. Approval of electrmal installation from Board of F~re Underwriters 4. Commercial buddings, Industrml buddings, Multiple Residences and s~mdar buddings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planmng Board approval of comp{eted s~te p~an requirements where apphcabie. B For ex~st~ng buildings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-exist~ng" land uses: 1. Accurate survey of peoperty showing all property hnes, streets, buildings and unusual natural or topograph m 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 ~nspect~on of buildings or premises, or other pertinent mforma- t~on requ,red to prepare a certlhcate. C, Fees 1. Certificate of occupancy $5 00 / / 2. Certffmate of occupancy on pre-existing dwelhng ~r land use $/'~'/ $5.00 3. Copy of cert~hcate of occupancy $1 00 Date.March 27, ].98? New Building .... ~ .... Old or Pre-ex,sting Building(X) ...... =/Vacant Land ......... Location of Property ].?~0,..Gz'ee~ [-[.fL].]...~!~. (~eeT~[0Q~'.~¢..N~, .~,~ .......... House No, Street Hamlet Owner or Owners of Property . LJJ3~. ~, He].Ee. Q~ko ................................ County Tax Map No, 1000 Section ~ ....... Block . .~ .......... Lot .... ~ ........... Subdivision .~..ap .O._-+' ~.a.s.~e.z'.~. S..b.c.:z-es .S.e.C~l:ded Map No .5..2~/~ ...Lot No.'l~?. .......... Permit No..].5~.~Z . Date of Perm~t~.2?/'~ . .Apphcant~D. Health Dept Approval ...... ~/.],~/~7. ........ Labor Dept. Approval ........................ Underwriters Approval N..8..0.07.~./~. ......... Planmng Board Approval .................. Request for Temporary Certificate .................. Final Certificate ................. Fee ~ubmitted $. ~OC) .............. Construct,on on above deser,bed bu,ldlng and perm~a~j~p ~ph,ca~b~es,nd regulations Applicant ...... ,~ ....~I~-"~F'~--~"~]~.~ ....... ¥'. ........... Rev 10-10 78 OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION DateDecember 29, 1986 Building Permit No. 15198Z Owner Lino & Helga Quirko (please print) Plumber Frank Pazienza d/b/a (please print) Bay Plumbing & Hea~ing I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this 3 9. day of '~~, .., 19 Notary Public, ~S~.; .County ~/ - (Plu~r~'r ' s S ~atur~ N°t a~R0~c ~OTARY PU8/IC, State of New York No 5738350, Nassau County¢, Term Expires December 31.19_% TEL. 765-1802 TOWN OF s01JTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /_~/ An application for Certificate of Occupancy is not on ~3~/_~ No Underwriters Certificate on file. /~ The cheek is(~/not on file.) /~_~/~o Health Dept. Approval on file. ~-- No final inspection has been made. '~/~ Please contact Our office on this matter. Thank you for your cooperation. Building Dept. *** --_~/No Plumber Solder Certificate on file~-~C/~ ( all permits involving plumbing being issued after April 1,1984 ) '~SFECTiON oNDATION {~ls t } FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~FINAL // 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING .[~F,,I NAL 76S4.84]2 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: BUILDING INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: DATE 765-z80~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION []FRAMING []FINAL REMARKS: ..... _ Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD Tov~ HALL, SOUTHOLD, N. Y 11971 765-1802 G.F.C.I.-1, Smok~ DetectOr-1 Water Heater-l-4.5K.W. EecO Elec., Corp. 325 Willc~ Point Rd. l~Co~2~S16'E $outhold, N.Y,, 11971 Thms ceflmfmcate must not be uttered mn any manner, return to the offsce of the Board mf mncorrect Inspectors may be ~denhfted by their credent,als COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER (07- CERTIFIED TO LINO QUIRKO HELGA QUIRKO /-07. SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES FOR ~PPRO/VAL OF CONSTRUCTION ONLY ~.PPROVED ~ "MAP tems for this residence wdl conform fo tile s~andards of the Suffolk County Depa~. ~ [ L ~ D ment oE Health ~ ~, ~,' TO W N 31~ We~phaha Rd. S U FFOL K Box 11 ~ ~N.Y, 11952 SCALE S LIC NO 49668 PECONIC ~YORS ~ ENGINEERS ~ P C ( 516 ) 765 ' 5OZO P 0 BOX 909 MAIN ROAD SOUTHOLD~ N Y 11971 SURVEY OF LOT OF EASTERN SHORES" SECTION FIVE DEC 3~, 1968 FILE NO 5234 GREENPORT OF SOUTHOLD COUNTY, N.Y. O3 I" -- 40' 16, 1986 03 Pr®pare,'1 In a¢con:lanee witJ~ tim mln|mum standards for title surveys as established by the LI.A. LS. and approved and adopte' for such use by The New York State E LEVATIONS ARE REFERENCED TO AN ASSUMED DATUM 86 - 325 HELGA ~UI~'COUNTYF['~LTH DEPARTMENT ~ h.,, , .... , ............ ' ,, " .'- ,-~ :.r '~ ~ ,: C~iof ~. ' ..... SHORES standards for h;:o -"urvets as c::abh.hcd by for such use by The New York State Land T. le ~omatmn. LOT 137 OF EASTERN SECTION FIVE FILED DEC 31 , 1968 FILE AT GREENPORT / ~ LIC NO. 49668 ! p ECONI~~a ENGINEERS , P C (516) P 0 B OX 9~ MAIN ROAD SOUTHOLD, N Y 11971 NO 5234 TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. I000 - 33 03 03 SCALE I" : 40' JUNE 16, 198 6 SEPT 16 , 1986 DEC 29 ~ 1986 ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM 325 B Disapproved a/c FOR~ NO, 1'* TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, I',I.Y. 11971 TEL,: 765-1802 · , 19~d Permit No..1~. ~...~ .~2 ............. APPLICATION FOR BUILD1NG PERMIT BLDG. DEPT, TOWN OF Application No .............. Date August 6 , 1~ INSTRUCTIONS a. Thru application must be completely filled ltl by typewriter or in ink and submitted in triplicate to the Built Inspector. with 3 sets of plans, accurate plot plan to scale. Fee according tc schedule. b Plot plan ,hewing location of lot and of buildings on premises, relationship to adjoining premises or public sir or areas, aud glvnlg a detmled description of layout of property must be drawn oil the dia~am which is part of this af canon. c. The work covered by thru apphcanon may not be commenced before issuance of Building Permit d Upon apprc.al of tins apphcatton, tile Bmldmg Inspector will issue a Building Permit to the apphcant. Such pe~ shall be kept on the premises available for mspechon throughout the work e No braiding shall be occupmd or used in whole or In part for any purpose whatever until a Certificate of Occupa stlall have been granted by the Budding Inspector. APPLICATION IS I IEREBY MADE to the Budding Department for the msuance ora Building Permit pursuant to Bmldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the constructmn of buildings, additions or alterations, or for removal or demolition, as herein desert} The apphcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ant admR authorized inspectors on prem,scs and in buddings for necessary mspectmns INLAND HOMES, INC. (Signature of applicant, or name, if a corporation) · .B. 9 .x' .117.,..M.a.~ $ $-tu. qk,. N,:.Y,..~1952 .... (Mailing address of applicant) State whether apphcant ts ox~ner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or burl General Contractor Name of owner of prenuscs .L. ln.a..~u i T.15o H. 9.19.a' .Qu. i.rk.o. ............................. (as on the tax roll or latest deed) If apphcant xs a corporatmn, mgnature of duly authorized officer. Robert E. Hiltz President (Name and title of corporate officer) Builder's License No ..................... Plumber's Linens~. No. 517-P ELctr clan s License No 2816 Other Tradc's License No .; ........ . 1 Locahon of land on wtuch proposed work will be done I. .Gr?ep..H:t.l.1 .L.a..n.ej..S. 9.u.n.cl .DT %v.q ,... at Greenport, Town of Southold, N. Y. House Number Street Hamlet County Tax Map No I000 Section 33 Block 03 Lot .O. 3 Subdivision Map o£ Eastern Shores Section 5FdedMapNo 5234 Lot 137 (Natne) 2 State exisnng use and occupancy of premises and intended use and occupancy of proposed con~truchon: a. Existing Use and occupancy ........................................................ b I 1 Familu. dwellzng - ~';,,',,-' ~t,t'~ · ntended use and occupancy ................................ . ................... XX Nature of work (check whlcb applicable) New Budding .. Addition .... Alteration ......... Repaar ........... Removal ....... Demohtlon ......... Other W~',>rk ............ '~2 (Description) (to be paid on filing this application) If dwelhng, nmnber of dwelling umts ..... Nmnber of dwelhng units on each floor ............ If garage, number of cars ..... ............ If business, commercml or mixed occupancy, specify ~ature and extent of each type of use ............... Dm~ensions of existing strnctures, ~f any Front .. Rear ............ Depth ........... Height ......... Number of Stories .............. Dimensions of same structure with alterations or addltlons Front ............ Rear ................ Depth ........ Height ............. Number of Stones .................... Dm~enslons of 2ntlre new construction Front . . .~ ~. ..... Rear . fro. ~. ........ Depth 4~ P.~. ...... Height . . }. ~. .... Number of Stones / ....................................... Size oflot Front . . . ? O. ~ ...... Rear ... 2 cO..~ ..... D_e~th .~.~.9 ........ Date of Purchase ................... Name of Former Owner . ~ ...... Zone or use district tn which premises are situated .... Does proposed construction violate any zoning law, ordinance or regulation ............................. Wig lot be regraded .................... Will excess fill be removed from premises Yes Name of Owner of premises lqr, &U~c.s.,I~.5..no. ~u.J..rjgPdress4.~o.~rl<7J ~.~ t~.t. Phone No21. 2-8.7.4..-7.o..5.9. Name of Architect ................... Address . .'....~ ....... Phone No ............. Name of Contractor . ~SLAND. [q0N.~$, JNg,.. AddressBOX 1.1.7.,~.la.t.t.~..~u.c.~tao~[,-~o..27.8.n9..6.9.6 .... PLOT DIAGRAM Locate clearly and distinctly a/1 buildings, whether ex~stmg or proposed, and. indicate ~11 set-back dimensions fro roperty lines. Give street and block number or description according to deed, and show street names and indicate wheth tenor or corner lot TATE OF NEW YORK, OUNTY OF..S.UFFOLK .. S S ........... RoD?r'~ E.. Hi.lt2... (Name of mdnqdual stgmng contract) ~ove named ] 9o~ being duly sworn, deposes and says that he is the ,tpphc? eisthe ............................. . . . . ... (Contractor, agent, corporate officer, etc ) £ sa~d owner or owners, aa~d is duly authorized to perform or have pet,formed thc said work and to make and file tl >phcatlon, that all statements contained m this application are true to the best of ins knowledge and belief, and that t ork will be performed tn the manner set forth m the application filed ti'erewlth worn to before me tins .... of ........ otaryPubhc,...~...~..[~¢'~.. County~~ 31gnature of apphca c¸ , r OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SOLDER USED SUPPLY PLUII~IBER CERTIFIC4 }'ION ON LEAD COIVT'ENT BEFORE CERTIFICA~'E OF OCCUPANCY OT-,T ~4 -bE C I% -k T-~OOI'I, : 7-0400 Main Road BREENPORT, N Y. i 1944 F : ,-[ GR~PORT~,I~