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Home My WebLink About15564-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southo~d, N.Y. Certificate Of Occupancy No. z-16609 Date January 25, 1988 THIS CERTIFIES that tile building Cons truct One Family Dwel 1.i.n. 8 with attached · 'tW6' h'aY ' ~'r'~ .......................... Location of Property ...3. ! .9.0..~.b¢..L.q .nE..~a.y ........... .E p.s.t..~.a.r.~.9 .n.,..N.: .Y.. ......... House No. Street Ham/et County Tax Map No. 1000 Section .... 0..3.0 ..... Block .... 0. 2. .........Lot ...I. [ 2. ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated D.e.c..e.m.b.e.r...4.,.. ! .9.8.6... pursuant to which Building Permit No.. ! ,5.5,6.4..Z. ............ dated .... ?.e.c.e.m..b 9?.. ! .0.,.. ! 9. .8.6 .... 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 WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR GEORGE & MARY KONTOTHANISSIS The certificate is issued to ..................... [o~;n'ei',)~s~4~4XX ................... of the aforesaid building. Suffolk County Department of Health Approval ............ .8.6.28..07.2.2. 5.. 7..S.e..p.t.... 2. .9 .,.. ! .9 .87 UNDERWRITERS CERTIFICATE NO ............... N848500 - Dee. 30, 1987 PLI~MBER$ CERTIFICATION DATED: Gardiner's Bay Plumbing & Heating Co. Jan. 20, 1988 '~' ' ~uildi~ 'I~;;;c't~; ............. Rev. 1/81 lrOR~ NO. I~ TOWN 01: SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5564, Z Permission is hereby granted to: at premises I~ated at ...~..~ ....................................................................................... 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 m~ 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 April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual 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 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ...!z/~.9./.~ ............... NewConstruction...~.OIdorPre-existingBuilding .. ....... . .. Vacant Land ............ Location of Property ..... .~.h~. ~o.~g. ~V.~. ?.e.~l.e. ,~.c.h,. ~].~.q ~. [v[.~.~.~ 9T~,,..~¥ .......... House No. Street Ham/et Owner or Owners of Property ....G.e.Q~;.e..~. ~p~.~'. ~.o,q~,Q~.a,~.~.~.i,~' ....................... County Tax Map No. 1000 Section ...O,~0. ........ Block ,.. 2 Lot 112 PCL Subdivision. ~ap. D.f .~P.h~l¢. ~.e.~b..~:~. ~'[~.~. ·Filed Map No...~.2.~.~. .... Lot No....~.~. ........ Permit No. 1~.%.~.~... Date of Permit . ~.~./.%Q/.~.pplicant RoMar I,], Cullen., .Pres, . . .... Health Dept Approval ~-GOT.2.~. Labor Dept Approval Underwriters Approval ... ~.~.~0..0 .............. Planning Board Approvai ........ . .............. Request for Temporary Certificate Final Certificate .... Fee Submitted $2~.Q0 ....................... Constructioo on above described building andj~ermit meets all applicable codes and regulations. Applicant..~. ~...~.. ....................... ' ................ Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. IS~ 'L (~lease print) ~RDI~NER'S BAY' PLUMB NG & HEATINO Plu~er '%:,, 81 GAHDI'NER'G BAY DRIVE {plea~,~. ~r~&~ ~8~.e I certify that the solder used Ln the water supply system contains less than 2/10 of 1% lead. ~ber's signature) Sworn to before me this of ,' Notary Publ±c,~~_County Notary Public HELEN K. DE NOTARY PUBLIC, State of New Yock N0. 470787B, Suffolk County Te~m Expires Uorch 30,19----~ 1000174 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF E[.ECTRIClTy 85 JOHN STREET, NEW YORK, NEW YORK '10038 ~-mg I)ece~ber 30 1987 Appli~atio. ~o. on file 463244/87 THIS CERTIFIES THAT o~y the electrical equipment ~ ~scribed be~w and introduced by t~ applicant ~med on th~ a~ve application number in th~ premhes of George Komcothaniszie, E/S Long ~ay, C~o~a~ay & Scrand~ ~$~ ~ar&on, ~,Y. in thefollowlng h,cation; ~ Basement ~ Ist FI. ~ 2nd a. ,%etlon039 Bilk 2 Lot 11~ was exatnined on Dec~be[' [ 7, 198~ and found to be in compliance with the require.tents ef this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 18 21 ~3 18 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS MULTI-OUTLET DIMMERS NO. OF FEET SERVICE DISCONNECT $ E R V I C E NO OF CC COND A W O. PER~ OF CC 1 NO OF HI-LEG AW, G OF HI-LEG IOOFEUTRAL$A W, G. OF NEUTRAL E~GO Electric Corp. (Gliff Cornell) 325 Will~ Point Road S~thold, N~Y~ 11971 Lic. 2816~; This certificate must not be altered in any manner; return to the office of the Board if incorrect. COPY FOF ~ lING DEPARTMENT. GENERAL MANAGER 11 /, '/ Per_ ~ may be identified by their credentials. OUNDATION / (1st) OUNDATION (2nd) OUGH FM~E& PLUMBING :NSULATION PER N. Y. STATE ENERGY CODE FI~AL COMMENTS: ~ ~ 765-1802 BUILDING DEPT. INSPECTION .INSPECTOR ~'~ ~ / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING [ ] ROUGH PLBG. 2ND[ ] INSULATION [ ] FINAL REMARKS: DATE INSPECTOR, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~UNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ,[ ] FOUNDATION 2ND [ ] INSULATION ~F~MING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION~ [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~]/~RAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND - I~~NsULATION [ ] F~'a"~MING ['] FINAL REMARKS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 4pprov~ ./, ,o..., 19 .~. Permit No. ~..~.~.k'.~..t/.~... ~ Oisapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date .... 1.1./29 ......... , 19 8.6, INSTRUCTIONS a. This application-must .be .completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 ets 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 ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 ball be kept on the premises available for inspection throughout the work. e. No building shall be occupied er used in whole or in part for any purpose whatever until a Certificate of Occupancy hall 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 luilding 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. 'he applicant agrees to comply with all applicable laws, ordinances, building code, ~jmsing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. :' , 0NS~,UCT 0~ ~ .............. , IIABB NER $ BAY C . ' (Signa, t},~T~,~r~e,o.,,, .,~,.O,O,~,,l~J~ fitlet;~ a corporation) ;" ~ P.O. P, gx 604 uanum~n,r~ 0 gtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder %mc o~ewnc~ o~pmm~c~ George & Mary Kontothanassis ff ~ppHcan~ a c~pomfion, ~Ena~ure o~ du~y a~hofizcd officer. ..... ............... / ~(Name and title of corporate officer) Builder's License No..S.I.,.. t 92 ............... Plumber's License No.. 22B.6Z* ................. Electrician's License No. ~CO .... .-...~t$,. ~[... ~, Other Trade's License No ...................... .3 / ~d7 Location of land on which proposed work will be done .... ~. ?.h.e...Lg.n..~. ~.a.~ ...... Pebble Beach East Marion llouse Number Street Hamlet Counly Tax Map Nc). 1000 Section . .030 ............. Block . .2.. .............. Dft...1.1.~.. P. CL ....... Subdivision .N.~p. p.f...P. 9.b.b.l.~..B.e.a.c..h. ~a.r..m~ ....... Filed Map No. ff 6a66 Lot 61 (Name) 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 ..... $ir~gle. Eamily .Dw.e3~ling .' .................................. 3 Nt fwork (check which applicabl ) New B ildi .'.K ' Additi AIteratio · . tture o e: u ng ....... on .......... n .......... Repair .............. Removal ............ Demolition ............ Other Work ............... dc !.~ ; QQQmO. Q 4. Estimate os ................ ...... Fee. (Description) (to be paid on filing this application)' 5. If dwelling, number of dwellin~ unit~ ............. Number of dwelling units on each floor ................ If garage, number of cars ... ~ .... 2 ............................................................... 6. If business, commercial or mix!ed occupancy, specify nature and extent of each type of use ..................... 7.fDimensi°ns{eight of existing structu~eS,Num berif oany:f StonesFr'°nt ............... .R. ear .............. Depth ............... Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth .................. }... lteight ...................... Number of Stories ...................... 8. Dimensions of entire new con{truction: Front .51.76!' ......... Rear .53 .I.6~ ........ Depth 3.~~. lteight .... ~-~ ...... ~. Nffmber of Stories 55 ' ' ....... 9. Size 6f lot: Front ..... 8,.'~. ,'.ti:9' .........'l~;~r'''; '~b;'dl .............. h~, ,;~ '~¢'~;~) ............ 0. )ate of Pure ~ase . .:. 9./.30../~.7. ......... i' 'N'a'~i ;;i~o'r;~/r'h;,'n;;' .'7-~'.~'~. "i' ': 1. Zone or use district in wificb premises are situated ................................................. 2. Does proposed construction viblate any zontng law, ordinance or regulation: .,.I}10..'..~ ......... 3. Wdl lot be regraded .... No. i ' ' ' ....;" ........... Will excess fill be removed I~om premises: Yes 4. Nal~eofOwnerofpremses G,eo~ge & .Mary~. Address 1~5 Kathleen ~r~ .... ~,~ -~j oeo~ Name of Arclfitect . Kon~otha~ass~? ~., Syosse'c; ~- ,. ........................ au~ress ........... ; ....... ~'none ~o ................ Name of ContractoiRd:go_w /C~.l on .... '. ........Address 8'1. D~.r ~lin.e2$ B~ay:. :Dll~ne No.7.49.-. 0.1.8.~ GardinersB~y Cont. Co, Shelter Is. N.Y. PLOT DIAGRAM 'i Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from mperty lines. Give street and block number or description according to deed, and show street names and indicate whether ~terior or corner lot. Su~ ~ey Submitted TATE OF NEW YORK, 'OUNTY OF ................ .......................... ~ ...................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bore ,mnled. [e is i]TG '.'~;7 i'~':'i ............. ~ ..................................................................... I (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements co0tained in this application are true to the best of his knowledge and belief; and that the /ork w~ll be performed in the man, er set forth in the application filed therewith. worn to before me this (3ignature of applicant) f LICENSED LAND ~URYEYORS GREENPORT NEW YDR~ SUFFOLK CO. HEALTH DEPT. APPROVAL H. S, NO. ~DINER'$ BAY CONSTRUCTION ~?' P.O. ~OX 604 {H~TEB I8~ND, N. Y , ~ ,, . . STATEMENT Of TNTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS F'OR THIS RESIDENCE WILL CONFORM TO ThE STANDARDS OF ThE SUF'FOLK CO. DEPT. OF' HEALTH SERVICES. APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: h. S. REF. NO., APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: DEED: L. TEST hOLE STAMP SEAL // // R~DERICK VAN TUYL, P.C. .,,,:. V~..- __ .~ GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. ~J~DINER"$ BAY CONSTRUCTION CO. ',. I~*-ELTEP' O. 60X 604 .. IS[AND, N. Y. 11965 '-'--- {$16] 74,~-0182 STATEMENT Of INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM/~ Tt~S~AN~ARDS OF THE SUF'FOLK/~'"O. DEP'I~. ¢¢F_I~'~'ALTH SERVICES. /App~ANT - SERVICES -- FOR A~PROVAL OF DATE: ¢. ~, ',~. ~,..,..~..,.,..._ . OWNERS ADDRESS: DEED: L. ~d.~-~ P. TEST HOLE t<?',- -;. - SEAL S.C. DEPT. OF HEALTH ~ER¥1gE$ // /! i RODERICK VAN TUYL., P.C. LICENSED LAND GR£ENPORT NEW YORK SUFFOLK CO. HEALTH DEPT· APPROVAL ~ _INER,~ BAY C0MgTRUCTI0~ t~ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DIS~SAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS Of THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. {s) APPLICANT SUFFOLK COUNTY DEPT. OF HEA~TH SERVICES -- FOR APPROVAL OF CONSTRUCT ION ONLY DATE: H. S. REF. NO.: ~--~' ~-2~ APPROVED: I SUFFOLK CO. TAX MAP DESIGNATtON: DIST. SECT. BLOCK PCL fO00 0 ~0 ~ 1 !~ STA'MP USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY NOTfl;Y rCdlLDING ~EP~RTMENT AT ' 765¢80~ 9 A~ ro ~.~ ~R THE ~LLOWoN(~ IN~PFCT;ONS: . ' l' THE fiE!? i~Ek~Ef,/'f$ OF THE ..... ' ' ~ : "' ' ' ' ~ ~a ~ or L only ST~T~ ~,o~s~nuc~ COD~ NOT ~S~S" ~'~R ON ~ ,,, , '~"'""".,, ' c~,~(n~rr o~ occ~cr for water distributing ' ' ~RFE~POg r ,1 Main Road Ct[ Phone 477-0400 GREENPORT, N Y, 11944 Fc~'q C6mI~ 0 5