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Home My WebLink About14555-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ..... z. 14 6.6.6. ...... Date ...... .3.ql. y..1.8. ~ ................ , 19..8.6 THIS CERTIFIES that the building ....E.x,~..8 .~.i.n.~r. 9.n.o...f.a.m.~.i.y..d.w.e.i..1.i.~.~..w.i~.i3..a.d.d. itions Location of Property .... ~ .47.5. .i~. o.~.s.~.g., p.o.~.n. .t. .R. qa. .d.~ ........ C.u. g.c.h.o, gg.e.,. .iXJ.e.w. .Y.o. r. .k. . House No. Street Hamlet County Tax Map No. 1000 Section . ]..1,9. ....... Block .... qZ. ......... Lot .... 4. ............ Subdivision Amd MaD "A" Nassau Point · 76 ..... ~. ......................... Fded Map No. 156 .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ??.t? .r.u.a.r.y..2.4.,.., 19..8.6pursuant to which Building Permit No. 14555 Z dated .~..e..B.r.u.a.r.y..2.4.~. ............. 19..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 ......... ....... ~.~,~9.~..~.g..qn..o..~.a.m..~.ly. dwelling with additions The certificate is issued to . .~.r.i..s.~.i.d:.o..s..&..E., .1.i.z.a.t?..e.t.h..S..p?.r.e.s. ........................ (owner, ~,.~c(Z%,~ of the aforesaid building. Suffolk County Department of Health Approval ................ ~./..~ ....................... UNDERWRITERS CERTIFICATE NO ................. N756923 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) Permission is hereb/gronted to: ........ ..'~5~..~~ ....... ~..:~.: ....... !..!.~.~7.~ ............. , ~e~i~ ~o¢oted ot ....9....4. .............. .~..,,~,.~....~.~,.......~.. ........... ~~....,~,~ Cou L./ ................................................ nty Tax Mop No 1000 Sect on ...... ./.../...~. ......... Bock ....... ..~..../. ........ Lot No ...... ~ ................ pursuant to application dated ~....~......~.....~ .............. , 19..~..~.Z, and approved by the Building Inspector. Fee $..~......:.~.. Building Inspector Rev. 6/30/80 FORM NO. 6 Building Department I/Al , . II1 Town Hall IIIli;' , III I Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF CCU ANC Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tot with the following; for new buildings or new use: 1. Final survey of property with accurate location of a~l 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dweiiing or land use 3, Copy of certificate of occupancy $1.00 New Building ............. Old or Pre-existing Building .. ~ ........ Vacant Land ............. Location of Property . c).~.7.~.. ~.s. ~ .e,~..? .o.i.Q.~..R.o.~.d. .................. .0~b.c.~.oj~..e. .......... House No. Street Ham/et Owner or Owners of Propert¥ . .~ ~- .s.a.S.e..a..&..~..], .1.~.~.b.e..t.~...S[~.e.~.e..s .......................... County Tax Map No. 1000 Section ..... 3.].9 ....... Block ....... 0;[ ...... Lot .~ .............. Subdivision .~,~le,r~ded. ~e. p~, .Nas.salt. ?.to ...Filed Map No..],~(~ ...... Lot No ..... ~ ....... Permit No..~,4~.~['. · Date of Permit .2//2~/~6.ApplicantE Q~,1,~o~r~te.llt;, ~,e, 8~ ~. ,[Qc, ........ Health Dept. Approval ..... ~T/,A ............... Labor Dept. Approval .... ~.A ................ Underwriters Approval ...~7.5~92..3 ............ Planning Board Approval .. ~/.'~ ......... ' ....... Request for Temporary Certific~te ..................... Final Certificate ....,~ ................. ubmi,,e .... Applicant ...~. ~/~ .... P~e.s~ae~ ........... ~ a~ ~ ~ivo~e~st, I~ fo~ owners :THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001093 BUREAU OF ELECTRICITY ~.~ 85 JOHN STREET, NEW YORK, NEW YORK 100:38 THIS CERTIFIES THAT Aristidis Speres, 9475 Nassau Point Road, Cutcbogu~, N.Y. in thefollowing location; [] B~e~nent ~ Ist Ft. [] 2~d FI. Section Block Lot ~t~s exomined on J1333L~ ~ ~ ]~ and found to be ~n compliance u'it h the requ re nent.~ o, f this Board. FIXTURES RANGES OVENS OUTLETS SWITCHES FLUORESCENT 20 25 14 20 DRYERS MOTORS FUTURE ~,r'EUANCE FEEOERS i MULTI-OUTLeT SYSTEMS NO. OF FEET EXHAUST FANS DIMMERS DISCONNECT S E R OTHER APPARATUS: 1--G. F. I. I C NO O~ERC%.CONO.! A, W. O NO, OF HI-LEO A W O OF CC COND OF HI-LEO E NO OF NEUTRALSl poroski ~onsel]. Irene N.Y. 11935 Lic. :~ 9~iLE GI:I4~RA~ MANAGJR This cerfificat~e must not be altered in any manner; return to the office of the Board if incQ[rect. Inspectors may be identified COPY FOR B~LDING DEPARTMENT, THIS COPY OE CERTIFICATE MOST OT BE AIZTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS, C E R T I F i C'A T FiD N TEL 765q 802 irtify that Che solder used, iff. tile ~Wae~, g,upply system less than 2'/10 of 1% .Lead County COMMENTS FOUNDATION FOUNDATION 2. PLUMBING (2nd) INSULATION PER N. STATE ENERGY CODE Ye FINAL )ITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [f,~] INS~i~ATION~ FRAMING [~]' FINAL REMARKS: 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~NSULATION FRAMING I' ]FINAL DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Approved .~ ~.~".~., 19~..~. Permit No!.~..~.~.~. . .2~... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received .......... ,19. · · Date ................... 19... 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. P10t 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 regulatiol!_s, and to admit authorized inspectors on premises and in building for necessary inspections. ff /. v. t/ / P. Z , L .C. ., . & 4 . .< . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general .contracto[, electrician, plumber or builder. ........... ........... i ................................. i'"' Name of owner of premises/~/S 7Z.[~..Y .... .~.~.:g~M~ff..T~tf......~.. ?.~./.~.~. ........................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. x ...................................... (Name and title of corporate officer) Builder's License No..~..~.~..~./.'4 .... ~1~' ~ ~ ~ Plumber's License No ...... . ./~.~ ............... Electrician's License No ..... ty.~. .............. Other Trade's License No ...................... 7 1. Location ofland on which proposed work will be done. ~ /l/q.~$.~.,~. ?.0[~../ .~..~'. ?....~... ttouse Number Street Hamlet County Tax Map No. 1000 Section ././.q ............. Block ..... /. ............ Lot....~. ...... ~' ....... Subdivision .~..rrJ.~.~.q~.~.~/. . .~g./q.'~*...~.~F.~q?.. ~.. ..... Filed Map No.../.S'. ~. ........ Lot...Z.&,. .......... ~ (Name) 2. State existing use and occupancy of premisas and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... . ./~F.~.' ./.~:6f..~..~./..~./...'-. ..... '/'U '~"Y~' '/~' ?'/~I · :~t}'~' :I :~'~tl ................. b. Intended use and occupancy ~ ~ ~ ~* 1 3. Nature of work (check which aPplicable): New Building .......... Addition . .,K../. .;.. Alteration .......... Repair .............. Rembval .............. Demolition Other Work.. ~I (Description) 4. Estimated Cost .~.~.,,00~ Fee '~ (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ...... ./ ........ Number of dwelling units on each floor ............... If garage number of cars 6. If business, commercial or mixeld occupancy, specify n,ature and extent of each type, of use .............. , .... 7. Dimensions of existing structures, if any: Front.. ~.~ .......... Rear ..... ?O. ...... Depth .:....~n~:.....~.... . 1~ t Number of Stories / Height ..................................................................... Dimensions of same structure with alterations or additions: Front . .. O. ........... Rear ..... ~'~ .......... Depth ....... .~.~. ........... Height ...... ./.~'. ......... ~... Number of Stones .... / ................ 8. Dimensions of entire new constmction: Front (~*f~',~ ~[~,//a Rear /qo ~,~ ~q"Denth Hight N .~b fSt ' e ............ u er o ones ...................... 9. Size of lot: Front .... (O.~.l; ............ Rear .... /.tTOJ ........... Depth ...~.[.~.. ~i ............ 10. Date of Purchase ........ . .~d,.O, ................ Name of Former Owner .... ,t'dA; ..................... 1 I. Zone or use district in which premises are situated ................ ' ...................... 12. Does proposed construction rio)ate a.n}/zoning law, ordinance or regulation: ..... /)~ ........................ 13. Will lot be regraded ........ ~ . . .O~.O ............. Will exce~s fil.1 be removed from premises: Yes No Name of Architect ......... i ................. Address ................... Phone No ................ Name of Contractor ' Address Phone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing 'or proposed, and~indicate all set-back dimensions from property lines. Gwe street and block!number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. ............................ ~ .................... being duly sworn, deposes and says that he is the applicant (Name of individual sigding contract) above named. He is the ~~r~r 'gent', 'c ;; 't; 'o ; 't . orp a ffice ,e c.) of said owner or owners, and is duly authoi~ized to perform or have performed the said work and to make and file this application; that ail statements cont¢ined in this application are true to the best of his knowledge and belief; a~d that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ., , Nota ,ry Pub!ic .... .~..~b:..~.~.. jOA/.~..~-:-..~' ~"~ ...... County ~~ ! "' .Z ........ ., , Itl :....... Tet~ r~'~'~'~i~. I~.E2L! tMgnarure o~ applicant) HAP OF LOT No. 7G A~ SHOWN ON 'AHENDED HAP A OF NASSAU POINT'~ SI~TEO ~T ~ASS~U POINT. TOWN OF'$OUTHOLD SUFFOLK COUNTY, NE~ YORK tCERTIFIECI T~ %RISTIDI~ ~ ELIZABETIq SPF_~E~ FIRST AMERI-CA~ TITL~ IN~. TITLE N~. *MAP Na. 15~ FILE~ SCALE: 8ERNHAR[J H. HENri L. 12! EDDY DRIVE OIX HILLS. N~.¥.S. LIC.NQ. 49175- G C. toCcm"c USEIS UNLAWFUL WITHOUT'CERTIFICATE OF OccUPANcY APRROVi=D A~, NOI'EB '/_. NOT~ 765-1~2'9 AM To4PM ~R TH~ FOLLOWING tNS~C~ONS: FOu~A~ON ~0 REQUIRED FOR poUREO~CONCRETE ROUGH FRAMING & PLUMBING INSULA~tOt~ · THE'~E~UIRE~NTS OF ~E N,Y .STATE.CONSTRUCTiON & ENERGY ODES~ NOT'.~SPONSIBLE FOR cz. , /s' ,.c~//, .~ ~'~. , _'~_,Z