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Home My WebLink About14217-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy September 26, 86 No. Z 14914 Date . THIg CERTIFIEg that the building alteration & addition Location of Pro-ert- 55370 North Road : Greenport, N.Y. County Tax Map No. 1000 Section 5 2 .Block 5 .Lot 026 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .a..u ~.u.s.t...2.~., ......... ,19 .8.5. pursuant to which Building Permit No... 1. ~. .2 .1. 7. . .Z ........... dated .A.u. ~ .u.s.t.. 2. .3., ................ 19 .8 .5., 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 ......... The certificate is issued to .... [~.e.t.e.r...&..C.a. 1..1.i.o.p.e.. Papantoniou (owner, of the aforesaid building. Suffolk County Depaament of Health Approval ......... ~ ~ ~ .............................. UNDERWRITERS CERTIFICATE NO.. ? e n d i n g ?lumbers Certification dated September 2~ 1986 Rev. 1/81 I~OBM NO. ~ TOIvVN 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) Date No 14217 Z .~...~..~ ................ ~.. ................. . Permission is hereby granted to:~ ~ ........ .../..~.........~...~..~/.~.~.~..~ ........ ...~'~.~....-......~o....~..,~...~, ..... ~,.c,...~.....~. ....... ~... _ ~ ,o ...... ~A.~..~~.....~...~...~,~ .................. ~~ .......... ....... ........... .......... ~,~,~,,, ~, ~....~.~a .......... .~g~i.....~..: ........ ~I..L% ..... .............................................................................................. ~,~E.~.~,~ ............. County Tax Map No. 1000 Section ..... (~..~..~. .... Block ...... .~...~. ...... Lot No..~.-..~.....~..'. ........ ..... ~..~.....~ ......................... . approv~ pursuant to application dated ~ 19/~.., and by the Building Inspector. /Bu/Idlng Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 BLDG. CEPT, TOW~ OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. 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 bu ildings. 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 o~cupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 ............. NewC°nstz~uction ...... Old or Pre-existing Building ............ Vacant Land~ ............. Location of Pro ert ~--'~ .'~.~. ~-~ ~'~~/.e~ P Y ................ ~.¢¢,~, ~' ............................ House No. Street Owner or Owners of Property ............................. --County Tax Map No. 1000 Section. ~ Block . .'-~, Lot.. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ...... Date of Permit . .Applicant .... 72~ ...... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ............ Planning Boar reval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets a I applicable codes and regulations. Applicant. .. . .......... Rev. 10-10-78 : TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL, 765-1802 C E RTI F I CAT I,ON Date Y~/~ F~ Building Permit No. /~ Owner Aplease print) ' ~please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. · (pl~mbe~r ' s signature) .~~LDING DEPARTMENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE. ~ TIlE NEW YORK BOARD OF FIRE UNDERWRITERS TOWN 'OF $0UTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Co cern, We are unable o complete your Certificate of Occupancy because ,of the following reasons. /_ n application for Certificate of Occupancy /~s not on ~ile. _--_~// No Underwriters Certificate on file. _ The check is(~-~/not on file.)~~~d /~/ No Health Dept. Approval on file. /57 No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # _~ ~ ~ ~ ~ Z Building Dept. ***/~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 FIELD INS?E~ION FOUNDATION (1st) COMMENTS FOONDATION 2. (2nd) ROUGH FRAME & FLUMBING e INSULATION PER N. STATE ENERGY qODE Ye FINAL ADDITIONAL COMMENTS: LOCATION ................ :';i ..... ~FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL·: 765-1802 ..... Approved/ , <.. ..7 ..... 1 No. ;Zf Disapproved a/c ..... ~ .................. (Building Inspector) INSTRUCTIONS Date..,,~..~.~ ...... ,19.~.)-. 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 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 ail applicable laws, ordinances, building code, housin[g code, and regulations, and to admit authorized inspectors on premises and in building for necessary .....--P'-a32~-7~3'6-~---~ I ..a~4,~ ./k4. ..................... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) k] Stat~ whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· · .5. ~ ~..~..~..,cT ........... ~..o..~.~......~.o,~.~..~ ~. O..~-- e~ .~ ~. or:./__ -- ~ .~v~. ............. Name of owner of premises...~..~....9...~. [~. ~.....'..~..~7..~)~' .O...~ I~ .[ .~ .~. .... ,_-- ~ L .~5.~..'-.~..~7.) ................. (as on the tax roll 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 License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location~ of land on which proposed workfi~ll be,done ......... .............. . .~.~?0..~. U .......... ...... ........ .iiiiiiii House Number Street Hamlet County Tax Map No. 1000 Section ..... .~..~..v~... ......Block ..... .O..~. ......... Lot f--)~'~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... t...'~.. ~O~./,~ ;../~... t('..~. ~.. td.e ~.. C~ / b. Intended use and occupancy ....... ~. ~ ~ ~. 3. Nature of work (check which applicable): New Building .... ' Addition .......... Alteration ..... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ...... ,,~'7. g) OO Fee ~..~?..~ (Description) '~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... l .......... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, ifany: Front .... .t~ ........ Rear ...~. .......... Depth..,~..~. ......... Height ... [..~.. ....... Number of Stories ......... /... _Dimensions ~f, ~me structure with alterations~r a~dditions: Fr;~' i i i' .~i i i i i'i i i i 'l~;~r' i i tJepth.., s:~.~. ............... Height .. ~.~ ............... Number of Stories ....... 8. Dimensions of entire new construction Front ] ~ Rear /~--/ Height ~L~ N '~ber ,,r St*"~-o ~ ' 9. Size of lot: Front ~ .. Rear l .~'~,~.. .......... ~);;it~'' '! 'f .~. i'' 'O'-~ ....... Da ~ ~, ......................... . · 4. ...... s .~, ....... 10. t~ of Purchase .../....~. .................... Name of Former Owner ...~.~,-.~,--iv..~ ................ I 1. zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... fi~. 119 ..................... 13. Will lot be regraded . ..~ .O. ....... ., ..... ........ Will excess fill bq removed from premises: Yes ,A/No 14. Name of Owner of premises . .t'~.t. qy?. ~'.~/).~y..-~.s41tO..O' Address ,~xO .-~'~l.~J~. ~'~.q~. Phone No ................ Name of Architect .............. Name of Contractor 12~.4~.eL/.~. a [x~ ...... Address Phone No. .................... Address i~i~i ~i i~i~.' .' .~ ~ Phone No. i.~.' ~i~.' L~.~.'(~ PLOT DIAGRAM Locate clearly and distinctly all buildings, 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 whether interior or corner lot. ]kj.o,,2~ STATE OF NEW//YOfl2K' ~ 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 ..... ..................... . .~_~. ~~ ................................................ (Contractor, agent, corporate officer, etc.) of said owner or owne~, ~d is duly authored to perfom or have peffo~ed the said work and to m~e ~d file ~s application;that ~1 statements cont~ed ~ this application are true to the best of his ~owledge and belief; ~d that the work w~l be perfomed in the m~ner set for~ ~ the application filed therewith. Sworn to before me this .............. ~... ~..d~ ~f ..... ~ ......... , l~. N ot~ Public~%. ~~ Count f; ~% ; 6CC~J?^~-~Y OR ~4~'i~i~T- E;~THCATE OF OCC!JP^~,~,CY 765-7832 P AM TO 4, PM FOR THE FOLLOWING INS?ECT[ONS: '1. FOUNDA'~ON - TWO REQUIRED FO~ ~UR:D CONCRETE 2. ROUG'4 - ;RAM]NG & PLUMBING 3. [NSU'_A--:~ 4, Fib'S".- - C~NSTRUCZ~ON MUST BE %3"°:.E7~ FOR C. O. ALL CCx~S~UCZiON SHALL MEET THE RE~U[~?,AE~TS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. N or-i-h - [ ! 0 ~-t 2,¢ (,, ..< +,, ¢.ls 2, ~ c, 1.1 ~ 1 I I r'5,,Gl~ Ctose."f