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Home My WebLink About14289-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy NoZ14391 Date May 13 1986 THIS CERTIFIES that the building ...Q.n.e..f..a.ra.~.l.k'' .d.w.e. 3r..1.i.n.q' ...................... Location of Pro eft 11985 SOUNDVTEN AVE. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section . .5.6 ......... Block ...5 ............ Lot 4 6.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ...~..'4 .ly..1.8. ........... 198..5. pursuant to which Building Permit No..17.2..8.9.g .............. dated .. ~.o.p¢....1. 6. ................ 19.8..5, was issued, and conforms to ail of the requirements of the applicable provisions of the law~ The occupancy for which this certificate is issued is ......... ...o.n..~..e..~. La_y ~.w.~!~..~.~. . ........................... The certificate is issued to CHRISTOS MOUSIADIS ..................... io~,,,'e;, F~4{',i~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ....... .8.5.-.S.O..-.1.4.3. ........................ UNDERWRITERS CERTIFICATE NO. N744419 PLUMBERS CERTIFICATE April 18, 1986 Building Inspector Rev. 1/81 FO~TM NO. 2 TOWN OF $OUYHOID BUILDING DEPART/~ENT TOWN HALL $OUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMIS£S UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14289 Z Permission Is hereby granted to: ..... ~.~,. z~./~..~....~.~..~. ........... ..../.~,..~.~. ................ ~/-~ ............................... ~..~...~.~.- ~ ~./..o..~.~ .~...., ........ //~.~.. to ....~.~.~.~.......o.~.~... ~./a-~..~ ....~Z~ ~...~ .................... ................................................. ~./.~.,.~..~.~. g~...../. ~../,~.~.~. ................................. at premises located at .......~ ........... ~.~.~..J~'.~...T~.(~...~: ............................ ........................................... !/....~..~ ...................................................... .~.~.~..a...~.~..-.~.~ pursuant to application dated .... .~.~.C~... ...... ~..~.. .................... , 19 .~.-~.T'and approved by the Building Inspector. Fee $. ·..-~.....~..~..: · ~ ?...~ Rev. 6/30~80 ~) )'~ FORM NO. 6 TOWN OF SOUTROLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ~z~_ 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 featu res. 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 property showing all property lines, streets, buildings and unusual natural or topograph ic 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 pert)nent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy 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 New Building .. ;¢ ........ Old or Pre-existing Building $15.00 :'.!. ! ...... ............ Vacant Land ............. Location of Property q~¢~'~. · ·/I.¢..~' ~.'~....$.OUI~.~...~, J 5W..Z~r.~.E.. .... .... -% O ......... OT~OL ~.1 M,Y , House No. Street Harold Owner or Owners of PrOp.rty .......................... County Tax Map No. 1000 Section ...5~ ........ Block .... ~ ......... Lot..~.~,.~ ~ ..... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. J.~2.~.~Z Date of Permit .~J.~/~,5.Applicant q~)[ Wa..~.~V~.~ ........... Health Dept. Approval ~../. ................. Dept. Approval ........................ ~oquast for Tem~orar~ Certificate ..................... Final ~¢rt[ficate ... ~ ................. Fee SubmitteO $.. ~.~.~ .................... Construction on above described building and permit meets all applicable codes and regulations. Applicant .~_~..~d,~J. . . .u~.,~. ,_j ................ C.o. zf fl TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. I q~ 7 . (please print) Plu oer co E VOS (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public,~ County (plumber' s signature) NOTARY PUBLIC, State · Ne, ,~707878, S uildl~ ~.~C~~'~/IL///..(,/~._.~ T~rr~ fxpkes ~arch ~0. IL-.~ / Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OI= ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 40038 FIXTURE OUTLRTS 49 IECEPTACLES SWITCHES FIXTURES RANGE5 OVENS DISH WASHERS EXHAUST FANS SERVICE DISCONNECT S E R V I OTHER APPARATUS: 1-G.F,C.I, 1.-S~ok~ Detect~ OF CC, COND C E LJ,~o 570~ Per_ This certificate must not be altered in any manner; return to the office of the 6oard if incorrect. Inspectors may be identified by their COPY FOq BUILDING DEPARTMENT. THIS COPY 0 F.CERTIF!,C~T,E M, usT NOT $~E ALTERED IN ANY MANNER F I~ LD ~N~FEC TION ;DATE COMMENTS FOUNDATIO~ (1st). FO~NDAT.ION . ( 2nd [ ~ , ,. ~,~/~.,- ¢~~~~ ~-. ROU~ FR~E ~ " . :, STATE FNERGY / I "' ,. .... ,., ,,, , .... ~DD,~T~ON~L' CO~HEN.T~: ........ "~ ' 7~480Z BUILDING DEPT. INSPECTION FOUNDATION XST~ROUGH PLBG. ~FOUNDATION 2ND [ ]INSULATION RAMING REMARKS: [ ] FINAL DATE I PECTOR '~' 76S-t802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 'tST [ ] ROUOH PLBO. ,FOUNDATION 2ND [~ INSULATION / ,, [ ] FINAL DATE /"~//'~/~"~'~ INSPECTOR ~/~'/--._,. BUILDI~IG DEPT. .~ INSPECTION [ ] FOUNDATION ~S'T [ ) ROUGH PI.B~. [ ] FOUNDATION 2ND [ ] INSULATION / / J ,...02 /~ BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~ ~---~FINAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...~.A.~. ........ 19~..~ ^pproved.. ........ Pe it No. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~ .}.~ ..... 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. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or aieas, 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 hny purpose whatever until ~t 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 ha building for necessary inspections.__ (Signature of applicant, or name, if a corporation) (Mailing address of applicant)'- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................... Co. .............................................. Name of owner of premises. ~. ['.0..'~. ~..~.~.-. C[(I .~.;.~..'~.0 ,.~O~..` .~..O.O..~.'~ O~C0 ~. (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... ~.~..-~ ..D. ........... Electrician's License No ..... Other Trade's License No ...................... 1. Location of land on which vroposed work will be done .................................................. ..... ........ .................... Street House Number Hamlet County Tax Map No. 1000 Section ... ~ .I.[ ........... Block ..... ~. ........... Lot.../'[~ ,.~...~ ..... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............. :U .O~.C,,..~.-yl.~.. '[ .O.~.~.. · b. Intended use and occupancy "' I 3. Natdre of work (check which'ao~liCable): New Building . .~'...' ..... 'Addition .......... Alteration .......... Repair .............. Rem.'o,~l .............. Demolition .............. Other Work ............. :,~ ;'. xj:t ~' (to be paid on filing this application) 5. If dwelling, numberof'dWe~t~'~ ts ....... Number of dwelling units on each floor ................ If garage, number of cars ......................................................................... 6. If business, commercial or mixed o'ccupancy, specffy natu~ and extent of each type of use ..................... 7. D~ensions of existing stmctures, ~fany: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ D~ensi0ns of same structure with~ alterations or additions: Front ................. Rear .................. Depth ..... HeiSt ....... ., ..... Numbe~ qf Stories .............. 8. D~menslons of qngre new constmc.hon: Front ...~ .~ ....... Rear .. ~.m ....... Depth . .~ .~ ....... Hexght . . .~ ......... Number of Stones ........ ] ............................................... 10. Date of Purchase ............ ~ ................ Name of Fomer Owner . .G.~.~ .~.~ ...... 11. Zone or use district in which prem}ses are situated ..................................................... 12. Does proposed construction violat~ any zoning law, ordinance or regulation: ... ~ffi ......................... 13. Will lot be regmded ..... ~O · ..: · ..... , ..... , .... Will excess fill be removed from premise~fftg. Yes Nmne of Architect .......... ~ ............... Address ................... Phone No ................ Stone of Contractor ~U0~ .~. ~Y0~ ......... Address r,~X~)5. ~ .~hone No. ~.'}7~ .... PLOT DIAG~M Locate cl¢~ly ~5 distinctly ~l b~d~ts, whether existint or proposed, ~d~ indicate ~l set-back d~ensions from property ~nes. Give street and block nqmber or desc~ptinn accordini to deed, ~d show street n~es and indicate w~ether interior or corn~lot~--.~ STATE OF NEW YORK, ........ being duly sworn, deposes and says that he is the applicant (Name oYindividuai signi~Ig contract) above named· He is the ............................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly. authorized to perform or have performed the said work and to make and file this application; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner iset forth in the application filed therewith. Sworn to before me this · /..~..-~... ........ day of..~ ...... 19~..C I~ARY PU~LK:, ~ M NeWY,~k, i ~ (Signature of applicant) ~. 482a~3, C 0 < I .i :0 S,C, DEPT, OF H'E;~LTH SERVICES L~77-~7~'S C RTLFIClTE: OF OCCUPANCY PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER l?-q'ED IN WATER SUPPLy SyS~I~EM CANNOT I~XGEED 2]10 of 1~ LEAD. , If copper tubing is u~e~ , r water distributing ~,¥s em; piping shall be of types K or L only 1. FOUNDATION 2. RouGH - F~MING 4. FINAL ~ CONSTRUCZ]ON MUST BE COMPLETE FOR C. O. ALL CONSTRUCT]ON SHALL M[ET ~HE REQUIREMENTS OF THE N.Y. ~ATE CoN~RUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRu~ION ERRORS. -I t b ',3 'I ''