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Home My WebLink About13770-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13860 Date September 16 ................. · ................................ 19~35. THIS CERTIFIES that the building one-family dwelling. Location of Property 320 Moores Lane Greenpor t h3ds~ ~id ....................... 's't,~bi ........... '~ ...........h~/niel County Tax Map No. 1000 Section 33 .Block 2 .....Lot 3 8 Eastern Shores Sec. 3 Subdivision ............................... Filed Map No...4.4.7.5...Lot No. 104 conforms substantially to the Application for Building Permit heretofore fried in this office dated M a r c h 13 , 198_ -5.pu a iu.--r-ua-' to which Building Permit No. t.3770 Z dated.... .... ....................March 2119 .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 ......... ?rivate one-family dwelling. ATHEN^ EMMANUEL V0URAKTS The certificate is issued to ..................... ~o~tn.~),~4~xry~t~,~ of the aforesaid building. Suffolk County Department of Health Approval 85 - S 0- 26 UNDERWRITERS CERTIFICATE NO. F E N D I N G Building Inspector Rev. 1/81 I~OB~ NO, ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 13770 Z Permission is hereby granted to: ................... /.../....~...~....~ ............................... ~-. ~,~ Tox Mop No. lO00 S,ctio....$~.. ............ B,o~k ..... ~L ......... ~ No. ~..~.. ............ pursuant to application dated ........... ..'~.~ ....... /..~. .......... , 19~ .,~'~-~and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 installat;)n from Board of Fire Underwriters. 4.Commercial buildings, Ind~'~ 'iai buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Cod ~mpliance from the Architect nr Fngineer responsible for the building. 5. Submit Planning Board a,- ,~al of completed site plan ~- '.ents where applicable. B. For existing buildings (p- to April 1957), ~"~ ., '~1 uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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: I. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling ~r 3. Copy of certificate of occupancy $1.00 J land use $ /~-/$5.00 Date ..Sept.e, mber 13, 1985 New Building...XX .... ......OIdorPre-existingBuilding(X)._.,__ -=/VacantLand Location of Property 320 Moores Lane, Greenport, N. Y. 11944 House No, Street Ham/et Owner or Owners of Property A.t..h.e.n.a...Vpura .k.i.s~ ,: ._.E_?.m. an .u .e .1. . V. .o .u .r.a.k. .i .s..&., .o.t.h.e.r..s; ........ County Tax Map No. 1000 Section .3.3. ............ Block ..2 ............. LotD.c.1/.3..8 ......... Map of Eastern Shores Sec.3 4475 Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo...........13770Z Date of Permit .3/.2..l./.85..Applicant ,Inland Homes, Inc. . Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. ~.~ ........... Planning Board Approval .. ................. Underwriters Approval Request for Temporary Certificaf,~.// .................... Final Certificate .... Fee Submitted $..5..,0.0. ..................... Construction on above described buildingF3J3d_p.~_mit'meets all,appii,cable~code,~a~d regulations. ~ ~ -')'7 L~ Applicant ._...~~.~,~./.,~...~.~..~,~..~.. ................ n.v.~;.-~.7's ' '~, c~---'-'~> l~obert E. Hiltz, 'INLAND H(JNC,~, INC. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. / ~ '~ '~ C~'7-- Owner~.~ ~ (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber ' Sworn to befor~ me this /~ ~, day of~~~/ , 19 ~. Notary Public,/~/~'j County Notary Public FIELD INSFECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & ?LUMBING (2nd) INSULATION FERN. Y. STATE ENERGY ~ODE ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.180:3 Examined .'~'~'ttff~.. ~../..., Approved ."~.-~&'~..~./..., 19 ~ermit No../...~..~. ~..~. ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF SOUTHOLD Application No .................. DateMarch 13 19 8~4 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 areas, and giving a detailed description of layout of property mnst 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. INLAND HOMES, INC. (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. General Contractor Name of owner of premises Athena Vourakis .~.'~ .... ~. t~... (as on the tax roll or latest deed) ~ If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz, President (Name and title of corporate officer) Builder's License No. - Plumber's License No .... 5.], 7 .-P ................ 2816 Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done...L.o.t...1.0.4. ~ . .M.o. qr..e.s..L.a..n.e.,...G.r.e.e.n.p.o.r.t, x . ~:..Y.:.. House Number Street ~' Hamlet County Tax Map No. 1000 Section . .3..3 .............. Block ....... 2. .......... Lot...pc..1./.3.8. ......... Subdivision.. JVlap..of .Ea, s. tern..Shor~s .Sec.3.. Filed Map No. . .44.7.5 ....... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: vacant a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .... 1.../.a.m.i. 1..y..d.~.e..1.1.~.n..g ............................................ ~h2. Does proposed 13. Will lot be regraded ...... ~ 14. Name of Owner of premises Name of Architect Name of Contractor 3. Nature of work (check which applicable): New Building XX Addition ....... Alteration Repair ............... Removal .............. Demolition .............. Other Work ............... 0.~i~ ~tg~.i~:--.. ,~ (Description) 4. Estimated Cost .... ~..~ ..~..~'. · .~. ...... Fee .... ~... ~....~..~...~..~. ..... (to be paid on fding this application) 5. If dwelling, number of dwelling units ....... ~. ...... Number of dwelling units on each floor ................ If garage, number of ears .... 1. .................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ......... ...... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ...~...5.2. '. ..... Rear ... ~2.' ......... Depth ..... 26.' ....... Height ............. '.. Number of Stories ........................................................ 9. Size of lot: Front ......... .]..~.O.... ...... Rear ....... ~0 ........... Depth ..... ]:..59 .............. 'I0. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises i~e situated ..................................................... [law, ordinance or regulation: ................................ .... Will excess fill be removed from premises: Yes No · Addmss6~ ~ ,.v-ll/~238~h..St~.. Phone No..2.1.2.~ 7..9.6.-.8.8..47. ,. Address .':-.v..e.~.a.a.&.~;.t.~.'i;~.oP~hon~ Nx9: ............... ~ 1t~. 1~7.~ ......... 'l~hbnb'Nb.. 2~.8~96D.6 .... 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. STATE OF NEW ...... COUNTY OF ...... SUFF. OLK.., Robert Hil~z (Name of individual signing contract) above named. being duly sWorn, deposes and says that he is the applicant He is th~ Contractor (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 f'fle this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha.t the work will be performed in the manner set forth in the application fried therewith. Sworn to before me this 13th . .day of. March 19.8.5. Notary Public, SUFFOLK County L~.- HELEN/(, DE VOE ' .............................. NOIgRY PUBtlC, State of New York Robert E. H pp~n't) No. 4707878, Stdfo{k Coun,Lv, _ ' I ' STATEMENT OF INTENT [ THE WATER SUPPLY AND SEWAGE DISPOSAL .'~ '~.,;"~'%' SYSTEMS For THIS RESIDENCE WILL I , ,- CONFORM TO THE STANDARDS OF THE ~ ........ /, ~" , SUFFOLK CO. DEPT. Of HEALTH SERVICES. ,' j (s) /' APPLICANT SUFFOLK COUNTY DEPT· OF 'HEALTH SERVICES -- FOR APPROVAL Of CONSTRUCTION ONLY DATE: ,-~ . ~.~CI].~_~.~.r . ,, ~': . ,+ ,,¥ SUFFOLK CO, TAX MAP DESIGNATION: TEST HOLE STAMP / ,: - ' RODE~I¢K V~ TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK ROD£~mK V~.~j~ TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFO. LK CO.. HEALTH DEPT. APPROVAL H~ ~. NO .... STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL sysTEmS FOR THIS RESIDENCE W~LL CONFORM TO THE STANDARDS OF THE SUFFOLK ~::,~E~,~,~ b~LTH~,SERVI'CES. (s) $~ ,//-~,~. R~. ~I~ SUFFOLK COUNTY DE~. ~ HEALTH SERVICES - FOR APPROVAL OF CONST.UCT:ON ONLV~ DATE: ~ROV~: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SEcT BLOCK PCL. OWNERS ADDRESS: " DEED: L. TEST HOLE ~' ' ~ SEAL / APPROVED AS NOTED NO~I~ DUILDING DEPARTME'~A7 1. FOUNDATION - TWO REQUIRED 2. ROUGH FRAMING & PLUMBING STATE CONSTRUCTION & ENERGY DESIGN OR CONSTRUCTION ERRORS. Phone 477-0400 Main Road GREENPORT, N.Y. I 1944 i~-~ppeftu~ing is useC~ water distributing ~ystem; piping shall be of ~pes Km' L °~l.Y !'~ PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY -~ SOLDER USED IN WATER I ,SUPPLY SYSTEM CANNOT t EXCEED 2/10 of Phone ~477-0400