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Home My WebLink About13806-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. Z]4848 Date September 3, 19~..6. THIS CERTIFIES that the building .&d.d ~_.~.~Qr~ ...................................... Location o f Property . .4.0.7.5...L .u.~.h.e..v..R.d.....&. fi. 5..E.a.a. ~.. R d .~ .... ~ a..~ .~.~.~. u. 9 .k.,.. ~ ~ ?.. ..... House No. Street Hamlet County Tax Map No. 1000 Section . 106 ........ Block ,.. 2 ........... Lot .... .7 ............ Subdivision. ,~./?..qa. P.~3.~.n...K.~.d.d...~.~.~.~. :...Filed Map No.. q..67.2...Lot No...1.1.2. ........ conforms substantiatly to the Application for Building Permit heretofore fried in this office dated .iS.a.p.q .h' .2.5. ,. ........... 19 85pursuant to which Building Permit No. 13806Z dated ............................March 28, tg.g. 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 ......... Addition to existing one family dwelling The certificate is issued to Steve Michailiois (owner,~ of the aforesaid building. Suffolk County Department of Health Approval N //~ - N701251 UNDERWRITERS CERTIFICATE NO .................................................. Rev, 1/81 FO~.M NO. 1~ TOWN OP $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13806 Z Permission is hereby granted to: _~~..~...~.:~., ...... ~.:?.~.~ ...... ~ , ~ ~, ,,emis, ,oca,ed ~ ..~.?.~.~...~~...~...~.~.~.~...,,~.r~.......:~.~..~,~~.. County Tax Mop No. 1000 Section ....... ~....0,.,,~. ....... Block ....... ..~. ........... Lot No ...... ...'~. .............. pursuant to application doted ..... ...~.~..,....~....~..'~.. ................. , 19..~..~.'~., and approved by the Building Inspector. Fee $.~.!..~... Building Inspector Rev. 6/30/80 FOF TOWN OF BUILDING Office of the Southo ~INO. 4 SOUTHOLD EPARTMENT ~ilding Inspector Hall ,id, N.Y. THIS CERTIFIES that the building ' Location of Property ~)~"-f'' .J:.~T./.A9~.. /~'..,~:~' .~..~....~?~....~.~..t~.. ' Hou$~ No. ~ Street Ham/et County Tax Map No. 100~Scction .......... lock ...-~. .......... Lot ............... .~..Q¢ ~,-_qT~T:~.~, [~iled Map No Lot No Subdivision..~ .~., ........................................... conforms substantially * the Application for Bui'~ding Permit heretofore filed in t~his office dated · ..~..1.~. .~. ........... , 19..~.. pnrsuant to whic-'h Budding Perm,t No .... I.~ .,~..0..~. ....... dated ................... ........ 19 .... ~as issued, and conforms to all of the requirements of the applicable pro~sions of the law. The occupan:y for which this certificate is isslued is ......... The certificate is issued to (owner, lessee or tenant) of the aforesaid building. Suffolk County DeIartment of Health Approval , UNDERWRITERS CERTIFICATE NO ................................ /. ................. Building Inspe~ctor Rev. 1/81 Memorandum from.. · · BUILDING INSPECTOR'S OFFICE TOWN OF $OUTHOLD Town HALL, SOUTaOLD, N. Y. 11971 765-1802 September 5, 1986 Dear Mr. Gabrielsen: Fursuant to our telephone conversation on September B, 1986, I am returning your check #1226 in the amount of $5.00. Also enclosed is Certificate of Occupancy for Chris Lazarides & Steve M£chailiois. Thank you for your cooperation in this matter. Georgia Rudder Building Dept. Sec. TOM GABRIELSEN AQUEBOGUE, NY 119~1 BAN~: ~ 7~usr[,a _-~:) L L A R S MEMO ~..02&hO?C~.21_' ,,OS&.,~.O~B ~ll' )-22~ FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION Z. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY QODE T FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION AST FOUNDATION 2ND FRAMING ROUGH PLBG. IHSULATION FINAL REMARKS: 765-S802 BUILDING DEPT, INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING r REMARKS: [ ] FINAL DATE ///o ,,~ INSPECTOR BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND[ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE lOOO~:L~ THE BOARD OF FIlRE ELECTRI /~ JLJ~r 23.* 1985 85 JOHN STREET, NEW ~OF~K, hEW Y~RK 1_O038 ,~.t~ .~pp,e,,t~o. No. o. SUe 343U23/85 N 701251 THiS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Steve Michailldis~ ~ East Road Conor of East Road & Luthers P~ad, M~ttituck~ N.Y. FIXTURE FIXTURES OUTLETS SWITCHES FLUORESCENT 9 13 2 ~ 2nd FI. Section Block Lot and found to be in co,npliance with the requirements of this Board. RANGES gOOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS OTHER APPARATUS: Z--G.F.C. I ~T~ack LithtinE 6' 0" 6 lite~ S E NO O~ECRC~COND, R OF CC. COND OF HI-LEG NO, OF NEUTRALS A. WG OF NEUTRAL Alexander G. Hubbard Box 222 Aquebogue, N.Y. 11931 Z.,lc. 304 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified /~heir creden'fials. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved . .~04~.c~..~.~.., 1~.~.. Permit No./. Disapproved a/c ..................................... · (Building Inspector) APPLICATION FOR BUILDING PERMIT ~'e: .......... ,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. Plot plan showing location of lot and of buildings on premises, relationship to adjoining promises 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspectioas~ , ~ jif, j) Il I'~- ...... I~,> ..... ?~\ . .~:~. . , ................... (Signature of applicant, or name, if a corporation) ,. B 9.,, ; ?. ?. ,. l ! . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· ..... .... -. ............................................................ Name of owner o f premises . .. 5~ 7-(~7... )9~ t .CP. fff)~. .~. )..~.4 .~. ........................................... (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. ¢/~9.~.O?.}..~.. ~...~. · .Cl.~. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Ct/0 ¢~ 1 l~cation ofland on which proposed work will be done....~.'.~zl'~..ec~. .... ~..q..7~./~..'.~......~. 9e~...~.. .?92~...~. .... House Number Street Hamlet County Tax Map No. 1000 Section ........ /. 0..~/ ..... Block·· .'.~. ............. Lot.. 7 ............... Subdivision..C..~../9./.~-:../~./..gP..~....fi?.'..7~. ?~..~.~.~ ...... 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 ....... ff..m~. ?~. ~/?..c-7 ....... , ....................................... b. Intended use and occupancy .................... ~ ................................. '3. I~'/~f//i'e 0fwork (check which ~Pplicable): New Building ..... ' ..... Addition . .~....... Alteration ...' ..... '.. Repdir .............. Rer~oval .o.,f.... ~/'~,... Demolition .............. Other Work ............... i (Description) ;! 5. '~' Io o 4. Estimated Cost ..... O. ~ q ................ Fee ...... t' .............................. ' ~" (t'o be paid on filing this application) 5. If dwelling, number of dwelling units .... .._.~ ......... Number of dwelling units on each floor ......... ' ...... If garage, number of cars ' ~ 6. If bu}iness, commercial or mined occupancy, specif,y nature and ~xtent of each type of use ........... ~, ......... 7. Dimensions of existing structures if any: Front ~fl. *. 6..k~.,~f. (.~ Rear ~'t~...~(. ~ Depth Z~Y~.' Height .../. ~..~f.~.~ .... Number of Stories ..... O. ~..,<. .................................. 'Dimensions of same structure with alterations or additions: Front . .~.' ~'... i ........ Rear... ~' .~?.' ~i. iiiiii Depth . .~¥ ............. !... Height ....).f..~..'~?.' ...... , ..... Number of Stories ...~..~..~. ............. 8. Dimensions of entire new construction: Front .... /.~ ......... Rear ..... 2 ~ ........ Depth .'.-~..~. .......... Height ............... Ndmber of Stories ......................................... '.; ............. 9. Size of lot: Front .... c]~.,.~3 .......... Rear .. ,/.~.,.~'.-~. .......... Depth . ?..O...F~. ?.fi:'. ......... 10. Date,of Purchase ~ I . · ..... --.,~.- · .................. Name of Former Owner ............................. 1 1. Zon~ or use district in winch premises are s~tuated ..................................................... 12. Does proposed construction vilolate any zoning law, ordinance or regulation: ~.....r¥.O. ................. ~.. 13. Will lot be regraded ..../f.0.. i .................... Will excess fill be removed from premises: ' Y/"~esi5 No 14. Name of Owner of premises ~..~n{~...~)...~./PYg.J4.... Address fd0."?.q..~7((..~.q??... Phone No.7/8 . .~'~;..'~. ...... Name of Architect ........ i .................. Address . .%.,~r.~..~...~..~ ./~.~.. Phone No ............... Name of Contractor .6~O~..,'~,' .~ff...~.~ ....... Address . ~,~,n~'t~. ~. v/... Phone No..7,q~:-.~{.~.~. ~ .~.. .. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposgd, and~indicate all set-back dimensions from property lines. Give street and bloc~ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................ (Name of individual si~ above named. S.S ..................... being duly sworn, deposes and says that he is the applicant ning contract) He is the .: .................... ~ .................................................................... , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements con~ained in this application are true to the best of his knowledge and belief; and that the work will be performed in the maturer set forth in the application filed therewith. Sworn to before me this · ;..~ .}. .... day 6f .... ;.,.,. ~ ~.:~.-~x-: .,~. , 19...~ Notary Public,... ~....~r.~..../~.~-..E.~.. i i i '~2~ty ........ IIELEN g DE VOE NO~Ai'IY P[~¢UC. State of New:Yo?k ' ' ~ ~ .~0Z 78 s~fr011 c0 v (Signature of applicant) ,\