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Home My WebLink About15878-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19489 Date NOVEMBER 7r 1990 THIS CERTIFIES that the building. Location of Property 7850 MAIN ROAD House No. County Tax Map No. 1000 Section 31 Subdivision ACCESSORY Street Block 6 Filed Map No. EAST MARION~ N.Y. Hamlet Lot 17.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6, 1987 pursuant to which Building Permit No. 15878-Z dated APRIL 6r 1987 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ATHANASIOS & ~F3.RN SPINTHOURAKIS N-141019 - JULY 18~ 1990 ~ildirfg Inspector 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)' N~ 15878 Z Date ................................... , I Permission is hereby granted to: ....']]~...o.~...]..~...~ ................................................ · .~.~.~...~ ~...~.:.~..,..~..!.~..~.~. ~ ~. ...................... ......... at premises located at ...~.~.~..~.........~.~...~., ........ ~ ........... ~ ..................... County Tax Map No. 1000 Section .....~....~....I ........ Block .... ..~..~. ........ Lot No. ~.~.~]..~ tO application dated ...~.....~.~-~ L ........................ , 19~..~.~..,- and approved by the pursuant Building Inspector. Building Inspector Rev. 6/30/80 l~O~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CON~PLETION OF THE WORK AUTHORIZED) 1343~ Z Date ..~.~~.....~..~ ............. , 19..~...{ Permission is hereby granted to: ................................................. Building Inspector. Fee and approved by the Builcllng Inq:~-tor Rev. 6/30/80 Form No. 6 BUILDING DEPARTMENT 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DE P"r. TOWN OF S~~ '-NOLO This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......................... ... ~ew Construction ........... Old Or Pre-existing Building ................. Location of Property ..~.~.~ .~ ~ House No. Street Hamlet / )nwer or Owners of Property ............. :ounty Tax Map No 1000, Section ..... ~.../~, ..... Block ..... ~.~. ....... Lot ...... /[P~.~T~. .... ;ubdivision ................................. · · . Filed Map ........... . Lot ...................... 'ermit Xo.../..~.~..7.~..~....Date Of Permit..~./.~../~..~...Applicant ............................. lealth Dept. Approval ..../~..~. ......................... .................. Underwriters Approval .... ~lanning Board Approval ..... . .~?./~...~.~.'~.. ?../.~) ~equest for: Temporary Certificate ........... Final Certicate.~ . Fee Submitted: $. ~.~...~ff~....(~.CO ~O~'(~t[~'~ ~''' ''' .... ''''''''" '~~'~ ~~"'''' THE NEW YORK BOARD OF FIRE UNDERWRITERS I~fEK;O~ BUREAU OF ELECTRICITY I~ 85 JOHN STREET~ORK. NEW YO~ 10038 ~~ .............. THIS Cf~I~IE5 THAT examined on and found .... to be in compliance u'ith the requirements of th~ ~rd: ~~ '~ ' ~ ~ ~ Lot FIXTUItE ~EPTACI~S1 SWITCHES I FIXTURES RANGES COOKING D~CKS OVENS DISH WASHERS EXHAUST FANS A~TI~. YEI~K.w' I O4L I~IR~CE GI~O~.sTORSH. p. I:UTZTiE AFI~tHAoNCE FE~'I~w'~G' S ~I~TALRI~A~'~P'I TI~'CLOCA'~:~' [TIIR~S'~II /~sT.y~IJT~s~~ SERVICE ENSCONNECT NO. OF S E R V I C E ,:' T,:: , - ,- :: .w . - ,w ,- .- :. EI- ?h,$ cerf,fl¢ofe 'u~: ~, E)e ollered ,n .'; '<~nner. r®furn ,o ,he of~,¢e o, fhe Bo.rd d ,ncorrect .nspecfor$ mo~r~II [ ~ FOR ~UIL~IH6 I)~P~RTMI~IT. Tiffs COPY OF C~RTIFIC~T~ I~T ROT ~ ALTERED IH ARY I~R. BUREAU OF ELECTRICITY . FIo~TUIT~i.~ ~ECI~TACLE$I SWITCHES I RXTUEES I ~NGES ~KI~ D~KS OVENS m~ WA~E~ EXHAUST FANS DRYERS I ~RNACE ~TORS I ~T~ ~ANC' N'~ ~ AL~'~ T M ~KS I ~ ~ M~'~TB' ~1 This c..'fica, m~t not ~ alt.ed in uny manner, .turn to the office of the ~ard ii incorr~. ,nsp~rs .y ~ identif,~ b; th~; C~n,ols. BI .... ~ .................................... ~ ............. ~--~J ~ F~ BUICK DEP~. ~IS ~ ~ ~RTIFI~TE GT ~ BE *LTERED IH ~ ~ER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 3U~ Y 18,1~SH~ ~3&~5~g~/8(~ N B~F [)H~PHIN MO]'EI , MAIN RHAD, FA~} MARION, FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUC~E~CENT OTHER DRYERS FURNACE JMOTORS ~ITURE A~q~IANCE FDID~ES TIME C~KS UN4T HEATERS MULTI-OUT~T DI~EES SYSTIMS ND. OF FEET SERVIC~ DISCONNECT S E R I ¢ E A. W.G. NO. OF HI-LEG CC. COND. OF NEUTRAL /D SALVAIORE £. Pfl~ATI) LANE 208 G~EENPORT~ NY, ~:t Per This certificate must not be offered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their COPY FD~ BUILINHG DEPARTMEHT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IHAHY M~4NER. 765-1~Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION 7GS.1802 BUILDING DEPT. INSPECTION []FOUNDATION :I, ST [ ] ROUGH PL.BG. []FOUNDATION 2ND [ ] INSULATION []FRAMING [/.~L FfELD~INSFECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY QODE YJ FINAL ADDITIONAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 ~,pproved .~)-~..I.~. :, 19~.!. Permit Nc,. ! .~. · .~..~. · · 3isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... a. This applicatio~~ must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets of plans, accurate ~lot plan to scale. Fee according to schedule. b. Plot plan show~ing location of lot and of buildings on premises, relationship to adjoining premises or public streets ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ration. 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 ;hall 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 ;hall 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 ~uilding Zone Ordinance of the Town of Southold, Suffolk County, New york, and other applicable Laws, Ordinances or ~.{¢gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to building for necessary insp~gtigos. ~ / /~ /~ , ~dmi, authorized inspectors on premises and in .... .~. ~.. S~y.D. ....... (Signature ~f applicant, 'or name, if a corporation) ...... / (Mailing address of applica~{) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .. PO.'f.. D/~dY~ ~'/a $.. ~ ~./.~'Z~-Z'. Y.. ~[~/.Z~..~{Q/~. (d'/~. !/Y. ~/,-~ ................ ' (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 .... P~E'..~.l~. J././~. ...... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ......................~'~.' ~ ~4~/q ]~d 1. Location of land on which proposed work will be done .... ~.~2. ..... /. . ... ,I/~. .............. .... ............ e.. .... ............ aY. . . .n / . zo.N ........... '. itouse Number Street Hamlet . ~. County Tax Map No. 1000 Se ction .... ~.Q. ~jt. ........ Block ..... 1~).~ ......... Lot. ~. [ .~..~.. ~. ~' ~"i. i .. 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 .................................. ..................... b. Intended use and o~cupancy ..... ~ ~ ......... '~, · · 3. ~qature'of work (check which applicable): New Building ....~ ..... Addition .......... Alteration ' Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost · -~- .~,~-Q~2 ............................ Fee~.. ~' ~o b-'b~,~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 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 ............... Rear ............... Depth ............... lteight ............... Number of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................ ..~N.ame, of Former Owner ............................. I I. Zone or use district in which premises are situated: ............................................... ff.~..,/. ! 2. Does proposed construction violate any zoning law, ordinance or regulation: /~.(,2.. ........................... ' Will lot be regraded ......... ~ ~----~~ ...... t ·,/)' · ~' ," · W, il.~ xcess f'fll be removed from premises: . Yes No ~4. Name of Owner of premises ~-~a~,~,~,~/~$~ ................... Phone Name of Architect ........................... -- -- --~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 ~roperty fines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. ~TATE OF NEW YORK, S.S /OUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. le is the ......................................................................................... (Contractor, agent, corporate officer, etc.) ff said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that ail statements contained in this application are true to the best of his knowledge and belief; and that the cork will be performed in the manner set forth in the application filed therewith. ;worn to before me this ., .......... /. ff ..~. ...... '~/~_. ~2/ /r~. J/--,,~,day of .... ~ ........... 19~. ?. H[L(~ K. DE VOE , . .~. ~ '~ " ~?~m [~ ~:res M~tct~g~-t c~.~~-' ¢,~ ~£ 765-1802:9 AP~,e,:TO ~ ~M FOP-, THg ] · s uR'D 'CONCRETE TH~, ~EbU~P'eMEN~S 9F ~HF ~ .~ STATE ~O~ST~UCTIO~ ' AS NOTED 765- ~. FOO~ I FOR ~. ROUGH 4. FINAL BE THE ', ~TATE ~ ~CiDDES. DESIGN --ILDING DEPARTMEI%ff ^l 9 AM TO 4 PM INS?[CTIONS: "ION TWO IlHE INL¥~