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Home My WebLink About24480-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25911 Date: 08/24/98 THIS CERTIFIES that the building ADDITION Location of Property: 2155 GREENWAY EAST ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 1 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 3, 1997 pursuant to which Building Permit No. 24480-Z dated NOVEMBER 12, 1997 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 WITH DECK TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to VASILIOS TSISINOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 08/20/98 PLUMBERS CERTIFICATION DATED N/A Buiiong Inspec r Rev. 1/81 FORM N0.3 TOWN OF SOUTHOLD 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.....NOVEMBER.....12.................. 19..97.... 24480 Z Permission is hereby granted to: INLAND HOMES (TSISINOS) .......................................................................................... 28-12 38TH STREET ........................................................................................... .......M.ATT. I TU...C.K. .....t.NY...11952...................................... .. .... .. . .... . to....CONSTRUCT AN ADDITION WITH...DECK TO AN EXISTING SINGLE FAMILY ........................................ ................................................................................... DWELLING AS APPLIED FOR .................................................................................................................................................................. .................................................................. .............................................. .. ............................................. .............................................................................. ............. ......................................................... ..................... ........ ............................................. ................ ................................................................. at premises located at...............2155 GREENWAY EAST ORIENT .............................................................................................................. ................................................................................................................................................................. County Tax Map No. ..,,473889 Section ..015............. Block ....0001......... Lot No. 008........................ pursuant to application dated ...OCTOBER..................................... 19.....97....., and approved by the Building Inspector. Fee$........75.,00..... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT % I TOWN HALL 5 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and 11pre-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 . . . .luly. 22.1.938. . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old.Or Pre-existing Building. . .X=. . . . . . . . . Location of Property. . . 2155. . .Greeaway.FA-9t. . . . . . . . . . . . . . . . . . . . . . . . . . orient. . .. . . . . . . . . House No. Street Hamlet 3nwer or Owners of Property. . . . .Tsisdi n.OS. Vasilas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ounty Tax Map No 1000, Section— A5. . . . . . . .Block. . . . .01. . . . . . . . .Lot. . . . . .8. . . . . . . . . . . . . . . Subdivision. . .Gren.Aaxes. at Oriant... . . . . . .Filed Map. .35.4.Q . . . . .Lot. . 42. . . . . . . . . . . . . . . . . ?ermit No. Z4454. . . . . . . . .Date Of Permit. . :.1J.12 S17. . . .Applicantlnl=d.Humes. . . . . . . . . . . . . . . health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . .. . . . . . . . . ?lanning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . 1equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. .=Q=. . ?ee Submitted: $. . . . .?,5 . . . . . . . . . . . . .. .. . . . .. . . . . .. . . . . . . . . . . . . . . . APPLICANT BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE � 'Z�' f� IN8PECTOR_1W/ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION 2ND SULATION I 1 FRAMING j FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �w 6 C — 1"05 ad::4!r!92 Ak Av 3A��4- DATE INSPECTO T65-1802 BUILDING DEPT. INSPECTION [ J FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE (41-7-1198 INSPECTOR_�%�� ti suauINa oar. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FQt1NDAT10N 2ND [ ] INSULATION I t/j FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: T DATE 1-7-41f8 INSPECTOR suiwiNa DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSTION [ ] FRAMING FINAL [ ] FIREPLACE 8 CHIMNEY REMAR 5• j DATE g � -INSPECTOR_�� 2 ,65-1802 BUILDING DEPT. SPECTION [144� IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & RIMNEY REMARKS: DATE y1fB IN8PECTOR L \ r/I-iI EMMA �y_ �� I WA ►701- � - � _. . .% ,�% 1 � . i v� �d w BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . r FORM NA. 1 SURVEY . . . . . . . . . . f TOWN OF SOUTHOLD CHECK . . . . . . • • • - BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . : TOWN HALL 3 �I SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL . . 298-9696. . . . . . q+ MAIL TO : 19l� -approved �l. lid!. . . . ., I Permit No. . r. � Oisapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / . . . . .. . . < . . . . . . . . (B�ng Spector) APPLICATIO F BUILDING PERMIT 0-ate . .19/ /97. . . . . . . ., 19 . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 gets 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- 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 Niall 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 i4ntil,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 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. "Mlle applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ;idmit authorized inspectors on premises and in building for necessary inspections. Inland Homes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) PO Box 'i'17?Mattituck�N.Y,��9.5�. . . . . . . . . . . . . . . . . . . . . . . . . . (Mailing address of applicant) Mate whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises Vasilios Tsisinos (as on the tax roll or latest deed) 11'applicant is a corporation, signature of duly authorized officer. Robert E Hiltz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL ONs RACTOe ' ,M��,7 b GiTFFOLK COUNTY LICENSED BuildeHI- . . . . . . . . . . . . . . . . Plumber's License No. . . 245 . P . . . . . . . . . . . . . . Electrician's License No. 3635. E . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . I . Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2155. . . . . . . . . . Greenway East . . . . . . . . . . . . . . . . . . . . . . . . . .Orient Point. . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . .15. . . . . . . . . . . . . Block . . . . 0.I. . . . . . . . . . . . Lot . . . .8. . . . . . . . . . . . . . Subdivision . Green Aeres at orient , . . , , , . . Filed Map No. 3 40. , , , , . Lot . . . . 42 . . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Single family dwelling u se and occupancy New deck and extention occupancy b. Intended use and �A 3. Nature of work (check which applicable): New Bu' ding . . . . .*. . . . . Addition . # . . . . . . Alteration . . . . . . . . . Repair . . . . . . . . . . . . . . RemovalexiO !$ e%emolition . . . . . . . . . . . . . . Other Work . . . . . . . . . I . . . . '18,000.00 (DescripSion) 4. Estimated Cost .418 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . sc . . . . . . . (to be paid on fling this application) 5. If dwelling, number of dwelling units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures if any: Front . . .�6. . . . . . . . . Rear . . .56.'. . . . . . . . Depth . . .36... ... . . . . . . . Height . . 1.8.. . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations Qr�additions: Front . .`$6�. . . . . . Rear 5.6 Depth . . . '�8� . . . . . . . . . . . . . . . Height'. . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . Height . Number of Stories . . . . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . .157.'. . . . . . . . . . . . . . . Rear . . . . 1.45. . . . . . . . . . . . . Depth . . . .13?.. . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . .. . . . . . . . . . . . . . . . . . . . . . . . . . 1 I. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . .Yes Will excess fill be remoxed from premises: PW N' 14. Name of Owner of premises Va. . .. . . . . . . s ROWddress phone No. . . . . . . . . . . . . . . Name of Architecth . Address . Phone No.2'98=9696 Name of Contractor ..nlarid. omes; . . . . . . , , , Address . . . . .. . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . 15. Is this property located within 300 feet of a tidal �� wetland? *Yes . . . . . No *If yes, Southold Town Trustees PermitPLOmav be reggu Mred. Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions fror property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. See Attached sketch and survey T T "f.A TE OF NFc 6 �__S OUNTY 0 .S Robert E Hilt, , , , , , , , , , , , , , , , , , , , , , , , , , , being duly sworn, deposes and says that he is the applican (Name of individual signing contract) ibove named. Ile is the . . . . . . . . . . . . . . . . . . . . . . . . . .QPAtrntRr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, e,tc,} -j said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi il)plication; that all statements contained in this application are true to the best of his knowledge and belief;and that thi v,ork will be performed in the manner set forth in the application.filed theriwith. )%vorn to before me this . day of . . . . . . ., 19 . I,"otary Pub c, . . . . . . . . . . . . . . County - r i �� )Uknaof applicant T/rLE N S696958 0 SEA N O N tp i► O A 01 O 41 A aD Lpt �o Ck t 40 67 nl Lp X32. Geo+ N 7720"E y Lot 42 D a neo: 191961 S-f. W 010.0 } O C.P. \` 7 p WSJ. a ji A SA. _ Lot \ - z 1 i p I 4 J 1 ' r- 1 r 132.00 S. 83026 /0 W Lot 43 Lot 38 d m z SURVEY FOR ' VASIL IOS TS1S/NOS a ANASTAS/A TS/S/NOS JUNE /B, 1984 LOT NO. 42 "MAP OF GREEN ACRES AT OR/ENT MAY 23, /994 ocr. 10, /993 AT ORIENT DATE: SEP r. 29, 1983 TOWN OF SOUTHOL D SCALE: / "- 40 ' SUFFOLK COUNTY, NEW YORK No. 83 -808 II UNAUTHORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO: SURVEY M A VIOLATION Of SECTION 7209 OF THE SE"IrY T/TLE 0 OVARANrY COMPANY NEW YORK STATE EDUCATION LAW *COPIES OF THIS SURVEY NOT BEARING THE LAND STATE SAVINGS SURVEYOR'S iNKEO SEAL OR EMBOSSED SEAL (HALL INC, HOT BE CONSIDERED TO BE A VAL10 TRUE COPY a! NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO �('� HEALTH DEPARTMENT-DATA FOR APPROVI4L TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED �Q' X'°'W+ ANO ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- Q M NEAREST WARM MAIN—MI.! 11111"CE OFWItMP PRIIATE..::�PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED f co N SUFF CO. TAXMAP OIST-tMSECTIMON 015 K= 01.LOT-&— HEREON,ANO TO THE ASSIGNEES OF THE LENDING 4 M THERE ARE NO DWELLMMS WITHIN 100 FEET Of THIS PROPERTY INSTITUTION. GUARANTEES ARE HOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT �r N THE WATER SUPPLY AND iEWAiE DISMAL SYSTEM FOR THIS RRI OENCEOWNERS # : *DISTANCES SHOWN HEREON FROM PROPERTY UNE! WILL CONFORM TO THE STANDANDS Of THE SUFFOLK COUNTY DEPARTMENT .. TO EXISTING STRUCTURES ARE FOR A S►Etiflt f . Of HEALTH SERVICES. j*�h PURPOSE AND ARE NOT TO BE USED TO ESTABLISH APPLICANT` PROPERTY LINES OR FOR THE ERECTION Of FENCES ADDRESS ' "` YOUNG fk YOUNG 400 RRHEEAD, NEW YORK AVENUE NO 7r: O:PIPE SUBD/V/S/ON MAP FILED/N rHE OFF/CE OF THE CLERK ANDEN W.YOUNG,PROFESSIONAL ENGINEER OF SUFFOLK COUNTY ON APR. /3, /962 AS FILE NO.3540. AND LAND SURVEYOR N.Y.S.LICENSE *0.12845 HOWARD W.YOUNG, LAND SURVEYOR *TNE LOCATMOF W&L(W),SEPTICTAMK(S"&CESIIlPOOLSW)SHOWN HEREON N.Y.S.LICENSE NO.45893 ARE FROM FIELD OBKFMTHMS MIO OR DATA WBTAIM FROM OTHERS BRANDIS & SONS, INC. 1618 APPROVED AS NOTED oma: 1z B.P OCCUPANCY OR r NOfiFY BUILDING ODEE USE IS UNLAWFUL '� WITHOUT CERTIFICATE • OF OCCUPANCY FOR POUM 2. ROUGH - 3. INSULAn N 4. FINAL - C MT BE COM UNDERWR!T�v'r ALL CONS THE RE «.� STATE 1� SAY CODE=. �R --- - ------ — — DESIM MORS --- -- -- --= � C-4: l r � L �7 1 V ti \V� a el� 3, d a-