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Home My WebLink About24295-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27114 Date: 06/02/00 THIS CERTIFIES that the building ADDITION Location of Property: 1230 BAY AVE EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 8 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 24295-Z dated 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE GRAMMATIKOPOULOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ) zr'� }y ho zed Signature Rev. 1/81 J FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27115 Date: 06/02/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 1230 BAY AVE EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 8 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. 24295-Z dated 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 BUILDING IN REQUIRED REAR YARD AS APLIED FOR. The certificate is issued to GEORGE GRAMMATIKOPOULOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ..:,4 -/'t�w ut ized Signature Rev. 1/81 FORM NO. f 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) N° 24295 Z Date ............. &.................... 191.7 Permission is hereby grant o: ..�diQ.��i.�..�`�t�vr�^rri/.y1./•t.<.,I.l.((.�d��OS ....... �- / .......................... to ............. .......... .. ................................................................. ............................................................ .. ....... ....................... .:.:.............................................. at premises located at . . County Tax Map No. 1000 Section ..........r31...... Block ......�........... Lot No. l..?............... pursuant to application dated ............... . ,.............. 19 .7 and approved by the Building Inspector. /yyyy �Fee S./IL.!............. ... . Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL M 765-LB02 U APPLICATION FOR CERTIFICATE OF OCCUP i ivov 2 0 A. This application must by filled in by typewriter OR ink an su Wt. e uil�ling inspector with the following: for new building or new use: FSOUTHOLO 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 "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 - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date l . R$V. .rr'�.V.er. . . .�. . . .� . .� .� . . . New Construction. . . . . . . . . . . Old OrPre-existing Buildi . . . ., . . . . . . . . . . Location of Property. AD. 30. . . .BOY . . 1 CVQWrt4. . . . House No. 1 / Street Hamlet Onwer or Owners of Property.��0.1!lOj?l.� .�!T� . . : • � .'�l . . . .V. ti^'!..^:14.4 b �7?�• • • - County Tax Map No 1000, Section. . �.I. . . . . . . . .Block. . . . . . . . . . . . .Lot. . . . . ... . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . A L Permit No. . .�. . ZDate Of Permitg/a1/ .L . . . . .Applicant e0+^ �. . `i41ltttndlaT.,P�i��3 Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certifi�cate. . . . . . . . . . . Final Certicate. . . . . . Fee Submitted: 3. . . . ° . . tU. ). . . . . . . . . . . . 9 c . . . . . . . . APPLICANT 6)N�c.. 5.70? CO 271)V TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ❑ (�� Q Uj 765-1802 U U f5 NOV 2 01997 !�` i APPLICATION FOR CERTIFICATE OF OCCUP i A. This application must bie filled in by typewriter OP, ink an su ftp* e uiliing inspector with the following: for new building or new use: FSOUTHOLD 0 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 1Z 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 "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 - _ .25V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .1 . `.�Y'.E,',?"`'�V e.Y'. . . .l. , . .4 .1.9 .1-. . . . Vew Construction. . . . . . . . . . . Old Or Pre-existing Buildi . . . . . . . . . . . . . pp (('�� . . Location of Property. . z)--ap . . .Bo,% . . 1?tJQWts.. . . �aC�R+a. �/.:Y. .. .�� .g39. House No. StreetL (f�� Hamll t Onwer or Owners of Property. d�0.I!1Q ?I. . .�!T� . . . : . ?T.^.'.'�f . . . .V. ! rn!'K.4.(.� ' C�."I0:.�. • . . 3ounty Tax `lap No 1000, Section. . 3.1. . . . . . . . .Block. . . . q . . . . . . . . .Lot. . . .I, �. . . . . . . . . . . . . . . 3ubdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . �1 OO�� . . . J / q (/j L ?ermit No.�.�a J.5. . ZDate Of Permit g/.I�J 1- . . . . .Applicant.ggorCl. .U��Q1t�f'OClll. '��1�� 3ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . ./. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . ?fanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . 3epuest for: Temporary Certificate. . . . . . . . . . . Final Cart .icate. . . . . . ?ee Submitted: $ . . . .v . s= . �;. . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT C0 -2- a7ps 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION [ ] FRAMING [ k FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ✓ a C M � DATE, `7 �� 9g INSPECTOR 0 Town Hall,53095 Main Road W +A Fax(516) 765-1823 P.O. Box 1179 oy � Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD July 23, 1998 Mr. George Grammatikopoulos 21-51 35th Street Astoria, N.Y. 11105 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is outdated * No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24295-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. * Enclosed check #206 is returned herewith as it is outdated. Please submit a new check in the amount of $85.00 to cover the cost of the amendment for the accessory structure - $35 .00, CO fee $25.00 for Deck, & CO Fee $25.00 for Accessory. — �._..�. ...�� ,. III � d JAN � Gr/J/ c �1 BLDG.DEPT. IPee � � 77' ca tv� '� a a'�a � 2,.•, e,C.? . '� AJPc � / his //✓� cj'�w, Gve�a v /Eve•�uee� �au� �•.e w�..e ��a� /,ca/� u..e � e�.� Q� rYQ,r� /J✓��J P/1V /",O/t PJB At J E ��! tYw fOC Q1 /opwc'�'/via,f X"V//4�S e I li I d /a 30 /Jal;i //t/ //k�, a •%r cct�rJg7 t i v V I i i L I i i - I i r- - p UI1 OQ/!.!_ S 7'Zo'E. I o.o `C L w E LAUD i � ~w �N SliQVE D COQ. v s AT � !v1r�2iCU _ . T n �I `�1i24'f\•�J� D`e�.:Ef.4�:r-:C ZI . 19� I V ti l; M-1802 es;PECTION LDING DEPT. 0 [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: t, DATE /�11103 INSPECTOR Q' . r Z-7 50= AF ea a - S\ ! IJ OVA V- 5-47'ZO-C-. -5'47'zo-l=. i�o.o � � Lu 731-1 CES`.ClcL= I N SL r 7'20,"''. co � a gg LAQb Foy. M � A ;�i AIUD 2 . w\ SA•' S ptilc^� 2. i0 (Q �\ `( TOw .l 'JFIv .� j-t:i7t ,. �:I,,c ';T:.= vi" : i ! I i C'C::..'.�� - (�1.c iF.i 9',)v_.1:-,tet a.�l.'.✓:1!'� .^.L` � 1f= 7,1 . v 1 6L 3 �� 1 or 4.�.-'T'" a M1 r permits either!Works like a charm." Y Thanks, Gary Troy-Malibu, CA IA Dear Cover-it "Congratulations,since installing my building several months ago,it has ■ HEAVY DUTY Galvanized Steel Frame. Pre-curved, engineered parts that slip and lock together. withstood a windstorm week , Jaye 1000+ heat, then last week a layer of ■ STANDARD FABRIC is heavy duty ultra violet ray treated, 18 mil., ice with snow. double laminated over,rugged"RIP STOP"material for up to 1 am really pleased with your product and so is my 1957 T-Bird. Keep up the 10 Years of protection. ("Rip Stop" is nearly impossible to tear!) good world" VINYL FABRIC is ultra violet ray treated heavy duty 16 or 18 oz. "RIP STOP" polyester reinforced, up to 20 years life expectan He Gillett —Warrenton, 06 Dear ■ FREE DOOR & BACK PANEL. C) C C r U 7 F rstClet me!t JC) you what a great ■ HEAVY DUTY ZIPPER that zips from !nsid and out. product you have!It went up in a flash r ■ WATERPROOF and almost airtight. o vJc V r I r and saved me from potential hail /�. / = a • . damage the following weekend. Thanks ■ ATTRACTIVELY STYLED in either peaked or quonsel.Available in a variety of colors. for the answer to my Boat's prayers." ■ QUICK AND EASY TO ASSEMBLE! Step by Step Instructions. Easily expandable and simple to move. Kevin T. Harrington—Titusville,FL ■ ANCHORS EASILY with our Dirt, Asphalt or Cement anchors. Dear Cover-it ■ NO Property Tax or Building Permit required for our portable garages. aGy "My sister Sadie and I are identical twins age 71, we put our Cover-It frame work • 30 DAY MONEY BACK GUARANTEE ON STANDARD SIZES. �J7 up by ourselves!It was easy!" ■ 2 YEAR WARRANTY!!! VERY AFFORDABLE! y Evelee Mason-Springfield, NE ADD YEARS OF LIFE TO YOUR INVESTMENTS Dear Cover-It, PROTECTS FROM THE HARMFUL EFFECTS OF SUN,RAIN,WIND,ICE,SNOW AND SAP! "I just wanted to say how pleased I am with your product. Many people have Great for Cars•Trucks-RV's-Boats•Motorcycles-Workshops•Restoration•Pools mentioned how good it looks. We just •Hot Tubs-Paint Booths-Sandblasting- Camp or Temporary Housing-Animal Shelters • wanted to say thanks and keep up the Government/Industrial Contracts-Cement Curing•Display Areas•Flea Markets•Greenhouses- good work!" •Construction/Additions-Building Walkways•Waste Containment-Cover Machinery and More! Charles Jones Jr.-Newburg, VT , , " p p ai D i 1 Mfg.by-Cover-It"Inc.West Haven,CT 06516 CALL FACTORY DIRECT All Materials end Photography rights reserved Com e c 1e96,19194,1993.1992.1991 co"r-It.I=. 1 -800-932-9344 Two Y.,Warrantyagainst debet in in Mfg.matarids. 1 e used es inq to Mfg.ro mmencwions. MADE IN THE U.S.A. 203-931-4777 The Affordable Solution ® Fax: 203-931-4754 LOWESTGUARANTEED ORDER 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION - [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS.: DATE 04U19-7 INSPECTOR s� + skill nerutklw I nn„. (:v ( 111:; . _ _. _._. _ _ ... ,__-- _n_ T.t I Utdull A'I'1 M1 ( 1!1'1' i h v' I;Ul1UI)(I'C 1011^ nn---- ------ t�_ � _ ��m.......-,....�.. ------—-- --lI It I vIt AI I1'. f. 11t.tII tit t t ul 111;111,A'II Ml VIr.It 11 Y !tI A'I'I( 1'.1;17,It11Y _- CI11711. -..nn._nnn...._..,_,.. / .....7.. n..;.... _.....n................ - -.----m..- ---_ --- lei 1' Iilhl. ....nom.....-.r..... ----------- -------- ------ ------- ------------------- ADD I _------ --------. ---__---A11171'I'101 IA 1. COO tt '111'!1 ; V Arl1 \ _ til • r o J- t., —'— II \� /J Ile C4 %L tt/� CUSTOM VIEW \ �u CUSTOMER -- CUSTOMER CUSTOMER DATE 07/08/97 �RE� CUST71 it i �� . SID ��►►► � '1 RIVERHEAD BUILDING SUPPLY U 1 ROUTE 25 ` GREENPORT, NEW YORK /� J STRESS ANALYSIS CUSTOMER: GEORGE DATE : 10/08/97 REF: SALESMAN # BUCKY --------------------- - - - - - - - - - - ------------------------ MEMBER STRESS FACTOR COMPOSITE TYPE SIZE FACTOR LOAD LOAD --- - - - -- ------- ---------------------------------------- JOISTS 2X10 DEFLECTION 66 PSF 16IN BENDING 61 PSF SHEAR 96 PSF COMPRESSION 131 PSF 61 PSF BEAMS 2-2X10 DEFLECTION 145 PSF BENDING 62 PSF SHEAR 61 PSF COMPRESSION 243 PSF 61 PSF BOLTS 1/2IN SHEAR 1564 PSF 1564 PSF POSTS 4X4 STABILITY 313 PSF 313 PSF - - - - - - - ------ ---------------------- TOTAL LOAD 61 PSF DEAD LOAD 10 PSF LIVE LOAD 51 PSF --------------------- - - - - - - ---------------------------- STRINGER 2X12 DEFLECTION 855 PSF BENDING 415 PSF SHEAR 279 PSF COMPRESSION 967 PSF ----------------------------------- TOTAL LOAD 279 PSF DEAD LOAD 10 PSF LIVE LOAD 269 PSF - - - --------- - - --------------------------------- - ------- STRINGER 2X12 DEFLECTION 846 PSF BENDING 410 PSF SHEAR 276 PSF COMPRESSION 956 PSF --------------------- -------------- TOTAL LOAD 276 PSF DEAD LOAD 10 PSF LIVE LOAD 266 PSF ---------------- - - - --------------- --------------------- STRINGER 2X12 DEFLECTION 855 PSF BENDING 415 PSF SHEAR 279 PSF COMPRESSION 967 PSF - - - ------------- - ------------------ TOTAL LOAD 279 PSF DEAD LOAD 10 PSF LIVE LOAD 269 PSF ----------------- - - - - - - - - -------- - - -------------------- PLAN VIEW RBSC CUSTOMER -- GEORGE ROUTE 25 DATE 10/08/97 REF GREENPORT, NY 33' 4, i� 6' LOAD AND SUPPORT: Your deck will support a 50 PSF live load. Posts have 36" below-ground post support. DECK AND POST HEIGHT: You selected a height of 24" from the top of decking to level ground. The top of the deck support posts will therefore be 13.25" above ground level. Your salesperson can provide information for uneven or sloped ground, JOISTS: Set joists on top of beams, 16" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items. The suggested design is not a finished building plan, You are responsible for all measurements being correct, for verifying that the design (and any substitutions or modifications that you makel meets all local building codes and requirements. To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction site, review the design with your architect. Also consult your architect for proper construction and use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. CUT LIST RBSC CUSTOMER -- GEORGE ROUTE 25 DATE 10/08/97 REF GREENPORT, NY 0 E 0 B G 1 C n rn n LABEL LENGTH BEVELS LABEL LENGTH BEVELS A joist (24) 14' 7 1/4" G cap 1211, FO S45 R r'a_cta 16' G section 3' 8 5/16" E lcdg�[- 3/4" H cap 13' 11 1/2' F45 SO C ledger 32' =" H section 3' 2 5/8" D 16' I cap 13' 11 1/2' FO S45 D ledge- 3?4'° I secttcn 3' 2 5/8" E ledges- 32' J cap 12' 1" F45 SO F cap 5 1 J secticm 3' 8 5/16' F se,--tion 32' 11" K cap 5 1/2" K section 3' 8 5/16" REAM LAYOUT RBSC CUSTOMER -- GEORGE ROUTE 25 DATE 10/08/97 REF GREENPORT, NY 15' 1 3/4` 13EAM REAM POST POST LABEL LENGTH COUNT SPACING A 32' 9" 5 8' 1 3/83 B $2' 9" 5 8' 1 3/81' Post spacing is n-beasuved center-to-centeu. Depth of conuete tootem --- 38 inches. i JITt�� IIII /� U. R@SC ROUTE 25 GREENPORT, NY S13FF04 O Gyk Town Hall, 53095 Main Road y = Fax (516)765-1823 P. O. Box 1179 v. Telephone (516)765-1802 Southold, New York 11971 • OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 10, 1997 George Grammatikopoulos 21-51 35th Street Astoria, N.Y. 11105 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1 , 1984 ) . BUILDING PERMIT # 24295-Z * Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. *BUILDING PERMIT REQUIRED FOR ACCESSORY FABRIC BUILDING, APPLICATION ENCLOSED. BOARD OF HEALTH . . . . . . . . . . . . . . . FORM No. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . WN OF SOIITHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . W ~BUI, .DING DF.PARTMEN'r CHR..CK . . . . . . . . . . . . . . . . . . . . . . . 11 - 91997 ,TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . ''JUTH LU, N.Y - 11971 Aw _ rEL:, 765- 1802 NOTIFY: /00/ 1 %..,,...�T71o?cn�`G '`..�-f.� J' CCAIN . . . . S�b. - . . ��—�(// F c 19, ..,_ �y�r MAIL TO: . . . . . . . . . . . . . . . . . . . 0. 1 9- I'ennit No. . ./-,.. ................................... DiSalrllr(N<YI a/C( .................. ................ ............. ..........-........ .. ........ ....... ........................ /VvI/Av�/ I - F 74 ?CAT1'i1O'N spx-clor) AIT BUTWINC PERMIT; f/\ _ Dale�1� - � . . - , 19- 1. � INSTRUCTIONS a. '[his application mist be canlilelely filled in by tylraariter or in ink aixl sulynilted to the. Building lnslxx•lor wi 3 sets of Plans, accurate plat plan to scale. Fee according, In schedule. h- Plot plan slnwing 1(x-aC i(xu of lot aryl of Inildings on promises, relationship to oxl.joining prgnises or lnblic stcee_Ls or areas, acyl giving n tk-.L1il(ml desctiptioa of layout of plolx'cly most he drawn cn the diag"llwhich is part of this alq>l irat ion. c. The work covered by this algll iral ion mly not he correnrrce(1 before issvnge of Building I'eumit. (I. Illxn appnlVal or this allpl iration, The noilding Inspector will issue a Building Permit to the applicant. Such pnnnit shall he kept on the premises available for inslmcl icm Ihr(nglinut the w rrh. e. No building cdmll Ile occupie(t or used in whole or in fort for any purpose whatever until a Gert ificate or Occoliany 'duan have Ixaen granled by the Building hrslueclor. APl4.1C'�1'lON is 11F.11EIlY MAHE to Zile. Btildh% Depar-Im nt for the insnallve of a IAlilding Permit pursant to ttue Building Z(xle Ordinance of the 'lawn of Southold, Suffolk Gunty, Nan York, arxi other applicable laws, Ocdinamnm or Regulations, for the constnxction of buildings, cxklii ices or allerations, or for romwil or dmol ition, as herein (lescribell. 'lire applicant agrees to cu,Vly with all applicable Imps, ord' x:es, Wilding C le, {musing cotle, mill regulations, aril to Wilk nut prized inspectors on lrrnnises aryl in toil i g For necessary 1 diva we of apgA icant, or o:.ne, if corlmat lion) (Mui I icy; ackfress of apq>l icant) State whether applicant is owner, lessee, agent, an hilecl , engirx•er, general cont raclor, electrician, pludmr or lui Ido ..--'..................... <u�er.-(././ -. .J 1.-... .......... Nunn of over of pr"llises l,.l��'� f�-�./-.:� C �(. /-7/JO��?.G..L.Ou... 01!�WIV Q Ci44 .. ........ ..... u as cfile Lax loll t hal est deed) / If applicant is a corporation, signature or duly rxnborizetl officer. ......................................................... - . (Man aixl title of c•orporale officer) Ikui Iders ).i cense No. ......................... PhWirrs license No. ......................... .. Electricians license No. ..................... 0(her TrmWs License No. .................... `+• / m I, Icx•at ion of lard on which propos l tank will be doi -.., .. ... .... . ............. ................... ....................................... Ikw;c Mailer St^^r��eet ik■del: (kunty Tair Mop No. 1000 Scrtiar"?rT.:3$b�9��-�.ri,'-191D<x•k ....... ........ . Int. ............... Sulxlivision ...................................... FilcA Map No. .. Lot (N1re) 2. State exist ing use mill occuquvx-y of la-mi Wn aril in1mXAl use MO ( "gmlx-y of prolxosed conq1 tact ion: a. Exist nig use, aril oc ulmnxy .... ..... ..... .-.-- � C� I - .�......--„ ... .-.... . f . ..--.-.... b. Inlenxkyl ase arxi ....-.-.-..'.- .-G.V.. .�P�CP..--.... 1, it,lo(e of (alk (cheek (Alieh :y 4t1 icsbl e): N,%4 Ikrill iry, . ... .. . . . . A<klil iun Aller al.iun . . . . . .. . . . 14•I xlII .. .. .... . ... I)tvw411 .. .... ... . .. . Rllrtl it inn . . . . ... . . . .. Other Unk .. .. .... ... ...... . .. ... ... . . . ... .. 4 . Est iumtt(sl lits . . .........D..... . ... . fee ... .... ... ....... (lu Ito! lurid (lot fit ill, thiS 11P01 ical i(XI) 'i. If !Axa ling, ln.olx:r of lAmll ilii, Leila . . r�, . . . .. tkulxrr of And ling tmi Is cn, each floor .. .. . . .. . ..... .. If Mn age, Ixnlwl of cols . ... . ... . . .. .... . .. ... ... ... ... .. ..... G. 11: In it;i i wait, undo ciIII or fill rs:d (wculxilwy, slxx:i fy oat fit It is lot tolent of each Iylxe of.one.. . . . . . . . . .. .. ........ /. Il i110,918 i in ui of exi at Ing sU rx:Uu es, if any: FI IN II . . . . . .. . .. . .. ... (tear ... . . . . .... ... . Dept 11 .. . . .. .. . .. . . . . .. ik:igis ... ... . ... ........... .... IAulxti of Sl fir ier .. . . . ... .. .. .. .. Ninrnsioos of salt fit rtu;lnle wi let al lar at i(nu: or :xklil ions: Froin. . . .. .. . . . . ... .. 14taf ... ... . .. . . . ... ikpih Ik:i!)l1 . . . . . . . . . . .. . .. . . . . . Mnix:r of :holies . . .. . .......... It. Iliu.:nsi(xl:) of eat he Lew coos! rima t(xt: I'Loot . . .. ... . ... . .. .. I4',ar .. . . . . . .... ... . Ik:plh . .. . .. . .. . .. . . I% 14a 1!)tl . . .. . ... .. . ... . ../y'J`/^ Ntnlxet of allot ie ''�. . . . . .. . .. . . .. . . . .. it. Sive of lot : . 1'tlns .. . .V, .. . .. . . . .. . 14!at . . .(✓.. .. .. ... . ... In• gh ../:?„�... ... .. / 9✓ 111. ILnc of . ... .. tLat LF Folllcl (A+Ixfr . . . . .!�.C�P/�sCYY1 .... .... .......... . I I . voxx: of u:x: dish ice ill (Audi prlenhwl; are sitrrnlcxl . . .. . . .. .. . . . . . .... . .. . .... ... ... �' .......... . ... ... . ... . ... 12. IAxrs 1)l nlxr:cd r.(nlsl nun i<nt vl�iale a •rantiul, I:n.t, ul dinalu'e u1 toRll al iun: . .. ./. .:` .. ... .... ... .. I S. Ilill lul Ixx tegnrkvl .././ a .. . lJ1i l`I, Blot/ees f5 Yx: reel/weal frtm pt r:eni/:fxs:� YES I/1. IL.I.:s of (An net of larr�ft/u Ljt. J.`� 0. �eQy. ./%el. :... ... ... 15Nnx: ILoc of Arrt:hilecl ... .. .. .. A,1(h esn . . . . .. . .. ..... .... ............ IluNk: tk). . . . . . .. . . . ....... . . ..... ... .... .... . Nun: of (INllt-.uanl' . . . ... .. .. ... .... ....... .......... . to wl Cas . . . . . . .. ... . ... .... . .... ...... .I'hotxe tkt. . .. .... .. 1'i. IS Illis laoixtil.y within 91X1 feet (if: a tidal V-8 .}!'i'. . . .. . M) ..�1. . .. . ^IF YEfi, !AxfNkH)) 'Imm 91U 1.`i 1195 lillit1'1' t1AY IU: IU%j1I111F.11. 1'L0'1' DIAGRAM L(x:nle cleat ly alxl distilwtly all Intildillis, tAlellxer exist.Ing fir pl0txtsed, Will hxliCate alt Sel-Isx'k diutnsions Item prulxetty lilies. Give street tnxl bl(x:k Ixlllier or (kesrt iptioo according to Bleed, alxl Slsn+ Street lilts arlol iulicale illwilko inlet for or comer lot.. -A �lrzl' ,Seed/ AP RO AS NOTED DATE: l/ ;DE NttAT T ley?, Q - cJ P FEE:NOTIFY BUILDING 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: //C 1. FOUNDATION - TWO REQUIRED /?PQe Q .��, FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 9. INSULATION 4. FINAL, - CONSTRUCTION MUST BE COMPLETE FOR C.O. OCCUPANCY OR USE IS UNLAWFUL ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ;rnN: W nzJ Ylax, W}TROUT CERTIFICATE STATE CODES. NOTRRPONs LE ENERGY FOR OF OCCUPANCY DESIGN OR CONSTRUCTION ERRORS �J .. .. . duly ;a-nn n, dello ryas a1.1 says that he is Ute npplicaw OlAw Lt ilrlivid(uil sigma!, colds at) iIINIVe IIi.IM YI, Ik, if; the .. . . ... . ... ...D.W.. . .. .. ... .... ....... .... ... ......... . (1Lnitnt'lot , agent , oorlx(rsne nffit'cr , VIC.) .. of said (n+rxpr of owlxl 411.1 is duly Rut Llot izcd IL Ixrl lana LI IMVI! In•I Ioll"A the slid oink :11x1 to urlkc allot file Ibis apitl ir11l ion; that all slatoltnls olotailxYl in Thin appl ions ion ale t11xt to tie Ix1:1 of his luxtwlcvll,e iulol INO ill; :n.l lhnl the Milk will (w Ixlfoluesl ill the laatlxlr :i't 101111 ill the 411)111 iCilt iun fiiod 0WIC./itlt. Gann iu INtlutc uta this . . . . . . '. .�.... of .. . . . .. . . . 19 �. .. � �fA>I 41ty Hlbl ic. ... . ..... . uie of Alrpl icnnl ) JOYCE M.WILKINS Notary Public,State of New York No. 4952246,Suffolk County Term Expirea.June 12,49