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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26051 Date: 10/22/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1155 WINDWARD RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 30.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 23, 1997 pursuant to which Building Permit No. 24192-Z dated JUNE 17, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE, PORCHES & RAISED REAR CONCRETE PATIO AD APPLIED FOR. The certificate is issued to ELEFTHERIOS & DIMITRA KOUGENTAKIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0076 08/28/98 ELECTRICAL CERTIFICATE NO. 18220 09/16/98 PLUMBERS CERTIFICATION DATED 08/26/98 K&K PLUMBING & HEATING C uild' g inspector Rev. 1/81 FORM NO. 8 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) N924192 Z Date ........ . .............../..?......................... Permission is hereby grontedd f ..6.t.7...........::............:.\............ 01 ro ,rL . .. ....... . . ... ....� . .............. ... .............. �.... ..... ...... ..a. ...Cgrr., 1�. . .. . ... .............. I . , ,.. ............................................................................................................. ................................................................... ........ ................. �......................... .... ... .... .. at premises located at .....� . ..... .................. County Tax Map No. 1000 Section ....... ........ **Block ...... ........... Lot No. ...s✓S "... �.. pursuant to application dated ........ ..A�. :z.'93.................... 19.d...l.7, and approved by the Building/ Inspector. Fee $-&5.o47. . .......... . .�� . Building��i � ��� for Rev. 6/30/80 Form No. 6 {, Q y� y r123y TOWN OF SOUTHOLD s a BUILDING DEPARTMENT flPP I q TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildin; 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 buildir 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 an "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 - .25G. 4. Updated .Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15./00, Commercial $15.00 Date l��lq�� . New Construction. .. /.. .. Old ppOr Prete/-exi iing Building. .. . . . .. . . . . . . . . Location of Property.. .... . .. .. ... .. . .. . .. . . Orr Q . . . .. . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . 1 .44�} { . . . . . .. . .. .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . . . . . . . .Block. .. . . . . . . . .. . . . .Lot. . . . . . . . . . . . . . . . . . Subdivision. . .C. .. . . . . . . .^ . . . . . . . . .. . . . . . . .. . . .Filed Map.. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . Permit No. . .( J.U � K. .Date Of Permit. . , . �. . . �. . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . .. .. . . . . . . . . . . . . . . .Underwriters Approval. .. . . . . . . . . . . . . . . . . Planning Board Approval. . . .. . .. . . . . . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . .5 . . . . . . . . . . . . . . . . . . . . . C 0,-t A cs/I APPLICANT l CERTIFIED MAIL WITH RETURN RECEIPT #P 149 876 857 October 29, 1998 TOWN OF SOUTHOLD ATTENTION: CONNIE BUILDING DEPARTMENT P.O.BOX 1179 SHOUTHOLD, LI. NY 11971 RE: 1155 WINDWARD RD Attention Connie: Following our telephone conversation of today, enclosed please find the complete original set of certificate of Occupancy no. Z-26051 dated October 22, 1998. Please have the location of property indicate the correct"Orient" location instead of" East Marion" as shown on the certificate. When returning the original corrected certificate, please mail it back to 3808 Fillmore Avenue, Brooklyn New York 11234. Thank you for your prompt attention. I Eletherios Kougentakis 3808 Fillmore Avenue Brooklyn, New York 11234 718 627 7780 718 336 5960 A Lor --------- Received Suffolk County Zd.3.-V7' xrEc� JUL 2 41998 pp p®} .C1f Health Services �t ffic f Wastewater Mgmt. ~ 0 oa/ve„V,9,. i q -- 6M ._.._ — 275.39' I �OT SCJFF LI< Jl,1YDEPARTMETIT )k'F:E,4t.TFi',ERVICES APPROVAY,OF C:M.'TR:J(7 ;n WORKS COR A SKNCLC VAMfLw R' YoENCR I G/� H.S.Ref.No. l- L •W ,Vo,- sewngc dispmil cid water supply Pacilhies at tU:+x.:tion hxv, been inpectco nndler ccaified by this rAparhxn or other agencies e,1d found to be satisfactory FOP,FW)he��-W UNd o,,r- _� 5 t1 Om �SCosa i'.E,Chief Office ofWaterand Wastewater Management Op N 0 N99D LAAIa \ C v�6 qj. LEk. �G94. O 'qd Z 7� A F OF NEW YOP f>7.1/Tif�t/YY(/o {S/�I�YGt7lRla✓-.�i' OO.GvcYFa,���GE. Til1.,E/asIJi.�9�T.�A,�`oGf�ENT��/.5 ,C.9,up ,Pdc�-1�oe torevli v�e� or✓�rrcwl .�P.e c%e�rr«o jr y> per/,>/ Lc>�»'.eiu.J,eir�.tit1ow•var-�uri�co,�y, •>! //q�/ t v�7c•Jv���s;/99� - �crJL�'.��rx6o . � G .�s,�iocb-•i -oz� 3o,a z t 917, F ELECTRICAL INSPECTION SERVICE 375DUNTONAVENUEd"• _ 1919$ EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 p 18220 DATE., 9/16/98 APPLICATIONNo.ONF ILE VILLAGE: Orient TOWN., - Southold - ADDRESS' WindwardRoad " ISSUED TO: Kougentakis .. INTRODUCEDRY, A. Silvestri Electric MCN011 4217E was examined on 9116198 and found to be to comphance with theNabonal Electrtcal Code LOCATION: Base.." xx Ist .xx 2dd zx3rd Attic ,xx Det.Garage Hot Tub Pool SWITCHES RECEPTACLES FIXTURES I HEATERS-I FANS G.F.I. AIR COND. 68 66 98 3-exhaust 17 DISHWASHER DRYER CLOTHES WASH.. GAR DISK 'RANGE OVEN SMOKEDETECTOR" ' 1.2kw 20Amp. 7 FURNACE OILGAS CIR MOTORS BELL IRAN SERVICEDISCONNECT 4-f ARM "S masa 1 ' 200 UG OTHER EQUIPMENT Outside,Res. 1-20 9mp._water_pump,_1-whtrJp_Qol�¢E�mp,; 1 4DtLtp stegmgeneratorT_ 1-trash compactor 20Amp., 1-microwave 20Amp., 1-hood, 1-200Amp.panel, 2-100Amp.sub panels, 1-100Amp. main switch, 1-100Amp. automatic transfer switch, 1-propane generator I0kw, 2-1/2 hp garage door openers, 2-air handlers for a.c., 2-40Amp.compressorsfor a.c. HUGO S. SURDI - PRESIDENT ` BUILDING PERMIT Na' nas cen ew emu tnutbe eka d n enymama I pedmm ybexdaHSedbyt eirmataitisis BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE " TELI $44110 ' , � TOWN O[' SO ; 3 J .t' , ..Nfifi ..e t1'fFIOLD OFFICROr DUILDII-IC INSPECTOR I iii P.U. DOX 728 - f O t TOWN IIA LL �yo! ' rfl0� SOUTHOLD, N.Y. 11971 + 'a C E R T I P I C A T I O N3S it k V4 , Date 1 wo Building Permit No. " Owner �A�yl -� q Ill S t . ic• 4iaas—eprint) ,+ certify that the Yqa f, •I, so.LdAr usad in the water supply syst�M s ' �!.contains than 10 less an Z/ of 18 lead. `"�?,'r.: °•;;„*his •' �. • eA h � .�`.'s.. (plum is signature) �•". i sir?U1, Sworn to beforh mo this I: �—�lay .�.��Y'' . of •" ' 19 / � Notary Public ' '`'�' llolar� t�ubiln C 0 -diYiiraC ' As 4latary Pubisc `i tc<>t Noav YorkPJ0.496 U4 Cluali4ieE esCf �Cxg iroik Caratyy Cy,s '.• Cammission s flay 22, 9 g a. I Ii ,kt STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 1 223 1-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE --------------------------------------------------------- In the matter of the Petition of: DECISION Long Creek Homes, Inc. For a Variance to New York State Uniform Fire Prevention and Building Code PETITION NO. 1998-0678 -------------------------------------------------------- Upon the application of Long Creek Homes, Inc., filed pursuant to 19 NYCRR 450 on July 23, 1998, and upon all other papers in this matter, the Department makes the following determination: NATURE OF GRIEVANCE AND RELIEF SOUGHT The petition pertains to a newly constructed Al (one-family dwelling)occupancy, two stories in height, of type 5 construction, approximately 1800 square feet in gross area, located at 1155 Winward Road, Orient Town of Southold, County of Suffolk, State of New York. The petitioner seeking relief from: 9 NYCRR 714.1(c),which requires that an opening for emergency use shall be no higher than 3 feet 6 inches above a finished floor in all above-grade stories, and no higher than 4 feet 6 inches where required in basement and cellar. (The petitioner requests to maintain an existing window in a bedroom on the second floor which is at a height of 4 feet from the finished floor and 3 feet 4 inches from a nailed down step an the floor below the window.] FINDINGS OF FACT 1. The window in question is located in a bedroom on the second level of a single-family dwelling, Al occupancy per 9 NYCRR 701.2. 2. The window is at a height of 4 feet above the finished floor.An eight inch high step is installed on the floor below the window which reduce the height of the window to 3 feet 4 inches. 3. The high ceiling height of the kitchen and dining room adjacent to the bedroom and the garage below the bedroom restrict the height of the window to be in compliance with the Uniform Code. 4. The local authority having jurisdiction has been consulted in this matter and does not object to granting a routine variance under the provisions of 19 NYCRR 450.6. 0 printed on recycled paper ' PETITION NO. 1998-0678 Page 2 CONCLUSION OF LAW Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would produce a negligible additional health, safety and security benefit to the occupants of the building. DETERMINATION WHEREFORE IT IS DETERMINED that the application for a variance from 9 NYCRR 714.1(c), to permit the existing egress window at a height of 4 feet with an 8 inch high nailed down step; be and is hereby PROPOSED TO BE GRANTED with the following conditions: 1. That the building be provided with hardwired smoke-detecting alarm devices installed in conformity with 9 NYCRR 1060.10.The devices shall be provided outside each separate sleeping area, inside each sleeping space and on each floor level as required per 9 NYCRR 721.1. Such devices shall be interconnected so that activation of one device shall cause all devices to sound an alarm. 2. That the existing 8 inch high step shall be maintained and the emergency egress be kept free of obstructions at all times. 3. That the subject building be in compliance with the New York State Uniform Fire Prevention and Building Code in all other respects. This PROPOSED DECISION is issued under 19 NYCRR 450.6. Unless objected to by the petitioner in a writing timely received by the department the decision shall become FINAL after fifteen days of receipt of the decision by the parties. This decision is limited to the specific building and application before it, as contained within the petition, and should not be interpreted to give implied approval of any general plans or specifications presented in support of this application. r ,1 George. . Clark Director, Codes Division DATE: TE:sg �O��SOFFOC�-cQG o y� Town Hall,53095 Main Road C4%A-- Fax(516)765-1523 P.O. Box 1179 ip • O�� Telephone(516)765-1502 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD September 28, 1998 Proper-T Permit Services P.O. Box 617 Cutchogue, New York 11935-0617 RE: Kougentakis, 1155 Windward Rd. , Orient, 1000-14-2-30 . 2 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) ✓ XX No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 XX 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 # 24192-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0 61 7 (516)734-5800 May 22, 1997 Senior Building Inspector Building Department , Town of Southold Town Hall, 53095 Main Road MAY Z Z 1997 z_d Southold, New York 11971 Re: Application for Building Permit for Eleftherios Kougentakis SCTM#1000-14-2-30.2 Dear Sir: Attached is a completed Application for Building Permit submitted on behalf of Eleftherios Kougentakis for the construction of a dwelling with a well and a private sewage disposal sys- tem on his property at 1155 Windward Road in Orient. Also enclosed are a number of supporting documents and a check made to Town of Southold with the dollar amount left blank for the fee for this permit. If there are any questions, please call me. Sine rely, J s E. Fitzgerald, i Enclosures: Application Check for permit fee Building plans (3 sets) Energy Code Calculations Survey, approved by Health Department Septic Form a subsidiary of \ THE PECONIC EASTERN CORPORATION Petition No: 1998-0678 SEP Z 9 1998 BLDG. DEPT.s The persons below are advised to TAKE NOTICE of the attached document. F SOUTHOLD document pertains to a petition for relief related to code requirements. If there are any questions, call (518)474-4073 and ask for the Variance Unit. Please refer to the petition number in all related conversations or correspondence with us. --- - -" - -- ROBERT BOGER LONG CREEK HOMES 455 WILLOW POINT ROAD SOUTHOLD NY 11957 JOHN BOUFFIS BUILDING INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT TOWN HALL MAIN ROAD PO BOX 1179 SOUTHOLD NY 11971 ELEFTHERIOS KOUGENTAKIS 1155 WINWARD ROAD ORIENT NY 11957 �d Oa sjp0. SEP 2 9 1996 STATE OF NEW YORK DEPARTMENT OF STATE BLDG.DEPT V ALBANY, NY 12231-0001 1 TOWN OF S LTHOlftm, ALEXANDER F. TREADWELL SECRETARY OF STATE ......................................................... In the matter of the Petition of: DECISION Long Creek Homes, Inc. For a Variance to New York State Uniform Fire Prevention and Building Code PETITION NO. 1998-0678 -------------------------------------------------------- Upon the application of Long Creek. Homes, Inc., filed pursuant to 19 NYCRR 450 on July 23, 1998, and upon all other papers in this matter, the Department makes the following determination: NATURE OF GRIEVANCE AND RELIEF SOUGHT The petition pertains to a newly constructed Al (one-family dwelling)occupancy, two stories in height, of type 5 construction, approximately 1800 square feet in gross area, located at 1155 Winward Road, Orient Town of Southold, County of Suffolk, State of New York. The petitioner seeking relief from: 9 NYCRR 714.1(c), which requires that an opening for emergency use shall be no higher than 3 feet 6 inches above a finished floor in all above-grade stories, and no higher than 4 feet 6 inches where required in basement and cellar. [The petitioner requests to maintain an existing window in a bedroom on the second floor which is at a height of 4 feet from the finished floor and 3 feet 4 inches from a nailed down step on the floor below the window.] FINDINGS OF FACT 1. The window in question is located in a bedroom on the second level of a single-family dwelling, Al occupancy per 9 NYCRR 701.2. 2. The window is at a height of 4 feet above the finished floor.An eight inch high step is installed on the floor below the window which reduce the height of the window to 3 feet 4 inches. 3. The high ceiling height of the kitchen and dining room adjacent to the bedroom and the garage below the bedroom restrict the height of the window to be in compliance with the Uniform Code. 4. The local authority having jurisdiction has been consulted in this matter and does not object to granting a routine variance under the provisions of 19 NYCRR 450.6. 0 printed on recycled paper PETITION NO. 1998-0678 Page 2 CONCLUSION OF LAW Strict compliance with the provisions of the Uniform Fire Prevention and Building Code would produce a negligible additional health, safety and security benefit to the occupants of the building. DETERMINATION WHEREFORE IT IS DETERMINED that the application for a variance from 9 NYCRR 714.1(c), to permit the existing egress window at a height of 4 feet with an 8 inch high nailed down step; be and is hereby PROPOSED TO BE GRANTED with the following conditions: 1. That the building be provided with hardwired smoke-detecting alarm devices installed in conformity with 9 NYCRR 1060.10. The devices shall be provided outside each separate sleeping area, inside each sleeping space and on each floor level as required per 9 NYCRR 721.1. Such devices shall be interconnected so that activation of one device shall cause all devices to sound an alarm. 2. That the existing 8 inch high step shall be maintained and the emergency egress be kept free of obstructions at all times. 3. That the subject building be in compliance with the New York State Uniform Fire Prevention and Building Code in all other respects. This PROPOSED DECISION is issued under 19 NYCRR 450.6. Unless objected to by the petitioner in a writing timely received by the department the decision shall become FINAL after fifteen days of receipt of the decision by the parties. This decision is limited to the specific building and application before it, as contained within the petition, and should not be interpreted to give implied approval of any general plans or specifications presented in support of this application. ,,A//MAI -a1 % George . Clark Director, Codes Division DATE: TE:sg Il:l.0 luaraelluu ul:ruur unrl. Ivuul;nrli "� f,, ,S •tai•:. I'LIIN'lIJ 11(! '!;ul.n'1'lull PIUI II. Y . I:I111H ------------------ �y�9_ . _ ._-___.._-_.--------- ---------_M.._ , ---------- ---------- � S� AIMITIl111A1. CUrlt 11S 11'1'01 ' 1 9 1,1 � i ��a �v . _ _ -- - �;� --��� �d — -- � 7,S"', crz� - _- ��- - _ _ � .�� -- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: d? / DATE 1 � INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] F NDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE � � INSPECTOR �� M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ) INSULATION [ ] FRAMING [ ) FINAL [ ] FIREPLACE & CHIMNEY REMARKS: zvC DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: f DATE S S� INSPECTOR � �/ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 WLATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: . Aul� � � l ' DATE ` INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: el I , DATE INSPECTOR �� ' M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. ( ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL ( ] FIREPLACE & CHIMNEY J REMARKS: DATE_(���INSPECTOR 4 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ OUGH PLBG. [ ] ATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REWARKS: fS �✓' DATE j l INSPECTOR RODERICK VAN TUYL, P.C. 2'18 FRONT STREET POST OFFICE BOX 8 GREENPORT, NEW YORK 11944 NT To GARY FISH DATE July 2, 1997 SOUTHOLD TOWN BUILDING DEPT MAIN ROAD SUBJECT Pugentakis SOUTHOLD NY 11971 Dear Mr. Fish: Enclosed are prints of the Kougentakis foundation location in Orient . We had staked it out for them; it was built as staked; and we have confirmed its position by actual field location. Upon Mr . Lewandowski ' s return from vacation, I will be able to furnish you with additional "Stamped" copies . In the meantime I hope you will accept my assurnce that the foundation is as shown, so as not to delay the Kougentakis ' construction. Thank you for your assistance . Respectfully subm• ted, Colin Van Tuyl Reorder Item#MLSN72 The Drawlag Board,P.O.Box 2844•Hadtord,OT 081042944 - FOLD AT TO FIT DRAWING_-BOARD ENVELOPE#EW10P ODE%1982,Pnnted in U.S.A. - - -- - -- •,.•• _• a,1.',. f BOARD OF HEALTH . . . . 3 SETS OF PLANS . . . . FORM NO: 1_,,r SURVEY , t . , , . , . . , i . .' . , TOWN OF SOUTHOLD CHECK . + . . . . . . . . . . . . . . . . : . . . MAY 31997 BUILDING DEPARTMENT SEPTIC PORN . . . . . . . , , , . . � , . TOWN HALL ..... SOUTHOLD, N.Y. 11871 NOTIFY • kalc TEL...765.1802 CALL . . . . . . . . . . . . . . . . . . . . . �1fMAIL . TOi Examine) 6 . ., 1 �y^�Approved . . . , ., 19'./, . Petmit No.Disapprov . . . . . . . . . . . . . . . . (Building [( ectbt. P LICATION FOR BUILDING PERMIT Date . . ,NAY. 22 . . . . . . .* 19 .97 INSTRUCTIONS r a. This application must be completely filled in by typewriter or in ink and submitted to the Building inspectors 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 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 wiH 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 Yotko and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions or alterations, or for iemov o olition, as herein described. The applicant agrees to comply with all applicable laws, ordinances u ing cod o n code d r ula ' s, and to admit authorized inspectors on premises and in building for necessary ` sp 'ons. PROPMTPER)=EM VICW ( ig ature'of applican ' r na . . .f a co oration)' Post Office Box 617 Cutchogae,NY 11938.0817 . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, gen erid contractor, electrician, plumber or builder. . . . . . . AUlicant is the agent of the .owner.. . . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premisesElefther. . and Dimitra,Kotzgentakis , , , • , , , , , , , , , , , , , , , , , , , , , , , (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . te'r-a . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. ... . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . • . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . •. . . . . . . . , . . . . • • _ • • • • . . . . . . 1155 Windward Road, , Orient . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . 1,A, . . . , . . . . . . I Block . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . , . . . . . . . . . . Dame) 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . , . . . . .TJndeyelRped . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy •. . . . . .Pz'tvate .residence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable)'. New Building : . . , Y.• , , . Addition . . . . . . . . . . Alteration .: • : . . . . : . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . Demolition ,,.:...,{ • . • , . . . , . Other Work . . . . . . . . . . �' (Discription)' 4. Estimated Cost .( pQ .O.Q41[. . . . . . . . . . . . . . . . • . . . . . , 4 Fee . . . { , , . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . / I Number of dwelling(to be paid on filing this application) 5. If dwelling,number of dweiling_units . , , , Qne, , , .. lling units on each floor . . , . . . . Ifgarage,number of cars 119. . . . . . . . . . . . . 1 . . . . . . . . . . . . . . . . . . . . . . { . . . . . . . . . . . . . . . . . , 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use .,, . . . I . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . .NIA . , . .\. 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 . . . heat 5.3 !76.! , , Depth 54.1, jl?41, i3egk Height • . . :34t. . . I . . . Numoer of Stories,. . . . . : NQ) k . . . . . . . . . . . . . . . . . . 9. Size of lot: Front . . 1.5Q t . . . , , . . . , , . Rear . Ili !�'t Depth .26,E t VA3 10. Date of Purchase . , , Ap371�-. .1997 . . . , I . , . . Name of Former Owner , M1C*Ae1, X4I0A.49 PJlq . . . . . . 11. Zone or use district in which premises are situated , R .8Q. .,, . .', . . . { . 4"1 1 1 . . . . . . . . . . . . . I . . . . , . . . . . , . . 12: Does proposed construction violate any zoning law,ordinance or regulation: . , . . . . + +AQ . . . . { { . . . . . . . 13. Will lot be regraded . . • . . .K.O. , . , , . . . , . . .Will excess fill be removed from premises: Yes No 14, Name of Owner of premises . . .5eA yQ -,OV. , , , , , Addfast .' . . . . { : , . . . .Phone No. . . . . . . . . . . . : . . . Name of Architect . . •. .41 ?L.T 4rA . . . . . . . . . . . . Address ,�enriy:'cumber , , ,Phone No, . . . Name of Contractor . . . , r . . . 15.Is this property locaeed within too feet of • aE tidal wetland? *YES, a ;1116cXi : *If yes, Southold Town) Trustees Permit may bdwtdquired. PLOT DIAGRAM Locate clearly and distinctly all lbuildings, whether existing or proposed,, and,indicate all set-back, dimensions from property lines.Give street and block number or description according to,deed,,and shote street names and btdl`ale yJhether Interior or corner lot. . r' Owner: Eleftherios Kougentakis ► ,,; ,. 3808 Fi lmore Avenue Brooklyn} NY 11234 I f:..a�3t7A wJ#,'w��C� V%sq�{rr,,°py •'rn r�i+'�•. . Y � ' 1 • 1 gg I t STATE OF NEqupfRollc SIS COUNTY OF . . . . . . . . . . . . . . . . . �a>4g . E, , itzgerald, Jr. , , , , , , , , , being duly sworn,deposes and says that he is the applicant (Name of individual signing contract) above named. z (Contractor, agent, corporate bffieert etc,),' of said owner or owners, and is duly authorized to perform or have petfo hied the said work and to make acid file this application; that all stntements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith.,';", Sworn to before me this tWg4tYrsecond. . . . .day of.I! y. . . . . . , 1997., Notary public, . , . . , ..X . . . . . . . . . . . . . . County tlauDAJ.000 R ($Ignatur dfiipplicant) Notarqublic,State of Now York i, N, No.4822563,Suljok Co",tK/,X; Term Expires December 31,1J '§61FIrOLK cqi t ate» i P# 1 RCa i"At '; V D F012 fj HEOCS k/f,UG AITAtY s��ti� k l`, i I ^Te#Ed�ti '1jri1L � iNk I STATEMENFtOFiNTENT 'MWIQ C}# sof `n4ol..D t N.Y, +fig THE WATER SUPPLY AND SEWAGE DISPOSAL f SYSTEMS FOR THIS RESIDENCE WILL 1W! lb -q7 (7 -oo� CONFORM TO THE STANDARDS OF THE t i r SUFFOLK CO, DEPT- OF HEALTH SEk?1fYC£S F Ma1kri�Ub�CF gg�ppg� �; ' � APPL1cA14t f } YSA&SFROMDATIor OVAL Ct SUFFOLK COUNTY DEPT. OF HEALTH 'p FOT'Y SERVICES = FOR APPROVAL FOR, } 5C78G.� IT MP CrC`!z£I Fi liL S' t L . ;Z1 ; - CONSTRUCTION ONLY 2 EL fAT tk X12 1Y3 MEQ i a t V L. DATE: r # r,I P ;-.--..-� H. S. REF. WO.' ; & aE I�}�1+ k �' s ptp$$p,75p�j `(� APPROVED: AJ.}Lrgg�{�j - �iyyf"l '�Vx �`x j �i9f Y�By 93Fn'�a'D `®y / �, •! e $-Wwim0i }� SUf'FOLK CO. TAX MAP DESIGNATION `tik i .SF m n i ( DIST. SECT. BLC+GK PCL. r l ' \ OWNERS ADDRESS: 98 Css Fieri ?iZ �? N/F P.={ 1 �s s � I { I t Q: Ot Z9`4C 47 hr j ti+� fJ fiLFS IfS S- 9 LOf} � b I ( ;= VZT;ki L) ; �a DEED-, L. P_ EST HOLE STAMP �y 1° sxuan�zos nl ervew' akx- i.s.X3 NAMFU, A. .. E i _ ,.3 1 �' -To(Jro1L Cs as o+ihisSUNey naPMlbaarrq 10 0 , anJassatl sees sM1CArrotbe<oncaerml - - d W C°I i �• �s�T+Z %.' cNy Miha Parsd mhis homtha sfrvery tx•(cmpa.andmhx behaT o,ho cemaaery flyyem-in iay c'!3'+.' r.—._T _ - - y{'•^{:' t tt [� ) ��[�[ {�,q 7� 7j CS' le^tl Og met a➢Dais tlh- ,c n' z e N1 + F 4,�/'a. toN 4 t�l'��"1 G^.:x ess;:.esc nst L e m TRI a r � j �� 8"4 � ` � f—+.r•KT����a�:.�.'+`+-i � r�•4f150l SVbS!l�_ibn cl _ G 14 19 r' �q'.�� S A � �p in Ivigil L INSED LA1040 SURVEYORS kT ad[�N ( fsREEMPCS T PIEIMI;YORK, k - �n 7,z . n, stoFKKCO,HEALTH dEPT. APPR641AL, MAP 4/+'.- PRop T I H. S. No. 141T k STATEMENT OF INTENT OF t-�DQ 'HG—10- j THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE IJ SUFFOLK'CO. DEPT. Of HEALTH SERVICES. I (S) APPLICANT SUFFOLK COUNTY DEPT. OF HEALfH , lA.0.rNos.&gFgs To ITPF-MNoa *jo SERVICES — FOR APPROVAL FOR, CONSTRUCTION ONLY AT_ DATE: H. S. REF. NO.: 5,;sll�,LE AS SNOWN APPROVED: > SUFFOLK CO. TAX MAP DESIGNATIO DIST. SECT. BLOCK PCL- OWNERS DRESS: V� 0 10 icy ------- r740 SeE. 0e-rA I DEEM L. P. to 1!e TEST HOLE STAMP "Ol 8,dkm 72D8 Of 7 ......yoes Ift9d seal or jQ 110PSO I L C�op�os of this wmwmap no b-(rq ®r- > �4 GRA\(F-L on 't —10In �z T I oW11O - �LNmpl Wmmgn5rmoni SEAL' WIF, SX;NflfoxC t, L. .` PMN' LICENSED LAND SURVEYORS 17' ? GR.EENPORT NEW YORK 1� ,' 4,ti�lFiW 'i i'�p" ..Gry 1, '"rs FN1�'R�,'rmS+-vl`{ 1 T..9 yrx -G.e"1* f Y 'ATr- .;i mFr+ Yr"St-,*l'"I -� 1 [i '4 ,.1r �' I;r,:' 'S ,r` (S iA Y"xA °,re. :#" "�'�d .'d. .4 ,., n :9"'3 ° :, _ rE,%... a ,� a,s, ,x-. a _ .n. 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W' ti - _ -I i - _ . , y� �, p . �Y4i�4.�.. r _ _ _ �fl1 '�.t59�{ fyi�,47�� „- PLUMBING ' CO r tubi is Used ALL PLUMBWG VVAStE ' � - - N p b WATER LINES NEED I ,.yI ` -,� . fa'Water di tributin ''TESTING BEFORE MVERING 'iia' ', — - — ' — — — - -- — — ` ` DlDinp shill be 1 i' I - s ti 1 °F types K or 1 oniv s - - - - {II 'tE OF 1YEIry Irr - c PLUMBER CERTIFICATIONI I 6 ., G , - bN LEAD CONTENT BEFORE Fly' I s 1, w C. GATE f3P DCCUP,q 1ICY " �� t ' '_ " . L- I SOLpEl4 US�p lN'VVgTER CdA 032254,' . ��" ._ ' . .. J I f �SUPPLX'S�'STE,M CAI lVIIfOT " - 9pf�ssLow" w „ . ,, 1r %r ". r, �xCEEq 2/FO of.f tEAp 9� c (� If I ' p�� 5 r I. r- a' r - .,1: - i . � , r, s1' ,, .r, ; . . _ Y, - n. - + 4 ) r.y ':t .1 . .'Li- 1 :PY Ji .. i .- ,r,, ,, , ,, ,, „ '. n: n.r .( . ': ,. is i.: r l = I :i a � 5 r. c Y r I , s _ . .5r . ,Y ENERGY CODE CALCULA'T'IONS (For Nun-zlec Lric Ilea L) Design Criteria 6 , 000 Degree' Days to / O.A./ 10'F S.A. 70°F 'i 013: toO ph l ✓i Kai PER: Jpe;I `F, �/V m / N ^ / 606 DATED: 7 /j 197 DESIGN THEIIh1EL REMARKS SUOSYS'1'EM AREA ^u" IUMNG Erztcri ur Wills (opaque) 7p `f U Z _ Glazing 8 S Z`/� Doors 6� 1�-p - 23 Ceil.iug/Ituof (Opaque) 29T L D / U 5 Skylights _ $ Floor Foundation Walls Slab Insula Llou TO'T'AL 4- 170_ No Les: DuMUng Envelope Systems to meeL requirements of: 7U15 . 2 IIVAC Equipement to meeL- requirements of 7015- 11 NVAC Systems to meet requirements of 7815. r2 DucL Systems to meet: requirements of 7015. 1.3 Venula Lions Systems to meet requirements of 7015 . 14 lllsu La Llon of YipL1g Sys Lems to meet requirements of: 7015 . 15 Service Water Heating Systems 5 EquipmenL to meeL requirements of '1015 . 21 E.Lectri.cal 6 Lighting Sys Lems 6 Equipment to meeL requirements of 7815 . 31 �pF NEW YO be ' the best of my knowledge, �Q} Noe I rU`+14. belief:, 6 professional - � judgement, these plans are III cumpllanue with the code. 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