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23087-z
OF FORM NO.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...... '2 4.................... 15Y.�1..... NP 23087 Z Permission Is hereby ted to: .. ................... ....... .......................;�1 q. c.�..N./Z,....... . .. ............,� .., .... �.,,.... .. . . .. .. .. .. ..... .. ........ ............................................................................................... ...........•.•................................................... /.....Q.//�......... at premises located at.........1..�7 ... ..• ......� ..................•• ........................ i ^- .. ............... .................... County Tax Map No. 1000 Section ........ ....... Block..........��.......... Lomat No. ..... ............. pursuant to application dated .............. ..� •.� ......••••• 19..Y.j..., and approved by the Building Inspector. Fee$... 9 Buildin Inspe r Rev. 6/30/80 I l FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24622 Date SEPTEMBER 11, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 1650 McCANN LANE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 33 Block 4 Lot 8 Subdivision Filed Map No. Lot No. conforms Substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17, 1995 pursuant to which Building Permit No. 23087-Z dated OCTOBER 25, 1995 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 COVERED PORCH, ATTACHED GARAGE & DECK AS APPLIED FOR. The certificate is issued to THOMAS KARAVAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0109-AUG. 30, 1996 UNDERWRITERS CERTIFICATE NO.—N-394092 - AUGUST 14, 1996 PLUMBERS CERTIFICATION DATED AUGUST 13, 1996-BERTSAND PLUMBING & HEAT. C, � -21),- �, Building Inspector Rev. 1/81 r TOWN OF sGoTxOLD BUILDING DEPART:IEiT TOWN HALL 765-1802 619% lL 619% BLDG DEPT. ?LIGATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD A. - is application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: L. 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. 6. 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 s 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 550.00. 2. Certificate of Occupancy on Pre-existing Buildinz - $100.00 3 . Copy of Certificate of Occupancy - .251 4. Updated Certificate of Occupancy - $50.00 5 . Temporary Certificate of Occupancy - Residential 515.00 Commercial $15.00 Date . . . . . . . . . it . . . . . . . . . . . . . . . . . . . I . . . . . . . . New ' Construction. .. . . . Old Or Pre-existin Building. . . . . . . . . . . . . . . . . 69rme �tvfi . . . . . . . . . . . . . . . . . .Location of Property. . . . .J //X . . . . y House No. Street Hamlet Onwer or Owners of Property.. ./. .����� l . �l�F�`�. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . /�. . L'I County Tax Hap No 1000, Section. . . . i./ 3. . . .Block. . . . ./ . . . . . . . . . .Lot. . . . .ov. . . . . . . . . . . . . . . Subdivision.. . . . . . .rr...�. . . . . . . . . . . . . . . . . :+:. . . . . . . . .Filed Map . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. )-3.�9``. !!�`.'�. . . .Date OO,/f Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval./.\./.©.. ./. ./. . ./� . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . • planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . i ficate. . . . . . . . . . . Final Carticate. . . Request for: Temporary Cert . . cee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . . . . . . . . . . . . . APPLICANT ITO � I �O O TOWN OF SOUTHOLD, �c OFFICE OF BUILDING INSPECTOR P.O. BOX 728 W TOWN RALL SOUTHOLD.N.Y. 11971 C E R T I F I C A T I O N Date August 13 , 1996 Building Permit No. 230872 Owner Thomas Karavas (please print) Plumber Bertsand Plumbing & Heating, Inc. ' (please print) I certify that the solder used in the water pupply a��rat,q�p� contains less than 2/10 of 1t lead. `. . 4plum4er a signatur0) Sworn to before me this 13th day of August 19 96 Notary Public """" Notary Public, Suffolk County EILEEN M,ROACHE Notary Public,State of New York No.4826942 CommiissioinlExplas anuary 311.19 THE NEW YORK BOARD OF FIRE- UNDERWRITERS, PAGE i " 1195099 BUREAU OF ELECTRICITY_; - 85 JOHN STREET, NEW YORK, NY_ 10038 ." Date AUGUST 14,1996 Application No.onfile 12255396/96 N 394092 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant aired on the abooe-application number In the premises of GLORIA KARAUS, McCANN LANE; GREENPORT, N.Y. _ in the following location; ® Basement ® lot FI; 2nd"Fl. GAR/GUT_1 '— Section.. Steck- sees,examined on AUGUST 08,1996 "i- andfound to be in compliance with the National Electrical Code., - ' - I FIXTURE ECEPTACUES SWITCHESFIXTURES I - RANGES ' ICOOXING DECKS -- OVENSE: DISH WASHERS EXHAUST FANS OUTLETS INCANDESCEW FLUORESCEW t OTHER I AMT. K.W:_- `. AMT' - K.W.' MIT - K W-r. "T.'I- K.W` ''AAL'; H.P. 26 46 28 26: 1, 2 ,ll!i.:_ DRYERS FURNACE MOTORS':_- FUTURE AMUANCE MOSES ISPECIAL Iter PT TIME CIACKS-"amu„ UNITHEATERS MULTI.OUTLET, ,DIMMERS, " AMT. K.W. OIL H.P. GAS N P: AMT NO A.W.G. AMT MIP. AMT AMPS„ TRANS AMT M Pt SYSTEMS NO.OF FEETT Eli -. AMT WAttS 3 F SERVICE DISCONNECT HOOF - " S_`. -E:+ AMT. AMI. TYPE METER I N iW 1/JW S&f0W 3 X AW NO.OF CC COND. A.W.G��f NO:OF"j.UO, . 'M'W'G'^ Na.OF NEUTRALS �= A.W.G. EQUIP. PER& SOF CG[OND. -- OF HI.Mu OF NEUTRAL, 1 200 CB 1 % - 1' 4/0' OTHER APPARATUS: WHIRLPOOL BATH-1 I� G.F.C.Is-7 SMOKE DETECTOR:-6 JIM SAGE ELEC. INC. LIC.#3635E -7t-M 350 MARINE PLACE _ GREENPORT, NY, 11944 oENEtAI MANAGER' _ - This certificate must not be altered in any manner; return to the office of the Board if incorrect.'Inspectors may be identified by their credentials. r • 1� I i f ! i , F. M-1802 BUILDING DEPT. NSPECTtON [ FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: _ < ezl DATE if l / S INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH LBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKSr Arla lvs�a—ozl DATE INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU LBG. [ ] FOUNDATION 2ND [ , SOLATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS 4� DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU H PLBG. [ ] FOUNDATION 2ND [ ] I ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTO PPP7 i :0 BUILDING DEPT. INSPECTION FOUNDATION • FOUNDATION 2ND [1--f INSULAT FRAMING FINAL FIREPLACE & CHIMNEY / + J l� DATE +� �� / INSPECTOR M-1802 BUILDING DEPT. INSPECTION'--- [ ] FOUNDA NST [ ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION FRAMING [ ] FINAL [ ] FIREPLACE � CHIM Y REMARKS: Ell ' Q DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION XTION 1ST [ ] ROUGH PLBG. TION 2ND [ ] INSULATION G [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE y INSPECTO i M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: PF DATE INSPECTOR " 09-7 B DING DEPT. ! IN ECTION � [ ] FNDATION IST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIRE:PL7 & CHIMNEY R-EMARK AZE DATE4ZI INSPECTOR 3. Nature of work (check which applicable): New Building . . .✓. . . . . . , Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . : . . . . . . . . . Other Work . . . . . . . . . . , . . . . (Description) 4. Estimated Cost . . . . . -?/ ��. . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . / (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . ./. . . . . . . . . . , Number of dwelling units on each floor . /. . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent ofeach 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 . . . . . . .JYZ f�. . . . . . . Numb �Sto�ies . . . . . . . . . . . / l $. Dimensions of entire new construction: Front : . . `t . Rear . . .-gyp. . . . . Depth . .ori . . . . . . . . . Height . . . . . .` . . . . . . Numbed Stories . . . . . pp .5 . . . . . . . Rear � ,. 9. Size of lot: Front . . . . . /p 3b. . . . . . . . . . Depth /.�5 `'. . . . . . . . . . 10. Date of Purchase . . , . . ,/!�,/.-, , , , ,J, , . , . . . . • , , Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premise . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . . . . 9. Address . . . . . . . . . . . . . . . . hone No. . . . . . . . . . . . . . . . . Name of Contractor . . 'xd?/�!. . . Address &r- is No. . ri �/'�2 15. Is this property within 300 feet of a tidal wetland? *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF . . q r�fYJDW�J• • • •f�'9 � .!�,t!, . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the . . . . . r`. . . . ! . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements 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 aa.�� "" '� . . . . . . /. . . . . . . . . . . . . . . .day of. . . C . �. . . . ., 19 Notary Public, . . . . . 4.. . . . . . . . .\. . . . . . County " -`4 D ,1.COOPER Notary Public,State of New York ee • " " . . . . . . • . . . . . . . . . . . . . . . . . . • • No.4822563,Suffolk County / (Signature of applicant) Term Expires December 31,.19 � 40ARD OF HEALTIAP. . . . . . FORM NO. 1 " 3 SETS OF PLANS . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . : TOWN HALL SEPTIC roRtt . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 NOT I FY CALL / / G•-�. . . . . . . . . . . . . . . Examined . , , , , , , , , , , ]g�•� MAIL TO : Approve CA-R I�J. Permit No. �9�0i7 _ . . . . . . . . . . . . Disapproved a/c (Building Inspector) P ICATION FOR BUILDING PERMIT Date . . � . . . . . . .. I71. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining 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 will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on remises and in building for necessary inspection . p p I . . . ..�U ., � . . . . . . . . . . . . . . . (Signature of applica t, or name, if a corporate n) (Mailing address of applicant) State whether applicant i owner lessee, 'agent, architect, engineer, general contractor, electrician, plumber o builder. Name of owner of premises . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or 1_gtestdee�)y If applicant ' a Cororation, signature of duly authorized officer. _ p . , — CC CC �. . . . . . . . . w 1�� (Na e and title' f ccor orate offlcer p Q('T ! . . . . . . . . Builder's License No. . . . . . . TowN or sOkil d7_._... Plumber's License No. Electrician's License No. Other Trade's License No, , , , ;, , , , , , , , , , , , , , , , , , 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street nilet County Tax Map N . 110_000�Sect' ing. .. '� . . . . . . . Block . . . . . . . . . . : . . . Lot . . . . . . . . . . . . . . . . Subdivision . . . . e0. . . . . . . . Filed Map No. �. . . . Lot . . . . . . . . . . . (Name) 1 State existing use and occupancy of premises/ / ��and intended uu�e and occupancy of proposed construction: a. Existing use and occupancy ill :/.�(�/,.pW�-4r!.zl . : . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. 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