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Home My WebLink About21299-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23229 Date SEPTEMBER 16, 1994 THIS CERTIFIES that the building ADDITION Location of Property 870 SOUNDVIEW ROAD ORIENT, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 3 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 1993 pursuant to which Building Permit No. 21299-Z dated APRIL 2, 1993 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 RENOVATION & 2ND STORY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GREGORY POULOS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-285544 - AUGUST 6, 1993 PLUMBERS CERTIFICATION DATED AUGUST 31, 1994 - LISO PLUMBING & HEATING 4 Building lynspecto Rev. 1/81 FORM NO. I 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) NN? 21299 Z Date 19~. Permission is hereby granted to: = a.,.......... Lf.4 f q,:,>I ,......:..y..... t r.g7..r...... 1 1.. at premises located at ..?~~d... t R.~47 Q al ....GAA1....... .mss? R- .Q~t::a.2 County Tax Map No. 1 00 Section ........PJ.i5 Block Lot No...;0 pursuant to application dated ..~~1~ a.9... 19.1;5., and approved by the Building Inspector. 111 Fee $...J! :40... ba &-~...m.................. 9 Inspector i Rev. 6/30/80 lk~ t mlF) t U' r +icr, 0 7-1lin i , C;,_ ~a s, N.0 30 00 W. lS3.95~ ~w~ 0 0 q G~J G O cn a, ° f C 9 fl;,~. Cu t / as' - I-J fn r3 ~G C 33" Tt~O f~ 0 S./~° 0i _ 1f r>,~ cP 3C~O"GV U - 146.26 rbc~ 1 I I I- i i S, "ate.-°- S p r ('m .ROn~c1'h{.o ~ ' Cf C.; N C § { Crlf+r~ ° v 1 pi C e A3. 31~ V, -TI V) r-i ?~0 C r- !To C) 0 17- S 0I2 r~~SJ p I f{7 00 c C~'~ ~tlr~Id 7 - TL !C> C C" Ir- a ~ah @_ .l?,rtn im!1 I~ s., f C? I 3 IG `K. `{"v Form No. 61g. TOWN OF SOUTHOLD BUILDING DEPARTMENT er i Alin 3 0 TOWN HALL .6 X47 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 "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 Buildins, - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1 00, Commercial $15.00 Date .....C2~! :~~.7 New Construction........ . Old Or. Pre-existing Building Location of Property....~? ....................~w°`~v...oC~~-.........(2rte House No. Street Hamlet Onwer or Owners of Property 6.- County Tax Map No 11000, Sectionr....IS....... Block, :3 Lot.... Q.~ Subdivision 0yle~Y`..~/. ?e04........... Filed Map.......... nLot.. Permit No...~! z J~..~...Date Of fPermit /~~~~.....Applicant.. Je.'~! l! Health Dept. Approval .......~./~lQJ .............Underwriters Approval... Ov Planning Board Approval...../.V.:J Request for: Temporary Certificate........... Final Certicate.../ Fee Submit(t~epd-/:~ ................?N: :.~7:..... > . CQ 2 q 2 ~1 `1 Q J~JFLICANT INSPECTORS 1r~a, OFFO(k'~ off;`'" SCOTT L. HARRIS, Supervisor Southold Town Hall Thomas Fisher 0 4'r P.O. Box 1179, 53095 Main Road Building Inspector eit? . Gary Fish Southold, New York 11971 ax (516) 765-1823 Building Inspector F Telephone (516) 765-1800 Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE : Building Permit No. -4 14 Owner: GOA%s EGGoS (please print) M i Plumber: c{ 19 ( please print) BLDG. DEPT. TOWN OF SOUTHOLD h I certify that the solder used in the water supply system contains less than 2/10 of 1$ lead. (Plumbers Sin ture) Sworn to before me this rf day of 1fv'6 'Is-7- 19 Notary Public, Sy UGC County DOLORES 1 USO Notary Public Notary Public, Stan of New Yolk Suffolk County • No. 484107TH Commission Ex#ros Oct. 31, - WIN 0 o e 1 w mc~ _N '~o w °cx ~2x ~m (fill ~ [al C], t9e M ~ N N m ] ~ O ry4n X11 O m c 3 cn W G] .N N Z p ut rn C T 5 00 Z y X KI C EC ti+ H m Q (11 O x N [I! O ~ y p N Y C 7' J O t-+ St1 x Z N N y7 a O 4'i -1 n rv rs, z •m ~ n ~ n ~ [ ~ ~ ~ m ZZ m [n z TTm0 H N C Z H P "'3 " eAO " "J a ®H E m 2 N lb e 4 m 2 24 K ~n n w 7 7 ~ [..i pD ~ ~ z ^ C? Q. N 41 3 ID f p o n o $ a MC s z N i ®[+J ^m1 m 0 R O a m 0. ro D p t" o F m v C 2 n 0' ~ Z~ H zn p H fi 0. m ^e r, m~ N a o •0 O m y o ' Z m W '9p M m o tr] OT A " N C O K• i - O ns A v d F O H n n Z n Z m m n. >n m 8 b N m 2 0 ~ N o z a 7C G v ? _ > m n z w Wry p gt `C f? = m a 0> z m z 3= n' _G z m o N~ y n x a n TTo n N C R rs N-ci F m !0 ~ 'P F A a 'P s ~ ~ N b o y ;Jp D A 3 w m O L ' N ° Z G N t ' 4 1 ' V6610 6 OA1 ~ l 10 gUFFO(KCOGy o ~ Town Halt, 53095 Main Road y Z Fax (516) 765-1823 P. O. Box 1179 S Telephone (516) 765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 12, 1994 gi AUG 01994 Pride Building Co. Inc. Box 1464 Southold, NY 11971 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 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 # 21299z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1;~ %'af F Ot Town Hall, 53095 Main Road co CIO Fax (516) 765-1823 P~ 0. Box 1179 W- Telephone (516) 765-1802 Southold, NewYork 11971 0 4 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 12, 1994 Pride Building Co. Inc. Box 1464 Southold, NY 11971 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 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 # 21299z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST j ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INS TION [ ] FRAMING INAL e REMARKS: r DATE INSPECTOR~ 7 r6S-MO2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] F UNDATION 2ND ( ] INSULATION [ FRAMING FINAL REMARKS: ~ -j4-- tr 9 cv i ate' .~~,lis C~ DATE f a j INSPECTOR ` M-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ] R UGH PLBG. FOUNDATION 2ND INSULATION FRAMING FINAL REMARKS: E 6 DATE o~ INSPECTOR lELD IN'SPEC TION (JUATE 11 COMMENTS ro ~ m FOUNDATION (1st) o c FOUNDATION (2nd) _ m t 2. o on r C ROUGH FRAME & I 1? 44 PLUMBING r P qE- v3 3. - ~ m ' m G y INSULATION PER N. Y. STATE ENERGY CODE m d a 4. / 2 ti -~y 't FINAL `Cl z , ADDITIONAL COMME S: x x , x roo H r~ a ' H H O z 1 S m a • r~ H d m b H S~ 30r1RD OF HEALTH ^9 - PORMN0.1 3 SETS OFt,,,PL.INS n TOWN OF SOUTHOLD SURVEY PAR 2 91993 BUILDING DEPARTMENT C11CCK o1S5~. r.t TOWN HALL SEPTIC FORK • • • • SOUTHOLD, N.Y. 11971 . TOWN Or, SL)19'. tEC:i k+kiRi.f TEL.: 765-1802 I:DTiFY ExaminedCALL .Oz/_?'q'....... V F1AIL T0: Approved .91 1983 Permit No............ . Disapproved a/c _ . cx~L (Building Inspector) APPLICATION FOR BUILDING PERMIT r Date 19 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 premises and in building for necessary inspectio s. _ride a r ~Cta.y ..l s~,.J.. r . (Signature of appl'cant, or ame, if a corporation) ~I............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises r'~ ry.. 00a ks (as on the tax roll or latest deed) If applica is a corpo tion,.signatur of duly authorized officer. ~?t a e and title of corporate officer) Builder's License No. ...~O!.WL . . Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be donne . . . r ...1.~ .................~/lCn House Number Street Hamlet County Tax Map No. 1000 Section 15 • • • • Block 3 Lot.. ,?.7............ . Subdivision Filed Map No. Lot...-........... (Name) State existing use and occupancy of premises and intended use nd occupancy of proposed construction: a. Existing use and occupancy ~IC , • Tl-tlnn ~ dad C,I,t n.(~......~~,~s ~~.i, ±s :,¢rsa' a:',:ra:~~ata~$ . b. Intended use and occupancy X11 .il ~ ,~~~i,~ ~....ro: i ra '~:-.fv:, e.r•a,;; ,."`idiEr=., 3. Nature of work (check which applicable): liable): New Building........ , , , Addition Alteration Repair Removal . , Demolition Other Work . ~ ~ .0L)C) ~ (Description).. 4. Estimated Cost , . Fee J (to be paid on filing this app is tion) If If garage, dwelling, o nunumbermber of of cars dwelling nits ....NJ umber of dwelling units on each floor. . ......ll/?. 6. If business commercial or mixed occupancy, specify nature end extent of e ch type of use. 7. Dimensions of ~xsting structures,'if any: Front.... y.. , , , , . , Rear j.. , , . f De t Height ...)5........... Numb~r of Stories .....P w7~........ Dimensions of same structure with alterations or ddiitions: Front . . . Depth Rear . ~ . . . 8. Dimensions of entire new construction: $l, , , , Number of Stories Front r „ , ._,'..Rear Depth Height Number of Stories . ~ -r~= ' ' ' ' ' ' ' ' ' ' ' ' ' ' 9. Size of lot: Front 6..1.. Rear ..71-1.4 , . . . Date 1 BI. Zoof Purchase • • • Name of Former Owner . or used strict in which premises 'are situated . . • . . • • • . . • 12. Does proposed construction}}iglate zoning law, ordinance or regulation: /v., 13. Will lot be regraded ..any. Will excess fill be removed from premises: YesIo 14. Name of Owner of pre ses Address . Phone No. . Name of Architect ~jG Address /I . Phone No. . 15. Name of Contractor . 9 !aC . ~~ia . Go , . Af.-. . AddreSSR)yb ~l.. ~OIC 4 ; . Is this property within 300 If yes Southold Tow Y Phone No.. 7 ; , ?elf. , feet of a tidal wetland? *yes........ No * n 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. 3T ATE OF NEW Y K S.S O Y O I b~e.. individual signing col. , being duly sworn, deposes and says that he is the applicant ntract) bove named. I Ieisthe (Contractor, agent, corporate office ,etc.) f said owner or owners, and is duly authorized to perform or erfor the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. worn to before me this .2. 9' .day of a 19 . otary Public, County CLAIRE L, OLEW NoaxY Public, State of NewYork' ' t QuelNled in Suffolk Coin ' . C......... ' (Signature of applicant) Commission Expires Dumber 192f i 1 - FFF , - i -T, Hula I ~ FR r~ E i-C_ W\ «arl i - - - - - - - - - - - - - ; i t ~ ~1. i j--- i i I~~! !,I~ 1 I i ~ ~ ~ I ~ ~p OCCUPANCY OR USE IS UNLAWFUL ~~9 vJITHOUT CERTIFICATE A PME0 Ai MOTED nr, nnminnxinv I t Ur uIiLurmk,t e;aTE: - -AL Fi.h i 2/ a rr -qsy Y G.1. AYE M A N K)R THE N oopper tubing is used UTAP ;0 r I I t ~'l ce Tol' water distributing Pr,, tNvllPOW a Wf~i54FkI11ETSD system; Piping shell be P,4 iRr-D FTE ottypasKorLonly cr.;-~r :-:;,ae•n,ag a, 8UYmepiNc UNI)MMIER110MRIME lsoel rar,REQUIRED ,sn~s ic InsalvFlr PLUMBER CERTIFICATION a, ara rwcr'r HALL NIFe; ON LEAD CONTENT BEFORE e3S'l 'ass ^.1F sea a.".aurITRI'~6yits 0,- r G'tyGrTr"ra,1'i0N & FN FNER(aV pc, 117E :r arlu5itntE FOR PLUMBING CERTIFICATE OF OCCUPANCY iI i~u7.=". VERi~r F~. _ oar ¢T~S~unS 3~16l93 ~ ~ ALLPWMBINGWISU SOLDER USED IN WATER auc~'inN1FRROas ieF'r t~ c„a-n.>„d PRIDE AVI~o~I~G Co & WATER LINES NEED TESTING BEFORE COVERING EXSUPPLY CEED 2/JOT Of 1% LEAD. s lac GU •Y aov~c.g Ras,De NLE DAWN VY G.A. j ii-' . ______i El ur L i UI ~1 - R~A? ELE.~a-r~".~ u u ii I IL I , uu uuu I _J u T li-II li - - RIGHT c~c ~?aT~~,~r Nom: ve.R ~Fy p~ti ~rmSr.~s~uras VI a/93 PRIDE g~~ crtJG Co. G.kE G~kY Qu~x c~1 P.c S~o~w cE Et cvPT~~ntS ok qw~.i gY'. GA. xr.«: Yya. I~'e Zor la r HIAS?F WAS. F_R/ Dk.S cn, i I~ J. 1 ten, v, of I I i ~ NEw NG"J ' Sri, LGL. C~u. ,yj ~ I Y(/ ~I _cs-- S _ 0._ CLII~Fr Gif _ I _ i QQ eIL -TYP ' ~ CF MC_,yT C.Ncn ~E yT C.Ncn i .I i I (3)Znn.i: i ' I ' ~TI_ COL IA~NS Cov1M NS ~ (31 2nrtis I ~ M' 1 , ~,EqF ~..fl qF 14, i 714, '-L' w o 'j i 1 I a; I I ~ y 5 _ Fu,l+.lAt_F ~i N i At_F N1 j I -o i i HW, 17 C-- r ' - - - I `pl I ~ ~ I I -z-Z, 9. ~ r I' r ''~~11 , - - - - -Lc c_x r~ T,N~- ~o~JNDATioI I t~Ar~l _A% H4m! v Ricy Ar-~ cimci4s~oriS Ys ' P2~DE "(j V~~O~NG GO. ~ [-r12e GaRY {x.~va og 2ES~s~Er..ic~ ' FUUNI~AT toAJ PLAID DI<AwIV $Y; L,. A. 5cw~E: Iy"=I'O '3 ~6 I I I Y IIi~ ry W S3~ eF,A -SrI) I ~ I +./'i~kr I ~I i Swp 8~octid Av \ VIII I - ~Lt=- it I ~ JI I J 0 j l , p ~ _J I D UO ~ a ; I y~'r I ' r N p~ Ili o k N h h ~ III F ~ II~ ~ X9 IW '2 ~ i''~ i 77 .I I ~i I EX15TknIG FIRST 5'1..00;. PLAti ~ rs..ooe c ~~~'~~ns NOTE. VORIFY A, p-MENSio145 342/94 PRIDE gu~iD~NCr CA. G4-~`G~RN ~r cr-~s.o> RESIDENCE il' EkISTIN' FIF'ST F~.cw2 R/+N i I i NEW 3042 1 I I! 1~ I'. I +9 ~~~~~1 liI La G=If L15i-~~ ~ ~ r i I:I_~- L Fc mu la F 41Hr-F-w PU~ iC~Lib [L. `ri dJj-' H! r.roµne_ I I I I i i I I I 2~e../x.z .to~cR s I (2) zf z.s r--~ - b b ~ - (2) 2aL] (2) 2rIQ~s - - ~ - - - - co H~. crv w~„_, ~ LINE GF \LME GF UC4K 8h,- F, n UE, Ag~,r~E A ~;GJE i ~iR~~ ~~oorz PLAN 1407e' veRi~r w-~ OiMEH SION$ 3/12/93 (~Ri1~E f3 ~i~.oi NC Lo•, G ~E 4~~2Y Po~xos RE6~oeiNCE F'IRjT rLpUR ~L AIJ 6-6 I cK~STiNG RWC I All y - fie. ~5rr c~"1 Al F2 3b6aP e~`s8 ?,Fu I zoea a,vau ~ N I , m ~9 ,2-8 0.rOGE ~ 2~ f C'IF 2-6 Io~a.L. RPI=rimes ap '1 j O J \ ~2 Per I & N ~rPl~;, .L., ~1 y- . UM JI - - ~ 15"p'e Lr i S ~i . ' ti., m , 9I i JJ - y - - F N `i 1~to NyErV~k I 2 ~ \ ^ i A M t ~ Ivu FASO 1rl S i N n R 19 ~NANpLLk, R 19-"?^ FiJ STII",G Riur Na- NALF-wa.L/ P9wm C 10 G.G. I,~ HANOCAI<--I? . ZoM 2-2 r k 6 r~, zK,,~, 2n/n-Iw~~+.L. E%ISTIN LY,i /b"^.G. Na, w/'1" Zs8 ..~2+z ~e Oc.eR ~ Z) Z~IUS ~-:+FNOERi~ E%fSTING -pkS' FL auL a2 -b (~~Z<In" E'~I~T1N~ ~ ~~uC h-ICN NF_^~ 3~ ST- C~a Nl ~Crc~,~ ~NUr~ ~ yLY~ ~ ..cl-~ NEw/ :,ECJJ~'i17 r~noR V_a~r~ , _---SC ASE . ; ~I. ~ I I CP~OSS SECT end NL7E: vER~Fy y,,w G~meNSiatis ~'IP11Y3 PRIDE 8v~win~G G~~ GRE.GOC~t' '1 Ov~-vS RESIDENL$ ~ ~ GROSS C,EtncN o¢PwN RY t G. A. m4+.~E6 `/y~~_ I~-6" =/a