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Home My WebLink About20134-zNo Z-22234 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPD~NCY Date ~L~RCH 31~ 1993 THIS CERTIFIES that the buildin~ Location of Property 200 GREENHILL LANE House No. County Tax Map No. 1000 Section 33 Subdivision ADDITION Street Block 3 Filed Map No. GREENPORT~ N.Y. Hamlet Lot 13 Lot No. conforms substantially to the Application for Building permit heretofore filed in this office dated SEPTF24BER 5, 1991 pursuant to which Building Permit No. 20134-Z dated SEPTEMBER 11~ 1991 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 WITH FIBER GLASS ROOF TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PANTELIS & BESSIE PSALTAKI8 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARI~4ENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. J~ 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~ 201~4 Z Permission is hereby granted to: / _ ~ _../ //~. ~ ,~ /~ /, .~.~.~..~.....~ ....................... ..~~~......~¥~ ~ o~, .~~....~~.~ ,~ ~ ,~~~~ ....................... ...~~ ~ ~~ ....... ~....~.~......~~...~......~~~~ at premises I~ated at ...~ ....... ~~..~~ ............................................... co..~ ~ ~ No. ~000 s.~,,o. ......... ~ ...... ,~ ........ ~ ...... ~o, No ......... ~ ...... pu~uant to oppllcation dat~ ......... ~ ....................................... , 19.~., and approv~ by ~e Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 'TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new buildihg 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 i% lead. 5. Commercial building, industrial building, multiple residences and~'similar buildings and installations, a certificate of Code Complianc~ from architect or engineer responsible for the building. ~. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and qpre-exist~ng" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographin features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy i~ denied, the Building Inspector shall state the reasons therefor in writing to the applicant. E. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy~ of Certificate of Occupancy - $5.00 over 5 years - $10.00 4...Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .................. Jew Construction ........... Old Or Pre-existing Building ..... ~.~..~.~.. .ocation of Property. .'~ ~cg(O .~ House No.. Street Hamlet nwer or Owners of Pro irt .&~--~t..!~.~?-~{ ~ ~ .?.~.~ P Y ............. ,. " d / ounty Tax Map No 1000, Section .............. Block ................ Lot ................... ubdivision .............................. ... ... Filed Map ............ Lot ...................... ................ Date Of Permit. . .Applicant. 14 ealth Dept. Approval ......................... · Underwriters Approval ......................... Board Approval lanning ....................... ~quest for: Temporary~ertificate .......... ~ Final Certicate ........... ' ~e Submitted: ~ ~7'~ ~ dl~ .... ~--..-..- ..... . ..... o;[3 qc -" ' -' '"" .... INSPECTORS (516) 765-1802 VIcToR LESSARD, Pr~.ncipal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 28, 1992 SECOND NOTIFICATION SCOTT L. HARRIS, Supervisor Southold Town Hail P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 CHARLES HARVEY 410 SIXTH STREET GREENPORT, N.Y. 11944 RE: PANTELIS PSALTAKIS TO Whom This May Concern: We are unable to complete your because of the following reasons: Certificate of Occupancy 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PER~IT 9 20134-Z (DECK) Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. Thank you for cc to: PANTELIS PSALTAKIS INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building l~pector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wleezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 NOVKIqBER 15, 1991 CHAP, LES HARVEY 410 SIx'rn STREET GREENPORT, NY I 1944 RE: PANTELIS PSALTAKIS & WIFE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: x~x 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING.PERMIT % 20134-Z Please contact our office on this matter. cooperation. CC: Thank you for SOUTHOLD TOWN BUILDING DEPT. WIFE ?OUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS 7G5-1802 BUILDING DEPT. INSPECTION · ,' ~,[ ]~ FOUNDATION 1ST ,[ '],ROUGH PLBG.' [,, J FOUNDATION 2ND [ ] ~~TION [ ] rLFRAMING, [~/]"FINAL · REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION /,,],'I~RAMING ~ [ ] FINAL REMARKS~ DATE INSPECTOR FOUNDATION SST [ ] ROUGH PLBG. ,, INSPECTOR -:i51991 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Examim ~...,19... Approved.. ~ .~//~/ ...... 19... Permit No.. Disapproved a/c ..................................... · ( B}fflding J~Spect fir) x APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. c^ u ........ HAIL TO: Date . .': ........ , 19 . INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 3r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- zatioh. ~. The work covered by this application may not be cbmmenced before issuance of Building Permit. .d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ,hall 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 ,hail 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections. ....... .cT.,... ,.o..e ........... -- (Signature of applicant, or name, if a corporation) ................ O. ..... re...t.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises, f.~ ,.t.~.- J ~'. =..~7 .... ~..e..~..~. ~..~. ...... ~.~.? .d...L..~. &. k. ~. ~. ................ (as on the t,ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corpora{e officef~ er's Li N /..,.~ gc?oa''- HZ Build cense o ..... Plumber's License No ......................... Electrician's License No ....................... h t * Ct er Trade s Lmense No ...................... Location of land on which proposed work will be done .............................................. ...g...e..o. ........... e0,--'r- O/,y.,., Ilouse Nmnber Street Hamlet County Tax Map No. 1000 Section ~Y ~ ~ Block ~ Lot Subdivision ..................................... Filed Map No.. 5..~.. 7.//5.... Lot.. !.L~, .~ ....... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................................. · ..... ..... ,~' ........... b Intended use and occupancy ' ' .I 3. Nature of work (check which aplplicable): New Building .......... Addition . .~?.~../~,. Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ' ipgj iii (~ption) 4. Estimated Cost .... ~ -~.~ ~ ~..~ .................... Fee ................................... ;... (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ...... ff ....... Number of dwelling units on each floor ...... / ......... If garage number of c~s , 6. If business, commercial or mixed occupancy, spec~y nature and extent of each type of use ..................... 7. Dimensions of existing stmcture~, if any: Front... ~ ......... Rear . ~O ......... Depth .. ~.~ Height J. ~.~j.~ .... Number of Stohes .~ ....... ''" Dt nenmons of same structure w~th alteratmns or ad0itton~: Front '..~O. .......... ~ Rear .. ~ ~ ............ Depth..~, .............. '.. Height . 1.. ~,~ ~ ~ ........ Number of Stohes ..... [ ................ 8. Dimensions of entire new construction· Front ~ ~ , .., Rear . ~ ~7.' ......... Depth .. ~. ~ ........ .. .......... >jj. j ..................................... 9. Size oflot' Front /ff~ ' i ~- ~-, ~' - .... Da ..... ' .......... Depth ..~.~..t.~ ...... 10. m o~ rurcnase ........... ~ ......... ......... Name of F-mcr O ne . · 11. Zone or use district in which premises are situated ..... ~ e...r~.M~ I: :: .......................... 12. Does proposed construction ,~ifil0te any zoning law, ordinance orregu iti' ]:- ' . NO ' .... ........... 13. Will lot be regraded I~O ........ ' .... L' ........ "' : .......... ..... · ' ~ .................. Wll[ excess HII De removed Irom premises: : Yes No~ 14. Nme of Owner of premises ~ ~ ~..~l .~. ~ I ~, Address ~.~ S.~ 0 ,~ II..~&.. Phone No ................ Nme of Architect .... ,'. ..... ~ ............ Nm~e of Contractor .~lt~ ¢J.~ ~.. ~ ~,~ R.~. ' ' ' ' ................... e~o~ ................ .... Address ~q g.01¢O P.~ .... Phone No..~ZZ~ .g ~ [ ~.~. 15. Is this property within 3pO feet of a tidal wetland? ,yt · If yes, SouthOld T~wn TrusteesPermit may be required.es ...... .. No..~ .... ~-. ~ PLOT DIAG~ Locate clearly ~d distinctly ~1 ~uild~gs, whether existing or proposed, ~d~indicate ~1 set-back d~ensions from prope~y lines. Give street ~d block q mber or description accord~g to deed, and show street nines and indicate whether ntehor or corner lot. : : ;TATE OF NEW YORK :OUNTy OF. Eok l< ..... s. s .... k.;.{1 1 b. e. ,V .... /71'. ~..b.~.~ 1~/~. ................ being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) bore named. re is the i (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this ;~plication; that all statements contain~ed in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner s~t forth in the application filed therewith. worn to before me this ..................... day o ...... 19 'otary Public ' ' t' ounty Nota,'y Pu~lo, State of NewYodt .................... ~Jo. 4961364 , (Signature of applicant) Qualtfl~cl In Suffolk CounN ~,~ Commi~lon Expires May 22, 19,.(,.~. SUFF. CO. H~ALTH DEPT. APPROVAL .,. l-'~ ~'.t ~.~ , . ~..~, :. ' . .. : . " ...... ' It..:,~ ! i ' ' ' ' LOT /4~ (v'..wnr~') t,-,-".~"~'"'~ ~''u'''' ' i ,t~T' '",, '. , . .. '"~ ., ,, '~' ~ ' ~ ..... ~._.. .. :q i'] , . ~O ~HI~ SURVE~ I~ A VIO~ION ~ ~ .. , ,. !. '. e~.~,.. ............. ~ .............. i ~ ~,,, ?, :~? I~::,,,~~'~ ~, TEST HOLE SUFF, C;O, DE:PT, OF HEALTH ItF...R~ic~ STATEMENT OF INTENT ,FO. AP..ov^~. OF ~,~ON o~v ?.,~p. . :, ,,~, ,., ', , ,~ , :,.., THE WA~ SUPPLY AND 8~WA~E .... , * g-, ' ' > DENCE WIL~ CONFORM TO THE ' H.S..~V..O.: 'g- 50:;' " :"";' ' '~ , ,,,, ,~ c .,~' ~' ~ OF N~LT~,