HomeMy WebLinkAbout19544-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~E~TIFICATE OF O(~NIPAN~Y
No Z-24426 Date J~INE 13~ 1996
THIS CERTIFIES that the building A~CESSORY
Location of Property 1220 WESTWOOD LANE GREENPORT NY
House No. Street Hamlet
County Tax Map No. 1000 Section 33 Block 2 Lot 19
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NO~ER 21, 1990 pursuant to which
Building Permit NO. 19544-Z dated NOVEMBER 27, 1990
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 AN ACCESSORY S~ AS APPLIED FOR.
The certificate is issued to ~ P. FIGETAKIB
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N/A
N/A
Building Inspec~r
FO]I~ NO- II
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)
9544 Z
Permission is hereby granted to: ~ ~ ~ /_ / /
'.~.~..._.. ~z~: .....
...........
at premises located at ....' ../.~.......~..,~......~?..~//...-~... ~.~ ..... ~ ............................................
Co,,n,¥ To,, Mo,, ~,o. ,000 Sec,,o~ ....... ,.ff...~ ...... B,o¢,, ............ ~. .... ,.o, No..../i ............
pursuant to application doted ....... /..~.. ................................. 19 .~....~., and approved by the
Building Inspector.
~ee $..~~
Rev. 6/30/80
T0~ F3_LL
7~3-L802
a ....... build~zs, propercy lLnes~
_ ~n=~ su~ey of proper~y %~:h ....... = location of al!
~ ~.m=roval of =~=~- .... : ~=s:ilL~:ion from Board of Fire Unda~,~i:ars.
r~soonsibia for :he 'mu__c_-.=~ '~c.
...... ~ '. '~ co April 9, 19S7) non-conforminz uses ~- bu±ldinzs and
r'pr~-~<ist~g" Land uses:
unusu~ ~--~,--,.~=.__=_ or :opo~raphiz iaauures.
i. Carulf£ca:e of Ocaupa.~cy - Ne~ d-~eiiir.~ S25.00> kdd±uloms --o dwelling Sl5.0C.
~:arauions ns dweil~g S2~.00: S~-~ng pool S25.O0, ~caassory buildin~ S2~.O0,
ArieL:tons :o aczasso~- bu~dlng S25.00. 3usLnassas $50.00.
_. Caruiflaa;a of 0caupancy on Pr~¢isu~ 3ui!dLn~ -
2. Copy of CartLJicz%~ of 0ctupamc~ - .25c
&. Updated Car%i~icg~a of 0ccu~anc7 -
5. Iamporgry Car%iflcaza of Occupancy - RasLdennt~i S!5.00, Cc~ercLgl S13,00
~=~ ......... ~ .=. U.:..9. ~' .........
..... ~. .... Old n- Pr~isu~n~ 5u .... n= ................
~ouse No. S ~rae~
o: ....... ..... ............
:aunzy T~x Map Nc . , ............
~-~--~o..Z~.~/..~.~.~.z:..:~:~ o~ ~e_--.=: ............... , ~ f~e ....
:=:~-~ Dept. A~orovai.. .Unde~-r_!ners ^~-~--' ..........
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 31, 1996
Mr. Emmanuel Figetakis
3807 34th Avenue
Astoria, NY 11101
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)
No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT # 19544-Z Accy shed
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
OUNDATIO.U ( ls t )
OUUDAT!O~U ( 2nd )
OUGH FRAME &
.PLUMBING
NSULATIO:I PER N.
STATE E~IERGY
CODE
FI~;AL
ADDIT] COMME~$TS:
.%
765-1802
BUILDING DEPT.
INSPECTION
[ I FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ~
[ ] FIREPLACE & CHIMNEY ,
~ REMAR~(~5~, ~
DATE
__ INSPECT~~~d~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGHppP~G.
[ ] FOUNDATION 2ND [ ] INS~-*ATION
!
[ ] FRAMING [/_,~'"FINAL
[ ] FIREPLACE&CHIMNEY ~.,
DATE
I NSPECTO~ .~~~
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
/,,~' TEL.: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK ......................
SEPTIC FORM ................
blAIL TO:
1. Location of land on which proposed work will bed, one; '
· ........... ....
House Number Street. ' ........ ' ...........
County Tax Map No. lOOOSection ...... ~5 ......... Block ......... '.~ ....... Lot../.~
Subdivision ..................................... ~iled Map No.
(Name) .............. Lot ...............
2. State existing use and occupuncy of premises and intended us~: aud occupancy of proposed construction:
A. Lxist£ng use and occupanc.. ...... ; ...... ~ ..............................................
B. In~ended use ,,nd occL, patncy. ..... S.k.~4 ..............................................
Other Tradc's License No ......................
NOTIFY-I~tJI'L~NG DEPART~j.,.,.,.,.,.,.,.,.~ AT ~' · DEPT.
76~-1802 9 AM ~ 4 PM ~R THE APPLICATION FOR BUILDING PERMIT [ TOWN OF SOUTH~
FOLt.OWiNG INSPECTIONS:
1 FOUNDATION ~0 REQUIRED D3t~ ...................
FOR POURED CONCR~E
2. ROUGH - FRAMING & PLUMBING INSTRU~IONS
3. ~U~T~ON -
~.',FI~E ap~l~~~tely filled in by ~pewfiter or in ink and submitted to the Building I~spector, with
sets ot~~O~g~n to scale. Fee according to schedule.
~LV~g~g ~~t and of bulldogs on premises, relationship to adjoining premises or pubSc streets
or ~, ~~ ~r~,gan of l&yout of property must be drawn on the diagram which is pan of t~s
~O~ ~c~~p~tion may not be commenced before issuance of Building Permit.
- ~6S~8~~. the Building Inspector will issued a Building Permit to the appEc~t. Such pe~it
shall be kept on the premiiex, awilahl, f~r ~spection throu~out the work.
e. No building sba I be"~9~l ~used in whole oran part for aOy purpose whatever until a Certificate of Occup~cy
shall have been gr~ed, by'~O~8~s ector
APPlICAtION IS HE~E~o thc Building Depmment for the issuance of a B~Iding Pe~it pursuant to the
Buildin~ Zone ~rdin~io~ Town of Southold, Suffolk County, New York, ~d other applicable Mws. Ord~ces or
Re.lions, for tM~t~d~gs, a~ditions or alterations, or for removal or demolition, as here~ described.
T~ applicant agrees to comply with all applicable laws, ordinances, bufld~g code, housing code, an~eguiations, and to
a~mit authorized ~~8~d ~ build~e for n,:cc~';aW inspections. //
,'~.OtiIREME~TS OF THE N.Y. · .
,. ,:o,~sTRuc~,o~ & ~NER~* ~.0.~ ~ ~~V
· 5 MOT RESPONSIBLE FOR ' '~'~ ' ' ' Y' ' '~ ~ ..... ~Y:~' '~ '' y' ......
:4,0'~ OR CONSTRUCTION ERRORS (Marling address of applJc~t)
State whether applicant Js.~wner, lessee, agent, ~chJtect, engineer, genera] contractor, electrician, plumber or bu[~dcr.
.._. ................... , ..........................................................
' - ..............
Na of owner ofpremises ......~.~.~b.M .......
(as on relax roll or latest deed)
IE applicant is a corporation, signature of duly authorized officer.
OCCUPANCY OR
. USE IS UN WFUL
3. Nature of work (check which applicable): New Building .... Addition .......... Alteration ......... '. ·
Repair .............. -~-°val .............. Demolition .............
Tennis Court ...... Accessory Building .......... Fence ...... Other Work; ...........
E t dC [ ............. ....................... "
4. slims ost .......... i ........... (to be paid on filing this application)
hfl
5. If dwelling, number of dwelling Units ............... Number of dwelling units on eac oor ................
7. Dimensions of axisting any: , · ~ .... ....... · . · .......
Height ...~../ ......... Number of Stories ..../t ............................................
Dimensions of same structure wi~h alterations or additions: Front Rear .............
Depth ' Height Number of Stories
8 Dimensions of'entire new constrtiction: Front Rear Depth .
Height ..~. .. um ero es .................................................
~ .Q.<3. Rear ~ Depth '
9 Si ofl t: Front ....
10. Date of Purch ~
cae ..... . ................ Name'of Former Owner .........................
1 !. Zone or use dmtnct in which prern~ses are mtuated ........................ ......... ' ..............
12 Does proposed construction viola!to any zoning law ordinance or regulation: · ·
' .... Will excess fill be remo;~ed from premises: Yea .... No
13. Will lot be regraded .......... ~ .................
14 Name of Owner of premises ! .' ....Address Phone No · . ·
' Ph'one No
Nme of Architect ........... ~ ................ Address ....................................
I . Address Phone No
Name of Contractor .......... ....................................................
15.Is this property locat~ed within 300 feet of a tidal wetland? ~YES .... NO
mil yes, Southold Town lTrustees Permit may be required.
I PLO%' DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block nt~mber or description according to deed, and show street names and indicate whetfier
STATE OF NEW YORK, S.~
COUNTY OF .................
i being duly s~vorn, deposes and says that he is the applicant
......... (Ni ..........
e of~ ~v~du s~gmn co tract)
above named.
I-~ is the ....................... ~ .............................. : ............................... .'. ·
~' ~ (Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly Cuthorized to pe,rform or have performed the said work and to make and file this
application; that all statements contaiffed in this application are true to the best of his knowledge and relief; and that the
work will be perforated in the manner s~t forth in the application qlcd therewith.
Sworn to before me tiffs
.3.day of '
Notaw Public, .............
HELEN & I)~E VOE
NOTARY PUBLIC, Stat~ of New YMk
No. 4707878, $uffolk CountY./
Term ~pir~ M~r~fi ~, 19~f
· County
(Si~pplicant)