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HomeMy WebLinkAbout19565-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219751 Date FEBRUARY 25, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 64920 C.R. 48 GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 03 Lot 10.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 6, 1990 pursuant to which Building Permit No. 195652 dated DEC. 6, 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE. The certificate is issued to NICHOLAS PETIKAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-02 FEB. 14, 1991 UNDERWRITERS CERTIFICATE N0. N171419 SAN. 29, 1991 PLUMBERS CERTIFICATION DATED HARDY PL & HEATING FEB. 19, 1991 REPLACES B.P.#167212 Building Inspector Rev. 1/81 t !'OHM N®. 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SAUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 19 5 6 Z Date 19.90. Permission is hereby gr to o: ....:~~:.7.... ~.~r~!~r............ at premises located ot .....~.~.~~....^f'~...~~I.........C.<.~..~.`~lJ .............................................f„~.~/ j....................................................................... . County Tox Map No. 1000 Section .........T.6........ Block Lot No....,~~a..a~........ pursuant to application doted ......1.:~~{-.~..~ 19........, and approved by the Building Inspector. ~ ~'7'~ ~d'° 9~ Fee 5...~~:2: , . . lG... B i ng nspector Rev.6/30/80 T-F3.7G3-1802 c.`: i' CJ's. ,C : ~'A ~ O. TOtVN E?ir' S~3kJ'F'.~~ 7 ~ < OFFICE OC BUILDIidG I*IS~LTO,R ~ ryi ~.1 1i SOUTHU~D, N.Y. 1 t9'F1 ~'rp ~ 23 C E R T I F I C A 'F I O I7 Ddte FEBRUARY 19, 1991 Building Permit Np. Owner NICK PETIKAS (please print? Plum~2 r HARDY PL. & HTG.`NORTH, INC. (please print) I certify that the solder used _n the water supply system contains less than 2!10 of 1$ lead. (plumber's siq ture) • Sworn to before ~mef~his - 19 9~ Rotary Public Nota:•~ I~i~h=i Couniy •DONISWIH?ENppRiSON p~ryo, Stela of haw Yodt Cmm>ri ~ Fspti~ ~ 30~ u.Y/ w °THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE i. 1000525 ':r-BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK, NEW YORK 10038 ~ ' Date JANUARY 29,1991 ~ `.'gpp[ioarionNo.unfNe 55872988/88 N .171419 THIS CERTIFIES THAT ~ - ordy the electrica(equfpmettt as described below and introduced by the appRcont named on the above application number in the premises of - MR.N.PETIKAS, 16920 COUNTY RD., GREENPORT, N.Y. in the following locotion; ®Basement tst Fl. ~ 2nd pl. GAR/OUT Section Dock -tat uea e.rarnined on 3ANUARY . 22 ,1991 - ,and found to be fn ewnplianee with the reryuireetten[s of d,is Doard. " - FI%TUgE ECEPTACLE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENY RUORESCENL OTHER AMi K W. AMi K.W AMi KW AMi K w. AMt. H P 25 59 30 24 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELL UNIT NEATERS MULTI.OUTUii DIMMERS AMT. K. w Oll H. P. GAS H. P. AMT. NO A. W, G AMi. AMP. AMT. AMPS TRANS. AMi H P SYSTEMS AMr wATTs NO.OF FEET 3 F 3 - - 1 30 1 SERVICE DISCONNECT NO.OF ~ - - S - - E ~ R - . q: V - 1 C -E AML AMP TYPE METER 1~0'tW 1,9 JW J.43W J,B'IW NO. OF CC COND A W G. NO. OF H4lEG ~ A. W G. NO Of NEUTRALS A. W.G EQUIP. PERd OF CC. COND. OF HbIEG "Of NEUTRAL'"~ - I 200 CB 1 X 1 2/0 1 2/0 ' OTNER APPARATUS: I G.F.C.I:-4 SMOKE DETECTOR:-1 6.: - r;' - ~ - (~T~i~ _ ~~w LITEBRITE ELE. CONT. INC. LIC.#2216 'a.=.ljj'l; P.O. BoX 414 ~ oeNeaA~ panacea `'i I ° is LAKE GROVE, NY, 11755 a II I,: I 11' s i:; ~ ' II r i ' ~ ~ ~ I ~ Per This certificate must not be altered in any manner; return to the office of the Board if incorrect: Inspectors may be identified by their credentiaff~:, T{7~- 17 4~ a ` Form No. 6 ~Q r~ 1n~ TOWN OF SOUTHOLD ~ ,tx+~+~' v " ~2t~ :e~~ ` BUILDING DEPARTMENT `fill-/VJ//~ TOWN HALL BLDp• DEF'~• 765-1802 TAI pF SpU'fNOLD 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 17> 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. 9. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of property showing all property lines, streeCS, building and unusual natural or topographic features. 2.. A properly completed application and a consene 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~mjmercial $15.00 Date _ ':ew Construction.... Oljd Or Pre-ex~,sting Bupi~lding. r~N n Location of Property.JO.'Y.f~L~........~.~.~.CJ.....~ House No. Street Hamlet 7nwer or Owners of Property.~IC,~`1,,, Qe;71?C g`~ :ounty Tax Map No 1000, Section...., J,y......B10Ck..... ~........Lot...1o: ~ subdivision. E µ'I•~•I•• CGYJ.~'~~1•N ?1•,,,,,Filed Map............Lot YY 0Q. ' /y ~,r~ :'ermit No..`..1.~:V~. ~•Date Of Permit...'L:`".! ..I,rl..Applicant.'v~4N~.. Y.~~~.~J....... Icalth Dept. ApprovaL.Y,/.E;J.~~~~.~Z•••--...Underwriters Approval.~~.!~.'.l.!./......... 'fanning Board Approval tequest for: Tempo1rary Certificate.........,. Final Certicate.... Fee Submitted: $.a~:~ . ~ ~/dG~f . 3 ~2 i"~ y t • APPLICANT Co Z. /`~%S/ ~ ,~i~..~ t':S:= u:: IIJn.L I :;~:YMLNiS ~ i. FOUJJDATION (1st) 02 c FOUtJDATIOIJ (2nd) m - 2. F z~ o ~ a P,OUGH FRAME & PLUMBING r~ o D ~ ww~ N 1~ 3. ~ - y m m o~ m ZIJSULATIOf1 PER fJ. Y. - ~ ~ "3 STATE ENERGY ~ - CODE ~ ~ ,el x W A C' 4. Da Nar .jee]-r FZ:JAL ,Sao ~c.c-afl - o~ _ ADDITIOf1AL COMMENTS: / _ ` - ~ ro a H O Z r m a on r ~ _ H x Q o , m H N THE NEW YORK BOARD OF FIRE UNpERWRiTERS ' 1 t7 t; it ra?'i BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 100_38 xiAt`9(IAY?'Y !~_J,95r7 ~!oz~%k-3138/ti'~ i~ 1"7i~3'•~k pate Application No. on fife THIS CERTIFIES THAT only the electrical equipment as described below and introduced 6y the applicant named on the aboee application number in the premises of e?%t,Pl.Ni;'P;k"Fi<i, ~92t1 S"IIU'k~TS' h"EI,. I~P~S16;Sd4~'fJ4tT, ~i..>, i t h i.~:~{S>IFI~z in thefollowinK tocation• 1_1 $gaemeritl ~ Ixt Fl. ~ 2nd Fl. .Section Block Lot una examined on ondfound to 6e in compliance with the requirentenLV q(this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS MGANOESCENT FWORESCENT OTHER PMt K.W. AMT. K W AMT KW. AMT K W AMT. N P. ~~l rf~ Tf Ci .j li ' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS gELL UNIT HEATERS MULTI.OUTIET DIMMERS AMT. K. W. Oll H. P. GAS H. P qMT. NO. A. W. G. AMi AMP AMT. AMPS TRANS. AMT. H, p SYSTEMS qMi. WAi75 NO.OF FEET i ~ i ,ICI 'Y SERVICE DISCONNECT NO.OF 5 E R V I C E qMi AMP TYPE METER i 1W 1 $ ]W 3 $ 3W 3,e 4W NO. OF CC COND. A. W G NO. OF NLIEG q' W' G NO OF NEViRAlS A W EQUIP. PER .e' OF CC. COND OF HHEG OF NFUTRAl OTHER APPARATUS: ~,~I:~e~.nK~•i°i~, ~.~I,~.. rn~rt~. ~ta<:. sT;.r...~zzt.r ~r,rl,~ox "Lg LFi h'N; (i12Ui1 F;; 19'l, 11, ~1a i'~'~ OENERAI MANAGER 7`t rt/ Per - 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. COPY F=OR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST N07 BE ALTERED IN ANY MANNER. i _ ~ s 765-i802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ]ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING L~ FINAL REMARKS: ,~~c~~-s f ~N DATE ~ ~v I INSPECTOR C~Cv' ~ l T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T C ]ROUGH PLBG. [)FOUNDATION ZND [ ]INSULATION [ ]FRAMING C INAL REMARKS: i. ~.u~s~~.~-.~____ f~ DATE ~ ~ / INSPECTOR i~~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [)ROUGH PLBG. [)FOUNDATION 2ND iN ULATION MIND FINAL [ ] FRa [ REM RKS: ~~~-~J~ A V ofr ~ DATE ~ ~ ~ I INSPECTOR Nye l v ~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]],INSULATION [ ]FRAMING [~--1 FINAL REMARKS: ~ ~ t ",I~-~-- DATE ~ C _1NSPECTOR y~J'" ~f "~i ~ ~ ~ 7CS-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION i5T UGH PLBG. % [ ]FOUNDATION 2ND [ ] NSULATION [ ]FRAMING [)FINAL REMARKS: ~~s~' DATE ~0 INSPECTOR 765-1802 IO~UILDING DEPT. ~~Q~ [ ]FOUNDATION lST [ ] OUCH PLBG. FOUNDATION 2ND [INSULATION C1 [ ]FLAMING [ ]FINAL REMARKS: .,cr.- DATE 3 INSPECTOR "Q' ~ ~102~1 ~ ~ ~Q~ ~ ~~~G~ rss-isaz ~L~i ~ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [v]~OUGH PLBG. [ ]FOUNDATION 2ND [ ~ INSULATION No`r ~ Q~~..rrt~ ].FRAMING [ ]FINAL REMARKS: Pel i l~ L. l? ~ $ l,i.~G~ D c ~ . sl~~~i 1I1-oGk F3~~~e~,C~ ~LCS~~-c.c.~~~,~or~,~ ~a"t ~5~cg-c.~~~ Q ~,1 c~'Eer~.~,~kc., ~ ~s ~~zr~e.~-5 CAUl~I~r'iiS I u9~91:~-i ~o ~~~Y C.IG.E~i' ffl5 ~~9v,~s ~4~ ~1.t5ut,a~t"t atr~. fAUib r~.o`C' ct~-~~c.k..~~elt 1^W'""~t'yy,~ ~,~rd„fL ~1r?o2,VLA ~~u.~,~ ./O~~,C . DATE ~',~,`~„_INSPECT~R ~ ~i~ ~ ~ 765-1802 GUILDING DEPT. i NSPECTtON [ ] FOUNDATION i5T ( ]ROUGH. i'Li3G. [ ] FOUNDATION 2ND [ ]INSULATION [FRAMING [)FINAL ~REMI~,RKS: ~ a~~ " Y+p~A .M/) i (`~®'t~wJ Q`Ii C~LdDi~ Q/~-Q~'ii . DATE Sr~J ~~.INSPECTOR ~ m-~~=e ,a~. _ ass-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING (]FINAL REMARKS: ~~C- DATE 3 a.~ INSPECTOR 7~i T6S-1802 BUILDING DEPT. INSPECTION y [~UNDATION 15T [ ] ROUGH PLBG. [ ] FOUNDATION .2ND [ ]INSULATION [ ]FRAMING [ ]FINAL ~ REMARKS: j e%-==.s~c.~2- i t r DATE INSPECTOR . ABRAHAM RUBENSTEIN, P. E. Consuking Engineer 2900 HEMPSTEAD TURNPIKE LEVITTOWN, NEW YORK 11756 C.,~j~~j fy~ (516) 796-6373 Town of Sept. 9, 1988 Building Inspector Tocan Hall Patchogue, N. Y. Dear Sir, As requested please find attached a diagram of the typical wall with R-values of all materials shown. The caall as designed has a U value of .046 which is well within the requirements of the New York State Energy Conservation Construction Code. r If you have any questions you may call me at 796-6373~~~~~D~ °~~~I'p~y 4r Tha u- v, Acs e t~ ~ yE n ~r A b r a ~ b,~ P. E. 'Ptla` r=§S SSA`` r" . _ rn VICTOR LESSARD ~ ' % ~ Town Ha11, 53095 Main Road EXECUTIVE ADMINISTRATOR ~ ~~"y (516) 765-1802 ' P.O. Box 1179 ' Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OFSOUTHOLD.- Decelaber 4, 1990 Nicholas Petikas 257 Stewart Ave. BethpaUe, N.Y. 11714 SUFFOLK CO. TAX ll 1000-40-3-I0.3 Re: NOTICE OF VIOLATION Dear Mr. Petikas You recently received a Notice of Violation. To dace you have not responded to that notice. If you do not remedy this situation immediately, you will have to appear in Court to answer criminal charges for violat- ing the Southold Town Code. Please contact the Building Department of the Town of Southold at 765-]802 upon receipt of this Letter. Very truly ~~ppyou~r~s), Q Wt.~~ UC-• W ~~w~t, ~ Vincent R. Wieczorek Ordinance Inspector . 9~ ° i3 s N\ `v ? 0 - as ,~eeac.+u g ,~J~ i4 T x. ~ ; `O e 5 1/±'` T 'S,'"~ SAY. .~i t ~ my. " s ~ ~ Y ~t T p 4° s w\ O~ ^aay ct xx SN~~ C 1 J Tf °.tlR~ 7~ tea; 3+ r~ Sjy SOW~r` ~ R~¢NpOk 'w C ~,e ° ehq, p no} LpoG ° ?30 Qgy cp 4~4 P ~y~~O h~ Q ~ ~w5-IA u x~ O ,a ; ~ ~ p d~`o a off D i t. O; 9Y ~,~.7 5 i~ l F~, } 1. r c ~ x ~~~5'~~,0 4~~ q~^. ~..y e a°.~ ` o~ n; ~Y~d y OS j , p,Y "7 @ ~,y \ J-i xy [s sr ~ 5 noP ~ ~ 5HC ~ ~ s ~ ° m U w 4 ~Y 2Y / ~ ~ ~S.` r,, w ~ .0 5 - 1 . 's . ..oVc i ' ~~~r~~ 9 ~ W y4 `gad M,n° %x °y~d w'o-a ps J'sr n^oM~°' ~ =fi `eW~' ~i.E° ~ °dS. ;s N '1'b a 2 ~ a " i fi ~ - ~ b~'> m ~x"..o e , 1 I ey ~ 3 } ° "?UO~QSn ~ p y~~H3 0 05 4t $ ~ eb s R p s x a' =yY ~ i ~ bb ~~j 08 54' Sy. / . e o 'A ~ ~OS i9~~'e°~s 5: ~ A1y I ~F, 1 pMM Q'~ijyoK~~i` ~ yi ` 2 S g _ _ ~ ° S., ~MM~-•~~ l.s~ SOS 3t Y .e bs p ~l ~ A c ~Y Y - °z o - i~~ tea) ~ C wp.? I ~ ~ ~~~~'l poJ O~~ l`~a PR ~ \ n 1 l r G v s~ v ~wv~l \ r r; ~Ay-w-~ g M~ ~ ~ x t~~`d„ Y VICTOR LESSARD ° . t'' l'" Town Hall, 53095 Main Road EXECUTIVE ADMINISTRATOR T (516) 765-1802 ~ ,,,:gyp P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OFSOUTHOLD__ December 4, 1990 Nicholas Petikas 257 Stewart Ave. Bethpage, N.Y. 11714 SUFFOLK CO. TAX 11 1000-40-3-10.3 Re: NOTICE OF VIOLATION Dear Mr. Petikas . You recently received a Notice of Violation. To date you have not responded to that notice. If you do not remedy this situation immediately, you will have to appear in Court to answer criminal charges for violat- ing the Southold Town Code. Please contact the Building Department of the Town of Southold at 765-1802 upon receipt of this letter. Very truly yours, V`~v" fR"`i . Vincent R. Wieczorek Ordinance Inspector _ ~ o~~FfOLKCDG VICTOR LESSARD ~O~' y~ Town Halt, 53095 Main Road PRINCIPAL BUILDING INSPECTOR P.O. Box 1 179 (516) 765-1802 ~ ~ Southold, New York 11971 FAX (516) 765-1823 yQ~~ol ~ ~~0~- OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 24, 1990 Mr. Nicholas Petikas 257 Stewart Ave. Bethpage, N.Y. 11714 Re: Building Permit #16721-Z Suff. Co. Tax Map #1000-40-3-p/o 10.3 Premises: 64920 County Rd. #48, Greenport,N.Y. Dear Mr. Petikas: The above building permit has expired and a Certificate of Occupancy has never been issued. You are in violation of the Code of the Town of Southold_ According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for construction of a new dwelling and it is unlawful to occupy or use said structure until a Certificate of occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN~BUrI~LDING DEPT. ~ ~ Victor Lessard, Principal Building Inspector VL:gar `QS~FFO~K~o VICTOR LESSARD ~ ~ Town Hall, 53095 Main Road PRINCIPAL BUILDING INSPECTOR =o T P.O. Box 1179 (516) 765-1so2 ~ S ~ Southold, New York 1 1971 FAX (516) 765-1823 0`~0 ~ ~~Q~ 4 1 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD April 24, 1990 TO: Harvey Arnoff Town Attorney FROM: Victor Lessard Prin. Bldg. Inspector SUBJECT: Nicholas Petikas The address of Nicholas Petikas as taken from Building Permit application is 257 Stewart Ave., Bethpage, N.Y. 11714 VGL:hkd ' FORM NO. v TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION Date ........~~TOBER 30, 1990 70 , Mr~_. Nicholas Petikas (owner or authorized agent of owner) 257 Stewart Ave. - Bethpage, N.Y. 11714. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ~ CHAP. 100 Other Applicable Lows, Ordinances-or Regulations at premises hereinafter described in that ...:Building Permit 1116721-Z has, expired (state character of violation) and a Certificate of Occupancy has not been issued. in violation of ARTICLE XXVIII CHAP. 100-28I & 284 (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply witfi the law and to remedy the conditions above mentioned IMMEDYATELY i. The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at 64920 County Road 1148, Greenport :County of Suffolk, New York. SUFFOLK COUNTY TAX MAP li 1000-40-3-10.3 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of lnw may constitute an offense punishable by fine or'imprisonment or both, C~~ (f tan.G~r ~P(GC a~~~.v ~stt~z.~,.r~ i~.~im,~©,r~`~G .~~w:~ ...:....~2:.G~.... ORDINANCE INSPEBTOR VINCENT R. pIECZORER (Cert. Mail) sottnt No. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLA710N ' Oate OCTOBER 30, 1990 TO Mry-Nicholas Petikas ' (owner or authorized agent of owner) 257 Stewart Ave. - Bethpage, N.Y. 11714'. (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance - CHAP: 100 Other Applicable Laws, Ordinances^or Regulations at premises hereinafter described in that ...:~uilding Permit 1/ 16721-Z has, expired (state character of violation) and a Certificate of Occupancy has noC been issued. in violation of ARTICLE XXVIII CHAP. 100-281 6 284 lState section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply witfi the law and to remedy the conditions above mentioned IMMEDIATELY S The premises to which this ORDER TO REMEDY VIOLATION refers ore situated at 64920 CounCy Road 1/48, Greenport,Count of Suffolk, New York. y SUPFOLIC COUNTY TAX MAP p 1000-40-3- 10. 3 Failure to remedy the conditions aforesaid and to comply with the applicable provisions of low may constitute an offense punishable by fine or 'imprisonment or both. ORDINANCE INSPE6TOR VINCENT R. WIEC20REK (Cert. Hail) BOARD OF HEALTH 3 SETS OF PLANS .a!-... FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK . #..lag`L - . BUILDING DEPARTMENT SEPTIC FORM ~-t, Q: TOWN HALL NOTIFY ~ SOUTHOLD, N,Y. 11971 CALL • .7 : 1.. . TEL.:765-1802 MAIL T(0°: ~/7 .Examined 19 CCU, 1.J ~ rna,:Q ~o ~ en Approved . 19~~'ermit No~~ ~ ib ~~'~a-`~-~L~ JAN 1 41988 Disapproved a/c e 1tmWN OF SOUT~F•IOLD 1~ 7~5-- .c=~.~. (Buildinb nspector) APPLICATION FOR BUILDING PERMIT pp(~ Date I. I 19 L.2 •U 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- catign. ~c. The work covered by this application may not be commenced before issuance of Building Permit. 3. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit sha:I be kept on the premises available for inspection throughout the work. .e. No building shall be occupied or used in whole or in pazt 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, hous' g co e, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ~Z State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ! .~°r.~`c? 1R S , f~.? L h'~. ~ . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ......5.~ pp . Plumber's License No. ....~~,N.+~rt t ~ . 1 en/~, (i!.!( Electrician's License No. ) • . Other Trade's License No . . •i-F 1. Location of land on which proposed work will be done. L ASk O ~ ~ V~,rJ 4' ~ sy~?v ~ ~ ~ ~ P House Number Street Hamlet L/ _ • County Tax Map No. 1rr000GSection .nn...? U........... Block ~ Lot ~ o . _ . • • . Subdivision M. Ca"C..G.MI , .~JA7, I!'~ ES~. Filed Ma No. Lot . P (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...'U1~L~Yli7..Lf).~'dC..y.... pp..... f . b. Intended use and occupancy ..~`?N~ >IQ• • • ~~n`!'• ~ y • .G~ W e. ~ ~ i v? 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Removal , Demolition ..............Other Work . ~ (Description) O ~ o[?O' 4. Estimated Cost.... Fee ` (to be paid on Piling this application) If arage, number of cars , , g Pit$ Number of dwelling units on each floor . 5. If gdwelhn ,number of dwellin ul..'C".h-? C? . . 6. - If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures; if any: Front Rear . Depth . Height ...............Number of Stories........................................................ Dimensions'of same ~Structl}r~ alterations or additions: Front Rear . Depth Heipht}.......... ~ ...........Number 9f Stories ~..rl..... . 8. Dimensions of eOnt~ire new construction: Ft?ont Rear Depth ..~0....... . Height a .........Number of StoHes a........ . J 9. Size of lot: Front 'L.3lJ.. . .......................Rear . 2oG~. ~a':.......... Depth ...~~I. ^15............ 10. Date of Purchase +b~,'i....... ..Name of Former Owner ~':-S`.l...~..N.~Lf .4"~.I: < . 1 1. Zone or use district in which pretises are situated ....'~.p.~ C, . . 12. Does proposed construction violate any zoning law, ordinance or regulation: N!? .~.~.71.~. 13. Will lot be regraded N1.? ......I • • . .......Will excess fill be removed from premises~.• I~pYes I~o 14. Name of Owner of premises ~(.~.~'.K 1~~-7..,~5 , .Address ~s ~`~~}~~'QW.+nr~ A~•~ hone No. J~.`7.-: ~~Sc1- . . Name of Architect A~.C~ N~'.M~,..~5~,~2!s! saQ~N.. Address ~,%~~ll~~/~ 5.~"~~.~~hone No. 7,9.6,-{0.3 3,~, , , 15. Is this ro ert located w~ • ~ ' ' ' ' ' • • Address ....L:2VJ'hMw.~.?.. Phone No . Name of CP ntrpacto~ . • • • • ' ' ' ithin 300 feetyof a tgiudal wetland? *Yes No . *If yes, Southold Town Trustees PermitPLO`I'DIAGRAMed. Locate clearly and distinctly all puildings, 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. ~ I! 'I STATE OF NEW K, COUNTY OF „ • ~I . ss'.'•`'s-~.-c~....... being duly sworn, deposes and says that he is the applicant (Name of i dividual signing contract) above named. i He is the ......................i.B.-~:-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 Piled therewith. Sworn to before me this y Not Public, ...v~!t_1"C.q~~County ZABETN ANN NEVILLE Not Public, State of New York (Signature of applicant) No. 5' -8125850, Suffolk Coyg~s, Term ;Expires October 31, 1~3'~51, 1' r~^ r Q J 2 41 f" O J 0 ~ .i: g c z ' . _ . SAP Jy ~ 0 y -ry S ~ I 137Q1 ~ W l: ~ ~ Y Y k~ _ 4 j s' O r _ S C~ t~ y' ~ ~ d ~ ~ of u C ~ ~ .i J CaC ~ ~ N ~o h T'~ ~ N U t ~ l1 +L ~ ~7 V ~ ~ u, ~v~ ~ _ !yy Q U ~ ~ a I C~ ~ ap t1 ~ ~ ~ ~ ~ f \ ` ~ a" ~ tit < < 1 aii ~ >i t` ~~r i I ; ls3 K {'f7tv0. i t ,4.7 ! i h r-----_~_ - - ~ _ _-T-__._~~ _ 773I+'~3i? 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