Loading...
HomeMy WebLinkAbout19159-z S i= FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20051 Date 3ULY 3, 1991 THIS CERTIFIES that the building ADDITION Location of Property 500 TEEPEE TRAIL SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 2 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 20, 1990 pursuant to which Building Permit No. 19159-Z dated JT}NE 26 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to SOCRATES & DAPHNE SPIRAKIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NiA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~G?a~ Bu' ding Inspector Rev. 1/81 eases xo. s 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) No 1 9 9 ~ ~ Z Date ~R- 19..9.... Permission is hereby granted to: .1.. :....n ~ .G.~,:~:en.~.~~~~~.:.y.~ of premises located at ~.~...~~?:,jZs?.r~- ..:~-~-t~' ~6"-t~kY~.t.`E~. U j f r County Tax Mop No. 1000 Section Block ......~..:Z...... Lot No......-,~..~........... f pursuant to application dated .....~~!cn~fr.....~© 19.`jo., and approved by the Building Inspector. ~ Fee S.~t~!~:..~.... i f ~ .,r.4~? :4 ~ wilding Inspector \(tev. 6/30/80 i ~ ~ _ ~ . ~ Dorm No. ~i ys. ~ TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ' APPLICATION POR CERTIFICATE OF OCCUPANCY 1. This application must be filled in by typewriter OF, ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accuraCe locaeion of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Hea1Ch Dept, of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn sCatement from plumber certifying thaC the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and insCallations, a certificate of Code C~:mpliance from archi_ect or engineer responsible for the building. 6. Submit Planning Board Approval of compleCed siCe plan requirements. For existing buildings (prior to April 4, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showin; all property lines, streets, building snd unusual natural or topographic features. 2. A properly compleCed 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions Co dwelling 5.0 Alterations Co dwelling 525.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over S years - $10.00 4. Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $(15.00/, Commercial $15.00 Date ~1~:~4/j~~ ~jlew Construction...,....~~.^^.. Old Or Pre--existing ~-~'"~°~°.a-.~.~C.-~~. • ~~~r ~ocation of Property.,..J.~~.......~,~,~....~~~...~~~~~ . ............~`,U~-Z~.o~~ 1~ House No. Street Hamlet n~ ~ (Jkiwer or Owners of Property...4?4.G~"AD~JJ.~S....y:..~J`~.~'lllllb.....~~/2~'~<??/~;,,,,,,,,,,,,, ~ounty Tax Map No 1000, Section..O .(.........Block... .?°...........Lot.....L.>.,~ subdivision ....................................Filed Mnp.:........(~..Lot................... ~{rmit No..~.~~J~.~.~....Date 0( Permi.C...~i..7i6..~.U...Applicant.r~.r:~R:~~.~.~'~~'~c..~~lf«~~ health Dept. Approval ..........................Underwriters Approval......................... f(ynning Board Approval f4quesC Eor: Temporary~C~eirtificaCe........... Final Cu rticate...~,... {2 SubmiCted: ~ e '~B=-~yfG (~-c~c~f~(l'q APPL• ANT a~~ Ka-4q~' . ~ 765.1802 BUILDING DEPT, INSPECTION [ ]FOUNDATION 1ST [ ~ ROUGH PLBG. (]FOUNDATION 2ND [ ] fNSULATION [)FRAMING [ FINAL REMARKS: ~ t ~ / ? DATE t~ i,,~ INSPECTOR 6~ c1ELD I;:SP~CTiU;7 ~~Ub;E ~ CUMMLNT° s ,o ca -D a 1 : - y ..D FOUNDATION (1st) ~ vci ~b FOUNDATION (2nd) m 2. o G P,OUGH FRAME & PLUMBING ti H 3. m c~ y I1ISULATIOP! PER N. Y. STATE ENERGY CODE x r c~ 4. ~ y 4° FIidAL o~• ' ~ ~ c~ ADDITIOPIAL COMMENTS: x . ~ d- d x H N ~ ~ yU H 6' M O „o 2 ~ „ S C7 a H - S d . ra ro C~~ 76$-1802 BUILDING DEPT. 1 NSPECTIAN [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION FRAMING ]FINAL REMARKS: t ~-7 DATE / l ~ ~ INSPECTOR i ~ ti~ ~ ~ G`r lc~ ~ rt ~ § ~ i 1 ti~ I S i I§~ to o a w ~ t ~ ,i ~ ~ ~ v.^'y` ~I~ ~ ' ~o ~ t~;'~- "i t i .:1' t`l C, \ i . `a~ 4 Y(N t.: . ~ _ fry. ~ tp ~ ~ t ~ \ 'r0.[- ~h \ ( it-x,.- <<^, i.~ 1 ~ ;~t~ a. ~~K. G Cl .f. o' t r r ~ j ~ J ~ Lri , f ~ g r y l' ' ~ \ ~f / \ I 'L_ 'x Vv" i ~1 ~ ~ A ~ y` i. { ~ A l .~,5 e. J~~~i, ~i f"~ mer' ".or~nn r~;,.-'.ggSOt7 ~ I i .g"..r~,..~rt Kin ai.,.fro:Ew ~ ?(n. r cr. ~4"~YFif(rk""P-'X6PfY=..~3'".°.7~' ~ t ~ ;1 ~ ',',ac:eatua tarn. ~ P`C';ffi r8 M9i~3 a~ln'~ iRit~ H :2 F?^PkR?b ; 1 ~ - c€x° ~ ~raE c-tcrcdVa'2 frJ~~6 aca4 cx ~ i rro~:rn~rkraf ehafl naR be anskda,~` l , £c~ Exa ~ aGiif5 tru®copy. i i ~ ~ s^,:a7£na®aro kexWeetec hssemw Shr?k se9'n F i aro Y axa the G~`*aon for vxno~s xBv®~a+c+^~' i ~ 6c. ~sE,ts~r~„>, aexk mn hia 9a~Po~34ia 4S'.s I te4S:3 tr.,,(I^?t:9Y. {yII6"0TflSMOtr'itzk a~~'°'ry k~p.s?'vss„f;a=.°YUE:a»k!~'to5 had °r~r ~;1 3M°.se^::;a~su L+99iea S~;:t:seU'srt~ii- i 8a.:rtt.fat`~':YtC. r5 Y2:8 R(41:iJT,3::.CCY;:4 i r l ~ f dcs au`r.:Voaa! ieteEkirationa m s~4~~^r:;ere4 s v"Is"-j~' '..~f-- t ~ ~1 ^ r... r _.k i.. - P$: ".1"..1 t~.~ a._.. i t-~ -s F-..... a G,' i J ~ It 1 ! c'::~-.Ie : ^,7r,1 r_ <yr3rt~r>>sr;r, ; rnm S~~'&: C:~, t.;'~.~.~1?. 1 { ~ _ ~]'F^C:a'I 33~`V2e~ ~7'ft S+"=vSrty=l(."'~ ~?Cf rt'VRi ~ B r Q 9 G4 $ , r i~t6:wJ'(~"::__a'h'rcat~?~r~r= 7liawcr r~•7~<- :4'> ~ ~ r plp~ ] { .'rl Sa'~7 G~ n.J: 1lr~ifY f.''~1t f~:1 '-~f~';~F't °:J'r ~~€"w (7 ~1 `,.7L)('VE'C~Cz~ P+~~sr`. c:` ~i"Yrr^.~~-` , ll (F~ rl9 -F'ItG" :'t.:'.~f71 i.".34.Sf1'~..I _~(C"0 ~"~':,l.t fi 26k'! "J~.~ } ~ ,y ..k ~~i.-~. r f a'a....~~~'~ ~IC (tom. '4't ~4 ~ lc,1Y t• ~ h-+~{c',c? iX:. S, falPlf~. Pv rJ. sdit'yt`i4 ~Yas.._.~ ,7•.-~- ' v ti , . 1t+~'£` (r L.AJt`I'Iz} "r{'!1 i~~"X ~3 IrPub,Y `'1 ?i }'[;,rr lT °"r~ t <'Y9(~ ~CJYr/~.n k ti'S_ f~ IG4.JJ, ~R f~i k t t''" ~ il ` ~ BOARD OF HEgLTH e`i SETS OF PLANS FORM NO. 1 SURVEY , . . , . , TOWN OF SO1171iOLD CHECK . 6UILDING DEPARTMENT SEPTIC FDRrt ' TOWN HALL ~~a3 $OUTHOLD, N.Y. 11971 NoT>:rY b J/yGS-5'33 TEL.: 7G5-1802 CALL , Y......... . Examined ru.'+tiA.v~te.., 19 %.r? MAIL TO : . Approved ...~k9?'~, d 19gP. Permit No. ~ 9 1.~. ~ O~ . DisaPProveda/c D „r'~ ~~o~o (Building Inspector) APPLICATION FOR BUILDING PERMIT ~ Date , U....., 15~.>. ~ ~ INSTRUCTIONS _ a. Tltis application must be completely filled in by typewriter or jn ink and submitted to the Building Inspector, with $ 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 dia;ram which is parC of this appli- cation. e. 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 Couniy, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or emolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buil ing code, ltous'n, code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins ctions. r (Sig ur~p -ant, or name, if a corporation).. . (Mar ing address of applicant) State whether°applicant is owner, lessee, agent, azchitect, engineer, genezal contractor, electrician, plumber or builder. Name of owner of premises ~~:Cd4~a>.~~.~ ~ (a on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate office"r)~~ ~ Builder's License No. . Plumber's License No . . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will be done; House Number Street. Hamlet County Tax ~fap No. 1000 Section ....U ~ • • • • • ~ Bl'uck Lot 3........ . , Subdivision Filed !<1ap Nom, Lot . (Namej . State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ a. Existing use and occupancy ~w?'~.. j~ ;:,.•~r;y',•~?a• . b. Intende use and occupancy ........l°.'. ~ 'V~"' eW"`` l~~K`,., i~~ ~~#:;~;~~~~,~j,1 E~rC . ~ ~ - , . , 3. Nature of work check which a 1' 1 ~ ( pp ,cable): New Ouilding Addition .v...!~~~~-Alteration Repair Removal . Demolition .Swimming pool • • • . Tennis Court o1........ Accessory Building..........Fehce .......Other Work:... Q. Estimated Cost 4~;~fJ'.Q6~~~ . Fee . ` • ~ .(to be paid on filing this application) S, a IC dwelling, number of dwelling units Number of dwelling units on each Cloor If garage, number of cars ~ . 6. If business, commcrei~l or mixed occupancy, specify nature and extent of each type of use . . . ~ 7. Dimensions of existing sCructures,~;if any: Front . , , , , , Rear Depth . , . . Height , , Number of Stories , , , , , , , , , , Dimensiong of sacture aJitE~ glterations or additions: Front Rear . Depth jet ~ F.Icight Number of Stories . • • • . . '~8. Dimensions o-~',,gn tj~~ nett~'~tntCEipn:=Front . Rear Depth • • • • • • • • • Height ~t . (VL b' `Y Stories . 9. Size of lot: Front . Rear ...~v~~..X./.?v("t`.. , . Depth~?3~~:. . J0. Date of Purchase , . ~ , Nat~e~ormer Owner .:•1ti12.P.-Y!~ ...C?~~~-~, . . 11. Zone or use district in whie I ises are situated ~C. j2. Does proposed construction violate any zoning law; ordinance or regulation: .~4 ./13. 1Vill lot be regraded ,~'f • Nill excess fill be removed from premises: Yes No 14. Name of Owner of premises $oit!~c~ .t. ~a,P,w, ~P,~?~ Address !s , , , i , , , , . • Phone No. ? !6 V 1 83 L•3 Name of Architect • - (I ,Address , : , , . ......Phone No.. . Name of Contractor , ~ dress , . r.'.: , ..Phone No.. ^ . . 15.Is this property located with' 10 et of a tidal•wetland? *YL~S...~~NO,~~ *If yes, Southold Town,Trustee Pe t may be requiazed. OT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed,aaa{{{~~~d, indicate all'set-back dimensions from ' property Lines. Give street and block rjumber or description according to deed, an¢ show street names and indicate whether , interior oi' corner lot. I - - - 1 ~ ~ ~ r' ('73.1 t ~c~°~"..,J l l `~I - ~ • ~ . ~•~•.'1_ 14•g•• i Q ~J n d. -s 1~ ti~ ~ . i ~ ~ ,N r~,~~~,qw; a i ~ r~ ~ ~ ~ C e.,,e.. ~ h ~ a - , \\V STATE OF N ~ ~ ~ - ~ ~ ~ COUNTY OF C+ .9 I ~ 3i t 1~ tt6A ~ ~VEW ~.r~(P,w~t~~) - s~ ~ ~ `loll„ ~ •dt ttt\t G+CIeI~- ~ •••••••••••i•~••••••••••........ bcingdulysworn,deposesandsaystha~heistheapplicant (Name of individual signing contract) about named. Fkisthe (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 atl 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. • ~ Swom to before me this j r ................aU ...day of 19`4. q~ U r Notary Public, , ....~Qi1~. , , ~lC; ~aQ , , , , , , , • County j ~ • • • • • • • ~ • ~ • (Signature~of applicant) - ,j at?.1.-_..,--. -