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HomeMy WebLinkAbout19028-z y } FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20732 Date MAY 14, 1992 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 160 ANGLERS ROAD GREENPORT N_Y, E3ouse No. Street Hamlet County Tax Map No. 1000 Section 36 Block 2 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 1990 pursuant to which ' Building Permit No. 19028-Z dated MAY 21, 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 ENCLOSURE OF EXISTING CARPORT ADDITION KITCHEN ALTERATIONS' AND DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to THOMAS & VOULA CHANGALIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTTFICATE NO_ H-015998 - MAY 21, 1990 PLUMBERS CERTIFICATION DATED MAY 11, 1992 - MANOQEL CHANGALI5 uil~Inspector Rev. 1/81 % aosss aaa a TOWN OF SOUTHOLD BUILDING DEPARTAAENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- i ~ Z Date 19r`..~~?. o/ 7©Q6~ Permission is hereby grant o: , I ..,,......~~1 at Premises located of .....l..G .Q.... ,Cifi..~...... ~ t ! County Tox Map No. 1000 Section Block .............pL~ot No...~.:3•••••••••••• pursuant to application dated .........Sufyl.~~•••••••••••••••••••••••°••••~ 19.B..fl, and approved by the i Building Inspector. t I Fee r!:... Buildin for i Rev. 6/30/80 G Form No. 6 TOWN OF SOUTHOLD rJ BUILDING DEPARTMENT G~ TOWN HALL 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 d "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 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. 0,1Cgommercial $15.00 Date ......~1:.~.L .G New Construction........... Old Or Pre-existQing~ Buil/d'ing Location of Property.../.l?.U....'.l.`:: (cr,_S ,°.;?;7...~T, r.'y:~!".~ ~Y`F" House No`s Street ~ Hamlet Onwer or Owners of Property.../..~~:':`~t5..~ ~o?:~~..~.~q,~,~,~,!;S,I,,, County Tax Map No 1000, Section.......~.~...Block..... ~ .......Lot....r.~ Subdivision Fled Map........... .Lot/!.. Permit No..,t. l..I,~ ,Z~Date Of Permit... ~2~~1~t~....Applicant. ~o.k (~a , .C-,~a a~. S Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ c.~r3g3~ ...Qu~ CG'S ~~a ~Z ~::~~a C~ ~~~~32 APPLT FO&M NO. >9 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) ~fl ~1~09~ Z Daie 198 Permission is hereby ranted to: ..r.~~e . is ct premises located of .....f~.Q j Caunty Tox Map No. 1000 Section Block Loot No.......~..~........ pursuant to application dated 19/~.Q, and approved by the building Inspector. ® ~ Fee $.~.1•..r~~. ~~--~~~uilding ctor Rev. 6/30/80 GvMMENT` ;i c' U icLD 8.~~' ~ ~°fy 1 . _ FOUNDATION I1st) ~ ~ ~y FOUNDRTIOTd l 2nd) - ~dwt.~. o 2 . G O~ ROUGH FRAME ~ j ~ PLUM6ING N H q, ~n1 ~ 71 few F 'b ~ y l'~ll".. 3. Si1SULATI0P1 PER N. Y. STATE ENEAGY x CODE H ~ ? 4 . ,n3G FINAL R n ~ ~ x ADDITIONAL COMMENTS: '1Ze .z t- . r ~ i ~ ~ I ~ '~~6 , ~ r r ' a.~ (yti t r ~u . 'P ~'S M ' ' i ~ rn r~ m ro H 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ OUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING E 7 FINAL REMARKS: ~ ~ _ _ i i I DATE INSPECTOR y..,~_ - t`, ' ~ ~ ~iP\ j ~~Jli ~ Q ~~~iiV .i3 ~ i :1 1 ~i t ~ 1} ~i ~ _ .,timed . , a E f 765-1802 BUILDING DEPT. tNSPECT00N (]FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [~~`1NSULATION [ ]FRAMING [ ]FINAL L d• REMARKS: I' DATE ~ ~ INSPECTOR ' e, _.T. << 1 09' 76518!12 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ROUGI~1 PLBG. [ ] F NDATION 2ND [ ]INSULATION FRAMING [ ]FINAL REMARKS: .J~ '``J / ~j - DATE S~ D ~ INSPECTOR ~V~ i r TEL. 7G5-1802 ~oS~FF~~-~o~ Tor~rr or ss~T~~r~oa.~ ,tel..:;." , ~c OFFICE OF BUILDIIiG INSPECTOR o ,:-t-~ . P.O. BOX 728 u'' '?M1~m'1.' T01VN Ii,1LL O/~~~~ SOUTHOLD, N.Y. 11971 . C E R T Y F I C A T I O N Date Building Permit No. / Owner yp~~oi ~~Ati~R~,'S (please pr(i ) Plucaer /~av+~Jr~(~I ~1~~~QGt~rS (please prznt) I certify that the solder used in the water supply system Contains less than 2J10 of la lead. „ ~ ~ - (plumbex" s signat 1 Sworn to befcrr_ me},~this ~`a°~` day of ~~rn`~'",' _ j.__ 19~_. ~-_.NOtarl ~b1ic notary Public, ~ ~ ~ County ROWERS y8COT7,1R. NOiAitY P tlC, State of N.Y. Na. 472 , 9, 8uffoik Cou ty , Term Exwres ~ 31. i T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ) ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: C-~ DATE ~ 3 INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS NArr ' 81J18C749 - BURIAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 MAY 7i.1Av90 6;ti1?t~f39/s~9 H 015~T9R Date Applicotian No. on file = m F THIS CERTIFIES THAT only the ehxtrical equipment as descrihd 6ebm and introducd 6y the opplicant nerved on tha ohooe eppliation numMr in the premises of f.NANGAl15, 161.1 ANGLtR;', NIiAG, [~t?EE.NPUkT, N.Y. ~y QiIT in tkefdlareintr lacotion; U ment ~ Ist Fl. ? Ynd F'l. Section Block Lot MAY lil, 1~~ + aura exemind on and found to 6e in compliance with the reyuirements of this Buord. AItTEXI! •dK SWrtCN6 RXTURK RANGES tXtOKRNi DECKS OW:Nf qSN WASNNS EXHAUST FANS - OUTilTS INCANDESCENT FlUME3CENT OTHER ANT. K.W. AMT. K.W. AMT. K.W. AML. N.W. AMT. N. 1. _ H 13 $ k - DRYERS FURNACE MOTORS RITURE AF/LIANG R~EIK SNEGAL RlC?T TIIRR CIOCKS RNL DIRT HEATERS MNRTI-0UTIET DUAMERS _ AML K. W, ql N. P. GAS N. P. AMT. NO. A. W. G. AMT. NAP. AMT. AMPS. TRANS. AMT. N. P. ~M ~T AMT. WATiS SERVICE gSCONNECT NO.OF S E R Y 1 C E AMT. AMI, TYPE ~ 1/TN 19 ]W 31 ]w ]/tW NO'~iFRCOND. OF CC. COND. Np. OF NbIEG a•~~ Na.OF NEVTKAlS ~~t EO~AI i. 'rilU CB 1 Y. I 4111 1 ?/U ~ OTHER ANARATUS: _ PANk?l.(iOAitD'i:i-9 C[N. ti7u rlEi. HATF~R MEA7E`k5::1-~4,5 k.W. - S.F.i".. L:-1 MANNY St1AN++A1.ts N.. u.FOx 1G~1 RFTMttMAM, NA, 1Minh ply 11 f Psr This certificate must not be alterd in any manner; return to the office of the Board if incorrect. Impactors may M ideMifid by their credenNak. _ ~ a-- COPY FOR BIRLDING DEPARTMENT. THIS COPY OF CERTIFICATE UtibT Hfyf ~ ALTERlD pi AN1f MAM~R. s` C~ -:..APR 2 4 i9~ ! ' ~~~ti~ ~ BOARD OF HEALTH 3 SETS OF PLANS .0•.k:....... FORMN0.1 SURVEY 3 ! I~ TOWN OF SOUTHOLD CHECK .~5.......... . (,J BUILDING DEPARTMENT SEPTIC FORM TOWN HALL I BLDG OEP7. SOUTHOLD, N.Y. 11971 NOTIFY L _ r-m- 0~1NN, pFgourHnt.p TEL.: 765.1802 CALL ~p ~T MAIL T0: PO..IYS'~........ Examined 19 ' Approved ....~?~.Q......, 19[~GdPermit No~ 7.~ /~0 (6 ~ /~S"/ Disapproved a/c (Bui~g~ ector) APPLICATION FOR BUILDING PERMIT 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 Eermit. 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. ~ J~~'~ v • z. ' : i~-. APPLICATION IS HEREBY MADE to the Building Department for, the issuance .pf a Burlc~ang;,)~g~?,i~t pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York,, and otgerapplica6le Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or: demo)i#ion,. as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing.code,~~nd_regulations, and to admit authorized inspectors on premises and in building for necessary~inspe ions.' .1~ lF~ ° . (Signature ~t aBplicant , name, if a corporation) ~O - ~sOr'bDxlel5l!•l~e'Fk/~I~.~I....~•1~0/6-/4S! . • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. -t- . .............................ate al. Name of owner of premises G~...~...s. I~O~'~"aS ~ ~?~..Uau'p V .I (as on the tax Il or latest eed) If applicant is a corporation, signature of duly authorized officer. (Name and title of cor(p"~orate officer) Builder's License No. -?pp~.~fln.~ . Plumber's License No. .....~~!~lT . Electrician's License No. . Other Trade's License No. lY./~ • • • • . • 1. Location of land on which proposed wor~f will be done . . ....r.............................................. House Number Street Hamlet County Tax Map No. 1000 Section ~ Block Lot 1.3 . Subdivision Filed Map Na. Lot............... (Name) 2. State existing use and occupancy of ,pQremises~(and intended use and occupancy of proposed construction: a. Existing use and occupancy .....">~3'• ".•r~""( • . b. Intended use and occupancy ~l• ~~-may, (;uea[ldde 3o aznleu;I[ .8 ~ ll..// `l/?/ ~S3uno~ ~ /,({,y, r i .ar[gnd ~C.cc1oN J~.6[<...... rf/_/n/•G{,~........~o6ep. .z~,,1•j:~1~P'cr,A.. siy; aw azo3aq o; uzomS •y;lMazay; pa10 uol;eallddc aq; u? 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