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HomeMy WebLinkAbout18766-z r ~ ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20717 Date MAY 11, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1725 WILLOW DRIVE EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 22 Block 5 Lot 7 Subdivision Filed Mag No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 25, 1990 pursuant to which Building Permit No. 18766-Z dated FEERUARY 1, 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy far which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED GARAGE BALCONY & DECK The certificate is issued to GEORGE KOUGENTAKIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO-02-MARCH 2, 1992 UNDERWRITERS CERTIFICATE NO. N-227926 - MARCH 11 1992 PLUMBERS CERTIFICATION DATED DEC. 18, 1991 - FRANK J. MEYER uildinq Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20718 Date MAY 11, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 1725 WILLOW DRIVE EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 22 Block 5 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SANUARY 25, 1990 pursuant to which Building Permit No. 18766-Z dated FEBRUARY 1, 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 ACCESSORY INGROUND SWIMMING POOL & FENCE. The certificate is issued to GEORGE KOUGENTAKIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-225511 - FEBRUARY 21, 1992 PLUMBERS CERTIFICATION DATED N/A y ~t%'LFI./ uilding Inspector Rev. 1/81 Fosat 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) x.8766 N ~ Z Dote ...cr'~.:~1 19.~~.~. ~ G71.~.~ ~9~ Permission is h Seby granted to: .h......F... .C. y I • . ~.uQ/f6...eaa~~.~j u F{Li TY~( .S.d.S..i.. .u u. • •/~~/~~~i•.••..~......... ~¢y~./~.]/~.o •FTi.u.~~~... • O of premises located at ..1...7 ..::'~....~G~~../~~.1~.%'.~.tlf~d'tr..'~...~?/./ ...........................................~..~-r~..~...................................................................... County Tox Map No. 1000 Section Block Lot No..,,/ pursuant to application dated 19.l...~, and approved by the Bufldfng Insperctyor. Fee $..1~®.0.. B ng Inspector Rev. 6/30/80 TO1dN OF SOUTl10LD BUILDING DEPARTMENT ` TOWN HALL ; MAR 2 0 1902 765-1802 ~ APPLICATION POR CERTII'ICATE OP OCCUPANCY ..,•tiYCtiN:'"`' This application must be filled in by typewriter OP, ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property ioith 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 Pire 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. S. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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. L. 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 Euilding - $100.00 7. Copy of Certificate of Occupancy - $5.00 over S years - $10.00 4, Updated Certificate of Occupancy - $50.00 S. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ....,,Max.eh,20,,, 1,992„,„,,,,,,,,,,,,,, ::ew Construction... X Old Or Pre-existing Building i.ocayion of Property..~.7~•r.~ Willow Drive East Marion House No. .Street. Hamlet Unwcr or Owners of Property.,,GeOr~e KOU~eritakl8• „ +:uuncy Tax Map No 1000, Section.....?~ ......B1ock.....5..........Lot...... ~ :subdivision. Highpoint at East Marion ,,,,,Filed Map............Lot (HOUSB) icrmtt 10.., 18'766Z „Date Of Permit...?~~~90......Applicant.... / "N'2255'~ T' ~ ~%'2i~92' :!ealth Dept. Approval.3~2f.9?,~90,-50^02,~,,,,,Underwriters Approval. N.??7926..3~1.1.f9~•... :'l.++ining Board Approval.....,,N~A••••-•••••••• / ::equcst for: Temporary Certificate........... Final Certicate.....X :'ce Submitted: 25;00 Jamas B. Fit4sgomld~,•Jr: -ti~"j~`7 P.®, Box 617, Cutehoguo, NY 1143 AP LICANT (;o ~ aQ7 ~ ~ P9tovam: (516j 734-5808 Y THE NEW YORK BOARD OF FIRE UNDERWRITERS ~7ncz'; l@131@'7 'I. BUREAU OF ELECTRICITY ~ ~ 65 JOHN STREET, NEW YORK, NEW YORK 10038 Date MfiC?f"fl ~.ir7-39F? Application Nm on file @gb ~~i)~@/~@ @ ~77~~G THIS CERTIFIES THAT only the e(ectrica! equipment as deacrihed below and introduced by the applicant named on the olmve application number in the premises of GE~Rt~[5 $UIICrFAY'AKT'Ti, ~.G1riLF)W YSE;, f9.atRAfth~'@~t, N.K, in thefollawinq location; ~ Basement ® lst Ff. L4J End F'!. C7{ff/~~~~~x~/@~~ Section 87oek Lnt was examined on (i71f2 L II i~b r 4 } arzd found to 6e in emuplianre with the requirements of this Board. FIXTURE FIXTURES RANGES coOXING DecR$ OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER PMT N W. AMT, K W AMT NW AMi K W PMT H P 2 E 12 -l~ G', ;.23. 1 ~ 7.2. ~ ~1 ~ ` DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME LLOCN$ ggLL UNIT HEATERS MULTI-OUTLET DIMMERS AMT N. W. Oll H P. GA$ H. P AMT. NO. A W. G. AMi. AMP AMT AMPS. TRANS. AMT H P SYSTEMS pMT. WATiS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V 1 C E AMi. AMP. rypE METER I 1W ~ ~ JW 3.V ~W 3 B 4W NO OF CC COND A W G. NO OF NbIEG A W r'' NO. OF NEUTRALS A W C'' EQUIP. PER OF CG COND OF HI-LEG Of NEUTRAL 1 2Z@ CD I $ 1 +t/~ t 2i@ sa a OTHER APPARATUS: k~K(~ 6EY,4iT9`H 1.@'AlIS~P '°CkAt1SF51P. ~at~.~-5. 4 '!`Ot! Alt' ItN'L 2 t ?,117 7'011 x1/C Ut~7ix ? TfOmORur7.-1/2 H, P. PAN~it,f3t}AR03 r 1 t~ (::CR, ).@v7 G.~,C.SrS ~ ~ ~ ~ G~%~ rT ~ s 1~aN~Lztr+rmor 1,zc.~~7~ts G sex zz~; k 861J79f(VT~6 NYF 17±77 GENERAL MANAGER R 3.1. ~~Y 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 FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~A~e i - jrJ, "l ~ BUR£AU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 - Date fr li~l l~if 21t1.}192 Application No. on file 7?f#$2yB~.~~f. ~ 7'J S.riiq = THIS CERTIFIES THAT ~I - only the electrical equipment as deacrihed 6e/ou+and introduced 6y the applicont named on the ohove applitotion number in the premises of G~~r:r~~ ~,oacr:>!rxnx~:s~, I~~~~uow ulirv~, 1~~~.x r.~nR:~uu~t {a.~. ~ in the foGotcing location; ? Basement ? tat FL ? 2nd F'l. Ql,)fi Sertinn Aloek Lot '7 woa examined me ~1't ll tilt }{Ij''( j, lj x i~ ~ ~ arzdforend to be in corupliance with the requirenzenty q(t{tis Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLE$ SWITCHES INCANOESCFNT FLUORESCENT OTHER AMT K.W. AMi K W AMT K.W AMT. % W AMi H P 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS - AMi. W. OIL H. P. GAS H. P AMi. NO. A W. G AMT, AMP AMi AMPS. TRANS. AMi H P SYSTEMS AMi. WA1T5 NO.OF FEET ~ p 1 2fl 3 4€i - SERVICE DISCONNECT NO.OF S E R V 1 C E METER NO.OF CC COND A.W G A W G A~W G AMT. AMP TYPE EQUIP ~A1W 1$3W 3N%W 3,a4W pER9 Of CC. COND NO OF HbLFG OF HbLEG NO OF NFUtRAIa OF NEUTRAL OTHER APPARATUS: 341ISiH~NG eUnL-1. SEECTAT.~ Rk~C~i'x.Y(~R-7./;:,,F',C.I,-l~°a . "{91~SPttdlilG POOL) 9'lz.iu cec~taficzLt,.; cuver• cvlRr~7.iaru;e; -ar• ~.he! 93te ei` - 1LLGpactiun en.1y. Yit'ceufie of Lanu~Ll Lt erfv~.ranmen+,~ it. ir:, advifsuble f;G have f.sequent t.~a~. ;afLL}/a,~ celirL.1>_~ _ mach ba a qua.lSt.ierk ~+e:Lat>n. ®~r~ r ~ ~ i~DN1'Itl1'CPOR ~ GENERAL MANAGER DOS 21.?i ~nl~~~xar,n, rr~~R 119~a2 Per This certificofe must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOIJN OF SOUTIIOLD ~ ~ L~ ~-f~'t' f ~ BUILDING DBPARTMCNT TO1JN HALL ~ ~ ~+,n~ 'r ~ " ' ' 765-1802 APPLICATION FOR CERTIFICATE OP OCCUPANCY _,_„7ft~°,'~_ ~ This application must be filled in by typewriter OP, ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property euith accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Heal [h 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 Chat the solder used in system contains less than 2/10 of 17. lead. S. 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. :S. For existing buildings (prior to April 4, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. ,lc curate 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 Euilding - $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 ......Maroh.20o. ~.9~? ::ew Construction... X Old Or Pre-existing Building l.ocacion of Property...~7.~~ ..................Willow Drive East Marion,.. House No. Street. Hamlet George Kou entakis unwcr or Owners of Property r:uunty Tax Map No 1000, Section..... 22 ......B1ock.....5..........Lot...... ~ :~ubdivision•Highpoint at East Marion ,,,Filed chip............Lot (POOL) • • ~ . ~crnlt \o 18 66Z .,Date Of Permit...? ~ 90......Applicant.... ' ~225'S11' ~ 2%2'1~92~ !calth Dept. Approval.3~2!.92.90-50-02~,,,,,Underwriters Approval. N 227926 3/11/92 :'!.inning Board Approval.......NIA :!equcst for: Temporary Certificate........... Final Certicate.....~': 1 ~ :'ce Submitted: $........25;00 P~~P~~-~ ~~Rezc~;s ~l~ Jamca G. rit:~mmld,•Jr: • • • ~ . . r~ P.O. Box 617, CutcRapuo, tVY 1193 Al'' LICANT .Vie . ~ 37 ~ b Phonm: (51b) 733-5844 c©~ao~1g' '765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMA S: DATE ~ INSPECTOR ~~7~ ~ T65-1802 BUILDING DEPT. INSPECTION [ ] FO DATION 1ST ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE INSPECTOR ass-iso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~ i l DATE __~~Zi INSPECTOR A ~ ~ ~ \wV ?OUi7DATI0:J (1St) d ` ~ ~ c r'OU'lDATI0f1 (2nd) _ - 2 . I ..°.OUGii FRAifE & ~O2 ~ ~ •PLUMHING - • ~ S ~ p ~ ti~ N¢A..,,...e ~ . •3 3. ~ ~ZiJSULATIOTJ PER N. Y. y*r~^ _ STATE Ei1ERGY CODE _ Y offs 4 . fG~-yl?yLy • ~ - - o \ i ADDITIOPIAL CO`?MENTS: - ~ _ ~ ~ ~l~a 1 ~ e t~\ b ~ X C ~ 0 ~ ~ `V y H P ~ y O 1 Y QO - ore.. - m . ~ v m -y H IV'_ ~L,t 1~~~~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ~ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: ~ x / f DATE ~ ` I/ INSPECTOR ( ~ _ ~ JAN - ~ 1991 70WN OF SOU HOLD January 2, 1991 TOWN OF SOUTHOLD Building Department Town Hall Southold, NY 11971 BP # 18766 Z Gentlemen: This is in reference to the above mentioned building permit. Due to weather conditions and delays beyond our control, we are unfortunately running behind the schedule time which we have previously anticipated. I am therefore requesting an extention of (6) six months in order to be able to complete the work at 1725 Willow Drive. I would very much appreciate your kind attention to this matter and in the meantime, I remain, Yours Truly, ~ r~~. George Kougentakis 2171 East 34th Street Brooklyn, NY 11234 GK/jk ~ 165-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUG PLBG. ~ FOUNDATION 2ND [ SULATION [ ]FRAMING [ ]FINAL ~ REMARKS: =''-~~-~-~CG~-~,~a - ~ i i DATE INSPECTOR - I I TEL. 765-1802 ~FFO~ ; I o ~ COp TOWN OF SOUTHOLD ~ ~~(~)~~f~~r~~~`4 ~ ' ~ ~c OFFICE OF BUILDING INSPECTOR ~ ; I o ~ r.o. sox 7za ~ MAR 2 0199 ~ ~ s~2~` ` TOWN HALL i SOUTHOLD, N.Y. 11971 , ~ . rown~ es ~sa.at.;rs~zr C E R T I F I C A T I O N Date 12/18/911 Building Permit No. 187662 Owner George Kougentakis (please print) Plumber Frank J. Meyer (please print) I certify that the solder used in the water supply system contains less than 2/10 of la lead. ~ (plu er's s gnature) Sworn to before me this day of ~~1~2=~?~y~c<~i[ q~ ~ 19-~-' Notary Public 7 Notary Public, , County ~Vaw York ' n ~~'~~"O'~ Std~ulk Counf Ca,;~;nissioir Expires j~~ /yt,~.~ 765-1802 l~ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~':S DATE ~ INSPECTOR ~2 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: `Q . V DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [)FOUNDATION 2ND [ ]INSULATION FRAMING [ l /FINAL REMARKS: / _ DATE ~ INSPECTOR ~ ~ BUILDING DsPr. INSPECTION [ ] F TION ifT [ M P1.Bfi. [ J ATION 2ND [ ] fULAT10N [ l MI [ ~FI r,.. ~ ~ , f ~ 1~, F f- ~ r REMARKf: V ~ IA,~ 4 U ~ ; ~ ; lAA ELI Tr ~ DATE ` ` ~ INfrECTOR ' , j,' ~ INSPECTORS pFFO( (516)765-1802 ~Q$ ~C VICTORLESSARD,Principal .rte t7G SCOTTL.HARRIS,Supervisor CURTIS NORTON, Senior ~ y~ Southold Town Hall VINCENT R. WIECZOREK, Ordinance y P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire ~y ~ Southold, New York 11971 Building Inspectors ~ • ~ Fax (516) 765.1823 THOMAS FISHER 'y~J~ Telephone (516) 765.1800 GARY FISH 1xI OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD December 5, 1990 Mr. George Kougentakis 2171 East 34th St. Brooklyn, N.Y. 11234 Re: Unsafe pool & building debris @ 1725 Willow Drive, East Marion, N.Y. S.C.T.M. #1000-22-05-07 B•P• #18766Z Dear Mr. Kougentakis: The Building Department has received a complaint regarding the swimming pool and trash on your property. I inspected the property and found that the swimming pool must be fenced in as it is a safety hazard even though it does not yet contain water. I also found an excessive amount of building debris that must be removed and must be contained in the future in suitable containers. In order to avoid legal action by the Town you must comply immediately. Thank you for your cooperation in resolving this matter. Sincerely yours, South. Tn. Buif/l~/d~ing Dept. VRW:hkd Vincent R. Wieczorek Ordinance Inspector ~z/1 ~~q0 1i+.c,, , ~ tnr~' eer~~~~ ~c~.~ . , - d~~-~. 3~-~ ~-t C ~ u„id - ~ ~~'~6 BLDG. DEPT. TOWN OF SOUTNOLD January 2, 1991 TOWN' OF SOUTHOLD Building Department Town Hall Southold, NY 11971 BP # 18766 Z Gentlemen: This is in reference to the above mentioned building permit. Due to weather conditions and delays beyond our control, we are unfortunately running behind the schedule time which we have previously anticipated. I am therefore requesting an extention of ,(6) six months in order to be able to complete the work at 1725 Willow Drive. I would very much appreciate your kind attention to this matter and in the meantime, I remain, Yours Truly, George Kougentakis 2171 East 34th Street Brooklyn, NY 11234 GK/jk BOARD OF HEALTH Y. "IMMEDIATELY" 3 SETS OF PL.\NS FORM NO.1 SURVEY ENCLOSEppOLTOCODE TOWN OFSOUTHOLD CHECK .~'3a$.rt-. UPON COMPLETION • • • • • • • • • - BEFORE"WATER" BUILDING DEPARTMENT SEPTIC r•oart TOWN HALL SOUTHOLD, N.Y. 11rJ71 NOTIFY ; ay G, /y TEL.: 765-1802 CALL 1 . 27 ~ ~ ~ ~ ~ Examined 19 ~4s~ / MAIL T0: . • . . Approved . 19~QPermit No. • . Disapproved a/e ~ (t~ ~~'1 ~.~M . uilding•Ins,ecto~/...... BLOG.OEP1: APPLICATION FOR BUDDING PERMIT TOWMOFSOUTHOLD ,,,ryy Date ~....2 S. 15 ~-O INSTRUCTIONS a~~d - a. Tlus application tnust be completely filled in by typewriter or jn ink and submitted to the Building Inspector, with 3 sets of pt[,ns, accurate plot plan to scale. Fee according to schedule. ,b. P1oY 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. 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 [he premises available far inspection throughout the work. e. No bujlding 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 County, New York, and other applicable Laws, Ordinances or Regulations, Cor the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Tl\e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ :C/G ~ • (Signature of applica t, or name, if a corporatron) • ~,I?I ~~j3i 3c~S~-,~!?ooK~yrV N•`/!/Z?L~ • ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N C w..... ~/.0.~.1~ Name of owner of premises ..~3'.~.°. ~ G F...... ~ S~ U..~i-. ~!~C.r.1~.141. ~ . (as on the tax roll or latest deed) ICapplicant is a corporation, signature of duly authorized officer. • • • • • (Name and title of corporate officer) , ~ .~9,Z,y~' Builder's Liccnsc No. ..~..~'>'!.N• F,fj.... Plurnbcr's Liccnsc No. p :~1~! ~ . . Electrician's Liccnsc No. : 1 : ..4.'~. f.~ OthcrTradc'sLicenscNo. ~:t°r:~..C~.v,~.{~F.,~?. Location of land on which proposed work will be done; l7 ZS ...w1.LL:otw p~{vF.......~!gS~.....f::rr?'.~'.`•ly. House Number Street. Hatnlet • • • • ~ • • County Tax D1ap No. 1000 Section .....ZZ • • ~ • • • • ~ Bl'vck ? Lat ' Subdivision . ~ !,„6,H,P• ~(~J ~....ltii.~+~i,U, S Filed A[ap No. ' ' • . (Name) Lot ....2.......... State existing use and occupancy of premises and intended use and occupancy of proposed construction: . a. Existing use and occupancy .........1/?~. ~ b. Intended use andaccupancy .......?.~.Fl;?.•••J~ZV:~•G•'1*'•~?lt:~.., ` ",y„•~F •gY4tM11ytr1fU1~• i sae ..i~04 ~ ~ t.~ 3, Nature of work (check which applicable): New Building Addition • : ,=.c ~C~i~~Qliiiik i' •,f • • • • ' ,Si;+ininitii~,.l(a'iiiil ~'~("i 1~. Repair Removal', Demolition ris'+~;~,t,.<•,i:~. s . Tennis Court Accessory •Building..........Fehce .......Oth~f},~{~~r`]q,~„~~....... 1. Estimated Cost 1.~..t~. p d © . Fee (to be paid on filing this application) S, If dwelling, nurnbcr of dwelling units . ~..~s?:":~ 1 . Number of dwelling units on each floor ~ , , • IC garage.numbcrofcars 3.. 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 . . Hci;ht z.x , Numbe# of Stories . . r Dimensiont~0~fisat~tc~structpre with alterations or additions: Front Rear . Depth s• :.............'IIcight ~ . 1./........Number of Sto~cs r. F/..... . 8. Dimensions .r new constntction: Front ~~..g.../.. Rear ...9©...ii'..... Depth ~,~.a~.. , Hei;ht „IjJu'mbej• of Stories . . 9. Siae of lot: ~ront Rear Depth . z, ~ . d, Date of Pur "e `-.47.ZS ,°,j•P........... .Name of Ponncr Owucr .S Q~•XGLO. , .,f{.V'.Q ©{J ~~mc or use ~i(fi#cict.iti'whieh premises arc situated . ,/Q,~.~ • Does proposed construction violate any zoning law, ordinance or regulation: ...N. S` . . 3. Hilt lot be regraded ,n! Q ...I, Nill excess fill be removed frog premises: Yes .'1. , Dfo A. Name of Owner of premises (xl;R/{t~.C. q'VV.GE^lTAktAddress Z.I,?,i. Ee?~t.?.k~l:t~%~Fr: Phone No~71b',~ 9.r1-•?S.i!~ Name of Architect . ~-.H W .RF Jt:1:..'I'.rJ:T.KU-I-Address ~~.F,E•~!~' , p:~ ,T... Phone No....... • . Name of Contractor ...e~.v-l.N,E~,/Z.. , . • ....Address . ..Phone No. y.S.l,~~ .7. S. ~ . 1S.Is this property locatod within •100 feet of a tidal•wetland? *YCS...:NO.~~. *If yes, Southold Town '~rustees,Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all b}tildings, 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 comer lot. ' - I STATL OF tiEIV YQRK~ SS COUNTYOF.. ~~~p""'":. • ,fir - • - / '7.-.~: (4 . being duly sworn, deposes and says that he is the applicant ~ 9.~.~: G..... <.c~.v. ~ c : • (Name o tndiv~dual si,nii%g contract) above named. , Fie is tltc C Q !lr :f:>!L C.T..r? , . j (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulylauthorizcd to perform or have performed the said work and to make and tle this application; that all statements contaijted in this application arc true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application fled therewith. • ~ Sworn to bciorc me this .........°1..r. ......day of 19 f;°. Notary Public, ; •w~..~"'.. • . County t i V ~ l~~~: ~ . ` (Signarurc of applicant) i 1N1111 Wlrf ~ ' i - R°275.00 TFRR c,~zs83 CE C r ss~ Q, ~ 3 y 363 OAF r , 0 36. q' d 100' N 'l~ H ry 6.0 n S.9' Lot 6 COxCRETE @ < FOUx04TION 11 J . _ _ _ 1q.3'___ 3.6 O _ _ 5.1 SO. Y_ _ J n J N Ilf 03.0' Q ~ _ _ O I O 1 Lot 7 ro 11 z I„ ~ Area = 40124 s.f. I> ~I 180.52 5.86°25'00~W Lot 8 SURVEY FOR GEORGE KOUGENTAKIS LOT N0.7, IIHIGHPOINT AT EAST MARION, SECTION I" AT EAST MARION DATE. TOWN OF SOUTHOLD SC4LE SUFFOLK COUNTY, NEW YORK NO RuNAU rNORIZED ALT(RATI ON OR AD DI TIOM ro rNls SE OF N~ SURVEY O A VIOL ATIOM Of lE CTION 1209 Of THE S'(P' HEW YORK STATE EDUCATION LAR M COPIES Of THIS SUIIVEY NOT lEARWG TNC lAMO ~pNO W, SUR VE MR'S INKED SEAL OR ENlOSSED SEAL SNAIL Q NOT COMSIOE RED TO 0E A V4UD TRUE COPT yy ,r KGU 4RAN TCE! IMOIGTED NE REON SNAIL RUN ONLY TO T iLTM DEPARTMENT-DATA FOR APPR0~14L TO CONSTRUCT THE PERSON FOR WNOM THE 3UMET IS PREPARED AMO OI MIS BE NALF TO THE TITLE COMPANY, GOVEAN- [AR1TI/AT[11 MAIM _MI ~ MSOVRCE Of WATER PRIMTE _PVlLIC_ MENTAL AGENCY ANO LENDING INSTITUTION LISTED if CO TA%MAF OIfT 1000 Sf CTIOM 22 fL.DCK LOT ~ NEREOM, AND TO THE ASSIGNEES OF iNE LENDING I[R[ ARE NO DWCLLIINf WITNIN 100 FEET Of TNIS /ROP[RTY INS TITUT1011 GUARAM TEES ARE NOT TRAMSfERA lIE TO A001710NAL INS TITUTip/S OR SURSEOUE NT %Y CR TNAM TNOSE SNOMM H[REON OWNERS (~Cx. ~ 45893 MC WATCR 7UFFlY AMD lEY41iC DIlFOl AI SYfTW F0117M1l R[lIDC MCC R0I STANCE! SNOwN M[REOM fROM MOPERTT LIN[3 l COMPoRM TO TN[ lTANOMRDS OF TN( SUfFQK COUNTY DVARTM[NT TO E%ISTIMG STRUC TV RES ARE fOR A SPECIfIC K[AI TN 1gVlGC! PVR POSE ANO 4RE NOT TO 0E USED TO ES TAfIISN C4N LICAMT~ PROPERTY LINES OR fOR THE EREC TI OM OF fENCE3 RESS "L YOUNG ~ _YOUNG- - ERA fE ~ ~ =MONUMENT - 'BIIiVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG, PROFESSIONAL ENGINEER FFOLK COUNTY ON JA N. II, 1984 AS FILE NO. 7680. ANO LAND SURVEYOR N Y.S ICENSE NO 12845 HOWARD W YOUNG, lANO SURVEYOR [ LOCAT[fl a wtLUw1,![Prlc TANKIfT)0 CCSlPOOL!(C?1 l/IOwM Nu[aN N Y S LICENSE H0 45893 FROM fIEID O/lERW Tlgli AMO OR DATA Of TYN(D fR'OM OTNERS ANDIS 6 SONS INC. ~ Ai~,F R=275.00' TFR J~ R ~ ~,~268~ qc~ ~ ~ ss ~ 6 30'F N ,G X63, r 2 C!~. Ory ~ ~ ~C1 Q 0 36.9 6 14.0. ' iu N ,C a r- 6.0' J.9' Lot 6 _ N CONCRETE 1P v FOUNDATION v II J _ _ _ _ _ T4.3' _ _ _ 3B' O SJ' 30.4'_ - - J lil as.4' N O ~ - - _O I in v O LOt7 m z U ~ Area = 4012~? s.f, ~p I I I 180.52 Lot 8 SURVEY FOR GEORGE KOU~ENTAKIS APR.5,1990 LOT N0.7, 11H4GHPOINT AT EAST MARION, SECTION I" FE8.1z,19so JAN.15,1990 AT EAST MARION DATE. JAN 4,1990 TOWN OF SOUTHOLD SCALE I"=50~ SUFFOLK COUNTY, NEW YORK ND as-13sa K UIMUTNORIZ CO 4l TCR4TION OR AD OITION ro TNIa PS'< OF NF{y SURVEY R A VIOL A710N Of SLCi10N )209 Of TME C~'( NEW YORK STATE CWCA 710N LAM 4 COPIES Of THIS SURVEY NOT EEAR WG TNf SANG ~O~f~R® w. `oG O'P,r SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SN4Ll MOT 0[ CONSIDERED TO BE A VA 110 TRUE COPY yy K GUARANTEES INDICATED NEFEON SHALL RUN ONLY iq T Z HEALTH DEPARTMENT-DAT4 FOR APPRON4L TO CONSTRUCT TME P[RSON FOR MMON rNE su RVEY IS PRE PAP ED p 4N0 oN NIS BEHALF t0 THE TITLE COMPANY, GOVERN- R NEAR[ST MAT[II CAIN ~NI NSOURCE Of WATER PRI MITE _PUBLIC _ NEN iAI AGENCY AND LENDING INSTITUTION IBTED R tl/f CO TAK NA? DNIT 1000 SCC TIOM ~ BLDCK .w`_ LOT ~ HEREON, AND TO TME ASSIGNEES Of iNE LE NOI NG NTHERE ARE MO OWELUMtt WITHIN 100 FEET Of TNI! PROPCRiY INS TIiUT10N GUARANTEES ARE NOT TRAM SFERA BLE OTNfR TNAM THOSE SNOMM HEREON TO AOOI TIONAL INS TITUTIpiS OR SUBSEQUENT 'may Np a5ag~ M THE ItATfR SUPPLY AN03EMNGE DItPOtAI sYSTEN fOR TNIf RLtI DE MCE OMNERS -a MILL COMfORN TO TN[ fTANDARDf Of TNL SURFOIK COUNIY DE?ARTN[NT R DISTANCES SNOMN HEREON FROM PROPERTY LIMES Of HEALTH tERY1Cl3 TO Ex ISTING STRUCTURES IRE f011 AS1fC1fIC LAN R~ PURPOSE ANO ARE NOT 70 BE USED TO ES TAtIISN U A1?LICANT~ ?ROPEPTY LINES OR FOR TME ERECTION OE fENCE3 ADDII[SS TEL YOUNG & YOUNG R'`°ERMEADNNEW YORNKE NOTES ~=MONUMENT ALDEN W YOUNG, PROFESSIONAL ENGINEER SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON JAN.II, 1984 AS FILE N0. 7680. ANO LAND SURVEYOR N Y.S LICENSE NO 12945 HOWARD W YOUNG, LAND SURVEYOR R TME LOGTEfI Of 1/ELL(Ml, SEPTIC TANK(fT)B CESSPOOIS(C?1 WORM NLIIEON N Y. S. LICENSE N0 45893 o ARE PROM iIELD OgERW T10Ni ANO OR DATA OBTNNLO FROM 07MERt Z.B. BRANDIS A SONS INC. \ (VACANT) /i ~r _ (VACANT) N !l. QC f~ • QH~, r °so ~ ~ p~iyF R=275.00' nl J EL•98.4 ~ Rq Ca~2683 CYF O~ (~O / .g2° v / 4•3P / S ~ 3~ " F<> N / Wo- ; ham'/`63 FIFO ~s2~ O+3Fe v\~6 o / O~ a ' / ~ a / m n I T_ i a~ ~ j~ _ s~' r~ \ Loth I ~ _ (VACANT) t0 i o w I h mac rca o O m a I a p I PRgOP09ED LOJ III--I~ 5Y5iC IA V ST, C-~ P zs' \ O W M Lot 7 ' 1 i z Area = 40124 5, ilk _ WEr_ ' _ - - - PROP. - / \5U I _ / a I 8L•37.5 EL •i Ta EL•39.4 _ _ 18052Y I p-..~_. _ 5.86°25~OOIW. / f m r . Lot 8 c VACANT) SiJFFOL~ COlJ!4iY DEPARTf'~ED1T OF ti£Al.TH SERVIGFS O a FUG t1f'i'I~~'r',1 UI= ? Gf~ln'???tk;ilOfV OF f)al(,;ih Fa;rdly i.;.,r:Iel)I;e~py50 DATE / IO , } f? ' . U. _ 1tPPR0`JED _..-----iC , EXPIRES TYJO YEARS FRONT DATE OF AP?ROYAL SURVEY FOR GEORGE KOUGENTAKIS aurnOLK Cc~urvrr DtvaxrMtrvi C3F htf~tLiTd ~PRW4~'~ LOT N0.7,'~HIGHPOINT AT EAST MARION, SECTION i~~ JAN.15,1990 AT EAST MARION DATE. JAN. 4,1990 FOR APPROWAL OF COh35TRUC'T4C~+d OTIIY TOWN OF SOI~THOLD SCAIE~ I"=50' SUFFOLK COUNTY, NEW YORK No. 89-1394 DATE HS REF. NO. ~ K UIMUTNORIZ ED AL TIR171ON OR ADDITION ro THIS P'(E OF NFh, SURVEY q 4 VIOLATION OF SECTION 7209 OF THE <j~ r NEw YORK 3TATC EDUCATION LAw D O9 A KCOPIES dF THIS 3U11vEr NOT SEARW6 THE LAND yAPR w• ¢ APPROVED SURVEYOR'S INKED SEAL OR ENSOSSED SEAL SM4ll O AoG NOT SC CON SIDE RED TO [E A VALID TRUE COPT ,1{ Z KGUARAM TEES INDI CA TEO HEREON SHALL RUN CY1Lr ro e1 HEALTH DEPARTMENT-DAT4 FOR APPROVYIL TO CONSTRUCT THE PERSON roR wNON rNE suRVEr IS PREPARED AND ON NIS SENALF TO THE TITLE COMPANY, OOVERM- M N[AR[ST wAf[R ~AIN~MI ~ RSOURCE 0I WATER PIIIMTE _PUKIC _ MENTAL AGENCY AND LENDING INSTITUTION L157ED M fUIF CO. TA%MAP 01ST 1000 SLCTIOM 33_KDCK 5 LOT ~ NEIIEON, AND TO ME A3316N EES OF THE IE NDIMO N TN[Rl ARE MO OW[LLIWS WITHIN 100 FEET OF tW5 PROPERTY INSTITUTION GUARANTEES ARE NOT TRAN SIER4lLE OTHER THAN THOSE SNOwM N[RCON TO ADDITIONAL INSTITUTIONS OR SUaSEOUENT NA 458`3'J N TN[ wATLR SLIMLY AND 3EMNGE DISPOSAL SYST[M fOR TNIf RQIDC NCE OWNERS WILL CON/ORM TO TN[ STANDARDS OF TM[ SUMOLK COUNTY DE?ARTM[MT N DI (TANG SNOwN HEREON FROM PROPERTY LINES W N[AL TN fOWlt[f TOE%IS TING STRUCTURES AR[ fOR A S/ECI fIC (AAB ANLICAMT PURPOSE ANO ARE NOT TO [E USED TO ES TAtIISN C E O R ~ E ~C O ~ G N IT i ~ PROPERTY LINES OR FOR THE ERECTION OF fENCE3 ADOllcss U E L N ' '~L ~~Ig)~s(-,sly YOUNG a YOUNG R~ +i~i~a~wvoR~KE NOTES ~=MONUMENT •=RE-BAR W/CAP ~tr~ SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AIDEN W. YOUNG, PRDFESSIONAL ENGINEER SUFFOLK COUNTY ON JAN.II, 1984 AS FILE N0. 7680. AND LAND SURVEYOR N.Y.S. LICENSE N0. 12845 ~/9 m HOWARD W. YOUNG, LAND SURVEYOR ~.j rncLauT~awaPwLiL(wl,s[rrICTANNU»s ccssrooLS(a)[NOwNNU[aN N.YS.UCENSE N0.45893 yF~C AIIE PROM FIELD OpERN1TI0MS AMD OR DATA OLTNNEO IRON OTHERS Z G BRANDIS A SONS INC, - ''i^/jam ova , . ~ / ' ~;zJ I hl,~ ~='y ~/(J(J~) -1 v- 1J N s~~'~~~~ r ' " / A~NF R'275.00' ~Fn1n1 J~ c, y2683 qCF Ss ° ~ 2 ~ 3 S~ 30-~ , G > ~ 3' 500 ° / CHAIN LINK FENCE / 3T.I• ~ 1 0 z w1' ° o ~ n C w 31 7~ w tE 3 Lotg Z NN23'3. Y 6.1' O~ ~`5_I Z• Eb ~ W ] C ~ N J jV Q p F V' Q `I O N a m Z O >I° rv> 11 O ~W ~ ~ J > ~ O X13.3`°' to qy' NO ~ I « - = 131• ~ J HOT TUB 23: 3939. (~--0.1~ ~ p SS.I> I ~h IC. P. J y..~,F,_.-_,__.~ N ~y 1y~tiJ~ 1J r Ll) qq.0' q0 0 ~ _ STONE DECK ~ C STORY pE~l O {4 / q i • M Lot 7 II M z Area = 40124 s.f. I~ ~ 0 I 9~ I / 3° I 180:52 _ S.86°2500~~N• ' ~ Lot 8 . _ SURVEY FOR FEB. 7,1992 SUFFOLK COUNTY DEPARTMENT Of HEALTH SER`JICfS GEORGE KOUGENTAKIS APR.a,l9so M INGLE FAMILY DWELLING ONLY LOT N0.7, ~IHIGHPOINT AT EAST MARION, SECTION I~~ FE8.1z,1990 OA7E"AR ~ ~ Iv~~H.S. REF. N0. ~2 AT EAST MARION DarE JAN.14,1990 The sewage disposal and avater supply farrili4les for this TOWN OF SOUTHOLD SCALE I"= 50' IecaUonhaveheenmspectedbythlsDepartmentantl/or SUFFOLK COUNTY, NEW YORK No 89-1394 other agencies nd found to be saUsfa tory •-----.^~~y~ ~ KUMUTN0111Z C0 4lifRpTIOM OR 40DITION TO THIS SURVEY O 4 VIOLATION W SECTION 7209 OF THE Chief o BlJreau of Wastewater Management NEW YORK STATE EDUCATION LAW N COPIES Of TN13 3V11VEY NOT BCAR WG THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEpI SNAIL NOT BE CONSIDERED TO BE A VALID TRUE COPY M GUpRAN TEE! INDICATED HEREON SNAIL RUN ONLY m SE OF NF HEALTH DEPARTMENT-DATA FOR APPRON4l TO CONSTRUCT THE PERSON FOR WHOM rHE wRV[r IS PREPARED S'(P gN` ANO ON MIS BE NA Lf TO THE TITLE COMPANY, GOVERN- r'V O N NEARE 3T WAT[R BAIN_NI ~ MSOUACE OF WATER PRIMTE _PVBIIC _ MENTAL AGENCY AND LENDING IN3TIIUTIOM LISTED O~P' M 31LF CO TAX MA? 037 1000 lCC TION 22 BLACK 5 LOT ~ MERE ON, 4M0 TO THE ASSIGNEES Of iNE LENDING G R TN[R[ ARE 110 DW CLl11M)B WITHIN 100 fEET OF 7NIS MOPCRTY INSTITUTION GUARANTEES ARE NOT TRAM SFERA BIE ~ a OTNCR THAN THOSE SHOWN HEREON TO 4D01 TIONpL INSTITUTIONS OR SU BSEOUE NT Z' R TN[ WAT[R SUP/lY AID SEWA3[ OIfF031L lY3T[M FOR MI3 RLSIDEMCf OWNERS / ~ WIU. CONFORM TO TN[ STANOMDf OF THE SUFFOLK COVNTY OCPARTNlMT RDI STA MCES SHOWN HEREON FROM MOPERTY LINES .tll n, ` O/NUITN t[RVIC[3 TO EXISTING 3TRUC TURES ARE FOR A3Pf CIFIC y~ AFPLICAMT~ PVRPOSE AMD ARE NOT TO BE VSEO TO ES TABLISN PROPERTY LINES OR FOR THE ERECTION ai FENCES N ADORE 33 (~f ~ 458'3$ T[L YOUNG 8t YOUN~~"D ~~GR~RHEADNNEW YORFKE NOTE+ ~=MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG, PROFESSIONAL ENGINEER SUFFOLK COUNTY ON JAN. II, 1984 AS FILE N0. 7680. AND LAND SURVEYOR N V-S LICENSE NO 12845 m HOWARD W. YOUNG, LAND SURVEYOR NTNE LOCATXINOF WELUw1,3EPTlc rANK(SnscE33roOL!(C?) SHOWN NU[ON N Y.S. LICENSE N0 45893 < ARE FROM FIELD 083ERW1TIOM3 MID OR DATA 087411[0 FROM OTHER! Z.B. 8 RAN013 6 SONS INC. ~ _ ~ i A- •