HomeMy WebLinkAbout18174-z
Y
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18396 Date SEPTEMBER 21, 1989
THIS CERTIFIES that the building ACCESSORY
Location of Property 20210 SOUNDVIEW AVENUE SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 51 Block 3 Lot 13.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 30, 1989 pursuant to which
Building Permit No. 18174-Z dated JUNE 6 1989
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 ANTENNA (SAIICER) AS APPLIED FOR AND TO CODE
The certificate is issued to GEORGE TAHLIAMPOURIS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED___ N/A
~il~
Building Inspector
Rev. 1/81
F08M NO.
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)
N ° 7 4 Z Dote 19~~~.
P~rmissiOn i~ereby granted to: ~
j~
C~/~j/jam ~J
!~-.,~9'1~
~9~s
. .
to ...~.,~xS..~....
G~~...... ...................~-'4
of premises located at ......~rZ .~i~'f-Q'6(?....~..Q~l.~...:..................................
a 2 ~^O .
......................................................q,1.~..
County Tox Map No. 1000 Section Block Lot No.....`.~r.. Z-.....
pursuant to application dated ~j/-~~ 19..~~.. ~ and approved by the
Building Inspector,
Fee
Buil g I for
Rev. 6/30/80
TOWN OF SOUTIIOLD D ~ (y ~5 /j ~~JJ
BUILDING DEPARTMENT ~ "'""Y-~ )/~y
TOWN HALL SEp ~ Q ~9$g y;1
SOUTIIOLD, NEW YORK I1 71 8~0 ~7 (1~
TO Wry 0 G.
7 6 5 - 18 0 2 ~(JT;
fM1;>1!3
-.a
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
NEW CONSTRUCTION ,e~.,.,,OLD OR PRE-E%ISTING BUILDING...... VACANT LAND._..._..
Location of Property.. ~ ~,..SUV~(_?l ~ti/. _.A~ S UciT~ (7 L_/~,-
NOUSE N•O-.~"~ STREET .HAMLET ~7
' Ovner or Ovners of Property../..~~,~~Ll~~'"1_~(~(J~I.S.._._~C(~I~-G~...
County Taa Map No. 1000 Section „ Block .;3.,
Lot ~3: y.
Subdivision File/d Map ........Lot........_.
Permit No. ~°.~/,,,,Date of Permit ./I.///~_
fP/ l4. Applicant
Health Dept. Approval Underwriters Approval..............
Planning Board Approval
Request for Temporary Certificate
Final Certificate
Fee Submitted: ,5
APPLICANT..'~~t~~:G/.
Pd~ ig396
rev. 10/14/88
(.~L~ c.,:.~:: ~IUni~ I~ i:OdYMtNT°;
~ \
m ~
a v
OUIJDATION ^ (1st) y
c aaa~
OUNDATIO~J ( 2nd ) _ _ ~ ~
o
OUCH FRAME i4
O
PLUMBIiJG
• ti
H C
m
tJSULATIOfJ PER N. Y. ~ y
STATE ENERGY
CODE
x
a
y
FIIJAL `
ADDITIOPIAL COMMEPJTS: m~
x
~ \
' x
ro
H
• a
H
O
M
A~
C^
• - H
l7
m
b
H
a
60.\RD OF HE.\LTH
FOHM NO.1 3 SETS OF PL.INS
- Sl1RVEY
TOWN OF SOUTHOLD CFFECK , , , , , , . _
BUILDING DEPARTMENT SEPTIC FORPi .
TOWN HALL
SOUTHOLD, N.Y. 11D71 NOTIFY
TEL.:7G5-1802 CALL
Examined fA.~.........., 19 ~ MAIL T 0
Approved ..ll/~J........, 1~~Permit No.~~/7~~
Disa roved a/c ~ ~ ~
PP C~CC~~1~.1Ca'~`
~ E MAY 3 01989
(iBuildinspcctor) 6t-qG. gEPT.
TOWN OF SOUThIOLD
APPLICATION FOR BUILDING PERMIT Ty
Date 15 -
INSTRUCTIONS
a. Tltis 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-
calion.
c. 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
shalt be kept on the premises available for inspection throughout the work.
e. No building shalt 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
3uilding 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.
Tite 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-
,~TA'~~! (Signatur ~ ~ ~ licamf~~~n)' ' '
r.
~•~~1~~~.„.vMnYWM~• it
\
Ytl.......-°---•,-. ~ i'2 . .4~'-G.° 2, rpm?.~v ./.:<,<, ~ .
• `,ti9!(S~NSDt1 dal'9C;ki .
T'A ~'~N{SFiA'~3i1 ~a A P Y,d)~i (Mailing address of applicant)
der t
State whertpplpr~r}ti'~ss`Qwt1e?~1'e`s's~es"~~ent, architect, engineer, general contractor, electrician, plumber or builder.
s,...~\ .~1: tit r~.~ o r? ~ .
~,~tn~~~ i . at , <
~~"2z2"`•
Name of bwncr of premises~~~r~ t~~it~ ri~~.. , C I G~ X/ ~ D ~ . •
~t,;•_,nA a~''"?t"~ (as on the tax roll or latest deed)
If applicant is a coredPafign„~igrj~tuFS.;p:Lduly authorized officer.
•.......3• 'ifi j..':l..r. .4i.
N"~ti#~n u:.....,, ,
( d.tttle, of corporate officer)
Buildci'~`lic~e'ns'c,NO. .7 ~~t- C'
Plumber's License No . .
Electrician's License No. ~ , , l~DS:~",~i4t~~ ~ Ltd ~ C
Outer Trade's License No. ~ ~ ~
d~~lC9
Location of land on which proposed work will be done. ~~?~,,~,L~i.'J.CLv, ; ~'V'Z'
.
House Number Street q Hamlet ~ ~ ~ ~ ~ ~ ~ ~ "
County Tax ~fap No. 1000 Section .Q Block , , , • . • Lot /t.:i , , , , , , . •
Subdivision Filed lttap No.
(Natnc) Lot...............
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~ ~ 4~• • • • , ,
b. Intended use and occupancy ~ L: . 7C G ~ ~ ~
~r.~9
.r
a ~ q ~ ~ ~ .,A
3. Nature of wort. check which a'
Repair , , • • • • • . R`~PPlicable): New Eluilding Addition .Vteration
oval Demolition • • . .
Other Nork 1'w'. ~~?:E'.C~?2
4. Estimated Cost :.l ~ ~i , , , , (Description)
. Fee •+'~'`r(I^E"NO
(to be paid on filing this application)
1f aara'Icnnumbcrof carswcllin • • • • • . • • . ' .
e • . • g units Number oC dwelling units on each floor.............. ,
6, If business, commercial or mixed occupancy, specify nature and extent of cacti type of use .
7. Dimensions of existing stru Nums, if any: Front . , , , , , , , , , , , • , , Rcar ,
Hci~ht ' ber of Stories . • • • • • • • • Depth .
Dimensions of same structure with alterations or additions: Front • • • • ~ • ' ~ • ' ' ' ' "
Depth Ilcight . Rear .
8. Dimensions of eptire new cons[ ctio ' ' ' ' ' ' ' ' ' ' ' ' • • • • Number of Stones
fu n: Front , Rcar . ' ' ' '
Hcigltt Depth
. Nurribcr of Stones . • • • • • • • .
9. Size of lot: Front Rcar
10. Date of Purchase ' Depth
...........~••'••••••••.••....NameofPormer Owner
! 1.' Zone or use district in which premises are situated . • • • • • •
.
oes ro ose construc4on vrol
' P P graded ?te any zoning law, ordinance or regulation: • • • • •
3. Vill lot be rem
Name of Architect ' • • 1Vr11 excess fill be removed from premises: Yes Na
14. Name of Owner of premises , , , , , , , , • • • , , , , ,Address
••••••......PlioncNo.....
Name of Contractor.••••••• •••••••'•""•••Address Phone No..........
IS.Is this property located wit,hin• ,Address.. .Phone No.......
*If yes, Southold Townl Trustees Pe
mit may bearequiredetland? *YES....NO.... ,
PLOT DIAG~I_v(_,___
Locate clearly met y all I~buildings, whether existing or proposed and. indicate all set-back dimensions from
property Lines. Give street and block number or description according e d show street names and indicate whether
interior or corner lot.
I
AP ~p~
FEE:
~~~~~OEFARTM~~"~~"ENT~1T ,
' FOLLOWING INSP ~O~ FOR 1HE
1. FOUNDATION TWp RE@?IIRED
FOR POURED CONGREPE
~ ~ f/~ S 2. ROUGH - FRAMING R PWMBINO
~ 8. INSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLETE FOR C.O.
II ALL CONSTRUCTION SMALL MEET
THE REQUIREMENTS OF THE N,Y.
STATE CONSTRUCTION ENERGY
~ COPES. NQT RESPONSISL``E FOR
DESIGN OR CONSTRUCTION ERRORS
ST,1TE OF \E1V V'ORf:, S ilS
=OUNTY OF a (.i~
co tract)
(i\amcofindividualsi~
bove named. >mtr ' ~ ~ • • • ' ' bC1ng duly sworn, deposes and says that he is the applicant
y
1C IS t11C
~I (Contrac or, agent, corporate officer, etc.) ~ •
C said owner or owners, and is duly out torized to perform or have performed tltc said work and to make and tle this
nPlication; that all statements contained in this a lication arc true to the best of his knowledge and belief; and that the
ork wdl be performed in the mannersc' forth in he application fled therewith.
wom to before me this
19
Mary Public, ....~!~1:(GiV.. !1 :...yV.~.~/d.•~. County
HELEN K DE VOE • . .
NOTARY PUBLtC, Sete of New t`ak • • • • • • .
Ne.4707878,Su8olkCoutd~ (Signature of applicant)
Term Expires Mereh 30,1y...a.c~