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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~