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• FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18446 Date OCTOBER 4, 1989
THIS CERTIFIES that the building ALTERATION
Location of Property 1400 SOUND BEACH DRIVE MATTITUCK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block O1 Lot 35
Subdivision Filed Mag No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 6, 1989 pursuant to which
Building Permit No. 18287-Z dated JULY 11, 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 REFRAME AND INSTALL PICTURE WINDOW IN EXISTING ONE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JAMES & CHRIS MESKOURIS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N/A
PLUMBERS CERTIFICATION DATED N/A
.
uil ing Inspector
Rev. 1/81
rows 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)
N~ ~8~~7 Z Dore ........~.......~l 19.~~
Permission is hereby granted to:
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:q,.~... Q4r.?....~3.~1.f~.~4An~
at premises located at ...1 ~A.71.......$..'.?`.:`.:'~a~....Y
V~P.a-rK.............~.9.C~t,
County Tax Map No. 1000 Section .....,,~..Q,.~1t......./ Block ........d..~........ Lot No.....~.s...........
pursuant to application doted .........~.~1-~.~r~.......lp 19.A.~.., and approved by the
Building Inspector, I
Fee 5..~~.:..:~....
Bu ing Inspector
Rev. 6/30/80
r
TOWN OF SOUTUOLll D ~ ~ ~ Q~
BUILDING DEPARTMENT ? ~ L5
TOWN HALL OCT $
SOUTIIOLD, NEW YORK 11971
765 - 1802 TOWN OFSOUTHOLp
APPLICATION FOR CERTIFICATE OF OCCIIPANCY Q
DATE ..~'~..0
NEW CONSTRUCTION ._.....OLD OR PRE-E%ZSTING BUILDING......VACANT LAND........
Location of Property.......... ~ l-~;~'~. ~itvu.d v
STREET DAMLET
Owner or Owners of Property.~.'~C..~ ~ •
~oun[y Tas Map No. 1000 Section Block-
Lot-.........
Subdivision Filed Map .....,.,Lot..........
Permit No. (v. ~b!„ Date of Permit ',~q~~
Applicant I:.ILw~_CdH,
Health Dept. Approval ..........X~ „ Underwriters Approval.._...
Planning Board Approval
Request for Temporary Certificate
Final Certificate
Pee Submitted'/~~y
APPLICANT... i.
. I
rey. 10/14/88
~ 383 Q~
Cow ~gy~t~
ot~ r TEL. GS-180
c;~ Toy rr or sovruor,o
f~ 6uo`Y~. OPl'iC1: Ol' EsUILDING 1NSI'£CTOR
~ TOWN HALL
;4•yo ~~t' SOlJ7'I10LD, N.Y. 1 1971
1 r
September 21, 1989
Robert Bohn Contracting
Box 55
Peconic, N.Y. 11958
RE: JAMES fi CHRIS MESKOURIS
To 47hom This, May Concern,
47e arc unable r.o complete your Certificate
o.f,~occupancy because of the following reasons.
An application for Certificate of Occupancy
is not nn fi].c. (ENCLOSED)
/ / *fo Unclcr~~rr'itcrs Certificate on file.
't'he cLecF: .i;; (~~ItXl~nut on file.) 525.00
No fica].th beet. Approval on file.
No final insi~~ection has been made.
Plea;;e contact our office on this matter.
T:iank you for your cooperation.
Ih+.ilc7inq Pcrm.i.t-. if 1 8 2 8 7 Z
Duildinq bopt.
' t!o Plumber ;;older Cert.ificatc on file.
t
( al.l pormits involvi.ny plumbing being
iasucd after April 1,1984 )
~`~z~~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING ~ FINAL
REMARKS: -
DATE ! ` ~ INSPECTOR
l~ Y65-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST ( ] ROUGH PLBG,
[ ] FOUNDATION 2ND [ ]INSULATION
[~RAMING [ ]FINAL
REMARKS: ~ ~ Q,~
__(C`'~
DATE ! ~ INSPECTOR N'~v
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BO.1RD OF HE.ILTH
3 SETS OF PL.1Y5
FORM NO.1 SURVEY
TOWN OFSOUTHOLD CttECK
BUILDING DEPARTMENT SEPTIC FOR:I
TOWN HALL
• SOUTHOLD• N.Y. 11D71 NOT ~j-_ c3
• TEL.: 7651802 CALL ...~4~ • , , ,
C•xamined . !9~'9 t• L T0: •
I /
,
Approved 19$9. Permit No. ga ~ ~ G51;
Disapproved a/c
i' •r
BLDt3. DEPT.
/ a• • • • • • ~ . 'TOWN OF SOUTHOLD
(Buildin^ Inspector)
APPLICATION FCR BUILDING PERMIT' > y~j
Date .7. ...fit......... 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-
cation.
e. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Buildin; Inspector will issued a Building Permit to the applicant. Such pet7tiit
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 Buildin; Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Buildin; 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.
The applicant agrees to comply with all applicable laws, ordinances, building code, housin, code, and regulations, and to
admit authorized inspectors on premises and in building for necessary'/.~jto~ns.
(Signature of applicant, or name, if a corporyatyi~on)
S .
' (Mailing add ss of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises . ~-~t,Q~ , •
(as on the tax roll or latest deed)
!f applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. ~ y .
Plumber's License No . .
Electrician's License No . .
Oilier Trade's License No . .
1. Location of land on which proposed work will be done. '
.
House Number Street. Hamlet
County Tax Map No. 1000 Section ~ B ck , • - Lot •,~,,,~f/
Subdivision . ~ !Y.
`.'t!...~i'c~t.'~!'R".~'..... Filud Afap No. .~°.'a"v...... Lot
(Name)
State existing use and occupancy of premises and inten ed use and occ/up~ancy of proposed construction:
a. Existing use and occupancy • • • • • • • • • • • • . 4"'
.......~:e..
b. Intended use and occupancy
3. Nature of work (check which applicable): New Uuildin '
Re air g Addition .Utcration
P • • • • • • • Removal Demolition
Oth 1Vork....
4. Estimated Cost • • (Description)
• 7 4~Z~ Fee . .
5. If dwcllin~ ~ (to be paid on filing this application)
number of dwelling units , , , , • Number of dwelling units on each floor.... ,L . ,
It gara;c, number of cars
6. IC business, commercial or mixed occupancy, specify nature aqd extent of each type of use .
7. Dimensions of existing structures, if any: Front . , .....'Z-
Rear
~ ~ Dc th Y .
Hei_ht Number of Stories . ~ P
...1
Dimensio of same structure with alterations or . dditions: Front ~ ' ' ' ' ' ' ' ' ' '
Depth ~ ~ ~rea~.... Rear
Ilcight Nuntbcr of Stories .
8. Dimensions of entire new construction: Front .
Hcigltt ' 1'~umbcr of Stories . Rear Depth .
9. Size of lot: Front ; W • Rear J
~ • . .
.
10. Date of Purchase Depth .l,~,t,`„••• •
"'•""""••••••••••••••...NameoCFormcr Owner
l 1. Zone or use district in which remi-=- situated . ~ ~ ~ • ~ ~ ~ • • • • • • • • • • _ •
12. Does proposed construction violate any zoning law, ordinance or regulation: , /:t~r?, , , , •
13. Will lot be regraded .
Cam:... : • • • • • • • Vall excess fill be re owed Cror>a premises: Yes No
l4. Name of Owner of premises •wp~^-~
AKC~Ic
r'~-css ...~5`."."4A ........~''1'Iione No. 2.~•8'
Name of Architect Address
Name of Contractor ....Phone No............. .
.............Address . +~4X
15.Is this property located within Phon 7 v•~;s//.p
*If yes, Southold Tovn Trustees Permitemay bearequir
d~and *YES. ..NO....
_ PLOT DIAGRAM
Locate clearly and distinctly all buildings, 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 corner lot.
_ CT. D
O w
L~
_.Q
OY `
A
STATE• OF NE1V YORE,
COUNTY OF S.S
• ~ ~ ~ • • • • • ~ • ' • ' ' • ' ' ' ' ' ' ' ' ' ' • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant
(A'amc oCindividual signing contract)
above named.
lIc is the '
(Contractor, agent, corporate officer, etc.) • • ~ ~ • • ' ' ' ' ' ' ' ' '
~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
-PPlication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the
,work will be performed in rite manner set forth in the application filed therewith.
~wom to before me this
.day of.....
,f . 19v./ .
~otar}' Public. `~!~P/N.. • •~„It/R~ UD"e.... , , County %
NOTARY PUBLIC of~NeN York • . .
No. 4707878, SuRolh County (Si;na[ure oC applicant)
Term Expires March 30,19_