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HomeMy WebLinkAbout17689-z F FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20287 Date OCTOBER 17, 1991 THIS CERTIFIES that the building NEW DWELLING Location of Property 145 MAPLE LANE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 8 Lot 1.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit kieretofore filed in this office dated DECEMBER 9, 1988 pursuant to which Building Permit No. 17689-Z dated DECEMBER 14 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate a issued is ONE FAMILY DWELLING WITH ATTACHED GARAGE & DECK AS APPLIED FOR The certificate is issued to ANTONIOS & CALLIPOE KATSIMATIDES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-145 - OCT. 9, 1991 UNDERWRITERS CERTIFICATE NO. N-194862 - SUZY 2, 1991 PLUMBERS CERTIFICATION DATED SEPT. 23, 1991 - WM. RESVANIS Bu ding Inspector Rev. 1/81 tows 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) rj 4 l~ 1 f b~ 9 Z Date 19...... Permission rs hereby granted to: to o,~ ct premises located at ~.9v:A...~4::-n.l~`r.:. ~ *:tl~„ .....~~/.~-?'?tt~~( Counh~ Tax Map No 1000 Sect^ron~ Q.~.~ Bglock 5~.~..... Lot No pursuant to opplrcatron dated 1..,,,?~~?'r~3~-...l 19~~ and approved by the Bwldrng Inspector. Fee 3 .1~ .7.~ ~ ~IR Building Inspeator Rev 6/30/80 7i~~-,7~z~ -_T~/~ Form No. 6 I TOWN OF SOUTIIOLD ~ ~~~~~1'~~~~~, BUILDING DEPARTMENT { ""'°'"'~a ^ TOWN HALL ° 76s-lsoz (~t SEP 2 41991 ' ~ _ ~ APPLICATION FOR CERTIFICATE OF OCCUPANC ~ ~~Fslf..G PT 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 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 Pare Underwriters. 4. Sworn statement from plumber certifying that the solder used ~n 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. 3. For existing buildings (prior to April 9, 1957) non-conforming u:>es, or buildings and "pre-existing" land uses: L. 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 >n writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $2s.00, Additions to dwelling $2s.00, Alterations to dwelling $25.00, Swimming pool $2s.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certif>cate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over s years - $10.00 4. Updated Certificate of Occupancy - $s0.00 5. Temporary Certificate of Occupancy - Residential $15. 0, Commercial $15.00 Date . 1... '.ew Construction.. Y 01?$/'/J,~Qr Pre-ex/isting Buildin ti A ~ 'yI [ ucation of Property..~7f , t',1,~/.~l :/~11JL......EE[: . ~~j..`.`~.'. House No. Street > ~ Hamlet Cnwer or Owners of Property.Q~,L! TT N~lO S ~ CA LL/ O) J: S I S (.aunty Tax Map No 1000, Section.......~.~..Block.....0..........Lot..~r.12~ subdivision ....................................Filed Map............Lot... ~QQ ~~ff . . ~'crmLt No.~.~~.Y.~~..Date Of Permit ................Applicant~J.~ ~i9~~~0~'l= ?ealth Dept. Approval ..........................Underwriters Approval 'l,snning Board Approval ?equust for: Temporary Certificate........... Final Certicate........... ee Submitted: ~~'t ~ ~ ~a~a~, ...........APP>•,i~A~ TEL. 765-1802 o S~~FOLkC~Gy~ TOWN OF SOUTHOLD < OFFICE OF BUILDING INSPECTOR ~ 'z P O. BOX 728 c°ti ~ TOWN HALL "pro ~ SOUTHOLD, N.Y. 11971 C E R T I E' I C A T I O N Date ~ / Building Permit No.j 68~ owner~_ NOS d' (f-~ / [ l dl~~ Jj'~/FJ- j S ~ M /j-1 ! J~'.S ' (please prin,#~) Plumber '4^J )G'r'-' JV~'~6cj (please print) I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. r (plumber's signature) Sworn to before me this 30th day of September , ~ 1g 91 ~ Nota Public gUEENS County CA YHARTOFILIS Notary Public, Notary Public, State of New York No 41-4652981 Qualrf+ed+n OuPer7s C°~~'/y~ C:omm+sswn Expir'--: J/~dC CALLY HARTOFILIS My Commission Expires 11/30/91 THE NEW YORK BOARD Ot= ~tR£ UNDERWRITERS NAGx ~ ~(i1.o7a BUREAU OF ELEGTIlICITY ~ BS JOHN STREET, NEW YORK. NEW YORK 10036 JULY (},1.991 64755089%89 N 19486). Dete Applicetian No. on file TNIf3 CERifR1E8 TFIAT enly the deetr4d puipment a descrihed 6eloES and introduosd by the eppNeent named on the otiose spplfcstian nuswber iw the promises of tw K~TSTMATIDES, x%E/C/(i 15AYLF; ;~i#Yr~; H;AS~~'yyi'--,~ MRRT(1N, N. Y. in ehrfdforint; hECStjµgli, ~ f~1'Eent ~ IAt FI. LJ Ynd Fl. ~'~'~1H'1"1'FC'/tlli'i' Section B/xk Lot ~ ~t ~`~Irvn F. 1.99 uNre emmined on artdfound to he in compliance rith the reyuirementAOf this Bwrd. RX COplING Mats OVENS W _ lXMANST lK. A~ AMTOIB SCENT HIIDIIESClNf OTNEB AMT. K. W. AMT. K. W. AMT. W. AMT. R. W. AMT. ~ N. P. 65 74 "rEi t t, 2 v r' a ORT'RRS RMlIACE MOTORS IUTI/!!AElIIANq iMB4K f?lpALIMCH TIM,C?Oplf 1W DENT NfATMS ENN~ DIIAAWS AMT. K. W. pl N. t. W N. r. NAT. NO. A. W. G. AMi. AMI. AMT. AMTS. TRANS. AMT. N.I. Rf~ AMf. WA118 6 F '1- ]0 7 7lRVIGR OUOOEIMKT NO.q f ! R V 1 C E AMT. AIM: TYPE ~ t/1W 1/SW J/S`N Jf eW NO.Or .COND. « W. NO. Or M-tEG ~~N NO.pNENRAIS ~~1 1 200 C.H 1 F I 4/0 7 2/0 OTEM A/MRATNf: FRA.A2R HUNDI,F:RS-?, - MOTORS::t-0.50 N.P. - G.F.C..I:-7 'CRACK I,TGNTCNG:-:t .cr G k S C(1N'i"RAC'rtii? !,i:C,4578P~ AO~R 225 SOE1TNOi,U, €v\ , 7.; 47 t MNIAt MMNIORR I] Per ~~,.I-(. Thu certi(icaN moat not M shared in any manners return ro the office of tlw Hoard if mcorretG ME - rs. 6e idetNipNd thelt,_: Is. i COPY E•OR BWILDING DEPARTMENT. TINS COPY OF CLRTIPICATE iNOT.4E AL IN ABU( ' D ,;CMMENT° {X y. - -o s ~ _ F _ ~J H e~ / H FOUNDATIO:f (1s(t} iI .~~c`'~'`~'~ T G~~-G.e.W~GG~ z c m FOUNDATION (2nd) ~ 2 . .Griy~ .t o t e P,OUQH FRAME & PLUMBING 3 C~~.t - H 3. ~ IIISULATION PER N. Y, ~ y, STATE ENERGY c CODE j . r ~ cn 4 . ` .a - - • FIi1AL ` o m ADDITIOPIAL COMMEN'T`S: x m x b H A T d H H O z . ~ C7 9 r H _ ~ b m -o .a 7f 5-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 1 INSULATION [ ]FRAMING [ FINAL REMARKS: ~ ~ -r n 4 ' ff ~ l DATE ~ INSPECTOR s- I ~ r ~ 765-1802 (Q BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] OUGH PLBG. FOUNDATION 2ND ~ INSULATION [ ]FRAMING [ ]~FINA~L REMARKS: ~'~-~~-wC CY~~ ' DATE ~ ~ INSPECTOR L ~ ~ T65-1802 BUiLD1NG DEPT. INSPECTION [ ]FOUNDATION i5T ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION (1/~FRAMING [ ]FINAL REMAR S: ~ t---t o"'~ DATE ~ ~ ` INSPECTOR ~ i 7~~q 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE INSPECTOR ~ (p 765-1802 BUILDING DEPT. 1 NSPECTION ] FOUNDATION i5T ~ ~ ROUGH PLBG. ()FOUNDATION 2ND ( )INSULATION (]FRAMING [ ]FINAL REMARKS: t7 ~ -4--•-c~ o~ ~X'L ~X / ~ ~t11~,~ w~~~ DATE INSPECTOR rn~~i.~ NH , V V V V. V v ~ro~~~~ ~M~~~~ ~ ~ Z ~ n ~ ~ ~ M I~l n Q r~ k ~ y ~ D ~ U N `I ~ C ~ ~Z ~~~ro~ro ~ y A 1 ~7 j A A, ~ r wm h . k' ~w~ ~ N ISM' n i~ A Z o ~ ~n r ~m N ~ ~ V` p H w ~ ~ ~ rl ~ ~yw~ ~ ~ O ~ A ~ ? ~ b ~ v W N N N n v p r ~ ~ i,~ a ~ ~ ~ ~ ~ C w -o A ~ a t t p r ~u ~ n ti ~ ~ l b w rr • \ V ~ ~ O O 0 p O O ~ ~ ~ ° w o ~ w y ~ ~ ~ ~ - ° D D w ro En ~ ~ -0 V ~ J ~ to ~ G p U G Ci D G, ~ ~l n ~ ~ O ' \ ~ 3~" b b ' m ~ Q0 p ~ Zm A ~ p A H N ~~e~l S ~L~f .R ~ ~ H to }.~r,~~ / ~ D ~1 i 1~ ~ y~~NfER ~ ~ ~ pl , BOARD 0 HEALTH 3 SETS OF PLANS t/ FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y 11971 NO TEL..765-1802 CALL dr~t~iflG~ ~ Exammed~ l7. 19~pyp~. 1 AMA ~InL TO~~S~ ~a S(~~ Approveci~ . 1.~..., 19 4 Pcrmlt No ~.7.W '~J Q/Y~-E+~^-~` °~r C'.~,LC~t.. att. ~~,./ta'~-a-~~{ Disapproved a/c (f t;~ ~ ONI ~~ii E I,/~ ~ I ' (Budding Inspector) IJ lS~_~~~ APPLICATION FOR SUILDINGPERMI~TOVVNLUFS ~~O Dare 1: INSTRUCTIONS a. This application must be completely filled in by typewriter or to ink and submitted to the Butldmg Inspector, w 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 st or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this cotton. c. The work covered by ttus application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Buffdmg Permit to the applicant. Such p~ 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 Occup shall have been granted by the Butldmg Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant t~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordtnanc Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descn The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, an admit authorized inspectors on premises and m building for necessary inspections. (Signature of apphcanyor name, if a corporanon) l ~ 07 //9?2. ~I~SUR! (Matting address of applicant) ~ r j State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bull f~,,,~, ? Name of owner of premises ~~ti~ioS. ~ L~raP~ -!5"`T.S-~~ti~ 7`~4yS . . (as on the tai roll or latest deed) If applicant is a corporation, signature of duly authorized officer . (Name and title of corporate officer) Builder's License No .~~N~r . Plwnber's License No Electrician's License No !i . . Other Trade's License No. 1. Location of land on wlu i proposed work will be done . House Number Street 5~' Hamlet County Tai biap No 1000 Section Block . f-?........ Lot / . Subdivision .~'1/~ Fdcd ;ttap No ~q.~ r'>! Lot . (Natne) 2. State e~istin;; use and occupancy of prenuses and intended use and occupancy of proposed consiruction a EKtsting use and occupancy . . b Intended use and occupancy 'Sl~~(~ • • • • ~ = qtr f``U . . 3. Nature of work (cfieck which applicable) New Building ...v... Adddton Alteration . Repair Removal . . Demolition Other 1Vork . (Descnpti 4. Estimated Cost 1}~t:S'S~.v~ 0 Fee (to be pmd on filing this application; 5. If dwelling, number of dwelling units . n.~. Number of dwelling amts on each floor ..C~. ?7, , . If garage, number of cars • • • • • • • • . • . f 6. If business. commercial or mixed occupancy, speedy nature and extent of each type of use N. l.~.. , . 7. Dmiens~ons of existing structures, if any Front . t . z..'U e:'... Rear Depth , . Height ...............NumberofStones.... Dunensions of same structure with alterations or additions. Front Rear . Depth . height ..Number of Stones . 8. Dimensions of entire new construction. Front J Rear Depth ~ . Height Number oC Stones . ~1.^.! ~ . , 9. Size of It ~ Rear .r,~.~.g Depth 21a l9+ J7~jff Sr ~ 10. Dyte of Purchase C?CT... f ~S 1.... . , ......Name of Fonner Owne: l~O'3~ n:T . 1 ~c? 5~,1_ C; . 11. Zone or use distract m which premises are situated f: ~ S ! .G?r b.~7~.9. ~ . 12. Does proposed construction violate any zoning law, ordinance or regulation N41. 13. Will lot be regraded !v©. FV~j1 excess ill be removed rom premises Yes FlNfDAliUf ~ 6 14. Name of Owner of premises ~LAI'~>:op e...~9fS/./1'!`}A~~res~-5.~~~- ~I ~ hone No~.~~~ Name of Architect ..Address ..~?l•r-~Slwi`i j~'~`}}~~^:~1'hone No........... . Name of Contractor D cU n e~ _ , . N'~. t 13 7,~ ,phone No ..Address . 15.Is this property located within 300 feet of a tidal wetland? *YES....NO..~ *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether extshng or proposed, and.md~cate all set-back dunensions property fines. Give street and block number or descnption according to deed, and show street names and indicate wh intenor or comer lot. $'e e ~Lcn V•2 STATE OF KEW YORK, S S COU YOF...~ ee!v,sjj . S . . (.9'75/ /.YYJJ/j'7 f~f'~ . being duly sworn, deposes and says that he is the app: (Name of individual signing contract) above named He is the OS?~.% ~'ef~-. . (Contractor, agent, corporate officer, etc ) of said owner or owners, and a duly authonzed to perform or have performed the said work and to make and fiI apphcat~on, that all statements contmned m this apphcaUon are true to the best `of his knowiedge and belief; and the work will be performed m the manner set forth m the apphcat~on filed therewith. i Sworn to before me this <<<1~~; ~ ^N, ~.~~i ~ ~ '1 r~~ X`1 P~~. yof.. fir, 19~'.~ ~:,tr' Notary Public, .S! only (S~gnature of~pl, J cp ~ N. 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