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Home My WebLink About16804-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. Z-16993 Date June 14, 1988 THIS CERTIFIES that the building DECK ADDITION L ~ti~n~fPrcs rtxr 1175 First Street New Suffolk, N.Y oc ........... pe.~ .............. · ......................................... : ....... House No. Street Ham/et County Tax Map No. 1000 Section 117 .Block 7 .Lot 27 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substautially to the Application for Building Permit heretofore filed in this office dated Hat ch 1, 1988 pursuant to which Building Permit No. 16804 Z dated......Ha r c ..... h 14. .........., I 988 .. .... 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 ......... DEC'K ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to EFSTATHIOS & MARYAN KATSOULAS ..................... ?oh;,;o;, '~i~&i,t~,'~X ..................... of the aforesaid building. Suffolk County Department of Health Approval .......... .N./.A. ............................ UNDERWRITERS CERTIFICATE NO .................. .N./.A. ............................ PLUMBERS CERTIFICATION DATED: N/A 1/81 FO~ NO. B TOWN O~ $OUTHOLD 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_'16804 z .~... .,~./..'.~.........t.,~..,..~.:~. .:.....~..,..cv. .o ~ . ,o .~.~.....~...~ ...... ~.~,....~,~...~...,~.J~ ....................... ............................ at premises located ots I..L.~. ~...~..~..O~...~, ....~....~.~....~e.d~ . co~,~ ~=~ ~op ~o. ~0o0 s,~io, ....... 1.!..2 ........ ~k ....... ~..U. ...... Lot ~o...~.~ ............... Building Inspector. Building Inspector Rem 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DE.PT. TOWN OF SOUTHOLD Instructions end submitted m~ to the Building Inspec- 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~ope?ty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. - - POOLS $25.00 ALTERATION $25.00 c. Fees: 1. Certificate of occupancy~~-~-b'~"~'h~'New Dwellino $25.00, Accessory ~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0-. 0 0 3- Copv of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 ./ .~/ 5.Updated C.O. $ 50.00 Date ..~/ NewConstPucLion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property I 7 House No. Street Ham/et Owner or Owners of Property ~..¢5. '7.~ .' .o.F..rL .~..~e. qq...~ .'r.~.9~. a .~ ..... i ......... :7. County Tax Map No. 1000 Section . ./.{ ........... Block ............ Lot ............ Subdivision ................................. Filed Map No ........... Lot No..~. .......... Permit No. 1 .... Date of Permit . .I .... Applicant .~.,../W.... .77f. O V.~..~1.~': ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .. ~. .... TOtVN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P,O, BOX 728 TOWN HALL SOUTIIOLI), N.Y. I 1971 TEL. 765-1802. To Whom This May Concern, We are tillable to ~omplote your Certificate of Occupancy because .of the following reasons. /~// An application for Certificate of Occupancy is not on fzle. :1o Underwriters Certificate on file. /__ The check is(outdated/~t--~-~, .fi_l~) /-_/ No IIcalth Dept. Approval on file. /_--/ No final inspection has been made. Please contact our office on this Thank you for your cooperation.' Building e Buildin~f Dept. matter. ~1o Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION { ls t) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CQDE FINAL ADDITIONAL COMMENTS: 14, I I,.I G ST r~l[ ET Memorandum from... · BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 March 3, 1988 Dear Mr. Katsoulas: I am returning your survey which you sent along with your application for a Building Permit. Please indicate on the survey where the new deck will be and the size of it~ and return it to our office. Yours truly, Secretary 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND []/,INSULATION / FRAMING [~/] FINAL DATE INSPECTOR~ 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1803 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: Approved . .~.0k~.~. ).t{.., 19 ~.~. Permit No..1..~.J .O.~..~.. Disapproved a/c ..................................... (Bnilding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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. 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 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 Building Inspector. APPLICATION 1S 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, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicab?,laws, ordinances, building code, housh3g code, and regulations, and to admit authorized inspecto~ on premises and in buiming for necessa~,,~.ons~' '-(Signature of applicant, or name, if a corporation) 2 .ex. ? .,f...( o (Mailing address of applicant) ' State whether applicant is owner, lessee, agent, architect, eno~neer, general contractor, electrician, plumber or builder. Name of owner of premises ~..f:.~.'(~. Z.P.//. ~. ·5. /-. ?.~..fl.~.,9.~...~....~..~./1..7'?.~.~.L.,~..S' ................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. 1./.777. ..... jcT. t ,,v, House Number Street Hamlet County Tax Map No. 1000 Section .... ~. [.7. .......... Block .. J7 .............. Lot...q?. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . .~...~.~... .................................... ' '. b. Intended use and occupancy ............................................. 3. Nature of work (check which app.licable): New Building ' Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .., ........... Other ,Work ............... 'T~ /A/',,'"Z',~z~ ,.~ ~/,,-~- Ooaze$ /q~/t9 6o~'-~''2~c'' ~X ~r~ b~'c~ (Description) 4. Estimated Cost .~. I ~..00- ~ 0 Fee : ' (to be paid on fili~g tbi~ p.p.plication) 5. If dwelling, number of dwelling units ........... N ' "~ '~'~' " ..... umber of dwelhng-umfs on each floor ............... If garage number of cars 6. If business, commercial or mixed ioccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structuresi if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ...... · ... ' .................. '.. ....'...[ ............ Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... i. Height ...................... Number of Stories ...................... -. 8. Dimensions of entire new construction:, Front ........... ' ..... Rear ............... Depth ............... Height ............... Number of Stories .................... , .................................... 9. Size of lot: Front ............ i .......... Rear .... '.. .................. Depth ...................... 10. Date of Purchase ............ i ................. Name of Former Owner .~./.4. ~.O.,q t',,q: .......... 1 1. Zone or use district in which premises are situated .............................. 12. Does proposed constructmn wolate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded .......... i .................. Will excess fill be removed from premzses: Yes No 14. Name of Owner of premises ~...P~. ~ 7'fi..o. g. gl~.~ . . . Address~O. kt/.c.~.q~. . .~.f. . . . . Phone No Name of Architect i Address floc~.v/t~ ~,~r~ ~h~.~ ~_'~l'~' '' '1 ................ /V-z- / Name of Contractor .... ~./AC/)d'. ~.~"d...~ ........ Address .... : .............. Phone No ................. 15. Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trus'tees Permit maybe required. i PLOT DIAGKAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block r umber or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF. ~ ....... ~ .~.~. ~T/5 .~?..~ .O~. .... ~. l~.'-k .~. ~*~ .~. t) .~ ..... ~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signiOg contract) above named. [ ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannerlset forth in the application filed therewith. Sworn to - before me this Notary Pub ........ County ' PAULINE B~rT'TAPl)O~O NOTARY PUBLIC, 8t~te of New Yolk [ ................. No, 4848349 i (Signature of applicant) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ALL / , ,,, ;,~,,.~L ~EET ,% -"f 1157r'