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HomeMy WebLinkAbout16826-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17826 Date MARCH 10~ 1989 THIS CERTIFIES that the buildin~ Location of Property 1655 BAYSHORE ROAD House No. County Tax Map No. 1000 Section 53 Subdivision ADDITION GREENPORT, NEW YORK Street Hamlet Block 4 Lot 6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 1988 pursuant to which Building Permit No. 16826-Z dated MARCH 17~ 1988 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 ADDITIONS & DECK ADDITION TO EXISTING ONE FAMILY D~ELLING The certificate is issued to MARY PAP~aNTONIOU (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED PENDING - MARCH 9, 1989 MARCH 3, 1989 - PETER SAKELLIS v Building Inspector Rev. l/B1 FORM NO. ~ TOWN O~ $OUTHOLD BUILDIHG DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 16826 Z Permission is hereby granted to: .k~..~ ...... ~....H,....._.u.~..?..~.~ ............ ro .... ..~..u~. ...... ' ......~..~........~n .... ' ..... ~.. at premises located at .....~. ................ . ................................... ~ ...... ~55'": ....... © .............. '~ ......... : .......................................................................................... ....~,......t;,~ .t ..~. ....... 1...0~.~.¥..~ ................................................................................... C un To ~d --,-- .I ~ ~ o ty x Map No. 1000 Section ....... (~...~...~ .....Block ....... .(~..~. .......Lot No ........ .tw .............. pursuant to application dated .... ...~.C~....~.. ....... !! ................. , 19.~...~.., and approved by the Building Inspector. ~- :~q/'7-7 Building Inspector BLDG, DEPT, TOWN OF SOUTHOLD TOWN OF SOUTHOLD B~ILDING DEPA~THENT ~~ ~.~, TO~N HAL~ /1/05'"-' (/ SOUTHOLD, NE~ YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE..._~. ............. NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ~o~atlon of Propert,. ]~.~.~.~.ax.~¢..~.. ~.o~ ~ ~ HOUSE NO. STREET HAHLET ' o~ o~ o~, o~ ~o~,,...aa~.z..~A~8~Z~.,.9~ .................... ~o,,,, ~ ~ ~o. ,000 ~,~o, .~.. ~o~, ..~... ~o, ..i ..... Subdivision ....................... Filed ~ap ........ Lo~ .......... Permit No. ..Date o~ Permit .......... ~ppllcant ................... ~ealth Dept. ~pproval .................. ~nder~rlters Approval .............. Planning Board approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: rev. 10/14/88 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL 8OUTHOLD, N.Y. 11971 CERTIFICATION TEL. 7654 802 BLDG. DEPT. TOWN OF SOUTHOLD Date Building Permit No. Ow ne r ~ ~ ~f~/,F~/d O',./ (please 'print) Plumber .~_~'-~ _~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this g day of , Notary Public, ~ County Notary Public HELEN K. BE VOE NOTARY PUBLIC, State ef New York . No. 4?07878, Suffolk County.C- ¢~ lerrn ~pires M&~ch 30,19 ~ / FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .FLUMBING INSULATION ?ER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: NO. 49668 'I$1NEER$, P. C. LOT 2~ CERTIFIED TO UTOP. I A ABSTRACT TITLE N0.3855 2BIO SURVEY OF LOT ;~6 "AMENDED MAP PECONIC BAY ESTATES" FILED'-MAy 19,19:53 FILE NO. 112 ~, A~T'~,A RS HA M OMAQUE TOWN OF SOUTHOLD SUFFOLK COUN'TY,-I~. y. I000 05.5 ' 04 SCA'ILE I": 30' OCT. ,;I 3, 1987 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION XST ~ ] RouGH PLBG. ] FOUNDATION 2ND ~NSuLATIoN ] FRAMING [ ] FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEFT, INSPECTION [ ] FOUNDATION 1ST ~~ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [g'j/FRAMING [ ] FINAL ,/ 7GS-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION1ST [~/ROUGH PLBG. FOUNDATION AND [ ] INSULATION DATE INSPECTOR~ ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [~/~RAMING [ ] FINAL DATE INSPELYrOR p~ W~ BUILDING DEPARTMENT  TOWN HALL BLDG DE~ :.' $OUTHOLD, N.Y. 11971 TOW~-~ ~)~d'r'~OLD TEL.: 765-1802 Approved ..~..e~ I .'l. 19'~'~ Perm~tN 1.[~~&~ ~-' Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 3 SETS OF PLANS SURVEY ..O.~. .... CHECK ..~ ....... SEPTIC FORM ~/.~ ...... NOTIFY 7~ CAU ... HAIL TO: Date ... Hatch .LO. ....... 198.8.. INSTRUCTIONS a. This 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. 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 IS 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. · Elias. Papantoniou ............................ (Signature of applicant, or name, if a corporation) 1215 Hobart Rd., Sputhold, N.Y. 11971 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............ o.~Tt.e jc ................................................................................ Name of owner of premises .... Elias. PapantDnioll ..................................................... (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 ...................... 1. Location of land omwhick proposed work will be done .................................................. ...... ~ ...... ~ ~ fi!zJd .---- Greenport House Number Street Hamlet County Tax Map No. 1000 Section ...... ~. ....... Block ..... ~.~ ......... Lot ~ ¢ Subdivision... Peconic. Bay. Estates ............... Filed Map No. 112 Lot 26 (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancyprivate, home ....................................... b. Intended use and occupancy priy~gD, h9¢~ ............ ~ ............................... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition XI(; ..... Alteration .~X ....... Repair .............. Removal .............. Demolition ......... , . Other Work ............... i (Description) 4 E tim tedC st nnd $~0 000 00 F · (to be ~aid on filing this application) 5. If dwelling, number of dwelling units ...... 3- ...... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....... Tv ............ 7. Dknensions of existing structures, if any: Front ..... 2(5 [. ...... Rear .. 24 ~..I ........ Depth ...45,7 [ ....... Height ~J .7 Number of Stories 1 Dimensions'of same structure with alterations or additions: Front .... 2(5 ...... I ..... Rear ..... 24 ........... Depth ........ ' ...... Height 17 Number ofiStories Dimensions of entire new construction: Front .... 26 ......... Rear ..... '24.i ....... Depth . .69, .... Height .... '.L7 ......... Number of Stories ...... :I.~.~'. '.; ................ ': ............................ r~: iD pth 9. Size of lot: Front ........ )9 ............. Rear ....... '75 ....· ......... e .... 225.09 ............ 10. DateofPurchase ..1.-6-88 ..................... Name of Former Owner .~ou~ha~t;y ................... 11. Zone or use district in whicli premises are situated ....... ' ., ............................ 12 Does proposed construction violate any zoning law ordinance or regulation: 13. Will lot be regraded ....... N~ ................... Will excess fill be removed from premises: -Ye~ No 14. Name of Owner of prem!ses E;H.~ta. Papan'cor~x. ou... Address 1215.Ho~.~rt.Rd.I .... Phone No. 765.~979 ....... Name of Contractor .......................... Address .... : .......... i ....Phone No. .., ..... 15. Is th~ property located within 300 feet of a' tidal wetland? *Ye:s ..... No .~.~. ' '''[''' · If yes, Southold Town Trustees Permit may_ be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, in~ticate 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. /STATE OF NEW YORK, S.S COUNTY~.~/OF ................. .~9 / , .. .... .................. du y worn, and (Name offindividual signing contract) above nanled. he is the applicant Heisthe .., ,. ....... , ..... ~.7 (Contractor, agent , corporate officer, etc . )' of said owner or owners, and is duly authorized to perform or have performed the smd work and to make and file this application; that all statements contained in this application are true to the best of hi~ knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ,. /~ .......... day of ~.~/./.~..~.~ , No. 41-4860049 ~ (Signature of applicant) ~ ~ualifiod ~n Queen~ Cou.l~ Comml,slon Explro, Aug. .AN PL 0 ~' to'tz~ , I I _ I dj N~W WoR~, KARALI$ 718 63~'161~