HomeMy WebLinkAbout16838-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~W~IFI~AT~ OF OO.;U~AliC'Z
No Z-24335
Date MAY 6r 1996
THIS CERTIFIES that the building
Location of Property 2675
House No.
County Tax Map No. 1000 Section 74
subdivision
Street
Block 5
Filed Map No.
N&~YO~K
Hamlet
Lot 9.2
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated M~C~ 16; 1988 pursuant to which
Building Permit No. 16838-S dated M~CH 18~ 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 AL'£~ATIO~ TO ~XISTING BUILDING A~ APPLIED FOR.
The certificate is issued to GEOI~E KOKKINOS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-379043 -MA~CH 4~ 1996
Rev. 1/81
I~0n''M 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)
is hereby granted to:
...............................................
County Tax Map No. 1000 Section ...... .~...~ ...... Block .... .~..~. ......... Lot No.....C~..~.....~:~... ........
pursuant to applicatio~ dated ..~.~..L.~.-- .................... , 19.~...?...,"- and approved by the
Building Inspector.
Rev. 6/30/80
Fo=-z No. 6
TOVN OF SOUTHOLD
BUiLDiNG
TOWN
765-Z802
.(vPLICAT!ON FOR C~TiFiCATE OF OCCU?.I~CY~
FEB - 5 1996
BI.DG. DEPT.
.... ~OWN OF SOUTHOLD
This appiica:ion mus; be filled in by :ypewri:er OR ink and subm!::ed :o :he building
inspec;or w±ch :he follo%~ng: for new build~-ng or ne~- use:
!. Final su~--~ey of proper=y w!:h accura:e loca=ion of al! buildings, propercy lines,
s=ree=s, and unusual natural or ~opographic features.
2. Final Approval from Sea!ah Dept. of ~a~er supply ~nd sewera~disposa!(S-9 fo~).
3. Approval of elecurical ~sua!la=ion fr~ Board of Fire Unde~%:ers.
S~o~ sua:amen: from pl~ber aarcify~g =ha= :he solder used ~ sys=~ conuains
less =h~ 2/10 of I% lead.
5. C~erci~ bu~d~E, ~dusur%a! build,g, ~!:ip!e residences and s~m~ lar buddings
and ~su~ia:ions, a c~r=ificate of Code Comp!i~ce from archi~c~ or eng~ear
respousibie for ~he bui!di~g.
6. S~b~u Pl~nu~g Board Approv~ of c~piaBad si:e plan requir~en~s.
For ~xisuing buildings (prior =o April 9, !957) non-conformB, ng uses, or bu~_ldings and
"pre-exisTing" land uses:
1. Accurana survey of propers-? sho%~-ng all propercy lines, screens, bu/~ding and
unusual na=ura! or :opographic fea=ures.
2. A properly comp. ia:ed app!icanion and a consenc =o inspec: si=°-ned by :he applicann.
if a Car=ifica~e of Occupancy is denied, The Building inspector shall sta~e %he
reasons Therefor in ~i~ing :o ~he app!icanu.
~. Fees
!. Cercifica:e of Occupanc},- New dwelling $25.00, ~&ddi:ions co dwelling $25.00,
.~i=araTions ~o dwelling $25.00, $~-~mm~ng pool $25.00, Accessory building $25.00,
Addinions :o accesso~ building $25.00. Bus~esses SBC.O0.
2. Cer~ifica:a of Ocaup~cy on Pre-~isu~Z ~uiidLnz - $100.00
3. Copy of Cer~!ficaum of Occupancy - $20.00
A. Updated Cer%ificana of Occupancy - $50.00
5. T~ora~ Certificate of Occupancy - Residenuia! $15.00, Co~ercial S!5.00
..... l ...........
Cons=~c:!on ........... 01~ Or Pr~i~uin~ Bui!dln~.. ~ ........... __
~e~-
House No. S~ree: . ~l eE
........... .........................
_THE '~NEW ~ORK ~BO~ 0~ FIRE ;U NDERWRTTERS~ =~ ;~72 ='
85 JOHN STREET. NEON YORK. NEW yORK 1005
~:x ~ T LIGHTS-2
E~RGENCY LIGHTS PACKS-2
~ ~h~ir cr~l~nt/als.
7LS-XS02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ~..I..LATION
[ ] FRAIVIING [ ,,,]"FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
FOUNDATION (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
.PLUMBING
e
INSULATION PER N.
STATE ENERGY
CODE
Ye
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Dote JANUARY 8 90
TO GEORGE KOKKINOS
(Owner or authorized agent of owner)
P.O. BOX 229, PECONIC, NY 11958
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
CHAP 100
Other Applicable Lows, Ordinonces-'or Regulations .................
at premises hereinafter described in.that BUILDING PBRHITS ti 16838Z & il 17103Z
(state character of violation)
RAVE EXPIRD AND A CERTIFICATE OF OCCCUPANCY HAS NOT BEEN ISSUED.
in violation of ARTICLE XXVIXX, CHAP 100-281 AND 100-284
(State section or paragraph of applicable Iow, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORD£RED to comply with the law and to remedy the
conditions above mentioned IHHEDXATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
2745 Fl:CONIC LANE, PBCONIC
................................................................................ County of Suffolk, New York.
SUFFOLK COUNTY TAX t, IAP # 1000- 74- og- 02
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both. ..
(CERT.)
ORDINANCE INSPECT'/OR~''
VINCENT R. gIECZOREK
'FORM NO. 1
TOWN OF SOUTHOLD
, BUILDING DEPARTMENT
" TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved .[.~.., 19~.~.. Permit No. J.(~.~..~..~..~.
Disapproved a/c .....................................
(Building Inspectorl
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF 'HEALTH ......
3 SETS OF:PLANS ---:--- ~
SURVEY ..........
CHECK o L~.>~,~r'/'' -
SEPTIC FORM ............. :
NOTIFY
CALL '7~ '7 -~. JJ~. ~'~ .......
MAIL TO:
TOWN OF SOUTHOLD
' 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.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly author/zed officer.
(Name and title of corporate officer) .
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY
Builder's License No ..........................
LICENSED
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ........... : ..........
1. Location of land on which proposed work will be done. ~'~-C~ O Y'~ '~ Q~
..... ..... ?. ...............
House Number Street Hamlet
County Tax Map No. 1000Section .'?..~.~. Block ....~.~..~. ......... Lot?.,.& .............
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended u~se~Tnd occupancy of proposed construction:
a. Existing use and occupancy .... S .~..O..'C~..O?. ~C~..~: .~...~ ..~..O..O..'c2r~h.. .................................
b. Intended use and occupancy .... L .O~...LA ?x...~..'c: .<2). YX--x .Q,. '.-~ ....................................
3. Nature of w~ork (check which applicable): New Building ' Addition .......... Alt~3ration 04../5. ....
Repair .............. Removal .............. Demolition .............. Other Work ...............
5~ ..~. ~ (Descriplion)
4. Estimated Cost ........... ~ .... .~.. ~,..0..~. ...... Fee ......................................
(to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature an~ extent of each type_.~of use ................ ~ .....
7. Dimensions of existing structures, ifany: Front...~[.~.,. ~.~.~.. Rear . ~,~.~.,
Height ~ ~.-..-C-..4'~.-~.73 . Number o f Stories ............
Dimensions'of same structure with alterations or additions: Front ...~..m.
Depth..~..o%..w5~. ~ ........... Height ....~..~..~->~..~,-, .......... Number of Stories ......................
Dimensions of entire new construction: Front .......... · ..... Rear ............... Depth ...............
Height ............... Number of Stories ........................................................
9. Size of lot: Front ....................... Rear ...................... Depth ......................
10. Date of Purchase . .~: .~.,.~,~,.%.lC-... I..~. ~..~. ..... Name of Former Owner .............................
11. Zone or use district in which~remises are situated ................................
12. Does proposed construction violate any zoning law, ordinance or regulation: ................................
13. Will lot be regraded ......................... ;... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises ~--. ~-~..F'.~ C_ .~ ~ ~O.~gddres~ ~...~c_..o.\~.,.c__.. ~;~ ~ .~_~. Phone No ~.. ~a ~.--.-. ~.~'-7./.~.~.~-
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor .......................... Address .... : .............. Phone No ................
15. Is this property located within 300 feet of a tidal wetland? ~Yes ..... No .....
~ *If yes, Southold Town Trustees Permit maybe required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from
property l~nes. 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,
COUNTY OF ................. S.S
................................................. being duly sworn, de'poses and saysTh~t he is the applicant
(Name of individual signing contract)
above named. '~
He is the .........................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make m~d file this
application; that all statements contained in this application are true to the best of his 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...0.'~...a'A-~...~. ....... 19
.~/., -./ r~.,
Notary Public,. :' ./~.., .~..-....~-.... (.~.~f./.~. ........ County
NOTARY PUBLIC, State of New~
No. 47078'/t? Suffolk C~nty~ ~y ~ /'''~ ..................
Te~n Expires M~rch 30, 19..~ (Signature of applicant)
L./.R.R.
,,
. N55oo$,oo,,E ~ ~
55.00' ~'o.oo'
/$0.42
CERTIFIED TO:
COfi1MONWEALTH LAND TITLE
INSURANCE COMPANY
CEORGE KOKKINOS
SURVEY OF
PROPERTY
· AT PECONIC
TOWN OF SOU THOL D
SUFFOLK COUNT Yt N. Y.
I000-- 74 -. 05 --9.2
SCALE /"= 30'
APRIL 24, 1~87
i-~ il~ qRqPJ'd~nc% with the, minimum
~r~a, fort t/tie surxey. a, established by
the L.I.A..L.$.. q~d appr, oved and adopted
f~ such use by The New York State Land
title Association.