HomeMy WebLinkAbout17103-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CBRTIFICATS OF OCCOPARCY
No 8-24209 Date MARCH 15, 1996
THIS CERTIFIES that the building REROVATION
Location of Property 2745 PBCORIC LARR PECORIC, R.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 74 Block 5 Lot 9.2
Subdivision
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JOBS 2, 1988 pursuant to which
Building Permit No. 17103-8 dated JST NE 13, 1988
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate ie
issued ie REROVATB IRTERIOR & CHARGB WIRDOWS & E%TSItIOR FIHISH TO
E%ISTIRG STORB AS APPLIED FOR.
The certificate is issued to GHORGE RORKIROS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R/A
CERTIFICATE NO. R-379043 - RARCH 4, 1996
PLUMBERS CERTIFICATION DATED R/A
ui inq nepector
Rev. 1/81
maae< 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 u 01710 3 Z Date ..... ~...,~ .,~,.....1...~
Permission is hereby granted to:
. ~00~.1'Z°~ .............................................
~7s-cler,~ ~.. ~ • I S
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...... .....r,~r....... ..... ~~.II. .,..., ......................................
.......
.. ~ r....~...
"Q"om •• .. ................................
at premises located ot ....~.~.~5.....~,~.~.fl,R~~Sc..r ... .... .........~.:~.4~~.~-.................
...........................................................
...........................................................
County Tax Map No. 1000 Section ......................................
......................................
......~.~~........ Block .. ...................................
...................................
....09........ Lot No. ............................
............................
....~~-'..........
pursuant to application doted ....... ..~.A.R!Ct.R,. .'L .......... ........... 19~.~.., and approved by the
Building Inspector.
Fee 5...~.l~.:..
Builds Inspector
Rev. 6/30/80
TDFm ~ sotTzo~ ~..~~ ,~.
Tow~~ __~
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, C5-LJ~:_ 1996
r tt+
??°~1CaTTON 5GR C=R'_'__ _C~__ On OCCtia?tiC" E
_~ r~,I_J',l. DEPT.
~f11/~~lY of \L~ 4~~ ~ r.''
-••- . , typewr-_ter OP. laic anc subm_- the bu__c__._
=. T'~~s env'__cetian must be ta.=_e -= op _t__ .,, ~~
asnector with tae oiiowiag: `or new 'ouiid-? ~. aew use:
i. -final survey o. property :_ta accurat=_ location o*" a'_l 'ou_ld'_ngs, property lines,
streets, aad unusual natural ar topegraphic =_ Cures.
2. _inal apnrocal .rom wealth Dept. o` water supply and sewerage-disposal ;S-S =orm).
.. approval o~ electrical Lstallation :ram Board of ._r_ unclerw-iters.
~. Sworn statement :rom plumber certi=ying that tae solder used '-: syst?m contains
less than 2/i0 oP i lead.
5. Commercial auileing, industr al 'DUildiag, multiple residences anc similar 'ouildings
and installations, a c__tc=lcate of Code CDmn Lance =rom arcaitect or eng=veer
responsible for tae building.
6. Subma ?fanning Board approval o' completed site play requirements.
~. For existing buildings ,prior to 3pr,-1 °, j0~7) won-con_'o~:~.ing uses, or ~uadines and
"pre-e_vistino" lane uses:
_. Accurate survey o: property snow .g all ,roperty _iaes, streets, bu-_ ding aad
unusual natural or topographic features.
_. P_ properly completed appLcation and a c.,nser_t to -sped sinned by the apn'_i cant.
1` a Certi?icate o` Occupancy is denied, tae Build_ng =aspector shall state tae
r_asons Caereror _.. w_--tng t., tae apnLcant.
~. -ees
_. Cert-tf.cate o* Oc;,nrancv - tiew dwea__g 525.OC, additions t„ dwell'_ng 525.00,
3lterat_ons to flwel_;ag 535.00, Sw~ ng pocl 525.00, accessory 'DUi'_d_ g 525.00,
additions to accessory building 525-00. Sus izesses 55C.OC.
_. Cerc'_=ic_te o: Occupancy on ?re-esistia~ 3uilciae - 510G.O0
,. Copy o= Cer_i=irate o= Occupancy - 520.00
-. Updated Cert'_"_cate o_ Occupancy - SSC.00
5. Temporary Cert• acate of Occupancy - 3e=_icential 5'_5.00, Commercial S_5.00
Date ....V.X-.o.~~~~.II~1.....:~'......I.q.q..6.....--
:vew Construction.-......... Old Or ?re-existing 3uile_ag.......y.~ ~....
location of 9roperty..Z~ ~-S......~:'~.CA.\/ll (, .........~i..I[r .. ~. ~;~CA ULI. ~ • - - ....I .LC/.,r~
fiouse NO. r Street Ham.!e*_
Onwer or Owners of ?raperty.....~7:'C-.0 ~: .?o-~....... ~~5~ ~I~L . N..0.~ ....................... .
3ount Tax Sap No 1000, Sec-ion...-~-~ ....Blocic.....~.........lot-... Z ..............
~I:DC='F'_-S}02I.:..... .11... _.. ..... .-_.._..:. .._---_ ~J_ (~u(,',_ .-r. :'-:L.'7t-::-_..._ ,~/
~e~it ~o...~/. ~.7..L ~. ~r' e 0' ?e~'_t.. -b~ -~- ~/• ..lf Y. ?pplicaat..~s4..~7Y'.~}'f? . ~C .Q K.~~ ~• 1 y. b ,~
---a-=.. Dept. _pprova_ ..........................linde=w:_t_rs 9npravai......u..................
r__a.^____2 3ozrd _~nroca: ........................
3e7 L`25t CO^_: _°_..I'DCrar'o Cert _f-C'te.......,... __:c_ Gcrta at°_.... 1 V~
cY°
C'~ u •569 Iw ~ ff ~~~- ....... .
~ d1 ~,s. IGo X-1~-1 11 r] .......... .
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THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1001071 BUREAU OF ELECTRICITY
8S JOHN STREET, NEW YORK, NEW YORK 10038
Bete MARCH 04,1996 Application No. on file 11119296/96 N 379043
THIS CERTIFIES THAT
only the electrka/ puipment a dsecrihed hebts and Introduced hY the applicant nomad on the ohoee applicotian numher in the premises of
GEORGE KOKKINOS, 2745 PECONIC LANE, PECONIC, N.Y.
in thefollominK locotion; ^ Basement ® 7Rt Ff. ^ Ynd Fl. .Sertiun Block Lot
cars examined un FEBRUARY 08 ,1996 and found to be in compliance with the National Qectrical Code.
ACUiS fWITCNK RXTURES RANGES COOKING D[{KS OVENS DISH WASNlRS EXHAUST FANS
aj~
S I NCANDt$CENT FlUp1ERCENT OTHER AMT. K.W. AMT. K. w. AMi. K.W. AMT. K.W. AMT. N.P.
DRYERS FURNACE MOTORS gITUK AFPUANC! IElDlK SPECIAL REC'FT TIME CLOCKS BEII UNIT NEATEK tAUlil-OUTIET DIMMERS
AMT. K. W. pl N. P. GAS N. P. AMT. NO. A. W. G. AMi. AMP. NAT. AMPS. TRANS. AMT. N. P. SYSTEMS
NO.OF REi AMT. WATTS
SERVIC! DISCONNECT NO.OF S E R V I C E
AMT. AMP, i WE ~ 1 X TW 1 .e SW J tl SW S / AW ~.Of CC. COND. A. W. G. NO. OF NI-lFG A. M'' G. NO. Of NEUTRALS A. W. G.
NR! OF CC.COND. t% NI-LEG Of NEUTMAI
OTHER AMARATUS:
EXIT LIGHTS-2
EMERGENCY LIGHTS PACKS-2
~~
G & S CONTRACTOR LIC.#578-E
BOX 215 ANN
SOUTHOLD, NY, 11971 OBE~AI MANAOM
11
Per
This ceMificaN must not ba ahered in any monLler; roturn to the office of the Board if incorrect. Inspectors may be identified -by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
/ 7/03
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ]FIREPLACE & CHIMNEY
REMARKS:
[ ]ROUGH PLBG.
[ ] 1 ULATION
[ ]FINAL
DATE ~~~~ ~~ INSPECTOR-~
FIELD INSPECTION ID ATE COMMENTS
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ADDITIONAL COMMENTS: ~
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FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined ..~~Q. >'..3., i9$.~
Approved ...y.~1-t!-p4•.. t' .~., 19~ ~ Permit No..~.? ~ d 3.2Z. '.
Disapproved a/c .................................... .
..................~..~. .:v c. ..~~..
D ~I (Building Inspector)
n~inuu ur nr;ni, rn
3 SL'fS OF PLANS -1.
SURVEY
CHECK -~-•••-•-
S G P'f 1 C I~' 0 IZ M ............. .
NOTIFY / ~1
CALL .1.Ia$ :.q p~.I.4 .... .
MAIL T0:
I . i APPLICATION FOR BUILDING PERP/IIT
~.
.~ 2 l96~
Date ................... 19 .. .
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-
dation.
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 wl~etlier applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................................................................................
Name of owner of premises ...<`~:~e~ry2, .~CII~, ~O.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. .. t G.C Jr ................ .
Plumber's License No . ....................... .
Electrician's License No . ..................... .
Other Trade's License No . .................... .
...........................................
1. Location of land on which proposed work will be don~Y'' . l ~~ n ~ C ~~~ e
.~ . C
.................7G~:6!~. c .................................................................. .
House Number Street Hamlet
County Tax Map No. 1000 Section . ~y - .. Block ..... ~ ........... Lot .. ~ .............. .
Subdivision ..................................... Filed Map No. .............. Lot .............. .
(Name)
2. State existing use and occupancy of pre-mi~se~s and inlte~n'ded use and oc~c~upancy of proposed construction:
a. Existing use and occupancy .......-~~~~ ...I. ~.°.~(,. rn~/S` /~/ ...~!IG (~, ../~`~:S I .............. .
b. Intended use and occupancy ......~~.~a.... t--Q ~.4t'.... ~~!~?'. t... ;5!~!r? ~' ................. .
3. Nature of .4 ork (check which applicable): New Buildin
Repair .... ..... Removal g ' ' ' • • • • • • • Addition .......... Alteration ...... .
GJ ~'~/S L~,Y 4 ~C.v /q~z~~w. ~rp,raer' t. a.: 'T s;J.n~Cpem Olin ~iletr. Se:.l ... ~ .~, ~5 ~~'~ ~ / t~
eur~~c Ct~e w- •~. ~.. .8~,-u+ /7 / `/ sOthe~-Mork .7.~'•z?, .tip`,
% 4.net~ p,~'t?~,v 1` V IJO~ n--Tl~ ..+Teue. 7 .fC 4?k' ~I'~Yi 5~ d~ n
4. Estimated Cost . ~' +~•~ k~+o '~~x~•.~.> 5(Descnp1i n)
. 0.-d. t? ........................... .
.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 and extent of each type of use ......... .
7. Dimensions of existing structures, if any: Front ....... ' ' ' '
Height r,? . ~!`c~-iy.' .... ........ Rear .............. Depth .............. .
.. Number of Stories ................. .
.......................
Dimensions of same structure with alterations or additions: Front
..s5.,3!~? ti' ........ Rear . S.7:m.~.°......... .
Depth ....5'!>.'/?1.~ ..... •gh
............
• ...... Hei t ...... ....Number of Stories ..................... .
Dimensions of entire new construction: Front ............... Rear ...............Depth .............. .
Height ...............Number of Stories ............ .
9. Size of lot: Front '•"•"""'•• ••••••••••••••••.......
!]0. Date of Purchase .....:.i . ............ Rear...................... Depth ...................
.... .
y~y••••••••••••....NameofFormerOwner ~•~
1 1. Zone or use district in which premises are situated ...................... _ • ~ ~ ~ ~ •
112. Does proposed construction violate any zoning law, ordinance or regulation: ~ -
~13. Will lot be regraded '•••••••••••••••••••••••.......
..................
' ' • • • • • • 1Vi11 exc s fill be removed from premises: Yes No
14. Name of Owner of premises[,~~e..~'f.~,.<'~•I~o.S.. , ,Address .~[7~c~~~e ,~~r~ • • , ,phone No. ~~S•~/?-S', , .
{ Name of Architect
...........................Address......
Name of Contractor ........ • • • • • • • Phone No.
...............
.......Address ....:........ .
........... .....Phone No . ...............
15. Is this property located within 300 feet of a tidal wetland? *Yes .....
*If yes, Southold Town Trustees Permit ma be required. No .....
PLO DIAGRAM
Locate clearly and distinctly all buildings, whether existin or
property lines. Give street and block number or description acco dingto deedaand showlstreet namesand andicate whether
interior or corner lot.
~~ ~ ~,~ L fNT1~1O 6~ o~ stogy-~ w1µ
wow ~ ~.-E P ~~~~
o ~- S jC LG r o 41- S M SILL ~- w I -'-1~
~ ~ D 1 iv ~ G~ ~ cis ~ "~ t+ "T 1 1
v(~LL C7L~~ ~N~
6~ B~r~~l~ RN) (~uT7-pti
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^T.Aa'E OF,~1EW YORK.,
Oli Y OF`..'.ti, tom':;........ S.S
~ ~ ~~~-
• • • • • • ' ' • ' ' • • • ' ' ' ' ' ' ' ' ' ' ' • • • • • • • • • • • • • • • • • • • • • . • . being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
Ie 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 are true to the best of his knowledge and belief; and that the
vork will be performed in the manner set forth in the application fi]ed therewith.
worn to before me this
.......... oR3 .........day of ... ~~-~ '
lotary Public, .':.c~*:~-`•-~~ ~ .. /t/,Q-.IJj~.-.... County
HELEN K DE VOE
Nf1TlIRY PUBLIC, State of New York , • • • • . • ~-P"~'t~f~u~----
No. 4767878, SuSfofk County • • • • • • • • • • • • • • • • ........... .
Term EzPires March 30,1 (Signature of applicant)
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.SOUTHOL D, N.Y. / /97/
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