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44866-Z
�o�S�FFOI�cOG Town of Southold 8/4/2021 a y P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42215 Date: 8/4/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 650 Moores Ln, Greenport SCTM#: 473889 Sec/Block/Lot: 33.-2-40 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/15/2020 pursuant to which Building Permit No. 44866 dated 6/15/2020 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: Accessory in-ground swimming pool fenced to code as applied for. The certificate is issued to Bliagos,Dimitrios&Kyvelos,Efniki of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44866 09/23/2020 PLUMBERS CERTIFICATION DATED 17 uthAzcii SUure TOWN OF SOUTHOLD �g�PfQtKcGy �o BUILDING DEPARTMENT co TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF-APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 44866 Date: 6/15/2020 Permission is hereby granted to: Bliagos, Dimitrios 214-22 27th Ave Bayside, NY 11360 To: construct an inground swimming pool as applied for. At premises located at: 650 Moores Ln SCTM # 473889 Sec/Block/Lot# 33.-2-40 Pursuant to application dated 5/15/2020 and approved by the Building Inspector. To expire on 12/15/2021. Fees: SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $250.00 CO- SWIMMING POOL $50.00 Total: $300.00 uilding Inspector Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building Or new use, I. Final sur"ley of preparty with accurate location of all lin property buildings, y ft,streets,and u topographiNeaLres. austfal natural or 2. Final Approval from Health Rept.Of Water supply and sewemge-ditposal(S,9 form). I Approval of electrical imtallgLtion from Board of Fire Underwriters. 4. Sworn statement f'oq'rplumber cert that the solder used M System contains It=than 2/10 of 1%lead. 5. Commercial building,jjjduS&,W, - 'buildin&multiple-r0si4AM and similar buildings and installations a certificate 6. of'Code ComprMace f'oM arehlftt or eugmer'resPOMble for the builft. Submit Planning Board Approval of e0m-leted,site PIM reqWmments. R. For existing bUIUUqW or to Apn., a6I. Accurate survey04 69pn nn..cono r g ttsesor budiup and"preew. ting"land uses: omperty lines. features. streets,bun g and unusual natural or topographic 2- A property complcW-applic 8Uen and eeL sea to Inspect ""wed-by-the denied,the Builditg hqeMr-dWR stee the , Sig- -I _plicaqt. If a CeMifieate of Occupancy is . in Vvitiog toaPF - C. Few 1. s ft-M-.ftwirtim AItmt&=to dw-dEm- -Ming V -buffilft— boas. S5V.00, budatg $5 2' a "TI" _-0:00. BUM -III,CMII�I.R ............... 3. 1: 57 p 01 C&O iff of 4. UpdatW C , — -48k 5. Tema C�-,rd&aje of 0bMIg" RON- $15.00,Com Date. 3 /1-7 AQ M 0 New Construction: Old or Building; --------- I :�� — (check one) Location of PM House k N6. Owner or Owner's of PM#Mtr 0# fQ I of 0 NR, Suffolk Cowry Tax Map No I'WO,fteon Subdivision Biock Lot 40 Permit No. Date of PermFi• led b4p. Lot: Applioam Health Dept. UU&Wdters Approval: Approval; —I— Planni -.ng Board Approval: Request for. Temporary Certificate ---------- Final Certificate: (check one) APPi t Signature Biiildin Department Application AUTHORIZATION (Whemthe Applicant is not fihe Owner) Dimitrios Bliagos residing at 650 Moores Lane North I, (Print property owner's name) (Mailing Addkess) do hereby authoriLw 0 tar -7 r- POD (Agent) P Ior , to appltotr.iny behalfto,the Southold Building Department, 03/13/2020 (Owner's Signature) (Date) Dimitrios Bliagos (Print Owner's Name ®�*pF SOUr�®l Town Hall Annex ~ ® Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � sean.deviin(cD-town.southold.ny.us BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICAL COMPLIANCE SITE LOCATION Issued To Dimitrios Bliagos Address: 650 Moores Ln city-Greenport st: NY zip: 11944 Building Permit# 44866 Section: 33 Block: 2 Lot: 40 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Generation Green License No: 4483ME SITE DETAILS Office Use Only Residential X Indoor Basement Service Commerical Outdoor X 1st Floor Pool X New X Renovation 2nd Floor Hot Tub Addition Survey X Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan Service 3 ph Hot Water GFCI Recpt 2 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors Sub Panel A/C Blower Range Recpt Ceding Fan Combo Smoke/CO Transformer UC Lights Dryer Recpt Emergency FixturesTime Clocks 1 Disconnect Switches 4'LED Exit Fixtures Pump 1 Other Equipment Intermatic Pool Panel, Salt Generator, Pump on 230GFI Breaker, Heater Notes " AS BUILT , NO VISUAL DEFECTS " Did Not See Bonding- Pool Inspector Signature: Date: September 23, 2020 S Devlin-Cert Electrical Compliance Form.xls �o��0ES0Ulyo� l�v� ��V MOOT G� V�1 # * TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O 'Poo i,, REMARKS: r ' DATE q ZEQ INSPECTOR ��� OE SOUK,°lo # # TOWN OF SOUTHOLD BUILDING DEPT. courm��'' 765-1802 -INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING- [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: `/ 0v � 7plZSCR= y9� TO Oy I?M.9,/u /S G c G vI 7' R Al 0 DATE `�' Z Zo INSPECTOR OF SOUIyOlo l # # TOWN OF SOUTHOLD BUILDING DEPT. courm ' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [_ ] SULATION/ AULKING [ ] FRAMING /STRAPPING [ FINAL ppf-_� [ ] FIREPLACE &CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS AY6o4er4v4 IA� . lk4sm6n,_ 3Ivl- * Dav g �J(106 - mss, _ D"",4 DATE l o IeAD INSPECTOR WA. qf SOUIyo — --- # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ KFI L ION/CAULKING FRAMING /STRAPPING [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL-(FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 0 5vv-4op DATE INSPECTOR �o� yO6 # TOWN OF SOUTHOLD BUILDING-DEPT. `�cou�n 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION-21SID [ ] SUL TIOWCAULKING = [ ] FRAMING/STRAPPING, [ FINAL [ ] FIREPLACE-&=CHIMNEY [ ] " FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR } FIELD INSPECTION REPORT DATE COMMENTS ad FOUNDATION(IST) -------------------------------------- FOUNDATION -----------------------------------FOUNDATION (2ND) � z ' o 6n tjoH ROUGH FRAMING& PLUMBING H 1 , _ r INSLLATION PER N.Y. y , STATE ENERGY CODE 4. FINAL .. -- - -— - _, 1 ADDITIONAL COMMENTS O m H - x C �J b H TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying9 TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Building Plans TEL:(631)765-1802 �II Planning Board approval FAX:(631)765-9502 �l Survey Southoldtownny.gov PERMIT NO. Check Septic Form NYSDEC Trustees C O Application Flood Permit Examined 20 Single&Separate Truss Identification Form - Storm-Water Assessment Form Contact: Approved 0,' CJ 2 Mail to C7-7®® I Disapproved a/c Phone Expiration 20 Building Inspector - APPLICATION FOR BUILDING PERMIT Date �.� 20,QO INSTRUCTIONS - a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways e 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 issue a Building Permit to the applicant Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months Thereafter,a new permit shall be required. 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 00&k 19Jr- (Signature of applicant orlhame,if a corporation) 9M mar ,%i Rte' P Q A�Ck (Mailing address of applicant) State whether applicant is owner,le ee,a e t,architect,engineer,general contractor,electrician,plumber or builder gdoer Name of owner of premises {T�+ (As on the t roIT or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No Plumbers License No. Electricians License No i Other Trade's License No. 1. Loc a o of]an which proposed work will be 4one. Joy Hou �tub�er Street Hamlet County Tax MaO o. 1000 Section Block�o Lot ' 40 Subdivision Filed Map No. Lot 2 State existing use and occupancy of premises and intendgd�us d°Occupancy of proposed construction: a. Existing use and occupancy I� �,L i N(� b. Intended use and occupancy 3. Nature of work(check which applicable):New Building Addition Alteration Repair Removal Demolition Other Work° --4. Estimated Cost Fee (Description) (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 Rear Depth Height Number of Stones Dimensions of same structure with alterations or additions Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction:Front Rear Depth Height Number of Stories r� 9. Size of lot:Front 15®I Rear 150 U Depth l ®I 10.Date of Purchase Name of Former Owner 11 Zone or use district in which premises are situated R&5 i Aey— 9 a 12.Does proposed construction violate any zoning law,ordinance or regulation?YES—NO 13 Will lot be re-graded?YES_NO 7/ Will excess fill be removed from premises?YES 1/'NO 14.Names of Owner of premises M S tf ddress l+0—J r Phone No.q17® ,,5-/ 1'7 0® Name of Architect Address Phone No Name of Contractor l\ a, 7L- Address q%DD_�-W d10 Phone No C'iqJ-c P o°{ Cl� 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland9*YES NO I� IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE�EQUIRED b.Is this property within 300 feet of a tidal wetland?*YES NO � IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17 If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18 Are there any covenants and restrictions with respect to this property?*YES NO V *IF YES,PROVIDE A COPY. STATE OF NEW YORK)) COUNTY OFL51a°) � -' '),J 0tars being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named,__//c (S)He is the o- cnr o /-]A X (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 and 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,t ,efore me this Y ' day of 20 TF ACEY L. DWYER STATE OF -1\!Efow -�- otary Public NO.01 DW6306900 Si atu of Applicant QUALIFIED IN SUFFOLK CO NT COMMISSION EXPIRES JUNE30,2 Scott A. Russell ,� 0S11WQ r ST01KMWAT1E1K SUPERVISOR MANAGEMENT TOWN HALL-P.O.Box 1179 z 53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold CHAPTER 236 - STORAMATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) DOES TMS' PROJECT INVOLVE ANY OF THE FOLLOWING: Yes No (CHECK ALL THAT APPLY) [:]EA. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. dB. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous area. ❑dC. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑['D. Site preparation within 100 feet of wetlands, beach, bluff or coastal erosion hazard area. E][ E. Site preparation within the one-hundred-year f loodplain as depicted on FIRM Map of any watercourse. ❑EfF. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If you answered NO to all of the questions above, STOP.! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. �: 1000 Date- Dstrict NAME. � 53 A , Section Block Lot -5q9- FOR BUILDWG DEPARTMENT USE ONLY Contact Information o�q� ** Rrkp6nr Numhel Reviewed By: JA S�6� - - - - - - - - - - - - - - - - - - Date: (,8 -20 Property Address /Location of Construction Work: — — — — — — — — — — — — — — — — — / /_L Approved for processing Building Permit. 2 �1') l�� dnrl(''f�\ Stormwater Management Control Plan Not Required. Stormwater Management Control Plan is Required. (Forward to Engineering Department for Review.) FORM SMCP-TOS MAY 2014 �-rr f V'�� • bF��_^- ' _ BUILDING D9PARTIVIENT- Electrical Inspector — cv TOWN'OF SOUTHOLD - - Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1802 - FAX (631) 765-9502 1,rogerr0_southoldtownMgov- seand(ftoutholdto.wnny.,aov,, APPL(CA MON FOR ELECTRICAL INSPECTION' 'ELECTRICIAN INFORMATION (All Information Required) Date: Company Name: _ Name: _ `�� -- -- --- - - - -- - - � - License No.: - - email: i Address: . - - - ----- - -- --- - - --- - - -- ---- -; Phone No. - � G d � - ---- Lt 2 5' JOB SITE INFORMATION (Ali Information Required) Name: - - - - --- - -- Address j� p Cross Street: PhoneNo. _- ---- -----µ- --_ b - .- -. �.-- - �.--_- - -- ---.�.. -- _--- Bldg.Permit#: - -- - - - email: Tax Ma District 1000 Section: Block: BRIEF DESCRIPTION OF WORK (Please Print Clearly) Circle All That Apply: Is job ready for inspection?: YES / NO Rough In Final Do you need a Temp Certificate?: YES / NO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size:Y__ A #Meters Old Meter#. New Service - Fire Reconnect- Flood Reconnect- Service Reconnected- Underground - Overhead Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: i - - PAYNENLDI.IE_WL_T_IiA,PPL1=tQd - Request for Inspection Form.As ��M� Zoo 5 �r s� �f � �e � � ��� ��G� ��� � � � � ��� LOT 125 LAND H/T OF / MAGDAL.ENE SKO NUOS , +L" x 41 4 � lS��iY I1 Oo r3 LOT 101 S G op2�0•+I 1.3'N Q�C \ .3i� �•. 469 V PIPE P y vf- Q LOT 102 ` ;``;:::`:?• ': ':. ,,. s � I - id 0.2 P,O cl' Q° LAND NIF OF o$E S 6900 1 KELLY FALOON "f3 LOT 103 w O O O 41 O� lcoo •z • - or�� i'©,§- Q,Dt• core c 91Z H0,14 MQYa K �� • ` f O • .e/ Rp s - SIZE, -.-/q x 2 e- &ADER PATTFRNL. - -- = -- ., • WALL PAM* FLOOR PATTERN; 0 �4RNERs:_�0 HUNG OVERLAP (tom om) 20GAUN 27 GAUGE (dr* w* ELEC'TRICALTNSFECIIONREQUIRMCOMPLY WITH ALL CODES OF It I ' NEW YORK STATE & TOWN CODES AS RE04)IRED AND CONDITIONS OF g�� VUTHOLD TOWN ZBA 9OUTHOLD TOWN PLANNING BOARD —o. SOUTHOLD TOW F +1 OR Ap pp��, d ' �s `n DATE: 1 . B.P.t: � �?� F '° ocp� r)F- QQQ�.1' r%NCY FEE:' NOTIFY BU.LDINDEPARTMENT AT G,.� 765-1802 8 AM TO j PM FCR THE 1 FOLLOWING INISPECT IONS: 1. FOUNDATION - TWO REQU!RL-ED • FOR POURED CONCRETE" y i 2. ROUGH - FRAMING & PLUMBING .7. INSULATION o't / 4. FINAL -'COi STRUCTiOE`J MUST / BE'COMPLLTE FOR CO. • ALL CONSTRUCTION SHALL MEET•THE r REQUIREMENTS OF THE CODS Or-INEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. foo c- C(- m Q7a® k-40,i0 R Ma--f-�uck .y. rrg5a -- �L (,AIS oX T.,Q o f Aig" C Fur Cja115 r7-4e II .� 7 l 0-- cry I I , ,also uer�cnl ty euer y Fj r C+ �-405v H U-H M (S 5�n rl�' topo r I-e