HomeMy WebLinkAbout11681-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N,Y,
Certificate Of Occupancy
No..Z.~..~ .5.7.9. ......... Date ....... .H.a,r..c,h, .3.! ................ 19 .8.3.
THIS CERTIFIES that the building ................................................
Location of Property 54200 County Road 48 Southold
House No. Street Ham/et
County Tax Map No. 1000 Section , . .0.5.2 ...... Block .. 9.2 ........... Lot .... 0.0.2. ..........
Subdivision .... .X. ......................... Filed Map No...X ...... Lot No. X
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.... A. p ?.~, 1...6 ......... , 198..2. pursuant to which Building Permit No...1. q..6 .8.1.. Z, ...........
dated ..... .H.aZ .2. ? ................ 19.8..2, 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 .........
.... 9. r..a.m.t).¥. ........................................
The certificate is issued to GEORGE & ZDRANKE TSOUKATOS
(owner, le~ee-o~
of the aforesaid building.
Suffolk County Department of Health Approval . ! .2.--.8. O. 7.3.0. ,...3./.2.4../.8.3.,.... ·...............R o b ~;. /1. g ~- 1 la, P. E.
UNDERWRITERS CERTIFICATE NO ......... .1.1fl..5.9.7. }7.9. ...............................
Building Inspector
Rev. 1/81
OW ~
~T NO ~OU~mo~
BUILDING DEPARTMI N TOWN H~Li,
SOUTHOLD, N,. Y.
: r ~ BUILDING P'E~iT~
(THIS PERMIT MUST BE ~EPT ON THE P~E~IS~S
COMPLETION OF THE WOR~ AUTHOR ZED)
S? z
Per~nissiod i's hereby granted to:
at pi'emise~ located at ,.~ .........................
County TaX Map No. 1000 Section .... ~. glock .!~ .i: ....... t No .
pursi~ant to apphcahon dated ... ; .................. :......~...., 1 and 'approved by the
Building 19specter. . ~ :;; ~ r ~
100077:{. THE NEW YORK BOARD OF FIRE UNDERWRITERS
[~ BUREAU OF ELECTRICITY
~-~ 85 JOHN STREET, NEW YORK, NEW YORK '100;~8
THIS CERTIFIES THAT
only the electrical equipo~ent as described b~l~ ~nd i~tro~ed ~y t~ applicant ~tned on the able application number in the premises of
~or~ Tso~tos, S/S Rte, h8 (~r~ ~) ~ ~ ~, ~u~old, N,~,
~ ~x~,n~.ed o. }~ 24, t98~ and found to be in compliance tvtta the requirements of tbls Board.
FIXTURE
OUTLETS SWITCHES
45 27
DRYERS
FIXTURES RANGES =OOEING DECKS OVENS DISH WASHERS EXHAUST FANS
rNCANDE$CENT F LUOR,~SCENT
45
OTHER APPARATUS:
S E R
NO 0 COND OF CC CONO.
500
I ; C
NO OF HI-LEG
gl~ctric Room fk~ers;4~2.0 Ii.W,, 17-1o5 K.W., 1-1.25 K.W., 4-1o0 K.W., 1-.75 K.W.
3--~ ~tec~rs
2-4.5 K.W. ~t Water ~ter.
l{uland Electric Co.
P. O, ~ox 143
Mattituck, N.Y., 11952
This certificate must not be qltered in any manner; return to the office of the Board if incorrect. Inspectors may~4~e by their credentials.
MANNER.
FIELD INSPECTION ~ ~ COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING
INSULATION PER N, Y.
STATE ENERGY
QODE
\
FINAL
ADDITIONAL COMMENTS:
May 5, 1982
Mr. & Mrs. George Tsoukatos
18-15 215th Street
Bayside, New York 11360
RE: TSOUEATOS RESIDENCE
D ear Mr. & Mrs. Tsoukatos,
The following is a list of square footages on the ~eferenced
project:
Lower Level S.F.
1080 S.F.
Upper Level S.F.
24&0 S.F.
Lower Level Glass S.F.
108 S.F.
Upper Level Glass $.F.
55~ s.~.
- lO
- ~.6 %
TgTAL
5520 S.F.
TOTAL GLASS S.F.
66O S.F.
- 18.75%
GW/bs
Tel. 7S4-6782--Residence Office--734.6693
CHESTER ORLOWSKI
CONTRACTOR & BUILDER
CUTCHOG~yE, NEW YORI~ 119~§ ,
~ulatory Af£atr~
Bldg. 40, SL~Y - Roc~ 219
Stony Brook, Ne~ York 11794
(516) 751-7900
.q0~' F. FLACKE
C~dssioner
Dear
AS a result of your irl~ ~ry co~g the above referenced .Parcel, th/s
Department has conducted an on-s&ee inspection. We Dave found the parcel or
Therefore, pursuant to Part 661, Official C~ilati~ of Codes, Rules
and Regulations of the State of N~v York~ Section 661.4(b), no peri, it undmr
Article 25 (T/da1 f~etlands) of the En~tal Conserv~tic~ Law is re~,{~e~ ~
Very truly yours,
P~gional Permit m~stra~r
FOEM NO. $
TOWN OF SOUTHOLD
, Building Department
Town Clerks Office
5outhold, N. Y. 11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building
Inspector with the following; for new buildings or new use:
1. Final survey of property with accurate location of oil buildings, property lines, streets, and
unusual natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposol--(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
installations, 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:
I. Accurate survey.of property 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
formation required to prepare a certificate.
C. Fees: 1. Certiticote of occupancy $5.00
2. Certificate of occupancy on pre-existing dwelling or land use $5.00
3. Copy of certificate of occupancy $1.00
Date .~... ,C~,, · .'...'.-~.....~.Z ..~... ~ ............
New Building ......---~ ...... Addition ................ Old or Pre-existing Building ................ Vacant Land ..............
Location Of Property .~...~.....~..~../~....c~,/X~....~.....~.~,,,,~,,,?,, .............................................
~ner Or.~qers. Of Prope,y ..~.~.~~S-~.~ ..................................
Da ,. ............
Underwriters Approval .............................................. ~ -- Planning B~rd Approvol ~,.'.~,~ ............................
Request For Tempora~ Ce~ificate ...... ~.,.~ ............................. Fin~ Certificate .~.,~ ............................
Fee Submitted $ ..~,a.~ .....................
Construction on above described building and p~mit meets_all,inapplicable, codes and regulations,
Applicant ..... ~.~ ...................................................
Sworn to before me this (~ ~0. ~;~
................ day of ............................................ (stamp or seal)
Nota Pub,,c .................................... ( 9//
®,
Date .................. 7
Mr.
Commissioner of Public Works
Suffolk County
Yaphank Ave., Yaphank, N. Y.
Dear Sir:
In accordance with Section 239K of the General Municipal Law of the
consolidated La,ws of the State of New York, this is to notify the Commis-
sioner of Public Works of the County of Suffolk that
..
has applied to the Town of Southold for a permit to construct o building
as shown on the attached plot plan, submitted in triplicate, dated .................
............................................ and titled ............................................................
We shall withhold further action on this application for ten days or as
otherwise Erovided in the aforementioned Sectioo 239~Kx ^ ,
!pproved to the Town of ~outhold pursuant to Section zd~-~ of the General Municipal
~aw subject to stated conditions: Very truly yours,
10/20/82 - Approved - with no
access permitted to County Rd. 48.
County Permit required.
S. C. Dept. of Pub.lie Works
A. Barton Cass, Comm~ssloner
By:
Building Inspector
Town of $outhold, N. Y.
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
Examined
.. ..,.~.., 19Q__
Application No../.,~.6'~..~..,.,f ........
, (Buildir~g Inspector) ~
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date . 19~..2-
a. This application most be completely filled in 'by typewriter or in ink and submitted in triplicate to the Buildi
Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according tc schedule.
b. Plot plan showing location of lot and of boildings on premises, relationship to adjoining premises or public stre~
or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part of this apr
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this applicatiori, the Building Inspector will issue a Building Permit to the applicant. Such pern
shall be kept ou 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 Occupan
shall have been granted by the Building Inspector.
APPLICATION IS ItEREBY IVlADE to the Building Department for the issuance of a Building Permit pursuant to t
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
Tb.e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and
admit authorized inspectors on premises and in buildings for necessal..~in orions..~, ...........
(Sig~tureAf applicant, or name, if a corporation)
..... .........
' (Maili.h= address of applicant)
State whether applicant is oxvner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build,
Nmne of owner of premises .4<. ......................................
(as on the tax roil or latest deed)
If applicant is a corporation, siguature of duly attthorized officer.
(Nalne and title of corporate officer)
Builder's License No ....~..~.. ff ...............
, 53 P
Plumber s Licens~ No ......................
Other Trade's License No ...................... '~' '~-'
1. Location ofland on whicll proposed work will be done. ~.~ . . .~ ....
.............. ............. : ...............
House Number Street Hamlet
County Tax Map No. 1000 Section ~ ~ ~ Block .~. Lot . .~
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 . . .~ ...........
i. Dimensions of ent}re new construction:
Height .... .'~. (P ........Nmfiber of
L Size ot,"lot: Front . . .[.3.~.~. I
I.
1.
roperty hnes. Give street and block number
terior or corner lot.
Nature of work (check which applicable ~ ........................
: New Building ... Addition Alteration .
Repair .............. Removal ........ Demolition ......... Other Work ...............
~ (Description)
Estimated Cost .... /..'-rq~..O..~. ~ ............... Fee ...................... ,- ........
; (to be paid on filing this application)
It' dwelling, number of dweIling, u ~ ts ................ Number of dwelling units on each floor..
If garage number of c:*rs
Ir business, commercial or mixed occupancy, specify h~ture and extent of each type of use ...................
Dimensions ofexistingstrnctur s it'any Front ............... Rear .............. D .........
lleight~ '-' Nu ~iber of S :eries
Dimensions of same structure with alterr tions or additions: Front '" Rear
Depth ....... ."v ........... :.. Heigl .... : .: .~.. ~ ........... Number of Sto[jes . = ........ t..,?. .....
:eries .... Jl. ....... ~ .........................................
Does proposed construction violate any: oning law, ordinance or regulation: . ~ :.. ~ ......................
W Il et be regraded .ki~...,,.: ......... W 1! excess fill_be renkove, d_from premises: Yes Y-. No
Name of O,.ner of pre m~ses .~--3~t4..."J' ~ Address . ~'~.~, h, ,~.. Phone No.2/...6 $.l..3V20
PLOT DIAGRAM
whether existing or proposed, and. indicate all set-back dimensions from
Locate clearly and distinctly alli buildin
r description according to deed, and show street names and indicate whether
rATF OF
ouNT¥ s.s
'" ........... * l~" ' ' ' ''' ' ' ' ' ' . ~'c'o~'t?'c'ti .......... being duly sworn, deposes and says that he is tile applicant
~ (Name of indMdual sign
)eve named.
e is the
.o ~tractor, agent, corporate oft,icer, etc.)
f said owner or owners, and is dul~ autho~
~plication; that all statements contained in
· ork will be performed in the manner, set f
worn to before me this,,
........................ day of {
ota~ Publi
, JUDITH T. TERRY
~ ~ Nota~ Publl~ ~ate b~ ~N~ Yo~[,~
' NO. 52,034496~ SuffOlk
[ ~mm ss on Ex~if~ March 30,
:ed to perform or have performed tl{e said work and to make and file this
tis application are true to thc best of his knowledge and belier,; and that the
hi the application filed ti:erewith.
.., 19 Fc:>9._~
... (Signatnre of applicant)
i
Z
/
/
': /
t '°c:>O -'/
A
/-
/
1. ALL CONCRETE TO BE. CONTROLLED STONE CONCRETE HAVIN~
A MIN%MUM COMPRESSIVE STRENGTH OF 2SOB POUNDS PER
SQUARE INCH AT 28 DAYS. ·
2. BOTTO~ OF ALL FOOTINGS SHALL BEAR ON UNDISTURBED SOIL
HAVENG A M~NIMUM BEARING CAPACITY OF TWO [2) TONS PER
SQUARE FO0~,
3. PROVIOE WATERPROOFING AT EXTERIOR FOUNDATION
HALLS.
NOTE OR DETAIL bR LACK THEREOF SHALL BE
NO CONSTRUED
AS RELIEV2NG THE CONTRACTOR FROM EXECUTION OF ALL
WORK ?N ACCORDANCE WITH ALL STATE AND/OR LOCAL COl)ES.
S. FRAMING LUMBER SHALL BE STRESS RATED DOUGLAS F~R OR
SOUTHERN PINE STRESS RATED 1200 POUNDS PER SQUARE
INCH MIN'IMUM FOR BENDING (lb) FOR SINGLE MEMBER USE,
AND 90 POUNDS PER SQUARE I~CH MINIMUM FOR SHEAR [Fy),
AND HAVINU A MODULUS OF ELASTICITY OF 1,S00,000
UNLESS NO'ED OTHERWISE. VALUES ARE FOR SURFACED DRY ·
LUMBER ONLY USED AT 19% MOISTURE CONTENT,
~6. HEADERS AND TRIMMERff~TO BE DOUBLED WHERE REQUIRED,
DOUBLE ALL FLOOR JOISTS UNDER PARTITIONS PARADLEL TO
FLOOR JOISTS AND OVeR 6'-0" LONG.
?. ALL ~LUMBING WORK TO BE IN STRICT ACCORDANCE WITE
~LOCAL TOWN ORDINANCES.
, 8, AL~ ELECTR-IC~L WORK TO BE UNDERWRITER APPROVED.
CURBS, CURB CUTS A~D PAV%NG MUST CONFORM WITH APL
~REGULATtONS AND REQUIREMENTS OF THE DEPARTMENT OF
PUBL%C WORKS.
OWNERSHIp OP DOCU~NTB
THESE DR'AWING~ AN~ SPBCtFICATI'0NS ARE INSTRUMENTS OF
SERV~EE' AND SHA:LL REMAIN THE PROPERTY OF THE ARC' ITECT
~HETHER TH~ PROOECT FOR WHICH THEY ARE MADE IS E~E]
OR NOT, THEY ARB NO? T,O BE USED ON ANY OTHER PROJECT
EXCEPT BY' ~R%TTBN AUTHORIZATION OF THE ARCHITECT.
iICCOPANCY [IR
USE IS UNLAWFUL
tOLiT CERtiFICATE
OCCUPANCY
765-TB02 9 AMTO 4 PM r-OR
FOLLOWING [NSPECTrOHS:
FOUNOAT~O~
~OR POURM;' CONCR~
ROUGH -
INSU~TION
FfNAL - C~R~I~
BE COM~E'~ F~ C, O,
t
.. I.~ ~ou~~ o.~ SUrelOCK, ~EaCm~ O~ ~ ~E~a ~.S
BE MTN~IM'O~ ~A.~UES ~OR USE ~ :TH~:~ PROffECT:
",4'0~4~,0~ T,HE' ~[,~ STATE ENERGY ~ER, VAT~ON, CODE,
SeZ~0N ~- - S07~L'0~
' R,&> ,06
II
.carpOrt
~arport
It,
II
~LII-
11
t II
II
bedroom
bedroom
I' II
II
I I
deck
I? I.o II
dinette
II
living
II
J
II
I
L r~
''I
Iil []
living
-I
car
I
I
I
I
I
carport
' tchen
foyer. "',,
carport
II