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Home My WebLink About12225-zFORM NO. 4 TOWN OF SOUTHOLD BU I LDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z12417 Date April 9 198..4 Tills CERTIFIES that the building :-.-new d. wglling Location of Property ....S./.s. ~..d.e..Q~. j:.q~ql..t.q ,l~.,s.t...E.n.d..i..n..P.a.r..k. Ar.~.a., ?~i..s.h.e.r..s...Island House No. Street Hamlet County Tax Map No. ] 000 Sect[on .. 0 Q.~ ....... Block ... 0 .6 .......... ~ot ....0.0.5... 3. ........ Minor Subdivision... GelJ. la...(.D.a.y.i.d..A. :..) ....... Fited-MaV No.. ~ } ~ .... Lot No .... ~ ......... confortns substantially to the Apphcation for Building Permit heretofore f'ded in this office dated ·.. J/:..ebr~.ary. 2.2 .... ,198.3. pursuant to which Building Permit No... 3-.2.2 ;~ 5..Z. .......... -dated ...... A. p.r.i. 1.. ~ .............. 19.8.3., 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 ......... ..... a. p~:.iV~.t.e. ............................................... The certificate is issued to ..... aASIk .I~,..VA$IL;rQU. k .J.% .N.E..T.U.C.K.E.R.. ¥.A.S.!L...I9.U' ..... (owner, of the aforesaid building. Suffolk County Department of Health Approval 13-S.O-33 UNDERWRITERS CERTIFICATE NO ....................................... N 63761.4. ........ Rev. 1/81 Bu'ld' ~ mg Inspector FORM NO. 6 TOWN OF SOUTHOED Building Departmen~ Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage,disposal-(S-9 form or equal). 3. Approval of electrical installation from Board o~ Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple ReSidences and similar buildings and installa- tions, a certificate of Code compliance from the Amhitect br Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survev of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date...~./~..~.~..~. ........... New Building ...~...~--~-~OId or Preexisting Building ............ Vacant Land ............. Location of Property ..................... ~ ............ ~ 6.~ ............................ House No, ,~ ~ ~.~ ~ /~ , Street Hamlet or ............. County Tax Map No. 1000 Section ..... Block .. ~ Lot. ~" ~ Health Dept. Approval. 33 .... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... FiflaJ Certificate ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant... ~.-,~,~~... ~,~., ............... ,.,.,o.,o.,a FI~D INSPECTION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL /' ADDITIONAL COMMENTS: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date .............. ./~../~.~.~.....~.~.., 19 .~..~. File No ................................ To ../..,/.~ CW.. ~'.~..L~..... ¢.~ ..... ~. . .h(~ ~. .~ . .W~ ~. . . g~ ~.~ ~ ou PLEASE TAKE NOTICE t~at your application dated ............... ~.. ~.~, 19 for pe~it to construct... ~.~-~ .I.i~/..~.:: ......................................... at Location of Property ... House No. Street z Hamlet co..ty ~ ~a~ ~o. ~000 S~tio~ ...... ~ ...... ~o~. ..... ~. ...... ~ot . ~ ........ ~ O~ ~,~x~, ~ .... ~.~ ¢.~ ~...~ ~,~ ~o .... Z.~ ........ ~ot ~o.. ~ .............. is returned ~erewith and disapproved on the follow~g counts . 3..~.~.. ~.~ g~ ~. ~.~ ..... ..... ........ ~ Building Inspector RV 1/80 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 December 9, 1983 A. John Gada General Contracting Inc. Drawer B Fishers Island, NY 06390 Gentlemen: Referring to the Vasiliou's building permit, 12225Z: a three-story building is not permitted by Zoning and a dwelling of type 5 (wood) construction is not permitted according to the State Construction Code applicable to one and two family dwellings. This permit was issued for a storage space, unfinished, ceiling 7'6" on the third level, as a non-habitable space. "Unfinished" means no finished floor and not covering the framing and/or insulation. A Certificate of Occupancy can not be issued if this storage room is finished. It is a violation of Zoning to occupy or use a building without a Certificate of Occupancy. To finish the third level and/or use as a habitable area will require a zoning variance and an ~ppeal to the "Board of Review" of the State Construct£on Code. I am enclosing the form and instructions regarding application for the "Board of Review". Sincerely yours, George H. Fisher Sr. Building Inspector GHF:ec Enclosures THE NEW YORK BOARD OF Fllt UNDERWRITERS BUREAU OF ELECTRI~CI I'Y~ 85 JOHN STREET, NEW YORK NE¥1~ Y~RK 10038~ only the elec{ri~a~ equ~ment ~ ~s~rlb~d below ~d intr~d~ ~ t~e qppli~t n~ o~ t~$ abov~ application number in the premises of Section Block Lot was examined on M~I i~ , i~ and found to b~ in comPlianCe with the requirements of this Board. ~OOg~NG D~CKS OVENS DISH WASHERS EXHAUST FANS EIXTURE [ECE~TACLES SWITCHES OUTLETS NCANDfSCENT FLUORESCENT ~E~CURYvA~R AMT K W. ~ AM~ K.W A~. K W. ~T K W ~T H P 60 4~ ~0 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT. TI~EC~K~ BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT ND. OF S ~ E ~ R'' '; ~ - I ~ C' E OTHER APPARATUS: ~ Dmw~. B ~ t ~/%C/ This certificate mgst not ~e altered in any manner; return to the office of 4he Board ~f i~co~e~t, Inspecto~ ma be identified b elf credent,als MANNER. Marcel Breuer A~sactates .i, Archim, ts and Plmmers ~'7 E 2dth St. NYC ~oow FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ........... c.( .~.., 19..~ ~ Approved ............. e./.f., 19 .~.'~ermit No....]..~..~,..~..~ Disapproved a/c ..... 'q~'~c~&' ' ' ' 2_22Z ..................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .... /.~ ~.,~l. b ..... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 i~sue 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 buildings for necessary inSPections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applic~.~t is owner, lessDagent, architect, engineer, general contractor, electrician, plumber or builder. ............... $3. ................................... iAs" Name of owner of premises ....... '. . , , act (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (N~'me and title of corporate officer) Builder's License No .... /.~.-..~.7..~..(o. ........... Plumber's License No. 4~ 2 ~ ~ ' Electrician's License No..~ ?.~..~...Lf ........... Other Traae's License No..~. ~/. 7 ..~..~. .......... 1. Location of land on which proposed_work will be done ................................. .... ..................... ....... 7: ......... ........................... House Number Street ' ~ Hamlet county Ta~ Map No. 1000 Section .......... r. ~ .... __ ' Subdivision ..................................... ~, ~.~ ..... ?... .... Lot ......... (Name) 2. State existing use and occupancy of premises and intended use and occUPancy . propose~d constructmn: a. Existing.use and occupancy ............................ b. Intended use and occupancy ......... .5'/..~ .~.g..q .~E.. ~..:.. 3. Nature 0fwork (check which applicable): New Building ., '.~. ...... Addition .......... Alteration .......... Other Work i Repair .............. Remoyal .............. Demolition ............................ ~ i ~7~ (Description) 4. Estimated Cost . ~:,D~q"O, .0-t~Q.., Fee .................................... i (to be paid on, f.ili,ng this application) I~ aE 11} ....... r ............ 5. e ng,,.number of dwelling Knits ............... Number of dwelling units on each floo .... If garage number of cars ..... ~ .......... :-.,..,.: ....... , ................... · ...................... 6. If business, commercial or mlxed~ occupancy, specify-nature and'extent of each type of use ..................... 7, Dimensions of existing structure% if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... Heigh~ ............ ~. ...... ~:.. Number of Stories ...................... 8. Dimensions of antire new construction: F~ro~fi: .$~&.,.r,d~4~¢~ear ............... Depth ......... Number ot~gtbr}es ' ' 9. Size of lot: Front ....... - ............... Rear ...................... Depth ...................... 10. Date of Purchase ..... /.~.~. ,.o~-. ............. Name of Former Owner ..................... 11. Zone or use district in which premises are situated .......................... /(fa~ ........................ 12. Does proposed construction vigl~te any zoning law, ordinance or regulation: ................................ 13. Will lot be re~raded ._/t~/°.i ............... Will excess fill bexemoved from premises: Yes 14. Name of Owner of ~remlses .. ~ ..... ~, ........... Address /v~t4. ~ . ~. ......... Phone No ................ Name of Architect ~c~ae~.'.~..~z.a.~.b, ,g ~ Address~e~e?. k ]~0,, /q,.~. t*, Phone No Zt~- ~tq- PLOT DIAGRAM Locate ~learly and distinctly all,buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block umber or description a_ccording to deed, and show street names and indicate whether STATE OF NEW YgRK,i , (NahSe of individual sig~ing contYact) above named. He is the21 ~ (Contractor, agent, corporate officer, etc.) ' ~' ~ ~ '" ~ ~' ~ ' of said o~wn~r'or ow~ners, and is duly authorized to perform orCt~tve, performed the said work and to make and file this appllcatl~n, that all statements contained ~t this application are~'ue to the best of his knowledge and belief; and that the work, will l~e performed in the macnest scl forth in the application filed therewith. Sworn to befdrb me this - ,!':~ ~: ~* ~ .-4; ' ... .~.....~.. ..... dayo~ .... ,.19.~.7'~ Notary Public, . ..... ~ ..... ~ qua ed Term Expires March 30, (Signaturao appli ant) / Co,A=. Zo? */ [ ' /~o7 ,x .-I 'R"""'.I ALI. , ~ /" / , -.. .,~ .. ~ , 7~ . I -x.A,~ ~... :.,,., -- / '> ., ~__ ........ ~ ~"-- ~ ,, / -:. .~_ .~, aT/ . .-- , ' ',~ , ,, , -. ,:. _, ___--~_~.,.~.~.. .. ... '..... / 'Y /PP.,l~I'. '..~ ",, . - -~ , ,, ', ] ~ , ~ . -.._ ,._: -- _ ;\_. -,,,. . ,, ,.0 ,, :_ . ... " *~'"* :"..";X:rc, ' " ,, /;?_~ ,, ' .... - ~_- /,,, - ,,,,~':~~ /CMO I~O FT. If copper fub~ng is used for water di~trlbuting system; p~plng shall be of types K o~ L 6rfl_y OCCU? ,HC¥ OR ~A~ROVED AS NOT;D 765-1802 9 AM TO 4 PM FOR THE FOLLOWIN~ INSPECTIONS: l. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE ~, ROUGH - FRAMING & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPL~E FOR C. O. ALL CONSTRUCTION SHALL MEE~ THE REQUIREMENTS OF THE N Y STATE CONSTRUCTION & CODES. NOT ~ESPONSIBLE DEgI~N OR ~fiT~U~T~ON E~ROL~ t J J ~'5/I -I £,,,/,; x/'Zs, z~2 x/;8 ,/[ /~-z30,~ ~OO=,OA/~ Cz3=,=,',~ ru//-M -I/ ~ // =,,iL /H/ ,/ £/~O?LR)?. ' ) 7 '3.1 ,~/V..~/4>~-%,, d -I i:-/.: ': ! ,,: , .I -i 1 , I:~Yl : BLj) II -I 4 -~'/h//= JZ.p// ¸-7 1' -4 L~ () () I I ~-,- Cz' ~= I I () J _/Z DLZ ,! bLD~i Marcd Bre,er Zssociates ..4rc~t?egls and Plmmers ~7 E a~t/)St NYCwoz'o m~.'>'-~-v :7. Il 4 Ai Ai / \ X ]VI 0044:M /, x~ Marcel Breuer Associates 4 ,~ :C T/O/L/ j:/ 4 = Marcd Breuer.4ssociates ~trchitects and Planners ~7 E 2~th St NYC wozo EI 6 I I : I I : ' I I - [ i ~ I ~H -m~ ' . IcY / N,I ]/ I I / I ! / I1' II / T 4 ~ -%j , . ~ ~ . x R~ ~ i ,: , [ ; . , -. ,- ,. .~ - ~~ ~.~- / Ii , -1" x IIII ' / ~ ,x il/, ~ [ N",'J/tb,l"ll : I.~:~1 ~ L Ji, , , %,~ . : ,~ % ~) I ~ ~ -- -:,/ / [ i , i: ~ ~ ~: L: ~ ~.; ,ti 3d lO ~YOOD '1.5 >'> \ / /:./7~A/OA" '1.4 .) ; Wlarcd Breuer.4 ssociates i Architects and Planners ' U E 26thSt NYC~oozo / I B 7 / ,~p/,,~ a/Pt/· 0 OEMP_.D L D~OC/XDT/O/~ /=I/~GT ~.oo/~ ~MT~'X PO,~M PO>VD~_¢~ /BM. 0~ ~/~ ~/~ 7z E. ff_~4.a~ /~ /aD ,Cd , J /~_// r,~...~f [] 7--1 ©/£ L~ '© kU~L~ z/Ti3C P/frO LOT I ] / /, \ \ \ \ LOT L!O T ~ ,X 0 h