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HomeMy WebLinkAbout10787-zFERN1 NO. 4- TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sout:hold, N.Y, Certificate Of Occupancy No ...... ~ .19.6.9. ? ..... Date ...... 8. e. p.t.e.L~ .b 9 ?..a. ! ............ 19s.1.. THIS CERTIFIES that the. bmlding ................................................ Location of Property ...... ?.SO ~'.aA!4 .er..ha..n.e., ........ G.r.e?.n.P. gr.t.,..~.e.~t .~9?3~ ......... House No. Street Hamlet County Tax Map No. 1000 Section ... 9.3.3. .... Block .... 0..4 ......... Lot ...0.3.? ........... Subchvls~on...~.'.a.s.~.e?.n.. 9.h. qrgP ............ Filed M~[p No..4.0.2. !...Lot No. 27 ,, :,. conforms substantially to the Apphcat~on for Building Permit heretofore filed in this office dated · ..J.ul.Y...1.5 ............ 19 .8.0. pursuant to which Building Permit No........10787Z.......... - dated ..... J. uly. 2.~ ............... 19..8.0, was issued, and conforms to all of the requirements of the applicable provis~ons of the law. The occupancy for winch this certificate is issued is ......... Private One-Family Dwelling The cerhficate is issued to .... .C.o.ns..t.a.n.t.i..ng.s' .a...n.d..A.n..a.s?.i.~ .i.a..K.a..P.~.v. afl. .............. (owner, Iq,~ Rrxtllt}~ X X X of the afmesaid building. Suffolk County Department of Health Approval 1 0-80-50, 5/1/B t , R. lk. Villa P. E. UNDERWRITERS CERTIFICATE NO ..... 1~ 5.0.7.03 $ ..................................... Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ........ ~.~.~..~.~...C~ ~ ~2~ocT'~.,,3 , Wc . .~..4....~~...,~~~ ~- ..... _ .............. . ...... ~o .~f ~c~;.....o~....~.~.~...~li~ ............................................. ........................................ ~.....~.~ ~ ~ ~.~.~ ~ ~ ~.~....~~ ~~. ~~ .......... ~o2z .............. ~z.....~.~ .................................... pursuont to opplic*tion d~ted ............. ~ ............... , 19. , ~nd opproved by the Buildin~ Inspector. Fee $..~.~ ............. Buildin~ In~octor FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 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 features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(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 installa- tions, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 informa- tion required to prepare a certificate. C. 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 '~O,~/ ./~ New Building .... ~ ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ... -2,5.-,0. ............................. House No, Street Ham/et Owner or Owners of Prdperty . .~'...~. .......... County Tax Map No. 1000 Section ............... Block ............... Lot,..~, ,~. ......... y. o -I L Subdivision ................................. Filed Map No .......... ot No .............. Permit No./.O. ~, .?... Date of Permit ,¥?~,~.. ~,..~pphcant .~'.(-~- ..... '.~..~. ........ Health De t A roval ~/o --,~.~ 0 ~ ..~--~) U Labor Dept Approval p . pp ........................................... .... ,~.0:~} .0. ~ .......... Planning Board Approval ................ Underwriters Approval Request for Temporary Certificate ..................... Final Certificate ..... Fee Submitted $ ..... ...................... Construction on above described building and pgrmit meets all applicable codes and regulations. Rev. 10o10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS C~RTIFIE5 THAT ~00~ C~r,b~ ~'~, 3765 o~,D.[~,cer A~.~ ~, in the followi,g location; ~ Basement ~ 1st FI. ~ 2,rd FI. Section Block Lot EIXTURE OUTLETS SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 'NCANDESCENT FLUORESCENT 15 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TiIME~CLOCK$ UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT OF HI LEO OF NEUTRAL 137 ~ith Sg., I~'Ic. I This certificate must not be altered in any manner, return to the off;ce of the Board , lie. 1272qZ GmNmiAt MANAGER' Inspector~ may be identmfied by their credentials. IN ANY MANNER. looo?oa THE NEW YORK BOARD OF FIRE UNDERWRITERS T~;~ BUREAU OF ELECTRICITY ~ t~t:~m~*-~C ~[7, ¢.98~[es JOHN STREET, NEW YORK, NEW139002YORK~. ~1OO~8 THIS CERTIFIES THAT o~ly tko electrical ~quipment as described below a~d ~trod~ced ~y t~ applicant named on ~e above appticatlon ~u~ber in tko premises of in the following locatlon; ~ flaseme,tt ~ Ist FI ~ 2nd FL 31"d' ~' Section Block Lot was examined on ~{~4)~,~t~ ~ 4~ ~98]. and found to be ln complignce wlth the requ,rements ~f thls Board, FIXTURE q FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 6 J ,5 10 6 DRYERS FURNACE MOTORS FUTURE t TIMECLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E C OTHER APPARATUS l ~-~ok~ ~tector OF CC COND 3 AWG OF HI LEG 11944 Th~s certtficate must no1 be altered in any manner, return to the office of thc Board if , , COPY~.t~gR. SU~.O!NG O,PAR~E~T. ?.m COPY OF · liu · 1049-E 11 moy be by Is. IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~)!tl BUREAU OF ELECTRICI~ 85 JOHN STREET, NEW YORK. NEW YORK 10038 was exa,,,i,ed on ~f~:ar~ ].9, 1.98~ andyound to be,n co,npllance with the requirements of this Board. FIXTURE OUTLETS DRYERS SWITCHES FIXTURES RANGES OVENS DiSH WASHERS 2O 1~ t ,~i',Dke Do[:ec~or E R V I , C 11967 LiC.~555 g II~ th,s cert f. cate must aa, be altered m a,¥ manner, return ,o the off,ce of the Board if ipco~}ec,, Inspector, s may be ,dent,f,ed by th~¢~ credentials. C0PT,fpR BU!LDING DEP.4R~ME~T. THIS C~DIN AnY MANNER. LD INSPECTION COMMENTS FOUNDATION (~st) FOUNDATION 2. ROUGH FRAME & PLUMBING (and) INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~'~INAL REMARKS~' ~~f~2~~__~ INSPECTOR ~ DATE LAWRENCE M. TUTHILL Merch 9, 1980 Design Plan ~. SA-3 Design temperature- Inside Design degree days 6,000 70°F Outside Insulation "U" Floor ~7~11 .O7 ~lls ~-19 .O5 Ceiling ~(-19 .05 Hoof ~-19 .O5 ~indows Dbl glass .69 (Thermal) Doors per code .40 Fi-replace .... ~ elm ....... Infiltration (volume) .018 Al~a 1,521 1,123 861 792 3O2 37 13,818 Loss BTU/HR 6,390 3,370 2,580 2,370 15,5oo 89O 44,320 Glass 21% of wall area HestinE and Service water lines bo be insulated ss per cods Weather stripping all windows and doors caulking as ?~r code Furnace to be 75~ Minim~ efficient Thermostat as oer code Ho~~. water heater as oer cods Exterior duct, and non com~ustivle doors be be provicec for fire olace FO~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. xom,ned .............. , ~proYed AT.~'./~......~.. ................ , I9...o~,.... Permit No.,../.~)..~.~...Z.,,~.. ......... Disapprove0 a/c ...................... ~ ......... ' ....................................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Th~s apphcation 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 adjmning premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. 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 ~ssue 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 hereto 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) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builde~ Constantinos and Anastiaia Karavas Name of owner of premises ................................................................................................................................................... If applicant ~s a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... ~Z~.0.....~...Z. .............................. Plumber's License No .... ~{~.6...~. ................................. Electrician's License No ..... .~.~.~ .............................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.. ~.../+.0¢~ ....................... Lot No .....~. .............. Street and Number ....... ~.as~e~...La~a ...........~...7..~.O. ........................................................... Gz:e.en.]~ar.L. Municipafity State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy Vacant land b. Intended use and occupancy S±ngle fa~J.Z~ ~es±dence property lit)es. Give street and block whether interior or corner lot 3. Nature of work (check which applicable): New Building ...... .~. .......... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................. ~/~ ~..~ (Description) . Fee ...... ......................................................................... 4. Estimated Cost .......... .$. ...... J .................................... i (to be paid on filing this application) 5.. If dWe ling, number of dwelling~ units ...~e ..................Number of dwelling units on each floor ............................ If garage, number of cars ....pZ~fl ................................................................................................................................. 6. If business, commercial or imixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structOres, Jf any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... .~...8.~ ........................ Rear ....,,5.~. ................... Depth ...... ~.6. L ........... Height ......Z.~.". ......... Number of Stories ....... 9..~...e. ....................................................................................................... 9. Size of lot: Front ......... ],.0.Q ........................................ Rear ............ ~b0~! ..................... Depth ......... .1.~O.! .............. 10.' Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .............. N~ ..................................... 13. Will lot be regraded' ....~(.¢.~. ................. Will excess fill be removed from premises: ( ) Yes ~ ) No Name of Architect ....~.a:b~].~.S.~,:La~l.e~l ............................. Address ~e3,cl,DT~ .................. Phone No. 7"~2'"~'3'~'5'3 .... PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and indicate all set-back dimensions frorn number or description according to deed, and show street names and indicate STATE OF NEW ¢¢/)RK// zE t c ~ cou, , .. .,.~~ .............. ~ ................... being duty sworn, deposeF ,and says that he is the applicam ~ame of nd v dua) s g~ing contracf) above named. He is the .......................... ~ ..................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du(y authorized to p~rform or have per~ormed the said work and to make and file this application; that ail statementf contained in this application are tree,to the'best of his knowledge and belief; and tha~ the work will be performed in the in the application filed therewith. .......Sworn to before me thisbe, day of Coun~ ........... ' ~~~,~'. .......................... w Yo~k Term Ex~lre~ ~ 0 HAP St, J P V',[~. b' F NE&R G~ [':E N PORT f~¢i~ f~es -~ this by this Chief of ~eneral HAP OF ' "' ' r,, .¢ NEAR G~E.E N POWF No'rEs- , ................................... FILE¢ 1N TH~ SUF~OL~ COUNT~ CL~P~'5 OF¢~CE ,, ® i / / 7o h( I~ IJSE iS UNLA,WI:I,)L VilliJO~T CERT'IFICA,TE OF OCCIJP NC¥ XpI~P. OVED AS 'NOTEIJ ..., NOTIFY BUILDING DEPARTMENT 765-1B02 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS: i. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY~ CODES. NOT RESPONSIBLE DESIGN OR CONSTRUCTION ERRORS. FLue f d · ~ "~ ~,.oad 479 MM~Ie ¢':-,,,/ ' Coram, New~u<,' ''~ 11727 0,~\ ~ J PA[J[ 479 M:,.J,:: ,y 9oad COKa~T;, i~', ~ i~ 1--')~ 7/2.