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Home My WebLink About13376-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z~ 3805 Date August 28 9~ THIS CERTIFIES that the building ...... nm~ .dwm~lil~ ............................ Location of Property ............................... ~ ................ House No. Street Hamlet County Tax Map No. ]000 Section ....... ~0...Block ...... ~ ....... Lot ...... ~.~ ........ Subdivision. ?ebbl~ Be~ek F~m~ .Filed Map No. ~¢...Lot No ...... conforms substantially to the Application for Building Permit h~retofo~e filed in this office dated .... .~.qg.uD.~ ..~.2 ....... 19 .~.~. pursuant to which Building Permit No .... .q.~.~.? .G.Z ........... dated .... .~.u.g .u.s.~..2.7 ............. 19 ~.&., 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 ......... ... ~I~..o.n.e.-. f.~.m.~. ~7..4we..~.~.i.n.g: ................................................ The certificate is issued to ......GEORGE TSAVARIS . ............... io;;,,'~~ .................... of the aforesaid building. Suffolk County Department of Health Approval .............. q~. 7.~.0.-:! .G> .................. UNDERWRITERS CERTIFICATE NO ....................... .~79.¢.!o. 9 ................... Building Inspector Rev. 1/81 IPOB.~ NO. ft - TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y, N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13376 Z ~o,. ~..~.~......~.......~2 ............. , ,~3..~. Permission is hereby grant~:LI to: __ . · ,cD ~ L ..O...~ ........... Bto~k ...................... ot No ...... ~...~ ......... County Tax Map No. 1000 Sect\~'~" ,~- Z~. ~ ~~ ' ' ............................... ., and by the pu~uant Building Insp~tor. Fee $ ......... '..'~. · ..... Building Inspector Rev. 6/30/80 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 p;Coperty 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 $15 o 0 0 3. Copy of certificate of occupancy $ 1,00 4.Vacant Land C.O. $5.00 Date...~..L,L,,q~,. ¢'~'c~JJ ~..5 .... New Building .... .~. ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~_ mOL V~ O~V~(~ House No. Street Ham/et /"3 Owner or Owners of Property ....[_~%~.~. ~'%.c~_~. I S County Tax Map No. 1000 Section .... -~.O ........ Block .... ~ ......... Lot.. 5'. '~ ......... Subdivision f.~.~/~,...~..~..o~..~...~.or,Y'.w~,.% .... Filed Map No. ~.~. ,~..~..Lot NO... !It ........ Permit N o J',~,~. ,7,6.' ,~.. Date of Permit :~, ,~.~. ~.App licant ~. ~.%],~..~?-r~,O, Health Dept. Approva ' . ........ Labor Dept. roval ........................ Underwriters Approva~ ................... Planning Boar rova~ ...................... Request for Temporary Certificate ..................... Final Certificate ,, .~. .................. Fee Submitted $..~..".O. ?. .................... Construction on above described building and permit meets all applicable codes and regulations. '~ ,~1~), ;~-~9<:~ I Applicant ................. Rev, 10-10-7S FIELD INS C! G~[~ 1. F 0 U__N D ~T I~O_N .-- ( COMMENTS~- ~ We FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL o~ ooC ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS lO007 BUREAU OF ELECTRICITY ~cj 815 ,JOHN STREET, NEW YORK, NEW YORK 10058 THIS CERTIFIES THAT only the electrical equipment as described below and introduc~ by the applicant ~med on the abo~e application ~umber ~n the premises of was examined on ~ ~ ~ ~ and found to be in compliance with the requiretnents of th~s Board. FIXTURES RANGES OVENS EXHAUST FANS FIXTURE SWITCHES OUTLETS HCANDE$CENT FLUORESCENT VApOJ~ 74 66 3D 74 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E A.W,G, NO OF HI-LEG A W.G~ A.W G OF CC COND, OF HLLEG OF NEUTRAL NO ;~ OF CC COND. PER ~' This certificate must not be altered in any manner; return to the office of the Board if inco~'rect. Inspectors may be identified credentials. ¢o~ FO. a~u~o~ ; ! PECO IC ASSOCIATES, I C. Engineering, Marine & Energy Consulta~ts Environmental Planning Ot~e Bootleg Alley P.O. Box 672 G~eenpott, New York 11944 (516) 477-0030 HEATING SYSTEM FOR TSAVARIS August 19, 1985 TO WHOM IT MAY CONCERN: The required flue cross-sectional area for the two (2) boilers (6?,000 B.T.U. each) installed is 56.5 square inches, plus a hot water heater. Required chimney draft .03 to .06 inches of water. is Actual installed chimney flue cross-sectional area is ?2 square inches, and the chimney draft, based on 55~~ F. flue gas temperature from Chapter 6 "Handbook of Air Conditioning, Heating and Ventilating", indicates theoretical draft to be .14 inches of water. Therefore, both the draft and the flue cross-sectional area equal or exceed the theoretically required values. Respectfully submitted, PECONIC ASSOCIATES, INC. ~~J~i~/Ph. D., M. E. President TO'~N OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. l~V~ Owner ~ ~O Y'~_ ~c~ ~-3~- ~ (pl(~a se print) Plumber CC~ ~-~)q~-I, ~ ~5 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) ~-~ Sworn to before me this ~-~day of ~ , ~ ~ //' 19~~. Notary Publi~ jUDITH T. TERRY No, 52-.0~9~ S~ ~u~ CQ FOR,~ NO. 3 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your application dated .., :, ~.d,~ Houo"o No. ' ...... ~reet ..... Hamlet County Tax Map No. 1000 Section . .~ ...... Block ...~ ....... Lot ~ .... · v" ' ' · . / ¢¢.d. Lot No .................. Subd~ ~s~o g~. Filed Map No ........ is returned herewith and disapproved on the following grounds... ...~ .... .... · ~<..~.. .~ .... ~'v.z~o. Building Inspector RV 1/80 Gerald Palermo, Inc, Swimming Pools · Sales · Service · Chemicals BLDG. DEPT. TOWN OF SOUTHOLD July 25, 1985 Town of Southold Building Department ~ain Road Southold, N.Y. 11971 Centlemen: In reference to Building Permit #133762 for Dr. Tsavario at 2171 The Strand, East Marion, we would like to amend it as to show the swimming pool to be located as shown in the enclosed survey. We would appreciate your calling us as soon as possible. Thank you. BS/gd Enc. Sales Ma lager 1460 Montauk Highway · East Patchogue, New York 11772 · (516) 286-2189 76S-180~ BUILDING DE~T.~ INSPECTION FOUNDATION XST [ ] RouGH pLBG' FOUNDATION ZND [ ] INsuLATION [ ] FRAMING REMARKS [ ] FINAL DATE: INSPECTOR L-/'7 ?- 'FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 Exaln App~.~ ,~ . .......... D~saggm~ed ~Jc ..................................... ................................ APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 a. Tiffs application must be completely 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 issued a Building Permit to the applicant. Such permi' 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. · .c~. ~....~...'.&.. ~ .~....c~. · .~. · · .°. &. ·. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....&E. ~ .~..¢~...t.. ~..~.x...~...-Xo. ~ ............................................................... Name of owner of premises ...~-....C~....~1~...~.~C~ ~ .~...,~.Nf..~. ?~..\ .~. ............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... .~...~.. ~ ............ Plumber's License No ....... ~-:2° ~'~- ~ Electrician's License No .... ~7,, .iM,..~.~ .~..~.' .~,..~.~..C... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ...... .~..!7..o. ........... .T..~.. %.X~...L. ~.~. ~ ..... %.....w~..~...p_,..~..<;:~%.., }~, .':1, ..... ttouse Number Street Hamlet County Tax Map No. 1000 Section ...... .~..(~. ....... Btock ...... .~. .......... Lot......x,~..., .~...,~ .... Subdivision....~t~...~l~....~r..%-.~..~...~...~4~. .1~. .~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 ..................................................................... 3. Nature of work (check which applicable): New Building ....... Addition .......... teration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ' ~ (D r/pti ) 4. Estimated Cost ........................ Fee . .' .......... i **' (to be paid on filing this application) 5. · · ,. If dwelhng, number of dwelhng umts ......... Number of dwelling units on each floor ......... If garage, number of cars ...... ,.."IT..Lb-~. .................................... ~. ................ ~'-- business, commercial or mixed loccupancy, specify nature and extent of each type of use ...... ~/.~ ......... 6. If 7. Dimensions of existing structuresi if any: Front...~/~ ...... Rear .............. Depth ............... Height Number of Stories Dimensmns of same structure with alterations or additions: Front Rear ................ Depth ...................... Height .......... ~ ....., ...... Number of Stories .............. i .....~... 8. D~mensmns of ~ntlre new construction: Front....~1..':'..~. .... Rear ...~i[ .... ~ .... Depth ...~c.[..~..~ .... Height . .~.. ~ ...... Number of Stories ....... .'~'. '.L~a~.. ............................ ,.~. ............. 9. Size oflot: Front ..... .c~.~..t~.~.t ...... Rear ...... .O?.~.:.~.~.... Depth ..~:,,~...~.'. . . *.. 10. Date o£Purchase . .,I~1>~.g4~.%i:...[ .~.~ .~ ....... Name of Former Owner ~[ .~.,~,,~n~t~ .~ 11. Zone or use district in which p. remises are situated .... ~l.l~.~'r.~'/~.[,.. ....... ~. ............. .! ........... 12. Does proposed construction _v~¢l~te any zoning law, ordinance or regulation: ...... ~..~. .................. ~ 13. Will lot be regraded ...... ~qc;~ ..... ~ .......... Will excess fill bg removed from premises: __ __Yes, , (~I~o"~ 14. Name of Owner of pre¢ises~.: .[...~::~'~. ~ !~Address ,]~-~.~ .~. ,~?'c~9.. ..... Phone No..~..~'...[ .~...~.. Name of Architect .~.o~..~T~f~..~.~.5~.,Address .~:;~.~l~,,g~.~..c~... Phone No. ~,~.~.-.~.~.~..C-,O. Name of Contractor .'.(,2~..~_.~.~:~~ddressx~ : .~,. 144 .~e..~h, ..... Phone No..q'."l~. ?..£~..~g3.. PLOT DIAGRAM Locate clearly and distinctly all ibuildmgs, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~ STATE OF :'NECYO RK, C..O.~.N.T.,~.Y~~~ .................. being duly sworn, deposes and says that he is the applicant (Name ofin~idual signing contract) above named. (Contractor, agent, corporate officer, etc.) et' said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this application; that all statements con~ained 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 to before me this Notary Public . './~.'../.~ ........ ~o,^~ ~,~,~, *!.,. o. ,0~ ,o~, ~ ~4.~., ........... .o, *~*o6. ,s~,o,~ c~,~,v (Signature of applic°' MAP OF' LOT /I I ': ' MAP OF ' 'PEBBLE BEn, CH FARMS FILED 6,11.75 FILE NO A T EAST MARION TOWN OF SOUTHOLD ~ SUFFOLK CO., N. donock assocJofes 40 west mo;n street lriverhead new york 11901 (§16) 369~1717 JUNE ~5~1~ ~OB N0.84-54~ I000 -030-02-53 SCALE: MAP OF LOT I I I : ~ MAP~ ,,PE~LE ~EACH fARMS FILED ~,11.7'0 FILE NO. 6266 AT EAST MARDN TOWN ~F SGUTHOLD ~UFFGLK CQ, N ~ donock ossociotes 40 west mein street riverhead, n~w york 11901 (516) 369-1717 JUNE 1984 0-02-53 JOB NO. 84-549 SCALE: f'=40' SUFFOLK COUNTY DEPARTMENT OF NJ~ALTH §ERVIGE$ FOR APPI~OVAL OF CONSTgU(;TION ONI,¥ DATE ,~r~(~--~,~/ ~I~REF. ~O,~ [~,7~:~-?-/ ~ ~OVED. ~ ~ The water supply and sewage disposal systems for this residence will conform to the standards of the Suffolk I;ounty Dept. of Health Services, ,F ~16 - q"/"7 MAP OF LOT I I I MAP OF PEBBLE BEACH FARMS FILED 6.11. 75 FILE NO 6266 ,aT EAST MAR/ON TOWN OF SOUTHOLD SUFFOLK CO, N. Y. donack associates 40 west main street riverhead, new york 11901 (516)569-1717 JUNE 25~,1984 JOB N0.84-549 1000-030-02-53 SCALE: 1"=40' ~9.0q FIN~[ 5/25/85