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HomeMy WebLinkAbout15811-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17272 Date SEPT. 7, 1988 THIS CERTIFIES that the building Location of Propert~ 5265 THE LONG WAY House No. County Tax Map No. 1000 Section 21 ONE FAMILY DWELLING EAST MARION Street Block 05 Lot 12 Hamlet Subdivision PEBBLE BEACH FARMS Filed Map No. 6266 Lot No. 141 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20~ 1987 pursuant to which Building Permit No. 15811Z dated MARCH 28~ 1987 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE. The certificate is issued to UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN & CHRISSA LIVANOS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-129 AUG. N026202 AUG. 5~ 1988 CONSTANTINO8 ZERVOS 9/2/88 17 ~ 1988 Building Inspector Rev. 1/81 FO]B,~ NO. ~ TOWN OF $OUTHO/D I~UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15811 Z Permission is hereby granted to: /~ , ..... ....... ............... ~"~,~ '~ ~ ~o~ ... ..~.~.~..~.~....~.:~:.....i!...'! ....... ~o .~.~...~....~..~~.~~.....~.....~~ ....... ..~.~....~....c~ ...... ~......~~...~ ......................................... , ......... atprem,seslecatedat ~.....~..~........~..~.~..~ ...... ~......a~ ...... ~ ................ County Tax Map No. 1000 Section ..... ..~...'~...). ....... Block .... ...C~....~...~.. ....... Lot No ..... .~..~ .......... pursuant to application dated ..... ~.~.....~.~.. ........ , 19.~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD I~uilding Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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: I. Accurate survey of p~operty 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. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling~$25.00, Accessory';$]0.O0 Business $50.00 2, Certificate of occupancy on pre-existing dwelling $ 50.00 3, Copy of certificate of occupancy $ 5.00, over ,5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..... NewCons truc glen..~/... Old or Pre-existing Building ............ Vacant Land ............. , Location of Property .~.~ House No, Hamlet J b ' L .v. Nns Owner or Owners of Property .. ©. .~..~. .. ~ .~.%..o% ...................... County Tax Map No. 1000 Section ..... 4.[ ........ Block .... ~. .......... Lot .... ,~.~.~ ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No, ~.5.~ .[.~,. ~ Date of Permit . .Applicant .~.~. ?~. L.t.¥.Q-, .~t.Q~' ............. ~u~. I~t~ / / Hea th Dept Approva .~ ~.~ :~ ~.~ Labor Dept. A roval ..... ....... pp ................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Cart ficate ..................... Final Certificate ...V. ................. Fee Subm itted $,,.~ ~, .O.O. ................ Construction on above described building and permit meets all applicable codes and regulations. Applicant ........................ Rev. 1e.10-78 17222- SMITH~ FIATKELSTEIN~ LUNDBERG~ ISLER AND YAHAB~ December 22, 1987 TOWN OF $OUTHOLD _~ Victor Lessard, Building Inspector Town of Southold 53095 Main Road Southold, New York 11971 Re: John Livanos Dear Vic, I wish to confirm my thoughts to you on this particular matter, and in particular the issuance of a Stop Order on the llth day of December, 1987. Irrespective of what may be the completeness of plans and specifications which may be on file in your office regarding this matter, the building permit was issued on March 28, 1987. I have personally visited the site as I know you have at least once, and by my estimate, it would appear to me that there is at least several hundred thousand dollars worth of construction completed on this dwelling which has a total estimated cost of 1.3 million I am told. Without going into all of the facts and circumstances, I do feel that the Stop Work Order should be vacated inunediately. I also point out to you that the Planning Board in 1975, when this map was originally approved, did have the developer's surveyor create an average bluff line and a set back line for all lots setting on the bluffs and it appears that this construction falls within the perimeters established by the Planning Board at that time. The Planning Board, as you know, did set a 100' line at that time. Ver~truly yours, FJY;dkw OUNDATION (1; OUNDATION (2nd) OUGH FRAME & PLUMBING L'~SULATION PER N. Y. STATE ENERGY CODE FINAL 0MMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION il Building Permit No. 3/~/~ -- I ~ ~ 11 'Z. (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to befor/~ m~ this / ~/ Notary Public, (plum~r s signature) Notary Public, State of New YoI~ County No. 52-03~63 ~n E~ires May 31, I~ THE NEW YORK BOARD OF FIRE UNDERWRITERS -- 85 .JOHN STREET. NEW YORK, NEW YORK 10038 · ,~'" ~459287/87 N 02620~ THIS CE~IFIES THAT Lot t~1J BXK4UST FANS ~1~ s.P. AMT. '?, ,...4 ./0 OTHER /4~ARATUS: 6.0 KW ~ 1/2 TON A/C IINITS-3 I 1/2 TON A/C i. IN[TS-2 AIR HANDLgRS-5 MOTORS:4.-F H.P.,~-I D~P. ~F.C. [:-9 SMOK~: DETECTOR: - t TRACK LImN'rING :-8 ~<< CoDtiDued OD ldo - Per This ~rti~o~ most not b~ oltor~d in on), morm~r; rmurn to tbs office of tbs Boord i~ i~corr~t Insp~=tors moy b~ iden~ied by their credenfiois. ~ Fr~flUI~ DIEPARTMBNT. ~ COPY OF CERTIFICATE MUST HO1' ~ AL~ III AItY ~ilJ~. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [/-~OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: O/c. ~/~ ~,~Z/ / 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND [ £~FRAMING [ ]FINAL [ ] ROUGH PLBG. ] INSULATION DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] R/OUG. PLBG. FOUNDATION 2ND[//J/' INSULATI°N [ ] FRAMING FINAL ,INspECTOR 765-1802 BUILDING DEPT. [ ] FOUNDATION 1ST INSPECTION [ ]~ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ]FINAL DATE / / INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [/]ROUGH PLBG. [ ] FRAMING REMARKS: f J FOUNDATION 2ND £ ] INSULATION ,r. ] FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~p~'/ROUGfl PLBG. [ ]//~OUNDATION ZND [ ] INSULATION [~;J'FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT~ INSPECTIO'N ~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION 7Gs.~8o2 /~/~/~ ~ ~ BUILDING DEpT. ~o~'~.~ /'~/~' INSPECTION [~NDATION I~T [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180;2 Examined..~.q.,%..cg..~..~.., 19 .~.? I~ece±ved ........... , 1 9... Approved ~~..~., 19~]Pe=itNo. /.~.{~ :~ ;,~ Disapproved a/c ..................................... ~ ~ ................................ (Building Inspector) Date ~. ~ ~ 19~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witl~ 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 publ~c sF or ai'eas, and giving a detailed description of layout of property must be drawn on the diagram which is 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 pern ~-~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 Occupan~ 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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 admit authorized inspectors on premises and in building for necessary inspections. ~ , ~_ --. · .~.m .~:.~. .k,,>:4-...:,.':,..~.. 3 ........ .e..'.~.. (Signature of applicant, or name, if a corporation) P~'~ VT '-Fo ~ ~ssu~ o~o.~s ~^~- aot~ t-lV^~Os .~.O.JSOX~kO..~5....o.e. tb-?.tp..!'O;'.~...~l.~.~.a..t-'--~"~-"" ~ ~"-' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde. ..................... .GxE..N E.g/~ L...C©t4'.~..f)2T.O. ~ .......................................... Name of owner of premises . .,~.~. ~. I',~..'~..C.[.q ~.l.~.~..~....~-1 .V.. h ~xJ.~ ~ ............................... (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.. J.~'-...cJ..~..(°. 7.[.~].L. ........ Plumber's License No....~.~..~..~. 57 ............ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done. ~.~B~-.~....~..~..[~.~... ~. ~.~..~...~. P ~Ss l.H-~ LOk)C~ ..b~..O.Y.,... ~.~sT N~.-.~.t>.w...).~,.Y,..Lt.q..~.q.~ ..... t~e' ~q~r ...................... Street ) ......... Hamlet County Tax Map No. 1000 Section ...~...~-,l ... Block .... ,~ ............ Lot...1..~. ............. Subdivision. (Name) Filed Map No ........... ...................................... State existing use and occupancy of premises and intended use and occupancy of prop a. Existing use and occupancy .............. ~.~..Q ~ ~.'~....L~Q. T.. b. Intended use and occupancy . .' ........ ~....~..~..~..I..L.~.,,, .~. ~ .~..171...I. T..~. , , , 8. 9. 10. 1.1. 12. 13. 14, Nature of work (check which a~plicable): New Building . .~..' ..... 'Addition .......... Alteration .......... Repair~,,S/~ ~.~ ~ .... Rembval .............. Demolition .............. Other Work .......... . ..... i ~" ~ :'~,/~ :i:l (Description) Estimated Cost..7..~.OO.) 0.O .O.°..O.O~ ................ Fee ..................................... i ~ (to be paid on filing this application) If dwelling, number of dwelling~ units. ~ F~bt [ ~'~... Number of dwelling units on each floor... J ............ If garage, number of cars .... :.~-. ................................................................. If business, commercml or m~xed occupancy, specify nature and extent of each type of use ..................... 0imensions of existing structures, if any: Front ............... Rear .............. Depth Height ............... Number of Stories ........................................................ Dtmens~ons of same structure w~th alteratmns or addmons: Front ................. Rear .................. Depth ................... :... Height ...................... Number of, Stories ~nig~;sio.ns.d~ntire new ~O;uS~;;tri;~'.stF~.;ts . .~.':~!'.: ..... Rear...~.~'.*:'. ...... De.p. th .[I.9: .~. ........ Date of Purchase ' .... Name of Former Owner Zone or use district in which premises are situated ..... 1~.5 kD ~'1 ~tM ................................ Does proposed construction violate any zoning law, ordinance or regulation: ...~3.O ....................... Will lot be regraded ........ )MO ................ Will excess fill be removed f~m. nremises: Yes Name of Owner of premises .,).~ .I~..~k{~ .19.~.~' . Address Oq ~/~O.~.~ ~'~one No '~.q.~. ?~.~'.'/.~. . Name of Architect r~.~.S.'~'[$.j.~.~.M..Op. ..... Address .................. Phone No.(.g~.%).'~. ~.'~.~..q) .~.'-[. Name of Contractor .I).1 B) .~..~!..~..~.~.~.O.~ ....... Address r3.~k~ .M~ lq,.':'l ..... Phone No...~:~,~ .~:~(~ .... ' ' PLOT DIAGRAM ~" Locate clearly and distinctly all buildings, 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. ~~/~ ~5~1.~~ ~'4, LNVAS STATE OF NEW YORK, ' S.S COUNTY 'OF , · ~ ........ ~.~ ................. being duly sworn, deposes and says that he is the applicant ~ . (Name oflttdividual signing contract) a~,ove nam ed. ' ?He is the ......................................................................................... '. J (Contractor, agent, corporate officer, etc.) 0~f. '...md owner or owners, and ~s drily authorized to perform or have performed the said work and to make and file this '; ap~0hcatmn; t!}~t all statements cohta~ned m th~s apphcatton are true to the best of his knowledge and belief; and that the .__,w6]~!¢ will be r;,rformed in the manner set forth in the application filed therewith. 'Swoirn ! le this . . ~ . .day f ............. Nota~ ~ County (Signature of applicant) ~i ~ , SUFFOLK CO. HEALTH DEPT. APPROVAL · h.S. NO. . ~,] ~ ~ ~t ~~ ~ ' ' STATEMENT ~ INTENT ' ~:v&":~Ar;bON, OR~t~B,+--~~' W THE WATER SU~LY AND SEWAGE DIS~AL .. ' ................. .."'7 ,/,~ ~ SV~E~S FOR THIS RESlD[NCE WILL ' ',~,y~ ,-]g'-~r, ~':~,/ -- ~ ,~y A~/ ' /~ ' - t ~g CONFORM TO THE STANDARDS OF THE ~/ ............ ~ I.~ ~ SUFFOLK COUNTY ~PT, OF HEALTH ~'~- .... )''' ~ ~ ....... / ~ ~ 'AP~ O~A L OF '~ ~.. ~. ".. ' . ~. / ' q~ - .~v~%' ~ I DATE: - :, '. '. ./' " '. xt.-' ' , ' -.. _ ..,' ', ~ 'x ' ,// ~ ~ ~ ~- ~>x SUFFOLK CO. TAX MAP DESIGNATION: ~ ..... ~--."./". ' ~ ~ 55 /,: ~ ~ JC/ , ,0~ / '- _ ~ -. ~Z~< ~ / .- .--,~ ~ _ .. . , t .. ... .~t .- ~ .Z'~]~ / ./~-. ,' / ~ TEST HoLE ST~ "~ ~q . z~,/ ~ ~ ( / , ~ ~ SEAL ' . ~ " , ~4~ /'~' ,, . - ~ ~ ~' ~. "%. " ~i'~ : .... / ...... ' ' ','' ' ' '... ~ ~ ~E~RT NEW YORK ,, ~., , ,~. ,/, , ..... . ,,, ,,',, -~ , ,;, , - ' , - , ' ...... I'dAP OF bONG "e '! GREENPORT NEW YORK SUFFOLK CO. HEALTH OLq~T. APPROVAL H.S. NO. 5TATEM..ENT OF INTEN.T. THE WATER Su~LY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES. APPLICANT SUFFOLK cOUNTY DEPT OF HEALTH SEE vICES FOR APPROVAL Of CONSTRUCTION ONLY DATE. H.S. REF NO APPROVED· L SUFFOLK CO TAX MAP DESIGNATION: DIST. SECT BLOCK PCL ', .;) 2,:3) ?: : OWNERS ADDRESS. Ci,:~..t.: i;,' ':~:' ! -DEED: L., - TEST HOLE STAMP SEAL (/' %- ZOwN ~ SOU~'NOL~',.,, ~v, 1~t4~.,"' ~NP · .- ~ '-"' ,~? ~. =- . .,k, -: ~:~-,~: ' ~.~ ~i~~, H. $. ~E~. ~ .......... .~ ~.../ A~OV~O: ~ , ~: S~FOLK CO, TAX MAP ~SIGNATION: . .~_ ~ { O~N'~i ~.'r, ~957 O,~ON PIP~ ' M~'AN '.SEA LEVE'L, ¢ ~C MEAN GEA L~VEL. B~D LAND ~~ ,, JO. IUC 10 198 S.C OEP!. HEALTH ~: ;f2ON PIPF_ SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. ~.-, - 'L*;"',*~.~ ~-'.c~. 2 STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK ~(~O~..Dt~PT. OF HEALTH SERVICES. (st APPL ICA NC:~ SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRU~TI61~ ONLY DATE' H. S. REF. NO.. APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: ' DIST. SECT. BLOCK PCL. OWNERS ADDRESS: DEED: L TEST HOLE ~EAL LO q , TOL,J b,..L O? 50U OL.D , CO JTP_. T 5 A4 2.~ ,~L00~ A 8 5-=C.T~©M5 A A A 'A A A A A A A A JO II 15 SECTION5 I¢ 15 IT 18 lfi r,C' ALL. 20 ~:MDOM 2Z OOOk. OCM~.PlJL~5 A2X- A A AZ7 A Z5 A 50 H 5 2.** E LP_C.Tp..iC. XkL E L ~ITe PLAiq fLALJ If colN~er tubing is used for water distributing aystem; piping shall bm of typeI _K or L only. pLuMBER CER'ft'F~A¢IetlI ON LEAD coNTENT BEFORE CERTIFICATE OF 0cCUP'!~dv' r' LDER uSED IN WATER SO --. ev_q'r':M CANNOT sUPPL_~_ ~",; ~ ~f I*/* LEAD. EXCE~U ~;/· ~ OCCUPANCY OR USE IS UNIJIWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED A~ NOTED 0 LJ T L I N E r % P C. / T ) C, A T I O, N '% l'? 15THE I~'~ENT OFT~ISOBTLINE DISCR~PTION OFIjqATE~hAL%,~T61EACCOMAI~yINGOUTLiNEDRNWINOSBOT~ DAT~-D DE.~) ~1 ~ Iq~ TO INCLUDE ALL W(ORK TO COMPLETE T141% N~W ~%IDENC~,TO T~E~ATi%FACTiOM OF TRE OWN~ ~ T~I~ WO~NALL INCLUDE 5~T %HALL NOT BE LIHIT~g TOT~ FOLLOWING: %lITE CLEARING, EXCAVATION~ REMOVAL OF DEISRI5, GRADING ~.FOI2NDATION ~- COMCP~E.T£ 4. FI~EPLACF- 5, FLOOR FI~AMING 9. C:'E.I LING F RAh~ INC- 10, I2(OO F F~AI'4 I NG j 15, GIJTTED.% , DOWN %pOLIT-% . DOORS ~-T~IM lC, WINDOW5 ~ ~LA~% X~ O*..K.. 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