Loading...
HomeMy WebLinkAbout15850-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16364 Date November 2, 1987 CONSTRUCT ADDITION THIS CERTIFIES that the building Location of Property 980 Aquaview Avenue East Marion, New York House No. Street Hamlet 021 03 I County Tax ~ap No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 31, 1987 pursuant to which Building Permit No. 15850 z dated ...A.p.r.i. 1..3. ,.. 1.9........87 ....... was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to DEMOS MENAKIS ..................... ?o¥0 ...................... of the aforesaid building. Suffolk County Department of Health Approval N/A N836127 UNDERWRITERS CERTIFICATE NO .................................................. October 28, 1987 PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15850 Z Permission is hereby granted to: ~....~..~.........~..:~.:.....?./..~..~...~. ......... at premises located at .....~..~...~...~~.~...~.....~ ......... ...-~.....c~?.....~.......~.~. ................................ County Tox Mop No. 1000 Section ..... ...C~.....~:~....~ ...... Block ...... ..~....~. ...... Lot No ........ 4.1 ............. Building Inspector. ..... and approved by the Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted *- ~ 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 instaila- 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. B, For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. 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 informa- tion requ ired to p rep are a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling~$25.00, Accessory,S10.00 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 .......................... New Cons truc~i~,~°n.../.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property...~/.?. ..... .~.~ ?.~ .~..~/..~......~..~...~.~.~...~/~.... ~t~.~... ~ .~.... House No. ~ Street ~ Ham/et Owner or Owners of Property.. .~..~...~O.~ . . . . . . . /~ .~'(. ,~ .. ............................ .., County Tax Map No. 1000 Section ....~..~..~.1. ...... Block . :~. ........... Lot.. !J ............ Subdivision ....... ~ ......................... Filed Map No .......... Lot No .............. Permit No.l _ ......... Date of Permit . . .Applicant ........... q Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval..~ 5(g.I...~-'.~ ............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..c~-.~. . ~ .~.... .................. Construction on above described building and oerr/LL%meets a~/~pplicable codes and regulations. Applicant .... ~..~.....~ ..................... Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date~/0 ~ ~ $:7_ Building Permit No. lb© Owner (please print) (ple[se print) ' I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~/~ '~'-(p~uu~be~ s s~gnature) Sworn to before me this Notary Public, ~~ .County Notary Public ANN HERBA Notary Public, State of New York THE NEW YORK BOARD OF FIRE UNDERWRITERS 1,000121 BUREAU OF ELECTRICITY 0 t0,,er 987 JOH. 27 ~t~ ~p~ti~at~on ~'o. o. f~e ~85323/87 N · ~IS C~TIFIES THAT o~y the electrical equipment ~ ~zcrlbed below a~ int~duc~ by t~ applicant ~med on the a~ve application number in the premises of J~es Me~$~ Aquaview Avenue~ Eas~ ~riou, in the$oliowl.g location; ~ Basement ~ Ist FI. tc~s examined on S~pt:embe~ 22~ 1987 ~ 2nd Fi. Section Blc~'k Lot and found to be itt compliance with the require.tents of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT § 12 DRYERS DIMMERS SYSTEMS NO. OF F~ET )THER APPARATUS: Motors: i~.F Air Haudler E R V I C This certificate must not be altered in any monner; return to the office of the Board if incorrect. Inspectors. may be i:e~iied b~y ,heir crede~ COPY FORjBUILDING DEPARTMENT~ THI,S copy OF CERTIF!C~ATE ~iqST NOT/~E ALTERED NANY MANNER. 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [ ] ROUGH PLBG. []FOUNDATION 2ND [ ] INSULATION [ ]FRAMING ~]~NAL REMARKS: (~~ 6(~) DATE /~/_/¢/? OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & FLUMBING ~NSULATION FERN. Y. STATE ENERGY CODE FINAL · ADDITION[L COMMENTS: TOWN OF SOUTIIOLD OFFICF. OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTtlOLD, N.¥. 11971 October 21, 1987 TEL. 765-1802 Vito Randazzo 127 Swan Lake Drive Patchogue, New York 11772 Re: Demos Menakis To Whom This May Concern, Vie are unable to complete your Certificate of Occupancy because .of the following reasons. /~ An application for Certificate of Occupancy i.~; not on file. /~./ >l<~ Un<ler~vriters Certificate on file. /~?? The, check i!~(outdated/no~t o~1 file.).~oQS, d%P /_/ No Health Dept. Approval on file. /-_'/ No final inspection has been made. t'.lca.';~; contact our office on this matter. Thank you for your cooperation. }]:~il(]in,~ Permit ~ ~_ ~. ,~ ~ ~ Z ~*l~l No P/umber Solder Certificate on file. (a]l permits involving plumbing beinq issued after April 1,1984 ) 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 BOARD OF HEALTH 3 SETS OF PLANS SURVEY .... CHECK -.--~- ..... SEPTIC FORM ............. NOTIFY TEL.: 765-1802 E×a ined .... 19f.7 Approve~ . .(~.~...~' 19~...T. Permit No. 1 .~.,]. ~ ~_~ ~ "" ........ Disapproved a/c ..................................... (Building Inspector) ~PPklCATIO~ FO~ B~ILDI~G CALL ................ MAIL TO: INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted 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 issued 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 tire Building Department for ttte 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, buildin~ cod~, houspnl~ code, and regulations, and to. admit auth°rized inspect°rs °n premises and in building f°r necessary inspecti .~1" .~' I..~.~..~~ ........... v ...... r "'tid .... (Signature of applicant, or name, ff ~c~r~a ' ) (Mailing address o~'a~plii&~i)' ' ' ll~/' !~,- State whether applicant is_owner, lessee, agent, architect, engineer, g~ral con~lectrician, plumber or builder. ............................ .... .............................................. Name of owner of premises ...~. ·: ~. .............................................................. (as on the tax roll or latest deed) (Name and title of corporate officer) ' ~ ALL CONTRACTOR'S MUST BE SUFFOLK C'OUNTY LICENSED l~mlder's L~cense No .......................... Plumber's License No.~. I .~/0f~T/..A~..~.....~..~.~..~ · · Electrician's License No..~.~-./~.~.~.. ~.L~., .... Other Trade's License No ...................... House Number Street Hamlet County Tax Map No. 1000 Section..(~..l ........... Block..J~... -~-- ..... Lot.'.. · .~..~ ......' ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ..... ~./c} .~:.~. .......... ~ ................................. 3. Nature of work (check which applicable): New Building ' · Addition ..... Alteration Repair .............. Removal ............. Demolition ............. i. Other Work ............... Cos?.~.~. t .l~.' : ' (Description) 4 Estimated Fee ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ~- Number of dwelling units ~ ~n each floor ..... If garage, number of cars . ..-~ ................................................................... 6. If business, commercial or mixed occupancy, specify na[ure and extent of each type ,f use .......... t ' ' ' i ...... 7. Dimenslonspf existing structures, if any: Front.../~.~. ......... Rear .../'~.~i .r ...... Depth .~O. ........... Height ]~. ............ Number of Stories , ,/. .................... t .................. ,,-'-'/ ........... Dimensions;of same structure with alterations or additions: Front /['t~ .... Rear . ././t-~... ~ .......~.,~ Depth 30. .................. Height ...~;~.~. ............... Number of Si ories. ~..~.... 8. Dimensions of entire new construction Front .......... .... Rear ............... Depth ............ .~/. t~' Height .............. ,. Number of Stories ......... 1~'~ ~ ................. i .......... ~ .............. 9. Size of lot: Front . .[~7 ................. Rear ................... DOpth ../.~..°. .............. [0. Date of Purchase ............................. Name of Former Owner ...~ .......................... · Zone o~ use-dm ........ -which prera~se,~a., ~i~uated .... . ....................... . .......................... [ 2. Does proposed construction violate any zoning law, ordinance or regulation' /x/O. ................ - ..... -Z.,.4.~_~kl~vp~e,[3' Will lot be regraded . .I~.0.~.l/.~.~,_~,[~ ...................... Will ex~ess fill be r;n~;;;~ f;o'n~ premises: Yes (N~--~ -- Name of Architect ~. ~c)/¥~~/~~. ............. Address ~~,_~! ~.~.~: Phone No ................ Name ofContractor~. ~.~. 0 t~ C~ ,~te,, Address 1,4~/~ 1~, ~'~t.~ ~,~/~. .............. /II~X ........... . .~hone No ................... 15. Is this property located within 300 feet of a tidal wetland? *Yesi ..... No ..... *If yes, Southold Town Trustees Permit maybe required. 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 ;treet names and indicate whether _nterior or corner lot. qotary Public, ................ NOTRRY PUBLIC, State of New Yof'k No. 47078?8, Suffolk 1C~u~ nty~, Term Expi~ March ~0,1 : / STATE OF NEW YORK, 2OUNTY OF .......... ~ .... S.S , ........ · ~.~.["~. · .... ~,~'~. ~ ......... being duly sworn, deposes and says that he ~s the applic mt (Name of individual signing contract) , ~bove named· ~e is the ~~ ................... t ~.~:"' iT.~ ............. ~Contra~gent, corporate office~, etc.) ii ~[j~ )f said owner or owners, ~d is duly authorized to perform or have perfo~d the sai~k~ to m~e ~d ~le. ~his. lpplication that all statements contaned ~ this applicltion are true to the best of his ~dgo~and~beflet'. ~ork will be perfo~ed in the m~ner set forth ~ the application flied therewith·, gwom to before me this ' ;, . ' · ~ ~ applicant) 4~.~ AQUAVIE~/ AV£NUE 44.0 ,/ II B1]ON REOUJRB "It should be property is loc area, the pass water supply ameunts ~ pest Special analysis Contact th/s SUFFOLK COUNTY DEFARTM~ HEALTH SERVICES FOE APPROVAL OF C( ICTION ONLY ~:'G .SUIi?_VEYED, PIPE GREEN~RT NEW YORK SUFFOLK CO, HEALTH DEPT. APPROVAL H.S.' NO. sTATEM~ENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: ,, ~ H. S. REF. NO.: APPROVED: SUFFOLK CO, TAX MAP DESIGNATION: DIST. SECT, BLOCK PCL. OWNERS ADDRESS: 20. ~,," ':, ,- r,.~ DEED: L. 7 p. TEST HOLE STAMP SEAL IN ~ATEa If col~per tubing is used for water distributing $~tem; piping ,~hall be of tl~ee .K or L only PLUMBER CERTIFICA DON 'N LEAD CON'I'E~I'i' BEFORE rR TIFICA T'E OF OCCUPANCY ~~ OER USED IN WATER SYSTEM CANNOt ......... EXCEED 2/10 o! 1~ lEAD. NOTES: 1. ALL WORK SHALL COMPLY WITH THE NEW YORK STATE UN]FORM FIRE PREVENTION AND B~ILDING 2. ALL LINTELS S~OWN ARE MINIMUM SIZES. 3. DO~UBLE~ LI~EL JACKS FOR A~L 'OPENINGS GREATER THAN 6 FEET. 4~ DODBLE FLOOR JOISTS UNDER PARTITIONS. ' 5.~ 6OUB~E RAFTERS AT SKYLIGHTS AH APPLICABLE. 6~ THE NEW YORK STATE ~NERGY cODE SHALL BE COMPLIED WITH ON TEE BASIS OF PART .5 (ACCEPTED PRACTICE AND IN AS FOLLOWS:) ' . 7, PROVIDE SEPARATE HEATING ZONE CON~"ROL ~OR 8. FIREPLACE DAMPERS SHALL HAVE A LEAK RATE OF LESS THAN 20 C~M OR BE ~ITTED WI~N A' GLASS DOOR & FITTED WITH AN EXTERNAL COMBUSTION AIR SOURCE. 9. THE KITCH'EN EXHAUST TAN, sHALL SS FITTED WIT~ A DAFteR OR BE NON-VENTINg. ,AS APPROVED BY THE NEW YORK STATE CONS~VATION coDE. INSULATION SCHEDULE (MINIMUMS) . CEILING &:19 WINDOWS -, u ~ 0.69 WALLS ~=11 DOORS - u ~ 0,40- FLOOR .HgT WATER PIPES - R -' 4.6 FIRST TQT~S 6,1:B ,IIOANOI~ A~WB~, K4VlEWi~ b 'q Cc. ct.:_: ~ '? k~ALL ? ~ B~D~OO~ %u'A L L : <( f? C T / o %,GCOI,4D FLOO~ PLA~ -q