HomeMy WebLinkAbout16576-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Buildin§ Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z-16966 Date June 7, 1988
THIS CERTIFIES that the building ....O.N~.. F..A.M.I.L.Y.. ,D.W.E.L..L.I?.G. ......................
Location of Property 435 Cedar Drive South East Marion, N.Y.
House No. Street Ham/et
03 11.4
County Tax Map No. 1000 Section 3 I .Block ............... Lot
Subdivision .H.i.g.h.p.o.i.n.t..a.t..E.a.s.t..M.a.r.l.o.n..8. c.c. :2. Filed Map No. 9640 . .Lot No. 33
conforms substantially to the Application for Building Permit heretofore filed in this office dated
October 27, 1987 pursuant to which Building Permit No. 16576 z
dated............................0ct°bet 28, 1987 . was issued, and conforms to aH of the requirements
of the applicable provisions of the law. The occupancy for wltich this certificate is issued is .........
ONE FAMILY DWELLING WITH ATTACHED DECKS & GARAGE AS APPLIED FOR
The certificate is issued to LOUKAS & MARY ATHANASENA
..................... ?oV, o'o;, ?aF~¥t~-x~,~,Y~/x x ...................
of the aforesaid building.
Suffolk County Department of Health Approval 87-S0- 199 - 6/1/88
UNDERWRITERS CERTIFICATE NO .... ~. ~, .~p.l~.9. :..6./..6/.8.8. ...........................
PLUMBERS CERTIFICATION DATI!iD:May 9, 1988- T & G Plumbing
Building Inspector
Rev. 1/81
FOlt~ NO. t
T~N OF SOUTHOLD
BGILDING DS:PARTMt:NT
TOWN HALL
$OUTHOLD, N. Y,
BUILDING PERMIT
(THIS PERMIT Mus'r BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
No_ 16!576
Permission is hereby gronted~to:
.... :.~.,..~....~..~.~.~....~.., .............
..~..o~;~t~..~....~...~,.....~.~,...~ .......
o.~0.; ~ ....
"~'T ............ '~ ................................................... .' ........................................ ,"'
ot premises located o, ..~..~..~......~8~....~......}~..1~..1~....~..~'~,......~....~..-.~.....~~ .......
County Tax Mop No. 1000 Section ...... ,,~,.,,.~AJ. ...... Block ......C~.....~. ......... Lot No....}..~.!..~ .............
pursuant to application dated .... .~....~....~.....~...~. ............. 19.g..7., and approved by the
Building Inspector.
Rev. 6/30/80
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~UKAS ~Tfl~SENA, CEDAR D~IVE SO~H, ~:AST ~ARION, N.Y.
~ e~amin~ on a.dfound to be in com~ian~ ~th the re~ui~nenlm o~ th~ ~.
RXVtJ~
SWlTCHiS
MXT~IlS II~.~ ~ IXHAUST [BANS
BII~YBIIS IliUI~NACIl MOTORS B MAICLOCKS ~IITfllATIRS MULTI-~JTI~T DIMMERS
SYSTIMS
NO. OF NIT
SIRVICl DISC(X4HICT S E R V I C E
S~iOKg DI,~Ir'ECTOR: -2
] 3!0
SOUTH PARK ~,I,E.. COHTR
4 PARK PLAC~
PATCBOG, U~, NY, 11772
This certificate mu~t not be altered in any manner; return to the office of the Board if incorrect. InSlXc~ors may be identified , their
~ FORM NO, 6
TOWN OF SOUTHOLD .i
Building Department :: ~ ·:
Southold, N,Y. 11971 :.
765 - 1802'~
APPLicATIoN FOR CERTIFICATE OF, OCCUPANCy !~
A. This application must be filled in typewriter OR ink, and submitted i~ to the Building Inspec-~
tot with the following; for new buildings or new use: ' ' "'::: , '" .... ":' "'' · ·
1. Final survey of property with accurate location of al[buildings,/property lines,, street% and unusual.'
natural or topographic features
2. Final approval of Health Dept. of water supply and sewerage disposal-{S-9 form or e, -/';, ,'
3. Approval of electrical installation from Board of Fire Underwriters. :.' ,, , ',; -
4. Commercial buildings, Industrial buildings, Multiple Residences and similar, buildings and msia la-
t ...... ~t~ nf ~',od~_ como ance from the Arch tect or Eng neer responsib e forthe building.,
Subm t P ann n Board approva of completed rote plan requirements where apphcabler,~.,, :,,' ,i,~,: ~:~:
For existing buildings (prior, ~o April'195~), Non-conforming uses, or 6uildings and "pre-existing"
~and useS: ~ ' '
1. Accurate survey of p~operty showing all property lines, streets; buildings and Unusual natural or i:
topographic features. , ~ '
2. Sworn statement of owner or previous owner as to use~ occupancy and condition of buildings. , '
3. Date of an,/ housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate. ' ·., ' , .' ' -; ' : ~ ' 'i ' ,',,
Additions, $25.00 '
C. Fees: ~= ~n,.,~33~n=' ~25 00 'Accessory,~i0.00 Business $50.00-,~
1. Certificate of occupancy C~w ...... ?, o,~. ~, , · ~ ,, , ,,
2. Certif cate of occupancy on pre-existing dwelhng ~ 50'. 00 '
3. Copy of certificate of occupancy $ 5.00, over 5 years $10,00 ·
4.Vacant Land C.O. $ 20.00
$"50 00 Date
updated C 0 ...........................
Ne~vConstruction .~.. Old or Pre existing Building Vacant Land .............
Location of Property . ~5..C. ff~r..I~r$3/'~, .$OtL~3. ,. Es. st;. Ns.=±orL,..~'4'. ;E, ................
House No. , ' Street , Ham/et
Owner or O~vners of Property .........................
ounty Tax Map No. 1000 Section ... Block ; 0,~ ..... .........
~.6~.?.6, Date of Permit ~0[~,?/.~7 Applicant ~;r-~D H. QM~,~
Permit No .... ~' ' ....... ....
.6../~.~.88; Labor Dept Approval '
Health Dept. Approval ...........................................
I Planning Board Approval"
Underwriters Approval
Request for Temporary Certificate ,. ....... ......... t'" 'F mai; Cert!!lcate ,~ ;ii: ..,....:,. !,..~ ~ t.. ,(
Construction on above described building an.~meets al~~r.regulati°ns~ ~;''' '
Robert E, Hiltz ; tn!an~omes$ !~O;~' .
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P,O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date Mw 9~ 1988
Building Permit No.16576Z
Owner Loukas & Ha~ Athanasena
(please print)
Plumber T & G PLUMB/NG - Tom Azzera/Gale Kaske
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
(~) day of ~Ct~ '
19
Notary Public, ~ct County
· (plumb.er' s signature)
Tom azzera /Gale Kaske
.. ,--. r:-UlC State ot New
N°~' ~"~°: 469148'
~difi~ in Suflo~ ~un~
~mi~lon ~ro~ ~Y 4,
Notary Public
TOWN OF SOUTIIOLD
OFF'ICE OF BUILDING INS?ECFOR
iLO. EOX 728
TOWN HALL
SOUTIIOLD, N.Y. 11971
TEL. 765-1802
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
/-///n applicat~io7 .for Certificat? of Occupancy
,ot
1~,o Uncler.~rztcrs Certificate on file.
[~/ / lhe check .is(outdated/not on f~ ~) ~
/~I':O Hea~th Dept. Approval O~-'~'ii'e:7
I:1 ~c~ ~ina1 inspection hao been ma~e.
P]ea:3e contact our office on
Thank you for your cooperation.~
Building Permit tl ~_ ~ _~ ]~. ~ Z
this matter.
'~**/ Plumber Solder ertlflcate on file.
( all permits involving plumbing being
is:;ued after April 1,1984 )
76S.Z802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
[ ] FRAMING
REMARKS:
ROUGH PLBG.
I~ISULATION
]F~] ~INAL
DATE
, INSPECTOR-~, ~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST /ROUGH PLBG,.
[ ] FOUNDATION 2ND [ ] INSULATION
[/]FRAMING [ ] FINAL
DATE ~/~////~
INSpEcTOR~ ~//,~/~
765-180Z
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[~UNDATION 2ND [ ] INSULATION
FRAMING
FINAL
765-1802
BUILDING DEPT.
~o INSPECTION
UNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION
FRAMING
2ND [ ] INSULATION
[ ] FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
[~FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
[ ] FINAL
/ /
INSPECTOR ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [/~NSULATION
FRAMING ? ] FINAL
1.
FOUNDATION (1st)
FOUNDATION ( 2nd )
FLUMBIN~'
INSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD ~ ,- '~/~-
BUILDING DEPARTMENT
TOWN HALL C3~
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Examined .O~. ~.~. .... 19~.'1. Received ........... ,1 9. · ·
...... =
(Building Inspect{ S ¢Zif¢
APPklCATIOM FO~ BUILDING
Date .
INSTRUCTIONS
a. T~s application must be completely filled ~ by typewriter or in ink and submitted to the Building Inspector, with
sets of plans, accurate plot plan to scale. Fee a~o~ing to schedule.
b. Plot pl~ show~g location of lot and of bulldogs on premises, relationship to adjoining premises or public streets~
or areas, and giv~g a detMled description of layout of property must be drawn on the diagram which is pa~ of ~is appli-
cation.
c. The work covered by this application may not be commenced before issu~ce of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Build~g Pennit to the applicant. Such pemit
shall be kept on the premises available for ~spection throughout the work.
e. No building shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ificate of Occup~cy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY M~bE to the Building Dep~tment for the issuance of a B~lding Pemit pumuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable ~ws~ Ord~ces or
Regulations, for the construction of bulldogs, additions or alterations, or for removM ox demolition, as here~ described.
The applicant agrees to comply ~ith all applicable laws, ordinances, buHd~g code, housing code, and reg~ations, and to
admit authorized inspectors on premises ~d ~ bulldog for necessa~ inspections.
...... ....................
(Signature of applicant, or name, if a corporation)
I.. lzgSa .......
State whether applicant is owner, lessee, agent, mchitect, en~neer, gene3fl cont~ctor, electrician, plumber or builder.
General Contractor ..........
Name of owner of premises Loukas .Atha. naset~a ~. Pla.~y. A.~;hmnasona .................................
(as on the tax roll or latest deed
If applicant is a corporation, signature of duly authorized officer.
............ Rober. t, E.. }{ilgz,. Prasident...
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No...2~YS1P. '
Electrician's License No ..... 27.~E .............
Other Trade's License No ......................
1. Location of land on which p~o~.~d work will be done. ff~ot, i~.55, · W,a,t. Marion, .No..Y o?hl~j~q ........
....... ........................................................
House Number Street Hamlet
County Tax Map No. 1000 Section ......... .31 ...... BloclO~ ............... 2[1L~t..ll..t[. ............
Sec.2, Inc.
Subdivision .... lligl/point, at. East .l~Ia~ion .... Filed Map No. 96#0 ......... Lot.. ~>5 ..........
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....... .V..~¢~qa.~. ......................................................
b. Intended use and occupancy .... 1.-~l~:il~..dwelling ...................... , .....................
Nature of work (check which applicable): New Building ........ Addition .......... Alteration ...
Repair .............. Remo~ai .............. Demolition .............. Other Work ................
(Description)
4. Estimated Cost .............. i .............
5. If dwelling, number of dwelling ~nits .........
If garage, number of cars ..... ii, ............
6. If business, commercial or mixedi occupancy, specif
7.
(to be paid on filing this application)
·.. Number of dwelling units on each floor ................
nature and extent of each type of use .....................
Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure wi~h alterations or additions: Front ................. Rear ..................
Depth ................ ~:~:"W' ti' ~0ght ...................... Number of Stories ......................
8. Dimensions of entire new ~ongt ction: Front ..... fi. ........ Rear .... fi ......... Depth . ~. .........
Height ............... Number of Stories . .2 .....................................................
9, Size of lot: Front ........... , ........... Rear ...................... Depth .....................
10, Date of Purchase ........... : .................. Name of Former Owner ............................ :.
1 1. Zone or use district in which pr~mises are situated ....................................................
1 2 Does proposed construction violate' ' any zomng' law ordinance or.regulation: '.
13. Will lot beregraded......................·....~ . Will excess fill be removed from premises: Yes No
14 Name of Owner of premises ' Address Phone No
Name of Architect ........................... Address ................... Phone No ................
Name of Contractor . Ilgl~J~! .H01~--~ ,. J~.q,... Addressl~X. ~.l~. ,. ~.~.~ .~ ~.~.~.o3111one No.P~.~.-. 9.~.c).~. ......
15. ]'s this property located .'within 1·00 feet of a tidal wetland? * Yes ..... No .....
· If yes, Southold Town Trdstees Permit may be required.
' PLOT DIAGRAM
Locate 'clearly and distinctly ali buildings, whether existing or proposed, and~indicate all set-back dimensions from
property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether
interior or comer lot.
STATE OF NEW YORK,
COUNTY OF .. ~ll~O.r~ ...... S.S
................. ltl~b~l~, l~v~..I~i]..~ ~. .............. being duly sworn, deposes and says that he is the applicant
(Name of individual s~gning contract)
above named.
He is the ........................
(Contractor, agent, corporate office~, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi~
application; that all statements c6ntained in this application are true to the best of his knowledge and belief; and that th~
work will be performed in the manner set forth in the application filed therewith.
Sworn tO before me this
........................ day of ..................... , 19...
Notary Public, .............. ,.
WI L LOW
.~-,~ NT/° 12' O0"E
DRIVE
LOT 32
(Vacant)
SUFFOLK COIJIqTY DEPAETM, L~iT OF HEALTH SERVICES
FOR A~ROVAL OF CONST~UCT~ON ONlY
224.69'
LOT 33
The water supply & sewage disposal sys-
tems for this residence will conform to the
standards of the Suffolk County Depart-
~1~ Westphalia fid.
1.17 +~lat. til:uck, N.y. 11962
HIGHPOINT AT
RECHARGE
BASIN
SURVEY OF
LOT 33
MAP OF
EAST MARION SEC. 2, INC.
FI L ED duly I~t9~4 NO. 9640
AT EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTYt N.Y.
IOOO - 31 - 03 - 11.4
Scale I~ - 30'
Amd. 3t, 1987
CERTIFIED TO'
LOUKAS ATHANASENA
MARY ATHANASENA
20' Wide
AREA 41~900sq ft
Drainage Easement
240.B6' .~
LOT 34
(Vacant)
THE LOCATION OF WELLS AND CESSPOOLS SHOWN HER[ON A~E FROM FIELD
OBSERVATIONS ANO OR FROM BAIA OBTAINED fROM OTHERS.
Prepared in accordanee with ~e minimum
standards for title ~urveys m mtabli~hed by
the L.I.A. LS. and approved and adopte¢
for such use by The New York State' Lone
Title Association.
N.Y.S. LIC, NO.49~:dt
~ F$ & ENGINF-P-.~S,P.C..
87.- 683
LOT 3 2
(Vacent)
CH,
RAISED DECK
~ S 71012' O0"W
LOT 3 I
(Vecant)
224.69'
LOT
ARE A 41~900 sq ft
~ge disp~ a~d ~r supply ~ ~ ~
have ~e. ins~d by th~ ~a~ ~
Wide Drainoge Eosement
~'40.86'
LOT 34
Vacantl
SURVEY OF
LOT 35
MAP OF
IGHPOINT AT EAST MARION SEC.2, INC.
FI L ED July IH~ 198~' NO. 9640
AT EAST MARION
RECHARGE
TOWN OF SOUTHOLD
SUFFOLK COUNTY., N.Y.
lO00 - HI - 03 - 11.4
Scde I' - 30'
Aug. H1, t 987
Dec 3, 1987(foundaNon Iocotlon)
APR. 29~1988 ('FINAL)
BASIN
CERTIFIED TO,
LOUKAS ATHANASENA
MARY ATHANASENA
6
standards for title ,~ut~e~.m
the LI.A.L$, and app,-o¢,~il and adopfed
for su~ use by The New York ~tate La~d
T/ge
MAIN ROAD
SOUTHOLD, N.Y. 11971
LIC, N0,49668
ENGINEERS, p.C.
87.- 683
E N EP, GY C ODE C'A.LCOLA.-I-101N.5
~o0o ~O,z~'~- ~.~m
O.A. : /0'/:' .T.,4. : 7O'.c
HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF.
..F~TI.':L CONTROLS TO Mi;E." 7813.15
RANGE 45 TO 75 DEGREES FAHREaWHEIT.
WAT=R H~ATING P~R 7813.31 THRU .38.
0./7'
o.5~
o.~o / lo%7
,30
O. OS L ~ 8o
o.o.¢ ~ 700
IN COMPLIANCE WITH THE CODE.
PIPE INSULATION 7813.19
WINDOWS - DOUBLE GLASS.
CONSTRUCTION TO MEET N.Y.S.
ENERGY CODE.
for water di~trlbutir~
OCCUPANCY OR
USE IS UNLAWFUL
CERTIFICAT-
WITHOUT
c,~ OCCUPANCY
baoR .i~M : OObO-TTb
Phone.,. ~!77~0400.. Main
,aI~EEI~IJOR'T~ NrV. 11'0~4
:l
hone 47%0400 ~ Main Road
GREENPORT, N.Y. 11944
b~o-q m~lt
00b0-7~b anodq
hbo I 1 .Y.~ ,T~qOql~I2]5$1D
Phone 477-0400- Main Road
' Maln Roast
,tN:Y. 11944 . .