HomeMy WebLinkAbout15043-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20604
Date StaRCH 20~ 1992
THIS CERTIFIES that the building.
Location of Property 1245 RUTH ROAD
House No.
County Tax Map No. 1000 Section 106
Subdivision
INGROUIqD 8~IMMING POOL
MATTITUCK~ N.Y.
St.reet Hamlet
Block. 7 Lot 14
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 20, 1986 pursuant to which
Building Permit No. i5043-Z dated JUNE 28, 1986
was issued, and conforms to all of the requirements of the applicable
provisions of the ]_aw. The occupancy for which this certificate is
issued is INGROUND SWIMMING POOL & FENCE AS APPLIED FOR.
The certificate is issued to C~RI8 ~ ANGELIKI LAZARIDES (owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF2ILTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
__ N/A
N-763996 - AUGUST 14, 1986
N/A
( ~ ' / / ~[ild~ng Inspector
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERi, IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO 15043
Z
Permission is hereby granted to:
.... ............
ot premises located at ..L~...~ ....... ~ .................... ~.~ ........................
,
County Tax Map No. 1000 Section ...... 7...?....~,. ....... Block .... ..C}....7 ......... Lot No ..... L.~.. .............
to application dated ...... ...~..~..e~¢~ ................. , 19..~....~, and approved by the
pursuant
Building Inspector.
Building Inspector
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application and a consent to inspect signed by the applicant.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writing to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . .'.~.~....~J... ff.~.. ?. ~..'~..~..~. ..........
New Construction ........... Old Or Pre-existing Building... ~ .........
........... ...... zv/ ................
Location of Property.. ~.~?./... . .c~.~??~.. /~D .~ ~q~/ / / ~ ~'~"~._
House No. Street Hamlet
Onwer or Owners of Property..~.~.~.~% .'~. ~ ~J L~-~. ~ ~-~ . L~"~_- ~ ~.~_l~ (~I--5
Gounty Tax Map No 1000, Section ........ Block .............. Lot ...................
Subdivision .................................... Filed Map .......... .. Lot ......................
Permit No /~P.~..~.--7--~ ate Of Applicant
............ D Permit ........................................ . ... .
Health Dept Approval Underwriters Approval . .
Planning Board Approval ................
Request for: Temporary Certificate ........... Final Certicate .... .~..../. ~
Fee Submitted: $...'~. ~
q 5s ....................
765-1~02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[]FRAMING []FINAL
THE-
FOLLOW~N~
I FOUi~t~A'q[:~N 'cWO REQUIRED
2 ROU~ ;F~A~iNG & PLUM~ING
4. FINAt. CONSTRUCTION ~UST ~
ALL CONSTRUCTION SH~LL MEET {
~ATE CONSTRUC~ON & ENERGY
~N OR.qg~BqC~Q~BRORs .................
.J
:!
March 16, 1992
Office of Building Inspector
Town of Southold
Southold Town Hall
P.O. Box 1179
53095 Main Road
Southold, NY 11971
Dear Sirs:
In reply to your notice of February 24, 1992, enclosed please find the following:
2.
4.
Application for Certificate of Occupancy.
Underwriters Certificate.
Check for $25.00.
Copy of tax bill.
hope eve,/thing is in order. Please forward the relative Cedificate of Occupancy.
32-17 157th Street
Flushing, NY 11354
THE NEW YORK BOARD OF FIRE UNDERWRITERS
~-~000~7 BUREAU OF ELECTRICITY
~. 65 JOHN STREET. NEW YORK, NEW YORK 1OO~,8
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Lazarides, 201 Ruth Rd., Mattltuck, N.Y.
inthcfoliowlnglocatlon: ~ Base,nent ~ IstFI. ~ 2r*d FI. outside Section Block Lot
~s examined ot~ ~U ~% ~ t 7 ~ 19 ~ 6 and found ~o be in compliot~ce u.lt h the req~tirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS SWITCHES
1
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS SPECIALREC'PT. TIME CLOCKS
UNIT HEATERS MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT S E
OTHER APPARATUS:
R V I C
OF CC COND OF HI-LEG OF NEUTRAL
(Swimming pool)This cert'i£icate covers compliance at the date of inspection
only. Because of unusual environments it. is advisable to have frequent test
and/or repairs made by a qualified person.
Shoreline Elec.
P.O. Box 114
W, Sayvillo, N.Y.,
11796
G~NE~AL MANAGE~
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOE B~]LDING O~PARTMMNT. THIS COPY 0P CERTI~ CATfi MUS~ NoTBE ALTeReD IN ANY MANNfiR.
INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
SCOTT L. HARRIS, Supervisor
Southold Town Halt
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
OFF~CE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 24, 1991
THIRD NOTICE
Chris & Angeliki Lazarides
1245 Ruth Road
Mattituck, New York 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate of Occupancy is
not on file. (Enclosed)*
No Underwriters Certificate on file.
The check is (not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT $ 15043-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
*NOTE: THE ABOVE BUILDING PERMIT HAS EXPIItED AND YOU ARE IN
VIOLATION OF THE CODE OF THE TO%~N OF SOUT~OLD. PLEASE SB-BMIT
YOUR CHECK IN THE AMOUNT OF $25.00 ALONG WITH THE CO
APPLICATION SO THAT THE CERTIFICATE OF OCCUPANCY CAN BE
ISSUED.
THANK YOU.
INSPECTORS
Victor Lessard
P~incipa~ B~iiding Ir~pector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
NOV~IBER l, 1991
POOLS "R" US
1691 NORTH HIGIfl,/AY
SOUTHAHPTON, NY 11968
RE: CHRIS & ANGELIRI IAZARIDES
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
An application for Certificate o~ Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is ~lk~/not on file.)$25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ 15043-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOV~N BUILDING DEPT.
CC: CHRIS & ANGELIKI LAZARIDES
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(5t6) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 2, 1990
Mr. Lazarides
1245 Ruth Road
Mattituck, N.Y.
11952
Re: B.P. #15043Z Inground pool
Dear Mr. Lazarides:
I am writing to you regarding the above Building Permit.
The Building Permit has expired and you have not obtained a
Certificate of Occupancy.
You had an inspection 9/2/86 and at that time you needed
fencing around the pool. You have never called for another
inspection. Please call our office to arrange for another in-
spection. You do not have a Certificate of Occupancy for the
pool and therefor you are in violation of the code of the Town
of Southold. Thank you for your prompt attention to this.
Yours truly,
Secretary
~'FIELD INSI~CTION
FOUNDATION (1st)
FOUNDATION
2,
(2nd)
ROUGH FRAME &
FLUMBING
INSULATION FER N. Y.
STATE ENERGY
CODE
COMMENTS
' FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
8OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined · ._~....444'~ .~.~..., 19~.~. :
Approved . . .~-4~. 2. ~...', 19~..~. Permit No. ]. ~.~O.~.~. ~..
Disapproved a/c .....................................
................................ .........
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
0LDG, DEPT.
TOWN OF SOUTHOLD
Received ........... ,19...
Date . .J..u.n.e..[...7 ......... , 1~3.6..
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Bui/ding 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 throug~hout 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.
....Rool~. ' '
. .R...Ils ,. 2[nc .....................
(Signature of applicant, or name, if a corporation)
lg91 ~lorth H~sr. Southampton, N.Y. 11968
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Builder
Chris & An~,eliki Lazarides
Name of owner of premises ............... ...........................................................
(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....U...I: .. ~..f).5.} .3 ...........
Plumber's License No .........................
Electrician s L~cense No. ~.l.5ll.-.Shoraline. Zlectrxc Co.
Other Trade s License No ......................
1. Location of land on which proposed work will be done. ~ .~gb, .~oarl.,..l~a.t.g~tuc& ................
House Number Street Hamlet
County Tax Map No. 1'000 Section ..... /0.(¢ ....... Block .... .--/ ............ Lot ..... I..L~ ...........
Subdivision..~..¢~..~..'.~.~...~.'~..~...~..~. ........... Filed Map No.../. ~ .~..~. ..... Lot...c:~O.I .......
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy 1 Story Fr~¢ Hnus¢ ................
b. Intended useandoccupancy 20 X ~0 Gunite Swimming Pool
3 Nat of we k (the k which appficabl ) N w Buildi ' Addition ' Alteration
~ ' (Description)
~25.00
4.' Estimated Cost 8,5 00.0 0 Fee '
*" (to b~ paid on filing this application)
5. If dwelling, number of dwelling units .N../~,....
....... Number of dwelling units on each floor..N. {,. ........
If garage number of cars N./~ '
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .N.[.A. ..............
7. Dimensions of existing structures, if 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 Rear 2.0.'.X601.' . Depth ~ ' ~' '
Height ............... Number of Stories ........................... . .............................
9 Si Depth '
· ze of lot: Front ...................... Rear ........... . .......... ~ .........
10 Date of Purchase ' Name of Former Owner
11. Zone or use district in which premis'es are situated ....................... ..
12. Does proposed construction violate any Zoning law, ordinance or regulation: b~0. ' .............................
13. Will lot be regraded .... YES .................... Will excess fill be remov6d from premises: Yes XX No
14. Name of Owner of premises .I..AZARIDES ......... Address ~..0.1. RUTH RD ..... Phone No. 2. .9.8.--.~3..6.0 ......
Name of Architect ........................... Address ........... ...
Name of Contractor POOLS '"R' U.sj..I.n. 9.. .... Address )-69~ North ]{~¥ ' Phone No ....... l'. ........
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, an& 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 NEW YORK,
COUNTY OF ................. S.S
............ d'AC~. %~I. ZF~R~J~L0 .................... being duly sworn, deposes and says that he is the applic~t
(Na~of ~dividu~g contract) ~ ~ ~ .
above named. Q.i. (~ ~ kb i .PRESID~N~.
Heis the ..........................., '~f'~-~:' ~c~[~~;, etc.)' ' ' '~''' ~ ' ' '
of said owner or [o~ners~~orized to perform or have'performed the ~aid work and to m~e and file this
application; that an statements centred ~ this application are true to the best of his knowledge and behef; ahd that the
work will be performed in the m~ner set forth in the application filed therewith.
Sworn to before me this
...... ~ .......... day of ........... ,
Nota~ Public ..................... CoRnty
:;. .................... ....
[ ~ a~9~, Sflf01~ ~a~ ~ , (Signature of applicant)
~ ct.m., ,,~, [~o*tes 8a*ch $0, 1~'
0