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HomeMy WebLinkAbout14733-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18472 Date OCTOBER 16, 1989 THIS CERTIFIES that the building Location of Property 860 REEVE AVENUE House No. County Tax Map No. 1000 Section 100 Block 3 subdivision SEA-AIRE ESTS. Filed Map No. 6780 ONE FAMILY DWELLING MATTITUCK~ N.Y. Street Hamlet Lot 15.5 Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 20~ 1986 .pursuant to which Building Permit No. 14753-Z dated APRIL 3, 1986 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 & WOOD DECK The certificate is issued to MATTHEW & ANTHOULA TZAVELLAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-$O-218-10/1~/1989 UNDERWRITERS CERTIFICATE NO. N-806893-MAY 1~ 1987 PLUMBERS CERTIFICATION DATED 7/29/1988-FRANK RUSSO Buil~ing Inspector Rev. 1/81 FORM NO. ~ 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) 14733 Z County Tax Map No. 1000 Section ...~.O..~.. ........ Block ....~....~... ........ Lot No...~../.~.'~..C..~.....~.. pursuant to application dated ...~. ........... ~..~. .................. , 19..~..., and approved by the Building Inspector. Fee ) 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 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 Cod~ 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 required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.O0, Accessory ,$10.00 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 ......................... . NewCons t, ruc t ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of ?ropert~ ........................................................... House No. Street Ham/et Owner or Owners of Propertv .... ,(~..4~.~.~<~¢'~(~.. Z County Tax Map No. 1000 Section ..... /~0. ..... Block ... :,~. ]~ ...... Lot .~.~. .......... Subdivision ................................. Filed Map No, ,".~.~J~.~./.'Lot No. : ............ Permit No./Z~. ~,z~.. ~.. Date of Permit ~, :$'f.~. ,Applicant..~...~..f.Z ~.. ~£~..~__~. ~,~.Z~oz? Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .............. Fee Submitted $. ~, .~-~ Construction on above described building and perm~,m_~eets all applicable codes and regulations. Applicant..... ,~.~..~¥ Jr. '~../.'.~.~.~ .............................. 1000062 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF EL. ECTRICITY  85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT ~ 2nd FI. Section Block ~ a.dfound to be in co.~pllance u.ith the requlre.~ents of this Board. Lot RANGES OVENS EXHAUST FANS C IElO.i~ 67 G. Bartra ~~"~/7 227 Eo Breakwate~ Rd. 1ic.~529E Matt~tuc , N~Y., 11952 This ce~Jfkate must not b~ altered in any manner; return fo the office of the 8oard if incorrect, inspectors may be idehfified by their credentials. COPY FOR DEPARTMENT. THIS COPY OF CERTIFICATE MUST. NOT BE ALTERED IN ANY ~NNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /z2Z~,~C,~ -- (please prin~) (please ~rint) x,,~ ! ~ I certify that the solder used in the water contains less than 2/10 of 1% lead. supply system ~er's signature) j~to beforeqme this ~ Notary Public, ~ ~County TOWN OF SOUT/{OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 1.765-1802 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. ~/_~ No Underwriters Certificate on file. /~' The check is(outdated/~ot on file.)~.C~ ~ .No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Dept. ***/_~/No Plumber Solder Certificate on file. ( all permits involving plumbing being issued afte'r April 1,1984 ) BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~INAL FIELD INSPECTION ~ COMMENTS FOUNDATION FOUNDATION (1st) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY FINA/ ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION, 2ND [~SULATION [ ] FRAMING [//] FINAL REMARKS: ? / INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBQ. [/] FO/UNDATION~ ZND [ ] INSULATION FRAMING [ ] FINAL DATE 765-~802 BUILDING DEPT. INSPECTION [ ] F/~LJNDATION 1ST [ ] ROUGH PLBG. [~/~OUNDATION 2ND [ ] INSULATION FRAMING FINAL DATE, g~//,/~o/, , INSPECTOR BUILDINQ DEPT. [~] FOUNDATION 1ST INSPECTION ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1803 Examined..~.O,.4-. ¢~..~'-. .... , I9~.~. Approved...~r~' ~..~-...-~; .1~.. Pemlit No.~. D. veda,~~,z ~ ~ ................................. k ....... (Building Inspector) APPLICATION FOR BUILDING PER'lIT BLDG. DEPT. ?ow~ OF Sg,UmOLO Received ........... ,19... INSTRUCTIONS a. TbJs application must be completely filled in by typewriter 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 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. .... dS~ ' . ....... .. . ~. .-.A'g~ . ~. .~.~ /. . . ..,/~c.. (Signature of applicant, or nam~e,..ff a corporation) (Mailing address of applicant) ~lqq~3 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or btiilder. ............................... ~. ~./z-~. 2z./¢. ..................................................... Name of owner of premises ......... ' .....d,.,~ .................................... (as on the tax roll or latest deed) If applicant is a corporatj,on, signature of duly authorized officer. (~blame and title of corborate officer) Builder's License No...~ .~.5-O. d;/J. ............. Plumber's License No..c~c~ . ./.~. ............... Electrician's License No. ~..~.'$ .'7. ~. .............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done ...... ./-~..~.... d~/~.~.~./~'...m%. P~..--. · .~. · .: ........... · ................. ............ : ....................... .,d~.,9./. . ?.z ~c~. House Nnm ber Street Hamlet County Tax Map No. 1000 Section . . .'/'~.~ [? .......... Block .... ~ ............ Lot..,,? ~.z~5 ........... Subdivision ,.~../~.l~.I.*..../[,.~.T,4TJ?..q ............. Filed Map No. ~ ?c~. ........ Lot . .~. ,'77. .......... (Name) 2, State existing use and occupancy of premises and intended use and occ?pancy of proposed construction: a. Existing use and occupancy ........ ///~C~..~. ~.-'7..~ 2~.~. 0. '~'" '" ~ ' b. Intended use and occupancy ....... ~.,ffkt~'... ~.ff./]'][~-/... j~.//~/(.~.~'./..~, ff~ ............................ 3. Nature of work (check which applicable): New Building .. ~,(...... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .... : ....... .. Other Work ........ I ....... 4. Estimated Cost .......... y ..................... Fee ......... ........................... ' (to be p~id on filing this application) $. If dwelling, number of dwelling units ..... .d~./.'~-. .... Number of dwelling units on each floor..~. ............ If garage number of cars . .7~.~rd. 0. ' 6. If business, commercial or mixed occupancy, specify nature and extent of each typ{ of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ : ......' Depth .............. Height ............... Number of Stories ............................. j .......................... Dimensions of same structure with alterations or additions: Front ............. !:... Rear ................. Depth ...................... Height ......... y, ............ Number of Stories ........ ~ ...... 8. Dimensions of entire new construction: Front..~.d~.,./.o.~. .... Rear ",z~d'/.,.,d~./f... ~dpt'h'. ii ......... Height .../d~ .' ........ Number of Stories .... ,~ ,a,&(-, .................. i .......................... 9. Size of lot: Front .... /(.~-/2. ............. Rear .,,-(~,2,, 6~.~. ........... Depth .,d,~,..~2.7D .: ........ 10. Date of Purchase ............................. Name of Former Owner ., ........................... 11. Zone or use district in which premises are situated ......................... ~ ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... :~..~ ..................... ~ 13. Will lot be regraded ...... ,~,.~ ................. Will excess fill be removed from premises: Yes (~No') 14. Name of Owner of premises- .,/Z4,~Tfl~.~3..'7~'gt~dd~Address . ~.c~ .~(9~J~. .... i... Phone No. ?,/$~q'.y'~.. ff. ~]..'7~. Name of Architect ........................... Address ............... i... Phone No ................ Name of Contractor .~ t,t,t~ .,A~. Z2o~.o.%'TT. ..... Address .~.~. fl/d~g~/£//~g. -~... Phone No. ~2~ r.d~)~. .... 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 sho~ street names and indicate whether interior or corner lot. STATE OF NE.~'~O~RK .... COUNTY O~ ...... ....... ~,ff.Dfi.,O g.. ~'./,~(.~/.~.~. ........................ being duly (Name of individual signing contract) above named. sworn, deposes and says that he is the applicant He is the ' (Contractor, agent, corporate officer, etc.!) of said owner or owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application; that .all statements contained 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,~. ~l. ~..~ ........... County ~~ ~ ~ ~0~,,,o~ ~r,. ~.~,~ ~0, ~,~ ~ (Signature Of appiichnt) /, DESIGN #1305 © HOME PL. ANNERS, INC. MASTER BATH BED RM, 134x 12o BED RM, I O°x 130 , 1382 SQ, FT 62'-I0" /q ~INING?i' ),' ~ IO~l/!~..~ff ~ KITCHENi O°x 8° ~ IR~GE~ BED RM, I OOx 98 ENTRY LIVING RM 13°x 17© PORCH Cc,4- FAMILY RM, 174xl 14 ~ OPTIONAL BASMENT STAIRWAY 238 HOME PLANNERS, INC. 2376! RESEARCH DRIVE, FARMINGTON HILLS, MICHIGAN 48024 ) %i ir T+ / ~ : / //.~ ,, .~"4 ~r~ ~, ~lVI tlr3 ~, (/ .PALkJ~UJ-~T J~JU. NOTE: CO~¥RI~H¥ i¥ HOME ILA~I~iRI, ome nners, Inc. ,,..,,o. o, , GRAND RIVER AVENUE DE*tirol7 ~7, MI~AN 2 5 ! I I ! [ i[il -i AS NOTED 765-1802 9 AM ~'O 4 PM FOR POUREb CONCRETE 1~. INSIll AT/n~I 4. EINAL · - CON'~TRUC PION ALL' C. I0, THE REQUIREMEN~-S L ¥, DESIGN OR CO~ST~UGT dN ERR~ THE ;lNG x/2/*/EA OE~ t~:4" ~£OROOh4 D ~Al/IV,3 ,,~0 OM 3:0" '.4£:o ' ioLO' .~u~- Z)lVl~fO,',/ [ /07' Nu/v~'~' [ ~ 2 -/0 I ,I ,5~.,qc..£ / - ~0-0 FULL 3'1Z£ TYPICAL7.,qth4 ;3'me Iners, inc, 1505- · ~.~-~ .,., ~, ~-:-:: .~/ ~ J/ ~' Fa ~,, J ~,, ~ : ' ~!,~~ , I ,~.~, ~,~ IL~l _ '~~-n~ "-~r ......... .............................~ ~----------~~"' ~ ~~~~~~: .... ~ '-' : ~ t :: : : :~¢ ~ '-'~ : :::: ..... / / ~ ~,~,~ ....... ,~,.. ,~".,.'o. lOUD