The URL can be used to link to this page

Home My WebLink About14244-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15175 Date January 7, 1987 THIS CERTIFIES that the building One family dwelling Location of Property 4865 Rocky Point Road East Marion, New York House No. Street Hamlet County Tax Map No. 1000 Section 021 .Block 01 .......... Lot 16 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 23, 1985 . pursuant to which Building Permit No. 14244z dated ................,...........September 5, 1985 .,wasissued, 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 as applied The certificate is issued to NICOLAS PHILIPPOU ..................... ..................... of the aforesaid building. 85-S0- 129 Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO.. N 757118 PLUMBERS CERTIFICATION DATED: January 16, 1986 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PEIU*AIT (THIS P£PJV~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK: AUTHORIZED) No 14244 Z Date ....... ~...:..~ .................. . Permission is hereby granted ~.~ _ ....~.~.....~.....~., ....................... . ~ ., ~.~ .... ~...~ ...... ,..~...~ ..... I. ........ ~ ........ ~": ........................ "; .......... :"~'"'~ ........ '_' ........ ;:::;'; ........ ZZ. ........... ~ ................. ~ ............... ,~. ~ ~ -+~....~~ ..... at premises located ~t ..~ ....... .~....~...~.. ............................... . .......... County Tax Map No. 1000 Section ..... .(~...~..J. ........ Block ..... ..~....! .......... Lot No ...... l...~.. ............ pursuant to application dated ...... ....~..~..~,~ .................. , 19.~,'~. and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD 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 featu res. 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. B. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15 o 0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 ~. 5.Updated C.O. $15.00 Date .. .- ....... NewC°nstvucti°n · .V/.. Old or Pre-existing Building Vacant Land Location of Property...~.~.. ..... ~..0.~... ~.Q,~..~..~.....~4~.. ~.O~(~.t O: .~. ......... House No. Street ¥1~mlet Owner or Owners of Property . . J~. ( ..................................... - .o. / County Tax Map No. ~000 Section .............. Block ............. Lot ............... ........ r,ed No. .... Lot No .... ? ......... PermitNo..].q~.~./~/V.~. Date of Permit f./~.~X'~/...Applicant 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 pe.rmit meets all applicable codes a ^pp,icant. .......... ,... Re~, 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~0010~] BUREAU OF ELECTRICITy ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ ~scribed below and intrusted by t~ applicant ~med on the a~e application number in the premises of J. ~.llp~u, ~cky ~in~ ~d, T~ Job, E~t M0i'ion, in the followlng location; ~ Basement ~ /st ~7. ~ 2nd ~7. Sectio,t Bilk Lot was exatnined on J~ ~ ~ ~ attd found to be in contpl an 'e with the requiretnents ~f this Board. FIXTURES RANGES OVENS FANS FIXTURE OUTLETS SWI~'rcHEs FLUORESCENT w.o~ ~2 47 30 Y~ DRYERS FURNACE MOTORS i APPtlANCE FEEDERS ~JNIT HEATERS MULTI-OUTLET SYSTEMS NO, OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: I~G.F.C.I. NO OF CC COND pER ,~' 1 4 E OF HI-LEO OF NEUTRAL 4 C~S Electric ~3ox 215 Soutla)ld, N.Y. GENEI~A/ MANAGER Per This certifkote must not,be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by COPY FOR BL~IL.DING DEPARTMENT. THIS COPY OF TERED IN ANY MANNER. HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765--3690 Inc. CERTIFICATION D a t e J a nu a r.v_ _1_6 z _1~_8_6 _ Building Permit No. 14244Z 0 w n e r Plumber Henry. J. Smith & Son[_I_n_c_. I certify that the solder used in the water supply system contains less than 2/10 of 1%~ lead. Sworn to before me this _l_6_t_h_day of __J_a~u~r_y .... , ~ 9__~_~_. Notary Public, Suffolk County State of New York, Commission Expires March 30, 1987. 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL INSPECTOR i'65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS:, FINAL 76S-180Z BUILDING DEPT. INSPECTION [ ]"FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND ~,~ INSULATION DAI~ 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH L pI~BG. ~ FOUNDATION 2ND [ ] INSULATION [ ]FRAMING REMARKS: FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ~ FOUNDATION XST [ ] ROUGH PLBG. [ '~ FOUNDATION ZND f ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE ,1~ Ih ~ ~-~ INSPECTOR . ~ 7SS-,1302 BUILDING DEPT. INSPECTION I' 'I FOUNDATION '"ST [,~ ~ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ,[/~ FRAMING [ ] FINAL .mAR#S, DA~ INSP~R JD ~T~,S P EC TION DATE IDATION ~DATION (2nd} ULATION PER N. Y. FIELD 1. ~OUN FO[ 2. ~OUGH 3. IN2 4. 'FORM NO. 1- ToWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ?,OUTHOLD, N.Y. 11971 TEL.: 765-180:3 Approved-7 .... 4.-'.w ........, 19... Permit No..,.-..- Disapproved a/c ..................................... (Building Inspector) APPLIGATION FOR BUILDING PERMIT INSTRUCTIONS BLDG. DEPT. TOWN OF SOLITNOLD \Received '19 a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 >r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 ~hall 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 guilding 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 necessar~spectio/n:s. ~ .~.~ .... , . o ¢ ......... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ]tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .. ~ ....... ~(I.]. l(kD./. 0-, 0.'~. . . ~.1]). .I.].,:/~rOO L~. ................................ (as on the taxrr{~ll or latest deed) if applicant is a corporation, signature of duly authorized officer. / (Name and title of corporate officer) Builder's License No ...... ./~./. ................ Plumber's License No .... ½./: .~..r.T4J.('.~. .......... Electrician's License No ....... (?.~. ............ Other Trade s License No ...................... Location of land on which proposed wo~[will be done .................................................. .. .'7.. ................... './.¢.o.c.x:.v ..P/:.. Z4. ................... ............. House Number Street Hamlet County Tax Map No. 1000 Section ....d/..~../ .......... Block ..... /. ............ Lot .... ./.~ ........... Subdivision..~. ............ Filed Map No...-~.~).'-~.,~. ...... Lot....~. .......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .O.G.,~_cqcq..~ .................................................... b. Intended use and occupancy ...... OD, e,_. . [ ¢~.~'.Lt .t¢~. .t&~. ,.'%_. t t t. o.cl . ~..~,,~,:~ ~..,,~.,~ ,4, .................. 3. Nature of work (check which a~plicable): New Building ....... Addition .......... Alteration .......... Repair. ~¢Z}} i~' :" ~iJ?~ .... Removal .............. Demolition .............. Other Work ............... i _~ (Description) 4. Estimated Cost */..~.~/,~-0.~. .~.~...~. ~.~.. ....... : ..................... Fee .... , ....................... (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ...... J. ........ Number of dwelling units on each floor ................ If garage, number of cars ... I .................... 6. If business, commercial or mixsd occupancy, specify nature and extent Of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... NuMber of Stories ....................................................... Dhnensions of same structure ~ith alterations or additions: Front ................. Rear ................. Depth ................... ;'... Height ...... .~...~_~. ....... ; ...... Numb_e_r. oZ~t~ries~ ........... , .......... 8. Dimensions of entire new cons~ruction: Front ...~.~.-~l[ear ...~..t~i~g-.'~. ~)epth .....~.~.t. ..... rte~gnt ............... Number of Stones ......................................... ;. ~ .......... 9. Size of lot Front / i~~ . . Rear ].l.$'~ . . Depth . 10. Date of Purchase .............................. Name of Former Owner ............................ 11. Zone or use district in which premises am situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. O .ct. ...................... 13. Will lot be regraded .... O. 9.] .....,. ~ ............. Will excess fill be removed from premises: Yes ~) 14. NameofOwnerofpremises t.~.. ?.h.l[ ~[3D.~.x~ . . .Address .~2£-~. t~'~t '~l . . .PhoneNo. . . .N. ame of~ ~Arch. ae~t ..~. ;D_'~2F ' '; ' ~'~' i ;~'/" ' ' Address 'A' ',' ' ~..k:..~., ..... Phone No. ,~.;;: '.:~'d, ..... ~ame orconrractor ~.. t:0c. J~O~3 ~... ~...~.. ..... Address .~.~lODt.O~..t. ~ .... Phone No../.~.a.:/.~.~. ] ..... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocl: number or description according t__o dee~l, a show street names and indicate whether interior or corner lot. ,~ //~ STATE OF NEW YORK, COUNTY OF ................. i S.S ....... I.~.(~.t~.: .~..,. ./~ t ................. being duly sworn, deposes and says that he is the applicant (Name of individual si~ning contract) above named. He is the .................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said 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 (Signature of applicant) ,;5 !~/~ VVZ F&~ r-~ ~-'~ F'~ R ~fl I"-¢ F~ BLDG. DEPT. TOWN OF SOUTHOLD RODERtCK VAN TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT APPROVAL H.S. NO. STATEMENT Of INTENT THE WATER SUPPLY 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 SERVICES -- FOR APPROVAL OF CONSTRUCTION ONlY DATE' H. S. REF. NO.. APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS aDDRESS: DEED: L. ,%.A P. TEST HOLE StAmP SEAL H.S. NO. STATE~NT~ tN~NT CONFORM TO T~E STA~AR~ ~ T~ SUFF~K ~ DE~: OF ~ALTH ~RVlCES. ~OHN BERTA~ ) * 'SUFFCLK COUNTY DE~. OF ~ALTH SERVtCES= FOR APPROVAL OF ~ VAN TUYL ~~ LAND ~EVEY~S GREEN~RT ~W ~K SUFFOLK COUNTY HEALTH DEPARTMENT ~ SlNGI~ FAMILY D~VELLING~ ~ ONLY .~ HD LOCATION HAVE SEEN INSPECTED BY THIS DEPARTMENT AND FOUND TO BE SATISFACTORY. ~_ ~ -- Chief of Wastewater Management Sect on RODERICK VAN TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK .... Sg-F~'b-L~{--C . AL H . OVAL H.S. NO. 85-'"~(~- Iq STATEMENT OF INTENT THE WATER SUPPLY 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 SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: ';~.~ ~ r.Z, DEED: L. -,/ , P. TEST HOLE STAMP SEAL SE~ ENT MU FA. MJ BED R~ NOl II ;~-~-~.-~ !_%-~--' ~-~ i~sed- for wat~ dl~'lbuting ~/stem; ~ Ihall be P~u~/II~I~I (~R~FICA TION ~ BEFORE ON LEAD J~ OF OCCUPANCY I ..... sold ~W~ TER SUP~~ ~NNOT EXC~O ~.~D._ OCCUPANCY OR YvlTHOUT Cbl~iiFJCATE OF OCCUPANCY FI R.,iS T FLOOR PLAN -PLA TE A AG E N FOR SPACE · BED RM N°3 /~-d" BED R'M <: PART L. R, UP,El ,.UN EXC AV t '1 BASEMENT' PLAN 4 SEC THR[ , I~ I~NTER[OP, VIEW ,~ (pF F]RE~L,~CE ,/ FIR TAI.I--~S ' CROSS "~B-B,' LEFT SIDE --4 RIG HT SIDE DETAi~i, Co ,, ' DETAI:L .7" R O0 F ~NG I:¥' CORNICE ,,DE-PAlLS DETAI"L" DETAIL" 2 II TYPI WALL C A L~ .SEC TI , ~,.,, ! BAT,H , "N?3 I B DIAGR AM K tT C H:E N ,CASINET DETAILS :'' ' T,'S ,.~ ,¢~ T~ ~ntrset,r shaa~ B~ 'De ~Z~ ~eaie drawtn~s~ en ~ ~ ~s th~ ras~ns~b~Xi~y ef ~ke ~rae~r an~ "~er ~ ~empXy wi~h ~ app~e~ bearing $~iA~ e~ 4n ~mp~ta'mce w~th ~he ~ma~ cede. B'~ O~mere~e mix, a~ Fe~ ~o~a~i*ns & fee~ngs, m&ni~m. b) Fe~ ~e~crete 2500 psi miami. thick, en $" gravel bob soil, with 6 x6 , ~0/17 wire mesh. A~ Unlem~'speeifled otherwise on' the d~rawingS~ all beams and rafters sha~l be construe~i'on grade No,-I, ~M. FIR, fb = 2, B00 ps;i~ er approved equal~~ B, Bridging~ Wee~ (or me~al), 8'-0" O.C. maxim~ 2 mails per end. . C., Headers~ 2.2"x8" ~less specified 'otherwise. D~ Corners~ 3~2"x$" In ~" wa~ls.l 3.2"x6" in 6" walls. E? Clearance, Wc9~ fram~mg shal~ a~jacent grade. F, Openings~ Double waod framimg ~halA be preT~id~d aro~md openings. G, Unless shoe ethe~lse,, a~iiiary rafter ties shall be 2"x2" ~ 32" O.C,i tied back' ceiling beams, when s~eh be~s ~d rafters are perpendicular. 'A. Unless selected ~herwise b~ ~wne~, finisk~s sha~l ~e as Kitch,en~ m~d room & ~ry floor tile, Bat~oo~s~ ~ramie fteor ~ile & base, Cerami~ wall ~ilem at sh$we~s & t~s~ to oeiling. Remainder Area~ Oak B. C~ose~s~ ~-shelf, ~-rod. Linen closet, 5 shelVes~. 5. IMS~LATION A; Provide fiberglass l~sulat~on with Kraft-faci~g (one stde~ towards house9 in wa~s & ceilings & Where n~ed en drawin~s, Fellow manufaeturer%s instruct~6ns for proper installation. 6~ ~S,C. A, Windows & exterior doors sh~%l be properly flashe~ at heads & shall be properly wezther-stripped. B. Where required by local code, or where instructed by o~er, provide ~utters and le~ders. C. Slid~n~ dooy~ and windows shall be double glazed weatkers~riped and as mam~ac%ured by Anderson Corp or equal. Doors an~ windows shall be ocmplete include frames~trims,casings,etc..,