HomeMy WebLinkAbout13865-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18846
Date FEBRUARY 26~ 1990
THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING
Location of Property 3150 LIGHTHOUSE ROAD SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 50 Block 04 Lot 001
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 12, 1985 pursuant to which
Building Permit No. 13865-Z dated APRIL 1St 1985
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 DECK AS APPLIED FOR.
The certificate is issued to GEORGE & VASSILIKI PALEOS
( owner )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-S0-20 - FEB. 9, 1990
UNDERWRITERS CERTIFICATE NO. N-013506 - JAN. 9r 1990
PLUMBERS CERTIFICATION DATED JAN. 15, 1990-CHRISTOS KYRIAKOULIAS
B~ilding Inspector
Rev. 1/81
FORM NO. O
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CI"HIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N-~ 13865 Z Dote ...~...~,~.~:~- ..................................... / ~- , ~V..~...~
Permission is hereby granted to:
..........................
.... z z ..../-./~/z~,,~... Z-/~., ......................
..,~....A.~ .~ ... . ~ ') //~,
.... /.~,...D.~.~., /..V.:.~ ...................... ?..~.
,o ........ .Oo. ~,, .~,~_z....~,'~.... ~.~.,~..~..~....~.~/,i.z..z,...~...~....~. ..........................
............ .IM~,:~ ~ .~. . . . . .,2~,~, z /. . ~ ....................................................... .. Z . ....................................
at premises ,~ated at ....~../..~..~,....~./~.~..~ ............. / 'Z' ......................... "
............................... ........
c,~,,~ To× Mop No. ~ooo Sect~o,, ..Q.S['...O. ......... B~k ......O..~ ......... U,t No. O..a.X.. ...........
~,r~,o,* ~o om,carlo, ,~oted .,.:,'~,4t~.~Z..../..~ .................... , ~ .~..~.~., o,d opp,oved ~, ~he
Building Inspector.
Fee $,.-'t:,,_ {_~,. ..........
Building Inspector
Rev. 6/30/80
TO~N OF SO~THOLD
BUILDIHG DEPART~IEN~
TOUN HALL
SOUTDOLD, RE~ YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
.....
NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDINc ...... VACANT LAND ........
HOUSE NO. STREET HAMLET
~o~ ~ ~, ~o. ,000 s~o. ...... ~ .3.~.. Lo~' ae( .....
Subdivision ....................... Filed Map ........ LoC ..........
Real~h Dept. Approval
Plaoni~g Hoard Approval ..~ ....
Request for Temporary Certificate ...... Final Certificate ............
Fee Submitted: $ ....... ~ ...........
',/
3. Approval:of electr~ea3
4. Suorn statement from
than 2/10 of IZ le~d.
5. Co~erci~l buildings,
· ibuildiog~ and
or Engineer respon~ib]
6..Submit Planning Bo~rd
For existing building~ (t
and "pre-existing" la~d
Z. Accurate survey oflprc
unusual natural
FORM NO. 6
TOWN OF SOUTDOLD
BUILDING DEPARTmeNT
TOW~
765 -- It02
FEES: /
!. CERTIFICATE OF.loc(
Alteration to Dwe3
Addition to AcCes~
~. Certificate of :Oct
3. Copy of Certif%ca!
4. Vacant Land Ce~til
5. Updated Certlfica~
6. Temporary Cert~fi(
UFANCg - New Dwelling $25.00, Additions to Dwelling $25.00,
ling $25.00, Swimming Pool, $25.00. Accessory building $25.00
ory buildings, $25.00 - Businesses $50.00.
upsncy on pre-existing dwelling - $100.00.
e of Occupancy - $5.00 - over 5 years - $]0.00
ieate of Occupancy - $20.00
e of Occupancy - $50.00
ate of Occupancy -$]5.00 Residential
Commercial
. APPLICATION F0~ CgRTIFICATE OF OCCUPANCY INSTRUCTIONS ~
This application must ibe[filedc in typewriter OR ink and submitted to
Inspector
the
Building
the
following; for new buildings or new use:
I.' Final snrve of i/ . . . .
Y property w~th accurate location of all bu~ld~ngs, ~roperty llses,
streets, and unusual ~atural or topographic features.
~. Final approval of Hea~th Dept. of water supply and sewerage-disposal(S-9 form).
installation from Board of Fire Underwriters.
lumber certlfyiog that solder used in system contains less'
industrial buildings, multiple residences and similar.'
tions, a certificate of code compliance from the Architect
e for the buil'ding.
Approval of completed site plan requirements.
riot to April 9, ]957] non-conforming uses, Or buildings
perry showing all property lines, streets, buildings and
ographic features.
2. A properly.completdd . pplication, a consent to inspect signed by the applicant
and a certified ab~tr~ et of title issued by a title company which shall
'show single and se~armte ownership of the entire lot prior to April 9, ]957.
..If a Certificate o~ Occupancy is denied, the Building Inspector shall state the
reasons therefor i~ w~iting to the applicant.
3. Date of any housing cede or safety inspection of b~ildings or premises, or other
pertinent information ~equired to prepare a certificate.
For Vacant Laud Certificate of Occupancy:
]. An appllcatlon for ?scant land Certificate of Occupancy shall be submitted,
:and a certified ab~trs:t of title issued by a title company showing single and
separate ownnrshiPi'of ~be entire lbt prior to April 9. ~957 shall also aCcompanF
the application. ~f ~ Certificate of Occupancy is denied, the Building Inspector
shall state the re,sols therefor in writing to the appllcamt.
TOWN OF $OUTIIOLD
OFFICE OF BUILDING INSPECTOR
P.O. }BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-18ffl
JANUARY
GEORGE PALEOS
72 HARVARD AVE.
BALDWIN, N.Y. ]1510
To Whom This May Concern,
31, 1990
We are unable to complete your Certificate
of Occupancy because ,of the following reasons.
~x_-/
is not on file. .ENCLOSED
/_--/ -No Underwriters Certificate on file.
~/ The check is(outdated/not on file.)
~/ No B~alth Dept. Approval on file'.
/--/ No final inspection has been made.
An application for Certificate of Occupancy
$25.00
Please contact our office on this matter.
Thank you for your cooperation.
Building Permit t~ 1 3 8 6 _~5 Z ONE FAMILY DWELLING
Building Dept.
**~/Z/ No Plumber Solder Certificate on file. ~
( all permits involving plumbing being
issued after April 1,1984 )
ALSO A FEE OF ~ is due to amend the permit for the
TOTAL DUE $ 25.00
-- :95.90 ~-
~-~ 00--
CHRISTO$ KTR KOULIAS
PLumbing and Heating
January 15, 1990
To whom i% may concern:
The undersigned, Christos P. Kyriakoulias,
operating as a plumbing contractor under Lic.
No. 1549-P, hereby certifies that the solder
used in the plumbing work at 3150 Lighthouse
Road, Southold, N.Y. (Southold Bldg. Permit
No. 138657) was 95-5 lead free.
I further certify that all plumbing work
meets local codes requirements.
Very truly yours,
Christos P. Kyrtakoultas
FOUNDATION
ROUGH FRAME &
PLUMBING
(2nd)
COMMENTS
INSULATION PER N. Y.
STATE ENERGY'
C,ODE
4.
FINAL
ADDITIONAL COMMENTS
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST ~- ] ROUGH PLBG.
FOUNDATION 2ND ~ ] IN/SULATION
FRAMING f ,,~FINAL
....REMARKS:~
DATE ~//~, ~//~?/~ INSPECTO y~_~,~
[]FOUNDATION 1ST []ROUGH PLBG.
[]FOUNDATION 2ND []INSULATION
[ ]FRAMING []FINAL
REMARKS: ~-'~/~ ~'T~,.~ /r~>~ ~
DATE ,, INSpIrCTOR
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
[ j FOUNDATION 2ND [ ] I~JLATION
[ ] FRAMING [/~INAL
REMARKS: ~c.~*~ ~"~
INSPECTOR
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [ ~'~AL
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
ml~ '~ .~. JANUARY [~t~ ~ ~,~ JOHN STREET. NEW YORK, NEW YORK 10038
~r~ ~ppl~ation No. on fil~
~IS GE~IFIES THAT
~ examln~ ~ and found to be in compliance with Ihe ~qui~me~n of th~ ~.
RXTUI!
RXTUIES RANGES OVENS FANS
DRYERS MOTORS RJTUIm AFfUANC! NIHIS TIME CLOCKS MUUI-OUTS~ DIMMERS
SYSTEMS
SBIVIC~ [XSCQNNEGT I C E
S E R V
,~. ~.~c, co.o. ^. w. o.
This certificate must not be altered in any manner; return to the office of the Board if incorred. Inspectors may identified by their credentials.
COPY FOR BUILDIHG DEPARTMENT. THIS COPY OF CERTIFICATE MUST HOT BE ALTERED IN ANY MAH~ER.
5..~ G e. OF
NOvJ
L~O$
A'l
DA'Tm_:
EDGe. OF
/
FEB 5 1990
8,~IVICES
AP OF P~AoPF...~-I'y
Lt, rav EYE. D
FoR.
~ALEO$
^1
TO ~/~1 :O7 ~o OUTI40 LD
eO CA L g t"= %o'
DATE.: F F-.~UART S~~ i990
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-180:3
i MAR I 8 1985
,U BL .................
BLDG· DEPT,
TOWN OF SOUTHOLD
Examined ................ ,19...
Approved ................. 19... Permit No ............
Disapproved a/c '
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
iNSTRUCTIONS
Received ........... ,19...
a. Tins 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 of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a the
Building Zone Ordinance of the. Town of Southold, Suffolk County, New York, or
Regulations, for the construction of buildings, additions or alterations, or for removal
The applicant agrees to comply with all applicable laws, ordinances, buildin and to
admit authorized inspectors on premises and in building for necessary inspections.
(Signature of 8pplicant,
7 .2..H.a..ry.a.r.~..axe.,.. ~.a~ ldw. in, N..X. 115.10 .....
"(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
Owner, Engineer And General Contractor
Name of owner of premises . .G.e.o..r.q.e..a..n.d..V.a..s.s.i.l.i..k.i..~@.l.e.o.s. ........................................
(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 ...... L..a.t.e.r. ..............
's License No "
Plumber .........................
Electrician s License No .......................
Other Trade's License No. "
1. Location of land on which proposed work will be done. S.o. tll;h. ~a81:..~oi:ne.r .of..Int:er. section, o J5 ......
/~ Soundview Ave. Exten .si.o.n...&. L. ig~.t.h, qu~.e..Rd,. $.outhold. N. ew. Yo~k ...............
I~;~e' {q'u~;rL~ff'2~t~ .............. Street .~/5-~ Hamlet
County Tax Map No. I000 Section . .0..5.0 ............. Block . . .4 ............... Lot..J~ ................
Subdivision .............. N./.A .................... Filed Map No. .bl/A ......... Lot . . N/A .........
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy . y.a. qa.n..t, ka..n.d .......................................................
b. Intended use and occupancy One Family Dwellincs
10..
11.
12.
14.
property lines. Give street and block
interior or corner lot. '
Nature of work (check which applicable): New Building Addition .... -7. ..... Alteration .... .-: ....
Repair ...... -~. ....... Rem'oval ..... 'rT. ....... Demolition ...... ~ ...... Other Work ..... .-'7. ........
8 ~ ! (Description)
60
Estimated Cost $75,000. . . Fee ....................
~' (to be paid on filing this application)
If dw~lhng, number of dwelling units ............... Number of dwelling units on each floor ................
If garage, number of cars ....2 ............................................................. .. . .. ·
If business, commercial or mixed occupancy, specify nature and extent of each type of use .....................
...... pth
Dtmensions of existing structures, if any: Front ............... Rear .............. De ...............
Height ............... Nurpber of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth ' Height Number of Stories
Dimensions of entire new construction: Front .... 5.6.'.-. 0 :' .... Rear .. 5.6. '..- 0:' ...... Depth . .4 8 J .-.Q ': ......
Height ...2. .4 .' r.0. '~ ..... Number of Stories .~.9 ...........................................
· ' 195 1 ' 88.14' 125.0'- 214.29'
Size of lot. Front ....... ,. 9 ............ Rear ...................... Depth .. .....................
Date of Purchase S.e.P.t.e.m.b. 9.1~..2. 8. ,..%9.7.6 ........ Name of Folm~r Owner . .H.a.r..r.J..~.o.n. ..................
.... mis s a ' Residential
Zone or use district in which pre e re situated ......................... r .~. .........................
Does proposed construction violate any zoning law, ordinance or regulation ................................
Will lot be regraded ........ i .................... Will excess fill be removed from premises: X~lrog No
Name of Owner of pr.~mises .G.~..V...:. ~.a.~e.o. ? ....... Address 7..2...H.a. rv..a.r.d. ?¥?.... Phone No. (.2.1..2) .4.6.0.7.4.8.6.3.
ofArchite t u.eorge !~,..U.a.LO.O.S ... Address .... .S.~../'.A. ........ PhoneNo ........... ' .....
Name c .... , ....¢, ........... Address S/.%/.~ .... Phone No.
Name of Contractor ........ i' · · "
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
whether
number or description according to deed, and show street
r~LK .... ~
Pr..L ...... I
SCALE
STATE OF NEW YORK/
covey OF ....
....,'~.~.~."~. ~:~. ;{~". ,.4~ .ff.~.~.)'.~, '.]~ ................... being duly sworn, deposes and says that he is the applicant
(Name of ]ndiwdual slgpmg contract)
above
named.
.......................................................
Heis the ... . . / ~, ~ (Contractor, agent, corporate officer; etc.)
of said owner or owners, ~d is d~ly authorized to perform or have perfomed the said work and to m~e and file this
application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the
work will be perfomed in the m~n'er set forth in the application filed therewith·
Swo~ to before this
.... /~' ............... day pf ~~.., ......
Notaw Public,..~. ,~~.. County~ '~, ~
............
, ~o.~t-~s~ ..... ~. ~
~ifi~d in Ne~ Y~k Couu~
~omm~sion Expires March ~, 1985 (Signature of applic~t)
,.TOWN
I,J.
81NGEE F~,MILY.13WELU NG, ONLY
B
94.1o~
N B~' 50.' 20" E
?LOT PLAN
475,~o5
I01,o0' ~.
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~' ~,PPROV~D AS INOTED
.~. FOUNDATION - TWO REQUIRED
FOR POURFD CONCR~E
2. ROUGH - FRAMING 8, PLUMBING
~ O~ CON.RUCTION ERRORS.
~OTE ~.
NOmE '~,
ALL ~_.L.C'VAT&o~s '~Nou,/Id ARE
FINISH FOU~DATIO~
15 EL, 10l,~7'
~LL COl,4C..P.[TF_ TO ~c-
,NOTE ~. ELINIIi'JATF.,'D
FOOTING,
'~ F.. %CR~ PT IOW
PAL[OS
'72 I-tARVA~D Aw~ue
~ALDWI~
,- 8,85 -I,
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NOTE
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NEW YORK
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FIRST FLOOR LIV% SliCE
I{ITOHEU ~ATHROO~ FIXTURES
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-- 2~8 F~AF-['ERS ~ G o,C,
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/
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SCALE I"; I'-d'
OWNERS
GEORGE CVA$$1LIKI PALEO$
72 HARVARD
[~)A LDk,,/i N ~E'W
ORw'6 H°- D-883-O
~OONDVIE~ AVE. (EXTENSION)
TOWN o~' %OUTHOLD L.].
N EN,~J Yo~K
AS No'-r-c0 ', G.K.P. 8-'~o-I
SINGLE FAMILY House
q~ ECTIO~qAL
~'o U ~DATIo kl
ViEW
~ ETXi L%
D
E
F
'54" ~ISE
F6ALUSTEF~$
~ 6 ,cCI)
'TO LIVIkL~: ~M,
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2,8 RA;TER5 ~ G o,c.
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D I NIl NIG RM.
, ~'~ 114~LA'~'IONI ID. I~
STUDY
EL, Ioji,~
,LIVING
41
ONC,
~AD.
FINI'~H CoNC, FL, F_L,
I~AV'EL FILL
T
FLOOR; P-L, Ios,55/~
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REAR E LEVATIOkl
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4.'- I'-d'
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2,,2 I~ALtJS'~E~$ ~8 o,¢,
OWNERS
GEORGE ,$,VA%%ILIKI 'PAL EOS
72 I-IARVARD A'k/Eh,4UE
L~TIo~Co~HE~ O~ LJGHTHOU~
AT
AS No-r~o "' G.K..'P 9-1-~:
~J, INGLE ~AHILY J-lOUSE
FRONT & REAR ELEVATIOH
PLU~Na l~sE~ "~{A~RC~Ai'-I
A B C D E F
I I j I
I I
ff 1I
I ~$ P.~KE
'I
SKYL~g~'
2-6 DR.
EAST ELEVATION
~2
.A
III
Ill
III
I1~
WEST E LEVATIOI, J
1'2~16 FLUE
:R HOOD
FIREPLACE ~ EcTlokl
~GALP-. I;~'; iLO''
G E0 P GE-&VAsSI L.I KI F:~Lr:.0%
72 HARVARD AVENUE
]~)A LDO/IN ME',~ YORk
Dnw'~ N°- G-885-0 s..'7o~
~oc^,,o. C0~u~.~ o'~ LIGUTUOUSe
AT %OUTHO LO
'l'o~t4 ol: %o0THOLD
i',i EVa ¥O~K
~ uo-reo " G,K.P
F_.AST 4~JE%T F_LEVATIOH5
F IREPLA~CE gCcTIokl