HomeMy WebLinkAbout13685-zEO~ ~0. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17401
Date OCTOBER 11~ 1988
THIS CERTIFIES that the building. ONE FAMILY DWELLING
475 DAISY ROAD
Location of Propert~ 470 DOGWOOD LANE MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 108 Block 8 Lot 46
Subdivision SUNSET KNOLLS SEC 2Filed Map No. 106 Lot No. 42
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECF~4BER 12~ 1984 pursuant to which
Building Permit No. 13685Z dated JANUARY 24, 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 ~ITH ATTACHED WOOD DECK.
The certificate is issued to
VASSILIOS FRAGIAS
(owner,
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED lf29/88
10/2/87
N835711
GEORGE MARTINEK
Building ~spector
Rev. 1/81
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)
N-~ 13685 Z
Permission is hereby granted to~
......... .........
..... ~...~.../.~ .......... z/./...:.=../.~t~...'. ..............
,o ..................................
...................................... :~"
at premises Iocoted et ...'~./~.....~.~.~~..~)~:~.~'~..~..~.~`~;.`~.~`~/~. '
............................... ; ......................... /... ........................................ ~..~.~,,~...
. ~z..~~..~....~.. ~...~. ...... ~....~...~.. .............................................
County Tax Mop No. 1000 Section /..~.2 ............ Block I~..Z~ ............. Lot No. ~...~.. .............
pursuent to opplicatlon doted ..... ~-~.....~'...~..~. ........ i ............. , 1 .~....~.., end opproved by the
Building Inspector.
Fee $../..:..~.~
· g'uilcllng Inspector
Rev. 6130/80
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765- [802
TOWN OF SOUTHOLD
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted ,- Immature to the Building Inspec-
tor with the following; for new buildings or new use:
1. Final survev 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 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:
I. 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: Additions $25.00
1. Certificate of occupancy New Dwe! J ing $25.00, Accessory '$ lO.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0
3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00
4.Vacant Land C.O. $ 20.00
5.Updated C.O. $ 50.00 Date ..........................
New Cons truc t i on..Y.~.~'~)ld or Pre-existing Building ............ Vacant Land .............
Location of Propertl'~ 5
House No. ~ Street -- Ham/et
Owner or Owners of Property . .,~, .~ ~, ~.(A ~ .',~...~?,~,~ ........ .~,~,~.~'~. C,';'-. [. ~,, .-~ ..........
County Tax Map No. 1000 Section ..... 1.~).~ ...... Block , .~..,~.. ,~,'10'~ ~ .... ~, Lot ...... · ....
,Subdivision ................................. Filed Map No ......... et ~o... ; ......
~"ZDate of Permit ] 3.]L~;A~plicant
HeaJth Dept. Approval . J ~'.-..~'. O. ~-..~-.~) ~L .Labor Dept. Approval
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate .......................
Fee Submitted $..c~.q .~'. ~.~. ................
Construction on above described building and permit meets all applicable codes and regulations.
---- "{5"0~ ~t~]~O/ Applicant Vassilios Fragi~s
359 5 ....................................................
0,
Re~. 10-10-78
TOWN OF SOUTItOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
$OUTHO[D, N.Y. 11971
TEL. 765-1802
C E RT[ F I CAT I ON
(please print)
~please print)
I certify ~hat the solder used in the water supply system
contains less than 2,/10 of 1% lead.
Sworn to
Z? &day of
Notary PublJ
(plumber's ~lgnature)
before me this
Notary P~-~l i c
mo. ,~-'~'"-~.f--'A'._-!i' ,,,,., 91 iii-iD'
,EW YORK BOARD OF FIRE UNDERWRITERS
1000121 ~ ....
~ "~ ~' BUREAU OF IEI~ECTRIC ~ '' ' ~
~1~ ~ ' ' ~ :~ ~ ~,,~ 85 JOHN STREET, NEW YORK; NE~ ~ORK I0~38 ~
~s~ wo~. uogwooa ~ ualsy, Off Stanle Road Ma
Y · ttituc ~, N;Y.
~s ex~,nined on / Sept ~ember
-G.F.C.I. 2-Smoke Detectors
~aul B n
'275 T'ownHarbor Lane
~ Southold, N.Y llgZ1
· r · Lic. 282E
' ' , ~' ' ' , "~ '~, GIENERAL MANAGER ~
I~~w~ · - .... ~ ~,,, ~ .,e ore,ce o~ the ~oard ~f incorrect: ~nspecto~s ma~ be identified b ~he~ credenh
.... ~r~~~
Memorandum from....
BUILDING INSPECTORS OFFICE
TOW~ OF SOt~T~OLD
TOW~ HAL~, SOVX~O~, N. Y. 11971
765-1802
September 26, 1988
Vassilios Fragias
5]-10 Illth Street
Flushing, New York
11368
Re: Building Permit #13685-Z
Dear Mr. Fragias:
Enclosed is your check #1430 dated 2/10/88
in the amount of $25.00. We are unable to use
this check for your Certificate of Occupancy
because it is outdated.
Kindly send us a new check in the amount
of $25.00 and the Certificate of Occupancy will
be issued.
Thank you for your cooperation in this
matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Georgia Rudder,
Secretary
THE NEW YORK BOARD OF FI,RE UNDERWRITERS
],0001:~l BUREAU OF ELECTRICITY
1OO3~
~-Jag 85 .JOHN STRE£T, NEW YORK, NEW
YORK
Date
THIS CERTIFIES THAT ~
z~sexa.dnedon ~.p~Cx'tftO~ Z ~s
FIXTURE FIXTURES
OUTLaTS SWITCHES FLUORESCENT
21 56 44 21.
[] 2nd FI. Section Block Lot
and found to be in compliance u'ith the requirements qf this Board.
COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI*OUTLET DIMMERS
SYSTEMS
SERVIC~ DISCONNECT S E R V I
NO' O~i~COND 3j0OF A WOcc. COi~D NO OF HI-LEO
)THER APPARATUS:
AWG,
OF HI-LEG
NO, OF NEUTRAtS
AWG,
OF NEUTRAL
Paul Burns
275 TownHarbor Lane
Southold, N.Y. 11951
This certificate must not be altered in any manner; return to the office of the Board
q~PLY EORiBUILD ,NC, DEPARTMENT.
Lic. 282E:
GENBRAL MANAGER
Per ~
may be identified by their credentlals.
IN ANY,V, ANNER.
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST ~ ] ROUGH PLBG.
FOUNDATION :)ND [ ] INSULATION
FRAMING ~ ~'1~1 NAL
DATE
765-'~802
BUILDING DEPT.
INSPECTION
REMARKS:
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST I- ]ROUGH PLBG.
FOUNDATION ZND []INSULATION
FRAMING ,r ]FINAL
REMARKS:
DATE ~////,~2/ INSPECTOR
FIELD INSFECTION
1.
FOUNDATION (1st)
FOUNDATION (2nd)
2 o
ROUGH FRAME &
FLUMBING
INSULATION FE N. Y.
STATE ENERGY
QODE
o
FINAL
COMMENTS:
f
TOWN OF SOUTHOLD
OFFICE OF BUILDINGi INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
This is to advise you that the job under building
permit no. 13685Z issued to Vassilios Fraqias
on 1/24/85 _ for New Dwellinq is completed and
a final inspection has ( ) has not ( X ) been done.
An Underwriters Certificate is needed
In order to complete this file, it is necessary that
a Certificate of Occupancy be issued, Please fill out the
enclosed form, return same to the above office with a check
for $25.00 payable to the Town of Southold. Please indicate
to Whom the Certificate of Occupancy is to be mailed, and
arrange with this office for an inspection date
Occupancy or use is unlawful without a Certificate of
Occupancy. Please help us to clear up this matter so that
legal action does not have to be taken.
Thank you for your prompt attention.
Victor Lessard
Executive Administrator
VL:gar
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Disapprbved a/c
/ (Building Inspector)
APPLICATION FOR BUILDING PERMIT
TOWN OF SOUTHOLD
Received ........... ,19...
INSTRUCTIONS
a. Tins 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 drown on the diagram which is part of this appli-
;ation.
c. The work covered by tins 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
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 inspectio~ns.
..........
(Signature of applicant, or namd,~.i? a corporation)
· .,Et
(Mailing address of applicant)
State whether applicant is , lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder.
Name of owner of premises..'.~...~...~] .J.. t.~ .'..~...J. ...... 1.7.. .~...~.~.r~... G .L .~.'~Z-~ ...................... (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 ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ...................... -.-~J~O
1. Location of land on which proposed work will be done....~.~....O..~.. L&/. D.O.~-. ...... .//D...~ .~..~... ......
.... ,¢..eq. ....... .' ...............................................
House Number Street Hamlet
County Tax Map No. 1000 Section . I~.~..~ .......... Block ..~ ............... Lot...~...~. ............
Subdivision ..................................... Filed Map No ............... Lot ............... (Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
¢.,
a. Existing use and occupancy ................ ' .Ck}~,..vV. ' ...................................
b. Intended use and occupancy ............ ~. ).(-~4,~. ..... ~ .' .(0-,~..~-Z. ~ ~*.~ ..... ~..l..~- -~.'.
10.
11.
12.
14.
Nature 9fwork (check which applicable):'New Building ' Addition Alteration
Repair ....... ~'~'4 ....... . .'777... ~ Demolition .............. Other Work ...............
4. Estimated Cost ......... i .~,-~..~ ................ Fee . . ................
'~ (to be paid on filing this application)
5. If dwelling, number of dwelling traits ~ ......... Number of dwelling units on each floor ................
J.
If garage, number of cars .... .~i .I .: . .~ ....................................................
6. If business, commercial or mixea, occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structure~, if any: Front ..... \.~Nf..g ......Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth .................... ~.Height........ .............NumberofStories ......................
Dimensions of entire new constntction: Front ~ .o-~5. ' Rear Depth
Height ............... Number of Stories ................... ~.~ ...................................
Size of lot: Front .... t D.~ ..,. ~.~ ....... Rear .... [0..~ ~..~.'.~. ....... D,ep,th .[. ~./.'..t~.~Q.~..>/..t...
Date of Purchase ...... .~..~. ,... CCD. 7-:.~,~ .,-.. Nome of Former Owner .
Zone or use district in which premises are situated ..... ~..~[.~.~&.~., ................... ' ....
Does proposed construction violate any zoning law, ordinance or regulation: ....... ~.?.. [ ...................
Will lot be regraded ...... ~,~. ~... ~... Will excess fill be removed from premise~/~, Ye~ ~, No
Name of Owner of premises 3,J. ? .'~.~l. q~o.. Address. ~.n-.l.O .-v [/./..?r~lPhone No. ~ .~.~./7/~. t~ .~ · ·
Name of Architect .......... ~_~z~.~-~- .... / ....... Address ..... ,fff~,.mp. ~ .~ .~/:Phone No .... ,.~.~ .......
Name of Contractor ......... ~,:_~ ,~ ........... Address ....... ~ ........ Phone No ..... ~-~..~ ....
PLOT DIAGRAM
Locate clearly and distinctly all ibuildings, whether existing or proposed, and, 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, S.S
, COUNTY OF .................
: being duly sworn deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ..........................................................................................
(Contractor, agent, corporate officer, etc.)
of sakl owner or owners, and is dul~ 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
' .. (.~ ~ ...... day o~ ..... ~.-~..
Notary Pubiic, . · .. &. · ·.
NOt,ADY Pt ~[IO, ,State a~ Ne~ Yor~
N~. ~0~g78 $0ff01k
... County
..........
cx,~(Signature of applicant)
~CAVA~ON I~PECflON REQU~D
81N~L~ ~AMI~Y gWELLING
su~y
VASSILIOS FRAG~AS
SUFFOLK COUrTlY F'';~'''~};'L:'jT C): h~.~.L~H S;~gVtC:. LOT NO. 42, "SUNSET KNOLLS, SECTION Z"
AT MA~ITUCK DATE: NOV. ~, 1984
FOR APP~OY;~[ 0~: CC,;.:",TF. UCT)O)'J ONLY ~N ~ SOUTHOLD SCALE: I" =50'-
DATE_.~A~..f.,....~. ' · '-'-~'~ ......... N ~UTH~IZ~D A~TE~ATION O~ ADDITION m ~15
~ SUrVeY ~A VI~ATION ~ECTION 7209 ~ THE
HEAL~ DEPARTMENT-DATA F~ ~O~ TO C~STRUCT ~E ~ ~R WHOM ~THE SU~EY iS PREPAREO
~ NEAREST W~ ~AIN~MI, ~ ~ 5OUNCE ~ WATEr, ~I~TE ,~_~IC~ MENTAL AGENCY AND L~NOING INSTITUTION LISTED
~,,q~,',~,, ~A. ". ~99¢F~,,i:~~ YOUNG & YOUNG ~O'~NOERAVE~E
~, , ~r ' ' . RIVER~AD~ NEW YORK
NOTE~ ~"~NUMENT
~IVIS~N ~p FILEDIN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG, PROFE~IONAL ENGINEER
SUFFOLK COU~Y ON ~RIL 9~1970 A8 FILE NO.~4~ ANO ~ND SURVEYOR NY.S. UCENSE
. HOWARD W. YOUHG~ LAND SURVEYOR
~ L~ ~ ~LiW),~IC TANK(ST)a CE~OLS(~) ~N ~R~ N.YJS. LICENSE NO.45895
S C I)EPT. OF
H~A~TH ~ERVIC£~
.; ,, SURVEY FOR OCT. I ,1987
SU,FFOLK COUNTY DEPARTMENT OF HEALTH SERVICES VASSlLIOS FRAGIAS SEP'~ 15,1987
' JAN. 24, 1986
mNGLF FAMILY DWELLING ONLY LOT NO. 42, "SUNSET KNOLLS, SECTION 2" MAR. II, 1985
DAT£OCT.]3,~ __~.8~71~S REF NO /'~/-~&)-'~'~:~-'%~- AT MATTITUCK DARE: NOV. 2, 1984.
The sewage disposal and water supply facilities for this TOWN ~ SOUTHOLD SCALE= I" = SO'
location have been inspected by this Department and/or SUFFOLK COUNTY , NEW *fORK No. 84. - 1055
other age~.r4~ ~d feur)d~ to
~[~,~)~,'v~ ~.,. ~D~,~,O~? [,~,. #UIMU~'HO~IZED ALTEH4TION ONAODITION TO THIS GUARANT~
Chief of/Bureau if Wastewater-Management NEW YORK s.'rATE EOUCAT[ON LAW BANK FEB
...... , ,, ,, ~ NCOPI~$ ~ THIS SURVEY NOT BEARI#G THE LAND
R6UAR~RT~t~'$ INDICATED,HeREON ~ALL RUN ONLY
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTROCT THE P~R~)N FOR WHOM THE SUR~EY IS PREPARED
~JFF CO, T~MAP ~T I~ ~ECTIOM~K ~ LOT V~ H~E~, ANO TO ~E ASSIGNEES OF THE LENDING '
'~LIC~T, P~PERTY LINES OR FOR THE ERECTION ~ FENCES
~' c~ ~ ~ OS~NDER AVE~E
N~E,
~D~N W.~UNG~ PROFESS~OHAL ENGINE ER
~lvIG ~p FILED IN THE OFFICE OF THE C~ERK OF ANO ~HD SURVEYOR H,Y.S, UCENSE HO.
~UFFOLK COU~Y ON ~RILg,~70 AS FILE NO. 54~
HOWARD W. YOUNG, LANO SURVEYOR
~ L~KL(W),~I~ MK(S~ICE~S(~) ~N ~E~ . N.Y.C. LICENSE N0.45893
~ ~ ~[~ ~NTI~I ~ OR DATA OITN~D F~ OTHERS
BRANDIE; & SONS INC, 1.046