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HomeMy WebLinkAbout28479-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin9 Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29654 Date: 08/21/03 THIS CERTIFIES that the building ALTERATION Location of Property: 52325 CR 48 UNIT 27 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County T~ Map No. 473889 Section 135.1 Block 1 Lot 27 Subdivision Filed Map NO. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JLrNE 19, 2002 pursuant to which Building Permit No. 28479-Z dated JUNE 19, 2002 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 INSTALLATION OF A SINK IN AN EXISTING CONDOMINIUM UNIT #27 AS APPLIED FOR. The certificate is issued to HARRY N & NIKI N DEMAKIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'£~u Rev. 1/81 N/A N/A GREENPORT PLUMBING FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28479 Z Date JUNE 19, 2002 Permission ms hereby granted to: HARRY N & NIKI N DEMAKIS BAYSIDE,NY 11360 for : INSTALLATION OF A SINK AS APPLIED FOR at premises located at 52325 CR 48 UNIT 27 County Tax Map No. 473889 Section 135.001 Block pursuant to application dated JUNE 19, 2002 SOUTHOLD 0001 Lot No. 027 and approved by the Building Inspector to expire on DECEMBER 19, 2003. Fee $ 200.00/r 1 / /~ ~/~ ized Signature COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ This application must be filled in by typ¢,vriter or ink and submitted to the Building Department with the following: A. 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. Cormnercial 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property sho~ving all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall slate the reasnns therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, AIteratious 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 - $.25 4. Updated Certificate of Occupancy- $50.00 5. Telnporary Certificate of Occupancy - Residential $15.00, Co~mnercial $15.00 ~. Date. 7/./ ~/0~/ New Construction: Old or Pre-existing Building: _~_ _ (check one) LocatiouofProperty: COUNTY RD. 48 8, $OUNDVIEW AVE. ( NORTH FORK BEACH CORD House No. Owner or Owners of Property: HARRY N. DEMAKI$ Suffolk County Tax Map No 1000, Section ~:b~, I Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Date of Permit. ~_O- 1%~- Street Hamlet & NIKI N.DEMAKIS Block { Lot__3'~ Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: (check one) App'~ant Signatur~ ' Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765~1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Pemfit No. ~,~_.~ ~7r? ~' Owner: (Please print) Plumber: ~.. ~../. ,-9~..,~ 7'" &lease prinlf 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~} day. of ]~ , 20 Notary Pub lic,~~'~/~County Plumbers Sig~ture) North Fork Beach Condominiums CR 48 $outhold , NY. 11971 Att:to the President. Date Dear Sir/Madam, This is a request for your approval to install a Sink in my Unit # 27. ~~ ~ I will use a Licensed Plumber and will comply with all Town codes. Further, I will provide you with copies of the Town permit and the Licensed plumber. Sincerely, Harry Demakis S~e o~f~ 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO/~i~PLBG. [[]] ~ORAUMN~A~ION 2ND ~FiNAU~ATION [ ] FIREPLACE~/HI .~NEY REMARKS: ~ DATE INSP~ Flq;ql,D INSPECTION REPORT FOU~DATIOS (1ST) DATE COMlVI~q~ FOUNDATION (2/NrD) ROUG]~t FR_~"vliN G & PLU IVIBI2~G INSULATION PER_ N. Y. STATE ENERGY CODE A.DD.t.t'.tOlqAL TOWN 0 'SO TaOL, BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Exan~ined~ __, 20__ Approved __, 20__ Disapproved a/c PERMIT NO. BUILDiNG PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying Board of Health 3 sets of Building Plans SurveZ Check Septic Form N.Y.S.D.E.C. Trustees Contact: Marl to: Building Inspector ~PPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This 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, arid waterways. 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 issue a Building Perm/t to the applicant. Such a 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 what-so-over until a Certificate of Occupancy is issued 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.~ /~ ~, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises- [--f.qcl'xf (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plutnbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House N~ber S~eet otk lO z.z /1?71 _ Hamlet County Tax Map No. 1000 Section [ '~ ~**t _Block / Subdivision Filed Map No. (Name) Lot 2 "~ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed const}uctior~: a. Existing use and occupancy b. Intended use and occupancy. 3. Nature of work (cheek which applicable): New Building_ Repair Removal 4. Estimated Cost 5. If dwelling, number of dwelling units 92- If garage, number of cars Demolition Fee Addition Other Work Alteration (Description) (to be paid on filing this application) Number of dwelling units on each floor ~ [ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth_ Height. Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size of lot: Front Rear Depth 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 re-graded Will excess fill be removed from premises: YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) /q ~ £ ~ ~5~O M~ '~ ~ being duly sworn, deposes and says that (s)he is the applicant (Name of indiv/dual signing contract) above named, (S).e is t. he (Contractor, Agent, Corp6rate 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 tree to the best of his knowledge and belief; and that the work will be performed/n the manner set forth in the application filed therewith. Sworn to before me this,--~ /{~5::::/~'_ day of ~ Notar~Public UNDA J. COOPER No. 4E22563, Suffolk ~eunJ~ ~0~-~" Torra E~piros December 31, ~ North Fork Beach Condominiums CR 48 Southold , NY. 11971 Att:to the President. PLUMBING ALL PLUMBING VVA~T~ ' & WATER LINES NEED · rE~TING BEFORE cOVERIN(~ Dear Sir/Madam, If COpper tubing · Date . ~S used for Water distributing system: piping shall be of types ~ UNDERWRITERS CERTIFICATE REQUIRED This is a request for your approval to install a Sink in my Unit # 27. ~ ~ I will use a Licensed Plumber and will comply with all Town codes. Further, 1 will provide you with copies of the Town permit and the Licensed plumber. PROVIDE ANiI-$CAtD AND/OR IHER~AL $~0C~ p~E~ENiING Sincerely, N.Y. SiAiE BUILDING CODE. Harry Demakis (re~i~ent.' ~ PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT ~fXCEED 2/10 of 1°./o LEAD. OCCUPANCY OR USE IS UNI. A~w'FUL WITHOUT CERTIFICATE OF OCCUPANCY mY UUILDINQ DEI~A~ 785-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION. TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3, INSULATION 4, FINAL . CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS