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