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HomeMy WebLinkAbout25929-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27258 Date: 08/21/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 2390 THE LONG WAY EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 30 Block 2 Lot 122 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 20, 1999 pursuant to which Building Permit No. 25929-Z dated AUGUST 9, 1999 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to GEORGE & BARBARA NISTAZOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-501889 09/24/99 PLUMBERS CERTIFICATION DATED N/A //Au~or ized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25929 Z Date AUGUST 9 99 Permission is hereby granted to: GEORGE NISTAZOS & WF. 5-16 150TH STREET WHITESTONE~NY 11357 for : CONSTRUCTION OF AN ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AREA AS APPLIED FOR. at premises located at 2390 THE LONG WAY County Tax Map No. 473889 Section 030 Block pursuant to application dated JULY 20 99 EAST MARION 0002 Lot No. 122 and approved by the Building Inspector. Fee $ 150.00 Rev. 2/19/98 ORIGINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Commercial 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. For, existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations 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 - $I00.00 3. Copy of Certificate of Occupancy - = .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date · · New Construction ........... Old Or Pre-existinz Building ................ , Location of Property...~.~. f~ ......... ~.~-~.~ ~ ....... i .... ~.~~ ..... House No. St eet ~7 Hamlet Onwer or Owners of Property.. '~ .............. iii]i' County Tax M~p No 1000, Section .... ~..~..~. .... Block..~.~,~ ..... Lot .... ~.~ ...... Subdivision · Filed Map Lot ........ Permit No~ ~. Date Of Permit 7J~l~ · ............. Applicant ............................ Health Dept Approval Underwriters Approval .. Planning Board Approval · Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ · ............... APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS 1~1290 BUREAU OF ELEC?RIC'IT~', ' 40 FULTON STREET, NEW YORK; NY 1003'8 ~ SEPTEMBER 2~, 1999 Application No on,file t9041599/99' g 501689 Tills CERTIFIES THAT · ' I)o $ a' lication number is of only the electrical equipment as described below and introduced by the applicant named On' the ~ ~, pP in the premises GEORGE NISTAZOS, 2390 THE LONG WAY, PEBLE B~IACH, E. MA'RION '~IY r OUT in the fottowing location: [] Basement [] 1st FI. [] 2nd Fl. Section Block Lot SEPTEMBER 21,1999 and found to be in compHdnce with the National Electrical Code.- was examined on FIXTURES ~ ~¥ i L KW AMT. H.P. RECEFrAC~S SWITCHES FLUORESC!~N~' OTtlER K.W* K.W . FUTURE APPLIANCE FEEDER~ ~ BELL ~ 'Us~'I'OEMU~LET DIMMERS AMT. NO, A, W. G, AMT, AMP. ~M~T. iMPS- RAN: H P 40. OF FEET AMT, WATTS GWIHMING POOL-:L *{SWIMMING POOL) This certificate · covers compliance at the date of inspection only. Because o~ unusual environments it is advisable to have freq0aent test/and or repairs made by a guali~ied person. <<< Continued on Pa~e 2 GENERAL MANAGER of *he Boord Il incorrect. 16$Pocl~r$,'moy be identified by melt credeniiols, THE NEW YORK BOARD OF FI'RE UNDERWRITERS PAGE2 1001290 BUREAU OF ELECTRICIT, Y~ '- "'~ ~ 40 FULTON STREET, NEW YORKi~,,NY :10038~ ' · ~ ~ SEPTEMBER 24.1999 .' Applic.tio. No. tpO&i599/99- N 501889 Date on file ~ ~i'~' , ~ : THIS CERTIFIES THAT , '~,, , : , , only the electrical equipment as described below and introduced by the applicant nfi[n~ oti t, he above,application number is in the premises oJ GEORGE NISTAZ0S, 2390 THE LONG WAY, PEBLE B~ACH, E. H~RION, NY in the following location: [~] Basement [] 1st FI. [] 2nd Fl. OUT ', Section Block Lot SEPTEHBER 21,1999 was examined on and found to be in comP{{a~ce with th~ ~Vational Electrical Code.. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURE RECEPTACLES OUTLETS FLUORESCENT OTHER DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: NO OFCCCOND, PER ~ 9280 SOUND A~ GENERAL MANAGER MATTITUCK, NY, 11952 11 ~ ........ . Per COPY FOR BUILDING DEPARTMENT. THIS ~OPY Oh L;bHYIFICATE MU~7 N~T ,B5 ALTERED IN ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ] INS~ULATION [ ] FRAMING [.~'~ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ DATE ~/~/~ INSPECTOR ,/~ ~/ ECTION REPORT DATE ..... COM~ _N~_ $ . I ' ~A~o~ ( ~IIOR PER N.Y. '' S~A~ E~R~ CODE ADDITIONAL COMMENTS: ORM HO. I OF soUTHOLD ~G DEPARTMENT )I~] HALL )LD, N.Y. 11971 765-1802 Disa~t ~ed a/e .................................. BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY .'2 ...................... CHECK ......................... SEPTIC FORH ................... NOTIFY: MAlL TO: .................... Oluxldmg Inspector) ~- APPLICATION FOR BUILOING P~RMIT INSTRUCTIONS a. 'lhis al~lieation mast be c~pletely filled in by typeetiter or in i~.k ~ ~itt~ t~ ~e ~filding Ins~tor ~t 3 ~ts of pl~, ~ate plot pl~ to ~ale. ~ ~m~i~ to ~le. b. Plot pl~ ~ l~ti~ of lot ~ of ~ildi~s ~ ~s, ~lation~ip to ~joini~ pr~i~s or ~lic st~ts or ~e~, ~ givi~ a .~tail~ ~ripti~ of last of ~ ~t ~ dr~ on the dia~ ~i~ is ~rt of this a~li~ti~. c. ~ ~ m~ ~ ~is a~li~tim ~ ~t ~ ~M ~fore isae of ~ildi~ Pemit. d. ~ ~1 of ais ~li~ti~, ~ ~ildi~ In~etor ~ll is~ a ~ilding Pemit to the ~li~nt. ~t ~mit ~11 ~ ~ m ~ ~s ~il~le for in~ti~ theft the ~rk. e. ~ ~ildi~ all ~ ~iM or ~ in ~le or in ~rt for ~ ~ ~at~er ~til a ~rtifica~ of ~ ~11 ~e ~n ~t~ ~ ~ ~ildi~ I~tor. ~I~ I8 ~ ~ to t~ ~ildi~ ~nt for ~e isle of a ~ilding Pe~t ~r~t to the ~ildi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er ~li~le ~s, ~di~es or ~lati~, f~ ~ mt~tim of ~ildi~s, ~itims or alterati~s, or for ~al or ~lition, ~ ~rein ~ri~. ~ a~li~t ~s to ~ly ~ all ~li~le l~s, ordi~s, ~ilding c~, ~ing c~e, ~ ~latims, ~ to ~it m~ri~ i~tors ~ ~s ~ in ~ildi~ for ~esa~ in~ti~s. .... ............ (Si~e of a~lie~t, or ~, if a co,ratio) .... (~ili~ ~ress o~ ~li~t) /~9/'~ State ~ar ~lieat is ~r, les~, ~t,. a&itat, engi~r, ~ral contractor, el~triei~, pl~r or ~ilder. ................... ~.~.~ ..... ~~ ................................................................ ~ o~ ~ o~ ~, ........ ~e ......... .~ ............................................... (~ ~ ~ t~ roll or latest d~) ..... ........ Ph~bers License No. ................... . . .... Other Trade's License No ..................... 1. loeatlon of l~md ~ ~,taich proposed ~ork will be ~ ..... ,..., ............ · ...... ~.. . .................... ..... ............. ................. ~ ~r Strut ~et ~,~. ,~ ~i~ ...... ~ ..... ~ ....... :~ .... ~ ........ /~.~ ~ivisi~ ..--f$~..'.- ~[. -- ~- ~i1~ ~ ~ ................ l~t ...ff.~ ..... (~) 2. State ~sti~ ~ ~ ~ of ~s ~ inte~ ~ ~ ~ of pro~ c~stmction: a. ~sti~ ~ ~ ~ ......... ~ .~..~Z~./~.~ ............................... l~cate clearly and distinctly from property lites. Give street ar whefl~er interior or comer lot. 3. I~,'~ture of work (dmck 4. Esti~t~ ~st ..... I~ ~ra~e, ~r o[ cars .... ~ ................................. 6. If I~ir~ma, ~rcial or ~ ~m~, s~ci~ ~ture ~ ~tent o[ ead~ ~ o[ ~ ...................... iMi~t ....................... J. ~r o~ 8~ories ...................... Di~nsi~ o[ ~ st~re ~ith alterati~s or ~itlons: ~nt ............... ~ar ............... ~pth .................... ~i~ .................... ~r oE Stories I~i~t ..... ' ~r of Stories I0. ~te of ~rdm~ ........... ~... ~ of Four ~r ........................................ . ~ ~ ............... o~ ~r PLOT DIAGRAM bl~ ~r or ~scripti~ acco~ing to ~, a~ ~ strut ~s ~ i~icat~ ~t~J~L~f ~ .... ~ , · i , ...................... ~f/dz..~.~....~A ..... (Name of individual signiug c~tract)] lie is the ........................... (Contractor, n§ent, of.' said cantor or' oure. rs, and is duly appl. lcatic~l; that all statt~rents coati ......... being duly sworn, delxaaea and ~ays that he is tim applicant orperate officer, etc.) uLhoriz~l to perform or here perfonn~l the maid work and to ~ a~ file this Lt~ in fl~is a~] icati~ are t~ to ~e ~st of his ~1~ and ~lief~ a~ that the ~rk will ~ ~rfou~ in tl~ ~mer ~t forth in fl~e a~l. icati~ fil~ tbe~fl~. · ~m Lo before me U~is ~ {,.~ ~ , ...... Notary .. FOLLOWING INSPECTIONS: I FOUNDATION - 'I~VO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAM~G & PLUMBING 3. INSULATION at. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. At.L CONSTRUCTION SHALL MEET THE RE(:}.UIREMENTS OF THE N STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ENCLOSE POOL TO CODE UPON COMPLETION BEFORE "VVATER- 52 ft. AreO = 21'616 scl. Lot 51 ~r~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY UNDERWRITERS CERTIFICATE REQUIRED m..~NOV 19 197~' : .. n. tns~ected by thi8, ~nt ~d' HE~ D~RTMENT-DATA ~R SURVEY FOR TGM CONSTt?UCTION'COt~P. - tOT 52, "P~BBI ~ B~ACH ~ARMS' m~. ~, S~q. TNOLO :. SCULl= /% ~o' SUFFO~COUNTY~ NEW ~ORK .o. ~9-73 ~ ~UTHORI~' ALTER*TI~K~OR ADOIT;O, ~ ~IS ']~ GUARAN~ED TO :. SU~Vg~ ~ A VIOlAtION OE SEC~tOH 7aO~ Or THE ~:HEW:YORK STATE EDUCATION LAW ' : .' . ~N~S .' ..-~ - -