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 .' ..-~
- -