HomeMy WebLinkAbout25630-zFORM NO. 4
TOWN OF ~OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Nos Z-26661
Date: 09/07/99
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1390 WATER TERRACE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 88 Block 6
SOUTHOLD
(HAMLET)
Lot 13.17
subdivision Filed Map No. -- Lot No. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 3, 1999 pursuant to which
Building Permit No. 25630-Z dated MARCH 22, 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 ONE FAMILY DWELLING WITH ATTA~mD TWO CAR GARAGE & COVERED FRONT
PORCH AS APPLIED FOR.
The certificate is issued to ZOUMAS CONTRACTING CORP.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0023
ELECTRICAL CERTIFICATE NO. 28980
PLUMBERS CERTIFICATION DATED 06/16/99 HI-TECH PLUMBING
Rev. 1/81
07/29/99
08/25/99
Building Inspe/or -
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. 25630 Z Date MARCH 22~ 1999
Permission is hereby granted to:
THEODORE LAOUDIS
23 VAN BUREN CT
CRESSKILL~NJ 07626
for :
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR
GARAGE AS APPLIED FOR.
at premises located at 1390
County Tax Map No. 473889 Section 088
pursuant to application dated MARCH
Building Inspector.
WATER TERRACE
Block
3 1999
SOUTHOLD
0006 Lot No. 013.017
and approved by the
Fee $ 823.80
AuthoriZed Signature
ORIGINAL
Rev. 2/19/98
~ BUILDING DEFARTMENT
, TOWN HALL
· ~5-~go2
APPLICATION FOE C~RTIFICATE OF OCCUPANCY
This application must be filled in by typewriter OK ink and submitted to the building
inspector with the following: for new building or new use:
1. F~nal survey of .property with accurate location of all building~, property lines,
streets, and unusual natural or topographic features.
2. Final Approval fro~ Health Dept. of Water supply and sewerage-disposal(S-9 form).
3. Approval of electrical ins:ell.ation from Board of Fire Underwriters.
4. Sworn statement from plumber eertifyi~g that the solder used in system contains
less than 2/10 of l%.lead.
5. Commercial building, /ndustrtal building, multiple residences and
and installations, a certificate of Code Comp~iance' from architect or
responsible for the building.
6. Submit Planning Board Approval of completed site plan requtre~sn:s,
For existing buildings (prior to April 9, 1957) non-conforming uses~
'!pre-axis;lng" land uses:
1. Accurate survey of property showing all prope~y lines, streets,
unusual natural or topographic features.
2. A properly completed application and a co~sent to inspect signed by the ap
If a Certificate of Occupancy is denied, the Building Inspector.shall state
reasons therefor in writing to the applicant.
Fees
1. Cer~lfica~e of Occupancy - New dwelling $Z5.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw~"ming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Certificate of Occupancy on p~e-existinK Buildinz - $i00.00
3. Copy of Certificate of Occupancy -
Upda=ed Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy- Kesidential $15.~, ~F~,ercial $15.00
Da~e ....... /, ~ .~ ..................
Cons~ruc~lon..~., Old Or Pre-~is~ ~uildin~ ...............
~o~ o~ ~o~.~.' ...... J.~.~ ..........~7~...~d~ ...... ~z~.:~...
House No. Street Ha~e~
..... ...................
· .~.~
~ ~ ~ ~o ~ooo, s~io~ ........ ~o~ ......... ~o~ .... ~I~.~Z .....
~o, .... ~.a¢.. ~ ~...~.~a.. ~,~ ~.. ~ ~.~...~o, .... /. ~ ..........
~,h ~,. ,~o~,l...~l ~ ~.l?.~ .... o,a,~=~,~=, ,~o~ .........................
ming Board Approval ........................
~es~ for: Temporary Certificate .......... ,. Fin~ Certicate ...........
Submitted: $ ...............
~.$~777 .........
Town Hall, 53095 Main Road
P, O. Box 1179
$OUli301Cl, New Yo~ 11971
Fa~ (516) 765-~87.3
Telephone (5 t6) 765-~ 802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No,
Owner: ~U~
(please print)
Plumber:
(please priht) '
I certify that the solder used Sn the water supply system
contains less than 2/10 of 1%. lead. '
Sworn to before me this
day of
Notary_ Public, ~
ROSALIE-SALEMM[
NOTARY P~JBL~C, State O~ New
01-SA4800818
County
' ~ ~ ~, $75DUNTONAVENUE
GUE, NEW YOR, K 11772
F~ST r~ ~ (~rctto~o 286.6642 :, ~
~' ' [' APPLICATIONNo. ONFIL~ ~ ~'~
' 8/25/99 '' ' ~
',' $outhold ' . ~ lO,IN: $outhold
· £oi # 15 Water Terrace '
~. ~ :
· ; ,' Zoumas Construction ['
~ ,, :: i; ' "·" '~CNo: 2558'E
OC~D IVading R
v IN. OD BY: iver Electric
"' 8.25-99: ' at~£ th,, th. Natlonal El~ctrlcal Cod* '
,' ' waq examlngd on d_ound to be in ~ompllanc~ wi
RECEPTACLES FIXTURES HEATF, P~ FANS G.F.L AIR. COND.
35 41 2exhausts : 4
DRYER CLOTHES WAgL. ~ 912gP. [ P, dNGE OVEN ' ,.qMOI~ DETECTOR
30amp 20amp .... 40amp, : 5 '
011, ,' GAg CIR., MOTOR,g,', BELL TRAN. · S~, FICEDI$CONNECT ,
BLDG. DEPT.
TOWN OF SOUTHOLD
CLAIRE I. GLEW
Notary ~k~,_ .St ~. _t e_ ~. _N_ew York
O41olffled In Suffolk Co u r~ ~ .,~, ~,
Comml~ion Expires Dec. 8, ~ "--'~//.~
76S-1802
BUILDING DEPT.
INSPECTION
[ ~/'~OUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DATE ~'~/~ I NSPECTO~,,~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] R~)UGH PLBG.
[ ] FOUNDATION 2ND [ ,~] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE
I NSPECTOR_//~~/~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] RO~JGH PLBG.
[ ] FOUNDATION 2ND [~/]~ INSULATION
[ ] FRAMING [ ]FINAL
[]FIREPLACE&CHIMNEY
DATE ./~///~ '~ ~ INSPECTOR
76S-1802
BUILDING DEPT.
INSPECTIO N
[ ~] FIREPLACE & CHIMNEY
REMARKS. ~ ~ ~.~
DATE ~//~ INSPECTOR~~
765-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN~ATION
[ ] FRAMING [ ~]/FINAL
[ ] FIREPLACE & CHIMNEY
DATE _ INSPE
765-t802
BUILDING DEPT.
[ ] 1ST [
[ INDATION 2ND [
[ ] FRAMING [
[ ] ~IEY
REMARKS:
] ROUGH PLBG.
] INSULATION
] FINAL
DATE ~~ IN~
NDATION
FRAME &
.PLUMBING
SULATION PER N. Y.
STATE ENEROY
CODE
'FINAL
ADDI
',' ,;, ,BOARD, OF,;:,UEALTD.. ..............
· FORH NO. I ',' -;'3:(- SETS': OF/;PLANS
TOItN OF SOUTtIOLD SURVEY ,;'.
BUILDING DEPARTHENT CItECK,. ;".,.;; ~ ....................
TOI~I tIALL SEPTIC: FOR}I ............. ~ .....
SOUTDOLD, N.Y.- ] 197 I · -
TEl,: 765- 1802 NOTIFY:
.......' - ,.'.
CALL';; ............... ..
Exanined .................. I9 ....
...... .... , Pemit
~0~'~!~: COI~I'RACT~NII'I)OI~ p:''
",';:'.': ..... P.O..Bo~ ~61 ..............
. Wadinil Rive,r~.[.dY 11792.
a., '~is a~li~ti~ ~t ~'~letely fill~ in by ~iter or in i~ ~ ~itt~ to ~ ~lilding Ins~ctor wltt:
3 ~ts of pl~, ~ate plot pl~ to ~ale. F~ ~co~i~ to ~le.
b. Plot pl~ d~ lmtim of lot ~ of ~ildi~s m ~s, relation~ip to ~joini~ pr~s or ~lic
struts ~r areas, ~ givi~ a ~tail~ ~ripti~ of last of ~r~ ~t ~ dr~ ~ ~e dia~m ~id~ is ~rt of
this a~licati~.
d. U~ a~l of fl~is a~li~tim, tM ~ildi~ I~ctor will is~ a ~ildi~ Pe~t to the ~limt.
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in Mrt for ~ ~ ~at~er mtil a ~rtificate of
~m~ droll I~e ~n ~t~ by fl~ ~ildi~ Im~t~. '
~I~[~ IS I~ ~ to t~ ~ildi~ ~r~nt for fl~ isle of a ~ildiog~Pe~t ~r~t to the
l~ildi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~er 'a~li~le ~s, ~di~es or
~lati~, for tim mt=tim of ~ildi~s, ~iti~s or alteratims, or for r~al':br ~lition, as ~rein
~scri~. ~ a~li~t ~s to c~ly wi~ ail a~lic~le l~s, o~i~es, ~ildi~ ~, ~ing c~,
re.latins, ~ to ~t ~ri~ i~tors m ~ms ~ in ~ilding for ~s~ ins~[ims.
,- , (Si~t~e of ~li~nt, or ~, if a co.ration)
(~h~ ~ress of a~licmt) ~ /
(~ ~ ~ t~ mi1 or latest d~) ~
1~ ~r St~t ~ek
a. ~sti~ ~ ~ .................................................................. ... - -- --- --
property lines. Cive street and b
~edmr in~erlor or corner loC,
P~m'e of ~ork (d~ck ~hicl~ apphcable):": · Nc~ ?.~ihlin~ ..... A~khtion .......... Alteration ..........
l~ir ........ ~.. ~al ...,..~ ....... I~hti~ ..' .......... Od~r ~ .' .................................
~]~'. , ;.:,, ,,, (~ipti~),
~d f~ ............................
Escin~c~I ~s~' ·... ~ ~ ~.., .~ ....... ~ ........................
,, (to ~ ~id ~ filing this a~li~ti~)
garage, t~r ~rs ...: .............
I)in~n~i~m pf ~i~E~ ~res.~ if ~: ~t ................ ~ar ............... ~pth .................
I~i~t ........................ . ,;~ c of SCot es. ............ .. ... ..--
l)inensi~{s of ~m st~re vlth {alteratt~s or ~itions: ~t ............... ~ar ...............
' ' ' ...... ~/~
~pth .................... l~]~e ............. ~r oE Stories., ....... . ...... / //
. . .,.. ;~
D{.~ns{~ of entlre ~ ~st~l~. l~t ................................... ,' ..............
l~i~t ......................... / mr of Stories ................
~_ ~ ~ .... ~.~,, ............... . .....
Si~ of lot: l~t .... JJ .... -,-- ~ ...... ~ar ...~.~ ........
~,:~ o~ ~,~,~ ...... ~./.~.2~ .... ~ o~,~o~ ~ ..... ~a~.~...~.~>~-.~...
disc let inMid{ p~i~s si~t~ ---.-- ---.- · '--- .....................
~a pro~{ ~t~ti~ vi61a~ any ~i~ 1~ o~i~e or re.latin: ........................
~ill lot ~ ~ ..'...Z...~.~ ....... ~ill ~ea~ fill ~
~. o~ ~o~ ...~.~..~.¢.~.. ~-~ ....... ~.~...<~ .......... ~ ~. -~:~
this p~r~ ~dn ~ f~t 6f a riehl xetl~? ~ ~ .......... ~ -~-...
': PLOT DIAORAH
~ate clearly ~ disti~tly all~ildi~. Mm~mr ~{sti~ or pro~. ~ i~icate a~l ~t-~ di~nslons ~ ~r or ~seripti~ ~co~ing
................. Imin{ duly ~x~m, delxJS~a ar<l says that he is the appl, i~mt
lie i~ the ~ .....................................
(Gontractor, agent, corpo~Ce officer, etc.)
o[~ said c~er or ~rs, a~ ia ~ly ~U~orl~' to ~rfom or have [~rfo~ tim ~itl m~ atxl to rake m~ fil.e this
alfl)licad~; Lhat all stat.rants c~ta[~ in this a~licati~ are t~ to O~e Imat of his ~l~ etd I~[]ef, a:xl
thaL the turk will I~ ~rfo~l in' the ~nt~r ~t forO~ in the appl. lcadon f[l~ tlm~[B~.
Notary Public .... ; .........
ROSALIE SALEMME
NOTARY PUBLIC, State 0f Now Yo~
0~-SA4800~18
Qualified In Suffolk Coun~
Commission Expires ~anua~y 3~
/~REA 31,$69 SQ.FT.
FE L 7~.o
( 7~
LO~.
0
o
0
uJ
D 3
Z ~
0 u~
GUARANTEED ONLY TO
N.Y. LIC. NO. 048992
TRANCHON JR. PENN. LIC. NO. Z1115-E
FiLENO. ANGEL SHORES
JOB NO. 99- 20
SURVEYED FOR
LOT NUMBER 15
OF ANGEL SHORES
BAYVIEW
OF SOUTHOLD, SUFFOLK COUNTY, N.Y.
SCALE 1" = 50" DATE 12 - 9 - lggB
NO. 97 29 DATE 8 - 23 - 1995
TAX MAPNO, 1000- B8-6-13.17 (REF. ONLY) DISK 193
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
516-9Z9-4695
AREA
31,5~,9 SQ.FT.
4O2.
,L
JOB NO. g9 ~ 20 '~'ILE NO. ANGEL SHORES
SURVEYED FOR
LoT NUMBER 15
M AP OF' AN'GEL. SHORES
SITUATED AT B AY V I E W
TOWNOF SOUTHOLD, SUFFOLK COUNTY, N,Y.
SCALE 1" 50' DA'I~E 12 - 9 - 199~,
FILED MAP NO. 9,7 29 DATE 8 ~'.23 ;..199,5
TAX MAP NO. 1000 - ~' 8" 6'- 13.1'7 (REF. ONLY) DISK lg3
HAROLD' F. TEANCHON JR: P.C.' ' ' "'
LAN, D ~URVEYOR
1,866 WADING RIVER-MANOR RD. WADING RIVE'R'~
I~EW YQRK, '11792
r 'AREA ,91,5~9 SQ. FT,
.... 99-345:
0
SEPTIC SYSTEM
b=~O'
c = 19' NOTE: CESSPOOL, SEPTIC TANK AND WATER
d = ~8' , SERVICE LOCAT O~ BY OTHER&,
6-$-1999 FINAL SURVEY
4-20-1999 FOUNOATION LOCATION
BEARING THE LAmb SURVEYOR'S
l~(1~ .~AL OR EMBOSSED SEAL
~v~l.L NOT P~ CON,SID~ TO ~
JOB NO. 99 - 20. FILE NO. ANGEL
SURVEYED FOR
~-OT NUMBER 15
M AP OF ANGEL SHORES
SITUATED AT B AY V I E W
TOWNOF SOUTHOLD , SUFFOLK
SCALE 1" 50 ' DATE
FILED MAP NO. 97 29 DATE
TAX MaP NO. 1000 - B 8- 6 - 13,17
SHORES
COUNTY, N,Y.
12- 9 - 1998,
8 - 23- 19,95
(REF. ONLY) DISK 19~
HAROLD F, TRANCHON JR.P.C.
LAND SURVEYOR
1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 11792
516-929-4695
~ZZZ,ZZZZZZZZZZZZ__ZL ............ L
?._~A~. E~LI~V'ATION
ZZZZZZZZZZZZZZ~ZZZZZZZZI_~ZZZZZZ_
'1'
SE ~ FOR C.O.
AU. CC~IST~UCTION SHALL MEET
THE R~UII~IEMENTS OF THE N.Y.
STATE ~TRUCT~ON & ENERGY
CODES. NOT RESPONSIBLE FOR
DES~I~I OR CONSTRUCTION ERRORS
F~ONT ~Lt~/ATION
dzzzz]]]-_-]_-]]_-_-_~--]
~ I~I~HT I=LL=',/ATION
~CCUPANCY OR
SE iS UNLAWFUL
WITHOUT CERTIFICA1
I~F OCCUPANCY
Eric Nicosia
414 Main St, reef, Port, JeFf'er~On, N.Y. 11, I ~
Tel: (51~ <~,2.~-4-4~ Pax: ¢51~,.) C:L~g~-~,4-5
U NEXC,AVATF_D I
d
~ENiEEF~.AL_ NOTE.~:
5-i'I~JGTUF~'d- NOTP-~:
~:~C-,HAGKI ~EE~I[2EENGF:
LOT 15 AN~'EL
FOUNPATION F'LAN
JO~: '=1c10210
~C.ALE: 1/~'": 1'-0" A-2
~L=V~: I BY: E'N
I /
/
22*-0"
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYSTEM CANNOT
EXCEED 2/10 OF I% LEAD,
PLUMt~IN~ ~IEF:P.. PlA~FRAI',4
I.l.Jlf J ¢jli~
5~C,'I"ION
PLUMBING
HALL U-VALL~
C,~ILIN*5 U-VAI..Ur:5 PDOC:~ U-VALUr:5
Eric Nicosia
414 Main ~treet, Po~ JeC~erson, N.Y. 11'/-/'/
Tel: (51b) q2~-445b Fax: (51&)
Am~'o',.~ ~=~OC, HAC, KI
5EGTION,~NERG'Y