HomeMy WebLinkAbout25236-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26285
Date: 02/16/99
THIS CERTIFIES that the building RENOVATION
Location of Property: 57225 MAIN RD
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 63 Block 3
Subdivision
Filed Map No. __ Lot No. --
SOUTNOLD
(HAMLET)
Lot 21.5
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 10, 1998 pursuant to which
Building Permit No. 25236-Z dated OCTOBER 16, 1998
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 MINOR RENOVATION TO THE 2ND FLOOR OF AN EXISTING BUILDING AS
APPLIED FOR. (2ND FLOOR ONLY)
The certificate is issued to GEORGHIOS AYIOS, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-476785 01/12/99
02/01/99 GREENPORT PLUMBING & NEAT
Building~s~pector
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. 25236 Z
Date OCTOBER 16~ 1998
Permission is hereby granted to:
AYIOS GEORGHIOS~ INC.
57225 MAIN RD.
SOUTHOLD~NY 11971
for :
MINOR RENOVATION TO THE 2ND FLOOR OF AN EXISTING BUILDING AS
APPLIED FOR 2ND FLOOR ONLY.
at premises located at 57225 MAIN RD
County Tax Map No. 473889 Section 063 Block
pursuant to application dated SEPTEMBER 10 1998
Building Inspector.
SOUTHOLD
0003 Lot No. 021.005
and approved by the
Fee $ 150.00
ector
ORIGINAL
Rev. 2/19/98
BUILDING DEPARTMENT
TOWN HALL
Tn.~s a~must be ~illed 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 tkan 2f10 of 1% lead.
5. Co~nercial 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
Ppre-existing" land uses:
l. Accurate survey of property showing ,11 property lines, streets, building amd
unusual natural or topographic features.
2. A properly completed application amd 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.
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Sw4mm~g 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 - ~ .~5~.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy '- Residential $15.00, Commercial $15.00
.................. .....
- Date ... /~ .....-
.~ ~onstruotlon ........... Old Or ~re-existing Building ..... .~....
~ation of Property ........................................................................
H~let
House No. Street
,..r or o ers of
~0 0~.00
mnty Tax Map No 1000, iection..~.~v ....... Block ................ Lot-~.~(.~'o'O''~' ........
,b4ivision ...... ~. ..................... :...~iled Map ............ Lot.~.~..-/]-.-~...'~'
· - ~]~ ..... Underwriters Approval.~... ...................
~lth Dept. Approval ...... ;.w-'-, ............
.arming Board Approval..~..~. .................. ./..~
~quest for. Temporary Certificate ..... · ..... Final Certicate. .-
,.Submitted: $ .... .................'
Town Hall, 53095 Main Road
P. O. Box 1179
$outhold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No. ~ ~ ~-~ 3W ,~
Owner:
(please print)
I certify that the solder used in the water supply system
contains
less than 2/10 of
1% lead.
Sworn to before me this
Notary Public,~ ~/x~, ~b,~.(~_~ County -- -- J~OYCE ~. WILKINS --
Notary Public. State of New York
Ne. 4952246. Suffolk Couptv
Term Expires June 12,
THE NEW YORK BOARD OF FIRE UNDERWRITERS i i E1
ii~e~9 aUREAU OF ELECTRICITY
V 40 FULTON STREET, NEW YORK, NY 10036
Date JANU31qY 12,1999 npplicationNo, onflle 17282598/98 N 476785
THIS CERTIFIES THAT
only the electrical equipment as described beJow and introduced by the applicant named on th~ above application number is in the premises of
COEUR DE VIGNES REST. , ROUTE 25, SOUTHOLD, NY
in the following location; [] Basement [] 1st FI. [] 2nd Fl. OUT Sectio, Block Lot
was examined on 3~UARY (}7, I999 and found to be in compliance with the Natlonal Electrical Code.
FIXTURE
OUTLETE
19
RECEPTACLES' SWITCHES
[ 20 16 19
FtXTURES RANGES cooKINe DECKS OVENS DISH WASHERS EXHAUST FANS
DRYERS FURNACE MOTORS FUTURE APPLiANCE FEEDERS i~ECIAL;~C'PT, TIMECLOCK$ UNIT HEATER$ MULTI-OUTLET DIMMERS
SYSTEMS
NO, OF FEET
SERVICE DISCONNECT S E R V I C
OTHER APPARAIUS:
EXIT LIGHTS-2
EMERGENCY PACKS-2
NO, 0~: cc COND.
pER gl
O,c CC, COND,
NO, OF HI-LEG
ELEC. ROOH HEATERS:4-.375 K.W. ,4-1.O K.W.
G.F.C,I:-4
SMOKE DETECTOR: -~
JIM SAGE ELEC. INC.
PO BOX 38
GREENPORT, NY, 11944-0038
GENERAL MANAGER
Per 11
This certificate must not be altered In any manner', return to the office of the Board if incorrect. Inspectors may he Identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTiFiCATE MUST NOT DE ALTERED IN ANY MANNER.
· 'OUNDATION ( 1 st )
~OUNDATI( (2nd)
COMM£~TZ
ROUGH FRAI
ZUMBING'
I~SULATION FER N.
STATE ENEROY
CODE
'FINAL
ADDITIONAL
765-1802
BUILDING DEPT.
INSPECTION
/
[ ]FOUNDATION 1ST [ ]RO/U~GH PLBG.
/
[ ]FOUNDATION2ND [ ]/~ISULATION
[ ]FRAMING [/~v FINAL
[ ]FIREPLACE & CHIMNEY
DATE //~/~
iNsPECT~
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST [ ] RO~PLBG.
FOUNDATION 2ND [,~,,']~ INSULATION
[ ] FRAMING [ '] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE ///~'/?/~/~ I N S PECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ I FOUNDATION 15T ,~OuGH PLBG.
[ ]/~oI~NDATION 2ND [ ] INSULATION
[~]~ FRAMING [ ] FINAL
[] FIREPLACE & CHIMNEY
.~~/~,,~ ~/~ ,
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [/] IN~ATION~
[ ] FRAMING [~-~ FINAL
'FORM NO. 1
TOWN OF SOUTHOLO
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Disapproved a/c .....................................
BOARD OF HEALTH ......
3 SETS OF PLANS .......
SURVEY ......... ,
CHECK ..........
SEPTIC FORM ............. :
NOTIFY
CALL -~f~5~ ~ .....
MAIL TO:
(Building Inspector).
APPLICATION FOR BUILDING PERMIT
Date .S.~P..T..Ei~B..E.R. 9..19.9.8.., 19.
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, wit.
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 stre
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap
cation.
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 issued a Building Permit to the applicant. Such pen
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 whatever until a Certificate of Occupm
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the construction of buildings, additions or alterations, or for removal o,r dg)3qolition, as herein describ
The applicant agrees to comply with all applicable laws, ordinances, building cod~~,,,j~regulations, and
admJ, t authorized inspectors on premises and in building for necessary, inspecti, ons~/~~//~---- ----- -~.~--~/~'~
(Sign~Or name, if a ............ corporation)
PO B.O~.7.2 .G~I~0RT .I~¥. 11966 ...............
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build
...... ~QI~TPA~TQI~ ...............................................................................
GEORGE & DONNAMARRIE PAVLOU
Name of owner of premises ........................................................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's License No ..........................
Plumber's License No... ~,r~.~, .(. ~.. ~...
Electrician's License No. 3635E
Other Trade's License No ......................
Location of land on which proposed work will be done ..........................
57225 MAIN ROAD SO.U~..QLD
House Number Street Hamlet
County Tax Map No. 1000 Section ..... 0.63...0.0 ........ Block .. O3..00 .......... Lot.. 02.1..005 ........
Subdivision I4A Filed Map No ............... Lot ..........
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy RESTAURANT ~ BAR , HOTEL' , . -. ......
RESTAURANT , BAR, HOTEL
b. Intended use and occupancy ....................... .: .........................................
Nature of work (check which applicable): New Building ' Addition .......... Altegation ..........
Repair .............. Removal ............ Demolition ............ Other Work .RENO~/ATI0~ ....
(Description)
$ 45,ooo.oo
Estimated Cost ................ ~ ..................... Fee ....................................
J ' (to be paid on filing this application)
If dwelling, number of dwelling unit~ ..... 6 ......... Number of dwelling units on each floor .... 4 ...........
If garage, number of cars : .....................................................................
If business, commercial or mixed occupancy, specify nature and extent of each *,, ~ ,,c,,~,, RESTAURANT BAR ItOTEL
Dimensions of existing structures, ifhny: Front ........ ~ ...... Rear .../*5 .......... D pth ............
Height ...30 ..... Number of Stones...3 .................................................
Dimensions of same structure with alterations or additions: Front . $1~:llg ............ Rear ..................
Depth ...................... 12leight ...................... Number of Stories ......................
· ' D pth
Dimensions of entire new construchgn: Front ............... Rear ............... e ...............
Height .. Number ~f Stories .......................................................
Size of lot: Front ..... lB0 ...... J ........ Rear ...... J-SO ............. Depth .. · 2§7 ................
7/.2.2/.9.8 ~ Name of Former Owner ltoscgA.T
Date of Purchase .
Zone or use district in which premises are situated .............................................
Does proposed construction violate ~ny ZOlling law, ordinance or regulation: .N.O ..............................
Will lot be regracled ....... ~.O... i ............ Will excess fill be removed from premises: Yes ](No
Narne of Owner of premises . F. 9.ag. i'k'vi u ' ' Address .n.nY.ITT9. , .......... Phone No. 7.3.?.19.1. .......
Name of Architect . .~.A.R.P~.~..8..AI~IB..A.~..I ............ Address ...sg..mJJg.nP ......... Phone No. 7~.4:-7.4~2 .......
Name of Contractor R.O.BgRT..SA.E.TI/.A CONTRACTING Address 9.a? Phone No. /,77-3058
· Is this property located within 300 feet of a tidal wetland? ~Yes ..... No .~..
· If yes, Southold Town Trustees Permit maybe required.
, PLOT DIAG IL4,M
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
petty lines. Give street and block number or description according to deed, and show street names and indicate whether
~rior or corner lot.
TE OF NEW YORK, ~ ~
JNTY OF..SU?.F.O.L.K....
..It. CO~Eit.T.~~~~... ................ beingdulysworn, deposesandsaysthatheistheapplicant
(N~_~--l~n di~gning icontract)
,e n~med. / ~/
CONTRACTOR
~ the ........................................
~' (Contractor , agent , corporate officer , etc . )
aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
ication; that all statements contain{d in this application are true to the best of his knowledge and belief; and that the
( will be performed in the manner se~t forth in the application filed therewith.
rn to before me this
10TH ,~,,, ,,c I SEPTEMBER ~o 98
· SUFFOLK
ltv Pnh]lC ............................. .~,~mt~ County
//~'~'~'~/~ ~/' "~ ~o.ll{l.a i. ~u{{ol~ c~;~9 q~ ..... Signature of applicant)
. I
PLUMBING
ALL P~.UMBING ~
· WATER UNES NEED
TESTING BEFORE COVERI~
UflDO~ C(IITIFICA'I[
REQUIRED
fro' warm' dl~ltlbutln~
of t~x~ K or Lonly
PROVIDE AJIIMCAJI*AID/Oll
111EIMAL SHOCK I~lltrllTIN
DEvIm AS I0 Pm. IrtJ(K)
STATE IOiLD~III gOOF..
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
SOLDER USED IN WATER
SUPPLY SYST'EM CANNOT
EXCEED 2/fO OF ~ lEAD.
L
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
~ ~UILDING DEPA~ENT AT
'~02 9 AM TO 4 I~1 FOR THE
FOLLOWING INSPECTIONS:
1 FOUNDATIOM - TWO REQUIRED
'~ FOR POUREDCONCRETE
2 ROUGH - FRAMING & PLUM~
3. INSULAllON
4, FINAL - CONS'rRUCTION MURI'
BE COMPLETE FOR C.O,
ALL CONSTRUCTION SHAM. MF~'~
THE REQUIREMENTS OF 1141 N.~
S: i: CONSTRUCTION &
?~, ~ES, NOT RESPONI~II~
DbSIGN OR CONSTRUCTIOt~
. I