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HomeMy WebLinkAbout24370-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26025 Date: 10/13/98 THIS CERTIFIES that the building ADDITION Location of Property: 3970 KENNYS RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 4 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 1997 pursuant to which Building Permit No. 24370-Z dated SEPTEMBER 22, 1997 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 SECOND STORY ADDITION WITH SECOND STORY DECK TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ORESTES G VARVITSIOTES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 21579 08/12/98 PLUMBERS CERTIFICATION DATED 07/31/98 MATTITUCK PLUMBING & HEAT Building Inepec Rev. 1/81 r 70$M NO. 2 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) N? 24370 Date ...........f,/„�.Z ............................ 19{ 7/ Permission is hereby granted to: / � ...,Z2�4........................ ta . -....... ,1�.......... ..... .. v ......... d.... ! -� ..c f �......... 1 .. J. ... ..,... ,� .............. rP.t............................. .................................................................. ................................................................... ............ � . �f . . ............................................. ... ... .... ......... at premises located at...al..M ....1./.r ..,. . . ... .... . . . ...... . .. .................. County Tax Map No. 1000 Section ...M:S- ............ Block �.......401....... Lot No. ....Al ........... pursuant to application dated .........,OAK—...... ?.................. 193.�7 and approved by the Building Inspector. Fee 5...� '�—....... .............. ? rfi ...,........................ ildi Inspector Rev. 6/30/80 Form No. 6 - � TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL k... _ 765-1802 tn APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 12 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. B. +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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions .to dwelling 85.00, _' 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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . _. . . .f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . GG. e 77. . 0 d Or Pre- xistin,ppg Bui,l/dJing. . ✓ . . . . . . Location of Property (. 0 V . .I,� GlF!�11. �. . . . 1 ``( . . . . . . . . . . . . . . . . . . .� House No. Street Hamlet Onwer or Owners of Property. .S!.Y. .. . Q! rr//.?�. !. .. . . . . . . . . . . . . . . . . . .'. . . . . . County Tax Map No 1000, Section. . ... . ..Block. .?3?A . . . .. . .Lot. . . . .. . . . . . . . . . . . . . . . . Subdivision. . . . . .``..�. . . . . . . . . . . . . . . . . . . . . ...�. . . . . .Fii��led Map. . . . . . . . . . . .(Lot o. . . . . . . . . . . . . . . . . . . . . . Permit No. . 2 .!.�� . . .Date Of Permit. l C !.5�. . .Applicant. .�r'•: - •r• . �l. . !... . Health Dept. Approval. . . . . . . . . r. . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . .^. . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Cer ate. . . Fee Submitted: $. . . . . . '.. . . . . . . . . . . . . . . . . . . SS��� APPLICANT r ------------------ --- -- ut:rutrt un'rE Cuuu[itl7:! 4. -- ------------------- . . ... .....-. --_ .- 1 I t n c vll ® w I•I.111111 I M: ------------------------- .7e--- ------- -------------______ _ _ —__ __------. !_1I lt:i ltf.n'i'IOrI I'1CR ti, T . - _ - (:!1111; f •� fie, it �\ _ nun ^— xlnr. c:nnrnsir•!; : ______________ _______ _ ;i_ __—__ ___—_ _____— _ _ __ _ I � Q ti til G �J -� I • •q.P 0, Town Hall, 53095 Main Road w x = Fax (5 16) 765-1823 P. O. Box 1179 \•+� Telephone (516) 765-7802 Southold, New York 11971 a y ! ElmDOFFICE OF THE BUILDING INSPECTOR + Z � TOWN OF SOUTHOLD LDG.DEPT. C E R T I F I C A T I O N MOB LD DATE- 7 37 `rB Building Permit No . /� e4: 7o 2 : O Owner �e��� �v1 pw t t-5; a (please print) l Plumber: e. � Plum Vrv1iJ; -r -- ,Jn0 (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. AJ I ( ltunbers Signe ar > Sworn to before me this day of 19qL9 Notary Public, County Term 41WIRL OCY J i ELECTRICAL INSPECTIO.N SER VICE'INC. 375 DUNTONA VENUE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 21579 DATE: 8112198 APPLICATION.No.ON FILE l7LIAGE: Southold ?OWN Southold ADDRESS: 3970 Kennevs Road ISSUED TO: Orestes Parvitsiotes INTRODUCED By Lademann Electric Inc. LIC No: 4141E was examined an 8112198 and found to he in wmpliance with the National Electrical Code LOCATION: Base. 1st 2nd xx 3rd Attic Det.Garage Hot Tub Pool SWITCHES RECEPTACLES FIXTURES HEATERS PANS G.F.I. AIR.COND. 12 14 9 1 2-paddle 1 DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKE DETECTOR FURNACE OIL GAS CIR. MOTORS BELL TRAN SERVICEDISCONNECT AIETEE AMPS PILOSE 07TIER EQUIPMENT 1-60 Amp. sub panel HUGO S. SURDI PRESIDENT BUILDING PERMIT No. i �eawema:t�wtceamm;n+m nye Insesmer beidaic5ed by th�admtie7s BLUE ORIGINAL YELLOW COPYPINK COPY OFFICE O�OguFfo(,�CO Town Hall,53095 Main Road yam. Fax(516)765-1823 P.O.Box 1179 • �� Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 14 , 1998 Orestes Varvitsiotes 25 Irvington Ulare Brooklyn, New York 11230 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : An application for Certificate of Occupancy S not on file. (Enclosed) XX No Underwriters Certificate on file. The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 24370-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 70 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION L l FRAMING [ ] FINAL [ ] FIREPL CH M Ell' REMARKSJ DATE < INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] I LATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: I !illy �- e DATE INSPEC 765_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLA CHIMNEY REMARKS: .v DATE INSPECTO 765-1802 BUILDING DEPT. INSP'ECT'ION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ ]FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: 17 DATE INSPECTOR G� 765-1502 BUILDING DEPT. 1 NSPECTI7OUGH [ ] FOUNDATION IST [ LBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAM114G [ ] FINAL [ ] FIREPLACE HIMNEY REMARKS: DATE INSPECTO BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 SETS OF PLANS . .. - -- - - - - TOWN OF SOUTHOLD / SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT /: + HECK . . . . . . . . . . . . . . . . . . . . . . . . . - , 5 TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: ,q; r �9 Examined------ - �ALL1.6 '=522,, - , , , �6...., I9yfy7 9 z MAIL T0:��51.t1�/ fl1F.oP`J/F` Approved....... .., 19 ..;7 Permit No. P. C.70 --- -•-r �ICL"�.e!.- ---!•r�; Disapproved a/c / ................................... ..............•--.---..........-....-.---..-....-.-... _ ..... ..- .... .....7..-- (Buildi or) APPLICATION FOR BUILDING PERMIT Date. `j - - .f7. . . ,19��. INSTRUCTIONS vv a- This application must be conpletely filled in by typewriter or in ink and submitted to the Building Inspector wi 3 sets of plans, anisate 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, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS IE[Off 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 ls, finances, buildi housing code, and aw regulations, and to admit authorized inspectors an premises and in W1ldi or necessary ions. ..... .. .-. ........-. ............. (Signa of applicant, or name, if a corporation) m (Mailing address of applicant) State whether applicant is,(xv :T.)le:ssee, agent, architect, engineer, general contractor, electrician, plumber or builder .............. .-/pp--....-.-.....-----...-..-....---.-..-.-....-.--....---.-............-.-....-........... Nam of owner of premises .OJT:1. .- :.. � Vl T5( 0 . ................................................ (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. ......................... Plumbers License No. ......................... Electricians License No. ..................... other Trade's License No. .................... /1 /� +' I- Location of land an which proposed work will be done... 7.�Q.!!--/v�C t -- r - 1 House Number 9 7� Street�t�SNC"/� O Hamlet Q L 'j-}{--0 LL,- Cocnty Tax Map No. 1/000 Section ..... ";V....... Block ...... ........ Lot 3 Subdivision ....................................... Filed Map No- ............... Lot ............... (Nam) 2. State existing use and occupancy of premises and int%xied useandoccupancy of proposed construction: a. Existing use and occcgr�xy .... Euh............. J-iC .-.....-......-...:.--.-.....-...-... b- Intended use and occupancy ............................................................................. 3. Klture of work (dueck wbidt applicable): New lkiilding .......... Addition .......... Alteration .......... Itelxrir ............ Rmuoval . ............ Ik7n9 itiou ............ Otter Worl( .................................. 99--�� //�� (description) 4. Estivated Cost .Y..t�.......I. ...... fee .............................................. (to be paid ar filing this application) 5. If okaelling, umber of dwelling units ..D ..... lie er of dwelling uniLs on each floor ...I-'.t........ Ifgarage, nnier of cars ...................................... G. If Ixusiness, umnarcial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dinensions of existing structures, if any: Front...ZS/...... Rear .`Zs ......... Depth .3.4':../...... Ikigut ......................... Mniier of Stories ..... ............ / Dimensions of Bare structure with alterations or nkli Lions: Front .2"* / ... Rear .��.-.5......... Depth ...32:�............ lleil;dut .................... Msiller of Stories .. .�✓.R...... tl. Il inensi(MA dt- entire new construction: Front . ... .`��Jjj. ..... Rear ...... [kpLh .�........... Ikilout ......................... M■dier of Stories ..J..w ti....l 2.�. 9. Size of lot: Fran .....Zvl........... Rear ..ZdZ............ Depth —a................ c � 10. linea an-kor ....... .74........ Rare &F—__—__ •• ........................................ II. Zone or use district in wiuidu premises are situated ............................................................... 12. hoes profoiied rxxutnr.Lion violate any zoning law, ordinance or regulation: ......N--v.............. 13. Will lot be regraded ........./............ Will excess fill be raiwed from ^^premises: YES ✓ No r ? 14. Nares of Owner of prere"mises a A14KY;.-M a.I ..... Aklress Ilnaue No.,R/,l: ,I.= Hanle of Architect .(..e�-. J..�.(rf CM1�:i:1.G�.... Akwass fluore No. �......... Mie of Contractor ................................... Aklress ...............................Thione No. .......... 15. Is this property within 300 feet of a tidal weLlacd7 * YES .......... NO ........,, *IF YES, s urlyllD ium 7'RUSIPJ:S PE1341'r my RG RIiiX iru). PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fon property lines. Give street and block niaber or description according to deed, and slow street nares and indicate ruhether interior or corner lot. SI'ME M- NW YMK, �� (XIlINIY O ....:-�l F'1[(y--�....1k........ SS ....being duly sworn, delx)ses and says that be is Lhe applicant (Nene of individual signing corntract) Axive honed, Ile is Clue .................. .......................................... .................................. ((lonracLor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed [lie said cork aid to mike and file this application; that: sit s(atemen(s contained in this application are true to (lie best of his knowledge aid belief; and that Lhe work willbe perforil—in the inamer set forth in the application filed therewith. Sworn to before nr_ this ..... . . ..97. Mnary Abulic y J ... .. � •.................. (Sig alure of AlipticarrL) ROBERT I.SCOTT JR. Notary Public,StatXal Now York 0"Na Otn SS061k Co� Um Expires May 31, oe "( 4 if _ - I oAPs. li. a - ia.eaer 'o gmsEr.eEly 9gpe xv+(a4 ' ssr,t H^''j.; R 1 F 1 i ' F 4lJR AP-F—^ Esso 4 4I-a11 - � l ntSE.c-QUZ� _'F'I:..O�r_- f!cr_E^' q L ldl3 7'- 8" 130 klevv NEW 92 Z. _ x)e E3<1�T. IZL]OI= - f• I q N Eon' S I- C7 hl(j F W _ 9 _ p gL.IGN NEW ?AKTITIOtif I!� 15 lon7 Ml� PAR.TITtoN .?ELOVJ E.xt T R14 MEW 2x10 x -ni:GK R. 61° 4 + NEW BR_ +I 3=nl�T' � ' TYPIG,41_ _�5EC.TIOQ ; � I qJ ; E r r Sl a �, hJ39°24 00 E 153 12 ' - 'AXIS'(. $)EC1� � M• n . ,, . , - Yr_ � n - � r— IE n •I_7r � ,'_ O z Y4" LECtEht 1> - tiA h ,5.39''2400 W 175 ro e.xI ST. W,A LI,.S To W-f-NA IN - . - - - - Exls t• WAL i s 60 88 ? M4VF �ti I JO�TW SEA b2IVE PLUMBER CERTIFICATION UNDERWRITERS DB. .# _ WEST EI_�VATIDti CONTENT BEFORE NM REQUIRED �1As, NEW t�TE.�IOfL WANI.L 2x4 1�1 6c, .7 .t_E' yt" - '- o'• DATE 9y O.P.N.d.IJL N W 1 N TE�t D E= P A T V T I o I LS CERTIFICATE OF OCCUPANCY PEE? BT: -y— SOLDER USED IN WATER OCCUPANCY NOI BUILDING DEPARTMENT AT CANNIhISU UA1YOt-d -TO cONFo �Nr u1' N �I s e-t..Lf-e'-�r�^ .COJ7�. SUPPLYSV10OFSTEM 1%LEA I,EUPAT.ECY OR 703-7302 S AM TO 4 PM FOR THE IN5I_j f-T 3o WAl of R-oj EXCEED 2/100F 1Ro LEAD, USE IS UNLAWFUL I FOUNDATIOP - TWO : I FOUNDATION - TWO REQUIRED if FOR URED CONCRETE PROVIDE SMOKE-DETECTING WITHOUT CERTIFICATE 2. ROUGH - FRWING PLUMBING PROVIDE OPENINGS FOR ALARM DEVICES' a: wsuwnoN AS TO PART.721.1 If copper tubing Is used'. ,OF OCCUPANCY 4,FINAL - CONSTRUCTION MUST 1 EMERGENCY ESCAPE AS N.Y.S BUILDING CODE. formater distributing, IL CONSTRUCTILETE ON SH l j REQUIRED BY PART. 714 Of syst(,m; piping shall be - ALL CONSTRUCTION SHALL MEET 11,' ' N.Y. STATE BUILDING CODE of typo.K or L only 'THE E,CONSTRUCTION OF THEN V STATE'CONST�IUCTION & ENERGYCODES DESIGN OR CONSTONSIBLE FOR RUCTION ERRORS PLUMBING . 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