HomeMy WebLinkAbout24568-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-25927 Date: 08/28/98
THIS CERTIFIES that the building ADDITION
Location of Property: 1365 AQUAVIEW AVE EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 22 Block 2 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 21, 1997 pursuant to which
Building Permit No. 24568-Z dated DECEMBER 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to GEORGIA LAMBROU
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N461220 08/04/98
PLUMBERS CERTIFICATION DATED 07/31/98 ROBERT VANETTEN
/,tir
Ins ector
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)
DECEMBER 22 47
Date.............�...................,............................ 19..
24568 .........
z
Permission Is hereby granted to:
DANIEL FINNE A/C G.LAMBROU
..... ...............................
120 CENTER ST.
.....................................................
GREENPORT7NY 11944
......................................
to ...I.CONSTRUCT A SINGLE STORY ADD,IT,IRN...TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR AND TO CONDITIONS OF TOWN TRUSTEES AND DEC
.......... ...............................
........................I.....................................................................................................................................
..................................................................................................................................
.............
1365 AQUAVIEW AVE EAST MARION
at premises located at............................................I................ ..
...............................
County Tax Map No. ....4.7.3.889............. Section ......022.................. Block ......,......0002....,...... Lot No. 001........................
pursuant to application dated „.AUGUST 21 19........9...7
and approved by the
Building Inspector,
103.00
Fee $. ........,
Building Inspec
Rev. 6/30/80
((��ll n � Form No. 6 Q��np�ox I y 7
D C l�) .S II 15 TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TO
6 1998 765-1802L
BLDG DEPT APPLICATION FOR CERTIFICATE OF OCCUPANCY
T WN F S UTHOLD
A. This application must be filled in by typewriter OF, ink and submitted to the buildin7
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 buildir,
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, OK 'buildings an
'-'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 $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 Buildine - $100.00
3. Copy of Certificate of Occupancy - .25C,
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Co
mmercial $15.00
Date . . . . . . .��. 66� J.9 0/. . . .. . . . . . . . . . . . . . . .
New Construction. .. . . . . . . . . Old Or Pre-existing Building /
Location of Property. . .� .� U ��w {� �'� I�/�
. . . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property.. . . ���. �.�,� �t, �d ,
County Tax Map No 1000, Section. . . . . . .Block. . . . . . .?. . . . . . .Lot. . . . . . . . .
Subdivision. . . . . . . .//.r�. . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . .... . . . . . . .
Permit NO.2 „ A? , , , ,Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . .
Planning Board Approval. . . . . . . .. ... . . . .. . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . .
Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . .:�
6� W�53w. . . . . . . . . . . . . . . .
Co qd 5qa U APPLICANT
1
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE '
1001093 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
Date AUGUST 04,1998 App lication No. on file 15899898/98 N 461220
THIS CERTIFIES THAT �ERMIT NO. 24568Z
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
MR. & MRS.LAMBROU, 1365 AQUAIVIIEW AVE. , EAST MARION, NY
in the following location; ElL
Basement E31st F1. ❑ 2nd Fl. Section Block Lot
was examined on JULY 30,1998 and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENTI FLUORESCENT I OTHER AMT. I K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
15 13 11 15 2 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT. TIME CLOCKSBELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
2 600
SERVICE DISCONNECT NO.OF S E R V I C E
METER NO.OF CC COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HIAEG NO.OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
PADDLE FAN-1
G.F.C.I:-2
SMOKE DETECTOR:-1
TRACK LIGHTING:-6
DOROSKI ELEC. INC. LIC.#2991- L
425 MONSELL LANE
CUTCHOGUE, NY, 11935 GENERAL MANAGER
11
Per
ir This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
I
Town Hall,53095 Main Road Fax(516)765-1823
P. O. Box 1179 ~;� V Telephone(516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE:
Building Permit No.
Owner: YY1.� 'o L�
(please print)
Plumber: ' l ✓ �G� �'� i �1 l
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers Signature)
Sworn to before me this
day of �� 19 � F
Notar Public, County
WT�
NoT �WpMcC+4u��
o�OgOFFO��-c0
o� Gy<
y
Fax(516)765-1523
Town Hall,53095 Main Road y. T ( )
P.O.Box 1179 fig, �� Telephone(516)765-1802
Southold,New York 11971 �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 28, 1998
Daniel Finne
120 Center Street
Greenport, New York 11944
RE: 1365 Aquaview Avenue, East Marion, Lambrou, 1000-22-2-1 .
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
XX No Underwriters Certificate on file./
XX The check is (not on file. ) $25.00
No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984 ) .
BUILDING PERMIT # 24568-Z
Please contact our office on this matter. Thank you for
cooperation.
\ SOUTHOLD TOWN BUILDING DEPT.
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I
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M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ INAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
. QtA4
DATE L7 INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] R GH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE`&CHIMNEY
REMARKS: ` ��J� C
DATE / INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARK
r
DATE `� �' INSPECTOR ��z V4
PV
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
�
DATE INSPECTOR
Albert J. Krupski,President �o�OSUFFOL,pcOG Town Hall
John Holzapfel, Vice President 53095 Main Road
co
cz
Jim King y =
P.O. Box 1179
Martin H. Garrell WO ye Southold,New York 11971
Peter Wenzel Telephone (516) 765-1892
y e
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 4, 1997
Fred & Georgia C. Lambrou
1365 Aquaview Ave
East Marion NY 11939
RE: SCTM #22-2-1
Dear Mr. Lambrou,
The Southold Town Board of Trustees reviewed your survey, and
determined that this project is out of the Trustee jurisdiction
under Chapter 97 of the wetland code.
However, this determination is not a determination from any
other agency.
If you have any further questions, please do not hesitate to
call.
Siinn�ce�rely,, ^ Alt-ea-
Albert
DAlbert J. Krupski, Jr.
President, Board of Trustees
cc. Bldg. Dept.
Ne'.v York State Department of Environmental Conservation
Region 1 Headquarters
SUNY, Building 40, Stony Brook, NY 11794 DATE :
9
Re : 603 -?i. Thomas C. Jorttng .
Commissioner
1. -•� �. ..� . .. ._ �.-..... �. ._.�/Vf�'� r2i'vG'vt�`G ).L"�. _v__..� e.� _n
review has been made of your ///� v� _ �t.4 0cJ /S6; e�.Gl~Lp«.� c/r.
/`<'t.
g /
C?.1.4'-c't- �::� .� .7.� ���1�.(.� .ic.+LLl ��..w,(�e:--q:c/j o.�"?.-'"`C.i;� Cl ,_-.GG -:c,�..: .1�. �i-.-.-C �.G:G•.-C, /
rTT�. ,�".5� (G.s..lM.I.KL...�:/ ✓�(,�IQ L/�!.v�GG i+. �1'F
-aced on the information you have submitted , the New York State Department
of Environmental Conservation has determined that the parcel
yam— project is :
Greater than 300 ' from inventoried tidal wetlands .
Landward of a substantial man-made structure
greater than 100 ' in lenoth which was constructed prior to 9/20/77 .
Landward of the 10 ' above mean sea level elevation contour on a
gradual , natural slope .
Landward of the topographic crest of a bluff , cliff or dune which is'
greater than 10 ' in elevation above mean sea level .
er;erefore , no oernit is required under tha Tidal Wetlands act ( article 25
or the Environmental Conservation Law) . Please be advised, however , that
no construction , sedimentation or disturbance of any kind may take place
seaward of the 10 ' contour or topographic crest without a oermit . It is
your responsibility to ensure that all necessary precautions are taken to
prevent anv sedimentation or other alteration or disturbance to the
ground surface or vegetation in this area as a result of. your project .
Suc : prec=autions may include providing adequate work area between the
10 ' contour or topographic crest and the project ( i . e. a. 15 ' to 20 ' wide
construction area ) or erection of a temporary fence, barrier , or hay
gala berm.
?lease note that any additional work , or modification to the project as
desc: '_bed , may require authorization by this Department. Please contact
this office if such are contemplated.
?lease be further advised that this letter does not relieve you of the
re=_ onsibility of obtaining any necessary permits or . approvals from other
acencles .
Very truly yours
Deputy Regionalermit r'.dministra,t:or '
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ L FOF' OUNDATION 2ND [ ] INSULATION
[ ] FRAMING ( ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: " e9k [✓�"�' -�
DATEJ �� �g INSPECTOR ��
r
M-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE `� INSPECTOR
,. a �
�'' " ( -I HOARD OF HEALTH
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
AUG 2 I ��( r TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CHECK . . . . .. . . . . . . . . . . . . . . . .. . . .
A._ .,.,. TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
i I
MUG. [N-Fr. i SOUTHOLD N.Y. 11971
TEL: 765-1802 NOTIFY: 7.7
Examined,
CALL
Examined. //TMJ.. 19.... / MAIL. TO: . . • . . . . . . . . . . . . . . .
Approved./: .�T./...., 19.... '�11 Permit No.CN5r4!. # ....................................
Disapproved a/c ................. I}................
.................................j,.. ..... ..
ilding Inspector)
AP I ATION FOR BUILDING PERMIT
.,Date. . . . . . . . . . . . . . . . . 19. . . .
INSTRUCTIONS
a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector with
3 sets of: plans, accurate plot plan o scale. Fee according to schedule.
b. Plot plan slowing location f 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. r I I
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 promises I 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.
APPLI(WrfON IS HEREBY 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 I buildings, additions or alterations, or for removal or demolition,,as herein
described. the applicant agrees to �ly,with all applicable laws, ordinances, building code, housing code, and
, inspectors o: premises and in building fo necessp inspecti s.
Vie/ :�7
regulations, and to admit authonzedl .......... .. .........�...� :.....
(Signature of applicant, or name, if a corporation)
/ ;2O CPi✓G2 SE. �ReAs a/ C
.............................. 9yy
(Mailing address of applicant)
State whether pp, ssee, agent, architect, engineer, general contractor, electrician, plurber or builder.
owner. ....................................................................................
orf({
Name of owner of-premises ..........��.....��Y /.D.......`.!��,M.6��.�...................................
(as on the tax roll or latest deed)
If applicant is a corporation, signa*e of duly authorized officer.
....
(Name and title of corporate officer) /`
Builders license No. ,✓ .. �"
Plumbers License No. ..........s..............
Electricians License No. ......1..............
Other Trade'a License No. .....'L.............. !�
LLocation of land on which propoaed work will be done..............................................................
.............................
y p Street hamlet'
House her �1
Court Tax Ma No. 1000 Section ....Q.oc..2... Block .......V�...... lot
Subdivision ...................�.................. Filed Map No. ............... Lot ...............
(lune)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .............1 J
ill..............................................
b. Intended use and o cupancy
amxwa m,,a
.. ... kM
y`hluaet,;i d'
7. Milne of work (check which applicable): fk'w Building .......... Addition ...,(.`.... Alteration ..........
Mpair ............ Itenrmal ............. Donal Ition ............ Other link ..................................
- (Descrlpl:i(n)
S. HS011r+led Qmt. ........
...... (J ... fee ..................................I............
(to be paid on filing this application)
i. If ohaelling, nmier of dwelling units ............ timber of: rhvelding (nits on each floor ................
If garage, rxmimr of cars ............/.5��/'>?... ....... '�/
If Ix+s iness, comercial or mixed occupancy, specify nature awl extent' of, each ty x: of use........�!�.!',x`.....
, /
7. Uinennians of existing structures, if any: Fr(nC.......!.�.,... Rear ............... Depth .......:5:.......
IknigIiL ......................... timber of Stories .......A...........1.
Dimensions of sane 5 ructure with alterations or zkklitions: Front ......,7�?.�... Rear .G..r.../ ~
DCpth .......�J.O....... lieight .................... Umber of Stories ...........
B. DiuensioiyTdt entire new cxnstrucl:ion: Front ... Rear :.. V..�./.. Depth ..............
Ileig]nt ......................... Ni ter of Stories ........t�.
9. Size of lot: Front ...�. 5 .3........ Rear .....�.�t/ ...... I)Lpth ....................
10. Rue of P(+rchase .......41-A....... Nate of Former () ner .................��'-"7?✓.4.Y....An� .
II. Zone or use district in wltidn premises are situated ..............................................................
62
12. Does proposed construction violate any zoning law, ordinance or regulation: ....... �
e ,.....,..
D. Will lot be regrnded .... �........ Will excess fill be removed frau rromises: YES_ NO
rib r✓
14. Nares of Owner of Aran s SrZ✓
...I....................... ekklress Pltane No.
Name of Architect .. ........._ ��.�'.......... A(klress .... C.......... I'Iwne No. .........
e-✓ r l36S" �9�'v✓c•✓��i- :S)3ry to
Nare of Contractor ...sC :... ................. Address ................ ............Mone No. ..............
15. Ts this property within 300 feet of a tidal wetland? * YRS ...X.... NO ..........
*1F YI?S, SOIN1XHh 7DWN 11A)S IM-S PCRMIT MY 19i IUVIIUM- P S`f' M � /C v�
S'_22�(st'+'s2�Gy
P1.0'I' DIAGRAM
T":ate clearly and distinctly all buildings, wltether existing or propose(], and indicate all set-hack dimensions
from properly lines. Give street and block nniter or description according to deed, and slew street nares and +Indicate
%,better interior or corner lot. ,
✓�„L+,r_ „_, ( ..........Ixeing duly sworn, deposes and nays tbaC be is the applicant
...... 5...........
(Nape of individual signing contract)
alxrve mm�xvl,
Ik± in tlnc ...............0~....... ......................................................................
(Contractor, silent, corporate officer, etc.)
of said owner or (x+nere, and is duly authorized to perfunn or have perforned the said work and to nuke and file this
application; that: all statements contaitxNl in this appl.icalion are true to the Inst of his knowledge six] belief; and
that. the work will be performed in the manner set forth in the nppliention filed Lherewith.
:kaurn to Infotte ae this
........ day
NctLc ..... ..... .. .l. l ...( /�l
Gyre” l
ary [Nil .. ..
.. ...................................
(Siguatum-e of Applicant)
L York
County
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