HomeMy WebLinkAbout23015-zTown of Southold Annex
54375 Main Road
Southold, New York 11971
1/31/2012
CERTIFICATE OF OCCUPANCY
No: 26761
Date: 10/27/1999
THIS CERTIFIES that the building
Location of Property:
SCTM #: 473889 Sec/Block/Lot: 101.-1-16.4
Subdivision: Filed Map No.
conforms substantially to thc Application for Building P~mit heretofore
pursuant to which Building Permit No.
7005 Alvahs Lane, Cutchogue,
Lot No.
filed in this officed dated
23015 dated 9/19/1995
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:
CONSTRUCT A NEW SINGLE FAMILY DWELLING WITH ATTACHED 1 CAR GARAGE AS APPLIED FOR.
1/31 / 12, Certificate of Occupancy corrected for name of town only.
The certificate is issued to
Stawoula Papathanasopoulos
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 3/7/97
R10-95-0036 3/5/97
N-390556 9/24/99
ske0Plumbi~ng Inc
FORM
TOWN OF SOU~HOLD
BUILDING DEPARTMENT
TOWN HAiL
$OUTHOLD, N.Y,
N?
BUILDING PERMIT
('CHIS PERMIT MUST BE KEPT ON THE PREMISES UN~L FULL
~ ...~../..~ ............................
23015 Z
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Counly Tax Map No. 1000 Section ....... ...~.....~...~..... Block .......... ~ ..........LotNo, ..~.~:,, .....
........ ¢;;~..~.~.;;.~; .......
Rev.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-I802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Th£s application must be filled in by typewriter OR ink and submitted to the builH
inspector with the following: for new building or new use:
i. Final survey of .property with accurate location of ail buildings, property lid
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and s~erage-disposal(S-9 for
3. Approval of electrical installation from Board of Fire Underwriters.
Sworn statement from plumber certifyi~g that the solder used in system contain
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar bull
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
Vpre-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 applic:
If a Certificate of Occupancy is denied, the Building Inspector shall state th:
reasons therefor in writing to the applicant.
Fees
1. Certificate of Occupancy - New dwellimg $25.00, Additions to dwelling $25.00,
Alterations to dwelling $25.00, Swat, ming pool $25.00, Accessory building $25.011
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 -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date .... D~lO/9~ ........................
New Construction .... ~ ..... Old Or Pre-existing Building .................
Location of Property .... A1vz~hs. La~e .................. C~choz%cBe ......................
House No. Street Hamlet
Onwer or Owners of Property ..... ~a¥~ula...~ap2~t~ark~opolO. Q$ .... . .................
County Tax Map No i000, Section .... 10~ ...... Block .... ~ .......... Lot ...... 16o~ ......
Subdivision. -Ma{> -~f- -~as%- toast, .BNQ~=~i~sFiled Map.. ~. 92~5...Lot .... 2 ...........
Permit No .... ~O1~ ..... Date Of Permit .... 9~9/9~,..Applicant .................... .. ..
Health Dept. Approval .......................... Underwriters Approval ....................
Planning Board Approval ....................
Request for:
Fee Submitted:
Temporary Certificate ........... Final Certicate.. ~ ..
$ .... $2~.0o
..~lapo .~oEeE ............
APPLICANT
Town Hall, 53095 Main Road
P.O. Box I179
Southold, New York 11971
Fax (516) 765~1823
Telephone (516) 765-1802
BUILDING DEPARTMENT
TOV~N OF SOUTHOLD
April 26, 1999
Inland Homes, Inc.
P.O. Box 117
Mattituck, NY 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
b~e of the following reasons: /
v X~ ..X_~_~~ AnnotapplicatiOnon file. for(Enclosed)Certificate of Occupancy/ is
No Underwriters Certificate on file. /
~ ~/~X The check is (not on file.)$25.00 ~
J/~c'~~' .XX No Health Department Approval on file//
7.
-~'~ 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 # 23015-Z
Please contact our office on this matter. Thank you for
cooperation.
$OUTHOLD TOWN BUILDING DEPT.
FIEI.D IblSPECTtOH REPORT' DATE COlqlqENTS
ADD
THE NEW YORK BOARD OF FIRE UNDERWRITERS
1195~99 BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Date SEPTEMBER 24,1999 Application No. on.file 1~545695/95 N 39~556
THIS CERTIFIES THAT
STRAVROULA F., ALVAHS I~NE, POLE#NYT 57, MATTITUCK, NY
it, the follo~,ing location; [] Bas*n, ent [~ 1st Fl. [] 2nd Fl. GP~/ATTIC/OUT Sectio,*1¢ [ HI.c~1
was examitled att JULY Q1 , 199'5 and found to be in compliance n,ith the ,Vational Electrical
FIXTURE RECEPTACLES
OUTLETS
2¢
DRYERS
22
OIHE~ APPARATUS:
SWITCHES
24
FIXTURES RANGES COOKING DECKS OVENS
DISH WASHERS EXHAUST FANS
%'gLL PUMP- 1
HOTORS:]-F H.P.
G.F.C,!:-4
S140~ DETECTOR: - 1
S E R
JIM SAGE ELEC. INC.
PO BOX 38
GREENPORT, ~Z, 11944-O~38
SYSTEMS
NO OF FEET
LIC. #3635-E
Pe
This certificate must hal be altered In any manner; return to the oJfice ol the Board if incorrect. Inspectors may be identilied Dy their credenhals
I~AR I! FJgl
765-1802
BUILDING DEPT.
iNSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
] FOUNDATION 2ND [,/],],~SULATION
FRAMING [~/] FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FO~JNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ]~U~.ATION
[ ] FRAMING [~,.~j'~INAL
[ ] FIREPLACE & CHIMNEY .,.
REMARKS. ~;c,~ · ~/--~/~ /~
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ I FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FR~,MING [~FINAL/~/~
[ ] FIREPLACE &/~_ MNEY
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
ROU~ PLBG.
INSULATION
REMARKS;:
[ ] FINAL
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] F~JNDATIONIST [ ] ROUGHPLBG.
[~*'] FOUI~IIDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE 8~NiMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
[ ] FOUN 1ST [ ~ ROUGH
PLBG.
[ ]/FOUNDATION 2ND [ ] INSULATION
/
[ ,/] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[,~FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE &CHIMNEY ~
REMARKS: ~
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ] INdUraTION
[ ] FRAMING ,,~,-,-- [/_~FINAL
] FIREPLACE & CHIMNEY
~,, / -/' /
DATE ___.~~__ INSPECT/~R __
2'65-X802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
[ ] FRAI~ING [~/FINAL
DATE: ~/~//~ * , ,INSPECTOR~~/
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECrOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No. 2-~
(please print)
Plumber ~-~ ,fe~_q ~ (please print)
I certify that the
contains less than 2/10
solder used in the water supply system
of 1% lead.
~-~lumber's §ignature)
Sworn ~o before me this
19 ? 7.. ~ // . /1 ~otary Pubic
Notary Public,_~County ROSE M,
~/ Nom~ ~u~i~, St~a =~ ~,~ ',.' 'fork
NO. ~2-4624!~6 Su~oi~ Goun'~
BOARD OF HEALTH . .
'coRM.o. SURVEY .' .........
TOWN OF SOUTHOLD CtiECK .~"
BUILDING DEPARTMENT SEPTIC' FORM ..
SEP'IiI 1995 ' Tow. HALL ' '
SOUTHOLD, N,Y. 11971 NOTIFY, 298-9696
I )isapproved a/c '
//
9/5/95
,~ ,, INSTRUCTIONS ,' '
a. TtQs a~plication must be completely filled ~ by ~pewriter or in ink and submitted to,~e BuEd~g Inspector, with 3
:,.ts of plans, accurate plot ~lan to scale. Fee acceding to schedule." , :
b. Plot pl~ show~g location of lot ~nd of build~gs on premiss, ~elationship to adje~g p~emi~s or pubic streets
or areas, and gives a dot.lcd d,escdpQon.0f, layout ~f property must be drawn on the diag~ which is paK of t~s appli-
cation.
. c. The work covered by tide application may not be commeaced before issuance of BuUd~g Permi.
, d. Upon approval of this application, thc Building Inspector wUl issued a BuQd~g Pe~it to ~e appfic~t. S~ch pe~it
,:hall be kept on the premises ava~able for ~spection ~muemut the work.
e. No buildh~g shall be occupied or reed in whole or in p~t,for any purpose whatever until ~ Certificate of Occup~cy
qm[I have been granted by Qze ~uild~g
~PLICATION IS HEREBY MADE to the Buildiug Dep~tment for the issu~ce of a B~Iding Pc~it pursuant to the
Building Zone Ordinance of ~m Town of Southold, Suffolk County, New Yo~k, ~8 othe~ applicable
Regulations, for the const~cQon of build~gs, additions or alterations, or for removal or demolition, as herch described.
Ibc applicant agrees to comply with all applicable laws, ordinances, bugd~g code, hous~g code, and rcg~ations, and to
.dmit authorized htspacto~ on premises ~d ~ bufldQtg for necessa~ inspections.
Inl~d Homes Inc. "
(Signature of applicant, or name, if a corporation)
P/O lq7,Mattituck,N.Y. ,q~952
(Mailing address of applicant)
ht te whether applicaut is..qwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
General Contractor
M.v,, Thomas Papathanasopoulos
Name of owner of premises
(as on the tax roll or latest deed)
It' applkant is a corporation, signature of duly authorized officer.
Robert E. Hiltz . ,
(Name and title of corporate officer) ·
ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED
Builder's Liccnsc No ..........................
Plumber's License No
5655 '
Electrician's License No
Other Trade's License No
· ',
Location of land on which proposed'work will be donc~ IOta2 Alvahs La. ,C tchouge '
County 'Fax Map No. 1000 Section ,!~10'1 ' ...... 'Block, ~ ' ' '' ' ~ It ~II..... ~ I I I
.................... Lot .....
Subdivisiou Map of East Coast Properties Fil.ed M p N .9.2.2.5. 2
...................... , .............. a o ......... Lot
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction~
Vacant Land
a. Existing use and occupancy ...........................................................
Single Family Dwelling
b Intended use and occupancy '
3. Nature of work (check which applicable): New Building .//~..' ..... Addition .......... Alteration
Repair .............. Removal .............. Demolition ............. . Other Work.. · ........
· (Descriplioi
s. 5o,.ooo:.?. ,
,1. Estimated Cost ................................. I . : , ... Fee~. .....(to""bl;;id'o~' ' ""~7-~;lulng '~[jtllls .... appncatlon)
5. If dwelling, nmuber of dwelling milts .... .......... . Number of dwelling units on each floor ............
If garage nmnber of cars OD,et ..
6. If business, cmmnercial or mixed occupancy, specify nature and extent of each type of use ......
7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth
Iteight ............... Number of Stories .........................................
Dimensionsof same structnre with alterations or additions: Front Rear
Depth ...................... lleight ...................... Ntj!~l~er of Stories ....... ~.g ¢; .....
8. Dimensions of entire new construction: Front . ..t~ ..... . ..... Rear ..'~. ............ Depth
t leight . ¢.1.' ......... ~t') ~mber of Stories R;~i .~.0.0. '. i .......................
') Size of lot: Front .......................
................ Depth .......
Io. DateofPurchase ............................. Name of Fonner Owner ..~. ...........
I I. Zone or use district iix which premises are situated ......................................
I 2. Does proposed construclion violate any zoning law, ordinance or regulation: . .N.Q .............
13. Will lot be regraded . .I.?.s ....................... Will excess fill be removed from premises: Yes
14. Name of Owner of premises .................... Address ................... Phone No ............
Name of Architect ............................ Address ................... Phone No.. '~t'
Name of Contractor . .. ~[!l.1..a~..d. .H.qm.e..s ......... Address .... ' .............. Phone Noz~t':.':7:'..~.
15. Is this property located within 300 feet of a tidal wetland~ *Yes ..... ,. No ,:~,...
· if yes, Southold Town Trustees Permit may be required.
.. ,., ;. ,... pLOT DIAGRAM ! .'
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions
property lines. Give street a~.d block nmnber or desc,rip[ion according to deed, and show street names and indicate wh~
interior or corner lot. ' ' ' '"
See Attached Survey
55 I'ATE OF NEW YORK,
, 'OUN'rY OF .................
S.S
Robert E Riltz ..
' .. ........ being duly sworn, deposes and says that he is the appl
(Name of individual signing contract)
lie is lite Contractor,, . . . . (Contractor, agent, corporate officer, etc.)
,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and ill,
:qq~lication; that all statements contained in this application are true to the best of his knowledge and belief; and tN
v. mk will be perfommd in the manner set forth in the a, pplication.filed therewith.
Sworn to before me this :' ' '"'"
Notary Public, State of New York; ~ (Signature of applJ
No. 4822563, Suffolk County/~y/
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