HomeMy WebLinkAbout23057-zFORM
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y.
N?
BUILDING PERMIT
THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL
COMPLETION OF THE WORK AUTHORIZED)
~o~e ............. Z~../l~... ..............................
23057 Z
/
Permission Is hereby granted to:
..~.~;..Z..~.~......~..........'... ...............................
.-~ ..~.~:,,:.,...... ~~x~.,,:.... ~/.......././. 2~ /
,o ..~~.~:. ........ .~ ............. ~........~...../....~......~ .............
......
at premises Iooated at ................................................ ' ./..........-tT~... .............. f~ ............................
................................................................ .~........,~:-~..~.,...-:. ....... ~..>.....~....~ ................................
CounlyTQx Map No. 1000 Section .......~......~., ........... Block ....... ,,~,.~ ......... Lot NO ..... ,~...,~, ...............
p~,s~or,t,o c,~,p,,oo,,or, c,c,t~ ......... ...:..~.'...':.....~ .................... 1'~...~... ar,c, oppro,,~,,,,, ~e
Building Inspector.
E~ ...... 2~.~...
/' Building Inspector
Rev, 6/30/80
FORM NO. 4
TOWN OF SOUTEOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24160 Date
FEBRUARY 8~ 1996
THIS CERTIFIES that the buildin~
Location of Property 2170 T~ STRAND
House No.
County Tax Map No. 1000 Section 30
Subdivision
ADDITION
EAST MARION~ N.Y.
Street Hamlet
Block 02 Lot 53
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 22r 1995 pursuant to which
Building Permit No. 23057-Z dated OCTOBER 12, 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 TWO STORY SUNROOM ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to
of the aforesaid building.
SUSAN TEAVARIS
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-376162 - JANUARY 25~ 1996
N/A
Form No, 6
TOWN OF SOUTtlOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~, ,
, BLDG~ DEPT.
~_ TO~k~qOFSOU~, O!.B ' '_ :~ APPLICATION FOR. CERTIFICATE OF OCCUPANCY
A. This application must he filled in by typewriter OK,ink and submitted to the building
inspector with the following: for new building or new use:
Final survey of property ~ith accurate location of all buildings, property lines,
streets, and unusual natural or topographic features.
5. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation f~om Board of Fire Underwriters.
Sworn statement from plumber certifying that the solder .psed in system contains
less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences an~ similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responslbla 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
Ypre-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 an~'~ 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, Swimming pool $25.00, Accessory building $25.00,
Additions to accessory building $25.00. Businesses $50.00.
2. Cer,tificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate ,of Occupancy - $5.00 over 5 years - $10.00 ':"
· 4. ,Updated Certificate of Occupancy - $50.00
5. T,emporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0
· '" ·--~-"'~ -------v-----' ;~,,~, .9.)j.~.9.~. ........ ~ ........
:w Construction ........... Old Or Pre~-existing Building....~.
~at · :k~''~mH~, ~7~,~0(5, %-r' .... ;~'~io~ , k,'iY ~l~'~'
. .:[on of Property ..... 20. ......................... ) ......
.... House No. Street Hamlet/ .
~nty Tax Map No I000, Section. ~ ..... Block ......... Lbt .........
, ~ lvi ~.io.. ~5't:~t:.~ .... .. ...... ~iled >~op .....).or .... .Ll.~ .............
'mit No. Bat Of Permit ................ cant.
nnlng Board Approval .
ues't for: Temporary Certificate ........... Final Certicate..~. ......
Submitted: $ ..... '. ~.~5. ~. aO.. ~
APPLICANT
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~' ~
BUREAU OF ELECTRICITY
~ B5 JOHN STREET, NEW YORK, NEW YORK 10038
7ANUAF'Y ~5, t996 !1~I9496/96 N 376162
THIS CE~IFIES THAT
GEORGE TS~ARI~ 217~ ~g ST~, EAST H~ION, N.Y.
FIXTURE~ ~EPTACLES SWITCH~]i "XTURES ~NGES C~KING DECKS OVENS DISH WASHERS EXHAUST FANS
_
~ & S CON'ITcACTOR LIC .#5~8E
BOX 215
SOUTHOLD~ NY, !.1971
GEN~I~AL MANAGER
Per
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.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
February 6, 1996
Susan Tsavaris
P.O. Box 345
2170 The Strand
East Marion, N.Y.
11939
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)
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.
No Plumber Solder Certificate on file.
(Ail permits involving plumbing being
issued after April 1~ 1984).
BUILDING PERMIT # 23057-Z (ADDITION)
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
Town Hall, 53095 Main Road
P. O. Box 1179
Southoid, NewYork 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 22, 1996
Mr. George Tsavaris
5 Lilian Court
East Northport~ NY
11731
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.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984).
BUILDING PERMIT ~ 23057-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
~'OUtll)^'[ ION (21,II)) II t:l
{(){1(~11 FRAHF1 &
l'l,UHll ] ~(;
New York State Department o! Environmental ~o1~~'~
/
BLDG DEPT.
Based on the information you have submitted, the New York State
Department of Environmental Conservation has determined that:
Therefore, in accordance with the current Tidal Wetlands Land Use
Regulations (6NYCRRPart 66~) no permit is required under the Tidal
Wetlands Act . Please be advised, however, that no construction,
sedimentation, or disturbance of any kind may take place seaward of
the tidal wetlands Jurisdictional boundary, as indicated above,
without a permit. It is your responsibility to en~ure that all
necessary precautions are taken to prevent any sedimentation or
other alteration or disturbance to the ground surface or vegetation
within Tidal Wetlands jurisdiction which may result from your
project. Such precautions may include maintaining adequate work
area between the tidal wetland Jurisdictional boundary and your
project (i.e. a 15~ to 20' wide construction area) or erecting a
temporary fence, barrier, or hay bale berm.
Please be further advised that this letter does not relieve'you of
the responsibility of obtaining any necessary permits or approvals
from other agencies.
co:
Very truly yours,
Deputy Regional Permit Administrator
TRANSMITI'AL
LEITER
AIA DOCUMENT G810
Architect Andy Letkovsky
5 Lilan Court
East Northport, NY 11731
PROJEC-r: 1~+~'11~5, C~EOP~F_. TSAVAR. t5
(name, address) ~[ '70
TO:
ARCHITECT'S
PROJECT NO:
( ) under separate cover via
(~) in accordance with your request
DATE:
cYqS-2, l
2.2
FOR YOUR:
(~) approval
I review & comment
( ) use
THE FOLLOWING:
(~) Drawings
) Specifications
( ) Change Order
distribution to parties ( ) information
record
If enclosures are not as noted, please
inform us immediately.
If checked below, please:
(',~) Acknowledge receipt of enclosures.
( ) Return enclosures to us.
Shop Drawing Prints ( ) Samples
Shop Drawing Reproducibles ( ) Product Literature
COPIES DATE REV. NO. DESCRIPTION ACTION
CODE
ACTION A. Action indicated on item transmitted D. For signature and forwarding as noted below under REMARKS
CODE B, No action required E. See REMARKS below
C. For sisnature and return to this office
COPIES TO: (with enclosures)
AIA DOCUMENT 6810 TRANSMITTAL LE~ER · APRIL 1970 EDeN * AIA® · C~P~RI~T ~ 1970
THE AMERICAN INSTITUTE OF ARCHITECTS, 1785 MASSACHUS~S AVENUE, N.W., WASHINGS, O,C. 20036
ONE PAGE
Albert 1. Krupski, Presidem
John Holzapfel, Vice President
WilQam G. Albertson
Martin H. Gan'ell
Peter Wenczel
Town Hail
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (5t6) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 21, 1995
Andy Letkovsky
5 Lilan Court
East Northport NY 11731
Re: Mr. & Mrs. George Tsavaris
Scum #30-2-53
BLDG. DEPT.
TOWN OF SOUI'HOLD
Dear Mr. Letkovsky,
According to the information given, a copy of the survey
submitted and an on-site inspection to construct an unheated 2
story solarium measuring 29'3 1/3" X 11'1 2/8", is out of the
Wetland Ordinance under Chapter 97 of the Town Code.
Please note that any activity within the 75' of Wetland area
will require an application from this office.
If you have any questions, please call our office.
yours truly,
Albert J. Krupski, Jr.
President, Board of Trustees
cc. Bldg. Dept.
CAC
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROU~.BG.
[ ] FOUNDATION2ND [ ]/I/~JLATION
[ ] FRAMIKG [ ,'~F,NAL
[ ] FIREPL~_CE & CHIMN~f.~._, _
DATE
I NSPECTO~~C.~
76S-~.802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION.IST [ ] ROUGH PLBG.
[ ] FO~2ND [ ] INSULATION
[,..~ FRAMING [ ] F,NAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUND/JLT4ON 2ND
[ ,aj.."FRAMI NG
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
Examined.
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTM ENT~
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
19ffff~. Permit
Approved
No
Disappr?ved' a]c .....................
B~)ARD OF }tEALTII ......
~ 3 SETS OF' PLA$i'$ ......
.'SURVEY ...............
~' CHECK ................
s~r~c ~o~u ..........
HAIL TO:
. . . ~d~sPector)
APPLICATION FOP, BUILDING PERMIT
Date ................... lC-,
INSTRUCTIONS
a. Ttds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, w
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 st
, or areas, and gMng a detailed description of layout of property mu~t be drawn on the diagram wlfich is part of this a
cation.
c. The work covered by tiffs application may not be commenced before issuance of Building Pernfft.
d. Upmr approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pe
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 pnrpose whatever until a Certificate of Occup
shall have been granted by the Building Inspector.
APPLICATION IS tlEREBY MADE to the Building Department for the issuance of a Building Permit pursuant t~
Building Zone Ordinance of the Town of South01d, .Suffolk County, New York, and other applicable Laws, Ordinanc.
Regulations, for the construction of buildings, additions or alterations, or for removal or de, million, as herein descri
The applicant agrees to comply with all applicable laws, ordinances, building c.,od~, hou~ip~/bo.d,% and ~egulations, an
admit authorized inspectors on premises and in building for necessary inspectiol~. / ,
-- ' ~-' ' .i~ '' ~'" 'corporation!
(Mailing address of applicant)
State whether applicant is owner, Iessee, agent, architect, engineer, generai contractor, electrician, plumber or buff
....A~.. '.-t. !~. ~...~Z~.......~..T. ~.s..V:.T ............. ' .............. ........................
Name of owner of p,enffses ...~.~....~....~..77...~..~..~,..~....~..,-~..'?.~.~. ! ~ ......... i .....................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly autborized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plu nber s Ltcense No .........................
Electric an s License No .......................
Otlier Trade's License No.
Location of land on which proposed work will be done ..............................................
~ 7~.. ~.. ~ ..... .~Sr.. ~.¢~'..'. ~.~ .... r t.q ~.q .........................
Itouse Number Street llamlet
County Tax MapNo. lO00Section .... '.~ .......... Block ...... ~ ....... :... Lot .... ~ .......
Subdivision ........ . ........................ ' 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 .~. NIGLt~ FAN.I.L.~ ~ E¢{O~ , .-r ....
b. lntended use and occupancy $1~GL* FAMI~ B~SI~[~7 ~1 ~ld~
3. Nature of work (check which applicable): New Building Addition ~ . . Alteration
Repair .............. Removal ......... Demolition Other Wor242. . et.w,,,.. .
.................... ~ ~
'~:> ~Z.,~ '' (Description)
4. Estimated Cost . .~--~-~.~. ~.Ot.~,d - Fee
(to be paid on filing this application)
5. If dweliing, number of dwelling units ............... Number of dwelling units on each floor ................
. If garage, number of cars ......... I:4-ONJ~ .........................................................
6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use .............
7. Dnnensmns ol ex~stmg structures, if any Front .~.. ~ .... Rear . ~5g..- ~. .... Depth . .~. .........
Height ..... ,.~..I ....... Number of Stories ..... ~ .................. ................................
Dimensions pf same stmctur,, w~th alterations or add,tens: Front ~.~.-. r ~ ....... Rear ...5.%.. ~> .......
DD:nPfehn .... '.2 ................ ' ....... '.: ......... 3:: ' ....idt~ .... '.2 .
9. Size of lot: Front . .~.~.hS..~.', . ......... :.. Rear.. ~Z...~ ~. '... i.. i. ~... Deptl~ . ~5..P,-..,.q.q..~ ....
10. Date of Purchase il :-.2~'.-.~.~ ........... . ......... Name of Former Owner ~.~.~1~..I~.P~.t~ ............
I 1. Zone or use district in which premises are situated.. ~:"..4~ ..... ............................... i .......
12. Does proposed construction violate any zoning law, ordinance or regulation: ... ~ ..........................
13. Will 10t be regraded . .. ~x~O.: .................... Will excess fill be removed from ~remises: Yes No
14. Name of Owner of premises~..:~ ? .$P.~...-~..v'.~..¢-! 5.. Address $.[7.~...'1~1~ 5TgOOO?. '..~. ~o~ne No. 47.7. 7 .~ ~. i.q ....
Name of Architect .~.~1-( .L.~ ........... Address ~5.L~[A~o.C~.., .~.,.~. Phone No. 7~. '7..~:~...~. ....
Name of Contractor .......................... Address ................... Phone No ................
15. I.s this property within 300 feet of a tidal wetland? ~Yes..~. .... No .........
*If yes, Southold Town Trustees Permit may be required.
PLOT DI AG P~M
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
OF NEWoVg ,1% S,S
.OUNT¥ .......
... ~..M...C~.. ~. ~.V..~.~..~. .............. ......... being duly sworn, depose~ and says that he is the applicant
(Name of individual signing contract)
bore named.
;e is the ..... ......... ... ......................................... ' ..............
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed tim said work and to make and file this
)plicatioo; that all statements contained in this application are true to the best of his knowledge and belief; and that the
· ork will be performed in t~anner set forth in the application filed therewith. '
worn to before me this/ )
'. ............. $
· / / Rostra- I. scoT~,m. . ~ ..... }_ ................ :
L/ NOTA~IY~'OBLIC,-8~at'o-g~'N,¥. ~ - ~ / ~ ' qSignatureofapplicant)
No. 4725089, Suffolk Cou)'~j~ ' . ~/ ~
Term Expires May 31, 19~