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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~