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HomeMy WebLinkAbout22175-z r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-23358 Date NOVEMBER 17, 1994 THIS CERTIFIES that the building ADDITION Location of Property 585 INLET DRIVE MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 2 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23, 1994 pursuant to which Building Permit No. 22175-2 dated JULY 8, 1994 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 2ND STORY ADDITION & ALTERATION OF FIRST FLOOR TO EXISTING ' ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANDREAS & ELLI VASSILIOU (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-332064 - NOVEMBER 1, 1994 PLUMBERS CERTIFICATION DATED MAP 17, 1994 - FRANK POLISTENA Pluildin6 Inspector 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) g Date /~/.4!............ 19...>{ N® 22175 Z / Permission Is hereby granted to; .,?...,r.. ~Px 2z A51iji ..a.....x~~ ~....................e ©r.......c~r....... 5~ r f............/ s........., .o............. at premises located at 4 'cl ! /?f County Tax Map No. 1000 Section ./a.0.......... Block .......ate........ Lott No....... dlV............ I pursuant to application dated l.F1d r 19...../ and approved by the Building Inspector. Fee S•••(•Sl, /ung 1 • . Inspector Rev. 6/30/60 46 d-5 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 11971 765 - 1802 ~ i APPLICATION FOR CERTIFICATE OF OCCUPANCY l~ DATE. JY.~I1. t M NEW CONSTRUCTION .......OLD OR PRE-EXISTING BUILDING VACANT L~AyND........ Location of Propcrty......Y.. .....~~4 T HOUSE NO/. An STREET HAMLET or Owners of Property. ,J~ /!f~PV; S;,V,455j!J0.(/ County Tax Map No. 1000 Section I P6 Block Lot' J Subdivision Filed Mapq/ Lot.......... % Permit No.22~ZTF..bate of Permit App Licant .l.C' t/yt qh~I et.,Z, Health Dept. Approval Underwriters Approval. L,// Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $ v APPLICANT.. 1<6L15~E{UA -I~ NOV 17 1994 T BLD~ D PT. - 1 C. TOWN OF S0 THOLD reV• 10/14/88 Q-p,- •/~T7? QQ--ta335 4 ~~.rw1 I FORM NO. 6 TOWN OF SOUTIIOLD i BUILDING DEPARTMENT TOWN HALL 765 - 1802 I APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusuaV natural or topographic features. 2. Final approval of Dealth 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 solder used in system contains less' " than 2/10 of 12 lead} 5. Commercial buildings industrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the 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, buildings and unusual natural or topographic features. 2. A properly completed'iapplication, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing 'code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. i C. For Vacant Land Certificate of Occupancy: 1. An application for iacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership f,the entire lot prior to April 9, 1957 shall also accompany the application. It! a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, 'Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -'Businesses $50.00, 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5•.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.0.0 Residential Commercial I • P i ev, 10/14/S8 I 05pFFUL/I c0 TOWN OF SOUTHOLD TEL. 765-1802 'A• -.7 OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 ~O c?, F air e TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date Building Permit No. ?-2-1 Owner {{4 tF ' 55/holy (please print) Plumber ,I je~/(fk ®f P s, P1~Q (please print) I certify that the solder used in the water supply system contains•less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this l/-day of ~12 r tNotary Public Notary Public, ~2 Y HELENE D, HORNE Notary Public, State of Now York No. 4951364, Qualified in Suffolk County Commission Expires May 22, 192P THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1175003 BUREAU OF ELECTRICITY F 85 JOHN STREET. NEW YORK, NEW YORK 10038 Date NOVEMBER 011,1994 Application No, on file 851617594/94 N 332064 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of MR.VASSILIOU, 585 INLET DRIVE, POLE#L~I5L3, MATTITUCK, N.Y. in thefollowinR location• Basement I Ist Fl. L"7 2nd Fl. OUT Section Block Lot was examined on OC~TO R 27, 1994 and found to be to compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT. K. W qMi K.W. AMT. K W. AMT. H P. 22 38 25 21 1 2 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS HP. SYSTEMS AMT WATTS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. AW.G. AMT. AMP AMT. Ainvs. TRANS. AMT. NO. OF FEET SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1,Y 2W T a 3W 3.e 3W 3 %4W NO. OF CC. COND A. W. G.' NO OF HI LEO OFH A. W.bIEG G. NO. OF NEUTRALS A. W. G. EQUIP. PER 9 OF CC.<OND " OF NEUTRAL 1 150 CB 1 X 1. 1/0 1 1/0 OTHER APPARATUS: MOTORS: 1-E' H. P. SMOKE DETECTOR:-2 Q.C. ELECTRIC INC, LIC,#3823E P.D.BOX 518 1,AUREL, NY, 11948 GENERAL MANAGER 11 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 MUSTWOT O ALTERED W ANY MANNER. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ I INSULATION [ ] FRAMING [ INAL REMARKS: I i i i DATE ~l ~ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWR$ITERS ,PAgi 11750 BUREAU OF ~ELECTRICItY h f e 3s 43 i ' S¢ JOHN STREET, NEW YORK, NEW YORK; 100;18 NOVEMBER. 01 1994 85617594/94 N$332(654 tI ° Date r Application No. on file ^Tkis QERTIF19S,THAT - S d l only the electrical equipment as described below and introduced by the applicant Homed on the abode ypplicatson nu ber Fn the.pr 1l ~MR.VASPILIOIJ,~`"585 INLET DRIVE, POLE#LIL3, MATTYTUCK, N.Y. g . in thefollowing location; ® Basement ® Ise FL ® 2nd Ft. OUT .Section Block Lot 's 6 -OCTOBER 27 r 1994 was examined un S& and found to be in compliance with the Natioaal~Eiectncal I74de, 9 14 -FIXTURE FIXTURES RANGES COOKING DECKS ' OVENS DISH WASHERS EXNA ST TAN oCEPTAC{ES ~SWITCNE$ INCANDESCENT FIVORESCENT OTHER AMT K W AMT. K.W. AMT ..'.K.W. AMT? s mry 22 38 25; 21 1 i tf~ DRYERS FURNACE MOTORS FUTURE APPUANCE,FEEDERS SPECIALREC'PT TIME CLOCKS 6EUL UNITyEAi R$ MUlh AMT. K. W. OIL N, P: GAS' N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS AMt M P HOOF FEET - - f f%T! l FTT SERVICE DISCONNECT NO, OF - S E R V I - -C. -:E''- AMF, npE . METER NO. Of NE{,TRAl3 EQUIP. 1,0TW 1$ 3W 30 3W 3 p 4w NO. OF CC PER.aCOND. P. W Ofr . G.D. NO Of NbIFG A' HIW3GLEO AMT. OF CC CON -0f NEU7RNw 1' 150 CB 1 X 1 1/8 1'}/0 4x1 a, OTHER APPARATUS: F 6 t4OTORSa1-E H.P. SMOKE DETECTOR:-2 = II" Q C.,,ELECTRIC INC. LIC.#3823E I dfl~ P . O: BOX 518 LAUREL,- NY, 11948 Per This certificate -mtnt-nOt be altered in any, manner; return to the office of the Board if incorrect. I,nspactgrs,may, be I ftq, y tbeq;,tr~,dAr~la s lEf i 5:~ .i iI'DA E it ~5(i•ILNiS OUIIDATION ( 1st) -~I ti OUNDATION (2nd) _ r CC S! ofa TOUGH FRAME & I C^ G~ PLUMBING _ 3. :IISULATION PER N. Y. a /Mw do( STATE ENERGY CODE _ rn 1 FINAL ADDITIONAL COMMENTS: x C3 a ot CD ° ' b o m Y H 72- M-102 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] R UGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING FINAL REMARKS: c? l O F-s~/ -/J I"?~ 6 DATE O INSPECTO ~-"~V r6s-1$OZ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ) ROUGH PLBG. O F NDATION 2ND [ ] INSULATION [ FRAMING [ ]FINAL REM RKS: C~ t J I F t i i DATE ~ INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [J FOUNDATION 2ND [ ;-F INS TION [ ] FRAMING [ INAL REMARKS: t f ~ 1 f( I f I s 1 c r 4 ' f DATE INSPECTOR I_ -7 77 N 8 3,4o.©Q ,QLG7G.'~ G~ 74. ~ ~ M•c7F~ c~p.yc'-/~ o. 5 CNAiN INK NS 7ri-e:9 7 VI o T ~Sro RV ~Jo V i _ II _ o~ Q ~ f ~ DES 6 G 8 c ~ I t34oc,L ~ "CSBs`rNrE B ~ n' vI 22u M a I I pL.~ cc"vc ~O ~ ~ 2 I m -i99 0 U ~ ss v' a 20 3 ~y ~ti S ~ 9Y ~ Ily) ON FEafCE i /p0. Od NZ~1994 pf ' d F - 410 SEC-5-Z2/4, f.J.~S AL3STi~F~CT G. TD. Fio~~iry N,197 n/~7G riT~E ivs. co. /!-//pGO.~75T /~'lo,eT~AGE Go.G~r'~ ~ 4,v1~ eEf75 ?~?SS/L/oci E~-~ / ?AS~/L /oc1' G A~VO .Su.QV~YD.C iu' y5 G ~G . 3'72Z S f?O. .Cox ~Z°~ SGc-GE.~r ~r.y' ~~E3- 44~~ ii 78¢ I 1(: BOARD OF HEALTH FORM N0.1 3 SETS OF PLANS IOLD JUN-231 TOWN OFSOUTF \CiC6 BU BUILDING DEPARTMENT TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 L TOM TEL.: 765-1802 t:oTIFY; a~pppf CALL oI , 1Y2 . Examined .....!7/. .O...p.. • • , 19 MAIL TO: Approved ......f 19 /Permit No.. Disapproved. a/c (Bu' di o Inspector) APPLICATION FOR BUILDING PERMIT Date ..i/ x. 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 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 appli- cation, 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 issued a Building Permit to the applicant. Such permit shun 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 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 buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housin code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec . ns. AMERICAN EXTERIORS (Signature of applicant, or name, if a corporation) Box 667 MATTITUCK, NY 11952 5-Z . (516) 298-4625 (Mailing address of applicant) State whet er applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician lumber or builder. P............... Name of owner of premises ,f~'!~Y V AV- - -4 . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. .50.59.37.14•. Plumber's License No . Electrician's License-No- - . . Other Trade's License No . I. Location of land on which proposed work will be done . ~ 5 . : . House Number Street /r• Hamlet County Tax Map No. 1000 Section D. W Block c Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of remises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy . I "i a 3 Nature of ...wor.k (check which applicable); New Building . . . 9 Alteration Re n Pair Removal Demolition Additi . ? . 3.. . iOdG~. r rr a (Description) 4. Estimated Cost . . . . Fee . (t be p ' pplication) 5. If dwelling, number of dwellingiunits . Number of dwelling units on each floor , , . , , , , , , , , , • If garage, number of cars , 6. If business, commercial or mixed occupancy, specify nature and extent of -each type of use 7. Dimensions Dimensions of or same existing structure structures, if any: Front , . Rear, Depth . Height . NurtSber of Stories . ~ • ~ • ~ • • ' with alterations or additions: Front Rear . Depth . Height : . . Number of Stories . 8. Dimensions of entire new construction: Front , Rear . Depth Height , . Nun,ber of Stories • . 9. Size of lot: Fruilt . . . . Rear . , Depth . 10. Date of-Purchase Name of Former Owner .11. Zone or use district in which premises are situated , , • • , • , • • • • • • • ' • • ' ' ' • ' ' • • • . • ' 12. Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded , . . . ...Will excess fill be removed from premises: Yes No • • • • • • • 14, Name of Owner of premises , . , , • • • • • • • • . Address . . Phone No. . Name of Architect ~ ••••••••••,.....Address Phone No„ Name of Contractor , . Address . . Phone No. , 15.' Is this property within 300 feet of a tidal wetland? *Yes. " " " " *If es Southold Town Trustees Permit may be required. No,,,,,,, " PLOT DIAGRAM 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. • I I III STATE OF NEW YORK, SJS at/.5. 7~~1 tk--- :OUNTlaelt4~1 f individual lignin' being duly sworn, deposes and says that he is the applicant (Name o g contract) ibove named. leis the.... Y.l...} (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 file this pplication; 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 the manner set forth in the application filed therewith. wom to before me this 3............ day of. 4.....'....., 79 otary Public, ~/I County Notary pubpc, state of Mew Yqr . bt32eS pees nber 31,Unty~-/~ . No, ~r~ ~ . l (Signature of applicant) ~ A rtu~ia~wd PLUMBER CERTIRCAT/ON ONLEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLYSYSTEM CANNOT EXCEED 2110 of I% LEAD. OCCUPANCY OR - - USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ASIIOTED DATE: _ _ ~ - PEE; - NOTIFY BUI INO DEPARTMENT AT + - --f; 766.1502 S AM TO 4 PM FOR THE FOLLOMNG INSPECTIONS: I 1. FOUNDATION - TWO REQUIRED ` FOR POURED CONCRETE 2. ROUGH - FRA1fING a PLUMBING 6, INSULATION . 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. 1.......,,,- ALL CONSTRUCTION SHALL MEET THE UIREMENTS OF THE, N ATEECONSTRUCTION & FA9 Y. ER,GY FRONT L4.~ 'Vf~`i ! D N I`~l R CODES. NOT RESPONSISI:E''*611, q DTDZIGN OR CONSTRUC M ERRORS 4 n. y.rT hj . R~oGF VANT , 1994 TOWNtOC op~'W Ila mop rtubhvis uNd for water dimlkgm dmV be l~. of FypM K or L only I UNDOWITMCFl111F1M / i REQUIRED ~tOFNEW), yh 17 a~ n ~ W .R 032254-1 32`•~ OFEssoll I'Lumulm E 1157 »iwo covERM ~ IC~ f , - Q'kba~rt a ,6 A0 - h4n.n t.,, sd ( Jj; 1 3Y I ti i, Y c~ i /tMt1~ AN rx'r j=fT+enw~ srY a 9 '`.i. -t-EVAT 16N5 a Xf. r I f- Eli- I { 1 . P. LLE-y I ON,~ -T _ R SUN 2 I. TOWN O t~pF NBIV JO 41r 4,N~~E rLf FF \ F' ` r e 5 ~ wsz5a-i I ROFESSIpU /1 / l mome 4'7-0400 j4MtFICAeq ezc1 , 5-03-9Y! 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