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HomeMy WebLinkAbout21960-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-23688 Date ~ 7, 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Property 3300 NORTH SEA DRIVE ORIENT NY House No. Street Hamlet County Tax Map No. 1000 Section 15 Block i Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 18, 1994 ~ursuant to which Building Permit No. 21960-Z dated MARCH 25, 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 A BE~OND STORY ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DIMITRIOB & IP~ENE ANTONIADIS of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. H045338 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A MAY 4, 1995 JUNE 19, 1995 E~9~%NUEL PEPERAKIS Building Inspect/ FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. N°- 21960 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .................. /, ......................................... Permission Is hereby grq~nted to: ~..,.i~.,'.~.~,;o~.....~~.,.~..~ ................ ..~..?..~...:....~&%.~.,.~ ...................... .......... . . ~.....~~.~ .............. ~. ........... ~.~.,...~......~~. ................... .~ ....... ~..,...~ ........ ~.~ ........ ~.~....~.....~~ CounlyTaxMap No. 1000 Section ,,.,,..~?../...~,.. ......... BIock....~...~. ............... LotNo ...... ..(~.....~.~. ............ Building Inspector. ~ee ~......2..~:.~. ...... / ~// Building Inspector Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN NALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey or.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-diJposal(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 buildings 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 and Ppre-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, Swin~ning pool $25.00, Accessory building $25.00, 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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 .... 7 ...... Date New Construction ......... Old Or Pre-existin~ ~ildingA. ...... ~'"'''!i!!{iil;ii'~i'.~.' i ii Location of Property.. ][ ~.QP.~ .............. ~o)~...~% ..... /4q'~ .... House No. Street Hamlet Onwer or Ownerm of Property ...... ~ ...... ~ ............................................ . ..... 000, .... ...... .... ......... .................. Subdivision . Filed Map ............ Lot ..................... ~ I ?~O ~ ~..Applicant.. (....~.~ a~. Permit No...~- ............ Date Of Permit .... - .... Health Dept. Approval.' .... ~..~... .............. Underwriters Approval ................. Planning Board Approval .... ~..~ ................ Request for: Temporary Certificate ........... Final Certicate.....~ ..... Fee Submitted: $~ q~ ............................. [ ,~'(A~ f/~ ~ . .~.~..~.: . , . ...... ~ .w%..~.~ ... ,~-,~, ~. ~f .................. 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 CERTIFICATION Building Permit No. 2/ Owner: (please pr±nt) Plumber: ~/7~/~9 ~/1/~ '~/'- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ' ('Plumbers ~ignatdre) , ; '}:'?: Sworn to before me this Iqr~ da~ of 'J~ ,v~ , Notary Public, ktA.,/~.~' County THE NEW YORK BOARD OF FIRE UNDERWRITERS PAtS ~(~781~. BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oat* MAY 04,1995 ~pplication ~o. o..fit~ 84436394/94 ~l 0~533g ~I:T NO. 21960Z THIS CERTIFIES THAT o~y the electrical equipment ~ ~scribed below a~ int~uced by the ap~icant ~ed on the a~ve application number in the pre~es of D~ITR:I:OS ~NI~IS, 3300 NORTH SEA DRIP, ORIENT, in the fottowlng location; ~ B~sement ~ Ist FI. ~ 2.d FI. OUT Section ~ms examined on APRIL 03,t995 a.d found to be in compliance wHh the Na6o.al Elect~c~ Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS 16 DRYERS OTHER APPARATUS: FEEDER- :[ JACUZZI-- 1 PANELBOARDS: 1-8 CIR. 100 G.F.C.II-3 SMOKE DETECTOR ~ "1 E R V I C ~ RCC~. A,W.G. NO OF HI.LEG A.W.G. NO.OE COND OF CC. COND, OF HI-L~G AWG. DIMITRIOS ANTONIADIS 3300 NORTH SEA DRIVE ORIENT, N'~, 11957 GENEIIAL ~AGER This certificate must not be a~tered 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 NOTBE ALTERED IN ANY MANNER. 765-~.80Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [,] IN~TION/. FRAMING ,-[//] FINAL REMARKS: ! I'1 INSPECTO~ BUILDING DEPT. INSPECTION 76S-1802 BUILDING DEPT. FOUNDATION 2ND [~:j/INSULATION FRAMING //')/? [ ] FINAL Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD December 12, 1994 Ward Associates, P.C. 1500 Lakeland Avenue Bohemia, NY 11716 Re: Antoniadis Dimtrios Prem: 3300 North Sea Drive, Orient NY 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). Thank you for BUILDING PERMIT ~ 21960-Z Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION f2nd ) 2. ROUGH FRAME & .FLUMBING e INSULATION PER N. STATE ENERGY CODE Ye FINAL ~ ADDITIONA'L COM~E~.fTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1803 Approved .' .~/~.~... 19~.~ermit No ~/~Z Disapproved a/c .................... ~; ............... (~fiilW(ng Inspector) APPLICATION FOR BUILDING' PERMIT 1994 INSTRUCTIONS SURVEY ............. .~... CHECK .... NOT I P¥: CALL .................. HAIL TO: a. Tiffs 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 btiildings on premises, relationship to adjoining premises or public sti-eets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/- 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 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 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, o[~r removal or demolition, as her~i,n descr/b~d. The applicant agrees to comply with all applicable laws, ordinances, buil~In~,~oj::[e, hou/giBgt~pd~ a, nd, regul~ttons, and to admit authodzed inspectors on premises and in building for necessary · ... ,.. ........ -- (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. Name of owner of premises [231~V[ t'T~,AO~ ' ' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authoriied officer. (Name and title of corporate officer) Budder s License No .......................... Plumber's License No ........................ : Electrician's License No ..................... Other Trade's License No ...................... I, Location of land on which proposed work will be'done. .......... ' ...........' ......... ltouse Number Street Hamlet Con'nty Tax Map No. 1000 Section........~[~ .... ...... Block ..' .....O~. ' Lot ................. Subdivision G~ ~. '. ' Filed Map No. Lot (Name) 2: Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy %1'~ b. Intended use and occupancy ..................... · ................ . ............................... k ( appli bi ) B ' Additi (~ ' · 3. Nature of wot check which ca e: New uilding ....... on ...... Alteration ......... Re r .............. Removal Demolition .............. Other Work ............. . SCF 4. Estimated Cost . ! ~'I(\~ [k-~-._~' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .... i .................. ' .................................. ......... 6.' If business, commercial or mixed occupancy, specify nature and extent of.each type of use ...[9.~. ................. Dimensions of shine st~cture With alterations or~dditions: Front ~J3..~..."i' l~r' ~.' .t<.I .. s~ons o~enure new cons~ruchon: Front ...[Ml Ii' ....... ; Rear ............... Depth .... ........... ~.eight ............... Nu.mh0r of Stories ....... ................. 10. Date or Purohase .......... ! .......... , ......... or Fo mer 6wne;' LL'(4'" 11. Lone or use district in which premises are situated .... .r.~.~$l .~_,~.]~, ..... Does proposed construction vi~o~l~te any zoning law, ordinal{ce or regulation: ....b:).Q .................... 13. Will lot be regraded tx4t¢ ........ Will excess fill be r-m 14. . .... . ...... . · · · uwu ~rom premises: 'Yes Name of Owner of premmes ./M'O, .W..C2J'd, .l~.O. L~. Address .~>;~~/O Name of Contractor .... Address ............ ,,.~. ..... Phone No ..... ; .......... 15.' I~; this p,roperty with±n 1300 feet of a t±dal wetland? ~Yee...Jh.... No ......... ' ' · If yes,'Southold ~own Trustees Permit may be required. ' .'-. ' 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. STATE OF NEW YORK, S S ' ' ' ' COUNTY OF....~..~...c~... . ..... ~'L~' ~A"~'~" 'X%)'' '~"' ?' · "~'" '~' -~.~- · being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, i He is the ..,... ............ (Contractor agent corporate officer etc ) ' ' ....... ~f said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the work will be performed ~ the manner set fortlt in the application filed therewith. Sworn to before me this . /? . ~ ..................... . ay or.; ............... .... , .q..q gotary Publ c . .............. ? .. ...... :-.~t:.; :.-'. county KARIN t STALTER ' Notary Public, State of New York ....... · .... ......... No. 4973546 i (Signature of applicant) Qualified in Surfak CounW ' .. ~lmmir~lon Expires Ootol~r Z APPROVEDASNOTED BUILDING DEPARTMENT AT 9 AM TO 4 PM FOR THE INSPECTIONS: - TWO REQUIRED FRAMING & PLUMBING INAL - CONSTFiUCTION MUST E COMPLETE FOR C.O. CONSTRUCTION SHALL MEET REQUIREMENTS OF THE N.Y. CONSTRUCTION & ENERGY PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM C/1NNOT EXCEED 2/10 of 1% L£AD. If ~opper tubing ia used for water distributing ~/stem; piping sbell be OCCUPANCY OR USEIS UNLAWFUL WiTHOUT CERTIFICATE OF OCCUPANCY PLUMBING ~ Iq3.1MBIN6 ~ WATER LINES NEED "~$TIN6 BEPORE COVERINQ /,L4e, U ~V/ ref. no.: