HomeMy WebLinkAbout22055-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27602 Date: 03/28/01
THIS CERTIFIES that the building ALTERATION
Location of Property: 8680 MAIN ROAD/ROUTE 25
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 31 Block 7 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 25, 1994 pursuant to which
Building Permit No. 22055-Z dated MAY 11, 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 ALTERATION & FIRE REPAIR TO EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to DIMITRIOS THOMATOS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 03/23/01
PLUMBERS CERTIFICATION DATED 03/08/00 DIMITRIO THOMATOS
0~6 kx~6"
Authorized Signat e
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)
Date...........:/
N® 22055 Z
Permission Is hereby grante to:
r r?s Or X
to x; , f'/~flelc ........f ..........,c .
~.-........1/~.~.....
s
at premises located at .~0 /
®rJ.........................................................
County Tax Map No. 1000 Sectlon Block 42.7........rLLoot No.
pursuant to application dated eli~~.....°..,.....,.., 19....x,/" and approved by the
Building Inspector.
Fee 5..,.......~,
Building Inspector
Rev. 6/30/80
'TOWN 01 SOUIBULU -
BUILDING DEPARTMENT
, f IN, 0
TOWN HALL P.P/na.-itk.ri I `
FEB - 765-1902 33' -1Y 190
0135`" '
C; s f APPLICATION FOR CERTIFICATE' OF OCCUPANCY
Ir + Ct r i ~E01D
~A. This application must be filled in by typewriter OR ink and suitLed to he liuild'in
inspector with the following: for new building or new use:
1. Final survey of 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-disposal(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 19 lead.
5. Commercial building, industrial building, multiple residences and similar buildi
and installations, a certificate of Code Compliance from archiCect 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 a
"pre-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 applican
If a Certificate of Occupancy is denied, the Building Inspector shall state the
i reasons therefor in writing to the applicant.
C. Fees 1
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00,
r--A~ S o dwelling $1_5_00, Swimming pool $25.00, Accessory building $25.00,
s ss y s $25.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $100.00
3. Copy of Certificate of Occupancy - .25V.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date
New Construction..... . (.....Old~O/r Pre,_-existing Build~inng....:1nC./.~.......... Cj ? q
Location of Property.U,3.Vl~ I::Lrall\l..g..~.•... .~i~?'....JYJ~.~~•~,v•• UR_3•l•
House No. ~n Street Hamlet
Onwer or Owners of Property.. D•~1°N~~t' Pu... ~ll~
County Tax Map No~)I000, Section Block Lot..................
Subdivision --r ...............Filed Map.... r, ....Lot.. ff...,.....n~
CC
Permit No.ht..11% Je :.1.~Date Of Permit... .Applicant..,. • 1•Cl ~•~"!y•1• •I• •Q^~
Health Dept. Approval..........? ..............Underwrriters Approval
Planning Board Approval .
Request for: Temporary Certificate........... Final Certicate......~!....
Fee Submitted:
APPLICANT
SAC. s9 X 3 2-
0 0 '.Ib®~
F 04
C) Fax (516) 765-1823
Town Hail, 53095 Main Hoad CA Telephone (516) 765-1802
P. 0. Box 1179 %8a 41V
southoO, New Y06', 11971 4,' M.
j1r
OFFICE OF THE BUILDING INspECTOR
TOWN OF SOUTHOLD'
C E R T I F I C A T 1 0 N
-9
DATE
-Z
Building Pernlit NO.
-F9
owner: -1 r
(Please V~~ILIJ
plumber: 'N 17-w
(please Pr~LJLU)
i certify that the solder used in the water supply system
contains less than 2/10 Of 1% lead.
( (pjuW~rer S gnatur9l
Plu r signature)
Sworn to befoi Le"me this
dayof
Notary Public, County
"JJOOHHMN KKNES11
IN9 NESICH
13mbfic, State of Now York
04011KN5019995
OU06d In Nmau 0ounty
L COMMISdOnF.XPIMSNOV.11,26=.
THE NEW YORK BOARD OF FIRE UNDERWRITERS IAf7E;
1000343 BUREAU OF ELECTRICITY
F 85 JOHN STREET, NEW YORK, NEW YORK 10038
Date JANE 30,1994 Application No. on~flle 061071494/94 N 31.911'38
THIS CERTIFIES THAT 3{
only the electrical equipment as described below and introduced by the app icanonamed on the above application number in the premises of
JAI4E5 THOAIATOS, 8680 MAIN ROAD, POI>E009•-83, E;&St' p N,Y.T
in thefollowing location; ? Basement ? Ist Fl. ? 2nd F'1. 0I, Section Block Lot
was examined on JUNE 27, " 1994 and found to be in campZgLmce kth the National nal Electrical Code.
FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKIRC DE S OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER MAi K W. AMT «'K. W... T. KW. AMT K.W T. H P
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL NEC-PT TIME CLOCKS SEII' 61 41 MULTI-OUTLET DIMMERS
AMT. N. W. OIL H P GAS H. P. AMT NO. A. .0 AMT. AMP AMT. AMPS. TRANS "F?` H. P SYSTEMS
NO. OF FEET. -AMT. WATTS
SERVICE DISCONNECT NO' OF S E R V 1 C°t ')5- E
AMT. AMP. TYPE METER 1,e tW 1 ,e 3W 3 a 3W 3 •e' 4W NO. OF CC COND. A W. G. NO OF HI LEG A G. NO OF NEVTRAlS A. W G.
EQUIP. DER.e Of CC. COND. OF MOLE Of NEUTRAL
1. 1.00 CA 1. X 1 2
OTHER APP SF-.~--~' '
TEMPORARY SERVICE ONLY- 1
G.F,C.T:•1
GO17DRhE ELECTRIC LTC4783-E
7355 MAIN ROAD
GENERAL MANAGER
MATTITUCK, NY, 11952 11
Per
This certificate must not be altered in any manner; return to the office of the Board if incorre t. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
o~OSp
FFO(~Co
Gy2
Town Hall, 53095 Main Road °y Fax (516) 765-1823
P. O. Box 1179 Telephone (516) 765-1802
Southold, New York 11971 Oy
~~l ~ Sao
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
January 16, 1998
Mr. Stavros Malliaros
384 Nevada Street
Lindenhurst, New York 11757
To Mr. Stavros Malliaros,
Re: BP#22055-Z (Dimitrios Thomatos)
S.C.T.M.#1000-31-7-6
8680 Main Road
East Marion, New York 11939
As per our conversion, enclosed is a Certificate of Occupancy
application and a Solder Certificate for the plumbing to be
filled out by Mr. Thomatos. The Solder Certificate must be
notarized. Also required is the Final Underwriters Certificate
for the electric.
Sincerely,
S hold Town Building Dept.
o M. $OU11s
ilding Inspector
JM/cs
enc: 3
c
Town Nail, 53095 Main Road y Fax (516) 765.1 H23
P. O. Box 1179 y- Telephone (516) 765-1602
Southold, New York 11971 • g
OFFICE OF UILDLNNSP - TOFF
OWN OF S06THOLD
JANUARY 16, 1998
MR. Sa''AVROS MALLIAROS
384 NEVADA STREET
LINDENHURST, NEW YORK 11757
To Whom This May Concern:
We are unable complete your Cert ficate of occupancy
because off, the following reasons:
XX An application for Certificat of Occupancy is
~ not on file. (Enclosed)
XX No Underwriters Certificate o fil~ NovR
XX The check is (not on file.)$ .00
!oa'.v
No Health Department Approval on file.
_ No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being zl~
issued after April 1, 1984).
BUILDING PERMIT #22055-Z (THOMATOS)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
96 9a lam,' a /k"'
~e r ryes ~ ~ 4~-v Z'O'a 7e
~OgpFF0j/(0
O
=~0 GtA
Town Hall, 53095 Main Road y 2 Fax (516) 765-1823
P. O. Box 1179 Telephone (516) 765-1802
Southold, New York 11971 Oy
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
JANUARY 16, 1998
MR. STAVROS MALLIAROS
384 NEVADA STREET
LINDENHURST, NEW YORK 11757
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
XX The check is (not on file.)$25.00
No Health Department Approval on file.
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 #22055-Z (THOMATOS)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
M-1802
BUILDING DEPT.
I NSPECTIO
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ kKFRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE_ 111h4h INSPECTOR
/ f/ f 1 4~;
765-1802
BUILDING DEPT.
INSPECTION
] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
F MING [ ] FINAL
REMARKS: ,-gess r~1~p
Y
DATE / INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ) ROUGH PLBG.
[ ) FOUN ON 2ND INSULATION
FRAMING FINAL
RE ARKS:
Ile el~
DATE f r INSPECTOR Ir- `
E
r -1so2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
r
DATE INSPECTOR
STAVROS I. MALLIAROS, PE, PC.
Consulting Engineers
New York July 23, 1997
TO: Town of Greenport
Department of Buildings
c/o Inspector:
RE: Permit No:
Application No:
Location: 86-80 Main Road, East
Owner: James Thanatos
Gentlemen:
This technical report is to inform you that I have reviewed the building plans for the referenced
premises and determined that the structural design , and structural stability of the house are
adequate.
Please read this letter and if you have any questions regarding the above statement call me.
Thank you.
Sincerely,
Stavros Matliaros S~o~ p Y~
Xyl
384 Nevada Street, Lindenhurst, New York 11757-5223 Tel: 516-956-0344 Fax: 516-956-0352
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ )ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN CATION
[ ] FRAMING [ FINAL
[ .REPLACE j A CHIMNEY n~
REMARKS: Oc A
DATE L1NSPECT
I
.~L~N`i^jb J• V? IIDrr II r_~.'Y~ - ..r ~
COMMGNT~
Ell
m d
2.'
• > '?.elm. z
ROUGH FRAME
PLUMBINGi ( C9
IIJSULATION PER N. Y. m
lei
STATE ENERGY
CODE
4. d -gym. "a~
. GG++~eBG•pGdv ~ H
FINAL
a-ADDITIOTIA
COMMENTS: ca 1-
ii [ x\")
x
T
- m~
t7
m
b
BOARD OF HEALTH
FORM NO. 1 ,,.3 SETS OF PLANS
TOWN OF SOUTHOLD SURVEY
' • BUILDING DEPARTMENT IIGCF _ .
TOWN HALL SEPTIC FORM
SOUTHOLD, N.Y. 11971
TEL.: 765.1802 HOTIF' t ~ 3~U2
CAL r) r y
anined ....~FF1f 19 MAIL 0 ) ~J IZx1f 7 ~(9~
pproved 19~~ omit No. s V. J~ . . ; .
Disapproved a/c .
uilding Inspector)
APPLICATION FOR BUILDINGMIT
_ a 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
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, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing c e, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
State whether applica ,is owner ssee, agent, architect, engineer, general contractor, electrician, plumber or builder.
............'....j..................................................
Name of owner of premises r.CI..0y1./. l~rLv .`.hlolv.19 ,/6.!a/
• .
(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. ........II, . . .
Plumber's License No. .
Electrician's License No. li
Other Trade's License No. . .
on of land on which proposed work will be done .
1. Location House Number Street Hamlet
3 i
Count
Y Tax Map No. 1000 Sectio ~ . . Block Lot
Subdivision Filed Map No. Lot
(Dame)
2. State existing use and occupancy of premises and intended use and "occupancy of proposed construction:
a. Existing use and occupancy i~ . .~h~ J .~~1.~...r.4.Im! .Lx... f .J • • . .
b, Intended use and occupanc {v12;~~.iiGy..........
I
Y
3. Nature of work (check which applicable): New Building Addition Alteration
• • , Removal , , , • • , , • • D molitiony... Other Work
4. Estimated Cost (Descriptio
I,f?el~C7 • •
Fee............
(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
6. If business, commercial or mixed occupancy, specif na ure and extent of each t pe of use , ,z .
7. Dimensions of existing structures, if any: Front Rear A-...... Depth
Height ,Number ofStories Dimensions of same structure with alterations or additions: Front • . •
Depth . . . . . . . . . . . . . . Rear.................
Height . Number of Stories .
8. Dimensions ofenti Front Rear............... Depth
Height
ro Stories
9. Size of lot: Front
Rear............
10. Date of Purchase • • • • • • • • • . Depth
• • • • . • , Name of Former Owner
11. Zone or use district in ch pr s are situated
12. Does proposed conktZp,C v ola(g any zoning law, ordinance or regulation:
13. Will lot be regraded x s Yz ,f " "
wl } ,:,`r • • • • • • • . • . , Will excess fill be removed from premises: Yes No
14. Name of Owner of pilemisds ° 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? * " " " " " "
*If yes, 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
intenor r comer lot.
all
STATE OF NEW YOSR~K, .S
COUNTY OF FS S
a4~.. .
7D
' ' ' ' ' ' ' ' bm~ • • , being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He is the ! w Ue1r..........................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
day of. . . 19Q~.
Votary Public, County
ROBERT SCOTT JR.N Y. .........................4(ig .
NOTARY P .TIC, state of •
No. 472 89, suRnik Co~n~y~ nature of applicant)
Term Expires May 31,19 g
f . ,
t r
i
4'~O IeTING
12}~I~fIh1G ~.CV` F ~ I "vrlWG rQDF:
gl~-d I
1 12:6•,
I
v~ I
- / I
I
I
/ I pySYING ~ SYING ~'Lq¢ ~ I
/ I
I
'I
~ II
661
I
' 1~ISTING iKiSTING {ZCr'7F
I
/
i
/I
li
JT~
~E
~ tine of .~fu5 E OF ."tfr- F1IXD` . CY`T.
a l
number - issued lo. date
r4 PRINT RECORD I,
/ OCCUPAM )CCUPANCY N
1S£ is limt0 UL r-). TWOWATOS I2~51dEJJC
USA is 1A , _ 7TICATE ~.LiN Izcacsr~ li
i A 10 T .N 6i cu,,
W/ ~rv,=r Wl ~EbT UNI7Fac4dY W22C OF ,acv QAJL.ffo Tb FAFTEF,', C'n~) AP 110 )F ulGculr',:al11 Malzlol~. NY
V sheet title: en,
r_r
APP D, NOTED
DATE: 1 LPA DATE:
. FEE: BUIL
2')C Ic7"' ~ilF[Efts Ic7"' ~ NOTIFYa 7611-1802 9LAM TO 4P PM FORT THE
,L' '[Ef2S+ II r » FOUAININO IN YYi 1. FOUPOATI POLLOWINO INSPECTIONS: T. FOUNDATION • TWO REQUIRED
FOUGH F man 2. POUOM~ - FOR POURED CONCRETE 3 1 . 1 0 B R O A D W A Y
'FRN.JIF, ~'fv' G.a. 2. ROUGH - FRAMING A PLUMBING LONG ISLAND CITY
& INSULATIO
4. FINAL - SE GQMPU 4. INSULATION CONSTRUCTION MUST BE CQMPLETE FOR C.O. NEW YORK 11106
rc> - ALL CONSTF ALL CONSTRUCTION SMALL MEET TEL.: 718-104-6900 DON1l IS
TO prig-4416) 16) Ci..) fiL4.lE ld P•G~'~ .I THE Fl£OLIS TNEFl£OLIREMENTS OF THE N.Y. ST,;F. SONST`r I:: PON & ENERGY bMOPMENT GROUP. INC. P-A%: 710-204.4749
ST~L T, CON:
pax; rqy S"Kld' WctO c0.,,-, 'TPI r• ~'•O" O.G. CFRM ~r'4MN DESIGW OR CO•;' M'" v.bO145iSLE FOR DES,Ul> OR CON$tNUCTIDN ERRORS
An Ineprporalion of
Interior' Planning & Design Consultants
MAIM z'xu ~OFOCCUIMM4'1~
71;(MEOJN MA*ft
ter. a i!1/MWOMENCAN ?
eEw j ~l iE Lau: EXCEED 2lt0'ofIVIEAQ le: I/.4"_I' 0" drawin pumb/ey
PUS . ANN by ~Ii. fL.
[dravn e: G4' project number
cked by', G
T~ ,c
-TI'OLJ_ TI4KL) ooT= „ .
.n ._val...ue. y ..~+n L_ ..4 .e..,.~ LaL.,.nu_:..
1 A, „1
I i.
{IO 10" 12: IC7° r I(a'Co~~ - ol,
iI. l
0 p
N 1s ING Y h
FO~ Tr
I
Corr
ip ~ygr ~sr 2 ~rgrr
~aTN
o ~
. ' I r=xiaT ~ ti
o G rx~,TinIG
Dr I 20" GtQ"
1597. I
¢6^ Gla
114P I - r datl'o
a I I r
C~cIST t`'a G6'O
14' Id
II
' 0 I
l'II . F.adgTltlUG ' I I ~ „
S~CIi.Ys ~ I ~ ' " ~M
' illy tOM ~~FJOM I ~ rj ~ EaK1ST R~
i ~G
UEW ~7 Fr7K.oq.A ~'kFdI,LW6Y
nil 4
rc~ ~ ~.9
I f
. t9 UVI"G-le. ..l 3=E'I':
i I
III ~ ~
~ i
- LLI
I Il i~~
Itunihai issued W~ dale,
I
PRINI RECORD 1---_
Cb TF-10l.>I,AT05' fZESIDEWCE
ual~i fzCa4b
u'I tip BA57 f4AKIOW, 1J.`P:
~r IC,
F~II~~T ~LOC7fZ sheet title:
r 31.10 NR0A 1) W AY
r
LONG ISLAND (CITY
N'FW YORK 11106
I
DOMUS TEL.: 718-204.6400
DMOPMENT GROUP, INC. P A x, 7 i 0.211 a'. 4749
An ineorporabon of
I I' Inlenorn Planning 6 Design Consultants
i
I ,
date.? Ap"L,. 4R4 ; Oroiect number
scale' 1/w Zh-a. drnwi tuber
drawn by-W, A. -
I
checked by
i ' - I." is
. y
I 'I~i I I