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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 ~ . 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