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HomeMy WebLinkAbout20694-z \y t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21083 Date OCTOBER 14, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property 4425 ROCKY POINT ROAD EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 21 Block 1 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1992 pursuant to which Building Permit No. 20694-Z dated JUNE 8, 1992 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 ONE FAMILY DWELLING WITH AN ATTACHED DECK AS APPLIED FOR. The certificate is issued to STELIOS & IRENE NANOS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 91-SO-79-OCT. 6, 1992 UNDERWRITERS CERTIFICATE NO. N-250289 - SEPT. 15, 1992 PLUMBERS CERTIFICATION DATED OCT. 13, 1992 - C. ZERVOS AL B d ng iiispector Rev. 1/81 FORM NO. I 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) N°NO . 2069 Z Date P................................. , 19..1`.... Permission is hereby granted to: 24' oc.... 6l1?f'~f /l? '.Q:.. ..144. `7............ to - . at premises located of l..`.:.r STc ro s. ...........:U-s.. County Tax Map No. 1000 Section ...Oa l..°..~...... Block C21....... Lot No.... pursuant to application dated ....................4C~/. 19.,9 and approved by the Building Inspector. Fee ~t..&.f4 " ilding I".:.'! nspector Rev. 6/30/80 Y F ~ Form No. 6 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT j~ J TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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 17 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. 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, 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, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate 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. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date ...Qs"to)of~(..~ ~.9Q~2 New Construction.... V Old Or Pre-existing Building Location of Property...!. -.5............ ~7C.K House No. Street Hamlet Onwer or Owners of Property.. SSC~r}QS.~~~~E,r County Tax Map No 1000, Section,. 0;1:l.......Block....4............Lot..AW Subdivision ..r/ p/ .Filed Map............ Lot...................... Permit No cXQ P .t.T. :..Date Of Pe4rmit.. g`fqR , , , , ,Applicant D PP!Os -qZ.E fz V©5, , , Health Dept. Approval.. p!!~//Jjja~ Underwriters Approval. JIIS~C Planning Board Approval ..r...B!1,A Request for: Temporary Certi``ficate........... Final Certicate..V/ff Fee Submitted: C sc+y`19s9 1~ .Zcai.. ~o~a~o93 C, TEL. 765-1802 O C~F F TORN OF SOYT THOd D Ilk OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date 06 l3 M 02- Building Permit No. 0(6 1 4 - OwnerSTELIOS 4 'rRENE MANO S (please print) Plumber Co~S(}~IMWOS ZE12VOS (L(C7pt- ~3~1 Z PJ (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. (plu er's signature yyy' ~CE5N4yAAri t tills z as Swo to before me this ~day of 1912-. Notary Public Notary Public,~i`-+-o County CLAIRE LGLEW Notary Publlo, State of NowYorlt Qualified in Suffolk County lG#~ Commission Expires December 8,19.4 I J tds.1oz BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ MIND [ ] FINAL R MA S: A#~ p,? i 4 r DATE INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS-. Q_U/ c2 ~ fi i i DATE 2--MSPE R BOARD OF HEALTH FORM NO. 7 3 SETS OF PLANS r a°s si TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK . . . . . . . . a 4 A 199? TOWN HALL SEPTIC F0RN JUN SOUTHOLD, N.Y. 11971 „ TEL.: 765-1802 t:DTIFY; A7..Q~ / CALL (a Examined,.,. 19 /.L MAIL TO': • • . Approved .......~f~ 19/.y Permit No.+~4IT e. ; . Disapproved a/c _ . (B ding Inspector) APPLICATION FOR BUILDING PERMIT Date MA . 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) Oa fox °~0~5 _ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....................tZ f~ C c? VJ T R ~QGTO Y~ Name of owner of premises S[E L~ fJ~ 1 z L N E NA N Q S (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..I A 9 gT . 7. K Plumber's License No. P Electrician's License No . Other Trade's License No . Location, of land on which proposed work will be done. .....Q.`(• , • ~?p , ~...Po! NT. R1~ FAsT. M.lk-1?N.ok~...t~.~Y.~..l1.~t House Number Street S Hamlet County Tax Map No. 1000 Section Block I 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 E M(PTTV, . O ~ T b. Intended use and occupancy CONS V CT O N Ly' ~M Re air Rempplicable): New Building Addition Alteration 3. NaPure of work check which a oval Demolition Other Work 4. Estimated Cost 13 , (Description) QI,.©.Q®. n ©O Fee . g~Qr ) ibAvn ~ % (to be paid on filing this application) 5. If dwelling, number of dwelling juyl'Its Number of dwelling units on each floor . If garage, number of cars c Q N 9M0.VI , • • • • • • , , • • • . 6. If business, commercial or mixed occupancy, s~ecify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front , , , , , Rear Height Number '2- Height of Stories hgw Dimensions of same structure with alterations or additions: Front . , R. . Depth . Height . Number o Stories . . 8. Dimensions of entire new construction: Front Jc~P d k~ o ' ' Height « . . Num Rear .°4:.... Depth ..!'a ber of Stories . ~d;o 9. Size of lot: Front 100.«.0. ,I Rear . , L©Q..V:. Depth 1.,5Q. •1 O.................. . . 10. Date of Purchase 89 • ' ' ' ' ' ' ' ' ' • • Name of Former Owner . 11. Zone or use district in which premises are situated (DES I,L)w.S`J"•( t}L, ; 12. Does proposed construction violate any zoning law, ordinance or regulation: N d 13. Will lot be regraded ...NQ'...... • • • , , , Will excess fill be removed from premises: Yes No 14. Name of Owner of premises TJ ,4l ID.S . f (/t N.R S Address Tim •6J' /lUk, ,I3KLYy, , Phone Nk7O).: b, ;709(, , Name of Architect Address . Phone No. . Name of Contractor•'Ftf.~.'VW 9~1 2CV2VD S , Address V Pe NA 7' 5. 6 RLNfhony No. .3-9-3-.15. * 5a6 , 15. Is this property within 300 feet of a tidal wetland? *yes No. ? ' If yes, Southold Town 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. 1 IOO.©o LOT laO INTE'R10t2 t.oT •-Pro os"A well - 1 0 7 M HOUSE 1 V I - S • v -.o E In I! ~o~K`I (poi tJfi ~'D . TATE OF NEW Ypgll~r6~~ S.S OUNTY OF . . ' ' . ' CJ S • • • • • • • • • being duly sworn, deposes and says that lie is the applicant (Name of individual signing: contract) )ove named. eisthe........ (C ractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the irk will be performed in the manner set forth in the application filed therewith. iom to before me this day of )tary Public, ; Co nty©\- ROBERT 1. ,S ? ? . NOTARY 7UBLI {e of N.Y. • ' ' ' ' ' . • • No.4725089, Suffolk Coyyppt~y (Signature of applicant) Term Expires MAY 31. <9`L J J w in, x LL J a _J * w F- O ..w.. a 31, > w 0 aC1 O V) W O ( x J 9vR CL ov > IL 15 2, a Z 0 w p F O O t7 a Q U v y a J~ CL ut a rcu w m k t w a r- s p ul a 0. 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FOUNDATION , TWO REQUIRED S1P~~ce G~9 - !~)y (P•/,S SOLDER USED /N WATER 2. Rot FOR POURED CONCRETE f-~-'-°+- 2. ROUGH • FRAMING & PLUMBING - a SUPPLYSYSTEMCANNOT OF OCCUPANCY 3. NS 4. FIPJ, 3. INSULATION r w Pam -~Ft tFy~ FiL@no" 4. FINAL - CONSTRUCTION MUST .p _ C/~j EXCEED 2110 of I% LEAD. BE, BE COMPLETE FOR C.Q. NF 0322"-r M. x ALL C ALL CONSTRUCTION SHALL MEET ^T _ x' - 1 THE F THE REQUIREMENTS OF THE N.Y. ~fESy10MF' Phone 4J.T(1•:(1(1 Ar~;S: r1 ,tv ~'1 PLUMBING STATE STATE CONSTRUCTION & ENERGY - ALL PWMBING WPM CODE: CODES. NOT RESPONSIBLE FOR ~~LI4V GIZLI-tV'i'0~L 1', ?v. Y. 11944 DESIGN OR CONSTRUCTION ERRORS a WqM LINES NEED DESIGI TESTING BEFORE COVERING \1Ia =~ur~i rx itczY 7'-9-7! oWG. =L of T! ntti. PLAN NO. 139 i ..5¢ Le,,_.._- q ~u t -o _ .N ~-u~A1 Woe (a A- loll O Cl! 4 W 0] ~ 7 I (p in 1 I f I 1 ~ 81LCC) ~_-DUUR I II t I -o li r N~~ 5 Nirw i I b' I << 19 _ l h ~7 Ga _ t G- - - r LN 3-2xio ITT Lowt>. j f oR E POGn, L- _ -A 19 3 Lr L 0 i Q 4_- N !fY i C ONti Cl:i ~ z:ur~ ~ ~ 10 ' ~ - ~ Y Y ~ , - ~10'yl w1EP.9 r7Dt . r<~r-c1N oMl I ! „ I p OF NEW), Ff ul T I f~ F I-A, k, ....4...~..~..J,a S~P~ NEE re Phone 477-0400 .F, M+ iii: Road i GRUNPGR'f;,N.Y, ?'s9 FFQ 0322541 ZV ' -,3 OfESQ10N~~4. awG. FOUNtjA f r0 hl PLA'hl r~ X PLAN No. 3 9 f~ ]SCALE f l= I:D ~ Or 1 Zoo a- - it 1 S66 h _..DLCK _ i. i N, I r- FI i TI LE I _ DIPyiNc-7C3I F v vl c n 7LL -11! 0,4 ' 7~T Ql 1 tr, 5~~' Ty?~ r'~ f Ii \ 'e(U T G'/ = 7i M ON I ~ I ~-S+ar ""srA 5 ~ hSLe r"EIL~w€h0U5F u, Jl _ - Q r~ f v f i •q Y-_x8 t 3~6 at Ila + + n71 j z - ex+z - - 1 j I Q `i- 6~ yo/ j of NEW ll I a c x r n' p~Na - ~ OCTA GpN - - z-ex2 ~e oazzM-i / pgOFESS10N~~ r Phone 477.0400 Mfsam Rood GREENPOR 1. N.Y. 11944 ZERVUr`r'~ M1 owG. FWD1- ~Laht PLAN NO, 1391 SCALF. H--- y~~_ll ;WA 4 f- v` / CR1Nk17kAL _ [ 19 . 1dIN n w" I Y s ~ w ' I I. _ f ~~~la ~c IM" ?-2X1? Llt~r~L-..~•-"II~ ~ NII I I i ~ I ~GJ ,r I uv!r,le Rnorl 11N111 G I + t 'yAt{~, _ j G I ONPUND15TU ft, , I Z _ _ ~ _ 2X10- Ho I' EVIL 5"1 7j pn -gNb~ or- z; RID c L4 I /',J / r~1~KNFE WALL N' L <8 I e'~ c d. l~ tz" sonr i 71NI izl~ { UVVenY I, ~jj U, k c C, WS .;I: PALL l 4. =p19 PA ' + #2 Cll)k~ O"A 2m9 -OoD 16`;1 C 4! 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