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HomeMy WebLinkAbout20400-z ti FORM NO. 4 TOWN OF SOUTHOLD BUILllING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20668 Date APRIL 23, 1992 THIS CERTIFIES that the building ALTERATION Location of Property 1035 A UAVIEW AVENUE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 21 Black 2 Lot 13 Subdivision Filed Map No. I,€st No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 16, 1992 pursuant to which Building Permit No. 20400-Z dated JANUARY 22, 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 ALTERATION TO FINISH CELLAR IN EXISTING ONE. FAMILY DWELLING AS APPLIED FOR. The certificate is issued to TONY & MARIA KOSTOULAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-220106 - JANUARY 13 1992 PLUMBERS CERTIFICATION DATED N/A ldi Inspector Rev. 1/81 108ffi NO. 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST SE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N a 2 0 4 0 0 Z Date ..1~..~'a 19~:~ Permission is h eby g nted to: o~ f0 .~...~l.f...-../...Lcui.s....... ..G.~...... (l..Er~is/~.~..flJ.9.S........ ,iC.:...... at premises located at ......./,.Q.:~...4:'~:~tctr~.....~1.~~`'.../ ~tl~~. +li.~............................................................... County Tox Mop No. 1000 Section Bloek Lot No....~:~............ pursuant to application dated 19..C~.r'~ and approved by the Building Inspector. Fee S...s~.a~,?1... (ding Inspector Rav. 6/30/80 ~ Form No. 6 ` ! ~ , TO[JN OP SOUTt[OLD ~ BUILDING DGPARTDIENT ~~~~~~5y ,jA~I ( 6"~ TOWN IIALL ~L ~'1 765-1802 E'-~ t > APPLICATION POR CGRTIPICATI: OP OCCUPANCY Ttiis.application must be filled in by typewriter OP, ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate locaCion 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-4 form). 3. Approval of electrical installation from Board of Fire Undereariters. 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. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. ,lc curate 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 Cherefor in writing to the applicant. C. Fees I. 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 I're-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 X15.00, Commercial X15.00 Date ...f/.~.]`_,?,:GZ.......... ':ew Construction....... Old Or ~P7re-existing Building.. Locacion of Property...~tfl.`3.5;;,,,(4.QfJ(~:SJd~-.~, ~;l~i~.... House No. E,-~r9.-~7... t;~~~fo~;.C.... 'y~ Street Hamlet Onwer oc Owners of Property....1,.4.Ik.7...:F.-.../~'E{~/~,f~....~ c+~.~(_~s ~:ounty Tax Map No 1000, Section.. • , Z.I, • , , , , 1 .Block....~.C? 0......Lot...~ r..~ :subdivision..... ...............................Filed M:rp............Lot...• 'crmLt :Io ................Date Of Permit.. ~ R ..............Applicant. I !ealth Dept. Approval... •••••••••••••••••......Underwriters Approval 'Tanning board Approval ~equust for: Temporary Certificate....... , / Final Cer[icate... Y ce Submitted: 5.., C~~. • ~13(~ ~pp ~~~6pp~~ , .......~i~... . C© ~.~O~lP9 _ . _ A?'PLICAST ~ ~>:W.. 7G5-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ) ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INS TION FRAMING INAL [J REMARKS: DATE 1~L INSPECTOR { Tt~ M'EW YOI~C 80ARD OP ~IdtE tJWflfR~"1 ,ooo,z4 llufEEwv ot= E1.lCTi~IGITY x,~4z Q6 JONN NEW YORK. NsMr YORK 10038 Wa JANIIAkY 1:1."194`,? ' .Ip/Iicetlon No. on file 7577bi)9J X94 td 1, ~;U±Oh"'~ '?Nif CiilTTPIRf Ti41T eniy tbt electrWrle~fpnXewt r dnncAhed 6eler end lstrodtteed 6y the eptlleest nested on the ehosa eppHcetien nuw6er iRi theprott[iees of 'i0fdY KOSTOU~S, 'i05 Ai~ttA F;W AV~;NIIE, p;A`'i' MkR(()N, IN_V. --nom-- . in the,~IMlptrinR htcagptif L"] Beletner~t ? tAt Fl. ? rttd FI. .Sertion RdaKk Lot ~ },i4 H'F;k X17 ~ 'i~ uw avaminetf~ ~ endfound to 6e in compliewceuith the rryuiromenJR el(tkirt'lYaeed. t~ ~ s oveNS f~i1B tCFNT GTNiR AMT. K. W. AMT. K. W. - M1T. GW. AMi. K. W.. AMT. M: P. 9 G O!T!!f RlrlMC! tAt111M AtrlillltCE TlMMf MB'M 1Q1lQ0plf Yy It111TbHXtOi ~ OMAIMY! AMT. W. tIR n R OA[ N. f. AMi. NO. A. W. G. AMT. ANe. AMT. AMMi. TEANS...: AMT. M. G AMi. WAifS ' f ~T- S ! R Y 1 C - AMT. ' AtV. T1M 1l tw I l tW J ~ ]VI t l AW NG. GP [CeCAND. ~ ~.w. ND. [M N1-It6 : A. W NO. CP NWIg15 -~G--- RR " i OAIM tl/W1171pr tip .frO~ PALiL~ R, ROkNS r,if~.R~Bz-F; 775 TOM)N HAHH(1k f,ANr; S0l1TH0Li!, riY, 14.4'77 at - Per iG of >IM N ' ~ . s W ° .y._~ ..,.1~ _ u. 'CELL L.S..~...:Jd IIJn.~ ~ ~.~.:~(L'if.Nl~ I . cn H 'O[r17bATZON (l s t) c 'OUNDATION (2nd) _ _ rr ~ ~;;"`1{{~~~ I z \ o ;OUCH FRAi~1E & I PLUMBING I -i 3. c~i _17SULATIO;I PER N. Y. STATE ENERGY 1 CODs I TT ~e ' [*3.j' t~~ G v ~ c- H FI;1AL I Q~ . I o ADDITIOPIAL COMMENTS: • x ro H ~VVY ? e\ . H N Vi \ O x . a - r. H Z O ~ m "'NNNNNN H ' ~ ~ BOAFD OF HEALTH . ~ FORMNO.1 3 SETS OF PLdYS TOWN OFSOUTHOLD SURVEY JAN ~ 6 ~ ' BUILDING DEPARTMENT C11EC1: _ . TOWN HALL SEPTIC CORN ` SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:oTIFY; ~y~~ j~,L. CALL 7. Examined .-y Z......., 19Q~' PSnIt To: Approved z....., 19ermit No.. 7. L~: ~ ~ . . Disapproved a((c// . ~ . .~-L~-~ - . ( ildin~ spec or) APPLICATION FOR BUILDING PERMIT Date 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ,ets 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 ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 .hall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupancy .hall 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 3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 2egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Che 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 inspectio s. (Signature of applicagnt~, ame'nif a cor~pporati/on) ....~~'.~..°,,~+nlc!ZS,...d~a.'!`:~...1~2-... P,iKwcp~,,,L (Mailing address of applicant) d State whether applicant is owner, lessee, agent, architect, engineer, eneral contractor ctrician, plumber or builder. Name of owner of premises ..~b.TF!-~....y':-..Mt~1h}-...~a.~j'~4JLp4-rr'.',,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, (as on the tax roil or latest deed) If applicant is a corporati ,signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~ ~'r Plumber's License No. :-:Q . Electrician's License No. 'J ~ ~ t:[$ ~rl:~~! : e- . Other Trade's License No . . Location of land on which proposed work will be done. ..~~.~.y'-.... >4}R.J (',;(jt,~,u~.. ,6!~-!~,~, , , , , , , , , , , , , , , , House Number Street Hamlet County Tax Map No. 1000 Section ~ Block ..`L.. ~ p, d Lot lr.~. , .P.~ . 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 . b. Intended use and occupancy ....f2lK~ ...........................~,._i...... . r 3 Ret air of work (check which applicable): New Building , Addition Alteration P • • Removal : . Demolition Other Work . ~v. (Description) . . 4. Estimated Cost C ~ 0..~'.." : Fee . 1 (to be paid on filing this application) we m num er o dwelhn units . ; • • • Number of dwelling units on each floor . g g Tf era e, number ofcazs p 6. Tf busines~~ commercial or mixed occu ancy, specify nature and extent of each type of use . . g 7. Di ~ensions of ex~shn structures if any: Front , Rear Depth , . . Hei ht Number of Stories . . P ....Hei ations or additions: Front Rear . Death sions of same structure with alte~t , Number of Stories . 8, Dimensions of entire new construction:~~ Front Rear , .Depth . Height Stories 9. Size of lot: Front Rear...................... Depth 10. Date of Purchase um er of Name of Former Owner 1' 1. Zone or use district in which premises aXe 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 Cproperty within 300 fe ~ ~ ~ ' ' ' ' ' • Address . ...............Phone No............... . 15. Is this et of a tidal wetlandl *yes........ No......... *If yes, Southold Town Trustees Permit may be required. y PIAT 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. p p ~ ~p ~L'A.,..iW~' O t2i1-~- ~.,)cSi~'~. w c-e~-u-- ~'ralw„1'~_;,~.,~ ~ M~ao,~s.r.• RA ~ qS ~d0`CED UNDERWRITERS CERTIFICATE CrATE: /'y 9z R'P # o ~f-p REQUIRED ' f FF:.~=~~.~ ~ 23 . Y~IC.V'IFY e~ul..~,~1~ ,nr ' ~~ti-t~a~ ~ rr~ ~ ran FOR THE 1~V')1LC)thlilVCi I(U:iF~I:'C`W'IC?PSS: 9, fOUaIt7,~T1C'?M 9tN(3 R[QUIRED ~~~e~ 1xQtJREC) to(2ta~;RlT~ F~:,i ~ ~a~ ,~s~~~ ~~~l~s~ _;°R,an~oa~~ f1_UNiRING ~ 'e ri ~P ~'@~i ~ ~ ~9tS$ttt f•Afti7i4 i ~r ~ ~ P'~ r~~ a , w~,r, I +~sal. ~s~~~vR~rrl~iw ~nusr ` ~E r ~ ~ ~ a s ~ ~ ~1~~ ~as~~~~ETE FOR ~.~1. e~1.L C't3hif>TRllti'fB()hl ~I~dLILL YVIEET gg ' e^k ,r ~`R i Th!F Rl"QillRt=.ILlE1UT~ QF THE IN.Y. i 11 h u,1?~` nq w ~ ~da) ~ ?a~:~1TL G:Cble15TRl)L:TIQN ~ ENERGY f ~ ti n ~ Ct ~ ~ d~~,~ C.Cit7WS. hIC9T RESf~C1NSIBLE FLDR ~ ~ , g s,` ,I~. v„ ~,li~.,,?:'a.~~,_S°f i"~h ti1S~J 6 ~E~IGftf (aRG'QIV~uTRtJC~TIO(~EdIRQR9 STATE OF NEW Y~~~~k S S COUNTY O , . ~ . (Name of individual signing coat~~ ~ ~ ~ ~ ' ' ' ' • being duly sworn, deposes and says that he is the applicant Xact) ibove named. n i 'Ieisthe ...................S.~Vw;c'~0'r,.......................,.......... (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 application; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set forth in the application filed therewith. ~wom to before methis - ay of. ~.t~v~ 19~? , Jotary Public, u y ~~..}Co nt , . a08ERTl' (Signature of a licant N~~,,~~OppTARY PUell ~ off} N.Y. PP ) THmfx ~9,~Suff3~Oio9u~c