HomeMy WebLinkAbout20315-zFORM NO. 4
TOWN OF SOUTHOI~
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20850 Date JULY 13, 1992
THIS CERTIFIES that the buildin~ NEW DWELLING
Location of Property 51090 COUNTY RD.~48 & 120 RIC~ltOND RD.ROUTHOLII~N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 51 Block 6 Lot 15
Sabdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 21~ 1991 pursuant to which
Building Permit No. 20315-Z dated DECEMBER 6, 1991
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 AS APPLIED FOR.
The certificate is issued to KONSTANTINOS & ANGELIKI KOUKOUNAS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-121-MAY 1, 1992
UNDERWRITERS CERTIFICATE NO. N-238320 - JUNE 10~ 1992
PLUMBERS CERTIFICATION DATED JAN. 26, 1992 - TRT PLUMBING & HEATING
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. ¥.
BUILDING PERkUT
(THIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
20315'
Z
Permission is hereby granted/to:
..................
....... ~. ................. ~..~.....~....~. ................
__ .......~.~.~ .....................
,o ~~....~...~.~.....~~....~.....~~
a, ~.m,,. ,~a,., ~, ..~.~..~~/.~~..~....~ ......................
..................................... ~.....~~.~......~ ..................................................
.............. ~....~~ ........................................................
pu~uant to application dat~ ...~.~. .................................. , 19~., and appr~ by the
Building Insp~tor.
"~";;'F ................
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Ao
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:
i. 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 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
Upre-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 $15.0p, C~mmercial $15.00
New Construction .... ~ .... Old Or Pre-existing Building .................
House No. Street Hamlet
Onwer or Owners of rroperty ..................... ~ ............................................
County Tax Map No 1000, Section.. 3~/ .... Block. .Q.~ .... Lot .... ~ D~
Subdivision Filed Map Lot .........
Permit No....~?..~.1. ?...~r...Date Of Permit../. .... ?./ ..... Applicant..~/.¥.~.~....~.b.,.,%~.~....~. f%..c.. ....
Health Dept. Approval ...................... .... Underwriters Approval ....................... ..
Planning Board Approval .................... .. . .
Request for: Temporary Certificate ........... Final Certicate .... ~ .....
Fee Submitted: $ ............................ · '
· \% ·
Co o 3'o A PL CAm'- - '
STEPHEN D. LEN'IAN.~KI~ P.E.
December 20, 1991
Lynch Homes
County Rd. 39
Southampton, NY 11968
Koukounas
Southold
Dear John,
I am in receipt o£ the test hole results from
Environmental Services & have done an analysis of same.
The perimeter £ooting size is to be 1'-0" deep X 3'-0" wide
with 4 - #6 rebar continuous around the entire perimeter.
The interior footings are ko be 3'-0" X 3'-0" X 1'-0" with
#6 rebar 6" on center each way. The bottom o£ £ooting
elevation is not to exceed 5'-0" below grade and must be
placed on virgin soil. According to the test boring water is
et 7'-0" below grade. We must etay 1'-6" above water. If a
· ield condition prevents this contact me he£ore any £urther
work is done.
Please call t£
questions.
Very
D. Lem~
SDL/kb
TOWN OF SOUTttOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Date //~/~
Building Permit No._..1 o~J--~
(please print)
(please prfnt~
I certify that the solder used in the water supply system
contains less than 2/10 of l%'lead.
(plumber's signature)
Sworn to before m~ this
NOtary Public,
~.~ ~ Notary ~ublic f--~
County (,~/) · ~UZABET. A. OANN~RO ~
~ARY ~BLIC, ~te o~ New York
Q~elif~d in ~ffolk County
NO. 52-4601~4, /
THE NEW YORK BOARD OF FIRE UNDERWRITERS 1
1 [ 9 ~ (~ ~ ,~ BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK ]0038
O.r. JU~E 1~,1992 ~pplicatlonNo. onfile 764188~2/92 N 238320
THIS CERTIFIES THAT
o~ly the ~lectrical ~uip~ent ~ ~scribed below a~ int~duced by the applicant ~med on the a~ve application n~mber in the premises of
KO~KOffNAS, RO~?~ 48, 80U~ffOLO, N,Y,
in the fotlowing locatlon: ~ B~sement ~ Iht Fl. ~ 2.d tT, OU'~ Section Bilk Lot
was examined on ~ ~ ~ ~ ~ 19 9 2 attdfound to be in compliance with the requlreo~e~s qf this Board.
FIXTURE FIXTURES RANGES OVENS DiSH WASHERS EXHAUST FANS
21 37 1~ 2~L
DRYERS MOTORS APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS ! MULTI-OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
SERVICE DISCONNECT
OTHER APPARATUS:
C E
BOX IOT/ MAID ROAD
ii.
Per --
This certificate must not be altered in any manner; return to the office of the t~.o~d if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING D-~ARTMENT. THIS COPY OF CERTIFICATE' I~S"TTJ~O'l'~rE-A~rE~rb~-~A~
?'IELD ~ ..........
1o
FOUNDATION (1st)
FOU[$DATIO~! (2nd)
ROUGH FRAME &
.PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
4.
Ye
~
~ )ITIO~[A'L
~. _, =. COMME~TS:
STEPHEN D. LEMAN.~KI,
December 20, 1991
Lynch Homes
County Rd. 39
Southampton, NY 11968
Re: Koukounas
Southold
Dear John,
I am in receipt o£ the teat hole results £rom M.P.C.
Environmental Services & have done an analysis o£ same.
The perimeter footing size is to be 1'-0" deep X S'-O" wide
with 4 - #6 rebar continuous around the entire perimeter.
The interior £oottnga are %o be 3'-0" K 3'-0" X 1'-0" with
#6 rebar 6" on center each way. The bottom o~ £ooting
elevation ia not to exceed 5'-0" below grade and must be
placed on virgin ~oil. According to the teat boring water ia
at 7'-0" below grade. We must stay 1'-6" above water. I~ a
£ield condition prevents this contact me be£ore any £urther
work ia done.
Please call i£ .~anY~ queattonm.
Very ,,,
SDL/kb
765-1802
BUILDING DEPT,
INSPECTION
DATE~//F////~/~
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION XST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] RO~:I.--PLBG.
FOUNDATION 2ND [/~J,"INSULATION
[ ] FRAMING
FINAL
DATE
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION ZND [ ] INSULATION
FRAMING [ ] FINAL
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
· [~FOUNDATION ZND [ ] INSULATION
FRAMING [ ] FINAL
\,
FO~M NO. 1
TOWN,OF SOUVHOLD
~UILDIN..G 0EPARTMENT
TOWN HALE.
3 SETS OF PLANS
SURVEY ....................
SEPTIC
NOTIFY
c~ ~3:*.0o.o. ~t ..........
~IAIL TO:
APPLICATION FOR BUILDING
. ..~. .... . ~.~/
.' ~sv~o.s
a. TIQs applIcafio~ m~t b~ completely fill~d i~ by Wp~wHter Or tn Ink ~nd submitted to th~ Buildin~ Inspector, with
· ts of pl~ns, ~C~ur~m plot plan to ~c~l~, ~ ~ccordtng to schedule; .,,, , ,. , . ., . .
· ' b' Plot pl~ showing location,of lqt and of butl~gs on. ptcmts~s,'rdntiofishjp ~o adjoining' prcmlses or pubic
~r areas, ~nd g~v~g h defiled description of l~youc of pro.perW *m~t be dr~Wn on .th~ dtagra~ which is pa~ ot t~s appl
· c.' The work co ered by tMs application m~y not bc c0mm~nccd before issuance of Bu~d~ng P~it.
· . :*. d. Upon ~pprov~[ of this ~pplicntlon, the Building Inspector w~l issued a BuJld~g Pc~k to the app~c~
h~U be kept on the premises ~vaU~bJc for ~spcction throu~ou~ thc work. ,, '
c. ~o buiId~g sh~ll be occupied or ~ed in whot~Or in p~rt for unY. purpose whatever Until a Cc~[gc~rc of Occupmc*
,hall h~ve bee~ granted by ~c BulldOg Inspector. ' * ,
. .~P~ICATION IS HERE~Y MAD~ tO th~ ~?itdlng Dcp~mcnr for the issuance of a B~ldin~ Pcrmk pu~uanr to th.
~mfQin= Zone Ordinance of the Town of Southold. 'Suffolk County, New York, ~d other applicable L~ws, Ord~c~s
~ ~ulati~ns, for thc consr~ction of bufld~, a~dkions or ~k~mt~ons. er for removal or demolition, ~s hcr~m d
~c.~pphyu~t a~Cg~ tO comply with all app cable laws. ordinances, buUd~ code ~,,.;...~a...a ~. · ' csc~c~
.... .................
, , -- t~tamng ~d~re~s o~ applic~Q
Nam~orowncrof~rcm~s~s ..., ~ ~ ~'~ J , 'cyl~,w~4
,. . , . ' . . (uso ~ tax roll orlatcst deed) " ' ............
Capphcant Is a corporatmn, ~tgnaturc otduty authorized otgcer.
(~ame and title of coWora~ officer)
. ,,¥. ..... ,
Buildor's Ltc~nse No. ~ ............
' ' ~/c~ P
Plumber's License No .... ;. ,' ..... , ............
Elcctrici~n*s Liccns~ No,. "
.... , ..... , ,, .. (:~. ,
House Number " ' ' ': ......... *~ ......................
Str~c~ Hamlet
County T x Map No lOOO Section ' ' Block Lot
Subdivl~mn F, ilud M~p No . Lot
· ,' St,ate existing use and occupuncy of prcmtses and ,ttendv~ USe %})d 9ccupancy of proposed consm~ction:
~. Ex~?lmg uae and occupancy .................... ~j ..... ~,; ......... ~ ....................... .
3. N~tur,'ofw0r~(¢he~kwhlchap~lic:~bio).'.N~wUuild~n~ . ..... Addilion ..........
~ p~r .~ ' ~m0 ~t D molhlo Other Work
''
4 ~st~m~ Cost ' Fcc '
* Numbur o~w,ulhn¢ umts on c~c~ floor ...........
~, ~E business, commercial or mixed ~Ccup~ncy. sp~cil'y n~mm ~nd ~x~on~ o~ ehch typo o~ uso ....
~, Dimensions of exis~in~ s~cm~es,~ ff ~ny: Fron~.,, .~,, ..... Rear ..... ;~ .... ~.
H~i~t .... ~ ~ ......... Numar o/.Stodes, .. ~ ' / ' . .... ~ ......
>' D~pth ...... , ..... ~ ....... IIct~t .' ...... ~,; ,~,; ...... Number Stodcs ............... ,...
"8. Dimensionsorcntlrcncw. const~don:Fmnt,. . ~ "~ ~'" ~-ar .~ ....... Dcnth
.. ~3,¢u ...... &~... .... Nu~ stono~ ,..., ,~..: ..;., ............................... ~ ......
'9. Sa~Oflo: Front .... ~.~.~.,h-~-, ,' .... )¢~,'~ n.~,~
~ '~WZf yea, Sou~hold ~, .., .
PLOT DIAG'~I ' ' "'
'"...~OC~t~. cle~ly ~d dlst~:%ly. ~1 ~buHd~gs;'%vhothor existing or proposed, .~d;ind~cat~ ~l s~l-bn~k dum...~ion~ froz
?opemY~nc~,Gh'c~tr~ct~dblock~umb~tordcscfiptlonao~ord~ tod~cd ~dshowstrcctn~and' '
md:;3tc wh~thc
interior or co~cr Jot. , ' . " ,
,[
i,
bohtg, dtily swom,'deposcs :md says that he is the ~p lican
',:,':, ' I (Contrac .cor~porat. c offic~r, ctc.)
s?!d owner or, owners, and is dti}y authorhed to perform or h~ve performed tho said Work and to m~c and
' ~hc~tiofi: th~t.all sta?ncnts con~ainu~ In th~s ~pplica~i~n ~ tru~ to tim best of his knowted~u and bdlcf; ~nd that
.rk %v~l b~ pcrtemmd m the 'm~n,er,sct forth m thc apphcatmn flied Qmrcwith. '
......... ..... "' ' ' ' '
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