HomeMy WebLinkAbout20329-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22684 Date
OCTOBER 28~ 1993
THIS CERTIFIES that the building
Location of Property 552 EAST ROAD
House No.
County Tax Map No. 1000 Section 110
Subdivision
ACCESSORY
Street
Block 7
Filed Map No.
CUTCHOGUE~ N.Y.
Hamlet
Lot 18.2
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 22, 1991 pursuant to which
Building Permit No. 20329-Z dated DECEMBER 12~ 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 ACCESSORY INGROUND SWTMMING POOL WITH FENCE ENCLOSURE
The certificate is issued to GEORGE KOFINAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N-232826 - APRIL 21, 1992
Inspector
Rev. 1/81
TO~N OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, No Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N~ 20~29 Z
Permission is hereby grantedto:
~..~....~ ...............................................
,o~~~-~""~....~~'..~~.~ ,~ ~_ ~ ............ ~,~~..
~t p,.m~., ~t.~ ~t ..~.~...~_~..~~ ........................................................
. .....
.......... : .......... .: ........... = ......... ~....,.....-.....---..:.-- ....
...?......~ ................. . .........
~~/~/~..~~ ........ ~ ....... ~,. .................... ~ ............ z .......
Co..~ T.x ~p No. ~000 S.:.o. ...... ~Z~. ....... m~ ..... Z ............. Lot No..../~.~ ......
pu~uant to application dat~ ....... ~..~ ................................ 19.~.,
Rev. 6/30/80
TOWN OF $OUTHOLD
BUILDING DEPARTMENT /
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 uae:
1. Final survey of property with accurate location of ali 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.
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.
3. 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.
:. 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, Co=ercial $15.f~
, / Date
House NO, C'x ,,A Stree~ (~ £ ~ H~m~'
~rmit No ........... a. r ....... Applicant. .
~alth Dept. Approval .......................... Underwriters Approval ......
-arming Board Approval .......................
~quest for: Temporary Certificate ........... Final Certicate... ...
THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,~ [
t~e~:~, eUREAU Or E,-ECTRIC,TY
~ B5 JOHN ~TREET, NEW YORK, NEW YORK 10038
only the electrical equipment ~ ~scrlbed below and intruded by t~ applicant ~med on the a~ve application number in the premises of
aod fou~td to be itt compliance u'ith tbe requirements of this Board.
Lot
FIXTURE FIXTURES
2 2
DRYERS
RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS,
SYSTEMS
OTHER APPARATUS:
~I~MIIIG POOL- ~
E R V I C
*(H~IMMI~ P00h) Tht~ certificate
covers comp]iaI~ce at the date of
tnspectio~ o~ly. Because of aausual
have frequent test/~nd or repairs
made by a qsall[ied persolt.
G'HERAL I~NAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ideptlfied by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN AllY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
'J.(~L~L BUREAU OF ELECTRICITY
~- ~5 JOHN STREET~ NEW YORK, NEW YORK 10038
Date ~T~ ~1~,~ Appllcatlon~o. onJile ~/~ ~ ~6
THIS CERTIFIES THAT
o~y the electrical ~Ripme~t ~ ~serlbed be~ and intr~uced by tim applicant ~med on the a~ve application nuozber in the prem~s of
in the following toca~ion; ~ Basement ~ 1st Ft. ~ grid ~. 0~ Section Bl~k ~t
~sexa~nlnedon ~R~[~ ~6,~992 andfoundtobelneomplianceu.lththerequlremeRtsqfth[sBoard.
FIXTURE
OUTLETS SWITCHES
RXTURES RANGES OVENS EXHAUST FANS
DRYERS
SYSTEMS
NO, OF FEET
E R V I C
OF CC CC)ND
PER ,ff
AW, G
OF CC COHD.
NO. OF Hi-LEG
E
GENERAl. MANAGER
/~'
This certificate must not be altered in any manner; return to the office of the Board if incorrect. )nspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FOU~;DATION ( 1 st)
FOU~DATIO|~
2.
(2nd)
ROUGH FRAME &
-PLUMBING
I~;SULATION PER N.
STATE ENERGY
CODE
FI~IAL
~DDITIONA'L COMMENTS:
INSPECTORS
(516) 765-1802
VICTOR LESSARD, Principal
CURTIS HORTON, Senior
VINCENT R. WIECZOREK, Ordinance
ROBERT FISHER, Assistant Fire
Building Inspectors
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 8, 1992
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Mr. George Kofinas
30-82 36th Street
Astoria, N.Y. 11103
Re: Premises: 552 East Road, Cutchogue, N.Y.
Suff. Co. Tax Map #1000-110-7-18.2
Dear Mr. Kofinas:
Renovations to the beach house and fences have been erected
at the above premises without first obtaining a building permit.
According to the Code o~ the Town of Southold a Building
Permit is required before any construction can be undertaken.
Please contact this office as soon as possible so this
matter can be resolved.
thank you for your anticipated cooperation.
Very truly yours,
~OLD T.~BUILDING DEPT.
BuiY~di~g~i~ector
GJF:gar
(Cert. Mail)
k
765.t802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ] IN.VI'ION
[ ] FRAMING [~I~NAL
DATE ~/_~ [~Z~ INSPECTOR
Ij
r 0E6 1 01991 '
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.; 766-1802
Examined ./~../( ? ........ 19.~7
'kpproved//.2/.~' ..... , 19~. Permit No.~-...~. ~. ~..~ ¢
Disapproved a/c .....................................
/ (Bu~ing Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
BOARD OF HEALTH .........
3 SETS OF PLANS
SURVEY ...................
CIIECK ....................
SEPTIC FOR~t ..............
t't^IL TO:
'a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~ts 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-
alien.
c. The work covered by this application may not be cbmmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
!roll 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
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
;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
',eguiations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
dmit authorized inspectors on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
(Mailing address of applicant)
;tale whether applicant is owner, lessee, agent, archit6ct, engineer, general contractor, electrician, plumber or builder.
............ , ............ . '~.C~../~...e~. .o47..~'.~..o.~
~ame of owner of premises .......... pn ...... ~..z~..r~xe7 ..... ./~.o.C.4¥ ~ .s. .............................
.//~ (as on the taxx roll .
t' ap~~ authorized officer. · or latest,deed)
- (~ame and utle ot'corporff, t~ officer)
Builder's License No....t~.?.?_:.. 7..t',.~.'~.. ........
Plumber's License No.. ~ ....................
Electrician's License No./.~.°../9~'& .t/... [-~'"g.. ~: .~q4'-~ .q~2'
Other Trade's License No ......................
· Location of land on which proposed work will be done... .~..~..7...C.'..~..~..tg~q' .. ~.,..~. ................
.......................... '.:....~.-.,q-:q.. ........ C & T ~' /-/-o C a ~ . ..~. ~., . .
House Number Street Hamlet
County Tax Map No. 1000 Section ..... //O Block 7. Lot ......... ~ .....
............................ I '/.- ....
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 .~..6-g' f~.~ ~
b. Intended use and occupancy ................ .~.~...,~, .... .1.~. ?. .,... ............
·
;. Nature of work (check which appli,cabte): New Building .......... Addition .......... Alteration .........
Repair .............. Removali .......... :... Demolition .............. Other Work ~C_ ' . ....
?1~)0 · °r~o'~t'~' ~ ¢ /¢O3~ 7'- /~'tgcZ'v' (Description)
4. Estimated Cost ....... ~ ~..~i~. ..... 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 ....... ' ................................................................
odcupancy specify nature and extent of each type of use
7' Dimension's of existing ormixed itany: ' ' ....................
· structures Front Rear Depth
Heighi Num~e~ of Stories ............................................
Dimensions of same structure with ¢lterations or additions: Front Rear
Depth ' Height ...................................
8 ........................................... Number of Stories ......................
· Dimensions of entire new construction: Front ............... Rear ............... Depth ................
9 Height ............... Numbe~ of Stories .........................................
· · ........... ........ Rear ....................
10. zD:t;of PuUsrCh, as, e ..... , ........ ' ...... . ......... Name of Former Owner ..............
1. n or se msmct in which premises are situated . /'~.6~ r'~T"-,,'~/-c. ..............
12. ?,,.o,es, proposed constructmn vlolaat~;any zoning law, ordinance'o~ regulation . .~ii~ '.~../P ~... '. . .
13. wm ~ot be regraded ¢,'."i ........ ~, ........ ~ .....
......... · ................ Will excess Ilil oe removed trot '
14. Name of Owner of premises /f,O.l~/.414ff Address ~ 7.?.6q ¢cte¢. ~,?rem~,s, es. ~ No
Name of Architect ...,, ....... i · · · Address .
Nmne of Contractor ..~..~/~.7'.{ .~t.r.. ~.'%~ i i' i' i Addrasq '' '/~ ~/2.~ ~,~'/) ' ' Phone No ................
£5. Is this property within 3001 feet of a 'tidal wg~ah'd'?" ~*%2~0't'''' "~*~' ' Phon.e No.. ~.$-, ~,q. 4..
· If yes, So~thold Tow~n Trustees Permit may be reqg[[g~[ ..... No..r~.. .....
.. PLOT DIAGRAM
Locate clearly and distinctly all bu,fldmgs, whether ,existing or proposed, and, indicate all set-back danensions from
property lines. Give street and block nurpber or description according to deed, and show street names and indicate whether
interior or corner lot.
rATE OF NEW Y~RK.
oozy
..... ....
(Name of individual signing ~contract)
~ove named· ,
"IMMEDIAT L"
EN.C OS PO0
-eFOaE
7~35-'~802 9 AM TO 4 PM FOR 1*HE
VDL~ ()W~G ~NSPECTIONS:
/. FOLINDAI~ON 'DAtO REQtJIRED
FOF~ POURED CONCRETE
2. ROUGN .. FRAM{NO ~ PLUMB{NG
4,~ FINAL CONSTRUCTION MUST
BE COMPLETE FOR
ALL CONSTRUCTION SHALL MEET
Tk~E REQUIREMENTS OF THE N.Y.
STATE CONSTRUe-ION & ENERGY
NOT RESPONSIBLE FOR
DESIGN O~ CONSTRUCTION ERRORS
. being duly sworn, deposes and says that he is the applicant
i' (Contractor , agent , corporate officer , etc . )
· said owner or owners and is duly abtborized to perform or have performed the said work and to make and file this
,p ication; that all statements contained in this applicatio~ are true to the best of his knowledge and belief; and that the
)rk will be performed in the manner sejt forth in the application filed therewith.
yom to before me this
(Si~ ~'e ofapphcant)