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HomeMy WebLinkAbout20281-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20570 Date MARCH 6, 1992 THIS CERTIFIES that the building ADDITION Location of Property 700 DAWN DRIVE EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 5 Lot I4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 12 1991 pursuant to which Auilding Permit No. 20281-Z dated NOVEMBER 15, 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 SECOND STORY ADDITION ON PART OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE & GEORGIA BABOUKIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-226073 - FEBRUARY 27, 1991 PLUMBERS CERTIFICATION DATED MARCH 2 1992 - C. ZERVOS Bui ding Inspector Rev. 1/81 rosss xo. a 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°_ 2 0 2 81 Z Date ...ll~s 19.~~ Permission is hereby granted to: . ..r~®~....:~_..:~:~ to .~s¢''./~k~.^ L~....l.~sia?..r~~~ .1.~11y~. ..!:ff ~.~1. s~!~'r at premises located at . r.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~y. ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No. 1000 Section B xk Lot No....../ pursuant to opplleation dated ....~1 19. ~~ond approved by the Building Inspector. Fee S••:~Qy..('T~' ; r ' ,~i................. B ng Inspect r Rev. 6/30/80 F.,~_~i~j p,~ Form No. 6 5-,. . R~ ~ ~ ~~~p nff~ ` ~ ~i TOWN OF SOUTIIOLD i¦N7n - 6 ~~+7c. ~ ~ ~ BUILDING DEPARTMENT ~ TOWN HALL Bt.C3C;. f3e.'s't. 765-1802 TOWN Gi-~C9UTH~R-,D APPLICATION FOR CERTIFICATE OP 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 2j10 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: e 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._010, Commercial $15.00 Date .....M~7-/tv.~.M. ~x . New Construction........... Old Or Pre-existing Building...~J.. .Q: :~~~(3 N R' y 9 Location of Proper ty...~~~........ ~C*~Ur"~.'4.. ~.~!!1~ ~CLS~. ~YL~rYIO.YI~ ~a~l.~..~1 ~ House No.' Street Hamlet Onwer or Owners of Property.. Q , County Tax Map No 1000, Section...r~...~.:.....Block....:-?..........Lot..... Subdivisionoo.~~ ................................I...Filed Map............Lot...................... Permit No.rxO~~~.~..Date Of Permit...P.I.I.~:5.19~...Applicant~~~®"?/.,~~.~,~J(2,~::~~~,~;~~~ Health Dept. Approval....N'~ ...............L..Underwriters Approval..~',1.~,~~~~..'..~.r~.~,~~~~ Planning Board Approval ` Request for: Temporary Certificate........... Final Certicate..v........ Fee Submitted: $....~„rJ„ © ed ~ d1 D~ APPLICANT ©~O~~~FO~~COr TEL. 7G5-1802 TORN OF SOYJTHObD ~ ~ OFFICE OF BUILDII4G INSPECTOR a "i''~ " P.O. BOX 728 ti~ , , ~=n ~ ~ -c TOWN HALL %~Ol SOUTHULD, N.Y. ] 1971 C E R T I F I C A T I O N Date 3 ~ 9 Building Permit No.~(~~g~ - owner Csp~prc~~ ~-ibou 1S 1S (p ease print) PlumberCO~~-r-~}Nl'TJNOS ~c~.Va~ - ~1c. #k .~3y~P (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1g lead. ~2~~1~ (plum er's signature) Sworn to before e this day of ~.V~ ` , ~ ~ Notary Public Notary Public County CLAIRE L. GLEW Notary Pubtic, State of New York No. 4679506 Qualified in Suffolk County ~i Commission Expires December 8, tam i THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001071 BUREAU OF ELECTRICITY EIS JOHN STREET. NEW YORK, NEW YORK 10038 Dote FEBRUARY 27,1992 gpplirotionNo.onfile 76155092/92 N 226073 THIS CERTIFIES THAT only [he electrical equipment os described belota and introduced by the applicant named on the above application number in the premises of GEORGE BABOUKIS, 480 DAWN DRIVE, 2ND FL., EAST MARION, N.Y. in thefollouing location; ? Basement ? 1.Rt F'I. ®2nd F'l. .Section BYa•k I.ot was examined on FEBRUARY 21,1992 arzdfound to be in compliance with the requfrentents q(this Board. I FI%TURE ECEPTACIES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FIUORESCENi OTHER PMi K W AMi. K W AMi N.W AMT K W AMi. N P 8 14 9 6 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCNS EELL UNIT HEATERS MULi1.0UTlET DIMMERS AMi N. W. Oll M. P. GAS H. P. AMT. NO. A W. G. AMi. AMP. AMi AMDS. TRANS. AMT H P SYSTEMS M1i WAITS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E MIT. MAP. TYPE METER I 1W i ~ JW 3,a SW JB AW NO OF <C COND A W G NO OF HI~LEG A W G NO Of NEUiRAES A. W G. EQUIP. PER d OF CC COND, OF HbIEG OF NEULRAE OTHER APPARATUS: G.F.C.Ir-1 SMOKE DETECTORt-1 TRACK LIGHTING:-8 ~2~~%rti.v+-i -c'~ G & S CONTRACTOR LIC.k578-E /~j~~ BOB 215 7. SOUTHOLD, NY, 11971 GENERAL MANAGER Per 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ~.w3 INSPECTORS ~ ~ Victor Lessard 1~f>; ;~U~f(I(,~. ~ Principal Building Inspector ;~rv~'~ - Curtis Horton ~ ~ SCOTT L. HARRIS, Supervisor Senior Building Inspector ~ Thomas Fisher Si'' b"'7(7s. Southold Town Hall -,.,fi, r v~ r - ~ P.O. Box 1179, 53095 Main Road Building Inspector ~ ~?r a J,n''~, Southold New York 11971 Gary Fish ~'~~~w.r~'x Fax (516) 765-1823 Building Inspector ~ ~~~r Telephone (516) 765-1800 Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JANUARY 29, 1992 DINGS ZERVOS P. 0. BOR 2035 ORIENT, NY 11957 RE: GEORGE BABOURIS S WF To Whom This May Concern: We are unable to complete your Certificate of Occupancy bec~/t,tse of the following reasons: i/ R%R An application for Certificate of Occupancy is not on file. (Enclosed) RRx No Underwriters Certificate on file. RIIX The check is not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. RRR No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMTT # 20281-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1$02 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] iNS CATION FRAMING [ FINAL REMARKS: DATE INSPECTOR . ~ :'lc' ~ iG:.'. ~C:ii::i ~~J„:., j ~i:.`fi•IE.Nr^ N O t~ ~ ~mN a~ ' I H H r'OUtIDATION (1st) I FOU!lDATIO!J (2nd) ( _ 2. o~ ROUCH FRki~lE & .PLUMBING . ~ a . ~-3 I ®t y ~ H~ ZIISULATID;1 PER N, Y, I , STATE E;IERCY II CODE I T ~I ~ r 4 . m H • ~ _ + I ' FI;1AL ' '1 ~ o ADDITIOPIAL COMMEPJTS: m x ` t*T ' X _ b~ ' A H • _ O , ~ m H • `l 1 o2C~ ~ 8'1 ~ 765-1802 BUILDING DEPT. INSPECTION [)FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~ <; DATE~~INSPECTOR l~ ~ ~ I 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST [ ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ~RAMING [ ]FINAL l REMARKS: ~ ~f DATE v1 iNSPECTO 3. Nature of work (check which applicable): Ir'ety Building Addition ..~C• • • •A"~• • cetera"I~or~..... , Repair Removal Demolition Other 11'ork , , , , , • SOD (DescripIion) 4. Estimated Cost ...........I. ©.U~ Fee ii ~ (to be pa d on fling this application) 5. If dwelling, number of dwelling units ~ . .1. ~ Number of dwelling units on each floor . If garage, number of cars c~Cf~.U:. ~ . 6. If business, commercial or mixed occupanLy, spec7'fy nature and extent of each type of ~ se , , , , , , Dimension off' r tsttng structures, if any: Front 7~ ; .....Rear ,7~, , Depth , , , , , , , • Height .I~. ~-........Number of Stories .....l `.S :j:O r:,.Y . Dimensions of sal a structure wit}t alterations or ~ja~-rr. itio Front ~ , , , , , , , , , Rear . , , , , , , , , , • Depth 3~.. .Height ....os T~~......... Number of Stories ..o~..S. R 1^.1.4'. S. . Dimensions of entire new construction: Front Rear Depth Height Number of Stones . 9. Size of lot: Front ~3 ~ Rear .....qQ Depth / ? . . y ran 0. Date of Purchase , .........1~~ NaI1]e of Fo er caner 11rS.~ M.&i?~.h`REJ'..I~Q~( ~,,;1,TI, , , 1. Zone or use district in which premises are situated , l~.tr'-ra 1 dj.~~ 2. Does proposed construction violate any zoning law, ordinance or regulation: ~V~. 3, \1'ill tot be regraded N.v' Will excess 511 be removed from premises: Yes 4. Name of Owner of,premises ~'-a.=.~f~k~S.1~1 ....Address3i•~3 ~~Id:~~ A~JE, BI:ONjfP}lone No . Name of Architect ...~N`1j.~ L.~~~F,~ , , , , ,Address .~7~e~tv.~C,?,lQ; I , Phone No.. `"{:~Z-.~.. , ICJ... Name of Contractor . .fNO.S, JZVCJS . , , , ,Address ~~n$~x o2Oa~.C~.t?:~hone No.• . p~~. ,3 - S. Is this property located within 300 feet of a tidal wetland? *Yes No v " *If yes, Southold Town Trustees Permit may be reqqu~ired. PLOT DIAGItAhS Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether tterior or corner lot. ~__.----~b_~ - iNTE~1o~- LoT ~D~r 1~ i ~ an ~ ~ ' ~ I Q _ ~6-----~ G httAC~k ~ . cn _ D.4ll.itJ t>12tVE -f-_~ ~A TB of 1:E~~ar.CGt' s.s ~Ci1'TY OF . g ysworn,de ose ~ p sand says that he is the applicant (tiamc of indiv' ual signing contract) oec named.. - :is the ' (Contracto 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 olication: 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. ~orn to before me this nn k tart' Public,........ County ~ CLAIRE L QLEW ®a' N ~ 1 ' ..~1°~'~ `~L ~ ' Wiz;.. NoteryHubtio,StateofNewYork _ ; No.487960B Qualifledin8uffdkCoumy . ~ , Signatureotapplioant) Ommiacion Expkee December 8.19 ~ Wes- ~h, . , ~ BOARD OF HEALTH ~~~~~".,gyp 3 SETS OF PLANS FORM NO. 1 SURVEY ~ TOWVOFSOUTHOLD CHECY Y.d BUILD. I NOV 12"-~ INGDEPARTMENT SEPTIC FORM a ~ i ; i ~ TOWN HALL NOTIFY rc_u•--~=r- SOUTHOLD, N.Y. 11971 : p?~~~ Ht.~yO. GFF1". ~ TEL.; 765.1802 CALL • • 7(1WNUF "OUFIL">Lt> ,y MAIL T0; Examined (t.$, 19 / ~ Approved 19 ~,lPcrmit No...G~.°... Disapproved a/c ~i~ ~ ~ %~~y~ cc7777~~.7. U.'~r.. (Building Insp tor) 'i APPLICATION FOR BUILDING PERMIT Date 19 j INSTRUCTIONS ' a. Tttis 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 sca'de. Fee according to schedule. b. Plot plan showing location ot? lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed descriljtion 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 app]ication, 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 Buildin1g Inspector. k APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Towp of Southold, Suffolk County, New York, and other appIcable Laws, Ordinances or Regulations, for the construction of ~,bulldings, additions or alterations, or for removal,or demolition, as herein described. The applicant agrees to comply withi, all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. • i~•~eMe.6~ . ~^t A~~. t I (Signature of applicant, or name, if a corporation) (Mailing address of appliL~ant) State whether applicant is owner, lessee, agent, architect, engineer, general electrician, plumber or builder. Name of owner of premises ~~D~S~.~fl-... ~A-~:Q.C~.t~1. ~ . (as on the tax roll or latest deed) • • If applicant is a corporation, signature of duly authorized officer. .r.. • (Name and title of corpore,tr. officer) ' ALBuildet?s L cense0 No. MU$~ JB~q~Urr01~,,~,OUNTY LICENSED Plumber's License No. ..:~:~~.q; , P, , , , , , , , , , Electrician's License No. ~i~~...~~~`~ M C4Q CAh~Y'0.~+\^ Other Trade's License No. ~ . . . . . . 1. Location of land on which proposed work will be done . ~ ~~,/y~~~, •,~1~/~ House Number ' Street Hamlet ~ • • • • • • County Tax Map No. 1000 Section Block . , . Lot , , Subdivision . , CL~f~V ES , r~, l N`r , , , , • , , , , , , , Filed ~4ap No. , ~~i ~,0....... Lot . • (Njamc) State existing use and occupancy df premises and intended use and occupancy of proposed construction: ii ~ 11 ~ 1r~i f1 a. Existing use and occupancy 1..~~!~;t,~, , ~,t~ ~.`~.t, w~i~,tD~;t~~ ra#f • • • • , , • b. Intended use and occupancy • • • qt,, ',;~5~,~?;~t~,,3;;~i t..•sa}. , , , • , , • , '~~~~Ct r FBI Ii -.:°~ry i a , V I ~ M c t nY tw Ccn_sd^__'. I ~ Z •e.e racy. q A I s~-; he n ~ ~ .3 ~ ~J o, mot a' i ~ , v o a' 11 ~ i ~ ~ / /r ~~~J~ r~ C i ~ - 2~ ~ ~ 1 t r 35;; ? ~ IYJAR'GARg7~ ~3QYL..AtJ ~ LOY'73 q Kr;y ~~'EO~GG ~ G~e~GIA 8~q~0U~;1S _"'~,y la~ ~ Naw owNt=yam tQ ~ J t ; 7~ ty P ~ it 4 G= ~ t,t, Q ~ NtOrfuM6n t l' ~ Wit' l / ! ~ x CES S~R,i+l soy i ~rrsr~~t•~r/, to t1. 3. 4t~i 1'~'t/+~ l~esa+~nr,e fir. d~' pfe?'+~r~y~t~l~,tar'xr w,~ 'a• dies ~~rr~daye~ . ~t~'rs. t9~lE., a t ~~,-s rise ~-Q '•r, o f i~c~ ~c r; c ~C t/e~?v? 7~. ~ P. G +~l ~ e Pa {rJt sr ~ c 1'yv n Tiryct, " Iii.. t? ~r,:«~.-.'~'~-+¦~-~ ;1.w/ is sir ,sly 6alrnr'y .G1ark'i Licet~~~cx` GQ~ ,~?:~l~i/~cfG9t~S ~ - 'x~~~a ~r*.~b Mw , f~ t~ . ~ ~e~c tn~t~r~, Mew . ~._..~~:as.