HomeMy WebLinkAbout19985-z FORM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-21001 Date SEPTEMBER 10, 1992
THIS CERTIFIES that the building ACCESSORY
Location of Property 580 DAISY ROAD MATTITUCK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 8 Lot 31
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 24 1991 pursuant to which
Building Permit No. 19985-Z dated JUNE 26, 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 INGROUND SWIMMING POOL WITH FENCE & ACCESSORY DECK AS APPLIED
FOR.
The certificate is issued to BILL K. & ATHANASIA KARTSONIS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE N0. N-197573 - JULY 25, 1992
PLUMBERS CERTIFICATION DATED N/A
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B di g I Spector
Rev. 1/81
rona>c xo. s
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~ 19985 Z Date ...............~..cti~:e....a.~e.........., 199!..
Permission is hereby grunted t°.
........I...s....... . ~
. „C.K......: p~~ ~ ...................1.,.......
~ y
of premises located at ....~~..~Q.......1..1..........~.R4:t~~~'~~k~
! County Tax Map No. 1000 Section ~ .d Block .........Q Lot No. t~,
:.1
i pursuant to application doted ........~.,rlr4!j'~~....'2.7 19.~.~.., and approved by the
Building Inspector.
i ~
Fee S ~~.b~......
~
B ng Inspector
Rev. 6/30/80
~"~:~ar..;; i ~4",, ~ Form No. 6 )~~Y~
TOWN OF SOUTHOLD G
BUILDING DEPARTMENT
S~P - ~ 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 Euilding - $100.00
3. Copy of Certificate,of Occupancy - $5.00 aver 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
S. Temporary Certificate of Occupancy - Residential $c~15/.>,0.0, Comrmercial $15.00
Date ......./.,[P•/•~~!,~..........
few Construction....y.G S Old Or Pre-existipng Building.,
.ovation of Property:....~~~,L?...~~(r~....~'Q,~!~....91'Jl~.l~l~~.~.~~.... .,l
House No.nn qq Street .Hamlet
nwer or Owners of Property....~:Sl~.~ „~C.~71.~,/,~p,~/v}„~,1~%(~c,,A,Nr99~w/
ounty Tax Map No 1000, Section...J,~ ,,,,,,Block.. „ , J
.....Lot...!
ubdivision......pp
.............................Filed Map............Lot......................
ermit No...~ ~~7.4.~.....Date Of Permit ................Applicant...,,,,
~alth Dept. Approval ..........................Underwriters Approval.......
fanning Board Approval ,
~qucst for: Temporary Certificate........... Final Certicate...........
'e Submitted: ~ _
CO ~ ) OD ~ - APPLICANT
f
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION iST [ ] ROUGH PLBG.
]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ L
G o -
REMARKS:
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DATE ~ ' INSPECT
d
"'~'IE NfW YORK' ~OMtD OF FIRE UNDERWRITERS Pxc>r 1
1.000967 fullttAU OF EI.FCTMCITY
fS~JOMN STREET. N!W YORK. NEW YORK 10038
JULY ?.5,7991. .IppficoNonNo.onffle 7389291./97 N ]9757;1
- TNif GERTIF1Ef THAT
only the electrical egafpenewt ee dsecribed Fefots and Iwaedw.rd FY the appUeattt named ow tM akooe appficaNow wiMM6tr lw t~epsaatirs d
RARTON'IS, 580 DAISY ROAD, MATT:f,T[fCR, N.Y.
in thefollowint; location; OIIT
? Basement ? Ist FI. ? Ynd Fl. Section Black ~ iIR
was examined an JULY 15 , 1.991 and found to Fein rnmpfiance with the requirements of thfs Bwrd.
IUtiURS R COOKNI6 Mtltf WISH wA f 1NR~`~
OUtIl1f I~ NCANOtt[eM rlOlMligNT OTNHn 11MT.. K.W. AMT. K.W. AMT. R.W. AMi. K W AMT. ne
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aaYf1S aWiOK tUiltM ktNUANf7 l~lai 'iRt7f 1MY 40015 .Slit YMI?eW?eM *rfel?eu/1e fflNMlflt
AMl. K. W. ql H. e. OAS M. r. AMT. NO. A. W.O. AMT. AMI. AMT. AMKt. TMNS.' ~AMl. N. t. ~
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SERVIC7 DgC04MaQ~ tq. pf S ! R. V I C E
AMT. AMI. TW! tgep l/ew iwTV twew ew ~w NO. or~c.e A. w. No.MNNlG p~~tec NO. or N[UTAALt Aw.. .
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z O1NN1 APMIIAIUf: a
SNIMMjNG POOL NIRING-1
RFCF.P'PACI,SS-1/6. F. C.I-7-2.
*(SN7MMIN6 POOL) This cert'ifrate
covara compliance at the date of
inspection only. Because of unusual 't
environments it is advisable to
have frequent teat and/or repairs
made t,p a qualified person. _
l+~C.r~ -
SHORF.LINF. F1~F;CTRI/T L7C.~1.51.1 -
P.O. BOR 114 O~AI SIa1ZafU
N. SAYYILLE, NY, 1.1.796
Thit certificate mutt not ba okarad in aa1' Tnoanery Mum M the.aNica d flle it f» ~ 1Mi& ' ;
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IIJSULATIOP! PER N. X. -3
STATE ENERGY '
CODE
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FORM NO. 1
TOWN OFSOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
90UTHOLD, N.Y. 11971
TEL.: 765-1802
A a'roved .....:~!'~^a... ~v.., 19~ I . Permi Received........... , 1 .
~ D u
Disapproved a/c ~
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,M.~
,Q_ 6Li3E~. 53~~'T.
A`•"~.....~ TOWN OF SOU7HOL0
(Bui ding Inspector)
APPLICATION FOR BUILDING PERMIT
Date .....June..?~....., 19 9.1.
INSTRUCTIONS
I 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 scat?. 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 r the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk Cou , N w York, her applicable Laws, Ordin es or
Regulations, for the construction of buildings, additions or alte tions, r for r oval r de olition, as herein d 'bed.
The applicant agrees to comply with all applicable laws, ordina ces, b ding de, h sing co e; d regulati nd to
admit authorized inspectors on premises and in building for necess 'on .
( gnature of a plicant, or name a corporation)
1 91 North Highway, Southamptonl_NY,11968,,,.,.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .....Bill K. Kartsonis & Athanasia Kartsonis
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
N P........................
(Name and title of corporate officer)
Builder's License No. . ,9503 HI
Plumber's License No. NA . . . . . . .
Electrician's License No . .
Other Trade's License No . .
1. Location of land on which proposed work will be done . .
580 Daisy Road, Mattituck Town Of Southold
House Number Street nn Hamlet
County Tax Map No. 1000 Section ....1~~~......... Block ....Q Lot ~'~!1, I... .
Sunset Kno1ls,Sec. 2 72-753 30
Subdivision Filed Map No. Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .,,Private. Residence
b. Intended use and occupancy .?0.' X 40' Vinyl Inground. Swimming. Pool, Fence.to.code,,,,,,,,
700 Sq Ft of Concrete Walkway
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