HomeMy WebLinkAbout19313-z FORM NO. 4
TORN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20212 Date SEPTEMBER 12, 1991
THIS CERTIFIES that the building ADDITIONS
Location of Property 2250 NORTH SEA DRIVE SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 54 Block 5 Lot 2
Subdivision Fiied Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 7, 1990 pursuant to which
Building Permit No. 19313-Z dated AUGUST 7 1990
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 ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to JOHN CHIHLAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPAOVAL N/A
UNDERWRITERS CERTIFICATE NO. N-199386 - AUGUST 9 1991
PLUMBERS CERTIFICATION DATED APR. 8 1991 - PECONIC PLUMBING & HEATING
B ilding Inspector
Rev. 1j81
~A ~
T®1N1~ ®1F 5®~ETFIOLD
B~il~~l~lC ®IEPARTI~AEI"OT
TOWN MALE
~ sourr~!®~.o, ~r.
lisZllYYfl.D11~IG P~R,I+AlT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZE®?
Date ..~,.i,~......... i9._ .v
N~ d ~
Perrnsssion is here4~y granted ta: '
ro ..f~:rra....0.: . ......~~.......`.l!!^ ..~'1`•';I'~hr•1, tai;Q,Q~;f;:..~
.
at premises located at ~'::~~....,~~...~...~.~lZ,.......??i:{~
r
County Tax Map No. l QQO Section 4'? Block 4"?..~........ lot i\Io....
pursuant to appEict~tion dated 1'1 and approved by the
Building Inspector.
Fee 3.,.~~.:...~......
/c.~o~l.. ~-G~.._..w
......r.4-
8 ~ ding ~ Inspector
Rev. 6j30j80
~~~X~ TEi.. 7G5-180''
o~p5r! ~ ~COGy TOWN OI' SOUTIIOLD ,
r ~;„.,~~t : c OPI~ICE OP BUILDING iNSPEC'1'OR
o ~ P.O. BOX 728
.,r 3k,ry5 rn
~ ~ 'POIVNfIALL •
~~OI t,~ ~a~~' 50UTIlOL~, N.Y. 11971 /
7/`7/y~
To Whom This May Concern,
We arc unable to complete your Certificate
o~L~Occupancy because of the following reasons.
/t// !1n application for Certificate of Occupancy
_ /is not on file. ~^',oGEa_Q~
No Underwriters Certificate on file.
The check is(outdated/not on file.)
No Ilcaltfl Dept. P.pproval on file.
No final ins.pcction has been made.
Please contact our office on this matter.
Thank. you for your cooperation.
nui]di.nq Permit it / 9 3 ~ / ~ Z ~c-,e-~c~~~.z o~-c(1~.-
Bu.il_di/n~i Dept.
No Plumber Sol:ler Certificate on file.
( all permits involving plumbing being
.i.^,sucd aft:cr ilpril 1,19II4 )
ENCLOSED PLEASE FIND THE RECEIPT FOR THE AMENDMENT TO THE B.P. 193132
PLEASE FILL OUT THE ENCLOSED APPLICATION, AND RETURN WITH THE UNDERWRITERS,
AND TBE PLUMBERS CERT.
WE HAVE YOUR CDECK ON FILE
Form No. 6
y TOWN OF SOUTHOLD
D a~m-'n~~ BUILDING DEPARTMENT
f i TOWN HALL
AIIG 3 0199) j 7bs-lsoz
i.-~
FlLC9G. D!?~'t.~~~~~~ APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOW~i OF SC1tSlt!('sf
1. 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 1~ lead.
5. Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Cade Compliance from archi•=ect or engineer
responsible for the building.
6. SubmiE 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.
Zf 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, Commercial $15.00
Date ...swyY. ~~..I:y:~.L
Iew Construction........... Old Or Pre-existing Building. ~:Rni : I
.ocation of Property..Z''L~.4.....!>:'(?izZf~..~~i~:.....1~1Ziv1~.......ScovTtdO~/~
House No. Street Hamlet
~nwer or Owners of Property.. ~o H/? c-H~+a~YJ~
ounty Tax Map No 1000, Section ..............Block................Lot......................
ubdivision ....................................Filed Map............Lot......................
ermit No..O.~ v.l,~ „ ,,,Date Of Permit ................Applicant.............................
zalth Dept. Approval ..........................Underwriters Approval.........................
Canning Board Approval
:quest For: Temporary Certificate........... Final Certicate...........
ee Submitted: $ .1.~~.
~,ya.s 9 y .
. '
C6 ~ cZ~a ~ ~ APPLICANT
TEL. 765-1802
05~~F0~=Cp~~ TOWN OF SO'UTF30~.D
Wis. ~ OFFICE OFBUILDIl•IGINSPECTOR
'f rn P.O. I30X "728
TOWN HALL
`'O ~ ~ ^r SOUTHOLD, N.Y. 11971
Cpl ~.~o '
C E R T I F I C A T I O N
b x/991
Date
Building Permit No. Ig3/3
Owner_ ash L.h,~~0.5
(please print)
Plumber /~~/i/~'?~~~yL: ~ /~1~.~/iY.~v
(please print)
I certify that the solder used in the water supply system
contains less than 2J10 of to lead. ,
n
plu er's signature)
Sworn to beforri me Ch's
~"'~day o f '~1u~ _ r'
19~. "_~T C~
Notary Public
Notary Public, County ~~~f~~,;as.svEPNOwsxi
Notary Public, Stato of Novi Xork
No. At34A752
Qualified in Suffolk Coumy
Commfssioa Expires Nrar~ 30,1
i
THE NEW YORK BOARD OF FIRE UNDERWRITERS , Ya<:"~.'
1.0f11.O7'i BUREAU OF ELECTRICITY
83 JOHN STREET, NEW YORK, NEW YORK 10038
g1ll;li59' 09,1991 APPlicotionNo.onfile 7194779090 N i9'a4Rfi
'T'HIS CERTIFIES THAT
only the electrteal equipment a dsecribed 6ebw and Introduced 6y the applicant named on the ahoue application numhsr irK the p+eauses of
JOHN GHIHL~pS, ?.l,h Pt~)i?TH Sfilj 0R1Vb;, SlJti't""HOT,D, H.Y.
~ry triiT
in thefdbteinR location; ? ment ~ /xt Fl. LJ Ynd Fl. Section Block Lot
aroe exomined un 11111~Y I6 ,B°$q1_ andfoundto 6e in cmnpliance with the reyuiremeniA U(thia Board.
! IIXTYEI RXTURB RANOES C00KIN6 MGRS OVENS DISH WASfRR2S EXHAUST FANS
OItflETS AgEi SWITCINS NCANalS[EM f1U011E6CENf aTNER AMT. K. W. AMT. K. W. AMT. K.W. AMi. K. W. AMT. N. P.
17 1 l 5 i 1 t i A' ~
DRYERS RIRNACE MOTORS lUTUM AMLANq 1lEDERS SMCIAL REC?i TIME tt0CR8 Ml ItIRT NEATEK MUITI-0UTIfT DIhUAERS
AMT. K. W. Oll N. P. GAt N. P. AMT. NO. A. W. G. AMT. AMI. AMT. AMPS. TRANS. AMT. N. P. SYSTMIS AMT. WAITE
t1O.OF RET _
3
flRVICR DISCONIIECT NO.Oi S E R V I C E
AMT. AMr. TrrE ; w ew i w sw s w tw s w +w No. o~c ~coNO. ~ cc
i
°oNO. No. of NFU:c a ~Hi_i c No. a NEYItAIS a '~unAl
OTMlR A!?ARATUS:
MOTORS:1-0.75 H. F,
G.F.C.I:-1
G & S r~pN'rkgC•{~l~N l~iC.$578F:
BOR 1.1 5
SQl1THOi,il, NY, tt9'!l. OESRBIAL/AANAOER
iI ~
~l
Per 7 i
This terlt~kaM must not M ahered in alry manner; rNurn ro 1M offiu of fha Eoard if incomct. Inspectors may be identified by tMir. credentials.
OOP1f PQIt WILWl16 DEPARTMlNT. iM15 COPY OF CERTIFIG7'E 1~T__
„ ~E_A~1
a~1'~~ IN /W1f NNINER.
.,^^'0;7 ffUA:c j~ COMMENT ,4,
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FOUNDATION ilst)
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FOUNDATT011 (2nd) '
2. /r / - o
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P.OUGH FRAME & C!
.PLUMBING Z`i
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H
3. ~ ~ C'~"' ~ y
I1dSULATION PER N. Y. _ ~ z ! Q~
STATE ENERGY G+~ ~ ~ .C„ fir. pD~~,
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ADDI IOP7AL COMMENTS: ~
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765.1802
BUILDING DEPT.
t NSPECTION
[ ]FOUNDATION 1ST I OUCH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
MING [ ] FfNAL
REMARKS:
.
9-c~.l~'I c,~s
G
i
t
DATE ~Z i D INSPECTOR
1
f~
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION i5T [UGH PLBG.
[ ]FOUNDATION 2ND [ INSULATION
[ ]FRAMING [ ] FINA~~cL~
REMARKS: ~
~~~v~
DATE ~ ~ I INSPECTOR
765-1802 5, Supervisor
BUILDING DEPT. .n Hali
'S Main Road
INSPECTION °823971
765-1800
[ ] FO~,JLDATI N 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: /~S ~~~SW/..~'~irn~~
v
of
DA o ~ INSPECTOR
.,..~~..~..y ~..,L....-....,.
TJF:gar
encl.
765.1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBtS.
[ ]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS:
DATE INSPECTOR
t
765-1802
BUILDING DEPT.
INSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
]FOUNDATION 2ND [ ]INSULATION
[ ]FRAMING [ ]FINAL
REMARKS: ~
~ ~ ~
j.{~/J~/ r
~
DATE INSPECTOR ~
~~~i 3
765-1802
BUILDING DEPT.
t NSPECTION
[ ]FOUNDATION 1ST [ ]ROUGH PLBG.
[ J FOUNDATION 2ND [ ]INS CATION
[ ]FRAMING [ FINAL
REMARKS: `
~~e~--
DATE INSPECTOR
INSPECTORS ~~$UfFO(~-CO
(516)765-1802 p
VICTORLESSARD,Principal G'L~ SCOTT L.HARRIS,Supervisor
CURTIS HORTON, Senior r°n x Southold Town Hall
VINCENT R. WIECZOREK, Ordinance p P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire ~ 0!~ Southold, New York 11971
Buildin Ins ectors '~O,( ~0 Fax (516) 765-1823
~ p ~ Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 23, 1991
John & Helen Chihlas
35 Edgewoad Drive
New Hyde Park, N.Y. 11040
Re: Building Permit #19313-Z
Suff. Co. Tax Map #1000-54-5-2
Dear Mr. & Mrs. Chihlas:
In addition to additional insulation required on April 19, \
1991 inspection, a survey is required showing setbacks for decks
from property lines.
Amend permit to include deck on west side of house.
Very truly yaurs,
SOUTHOLD TOWN BUILD G DEPT.
Thoma J. sher
Building Inspector
TJF:gar
INSPECTORS ~~gOfFO[,~-co
(516) 765-1802 ~y0 Gy SCOTT L.HARRIS,Supervisor
VICTOR LESSARD, Principal ~ ~
CURTIS HORTON, Senior y = Southold Town Hall
VINCENT R. WIEC7,OREK, Ordinance p P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire ?,h ~ Southold, New York 11971
Building Inspectors O,[ ~ ~0 Fax (516) 765-1823
THOMAS FISHER Telephone (516) 765-1800
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
May 15, 1991
Mr. Sohn Chihlas
2250 North Sea Drive
Southold, N.Y. 11971
Dear Mr. Chihlas:
Enclosed is your amended plan for deck addition under
Building Permit #19313-Z. An additional fee of $75.00 is
required.
You can schedule a final inspection for your Certificate of
Occupancy when ready. A C.O. Application and a $25.00 fee is
required.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Thomas J. Fisher,
Building Inspector
TJF:gar
encl.
INSPECTORS ~~SUFFO(,~cG
(516) 765-1802 h~0 G,y SCOTT L.HARRIS,Supervisor
VICTOR LES5ARD, Principal ~
CURTIS NORTON, Senior ti Southold Town Hall
VINCENT R.'WIECZOREK, Ordinance p T P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire ~ Southold, New York 11971
Building Inspectors O,( ~ ~`a Fax (516) 765-1823
Telephone (516) 765-1800
THOMAS FISHER
GARY FI5H
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 23, 1991
John & Helen Chihlas
35 Edgewood Drive
New Hyde Park, N.Y. 11040
Re: Building Permit #19313-Z
Suff. Co. Tax Map #1000-54-5-2
Dear Mr. & Mrs. Chihlas:
In addition to additional insulation required on April 19,
1991 inspection, a survey is required showing setbacks for decks
from property lines.
Amend permit to include deck on west side of house.
Very truly yours,
SOUTHOLD TOWN $UILDING DEPT.
Thomas J. Fisher
Building Inspector
TJF:gar
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I V I ~ ( ~n$ythwixaA AlterAtlon or Addhbn
I ~I tiqqA is survoY b a viMaAtan of j
~$oetimn 724II M thm Naw York Stmtu
~ FtIUCBtIQn LAW.
f ~ ~ Cbpias of this murveY mM not bearing
! ~ WJ fie land surveyor
s inked ssa{ os
/ 8Yr1hG359d 599! Si:8it nOt hA 6enAaiarYd
t7 w h» s vA4id ttu» copY•
4 U ,C1 fuaram»as tnd!rated heveort shall run
~p e~Q anir to tlt•'• a»rson for whom the AUNAY
tr7 {'n ~s C: snared. an6 on his bShatP to the
^ a nc~;~ ~ ,n>~; .,~s. 9o~rerhrnett:af A9enuY Anr}
L;~, ra •a'a•Kirsn Lated hormon and
2 ~ Yp .na t,vK;~~os
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of tna !ondfing inslf-
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~ BOARD OF HEALTH
FORM N0.1 3 SETS OF PLANS
SURVEY
TOWN OF SOUTHOLO CHECK .
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
$OUTNOLD, N.Y. 11971 NOTIFY ~
TEL.: 765.1802 CALL
•'19gV MAIL T0:
Examined" " "
Approved ~tcr::ti{ A4:o~..~.., 19 .%uPermit No. J.~ 31 ~ .Lz.- .
Disapproved a/c
C~~
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date 19 .
INSTRUCTIONS
a. Tltis 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 scale. Fee according to schedule.
b. Plot plan showin; location of lot and of buildings on premises, relationship to adjoinin; premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the dia;ram 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 for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, bu' ding code, hou ~~~~and regulations, and to
admit authorized inspectors on premises and in building for necessary ins ec ions.
i~
(i nature of applicant, or name, if a corporatton)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................~,./..,........1....................................................
Name of owner of premises ...~~1~14.,...~~~i.~.~-:~:~,>°
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. '/.1.,!.~-.... ~.Q/1~4~/~.~
Plumber's License No . . . .
Electrician's License No . .
Otter Trade's License No . .
1 • Location of land on which proposed work will be done;
.
House Number Street. Hamlet
County Tax Nap No. 1000 Section • • • • • Block ........,,J`~.
, • , , Lot ....c>t-.
Subdivision Filed slap No. Lot .
(Name)
State existing use and occupancy of premises andXyintended userr and occupancy of proposed construction:
A. Existing use and occupancy....{.{;,J,Cr; ~/Y.~
L~
B. Intended use and occupancy •~t,..4:
..~~r~.
3. Nature of work (check which apply '
jcable): New Building , Addition . ~ • • • • Alteration •
Repair R~mov~l Demolition ..............Siaimming pool..
Tennis Court Accessory Building......,...Fe'ryce .......Other Work:...••••
4. Estimated Cost f~ f~ t? (J.~ Fee
(to be paid on Fling this application)
S. If dwelling, nut»ber of dwelling units Number of dwelling units on each floor . , , , , , , , , , , , , ,
If garage, number of cars
6. If business, commercial or mixed Qccupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front . , , , . Rear Depth , , , , , , , , , ,
Height Number of Stories , . . .
Dimensions of same structure with alterations or additions: Front Rear , , , , , , , , , ,
Depth Height ......................Number of Stories .
, .
8. Dimensions of entire new construction: Front . Rear Depth ,
Height Number of Stories .
9. Size of lot: Front ............i~.......... Rear Depth , .
! 0. Date of Purchase ,I, , . , , , , , , , , , , ,Name of Former Owner .
11. Zone or use district in which premises are situated . . .
[2. Does proposed construction violate any zoning taw, ordinance or regulation:
13. \Vill lot be regradedp .~7,
~ , , , , , , , ,•~~,~JJ Will excess fill be removed from premises: ,Yes , No . .
14. Name of Owner of remises (~.(t~...~(r~,/7.~~ddress ai'c~.SU..lY~R1.~.~~l.I. Phone No..7.b~:.:~.9..3,7. ,
Name of Architect J ................Address . ~r`S:oetZM~~QPhone No. ~4~J...-.pCf.:~,7., .
- Name of Contractor , t ......Address ..Phone No.. ,v,/
15.Is this property locaf,ed within 300 feet of a tidal wetland? *YGS....NO.
*If yes, Southold Town', Trustees Permit may be required. `
I PLOT 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.
i
STATE OF NEIV YORE, S.S
COUNTY OF ~
bcingdulysworn,deposesandsaysthatheistheapplicant
(Name of individual sighting contract)
above named.
Hcisthc
(Contractor, agant, corporate officer, etc.) ~ • ~ •
of said owner or owners, and is dilly authorized to perform or have performed the said work and to make and file this
application; [hat afl statements contained in this application arc true to the best of his knowledge and belief; and that the
work tvill be performed in the manrjer set forth in the application filed therewith.
Sworn to beforemye this I '
Notary Public, ~4~- . !1 .N?.~~u....... , County
Wd/ARY ~e of New YaN . .
No.~7D?818,SuNolhtou~ (Signature of applicant
Term Ezphes Much 30,1!!