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HomeMy WebLinkAbout19101-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19870 Date APRIL "L 6, 1991 THIS CERTIFIES that the building RENOVATION & ADDITION Location of Property 11230 MAIN ROAD EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 13 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 25, 1990 pursuant to which Building Permit No. 19101-Z dated JUNE 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 RENOVATION BACK TO BACK FIREPLACE ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ARTEMIUS TSISMENAKIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-177228 - MARCH 5, 1991 PLUMBERS CERTIFICATION DATED N/A Ce.r Building Inspector Rev. 1/81 t~DBffi Ntl. ! TOM/N OF SOUTHOLD BUILDING DEPdRTMENT TOWW HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- "i ~ 10 i Z Date 19..9.E Permission is hereby granted to: :y~...... ~ a. ok $ .p ~ ...i. ~I-.- n r _ (L ta ..~~.~...'.l:!?i?:4!:~:...~^:`:~:.....C':!r":'?~!.'.N~.S~!'......Rs....X!:°k~!4..N.!..~°!.S!'4.... ......~oEr.Q-.~- ~.....~~,~,a:~ . at premises located at ...~~......:..~.Rk4:^.....~tds........... ~...a"a~ ................S.4~t..1:>~............ County Tax Map No. 1000 Seetion ......Q..~.,........ Block .......~.~........Q.. Lot No......Q pursuant to application doted ........~.~.zJJ 19.J.V..., and approved by the Building Inspector. ~ Fee 3.•:~.•• . ' Bwlding Inspector fi t)?r~.orr-~Q.~~ ,7tz o4,hR~t,,,.~, ~,c,~c, on 3~ 199 t ~57.60`~a.~P-` NG37a Rev. 6/30/80 t J i Form No. 6 ~j L~c'~:.~,.,L!\~lsl._ ~7€ TOWN OF SOUTIIOLD I f~ ~ " °~~"~~pp BUILDING DEPARTMENT ~ MPR Z~tl~i TOWN HALL ~ 7 65-1802 ~.W,~^~°°°^~""m_°'~.°~y=a°^~~ ~,:..-..-.R.~tC1L''Jid'~Cst- ~s~n.3.11f:>~~,'.c~...,.....r„~ 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 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: 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 Buildi-ng - $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 Jew Construction........... Old Or Pre-existing Building .ocation of Property House No. -f- Street Hamlet )nwer or Owners of Property....~':!~l/;~IJ1,,,•~S~s!11w1G1~~~(77.f•.,.•..... :ounty Tax Map No 1000, Section....~.~......Block.....~ J........Lot.... ~ subdivision ....................................Filejd Map............Lot...................... ermit No.... ~.VI I, .Date Of Permit.~~:t 7 G~ „A licant • PP ',ealth Dept. Approval ..........................Underwriters Approval......................... lanning Board Approval equest for: Temporary Certificate........... Final Certicate........... ee Submitted: .................................~s.•~ -..~~.../1.... K c~~- yls e ~ ~ 9~7~ APPLICANT THE NEW YORK BOARD OF FIII~E UNDERWRITERS PAr,E 1 1.175bb3 BUREAU.OF ELEGTRICT'YY~ 85 JOHN STREET. NEW YORK. NEW YORK 70038 MARCH 05,1991 69754190190 N 177'7.?. £s Dote APPlication No. on file THIS CERTTIPICS THAT only the shieLPleal ptslpmsnt a dsscri6ed bek]m and introduced by tM applicerst nomad on the ahoTx application number Jn the promESex of - A,TSTSMERAKIS, 1.123b MAIN 811., RbtITA. 25, EAST MAkION, N.Y. ` GAR/A1"!'lt'iQ1(T Section Block I.ot in tMfdbudaR kleattplsu AR~ ~~A ~ IAt FI. ~ Pnd Fl. tan examlwed url JAAPP end found to 6e in compliance ceiththe reyuirementx of this Boord. ACIEf STYITCIMS RX RANOlf COOKlsIti RECKS OVlNS DISNW AUST FANS INfANOlSCEM"PIUOKlSO]M OTHER NAT. K.W. AMT. K.W. AMT. K.W. MAT. K.W. AMT. N.P. 12 0 l1 7.'1. 1 F ORTElt RRBtAOl MOTORS fLT11M AMIANCE IEWRS S/ECIAl RRC7T TIMR ElOC1I4 E8l WNi KEATER4 RMAT.OYT1lT EIMIMERS AMT. K. W. Oil N. P. GAS H. t. AMT. NO. A W. O. M1T. AMP. AMT. AMR. TRANS. AMT. N. P. p ~I M1T. WAITS i 600 fRRV10T .000OSIYRR:T NO.Of S E R Y 1 C E AMT. Ate. THE t l 3W 1 / 31N 313W ] l AW NO.OF [C. COND. A. W.O. NO. Of NFLEG W' G' NO. Or N[UTKAlS A. W. G: tOUM. PER r Or cc. OND. a NLIEG a mtnsu OTIN ARARATYk PANELBOARDS:1'1 CIR. 1i)Q G.F.i?.I:-1 SMOKE DETECTOR:-1. Q.C. ELECTRIC INC. LTC.{38`3-E ~!~%~.c' P.O.BOX 518 LAUREL, NY, 1.1948 ORNlA? MANAGER 1] Per This osrh'kwM Tmtq not be ahsrsd in orry tnoensr; ratwn to 1M office piths Roa.. H itrcwrsN. In rs. bs ids b Char cnrlantials. COPY FOR BUILDING DEPARTMENT. THIS COPY OP CBR'T 78 MUST NOT Nt A4TERED Ut IiNY NM~R. ~~FFOIk~~ TEL.7G5•t802 ~O OG = TOWN OF SOUTIIOLD :.~`'Lt~~~ UI~I~ICL• OP BUILDING INSPECTOR i :;r~~ Kjti"+~?- ~ P.O. BO\ 728 ~ TO1YN E[ALL ~yf/O~ ~ ~~p~' SOUTIIOLD, N.Y. 11971 April 16, 1991 Mr. Artemies Tsismenakis 11230 Main Road - East Marion, N. Y. 11939 To P7hom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /xg/ An application for Certificate of Occupancy i.^. not on Lile. / / No Under~;riters Certificate on file. /gam/ The check is (#~}~~,-,/not on file. ) $25.00 No ttcalL-h Dept. npproval on file. N~ final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ik ~~O~Z Z Building Dept. / No Plumbor Solder Certificate on file. ( all permit:, involving plumbing being .issued after npril 1,19x4 ) 4 `~l l©~ rss-1so~ BUILDING DEPT. i NSPECTION [ ]FOUNDATION 1ST [)ROUGH PLBG. [ }FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL ~ REMARKS: ~ ~L ~ ~ /a2~~~'1s~`-~.-~ DATE d INSPECTOR ~ `~1~1 76S-i$02 BUILDING DEPT. 1 NSPECTI~N [ ]FOUNDATION i5T [ ]ROUGH PLBG. FOUN TION 2ND [ ]INSULATION ' [ FRAMING [ ]FINAL ' REMARKS: -J ~ i k i ' DATE~INSPECTOR ~•-.n•:- ~~U1+iF. ~ COMMENTS c 1E:LR- I nom, sU;J J ~ ~/i ~ a t. ~ y G FOUtJDATION (1st) C - N ~ FOUNDATIOtJ (2nd) _ ~ _ z. ~ ~ ~ P,OUGH FRAME/~& .PLUMBING /J ~~)1 r f 3, ~ N H ~ ~ 3. ~ ~q a IIJSULATION PER N. Y. ~ ~ u STATE ENERGY x CODE r m H 4 . "7 FIiJAL 0 z m ADDITIOAJAL COMMENTS: ~ yd r ' /r° 1~` I '.3 ~ ~ I x ~ ~ H . ~ x _ . y Y O ~.J 5 ,iJ r i x y ~ ' r' t x ~ - ~ m . ,c H 765.1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. ] FOU ATION 2ND [ ]INSULATION RAMING [)FINAL REMARKS: • C ~ a°~'Tti/ DATE ~ ~ INSPECTOR ` ~ ~c~ I 765.1862 BUILDING DEPT. f NSPECTf OfV [ FO NDATION i5T ( ] ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ 7 FRAMING (]FINAL REMARKS: ~ G~'~-~.-~-- DATE ~ ~ INSPECTOR ~e2 / ~l~/ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ~RAMING [ ]FINAL REMARKS: Cy~~ I i i i DATE INSPECTOR i s ll ~ ~1 ~ r ~ ~ ~ 1 s ~ ~-7~"~ ~ F s N. -r W _ l~ _ W M K' P~ U w ~ ~ `-~----~j a~ ~ tt... 4r' ~ ~ ~ Z~ 0 9 r~ r ~ ~ 4 F d w ~ ~ o N ~ pp a o ~~y- ~ / ~ N 'v ~ ~c t- N -j ~ g, ri o- b~NJ ~ ~ D 4 a' P ,b v ~ ~ 1 A N~ ~ ~ ~ ~ i o~ G' ~ o z c r~ _ BOARD OF HEALTH 3 SETS O,F`PLANS ,~FORMN0.1 SURVEY TOWV OF SOUTHOLD CHECK • • - • . BUIL"D.INGDEPARTMENT SEPTIC FORPI TOWN HALL EOUTHOLD, N.Y. 11971 NOTIFY .~3~ • ~ ~r TEL.: 765-1802 CALL MAIL T0: Examined ,t.~R47...., 19q~ Approved M~ 19~LQ Petmit No.. l ..L~ O 1 ~ Disapproved a/c D G~ ~"r}G 2 5199 (Building Inspector) T(!WN pF SpUTHOU APPLICATION FOR BUILDING PERMIT _~...w."~ 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 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. k APPLICATION IS HEREBY bIADE 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, building code, housing code,~nd r gulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (bfailing address of applicant) State whet/h/~e/r~ap~p/licant is owner,//lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. °am: of owner of premises ~~`T'~F?'/!~.°.?~....T~%3;l)!leyl;c;;~~~'. , , , , , . (as on the tax roll or latest deed) !f applicant is a corporation, signature of duly authorized officer. ..r...... . (iv'ame and title of corporate officer) ALL CO?!TRACTOR°S MUST IIE SUFFOLK COUNTY LICENSED Builder's License No. ~ :3Z.tj. . Plumber's License No. , Electrician's License No. O[Itcr Trade's License No . . 1. Location oC land on which proposed work wilt be done: . . . . . . . . . • . . . House Number Street ) Hamlet County Tax btap No. ! 000 Section ~ . ~ Block 1 ~ , . , , , , Lot . , ~ , . , , Subdivision Filed ~Iap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....~r. . 4s.a~a~'i~. a ~IIt? F~ ~y . P."i Y~4 tr4 .T4° p'; ~Irt'i5~',i 7~t'Y 1..... . b. Intended use and . yN~arn') ~~`"'°`'~s' ~:+r~ilil occupancy w..~t,ti.ts.ur,~s;:t,tiwr.o:;;z'~aua:~datvmdl..... r 3. Nature of work (check which app,licable): New Building Addition Alteration , , , , , Repair Removal Demolition Other IS'ork ,y~ ~Ja©!~ (Description) 4. Estimated Cost..... J Fee (to be paid on filing this application) 5. If dwelling, number of dwelling writs Number of dwelling units on each floor . If Sarage, number of cars ......1.--"" . • . 6. if business. commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existin; structuresj if any: Front s......... Rear . , ~ Depth . ~:5......... . Height ...ti-~.a~........ Number of Stories ......w . Dimensions of same-struetrrL~ 1~'ith alterations or additions: Front Rear . ~ Z Depth x ~ Height ~ ~ . . Number of Stories . 8. Dimensions of entire new cons , tion: Front ^r::-':.. Rear ...............Depth , . , Height un~~ir-of Stories . . 9. Size of lor. Fr~n~ ....y j Rear ....:x;71 Depth ...~S `~'s.~............ . 0. Date of Purchase , .......-~~.°i'.`? ...............Name of Former Owner . 1. Zone or use distrietaj~.tg,!¢~1P1~~Cc 'is s are situated . 2. Does proposed coristr~"ic't"r nwtolatc any zoning law, ordinance or reSulation: . • 3. \VII[ lot be regraded ' Nill excess fill be removed from premises: Yes 4. Name of Owner of,premisesA!~Y. '~%?".'f'??u-'~i? Address~e?~~*c~:~~i .~F-a~~:':? Phone No...~~.~~ :~:j:~~... . Name of Architect l.(~°f , .....Address . ...Phone No. . . Name of Contractor ,/~rf^:%4~. i~.sl~~'~ ....Address !`•.'GI3^r.!~~d~ C~.~~.~e~ag Phone No. 7~ S? . , . . 5. Is this property located within 300 feet of a tidal wetland? *Xes No *If yes, Southold Town Trustees Permit may be re uired. PLOT DIAGI~P.M Locate clearly and distinctly all b,irildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block ntfmber or description according to deed, and show street names and indicate whether ttetior or corner lot. i i 1. r i I I , Y.~ I .ATCOFNE 'Y R~~'" JliNTYOF..~. S'~~-- , , , , , , , , , , , , e~ being duly sworn, deposes and says that he is the applicant (\ame of individual signinS contract) -ovc named.. I :isthc ........................j.... (Contractor agent, corporate officer, etc.) said owner or owners, and is duly t}uthon o perform or have performed the said work and to make and fi]e this alication: that all statements contained in this application are true to the best of his knowledge and belief; and that the >rk will be performed in the manacr set forth in the application filed therewith. porn to before me this , ~~e, , .day of . . 19 /~y ~ ~ . tas5• Public, (~J.~. ~ : \ li County NOtiitrPubltq,BtMSa~ L/ ofNwMYbk No.4878606 My (Signature of applicant) ~ige~~k~uD~o~oem~6sr 4 i>i~~ N w w 0 0 0 Y ~ _ v, `i;> f - _ ~ o m w w a o h ~ ~ i I I N se I N o I ~ z o ''~l U h ~ t Z u o 1Oj O ~ 4 a I i N 40 x 00 J + ~ J 1U r. E- ~ ~ w ~ v M~ ~ ~ ~ ~ i 3 0 ~ ~ ~ i, ~ ~ ti w o ~ ~ N ~ g , ~ ~ W, z 0 h L a ~ t ~ N W ~ I 3 N N ~ ~f i ~ ( ~ M ~ ~ I i i s _ . t ~ Y. f ~ or - q f ~ v~ ` I ti~oc Q Q ~ J q V ~ ~~I ti I` ~ ¢ ~ l+' oq ~ - r ~ ~ . i t N s w w ~ r =~4. o 0 0 ` z 1 lam- y o ~ O w ~ ~ ~ H F~ m ~ p o > m N 0 5 0 w y~ F ~ x w W U U ~ ~ y U U y 3 w --C _ u B b ~ 4 0 .v_ M m v ~ ~ UV ~ ~ ~ T p3i a ~ _ S U V ~ 4 N~ \ ~ ~ u p y l\ a lu _ d t _ w ~ M 0 ~ 4 ~ I ~ ~ 0.! ~ x \ N 0 K ~ .o v ~4 ~ ti _ J *tii _ a ~ N d ? ~ d \ 0. y ~ W tU tw E- ti a ~ ~ ~~cctivt.__.~. ~ ~G O ~ _ ~ N o ~ o F 1_ ~ I V, I (h w ~ le ~ ~ y. l- LC Cn 00 yi ~f ~C ::9 ~ Z ~ ~ ~ ~ 0 ~ ~ ~ W -ro ~ r"s ws M d3 ~8-~~~ Kam ,y~. Sl: r~:' LQ ~ 3 ~ e'. ~ ey ~ cy 1 ~ ~ ~ f ~ ~ ~ ~ ~ 'F cd.. ~ ~ ~ uaz S,9 ~ " ax5 ~ ~ r,~ 4 O 3~ ti I F~ ~ W ~ ~ ~ Q L . ~Jcr.a. a ~ W ~ a G ~ V V ~ R/8 ~ d S G ~ ~ ~ IJ. ~ ~ ~ ~ i S a i P 9 ~ ~ w EXIST. ~~c~ ~3ASE/'~ENi R~Mov_E Ee!S, ~1~!L TO/~~.:r m7R. ~i= _ n;Ew~ucL r,Are~~t~Ny g"x Is° G~n~~. foc~n;~~ g' conic g/oct i - ma~unos ao NnnOi ~i~,h ~ r Yd30'DOIB AA Iy lava„ ~ ~II 'I ~o ~ a I<~ Y - SAnn~. FON~A710N ~LAAI y°: ~~-a° ~ aae SHEET NO OF C O N 9 P V C T 1 O N CALLULATE09Y CATE P 0. eoz 1188 • CN iwpua, New Vwk 11935 (Slfi(SMST~6 CHECNEV 9Y CATE SCALE - r'- 2 sY~P,Y F"PAh7E ST~cru,f E. ~ v' o~ 1 sro R~ ~ ~ F. V_ t~ ~ N ~IllS~ALL Tjd (PLC ZxIO BEAR- , S I UNO:It 2 No FI~RTU!T 7 p ~ '.i N ~ __r-~_~~~~ Q h LAVD r ~ _ ~ ~ ~~,~~I ,,I~~ „ -y- `s.o, II s a~ I - 1---. Ex1sT. Z Sto21` ~,'L Y -WALL 7a pF REMo?Ep-~,-mm, ' - New w°s<s - ter..: ~ I fzST~L00_~1 A N - wetcs Ta 6_F Rr=l3~tcT- ~ ~ ,oE sHEE(NO OF C O N 8 N U G T I O M DATE P.O. Bos 1 tN • Cultlapue, New Yak 1935 cucuureo Ev ISIq TlFS)A6 cHECMEO By oPTE £CALE RpsE LINE. ~ ~ ~N b SbM11PLE SLDPf F~ Nth°d {~~~9rr , DN. ~ y - 1 _ a' Ro~~..'I, - NENi Ror~F 1 'W G'VER SsFFI~n'? v M _ _ S /O' - O'1 (~Da~ P(Al~ SECOND FL00~ PLAN 4 E Y~ SAP1 ~ 7~ JpX SHEET Np. OF I ;1- I I_ O U C O M 9 11 U C T 1 O N PATE 4 'i CALCpIATEp BY P.O. Box 1188 • LuMlopua, New Yoh 11935 (516( TJ45T16 cNECNEp BY PATE SCALE \ / _ - - ~ - - - I ~ - ~ _ - - _ ~ - - - _ - ~ _ ~ - ~ - _ ~ - ~ ~//II - ~ - - ~ _ ~ i i;~ - ~ / i v'kAD~ VIF=Ini FROM ~IGr= 1%~RD SGA~~ 4 I,_~„ DF VIEW FRDM BACK YARD ~ LDD sNEeT No C O M! fl U C T I O M CALGUTATED BV GATE P.O BoK 1188 • CurclwWe. Nex Ywk 11935 (fi1fi(TJ46Tb DryEy`KED BY DATE SCALE