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HomeMy WebLinkAbout18577-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219085 Date MAY 30, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 4020 THE LONG WAY EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 30 Block 02 Lot 98 Subdivision PEBBLE BEACH FARMS Filed Map No. 6266 Lot No. 63 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 16, 1989 pursuant to which Building Permit No. 185772 dated OCTOBER 19, 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 ONE FAMILY DWELLING, ATTACHED GARAGE AMENDED TO INCLUDE DECK The certificate is issued to JOHN & THESPINA PONTISAKOS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-71 MAY 3, 1990 UNDERWRITERS CERTIFICATE N0. PENDING SLIP MAY 21, 1990 PLUMBERS CERTIFICATION DATED CONSTANTINOS ZERVOS MAY 28, 1990 • Building Inspector Rev. 1/81 msas xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N o 18 ~ 7 7 Z Date ...~u.~1% 19.~y.. Permission is hereby granted to: ' f ....y'~.~.~.6.....>......,~ to ~.........a.......... ~ of premed at ~:.~°.".....~..~C. County Tax Map No. 1000 Section .......s~.G.!...... Block Lot No......:~A............ pursuant to application doted ....~~•l:~•.•••••••••••••••••••••••••, 19~~....., and approved by the Building Inspector. i Fee 3....~6..'Z...l..~~~ Elui1ding I for Rev. 6/30/80 ~ / ~ ~ Form No. 6 TOWN OF SOUTHOLD d , ~ 0 3 ~ C/ BUILDING DEPARTMENT TOWN HALL 7 65-1802 APPLICATION POR 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 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 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~°.p00, Cgommercial $15.00 Date ...M~o:°j.~.~:Y~ vew Construction... Old Or Pre-existing Building.... s... Location of Prop erty...`+.R~S?..........~~~ .tl3Vic, u9rz~{ L_Ca.,S Y.~`-~a-v~~©il~ T~:~•......... House No. Td,„„ _ ~JS~StreetJ Hamlet )nwer or Owners of Property... SOYIYI ~.'~~'~-~-_U~`"`~ ~0. ~~or~~. S~p~. ;ounty Tax Mpap Nop 1000, Stection...r~ d.......Block.... °~.........Lot....~ subdivision .l.5'~y1 J~,.~e~.'l..a~.p~~v.~n:~~.Filed Map............Lot..... 'ermit No..~.~.rJ.J.!.Z:...Date Of Permit.. J~~~`~..~......Applicant.C~N3~i9.NT6N,'US,zc~V(1~ ~,3 fio [ealth Dept. Approval..~~..: ~....~!..........Underwriters Approval.~''.'~.~.~:.~ Tanning Board Approval .e quest for: Temporary Certificate........... Final Certicate...~...... ee Submitted: $...~~`~.':~'e: o ~ ~ z ~ 9~~~3o~c~ p. APPLICANT i TEL. 765-1802 oS~FFaC/~C~/, T4~N OF St~'UTF30~.?J O~ " ~ OFFICE OF BUILDING INSPECTOR _ C P.O. BOX 728 ' TOWN HALL O~~ ~~~"r SOUTHULD, N.Y. 11971 1 ~ ~rt,or C E R T I F I C A T I O N ' Aate ~ ~ ~~e'" d Building Permit No. Ig5`l~1 7 Owner Jc~~, n 1-~c.SQ~~0. _ ~'~<~Yl~t5~0 S (please p int) Plcmber~',(~h1STAN`~INC~S 7E~VaS - Z--1C°~ ~'3~}`~' (please print) I certify that the solder used in the water supply system contains less than 2/10 of to lead. ~ ~SVt~-O~J lQ ceV l.sr, Q - - - _ - (plu er's signature) Sworn to before me this day of ? ~ ~ f~~ 19~. v Notary Publi`c' v Notary hublic,__~~~_County Nd.EN K DE VOE NOTARY PUBLIG 5'tae ~ New Yak rernND,'eza° es egu e'n ao~, i°r! - ~I(in: :;GHi4LN~-J Ckj It r ~ ~ ~U17DATI0:1 (1st1 ° . _ - ~ - - f s OUTiDATIO;i (2nd1 _ _ ~ ~ ~ ~ ~ o 0 TOUGH FRAT•lE & " •PLUMBSNG 3. yam' T_TiSULATI0P1 PER,N. Y. ~ p~,~ STATE ENERGY I ~ 'd CODE ` R ! r~ r ~ ~i0 ' ~ H . • L~ ~ FZ;lAL B~ 0 . - ~ ADDITIOTTAL COM^(E11TS: ~u ~b ~ ~ ~ Q ~ H ~ ~ GLw~.~ ~ 3" d ~ \ 30 0 ~ ~ 0 ~ c th • ~ ~ a f c. m -o a • TEL. 7G5-1802 S~FF.atkc op r OGy T0~(/N OF SOUTIIOLD :3?~ ~c Oi'PICE Or BUILDING INSPECTOR ~ ilk"~ rn F.O. BOX 728 ~ ~ T01VNf[ALL ,y~~l ~ ~ao~ SOUTIiOMpyN? .'111990 Dino Zervos P.0. Box 2035 Orient, N.Y. 11957 REe JOHN S THESPINA PONTISAKOS To 4ihom This May Co>ZCern, we are unable to complete your Certificate of Occupancy because of the following reasons. /?I An application for Certificate of Occupancy is not on file. <ENCLOSED) /~/.NO Underwriters Certificate on file. /y// The check is{di~YfgcS;X9IdIffiJnot on file.} $25-00 ~ No llcalth Dept. l:pproval on file. No final inspection has been made. Please contact our office on this matter. 'Phank. you for your cooperation. Buildi.nq Permit It I 8 5 7 7 Z Buildincl Dept. ***/J~/! No Plumber Sol~lcr Certificate on file. ( all permits involving plumbing being .issued after npril 1,198A ) i a THE NEW YORK BOARD OF FfRE UNaE~tVVrr~tITERS PAf.E ~ 1t)ii 11771 BUREAU OF EIECTRICTT'Y ' BE JOHN STREET. NEW YORK. NEW YORK' 10038 - ~ ~ 7FINF 04, t9'v[t APPtlcatianNo.onfile bb4U55R9(s$ N 1:1221 THIS CERTIFIES THAT only the ebrtricd equipment w dascrihed 6eloTe and introduced by the applicant named on the shoos eytplieation numMr in ehepromisee of JOHN YONTE5AItOS, THE LANG WAY, f, A'1 NAftTON. N. Y. ® Bseement ® let Fl. ®Ynd F!. 6Ak101iT Sertion frock Lot in the fdbTeinR brotion; Taw exam[ned un MAY 1 5 , 1 990 and found to be in rnmplianrn utith thereyuirementx of thu RsaTVi. RXIUY ACIRS SWITCNK RXTIMRS - RA COOKING BEGIf4 OVENS DISN lXNAUSi FANS _ OUTIEK INCANDESCENT FIIIGtESCENT pTNEfl AMT. K.. W. AMT. N. W. AMT. R.W. MAT. K. W. AMT. N. P. 46 49 4n 4fi z i~ DRYERf RJRNAC! MOTORS IUi1ME ANIIANGE RRDEIK SKCIAL RECIT TYIIE ClOCRS Ytt UNIE NEAilK ~ OII/IAIERS _ AMT. K. W. ql M. r. OAS N. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMeS. TiiA1K. AMT. N. P. NO.0/ RRT AMT. WATiS Z 1, 2h 1 ~L) SNVK! OISCONNlCT NO.RN S E R V - 1 C E AMr. AMr. TTPE I.E aw I w tw t e rM 3 R Aw No. o~c rcouo. of cc ' g'r+o. No: a NI.IEG a'w ItGb NO. of NEYIIIAIS 1 '2iTU CB 1 N i 411'1 1 21t7 OTFIEE AMARATUS: . G.F.C.T:-7 SHOKE OE:7tGT0it:-? _ , moo'( ~p_ G 8 S f,ONTRAL'T017 I.if,.lS57A°F: C!- ESOX 215 SOUTHULD, NY, 11471 OENEEI1l MANAOY Per ~ d~ This TMrE111tCt1 IMnt not be albrad in ally moTmer; rHUrn b tM office of tM Roo[d if incoaacl.. s idenfifi~ by tlNir cNdentials. F Bill PARTMENT. TFRS OF 1 IG Bf ALTERCD IN ANY MAlMER. ~ 765-1802 G BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ] !ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( FINAL REMARKS: DATE ~ 02 INSPECTOR - . 765-1802 ~ BUILDING DEPT. 1NSPECTION [ ]FOUNDATION 1ST ( )ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ' FINAL ~=O REMARKS: 7a - , _ ~ - ~ , DATE v~''i l'~ INSPECTOR' '6S•iso2 BUILDING DEPT. f NSPECT~ON [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~~NSULATION [ ]FRAMING [ FINAL REMARKS: QR ~ 70 r~~, ~ r DATE ~ ~ INSPE l~.S~~~ res-iso2 BUILDING DEPT. f NSPECTION ( ]FOUNDATION 1ST (~OUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMING (]FINAL REMARKS: DATE ~ INSPECTOR ~s7 7 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f ] ROUGH PLBG. UNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL E, R~E?~,IARKS: DATE ~ INSPECTO I~ 765-1802 BUILDING DEPT. INSPECTI®N FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [)FINAL ~ / REMARKS: ~ _ O Y4 F ~ f DATE ~ INSPECTOR /yet. i ~i~ ~ ~ D ~ ~~1L~ ~~~o ~i; ~aY t r~so ~ 2 ~ ~°a ,~z ~ ®LO~, ~eF~r. I'~ TOWN OF SOUTH®Lf7 --a,,..,,,,.,..n,.~ P o ^t- ~ a. o s a I! 4 - it z ~ - - - - i - - - 7 - - - G` - - _ - - - ~ - - ~ - - :.f. ~y ~ ~ I~ ~ - - - J eo ~ x ~ ~ k ~ Gi. a cam- - ii' ~y: ~ 4~33(ti/rJ~~ ~s (al_1 ~ 1 ~ ~ ~ I M Y„ ~ ~ ~ ~ Q ' ~ ~ H Al 3 v. s~ ~ ~ o v, ~ ~ ~ 1 ~ ~ 111 It ~ ~o W ~ ~ ~ ~ .Q Q~ ~oN~l ~ ~ ~ w ~ t Q W ~ ~0 b p p Q m ~ O p O ~ O ~ . -s. ~~_____l_._t_._._ 7 m . ~ , ~ w ; _.r.--- ~ Q ~ ~ ~ d. ,_.l 2 ~ ~cr ~1 ~ ~ ~ d ~ .r ~ © .mil' Q ~ a ~ ' a 1.', ~ co Q 4 ~ a r; ~ a d r~ ri U d _ ~ ~ ~ `y > a a M W ~ Q ~ t~ sa.~ ~ N H ~ H~ I~ 1' CY~ F ~ C) ec a Q ~ d `y ~ w v ~ i ~V HN ~a 4 W W ~ ~ ~ u, - Tha Mdaear SupF 1y and Sma~n~ae O,eE_~rns„; ;;Yyfer•.ys fnr ~{tis P.esid~nea T/TG EN' ~ SAC- 89/00 -.S 1Ni11 Lonfo~r~ ea 41u+ stan~inris ss+ B.±ao ;,'uaF, b~a. t;,i~*t ors ~teaith Saevises. L/frrYL~~ ,B/RTEN pp?• slgaa¢ur® a.Q S/3°26.50 "E 80.00 " Apps, Name .,~1,~{ r TEST NOG E ~ Address -2~ ~•o~ a+~~ / 3~ o ip V~ O Tslsphena No. - ®z-• ~ - ° 0.'7 0 , • ..+x ~ V - _ Coo rt _1,5' ~ W 1., . g /.~o(.J/~ LafhY•r V P.~e newJ tr Na p YV MG.D SAwO p ~P Lf S~u•J? ~D ~ _ SrLTY 5>«O 9,o N O li 2.ww ir.e e....k. N ~ SA«OJ uc~~., a.~r ~a o anAy~s. 5n.wa Q< O s,~,~ 5~.,, ~~,o 63 ~a~c 6Rw.n/Fr«~< ~ M u Ce w254 LrGHT 6 A?t[ 25, o n/O GROUND !~?fJ76.Q E NC O uniTEREO EXCA~}~~IUN INSpEC~tON REQ ~ Ed , ~ DWELL/NG j b 6~ 0 3 O ~xpl RE TWO ~ fiAMr ~Y CATER N ,m YEARS R~p~~~ ~ O b o ~vl ® ~~~r„~ ~Q.~46.5~ (46.5) R=zD, 00r ~ +ee~~~fPROP DWFLL. id 3/. 36" ~ R~i~L.EC.48.0 ~ 0 60:0.. o 5UP!OL~ Otl ~ ~ CkPY• UNTY ~ /026. 92 43.E b ~ L'F HEAL7fi.SFRVIr•~-5 O ~ 0 5T Q , ~ FGR ~+pNkOVAL ~ _ ~~NSrHUC71~~bP ~ 1 oc3 - ~ 1 P i o• 3 ~ ~ d. - ~ - outy ~ W ti fr,S.:tat.No. ~~l] E<~~6R -/47000 ~ AFprowa~ ~`rB/T ~ E~• srs sR L'9~ ,S~ , Uiyjj Aoo~Tia~AL NOTE ` r~ ~'t., ~ LNG lY,J y~'sr F /,ELEVA7/O/?S //V ASSU/Y/ED OATU/Yl 2. ( ) /NLJiCATES PROPO.SEO ELE?.9T/ON !~rq f PLEAS ~~fi~ 3.<OT //XE,y=3/007 S. F. 1,+~8~ ~~~r/UtnTO~ Requires septic tank 3~~~l,~ cover to rade. NOTES: ~~'4.E~ S.9Ai1E.450/.5'7~2ic T /000 sEc7/on~ 30 Bcoc,~ 2 JOHN~F'" THESP/Nf/ PONT/S~9~t'OS GOr 98 -$UFic'OG KGOUNT j~ SA/YII~ /Ti9W f/BSTRfICT CORP. T.•Qx ,r./,.qo CO/II//IONWEALT/!G9/3/O T/TLE /NS. CO. 2 TflE EX/STENcE OF 2iG.L/T ]-QW/1/ O/",5'pUTh/OLD O~ Gf/f/YS ANO 02 EASEA7E/?TS S'%G H,9RL~OR S.9Y/~YGS BAiVK OF ~c'EC0.20 f.'N Y NOT SHOGVn/ .4/dE NOT GUfI,QANTEEO. OF NEh, OFGOT 6.3 /Y1.q~ O~ B• H°~~°~ f'EBBL E BE~i9CH FAR/1!S o ~ r Z * OATEOF,~'/G/NG r/UNE// /975 /~/LEO/Y1.~9.°/V-°+d266 p o EAST/YIAR/ON TOGr//VOF SOUT//OLD ,s!/FFOG,C~000rVTY/V.Y. rn 2s ~ ~ 6 ~ ~O•BE,2T B. ~/OG Z/L1.Q/V F S q g 1- J G/cE/i/.SEO L.4N0 SU.E'/iEYO.rc' /1/.YS. G/C. /V 49/76 O ~ A N ~ SuP /205'H/gL /V!/TA//E/VC/E• II BO.y~,v!/A, /u Y. //7/6 I7. t ~5/6~ SB9-Oc~6/ OATEN ~i -z/'89 Sc.4GE=/"= 6O< .~'iGE:/OOD-30-2-98 a. ~ , FORM NO. 1 ~ ~ O n TOWN OF SOUTHOLD fU' BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 66R1G. DEPL TEL.: 765-1802 FS UTHOLD Examined~~~; • 19~. GG ~~yy Received........... , 19.. . Approved ..G,p~l~........, 1~. Permit No.~O.~/. J'" ~J o'G~ Disapproved a/c . ..................~-r~.'~f~f... d.'~r. o (Bi nspector) APPLICATION R BUILDING PERMIT Date .U.~.~.I.S.f....., 199 INSTRUCTIONS ' 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 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. 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ' pections4 (Signature of al7plicant, or name, if a corporation) (Mailing address of applicant) 41-`~~'~ State whether applicant is owner, lessee, agenpt, architect, engineer, general contractor, electrician, plumber or builder. ..........................~l~.V)~.~': ~S . 44 .V7~r c.L:G~c9.V......................................... . Name of owner of premises ..:~~'?V1 ~ LVIC~.....~.d.K't~l a~ "4.5 . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate offcer) Builder's License No. ~~g ...~:Z...... . Plumber's License No. v~. ~ . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. ~~'~1' ~ e ea~ ` Yl~. ~.r..`n...~.... . House Number Street Hamlet County Tax Map No. 1000 Section 3 Block Lot Subdivision Filed Map No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: I. a. Existing use and occupancy ~'11.~.. ~ l a~ . p p ~ b. Intended use and occupancy ~ U.1 a_ . ~ 01 ~ ~,1 i~ , _ _ - - 3~. ~.e~a&l4o h applicable): New Building ~ Addition Alteration . a p+'r errjoval . Demolition ..............Other Work . (Description) 4~ E unatf ~qos ~ ° ° a ~ Fee . (to be paid on filing this application) tl 3rSktt}{92 ~ 1 5. If'dtveB'in" num er o we lin If garage, number of cars , , 6 u}rits . ~ .TPA! Number of dwelling units on each floor . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front ...............Rear Depth . Dimensions of same structure ber of Stories . ' Height Nu ith alterations or additions: Front Rear . Depth ...................',...Height ............Number of Stories ~ . 8. Dimensions of e~tire new construction: Front ~ ~'y Rear F4 .........Depth 3iJJ . g ~.mber of Stories .....~72 , . 9. Size of lot: Front ~ , ~ Rear Depth . ~i:7.~ . i.............. . 10. Date of Purchase .........p Name o~Former Oymer . 11. Zone or use district in which #emises are situated ....R,.~S l ~~.i . 12. Does proposed construction violate any zoning law, ordinance or regulation:....N ~ . 13. Will lot be regraded ....N ~ . .......Will excess fill be removedfro premises: Yes Q~ 14. Name of Owner of premises Jobe .paN'Tf SJtt<os, Address 33 ; q~, ~oW%fty~; 4', :°,'one No.~.g).~0`~-ai'601 . Name of Architect ..................Address ...................Phone No............... . Name of Contractor .pCNOS.,.z:~;R~VoS, . , , , , , , Address P,O~ 8?7f i14a~j4Rl~N°i-..Phone No.:3~-3.':~„~ N:1; it9$7 ~ PLOT DIAGRAM , Locate clearly and distinctly a{1 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, .~tti1~-?ow C,~~' I, ~ ~~ativi IJwc~l~ w& ~ 7~ to' o ~ ~ ~z'W ~ d ~ 3 al 4 . I .._-_~f-- - ~.SSa.h~ (.vctc~ - - - - STATE OF NEW YORK, S.S a COUNTY OF . . I', being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the I' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manr}er set forth in the application Filed therewith. Sworn to before me this ..~.....~da/y ofn.... 19~.% Notary Public, . ~'C-` :`~J~ ~ i ~ v1-2_... 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