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HomeMy WebLinkAbout18471-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 220178 Date AUGUST 27, 1991 THI5 CERTIFIES that the building DECK ADDITION Location of Property 555 PVT. RD. #3 EAST MARION House No. Street Hamlet County Tax Map No. 1000 Section 021 Block O1 Lot 05 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Buildinq Permit heretofore filed in this office dated AUG. 25, 1989 pursuant to which Building Permit No. 184712 dated SEPTEMBER 12, 1989 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to NICK DAMOULAKIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTEFICATION DATED NfA ~1.~ _ ,Buildinq Inspector Rev. 1/81 rows xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST SE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ~ ~ $ 4 71 Z Date ...Y.P.^..~.Sr~.d,..... 19..?~ Permission is hereby granted to: UU1 a.~..-~........... ......~~.s........`.~ .u~:....~:........~ to ..~w't~!!l ilY:..~. r:M......:1....JK`n~en.A'l.....~~MF7.~....~w.~Q..R1r..:...'.'"...~'..... ct premises Il oted at .....rye ~c..t...'~!'..~...........~r...°`"Q'...:...'...1~:~:1 County Tox Map No. 1000 Section .......~.1:~...... Block Lot No......Q..~...~........ pursuant to application doted .....~:~:C~.wt~........~.`.5........., 19.~.~.., and approved by the building Inspector. \ Fee S••.~.~...:..•-..~~ . t.:: f. ~ . Building Inspector ~ l/yl Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ~G~U1V%~.~.. BUILDING DEPARTMENT TOWN HALL 1 ~ 76s-laoz , ~ l~t1G 2 61991 ~ 4 ti t [ ~ l ~}i APPLICATION FOR CERTIFICATE OF OCCUPANCY ~ TDV~ISU Or' 4~~Ui'Fr0(t~ A. This application must be filled in by typewriter OF, ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property caith 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 lass than 2J10 of I7 lead. s. 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, 19s7) 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 $2s.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $s.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, C/ommercial $15.00 Date New Construction...:..../. Old Or Pre-exei~sting Build~g Location of Property...7.~~...~F7••~•Q~~?~•~••Pp.~.ls!f••~Q~L1•••••-•••••••••••••• House No. js Y~~ ~~.~Street Ham1eC Onwer or Owners of Property...~?.`!f//~[5.//.~~/.;1~1~~~~..~,lla.,~g(,~i~.:3....... County Tax Map No 1000, Section...V.C...,(......Block...~............Lot....~~ Subdivision.~~JJ ..................................File~~Map.`9~~.....Lot...................... Permit No.~.A.~.~ ~ ~rr.•.Date Of Permit.~~~....~Applicant Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final C rticate........... ~~p O Fee Submi,tppted: hO.iC~a ~o ~ Q17~ g f z~/y'~ APP ICANT INSPECTORS Victor Lessard O gUFFO(K Principal Building Inspector ~'Q Curtis Horton ~ Gym SCOTT L. HARRIS, Supervisor Senior Building Inspector y Z Southold Town Hall ~ T Thomas Fisher P.O. Box 1179, 53095 Main Road Building Inspectrn ~y ~ Ott Southold, New York 11971 Bu'ld ng Inspector ~~l ~ Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD August 14, 1991 Mr. Nick Damoulakis 555 Private Road #3 East Marion, N.Y. 11939 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: i/ XX An application for Certificate of occupancy is not on file. (Enclosed} No Underwriters Certificate on file. XX The check is ( Not on File ) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18471-Z (DEC1L) Please contact our office on this matter. Thank you for cooperation. 50UTHOLD TOWN BUILDING DEPT. LD " ~ _ 1.. i~... _ .lU:. ~'?'n:.. I~ ii:~fL`I f'.NZ~ (I 1 . 1 _ 1 _ POUIIDAT20`1 (1st) ~ a - i` I ?OUiJDATZ0;1 y (2nd) m I o 30UGH FRAME & .PLUMBING 3. ~ m n Z1ISULATIDPI PER N. Y, I . • STATE EIfERGY CODE r s m 4. I r h r y V FIi7AL ti O ADDITZOIfAL COMMENTS: C° x G Z m ' x -n H 9 H H O m r H d [T7 ^o .-3 Cis Pcric~ ~ ?~a, Y 111C,~ ~~~G~ 1`tq~ Qv~ ~crlino~ ~F t ~c~-r-,e n~ l~~ 7 ~ Gorn~`e~-~ c1ec~~ ~ anc~ ~ ~;vu~~~ l ~ k,~ c~. ((c r*~ o n'~-'~ e ~ T e n t .`c ry c. t ~ ~ / In c ~ L c n ~ Jc 5 c't t QC~,~ ~ c~n~ ~Gf?Gt ~ '1- `Ye ~o.nc_. ~ ~3. ~i E?S'fY1, T ~rrx n ~ Yc v ~ y ~.ir o ~J ` , _ , 4_ . . 765-1802 BUILDING DEPT. I NSPECTI4N [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ iNGION [ ]FRAMING [ I~NA~L REMARKS: G!t!/ DATE INSPECTOR Memorandum from . BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN I-TALL, $OUTHOLD, N. Y. 11971 765.1802 March 6, 1991 Dear Mr. Damoulakis: I have extended your permit for 6 months. The new expiration date is 4/12/91. If you have not finished the deck by that time a aew permit will be required. You must have an inspection and a Certificate of Occupancy for this permit. Yours truly, 1`~ ~ GK'S ~c~-r~ ©v ~ G F' i s 3©~t15 i 3~ S-~~~~~- ~Sror~c~, N,`~. t11Q~ Mc,rc,~, 19q~ Bvi f~'linol ~~'~~Trne n~ r 1 ~ec„r C~e~~ . ~-~U ~o m ~ ~ 1 r~ ~ SS -J- wc~S r~oT c•~` e 1` ~ cor,~le ~ n-,y ~ec~ ~ Gr~ S ~e7v~ ~ 1 ~ k~ o. rron~i ~?~Te n't ~o h ; t- c~ r f ~oc~se ern ~ 5 5 rc>c~y ~o~nr ~ec~i ~;~e 1c~ne_ ~3, ~`~l. ~ e~-r=-i~~ ~~nk Yom ~ ~ ~ , MAR - 6199f J~~ V 2 1 i ~ b ~ ~ ~ ~ f--- ~ i` ~ ~ (4' t ~ r ~ ~ I ~ ~ r F f a ca nv ~ Z m p ,_,,,C ~ v vs 1 D rnp-cSr IR ~ Llmmmrm'~~~p~~z <~m~777fff m ~ ~c>nn~~ z~~ ~ ,.D r.. j ~ p n p 2 Q r p S Q C z ~ ~ I ~~zz~~b, cn.,..~~.~ y ati'., C m~C~ PTO ~ in C !~}r ~ ~l ~N~y 27p0 ~1 22-~'-~ a n~ ,~6 tail s ~c C~ O x p r, ~ .gin ~~~y~~~n~ vmpu ~1. ~ 9'~ i z G p ~m~ W o / f ~~~2J ~ ~mm; ~ m z .i~~ f OiT70 rn C l 1 i ~ f f! , ~ F r ~ 1 < ~ j 4 1 I i, l _ ~ ~ ~Qm~ ~k~ C 'O C'? ~~~7G i ~ x c,0 n ~ ~ ~ o v ~ s c 0 ~ 1 s { 1~ a ~ ~ ' I ~ ~'o r _....x,,._ ~ . . yiSr AWN f062T O 1~ ~ ~ 7D f1 m ' R C O ~ "m m 11 Am0 si Opr= ti7.~CK n ~N~ D2 rZN°' "B ~i v\ 77~~~y J T,m~ '?DCl 1 r ~ p ~TmO g U 7 Y a Z l ~0~ Z~~ m m y >m. v ~ ~ S F ° OSNO ~x ~j~oym ~ . ~.~T` ..l O H G !7u .Q 'v ~ ~ ~ ~c ~ `D p. ~ n f t~ ~I` ~ ~ ~ ~ v o o ~ ~ y i~ ~ ~Y ~o~ f f ~~?,D ~ b n ~ ' ~ ~ r ~ I ~ ~ ~ y I s ti I x BOAFD OF HEALTH '3 SETS OF PLANS FORM NO. 1 -_$URVEY - . TOWN OFSOUTHOLD CHECK SU{LD1NG DEPARTMENT SEPTIC POari • TOWN HALL SOUTHOLD, N.Y. 11071 NOTIFY -7 / - TEL.:7G5-1802 CALL ...~~[.~.~L~C=:.... ( ~ MAIL T0: ;,x r• tl ,il ;z APPror 2?!•M!L•, 19b.~. Permit No. 1, 17 I 1, ~ ~ it - Disapproved a/c 2 ~J ~~9 SIOG.OEr'--~ 1< TOVtRd OF SOUFHGL4 ~ , ti/. Y.v''~,,. . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~...4~....., 15< INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wil sets of plans, accurate plot plan to scale. Fee according to sc]tedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public str or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap "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 pe, 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 Occup? 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buildings, additions or alterations, or fot removal or demolition, as herein descriE The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building far necessary inspect' ns- pc~~Z,~/. S . (Sig attire of a plicaitt, or name, if a corporation) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builr ` . Name of owner of premises N`G.I~~. ./7.~~`{~.,~~: S . (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. <Name and title of corporategofficer©) Builder's License No.....~~~L?/.L1~"~......... Plumber's License Ix'o . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which pr osed work will be done. !7./.1 . . . ~ D ~ o . ~~sE.vf~t~ Rv ~~7s~ ; }2:7,'7 e~, ~..........C f{ouse Number Street. Hamlet County Tax \tap No. 1000 Section Block Lot . Subdivision Filed ntap No . Lot . (Name) 2. State existing use and occupancy of premises and int ndcd use a,,n/d bccupan//cy of proposed construction: ry.. a. Existing use and occupancy • ~~;~L~: ld.~~_' - ~ b. Intended use and occupancy f • • • • • • , . • : • • . Nature of work (check which applicable): New I3uilding Addi[icn Alteration . Repair Removal Demolition Other IVark . C ~y (Dcscnptio 4. Estimated Cost l.~Q.~ Fee . ~~`III (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage.numbcrofcars 6. If business. commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, iC any: Front Rear Depth . Heigltt Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth 5 Iicight ......................Number of Stories . ' 8. Dimensions of entire new construction: Front Rear Depth . Hcigltt ...............Number of Stories . 9. Size of lot: Front Rear...................... Depth 10. Date of Purchase .............................Name of Former Owner . 11. Zone or use district in whit]! premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation : . 13. Hill let be reg,caded ............1Vi11 excess fill be remov~i from premises- Yes 14. Name of Owner of premises ~~.~!`~~`.Ul!a!~... Address ~ 2 S7 Phone Na<~~~.).7.2~ S3 Name of Architect ..............:............Address ~~.~jry!Phone No........... . Name of Contractor .................:........Address ...................Phone No........... . IS.Is this property located vithin300 feet of a tidal weCland? *YES....NO... *If yes, Southold Town TrusCees Permit may be required. _ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions i property lines. Give street and block number or description according to deed, and show street names and indicate whe interior or corner lot. STATE OF NEw Y~RI:.(~ r fj~ S.S COUNTY OF Lt.. v/%1 / • • G K• • • i~{'}'1 (°~E,( ~rl a. ~ bcin; duly swum, deposes and says that he is the appli (A'amc of individual signing contract) above named. He is the ..........................G.,C~I'~.( 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 application; that all statements contained in this application arc tnic to the best of his knowledge and belief; and than work will be performed in the manner set forth in the application fled therewith. Sworn to before me this ...day f . ~ 19 . i Notary Public, ~.f--~(,(. .County CLAIRE 4.4LE1N NoMry Public, SpM d Now York . No. 4$79506 (5ignarure of applic Qualified in SuNalk County G Commission Expires December 191.