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HomeMy WebLinkAbout18039-z i FORM NO. 4 TOWN OF SOUTHOLD BVILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23909 Date SEPTEMBER 25, 1995 THIS CERTIFIES that the building ADDITION Location of Property 21625 SOi1ND VIEW AVENUE SODTHOLD, NSW YORK Houee No. Street Hamlet County Tax Map No. 1000 Section 135 Block 1 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 7, 1989 pursuant to which Building Permit No. 18039-Z dated APRIL 14, 1989 waa ieaued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is ieaued is DSCR ADDITION TO EEISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate ie ieaued to GEORGE & FLORENCE VASILARIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-046954 - SEPTEMBER 13, 1995 PLUMBERS CERTIFICATION DATED N/A o?i ~ ` uilding Inspector Rev. 1/81 roam 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) 0 ~ .1 19...1 N- x.8039 Z Date Permission is hereby granted to: , ~ pp~ , .....~.sr..~.....`.~:.`~.°.~ s~, s~.-.. M.:'~...... 9...7.1........ . rf'e~.~-ra.... e of premises located at ~ ~ ~ ~ S ~ ~.SF-~-~-~~ ~,,c// n_...._ County Tox Map No 1000 Section Block ......4Z.~.......... Lot No pursuant to application doted .......~.4sl.t.!!! ~ 19.~°!., and approved by the Bulding Inspector. Fee 5...~.~...:. ~ ~u-c, ca..r Building Inspector Rev 6/30/80 F µ 6 , • ~ Form No 6 t,..,~1~ ~ U~~ r , TouN or souTHOLD ! BUILDING UGPARTPtENT SCF' , f TOWN HALL Cf 7(i ~i'I gO2 ^ ~/B~ IU_r~c ~~n~ nrPLlcnrloN FoR cr.RTIF1cnT>; or occurnNCY A. This application must be felled in by typewriter OR ink and submitted to the building inspector with the following: for new bw ld_ng or new use• 1. Pznal survey of property wiCh accurate location of ail 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 statemenC from plumber certifying that the solder used in system contains less reran 2/10 of 17, lead. 5. Commercial building, industrial building, multiple residences and similar hail dings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6 Submit Planning Board npproval 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 al] property lines, streets, buiiding and unusual natural or topographic feaCUres 2 n properly completed application and a consent to inspect signed by the applicant If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the .ippl scant C. Fees 1. Certificate of Occupancy - New dwellurg $25 00, Additions to dwelling S25 00, Alterations to dwelling $25 (10, Swvnming pool $25 C10, Accessory buildv,g $<<^i O0. Additions Lo accessory buiiding $25 00 Businesses $50 00 2 Certificate of Occupancy on Pre-er,istinp, L'ui]d~ne - $100 00 3. Copy of Certifuate of Occupancy - $20.00 4. 1lpdated Certificate of Occupancy - $50 00 5. Temporary Certificate of Occupancy - Residential ~15~00J, Cfom/mercial $15 00 Date ~~.U/ ~J New Consturction Old Or Pre-existing Ilsulding../.. Location of Property.~lp.l..~ .....~~~~Q.Y/.F.(~!, .,//,~f. ~Q~I.T~~.~~ .11~J' House No. t Street '/d Hanger Onuer or Owners of Property ~Eo~~f. l LP~~yG~,. yji,S~L,(~ )~rJ, _ County tae Map No 1000, Section.. ~3,~l,luck .....Lot. .GJ...... . Subdivision Filed Prop Lot Permit No.~~.~3.~.,ZDate OC Permit Applrcant~io,~ ~~h `~~f~~f Health Dept. npproval Underwriters Approval Planning Board npproval. f<equest tor' Temporary Certifuate Fin.il Cer[icate V Fee Submitted' $ ,~.$.~I?d.,....... eo~,a3~09 .nPP~ICnNT ' I rr~ ~ , 1 • ry i ' 2'J f/ f7a'~ Qt ~ 0 ~ A`4 n f ~ I ^n ,.mss r o. Z ' + ~ a ``II '0 r ~V y 1 yV A ~ t'~ nl ~ l J fo T r', ,Q V n~ 2 t~` d1 ' F Av ~y :T ~ r` ,r !i f I ~~I !A ` ~ n i a 3 ' a w ~ r~ OIf( f a ~ ~_r C f,l ,a. nod ? o t T` i 'r~ 4 ~ • { _ _ N 'A ~ n ~ ~ A• .l ' ~ ~ ;o~~~ C ~ ~ ~ n, ~ ° ~ ~ ~ ~ cob C +s n `rP, ~ J ms Cpl a. R~ Z Z c cq r a s . t ' ~8•E ~e~ ub L rJrZ,S J -1 - ~ ~ ~ z ~ ~ ti °y , i I(~J , ~ . i fJ ~ 1~'r n ~ n ~A~p I v F-~ ry 0~ w n p t ~ µ L ~`I ~ F` A~ VI ,4 © b~ ~ ~ 'A o n ~r ` r " ~ ri~~~-~- "I r~ -gip ~r~ _ ~ Z ~ { I ~ ~ ~ l~ n ~ ~ Cl +Y ~ Ij . n r ~ ~ O^.. c I~ > ~ ~ o,~ ~ r ~ • It ` ~ ' ^ C 'c- R ~ t p ~ , vS. ~ i4~ ~.y s ti s o s ~ Z„ ~V ~A~ n ~ Ci{~ ( ~ ~ M1 ~r ~ R c b o~~gUFFO(,I-~,O c~ Gyp H = Town Hall, 53095 Main Road "p • ~ Fax (516) 765-1823 Southold, New York 911971 y~O! ~ ~.a0~ Telephone (516) 765-1802 ~-Ur_ OFFICE OF THE BUILDING INSPECTOR ~ TOWN OF SOUTHOLD .S~ ~ j ~ August 18, 1995 BL ~ , 4n 1 Mr. George Vasilakis 32-17 72nd Street Jackson Heights, NY 11370 SECOND NOTICE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx 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 $ 18039-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. s O~~gUFFO(,~co o~ Gym y x Town Hall, 53095 Main Road p • ~ Fax (516) 765-1823 Southold, New York 911971 y~O~ ~ ~~0~ Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 18, 1995 Mr. George Vasilakis 32-17 72nd Street Jackson Heights, NY 11370 SECOND NOTICE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. X25.00 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 # 18039-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. 1 TEL. 7G5-180? ~JFFOtk'~ \Q5 ~OGy^ TOWN OF' SOUTIIOLD ~-~t~:~a~: ~ QI•FiCL' OP BUILDING IN5PECTOR ~Ir, $ rn P.O. BO\ 728 ~ TOWN fIALL oy1,o1 ~ SOUTI30LD. N S -II O? ~l`1 302- G~.:~~N,S 13a yyo~ SOUTNO,.fl N J197/ To S•thom This May Concern, We are unable to complete your Certificate of~ Occupancy because of the following reasons. /_1// nn application for Certificate of Occupancy - / i. not on Li1c. No Underwriters Certificate on file. T}ie check is (outdated/not on file.)/~S~ No ftcalth Dcpt. 1lpproval on file. Nc~ final inspection has been made. Plea~c contact our office on this matter. Thank you for your cooperation. ~q ~~cLQ.. VCiiO-~--'~-`-~~ Build~nrl Permit If ~ ~ ~ ~ ~ Z CC U I3uLlding Dept. -~J~-~~" 0...~~C~~'~ / No Plumhcr Solder Certificate on file. ( all permits involving plumbing being Lssucd after npril 1,1984 ) 1cLD I;. S:E.,._.., ~~u~TL ~ ~crr~t,Nre 7. m - H _ y ^OUt1DAT20;1 , ( tst) ~ i c ti c OUIJDATIO[d ( pnd ) m I z 0 ROUGH FRAME & PLUMBING N 3. ~ ; m , n IIISULATIOCI PER N. Y. 'j ' c c STATE Ef]ERGY CODE O - moo- 4. ~ y s Q Y - U .fir FI;lAL I Cr/ ` C. o f ~ ADDITIOPIAL COMMENTS: ~ v ( _ to ' x ^o ri H H O i rn ~ ~ H ~ b m -o H y ' J .3 ~ - - - - _ ~i -t ~b ~ ~ ~ s ! j r ' - r ,11 ;~s { ~ I is .9 Jay - 7 1' ~7 ~ 7 t t ' , ~ OZyO'i { C 3 ~ ~ ~pn~C1 1 ~ ~ ~ C _ A r, rt ~...iNC ; ___e_____ ~ ~ ~ t~ ~ ~ r ~ , - x y AWN Ta`. 2rn OI'r r9 71 ~T Tr:2`~m ly n I~ C~ 'L Z d N Q) ~ A y = ~ ~ Z CO'f Z v ~ ~ ~ ran ~ n ~ Z 2 ~ ~ Occ co D ~ S,~ tij m r~~ ~ C D f a ~ C ~ w 3 z z t' Cy Z _ , m A ~ D ~i 1. T. ~a ~ ?q 1 ~ ~y l `~~3 ~ ~ 765-1802 BUILDING DEPT. tNSPECTI4N [ ]FOUNDATION 1ST j ] ROUGH PLBG. [ }FOUNDATION 2ND [ ]INSULATION [ ]FRAMING j~FINAL ~4 t REMARKS: ~ GG S ( C~ I~(S~~-fir ~C?D~ ~~~rzrQ, G l` lC , DATE ~ S INSPECTORtJr~2~~Q~ n 0 Ica ~c m ~ ~ A g~ ~ x o m ~ ~ ~ ^ ~ I-~ Gryry O D < ~ ~ ~ ~ n m ,ay 9 "-ten 2 R ~ ~ -n ~ ~ MM i ? C 0 0 4 p n ~ r y ^ xio~~ aN~r~n~N i > ' ~ H EN o t-~ r p' 3 ~ C K ¢ ~ M1D' *~+17, e j ~n ~ j N b = hj w"~.' ~ p 7r hJ Y„~ ~Z .~i rps ~ r~1j u ZZ m £ 7 ~ m -D,I '7 i ~ m x O in 3~ H Bm0 = H N ~ m 'z D n ~ M~ N F+. p ya ! 'N° S Q j "b ~ ZH J G M7 f x ~ 9~' C 7. s 2 ~ N Ui CT ~p D ~ E ~ 4~3 M ~ ? ~ _ ~ a o a w ~ s K~ ~ ~ i ,'0 ~ (1N t ~ Gm 4 y ~ i N " ~ "v f m o C ~ m C 'l A Z ' ~ i ~ ? ~ ~ p ~ m O ? p O n R~ ~ ^ D A RI x <R £ ~ c ~ G a. ~ 2 C m n ~,R c+ a ~ kP 2 f p 0 ti ^ m ~ ~ m zn ° { r t> pip g ~ ~ z ; z$ A m y `D'~ O o m as m ~ t`% ~ q 3 a ^F ~ 3 y3 ~ m ~ '?1 ^ 'i 4 ~ o ~ m s R s F ~ ~ O Z o c ~ ~ a ~ ~ m m ~ ~ b Ran 3 N ~ c' ~GI Z ~F z y F ~ 7 00s rV D ~p ~ ~ 3 ~ < a ~ 4 ~ m ~ = n ~ ~ w m z o. R ~~o x ~ g x' R` U1 m ~ ~ ~ ~ ~ ~ ~ ~ D N ~ V ~ X S ~ ~1 T b s ~i ` Ra ; C Cj ,C CF _ T y u O ^V^\ O ~O L N ~ D N BOARD OF HEALTH 3 SETS OF PLANS FORM fJ0.1 SURVEY .....+l~ TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORPt ' TOWN HALL SOUTHOLD, N.Y 11D71 NOTIFY r/- TEL 765-1802 CALL ...,1~~-'~~ / ~ .....4.`.A ' rlni`~T o Examined ~ ~ . 1989. ~ ' APProved 19 Permit No ~ ~.C~,39 LZ_, , ~ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 3 j..7 15 ~S INSTRUCTIONS a Tlus apphcatton must be completely filled m by typewriter or to ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b Plot plan showing location of lot and of butdings on premises, relatronshtp to ad~oming premises or public stree ar areas, and gluing a detailed descrtptton of layout of property must be drawn on the diagram which is part of this app catron. c. The work covered by this apphcatton may not be commenced before issuance of Building Permit. ' d. Upon approval of tlns apphcatton, the Building Inspector will Issued a Building Permit to the applicant. Such perm shall be kept on the premtses available for inspectton throughout the work. e. No bwldmg shall be occupied or used m whole or m part for any purpose whatever untA a Certificate of Occupan~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Butldmg Department far the issuance of a Building Permit pursuant to ti Butldtng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, addthons or alterations, or for removal or demohhon, as herein descnbe~ The applicant agrees to comply with all apphcab~e laws, ordinances, building code, housm, code, and regulations, and admit authorized inspectors on premtses and in building for necessary inspections. , t (Signaturi~PP t_"I cant r name, tf a corporation) p ~O ©L-aJ lL~naejh.` ~0.,~Jd a/./f (Mailing address of applicaift) State whether appltcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ~ ~3~ a-~..... . Name of owner of premtses ....V.~O~EF..~.ASt{-.!'.°~i's (as on the tax roll or latest deed) If appltcant is a corporation, signature of duly authorized officer. (Name and title of c~o^rporate officer) Builder's License No 'J • • • • j~~ Plumber's Ltcense No Electnctan's Ltcense No . . Other Trade's Ltcense No . . 1. Location of land on which proposed work will be done ~f / /J/ J ~4!?... ~a'-~"i .+~?V.l t= . .1:71~.c~. ..~ouT~ac..,-,"1. . House Number S/tr~eet Hamlet County Tax Map No 1000 Section ? • • • • • • • . Block , , , , , , , , , , , , Lot ..(Gt . Subdtvtsion Filed Map No Lot . . (Name) State casting use and occupancy of premtses and intended use and occupancy of proposed constructton• a. Existing use and occupancy ..:~I. tab. tP ~"N.T:~ rl . b. Intended use and occupancy • • ~tJ a='~•'I'`'~r~-;'.-• • • • • • • • . . ~t '3Ci L M ~2.a ri~~ ~.3~ r_ gk ~ ~'7J S~a< 3. Nature of work (check w hick applicable): New Building Addition Alteration . Repair Removal Demolition Other \4ork . . ~ (Descnption oZ 4. Eshmatcd Cost ........`~.r~. . Fee , . (to be paid on filing this application) 5. If dtvelhng, number of dwelling units ~ . Number of dwelling units on each floor . If garage. number of cars C'. ~ N c . 6. If business, commercial or mieed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures, if any Front Rear .Depth :?-,a Height 3:..... .Number of Stones . Dimensions of same structure with alterations or additions Front o? Rear . Depth a S? .............Hetght ....:1~.. Number of Stones . 8. Dimensions of entire new construction. Front . , g: Rear ......~s.~.. Depth Ft . Height ....~a:`~....... Number of Stones . 9. Size of lot. Front .~.'-l. Rear a.3.?..... DeptSt ll . 10. Date of Purchase 1.`l.$'s?" Name of Former Owner . . 2'° _ • • . 1 I. Zone or use district m which premises are situated ..z1. f=.": . 12. Does proposed construction violate any zoning Iaw, ordinance or regulation: ..t~? R . 13 Nils lot be regraded !~?.6 .....Will excess fill be removed fr~9m~rem~~gs Yes i 14. Name of Owner of premises a°! ~;.;g;~ Address .Sa~Na tt ! S`•.~:~ilY... Phone No.......... . Name of Architect ...................Address ..Phony. No......... . . Name of Contractor'.~?e~ . G?~«:'f-'. iS......... Address ':f3~yk.~}u9tr y5~:1iri~!-~. Phone No . ? ~.S .-S6Q~ IS.Is this property located within X00 feet of a tidal wetland? *YES-t..NOf:`,. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frc property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. Sc"..- R t1 Acrt u-O S tl /fzrT'> ~~O STATE OF tEN YORK, S.S COUNTY OF being duly sworn, deposes and says that he is the applica (Name of individual signing contract) above named. [ieistSte (Contractor, agcnt,corporate officcr,cte.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tf application, that all statements contained m this application are true to the best of lus l.nowledge and belief; and that t work will be performed m the manner set forth m the application Cilcd therewith. Sworn to before me this q dayof.. 19bI ~ nU Notary Public, /.`'~-b=~'^~ , .J.~-...K~.4-.t!.K'.... County ` HEtENKDEVDE///C~~~ t^nat eofa heal ~N~4107878',S~ufloikCo~uMY~r ? ~ PP Term E><pies M:ech 30,188--~~!