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HomeMy WebLinkAbout18101-z FORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y CERTIFICATE OF OCCUPANCY No: Z-27672 Date: O5 14 O1 THIS CHRTIFIHS that the building NEW DWELLING Location of Property: 1330 NORTH SEA DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 5 Lot 9 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1989 pursuant to which Building Permit No. 18101-Z dated MAY 8, 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 ONE FAMILY DWELLING WITH GARAGE UNDER, & OVERHEAD DECKS AS APPLIED FOR The certificate is issued to CONSTANTINE GEORGIOPOULOS (OWNER) of the aforesaid building SUFFOLK COUNTY DHPARTMENT OF HHALTH APPROVAL 88-SO-128 02/21/92 SLHCTRICAL CSRTIFICATH NO. PENDING OS 04 O1 PLUMBHRS CERTIFICATION DATED 04 18 91 HENRY J SMITH & SON, INC Authorized Sig ture Rev 1/81 )ro$~ ZtQ 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) NO .L ~ 1 ~ Z Dote 19.?~..1 Permission is hereby granted to: to . rtA `~,i.. ~ of premises located at .~..a~to~.C2.....N d:,!:..........~:?gr .......................~-~/~.r~~.......... . County Tox Map No 1000 Section Q.~..~... Block ~.a~......... Lot No... d 1.:..~...... pursuant to application dated 19G..~„ and approved by the Building Inspector, Fee $..T :7 u Iding Inspector Rev b/30180 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ 765-1802 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 £rom Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 12 lead. 5. Commercial building, industrial building, multiple residences and similar building 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25u1 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residen--~~t--ial $15.00, Commercial $15.00 DateJFlNicftCL ~S-~.~-OC'.))~ New Construction....... Old Or Pre-existing Building.. Location of Property..~,~~?J~.~IoCLTH SEH 7l CLIVi:'~~_..,..SOU7NOL/7 House•No. .Street Hamlet Onwer or Owners of PropertyCocVSTA~(7'tnrG Ci-EO2G.toPeuLoS ~ HACZCLIf.T. ~~ot2GloPa,wt . . . . . County Tax Map No 1000, Section....r~.~......Block.....~..........Lot...~~..~........... Subdivision....cc...GG ...........................Filed Map............Lot.................... Permit No..~~.tg.`....Date Of Permit ................Applicant.~.~.'.~.'.,~'.-~O(2,(,`lOQouCoS TT Q e Health Dept. Approval..S~ .t. r ~^Z. Z .Underwriters Approval..J.~.~ .2 l 1, i cLZ- Planning Board Approval Request for: Temporary Certificate........... Final Certicate. Y........ Fee Submitted: OCR ~Jt.G.. S y S ~ APPLICANT ~o~ a~~ ~3 _ W_~.,f,~(=NRY J. SMITH & SON, Inc. { dl tG.% ~ ~ ~ _ 4. ~ PLUMBING, HEATING & FUEL OIL i E - _ ~ MAIN ROAD ' 1' ~~7p (~tnnt SOUTHOLD, N Y. 11971 ' t t1I'1~ ~ J fJJI (616J 766-369q ~~U~ KK~ BLGG. prPT. TOWN OF SOUTHOLp C_E R_T_I_F_I C A T I O N_ . . Date April 18, 1991 Building Permit No. 181012 Owner__Constantine_Geor~iopoulis_ Plumber Henry_J._Smzth_&_Son1_Znc_ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. M ///r/"/ Y ~ enr P. Smith Sworn to before me this _19thday of _A.pril_____, 19_91 _ • fLLZ~~~-a~l-'~ Notary Public Notary Public, Suffolk County BEtiNADETfE t TAPLIN N6TARY PUBttC N484~893 State of New York Restdmg m Suffolk Coumy Commusron EeDtres Sept 3Q, 1911. Please note that this plumbing certificate is to cover the plumbing pipes in the basement only. Upstairs plumbing was done by house manufacturer. ~r, „ ` o~~SUFF01,~~0 Gyp Town Hall, 53095 Mazn Road y Z Fax (631) 765-1823 P O Box 1179 Oy ~ ~.Zc Telephone (631) 765-1802 Southold, New York 11971-0959 ~O~ ~ BUILDING DEPARTMENT TOWN OF SOLJTHOLD January 11, 2001 Constantine Georgiopoulos 156 Read Ave. Crestwood, NY 10707 RE: 1330 North Sea Dr., Southold 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 zs C N C Lo$~ file. (Enclosed) c XX r i _ XX The check is (not on i e. L=^~cc..oS~'~ XX No Health Department Approval on file. ~~cLCS~::~ No final inspection has been made. No Plumber Solder Certificate on file (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 18101 - dwelling Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT CONSTANTINE P. GEORGIOPOULOS 156 READ AVENUE CRESTWOOD, NY 10707 TELEPHONE (91 4) 793-61 44 Tuesday, January 23, 2001 Building Department Town of Southold P. O Box 1179 Southold NY 1179 Ref.: Building Permit No. 18101 Dwelling 1330 North Sea Drive, Southold NY Dear Ladies & Gentlemen In reply to your letter dated January 11, 2001 please note the following 1. Application for Certtficate of Occupancy is enclosed, 2. There is a partial Fire Underwriters certification on file under the above file number, and a final certificate for the basement m alteration file No 26989 (copy enclosed). I have made arrangement with Mr. Roger Richards to inspect the premises within the next several weeks. 3. Check in the amount of $25.00 is enclosed; and 4. Enclosed is the approval of the Health Department dated January 21, 1992 (H S Ref No. 88-SO-128) [survey by Roderick Van Tuyl revised February 6, 1990 bearing green approval stamp of the Suffolk County Department of Health Services]. Very truly yours, Constantine P. Georgiopoulos Page 1 of 1 o~~gUFFO[,~coG o~ s~ Town Hall, 53095 Main Road y = Fax (631) 765-1823 P O Box 1179 O ~ ~ Telephone (631) 765-1802 Southold, New York 11971-0959 'f~r~l ~ ~~0~ BUILDING DEPARTMENT TOWN OF SOUTHOLD January 11, 2001 Constantine Georgiopoulos 156 Read Ave. Crestwood, NY 10707 RE 1330 North Sea Dr., Southold 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 XX 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 # 18101 - dwelling Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. (516) 765 802 O~pSUFfO(~-CO VICTOR LESSARD, Principal Gy` SCOTT L. HARRIS, Supervisor CURTIS HORTON, Sensor °w = Southold Town Hall VINCENT R. WIECZOREK, Ordinance p "t P.O. Box 1179, 53095 Matn Road ROBERT FISHER, Assistant Fire ~l' ~ Southold, New York 11971 '~O,( ~0 Fax (516) 765-1823 Butldtng Inspectors ~ Telephone (516) 765-1800 THOMAS FTSHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD May 15, 1991 Mr. C.P. Georgiopoulos 156 Read Avenue Crestwood, N.Y. 10707 Re: Building Permit #18101-Z Suff. Co. Tax Map #1000-54-5-9.3 Dear Mr. Georgiopoulos: We are in receipt of your letter dated May 10, 1991 requesting a 6 month extension on the above building permit. Please be advised that the above building permit expired on May 8th, 1991 and a 6 month extension cannot be granted. Anew building permit is required. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher, Building Inspector TJF:gar r Form No. 6 7T'a~' ~Cie~/S~ 1647 TOWN OF SOUTIIOLD BUILDING DEPARTMENT '~Y TOWN HALL .k~, 765-1802 ~ 29 ~,~V ~ 1 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY.. ~"~~e-`i~ ' KCB ~"r»*- 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 12 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. Su~mit 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 $15.00, Commercial $15.00 Date V'....~ ':ew Construction..,~~... 01d Or Pre-existing Building location e£ Pro t ~ ~3 NOCL.7N...Se'A...'1~~`.;V~ ...............~.CUTNIIt.~....... pc.. y.. House No. Street Hamlet Onwer or Owners of Property.COivST~r,(-Cf~u~ F~ ~"~/i2Qtt-f Cr%l»G-toPt~~t(_u~ . . . . . . County Tax Map No 1000, Section...~.r~..~......Block.....~~...........Lot Subdivision .................................'.y...Filed Map............Lot...................... Permit No.. .....Dag~te Of Permit..~[~:..........ApplicanC 'iealth Dept. Approval....'~~. Q.. ..c~. v....'..Z: g..Underwriters Approval.. , Planning Board Approval aequest for: Temporary Certificate........... Final Certicate..:!,,,.... Fee Submitted: $ ..1~..1d................ APPLICANT _ ,;UM~'~tLUTC ~ ;v L S: - :.~S:I l~Ui.Te.. { c7 ' _ H 7 ~ ~ ~ ?OUIIDATIOII (1st) ~ ~ D _ c 9.? 8'~ m _ t ?QUIIDATIOId (2nd) z - ~ o ~ " 4 ~ ~ °.OUGH FRAME & ~ PLUMBING ~ ` m i C_~ ~ m 3 . "F~ Q.il. ~ 'c" y } 3521 ~ _ . II~ LATIOII PER Y • ) ®-sn S T~T E~E N E,g G Y i~ x t(~ ~ c'•O'C O~D,E,,,~ sGC~ f~ ~ ~ ~ ~ ~ r 3 m H . 7 FI;7AL 0 i i CT] x ADDITIOCIAL COMMENTS: Q '"7 ~r _ 0 x ~n ./-r-~ i O .~-~9.Y H ~9 Q~S ? r H x ro H Foicri xo. 11 TOWt~t OP EOU'rHOLD BUILDING DEPARTM~tT TOWN HALL SOUTFIOLD, NY DEVI:LOPMk~IT I'ERMI'P p 2do l~~~F Date (~p 1~)~9 l~ex:niaaion is heroby grantod to: ~r~ ~NS7`~o~TiN~ y-N9Ctiff/',~~eG~o/ou/os J..~"7z 1~2~"~ ~?ti ~GEs~L..~oo~ ~.4.~Io-1 a to ContsV~ueCj' Iq on1E ~}/.o-rn,l4 / ~.JE//•N G, at pramiaea locatod at / 330 ~oaz`TN ~~A S u uQ-N~ ~ ~y_ Ccut~ty Tax M~xp rio. 1000 Sootiori os Blocls OS Lot q.3_.~~ purnuunt to appliontion dated 19„,„., and approved by the Building Ixtapoctor. T;uildint; porzait rtu. ~ 8~ ~ I~ ~L ~ f \ mow- IIuildinR Tnspoctor 1~I~5J 156 Read Avenue Crestwood, \.Y. 10707 Friday, ;Nay 10. 1991 Mr. T. Fisher Town of Southold Building Department Town Nall Southold, SY 11971 Ref.: Building Permrt \o. ~~`Z Date of Issue: May , 1989 Dear Mr. Fisher: I enclose the above referenced Building Permit and request a six (6) month extension. Please issue an extension to the above Building Permit which will expire on \ovember g , 1991. eery truly ,yours, e.~.~ C. P. Georgiopoulo MAV l ~3~1 V 156 Read Avenue Crestwood, N. Y. 10707 July 20, 1988 Town of Southold Building Department Town Hall Southold, N.Y. 11971 Dear Sirs: I submit herewith an Application for a Building Permit, together with a check to your order without amount. You are authorized to complete the check by inserting the correct fee for issuance of the Building Permit. I am re-applying for a Building Permit. The prior Building Permit was issued in the name of my wife Harriet Georgiopoulos under Number 15226 Z. All the building plans and other documents are in your file for the prior Building Permit, except for a revised foundation plan which is enclosed herewith. Please issue the Building Permit as promptly as possible as we are anxious to complete this project. Very truly yours, Constantine P. Georgiopoulos Business Telephone: (212) 732-5520 I hereby consent to the use of the Building Plans and other documents which are in the files of the Town of Southold Building Department, under Building Permit No. 15226 Z, in connection with the application dated July 19, 1988 by Constantine P. Georgiopoulos. Dated: July 20, 1988 Harriet Georgiopou os ~~g~F FQ(.k~~G o ~ ' Town Hall, 53095 Mam Road O ~ ~ ~ P O Box 1179 Southold, New York 11971 1UDITH T TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD _ SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 492 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name STRANG, CARRETT A. Address 1: P. O. BOX 1412 City St Zip SOUTHOLD NY 11971 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 12/9/88. Name Of Owner GEORGIOPULOS, CONSTANTINE Mailing Address 1 156 READ AVENUE City St Zip CRESTWOOD NY 10707 Property Address 1 1330 NORTH SEA DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 5 lot 9.003 Cross Street KENNY'S ROAD Building Permit Number Cross Reference: ~I ~ i ---~1= ===~~I'--/~ Issue Date: 5/03/89 Judith T. Terry Southold Town Clerk rTnwni ccnl ~ A UFF~(k~~ TRUSTEES SCOTT L HARRIS BCQG U~P7 ~ ~ ~ Supervisor John M Bredemeyer, III, WN OF ;.ULTH4lD ' Henry P Smnh, Vice President AlbeR J Knipski, Jx y~~~ ' j\o Town Hall, 53095 Main Roa John L Bednoskt, Jr P O. Box (179 John 8 Tu[hill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFTCANT EFFECT ON THE ENVIRONMENT APPLICATTON NO. 3-2-90-59-01-21.6 & 21.7 NAME: ~ ° _ti~OS DATE: April 25, 1990rt RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, " Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: DESCRIPTION OF ACTION: Construct single family dwelling, sanitary system, driveway and place fill to meet requirements. LOCATION: Lake Drive, Southold, NY, fronting un-named Freshwater Wetlands. Tax map No. 1000-59-O1-21.6-& 21.7 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: Planning Board, Bldg. Dept. , ZBA NYSDEC, Army Corps of Engineers CAC J~i~l 765-1802 BUILDING DEPT. tNSPECTlON [ ]FOUNDATION 1ST ( ] BOUGH PLBG. [ ]FOUNDATION 2ND [~/]/INSULATION [ ]FRAMING ( ]FINAL REMARKS: DATE t ~ L~~ INSPECTOR f~' ass-isoz BUILDING DEPT. c~ ~NSPECTiON~ [ )FOUNDATION 1ST ( ] ROUGHmPL'BG. [ ]FOUNDATION 2ND [ ]INSULATION [ ~ FRAMING ( INAL REMARKS: ~ _ _ _ e~ DATE / INSPECTO~~.Pti ~i(p~ acs-iso2 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [//FINAL REMARKS: ~C--~~ .-T DATE 0 d INSPECTOR ~j rn /J r BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ) ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: - ~ ` C DATE INSPECTOR ~ ,p T65-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARK D <G~ r,~ DATE INSPECTO ~ 7ss-iso2 BUILDING DEPT. INSPECTICyN [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~-r,~'~~ G~ DATE ~ INSPECTOR ~ ( ass-isoa BUILDING DEPT. INSPECTION [ ] ~QUNDATION i5T ( j ROUGH PLBG. [/}`FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE 0 ~ INSPECTOR ~1 - THE NEW YORK BOARD OF FIRE UNDERWRITERS - 1.]~'~'15 ^ BUREAU OF ELECTRICITY BS JOHN STREET, NEW YORK, NEW YORK 10038 Date APkTL 1)8,'L991 gpplicationNo.onfile 6?.8ah48i+$4 N liili:I.7 THIS CERTIFIES THAT only the electriea! equipment a. described 6elom and introduced by the opplicant named on the above application number in thepremises of ('.P.~lp;l~'hGLOPOiJi~OS, 1.:531) III. SF,A Ph. , S00'PHrI~J), td.7. = in the follouinq hNration; ~ Basement ? lat Fl. ? Ynd FY. f Ah ~ pl! i .Section Block Lot tvoa eromined on B.PR JII 07.,1991 andfouwdto be in curnplianre with the reyuirernenta of this Board. - FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISN WASNERS EXHAUST FANS t OUTLETS KEFTACLFS SWI7CXE$ INCANDESCENT. flUdESCENT OTHEe MIT. K. W. AMT. K. W. AMi. K.W. AMt. K. W. AMT. H. P. - i 7G DRYERS RIRNACE MOTORS FUTURE AIPIIANCE 1ElDlRS SFECIAIRK'?T TIMF CLOCKS BEII UNtT NlATERS MUITI-OUTLET DIMMERS AMT. K. W. dl H. P. GAS N. P. AMT. NO. A. W. G. MIT. AMR. MIT. AMPS. TRANS. AMT. H. P. STSTEMS AMT. WATiS NO.OF FEET 1 t(1 z s - SlRVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMR. ppE METER I / ]W I ,a ]W ] / 3W 3 F AW ~ CC COND. A. w G. NO. Of N4LEG a. w. G NO, OF NEUTRALS A w G. LOUD. PER d OF CG COND. Oi NLViG Oi NEVTRAI ~ ~uco cA t ~ ~ 2/0 t pro OTNFR AY?ARA7U5: MO'~ONSrI.-(l.75 H.Y. G-F.C.1:-Z e *lVngR: This is a parti=+1, Hilt a - l'~;ra'I'!ete rect~i.fil^at.~ SAGS & LAll$~tANN l~!Ut-. C/~~~ ' / F.O.HOX i~6F ;iQUTHI~hO, NY, 1 7 9'7 . CiNiERl1l MANAOlR I z_ Per . This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. - COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS Nnc,E i r ~ ' 1 BS JOHN STREETANE:W YORKTNEW YORK 10038 Date JANI)AIiY 29,1992 APPlication No. on file 78641::301191 iV 22;'SC''~ THIS CERTIFIES THAT z only the electrical equipment as deacrihed hebur and introduced by the applicant nomad on the shove application number in the premises of i 5 C.GEOki;IQVl7ULOS, 133J PIOATH SEA ORIVE SUU7N,C7LH. ELI. in thefolloming llN'OtiOn: ~ Basement ? 1st FL ~ 2nd Fl, Section Block Lot uws evarnined on U E C f MB E R ~ 1 1 99 1 and found W he in compliance with the requiremend u/this Board. FIXTURE KEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISN WASHERS EXNAUST FANS OUTLETS INCANDESCENTftL10RE5CENT OTHEn MAT. K.W. AMi. K.W. AMT. N.W. AMT. N.W. AMi. N.P. E I 1 S 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE iEEDERS SPECIAL REC'PT TIME CLOCKS YLL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K. w. on N. P. GM H. P. MAT. NO. A. W. G AMT. AMP. AMT. AMpS. TRANS. AMT. N P. NO. OF FEET AMi. WATiS t ~ z r t SERVICE DISCONNKT NO.OF S E R V I C E MIT, AMp. ttPE METER 1 / [W 1 L 3W 3 H JW 3 H AW PIG. ~ CG COND. A W G. NO. OF NI-LEG A. W' G NO. OF NEUTRALS A. W G EQUIP. PER H OF CC. COND. OF NI~LEG OF NEI1TMAl OTHER APPARATUS: tlrfl-cls REMavro As PIER. a-a-9; I s i z hi. SMITH RLUM6ING,HEAT18u LIC.$1[i99E `~i~%~ MA t id FOAi), N. U. GO?~ d8 i OENFRAI MANAGN SOUTHOLO, NY, 11971 11 ~ Per ` This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Application Received Disapproval Issued Permit # l+~ 19$~ 19_ m~ 8 I9~~ FORM N0. la APPLICATION FOR DEVELOPMENT PERMIT IN THE TOWN OF SOUTHOLD a 19~ i. type vi lieveiopment rroposefl: New Structure ~incluuing SLUraye tauxs Addition and/or Alteration Flood Proof Below Base Flood Elevation Other (specify) 2. Elevation Data in relation to above mean sea level of,: (a) Lowest floor elevation, including basement feet inches (b) In a V Zone, bottom of lowest structural member feet inches 3. FIRM--Flood Insurance Rate Map, Zone designationsl~,.~~~~ 4. owner of Premises Co~vsY.o~ViniC ~ lJaCtrSQ- ~,e ~ so.~lss 5. Location of Property: l 330 Noc~`!d ~it ~K. ~~~}o~ House # Street Hamlet County Tax Map No., Dist. 1000, Section O S ~ Block Lot(s) Subdivision Filed Map# Lot(s) 6. Permission to be granted: Owner as above New Owner Under Contract _ Lessee _ Contractor _ Phone # Name if not given above Mailing address 7. Approval from other(s) before Permit is issued: DEC Wetlands (Town Board} Health Services - ZSA Building Permit / / o J ~ Planning Board 8. I, the applicant, am the Owner Co-Owner 1 New Owner Under Contract Lessee Agent Contractor and agree to comply with all applicable sections of the Code of the Town of Southold; County, and State and to admit authorized inspectors to premises 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 my knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith. STATE OF NEW ~'ORIC COUNTY OF ~~.1'~ SS ' Signature SWORN TO THIS 3 DAY OF 19 ~S I , / wm HFEEN % GF 40E ~L~, (/D-~- T'0¢ 4 ?NI x3 1 ~lnTAFY a,~Rt1C S'a+° of HewntY~ar Notar Public ~ Map~jW S"~f18RdAUYNLUli d'" ~}.,..'n s>.15-..G+ Y 'r.~ f.pr^ 30A 30 71 N313H Applicant's mailing address and phone # if not given above 11/85 FORM NO. 10 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 P.O. Box 728 Town Ha11 Southold, N.Y. 11971 Main Road SOUthold,N.Y. APPT T('AT T(1TT Ff1R iIFCTFT (1PMFATT AFRMTT Instructions: The application to the Building inspector includes (each in duplicate) 1. Form No. 10 filled out in ink or typewritten, 2. Sur- vey of premises with elevations above mean sea level, 3. Drawings of pro- posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of the Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other agency requires. General Standards as required in Section 46-17 of the law to minimize flood damage: A. Anchoring of structures, including tanks and mobile homes B. Use of construction material and methods C. Design and location of utilities D. Subdivision proposal with drainage, public utilities design and base flood elevations Specific Standards as required in Section 46-18: A. Residential construction B. Non-residential construction C. Mobile homes The applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below the base flood level the structure is water tight with walls substantially and impermeable to the passage of water, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must submit certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Code are satisfied. Coastal High Hazard area (V Zone) 46-19. Applicant shall submit plans, specifications including the required certifications"and such other in- formation as the Building Inspector may require in that the provisions of 46-19 are complied with. Mobile homes are prohibited. The lowest portion of the structural members of the lowest floor cannot be lower than the base flood elevation with all space below open except breakaway walls. Sand Dunes. If sand dunes exist on the premises and the applicant pro- poses to alter same, plans and specification must be shown in detailed nature of any alteration submitted. Building Permit. A Building Permit is also required for any structure. Both a Development and a Building Permit must be issued before any work can start in a spec;<al flood hazard zone. A written disapproval or a permit must be issued within ten (10) working days. During construction, the inspector shall be notified in time so he may make the required inspections. Upon completion, the required certification of the final elevations and work must be submitted before the approval to use or occupy can be approved. (Fill out the form on the back of this sheet) 11/85 +a SO.taD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY ~t s TOWN OF SOUTHOLD CHCCK • .~.7r~ . BUILDING DEPARTMENT SEPTIC roam ' TOWN HALL $OUTNOLD. N.Y 11071 NOTIFY 1d~ TEL.:7051H02 CALL Examined • • • $ • • • 19.1. MAIL TO ,\PProvud J~ 19~q. Penntt No 1 ~ 4°.i. D ~ ~ g ~ ~ ~ DisaPPtoved a(c ~ 198$ ~ 'torn%'~`',~ Nr A 4r a.rJTS.~OLD (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date 3ula 19 I~B: INSTRUCTIONS a. Tlus application must be completely filled in by typewnter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. i b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premtses or public stre_ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of ttus app canon. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of tlus apphcahon, the Budding Inspector will issued a Building Permrt to the apphcant. Such perry shall be kept on the premtses available for inspection throughout the work. e. No butldtng shall be occupied or used m whole or in part for any purpose whatever untff a Certificate of Occupan~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bwlding Permit pursuant to t; Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, For the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbe~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing de % and regulations, and t admit authonzed inspectors on premises and in building for necessary inspec(t,~?ons (Signature of apphcant, or name, if a corporation) 156 Read F.ve., Crestwood NY 10707 • (IvSailmg address of apphcant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, eiectrtcian, plumber or buAdei ....................ownes...................................................................... Name of owner of premises Con.stdrxt.~.r@. P:..Cr~orgio~oulos. x. Harriet Georgioooulos (as on the tax roll or latest deed) If apphcant is a corporation, signature of duty authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . Other Trade's License No . . l3~~.e North Sea Drive, Southold, New Xork 1. Location of land on which proposed work will be done • house Number Strcet~ Hamlet 54 5 9.3 County Ta~A1ap No 1000 Section Block Lot.................. Subdivtston Flied Rlap No . , . Lot . (Name) State c~is4ng use and occupancy of premtses and intended use and occupancy of proNOSed coastrucuon• a. Existing use and occupancy Vacant lot, , , . • . , • _ • , • . b. Intended use and occupancy , , Single *am>_ly dwelling 3. Nature of work (check w hich applicable). New [3mldmg X...... Addition .Uteratwn , Repair Removal Demolttlon Other \Vork . (Dcscnpu~ 4. Estimated Cost ...~1~'J,300: Fee (to be pald on fling thu appllcaUOn) 5. If dwelling, number of dwelling units One, , , , , , , Number of dwe1lR[g'umis on each floor . Ifgaragc.numbcrofcars 6. If business, comrnerc~al or mired occupancy, specily nature and extent of each type of use . 7. Dmrensions of extstmg structures, tf any. E"ront , • Rear Depth . Flelght ...............NumberofStones.. Dimensions of same structure with altcrattons or additions. Front Rear . Depth llctght Nutt~~tbcr of Stones 4a _ .7ry, • , 8. Dunenstons of enttrc new construction. Front A.6 Rear . 46..... Depth . Height Number of Stones . • . • p- • • 30 Q feet . 9. Sixeoflot:Front ...,1Q0• feet Roar..100,fee.t: De th • 10. Date of Purchase • .Name of Former Owner 1 1. Zone or use district m which premises are situated • . , . 12. Does proposed construction violate any 2onmg law, ordinance or regulahon~ • , • No . 13. Will lot be regraded .............No............. 1Vi11 excess fill be removed from p emises: Yes 14. Name of Owner of premtses .C,p.,.GeOx;T~onoulosAddress tSt.KE??. .r4~:= Ptton'e"tvo~?f:~} 7F,3 ;~ru~ Name of Architect /adrlEess eReS7~sac o ny <a to'~,h~e No.~hlz}: 7 32: S S L• Name of Contractor .....Address ...Phone No.. . 15.Ts this property located vithin~00 feet of a tidal~vetland? *•iY•l~ff....NO.c~ *If yes, Southold Tovn Trustees Permit may be required. PLOT DIAGRAbi Locate clearly and dtsttnctly all buildings, whether existing or proposed, and, indicate all set-back dunensions f, property lines. Give street and block number or descnption accordmg to deed, and show street names and indicate whet rntenor or comer lot. On file with tha 3uildinq Deoart*.nent under Permit No 15226 Z STATE OF NE\V YOR)ti, COUNTY OF ........Naw..Xgz~ S.S Constantine P• Georgiopoulos • • • • • • • • • . • • • • being duly sworn, deposes and says that }ie is the applic (Name of mdrvidual signing contract) above named. ••.••.••.•••.•Owner feisttie............ (ContraUor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authonzcd to perform or have perforrned the said wort. and to make and file i pplicauon; that a1! statements contamcd in this appltcauon arc tnic to the best of !us knowledge and belief; and that pork will be performed in the manner set forth m the application fled therewith. wdm to before me [his July 1988 ~y of ,19~.. ~ itlr~'"~ / oWry Public, Cou t~~ Nokary Publloll. State o~cw York C....`..~ . No 313761663 QuahBed m New York County (Si,nature of appltc: Commisswn Fxp~res June 30, 199[7 T- - - - Gc - ~ ~ ~ £ , $ ni r ~ j ti'i y ~ r s. ~ 'r'r'' T ~ ~ ~ x+ ~ ' tia' ~ ~ ~ t r r" ' ~'~ti.,,• V 1.1 , ~ Y' e.:, ~ K ~ r ~ i..: ~ - ' 1 ~ . i ~ j ' YZC~ -r - ~f rr~ ~f.~i~ it ~,r-- - ~ _ _ to ` 1 ~ ~ ` • x '•_~7 ~ ~ ~ ~ i'1 to v t n'E ~ ~ v _ w ~ `n ~ r._ v~, _ j; ~ 1 coy i +s ~ n ~ T^ ~ ~ _ i,'"---__r - C Pf2GP Uf'tv9 y 3,~(j t';L'"~~.... 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