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HomeMy WebLinkAbout17185-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18793 Date FEBRUARY 13, 1990 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 12500 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 14 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 13, 1988 pursuant to which Building Permit No. 17185-Z dated JULY 1, 1988 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 ALTERATION & IIECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to EMANUEL & MARIA XEFOS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-046202 - NOVEMBER 17, 1958 PLUMBERS CERTIFICATION DATED FEB. 7, 1990-PECONIC PLUMBING & HEATING ~ ` Building Inspector Rev . 1 f 81 roan xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMI7 MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 0 0171.8 5 Z Dote 19.. Permission is hereby granted to: n , ~a ...c..:er.Q.:....S3s...~S~s~K.....a:~„.~l~t..~:~.... ~,...F~'=~'..:~....~?`^:~..~.4:r~n..+Y),.{.. . I cY Premises located at ~J'.~?.......~.°.~:`x^ ........................~~.........~M.C.n'.t................. ~...~/.?.:'YI.G*rr.1:~:t~srFr.........~. e.:~.~51::~ ...........f~..~.~Q:~~ County Tax Map No. 1000 Section .......523.1....... Block .......~..`f.......... Lot No....~..7 pursuant to application dated ..........~..~..4rK.~9.,,...~..~ 19~ p.., and approved by the Building Inspector. Fee •~.a-~-.~:-.-,............ Building Inspector Rev. 6/30/80 ~ TOWN OP SOUTIlOLD BUILDING DEPART~tEtlT Aft g~~ TOWN IlALL JAN 4 ~I pp SOUTDOLD, NEW YORK ! 1971 f31.I~"-<<~p=T°~~~~ g 765 - 1802 TOi/,~[~~ C7~~(; .IU I'ii~L P7„ ~ APPLICATION FOR CERTIFICATE OF OCCUPAttCY ' DATE/'~~_ - 2 +_f ! ~ NEW CO:ISTRU . - . . - CTION~!•,,,,,OLD OR PRE-E$ISTZtlG BUILDZNG......VACAt1T / LAND.. Location of Property. l~ SIY'~..~'cQ//~..,tQ.t~...... ~,,/`~.~,~..~,p~ /~nnA••,•••• HOUSE NO. ? STREET ~'v' • llAHLET Ovncr or Ovncrs of Property..... ~~"/IQ!?1~~•~-_!~-.LA~~,~i ~~b County Taa Map No. 1000 Section .(`,~,I- IIloc[c _~_y_,- Lot' Subdivision.. pp.. Filed M~a~p ........Lot, Pcrai[ tlo.l~~Q,S.~.Datc o 'Jv~ff_t//~`fi f Permit fJ Applicant Uealth Dept. Approval " " Urtdcrvritcrs Approval._._,,,•„ PlanninC [ioard Approval Request for Temporary Certificate ~f / Final Certificate Fcc Submitted: $..-2S:o,~..-_...... APPLICANT,~i~ t~~t/~%~ !0/14188 Q.~~a~sq~i ~D Ca ~8~q3 ~ V~ ` „ ~ FOIU1 NO, 6 ' TOWN OF SOUTIIOLD BUILDING DEPART!ffiNT j !i TOWN MLr 7G5 - 1802 APPLICATION FOR CERTIFICATE OP OCCUPANCY INSTRUCTIONS A. 'This application musC be filed in typewriter OR ink and subm'iCted to the Building Inspector with the following; for aew buildings 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 of Qealth Dept. of water supply and sewera'ne-disposal(S-9 form). 3- approval of electrical insCallation from Board of Fire Underwriters. 4_'Sworn statement from plumber certifying that solder used in system contains less than 2/10 of IX lead. S, Commercial buildings, industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6, SubmiC Planning Board Approval of completed site plan req~~uirements. 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, s,Creets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect si'gaed bq the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the 'reasons therefor in writing to the applicant, 3.~DaCe of any housing code or safety inspection of building's or premises, or other pertinent information required to prepare a certificate. C. Fot Vacant Land Certificate of Occupancy: L An application for vacant land Certificate of Occupancy s~all be submitted,, -and a certified abstract of Citle issued bq a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. Zf a Certificate of Occupancy is denied,, the Building Inspector shall state the reasons therefor in writing to the applicant, D. FEES; D, CERTIFICATE OF OCCUPANCY - New Dwell in Alteration to Dwellin g $25.00, Additions to Dwelling $25.00, Addition to Accessorygbuildin~sSwxmming Pool, $25.OO.j Accessory building $25.00 S $25.00 - Businesses; $50.00, 2. Certificate of Occupancy on pre-existing dwelling - $(00.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10,00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 ~ ' 6. Temporary Certificate of Occu anc ~ P Y $1.5.00 Residential $50.00 Commercial ' 'O. 10/14/S8 i i ©~o~~FF~~ co? TEL. 7~s-ISOz TORN OT'' SOYJT~Od.D 1':~' ~ ~:4' < OFFICE OF IIUILDII4G IN5PEGTOR io _~ty~ r:r, P.O. BOX 728 + TOWN HALL v, , ~ ~~c' SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N , Date ~ r~/~O Building Permit No. /'7/ 8-,~!/ owner .LC/f1AA/d~L ~!F~=~ r (please print/) ' P1urWer_f~cv~i<. /~~c~/?7f~i~v~~~F~l/rt/~S (please grant) / I certify that the solder used in the water supply system contains less than 2/10 of l~ lead. „ (plumber' signature) Sworn to befor: m 1s day of _ C~• nn Notary Pub is tiotarf Public,~U~~O~- County ' f3ARE3AgA S7CPNOW3K1 Notary Public, fitato of New York Nn.a8a4a82 Qualified in SuNolk Gaenty Commission Ekpires Ntprep 30, t8.~ THE NEW YORK BOARD OF FIRE UNDERWRITERS -~t;z - r~n+ BUREAU OF ELEGTRICT' 85 JOHN STREE'L.NEW YORK, NEW YORK 10038 - Daa :YOV?°.dR+'R }7.'.98v Application No. on file 567r~?9H3 /3~ `'t ~)+`+J:: i THIS CERi1FIE5 THAT ~ { onl,T the s/ec[riea! equipment v deECrihed kdoto and introduced by the opplicent nenKad on the ekeoe epplicatlon numher in the pronsisea of ; r';NPdY'RF,FUS, %50U KAN !tUAD EAST MAR`ON, N.Y. - in the foilotcinp kn-etion; ~ Basement ~ !A[ Fl. ? YKad Fl. Sectwn. Block Lot wos esemined on .PIOVE;IB ASR 11 , i j$ T; end found to he in compliance with the requirements of thu Buord. R%TINE AQ~ SWeTCNES RXTUR6 IGN06 fXeOKR100ECK5 OVlNS DISH WASirRS EXNAYST FANS OUTIRTE NCM~OES[EM FIGOKESCENT v AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. M. r. DRYEIIS RJ101AC! MOTORS tuTtME Ae711Ae1CE TnRer S/ECIAI eeRCrT TIMEtXOCKS pu UIRT e1EATlrE AMIITI-0Utltt DIERhREK AMT. K. w. at X. r. GAS M. r. AMT. n0. A. W. G. AMT. AAV. AMT. AWS. TRANS. AMT. x. r. N ~q ~T um. wAm 5 F,';0 -SERVIC7 07 NO.Of S E R Y 1 C E . AMr. AMr. TrrE t•~itl?.. I / xw I / ]w a i Tw 7 / Aw w. Ki i GnG' ar c~ t°aw. ra. a nuEC a~~:~ w. a neuruu a r~[nut OTNER A/?ARATIIS: DEFECTS REMOVED AS PER 07-21-88-i ELEC. R00'.K HEATERS:2-2.0 K.1i. G.F.C.I:-1 AMOUNT - - REASE REMIT RT Cergt oR tAO?rT ~ oel0rl To TIr ORDrt or Ter w!W 547.75 ' °"RCwse°Oi s~rtTirR°MAr r, & ~ CONTP,ACTOR ~ or SRtOER. ~ ROR ~?.5 ~'~LC~N53 *10. ~~~%3 Per i TNI515 YOUR &LL W R SERVICE RENOERW AND IS NOT A CERTIpCATE OE COWIIANCF. TNIS MLL MYAME AT THE NEW YORK ORICE, EE IONN STRlET, NEW YORK. N. Y. 1007! 1 January 23, 1990 Mr. Emanuel Xefos 12500 Main Road East Marion, N. Y. 11939 Dear Mr. Xefos: On March 21, 1989 a letter was sent to D.E.K. Custom Homes regarding what is needed for your Certificate of Occupancy. I am enclosing a copy of this letter. To date we have not received the necessary papers to issue the Certificate of Occupancy. It is required that you have this. Please send your Underwriters Certificate and Plumbers Certifi- cate and your check for $25.00 along with the enclosed applica- tion. Thank you. Yours truly, Secretary . k 1m'j"h, TEL. 7C,5-180 `~05,,~,, '~~c~ ~ ~ro~rrr or sou~or.~ 6;,~~ ~ Ot'E'ICE OP IIUlLD1NG INSPECTOR ~ ~ TOWN ItALL ` ~',y ~'t- SOU'i'IIOLD, N.Y. 1 1971 ~o . MARCH 21, ]989 D.E.K. CUSTOM HOMES. IIIS MAIN STREET GREENPORT, NEW YORK 11944 RE: EMANUEL XEFOS To L4hom This, May Concern, 4;e are unable to complete your Certificate of Occunancy because ,of the following reasons. r1n application for Certificate of Occupancy is not nn fi].c. CENCLOSED) /5~! Pio Underwriters Certificate on file. 'Phc chccF: .i:; (XaY~dXM<1/not on tile.) $25.00 No lical.th Dept. npproval on file. J_,J No final inst~cct:ion has been made. Pease contact our office on this matter. Thank you for your cooperation. llu.ilclir•,y Pcrut.i.t. 1! I 7 1 8 5 Z t3nilc]incl Dupt. ;.4k/y( tlo Plumber :;older Certificate on Lile. ( al.l pc:rmiCs invo lviny plumttiny be my i~sucd aft.cr <1pri.1 1,19A4 ) ~1::LD iI:SPcCiiu;1 ~~UATE ~ COi`(MENT° 'o v -r . m 1 . ? ~~~y _ _ _ y v l FOUIJDATION (1st) a JN c FOUNDATIOIJ (2nd) m 2. 7 z „ ROUGH FRAME & o PLUMBING y~ r- e v' H ~~aa 3. ~ ~ d., r~ ItSSULATION PER N. Y. • ~ `3 'f1 STATE ENERGY ~ ' CODE m mod' y FIi4AL / e~-- z ADDITIOPIAL COMMENTS: x ra ' x ro• H 9 H ,.O ~ ~ z ~ ro ~ ~ y 75 x e m H l7~ ~ of 765-1802 BUILDING DEPT. 1NSRECTt0t~1 [)FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN ULATION [ ]FRAMING [ FINAL REMARKS: n s f I DATE I 1 ~ ~ ~ ~ INSPECTOR r l 7t6~ xss-iso2 BUILDING DEPT. 1 NSP'ECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: DATE ~a~ ~ INSPECTOR 'Y"'? , ~7 rg~~ 765-1802 BUILDING DEPT. 1 NSPECTIt,~l~l j ]FOUNDATION i$T ( } ROUGH PLBG. [ ]FOUNDATION 2ND [ INSULATION j ]FRAMING j ]FINAL ~ ~ ~ ~ REMARKS:C~~~,~ r a t . 4 Q~.-~ ~ ~ ~ s k DATE '7/t~~~ IN8PECTOR / ~ -P,~ G `~t~- 2 . New York State Department of Environmental Conservation Bulldtng 40-SONY, Stony Brook, New York 11794 ' Regulatory Affairs (516) 751-7900 NO PERMIT NECESSARY - 'PIDAL WETLANDS ACT ~ ~c~a~;~ - D ~ Thomas C. Jorling „ (19~~ Commtssloner ~ / T OF SOUiih'OC J ' cation No. /Q'~'~---/~~ !~4yJ~.. ^n~n","~'^•~l, 7fj.(~/?_• Locat-i-on: fv~.`~~ry~o Dear X/ A review hvvas been made of your pr posal to:~ Q~wwu.~c~.~.na,,,v c~ ~~~a~s~ Based on the intcrn~ation you have submitted, the New York State Department of Environmental Conservation has determined that the project is listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations) as a use not requiring a permit or notification letter of approval. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please note that any additional work, or modification to the project as described, may require authorization by this Department. Please con- tact this office if such are contemplated. Please be further advised that this letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. ' Very truly yours, Deputy Regional Permit Administrator J~W BOARD OF HEALTH 3 SETS OF PLANS FORM N0. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY pQ~ ~ 1 yy TEL.: 765-1802 CALL . Examined ...~..1 19 .(.Y MAIL T0: ! ~ Approved (VI' 19~.~ Permit No. ~ 7........ DP~ Disapproved a/c !~0 ~ I ~f2,~ d (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ...~4?'~-`.z-':. ~-3.., 15 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. 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 outer 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, housinti code, and regulations, and to admit authorized inspectors on premises and in building'for necessary ins tuns. (Srgnature of applicant, or na e, if a corporation) ~o~..s~,~~,;~y.. s~.... ~~cax,~,~>L ~;,r (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises , . f;-~.f.~~l/~~...... ~.C (as on the tax roll or latest deed) !f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. , ~o.~.... Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done. ~A;S ~ ~A~~ ~oZ.? 0~ ~0~ !J house Number Street HHamlet ~-7 County Tax Map No. 1000 Section Block ........~.7....... Lot 1....... . Subdivision Filed Map No. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..............4~~ F..rR!~?!~,Y, , , . /i?PL~ /"irrG'~ rf ii b. Intended use and occupancy i ~}~'•~~-'~6gl OE 4~eW seipK3 ~1 (;usaydde jo amxe 5t ) d~~'JMIoAsS`8l.810LY'aN MpA aNWeW15'~I7BIldldWlpN 30A 30 H N313H .S;unoO.... , ~ v ~ a'Ignd ~SxcloH R~6I ` `•3o.Cep• ((f/ E/ scyl aw axo3aq o; rooms •y;tMaxatp pa10 uo~leatidde ay; ur q;xo3;as iauusw atT; ui pauxio3xad aq i~rm ,yxom aql lsy7 pus:3aT~aq pue aSpalMOUx sryi3o;saq ay; o; anx; ale uor;ea~idde styl w pause;uoa s;wawa;e;s ~Te )ey; :uoa;eagddc sct~; a10 pue ~xsw o; pueyxoM pies any; pauuolxad aney'xo tuxo3iad o; pazuoy;ns ,S~np sr ptie 's{auhto Yo xaumo pros Jo (•o}a'xaai3;o a;sxodxoa °;uaSe `xo;aex;uoa) .................................ay;shag (;qex;uoa a~ntn°ois isnprnrpuc 3o awety) ;usac dde a sc a e sties ue sasod ~ 'paweu anogs [ ql q 3 yl P ~p `tuon+s ~i~np 9u~aq . 30 AJ.~IfIOJ S S `~I21O.L A19N 30 ~J.V.LS i i I • i ~J •;oT xatuoo xo xoua;uT xay;ayM a;eaTptn pue satueu;aax;s Moos put' 'paap o; 2uTpxoaae uoc;duasap xo xagwnu xaoTq pue;aax;s aniO •saun ~i;.tadoxd wox3 suotsuawrp xasq-;as TTE a;eorpuT,rpus `pasodoxd xo 2ur;srxa xay;ayM `s~tnppnq Tis dT;ow;stp pus .Slxsaia a;sao7 1nId2IOdIQ ,LO'Id •p;azinbaz aq dsm atmzaa saalsnzy nMOy ptogznog 'sad 3Ia~ '~,''ON"'-saa>F iPustlael tsp?~ s ;o zaa3 00[ uigzixy pa;snot dlzadozd siq~ sI.S[ • . .~h's'R~LY1,• •oNauoyd""'~A' ~''s" ssax ,va 1) 3t ~9%• PPd'..... xo;asz;uoO3oaweN ,.............ssax •oH auoyd • • • • • • PPt+ " " • ;aa;cyaxd•}o awsN ~~t7 ~ =L'<jS" oN auot{~I~~'~Y~' y' riN~ ssaxPPt~ sasiwaxd 3o xaump 3o aureAI 'tii .sastwaxd wox aA . salt 3 P owax ~9 IIc3 ssaaxa ITEM °•~T~r• T'~~ papsx8ax a4 3ot Ii?M £I :uoc;e~n~axxoaaueucpxo'Mei9uruozdue~otnuor;anx;suoapasodoxdsaoQ 'ZI • pa;sn;cs axs sascwaxd tlaTyM ut;au;sTp asn xo auoZ 'I T Ixaump xatuxol 3o awsN assyamd 3o aleQ 'Oi .....!',-S4:'~ 9,.,5::'': y;da(t ......./.~t7j°..... xeag ~ ;uox3 :;o[Jo aztS •6 ;S I 3S 3o xagwnN ~.D y ' Xa~(? ;y3rag % y; Q . • . • • da ~sauo o xea~ /i! 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DI ' ' • • • • • s;[un 8ug~a,ttp 3o xagwnu'~ug~amp3I 'S (uor;satidde sty; Sui[J uo prod aq o;) aa3 ...........~soO pa;ewt;sg .4 uor duosa ~ XxoA1 xaylO not;T~owaQ . . enowa . 1 2I xn:dag uoc exa , .3 3[tl , uoc;lPPV ' 2uipitng MaH :(a~gsa~idds yatyM xaaya) xxoM,lo am;eH I " a ~ .ya M OO(n-1y PWN -~por ~R+ O h~'t~ O-+.~ O C rn H 2 r p, ;AO~mr ~ Tr"'A 'n .nr cr ~m y ~7 'l fD ~'O zyt~mOOP~'~GC)'Ox20 < m Vl'O W ~z~pta~ ~sOyp,~^'m ro ~a 7a'c;cyC - Q, t8~ ~ 7 p~-yimGm z'T+m~7'AO ` a ~A C~ -rao ~70Cm~m0 ~O~~a ~ ~ m ~ r? -i m 2 - ~n ~ ~ n m --i ~ t9 ~ ~ CU ~oV~~-~OCJtn z2' c~O O ~p cTa C Z C p Om~ ~o yy ]0 m m Fyn Vy7y/ ~ C ~ ~ e6 f /3= ~ O ~ r; Q ~ ~i/9 .~i. .0 ~I Ti .rC ~ rC, ~ ~ v ~a l~~ { t ~ ~ ~ . 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