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HomeMy WebLinkAbout20028-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25926 Date: 08/28/98 THIS CERTIFIES that the building ADDITION Location of Property: 1365 AQUAVIEW AVE EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 22 Block 2 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 14, 1991 pursuant to which Building Permit No. 20028-Z dated JULY 18, 1991 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ie iaeued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate ie iaeued to GEORGIA LAMBROU (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H060894 08/06/98 PLUMBERS CERTIFICATION DATED N/A Hu' ding Inspector Rev. 1/81 rose xa s TOWN OF SOUTNOLD tUILDING DEPARTMENT TOWN NALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 2002 Z Date 19.~/. Permission is hereby grontad to: ...~.x..! .~f ..~:~.`.tiff;.re.~:......a-k,......5?4:~.~4:1~.:/.1r.,.~ Q^..:~....:A:~:•~ ate... ...I.._. ~J~,~,`~_~^ of premises Ixated at .~.V[+......~ ~ ..~...~....~r~~!!.`.5.:.....~:...m.4!::St.N~.......... . County Tox Map No. 1000 Section ....~.~-Vic.... Bleock .....5~.,?......... Lot No.....~.~ pursuant to application doted .........~..p{!~Y.1S1...~..T 19.~:~.., and approved by the Build(n-g7 fnspoctor. Fee S..•%s:../.... ~ I~-.!..h: Bu Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD D ~ ~ ~ I~ ~ BUILDING DEPARTMENT TOWN HALL L 765-1802 T- `0 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OP, 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 buildir 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 an "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 Buildin¢ - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resident~i/al $15. 0, Commercial $15.00 Date . P ~2.~0~9 ~ . New Construction.......... Old Or Pre-existing Building.. Location of Property.....~~~~. AJ~.U~F~'~~cW,~U~,.,.~.,1,?~~~,IO!~/..IV . . House No. Street Hamlet Onwer or Owners of Property.. ~~~°,4._,!ti?4;r!'~~,~;U k County Tax Map No 1000, Section.......~.~ ..Block........... .Lot.... ( Subdivision...........~y .........................Filed Map............Lot...........:........ Permit No..{~.."~©;, Zp„ate Of Permit ................Applicant..~O.~ ~~~~,~d Health Dept. Approval ..........................Underwriters Approval........................ Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted:, ~ APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 2<~72G~24 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 1003f1 Date AUGUST 06 ,1993 APPIica6on No. on file 16500692:9° H 96©294 THIS CERTIFIES THAT PERFIIT N0. 2002EZ only the electrical equipment as described below and introdaced by the applicant named on the above application number is in the premises of I'REB & GEORGIA ~Ah~P.OU, 155 AQUAVIE:^I AVENUE, EAT f1ARI0N, NY in the following location; ? Basement ® Ist Fl. ? 2nd Fl. OUT Section Block Lot was examined on .7UL,Y 30 , 1'~`-al' and found [o be in compliance with the National Electrical Code. FIXTURE RECEPTACIES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDFSCFm FIUORE3CFNT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. X.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMi. K.W. OIL X.P. GAS N.P. AMT. NO. A. W. G. AMi. AMP. AMT. AMPS. TRANS. AMT. H.P. NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO. OF S E R V I C E METER NO. Oi CC COND. A. W. 6. A. W. 6. A. W. 6. AMT. AMP. TVPF ECUIP. 1 0 PW 1 0 JW 9 0 JW 9 0 dW pFR 0 Of C0. COND. NO. OF XIdEG OF XI~LFG NO. Oi NEUTRAl3 OF NFUiRAL OTHER APPARATUS: ENTRY WAY-1 *NO VISUAL DEF~ICTS: "Ar. eler_trical survey has been made of the e.<posecl electrical equipment in the premises indicated." "No obvious unsa.r_isfactory condition oras found. GEORG CA L,FUIBROU P. C. BOX 14i GENERAL MANAGER i GREENPORT, NY, 11944 Per l This certificate must not be altered in any manner; return fo the office of the Board If Incorrect. Inspectors may be identified by }heir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. C~`C/ ti/~ 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND INSULATION [ ]FRAMING (]FINAL REMARKS: C~k=~--~~~--~'v/ DATE INSPECTOR 76S-lso2 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU TION ~ [ ]FRAMING [ INAL [ ] FIREPLACE ~ CHIMNEY REMARKS: DATE ` ~'1 INSPECTOR i 765-1802 BUILDING DEPT. i NSPECTION DATION iS [ ] ROUGH PLBG. UN~ON ND [ ]INSULATION [ l FRAMING [ l FINAL REMARKS: ~i'~'a~ `~l~l D ~ ~.e,-~ . L~C'~ ~ w DATE INSPECTOR i L~ ~ 765-1802 off' _ B 1 1 U LD NG DEPT. INSPECTION F ND ON 1~ J ROUGH PLBG. [ ] ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ ~ i 7 ~ ~I DATE ~ IN8PECTOR 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ] FO DATION 2ND [ ]INSULATION MIND [ ]FINAL REMARK ,~~.Jlti_~ z~ ~ c, ~ - I ~ Q - DATE U INSPECTOR ~~z~' 1i8-1802 suILDINO DEPT. 1 NSPECTION [ ]FOUNDATION i8T [ ]ROUGH PLBG. [ ] FOU ION 2ND [ ]INSULATION [ FRAMING [ ]FINAL REMARKS: DATE D IN8PECTOR c'lELD I::SPE4,;iU:J ~~Ui„E I ~OCiMLNT° 1 . ~O m p ~ ~ 0 _ _d H FOUI7DATION (1st) °d t c B FOUNDATIOIJ ( 2nd ) _ m ~ 2. z - o~ P,OUGH FRAME lx ~ _ - "1 PLUMBING - C - ` • _ y C 3 . m m ^ IIISULATIOII PER N. Y. y ~J STATE ENERGY CODE . _ a 4 . ~7 y FINAL 1 o D° ~ _ ADDZTIOIIAL COMMENTS: m x . ~ - ca _ ~ . N ~ 9 y M N1 O Z r 7 T C m ^o -y y ~ a-, zG"t'f «5 , /r~ ~c ~ J/~.~1/~~ [10,1nD OF HE~1LTft _ GD~\~L~L!\`f,!__,~'y FO7iMN0.1 J SETS OF PL,Ia'' ' TOWN OFSOUTHOLD SUt:VEY , ~ ~ I BUILDING DEPARTMENT CIICC}: _ _ _ _ _ , • • • . . O VN HALL S C PT I C F O f::I _ _ _ . , ~ i SOUTHOLD, N. Y. 11J71 ~ • • ~ ~ ~ • _ f TEL.: 7G5-1802 7:0, 'f' Gya( xamutc C,1LL~ / P1nIL T0. isapprovcd a/c _ . ~ ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19... INSTRUCTIONS a.`~ Tltis application must be completely filled in by typewriter or in ink and submitted to tltc Building Inspector, with 3 s of plans, accurate plot plan to scale. Fee according to schedule. b., Plot plan showing location of lot and of buildings on premises, rclationsttip to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ion. 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 11 be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in w}iole or in part for any purpose whatever until a Certificate of Occupancy :1 have been granted by the Building Inspector. APPLICATION IS HEREBY hfADE to the Building Department for the issuance of a Building Permit pursuant to the Iding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~ulations, for the construction of bu~ldin~s, additions or alterations, or for removal or demolition, as herein described. applicant agree, to comply with all applicable laws, ordinances, building code ousin, code, and regulations, and to :it authorized inspectors on premises and in building for necessary i cti (Signature of applicant, or name, if a corporation) (1\failing address of applicant) :e whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. to of owner of premises „Z:'•(711T((Gt, C;4, ~2~ ~i4„~ BRrj~ (as on the t:rt roll or latest deed) rplican[ is a corporation, signature of duly authorized officer. ' (Name and title of corporate o1fficer) Builder's Liccnsc No. . ~ ~ft;l. , , C; ).frL.~ l~Lt ~ J-~.,L Plumber's Liccnsc No. , , , , Electrician's Liccnsc No. . , . , , , , , Other Trade's Liccnsc No. . ocation of land on which proposed work will be done . . oust Number Street . -7 IIamlct aunty Tax ,1fap No. 1000 Section ~ Block Lot ~ . :bdivision filed R1:rp No. . . Lot............... (Narnc) ate existing use and occupancy of plrer/Wises and intended use and occupancy of proposed construction: Existing use and occupancy lT~-'.U:S.~ . , ,L? . ~ Intended use and c--~ ~~~!'z<,6G ~ ~~~y.•.i.11.c~'~~t:`~.t..~) C: - _ occupancy ~ . . Ga(:~~7 r , . F J. ; ...y: 3. \'ature of work (check which applicable): New Building Addition . Rcpait Removal x - ,111cration . Demolition Other t'lcrrk . 4. Estimated Cost !)O U (Dcscnption) • Fcc S. If dwcllin~, number of dwelling (to be Paid on filinr; This application) . units . • • • . • ~ • . , • • , , Number of dwelling units on each door . • If garage, number of cars 6. If business, commercial or mixed occupancy, specify n t re and extent of • • . - • ~ • • ~ ~ • ~ • • • • • • ~ ~ ' ' ' ' ' ' ' ' ' ' 7. Dimensions of ex sting structures, if any: Front ~~c .type of ise . Hci~;ltt ....~•~f; , Rear t{.:3• Depth ~ Z,c~t-h:zo ••••..NumbcrofStorics... Dimensions of same stntctur with alterations or additions: Front L Depth Zf~.Q .~~~~;ht . ZyC .....................1.3 Rear .y3. ~.Qir.c.' . 3. Dimensions of entire new construction: Front . • • ~ ' ' ' ' ' ' ' ' Nt""bcr of Stories . , vZ. • • . • • • ~ ~ ' ' Hcirttt ~ I.Ll~Q.../.~~~r{~. ~p'j • j• • . Number of Stories . ~ • • v __ePth L Z7.(.~-~ • Size of lot: Front ' ' 0. Date of Purchase ......./J . Rear f.~U... • . ~ Name of Former Owner Depth .,f~~:'.~.. 2-.~........ . I. Zone or use district in which premises arc situated ...~,ESip~,,, ;T~ ' ' f~•`1 • ~y~G;=/.e;_'.; • , • • _ Does proposed construction violate any zoning Iaw, ordinance or rc~• 1Vi11 lot be regraded Olio emulation: ....^~U• ~ . Name of Owner of remises 9 C • • • • ~ ' ' ' • • • 1Vill excess fill be removed from premise,: • • Yes • • . P 1. v~•r.r,~,;~_r~!?~ .Address _ L o Name of Architect ~ ; , ~ ~c~•~ n/ • • ..Phone No. S • ..AddressF!Pr~H~r`SJ'.`'~~c~°'J~It/ O....C Name of Contractor • • ~ ~ • ' ' • ' ~ ..Phone No.. ? ` c' ~ Is this """'•••••••••••Address. ~•f•••/•~~%..v property within 300 feet of a tidal wetland? • ~ ~ • " " " • • • Pltone No. *If es Yes........ No..... Y Southold Tawn Trustees Permit may be required. " " . PLOT DIAGRA)4f Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from -opcrty lines. Give street and bock number or description according to deed, and show street names and indicate whether .tenor or corner lot. r _ ~ 9 ~ li o~~ c~ f^tt~s ~ ` f v i 2i, f i ~ ' ~ ~ ~ ~ v ~ C c.-1~~4-R- D lk ! J c: 're of Ne1v Yo ;NTY or• s,, s.s C~-ee Q ~~~r,x, i Tzs~ ~ • ~ • • • • • • • • • • • being duly sworn, deposes and says that Itc is the a ~ 1' (N:unc of individual signing contract) 1 p tcant = named. the - l ~1 . . (Contractor, agent, corporate officer, etc.) ~ ~ • • ~ ~ ' ' ' 'd owner or owners, and is duly authorized to perform or have pcrfonncd the said work and to make and file this =anon; that all statements contained in this application arc true to the best of ltis knowledge and belief; and that the '''~~II be performed in the rnanncr set forth in the application ~Icd therewith. ' to before me this,,`f ~.T~..clay of . .....~U ' 19 ~ Y Pu b f i c ~.''''`~'~'v~,`i . tk - .County NoT~r el.~ sus ~ r~r. . fir' 2.~.. . . Na4 Term E_xpires'MaII (Signature of applicant) ~ s ~ ~a~~ A a~ ~ ~g~~,~rt ~a qYa Z ~ a $ ~ r..i. ~ +,y.' C ' ° i c'f J tt) I,~i _ ~`y~ mac. r y t ~ ~ _ I: ~ ~ ~1, ~h, .i i a r ~ ~ ; ~ 1 _ , II i I a - 1 'y' : . I n~ M.~yA l a~'~ { , 1' J t .i I ~ F f r a.~ i I I f ; } i . ~ Vii- - _ ~i ti , ~ ~....4 . ~x~ • , . Air '+s i i k-. ~ - ~R • 'r - ax yA 'a .Iv 4 fr < ti `Y 1 ' j 'wti 1 1 ,t r aiY4. f~ t, ~~y a ..4 ~5.~' .?t` t..~,1.,wJ% ~ 1 jr _ 1 ?1 p ~ - . ,•l y ru ..t s w { ~ '~I Ll1 jn _ J + ~{d&~ Mr ~1 / 'ti. ~ 4 _r 11,d •.lde1LS~ t( ~ ~4 r. fJ''' ~ P iJ~, ~ ~ 7 ~r ~ 5i3 ` r A 1 -