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HomeMy WebLinkAbout26979-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28346 Date: 04/19/02 THIS CERTIFIES that the building ALTERATION Location of Property: 52325 CR 48 UNIT 8 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 135.1 Block 1 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 18, 2000 pursuant to which Building Permit No. 26979-Z dated DECEMBER 19, 2000 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 INSTALLATION OF NEW SINK IN UNIT ##8 AS APPLIED FOR. The certificate is issued to PETER VEKIARELLIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED 03/22/02 GREENPORT PLUMBING & HEAT L Authorized Sign re Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26979 Z Date DECEMBER 19, 2000 Permission is hereby granted to: PETER VEKIARELLIS 4233 202ND STREET BAYSIDE,NY 11361 for ALTERATION OF NEW SINK AS APPLIED FOR. at premises located at 52325 CR 48 UNIT 8 SOUTHOLD County Tax Map No. 473889 Section 135 . 001 Block 0001 Lot No. 008 pursuant to application dated SEPTEMBER 18, 2000 and approved by the Building Inspector. Fee $ 75 . 00 Autho ' zed Signature ORIGINAL Rev. 2/19/98 "... _ ... Form No.6 i 'd TOWN OF SOUTHOLD 1� ✓ BUILDING DEPARTMENT 1" TOWN HALL 765-1802 S APPLICATION FOR CERTIFICATE OF OCCUPANCY /84l This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I% 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. 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 Building- $100.00 3. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. I by 20o Z New Construction: ✓ Old or Pre-existing Building: (check one) Location of Property: 0 n rt g S Z 15 2_5 G f `I R Sova�l C�1 House No. Street Hamlet Owner or Owners of Property: N_-Ve f Suffolk County Tax Map No 1000, Section Block O o O l Lot 0000 Subdivision Filed Map. Lot: Permit No.2n 1 :' 9 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) 00 Fee Submitted: $ j O'er 9 Applicant Sign 'ec, ��3 %V FOL y� Town Hall,53095 Main Road y Z Fax(516)765-1823 P. O. Box 1179 Telephone(516)765-1802 Southold, New York 11971 y �! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: �— 2 9-02, Building Permit No. ao-+l Owner: (please print) Plumber: , _�.�.--- �� � `i�,��� a �C�rG�.l ,� fr j,�J'Z �1/f iL i - (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signa urs e) Sworn to before me this P29 G day of 4-4 !:a:&0 Notary Public, /1� bPP_�1 County MARIA GEORGIOU No.41-485095 Notary Public, State of New York Quz;, A . ieens Count Commission Ea, Feb. 17, .00 3. Applicant/ t ( Date Owners Name: V e 1 �11S J _ Revieweci: It Architect/ Date L:ngineer: _ Submitted: SCTM fl: District: 1,000 Section: 13 lock _�_ Lot Project Subdivision Location: �33a5 Ct' Name ----____-- Single & separate Reyuir certifica ion Yes/ o .� eq IZcy d-- ia� /ovine District II.ot size __ Actual J [Lot coverage Piopo cd / Key Rcq Req [front Yard Proposed J [Side Yard Proposed J [Rear Yard Proposed l Project Description: AGENC)MERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. / Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: to • BUILDING DEPT. INSPECTION [ ] FOUNDATION IST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] !I�A TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 17 DATE l l �� IN8PECT0 FIELD INSPECTION REPORT DATE COMMENTS y-y FOUNDATION(1ST) FOUNDATION(2ND) - ---- - �z z ROUGH FRAMING& y PLUMBING --- - V )� INSULATION PER N.Y. STATE ENERGY CODE -- -- -- FINAL - ADDITIONAL COMMENTS m b - - - -- s N O y _ _ x d b S! � ' BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. I 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . BUILDING DEPARTMENT CHECK • • • . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . _.. SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: // / CALL• `. . . . . . . . . . . . . . . . . Examined...//4ji�........ 20..Qo MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.....!11t f;.......X6.?q. Permit No. ( :�Q•{.�.�. ................................... Disapproved a/c .................................. 4.........k1........ ...................................................... \ekzc m, .s......... .. ....... :.... . ..: (Building Inspector)••..• o APPLICATION FOR BUILDING PERMIT Q Q Date. . . . J.�_ .�.Q. . . . . , 20aa. INSTRUCTIONS Y a. 'Ibis application must be completely filled in by typewriter or in ink and submitted to the Tkiilding Inspector wi 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 application. c. The work covered by this application may not be caumhenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue 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 MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Newyork, and other 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, housing code, and regulations, and to admit authorized inspectors on premises and in bui ing for necessary inspections. . ...� .. ....................... (Signature of app li •, or name, if a corporation) ' ya:.33..a.�..�-��-.g5�s;�,N:x•.1136 i (Mailing address of applicant) State�hether-applicant-is.owner, lessee, agent, architect, euigineer,'general contractor, electrician, plumber or builder Name of owner of premises .T. 4- ..................................................M...f .4..; . ..........,. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. .......................................................... (Name and title of corporate officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.... ... .. .e.... ......... -.. .................................. ....... House Number Street (I Hamlet .... County Tax Map No. 1000 Section .....1.�5:j.... Block .....I.......... Ivt ......F:t ....... 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,.;J4'�lh \... K......................................................... b. Intended use and occ .........................................................L................. 3. Nature of work (cl*& which applicable): NewBuilding .......... Addition ` Repair .. ....... Removal ............. Demolition .... •• ...... Alteration .. ......... ........ Other Work (Description). .. 4- Estimate(] Cost "'•'••-•-•••••••••• fee •'(to•be.paid•on•filing.this.application••••.. 5. If (ihaelling, h>tnhber of dwellingunits ..-T•�.... lumber of dwel.ling units on each floor 13} por�Q �a �vC 1f garage, Thurber of cars ...................................... ................ 2Z 6. If htminess, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front...., ........ Rear ............... Depth lleiglht ... Number of Stories Dimensions of same structure with alterations or additions:..Front. Depth .................... Height ............... Rear ............... Number of Stories ... 8. Dimensions of entire new construction: Front ....... .... ......... Rear ............... Depth . Height ......................... Number of Stories ............. 9. Size of lot: Front .................... Rear .................... Depth ........ 10. Date of Hirchase ...................... Name of Former Owner .............. ....... . II. Zone or use district in which premises are situated ........... . 12. Does proposed construction violate a .........•................................. Try zoning law, ordinance or regulation: ........... 13. Will lot be regraded .....• .. Will excess fill be . Q \! removed from premises: YES NO 14. Names of Owner of premises ! ..`!Q.�y cA;e�,� S. Address .�.?:. �.,f�`!7i.S , S!d N. 113/0 . . Pthone No. �.Y.?$-1,933 Kane of Architect .................................... Address .............................. Phone No. ....... Name of Contractor ................................... Address ....... Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .................. *1F YES, MMM IUM-T1MFB.S PMIIT MAY BE MITRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions From property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. —,/1S�A\� k \�'C.�eJ1 �`►,/�� _' �fii�' � ��S-�L '1�\�'© 2i' �JQ1�err W Gs4e-- Lne - A k\ Axo\'c ),zq e APPROVED AS NOTED DATE: BA # s o FEE: �S�� BY: rj 1� NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE P"VIDE AIM-SCALD AND/0R FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED THERMAL SHOCK PREY FNTING FOR POURED CONCRETE DEVICES AS TO PART. 2.6(K) 2. ROUGH - FRAMING & PLUMBING 3. INSULATION N.Y.STATE BUILDING ODE. s R ERTIFICAT PJ 4. FINAL - CONSTRUCTION MUST UNDERWRITERS CERTIFICATEON LEAD CONTENT BEFORE BE COMPLETE FOR C.O. rntr (v NV. YORK, '`'r REQUIRED CERTIFICATE OF OCCUPANCY ALL CONSTRUCTION SHALL MEET A � C THE REQUIREMENTS OF THE N.Y. ,l V u17 SJ �� SS SOLDER USED IN WATER STATE CONSTRUCTION & ENERGY qq�� - SUPPLY SYSTEM CANNOT CODES. NOT RESPONSIBLE FOR ••-K. EXCE� 2/110 OF 1%LEAD. DESIGN OR CONSTRUCTION ERRORS "' y �nh, deposes and says that he is the applicant Name of individual signing contract) bove named, If copper tubing is used e is the .---....0 vJ•r2� for water distributing (Crnhtractor, agent, corporate officer, etc.).•'.•..••••.•'-'••-'•...••.....system;-piping-shall be of types K or L only f said owner or owners, and is duly authorized to perform or have performed the said work PPI ication; that a t I statements contained in this application are true to the best of his Iftr J ATE hat the work will. lm performed in the manner set forth in the application filed therewith. Ind worn to before me this ....... 4—..day of �,........:20,l (?.. PL.tJ{ BING ALL PLUMBING WASTE �y n ...... ........ t � &WATER LINES NEED Not Public .� �C� .. .... �n �� V �'G BE- RE COVERING • • . LINDA J.COOPER ( iF' �re of Applicant) No.44822W3SS�dk Cpq;F ow a J Term Exires December 31, �'