HomeMy WebLinkAbout49585-Z �o�guFFO tGy Town of Southold 9/12/2023
P.O.Box 1179
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4,1 o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44524 Date: 9/11/2023
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 120(aka 13) Silver Ln, Greenport
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SCTM#: 473889 Sec/Block/Lot: ! 47.-2-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/6/2023 pursuant to which Building Permit No. 49585 dated 8/16/2023
was issued, and conforms to all of the requirement's of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
"as built"alterations and addition, including enclosed porch converted to living space with enty deck,to existing single
family dwelling as applied for.
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The certificate is issued to ' Lekkas,Irma
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of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
'ELECTRICAL CERTIFICATE NO. 49586 9/5/2023
PLUMBERS CERTIFICATION DATED 7/5/2023 a Lkkas
Aut riz d ignature
TOWN OF SOUTHOLD
�oo�g11FFQl�'�,oy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
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BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 49585 Date: 8/16/2023
Permission is hereby granted to:
Lekkas, Irma
706 Anza Ct j
Walnut Creek, CA 94597
To: legalize "as built" alterations to existing single-family dwelling as applied for.
Additional certification may be required.
At premises located at:
120 Silver Ln, Greenport
SCTM #473889
Sec/Block/Lot# 47.-2-2
i
Pursuant to application dated 7/6/2023 and approved by the Building Inspector.
To expire on 2/14/2025.
Fees:
AS BUILT-SINGLE FAMILY ADDITION/ALTERATION $472.00
CO-ALTERATION TO DWELLING $50.00
Total: $522.00
Building Inspector
SO!/jyQl
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Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 Q Jamesh southoldtownny.gov
Southold,NY 11971-0959 �Q
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Iram Lekkas
Address: 13 Silver Lane city:Greenport st: New York zip: 11944
Building Permit#: 495$5 Section: 47 Block: 2 Lot: 2
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Homeower Electrician: License No:
SITE DETAILS
Office Use Only
Residential X Indoor X Basement Service
Commerical Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt 6 Ceiling Fixtures 1 Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan 1 Combo Smoke/CO
Transfer Switch UC Lights Dryer Recpt Emergency StrobeHeat Detectors
Disconnect Switches 2 4'LED Exit Fixtures Sump Pump
Other Equipment:
Notes: AS BUILT
Inspector Signature: Date: September 5, 2023
13 silver In
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Town Hall Annex Telephone(631)765-1502
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G,
Southold,NY 11971-0959
BUILDING DEPARTMENT D
TOWN OF SOUTHOLI)
� 2023
Building Department
Town of Southold
CERITIFIGATION
.Date: 17
Building Permit No.
(Please print)
Aftmizr: -T�lq-
P�oM��uhcr (Please print)
I certify that the solder used in the;water supply system.contains Iess than 2/10 of 1%
lead.
Ma4i —Signature)Sworn to before me this
day of 20
XNotarublic, County
M
CALIFORNIA JURAL'
A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document,to which this certificate is attached,and not the truthfulness,accuracy,or validity of that
document.
STATE OF CALIFORNIA }
COUNTY OFCQAJ &Cee ft }
Subscribed and sworn to(or affirmed)before rn on this _day ofd id y
Date Month Year
by Irma, Le hhra�
Name of signerr
I
proved to me on the basis of satisfactory evidence to be the person('}who appeared before me.
i
TONY DEPOLO
Notary Public•California
Contra Costa County
` Commission k 2439657
My Comm.Expires Feb 28,2027
l�
Signature: Seal
SignatdWqf Notary lblic Place Notary Seal Above
--------------------------------------------------- OPTIONAL----------------------------------------------
Though this section is optional, completing this information can deter alteration of the document raudulent
attachment of this form to an unintended document.
I
Description of Attached Document
Title or Type of Document:
Document Date:
Number of Pages:
Signer s - er Than Named Above:
�apF SOUTyO silver /X i �
# * TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ff ] PRE C/O [ ]' RENTAL
REMARKS:
DATE g as INSPECTOR
-- oF S0Gly0�
# TOWN OF SOUTHOLD BUILDING DEPT.
IA6 �IyCOUMV H 631-765-1802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ Y]'FINAL } Q -
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION - [ ] PRE C/O [ ] RENTAL
REMARKS: C,l�� � CG�2i /vim hi
polo- C�, Oe ! .�p i~�—I-
DATE as�a3 INSPECTOR
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-' OCT 1 2 2023 Nigel,Robert Williamson
Architect
r,yjI3,DjNG'DF-FT, P.O. Box 1758
�'���'N ,,..^.1, Southold, NY 11971
Phone 631.834.9740
October 11, 2023
i
Mrs.Nancy Meyer,Bldg. Inspector
Town of Southold Bldg. &Zoning Division
54375 Main Road
P.O. Box 1179
Southold,NY 11971
Re: Lekkas residence 120 Silver Lane Greenport. S.C.T.M. 1000-047-02-002
Dear Mrs. Meyer:
Upon visual inspection regarding the plumbing for work done from 1970 under Building
Permit 49585 at the above address I have discerned no visible defects.
I trust that everything is in order. If additional information is required please do not
hesitate to contact me. I thank you for your assistance in this matter.
Your's faithfully,
Nig Robert Williamson R.A. M�
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Bulidfng .
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MELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST)
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FOUNDATION (2ND)
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y. 3
STATE ENERGY CODE
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FINAL
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ADDITIONAL;COMMENTS
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TOWN OF SOUTH TOLD—BUILDING DEPARTMENT
y Town Hall Annex 54375 Main�oad P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 h_ttps://www.southoldtownny.gov
Date Received
APPLICATION FOR BUILDING PERMIT
F Office Use Only
PERMIT NO. v Building Inspector:
'-1 JUL 6 2023
Applications an'd'forms must be filled out'in their..:entirety. Incomplete`
applications'will not be'accepted.'Where the,Applicant isnot the Owner,An ; BURDING IyEP'I'.
Owner's Authorization form'(Page 2)shall be'completed: l,
To .
Date: 5th July, 2023
'OWNER(S).OF PROPERTY: 1
Name: SCTM#1000-
Mrs.lrma Lekkas 047.00-02.00-002.000
Project AMRA 13 Silver Lane Greenport, N.Y. 11971
.._.
Phone#:
925.451 .3079 _ _ _.__ _- � Email_ AL102805
Mailing Address: 706 AnZa Court, Walnut Creek,,CA 94597
CONTACT.PERSON:
Name: Nigel Robert Williamson__.___._-._-_-..� .._-___.__.._.-___...
Mailing Address:
P.O. Box_1758,_Southol4d, N.Y. 11971
Phone#: 631 .834.9740 i- Emai!. nigel_architect@hotmail.com
DESIGN O
PROFESSINAL INF
,. ORMATION: . � -. I.. . . ., ...
Name: Nigel Robert_Williamson_ R.A.
Mailing Address: P.O. Box 1758, Southold, N.Y 11971 _
Phone#: 631 .834.9740 Email: ni el_arch itect hotmali.com
CONTRACTOR INFORMATION:` :.
Name:
Mailing Address:
Phone
DESCRIPTIO;N OF PROP.OSED'CONSTRUCTION
❑New Structure ❑Addition ®Alteration ❑Repair ❑Demolition Estimated Cost of Project:
❑Other $
Will the lot be re-graded? ❑Yes ®No Will excess fill be removed from premises`' es ❑No
As-Bu►Lr AL-isearloo of ExisriraG F-dcwsEt3 yowl TD wavnwr space (1464-1970)
Cq0.814• La.
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666 PROPERTY INFORMATION
Existing use of property: Single family dwelling Intended use of property: Single family dwelling
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
R 40 this property? OYes *No IF YES, PROVIDE A COPY.
®Check Bolt After Reads+ .- The owner/contractor/design professionalis responsible"for all drainage and storm water issues as provided by
Chapter 236 of the Town"Code.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 other applicable Laws,Ordinances or Regulations;for the=construction of buildings,
additions,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,insoectois on premises and in buildings)for necessary inspections.False statements made herein are
punishable w a Class A misdemeanor pursuant to Section 2T0.45 of the New York state Penal Law.
Application Submitted By(print name): Nigel Robert Williamson ®Authorized Agent El Owner
� � 3
Signature of Appli Date: 6 u�-�/ Z ,
STATE OF NEW YORK)
SS:
COUNTY OF ,-511^1-ff Williamson
. )
igel Robert
l V V it lia meson being duly sworn,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the Agent
(Contractor,Agent,Corporate Officer,etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
application;that all statements contained in this app}ication are true to the best of his/her knowledge and belief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me t 'r/l
day of 20
N ary Potic
WILLIAM C. GOGMf4g
PROPERTY CWNER AUTHORIZATION
NOTARY PUBLIC-STAVE OF NEW YORK
_ No.02GO4963689
(Where the applicant is not the owner) Oualified in Suffolk County
My Commission-Expites 03-12-2026
Mrs. Irma Lekkas residingat706 Anza Court, Walnut Creek,
_
CA 94597do hereby authorise Nigel Robert Williamson to apply on
my behalf to the Town of Southold Building Department for approval as described herein.
Owner's Signature Date
Irma Lekkas
Print Owner's Name
2
As - F�)v I L.T
O��S�fFO(kC0 BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
® Town Hall Annex- 54375 Main Road - PO Box 1179
W Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr southoldtownny.gov - sea nd(Dsoutholdtownny.gov
I
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: Elec. email:
Elec. Phone No: 01 request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Has. I2MA LEkic&5
Address: 13 SiLVEl2 &JE C-" u-, A P 9 7 1
Cross Street: MAW lbaa IQT• 2S -W Si LVEeM LaC Roan TO sil-VOPL L4JE.
Phone No.: 63 1. 834.9740
BIdg.Permit#: ,f email: ni te (aJ (,ottna�I,coM.
Tax Map District: 1000 Section:'o -7.00 Block: 02.00 Lot:oo2.000
BRIEF DESCRIPTION OF.WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
As- BU;L• - AL-TEearLoa cf e&'1s iA4 F.-406osEO far-K TO HAdtrA-BtE SPACC
0 q69- 197o) 90.814 L -.
Square Footage:
Circle All That Apply: A-s-$u►LT--
Is job ready for inspection?: YES 0 NO 0 Rough In Final
Do you need'a Temp Certificate?: :❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size❑1 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service[:]Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals M 1 2 H Frame Pole Work done on Service? Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
73
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As - B)o;L--F
BUILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
4 Town Hall Annex - 54375 Main Road - PO Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-9502
rogerr(Dsoutholdtownny gov — seandasoutholdtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date:
Company Name:
Electrician's Name:
License No.: i Elec. email:
Elec. Phone No: ❑I request an email copy of Certificate of Compliance
Elec. Address.:
JOB SITE INFORMATION (All Information Required)
Name: Hes. SAMA LEk1cAS
Address: 13 SiLVE►Z LAJf DQE RT, M. /1971
Cross Street: t4AW {dDaa (aT. 2S) -M si LVEP-M E¢.E 96AD To sig-VEL LprJE.
Phone No.: 63 1. 834.9740
Bldg.Permit#: L qq email: n. el-axr-{ .te&pu 1,dtiKca I. c,-04.
Tax Map District: 1000 Section: 047.00 Block: 02.00 Lot:0o2.000
BRIEF DESCRIPTION OF.WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly):
A - B U;Lr A LTEQA-T1o►J of �,U STi d C� F�1 c os ED f 2c o -m Hw i r e t- SpAct
S ,
(IR69- 1970 90•a14 •
Square Footage77:
Circle All That Apply: As- 8u;L1--
Is job ready for inspection?- YES ❑ NO ❑Rough In Final
Do you need a Temp Certificate?: ❑ YES ❑ NO Issued On
Temp Information: (All information required)
Service Size F11 Ph❑3 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect❑Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals M 1 2 H Frame Pole Work done on Service? Y MN
Additional Information:
J
PAYMENT DUE WITH APPLICATION
144
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PERMIT P Address
Switches I l
Outlets 1
GFI's
Surface l
Sconces
H H's
UC Lts
Fans Fridge HW
Exhaust Oven WAD
Smokes DW Mini
arbon Micro Generator
:ombo Cooktop Transfer
�C AH Hood Service
Amps Have Usec
-pec al-
omments
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va.
APAP 0 P AS NOTED
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DATE B.P.# OJ
FEE �D� BY:
NOTIFY BUILDING DEPARTMENT AT ELECTRICAL
631-765-1802 8AM TO 4PM FOR THE
FOLLOWING INSPECTIONS: INSPECTION REQUIRED
1. FOUNDATION-TWO RE01
FOR POURED
2. ROUGH-FRAMING&PL.0
3. INSULATION
4. FINAL-CONSTRUCTION IVIUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTON ERRORS
Additional
Certification
COMPLY WITH ALL CODES OF May Be Required.
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
_S@UTKOM7�i ING BOARD
SOIJ NeO-TOW RUSTEES
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT,CERTIFICt,-
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