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17085-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30067 Date: 03/15 04 THIS CBRTIPIBS that the building ADDITION Location of Property: 1175 FIRST ST NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 7 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 1988 pursuant to which Building Permit No. 17085-Z dated JUNE 9, 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 ADDITION (WITH ONE CAR GARAGE) TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EFSTATHIOS KATSOULAS (OWNER) of the aforesaid building. SOFPOLK COUNTY DBPARTM@TP OF H6AI,TH APPROVAL N/A BLECTRICAL CRRTIFICATS NO. 3998 02 25/04 PLUMBBRS CERTIFICATION DATED N/A ori~ d Signature Rev. 1/81 rosae< xa 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) N°- 017085 Z Date .....~,~9 19.~~' Permission is here' b~vont to: y~ ~/A~ .cF4......~krr..r.-~.......~ ...~~.~.~1~........~c,....~..~.. //S7o at premises located at ....1/...7,~.....~. County Tax Map No. 1000 Section .......1~.7....... Block .................1..p~~Liot No........z.7........ pursuant to application dated ............`.~~~:.v~I 19A..(1.., and approved by the Building Inspecto~r~ CCJjc~ 3/ Fee S...l......! / By}i9ing Inspector Rev. 6/30/80 Form No. 6 r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 17, 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction..........-.p Old Or Pre-existing Building..~'.~~1 ? T.c ft:^~-/-~ Location of Property....~~./~.....~.~M~..S.7.:.........~~..S.~~I~R~.~:........ House No. Street Hamlet Onwer or Owners of Property..E.~sz~:Tf.l((~s... ~f};f,~~V?,,4-f„ County Tax Map No 1000, Bection ..............Block...~ ......Lot..~~..-..... Subdivision ....................................Filed Map............Lot...................... Permit No.Q.~7V,Q~ZAate Of Permit.(~.~../.'.~~:.Applicant..4.r..~C~.~f'~.~/.~- Health Dept. Approval..... q......0.1.~./.'....Underwriters Approval Planning Board Approval...(7.~../. :.../.C.O.~.~ Request for: Temporary Certificate........... Final Certicate..~ Fee Submitted: $...r•.Z.Sr..~....o.:~ •,AP LICANT Form No. 6 TOWN OF SOUTHOLD ~ ~ I.-~ t~ ~ N . BUILDING DEPARTMENT ~ ~ C¢/i~ ' ~ 761 02L I w 4~`I l _ ;R~121'A~ 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 from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17< 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - ResidenGtJi~al /$15(00, Commercial $15.00 Date.S,l~[,/.~.1 New Construction........... Old Or Pre-existing Building.///..... Location of Property..~l.~........ 2~ . •.T/ •O • • • • • • • • •~`~1^l.~`•'~1:~~/•~-IG..~....... House NoG. r / ~ n ,~/~S~tr~eet,~^L,/ Hamlet Onwer or Owners of Property~T.1't It l Etl~l.S. :(.r'::.I..::~.~"•N~.'~•'4'~~.~-:~~ - . County Tax Map No 1000, Section ..............Block................Lot...................... Subdivision ....................................Filed Map............Lot.. • Permit No ................Date Of Permit................Applican Health Dept. Approval ..........................Underwriters Approval Planning Board Approval Request for: Temporary Certificate........... Final Certicate.. X Fee Submitted: Go ~13~olnP"j~ .C~-:-. G ~ / APPLICANT Nassau Suffolk Electrical Inspections, inc. SA Canal Strced ~ Ceder Moriclbes, New York 11934 ~ Td: 631-878-3500 ~ Fax: ii31-878-376A Application: 3998 Date: 2/25!04 Issued to: Katsotilas tax ; Address:. 1175 First St Village: New Suffolk Introdtreed BY: Klein Electric Lie#:4423-E was examined and approved up to the above date and was incompliance with 8tie NEC />mc tstRoor FbtideAfat~ Pont ?etf3arapB 8aeemerlt--,-.._ -3dAoar® _ Gi~rmeioeF . _ FbtTt6. _ Pddtlart~ Srachas Raceptacka Fixtures G.F.I. Range Hood tehklpool 10 17 3 1 Fens Dishwasher Washer/Amps Dryar/Amps Oven Carbon Range/Amps Monoxide 1-Ex Bsa~ Furnace Oil Ges Heat Zones Smoke BaN Detec~rs Trenstormero 7 McMr Amps Phase Moors ther Equipment Inground Pool-1 sw,t rec,t GPCI,t Heater-Gae 2nd floor Rddition d Garaga ut,Ree This certificate must not be filtered ` In an}r ILSQilet i J ~ ~ ARTHUR P. KALFAS-architect 947 hayea at., baldwin, n. y. 115 I 0 ~ 868-6862 ~e+us,~ `1~0 ',,~enC ~ ~ 2T Ob ~ I X1911. `SAP 2a, ~ ~ 1175- i; o~~gUFFO(~-c0 Gym o ~ Town Hall, 53095 Main Road y Fax (516) 765-1823 P. O. Box 1179 T Telephone (516) 765-1802 Southold, New Vadc 11971 Oy ~ `'F ~jo! # Sao OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 5, 1998 Mr. & Mrs. Efstathios Katsoulas 280 Lincoln Avenue Rockville Centre, New York 11570 ****FOURTH NOTICE**** 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.)s25.00 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 # 17085-Z ADDITION Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. o~~fFO(,~~OG y~ Town Hall, 53095 Main Road y Z Fax (516) 765-1823 P. O. Box 1179 ~ ~ Telephone (516) 765-1802 Southold, New York 11971 ,f~~ ~ ~a0! OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 23, 1995 Mr. & Mrs. Efstathios Katsoulas - 280 Lincoln Avenue Rockville Centre, NY 11570 THIRD NOTICE 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 v ' 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 # 17085-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. 3~2~/9s- l)1 rzs {~af Sou,~~s ~o~ . ~a,~P 4..e.~ k~ce cJ~S ' ~ , S~~ ~~nS X.CJ~[.'i'I u?ICQCR~ YY1Qt.~c~ u , ~,FFa~k~ TEL. 7G5-1802 o~p OGy TOWN OF SOUTIIOLD ' , ~ OFFICE Of BUILDING INSPECTOR o ~"S ~ Y`~_ ys T P.O. BOX 728 ,v',. ? ~ I` ~ TO\VN HALL O~OI ~ ~a~t' SOUTHOLp, N.Y. 1 1971 May 21, 1991 Efstathios 6 Maryan Ratsoulas 280 Lincoln Ave. Rockville Center, N.Y. 11570 To Fiho~a This May Concern, We arc unable to complete your Certificate oL~Occupancy because of the following reasons.. An application for Certificate of Occupancy /is not on file. (ENCLOSED) / / No Underwriters Certificate on file. /The check is(>efl/not on file.) $25.00 No Ilcalth Dept. P.pproval on file. No final inspecCion has been made. Please contact our office on this matter. Thank you for your cooperation. Bui]di.nq Permit it 1 7 0 8 5 Z Bu.ildS.nq Dept. No Plumber Solclcr Certificate on file. ( all pcrmiCa involving plumbing being i;sucd after 11pri1 1,19II4 ) INSPECTORS ~QgUFFOI,~~o (516) 765-1802 hy0 Gy SCOTT L.HARRIS,Supervisor VICTOR LESSARD, Principal ~ ~ CURTIS HORTON, Senior y Southold Town Hall VINCENT R. WIECZOREK, Ordinance p ^x+ P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire ~S' ~ Ott Southold, New York 11971 Buildin Ins ctors '~Oj Fax (516) 765-1823 B Pe ~ Telephone (516) 765-1800 THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD March 7, 1991 Efstathios & Maryan Katsoulas 280 Lincoln Avenue Rockville Center, N.Y. 11570 Re: Building Permit #17085-Z (Addition) Premises: 1175 First Street, New Suffolk, N.Y. Suff.Co. Tax Map #1000-117-7-27 Dear Mr. & Mrs. Katsoulas: During a review of our files, it was noted that the above building permit has expired and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures, alterations or new dwellings, and it is unlawful to occupy or use said structure until the Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard, Principal Building Inspector VL:gar j~o~~ 765-iso2 BUILDING DEPT. 1 NSPECTION UNDATION 1ST [ ]ROUGH PLBG. [ FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ ~ INSPECTOR 17osS~ ors-isoz BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [/i]~FRAMING [ ]FINAL o ~ C.tJ1~-~,~, REMARKS: ! ~ P , ' I-. 1 3 Q~i ~ r c~.x.a~ p _ ~ 1 DATE 3 ~ B~ INSPECTOR ~ ~7©~'~ 7s5-isoZ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: DATE ~ ~ INSPECTOR ~7~~~~ 765-1802 BUILDING DEPT, INSPECTION [)FOUNDATION 1ST [)ROUGH PLBG. [ ]/FOUNDATION 2ND [)INSULATION [~J FRAMING ~ [)FINAL REMA~R/~KS: ~ DATE I o ~ " INSPECTOR lZ~~~ 1802 UILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: _S.I- DATE IN8PECTOR '1~Lv L:. ::~:~~;:7 jl~.;::. jj i;CMMENT° 1 oZ ~ ! H \ FOUNDATION (1~E) c FOUNDATION (2r(d) m O 2. ~ _ z o tV ROUGH FRAi~fE & ~_1'\ PLUMBING t Y2 -a-2,<rof Q~ H 3. xi m ra IIJSULATION PER N. Y, ur _ STATE ENERGY ' CODE 0 ~y ~ _ • ~+a~ ~ 4 . //~-c.En . ~ H FINAL ADDITIOPJAL COMMENTS: x ` _ ~ ~ ~ At Q T I~c.~ Q ut r2r ~u t~~~ i . ~ a Z o pp//~~~ ~ ~v Y \ H H O ~ Z ` i • 1 r~ H - _ d m H ~~d _ h~3. Nature of work (check which applicable): New Building Addition ...t!.:.... Aiteratfon , • , Repair Removal , Demolition ..............Other Wotk . Aot~ ~iARA~.E o(r¢l~F/r~itcT l~eR ~ 'L aE.oialoM4a~e.loSttS ©N ~SEevrtl~P4a.R-~Descrip2ion) 4. Estimated Cost `L! i~.7} ~ Fee . ' (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each ty a of use ~ ...i 7. Dimensions of existing structures, if any: Front Rear ..~4 Depth ..?x!!..32 Height !~.4.`: A"..... Number of Stories . . Dimensions f sslme structure with alterations or additions: Front ..4;4„ ~ " pp__ l „ -:.o ~ Rear 44. °g....... . Depth ~1'~ Height -.4.`~.......... Number of Stories . 8. Dimensions of entire new construction: Front Rear ...'ara~-.t7'".... De th P G.-A....... Height ...~,4.'Q.....NumberofStories......~-........ A,,,,,,,,,,,,,A„ 9. Size of lot: Front .1'.SO..'I.O............ Rear . k.~Q.-.~S~-:.......... Depth ...lam ~ . 0. Date of Purchase N e of Former Owner ..H NA ..~.!Q F?I . 1 I . Zone or use district in which premises are situated . a~ ~E S! r . 12. Does proposed construction violate any zoning law, ordinance or regulation : . 13. Will lot be regraded ............................Will excess fill be removed from premises: Yes No 14. Name of Owner of ppremises~NkKA.T,5p1u,LA'S , , , , .Address~P.(•+t4~{C,ak.?..l.Ay~, ,phone NoIgW •;4.r*-~5~4: N Name of ArchitectA~'CNV R P.~A{,.f.I.~Sa A-~: A . Address`14'l !~t~`l6y..~T:.. ,phone No?~fl-~C4~'.W~kz . Name of Contractor . ~DWJ~IF~R............ Address ....:..............Phone No............... . 15. Is this property located within 300 feet of a tiidal wetland? *Yes No *If yes, Southold Town Trustees Permitpm_ a~ DIAGRAM ed. Locate cleazly 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 comer lot. lals-1 . ~.1 tm t- m I~ d~ ~ ~ ~ - - - ---~I~-- - -9~ r- 1_ r ~ , rJ c!" ~ l'-rCAt; ~ ~j L - ---~1=~--u-- 13i~~K: ~ LJ i /L1 I ' 611 STATE OF NEW OR S S k;-!I 1C~ <J i ~~5. T.f.~T H l D.S ....~,A.T.S 4.V 4A .S being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. LJ.'~a' -`:i p[' u . ~"'t'.~,..,,,f He is the.....1~.~~ (Contractor, agent, corporate officer, etc.) ~ 5 of said owner or owners, and is duly authorized to perform or have performed the sai d d„~ilq,t~his application; that all statements contained in-this application are true to the best of his e e e e~lad~ t(tAt~he work will be performed in the manner set forth in the application filed therewith. Sworn to before me his ........pZ.3... of..~.r~~...........,19.4:~ ~n,, Notary Pubiic, . u~,~(},,,. County ~{}SS•f~ ~~wvv WAI HINQ JUNQ • • . • . ROTARY no oi,~uaeae4s ~ Y~ • • • ..6n . • . • •pplicant) (Si ature of a QwYfIW in Nexeeu Cou 0 ' ~ - Oommiu6m Expires Rpril 28, I4~ N/OIF N I O I F ~ORpR L K?ltSKY d 9NARON A. Kl~t81tY LAND OF PUBIC S. 8 3°50140` E. IOI.OT r 6iOCKADE IRON FENCE D/L . ROD MOIe Fp. ~ 02 s o.Y 6 O/L FJTT'. Ih W Y W M1 _C r ~ ~ 1" 1 2A' 'w JW V, Z 6KD Fa- N 1'~W' CONC. 2.['W. RPRON WOOD W MOU3F DECK 3 !L K 26'W .~~11~.i 23. T' ~ ~ rr1 _ OOIIC. ~ O1 ~ w SLAG. 2 ETV. E2' ~ n Z p~ 16.2 U. o n OPAR n ~i M86. n i ~ V/ (off o_ 2.1' ~ ADDITION p y Z 19 BARN . 6.3' e.6' 2.B W 1.1' N 16' 13' w 6TEP6 ~ g t. SIED m IT.1' 'i2 ~ se' e' I~ us' 1 w A~ a A; A N/ O/ F I n 4, STOCK AD[ F[KCE 0.lYN. i 1= PAUL VK:TORW 1~ FE/1. 3.7..J 3f. R b 0.3'3 IO.6 [ ' 16 ARAOE , i N.83°38 30 W. 101.49 ACT. N I O I F 101. 461 MAP CARL S. AVENT d LAURA M. AVENT ~ Aa~? . se1 sn. Fr. KING STREET ' R1~EY OF PROPERTY AT NEW SUFFOLK TOWN OF SOUTHOLD St~FOLK COl~1TY N.Y. ~ooo - m - oT - 4T sc~ r' = sa JULY 12, 1988 ~o L or ~ ~CA`1-SOV~fa 5 STS A. iN vq sr, CF G ~ 1 7 S T N SUFFOLK N C^, ~"L S f ~~15'f O r ~ .e-. s S_ . LIC. NO. 49668 ~ ~ prepcrod in occordance with tfte n""~'10r ..girds for title surveys as establi,h~d yy PE ~ RS, P.C. ~ roved and adopted P. 0. B 09 t1.e L. 1. A. L. S• °nihe New York State Land MAIN ROAD ~K I~~ for such use by SOUTMOLD, N.Y. 11971 ! Title Association. D.K. ~ - ~7~ A L_~ I--'t OCCUPANCY OR USE IS UNLAWFUL 'WITHOUT CERTIFICATE OF OCCUPANCY L NOTIF~[JILOI~4~ ~ ~ 766-1802 9 AM TCI 4 Ill F(]II 'III ' FO~NG ~ I. FOUN~ · ~W FO~t POIIICIICII 2. ROUGH · W &W ~1. IfdIJluIION 4. FINAL - (:OI11IC110~iIIJET A' ' C(XItIJL"IIII ilKL MIT s'~ ~ & IIIV F--P'C'VA'1" 10 ~, l