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Home My WebLink About29760-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY 90: Z-30297 Date: 07/14/04 CERTIFIES tl~t the building _ADDITION Location of Property: 52325 CR 48 UNIT 3 (HOUSE NO.) (STREET) County Ta~ Map Bo. 473889 Section 135.1 Block 1 8ubdivlsion Filed Map No. -- Lot No. -- SOUTHOLD Lot 3 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 23, 2003 pursuant to which Building Permit No. 29760-Z dated SEPTEMBER 24, 2003 was issued, and conforms to all of the requirements of the applicmble provisions of the law. The occupancy for which this certificate is issued is INSTALLATION OF A SINK IN EXISTING CONDO UNIT ~3. The certificate is issued to PETER ~EKIARELLIS ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPANTMENT OF ~EALT~ APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 06/29/04 HA~DY PLUMB.HEATING & AC Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29760 Z Date SEPTEMBER 24, 2003 Permission is hereby granted to: PETER VEKIARELLIS 42-11 25TH AVEA!UE ASTORIA,NY 11103 for : INSTALLATION OF A SINK IN ~LN EXISTING APARTMENT at premises located at 52325 CR 48 UNIT 3 County Tax Map No. 473889 Section 135.001 Block pursuant to application dated SEPTEMBER 23, 2003 Building Inspector to expire on ~tARCH 24, 2005. hori~/Signatur~~-- SOUT~OLD 0001 Lot No. 003 and approved by the ORIGINAL kev. 5/8/02 TO~VN OF SOUTHOLD 765-1802 .~PLICATION FOR C~RTWlCATE ~s application m~t bc f~cd ~ by t~c~a~t~ or ~ and s~bun~ed to t~e~l~~vt~ t~ foUowmg: A. For new buffing or new use: , ~. ;~.~ ~:~, -- . 1. Ft~l sum~ey of property w~th accurate loca~on of ~l buddmgs, p~5~,-.s~eets ?~d unnsml m~ or topo~ap~c feazes_ 2. F~ Approval ~om Heal~ Dept_ of water supply and sewerage~isposal (S-9 fora). 3. Approval of ele~c~ ~afion Rom Bo~d of Fire Undenvhtem. 4_ Sworn smtem~ ~om plmber ce~i~g ~t the solder reed ~ system con~ less ~ 2/10 of 1% lead. 5. Co~erci~ b~l~ag, ~m~al buffing, multiple residences ~d si~l~ buildi~s ~d ~st~lafio~, a ceRificate of Code C0mpli~ce ~om ~ch~ect or ~eer r~poasible for ~e b~l~g. 6. Sub~t Pla~g Board Approv~ of completed site plan rcq~em~ts_ For existing buildings (prior to April 9, 1957) uon-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate su~'ey of property showing all property lines, streets, building and unusual natural or topo~m-aphic features. 2. A properly completed application and consent to inspect $i=m~ed by the applicant. Ifa Certificate of Occupancy is denied, the:Building Inspector shall state the reasons therefor in ~-riting to the applicant. 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 accessoiT building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-e~stmg Building - $ 100.00 3. Copy of Certificate of Occupancy - $.25 4. Up:dated Certificate of Occupancy- $50.00 5. Tempor~. Certificate of Occupancy - Residential $15.00, Commercial $15.00 Old or Pre-existing Building: House No. Street New Construction: Location of Property: OwnerorO,,mersofProperiq: f2°~--'P~CO~ ;~-oo.,q/lO. ~i>~.-'~},2.-,Velil~ Suffolk County Tax Map No 1000, Section Block (check one) Itamlet Lot Subdivision Filed Map. Permit No. ~-'~"~ · (12~ Date ofPenmt. .2~pplicant: Lot: Health Dept. Approval: Undem~ters Approval: Platming Board Approval: Request for: Temporaa'y Certificate Fee Submitted: $ Final Certificate: (check one) Applicant Sig3aat. u.r.~_~ Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUiLDiNG DEPARTMENT TOWN OF SOUTItOLD CERTIFICATION Building Permit No. 2q?(0 (Please print) (Please print) I ceftin, that the solder used in the water supply system contains less than 2.'10 of 1% lead. Sworn to before me this day of~. !j - Notary Public, County LYNDA M. BOHN NOTARY PUBLIC, State of New No. 01 BOS02093~. (~ualified in Suflolk Cour~¥ l'erm Expires March 8, 20~.~.. ri 765-1802 BUILDING DEPT. INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ]~SULAT I O N [ ,~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR~/~/ TO~%~N O.F-SO~JTHOLD BI/Ii,DING DEPARTMENT TO~VN HALL SOUTItOLD, NY 11971 TEL: (631) 765-1802 FA.X: (631) 765-9502 www. north fork.net/Southold./ PERAIlT NO. BUILDING PERMIT APPLICATIg~ ?c~ECKLIST Do you have or need the folloX~mg, before applsdng? Board of Hca/th 3 sets of BaltdLng Pla~s Plamfizxg Board approval Sm-vey_ Check Septic Form N.Y.S.D.E.C. ~[ ~ 2 . Trustees Exmmined [~ , ,20 J Contact: " ~---- ~ - -- ~mB CERTIFIGA~ON ~ ~ ~/, '~ CERTIFICATE OF ~CUPANCY ~-- ~-~ ........... ~ ' ' Bulling ~spector ~:- ~ - ~" .' SO~ER USED IN WATER 2oo3 SUPPL Y S YS TEM CANNOT APPLICATION FOR BUILDING pE~EED 2/10 OF 1% LEAD. ' lO/ '3 ' Date %0 ,20r0 INSTRUCTIONS a Tb/s application MUST be completely filled in by typewriter or in ink and subrmtted to the Building Lnspector with 3 sets of plans, accurate plot pla= to scale. Fee according to schedule. b. Plot plan showLng location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by th/s application ma3' not be commenced before issuance of BuLlring Permit. d. Upon approval of tl:fis apphcatmn, the Building Inspector will issue a Bu/lding Permit to the applicant. Such a 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 pan for any purpose what so ever until the Build.Lug Inspector issues a Certificate of Occupancy. £ Every building perrrfi[ shall expLre if the work anthonzed has not commenced within 12 months after the date of issnaztce or has not been completed withLn 18 months I~om such date. If no zoning aznendments or other regxilations affecting the property have been enacted in the interim, the Building lazspector may authorize, in writing, the extension of the permit ~br an addition six months. Thereafter, a new pemak shall be required. .&PPLIC_&TION IS YiEREBY MADE to the Building Departmem for the issuance cfa Building Permit pursuant to the Building Zone Ordinance of the Town of Somhold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction ofbuildSngs, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with al/applicable laws, ordinm~ces, building code, housing code, mzd re_malarious, and to admit author/zed inspectors on premises and in building for necessary inspecuons. / (Signature of applicant or name, if a corporation) APPROVED AS NOTED (2vfailiag address of apph~a.~t) , FEE: ~ D-~o BY: State xx hetheRo~C~llL~lN~mDEpJNlt~li~iN~e~, axchhect, engineer, general contractor, electrici~m, plumber or builder 7..65-1802 SAM TO 4PM FOR THE 1. FOUNDATION -...TW.O REGUIRED. , , 2. ROUGH - I~RAt3~a a ~.~ii~G (As on~ thc tax roll or latest deed) 3 INSULAT · REQUIREMENTS OFTHE CODESOFNEW Builders Licfiffl~IATE. NOT RESPONSIBLE FOR Plumbers Li~a~l~i~R CONSTRUCTION ERRORS. Electricians License No_ Other Trade's License No. 1. Location of land on which proposed work will be doric: House Number Street OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFIOATE OF OCCUPANCY Hamlet County Tax Map No. 1000 Section 13~', i Block t Subdivisio~ Filed Map No. (Name) -% Lot .-j ' f Lot State existing use and occupancy of premises and intended usg and occupancy of proposed construction: a. Existing use and occupancy b. lmended use and occnpancy. '3. Nature of work (check which applicable): New Build/n~ Repair Removal Demolition__ '4. Estimated Cost 5. If- dwellkug, rmmber or' dwelling units If garage, number of cars Fee Add/don Other Work Alteration (Description) (To be paid on filing t/ms application) ~7/2- Number of dwelling units on each floor ~ 6_ If business, ¢ommer, cial or mixed occupancy, specifsT nature and extent of e~ch type of use. 7_ Dimeusion, s~of existing structures; if any: Front Rear ~epth Height,. ,~,.., .~ . ~- . -', Number of Stories Dimensi0~ Of same structure with alterations or additions: Front Rear Depth Height. Number of Stodes 8. Dimensions of entire new' construction! Front Height_ Number of Stories Rear De~th 9. Size of tot: Front Rear Depth 10_ Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or formulation? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed fi-om premises? YES NO 14_ Names of Ox~mer of premises Name of Arctfitect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this propert¢' within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * [F YES, SOUTHOLD TOXX/2XT TRUSTEES & D.E.C. PE~{~S ~Ky BE ~QU~ED. b. Is t~s prope~, within 300 feet of a tidal wetl~d? * YES 'NO * ~ YES, D.E.C. PE~{ITS MAY BE ~QU~ED. 16. Proxfide sm,ey, to sclc. xvith acc~ate foundation pl~ and distances to 2r~v]ines. 17. If elevation at my po~t on prop~y is at 10 feet or below, must pr~dde~'0~2phical' STATE OF NEW YO~) ~ '""' CO~TY OF (Name of ~&vid~l si~ng= contract) above n~ed}eing duly swo~ d~oses .- >,~d, ,says tl~t (s)he:isth~ ~li~t... 71'. o a6 or, .~ent. orate Oft}c~, etc. "*'' r~t all statem~ts~b%~ ~ ~i~i~',r~ *~ ....... P~-- , '~ ~ ~ ork ~fl tB.~e~8 ~le-t~ app~catzon, p~o~eo m me ~er set ¢o~ m tH~ apphcanon fired therewith. Sworn to before me r~s ~ -- NOTARY U LC, S New York ~,~ { /~ Oualified in Suffalk County. : ~ ~ Term Expires Msrch 8, 20 ~