HomeMy WebLinkAbout29685-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30430 Date: 09/16/04
THIS CERTIFIES that the building ALTERATION
Location of Property: 445 TASKER LA GREENPORT
(HOUSE NO-) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 33 Block 4 Lot 23
Subdivision Filed Map No_ Lot No_
conforms substantiall_7 to the Application for Building Permit heretofore
filed in this office dated AUGUST 28, 2003 pursuant to which
Building Permit No. 29685-Z dated AUGUST 29, 2003
was issued, and conforms to all of the requirements of the applicable
i
provisions of the law. The occupancy for which this certificate is issued
is "AS BUILT" 2ND STORY DECK ENCLOSURE OF EXISTING DWELLING AS APPLIED FOR
The certificate is issued to CHRISTOS MOUSTOPOULOS
(OWDIER)
fI of the aforesaid building.
I
j SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
4 ELECTRICAL CERTIFICATE NO_ 2008509 08/27/04
4
PLUMBERS CERTIFICATION DATED N/A
Authorized Signature
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERI4IT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AU'T'HORIZED)
PERMIT NO. 29685 Z Date AUGUST 25 , 2063
Permission is -hereby granted to :
CHRISTOS MOUSTOP'OULOS
147-23 ROOSEVELT AVE
FLUSHING,NY 11354
for
AS BUILT SECOND STORY DECK EI•ICLOSURE AS APPLIED FGR. ADDITTONP_L
CELTIFICATIOISS WILL BE REQUIRED .
at premises located at 445 T SKER LA GREEIIPORT
County Tax Map No. 473889 Section 033 Block 0004 Lot No_ 023
pursuant to application dated AUGUST 28 , 2003 and approved by the
Building Inspector to expire on FEBRUAP.Y 29 , 2005 _
Fee $ 300 . 00
tkizNSignarure
d
COPi'
Rev. 5/6/02
Form No.6
TON`N OFSOUTHOLD
BUILDING DEPARTNIENT
`rP I a� TONIN 1IALL
765-1802
z
r`r r k LD 1APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
I A. For new building or new use:
1. Final sur ey 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.
I 4. Sworn statement from plumber certifying that the solder used to system contains less than 2i 10 of 1%o 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.
i
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 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- 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: Old or Pre-existing Building: (check one)
Location of Property. 2 t9ti �2��it/P0)e7
House No. Street Hamlet
Owner or Owners of Property: G,/,e1s70-S ,tip J�j Gj�0lJ1 C3S
Suffolk County Tax Map No 1000, Section �z73 0,33 Block C o®f Lot 0.23
Subdivision Filed Map. Lot:
Permit No. Date of Permit. 44902 Applicant: C/Pli 70-S /e;jo dS jOi70 t14 01
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: `
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ .2 J
" � J �/ ry"��fJ67i�-�✓7
r- (y Applicant Signature
e 0 -?_ 3 0
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 29685 Z Date AUGUST 29, 2003
Permission is hereby granted to:
CHRISTOS MOUSTOPOULOS
147-23 ROOSEVELT AVE
FLUSHING,NY 11354
for
AS BUILT SECOND STORY DECK ENCLOSURE AS APPLIED FOR. ADDITIONAL
CERTIFICATIONS WILL BE REQUIRED.
at premises located at 445 TASKER LP_ GREENPORT
County Tax Map No. 473889 Section 033 Block 0004 Lot No. 023
pursuant to application dated AUGUST 28 , 2003 and approved by the
Building Inspector to expire on FEBRUARY 29, 2005 _
Fee $ 300 . 00
uthoriZ�
ORIGINAL
Rev. 5/8/02
TOWN"''
OWN' OF SOOT LD PROPERTY RECORD CARD
OWNER STREET 7 Lh VILLAGE DIST. SUB. LOT p.
a
FORMER OWNER N
E A g 3 12co . a6k,,
ri Smvt4r-j-h0hCDu/a5 W TYPE OF BUILDING
RES. ^1� SEAS. VL. FARM COMM. CB. MISC. Mkt. Value C `
LAND IMP. TOTAL .09
DATE REMARKS P' — "" ao
JZ
V7
1 Y) a .
L, `1 ,11)
� tJr. I—
r�(I_ ! I/.�(!'( flr
l �=--
AGE BUILDING CONDI ION
NEW NnRMAL FFLOW ;%F'-C)V[ -- - —
- -
FARM Acre Vnlue F'er \'nlu,- --
A.L re
Tillable 1
Tillable 2 - --- -- - - -
Tillable 3
Woodland — - - - — - - - — ---
Swampland FRONTAGE ON WATER
Brushland- FRONTAGE ON ROAD 0
House Plot DEPTH
BULKHEAD
Tota)%'` `'" �, .� DOCK
I
a
COLOR
h �
TRIM P �„
4 A;
- ITM=
.4. Bld / 7 - Foundation / ' Bath �z DiJDR..
tte
xtenst. ,� s /k' ci �Lasenient �I} Flours .,xtension Ext. Walls S / Interior Finish=xtensionFire Place �( Heat
Type Roof N �� Rooms 1st Floor BR.
orch Recreation Room Rooms 2nd Floor FIN. B.
17r X _ 1 —
Z SZ Dormer
Breezeway Driveway
Sarage y n.tl e
�; d47
-
/4 x'30 360 .36
O. B.
Total
q
r�_r n_r�n�rl�rJ�r�?P�ra Jnr W@PL L3 rc.f�A�r�r�r
5. BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
S5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 .
5
CERTIFIES THAT 5
Upon the application of upon premises owned by
5
JIM SAGE ELEC. INC. CHRIS MOUSTOPOULOS
5 P.O. BOX 38 445 TASKER LA
5 GREENPORT, NY 11944-0038, GREENPORT, NY 11944
Located at 445 TASKER LA GREENPORT, NY 11944
Application Number: 2008509 Certificate Number: 2008509 ee
5 �1
Ij Section: Block: Lot: Building Permit: BDC: NS11
1c. i
Described as a occupancy, wherein the premises electrical system consisting of .
electrical devices and wiring, described below, located in/on the premises at: [�
First Floor,Outside, 5
A visual inspection of the remises electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accordance with the requirements of the applicable code and/or standard
promulgated by the State of New York, Department of State Code Enforcement and Administration, or other
authority having jurisdiction, and found to be in compliance therewith on the 27th Day of August,2004.
Name OTY Rate Rating Circuit _I'yypee
Wiring and Devices
5 Outlet 1 0 Fixture
Fixture 1 0 Incandescent
iOutlet 3 0 General Purpose
Receptacle 2 0 General Purpose
5 5 Switch 1 0 General Purpose 5
Paddle Fan 1 0
5
� 5
5
5 5�
1 5
5
seal
5,
5
1 of 1 SO
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
j
s rrJ�rJ�rJ�r�rJ�r�r�rJ�rJ�rJ�rJ�r�rJ�rJ��farJ�rJ�rJ�rJ�r�rJr�rJ� r1rJ�rJ�rJ��f�fr»�J�frJ�rJ�rJ��nrt�nJ�rJ�r�rJ�rJ�rJ�rhofr�r�r�r�PrJ�rJ��PrJ�rJL
m � BUILDING PERMIT EXAMINER CHECKLIST
DATE REVIEWED: /03
APPLICANT: DATE SUBIYIITTED:-_I-_JcX_/03
SCTM# DISTRICT: 1,000, SECTION: BLOCK: __�J. LOT:03 SUBDIVISIOME6Cr SJOMS
ADDRESS: 14145 1(1
,k-ED2 CITY ZONING DISTRICT: �_CONFORMING? -V&
BUILDING PERMITS OPEN/EXPIRED: PRE CO: Y ORCL`'U
BP'3 6q -Z /CO Z- 0 , INFO K I A BP -Z! C110 Z- INFO
BP -Z GO Z- , INFO BP -Z;Ci0 Z- INFO
SINGLE B- SEPARATE CERTIFICATION-REQUIRED /146 NOTES:
LOTS 70,000SF-100=3.Lot rewgnition.(CnATED before June%n, 1983),UNDERSIZED LOTS FROM JAN.1997 WO-25.btergen(A nonconforming at any time aftn
REQ. LOT SIZE: 1-- ACT. LOTS=: REQ. LOT COV. ® ACT. LOT COV.
REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE
REQ. REAR ��j PROP. REAR v7'
REQ. IGHT PROP. HEIGHT
PROJECT DESCRIPTION: Q �e
ESTIMATED PROJECT COST: 6I` ARCHITECT 1u,7 tr-�
WATER FRONT" Alb DESCRIPIION: PA.TL # FLOOD ZONE
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTII D PT: YES of IrO,YBED 1i: DTE: _ PERMIT r:
TOWN SEPTIC RECEIPT: Y 0AID, �
NEW' I-ORK STATE DEC: rrE-DEC 9'L'.5 YES or'0 DTE: PERMIT ?:
SOUTHOLD TOWN TRUSTEES: YES o DTE: PERIJIT
TOWN ZONING BOARD APPRON'aL: 'i L-S of DTE.: PERMIT R:
TOWN PLAN. BOARD APPROVAL: YES or DTE: PERMIT =:
TOWN HISTORICAL PRE ISPL[A): YES or i�t�..
NEW YORKSTATE CODE COAIPLIANCE (SEE PAGE 2): YES or NO NA Ce 7.9 P-e-ojIaFb
NOTES:
FEE STRUCTURE: FOLTrDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: \`71K SF FEE FEE FEE
1. I SF)- ( SF)= SF X S -S +g )5O +$ $ Sac
i
2. ( SF)- i SF)- SF Y y =S +S +S = S
3. (_SF)- 1 SF)- SF N
FINAL TOTAL: S 3oc)
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: o
e
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND SULATION
[ ] FRAMING [�] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
f
DATE Y INSPECTORQ�
i
FIELD 3NSPECTION REPORT DXMCOMMENTS
FOUNDATION(1ST)
C'
FOUNDATION(IND) �
lU
ROUGH MAAENG&
PLUi�ISING "3
w,
INSULATION PER N.Y_
STATE ENERGY CODE
FINAL
ADDMONAL CO3rnlENT5 -
so �� S Lj1�ti' C�f�
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TO'AN N OF SOUTEW) BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTNIENT Do you have or need the follovnag,before applying?
TORN ILALL Tran Cer I bCe Clot Board of Health
SOUTHOLD, ICY 11971 a� �3 sets ofBuildino Plans_
TEL: (631) 765-1802 F Planning Board approval
FAX: (631) 765-9502 � � 6�� � X Survey _—
w%w. northfork.net/Southold/ PERIVHT NO. Check
F
rovc.C. _
Examined_ 20 Contact:
Approved V�� -, 20 Mail to: C. .�/vLis
Disapproved a — /c�,—�3 ;P a'OS¢ r//y��' ✓' ,
Phone:_
Expiration _ - .20-
I :
n 7� ,. 2 . i ilding spect
�.' t APPLICATION FORBUILDINGPEIIIIi
s -- _- Date 200-:3
INSTRUCTIONS T-- -
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
Eb. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
c. The evork covered by this application ntay not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issue a Building 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 Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not conmuenced within 12 months after the date of
issuance or has not been completed within 15 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a neer-permit shall be required.
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
Revelations, 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 building for necessary inspections.
(Signature'of applicatft or name, ifcorporation)
J 5/,7-2; Ro 1oc eu �✓S ry � s�✓e, AV
-- (Mailing address of applicant) '13-)3-
State
13.)3-
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
A;AA
Nameofocvnerofpremisesll2pG+ttZ0-5 —_—
(_As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer) g
Builders License No. a'` n
Plumbers License No. e +
Electricians License No. ,a;�
Other Trade's License No. ;J
1. Location of land on which proposed work will be done:
!!� .Sp /,p-
House Number ' Street Hamlet
County Tax Map No. 1000 Section `t���&' ?� Block� —23 Lot
Subdivision — — Filed Map No_ Lot
(Name)
h
2. State existiQ use and occupancy of premises and intended use and occupancy of proposed ce-nstntction:
a. Existing use and occupancy
b. Intended use and occupancy
. 3. Nature of xvork heck which applicable): New Building Addition Alteration
Repair Remoz al Demolition Other Work
&J (Description)
4. Estimated Cost llr o Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dxx ellina units on each floor
If garage, number of cars
:'6. If business,commercial or mixed occupancy, specify nature and extent of ea:h type of use.
7. Dimensions of existing structures, if any: Front 4-Z-O'
t Rear zl?- Depth v 1 L
Height 7—';S . 0" Number of Stories
Dimensions of same structure with alterations or additions: Front 4 S Rear 4 34- �l -
Depth � 0[. Height 'r_ -`e,. Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front DO Rear f i nig Depth 50-e5.
10. Date of Purchase 's G N�r� Name of Fonner Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation' YES NO X
13. Ny'ill lot be re-graded" FES NO X Will excess till be removed from premises' YES NO
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a fieshwater xvetland *YES NO �
* IF YES, SOUTHOLD TO«"N TRUSTEES S D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property xxithin 300 feet of a tidal wetland' * FES NO
* IF FES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, xvith accurate foundation plan and distances to property lines.
17. If elevation at any point on propeny is at 10 feet or below, must provide topographical data on survey.
STATE OF NE`ti'YORK)
c � SS:
COUNTY OF-111'f�
v-,j Z, V f{ T +'L U b—elna duly S�:OM, deposes and says that (slbe)is the applicant Lpz
(Name of individual signing contract) v
aboe named, J
(S)He is the 11:n
n Vy/� V<
(Contractor. Agent, Corporate Officer, etc-)
of sai xvner or owners, and is duly authorized to perform or have performed the said%cork and to make and file this application;
tha all s[ teen nts contained in this application are true to the best of his Lnowledse and belief; and that the work will be
p orme in the manner set forth in the application filed therewith.
Sw to e- e me APPub
day ofNotS gna�Applicant
'veronica F. Cidoe e
Notary Puv€k , S`-te Of New ?oC
1
NO: 52-4,zo i 406
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TITLE N0. 75-5-204932
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APR. 1976 _
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JUNE 4, 1976 `
N
THE
LO ATIO OELLS ANCESSPOOLS
SHOWNNF D VATIONS `'CF'ISFL,° 45893 y0F
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AND/OR FROM DATA OBTAINED FROM OTHERS 1AND SURE
S J:r..J"'-' LTf u.:nCN -PC •iJry Tr. r ,.�a,.. n rF:'.T t '. ■ rAl'.4 ,r,rp .:nt '
j r"„ •z :•r IRE NEw +a s '_rE EDS.Cn��a., �. "-"Es ='c I.,�s 5UHD.IVIS/ON MAP FILED/N THE OFF/CE OF FHE CLERK OF '
sue.[. M.- - ]T BE RING ra ER...TC SLIROErO lq,; •-; ^ '-MnGSSr SUcFOLK COUN7"Y 64N APRIL 27, /964 ASF/LENO. 4021
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I - CH,4.lSTOS MOUSTOPoULOS USL IFE TITLE /NSURANCE
COMPANY OFNEW YORK
F 4M - Ro7 IE Iry Lw SOUTHOLO SAV/NGS BANKJ, ANTHOULA MOUSTOPoULOS,
LOT 1/0.50
r�� E.4 STERN SHO RES,SECT1 I
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GREtNPORT
ro-„r: of SOUTHOLD w_DEN w .n�NG .p;IEEs orvcc
ENGINELR LNL .Nl' IVR.E 11N
N Y S.L I F N n I'l Fu=
SUFFOLK COUNTY, N. Y NG.CRCw R,'JN6, - _.
.F.^
I NN Y 5 LIC NC 45n59 _
. YOUNG .a YOUr"JG , LAND SURVEYORS
400 OSTRANDER AVENUE
RI `V'ERHEAD , NEW YORK
LE �raC
MAR. 25,19761 I " = 50 ' 76-173
Wrc � �'
APPROVED AS NOTED
�p !,
DATE: 8.P It'1 � �
FEE: ' BY:L`�P�
" MOTIF BUILDING DEPARTMENT AT ss 1
765-1802 8A TO 4P FOR THE 3 a e
FOLLOWING INSPECTIONS:
�I! 1: FOUNDATION - TWO REQUIRED
OR POURED CONCRETE
I 1 •`G` .�„ ZI'f.? �,_ ���}- Z S__ ,__���_ f. OUG - FRAMING 8 PLUMBING
3.
d ¢1511 4."FINAL CONSTRUCTION MUST -
�, BE COMPLETE FOR C.O.
$TRUCTION SHALL MEET :A
.w-- " —^*---^^ - - --- _^- -
REQUIREMENTS OF THE CODES OF NE
f — - - -' W,
I
------YORK-
DESIGN RESICONSTRUCTIONS
ERRORBLE � "
COMPL I WITH ALL CODES OF 10
T1-FIL/lY Y0 STATE & TOWN CODE$a,�
A #E-� ^I . ED AND CONDITIONS OF!
j I - 2 SOUTHOLOTOWNZBA -
/ SOUTHOLUTOWN PLANNING BOA
F�
C� I s] tS IIi
SOUTHOLD TOWN TRUSTEES
NI
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ANCY OR r �'
USE I UNLAWFUL o
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UTHOLD TOWN CODE--4--�
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ALL CONSTRUCTION SHALL
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