HomeMy WebLinkAbout31804-ZFORM II10. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31501
Date: 03/27/06
CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 65695 CR 48
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 40 Block 2
subdivision
Filed Map No. Lot No.
GREENPORT
(HAMLET)
Lot 6.5
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 15, 2006 pursuant to which
Building Permit No. 31804-Z dated FEBRUARY 24, 2006
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 ADDITIONS & ALTERATIONS & DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR & AS PER CERTIFICATIONS OF JOSEPH FISCHETTI, P.E.
The certificate is issued to DIMITRIOS ASTERIOU
(OWNER)
of the aforesaid building.
SUFFOLK COUNT~ DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED 03/23/06
N/A
2087834 02/07/06
RICHARD MANISCALCO
~t/~ure
Rev. 1/81
MAR 16
Form No. 6 J
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
3~PPLICATION FOR CERTIFICATE OF OCCUPANCY
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 ~atural 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 1% 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 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,
Swirmning 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' ~'
Location of Property: ~Sbq~[~ C ~-~
House No. Street
Owner or Owners of Property: ZIl'q~l"7?~lOo~
Suffolk County Tax Map No 1000, Section __ /-/(.O _ Block
Subdivision _ _ _ Filed Map.
PennitNo. % 1~(9/~.~Dateot'Pemfit. Z-2,~.-~00~Applicant:
Health Dept. Approval: Underwriters Approval:
__ ____ (check one)
Hamlet
Lot__ (0 ,~--
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
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. 31804 Z Date FEBRUARY 24, 2006
Permission is hereby granted to:
DIMITRIOS ASTERIOU
2019 E 53 PLACE
BROOKLYN,NY 11234
for :
ADDITIONS AND ALTER3~TIONS TO AN EXISTING DWELLING AS APPLIED FOR
THIS PERMIT REPLACES 19177Z & 19413Z ADDITIONAL CERTIFICATIONS MAY BE REQUIRED.
at premises located at 65695 CR 48
County Tax Map No. 473889 Section 040
pursuant to application dated FEBRUARY
Building Inspector to expire on AUGUST
Fee $ 150.00
GREENPORT
Block 0002 Lot No. 006.005
15, 2006 and approved by the
17, 2007.
ORIGINAL
Rev. 5/8/02
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU Of ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 1 0038
CERTIFIES THAT
Upon the application of
upon premises owned by
DIMITRIOS ASTERIOU
2019 E53RD PLACE
BROOKLYN, NY 11234
DIMITRIOS ASTERIOU
2019 E 53RD PLACE
BROOKLYN, NY 11234
Located at
65695 NORTH RD RT 48 GREENPORT, NY 11944
Application Number: 2087834
Certificate Number: 2087834
Section: Block: Lot: Building Permit:
BDC: NS37
Described as a Residential 0-599 square fl. occupancy, wherein the
electrical devices and wiring, described below, located in/on the premises at:
First Floor, kitchen addition, Outside,
}remises electrical system consisting of
A visual inspection of the premises, electrical system, limited to electrical devices and wiring to the extent detailed
herein, was conducted in accerdance 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 theTth
Name QTY gate Rating Circuit Type
Miscellaneous
as built-1990
Appliances and Accessories
Cookiug Deck 1 0 30
Oven 1 0 30
Exhaust Fan I 0
Wiring and Devices
Outlet I 0
Fixture 1 0
Outlet 13 0
Receptacle 9 0
Switch 6 0
Lighting track 10 0 fl
Receptacle 2 0
Service
Service Disconnect: 1 100
Meters: 1
Day of February, 2006.
Amps
Amps
F.H.P.
Fixture
Incandescent
General Purpose
General Purpose
Geueral Purpose
GFCI
cb
seal
Invoice Total
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$85.00
Continued on Next Page 1 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of
upon premises owned by
DIMITRIOS ASTERIOU
2019 E53RD PLACE
BROOKLYN, NY 11234
DIMITRIOS ASTERIOU
2019 E 53RD PLACE
BROOKLYN, NY 11234
Located at
Application Number: 2087834
Section: Block:
Described as a Residential 0-599 square ft.
65695 NORTH RD RT 48 GREENPORT, NY 11944
Lot:
Certificate Number: 2087834
Building Permit: BDC: NS37
occupancy, wherein the premises electrical system consisting of
eleotrical devices and wiring, described below, located in/on the premises at:
First Floor, kitchen addition, Outside,
A visual inspection of the premises 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 ontheTth Day of February, 2006.
Name QTY Rate Rating Circuit Tvpc Amount
An as built iuspection, ot'tbe delineated electl'ical installation, determined that an obvious hazard is not present and tbc installation is believed to
be in comformance witb tbe applicable refereace standard for tbe estimated period o£construction oftbe premises wiring system.
Defects previously reported, as items of nop.-compliance, bavc bccn corrected. A visual inspection made of thc exposed electrical equipment in
tbe premises indicated found no obvious unsatisfactory condition.
seal
TH[q l~q YCIIIR RF, CF, IPT
2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
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 SOUTI-IOLD
CERTIFICATION
Date: ~ ~ ~'~ ~ ~ CD O {3
Building Permit No. ~'/ ft7,~
Owner:
(Please print)
Plumber: ~)-,ko..~lNr~rc~ ~'~O\%C'~Cb
(Ple, ase print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
VII~A~H. VA'FI'ER
Notary Public, ,,,,~ ~ounty
No,my Public, ~ ~ ~ Yo~
C~ E~ims, ~mber 12, ~
(Plumbers Signature)
PROFESSIONAL ENGINEER
1725 HOBART ROAD / PO Box 616, SOUTHOLD, NEW YORK 11971
TEL631.7652954. FAX631.6143516 · e-mail: joseph@flschetti.com
Date:
Reference:
February 15, 2006
Old Permit #19413
Southold Building Department
Main Road
Southold, NY 11971
Dear Sir,
I have inspected the 12' by 17' deck for the building permit noted above. To the best of my knowledge the
desk was constructed in compliance to th
Joseph Fischetti, P.E.
FEB I 5
PROFESSIONAL ENGINEER
'~72§ HOBART ROAD / PO Box 616, $OUTHOLD, NEW YORK11971
TEL~317652954, FAX631,6143516 · e-mail: joseph@tischetti,com
Date:
Reference:
March 14, 2006
Permit #31804Z
Southold Building Depadment
Main Road
Southold, NY 11971
Dear Sir,
I have inspected the foundation, framing, plumbing, masonry and insulation and to the best of my
knowledge the structure has been constructed in accordance with New York State Building codes at the time of the
issuance of the Building Permit and built to the as-constructed plans submitted.
Joseph Fischetti, P.E.
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND I--] INS~L~(~N
[ ] FRAMING / STRAPPING [ ~ FINAL
I ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~~-~.~_.~
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ~FOUNDATION 1ST [~]~I~OUGH PLBG.
[ ~F~OUNDATION 2ND [~I~M'SULATION
[~FRAMING / STRAPPING [,--~iAL
[FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
DATE
INSPECTOR -" '~,,./,~
~FIELD I~SPECTIO~ REPORT
FOUNDATION (1ST)
COMMENTS
FOUNDATION (2ND)
ROUGH FRAMING &
PLULVIB1NG
iNSULATION PER N. Y.
STATE ENERGY CODE
FINAL
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ,20
Approved · 20__
Disapproved aJc
Expiration ,20__
PERMIT NO.
BUILD1NG PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying'?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone: 7~,5- ?0Q 7 ?
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date
INSTRUCTIONS
,20_0 _
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets ol'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 waterways.
c. The work covered by this application may 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 :['or inspection throughout the work.
e. No building shall be occupied or used in whole or in part 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 commenced within 12 months after the date of
issuance or has not been completed within 18 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 new 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, Suftblk County, New York, 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 building for necessary inspections. /~ ~2) oo~ K/,~
(Signaffaffe of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Nameofownerofpremises ./) I t'417~1~10~ A I O Lg
(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 propoaed work will be done:
6 ,fig %q'- e.. ,¢. ,40° 're,s.-/t/,°ore7- M' 5"'. / / q/g/-/
House Number Street
County Tax Map No. 1000
Subdivision
(Name)
Section
Block ~r~ ,,: i,, .,~,., 'Lot .~ ~'
Filed Map No._ Lot
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~t,O (0£,~
b. Intended use and occupancy ~ ! ~ ~ L~ 7L-~/[ ?wl [/, y ,
Nature of work (check which applicable): New Building Addition ~- Alteration
Repair Removal Demolition Other Work
4. Estimated Cost /, 0 0 0
5.
If dwelling, number of dwelling units
If garage, number of cars
(Description)
Fee
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Sizeoflot: Front Rear Depth
10. Date of Purchase
Name of Former Owner D/~t4/7"~ / O~
11. Zone or use district in which premises are situated ~1~ ~_(~f7"1,4 l._
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO
13. Will lot be re-graded? YES__ NO Will excess fill be removed from premises? YES NO__
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES__
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY .BE REQUIRED.
NO
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
COUNTY OF~'~ff~ ~,:
~ V~ Cd ~GL J '~ O tX_ V (A_.~ being duly swom, deposes and says that (s)he is the applicant
(Name of individual signing contract)abo~:psmed,'
(S)He is the t \ -/(t.--/~
(Contractor, Agefit, 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 application are tree to the best of his knowledge and belief: and that the work will be
performed in the manner set forth in the application filed therewith.
Signature of Applicandt