HomeMy WebLinkAbout32594-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32452
Date: 07/09/07
THIS CERTIFIES that the building
ALTERATIONS
Location of Property: 1425 STANLEY
(HOUSE NO.)
County Tax Map No. 473889 Section 106
RD
(STREET)
Block 8
MATTITUCK
(HAMLET)
Lot 9
SUbdivision
Filed Map NO.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
DECEMBER 19, 2006 pursuant to which
Building Permit No. 32594-Z
dated
DECEMBER 22, 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 INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to EMMANUEL & IRENE DIAKOGEORGIOS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
07-1033
04/19/07
06/15/07 CUTCHOGUE EAST PLUMBING
PLUMBERS CERTIFICATION DATED
~.,~
Rev. 1/81
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION 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:
I. 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 2/1 0 of I % 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:
I. 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
I. 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
~ruc~ion:
Location of Property:
/
~ Old or Pre-existing Building:
lL{-2S 5
Date.
:To \'f-1 ) Pf1J7
check one)
House No. Street Hamlet
Owner or Owners of Property: EtY\tVlW1.Vd -+- :r::-V' 6l!. \)1 'cL~eO tfrl (:) --.S
Suffolk County Tax Map No 1000, Section ~ Block 'B . 00 Lot q. () 0
Subdivision
Permit No. 3~5q1 t:
Filed Map.
Lot:
Date of Permit.
Applicant:
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
Request for:
Temporary Certificate
Final Certificate:
/ (check one)
~:~~~~._~
APPlica~
Fee Submitted: $ cJ5.o0
~. 7'ya7'f
c. 0 -r:3:2 'f 5 :2..
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.
32594 Z
Date DECEMBER 22, 2006
permission is hereby granted to:
DANIEL SALVATORE LISS (b i G- koq€..Orj ;05)
1425 STANLEY RD -.J
MATTITUCK,NY 11952
for :
INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
1425 STANLEY RD
MATTI TUCK
County Tax Map No. 473889 Section 106
Block 0008
Lot No. 009
pursuant to application dated DECEMBER 19, 2006 and approved by the
Building Inspector to expire on JUNE 22, 2008.
Fee $
150.00
ORIGINAL
Rev. 5/8/02
T owe Hall, 53095 Main Road
P. O. Box 1179
Southold, New Yo", 11971
Fax (516) 765-1623
Telephone (5\6) 765-\802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I FIe A T ION
Building Permi t No. .J;? sfi 2
Owner: UdOf~o~ /0 S'
(pleftse int)
~ C \( G ~ 5 t'\cV\.d "
(please print)
c ()T0h~ ve..
c.
p-H
Plumber:
I certify that the solder used in the water supply system
contains less than 2/10 of 1\ lead.
/7'. ~/tl---'''
/. 1/ .
i (
i>UIOAN J. NAGY
NNotary Public State of New Yor~
0.4896735
Qualffled In Suffolk County
Commission Expires May 20 J.l
Signature)
;
,
/
l
Notary Public,
a;1io.o7
(7 ej')ntZ(tj,. .,
.)I,id($11
/
(
Sworn to before me this
/~~ day of
county
3 9l-s9 '+ z-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] RRE RESISTANT CONSTRUCTION
[ ] ROUGH PLBG.
[ ] INSULATION
~ FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENET1lAnoN
REMARKS:
F~ .~~/ ~ Ok,
G~ o'--~'~
~~ ~J~f,
~d-~{)
DATE s -/7,- () 7 INSPECTOR ~ ~
- ~ - -
~Ls7~
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTI
[ ] FOUNDATION 1 ST _ OUGH PLBG~
[ ] FO ATION 2ND H] INSULATION
[ FRAMING I STRAPPING ] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESISTANT CONS1RlJCnON [ ] RRE RESISTANT PENETRATION
@~C2~!;;;!:z~~
L~
DATE
INSPECTOR
~
- -
3 :1-51 If- Z-
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND ~ INSULATION
[ ] FRAMING I STRAPPING [] FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRlJCnON [ ] FIRE RESISTANT PENETRATION
REMARKS: ~ f~~ ~
~(N-~}~~2Itr~.
N4-~/~~ ~ ~
DATE J.--/3 -~7
INSPECTOR ~ ~
-
... .
FIELD ]}jSPECTION REPORT
.-
DATE i
COMMENTS
FOUNDATION (1ST)
/ /
IV / (j
UJ-:
Vl'l
~\~
-""
-C""
Ilv
FOUNDATION (2ND)
I
_ ,rift)
Y I 'v
+-\-\-S!
-)[;l
+'4-
z
9
ROUGH FRAMING &
PLUMBING
((n- ,
"LI, If) i-P(/. g l'- jJ., .IJ1f-. V Ct. 1 II. T-,. U ~
/' ~ o::f- u.IJ ',-.I L j .1.. ,.( flJAoJ
_... ^-1JtTn '~hd .;;r-t.. I- " '/~.v) 1,;-
~A7, .A ..A.A OJ lo... M.. . ~.~
/ /f / 1._ ~ J
--+- f/ / /
l./
-C'"
V""
\)1;;
I'l
(/1 ""
--- -----
,
~
r\
~,
::>
r;--
\. .'f
"S", 17, t> 7 F[.. - ~ jI Il. ,'-- oI\'~
~\ A\ Ph. 11 ~- i'/v, ';t- ~ 'dI
, u u
1-15....0 r-v~c_ V"?7-_' t.- _.J-- / ~. '/I~',uJ r;:'0
______ _il"'=~ "R ~ _ r: t..-' --to- ~if/.., ,)V~ ~
"" . --,.R 1 '~ {) A A ~ -- -" ,; 0 /'I.k A V4.", ^-A .i ~ ~
"...,'6 p..P.~V"V V ""
~ / 2
~.
H
J::5 /h ~ ;:,
\
/~J~'
INSULATION PERN. Y_
STATE ENERGY CODE
FINAL
1----- ---.---
.
;- d
~
p
ADDITIONAL COMMENTS
~~I f:01J)~-\i. ~ cvct7E Ot" /~
_.n..L ..~___. '.. ~ <=~ -l
__.sLj"~-C:_\ J J'IP....-_l~,,--eR. ok
"
--
'^
~ 0 G
,:\ ~lJ'g
, ;0
)
,
__ l~
------ --- ------------
- - -- ---------------------
--- ---------
o
[/\
--- ---- ---
&'~
, -:
t~
\ ""
Do
~z
f---
r- -----
f---
~~
~~
D""
I ;
I'l
-:
~
~ O'L'0 \'\.iL/\
~~~O~A~~~OLD PROPERTY RECORD CARD
, "'. I,~ - n'. "," .;;..'71
"''ie' t. 0 '
SUB.
I'1-J1/f
T / '7
STREET
DIST.
< -<) ..".....I4.-C
~
N
E
.
CNf'tI(\.
W
FARM
COMM. CB.
MICS.
Mkt. Value
LAND
TOTAL
DATE
REMARKS
$>111.,..0 K"..f'<1
. 22&>- -<c> G .1
66 66
8 I OO<')PA~ (~
gcrtJ mJ 4-700
~cOO I-f IDO~"'v '-I9olD
800 if ~ 00 5"70D
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
Voodland
,/
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
"iIIable
r\eadowland
iouse Plot
'otal
DOCK
~ --
, -
-
-,
-
COLOR W~' ,-- - \ ,(1 TRIM
0
,c- " , ,
"
IL
I J-- 8 (0;
, ,
1.
,. I :s I'"'tj'. I . ",. 11.l , , .. . ,
.;t-i" ,
-
I lA,
I ,
!
,
I I
i " . ' .
I ~,"Jr ..
,".-." ..
I - . . -. ... . - ------'.- -~--
M: olag: I ;{b X JfO - /040 3."'0 33 '6'0
Extens;on
#~'1~~::'/ /(, ,<30 z 1(110 3.00 l'Ilfo
enslon
'A"&",,_,, . / ~,
Ext . . ..~ ,. 7V
ens/on
Foundation ~c.. Both -;t2- 3 Dinette ./
Porch Basement ~\i' Floors 1(. /
Porch Ext. Walls , , Interior Finish LR. ./
\/I-':>'\LC'\W .
Breezeway I Fire Place \ Heat DR.
_"0
Garage M d~/v /.~ 'r::. 'I" ype Roof Rooms 1 st Floor BR. 3
/S X = ,t?--U
Patio ~.L "'" ~dD 100 Recreotion Room Rooms 2nd Floor FIN. B
0(5 ::>..::);:)j'-
O. B. k('9Q\ 'SIC, 2.~'0 Dormer Driveway
"- '. ~ /'.--. - '--" I
Total i 3905 \ 99 j .%~7'OMt. /=-"<"~ 010" ,: 1-= 5..15..
-1;cxs
S't;. 5 rD
,ft11
'I'
/v'z..
.P)r/V S,,"~/. 4{<:",,~"'</le,^, rOO /
85Z t.....
PERMIT NO.
32'>"1~ T
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health ~
4 sets of Building Plans :/
Planning Board approval
Survey
CheckfF.2 !r&t
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
Approved
Disapproved alc
,20_
,20_
Mail to:
Examined
Expiration
,20_
"
Phone: 71? 7- Lf C '15
IEC 4'2006
APPLICATION FOR BUILDING PERMIT
Date / '2-- -I t
,20~
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of pljlns, accurate plot plan to scale. Fee according to schedule.
I Plot plan showing location oflot 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 for 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, Suffolk 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.
(Signature of applicant or .name, if a corporation)
10. ~?',..b' Yell" /,uf7f(ivCJc.. tlrr
(Mailing address of appli<;ant) IlyS- Z--
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
(;h:Ktz,e.A-c- ["0/<./7 "eA-c..-';-t?/L C /f~~r 6',1t:/t~?Rt'5~') J
,
Name of owner of premises ~A1M)luEL. "i /1l..~N~ 7)iAkOCil5cJk:4ICJUc;
(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. trtJ l 3 1- H
Plumbers License No.
Electricians License No.
Other Trade's License No.
I. Location ofland on which proposed work will be done:
/ (r l S- .s ?:1-u U'S- l-' h.. 1)
House Number Street
/'1 ~T'f f't ""L-k
r Hamlet
County Tax Map No. 1000 Section
Subdivision
fOro
Block 0 f
Filed Map No.
Lot (J 't
Lot
(Name)
..
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ~ t}.f c,. ,-,IE F;{ /( , e- Y'" 7J CA/';; Co- '- (/.( ~
b. Intended use and occupancy
5f'N~LIL
F~r"t (L '('
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
'}c..vc e-.... rl\r Cr
Alteration /
4. Estimated Cost
12-, eYe) OJ
,
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars ,
I
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
~/" r
7. Dimensions of existing structures, if any: Front ...s v
Height :;L '3 Number of Stories I
Dimensions of same structure with alterations or additions: Front r~'
Depth ~ ' Height L? t Number of Stories
sr; .
Depth S-6
Rear
8. Dimensions of entire new construction: Front ,<;---c ' Rear 5"" to
Height 2- ] , Number of Stories I
Rear sC: '
I O. '"
P. i~ !
Depth s:-- r:; r '.
9. Size oflol: Front
Rear
Depth
10. Date of Purchase Y-lS-- C) (p Name of Former Owner
LI5s
\
II. Zone or use district in which premises are situated
12. Do," p"'poood "''''lmcti"" ~"IM' m;:ZI'w, "nlirumm "mgol,tinn? YES_NO V
13. Will lot be re-graded? YES ~ NO ~ Will excess fill be removed from premises? YES ~ NO ~
14. Names of Owner of premises Address Phone No.
Name of Architect Address Phone No
NameofContractorG6RA<:-i::> LAMe( AddressP.O~.k 'TN Phone No. CJI-9F7-~'t'~
Afrrl r V(.../C- t/
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO _
* 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 P
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
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)
SS:
COUNTY OF S...ff.lk )
G 6tt,ft.- r.:> LA- N ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
~?-~ 12 /C/i ~ ?,e,5'<: -?
. (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 application are tme 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.
Sworn to before me this
1'\""" day of l;)ecD~b.<<,," 20~
~ry~l~
John M. Judge
NOTARY PUBLIC. State of New York
No.01JU6059400
Qualified In Suffo,lk County
Commission Expires May 29. 20 ~
.~
,v\AR I 9 2\ THERMAL REQUIREMENTS FOR EXISTING DWELLINGS
Applicant's Name, Property Location:
INSULATION REOUIREMENTS::
Ceilings - R-38
Walls - R-19
(see note I)
Floors - R-19
(see note 2)
Note 1: Walls shall be insulated as near to new construction as economically feasible. Any exterior wall framing
exposed during repair of rehabilitation work shall have vapor barrier installed and be fully insulated.
Note 2: Insulation may be omitted from floors over heated basement areas of heated crawl spaces if foundation
walls are insulated. A basement crawl space or garage shall be considered unheated unless it is provided with a
positive heat supply to maintain a minimum temperature of 50 degrees F.
Note 3: Ventilation
. Attics - Both unblocked soffit (or roof vents in the lower 1/3 of the roof) and ridge vents (roof or
gable vents in the upper 1/3 of the roof) are required. In areas of sloped ceilings, there should be an
air way between the roof and insulation.
· Bathrooms - If windows are providing adequate ventilation they are acceptable, if there are signs of
moisture damage or no windows, mechanical ventilation is required which is vented to the exterior of
home (not attic or basement).
· Kitchens - Window or mechanical vent to exterior is acceptable.
· Dryer - Exterior vent required.
CERTIFICATION
This is to certify that the insulation complies with the requirements as follows:
Check appropriate box:
D Property has been inspected and presently complies with above requirement to maximum feasible.,
D Property has storm windows, doors and weather stripping.
D Property has been inspected and additional insulation or ventilation to be added as follows:
(;;\c.\€-L..)c 1::~..,vt-Pl'fl<:>"" is POC.<;<;;M
Existing Material Materials To Be Added
Amount and Type Amount and Type
P~~G~
?rt:i2.S~
((..19
Ceilings
Walls
Floors
Ventilation
.3\ ''1 ~C>l
Dae
~~Iy>02.\(J()<)IIJ\~
Company Name
7..1.,0 1):;::<,:-:-'0 Dz,V-l"'-
Company Address
M~{i r\ 0.10""'- tJ'1
p~
Company Phone
119~l..