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Home My WebLink About32332-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32578 Date: 09/05/07 THIS CERTIFIES that the building ADDITION/ALTERATIONS Location of Property: 3870 (HOUSE NO.) County Tax Map No. 473889 Section 53 BAY SHORE RD (STREET) Block L- GREENPORT (HAMLET) Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 30, 2006 pursuant to which Building Permit No. 32332-Z dated AUGUST 30, 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 ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE BETZIOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 04-4324 08/24/04 PLUMBERS CERTIFICATION DATED N/A ~ l ;{,' ~th7- z'-::;jignature Rev. 1/81 Form No.6 TOWN OF SOUTH OLD BUILDING DEPARTMENT TOWN HALL 765-]802 ~ ~L/ (R~ ~ ~ d.1f:nv. I/S?q APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be tIlled 1I1 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. Swam 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 Plarming Board Approval of completed site plan requirements. B, For existing buildings (prior to April 9, ]957) 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 V\ 2., (0'1 Date. New Construction: Old or Pre-existing Building: Location ofPropcrty:3~JD ~ILE JCHl-i) House No. Street Owner or Owners of Property: ~~e((.;- _GE"l. '2 \0c" - / (check one) C-eLe"''''f0 Y- T Hamlet Suffolk County Tax Map No 1000, SectIOn 053 Block CLcJ:.." . Lot os3 Subdivision ~~~ Filed Map. Lot: Permit No~2.3s2 Date of Pennit. _ Applieant:__ Health Depl. Approval: _.._ Underwriters Approval: ______ Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ B-v:-'l?OO~ C(fl-3.;;\S7r 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. 32332 Z Date AUGUST 30, 2006 Permission is hereby granted to: GEORGE BETZIOS 102 DUBOIS AVE SEA CLIFF,NY 11579 for : ADDITION & ALTERATIONS TO A EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES BP# 29064 at premises located at 3870 BAY SHORE RD GREEN PORT County Tax Map No. 473889 Section 053 Block 0006 Lot No. 033 pursuant to application dated AUGUST 30, 2006 and approved by the Building Inspector to expire on FEBRUARY 30, 2008. Fee $ 244.50 ORIGINAL Rev. 5/8/02 3 ).-- 3~ 2-- r TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [~AL ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION INSPECTOR DATE JtfJ l1~&? ~ 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ~.~ ~ RE ~~.- ;;. DATE .J--lo~Cf 765-1802 BUilDING DEPT. INSPECTION ./ [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] REMARKS ~r6hR 765-1802 BUILDING DEPT. INSPECTION ~rJ~--- [ ] FOUNDATION T [ ] FOU ATION 2ND RAMING ~--- I [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL .~~oL 4A ?/- ~ I 1::;:1 I I..J.. I ~ I ~' I > I ~ I -I I 0000I I J :;;011_ .......-. 1\.\~1 11""'"-- FlELDINSl'ECTION REPORT DATE . COMMENTS '- . - .-.' FOUNDATION (1ST) FOUNDATION (2ND) . ROUGH FRAMING & PLUMBING . . INSULATION PERN. Y. STATE ENERGY CODE . FINAL . " /J _ /1 ~//t t.0:? r/#_. Au" ~ - .O? /"57 ~.Ah/_ _ ;t::'/...,~ .~. ...." u7<U'/ L.h ~ 0 :#;- rz:r..-. ~ / ' (~~ ) /J J .. ~_,/ ./L." aY__~ .-Q - - A..., - ./p///" f1)~ o ,/ /-4 &?<. . . ~ " ~ . /"") ~/.,? O~- ~ /. /'J/k 0< ~f /J /1 IIt?L 'II ../. '//- /1/ IIK:~' (/J'o 1#. _ -/, ('I;,-y/./.L -/;....,,7; ~...,.; hA~,t7=- ~,/ / /) ~ / '/ /\ /Y ~ ~V JA~ - (/ " (f.j..,~ ) , . p ~(~ 1/ '~J1fll II t/ /A:" ~ 'r1uJro "Vj 1 [1lJY-. I' / / / I #' .i-V..Y 'I '.# 1/ . . . ) " \)J." ~~ \.v ::j. 9-> 'Ot t.l t> .... d ).-, rtJ [oJ [ . f., 2i Pi ~ f) ~~ .. "l) ; /}... ;J <1 . ~ ,...... I) " .'-" ~~ ~. '" ... ,.. '" 5 tl ~ -t\ .r. ; ~, ~ ~~ 0 ~. -\ m <Sj ;llI . ADDmONALCOMMENTS /";/7/ o-J L (Y\ 1>{\'f~ -0^t--kn,".y;~ -- .. ~ - . . ~~ ~ g " '\ .. ~2i I- . ., '. \ ~ t:I -, .... ~ .'- --... , - p COLOR " -' ffe-J ,~ 1 I" .'< 0- \\ . :3 1/ rv TRIM i / iwlldv , V .' I 1 "3 , ! , I - \\ \ , , b )- >- I- ""~ ~ - M. Bldg. )v' Foundation Cb;tt~A. Bath ( /-,/ Di nette ,19!)i "'2, ~ 7!Jy I Extension ~7 x. d. 1 : 15 if /,1,."" ),'1 .\ ~~ ,j.J 419 Y.'1 Basement rI Floors t(),~ r K. i' ",.(/.1. Extension .J Ext. Walls (,..,. , .( . Interior Finish :::(,..M~;\ ,,) lR. j...... , '" ./ Extension ! Fire Place .. ( Heat G r./W DR. N" .B Type Roof G~ bit Rooms 1 st Floor BR. Parch Recreation Roan Rooms 2nd Floor FIN. B. D. _L. 1M X ? 0 - 32.0 I Z- S- O'D Dormer c t.) , Breezeway Driveway Garage s9f J 4"/ tJ c -9'1 i 1'/-1' 'J.. - ... ',' . '" - Patio O. B. c.,'O"'f'l(,~ :LS Total ,'}~ ~q I . A~~- 5-02 MON 21:02 !~R' "': "a: '!, . i-.. r J 'I\. ~ at .. . ,fa; 'I~~I . i;.l t- . '"W.~ J":I i!! 1I'~t ~. :! ... ii ~ ~ ~ ~ 10 ,Ul 01 " ,(]' : 0 '\,11 I~JJ z . ,. /J) I .~ 'w \II - l l' '.. t, .?' ". NO 516 671 0946 FAX . PoOl r S. . of Poet'u..... k<l ~C1'Hd 0 44 , ~ ,l:~~ l~, IN: ~ (t'.. -'t) _ ---r' : ~.~,,~.-a - '~, I ~i~ ! ~ : '~ I b I , ~ I 100.0 L.- -.I.. ROAD BAY$HC)RE: ~ N t ~ III as<.. all..9 ~ l!l (fI , " '" \:l ii Ii ~ .. !; b- ! 0 . t,' :l _ -+ " ~:::--... ~ n Z. (/) -oj )> ~.,; z ~ ~~ ~~} (' I z~'O ~~)o,,~ ~O~Ul~~ ~g ~~~ . c ~ 1. JIl. 10 <. .. - fJI "- ~-,,-- .,~ ~ > '. :~ififiJr=IU IIU .' '" '. ~ ;'. ~. , . .. i 'irW Ii f 'llf r 1:1 " " ~; Illllib lilt lq ! . '~ .t. UJll;n ',r I '0 " "'. .... ~ t.... .. , , \..~ ~~~~;. . . .... . .". .........., ..f.~. ~!f~~f~~~~ !!:~( !:>!bb('1~~~b UollKJjALLRL t"RUt. - -!'!~_...._. Permil Nwnber MECcheck Compliance Report Cheeked By/Dare New York State Energy Conservation Construction Code MECcMCk Sollwara Version 3.3 Releue Ic Data lilename: C:\Documems and Settings\JAMES CARBALLAL\DesJaop\JTC\An:hitec:tural fileslBet2ios\energy code.cdtbetzjos.cck TITLE: Bewos Residence Bayshore Road COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Delachod I or 2 Family IlEA TING TYPE: Non-Electric DATE: 01103/03 DATE OF PLANS: November 19, 2002 PROJECT INFORMATION: Convert exislling two car garage 10 family room, and misc. minor alterations. COMPANY INFORMATION: James T. Carba.llal Architect SO Lafilyette Avenue Sea Cliff, New Yark 11579 COMPLIANCE: Passes Maximwn UA = 119 Your Home = liS 0.8% Belter Than Code Gross Area or Cavity Perimeter R-Value Coni. R-Value Glazing or Door U-Factor UA Ceiling 2: Cathodral Ceiling (no attic) Ceiling 3: Plat CeilinB or Scissor Truss Wall I : Wood Frame, 16" O.c. Window 2: Wood Frame, Double Pane with Low-E Floor 3: Other, Over Unconditioned Space 352 264 630 92 420 38.0 19.0 13,0 2.0 2.0 2.0 9 12 41 29 27 0.320 0.064 COMPLIANCE STATEMENT: lbe proposed builc1ing tepresenlod in Ibis doclllllent is cOll5istcnl with the building plans, specifications, and other calculation. submitted with this pennit application. The proposed systems have been designed to meet the New Yark Stale Energy COIIservalion COIIStnICtion Code requirements. WIlen a Re&istered Design Professional has stamped an' i.. 'ng that to the best ofhiolber knowledge, belief, and professional judgnletU, sue ans or with this7U' 4' ~ CAR8.f '1-"; I d .. ~ < t(. ate g ~~ t" ~ .. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTH OLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 PERMIT NO.~(X,~..:z, BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health -..... 3 sets of Building Plans Planning Board approval ---->Survey OV '---'Check J S a- Septic Form N.Y.S.D.E.C. Trustees Contact: Examined Approved Disapproved ale ,203- ,20~ Expiration Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT Date JJt:(:emhe, 30 ,20Dd-. INSTRUCTIONS 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. b. 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 pel111it 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 inspect\P\'s. /;', . t Z7~ (i~cL (Signatuie of a plican r name, if a corporation) /oliJu !?xli 7i State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0\0 C\ -e (' Nameofownerofpremises0- 2-105 €" oc~ -bLlC (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. I. Location of land on which pro 3 10 6-. House Number Hamlet County Tax Map No. 1000 Section D'53 Subdivision Block ?:,.,,,,,:'" Filed Map Nla~,~"" )(.f'i)":;"" ,.;1 ,',,' 'Lot . j:3 ,~; "'~l!,iL', . Lot fl,l,..,., ""';, (Name) 2. State existing use and occupancy ofp9;mises and intended use and occupancy of{lropos,ed construction: a. EXlstmguseandoccupancy ~~6Jd-Q.n(>"'- t ,<,er.,.()d h{Jm~ b. Intendeduseandoccupancy1K~0iGI(?JH" i 0('("\/iCl IM/nE.'. 3. Nature of work (check which applicable): New Building Repair Removal Demolition . ..$ r- (lC 4. Estimated Cost O-ppl'O,( 00,0(..'(,). Addition Other Work Alteration / (Description) Fee 5. If dwelling, number of dwelling units ? If garage, number of cars CJ. 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. A) / Ii (To be paid on filing this application) Number of dwelling units on each floor ? 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front Rear Depth Name of Former Owner G(l/-wr -j- P CLI clef) J 10. Date of Purchase II / c; '7 I 11. Zone or use district in which premises are situated ~- vi () 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 ,/ C.-.z<.J':~I'" 13(. f ,if'S \ /J - 14. Names of Owner ofpremisesJi.~<,,j:'J..d(t'/ I5('T2,~: Address/<J':<[J(:&!is4uf:X-i:; C~f'[PhoneN9:S/i &: 7/-/'('13 Name of Architect -:k,,,,,,,.~ (<.roc,lbl AddressBflL<-'.ym!l.lr .s.'G(~,(r Phone NQ.'i,)~'}I,L.- -37, '3{, Name of Contractor Address Phone No. 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_ * 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. ST ATE OF NEW YORK) SS: COUNTY OF ) ~<V) [3uC)<'f2!- &fZJOJ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 true 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. SW~rn t~efore me~h' I 6(7 ~ day ofJ_~ < _ b .. v 200-z... ,~~ j~. . Notary Public IRENE COSTAS NolIfy I'uIIIic, Slate 01 New ...... No. 4858632 lluaIifiIdiftSullalo . CalnmiSSion6pQs ~~200 f r I " ~L;;j!~ I Signature ,ff Appl' nt 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. 29379 Z Date MAY 15, 2003 Permission is hereby granted to: GEORGE BETZIOS 102 DUBOIS AVE SEA CLIFF,NY 11579 for : INSTALLATION OF AN AIR CONDITIONING SYSTEM AS APPLIED FOR PER MANUFACTURER'S SPECIFICATIONS at premises located at 3870 BAY SHORE RD GREEN PORT County Tax Map No. 473889 Section 053 Block 0006 Lot No. 033 pursuant to application dated MAY 13, 2003 and approved by the Building Inspector to expire on NOVEMBER 15, 2004. Fee $ 150.00 rized Signature ORIGINAL Rev. 5/8/02 ..... FORM NO. 3 r 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. 29064 Z Date JANUARY 3, 2003 Permission is hereby granted to: GEORGE BETZIOS 102 DUBOIS AVE SEA CLIFF,NY 11579 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 3870 BAY SHORE RD GREENPORT County Tax Map No. 473889 Section 053 Block 0006 Lot No. 033 pursuant to application dated DECEMBER 26, 2002 and approved by the Building Inspector to expire on JULY 3, 2004. Fee $ 244.50 \ ORIGINAL Rev. 5/8/02