HomeMy WebLinkAbout33996-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 06/27/08
No: Z-33124
THIS CRRTIFIES that the building NEW DWELLING
Location of Property: 530 BAY AVE
(HOUSE NO.)
County Tax Map No. 473889 Section 31
(STREET)
Block 8
EAST MARION
(HAMLET)
Lot 9
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 19, 2008 pursuant to whicb
Building Permit No. 33996-Z
dated
JUNE 19, 2008
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 ONE FAMILY DWELLING WITH REAR DECK, COVERED FRONT PORCH AND ATTACHED ONE
CAR GARAGE AS APPLIED FOR.
The certificate is issued to TAXIARCHOULA PROIOS
(OWNER)
of the aforesaid building.
11/17/05
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-04-0113
ELECTRICAL CERTIFICATE NO.
2056728
10/14/05
PLUMBERS CERTIFICATION DATED
12/09/05 WILLIAM J METCALF
Rev. 1/81
.
~~5' d-d-l 9
'FJ
I,~J! 2 7 (,V ,
APPLICATION FOR CERTIFICATE OF OCCUfANCY n . J'
This application must be filled in by typewriter or ink and submitted to the Buildingb~ent,with 11l~'RlIilr'iR '.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
,-
,
, I
,.
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 2/10 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:
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
Date.
/ /~7 /0&
)( Old or Pre-existing Building: (check one)
Location of Property: 530 6a..v. ~ /Cas-/- Hal<id-J
H:se No. (' Street .
14i Clru...ut,.])Ct froioS
Suffolk County Tax Map No 1000, Section ,,11 Block:r Lot
Subdivision~>-t' d 339'1 (., Filed Map. Lot:
Permit No. .g:P5~ ~ Date of Permit. Co --/1- oS' Applicant:~ ((is. fvyn
Health Dept. Approval: 1 / () tI Y 0/1. ? Underwriters Approval: o/,:{r? "1 <l jJ
New Construction:
Hamlet
Owner or Owners of Property:
9
,+0 Il'1e5
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
/'
(check one)
Fee Submitted: $
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Applicant Signature
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~ Application Number:
I Section: 31
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Ii Furnace
~ Wiring and Devices
~ Outlet
F.!l Fixture
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I Dimmers
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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
KC ANDERSON ELECTRIC
P.O. BOX 16
MILLER PLACE, NY 11764-0016,
. ROBERTS CUSTOM HOMES
530 BAY AVENUE
EAST MARION, NY 11939
530 BAY AVENUE EAST MARION, NY 11939
2056728
Certificate Number: 2056728 ./
.. ?;>39<1L:>-r~ q
BUilding Permit: OI'Juo<:z:- BDC: ns11
Block:
Lot:
09
08
Described as a Residential 1800-2399 square ft. occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Second Floor, Attached Garage, 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
promulgated by the State of New York, Department of State Code Enforcement and Administration,
authority having jurisdiction, and found to be in compliance therewith on the 14th Day of October, 2005.
Name OTY Rate Ratio!! Circuit ~
standard
or other
Alarm and Emergency Equipment
Sensor
Sensor
Appliances and Accessories
Exhaust Fan
Dish Washer
3 0
7 0
Carbon Monoxide
Smoke
3 0
1 0
1 0
1.2
F.H.P.
KW
Gas
Outlet
Receptacle
Switch
35 0
35 0
71 0
43 0
31 0
4 0
2 0
3 0
4 0
8 0
Fixture
Incandescent
General Purpose
General Purpose
General Purpose
Receptacle
Arc Fault Circuit Interrupter
Paddle Fan
Receptacle
Laundry
20 amp
15 amp
seal
GFCI
Continued on Next Page
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.
I'
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I BY THIS CERTIFICATE OF COMPLIANCE THE I
~ 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 ~
~ ~
~ KC ANDERSON ELECTRIC . ROBERTS CUSTOM HOMES ~
~ P.O. BOX 16 530 BAY AVENUE ~
~ MILLER PLACE, NY 11764-0016, EAST MARION, NY 11939 ~
~ Located at 530 BAY AVENUE EAST MARION, NY 11939 ~
~ ~
~ Application Number: 2056728 Certificate Number: 2056728 ~
I Section: 31 Block: 08 Lot: 09 Building permit:B~~/" r~~1 I
~ Described as a Residential 1800-2399 square ft. occupancy, wherein the premises electrical system consisting of ~
~ electrical devices and wiring, described below, located inion the premises at: ~
~ Basement, First Floor, Second Floor, Attached Garage, 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 andlor 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 14th Dayof October, 2005. ~
~ Name OTY Rate Ratin" Circuit ~ ~
~ Service ~
~ I Phase 3 W Service Rating 200 Amperes ~
~ Service Disconnect: 200 cb ~
~ Meters: I ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ ~
~ seal ~
~ ~
~ 2 of 2 ~
I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New Yark 11971.0959
Fax (631) 765.9502
Telephone (631) 765.1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date: 1.2/'f'P 5"
BoHdio, Pomit N,. .pt 30; L?.
Owner: KvJ;cr/ri V.rnM .dl'H.t'5
(Please print)
Plumber: /A.)f!kilH J. t(~furlf
(please print)
I certify that the solder used in the water supply system cOlltains less than 2/10 of 1 %
lead.
w~~
Sworn to before me this <g~
dayof -::::)U(\-c , 20~
~
ANNIE E. ESGRO
Notary Public, Stale of New York
No. 01 ES5078083
aual~led In Suffolk County
Commission expires May 19, 2007
Notary Public, SJ~ I k €ounty
I
~
SC.DHSJr
N
SUFFOLK cc:.::r.... r:::' ','
APP?G!
AS;;\;~:~.:.:.:
" .~_~~.;. ~. 0 ;.
Date NOV 1 7 2005 H.S. R~'. ;:~. f..19 O't c) 113
:.~:=;~(~;?~~~:;~~,~.~;;; :"~2f";:~';':';:.,c:.;;~;: :;~..:~~~l;~J;~~~
be sa!.isfac~ory FOH A ~;::\X!N';Li~~.'~Jd::..-'=t-- 0;.;i;~,~.J(::';;3.
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-\Valt2;' J. rn~,';T~1 P}:-.:.t;"jU~
Office of \Ns::tc'xsi'3i r~'~ar,8bJ;1'.0nt
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCT/ON OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and will abide by the conditions set forth therein and on the
permit to construct.
The location of wells and cesspools shown hereon ore
from field observations and or from data obtained from others.
ANY AL TERA TlON OR ADDITION TO THIS SURVEY IS A VIOLA TlON
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7209-SUBD/lASlON 2. ALL CERTIFICATIONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APPeARS HEREON.
Elevations referencBd to on ossumBd datum.
AREA==11,218 SQ. FT.
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SURVEY OF PROPERTY
A T EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
1000-31-08-09
SCALE: 1--30'
JUNE 21, 2004
NOVEMBER 16, 2004 (Additions)
MARCH 1. 2005 (Foundation)
OCTOBER 6. 2005 (Final)
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6/29/04
DARK BROMJ LOAM OL
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BROM-l SlL TY SAND SIJ
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PALE BROVtN FINE TO JJEDIUU SAND SP
NO. 49618
04-196
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.
33996 Z
Date JUNE
19, 2008
permission is hereby granted to:
TAXIARCHOULA PROIOS
FLUSHING,NY 11358
for :
CONSTRUCT ONE FAMILY DWELLING W/ATTACHED ONE CAR GARAGE, COVERED
FRONT PORCH & REAR DECK AS APPLIED FOR. THIS PERMIT REPLACES BP 30822.
at premises located at
530 BAY AVE
EAST MARION
County Tax Map No. 473889 Section 031
Block 0008
Lot No. 009
pursuant to application dated JUNE 19, 2008 and approved by the
Building Inspector to expire on DECEMBER 19, 2009.
Fee $
945.00
& ~ C2iL-
, Authorized Signature
ORIGINAL
Rev. 5/8/02
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.
30822 Z
Date DECEMBER
2, 2004
Permission is hereby granted to:
JOHN PROWS
FLUSHING,NY 11358
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED ONE
CAR GARAGE, COVERED FRONT PORCH & REAR DECK AS APPLIED FOR
at premises located at
530 BAY AVE
EAST MARION
County Tax Map No. 473889 Section 031
Block 0008
Lot No. 009
pursuant to application dated NOVEMBER 16, 2004 and approved by the
Building Inspector to expire on JUNE 2, 2006.
Fee $
945.00
eL.-.. '.. CJ.d.-.c
Authorized Signature
ORIGINAL
Rev. 5/8/02
3319~ ~
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS:
[ ] ROUGH PLBG.
[ ] IN~ATION
[ t-rfINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
DATE 0/;'-3 If) G
I I
INSPECTOR
~}--~
330t1)u
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING I STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] RRE RESI~NSTRUCTION..,.- [ ] FIRE RES~ANT PENETRATION
REMA~K~~ 'w/J ,I A1~kf7'~
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- .~
DATE
(} P INSPECTOR
~
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TOWN OF SOUTH OLD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PlBG.
[ ] FOUNDATION 2ND [] I~ATION
[ ] FRAMING I STRAPPING [~INAl
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
0-
REMARKS: . ;J 5
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DATE (OfU,(O.f INSPECTOR.Jt.; J--.....,.
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] IN~~
[ ] FRAMING/STRAPPING [~NAL~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
(0 ,
REMARKS: ~ /L 1.'- (~ I~ ~
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0h-;J ~~ l6 pI 6,L 4ro,
DATE iit!Jf
INSPECTOR
~
2:>?J/1(&
765.1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] R9UGH PlBG.
[ ] FOUNDATION 2ND [ ~SUlATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS. ~~7 of
DATE Co I
() S INSPECTOR
38~vtr
~91l,
765.1802
BUILDING DEPT.
INSPECTION
] FOU :rION 1ST [~H PLBG.
] F NDATION 2ND [] INSULATION
FRAMING [ ] FINAL
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~ 0 Cr-/C
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INSPECTOR
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATIO D
~~AMI
[ ] FIREPLA
[
[
[
IMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS:
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DATE
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765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [
~ [] F.ATION 2ND [
~ [~RAMING [
~ [ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS. K:5~/ ~ ~,- ~
.
DATE
INSPECTOR
SJ q 9 (,
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
1)4 FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~ ~. ~ Or ..
ok ~ ~ -Aftf!./J,
?-~7-3"'-OS ~n ~
DATE. INSPECTOR ..-/~-; ,
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~~ 99 fo
765.1802
BUDING DEPT.
PECTION
[ OUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: ~4 ~ p
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DATE fjfP~
INSPECTOR
.
FOUNDATION (1ST)
DATE COMMENTS
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FIELD INSPECTION REPORT
FOUNDATION (2ND)
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INSULATION PER N. Y.
STATE ENERGY CODE
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TOWN OF SOUTHOLD
BUILD~~_DEPARTMENT
TO\~ HALL
SOU-lHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
PERMIT NO.
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
5OS/J- b Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to: (JI CtJ To+h
Phone: cY,-::SS r:9-iflCf
Examined
Approved
. i1lil2-[~,201!t-
/~LI ,20~
I
Disapproved ale
Expiration
c, (2-- ,20~
,
j~
'Building Inspector
I 6 c
APPLICATION FOR BUILDING PERMIT
Date 11_1 \ 1::>
ThS1'RUCTIONS
,2dL
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
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 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. ~
y--~;- ')- ~
(Signature of applicant or name, if a corporation)
fO~&( 6hnr~MH1 J.J~//7J0
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
o~
Name of owner of premises T ~I Q'rc1r. ouJ... 0 Pro l o~
(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 proposed work will be done:
530 (Aru-/ AI.J'e...
House Number Street ...-,
611ST fVk:;vu 011
Hamlet
County Tax Map No. 1000 Section ~ I
Subdivision
Block
Filed Map No.
~
(Name)
~. ~;?4r j';,^n
~. "",.. ill: It,,~
1tl'Jt: ~~~;'I'" il:i"!'J,,"",'" I"
GS.t .(iuleSl':;'J :"lOr
2. State existing use a.. d occupancy of premises and intended fSe and occupancy of proposed constructio!: . . "
a. Existing use ,;lld occupancy \ Ii!{' 11 ~ "
~ VlJ'l~
\
>< Addition
Other Work
8\MRll
~
3. Nature of work (chcc:; which applicable): New Building
Repair Removal Demolition
4. Estimated cost-.!~ ~O I nOD,
b. Intended use .ad occupancy
Alteration
(Description)
Fee
5. Ifdwelling, number of dwelling units
If garage, number d cars
(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 sarr,.} structure with alterations or additions: Front
Depth Height Number of Stories
eta. d..-'
Rear
8. Dimensions of entiD new construction: Front i..fO I ;). I
Height Number of Stories
Rear
~
Depth 37. 3
9. Size oflot: Front
10. Date ofPurchase_1Sj 3
Rear l 61 Depth I ")0 /
Name of Former Owner ~ I i1YJtf1I./l(
. }
11. Zone or use district i" which premises are situated R-- Lf 0
16{
~
12. Does proposed con:"ruction violate any zoning law, ordinance nr regulation? YES_NO /'
13. Will lot be re-gradLi? YES / NO_Will excess fill be removed from premises? YES_ NO /'
14.NameSOfownerOfPremise~,...~)'O ~ AddreSmS PhoneNo.3f.:,O 7.;;2..83
Name of Architect ~A"L _ Addres _~PhoneNo <9Q8.:3-:3n
NameofContracto;'~ f}( Address It '2 ~JmeNo.,-~5 ~OI8'
15 a. Is this propertYwil;dn 100 feet ofa tidal wetland or a freshwater wetland? *YES_NO ...-/
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property widn 300 feet ofa tidal wetland? * YES_ NO /
* IF YES, D.E.C. PER ;,fITS MAY BE REQUIRED.
. 16. Provide survey, to 0 .,Ie, 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)
SSe
COUNTY OF )
,I ---/~,L
V l ~ Mr) being duly sworn, deposes and says that (s)he is the applicant
(Name of individual ...;ning contract) above named,
(S)He is the ('1.& ~
(Contractor, Agent, rporate Officer, etc.)
of said owner or owners, ,.. J is duly authorized to perform or have performed the said work and to make and file this application;
that all statements contair\ ,1 in this application are true to the best of his knowledge and belief; and that the work will be
performed in the manner ,.('C forth in the application filed therewith.
204
wC\
\\ ilL' 1 D1L
Signature of Applicant
BO""IEJ, IlOROStG
"otlIlY Public, SlIte Of Ilew~""
"o.OlD06095328,Suthdk
Term Expi'" JulJ 1. 20
TITLE NO: 57712
District: 1000
Section: 031.00
Block: 08.00
Lot: 009.000
Town of Southold
Southold, New York
Gentlemen:
FIDELITY NATIONAL TITLE INSURANCE COMPANY hereby certifies that it has searched the records
of the Suffolk County Clerk and/or the Suffolk County Registrar for deeds affecting the captioned
property and properties immediately adjoining and finds:
SEE ATTACHED
And the records of the Suffolk County Clerk and/or Suffolk County Registrar disclose no other further
conveyance of any of the foregoing lots other than as set forth.
FIDELITY NATIONAL TITLE INSURANCE COMPANY certifies that the above-captioned property has
been in single and separate ownership by Taxiarchoula Proios and his/her predecessors in title since
prior to 1/1/83 except as follows:
(see attached chains of title).
The liability of the Company is limited to the amount of $25,000.
Dated: June 23, 2004
FIDELITY NATIONAL TITLE INSURANCE COMPANY
v!l2u~.~
Sandra J. Goleski
Asst. Vice President
Sworn to before me this
23rd day of June, 2003
(-lf1a(~{jCU-L~
Notary Public
MARGARET VOLLMOELLER
NolaryPublic. State of New York
No. 01 V05032469
Qualified In Suffolk County ~ (p
Commission Expires August 29, ~
1
illLE NO.: 57712
STATE OF NEW YORK) ss:
COUNTY OF SUFFOLK)
Sandra J. Goleski, being duly sworn deposes and says:
That helshe has had a search made of the records of the County Clerk of Suffolk County with
reference to an application for a variance affecting the following premises:
SCTM: 1000-031.00-08.00-009.000
That the said records indicate the following chains of title as to premises and adjoining lots since
prior to 1/1/83.
SUBJECT PREMISES: 1000-031.00-08.00-009.000
/
Jean Ellen Dean,
Harvey M. Brown
Patricia A. Benson, as
distributees of Elrnina B. Brown,
deceased 2/21/72
to
Taxiarchoula proios
LAST DEED OF RECORD
Dated: 1/2/73
Rec'd; 3/15/73
Liber 7361 cp 66
PREMISES NORTH: 1000-031.00-08.00-008.000
Jean Ellen Dean
Harvey M. Brown
Patricia A. Benson, as
distributees of Elrnina B. Brown
deceased 2/21/72
to
Joseph J. Dzenkowski
Evelyn M. Dzenkowski, his wife
Dated: 9/22/72
Rec'd: 11/2/72
Liber 7275 cp 153
FIDELITY NATIONAL illLE INSURANCE COMPANY
o !&/1 tlAA~. ~a'
Sandra J. Gol ski
Asst. Vice President
Sworn to before me this
23rd day of June, 2003
~Q) qa--tCc (j ULLil'yfQcJLLc
Notary Public
2
MA~RET VOllMOEI.1.l:R
Notary.Publlc, State of New York
No. 01 V05032469
Oll.aIlfied in Suflolk County 1 An
CommlsSlon Expires August 29, ~\J(",
Joseph J. Dzenkowski,
surviving tenant by the entirety
to
Robert H. Ringewald
Barbara Ann Ringewald, husband and wife
Robert H. Ringewald
Barbara Ann Ringewald, husband and wife
to
Susan Wood
Robert S. Wood, her husband
LAST DEED OF RECORD
PREMISES EAST: BAY AVENUE
PREMISES SOUTH: 1000-031.00-08.00-010.000
Armand M. Rose
Elizabeth W. Rose, his wife
to
Philip H. Koch
Philip H. Koch
to
Philip H. Koch
Marie E. Koch, his wife
Philip H. Koch died 11/30/89
Marie F. Koch
to
Joan McC. Fleck
LAST DEED OF RECORD
Dated: 12/8/75
Rec'd: 12/28/75
Liber 11756 cp 61
Dated: 8/5/96
Rec'd: 8/19/96
Liber 11788 cp 104
Dated: 10/11/74
Rec'd: 10/31/74
Liber 7742 cp 114
Dated: 4/26/89
Rec'd: 5/3/89
Liber 10849 cp 366
Dated: 7/20/94
Rec'd: 8/8/94
liber 11688 cp 698
FIDELITY NATIONAL TITLE INSURANCE COMPANY
.011M/~9. ~A.kL
Sandra J. Goleski
Asst. Vice President
Sworn to before me this
23rd day of June, 2003
~p~(j~
MARGARET VOLLMOELU;R
NotaryPubllc. SlatllolNew Yolk
No 01V05032469
Qualified in Suffolk County oJ dO (fJ
Commission Expires August 29._
3
PREMSIES WEST: 1000-031.00-08.00-011.001
Philip H. Koch
Marie F. Koch, his wife
to
viola Malinauskas
Dated: 6/10/82
Rec'd: 6/14/82
Liber 9196 cp 463
Viola Malinauskas
to
Joseph D. Cavanagh
Valerie Cavanagh
LAST DEED OF RECORD
Dated: 7/11/02
Rec'd: 7/24/02
Liber 12199 cp 70
FIDELITY NATIONAL illLE INSURANCE COMPANY
JtJ11j7jA/{~.~
Sandra J. Gole ki
Asst. Vice President
Sworn to before me this
23rd day of June 1 2003
l{1Y1u~1 :tV~k
Notary ublic
MARGAFlET VOLLMOELLEFl
NotaryPubHc, State of New York
No.01VOS032469
9ul!lified in. Suffolk County 07tV0
CommissIOn Expires August 29._
4
N
.\
I om familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and wl7/ abide by the conditions set forth therein and on the
permit to construct.
The location of wells and cesspools shown hereon ore
from field obs.,-vations and or from data obtained from others.
ANY AL7FRAnON OR ADO/nON TO THIS SURVEY IS A l,.fOLAnON
OF SECTION 7209 OF THE NEW YORK srA ~ EDUCA nON LA w.
f:XCEPr AS PE:R SECTTON 7209-SUtlD/IlfSlON 2. ALL CERnnCA nONS
~ ARE VALID FOR THIS MAP AND COPIES THEREOF OM Y IF
sAiD III1P OR COPIEs IKAR 1/iE IIH'RESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURC APPEARS HE'REON.
tJ<<vatiens referenced to on assumed datum.
AR€A-71.278 SO, FT.
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SURVEY OF PROPERTY
AT EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y:
1000-31-08-09
SCALE: 1-=30'
JUNE 21, 2004
Nov./(" 200+ (~,,~,,~)
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SUFFOLK COUNTY u7';'.RTM;.!NT OF hEALTH SERVICES
PERMIT l1'On API'l>fJV,iL OF CON,rfRUCTION FOR It.
. e~LE .1Ai'f.iL'k RESIDENCE ONLY
DATR/cJISlv~Ifi~REF.NO:R III .D'I-. 0 113
APPROVeD r~---
fOR W'.J\X:11lJM OF $- BEDROOMS
EXPIRES THREE YEARS FROM DATE OF APPROVAL
I am familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and will abide by the conditions set forth therein and on the
permit ta construct,
The location of wells and cesspoals shown hereon are
from field observations and or from data obtained from others,
AN Y AL TERA TlON OR ADDITION TO THIS SURVEY IS A VIOLA TlON
OF SECTION 7209 OF THE NEW YORK STA TE mUCA TlON LA W.
EXCEPT AS PER SECTION 7209-SUBDIVISION 2, ALL CERTlFICA TlONS
HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APPEARS HEREON,
Elevations referenced to an assumed datum,
AREA=11,218 SQ. FT.
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SURVEY OF PROPERTY
A T EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. y:
1000-31-08-09
SCALE: 1"-30'
JUNE 21, 2004
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BROWN SIL TY SANO SN
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PALE BROWN FINE TO IrIEINIAI SAND SP
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1230 TRAVELER STREET
SOU THOW. N. Y. 11971
04-196
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I om familiar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESiDENCES
and will abide by the conditions set forth therein and on the
permit to construct,
The location of wells and cesspools shown hereon ore
from field observations and or from data obtained from others,
AN Y AL TERA nON OR ADDI TION TO THIS SURVEY IS A VIOLA nON
OF SEcnON 7209 OF THE NEW YORK STA TE EDUCA nON LA w.
EXCEPT AS PER SECTION 7209-SU8DIVISION 2. ALL CERnFlCA nONS
HEREON ARE VAUfJ FOR THIS MAP AND COPIES THEREOF ONL Y IF
SAID MAP OR COPIES ~EAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APptARS HEREON.
Elevations referenced to an assumea datum.
AREA=11,218 SQ. FT.
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SURVEY OF PROPERTY
A T EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y
1000-31-08-09
SCALE- 1"-30'
JUNE 21, 2004
No"" Ie, 200+ (~f,~'>)
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ECONIC:;U YORS, Pc.
(631) 765-5020 FAX (637) 765-1797
P.o. BOX 909
1230 TRAVELER STREET 04-196
sou THOLD, N. Y 17971
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 SOUTHOLD
April 5th, 2007
John Proios
530 Bay Avenue
East Marion, N.Y. 11939
RE: 530 Bay Ave. (new dwelling attached garage)
SCTM: 3189
Dear Mr. Proios,
Please be advised that your Building Permit #30822 issued December 2nd, 2004 has
expired. According to the Code ofthe Town of South old, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of945.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
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 SOUTHOLD
December 28th, 2007
John Proios
530 Bay Avenue
East Marion, N.Y. 11939
RE: 530 Bay Ave. (New Dwelling/Attached Garage)
SCTM # 31.-8-9
2ND NOTICE
Dear Mr. Proios,
Please be advised that your Building Permit # 30822 issued December 2nd, 2004 has
expired. According to the Code of the Town of South old, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Permit, please submit a fee of $945.00 at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
.
Permit Number
REScheck Compliance Certificate Checked By/Date
New York State Energy Conservation Construction Code
REScheckSoftware Ven;ion 3.5 Release Ie
Data filename: D:\builden;\criscito\530 Bay Ave, book plan\energy.rck
PROJECT TITLE: New residence
COUNTY: Suffolk
STATE: New York
HDD: 5750
CONSTRUCTION TYPE: Detached I or 2 Family
HEATING TYPE: Non-Electric
DATE: 1lI09/04
DATE OF PLANS: 11-9-tl4
PROJECT DESCRIPTION:
530 Bay Ave, .
COMPLIANCE: Passes
Maximum UA ; 382
Your Home UA ; 342
10.5% Better Than Code (VA)
Gross
Area or Cavity
Perimeter R-Value
Cont.
R-Value
Glazing
or Door
U-Factor UA
Ceiling I: Flat Ceiling or Scissor Truss
Wall I: Wood Frame, 16" o.c.
Window I: Wood Frame:Double Pane with Low-E
Door I: Solid
Door 2: Glass
Floor I: All-Wood 10istITruss:Over Unconditioned Space
923
2413
220
40
39
923
0.350
0.400
0.350
32
173
77
16
14
30
30.0
13.0
0.0
0.0
-.
30.0
0.0
COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans,
specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the
New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and
signed this page, they are attesting that to the best of hislher knowledge, belief, and professional judgment, such plans or
r specifications are in compliance with this Code.
Builder/Designer
Date
REScheck Inspection Checklist
New York State Energy Conservation Construction Code
REScheckSoftware Version 3.5 Release Ie
DATE: 11109/04
PROJECT TITLE: New residence
Bldg.
Dept.
Vse
Ceilings:
[] 1. Ceiling I: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation
Comments:
Above-Grade Walls:
[] 1. Wall I: Wood Frame, 16" o.c., R-13.0 cavity insulation
Comments:
Windows:
[] 1. Window I: Wood Frame:Double Pane witb Low-E, V-factor: 0.350
For windows witbout labeled V-factors, describe features:
# Panes_ Frame Type Thermal Break? [ ] Yes [ ] No
Comments:
Doors:
1. Door I: Solid, V-factor: 0.400
Comments:
2. Door 2: Glass, V-factor: 0.350
Comments:
Floors:
[] 1. Floor I: All-Wood Joist/Truss:Over Vnconditioned Space, R-30.0 cavity insulation
Comments:
. [ ]
[ ]
[ ]
[ ]
[ ]
Air Leakage:
Joints, penetrations, and all otber such openings in tbe bnilding envelope tbat are sources of air
leakage must be sealed.
Recessed lights must be I) Type IC rated, or 2) installed inside an appropriate air-tight assembly
witb a 0.5" clearance from combustible materials. Ifnon-IC rated, tbe fixture must be installed with a
3" clearance from insulation.
Vapor Retarder:
Required on tbe warm-in-winter side of all non-vented framed ceilings, walls, and floors.
]
]
]
Materials Identification:
Materials and eqnipment must be installed in accordance with tbe manufacturer's installation instructions.
Materials and equipment must be identified so that compliance can be detennined.
Manufacturer manuals for all installed heating and cooling eqnipment and service water heating
equipment must be provided.
Insulation R-values and glazing V-factors must be clearly marked on tbe building plans or specifications.
Duet Insulation:
Supply ducts in unconditioned attics or outside tbe bnilding must be insulated to R-8.
Return ducts in unconditioned attics or outside tbe building must be insulated to R-4.
Supply ducts in unconditioned spaces must be insulated to R-8.
Return ducts in unconditioned spaces (except basements) must be insulated to R-2.
Insulation is not reqnired on return dnets in basements.
. .
]
]
]
]
Duct Construction:
All joints, seams, and connections must be securely fastened with welds, gaskets, mastics
(adhesives), mastic-plus-embedded-fabric, or tapes. Duct tape is not perntitted.
Exception: Continuously welded and locking-type longitudinal joints and seams on ducts
operating at less than 2 in. w.g. (500 Pa).
Ducts shall be supported every 10 feet or in accordance with the manuIacturer's instructions.
Cooling dnets with exterior insulation must be covered with a vapor retarder.
Air filters are required in the return air system.
The HV AC system must provide a means for balancing air and water systems.
[ ]
. .
Temperature Controls:
[] Each dwelling unit has at lesat one thermostat capable of antomatically adjusting the space
temperature set point of the largest zone.
Electric Systems:
[] Separate electric meters are required for each dwelling uuit.
Fireplaces:
] Fireplaces must be iustaUed with tight fitting non-combustible fireplace doors.
] Fireplaces must be provided with a source of combustion air, as required by the Fireplace construction
provisions of the Building Code a/New York State, the Residential Code a/New York State or
the New York City Building Code, as applicable.
Service Water Heating:
Water heaters with vertical pipe risers must have a heat trap on both the iulet and outlet uuless the
water heater has an integral heat trap or is part of a circulating system.
Insulate circulating hot water pipes to the levels in Table I.
Circulating Hot Water Systems:
[] Insulate circulating hot water pipes to the levels in Table I.
Swimming Pools:
[] All heated swimming pools must have an on/off heater switch and require a cover unless over 20%
of the heating energy is from non-depletable sources. Pool pumps require a time clock.
Heating and Cooling Piping Insulation:
[] HV AC piping conveying fluids above 105 "F or chilled fluids below 55 "F must be insulated to the
levels in Table 2.
Heated Water
Temperature ( F)
170-180
140-160
100-130
Table 1: Minimum l_lIltion Thickness/or Circulating Hot Water Pipes.
Insulation Thickness in Inches by Pipe Sizes
Non-Circulatinl! Runouts Circulatin", Mains and Runouts
Up to I" Up to 1.25" 1.5" to 2.0" Over 2"
0.5 1.0 1.5 2.0
0.5 0.5 1.0 1.5
0.5 0.5 0.5 1.0
Table 2: Minimum l_lIltion Thickness/or HVAC Pipes.
Fluid Temp. Insulation Thickness in Inches by Pipe Sizes
Pipin", System Types Ran",e(F) 2"Runouts l"andLess 1.25" to 2" 2.5" to 4"
Heating Systems
Low Pressureffemperature
Low Temperature
Steam Condensate (for feed water)
Cooling Systems
Chilled Water, Refrigerant,
and Brine
201-250 1.0 1.5 1.5 2.0
120-200 0.5 1.0 1.0 1.5
Any 1.0 1.0 1.5 2.0
40-55 0.5 0.5 0.75 1.0
Below 40 1.0 1.0 1.5 1.5
NOTES TO FIELD (Building Department Use Only)