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HomeMy WebLinkAbout32531-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33259 Date: 09/05/08 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 2850 ROCKY POINT RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 2 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20, 2006 pursuant to which Building Permit No. 32531-Z dated NOVEMBER 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 ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS The certificate is issued to KIRIAKITSA PANTELIAS (OWNER) of the aforesaid building. SIIFFOLR CODNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3023127 06/06/07 PLDIYBHRS CERTIFICATION DATBD 07/25/08 HI TECH PLUMBING tl} riz Signature Rev. 1/81 • ~/ ~ Form No. 6 TOWN OF SOUTHOLD ' ~~ ~G ~ BUILDING DEPARTMENT Q.L ~~ t.~ /l~.r ~ TowN 80 L ;,; 18 APPLICATION FOR CERTIFICATE OF OCCUPANC ~__ - - ' r -, ; i. 1C~' JiiiOLD ! This application must be filled in by typewriter or ink and submitted to the Building Depart wt t e~`ollowing: A. For new building or new use: ] . 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 elechical 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. Submil Planning Board Approval of completed site plan requirements. ' I3. 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 l . Certificate of Occupancy -New dwelling $25.00, Additions to d~a~elling $25.00, Alterations to dwelling $25.00, S~~~imming 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 ofOccupancy - $50.00 5. "Temporary Certificate of Occupancy -Residential $15.00, Coum~crcial $15.00 Date. '$'l y--O~ New Construction: Old or Pre-existing Building: [/ (check one) Location of Property: 2'8~1Q ~~ ~~~~ ~~-~ House No. S reef Owner or Owners of Property:. ~ /j~~'Qt/~~-( Suffolk Cowrty Tax Map No 1000, Section Subdivision Permit No. 3~~ Block_ Q~~ Lot 002 ~ ,Z Filed Map. Lot: Date of Permit ~~-30 -U G _ Applicant: ~~~A'~~tl~~2C~i~t~ Health Dept Approval: ~~-- Underwriters Approval: /oo' G ' ~~ !~ ~lr~~_ Plamung Board Approval: ~l~ l ~JrU~' ~~ ft'"GG 70~~ Request for: Temporary Certificate Fee Submitted: $ ~~[_,S arc, ~ ~/~~~ Final Certificate: (check one) ~e A plic Signature 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. 32531 Z Date NOVEMBER 30, 2006 Permission is hereby granted to: KIRIAKITSA PANTELIAS 5 E HIGH POINT RD STUART FL, 34996 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2850 ROCKY POINT RD EAST MARION County Tax Map No. 473889 Section 031 Block 0002 Lot No. 002 pursuant to application dated NOVEMBER 20, 2006 and approved by the Building Inspector to expire on MAY 30, 2008. Fee $ 288.60 ure ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT work will be done: TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 //~~ h '~( '~ Survey www. northfork.net/Southold/ PERMIT NO. J~ Check Examined '~ ,20 Approved ~ 0~ Disapproved a/c BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: -~ -S 3- ~-~~ ~O Expiration , 20 __-. _ ~ tsutlttmgms e r r ~ APPLICATION FOR BUILDIN IT 2o~~s - Date /V -~ ~ , 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 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 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. /j~ Li ec~ ~ ~,[~ Pjt,s /zhH2c~ /~-e~lla ~ (Signature of applicant or name, if a corporation) ~~• /3ax 36Y O~(teyT W`F 119x7 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, eneral contractor, ectrician, plumber or builder (~v.v rf i0Y9tTc~ 2 Name of owner of premises ~ /1 1 •¢ Kt1'SA P ~e ~ i //S (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. ~o ~G~ f7~ Plumbers License No. Electricians License No. Other Trade's License N 1. Location of land on House Number County Tax Map No. 1000 Section Subdivision i/ A (Name) ivy Hamlet Block 2. Lot_ _ Filed Map No. ~/ 73 ~ 8 q' 3/.-R-2L,ot Z 2. State existing use and occupancy of premises and a. Existing use and occupancy ~ /1; b. Intended use and occupancy use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building Addition (/ Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost 1) U Fee ' (To be paid on filing this application) 5. If dwelling, number of dwelling units t Number of dwelling units on each floor /~ /9 If garage, number of cars ! un,a..r H~~S-~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 3Z , J Rear 3~ • y Depth 2 q. it Height 2 2- Number of Stories o rut Dimensions of same structure with alterations or additions: Front 3,Z.S~ Rear 3'Z- ~~ Depth .~.(~0-`lEneG~~.,1. Height 2~/ Number of Stories o~u~P, 8. Dimensions of entire new construction: Front 3R-`/ Rear Zz' ~o Depth 31. }/~*/x Height 2 Y Number of Stories 1 9. Size of lot: Front /VO.oO Rear 9,38 Depth ~//•~~ t7,/0-~~ 10. Date of Purchase olLj", /%J ~/ Name of Former Owner ~ ~" 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning ]aw, ordinance or regulation? YES NO L/ 13. Will lot be re-graded? YES NO (/Will excess fill be removed from premises? YES NO v s'J'u,d~cf1'L/} ~Y94G 2G 14. Names of Owner of premises~Au~~t95~'~g~, Address~E~yzT/~~~~d PhoneNo.7?.2',ZBf;'~y Name of Architect Address Phone No Name of Contractor ~ ,hiu[C ,GGL, Address .Cl a Phone No. 3R3-~ 8-r'G . • ~n~.~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO C/ * 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. STATE OF NEW YORK) S: _. _ _ COUNTY O ~ [L /'7A2r~ ~e e h.9~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S~Ie 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. Sworn to before met S~ day of 20 9--- Notary Public Signat re of Applicant BARD bRo, gNate of New York Notary No.4@65895 l]ualifiad in Suffolk Couniya0 0 Commission Explrea April 14, ...J 3~3 ~~- TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE 8~ CHIMNEY REMARKS: [ ]ROUGH PLBG. [ ] 1 ATI [ FIN [ ]FIRE INSPECTION DATE D ~ INSPECTOR [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION ~ z~ l~ TOWN OF SOUTFIOLD BUILDING DEPT. 765-1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ] IN TION [ ]FRAMING /STRAPPING [ FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTA~CONSTRUCTION [ ] FlRE RESISTANT PENETRATION REMARKSe~~) -~ ~~ . ~ _ /~cd'~S Ems, /~ ~ ~~~.5 ~~ . DATE Y INSPECTOR '`~ ~~ TOWN OF SOUTNOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ] FIREPLACE ~ CHIMNEY [ ] RRE RESISTANT CONSTRUCT [ ] RO, GN PLBG. [ NSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ] FlRE RESISTANT PENETRATION REMARKS: ~ /S DATE ~ INSPECTOR 3z~31~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION ] FOUNDATION 1ST [ UGH PLBG. ] FOUNDATION 2ND ] FRAMING /STRAPPING ] FIREPLACE 8~ CHIMNEY ] FIRE RESISTANT CONSTRUCT REMARKS: `~- [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT PENETRATION DATE ~ ~ 0 INSPECTOR 3 ~. ~~ l ~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ [ ] F NDATION 2ND [ FRAMING /STRAPPING [ ]FIREPLACE 8~ CNIMNEY [ ] ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION REMARKS: 3~-~3 ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION ( OUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ ]FIRE SAFETY INSPECTION ( ]FIRE RESISTANT CONSTRl1CTI0N [ ]FIRE RESISTANT PENETRATION REMARKS: DATE / ~~ 0 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS ~J y ~ ~ FOUNDATION (1ST) ~ ~ ------------------------------------ ,,I 1~ FOUNDATION (2ND) ~~ -f O ROUGH FRAMING & - ` ~ -- - - --- ~~ ~ G ---- _ - ~~ ---- --- - ~ . INSULATION PER N Y - - - - - ~ . . STATE ENERGY CODE _ y '~ ~ ~ n a, c ~,~~ 3 ~ FINAL .~ ~~~~~ tKoo._ ADDITIONAL COMMENTS - - ~-- _ / -_ - -~ ~ - O _ W G y G c z _ x ~ H __ __ x c _ ~ b .~ ................................................................................................................ FROM SOUTHOIJ) TOWN Pl_RNNING H' 'D FWC N0. : 631 765 3136 Town Hall, 63095 Msln flood P. 0. Box 1179. Southold, Newt York 11971 May. 18 2001 02:19PM PS Fax (618) 765-1823 Telephone (518) 785-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOID C S R T I F I CAT I O N Building Permit No. 3 ~6~ t (please print) Plumber: ~ I /'~L° 11 7 Lv/'10~'~ ~//"'1 pl•ass pr nt) DATSs b "~/ '~ NI-TECMPLUAABINO 6 tIEATINCi ENTINQ 700 MAIN RD. . RIVERFIEAD, NY 11901 831-722818 S certify that the solder ussod in the water supply eyetem contains lase than 2/1D of L>t lead. i umbers 91g 'at 6worn to before me this ~~' day o! Qv(a~ST a®o8 Notary Public, ~lT-~C'o» County ~, ~~-~ ~~,~~ Ie sltnea~ c~~~r Coef~BpyKApui u,20,~ .-~. ~- 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 HUBBARD ELECTRIC KIRIAKITSA PANTELIAS 178 HUBBARD AVE 2890 ROCKY POINT RD RIVERHEAD, NY 11901, EAST MARION, NY 11939 Located at 2890 ROCKY POINT RD EAST MARION, NY 11939 Application Number: 3023127 Certificate Number: 3023127 Section: Block: Lot: Building Permit: BDC: ns11 3x531 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, service + addition, 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 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 6th Day of June, 2007. Name ~ Rate Ratine Circuit Tvoe Miscellaneous addition-bed room-bath-kitchen and living room Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 1 0 Smoke Appliances and Accessories Dish Washer 1 0 1.2 KW Exhaust Fan 1 0 F.H.P. Wiring and Devices Outlet 12 0 Fixture Fixture 12 0 Incandescent Outlet 23 0 General Purpose Receptacle 17 0 General Purpose Switch 11 0 General Purpose Paddle Fan 1 0 Receptacle 1 0 30a Laundry sea/ Receptacle 2 0 GFCI 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. _2- 2 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 HUBBARD ELECTRIC KIRIAKITSA PANTELIAS 178 HUBBARD AVE 2890 ROCKY POINT RD RIVERHEAD, NY 11901, EAST MARION, NY 11939 Located at 2890 ROCKY POINT RD EAST MARION, NY 11939 Application Number: 3023127 Certificate Number: 3023127 Section: Block: Lot: Building Permit: BDC: ns11 3~53~ 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, service + addition, Attached Gazage, 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 on the 6th Day of June, 2007. Name TY Rate Ratine Circuit Tvoe Service 1 Phase 3 W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 seal 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. Penm a PemYt Date REScheck Software Version 3.7.3 Compliance Certificate Project Tithe: PANTELIAS KIRIAKITSA Report Date: 10/20/08 Date i8erterne: C:1DOarxrente end 3etf9galEDWARD CEBUL1My DoctanentaVlCAD PROJECTSIRESCHECK ENERGY CALCSWANTELIAS.rck Energy Cade: 2000 tECC Location: Southold, Nws York Canstnktlon Type: SInDh Famlly Glenng Area Peroentega: 1 HeaBng Degree Days: 5372 CanehrK3lon Ske: Owner/Agent: Desigrrer/Condactor: 2890 ROCKY POINT RD. RICH FEEHAN EAST MARION, NY ALLIED BUILDERS MAIN ROAD ORIENT, NY 11957 831 883.2388 _ ,. Ce51ng t: Flat CeSkq or QuGSaor Tnws: 470 19.0 0.0 24 CeNing 2: CeBbdral CeWrq (no at9c); 380 19.0 0.0 20 Wall 1: Wood Frame, 18' o.c.: 848 11.0 1.8 59 Wirdow 1: Wood Freme:DOUde Pane: 70 0.320 22 poor 1: Glace: 87 0.350 23 Floor 1: AS-Nbod JofaNTnms:Over UnoonrABOned BPaoa: 827 19.0 0.0 39 Biller t: Other (Except OeaFlred Steam): 85 AFUE ComWlance Statement The proposed dulldn9 deggn deecrlbed bare M cartdsteM wtth the buiWin9 Wane, apecHkatfone, and oMer calculatlona submitted with the penult apWlcauar. The propoeed dYldinp here been designed b meet the 20001ECC re~kerrrents in REScheck Version 3.7,3 erM to mmply whh the nlarxMtory requlrementa Ibtad in der RESc/reok Irrapeceat Cheddst. BWlder/Designer Gate PANTELIAS KIRWCITSA Pepe 1 oT4 i,; h~ _ :~, _ 2 _ ~ TOWN OF SOUTHOLD PROPERTY RECORD CARD ~ - d 3 -, - OWNER STREET ~O VILLAGE DIST. SUB. LOT r'',~K,T s o Po~nf Rd ~'. ~ 3 ~rs~. FORMER OWNER N ~ - /~ ((` ACR. i S~ VV I ~ (SUFI L-l5 y~/r~ ,I ~ ,/~. ~ ( TYPE OF BUILDING / ~~ ~ 2ES. a ~~ SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS (~ .~ .~ `.? ~ s ,.~~-,y Gi>~7'k4 C4= ~-7~ YYI(~R.IGO Tv 1G i~P,1'G~'C~5 3- 14-P>3 .~ J~o o i3 (,' ;3v2 o c~ ~ ~ ~-. .. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 JJoodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD ~ ~ ' ~ 9, ~ ° ~ ~0 Q House Plot DEPTH L ~ ~ ~ p. ~~,~_ rte..-F ~. ~. BULKHEAD Total DOCK =,,N, STREET ADDRESS• 2890 ROCKY POINT ROAD N SURVEY OF PROPERTY A T EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-31-02-02 I SCALE.• 1'=30' OCTOBER 2, 2006 ANGLE N/ ~ M~~{AEL CONyyAY POINT O 210.35 p Ng1'30'00"E cfi ~ J /•~ O ~ ~ c. w~u ~NCe C, m rN via~E n ~ z ~ ~,.. > °° !~ ~ ~ Wo ,na+ ~/ O • ~/ C~ ~ o seo ~ 29.E ~ r ~ 336 ~~_. Q~ Q A~y " ~- ~ %~ u O yi~ uNK ONCE y ~ ~, ~~x+ O wµi5 .29.4 9. _ ~1 0 ~ ~ ` 'e--- .~CRE7E 2t1.28~ 0 b ~ S79'09,'w~W S~~ KALTSAS ' ~ N~O~ MICHAEL HARTOFlUS & I ~pF ~ 0~'~ at. b ~~ ^ =MONUMENT ~ ANY ALTERATION OR ADDITION TO THIS SURI~£Y lS A NOLATION ECONI A~ SECTIQN 720901 THE NEW YORK STATE fDUC~7lAN LAW. (631) 7 EXCEPT AS PER SECAON 7?09-SUBO/NS/ON 2 ALL CERTIfICA7lANS p, 0. BOX ~' HEREON AR£ VAUD FOR 7HlS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURI•EYOQ 1230 TRAVE A~~~~~7 ~• ~• NHOSf SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 1