HomeMy WebLinkAbout35710-ZFORM NO. 4
TOWlq OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34545
Date: 09/03/10
THIS C~TIFIES that the building
Location of Property: 54985 CR 48
(HOUSE NO.)
County Tax~4mp NO. 473889 Section 44
Subdivision Filed Map No.
ACCESSORY GARAGE
GREENPORT
(STREET) (HAMLET)
Block 1 Lot 5
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 14, 2010 pursuant to which
~ilding Pez~tlt No. 35710-Z dated JULY 14, 2010
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 NON-HABITABLE ACCESSORY TWO CAR GARAGE WITH STORAGE AS APPLIED FOR.
The certificate is issued to SPYROS & MARGARITA AVDOULOS
( OWNER )
of the aforesaid building.
SIIFI~)I~K COIH%~I~f D]~PAR~NT OF H~kLTH APPRO~-AL N/A
HLRC~RICAL c~TIFICATH NO. 12107 01/11/10
PL~ U~KTIFICATION DA'i'~U N/A
+ ~t ~ i/ze~Sign&ture
Rev. 1/81
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PEItI4IT NO. 35710 Z
Date JULY 14, 2010
Permission is hereby granted to:
SPYROS & MARGARITA AVDOULOS
16012 llTH AVE
· ~E~HURST,NY 11357
for :
CONSTRUCTION OF AN ACCESSORY GAR3IGE AS APPLIED FOR. REPLACES
EXPIRED BUILDING PERMIT # 33698
at premises located at 54985 CR 48
County Tax Map NO. 473889 Section 044
pursuant to application dated JULY
Building Inspector to expire on JANUARY
GREENPORT
Block 0001 Lot No. 005
14, 2010 and approved by the
14, 2012.
Fee $ 218.00
Authorized Sighature
ORIGINAL
Rev. 5/8/02
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PEP~MIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED}
PERMIT NO. 33698 Z Date FEBRUARY 21, 2008
Permission is hereby granted to:
SPYROS AVDOULOS
160-12 llTH AVE
WHITESTONE,NY 11357
for :
CONSTRUCTION OF AN ACCESSORY GARAGE AS APPLIED FOR
at premises located at 54985 CR 48
County Tax Map No. 473889 Section 044
pursuant to application dated FEBRUARY
Building Inspector to explre on AUGUST
GREENPORT
Block 0001 Lot No. 005
19, 2008 a~d approved by the
21, 2009.
Fee $ 218.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
~ew ConStruction:
Location of Property:.
o,'Own i" y
.. APPLICATION FOR CERTIFICATE OF OCCUPANCY
This application mU~t be filled i~ by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
"1. 'Final. survey Of pwperty with accurate loca~ion of all braidings, property lines, streets, and unusual natural or
topographic feature~. .
.2. Finnl Approval froTM Health Dept. 'of water supply and sewerage-disposal iS-9 form).
· 3. Approval of eleCtrical installation'from Board of Fire Underwriters.
: 4. Sworn statement fromplumber ce/tifying that the iotder used in system contains less than 2/10 of 1% lead.
'5. Commercial buildlnE, industrial building, multiple residences .and iimilar buildings and insulator, a ~fi~te
· of Code Compliance from architectOi engineer responsible for the building.
'6. SubmitPlsnningBoard,a. pprovaloff~omPletedsiteplanrequirements' '-
B..For exJstJng.buUdings.~dor to April 9~ l~ non-eonformhmg uses~ or buildings p. nd ~lmre-e~sflng"'land uses:
1. Ae~urnte survdy 0~' prop&ty, showifi§ ~ prot~tW line~, streO-s, building aud umtseal tmtudal or ~pograp~c
features.
2. A properly complct~xt application and couscnt to insl3~ct sig]~rxl by thc applicant, if a Certificate of Occupancy is
de,cd, thc Building Iuspector shall stabe thc rea~ons thcre£or in Writii!g to the applicant.
C. Fees I. Ccrtifi~c °f Occupancy - Hew dwclting $25.00, Addtions to dwell~ $25.00, A]teratious to dwelling $25.00,
Swimmtn~ pool $25.00, Accessory ~uilding $25.{3{3, Additions to aceassory building {25.00, Businesse~ $50.00.
2. C~xti~tc of O~cupancyon preexisting Building - $I00.00
3. Copy of Certific~ite of Occupancy - 2.25
4. UlxC~t~d Certificate of Occupancy - $50.00
5. Tcmpo~a_,3/Certificate ofOc~:up/apcy _ Residential $15.00, Conimcrciat $15.00
Old or Pre-eXi~ Bu. ilclJng: (check One)
House Ho. Street ~amlct
Subdivision
Perini& Ho. ~:
Heal~ Dept. Approval:
Pla--{ug Board Approval:
' 'Date Of permit..
R~que~t for: Temporary Certificate
Fee Submitted: $ ~. ~, . ~t~/( ~
Filed Map. .
Undetwrit~ Approval:.
-'~ c ,~t Signature
Lot ~
Final Certificate: ~
+
SUFFOLK
IBUREAUot
E(,ECTR~CAL
~NSP~C rORS,~nc.
40 Nottingham Ddve. Middle Island. NY 11953
Telephone: 631495 8136 · Fex:631980c~,55 o E-Mail:SBEIGS~gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: REP Electric Certificate No.: 12107
Rough In Inspection Date: 3anuary 11,2010 Final Inspection Date: 3anuary 11,2010
Application No.: 12107 Building Permit NO.: 33677
Site Location: 54985 COUNTY RD 48, GREENPORT, NY 1194~
Owner's Address (if different):
CounW Tax Flap No.:
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment and/or
work described below, installed by t. he applicant named above, located ar the premise of and not; after the final
inspection date above: .~
Owner: St~YRO ANDOULLA$ ~lEAUO ~ [~ 2 6 ~ ~010 ~ ~'
BLDG. DEPT.
~OWN OF SOUTHOLD
[] Residential [] indoor [] Basement [] Service [] Shed
[] Commercial [] Outdoor [] First Floor [] Pool [] Hottub
[] New E] Renovation [] Second Floor [] Attic [] Garage
[] Addition [] Survey Other.
INVENTORY ·
Single Ph~ee 30Da Heat DupleX necpt 64 ceiling Fixate :16 HID FIxlures
Throe Phase Hot warm GFCI Recpt 15 V~all Fixture = 6 Smoke ' 8
Main Panel 2.~50 AC Cond Single Recpt 1 RaCet, sad Fixture 122 OD De~ect 2
Sub Pane~ 2 AC mower Range Ree43t 1-50a Floumsnent Pump~
T~a~lsformet Applia~lces Dryer Re,pt 1-30a Erne~en~y TII1te ClOG
Dlse~nect 2-150 Switche~ · 75 Twist Lod~ Exit Fixtures TVSS
GFCI Breal~' Heat Pump 1 Elastic Heat 5 Pool Lum. lna~re Exhaust Fan t
The electrical work and/or equipment described above were inspected and appear to De in compliance
with local, state and national electrical code requirements and this office.
Abolicant: REP Electric
License No.: 46288-ME
Date Of Certificate: Jan t4,2010
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
~]..FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE ~ESI~"I'AN]' CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMAR'~-S~ ~ ~-~,)~3 G
DATE
INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] ROUGH PLBG.
[ ] INSULATION
FRAMING / STRAPPING [ ] FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESIST_..~4T CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARK~
DATE
,~/~ INSPECTOR
//
TOWN OF SOUTHOLD BUILDING DEPT.
765ll 802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [~NAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
DATE ~ INSPECTOR -~~
ANGELB. CHORNO
ARCHITECT
51020 MAIN ROAD
(631)765-6530
SOUTHOLD NY. 11971
FAX (631) 765- 4643
August 4th, 2009
Town of Southold Building Department
Southold NY
Re: Avdoulos Residence
SCTM' 1000-44-1-5
Bldg Permit · 33677 & 33698
Dear Sir:
By this letter, I affirm that the above referenced house and garage,
framing and stopping was done in accordance with the wind protection
required by the NYState Building Code.
Truly yours,
Angel B. ;horno, AIA
AUG 'I 8 2009
BLDG. DEPT.
TOWN OF SOUTHOI. D
FI~I,D INSPECTION REPORT I DATE [ COM1VIENTS . x
FOt~DAT1ON (2ND) ,~,
~SULATION PER N. Y.
STATE ENERGY CODE
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined 'q2/Jcl , 20 03>
Approved c~,)'f, 20 O~
Disapproved a/c
Expiration
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
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
Date e:~O-//~, ,20 d/0>
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.
'-[Signature of applicant or name, ifa corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ,<~, t~ j t~dO o'/O a
-// (As on the tax roll or latest deed)
tf 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.
Location of land on which proposed work will be done:
House Number Street
Hamlet
County Tax Map No. 1000 Section ~ t_/ Block t9 /
Subdivision Filed Map No.
(Name)
Lot
2. State existing use and occupancy of premises and intended use and occupancy of propgsed construction
a. Existing use and occupancy
b. Intended use and ~ccupancy
3. Nature of work (check which applicable): New Building t Addition Alteration
Demohtion
Repair Removal ,. ~t s/~/~ ~ Other Work
Estimated Cost Fee
If dwelling, number of dwelling units
If garage, number of cars
(Description)
(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. Size of lot: Front Rear Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
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 I00 feet ora 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 I0 feet or below, must provide topographical data on survey.
STATE OF NEW YORK)
COUNTY OFFS)S:
~ _J~ (~/'~ t~t~---- being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He
is
the
~r, 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 fried therewith.
Sworn to. ~efore me this
/.~rrr day of F~,~ ~ 20 dS~ ~
' { 6' Notary Public
S ig~aature o f Applicant
MARGARET C. RUTKOWSK!
Notary Public, State of New York
No. 4982528
Qualified in Suffolk Count..., ~,
Commission Explre~ June 3, o(~ / ]
/_ /!
Q
-~TIFtCATION OF
~,NNECTIONS
i~uirr~ED.
ALL
MEET
CODES'OF NEy,
UNDERWRFrERs CERTIFICATE
REQUIREB
"~:~ JNLAWFUL
'VITNOLIT CERTIFICATE
RETAIN STORM WATER RUNOFF
,...,~
PURSUANT TO CHAPTER 236 ~¥'/'-
OF TIlE TOWN CODE.
4. FINAL - CC.,
· T NY
CHORNO As~:ciAT'ES
archlt'eb!$.
· ' SOUTHOLD, NEW YO~K
£ OArG
ZONE VE
87' ~o"
87.:
E
LOT
SURVEY OF
15 & THE WESTERLY 1/2 OF LOT
MAP OF PROPERTY OF
W. H. YOUNG AND R. J. GOODALE
FILE No. 585 FILED SEPTEMBER 11, 1929
S/TUA TED A T
GREENPORT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-44-01-05
SCALE 1"=30'
JUNE 16, 2006
JANUARY 24, 2007 ADDED PROPOSED ADDITIONS
FEORUABY 1, 2007 ADDED PROP. HAY BALES & DRYWELL
MARCH 22, 2007 ADDED NON-TURF BUFFER ~ REVISED PROP. DRYWELL LOCATION
MARCH 26, 2007 REVISED AS PER JOSEPH FISCHETTI, P.E.
JUNE S, 2007 REVISED PROPOSED ADDITION
AREA = 28,149.93 sq. fi,
(TO TIE UNE) 0.646 ac.
1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
EXISTING EkEVATIONS ARE SHOWN THUS:A~
EXISTING CONTOUR LINES ARE SHOWN THUS: -- -5
2. FLOOD ZONE INFORMATION TAKEN FROM:
FLOOD INSURANCE RATE MAP No. 3610SCOISS 0
ZONE VE COASTAL FLOOD WITH VELOCITY' HAZARD (WAVE
BASE FLOOD ELEVATIONS DETERMINED
ZONE X: AREAS DETERMINED TO 6E OUTSIDE 500-YEAR FLOODPLAIN
16
PROPOSED SEPTIC SYSTEM NOTES:
1, PROPOSED SEPTIC SYSTEM DESIGN BY: JOSEPH FISDHETD, P.E. P.O. BOX 616
SOU?NOLO. NEW YORK 11971
2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE MAXIMUM IS 1,000 GALLONS·
1 TANK; 8' LONG, 4'-5" WIDE. 6'-7" DEEP
~/'/'/z~ PROPOSED %000 GALLONSEPTIC TANK
TEST HOLE DATA
(TEST HOLE DUG BY~ ON MAY 16, 2006)
CERTIFIED TO;
SPRYO AVDOULOS
MARGARITA AVDOULOS
THE EXISTENCE OF RIGHT~ OF WAY
AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED.
N,Y,S. Lic, No, 49668
Joseph A. Ingegno
Land Surveyor
PHONE (651)727-2090 Fax (651)727-1727
26-189D