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Home My WebLink About35960-ZFORM NO. 4 TOW/q OF SOLVfEOLD BUILDING DEPARTFiENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34746 Date: 12/17/10 THIS u~TIFIES that the building DECK ADDITION Location of Property: 1525 LEEW/LRD DR SOUTHOLD (HOUSE NO.) (STREET) (H~_MLET) County Tax Map No. 473889 Section 79 Block 7 Lot 19 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 20, 2010 pursuant to which Building Permit NO. 35960-Z dated OCTOBER 20, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID & EVANGELIA TSOUMPELIS ( OWNER ) of the aforesaid building. SU~OLKCOUN~"fDEPART~TT OF HEALTHAPPRO~-AL ELE~-rKICAL u~KTIFICATH NO. PLIERS U~KTIFICATION DA'i'~ N/A NIA ri/ ~i gna/cure Rev. 1/81 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. 35960 Z Date OCTOBER 20, 2010 Permission is hereby granted to: DAVID & EVANGELIA TSOUMPELIS 1525 LEEWARD DR SOUTHOLD,NY 11971 for : CONSTRUCT A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BP # 15691 at premises located at 1525 LEEWARD DR SOUTHOLD County Tax Map No. 473889 Section 079 Block 0007 Lot No. 019 pursuant to application dated OCTOBER 20, 2010 and approved by the Building Inspector to expire on AP~Fee $ 50.00~ I ~ ~ / /'-~_ ./~~2012./~/iii-~~/~s e ORIGINAL Rev. 5/8/02 l'O~M' NO. J TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT COMPLETION OF THE WORK AUTHORIZED) N~ 15691 Z Permission is hereby granted t~., ~ ..... .Y.~........~~.~ ........................ ..~.a.L~...~.~%.~, ................ ..~..~..L ~~ J,~ _ ..~ ';'"~ .... .,;..;....~ ................................. ,_. .............. '"".R::q"~ ..... '~'"'T~'---;-",.~-~"'"'~;' ........ ~"-,;'-~ ......... at premises located at .../....~.....~..~ ...... ~17.~~..._.~.~...~.~......~.~ ...... County Tax Map No. 1000 Section ...... ..~...~.~ ....... Block ....... .O..'~. ........ Lot No ....... )...~. ........... pursuant to oppll¢otion doted .... Z~.....~. ............... , 19.~...7..., and approved by the Building Inspector. Buildin~ Im, pector Rev. 6/30/80 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: 1. 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. Bo 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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 $ l 5.00 New Construction: Location of Property: I~o~"' House No. Owner or Owners of Property: '"~¥ i~ Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: \/ (check one) Street Hamlet Block E'~E~LJ'"/ Lot O~q Subdivision Permit No. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ c>Q~, OO .~-q ~0 DateofPermit. IOhO/'C) Filed Map. Lot: Applicant:-~(c~ Underwriters Approval: Final Certificate: (check one) Applic~a~ Signature 765-180,/ BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING REMARKS: [ ] ROUGH PLBG. [ ] INSULATION OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FINAL · ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOI_D BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 .TEL.: 765-1803 Examined 19 0 o0 ....... ' '~'.~., 19~.~.. Permit No Approved . ~ .............. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... 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 of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 'cation. 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 issued a Building Permit to the applicant. Such permit 'shall be kept on t~he2,rel~e~ ~,vl~it~e ~6~spection throughout the work. e. No bul~l~.lal~plll~iid ~O[~d in whole or in part for any purpose whatever until a Certificate of Occupancy shall have beefi4[hlll~Fo~ Ih%' B_u. illt, ing~ ~l~lletg~l APPLICA~ ~E~l~ge~l~_ui[djll~epartment for the issuance ora Building Permit pursuant to the Building Zone ~l~c~ 9[ t~T~I~,l~[~l[~'l~l[~olk County, New York, and other applicable Laws, Ordinances or Regulations, f~[~c~l~c~i[n ~L~l~tlr~, }a~l~i~n~or alterations, or for removal or demolition, as herein described. The applicant ~]~}sl tol~_w~.Th.,a~le~licable laws, ordinances, bulldin~code, hot, sing code, and regulations, and to admit authorize~.ipe~[~ ~[~ql~l~in building for necessary inspectic~.~c- ~J ~ ~ (Signature of applicant, or naale; if a corporation) State whether applicant is owner, lessee, agent, architect, engineer,~neral contrac~.~ii[~n~u~ builder. N~eofowner ofpremises .~..~.~{~... ~ ....... ~-~ :....BY, ,Y.',.~.~.' ..... (as on the tax roll or I~e~ILD!NG ~PAR~ AT If applic~n~ ~._.co~gnatur~e of duly authorized officer. (Name and title/Of corporate officer) Builder's License No ...... ~ .................. Plumber's License No ..... ~ .................. Electrician's License No ....................... 7~6.1802 9 aM TO 4 PM ~ THE FOL[.Ow~NG INSI;'L~CTION~: FOUfenn'qON TWO REQUIRED FOR I;~,,.)URED CONCRETE, ROUGt~ r-qAMING & PLUMBING INSULA r~o~ B~ CO~-t~ ~ CO ~ CON,'~KrRuc'rioN .¢~-~,~m.L MEET ~ ~QUIREMENT~ O~ ~ N.Y ~ NOT ~~ ~ O her rade's.censeNo ...................... Location of land on which proposed work will be done ..................... : ............... ........................................................... ......... ............ House Number Street Hamlet County Tax Map No. 1000 Section ....... '[ . ~ ........ Block ....... :[ ......... Lot..../.~. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ......................... ~ .~...~ ............ 3. Nature'of work (check wh']dl~ applicable): New Building .......... Addition'~o..~C/(. Alteration Repair . .L.. 0'~ ':.' ~' ,l~moval .............. Demolition 'L~ ........... Other Work ............... Estimatedst .~,-"'~-~...~.'~... ' Fee..~.~. . ~ (Description) 4. co.& ' .......................... ........................... ..... ..... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height .............. Number of Stories ................ Dimensions of same structure with alterations or additions: Front .................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories Rear ...(B.O ................ Depth . ~ ~g~/~7. ................ 9. Size of lot: Front . .tO~t. ................. ' .......... ~ ............................ ~ ................ 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: ................................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect /2; .'t~;,'-'~' · '~ ~; · .~ ........ Address ................... Phone No ................ Name of Contractor~./~. ~ .tO .. Address f~.~/.~..~.../4~-~. ~ Phone No. ttt~.., .~.~.( .9/. .... 15. Is th±s property located w±th±nti00 feet of a t±dal wetland? * Yes ..... No ..... · If yes, $outhold Town Trustees ?erra±tp~3~' be requ±red. DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dime .sions froln property lines. Give street and block number or description according to deed, and show s_Reet~ and indic te whether interior or corner lot.~ STATE OF NEW YORK, S.S COUNTY QF/' .......... ,,~ ...... ........ · -~ -~.~ .... ~)-~~ ......... being duly sworn, deposes and says that he is the applicant (Name ofin~t' idual signing contract) above named. He is tile ......................... . .~...~.....~.~.~. .................................................. ~, (5°ntract~gent' cOrpOrate Officer, etc') of said owner or owners, and is duly au_~rform 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 me this ............. /.0.. 5 ...... day of .... ~.~.~ .~-~-. .......... , 19~..~. Notary Public .... ~ .~.~.~,:.~...~-~....~.J-~...~..F~.... County ....... ............... 11~ ~.~--l~ 7 (Signature of applicant) Town I lall Annex ,5 ~,'17,5 Mahl I/gad P.O. 1½ox 1179 Southold, NY 11!17 l 09,;9 Telephone (63 I) 76,3-18(}2 I";LX ((331 ) 76,'3-9302 BI ~ILD1NG DEPAI/TMENT TOWN OF $OUTHOLD November 5, 2010 David Tsoumpelis 1525 Leeward Drive Southold, NY 11971 TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occuancy: __ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. Afeeof $25.00 Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84} __ Trustees Certificate of Compliance. (Town Trustees #765-1802) Final Planning Board approval. Final Fire Inspection from Fire Marshal. Final Inspection from the Building Dept. Final Landmark Preservation approval. Building Permit: 32776-Z deck