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HomeMy WebLinkAbout34800-ZTown of Southold Annex 54375 Main Road Southold, New York 11971 7/13/2011 CERTIFICATE OF OCCUPANCY No: 35060 Date: 7/13/2011 Tills CERTIFIES that the building OTHER Location of Property: 1335 Sound Beach Dr, Mattituck, SCTM #: 473889 Sec/BlockfLot: 106.-1-29 Subdivision: Filed Map No. conlbrms substantially to the Application for Building Permit heretolbre 6/11/2009 pursuant to which Building Permit No. Lot No. filed in this officed dated 34800 dated 6/17/2009 was issued, and conforms to all of the rcquirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: fence (to code) tbr an existing swimming pool as applied lbr. The certificate is issued to Pavlou, Andreas & Pavlou, Theophanis (OWNER) of thc aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEAl. TH APPROVAL EI,ECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 34800 Z Date JUNE 17, 2009 Permission is hereby granted to: ANDREAS PAVLOU 164-16 14TH ROAD WHITESTONE,NY 11357 for : FENCE SURROUNDING A/q INGROUND SWIMMING POOL AS APPLIED FOR, FENCED TO CODE at premises located at 1335 SOUND BEACH DR County Tax Map NO. 473889 Section 106 Block pursuant to application dated JUNE 11, 2009 Building Inspector to expire on DECEMBER 17, MATTITUCK 0001 Lot No. 029 and approved by the 2010. Fee $ 100.00 Authorized S i-~n~ t u r e COPY Rev. 5/8/02 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/I0 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: 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 1. 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 Cmlificate of Occupancy - $.25 Updated Cellificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Constrnction: Location of Property: Old or Pre-existing Building: (check one) House No. Street Hamlet Owner or Owners of Property:,~-,'~ o~Z. ( ~ ¢- ~ 2~ ('o ~.,~"W/>¥v 7'/.,?.., LC4~'~]~ ~ ~'~: //~] v'~c~ ~ Suffolk County Tax Map No 1000, Section }~ ~ Lot ~' Subdivision Lot: Pe~it No. 5'[ ~", '[ Date of Pe~it. Health Dept. Approval: Block Filed Map. Applicant: Underwritem Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ _.'~5_ LW~, ~ ¢: tq, Final Certificate: (check one Applicant Sigoatmc TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING/STRAPPING [~'~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: FIELD INSPECTION REPORT I DATE I COMMENTS FOUNDATION (1ST) FO~ATION (2ND) ROUGH F~G & PL~G ~S~ATION PER N. Y. STATE ENERGY CODE , / // ~ ~. ~?~ ~DITION~ CO~ENTS TOWN (~F SOETHOLD TOWN HA+,-a/I- SOUTHOL ~['~ 11971 TEL:(631) ~80~ 1 I 2~ FAX: (631) 765]~502 SoutholdT¢ a'n.Nm TOWN OF SOUTHOLD I xpirafion / JOt 11 BLO& DEPT. 1'OWN DF $OUTHOI_D BLJILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applyiug~ Board of Heahh 4 sets of Building Plans Planning Board approval Survey Check ~:~/~'~ · Septic Form N.¥.S.D.E.C. Frustees Flood Permit Storm-Water .&ssessmcnt Form Mail to: ' Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. I ms application MUST be completely filled in by typewriter or in ink and submitted to the Building luspector with 4 sets ol'p]ans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bnildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by riffs application may nol bo colnmenced belbre issuauce of Building Permit. d. Upon approval of this application, the Building inspector will issue a Building Pennit to the applicant. Such a permit shall be kept on the premises available fbr inspection throughout the work. c. No building shall be occupied or used in whole or m part tbr any purpose what so ever until the Building Inspector issues a Cenil'icate of Occupancy. fi Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issaance or has not been completed within 18 months thom such date. If no ×oning amendments or other regulations affecting thc property have been enacted m the interim, the Building Inspector may authorize, in writing, the extension of the permit for an additiou six months. Thereafter, a new perlnit shall bc required. APPLICATION IS HEREBY MADE tu the Building DcpaKunent for the issuance cfa Building Pel-mit pLu'suant to the Building Zone Ordinance of thc Town of Soulhold, Suftblk County. New York, and other applicable l,aws, Drdmances or Regulations, For the construction of buiIdiugs, additions, or alterations or for remox al or demoIition as herein described. Thc upplicant agrees lo comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authnri×ed inspectors on premises all(] in building t'or necessary inspectioas. (Signature ofapplica 1 or name. ifa corporation) MEET ~r - + ,'~r-' ,--,,~- ~ (MaduvzaddrcssOtapplicaut) State x(q~b~f apphcant ~s 6M~vlessee, agent, arctfftedt, engineer, general contractor, electrician, plumber or builder Name ofovcner of premises Oo'~,e ~,q % 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 Tradc's License No. Location of land on which proposed work will be done: Duse Number Street ' County Tax Map No. 1000 Section Subdivision ?O'JY, DATIc;i . :; ~ "" L! PLUk4E, DE,.,ot',I OR , c'~-~-¢ ,,..., ,-:,r Hamlet Block [ Filed Map No. Lot Lot Statea. cxistingExisting use and occupancyUSe and occupancy of premisess~./~altd intendeds/}ppd occupancy of proposed construction: b. Intendeduseandoccupancy__ A)O/.(JT~i/i..~.(? ffd("a~q(?~c- ~ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. Il'business, COlmncrcial or mixed occupancy, specit}' nature and extent of each type of use. 7. Dimensions of existing structures, it'any: Front Height Number of Stories Real' Depth _ Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories 8. Dimensions of entire new construction: Front Rear HeigN Number of Stories Rear Depth 9. Size oflnt: Front Rear .Depth 1 0. Date of Purchase Name of Former Oxvner 1 I. Zonc 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 t'rom prelnises? YES NO 14J(NamesofOwnerofpremises.4,'~s&% P~qv~.~ Address ~8~0 C~,vve,*z :~.¢ Phone No. ((.: *j Name of Architect Address /4,*Tvm4ahone No Name of Contractor Address Phone No. lq,5 a. Is this property within 100 feet oE a tidal v, etland or a fi'eshwater wetland? *YES __ NO * IF YES. SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 fcct ot'a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. * 'ovidc survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at l0 t'cet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES__ · IF YES, PROVIDE A COPY. NO STATE OF N~-~V Y~5~,~). COUNTY Oli_) [/,¢?/~ 'h"c.~[ -~ ~ ~ Ob y3 V ~ ~ ~ beingdulyswom, deposesandsaysthat(s)heistheapplicant (Name of individual signing contract) above named, CS)He is lt~e (Contractor, Agent, Corporate Officer, ccc.) of said owner or owners, and is duly attthorized to pcrtbrm or have perlbnned the said work and to lnake and file this application; that all statements comained in this application arc true to thc best of his knowledge and belief; and thal the work will be performed ill thc maimer sc/ lbl'tll ia the application filed thercv~ith. Town Hall Annex 54:;75 Main Road PO. Box 1179 S~mlhold. New York 11971-0959 July 1, 2011 BUILDING DEPARTMENT TOWN OF fiOUTHOLD Telephone(631)765 181)2 Fax {631} 765 Andreas Pavlou 164-16 14th Rd Whitestone, NY 11357 Re: 1335 Sound Beach Dr, Mattituck TWO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. //A fee of 50.00. __ Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees #765~1892) __ Final Planning Board Approval. __ Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 34800- Pool Fence 0 SUFFOLK CO. HEALTH OEPT, APPROVAL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (si APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H. S. REF. NO.: Il:D- E~C)- ~1 APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST, SECT. BLOCK laCL. OWNE*~S ADDRE~: -" OI~FD: L.