HomeMy WebLinkAboutZ-37506�yppnj�. Town of Southold
53095 Main Rd
Southold, New York 11971
A
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 37506 Date:
THIS CERTIFIES that the structure(s) located at: 820 Sigsbee Rd, Laurel
SCTM #: 473889 Sec/Block/Lot: 143.4-10
4/10/2015
4/10/2015
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 37506
dated 4/10/2015 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling with block patio.*
Note: BP 39477 bathroom alteration and new boiler COZ-37505 and BP 39478 demolition of shed.
The certificate is issued to Souravlis, Hrisovalantis & Souravlis, Ana
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A o'' Si ature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 820 Sigsbee Rd, Laurel
SUFF. CO. TAX MAP NO.: 141-1-10
NAME OF OWNER(S): Souravlis, Hrisovalantis & Ana
OCCUPANCY:
ADMITTED BY: Hrisovalantis Souravlis
SOURCE OF REQUEST: Amick, Gary & Heath, Patricia
DWELLING:
# STORIES: 1 # EXITS: 2
FOUNDATION:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT: Natl Grid
# BEDROOMS: 2
OTHER:
1
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
rffKrj V C
Concrete Block
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
Yes TYPE HEATER:
WARM AIR:
# KITCHENS: 1
INSPECTED BY: GARYF
SUBDIVISION:
DATE: 4/10/2015
CELLAR: Full CRAWL SPACE:
UTILITY ROOM(S):
PATIO TYPE: Block
GARAGE:
Electric AIR CONDITIONING:
HOT WATER: X
BASEMENT TYPE: Unfinished
STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
DATE OF INSPECTION: 5/16/2014
TIME START:
END:
Form No. 6 Inj
� � n U p � --
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802 MAY 12 2014
APPLICATION FOR CERTIFICATE OF
BLDG. DEPT.
This application must be filled in by typewriter or ink and submitted to the Building
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°resp6nsible 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 Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Date.
Old or Pre-existing Building: V/
(check one)
Location of Property: Zd 9;ccSbee 12oc�C Ni 'SIC Ny
House No. Street Hamlet
Owner or Owners of Property: t-12lSoJ�1��S �oy�AJ��S
Suffolk County Tax Map No 1000, Section I Li 3 00 Block D I Od Lot D I0 . OC)C)
Subdivision
Permit No.
Health Dept. Approval:
Planning Board Approval:
Filed Map.
Date of Permit. Applicant:
Request for: Temporary Certificate
Fee Submitted: $ SAO P
Underwriters Approval:
Final Certificate:
Lot:
'CONSENT TO INSPECTION
G t-(� - v4
p�c�o��
MAY 1 9 7014
BLDG. DEPT.
TOWN OF SOUTHOLD
k15044av,�� So ulrJ [ vs , the undersigned, do(es) hereby state:
Owner(s) Name(s)
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at �,'�30 5t95 bee K N_
which is shown and designated on the Suffolk County Tax Map as District 1000,
SectionW-00 `13.00 , Block 01-00 , Lot ()10.000 .
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold To�wn Building I/n�spector's Office for the followinngg:
^1
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
y -
Dated: zL
r,K S0 \/0_ _A_hS Vkr0C1j1 S
(Print Name)
(Signature)
(Print Name)
WOODRD
.
S�
4.4
FILE NO. 780724 SCALE: I" = 20' DATE:
SURVEY OF LOTS 16 .AND 17
MAIN ROAD
AUP OF PARK
PROPERTIES, INCCK
SITUATED AT
MATTITUCK
TOWN OF ,SOUTHOLD
SUFFOLK COUNTY, NEW YORK
F: 07/02/1925 MAP NO. 796
S,C.T.AL N0, 1000-149-1-10
AREA = 14,174 SQ. PT.
LOT 18 FS�
CERTIFIED TO:
N 09'22'00" 141.69' S 1 .
HRISOVALANTIS SOURAVLIS
rat',POST' AND RAD: FS. LON.
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ANNA SOURAVUS
HELLS FARGO BANK, N.A., 7SAOA
FIDELIYY NATIONAL TITLE INSURANCE COMPANY
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PAT T. SECCAFI CO
S 69'2z 00 W 14s.87
PROFESSIONAL LAND SURVEYOR, P.C.
a$D.� LOT 1s
— SUCCESSOR TO —
DONALD TASE, L.S.
RiatARD WILNELM AND Associms
NORTHSTAR SURVEYING P.C.
PAUL T CANALIZO, L.S, ROBERT A. K4RT, L.S.
GOOD GROUND SURVEYORS, P.C.
328A Main Street Hampton Atrium Unit D-4
Center Moriches, NY 11934 186 W. Montauk Highway
NY 11946
NomPton Bo
Phone: 16 11 878-0120 Phone: (6 3 728-5330
Fox: (631 78-7190 Fax: (631 728-8707
N.Y.S. LIC. NO. 049287
06/01/2014
COPYRIGHT — 2014 PAT T. SECCAnICO P.L.S., P.C.
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.OWNER
STREET
VILLAGE
DIST.
SUB. LOT ;7
FORMER' OWNER
N
E
ACR.
S
W j
TYPE OF BUILDINGfz--
(RE'S
SEAS.
VL.
FARM
COMM. CB. MISC. Mkt- Value
LAND
IMP.
TOTAL
DATE
REMARKS
'6i'e-4-7-- 4-c) m, -c �-o f
to 0 6
AGE
BUILDING CONDITION
NEW
NORMAL
BELOW ABOVE
FARM
Acre
Value Per
Acre
Value
4 A 1,�, 100'1411
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland
FRONTAGE ON WATER
Brushland
FRONTAGE ON ROAD
House Plot
DEPTH
BULKHEAD
Total
DOCK
oF so�ryo
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courm,N�'
TOWN.OVS ILDING DEPT.
765-180
IN CT1ON
[ ] FOUNDATION 1 ST
[ ] ROUGH PLUMBING
[ ] FOUNDATION 2ND
[ ] INSULATION
[ ] FRAMING / STRAPPING
[ ] FINAL
] FIREPLACE A CHIMNEY
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION
[ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL .(ROUGH)
[ ] ELECTRICAL (FINAL)
[ ] CODE VIOLAT ON [ ] CAULKING
REMARKS. < ''✓�—
�,
DATE � INSPECTOR��. ' .
LOCATION:
(number & street)
SUBDIVISION: MAP NO.:
NAME OF OWNER(S):
OCCUPANCY:
(municipality)
LOT(S):
(type) (owner -tenant)
ADMITTED BY: Wsokrtw t iS Sok WLIS, ACCOMPANIED BY: C �
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUEST: DATE:
ilWTi'T .T TN!'_
TYPE OF CONSTRUCTION: # STORIES:
FOUNDATION: (2, BASEMENT:
# OF BEDROOMS: 1ST FLR 2ND FLR:
# EXITS:
CRAWL SPACE:
3RD FLR
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM:
PORCH TYPE: DECK, TYPE: PATIO, TYPE:
BREEZEWAY: �— FIREPLACE: �� GARAGE:
DOMEST C HOTWATER:"f TYPE HEATER:��e�— AIRCOND TIONING:
TYPE HEAT: ®" WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT: YES
OTHER:
Il
U
GARAGE, TYPE OF
SWIMMING POOL:
OTHER:
NO
STORAGE, TYPE CONST.:
GUEST, TYPE CONST:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
INSPECTED BY:
DATE OF INSPECTION:
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TIME START: END.
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INSPECTED BY:
DATE OF INSPECTION:
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TIME START: END.