HomeMy WebLinkAboutZ-37653FF04
No: 37653
Town of Southold
53095 Main Rd
Southold, New York 11971
7/10/2015
PRE EXISTING
CERTIFICATE OF OCCUPANCY
Date: 7/10/2015
THIS CERTIFIES that the structure(s) located at: 805 West Rd
SCTM #: 473889 Sec/Block/Lot: 110.-7-4
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-
37653
dated 7/10/2015 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 accessory Rarage.
The certificate is issued to Kofmas Alex 2011 GST Ex Trt
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
110.-7-4
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 805 West Rd
SUFF. CO. TAX MAP NO.: 110.-7-4
NAME OF OWNER(S): Kofinas Alex 2011 GST Ex Trt
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Kofinas Alex 2011 GST Ex Trt
DWELLING:
# STORIES: 1 # EXITS:
FOUNDATION:
BATHROOM(S):
PORCH TYPE:
BREEZEWAY:
DOMESTIC HOTWATER:
TYPE HEAT:
# BEDROOMS:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST:
SWIMMING POOL:
OTHER:
VIOLATIONS:
REMARKS:
TOILET ROOM(S):
DECK TYPE:
FIREPLACE:
TYPE HEATER:
WARM AIR:
# KITCHENS:
SUBDIVISION:
CELLAR:
DATE: 7/10/2015
CRAWL SPACE:
UTILITY ROOM(S):
PATIO TYPE:
GARAGE:
AIR CONDITIONING:
HUT WATER:
BASEMENT TYPE:
wood frame STORAGE, TYPE OF CONST:
GUEST, TYPE OF CONST:
INSPECTED BY: GARYF DATE OF INSPECTION: 6/27/2014
IME START:
11:00 AM END: 11:15 AM
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCU 1 E C 1J
This application must be filled in by typewriter or ink and submitted to the Building ment with the following
JUN 2 0 2014
A: For new building or new use:
1. Final survey of property with accurate location of all buildings, property line , stre is a�suahir
topographic features. BLDG. DE
2. Final Approval from Health Dept. of water supply and sewerage -disposal (S -xi}:
TOWN OF SOLTNOLD
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.
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
Date. 6
New Construction: Old or Pre-existing Building: � (check one)
Location of Property: &l1,S I✓1 Arr ,eDA1J CU%CIV 000i
House No. Street Hamlet
pp� - 4x,/r,,-zv6 C or d l' DI? ,D�Ti�I Vh ID GAR•gG� OVG t/
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section !/Q Block 7 Lot 4
Subdivision Filed Map. Lot:
Permit No. /(/�/�% Date of Permit.
Applicant:/,j��
Health Dept. Approval: /VQ Underwriters Approval:
Planning Board Approval: Ae
Request for: Temporary Certificate Final Certificate:
Fee Submitted: $ / 001 QQ
(check one)
CONSENT TO INSPECTION
J44a.4, p_ex /iqs' �'' L>S'•�'�� , 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 of
which is shown and designated on theSuff�olk Tax Map as District 1000,
Section _1/D , Block
That the undersigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for. -the following:
role
P.P 6, e
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
complywith 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 iri.subsequent.prosecutions for violationsof the laws, ordinances,rules �or
regulations of the Town of Southold:'
Dated:
----- ------
(Signature)
. (Print Name)
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Telephone (631) 765-1802
Fax (631) 765-9502
roger. riche rt(aD-town.southoId. ny.us
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Alex Kofinas
Address: 805 West Road City: Cutchogue St: NY Zip: 11935
Building Permit#: Section: 110 Block: 7 Lot: 4
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: AS BUILT DBA: License No:
SITE DETAILS
Office Use Only
Residential Indoor Basement Service Only
Commerical Outdoor 1st Floor X Pool
New Renovation 2nd Floor Hot Tub
Addition Survey X Attic X Garage X
INVENTORY
Service 1 ph Heat Duplec Recpt 4 Ceiling Fixtures 7 HID Fixtures
Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel 1-30 A/C Blower Range Recpt Fluorescent Fixture Pumps
Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks
Disconnect F1 Switches 3 Twist Lock Exit Fixtures TVSS
Other Equipment: AS BUILT --ELECTRICAL SURVEY --NO VISUAL DEFECTS
Notes:
Inspector Signature:7ztp=7s�;�Date: June 23 2015
81 -Cert Electrical Compliance Form.xls
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
,�'�OF SOpjyo
COQ
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sout o .ny.us
AUG 13 2014 j
BUILDING DEPARTMENTBLDG. DEPT.
TOWN OF SOUTHOLD
TOWPl OF .SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: �f�Dafe:
Company Name:
Name:
License No.:
Address:
Phone No.: / �?7
JOBSITE INFORMATION: (*Indicates required information)
*Address; �05=QT�U�'"�'�Ld 6/l .- -
*Cross Street:
*Phone No.:
Permit No.:
Tax -Map District: 1000 Section: IZ C7 Block:- Lot:
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
0 6N
Ae A7 671E
(Please Circle All That Apply)
Is job ready for inspection: YE / NO. Rough In Final
"Do -you need a Temp Certificate: YES A&
Temp Information (if needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other 3a/wjp
*New Service: Re -connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
.82 -Request for fnspecfion Form
G
7071-m-, SOUTHOLD §koP
7- 'ERTY ..RECORD CARD
-
All 65 rex -rlu�l
- STREET
VILLAGE
DISTRICT
SUB.
LOT
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0C
N
E 0 ACREAGE
kolk, Oez�A-
0 0 - S
TYPE OF BUILDING
RES. SEAS.
VL. FARM
COMM. I IND. I CB. MISC.
LAND
IMP.
TOTAL
DATE
REMARKS` D
OOF
CJ
a
j6h —q3 L 1(g4)-i,5,kr 46 L�f 4et- s'-
4 'Sk'-V�4;
W6 0 6
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7—
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4 .7
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013"'G�
2-100
B ILDIN�s- C�NDM.,
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NEW
NORMAL
BELOW
ABOVE
WL
Form
Acre
Value Per Acre
Value
Tillable I
1", 1- �Iqv I A:t �4310-
Tillable 2
513 e �Ip
-7 (3 27 -
//,R6
76
Tillable, 3
Woodland
Swampland
Brushland
House Plot
ol
M���BIdg.
ti
S-
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Foundation7�
Bath
07
y
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Extension
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3 /r3
Basement
n} -'
Floors
Extension
7 3-7 1 f Y �
$ ,g
Ext. Walls
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Interior Finish
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Extension
1V 4 tiv t'
i�13
3
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/ L,
Fire Place
Heart
t
r O' .'i t rjd? f v''
Porch
Attic
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L. 0 s � .P 1 ` r/13
. �, P L
3,5 3
- <,
3
�9 Porch
Rooms 1st Floor
j
Breezeway
f f r
Patio
Rooms 2nd Floor
Garage
t~ ,,. :•.. ... . r113
d C ? fl
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Driveway
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TEST .00AM
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Iwo
IOrSA
8AY
.. PEC00 SLP VEY OF PROPERTY
A T CLIMMOGUE
_ TOWN -OF SO T1 OLD .
A FFFOLK COMM M Y.
CERTF Ta I i ° =a
�
ALEXAI�ER • KZFINAS AND GEORGE '
KOFWAS cur *a or the JQn�. I qq .O.H Topol
1 4, ��t . Do t
ALEXAMDER KOPWAS 2011 GST eA
EXWM a�lMad S
20lhe 11 KOFAO
•
AREA 41,184 sq.It. to tie If
N.Y.S. LIQ. NO. 49618
ANY ALTERAMN 70 88711' � A �
PEII_ ON .
or sEc7yon► 7soo CONIC ORSkP-a
OTEEF TA8 PER SEC7y0N ONLY 1 ?6520 FA f631) 765-1797
VALAD FOR&Am pcP
MMOM AMC
mo ORs R o A� aE OR 4TREET
52NMORAiER
SOUTHOLD, N.Y. 119T113-286
ELEVATIONS ARE REFERENCED TO NA VD f
LOCATION:
(number & street) (municipality)
SUBDIVISION: MAP NO.: LOT(S):
NAME OF OWNER(S):
OCCUPANCY:
(type) (owner -tenant) -
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABLE: SUFF. CO. TAX MAP NO. 1000 -
SOURCE OF REQUEST: DATE:
DWELLING
TYPE OF CONSTRUCTION: („l/� # STORIES: c # EXITS:
. , . FOUNDATION: BASEMENT: CRAWL SPACE:
# OF BEDROOMS: IST FLR: 2ND FLR: 3RD FLR: .
BATHROOM(S): _. TOILET ROOM(S): UTILITY ROOM: .
PORCH.,TYPE: DECK, TYPE:.. , .. PATIO; TYPE:
BREEZEWAY:' FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIRCONDITIONING:
TYPE HEAT: WARM AIR: HOTWATER:
# OF KITCHENS:
FINISHED BASEMENT:- YES NO
OTHER:
ACCESSORY STRUCTURES
GARAGE; TYPE OF CONST.: _ STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST:
OTHER:
VIOLATIONS: CHAPTER 144 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
WKIMMMNI O®
POEM
REMARKS:
INSPECTED BY: DATE OF INSPECTION: _
TIME START: /l C90/-