Loading...
HomeMy WebLinkAbout28504-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28969 Date: 10/08/02 THIS CERTIFIES that the building ALTERATION Location of Property: 52325 CR 48 UNIT 20 SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 135.1 Block 1 Lot 20 Subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 25, 2002 pursuant to which Building Perndt No. 28504-Z dated JUNE 25, 2002 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 INSTALLATION OF A SINK IN AN EXISTING CONDOMINIUM {UNIT 20) AS APPLIED FOR. The certificate is issued to DEMETRIOU DEMPTRIOS ( OWNER ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~rw~3 10/01/02 N/A N/A WALTER MARCZEWSKI Rev. 1/81 FORM NO. 3 TOWN OF $OUTHOLD 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. 28504 Z Date JUNE 25, 2002 Permission is hereby granted to: DEMETRIOU DEMPTRIOS 42-11 25TH AVENUE ASTORIA,NY 11103 for : INSTALLATION OF A NEW SINK AS APPLIED FOR at premises located at 52325 CR 48 UNIT 20 SOUTHOLD County Tax Map No. 473889 Section 135.001 Block 0001 Lot No. 020 pursuant to application dated JUNE 25, 2002 and approved by the Building Inspector to expire on DECEMBER 25, 2003. Rev. 5/8/02 COPY 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: Ao 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showh~g 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. Co New Construction: ~ Old or Pre-existing Building: LocationofProperty: (~l:~ 14-~ (._)(h',4 ~.~CO ' ouse No. ' Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $25.00 $50.00 4.5.UpdatedTemporaryCertificatecertificateOf OccupanCYof Occupancy- - Residential $15.00, Commercial $15.00/ /t~ ,/ Date. '~/~ _ (check one) Street Owner or Owners ofPropert~ ,~.A/~O~ ,~Lc. [ot ) Suffolk County Tax Map No 1000, Section 1~'''~ · / Subdivision Permit No.~ ~-~(~'- Date of Permit. Hamlet Block 1 Lot ~:~ ~ Filed Map. Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~'~ Underwriters Approval: Final Certificate: (check one) - Xppll~a~ Signature ' '~ D ToWn Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOVqN OF SOUTHOLD CERTIFICATION Date: Building Permit No. ~5~.~ ¢ _7. owner: J /4 '7't lOv bO4E T -IO (please print) Plumber: ~.//,,,~./~-/~'/Z /t"2 q, ~'~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this dayof {~ .~_~. , Notary Public, County (Plumbers Sigrl~ure) UNDA J- COOPER 63, Suffolk County No. ~.8225_ ~l~r $1, -~ z~,o~ TOWN OF $OUTHOLD PROPERTY RECORD CARD OWNER I STrEeT ~ C~ .~ 5 ' W~.LA~ J DIST. J COUNTY TAX MAP NO. LAN D IMP. TOTAL DATE REMARKS: .. -: ---.- _ ~_ S l Demetrios Demetriou 42-11 25th Ave Astoria, NY 11103 March 10,2002 To: Board Of Managers North Fork Beach Condominiums As required by the North Fork Beach Condominium Declaration plan, I am requesting permission to install a sink in unit # 20. I am applying for a town permit, and will be hiring a licensed plumber who will comply with all town code and specifications for the completion of the job. I will pay for any inspection or permits needed. Upon completion of the job I will provide the board of managers all necessary permits and paperwork. Thank You, emetrios Demetnou Presiden,s .Approval 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ~FINAL REMARKS:___~~ ~- ~. DATE ~;~ 7/S"-//~ FO~DATION (1ST) FO~ATION (2~) ROUGH F~G & PL~G ~SU~TION PER N. Y. STA~ E~RGY CODE TOWN OF SOUTHOLD BUILDIng; D~PARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined I~' ,20__ Approved . ~ _, 20__ Disapproved a/c ~ JUN 2 BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. ~ Do you have or need the following, before applying ? Board of Health 3 sets of Building Plans Survey Check Septic Form N.Y,S.D.E.C. Trustees Contact: Mail to: Phone: APPLICATION FOR BUILDING PERMIT Date ~, 20 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Build~ng 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 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 a Certificate of Occupancy is issued by the Building Inspector. APPLICATION IS HEREBY MADE to the Building ~epartment for the issuance ora 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. OCCUPANCY ~ .,~::L,~.,....~ ,,~.~..,-, USE IS UNLAWPoT (Si~re of applicant or name, ifa corporation) WITHOUT CERTIFIC~ _// APPROVED AS IIOTB) OF OCCUPANCY ' (%ai~g address of applicant) architect, engineer, general contractor, electrician, plumber or builder BUll.DING DEPARTMENT AT FOLLOWING INSPECTIONS: Z,-~,n v~un~ROUGH - FRAMING & PLUMBINt~ (as on the tax roll or latest deed) a. INSULATION If appli~l~l~l~ co~0~81~RU~l$ffi~r~ly authorized officer ~THE N,Y. STATE CONSTRUCTION & ENERGY °ES,O. o. Plumbers L~cense Electricians License No. Other Tradds License No. Location of land on which proposed work will be done: 6 q g 33v& la/, / House Number Street Hamlet ' County Tax Map No. 1000 Section t/Ta83v~ Block Lot Subdivision Filed Map No. Lot (Name) 2. State exi§ting use and occupancy of premises and intended use and occupancy of proposed constructio,n: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units z/ag, If garage, number of cars Addition Other Work Fee Alteration (Description) (to be paid on filing this application) Number of dwelling units on 'each floor/~//=be o~o / 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 8. Dimensions of entire new construction: Front Height Number of Stories 9. Size of lot: Front Rear Number of Stories Rear Depth 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: 13. Will lot be re-graded 14. Names of Owner of premises ~m~-7',q/a5 Address Name of Architect Address Name of Contractor ~Cee~.l~CJr ~'! 01~_~o~.~ Address 15. Is this property within 100 feet of a tidal wetland? *YES Will excess fill be removed from premises: NO YES NO 9/a' -aa'/~ 70--- Signature of Applicant Sworn to before me this / _ '/'?A day°f /O/q'~ /%¢ Notary Public.~,~:;>' ~ MARIA GEOR.,~IOU I~ &~-485095 Notary Pubf,c St ~te of New York Qualified i ;;eeh$ Cour~ty ~mmissio. Exp,,es Feb. 17. ~00 · IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey; to scale, with accurate foundation plan and distances to proper~'J~,t l 7. If elevation at any point on property is at 10 feet or omow, must provme topograpmcal data on sUrVey. STATE OF NEW YORK) being duly sworn deposeE/a~S~ (s)he ts ,t~e.pplic~t (Name of indi~dual si~ng contract) above rimed, (S)He is the ¢~W¢ ' (Contractor, Agent, Co.orate Officer, etc.) ot said owner or owners, ~d is duly aumohzed to perfom or have peffo~ed the s~id,wor~ ~d't~ m~e and fildths application; that all statements contained in t~s application are tree to the best of his ~owledg~ a~d.~lie~; and thru the W°r~'wfll be perfo~ned in the m~er set fo~h in the application filed therewith.