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Home My WebLink About42679-Z ®Gg Town of Southold 6/5/2018 o � P.O.Box 1179 53095 Main Rd Southold,New York 11971 a CERTIFICATE OF OCCUPANCY No: 39689 Date: 6/5/2018 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 35 Clark Rd., Southold SCTM#: 473889 Sec/Block/Lot: 51.-3-26 Subdivision: Fled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/7/2018 pursuant to which Building Permit No. 42679 dated 5/14/2018 - - 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: OUTDOOR SHOWER STALL ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Tzoumas,Nicholas of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 06-01-2018 Nry Smith \)dr. A.- 0 0 ho ' Signature WdfFU(q-c TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE oy • o� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 42679 Date: 5/14/2018 Permission is hereby granted to: Tzoumas, Nicholas 35 Clark Rd Southold, NY 11971 To: construct additions and alterations (outdoor shower) to an existing single family dwelling as applied for. At premises located at: 35 Clark Rd., Southold SCTM # 473889 Sec/Block/Lot# 51.-3-26 Pursuant to application dated 5/7/2018 and approved by the Building Inspector. To expire on 11/13/2019. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $200.00 CO -ADDITION TO D $50.00 Total: $250.00 Building Inspector Form No.6 lUWN '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 gr 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 z VVIOSord Date. 5�712o�d� 0d New Construction:Y-'8f Old or Pre-existing Building: (check one) Location of Property: 2�6 eCmK- 2 d 15WM0e_.0 /Vy House No. Street Hamlet Owner or Owners of Property: IV,da -z eLtj,;.4s Suffolk County Tax Map No 1000,Section Block -3 Lot a Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: ccs L,Ift. t B iu s .rte c Health Dept.Approval: Underwriters Approval: Planning Board Approval: r / Request for: Temporary Certificate Final Certificate: V (check one) Fee Submitted: $ Applicant Signature Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 crs: P.O.Box 1179 G,. Southold,NY 11971-0959 BUILDING DEPARTMENT JUN - Di TOWN OF SOUTHOLD 4 2018 T, OWN OF'SO CERTIFICATION j Date: Building Permit No. � Owner: (Please print) 1 Plumber. AV 30 (Please print) _ a I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. I 1 tubers Signature) Sworn to before me this 1 - I day of -:S' _ x 201'R- ATTAN NOTARY 'PUBLIC STATE OF YORK SUFFOLK ---` =�� COMM, XP.IMARCH 13,20_@;Z i Notary Public, S�-F�c��l� Cotlrtty. j I i -w,-jai a0F SOUIy TOWN OF SOUTHOLD BUILDING DEPT. Coum, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION FRAMING /STRAPPING FINAL ��XWpL [ l [ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: fp v vm k, n_ DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS N� FOUNDATION (IST) -------------------------------------- 'FOUNDATION (2ND) O ROUGH FRAMING& o y PLUMBING INSULATION PER N.Y: STATE ENERGY CODE IV&AAA Mil FINAL ADDITIONAL COMMENTS 0. f07 3o (wee d r� b H e TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING-DEkRTMENT Do you have or need the following,before applying? TOWN HAIL Board of Health SOUTHOLD,NY 119714Nets of Building Plans• TEL: (631) 765-1802 Planning Board approval ' FAX: (631) 765-9502 a uvey Southoldtownny.gov PERMIT NO. `Check peptic Form 'l.Y.S.D.E.C. Trustees 30.Application flood Permit Examined") 20 D \d/ -%ngle&Separate D ",Truss Identification Form �'torm-Water Assessment Form Contact: ,� Approved 20 +kms Mail to:15a, f�Igff,�iy nsel Disapproved a/ ® FSO LD o2�a flue (�'�pP/I�pv� 11�Y Phone: 6-41 663 6830 t 19 qq Expiration ,20 in ector APP B DING PERMIT Date ,20 INS TR TIONS a.This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 the Building Inspector issues a Certificate of Occupancy. f.Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a 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. (Signature of appliic�ant or name,if a corporation) (Mailing address of applicant) State whether ap licant is owner, lessee, agent, architect, engineer,general contractor, electrician,plumber or builder Name of owner of premises �G,7eI1.5 �ydudh�.s (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. �89S7-1� Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which p posedMle k will be done: 3s- e<<9ae uJ All House Number Street Hamlet County Tax Map No. 1000 Section �� Block 2 Lot �� p� SOUTH®! Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 �Q BUILDING DEPARTMENT TOWN OF SOUTHOLD May 25, 2018 Nicholas Tzoumas 35 Clark Road Southold, New York 11971 TO WHOM IT MAY CONCERN: The items marked below are required to obtain your Certificate of Occupancy. Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (Electrical Inspector 631-765-1802) A fee of$50.00. Final Survey with Health Department Approval. Plumbers Solder Certificate Trustees Certificate of Compliance. (Town Trustees#765-1892) Final Planning Board Approval. (Planning#765-1938) Final Fire Inspection from Fire Marshall. (631-765-1802) Final Landmark Preservation approval. Final Elevation Certificate required. Final Storm Water Runoff Approval from Town Engineer BUILDING PERMIT: 42679-Z outdoor shower =17-qNc„- Al"x 6- SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD Fl 1, SUFFOLK COUNTY, N.Y. c , 303 1000-61-03-26 FeALM e&uary 27, 2M2 l i1' OCTOBER 29, 2015 Np `0 b.'�`54' N ..,dp• � fir Di d I. yF •''tF• fta�' �� ¢�y a ld p.0. W • G�74AFIE0 70t �� 54 �� r�Q� nwsr AwmcAN RILE wsmot r oawoy Q Zr Fosr stwnY AwwAcr caws. WHOCAS& U"AS �Q ■-Monument a.m. A eP�4'le Located!n Aobd zone X. 3W RRN Nap Na WW,WlCO15dlf Sept 25,2M A� V*Mlom aro Weraneed to assumed datum. �Q, I N.Y.S. UC ND. 4961 ANY ACIWTM OR AODIAON M MS StJiiN Y PS A WMAAON y- PECONIC SURVEYORS ACS OF SOMM 720 ?W AM WM(STATE EDlM?XW LAW.. (631) 765-5020 FAX(631) 765-1797 DWrAS PD1 SECAON 7Y09- 5M 2 ALL CMW?r-4VW P.O. BOX 909 HEREON ARE VAW&V ANS NAP AND COWES AlPREW ONLY 6r TRA MrR W NAP ae aaM GEAR PC RAgM SED SEAL Or VC SURMGR Azwa �' 5,17 Sq. 1!`t. sem MOW. i gwr 12—,ZrG�.J 1M/OSS sr Mn1RE APPEARS KERFOM1C ``APWITH ALL CODES OF PIR0lli�VED AS NOTE DATE' e. # ?.� 1Z� COMPLY NEW YORK STATE &TOWN CODES iti FEE:a L BY:�. �m AS REQUIRED NOTIF! BUILDING DEPARTMENT AT 765-1802 SAM TO 4 PM FOR THE DTOWNPIANNRG00ARD FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED _ S WNTRUSTEES FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING N. , . EC 3. INSULATION 4. FINAL - CONSTRUCTION-MUST BE COMPLETE FOR CO. ALL CONSTRUCTION SHALL MEET THE OCCUPANCY OR REQUIREMENTS OF HE CODES OF NEVI( YORK STATE. NOT RESPONSIBLE FOR USE IS UNLAWFUL DESIGN! OR CONSTRUCTION ERRORS. WITHOUT CERTIFICATE OF OCCUPANCY P�U�B�NG GING QED ASI"PLUM 0 �O�ERING &\� r8E 1'I:Ui�IB R CERTIFICATION �� ON LEAD,CONTENT BEFORE CERT1ooA'TE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2110 OF I% LEAD. 7eJOoa�- -Cc%42�; SZD�S • �� .QB�lN/� � rte/ �.� O�eywell qf- o - o V V �3 d ( l� fv _ I �