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HomeMy WebLinkAbout21246-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22683 Date OCTOBER 27, 1993 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property 1475 (a/k/a 4351 PIPES NECK RD. GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 1 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 22, 1993 pursuant to which Building Permit No. 21246-Z dated FEBRUARY 26, 1993 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 ADDITION & ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AMENDED TO INCLUDE WOOD DECK. The certificate is issued to THOMAS & IRENE COSTAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-286141 - AUGUST 12, 1993 PLUMBERS CERTIFICATION DATED OCT. 26, 1993 - K&K PLUMB. & HEATING Building Inspector Rev. 1/81 WORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NT49 21246 Z Date / 192 Permission is he b gr ted to, / ".1 ..J... kAYl at premises located of ..,rrc///' .............................................C County Tax Map No. 1000 Section Block / Lot No...../ pursuant to application dated ......e~L 19./ and approved by the Building Inspector. Fee ; 3..f2.. Ing I for Rev. 6/30/80 Form No. 6 t TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. 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 a 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. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy'- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date ~)~r?~~ ~:..~.1 -s ~kw Construction........... Old Or Pre-existing B ilding. -ocation of Property....'--j5- (P _~S' 6, 6 4 /e w f House No. 7' l............ Street Hamlet nwer or owners of Property. w && ounty Tax Map No 1000, Section..3........ Block Lot..... 1.2 dbdivision.................................... Filed Map............ Lot.......... rmit No..X°~L T,'4,,,,, Date Of Permit...(./,( f.3....Applicant, :ffde~J9~~~f~ 2alth Dept. Approval ..........................Underwriters Approval......................... tanning Board Approval 'quest for: Temporary Certificate........... Final Certicate............ 2e Submitted: $ ~R4 7 7~~Y APPLIC Co g ~ . TEL, 16S-1 802 ~a r TOWN Or SOUTHOLD ~ . OFF1CB OF BUILb11•1C INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 f" G 0. C E R T I F I C A T I O N 91• :}AR 1 ~ Date r r Building Permit No. owner p ease print) Plumber - NIvv lp ease print) I certify that the solder used in the water supply system'-' ,rt,r 'Contains less than 2/10 of 1% lead. s' (plumber's signature) Sworn to befora mo this 12~11ay of 00-1 19, -I~Ca ~Q a~ n a t. Not ry Publ'ic ~11`flotary pubLia, County tH LINDA J. COOPER d Notary Public, State of New York No. 4S22M ,Suffolk County 9 K ' Term Expires Dec ;mbar $f , f 9- # r, r o THE NEW YORK BOARD OF,FIRE' UNDERWRITERS" ^ PAGE''A 1001071 " BUREAU OF ELECTRICITY BE JOHN STREET, NEW YORK, NEW YORK 10033 " Date AUGUST 12,1993 AppliehildnNo.onfHt; `80501193/93 t.. ' . N 286191 •t THIS CERTIFIES THAT 's only the electrical equipment as described below and introduced by the applicant nomad on the obone application number in the premLea of , TOM COSTAS, 1475 PIPES NECK ROAD, GREENPORT, N.Y, in thefoilowinR location; ® Basement ® ,st Fl. ® 2nd F'i. GAR/OUT Sertion Block Lot ass examined on AUGUST 0 9 , 19 9 3 and found to be in compliance with the National Electrical Code. FIXTURE ECEPTACtES SWITCHES FIXTURES RANGES COOKtND DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K. W. AMt. K.W. AMT. K, W. AMT. N. P. , DF e, 24 11 25 23 1 t i F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL KROFT TIME CLOCKS Elll UNIT HEATERS MULTI-OUTLET DIMMERS AML C W. at H. P. GAS H. P. AMT. NO. A. W, G. AMt. AMP. AMT. AMPS. TRANS. Amt. H. P. N0, stems FEET AMT. wAtiS 2 - C 7• i SERVICE DISCONNECT NO.OF 5 E R V Y 1 C E AMT. AMP, ryPE MITER IX 2W t .V 3W 3 Ar 3W 3,6 AW NO- OFCC. COND. A. W. G. NO Of HLlEO A. W' G' W. OF NEVipAlS A. W. G. EQUIP. PER X Of CO C ND. OF H1. E0 OF NEUTRAL 1 200 CB 1 R i 4/0 1 2/0 . OTHER APPARATUS: FEEDER9tl-3 0 6 BASEMENT TO BASEMENT MOTORStl-F H.P. PANELBOARDStl-4 CIR: 100 ELEC. WATER HEATER9ttl-4.5 K.W. G.F.C.It-4' SMOKE DETECTORt-1 to TRACK LIGHTINGi-32 " G & 9 CONTRACTOR LIC.A578-E BOB 215 SOUTHOLD, NY, 11911 K 1` ° Gft*+ MANAGER -ule Per This certificate must not be altered in any manner] return to the office of the Board if incorrect fnspetfotslihay, be` ident ied by their credentials. FORM NO. 3 TOIVN OF SOUTHOLD BUILDING DEPARTMENT TOIVN CLERK'S OFFICE SOUTHOLD, N.X. NOTICE OF DISAPPROVAL Date .....FHBIUTARY. 24,.........., 19.93. . To ,:Thomas,&,Irene_Costas 6 Robert Brown Architect Box 521_ Greenport, N.Y. 11944 PLEASE TAKE NOTICE that your application dated .FTBBIIARX .2?,............., to . 93 for permit to CONSTRUCT ADDITIONS TO EXISTING DWELLING ..........................................at Location of Property 435 PIPES NECK ROAD GREENPORT, N.Y. . House No.Ham7er Sheet County Tax Map No. 1000 Section 53........ Block .A 12 Lot Subdivision Filed Map No. Lot No. is returned herewith and disapproved on the following grounds'. .UNQ$B.44T> QlA ,IIT , , , , SECTION 100-. ..32 PROPOSED CONSTRUCTION WILL EXCEED PERMITTED LOT COVERAGE. . I3uill g Inspector THOMAS J. FISHER RV 1/80 Fl D i:;S: c:tt•texr ® ( _H 19, FOUI7DATION (1st) I ° JC FOUND0.TI01~ (2nd) - 10 LOUGH FRAME & .PLUMBING C*1 17/1 m INSULATION PER N. Y. I y STATE ENERGY l~ CODE I T W FINAL ADDITIONAL COMMENTS: x b n H W 7] O _ a • r y m y M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: Gd DATE -OM INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST OUGH PLBG. [ ] FOUNDATION 2ND [INSULATION [ ] FRAMING [ ] FINAL O REMARKS: DATE 3 INSPECTOR M-1802 BUILDING DEPT. ,INSPECTION [FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: 4 DATE 3 ISM -INSPECTOR 768-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: -kT DATE INSPECTOR k 61 11P I/& -t THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001011 BUREAU OF ELECTRICITY I 85 JOHN STREET. NEW YORK, NEW YORK 10038 a90rJ01~19 %9S N 7.,RF,141 Date 11NGUC47' .12,1993 Application No. onfile THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ?OK COSTAS, 1475 PT?Eii NECK RO~AT), GRKNMPORT, N.Y. in thefollowinglocation• I Basement LJ I.st Fl. LJ 2nd Ft. GAR 1011T Section Block Lot AuGU"'P 09,1993 was examined on and found to be in compliance with the National Electrical Code. FI%iuRE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT K W AMT. K. W AMT. N.W WT KW AMT H P 24 it 25 ?a 1. 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCKS gELl UNITHEATERS MULTI-OUTLET DIMMERS AMT. K. W OIL H. P GAS H. P AMT NO A W. G. AMT. AMP. AMT. AMPS TRANS. AMT H. P SYSTEMS qMi WATTS NO. OF FEET 2 T77 i SERVICE DISCONNECT NO-OF S E R V I C E MfTE0. NO.OF CC COND. A W G A W G. A.W G. AMT. AMP. TYPE H]UIF 110 1W I ,e' JW 3,R 3W130 4W PER .e" OF CC. COND. NO. OF HbIEG OF HI LEG NO OF NEUTRALS OF NEUTRAL 1 200 CB 1 X { 410 G/0' OTHER APPARATUSI FNN7DERu r 1--3 4 6 BASORENT 'CO BASF XEMT KO'TORSt1-F H.P. PANNLBOARDSI1.4 CER. 1.00 BLEC. HA9'E11 HEA53;I2.1rL1-4.5 H.W. G.F•C.Er-4 SHORE DVTt1XT0 t r -.I. P-RACr LT.GHTItMi-32 G Fc 5 CONTttACTO12 BOX 219 SOi1THOLD, NY, 11911 GENERAL MANAGER 11 . per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT 7HI3 COPY OF CrFIT CaGCA Z DUST NOT BE ALTERED 1111 ANY MANNER. FORM NO. 3 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOIVN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date FEBRBARY. 24..........., 19.93. . To Thomas, 6, Irene,Costas tk Robert Brown Architect ....BOX .52. .1 Greenport, N.Y. 11944 PLEASE TAKE NOTICE that your application dated . >.URUARX .??,.............11g..9.3.. for permit to CONSTRUCT ADDITIONS TO EXISTING DWELLING .......................................at Location of Property .,,435 PIPES NECK ROAD GREENPORT, N.Y. House No Street ' . Hamlet County Tax Map No. 1000 Section 53........ Block 1 12 ..............Lot Subdivision Filed Map No. Lot No. , is returned herewith and disapproved on the following grounds' ..UN 44 ARTICIA .~Jl . SECTION 100-32 PROPOSED CONSTRUCTION WILL EXCEED PERMITTED LOT COVERAGE. U11 i' q Inspector THOMAS J. FISHER RV 1/80 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD,N.Y. 1 - NOTICE OF DISAPPROVAL Date I90~ . . To rte. . 'ry1 4W XeAAOV ~-a PLEASE TAKE NOTICE that your eapplication dated %L 19 . ,s - for permit to . ~ C.~ J.`........... at Location of Property . Nouse No. Street amlet County Tax Map No. 1000 Section :47+l...... Block Lot Subdivision Filed Map No. Lot No.~ . is returned herewith and disapproved on the following grounds Inspector RV 1/80 3. Nature of work (check which applicable): New Building Addition ..1/ Alteration V~ . Repair Removal , Demolition Other Work . e cription) 4. Estimated Cost . cam. 7lUZ?a Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units 1......... Number of dwelling units on each floor If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each, type of use . 7. Dimensions of existing structures, if any: Front 2.S Rear ...Z Depth .1fo . Height M1 Number of Stories ......'22............ . Dimensions of same structure with alterations or additions: Front ~b........... Rear `F~ Depth ..........`i R.......... Height 23 . Number of Stories . 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories . 1 ssl C. 9. Size of lot: Front ..i Rear 1~:........... 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 regraded iG/P Will excess fill be reT ved from premises: Yes o 14. Name of Owner of premises . yH . k(l Ed~G? Address PL3 ~ Phone No.. ~.(.?T .c?3oS. . Name of Architect .~2t~fl. ~.C IttW? : Rk,V44Address 2~S.U.C<R t?t .IIWVPhone No..~/.7.Z Name of Contractor Address Phone No............... . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. e STATE OF NE I . S.S `COU Y OF.. .A<- : being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heisthe Xlt ..(/~~i.................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........day of 19~ Notary Public, County CLAIRE I.. CLEW (Signature of applicant) Notary Public. State of Newyork 14o.'4879606 My 1 QuatNiad ee Deem 8.191-- Cafroaiaslon Exp FORM N0.1 3 O P o 9Q44V.Y TOWN OF SOUTHOLD t~ t`I i BUILDING DEPARTMENT FEB 2 TOWN HALL SOUTHOLD, N.Y. 11971 S PG. P ! To',r,i±±c;v,S,CsE)'~',;C,7E_ TEL.: 765-1802 Examined 19~ Received 19... A roved 19 .Pe rmit No..2.. l!? yam! Disapproved a/c xPP~~~ % . T . (Buitdifig Ins or) APPLICATION FOR BUILDING PERMIT Date . ? ? .2~........ 19q2? ~I INSTRUCTIONS a. This application must be complct ~ly filled in by typewriter or in ink and submitted to the Building 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applications the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available foci inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector, APPLICATION IS HEREBY MADE !ito 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'I applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa ti ~ s-- . A :t.' A.:........ . ( ignature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, ag t, architect ngineer, general contractor, electrician, plumber or builder. Name of owner of premises . (as on the tax roll or latest deed) If applicant is a corporation, signature oQ duly authoriUd officer. . (Name and title of corporate I, officer) . . Builder's License No.~. Plumber's License No. Electrician's License No. ..T . . Other Trade's License No. . 1. Locatio~n/ of lid on which proposed work will be done . House Number Street Hamlet County "fax Map No. 1000 Section 1, 05 Block . ~ Lot . 1 ?77 Subdivision Filed Map No. Lot............... (Nacue) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....Ci'!^~tP1~1 ~Q . b. Intended use and occupancy . I yr .fr' f},;1''+>e?> fJ........ , . l7rar,- ;'1