HomeMy WebLinkAbout47489-Z �otio F��1 oy Town of Southold 4/8/2022
0
P.O.Box 1179
o _ � 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42981 Date: 4/8/2022
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 245 Bay Ave.,East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-10-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/8/1987 pursuant to which Building Permit No. 47489 dated 2/24/2022
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 to existing accessory garage as applied for.
The certificate is issued to Roustas,Kostas&Stella
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
A rize 'gnature
�Spff01�� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
N TOWN CLERK'S OFFICE
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#: 47489 Date: 2/24/2022
Permission is hereby granted to:
Roustas, Kostas
49 Oakridge Dr
Voorhees, NJ 08043
To: Construct an addition to an existing accessory as applied for. Replaces BP# 16525.
At premises located at:
245 Bay Ave., East Marion
SCTM #473889
Sec/Block/Lot# 31.-10-10
Pursuant to application dated 2/24/2022 and approved by the Building Inspector.
To expire on 8/26/2023.
Fees:
PERMIT RENEWAL $75.00
Total: $75.00
Building Inspector
FORM 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)
16525 z Date .... .G.....►-...............a ................., 19-7.
Permission is hereby granted to:
... ..... ..............t ....?-vK•.........................
... . :.,.. , .......................................
... ►AA
,n.....!�.� .....1.!9. .......
to . ... ... .......� �...�4 ..... . ... ....... . ... 'o1.... .... . .. ....'.
.... ....4as:......................... ..
C �......"�'11�f.?(. -4d . ...r............... ................................................. .r .........................
clu
ct premises located at ..P�.x. .....).�..... .�? `"�....... .............................
1
�-... 44x.... ... . .................................................................................
....... Block �......... Lot No. ....�.�O
County Tax Map No. 1000 Section .....C?. .. . ......�.... ccf� .••••
pursuant to application dated ....O.e. •• ....................... 19.Q 1, and approved by the
Building Inspector.
Fee5. .:. :/....
A
.........................Building..Inspector.........................
Rev. 6/30/80
rif so
TOWN OF SOUTHOLD BUILDING DEPT.
u 765-1802
INSPECTION
I FOUNDATION 1ST ROUGH PL13G.
I FOUNDATION 2ND SULATIOwcAULKING
FRAMING /STRAPPING IVI INAL (-,NOVAAt-
FIREPLACE & CHIMNEY ] ;FIRE SAFETY INSPECTION
FIRE RESISTANTCONSTRUOTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODEVIOLATION PRE C/O
REMARKS:
-oov
DATE -4 INSPECTOR
LD Il:ST10,'J JDATE COMMENTS _
1 .
In_ - - –
F OU14DATION ( 1st ) y
' C S
FOUNDATION ( 2nd ) m
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op
ROUGH FRAME & U
PLUMBING
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I14SULATION PER N . Y. y
STATE ENERGY
CODE
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4 . L y
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FINAL �
. z
ADDITIONAL COMMENTS : x `
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x r
9
- 1
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ty.
m
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._ H
- - BOARD OF HEALTH . . . . . .
` 3 SETS OF PLANS - . . - • -
D FORM NO. 1 SURVEY : : : : . . : : : .
19W
OUT
TOWN OF SOUTHOLD CHECK •. -
T - BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL NOTIFY
�®OOUTH
GSOLD ;�OUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL - - • - • • • - • • • - - - • -
'TOW
MALL T0 :
Examined
Approved o e -v. . . .1. 3 , 19g,. Permit No.
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Building Inspector) .
APPLICATION FOR BUILDING PERMIT
Date . . � . . . . . . . .. 19V
INSTRUCTIONS
a. This application must be completely 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 application,the Building Inspector will issued a Building Permit to the applicant. Such 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'•whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
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 applicant, or name, if a corporation)
. . . . . .C4 Y.7. . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is_owner, lessee, agent, architect, engineer, general contractor,•electrician, plumber or builder.
. . ��� .° . . . . . . . . . . . . . . . . . .
Nameof owner of premises '��t✓�X�ac. . .�� , . . . . . . . . . . . . . . . .. . . . . . ... . . . . . . . . . .
(as on the`tax roll.or latest deed)
If applicant is a corporation, signature of duly authorized,officer.
. . . . . . . .
(Name and title of corporate officer)
ALL CONTRACTOR' SUST BE SUFFOLK COUNTY LICENSED
Builder's License No. .�3 S.3 -9-A,jt. . . . . . .
Plumber's License No. . . . . . . . . . . . . . . . . . " ' >
Electrician's License No. . . . . . . . . . . . . . . . . .
Other Trade's License No. . . . . . . . . . . . . . . . . . . . . .
1. Location of land on which proposed work will be-done. . . a!- . �'!'�.a1t.c/!�' `-. .. . . . . . . . . . . . ... . ...
.` .`. . . . . . . . . . C'�. • [,. '.`r.`.'v 1.�.1. { .' `P, .
House Number Street Hamlet
County Tax Map No. 1000 Section . . . . ..... . . Block Lot . : �^ . . . . . . . .
Subdivision . . . ... . . . . . . . . . . : : -. . . . . . . Filed.-Map No'. Lot. . . r'. . . . . . . .
(Name)
2. State existing use and occupancy of premises and intended-rse-and-occ ipancy,of.proposed construction:
: ` !G`
a.,.Existing;use and occupancy '. . . .. 1. :.
-_� b.-Intended use-and occupancy . : . . a:- & 1. . . . . ... . . . . . . . . .
3. Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . . . . Alteration . . . . . . . . . .
Repair . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . .. . . . . . . . . . . .
/ ? (Descrip-tion)
4. Estimated Cost . . . .� .(p. . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . .J. . . . . . . .u. . . . . . . . . . . . . . . .
(to be paid on filing this application)
5. If dwelling,number of dwelling units . . .. . . . . . . . . . . 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 . . . . . . . . . . Rear . . .a-i . . . ..... . . Depth ... . . . . . . . . . .
f A� .
Height . . .f. .`. . . . . . . . Number of Stories . . . .. . .� . . . r�. . . .4. . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions,of same structure with alterations or additions: Front . .�. .-r.Qs. . . . . . . . Rear . .Z-9. . . . . . . . . . . . .
Depth . �s•.1. . . . . . . . . . . . . . . . Height . . . . .. �. . . . . . . . . . . . . Number of Stories . . ./. . . . . . . . . . . . . . . . . .
8. Dimensions of entire new construction: Front . . . . . . . . . ... . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . .
Height . . . . . . . . . . . . . . . Number of Stories . . .or. . . . . . . . . . . . . . . . .
9. Size of lot: Front r lir.. . . . . . . . . . . . . . Rear,../. A (. . . . . . . . . . . . . . . Depth �®� .7 . . .. . . . . . . . . . . . . . .
10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11. Zone or use district in which premises are situated . . .�ry,,�a:c � �.�: .(.4 . . . . . . . . . . . . . . . . . . . . . .
12. Does proposed construction violate any zoning law, ordinance or regulation: .- . �!�'.
. . . . . . . . . . . . . . . . . . . .
13. Will lot be regraded . . . . . . . Will excess f 1 be removed from premises: Yes No
14. Name of Owner of premises f . �tn.ii�+A_Address�s vis- A'. �? : , . Phone No. . . . . . . . . . . . . . .
Name of Architect . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . ...
Name of Contractor �.. Y . . . . . Address dl- Phone No.
15. Is this property located within 300 feet of a tidal wetla d? *Yesy. . ... No .
*If yes, Southold Town Trustees Permit may be required.
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.
L/►"�Z
STATE OF NEW YORK, S.S
COUNTY OF . . . . . . . . . . .
. . . . . . § .•. . .. . . . . . . . . being duly sworn, deposes and says that he is the applicant
(Name of inivi ual signing contract),
above named.
Heis the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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. ® . . ., 14 . .
Notary Public, . . . . . . . GtJ .v0` C` .-County
NOTARY PUBLIC,Sa a of New York . . . . . . . . . . . . . . . . ..
NO.4707878,Suffolk Cou (Signature of applicant) .
Term Expires march 30,19 .-
RENSSELAER Q. TErjRY, Jt.
ATTORNEY - AT - LAW
SOUTHOLD, N. Y,
i
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t 1 tLN1 'u 4�`-.• 4.,, `-^ JNALTY.OLiZED ALTERATION OR ADDITION 11� `—t �•-� >rj• -__,._.-SO'THIS SURVEY IS A VIOLATION OF
SECTION 72C9 OF THE NEW YORK STATE j
�"� S' �� •, EDUCATION LAW.
V w `11}
COPIES OF THIS SURVEY MAP NOT BEARING
1 <-N
- -
THE LAPID SU7VEYOR'S INKED SEAL OR i
1 - - EMSOSSLD SEAL SHALL NOT 6E CONSIDERED
TO BE A VALID TRUE COPY.
r • „jj.\\�! r L O - GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
II •" IS PREPARES,AND ON H:S &EHALF TO THE1�
S t ` t�(f 1 i tqk' - TITLE COMPANY,GOVERNMENTAL AGENCT ANC '
�' .. LENDING INSTITUTION LISTED HLREON, At D
j .TO THE ASSIGNEES OF THE LENDING
INS—;-E NOT TRAPSSFEy.A6LE
t TO ADDITIONAL INSTITUTIONS OR SUNIEF2UENT
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I CHESTER ORLOWSKI
Builder - Remodeler
PEQUASH AVENUE
CUTCHOGUE, N. Y. 11935
.,.M. ak�.. Phones: Res: 734-6693
Bus: 734-6782
BIIRD
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