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Home My WebLink About12114-zFORM NO~ 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sou,thold, N.Y. Certificate Of Occupancy No.g.q ']..G¢.9. .......... Date May 3 1983 .Acc~ssary THIS CERTIFIES that the building . . .- ..... . - ....................................... Location of Property ...'1 ~SQ0.. ?1.~ ,5_¢. ,R.Q ~ .d ............... .~ fi.~...FI.a.~.5, o..n .............. House No, Street Hamlet County Tax Map No. 1000 Section . ...0~..'1 ..... Block .... .'1.~. ........Lot .... .O.Q~. ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... $¢p.~;.em~e~.. 50.., 19.82pursuant to which Building Permit No....'l.~q q. ¢.~. ........... dated January ~ ? 19 ?.?, was issued, and conforms to all of the requirements of the applicable provisions of the taw. The occupancy for which this certificate is issued is ......... A detached sundeok & steps to beach Emanuel Xe£os The certificate is issued to ........................................................... (owner, le~oo or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~7/A UNDERWRITERS CERTIFICATE NO...~./..~ ............................................ Building Inspector Rev. 1/81 N- ::L211~ Z Permission is hereby granted :to: BUILDIHG pERM11 (THIS PERMIT MUST BE KEp;I' b. COMPLETION OF ~'HE WoRK AUTH~RIzE~) S~ UNTIL ~ULI~ COunty Tax Map No. lO00:SeCtion ~Ur~uant to application dat~l Building Ihspector. :~ ~ .o.~ ~./~ ......... ' :: iapproved by the FORM NO. 6 TOWN OF SOUTHOLD Bu i[d~ng Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new bui!dings or new use: ' 1. Final sun,'ey of property with accurate location of all buildings, Property Pines, streets, and unusual natural or tooograchic features. 2. Final ,a, pprovai of Health .D, ept. of water supply and seweraee d soosa -(S-9 form or equal). 3. Appro/al of electrical installation from Board of Fire Unde~rwrit~rs. 4. Commercial buildings, Industrial buildings, Multiple Residences and slmiiar building~ and installa- tions, a certificate of Code compliance from the Architect or Eneineer responsible for the building. 5. Submit Planning Board approval of completed site plan requiremer~ts where applicab e. For existing buildings (prior to April 1957), No~*conforming uses, or buildinas ahd "pre-existing" land uses: ~ 1. Accurate supzey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. · ,' C. Fees: 1. Certificate of occupancy $5.00 2. ~Certificat~o! .occupancy on pre-existing dwelling 3. t~opy of c~rt~flcate of occupancy $1.00 land use ~/5~$5.00 Date .. ~1~ ~.'i_~. New l~dldlhg ...... Old or Pre-existing Building(X) ......... =/Vacant Land ............ Location of Property J,~4NOO ~1~.~J/~ ~-/~'t /~ Hou~ No. S~ree~ Haml'~t Owner or Owners of Property . .~]~ ~., ~/...~(~. County Tax Map No 1000Section OS ~ % ' .0:0.~''' ............... Block , - ~ ....... Lot ........ Subdivision .......... ~ t~tt~ ..................... Filed MapNo...~ ...... LotNo. -X, ......... · ,.~ppllOeR ~ ................ .... ............ .... .......... ... ..... ............. *'..*e So..d .... ....... .... Request for Temporary Certificate ..................... Final Certificate ............ . Construction on above described building Appiica¢~t Rev. 10-10-78 and *'it'mee~s all ap ' able_codes and regulations. ' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PERMIT PERMIT NO. 10-82-0942 UNDER THE ENVIRONMENTAL CONSERVATION LAW ARTICLE 15, (Protection of Water) [] ARTICLE 25, (Tidal Wetlands) ARTICLE 24, (Freshwater Wetlands) [] ARTICLE 36, (Construction in Flood Hazard Areas) PEP~MIT ISSUED TO Emanuel Xefos ADDRESS OF P£RMITTEE 12500 Main Road, East Marion, NY 11939 LOCATION OF PROJECT (Section of stream, tidal wetland, dam, building) 12500 Main Road, Orient Harbor, East Marion, Town of Southold, Suffolk County D~SCmPT~ON OF PROJECl TO comstruct a 18' X 24' sundeck attached to landward side of existing bulkhead as per supplied plans. COMMUNITY NAME (City~ Town~ Village) TOWN East Marion Southold COUNTY PlA COMMUNITY NO, DAM NO. PERMIT EXPIRATION DATE Suffolk January 31, 1984 GENERAL CONDITIONS 1. The permittee shall file in the office of the appropriate Regional 8. That the State of New York shall in no case be liable for any damage Permit Administrator, a nobce of intention to commence work at least 48 or mjuzytothe structure or work herein authorized which may be caused by or hours in advance of the time of commencement and shall also notify him result from future operations undertaken by the State for the consetvatmn or 2. The permitted work shall be subject to inspection by an authorized compensation shall accrue from any such damage. representative of the Department of Environmental Conservation who may 9. That if the display of lights and signals on any work herebyauthorizec order the work suspended ~f the public interest so requires, is not otherwise provided for by law, such lights and signals as may be pre- scribed by the United States Coast Guard shall be installed and maintained 3. AS a condition of the issuance of this permit, the applicant has ac- by and at the expet~se of the owner. cepted expressly, by the execulion of the application, the full legal respon- sibility for all damages, direct or indirect, of whatever nature, and by whom- 10. All work carried out under this permit shah be performed in accor- costs of every name and description resulting trom the said project. 11. If granted under Articles 24 or 25, the Department reserves the righl to reconsider this approval at any time and after due notice and hearing to 4. Any material d~edged in the pzosecution of the worR herein permitted continne, rescind or modify this permit m such a manner as n~ay be found Io shall be removed evenly, w~thoul leaving large refuse piles, r~dges across the be jest ~nd equitable. If upon the expiration or revocation of this permit, the bed of the waterway or flood plain or deep ho[es that may have a tendency to modification of Ihe wetland hereby authorized has not been completed, the cause mjury to navigable channels or to the banks of the waterway, applicant shall, without expense to the State, and to such extent and in such 5. Any mater~al to be deposited or dumped under this permit, eithe~ in remove all ot any portion of the uncompleted structure or fill and restore the the waterway or on shore above high-wate~ r~ark, shall be deposited or dumped s~te to its former condiUon. No claim shah be made against the State of New at the Iocahty shown on the drawing hereto attached, and, if so prescribed York on account of any such removal or alteration. thereon, within or behind a good and substantial bulkhead or bulkheads, such as wall prevent escape of the material into the waterway. 12. Th~s pen shall not be construed as conveying to the applicant any ri§hi to {respass upon the lands or interfere with the riparian ughts of others 6. There shall be no unreasonable interference with navigation by the to perform the permitted work or as authorizing the irnnairment of any rigilts. work herem Authorized. title or interest in real or personal properly held or vested in a person not a 7. Thai if future operations by the State of New York require an alterahon party to the permit. in the position of the structure or work herein authorized, or if, in the opinion 13. ~he permlttee is responsible for obtaining any other permits, ap- obstruchon to the free navigation of said waters or flood flows .or endanger project. the health, safety or welfare of the people of the State, or loss or destruction of the natural resources of the State, the owner may be ordered by the Depart- 14. If granted under Article 36, this permit is granted solely on the basis ment to remove or alter the structural work, obstructions, or hazards caused of the re}quir~ments of Article 36 of the Environmental Conservation Law and thereby w~thout expense iD the State; and if, upon the expiration or revocation Part 500 of 6 NYCRR (Construction m Flood Plain Areas having Special Flooc of this permit, the structure, fill, excavahon, or other modification of the Hazards - Bqddlng Permits) and in no way signifies that the project will b¢ watercourse hereby authorized shall not be completed, the owners shall, free fromtflooding. condition the navigable and flood capacity of the watercourse. No claim shall reverse s~de. 95-~0-4 i9/75) (SEE REVERSE SIDE SPECIAL CONDiTiONS SEE ATTACHED CONDITIONS A -J. PE~JT ISSUE DATE January:4, 1983 PERMIT ADMJNISTRATOR ,' .'2 / ~"~/ " ADDRESS Bldg. 40, ShaY--Room 219 Daniel J. Larkin/~'z-/.~z~/~?_~..,,~.c~,~. Stony Brook, NY 11794 FIELD ~NSP~T[ON COMMENTS FOUNDATION (~s6) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL CO_MMENTS: __-- FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c .......... ~ ................ 'r~'- ../ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date.. ~ --~.o... INSTRUCTIONS a. Th/s apphcation 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/iving 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) {Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ... ~ FZ/~'fi~-/~'/_~. X.~.-..~-.O..~ ........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... . .~.O. ~. ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ..... .~.~..,~..-~../.~..../~...~..~.~.O. ~. ..................... .... /.,g .............. ................................................... House Number Street Hamlet County Tax Map No. 1000 Section .... O..~../. ......... Block ...~. (.~. ......... Lot...~. q.?. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............... /q~ ..............................~ ................... b. Intended use and occupancy ..... .~..O~t~.. tOt'. .l .... d .cA.. ........ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work s-~fG1/. (Description) .,../,, ' m :o. 4 Estimated Cost -~o . o ~, Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ................ If garage, number of cars ..... i ................................................................... 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 wi~h alterations or additions: Front ................. Rear .................. pth 'i ight De ..................... He ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front :20 Rear .... /.~> Depth Height ............... Number of Stories ........................................................ 9. Sizeoflot: Front ........... ~ .......... Rear ...................... Depth ...................... 10.. Date of Purchase ............ i ................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction viola!e any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded .......... . .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . E,lJ4 g~,~L. ~t=~.. o. ~... Address . ~XsZ.. ~.~,'~/~( ...... Phone No. (dZ,? ...,-~ Name of Architect ..... .,q .... '...~ .............. Address ................... Phone No ................ Name of Contractor ~/~,w~. /~.~.~.... Address ~,~ ,~. ~.~q~,.-~ ..... Phone $o.~.TZ-: gJ. 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 ndmber or des_c._.fidz~,i~n according-~o-deod~-an&shov~,street-names-and indicate whether interior or cot!kef llg,~,~a-- -'o , .J COUNTY OF..-~..c( ?.,~j.{~ ...... · ~~ ...... .~: .//.~o £..q.. ~ q G.t~ ~..~.. .............. ~being duly sworn, depos~ says that he is the applicant (Name of individual signing cpntract) above named. He is the .......................... 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 'orth in the application filed therewith. Sworn to before me thi~ . ......... :;...:_;y JUDITH T. TERRY [, ~ Notary Public, State of New York ............ ~ · , Oommlealoa Expires March -a0, 19~,t ~. m~'~ z ~ .... ~-':~N MUST · -', ' - .... ~CO- -- ~ .... :~.h~.~ r~,~ · MEET TkIE ~ CONSTRUCTION a =' ST}~E 'OT R~poNSIBLE FOR DESIGN 0