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HomeMy WebLinkAbout10949-zFOflM NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector. Town Hall Southold, N.Y. Certificate Of Occupancy 3.~rll 3 81 Date ................................. 19... THIS CERTIFIES that the buildin~ ................................................ 505 Cedar Drive, East Marion, N. Y. Location of Property ....................................................... Mouse ~Vo. 0 2 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 24, ~30 10949 g ..................... , 19... pursuant to which Building Permit No ...................... dated Oct ob er 29 198.0. 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 ......... Private One-Family ~ ~ nu"'~ ~nd Tgc~m5.:; ~fatsanevakis The certificate is issued to Ema ..................... ioW. b;,:ri~'~d~'fi~#~' .................... of the aforesaid building. Suffolk County Department of Health Approval 10-S0,- [~ 3/30/8't Robept fi. Villa ~! 511P. 15 UNDERWRITERS CERTIFICATE NO ................................................. · .Cz. ~.¢.~. :~....¢. :.. ?~. ..... Building Inspector Rev. 1/81 FOR]~ NO,~ TOWN .OF SDuTHoLb TOWN HALL SOUI~H'OLD, N. Y. BUILDING PER/v~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AUTHORIZED) UNTIL I ULE N°. lO94,9 Z Date ...O~'~'~.~.~~ ~ Permission is hereby granted to: : ~ ...... Z,;,/..~,.,,,~,,:~,~....?./~.c_,,....~,~'~ ~ ~ ' ~ ' ......~f,()t~~~ ..~ ~. ~ . .... ' .... ......~.........~.~.....~.~_._...~ ................. .~ .... ~.~.a~.~z~...:.~.,: s~.~.....z z.~ ~/ ~o ..... C.¢~.s~ct~.c~ ......... ~.~:...~x~.~..).~/.&~ ........................... ............... ~o.~ ........ ~,~..~..../ ~&~./~,~..~T~~m.~.~ ......... ~.,..;,....,, 1 i, and approved by the / county Tax Map No. 1000 Section pursuant tO application dated ~.C~.~..~.....~. Build]ng Inspector. Fee $ ..................... FORM NO. 6 TOWN, OF $OUTHOLD Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwrters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $,5.00 3. Copy of certificate of occupancy $I.00 Date March 23~ 1981 New Building ........... x.... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property E/$ '.C~1~p,~ ~¢ ~.~0' 8~/0 AcJ. uavf_ew Ave. ~:ast Mari~n Owner Or Owners Of Property ~manuel amd Themis [~tsanevakts Subdivision Described ~ro~erty Lot No. Block No. House No ............. Permit No ......1.0.9.4~q ..... Date Of Permit ~.Q~..~.9~...8..0.....Applicant .~.t.y.e.~.s..~.~.e....~.~m.e..s.~...I...~.c.... ....................... Health Dept. Approval ...~..0....$.0..7..?~ ........................ Labor Dept. Approval ................................................ Underwriters Approval ......... &t:.t;.~.¢~.~.d. .................... Planning Board Approval ...................................... .. Request For Temporary Certificate ........................................ Final Certificate ......... ~ ........................ ...... Fee Submitted $ .. 5,00 Co st uction on above described building and perm~i.t-mee~ oil applicable codes and regulations. · App" c° nt~" ~;~'6';" g~" ~,'t'~'~'~"8" ~&¥t'a'a't'6~'~.'" ~':~j~'~' ~ Sworn to before me t~i~ ~ ~ ................ Y ........................................... [stamp or seal) .......... ....... ~ C~o~mission Expires t~larch 30,~ , i .... J; ~ ;,: i_ . FIELD INSPECTI~3N '~ FOUNDATION (~st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL Special Searches [,~ariattce Searches Tax Searches SOUTHAMPTON -- SHINNECOCK TITLE SEARCH~,COMPANY Atterbury Road Shinnecock Hills Box 292 VA~r &NCE. SEAR ~C~ Tel. 516 283-3101 Southampton, N. Y. 11968 · ~e~is ~I. Duchem~u being duly ~*~o:m'~., deposem and over ~e ~ of 21 ye~. o ~t he is ~ ~ie~ e~e~ of %itle ~ Re~ ~ ~o~ ~em ~e fi~ ~e ~ s~le of ~e ~u~on-~eco~ Title Se~ e~iom of $~ ~bJec% p~sen ~ desc~be~ ~a se~ fo~ on ~e ~exe~ echea~es ~ labellea ~ follo~s~ ~o wi~: "~bJect ~mes" "~1 ~jO~ pr~ee. ~o ~he "~1 ~Jo~ p~ses to ~he West" ~t s~d e~m~n~tion, ~e to ~clude ~g~ ~scloses t~t the ~rbject p~ses ~m been ~ g~le ~ Sep~te o~e~p as a~e~ f~m the C~s of Title ~nexed hereto; ~d ~t ~e effective date of the appl~?ablo ZO~.g ~ce t~s ~d tMt ~s dfi4a~t ~s ~e to ~siSt ~e ~ of/~ Appe~$ of the ~ of ~~d/o= ~e ~fo~ Co~ He~ to ~ ~ dete~tion w~ =~q~a ~ a b~is +~e~fo~ ~e ~o~tlo~ met fo~ he~, ~d ~o~ ~1 ~ll ~t s~d ~ -~ll ~ u~m SwoX~ ~o befox~ me this In Suffolk NO. §Z,46D1884 Lie;,~ Searcl~e5 Special Searches l;ar~ance Searches Tax Searches SOUTttAMPTON -- SHINNECOCK TITLE 8EARCD,COMPANY Atterbury Road Shinnecock Hills Box 292 SUiBJP, CT PR.EMISE[3 (See deseriptJ on at%ached) (J) ~eed [Pax map 1000-22-2-38 Liter ~169 ag pa~e 138 Dated Recorded ~-22-1962 (2) Deed Liter 8692 st ¢s~e 1K7 Dated 2-3]-1979 Recorded 9-]2-].979 (3) De~d Liter 887~ ~ pa6~ 303 Doted 8-].9-1980 Recorded Last deed of record° Tel. 5t6 283-3101 Southampton, N. Y. 11968 Arthnr R. Folsom to teonsrd Weisz ~"~brelyn Vo 'geisz, his' wife [,eonar~ Weisz Evelyn V. Weiez, hie ~,ife to' George NJ. st~zos Barbara N~stazos, his wife George Nis~azos ]~cbara Nis~azos,his wife to ~D~a~{~el Ks,tss~ev~is ~emis [fatsanevakis, his wife ~]1 adjoinin~ premises 'to the North (Taw mae 1000~22-9-37) (]) Beer tiber 4162 at page Bated 8-1g-19~6 Recorded 8-16-19~6 test deed of record° 'A~ioe Baldes to G~orge Baldes Alice ~eldes~ his Wife adjoining premises to 'the Eest ~Wt ~out;h (q%~r map 1000-22~2-39.1) Liter ~32 a~ Pa,lc 182 Edna A~ Broma Da2ad h-22-196~ to Recorded Jr-2}-'1.96~ Peter ~.~men~i (2) Deed tiber 7?86 at ~e~e I;8 De~ed 11-]i-1979 Recorded 12-20-197~ Deed Liter 8h9~ s.2 ~a~e 17 9-P7-~978 Reeo'ded 9-11-1978 Last Reed of record° Peter C. Fz~menti to Elizabeth A. Allen Jena Chambers Elizabeth A. Allen ~Tene Chanters to Pr~k Simon George E. Sanborn THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW yORK IOO3~ THIS CERTIFIES THAT giverside PLus, e/~ Cedar La~,e, 450 ~/o Aquaview Ava,, ',&~: F. arzon, Job~874 in the following location; [] Basement [~ 1st FI. ,~.~.~,,,.~,,.do. February 23, 1951 FIXTURE OUTLETS 15 RECEPTACLES SWITCHES 27 16 DRYERS FURNACE [] 2nd FI. Section Block Lot ar~d found to be in cotnpliance with the requirements of this Board. FIXTURES RANGES OVENS FLUORESCENT EXHAUST FANS MULTI-OUTLET SYSTEMS NO. OF TEET OTHER APPARATUS: E NO %~,~¢ON~, ~uu~re ApplJmnce l~eadar/s:l-2~t4,1-2#12,1-3#8 R V I C 4 INO- OF~EUTRAt$ A' W G OF NEUTRAL Zodiac Security P.O. ~ 1119 Selden, N.Y. 11784 Lic. 2263 ~ GENEI~AL MANAGER 11 Per_ This certificate must not be altered in any manner; return to the office of the Board if incorrect Inspecto[s may be identified by their credenHals. COPY FOR THIS COP~' O1~ ANY MANNER. F'OI~M NO. ! TOWN OF SO~THOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~UTHOLD, N. Y. ~proved .~.e....::..~..~ ................ , 19~e..~ Permit No .................../G,~ ~ Disapproved a/c ...................... ~...'.....~.....~ .............................. ../, .................. ~ *' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a.. This qppJicotion must be completely filled in by .typewriter o¢ in ink and submitted in triplicate to the Building Inspec}or, ~gith 3 sets of plans, accurate plbt plan to ~cal&. Fe&~ac~:~rdlr~g to'~ct~ecJule." b. -Plot1~lan showing location of-lot o~gd ofcbuildings on premises, relotions~ii~to odjoin[ng~premises or public streets at areas, and giving o detailed descriptidn~of lb,,but ofproperty must be drown on the diagram which is port of this application. c.- 'l~t~e ~o~'k covered by tHis'aPPlicatic~n i'hay not be commenced bbfo~e~ iss0anc~ of'Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 buildings for necessary inspections: Riverside t{omes ~ (Signature of applicant, or name, if a corporation) PO Box 274~ Riverhead~ New York 11901 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder Nome of owner of premises ...... .E..m..a..n..u..e_l....a.n.~..~T~..e..m..i.~....K~...t..s.a.n..e..v.~ ................................................................................ If applica~orate, signature of duly authorized officer.  ";~' -c';';l~o rathe officer)- Builder's License No ..................................................... Plumber's License No. :~ 412P Electrician's License No ....... .2..2, .6..3. ~ ............................ Other Trade's License Na ............................................... 1. Location of land on which proposed work will be done. Map No.: .D.~.s,.c,~,~..b.e..d..,..~.,p.,e...~.~.~ ..... Lot No ......................... Street and Number E/S Cedar La.. approx 450' S/O A~quaview Ave East Marien --~/'~O'~'T Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructio0: a. Exisiting use and occupancy . v,a,.c, an~..~.a.,g.d. ............................................................................................. b. Intended use and occupancy ............ ane.~m~l,y..d~eJ.[£D~ ................................................................................ property lines. Give street and blodk number or description according to deed, whether interior or corner lot. 3. Nature of work (check which applicable): New Building'. ........ ~ .......Addition .................. Alteration .............. Repair . ................. Removal ~ Demolition .................... Other Work ................................................... ,...~..~./~..~,. . (Description) 4. Estimated Cost ........... ...~......(~.. ............ : .......... Fee , ~ (to be paid on filing this application) 5. If dwelling, nureber of dwellJn~ units ...... ,3. .................... Number of dwelling units on each floor ............................ If garage, number of , one ear garage 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 some structure With alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 6' 24' 8. Dimensions of entire new construction: Front ....... $. ........................... Rear ................ .5.~.~. ...... Depth ........................ Height ....... 16.! .......Number Of Stories ........... 1, ........................................................................................................ 9. Size o~ lot: Front 10C~' Rear 100~ Depth 1201 10. Date of Purchase ...... fJ/.,1,2/..~.g .................................... Name of Former Owner ..g.e..o.~.e...,a..~,d....~.b...a.r,..a....~.~.?.~.~.~.~ 11. Zone br use district in which premises are situated ..................................................................................................... 12, Does proposed construction vie!ate any zoning law, ordinance or regulation: ......... .~.o.. ........................................... 13, Will lot be regroded . ........................... Will excess fill be removed from premises: r(~ Yes ( ) No Emauuel & Themie Kateaneva~, ..~.~..o..~..~.~.....~.. ............ ,-- ,, 212-932-6678 14. Name of Owner of premises ....... ; ............................................. ,~uuress ~'none INa ...... ; ................ Narne of Architect l{i.~.~r.~ .~,n..d.~l.~ski Address So~ Country. Rd Phone No, 727-3395 ' · ...................................... ~s~por~ ................................. Nome of Contractor ...~.J,~.~?/~..d..e...~..Q.~..e..~,...I.~.q, ................ Address .,.~,~.e,~,h.e,,a,~,....I~,..,,. Phone No..7..2..7..'..3.,3.?.,5, ..... PLOT DIAGRAM Lacote clearly and distinctly all ibuildings, whether existing or proposed, and indicate all set-back dimensions from and show street names and indicate SEE ATTAC~EDI SURVEY STATE OF NEW 5'g[~.~, ,, ~ S S ouN, ..................... ,.- ~,.,.z.,..~.....;;;,...; ...................................... being duly sworn, deposes and says that he is the appJJca, iI above named. ~ ~ ~ ' ..... ....... ....................................................................................................................... ~ [ (Contractor, agent, corp~rate 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 statement~ 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 fo~h in the applicationcfil~ewith. Sworn to before me thi~ ~ ~ / / j ..... ........................................ ' ~ ~ (~ / N ~ (Signature of applicant) '~ ~ / ELIZABETH A. CANNA~AR0 ~0TARY PUBLIC, SLs[e 0f~New York~ Q~Bhfled In SulfoJk J N0. 52-4601884! aommissJ0n ~D~res DATUM A~PROXIMATE LOT AREA 12,000 SQ. TAX MAP DISTRICT 1000 SECTION 2.2 F3LOC K 2 ,LOT 38 TEST I~ORING ( by others ) EL, 40 0 0 gravel ~. /00 ¢ 450 O0 fd p~p~: loam FC 00'N 05'W o o sand 0 - ,o . p~p~ NOW OR FORMERLY SIMON & SANF~©RN DWELLING WELL S,10'46'00'E (390')(, lO I (415) X- 10000 fd Ip~p¢ 100 O0 rd. 17 plp¢~~ CEDAR (41.4) LAN E VACANT NOTE, TEST BORING AND THE EXISTENCE OF RIGHT OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOR APPROVAL OF CONST. ONLY DATE (41.1_) WAYS AND OR THE WATER SUPPLY & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STAND- ARDS OF THE SUFFOLK COUNTY NAME GUARANTEED ONLY TO EASEMENTS OF' Po Oo Box 27<. ' Aiverhe~d~ New York ,,, FILE NO. 376 F SITUATED AT EAST[ MARION TOWN OF $OUTHOL~D -SUFFOLK COUNTY N Y SCALE '1'! = 30* DATE 9- 15- 1980 FILED MAP;NO. DATE JBOO/I~I~/'~ ~d!: !86 PAGE 24 HAROLD F: TRANCHON JR. P.C. : LAND SURVEYOR .' , SU~ESSOR TO WIL~IA~ G, ~EIER NO~TH CdUNTRy ROAD - WADING RIVER NEW~ YORK 11792 ~-~6) ~'9-4~95 ALT. 473-36Z6 FOR SURVEYE, D 'EMANUEL & TH~MIS KATSANEVAKIS DATUM APPROXIMATE LOT AREA 12,000 S@. FT TAX MAP DISTRICT 1000 SECTION 22 FSLOC K 2 LOT 38 TEST BORING ( by others ) EL. 40.0 17 b_.J g~av¢l fd. pipe 05'W n.. z o r2 0 · fd 450. oo ' pipe NOW OR FORMERLY SIMON & SANBORN DWELLING ~ WELL S.10°46'00 'E. 100 O0 fd (390) ~FC 07~N. I (41,5) (41 N.IO°46'OO-W, 100 O0 rd. ~ pipet CEDAR (41.4) LANE (41.1) NOTE ,' TEST BORING AND THE EXISTENCE OF RIGHT OF WAYS AND OR' EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. SUFFOLK COUNTY DEPT. OF HEALTH SERVICES FOR APPROVAL OF CONST. ONLY DATE , H,S, REF, NO APPROVED BY GUARANTEED ONLY TO THE WATER SUPPLY & SEWAGE DISPOSAL FOR THIS RESIDENCE WILL CONFORM TO THE STAND- ARDS OF THE SUFFOLK COUNTY DEPT. OF HEALTH SERVIdES. NAME ~DDRESS ~ELEPHONE. JOB NO. ~0-3'6~ FILE N'O, 376 F SUR~EYE, D FOR ' ~ i EMANUEL C, TI~MI5 KATSANEVAKIS SITUATED AT EAST MARION TOWN oF SOUTHO~D-SUFFOLK COUNTY N,Y, SCALE 1~' = 3Q~ DATE 9- 15- 1980 FILED MAP NO. DATE ,o0 N?. PAGE HAROLD ~. TRANCHON JR. P.C. LA~D SURVEYOR ,S~CESSOR ~'O WILLIAM, G. MEIER NORTH COUNTRY ROAI~ - WADING RIVER