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Home My WebLink About11081-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-22471 Date JULY 23~ 1992 DW~.LLING EAST MARIONr NEW YORK Street Lot 12.2 Lot No. THIS CERTIFIES that the building Location of Property 16315 MAIN ROAD House No. County Tax Map No. 1000 Section 23 Block 1 Subdivision Filed Map No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 1981 pursuant to which Building Permit No. 11081-Z dated MARCH 27~ 1981 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 ONE FAMILY DW~TJ.TNGWITH ATTACHED GARAGE & DECKS * The certificate is issued to MELPO H. METALIOS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL Il-SO-08- JAN. 5~ 1982 UNDERWRITERS CERTIFICATE NO. N-553857 - MARCH 15~ 1982 PLUMBERS CERTIFICATION DATED N/A * THIS UPDATED CO Z-10938 DATED APRIL 9, 1982. - J /~/~L~ilding Inspector Rew. 3 '~I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ................................................ Location of Property . .1.6..3.1.5. ................. ~!a.~.n..R.o. 9.d .............. ~a..a.t..~.a..:'.:L.o.n.. House No. Street Hamlet County Tax Map No. 1000 Section . .Q~3 ....... Block . . .q [ .......... Lot ...0. 1. .2...2. ........ Subdivision .... Z. .......................... Filed Map No. × ........ ]Lot No... cont'onns substantially to the Application for Building Permit heretofore filed Ln this office dated ....... i~..~ .r'.c?.. '.Z .4 ..... , 19.8.1. pursuant to which Building permit No. 11081 -dated ..... !~.~.~..c.h..2.'~ ............. 19 .~.1., was issued, and conforms to aL1 of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ....... a.. ..................................... The certificate is issued to ...... ~.a.n..cl.a.z.~.o...B.u.~.]...d.~.n.&..C.o.m.p.a..ny Inc. of the aforesaid building. Suffolk County Department of Health Approval . .1.1. ~ .S 9.-.0. 8. 1..1./. 5. ( .8.2. ~...a ?.b.~. :. UNDERWRITERS CERTIFICATE NO.. ff 553857 /__ Building Inspector Rev. 1/81 FO~,M NO. ~ TOWN OF ~OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ Y. BUILDING FE~MIT (THIS PERMIT MUST BE KEPT ON TH,E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 11081 Z Permission is hereby granted to: ....... ~,~.zz.~...~.~-,;.d~'. ....... /../.7...,,C,,~...~,-.../.~ ....... ...... ............ ~o ..... c~.~...~ z:.......o~,,....~,e,,~./.,7.....~,,,,-~t~,..~/ ........................... County Tax Map No. 1000 Section ..~.~.~.. ....... Block .aZ ............ Lot No..O~.'.41~.... pursuant to application dated .~,~,,~:~.'........-~....~.. .................. , 19 .~./, and approved by the Building Inspector. Rev. 6~30/80 JUl ~ '93 08:51TOkll'.l OF SOUTHOLD Fo{m No. 6 P.2/2 A. This application must bm filZed An by'~pewriter OR ink and submitted to the building inSpeCtor with the following: for new build/n8 or new use: I. F/ne! survey of property w/ch accUrate location of all buildinSs, property l~.nss, streets, and unusual.natural or tSp~graphtc features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of eleccriual /nstellation from' Board of Fire Underwriters. ' 4. Sworn statement from plumber cartify/ng 't~at the solder used /n system contains less than 2/~0.o£ lZ. isad.' ' ' 5. Commercial building, industrial build/ns, and installations, a certificate 6f.Cod~ Comp'~iance from architect or an&inset responsible loc the building.' ' 6.. SUbmit Planning Board Approval 5~ completed s~ta plan requiremsncs.. B. For extsC/m.g buildings (prior to 'April '9, ~957) non-con~ormin8 uses, or buildings and '!Pre-existing" land uses; ~. Accurate survey of propert7 show. s all property lines, streets, bu//din8 and unusual natural or toposraphic'features, ~ . '. 2.. A properly Completed application and a consent, to inspect' s~.gnea by :he applicant. · Z~ a Certificate o£ Occupancy :s denied, the Butldtn~ Inspec:or shall state the :easons therefor in writ~n8 ~o the applicant.' C. Fees ~. Cer=~ficace of Occupancy - New dwsll~ns '$25.00, Addi:ions':~ dwell~n8 $25'.'00~ . Alterations to dwellia8 $2~.00, Sw/mmln& pool $25.00~ Accessory building $25.00, Additions ~o accessory bu~ldin8 $25.00. Businesses $50.00. 2. Cettiftcata of Occupancy on Pre-existinS Butldin8 - $100.00 3. Copy of Certificate of 0¢cupancy - $5.00 over 5 years - $~0.00 ~. Updated Certtftcace. of Occunanev - ~50.00 5. Temporary Certificate of Occupancy .- Res~dentiel $~5.00, Commercial $~5.00 New'Construction ........... Old Or Pre-existinE.Duiidin8 ..... ~ ........... Lo¢~cZ~n og ~ropctty,, 16315 'Main'~oad . East Marion · House No, · Street * 'Bantlst Contra¢~wVendee . , . · Onwor or nets Of Pro~r~ Adolfo and Eel~cita Alayo County Tax Map No I000, Sec 023 ' 0I ' · 012.2 · tion .............. Block ............... Lot. Subdiv sion ......... , .......... , ............. Film Ma ........... ~ot ...................... ~erm~t No...%%9~.~ ..... Da:e ~f ,...4. 3/27/81 * .Aonlic,_,Randa~zo Building Co., Inc. Plannln8 Board Approval ................... Updated · . . Request fog: Temporary Certificate ........... rrna1Cmrticste..~ ..... Fee Submitted: ~ 50.00 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 Inspec- tor 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 featu res. 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 Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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 peoperty showing ail 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. ; Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3, Copy of certificate of occupancy $1.00 $5.00 Date ..~- ?_.-- ~'-/-'-- New Building ............. Old or Pre-existing Building(Z) ........ =/Vacant Land ........ Location of Property . ../~-'~-. .............. .~.PFi .~....~. ........ ~¢/~...~-. ,~..~..i~.~ .o..~... House No. Street Ham/et Owner or Owners of Property . ~j~..~ .~.'~.~"J,o .... ~..J'~ ~, G .' .... ..~A~..~. ~ ................... County Tax Map NO. 1000 Section . .~). ,~-,,~ ........ Block ....-~-, ......... Lot. .PP¢~.-~'.'..~(,/,-..~.. Subdivision ...... . ..... Filed Map No ........... Lot No .............. Permit No..[I.(~.~J... Date of Permit .......... Applicant ~...~.0..1~'..~...."~. .~..L..~.r.' ~ .... Health Dept. Approval ...[].?~.(~. OB ............ Labor Dept. Approval ......................... Underwriters Approval ~"'-~---~ ........................ Planning Board Approval Z .............. Request for Temporary Certificate ..................... Final Certificate ................. Fee Submitted $ "~- .JO-. - ~0Rcl~ - Construction on above described building and permit~ mee~s all app~cable_,codes and regulations. Applicant ..... .. ~; ._7 .' ........ 10OO321 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 oo,e Hatch /5, 1982 ~pp,c.tio,%No, o.S,e 1322~2 - 8Z N 5 THIS CE~IFIES THAT w~ examined on ~ 11, 1~2 and found to be in compliance with the requirements of this B~rd. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDER~ ,',~. ~,w. o . . ~^s H . .,~T. I ..~. [ ^.,'% G. RANGES EXHAUST FANS DIMMERS SERVICE DISCONNECT NO. OF S R V 2/0 Nor~/s: 1-F 1-Po~c [d. ce, 1-4.5 K.W. Rot Water Beater 20' - 0" 9 lites, Track Li~ht~E. I C E NO. OF HI-LEG A.W, G, NO.O~MEUTRAL$ A.W.G OF HI-LEG '~ O~ NEUTRAL 2/O COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FI~.n INSPECTION FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTS ROUGH~& PLUMBING INSULATION PER N.Y. STATE ENERGY C0 E FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ................ ,19... Permit No. · ..::~:--~ .................... ....,~,~.-..2H2-,/ )isapproved a/¢ (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. f./~..(~..~.( ......... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building .nspector, 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this application may not be commenced before issuance of Building Pc.trait. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pemait ;hall 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 ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to the 3uilding 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· Fhe applicant agrees to comply with all applicable laws, ordinances, building code, hg~sing code, and regulations, and to ldmit auth°rized inspect°rs °n prenlises and in buildings f°r necessary insptlti"~-~s;~ D ........ .~ ..~A ................. ~ ........ (Signatu?..,e of app~&orporation) Olailing address of applicant) ~tate whether applicant i ssee, agent, architect, engineer, con electrician, plumber or builder. 'qam e of owner o f premises ~ ~.'2.,J'2~.. ~M ~. ~.C~.t' '.. ~c,,.. .... ,.~, .. .............................. (as on the tax roll or latest deed) ti appl~cantfisNa corporation, signature of duly authorized officer· (Name ang title of corporate officer) Builder's License No .......................... Electrician's License No..~...O... ~. ~.~¢."["~.¢_._ Other Trade's License No. : .................... Location of land on which proposed work will be done..~. I,~... ~..1~! .t,(. ~. (~ .,....~:...f.(??.t'..~.. ........... ...... . .¢~..~.,.-... ~.t~.q.~.,( ................................... ~0.v~..~. ¢.e.: ................. House Number Street Hamlet County Tax Map No. I000 Section .... ~.~.~. ........ Block . .~. ............... Lot ................... 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 .... .k)..~..~.SA .'~.., ~J~.: ............................ b. Intended -s, ~md occupancy ..... :~...~ .'TO. t'4.~ .... i~.S( ~¢,'-X2'.. *~ .a-.. ......................... Natt~re of~ork (check v~hicb applicable): New Building .......... AddiSon ..: ....... Alteration .~.. ........ Repair .............. Removal .... ' .......... Demolition .............. Other Work .... ! ......' .... ~ ~'~ 00o .~. ,~//~.~ (Description) Estimated Cost t~. ~ ..... .'7'... Fee · ,- .......... (to be paid on ~ing this application) If dwelling, number o f dwelling units ............... Number of dwelling units on each floor ............... If garage, number of cars ...~. .................... . ............................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Dhnensions of same structure with alterations or additions: Front ................. Rear ................. Depth ...................... Height ......... , ............. Num ?5~r,o f Stories . ..... Dimensionsof entire new construction: Front.../4'.~ .......... Rear...O15.,, ..........i ~e';t~' ~i(~i i i i Heioht~ .13_ O' ............... Number of Stories... ~. .................................. Slzeoflot: Front ...15."~.. .............. Rear ..... tl.~. .............. Depth i.~.~..~i~.iiiiiii Date of Purchase . r ........................... Name of Former Owner ............................ Zone or use district in which premises are'situated .................................................... Does proposed construction violate any zoning law, ordinance or regulation: . ~..0. 7 ........................ Will lot be regraded ...~ ..................... Will excess fill be, removed.from premises:, yes ~ Name of Owner of premlse~ ~0 .~..'~... ~,./~ .C~... Address L1-')..~l/4J.~'..~/'g.., ~.~.-Vhone No.~.~.~.'-~3~ .okr. ..... Name of Architect ........................... Address ................... Phone No ................ Name of Contractor%t)vtr,<.&a o~e,v ~:~...- ........ Address ................... Phone No... ...... .... PLOT DIAGRAM Locate clearly and distinctly all buildings, %vheflmr existing or proposed, and. indicate all set-back dimensions from :operty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. I~ATE OF NEW YORK .... OUNTY OF....~.J/,lJ.~.Ot.-/,e'x~. ~..x . ....... .~ .~. '. '.. '.~ ~ O. ~ ~ ......... being duly sworn, (Name of individual signing contract) oove named. deposes and says that he is the applicant .e is the .... ' ...... . ' ~gent, 'corporate officer, etc.) ' ' ' f said owner or owners, and is duly autho'riz'ed'~'ff'~erform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. worn to before me this ...... ...... .... dayof .... ..... !otaryPubhc, ~- ~.~..~-q..d.~/:.,., ,..~'-/-~.~.. · No. 52452{711 (]ualifled in Suffol~ llommjs~.on .[xp re, Match 30t SUFFOLK-~ STA THE WATER S{ SYSTEMS FO CONFORM T(~ SUFFOLk( t~7 ~,~rL', SUFFOLK CO SERVICES - CONSTRUCTIO DATE: , H. S. REF. NO.:. APPROVED: SUFFOLK CC DIST.IOOO S OWNERS ADDR t~ ~v DEED: k.7~/ TEST HOLE ~Cl ON t.. ~cctl~ : , ~.~o~....., EXCAVATION INSPi % , T NOTIFY the New Yqr,~~me' Eeunatio?* ,' ' - STEVE G. TSONTAT(IS, P.i~ r ' Drawer 1446 MiddlD~' , STEVE G. T$ONTAKiS, P. EJ Drawer 1446, Middle Rd. Mattituck, New York 11952 , /iLO - A C.o/'x2. JT_OO~, /,.q" 7" 19L T" L IT'-O" STEVE G. TSONTAKIS, P.E. Drawer 1446, MEddle Rdl Mallltuck, New York 119S2 Unauthorized alteration or addition fo this document is a STEVE G. TSONTAKI$, p.E. Drawer'1,446 Middle Rd. MaffHu~k, New York 11952 p// 't F