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Home My WebLink About29049-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29538 Date: 06/23/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1650 MCCANN LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 33 Block 4 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26, 2002 pursuant to which Building Permit No. 29049-Z dated DECEMBER 31, 2002 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 ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to THOMAS & GLORIA KARAVAS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Siature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 29049 Z Date DECEMBER 31 , 2002 Permission is hereby granted to : THOMAS KARAVAS 1650 MCCANN LANE GREENPORT,NY 11944 for CONSTRUCTION OF AN ACCESSORY 10X16 SHED IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 1650 MCCANN LA GREENPORT County Tax Map No. 473889 Section 033 Block 0004 Lot No. 008 pursuant to application dated DECEMBER 26, 2002 and approved by the Building Inspector to expire on JUNE 31, 2004 . Fee $ 75 . 00 AuthoriZ d Signature COPY Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN IIALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building or new use: I. 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 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. C. Fees 1. Certificate of Occupancy-New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimm ng 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 - $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $115.00 Date. JrI+�Q New Construction: Grr Q Old or Pre-exist�in/g Buil/ding: (check one)_/ Location of Property: 4�0 e-eAAJN t o&15 House No. Street Hamlet Owner or Owners of Property: ! /-�—"'M_s j a ozaq kAA W LI S Suffolk County Tax Map No 1000, Section 02.1 Block O w y Lot OOR Subdivision Filed Map. Lot: Permit No. Date of Permit. 3 Q Z, Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: ,$ as 'i - / G{F-`«bATT/y 6 � � Applicant Signature M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING AL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPE FIELD INSPECTION REPORT DATE COMl41$ U " b FOUNDATION(1ST) s C w FOUNDATION(2ND) M 1' O ROUGH FRAMING& y PLUMBING 3 INSULATION PER N.Y. y STATE ENERGY CODE s � FINAL ADDITIONAL COMMENTS O m c y O x I � d TOWN OF SO .L-THOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502r� Survey www. northfork.net/Southold/ PERMIT NO. q Qy�1 L� Check Septic Form N.Y.S.D.E.C. p Trustees Examined / ,20_1/ Contact: Approved 20 2i Mail to: Disapproved a/c one: Expiration ,20 ` aBuildinTgpector 26 2602 APPLICATION FOR BUILDING PERMIT Date �CTD/3e� / 206P- 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months.Thereafter,a new permit shall be required. 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"a�plicant) � � ��a YY State whether applicant is owner, lessee, agent, architect, engineer, g al contractor, electrician, plumber or builder Name of owner of premises ' poma5 Ct11'd 67L)t2ij X eqa UAS (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: I (�S 0C° hl Al122 �6A)/- �`2e�qPa eJ House Number Street Hamlet County Tax Map No. 1000 Section .33 Block ya,,;y Lot Subdivision Filed Map No. Lot (Name) ' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work(check which applicable): New Building'S�Addition Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost Fee (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 Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Fronto x t(, Rear Depth Height ale F-r— Number of Stories 9. Size of lot: Front Rear 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? YES_NO X 13. Will lot be re-graded? YES_NO_)C Will excess fill be removed from premises? YES NO 14. Names of Owner of premisesSo'A Address I LM A&, , ,4,J Phone No. H 7 7-9"to y Name of Architect Address Phone No _ Name of Contractor Address Phone No 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUffhD. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OFS �7 being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is 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 o before me this day of �Nf4zet rciy 20� C' C 4.t-r .... Notary Public Signature of Applicant BABETTE CORNINE Notary Public, State Of New York No.01005792800 Qualified in Suffolk County Commission Expires � :. ,. ,- . ...,. .. mss. 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R ':,, : r..�.- :. . x ..(`.,�-�•.ch.s,.. t,:,I.:-�+'S': 2�.r}.- a I i .. : .. kiz ^ r . z: , c'. wi 4t z Y Y x.,. _ r, i {{ (u z� „ { _ s ..-_: -. .�:-E.. ..a `..+.. .. :, tae• .: _ _...,. _ ...:. _ ;-:., .....v-.3.. -} . 44 3 y : , APP 0 C ' FEIN BY: NOTIFY BUILDING DEPARTMENT AT . - Th c �. 765 1802 9 AM TO 4 PM FOR . sea teat raua wa�' r 3 yFOLLOWING INSPECTIONS: `TWREQUIRED FOUNDATION , ma # ro,�flat.,,* ereweesesp�le),ei�irdnssp�td°c re!vte�er �-e 44. ° M -t FOR'POURED CONCRETEom�to1uhrva�i` • -., 2 cl ttte whdin8 nCROUGH FRAMING & PLUMR1 1nsfM' erg satendirans�e+a1 INSULATION 3. - C N ,TRUCTION M A ' , 4 FINAL 0 S i F E COMPLETE FOR C.O., y ,1 ;r,.�# z 4 ALL CONSTRUCTION! SHALL MEE z . >w; THE REO,"AEMENTS OF THE STATE CONSTRUCTION & EN.ER. � a• �., ,, J � ..��' . , PON ! f " r CODEa. NOT RES S BC.Is,. a i -- QEs1GEi OR CONSTRUCTION , s' E a : , e r