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Home My WebLink About15925-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16601 Dgte .~a~.R~yy..2!? lg~p .... THIS CERTIFIES that the building ,, 9n.e,..f~a.m.i 1. y..d. E q 1,1,~.n.g: ................ Locatlon of Property 1560 Wzllow Drzve East Marion Hpuse No Street Hamlet County Tax Map No 1000 Section 022 ., Block . 05 ...... Lot . 1.9, ....... Subdivision Fried Map No ..... Lot No ........... conforms substantially to the Application for Building Permit heretofore filed in tins office dated · A.p.r.il.14, I9'87 pursuant to wh~ch Btuldmg Permit No J~92~ ...... dated Apr.~.l 25. a 1987 . waslssued, and conforms to all of the reqmrements of the apphcable provismns of the law The occupancy for wluch tlus certificate is issued is . .. 0n.e f.a.mi.Iy d~well~pJl,..a.tt, qched gar.a, ge. a.n.d..at.t.a, che.d, wpo.d.de.ck..~n rear. The certificate is ~ssued to , .3OH.N, PA.R.AS.K. EVAS iod, oo;,x, e ded tx ............. of the aforesaid building Suffolk County Department of Health Approval 86-S0-203 1/20/88 UNDERWRITERS CEKTIFICATE NO .... N 8 .~ 9 1.0. 5 .... 1 ./.7/.88. ............. PLUMBERS CERTIF%CATION DATED: Vzncent L. Agenjo, ~r. 1l/6/87 Building Inspector Rev 1/81 ~0~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15925 Z Pe~ission is hereby gmntecl to: ......~..~ ~....~..~C~ .......................................... , ~....~.,..~..-~.:..~L.~ ~,..~ ,o ........... at premises Iocoted ot .:.L.~.~..?......~.~..~...~.:......~..~.....~.q~m~.~...~...:..~... County Tax Map No !000 Section ...... .(~. ............ Block ... pursuant to application dated .... ~.....J...~ .................... , 19.~1.., and approved by the Budding Inspector. Rev 6/30/80 FORM NO, 6 ~t~i~l~ TOWN OF SOUTHOLD Building Department Southold, N.Y. 1'1971 ~ C~UT~HOLO J 765- 1802 ~-~ ~ Instructmns ~ Thts apphcatton mu~ be fti~ed m Wpewrtter OR mk, and submt~ed ~ to the But d~ng ~ c- tor w~th the followmg; for new buddmgs or new use: 1. Final ~ey of prOpe~v w~th accurate location of all buildmgs, prope~y lines, ~reets, and unu~at na~ ral or topographic fea~ res. 2. Final approval of Health Dept. of water supply and sewerage dmposal-(S-9 form or equat). 3. Approval of electrical mstailat~on from Board of F~re Unde~Hters. 4. Commercml build ngs, Indu~rml buildings, Multiple Residences and similar buildings and in~aila- tons, a ce~ f cate of Code compl ance from the Arch t~t or Engineer respons hie for the build ng 5. Submit Planning Bpard approval of completed s~te 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 showmg all property hnes, streets, buddmgs and unusual natural or topographic features. 2Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housmg code or safety mspect~on of buddings or premmes, or other pertment reforma- tion required to prepare a cert~fmate. C Fees: Addltions $25.00 1. Cerbficateofoccu~ancy New Dwelling $25.00, Accessory ~$10.00 Buszness $50.00 2. Cert~fmate of occu ~pancy on pre-exmtmg dwelling $ 50 00 3. Copy of cert~ficate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land ~.O. $ 20.00 /Jdv (, ~.~.g. 2. 5.Updated C.O. $ 50.00 Data .................... NewConstruction ...... Old or Pre-exist~ng Budding .......... Vacant Land ............ Locat,on of Property . .~..~.-.~?. .... .~7.,: l~.o..~...~.~ ....... .~..~.5.?-.../~..A?.l.o..~0....IV.;'. ........ House No. Street Earn/et Owner or Owners of ProperW . . .'~.~.~ ~. ?h~k Ro A~. County Tax ~ap No. ~000 Sect,on ... ~ ...... Block .. ~.-?. ...... Lot... ?2 .......... Subdivision ......................... ~ded ~ap No .......... Lot No ........... Permit No ........... Date of Permit ~?.~J~.~Y. Apphcant .............................. Health Dept. Approval ..................... Labor Dept, Approval ........................ Underwriters Approval ..................... Plannmg Board Approval ..................... Request for Temporary C~rtfficate ................. Fmal Certificate ..................... Fee Submitted $ ...................... Construction on above desFnbed buHdmg and permit meets all apphcable codes and regulations Rev 10 10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 10OO774 BUREAU OF ELECTRICITY ~ k~l ED JOHN STREET NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT ParaskeVas, 16~ W~i~ Dr., ~st ~n, ~.~...n~o. ~cember 21, 1987 andfoundtobelncon~plmn~e~tththereq~t~re.~ent~ofthlsBo.rd FIXTURE fiXTURES ~ RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEleRS ~Nt'i HEATERS MULTi-OUTLET DIMMERS SYSTEMS NO OF FEET SERVICE DISCONNECT S E R V I 3-~.¥.C.I. C E 2/0 t 1 2/0 lic.{'1962E must not be altered in any manner, return to the offsee of the ~oord if incorrect Inspectors may be ~denhfied by thmr credenflaJs COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOLTfHOLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N Y. 11971 TEL. 765-1802 CERTIFICATION Date ~o~ ~ Building Permit No. /3-~-~__ Owner ,7C~ ~ k ~ ~ (please print) Plumber ViNA~.~' . ~{/,ID $~ (pleaS~ przfit) ' I certify ~hat the solder used in the water supply system contains less t~an 2/10 of 1% lead. Sworn to before me'this / D day of ~ , 1 £7 Notary Public, ~F~/~ County Notary Public MAURE£1,~ PETRUSH Notar~ Publk~, Sf,",,te of New Yolk - No 4730f)00 O1 OUNDATIO~J ( OUNDATtON (2nd) 0UGH FRA~& PLUM~'''~ ~;SULATION FER N. STATE ENERGY CODE FINAL ADDITIONAL CO.UME}~TS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~OUGH PLBG. FOUNDATION 2ND L ] INSULATION FRAMING [ ]FINAL DATE ~///3/'~/~ INSPECTOR~ ]65-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL / / DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION I- ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [~FRAMING [ ] FINAL DATE INSPECTOR ,~ ~.c~ ~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [~FOUNDATION 2ND ~ ] INSULATION FRAMING REMARKS: FINAL 765-:L802 BUILDING DEPT. INSPECTION [~//FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE / ~ ,,Z 5'~ 76S-1802 BUILDING DEPT. INSPECTION [' F~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~ FINAL REMARKS: /:~~,~ ~:~/~- DATE ? BOARD OF HEALTH --~:.~-. 3 SETS [OF FO.M NO. SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM .~.".~,. ........ : TOWN RALL ~D i TEL.:~65-1802 CALL MAIL TO: Examined ~ . "%.~ . , 19'~ Approve~-~ ~.~' , 19'~q. Permit No ) .~.'%.~ ~ Disapproved a/c ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT · ,, Date ..... 19 INSTRUCTIONS a Tlus apphcation must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, w~t sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or public str~ or areas, and giving a detaled description of layout of property must be drawn on the diagram whlch is part of this aF cation. c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pm shall be kept on the premises available for inspection throughout the work e. No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupa shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the msuance of a Bmldmg Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of buddings, add,tlons or alterations, or for removal or demohtmn, as herein descnt The applicant agrees to comply with all apphcable laws, ordinances, budding code, housm~ code, and regulations, ant admit authorized inspectors on premises and in building for necessarye~~~Inspect ns z}L..~... ~ (Slgnat'~,ge of applicant, or na~rne, if a corporation) (Mailing address of applicant) State whether apphcant is owner, lessee, agent, arch,tect, en~neer, general contractor, electmclan, plumber or bull, Nameofownerofpremmes '~O~.[L) f/~.,..~5' /~.C. DOt5 ............. ~ (as on the tax roll or latest deed) If apphcant is a corporahon, mgnature of duly authorized officer W. ~Name~k- and ...... t,tle of cgrporate o ffi, cer)' ' ' ' ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. Plumber's Lmense No . ~ .... Other Trade s L~cense No ~(' I Locat~on of land on whlch proposed work wIll be done ~0 f- / ?,] /-~//-f./¥ .~,~//,~...,d-~T.~..~.' House Number Street llamlet County Tax Map No 1000 Sectmn ~ ~ ~ Block O 37 . Lot D /~'/.~. Fried Map No ~//~.. Lot .. Subd~ mmn (Name) 2 State exmt~ng use and occup'ancy of premises and intended use and occupancy of proposed construction a Existing use and occup'an~y U nC/~~'J~ P~e .~Y ... b Intended useandoccupancy ff/.gJ~.L..~. F r,o,C7' .............. 10. 11 12 13. 14 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Nature of work (check which applicable) New Butldlng .,~ ..... Addition .. Alteration .... Repa2r ..... Removal ....... Demolition ....... Other Work 3/4'~ O ~ (Description) Estimated Cost I 0.O.O .... ~"~. ~ .... .~-'F-'~ee. ~ ~,,c~,~;,,~, ~ ~ ............... ' (to be paid on filing this appl}catlon) / If dwelling, number of dwelllngf/~ts . ./' ........ Number of dwelhng units on each floor ............ / Ifgarage, numberofcars . ./.. ~ ....................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ..,e~_/.~t ........ Dunensmnso. f,exmtmgstructures, lfany Front ~..,f.~. ··Rear ,.A.,////~.... Depth· ,'~b'.~/.z~.. Height t~'../~ .... Number of Stories ./l,,/.,t~/ ...... / ................ v' ~ -' · - - - Dunensmns/ofs_alno structure wxth alterations or ad~ons Front t'~,f]-7. ..... Rear . ./~/.._,/'? ...... Depth .../l//~ .... He,ght '' 'f~',~'~-~ e, ?/ · .~',lu;~ab,~e~of Staon/e. fi . . ./~/']~,'~. ~., .. Dlmensio~sjpfe,,~t~j/r.e, newconstructlon Front ~,~." ..~r .. Rear ~¢,t'...?-...: Depth.2~ /. :' ~ .. Height m/. ....... Number_oLStones ..,~ ......................... o~ ..... Size of lot Front . ~, .~/~) '~,'~'~7.. . Rear../' ~.~...~ .?~¢~.' ..... Depth/,~.gt.'T.~ ./~o Date of Purchase . . _.'~./Z~ ....... Name of Former Owner .,,,tT/.~. ............... Zone or use district in which premises are situated ........ Does proposed construction violate any zomng law, ordinance or regulatmn '../~'..~. 'i. i. '..'i. ii ii i Will lot be regraded . .. ~ O. ........ Will excess fill_be removed from premises' Yes Name of Owner of premises ,J°t'~/'~H.~'t:l'-q/c'q o"t'¢~.- Address ~--.P-~. ~---~ ,fT....~.Phone No~./~. ~.-2~ Name of Architect ................... Address ........ ~hone No .... Name of Contractor ,kk)t2~)., ./)~. O ........ AddressP04 ~O. ~ F...f~.,fr/.KI0/4a?$'l~hone No)--/.~. ~. ~.'-~'.' ~3 Il,lo Locate clearly and distinctly all buddings, whether existing or proposed, and. ~nd~cate all set-back dLmens~ons fron property hnes G~ve street and block number or description according to deed, and show street names and indicate whethe interior or comer lot STATE OF NEW YORK, . S S ..... (Name of m&wdual signing contract) above named He is the . * ........ · being duly sworn, deposes and says that he is the applicant (Signature of apphcant. (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is dgly anthonzed to perform or have performed the said work and to make and file this apphcatmn, that all statements coqtmned m this appI,catmn are true to the best of his knowledge and belief, and that the work will be performed m the man~)er set forth m the apphcat~on fried therewith. Sworn to before me this SUFFOLK~DEP~H~~"' ~ JOHN PARASKEVAS ' - SINGLE FAMILY DWELLING ~L~ LOT 19 "HIGHPOINT AT EAST MARION SECTION I" ~ NOV 3~1987 DATEJAN~o ~HS R[F NO ,~'~ <;~ ~.~ AT EAST MARION DATE SEPT 4,t986 The ~ewa~e d~sposal and water supply facd~beS for ~ ~N ~ SOUTHOLD SCALE ~' = 50' Ic,c~ben have bee~ ms~cted by th~s Depar~ta~ ~ SUFFO~ COUNTY ~ NEW YORK No 86 - 9a9 Chief ~ Bureau of waS~ Uan~ HE~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT" ~E ~ FOrt WHO~ ~[ SU~EV is P~[P~REO ~ ~ / ~" ~_ ~ ~F CO T~MAp ~ST t00QSECTION O~Z ~CK~LOT Q]~, H~E~,ANe TO ~E ASSIGNEES OF THE LENDING [ [1~ H~E~ A~ ~ ~E~LI~S WITHIN tO0 FEET OF T~$ PROPERTY INSTITUTI~ GUARANTEES ARE ~T T~SFERABLE ~ ~ ~ ALDEN W YOUNG~ PROFESStONAL ENGINEER SUBDIVISION MAP FILED IN THE O~lC[ O~ THE CLERK OF ,~ ~[ AND LAND SURVEYOR NYS UCENSE NO 12845 SUFFOLK COUNTY ON JAN, II,1984 AS FiLE NO 7680 [ ~ I HOWARO WYOUNG, LANOSURVEYOR / .~ Lot 2_1 78' ,~IJFFOLK COUNTY DEPART/~ENT OF HEALTH , SER¥1CE~ FOR APPROVAL OF CONSTRUCTION ONLY HEALTH DEPARTMENT-DAT& FOR APPROVAL TO CONSTRUCT Wl~ C~FORM ~ TH~ STAN~' OF THE SU~K DOTTY DEPARTMENT NOTE z J = MONUMENT ~ = STAKE SUBDIVISION M~ FILED IN THE O~ICE OF THE CLERKOF SUFFOLK COUNTY ON JAN, II,IDB4 AS F:LE HO, 7680 SURLY FOR JOHN PARASK E~AS LOT 19 'HIOHPOINT AT EAST MARION, ~WN ~ SOUTHOLD SUFFO~ COUNTY, NE~ ~RK SECTION I' DATE SEPT 4.19S6 SCALE I": 50~ NO 86- 989 YOUNG S YOUNG OOS ANOE.^VE E RIVERHEAD, NEW YORK ALDEN W YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N Y.S LJCENSE NO, 12845 HOWAROWYOUNG~ LAND SURVEYOR NYS LICENSE NO 4§893 T 0 :0 'x '1 0 aul~nql.~slp ~;~.', ___~_ ED 2/10 of I% LE,4D. PLUMBER CERTIFICATION ON LERD CONTENT CERTIFI~TE OF OCCUPA~C~ ~OVED ~ ~T~ FEE~ ~."~:~.~o BY: V,~,L, NOTIFY ~JILDING DEPASTMrdNT AT ?B6-1802 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: FOUNDATION, TWO REQUIRED FOR POURED CONCRETE ROUGH FRAMING & PLUMBING 3. INSULAI'IG~,~ 4, FINAL CO~,~STSUCTION MUST BE COMPl E~rE FUR C,O ALL CONSTRUCTION SPtALL MEET THE REQUIREmeNTS OI~ THE N.Y ~TATE CONSTRUC~ON & ENERGY GODEIil, NOT R~SPONSI~ILE FOR ~'~IG'N OR CO~ISTRUCT~ON ERRORS, T I' I 'I d L '0 dL ~or H ],z: ~'