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Home My WebLink About16592-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16592 Date November 17, 1987 THIS CERTIFIES that the building D E C K A D D I T I O N Lo *' ¢~,, ~ 505 Cedar Drive East Marion, N.Y. House No. Street Ham/et County Tax Map No. 1000 Section 022 .Block 02 .Lot 38 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 30, 1987 . pursuant to which Building Permit No. 16592 z dated ...N..o .v.e.m.b.e..r..5.:..l .9.8. 7. ....... 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 ......... DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to EMANUEL & THEMIS KATSANEVAKIS of the aforesaid building. Suffolk County Department of Health Approval ....... ~/. A. ............................... UNDERWRITERS'CERTIFICATE NO N / A PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FOBM NO. O 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) NO- 1~572 z Permission is hereby granted to: ~....-...~...~..~....g.~.~... ~ ..~..~C....~.....~.~ .~ ........................ .,~....~...~.....~..~.~...~,~..: ....................... ~-- -,. ~.-~.~.~.~.~.~.~....~~....~ ............................................ :. .................... ---- ~ "'- -- --at premises located at ....~..~q..~.....~.,.~..,~.~ ....... ~:,,,.~...~.,,..~~ ................ County Tax Map No. 1000 Section ....... .~..~ ..... Block ...... ¢~....'~. ....... Lot No..-~.~ ................. pursuant to application dated ..... ¢~.~.....~... ............... , 19.~...-,/., and approved by the Building Inspector. Fee $,,~.'~,. t.. ;...'~... .... Building Insl~ector Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m=,,,=---, 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 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 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: I. 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 informa- tion required to prepare a certificate. C. Fees: ~00~ 1. Certificate of occupancy New Dwell&nD.S25.0.0, Accessor¥.~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, oYer 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~.o..o~.....~..E¢.~..M~....' ~..~../?.f'.... ~...~.~....~.~..~/.~ ~ .................... House No. Street Ham/et Owner or Owners of Property . ~'.~'f..~-.~..~.Z,. ?..7'../~..-.~././.~.. ~/~. 7.~.~.,?.~.,..~.~-/..¥ ................... County Tax Map No. ~000 Section . ~,~ ........... Block ...~. ........... Lot.. $.~' ........... Subdivision ................................. Filed Map No.. ~.~. ...... Lot No. ~.~ ........... Permit No..!6.5.9.2.Z.... Date of Permit ..!0./.3.0/.8.7.Applicant Emanue;L & ~hem~s Katsan±vak&s. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... 2.5.00 Construction on above described building and permit meets all applicable codes and regulations. EMANUEL KATSANEVAKI S ADD~{cant .................................................... $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................ MAIL TO: Disapproved a/c ..................................... (Building Inspector). APPLICATION FOR BUILDING PERMIT Date../.g)./.~ P/. ......... 19~.. 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 giving 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 ~ 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, qr nam, c, if a corporation) ~~---*~ '~'/(Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . .....no..? ........................................................................ Name of owner of premises .'~..P',','J?.~..~.~.~.. f...~'.'Pt.~../ff./.-r..../f.'~.'/-f.~../~.~?.~.~./.~. ................................ (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~.v...~....C..o:~.~..,%.. ?.?/./(.O"/¢/../~. ~.,~...~..~..~.~ .~. ..... House Number 5~o.5~ Street C~,4~ ~,~-/~'~,*- Hamlet County Tax Map No. I000 Section ....'~....~d ........ Block .. '2 .............. 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 ... ~ ............................................................ b. Intended use and occupancy ~ ~' ~ i 3. Natur~ of work (check which applicable): New Building ..... '... Addition .~.~..~.~.. Alteration .......... Repair ........... Rem:oval ........ Demolition . .' ...... ' ...... Other Work ............... (DescripJ:ion) 4 EstimatedCost...6~.~>. Fe ' (rd be paid on filing this application) 5. If dwelling, number of dwelling units .... ! .......... Number of dwelling units on each floor...3 ............. If garage, number of cars ... l, .................................................................... 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 o f Stories O ~' ' ' D~ensions of same structure ~ith alterations or additions: Front .. T~.~ ......... Rear, ~Tff~ .......... Depth ................... .... HeiSt ...................... Number of Stories ...................... ~--8. Dimensions of entire new cons[ruction: Front .......... . ..... Rear ~ .~9. ~&. Depth ............... Height ............... Number of Stories . ~ ~ q~ ...... / ........................... . ............... 9. Size of lot: Front .. ~. 0 ~ .... ~ ......~ ..... Rear . .~ ~. 9 ................. Depth . ~ .~. ................. 10. Date of Purchase .. l .~. ~ ...................... Name o f Foyer Owner . ~* ~ .'.~4~. ~(7~.~... 11. Zone or use district in which piemises are situated ~.~7. ,~ ~ ................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: . .~ ........................ 13. Will lot be regraded ........ , .................... Will excess fill be removed from premises: Yes mo 14. Name of Owner of premises ~ ~OTr~.... Address .~%~ ~ ~. Phone No. Name of Architect ......... : .................. Address ................... Phone No.(~ .~-.~2~... Nmne of Contractor ........ .................. Address .... : .......... 15. Is this property located~within 300 feet of a tidal wetland? ~Yes No~ .... ~Zf yes, Southold To~ Trosteas Permit maybe required, : PLOT DIAG~M Locate clearly ~d distinctly fll build~gs, whether existing or d~ensions from property ~nes. Give street ~d bloc~ number or desc~ption accord~ [ indicate whether interior or corner lot. A8 ,,, NOT~ ~ILDING D~PARTM~ AT 765-t~2 9 AM TO 4 ~ ~fl THE FOLLO~NG NS~CTIOA ~UNDAT[ON 4 ~tNAL Co~TR~JC'[~ON MUST STATE OF NEW YORK, B~. COMP~ E~ ~. ~O~ C O COUNTY OF .............. ... S.S ALL COb~Wr~OCr~Oh~ .~HA~. MEET ................................................. being duly sworn,~;~{~s ~icant (Name of individual signing, contract) C~' 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 con!ained 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 to before me this .................. , ..... uay ox ..................... , 19~. Nots,5' Public, .... ~ .,~.~.. !~ .~...~...~-~. ..... County ~.~ PUBLIC, ~tate of ~w Yod( / (Signature of applicant) ~ ..4707878, Suffolk County term t:xpl;es U~rgh 30,19'°"/ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~I~IAL REMARKS: DATE FOUNDATION (1st} FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: