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HomeMy WebLinkAbout25155-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26075 Date: ~0/30/98 THIS CERTIFIES that the building ADDITION EAST MARION Location of Property: 8900 MAIN RD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 8 Lot 1.1 Subdivision Filed Map No. Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3, 1998 pursuant to which Building Permit No. 25158-Z dated SEPTEMBER 3, 1998 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 ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to GERASIMOS FIORAVANTES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26076 Date: 10/30/98 THIS CERTIFIES that the building Location of Property: 8900 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 31 Subdivision Filed Map No. __ ADDITION EAST MARION (STREET) (HAMLET) Block 8 Lot 1.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3, 1998 pursuant to which Building Permit No. 25155-Z dated SEPTEMBER 3, 1998 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 CARPORT ADDITION ON REAR OF EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to GERASIMOS FIORAVANTES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A 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. 25155 Z Date SEPTEMBER 3, 1998 Permission is hereby granted to: GERASIMOS FIORAVANTES 86 PARROT PL BROOKLYN,NY 11228 for : CONSTRUCTION OF AN ADDITION TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. at premises located at 8900 County Tax Map No. 473889 Section 031 pursuant to application dated SEPTEMBER Building Inspector. MAIN RD Block 3 1998 EAST MARION 0008 Lot No. 001.001 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 mo Form No. 6 ' ~-:: OF SO TNOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~ ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the bui~din~ inspector with the following: for new building 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 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. Commercial building, industrial building, multiple residences and similar buildir and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or ~uildings an Ppre-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 a 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - : .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resideutial $15.00, Commercial $15.00 Location of Prope '''~''C~C%~'- · ~ ~ ~..~0. House No. Street Hamlet Omwer or O~ers of Property ......... co~ ~ ~ ~o~000. ~o~...~3 ...... ~o~ .... ~ .... ~: !.. ' · . ........ Lot ..... s~a~vi~o~ ~~ m~d ~ ~o~ Pemi~ No ............. Date Of Pemit ................ Applicant ................... ~.. . Nealth Dept. Approval .......................... Unde~riters Approval ....................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... ~se Submitted:,,~.o..~.:..¢.-£,. ~ ~-'~' <l~.~ 33_~ '.~~ ....... Ao TOWN OF SOUTHOLD ,~~D- ~ BUILDING DEPARTMENT 765-1802 ~ ~PLICATION FOR CERTIFICATE OF OCCUPANCY ~ This application must be filled in by typewriter OR ink and submitted to the buildinl inspector with the following: for new building or new use: [1~ 1. Final survey of property with accurate location of all buildings, property lines streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form) Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, ~dustrial building, multiple residences and similar buildi~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. 5o For existing buildings (prior to April 9, 1957) non-conforming uses, or 'Buildings an 'Tpre-existing" land uses: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $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 $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property ......... .~..~ . ~ .~. ~ ~.~. House No. Street Hamlet Onwer Owners of Property - ' County Map 1000, .... Subdivision ........................... Filed ........ Lot .... .~ Permit No ....... ... ...... Date Of Permit .............. .. Applicant ................. .. . ........ Health Dept. Approval .......................... Underwriters Approval ........................ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... 9 ........ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, Nm ¥, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: . ,~..~.~. ...... .~z~...~~..~.,..,....~.....~.: ..... _ ~o ....~~.~.~.....~~z~.~..~...~/~~~ ~.~~....~~~ ............... ~..~ .............................................. ~.. ~t premises Iocoted ot ..~.~..~.~ ......... ~.~C;h~...;~.~ ............................................... ........................................................... :...: ........................... ~~~).:,..~.~. Coun~ Tox . opprovod b~ the Building Inspector. Fee $. ,. ;... Rev. 6/30/80 z O~XX~ 0 z ~~ C~ W' Z Z Z < J Z FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY C?DE FINAL ADDITIONAL COMMENTS: Z 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]~JJLATION [ ] FRAMING [~,,,~r'FINAL [ ] FIREPLACE & CHIMNEY REMARKS~'. ' ~- ~ DATE /7///~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INSU/LATION [ I,~NAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN~,ULATION [ ~FINAL DATE TOWN O}: S©UTHOLD BUILDING DEPARTMENT TOWi~ HALL $OUTHOLD, N.Y. 11971 /.,~/~ ~ TEL.: 765-1803 · Appiication .......... (Buildin, Inspector) ' 2 .... ".. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted.~.-~:i~.k.'._nl= to the Building Inspector, with 3 sets o{ 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 issue 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 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 cod~, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of appl~a~tt, or name, ~f a corporatmn) / (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .'. · . .~----~.O.e~ ~ .~Z>~..~....~.~ .~. ?..es:.~...(~..~...~.S ............................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... ,~c~. {/. .: ........... Plumber's License No ...... .~..c~r'~,...~. ............ Electrician's License No .... /.~?.C7Y7.-.~..: ......... Other Trade s License No ................ 1. Location of land on which proposed wort will be ao . .., r.. ............ . ....... .......................................... hamlet [louse Number Street County Ta~ Map NO. 1000 Section ...... Q~5 >9~... Block .. ~ ....... Lot..~.O .~ ~ ....... Subdivision .............................. i ...... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended'use and occupancy °f P}°p°sed c°nstructi°n: ...................... : ....... , ........ a. Existing use and occupancy ''i b. Intended use and occupancy .... ' .......... · Repair .............. Rem,)val .............. Demolition ..., ........... 4. Estimated Cost . . ~..0..~..x, ...................... Fee ............................... I (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ................ If garage, number of cars ..... i ................................................................... 6. If business, commercial or mixe~i occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front .... . i~.. i .~_.~' ~).~r .............. Depth ............... Iteight ............... Nuniber of Stories ....... O{.~h,'~ 3 .~'7~ ..~ ....................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... !.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new const~ction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ..................................... - ................... 9. Size of lot: Front . .~.~...~-...~ .~4q .q...~. Rear ...................... ,Depth ...... ._. .....^.~, .... 10. Date of Purchase ....'~..~..\..~] .~.~..~'~ ........... ~ame of Forme, r Own,et .~.~'~,~%..~,....~'~,.t:~.~.~. ~ 11. Zone Or use district in which prgmlses are situated .... ~C .-.~,,,, C.~.~_~--.~'~ c~,&.-. ~7(~.~. t 12. Doesproposedconstruct~onwo~a~ea~Iayzomnglaw, ordlnanceorregulat~on: ...'*.~.~ .......... , , .~. · 13. Will lot be regraded ....... ,~..~Ta..t~,.: .............. kVill excess fill be removed~ from premases: !',,~. No 14. Name of Owner of premises . .~'~.~ .r~..~.~ .T~9.t~...~:~ss ...(~.ZI?_.I~CX).C~: ·. Phone No..l'77...cL~.. Name of Architect .......... ! ................. Address .. ?.....~ff..e~. f?.~. ~.~.. Phone No ................ Name of Contractor ......... , ................. Address ................... Phone No ................ Locate clearly and distinctly all property lines. Give street and block interior or corner lot. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from ~umber or description according to deed, and show street names and indicate whether STATE OF NEW YC~RI~,/ ~ . ~ /(Name of individual sign:'ng contract) being duly .sworn, deposes and says that he is the applicant above named. He is the ...................... , ...... ; ........................................................... , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~, authorized to perform or have performed the said work and to make and file this application; that all statements contlined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne:~ set forth in the application filed therewith. Sworn to before me this.~ Notary Public~~..'..-~..~.. County / ~--~ . Notary Public, State of New York ...~'~'~-ff~,~, ,~?~f~L/~~ .............. No 52-0344963 Suffolk County ~ · y.o(~ (S~..ature of a,.~.l~cant, uommission Expires Marcia aO. 19P'~