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Home My WebLink About22265-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCy No E-23892 Date SEPTEMBER 19, 1995 THIS CERTIFIES that the buildin~ I~EPAIR Location of Property 3970 KENNYS ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 4 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULy 28, 1994 pursuant to which Building Permit No. 22265-z dated AUGUST 15, 1994 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 REPAIR EXISTING UPPER & LOWER REANATTACHED DECKS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ORESTES G. & EVELYN VARVITSIOTES of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Building Inspector 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) °°" .............. ..... Permission Is hereby granted to: Orestes G. Varvitsiotes 25 Irvington Place Brooklyn, N.Y. 11230 to REPAIR EXISTING UPPER & LOWER REAR ATTACHED DECKS TO AR EXISTING ORE FAMILY DWELLING AS APPLIED FOR. at premises located at ....... .3. ~..7..0... ,~..~.Y..S....R..0....A~.. ....................... .S..0~..T~...0..L.~ .,...~.: .Y..: ................................. CounlyTax Map No. 1000 Section 54 4 36 ......................... Block .......................... Lot No ............................. pursuant to application dated .........~.Y....2..8.: ................................. 19...?.4. .......... and approved by the Building Inspector. Fee ~...~.....~. ....... Rev. 6/,?,0/80 TOt,~lq OF SOUTIIOLD BUILD[NC DEPARTHEblT TOWN HALL 763-[802 APPLICATION FOR CERTIF1CA'rE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspsctor with the following~ for new building or new use: Final survey of property with accurate location of ail buildings, property lines, strsets, and unusual natural or topographic features. Final Approval from Health Dept. of wnter supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation ~rom Board of Fire Underwriters. 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 installa'tions, a certificate.of Code Compliance from architect or engineer. responsible for tbs building. .' 6. Submit Planning Board Approval of completed site plan requirements. 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 ~eatures. 2. A properly completed application and a consent to inspect signed by the applicsnt. If a Certificate of Occupaucy is denied, the Building Inspector shall state the reasons therefor in ~ritiug to the applicant. C. Fees t. Certificate of Occupancy - Ne~ dwe.[ling $25.00, Additions to dwelling $25.00, Alterations to d~elling $25.00, Swimming pool $25.00, Accessory buildiag $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildine - 3. Copy of Certificate of Occupancy - $20.00 ~. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $t5.00.~ Commercial $15.00 Date .......................... New Construction ........... Old Or Pre-existing Building .... ~ ........ House No, Street Hamlet or O ns. of ................................... ~ubdivision .................................... F( led Hap ........... Lot ...................... itenlth Dept. Approval .......................... Underwriters Approval ....................... 'lanrllng Bonrd i\pprov~lJ. ....................... 2equest~ fOr:o Temporary~(.~Certificate ........... ~~'Finl/~ Certicate 7-e StJbmit t_d: $~. ....................... / Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 29, 1995 Mr. Orestes G. Varvitsiotes 25 Irvington Place Brooklyn, NY 11230 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22265-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. :.Lg ~. ..... ,.,,.-u,.[ - · 'I[',3ATE 1[ J1;DATIOM Lib.1 s t) U;DATIOI! ' (2nd) GH FRAHE &.. .. ;.;;:":'~.;c;:PLU~,!BING - ' '.:., .% ..., .... .. '.!;.,.<.,. ,'~, .... . ULATI0~! PER'~. STATE ENERGY CODE ADDI 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ATION [ ] FRAMING [/--~FINAL [ ] FIREPLACe& CHIMNEY · REMARKS. ~ DATE~/~~c~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] I~I~ULATION [~FINAL BUILDING DEPARTMENT i SOUTFiOLD. N.Y. 11971 ~0" ~ -- TEL.: 765-1802 Examined~, 19/~ Disapproved a/c ..................................... CATION FOR BUll ' * .DING PERMIT INSTRUCTIONS a. T~s application must be completely filled in by ~pewfiter or in ink and submitted to thc BulldOg Inspector, with sets o¢ plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show~g location of lot and of bulldogs on premises, relationship to adjoining premises or pubUc or areas, and giv~g a defiled description ot layout of property mu~t be drawn on the diag~m which is pa~ ot this appli cation. c. ' The work covered by t~s application may n~t be commenced before issuance oF Building Pe~it. d. Upon approval otthls application, the Building Inspector will issued a Building Pe~it to the app~cant. Such sh~ be kept on the premises ava~able for ~spection throughout the work. -- e. No bulldog shall be occupied or used i~ w~ole or [n p~t for any purpose whatever until a Cc~ificatc of Occup~cy shall have been granted bY ~e Building Inspector. APPLICATION IS HE[EBY MADE to theBuild~g DeP~ment for the issuance ota B~lding Pe~it pumuant to thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d othe~ appQcable ~ws, Ord~ccs or Regulations, for the const~ction of bu~d~gs, additions or alterations, orf~r removal or demolition, as here~ described. The appUcant agrees to comply with all app~cable laws, ordinances, bufl~g code, housing code, and regulations, and to admit authorized ~spectom on premises and ~ bui]d~g for necess~ Jns~ct~s, / ~ ' (Mailing address of applicant) State whether applican't is mvner, lessee, agent, architect, engineer; generai 'contractor, electrician, plumber or builder. Name of owner of premises Q.~..(~.~r~d 4 ~'6L~{~t/ ~"~(t¢,V;-?r;/'j .~. 5 (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 l,'icense NO .... ~. ?. ~.(..~ ............. Plumber's License No ' Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done..~.~/?.0.. ........ ...... House Number Street : Hamlet COUBIy Tax Map No. 1000 Section :... ' ........... Block · - - ' ' Lot. Subdivision - · . ........................ Filed Map No ..... Lot (Name) ......................... State existiug use and occupancy of premises and intended use and occupancy of proposed construclion: a. Existing use and occupancy ..~.(~(~e q L.o~ ~(4C¢) ' b Intended Use and Occupancy '3. Nature of work (check whichlapplicable) New Building 13. Locate clearly and distinctly all property lines. Give street and block interior or corner lot. pal .......... Addition ........ Alteration . ....... Re r ........ e Oval ............ '.. Demolition .... ; ......... Other Work ............. Estimated Cost'*'[/tP.q ' ' q;_ , . (Descript on) If dwelling, number of dwelh oumts ............... Number of dwelling units Ifgarage, number of cars . . rl (to be prod o~,.,~;J~l . .ration) If business, commercial or mi, .............................................................. Dimensions.of existi~ ] ~d occupancy, specify nature and extent of.each type of use .................... ng structulres if any' Front Height . . ,, . _' ............... Rear .............. Depth . · ~ .... , ...... ~'m.m0er of Stories ..... · ........... Dimensions of shine structure vith alterations or additions: Front .......... Depth ' ~ ................. Rear Dimensions of entire Front Number of Stories ' [ j. ' new consimction: .................... · .............. . Height Number of Stories ' Rear ; Depth of lot: Front I . : Size ........................ ~ ........... ~ ................... Date of Purchase ......... '~ ............. Rear ............... Depth Zone or u~e district ' ~ '~' ...... ' ......... Name of Former Owner ~n which pr~mises are situated Does proposed Construction viA~, ..... . · · ' Wil! ~,',~ ho ,.o .4 ,4 ?sa,~ a~y zoning law, ordinance or regulation: .............. Name of Owner of premises . ] . · Will excess fill be removed from premises. Yes .' ................. Address . ~_ ,. Name of Architect ......... i ..... ' . Address .................. Phone No ........ Name of Contractor .... [ · · · · ·. Address .. ' Phone No ......... .'. · !300 ................. . . Is this property within feet of a tidal wetland? *Yes ........ No .... ''' · If yes,'Southold ~own Trustees Permit may be required. ' .... PLOT DIAGRAM buildings, Whether existing or proposed, and, indicate all set-back dimensions from number or description according ~o deed, and show street names and indicate whether APPROVED AS IIOTED . _ FEE:~By: NOTIF~ BUILDING DEP~ 7654802 9 AM ~ 4 PM FOR THE FOLLOWING INSPE~IONS: ~. FOUNDATION . ~0 REQUIRED FOR ~OURED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3. IhSULAT~ON 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.~' STATE CONSTRUCTION & ENERGY' CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUC~IONERRORO being duly sworn, deposes and says that he is the applicant .gli$<t, he , (Contractor agent 'porate officer ) ........................ , , cor , etc. s,.atd..ow.ne.r or Owners, and is duly a~th'o , rizcd to perform or have performed the saki work and to make and file this pucauon, that all statements contained ~ this application are true to the best 0fhis knowledge and belief; and that the ork will be perfomed in the manner set :fort ~ in the application filed therewith. yom to before me this ................ b . .... . T~m~pir~May3l 1~ ~ ' ( 'gnature ofapplic~t)