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Home My WebLink About20578-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20971 Date AUGUST 25~ 1992 THIS CERTIFIES that the buildin~ Location of Property 1830 WILLOW DRIVE House No. County Tax Map No. 1000 Section 22 Subdivision ACCESSORY EAST MARION~ N.Y. Street Block 5 Lot 21 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 22, 1992 pursuant to which Building Permit No. 20578-Z dated APRIL 23, 1992 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 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JOHN & ZOE VARKARIS H-030589 - AUGUST 20, 1992 N/A 1~0~ NO. I 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) N°-NT? 20578z Permission is hereby grant,ed to: ~ ~ ~ / .~ /~ . / · ...7...~..~..,~...::..~-~.~..~ ............... . ,,,.~ ~_ _~....~...~,.,,~...,..~..,.~..,,../xx-x-'~.?' ,,.,.,, ~x'~ ,~.,.,~.~ ~~x' ...................................................... at premises ocated at .... County Tox Map No. 1000 Section ...... ,~....~ ....... Block ....... ~ ........ Lot No ........ ..~T..../.. ........ pursuant to application doted ............ .~.../~.....~ .................. , 19.~.....,~and approved by the Building Inspector. Fee $..~ ..~..~ Rev, 6/30/80 Form No. 6 TO;TN OF SOUTIIOLD BUILDING DEPARTMENT TOWN }~LL 765-1802 A. This application must be filled in by type~riter OR ink and submitted to the building 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. 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. 3. For existing buildings (prior to April 9, 1957) non-c~nforming 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 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 Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~_ ~L~C~, Date ..... i[[''[[''[[["'[ ............ aw Construction ........... Old Or ..... Pre-existing Building. . 3cation of Property. ~// ..... ~ Ilouse No~. ' ....................... Street Hamlet ~wer or Owners of Property..~.~./~. ~.~!%~ _~ , ~ t, iooo . un Tax Map No , Section.. % ..... Block ........... Lot ...................... bdivision Lot .-/ · '' ' ............... Filed Map ....................... rmit No '" ............. ' ............... Applicant ............................. · -- Date Of Permit alth Dept Approval · ' ......................... Underwriters Approval ......................... arming Board Approval ....... . ....... ~uest for: Temporar~ Certificate ........... Final Certicate ......... · Submitted: $~-~ INSPECTORS Victor Lessard P~incipa[ Building Inspector Curtis Horton Senior Building I~pector Thomas Fisher Building Ivapector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor' Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 JUNE 24, 1992 STEVE MORAITIS 7995 HAIN ROAD EAST MARION, NY 11939 RE: JOHN VARKARIS L& WIFE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) xxx No Underwriters Certificate on file. The check is ~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT Please contact our cooperation. 20578-Z office on this matter. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: JOHN VARKARIS & WIFE FOU:;DATION--~ _ (_19t~) FOU:fDATIO:! 2. ROUGH FRAHE & .PLUMBING I~k~UL,~T!OJ PER N. STATE E~;ERGY CODE ¢2nd) Fi;;AL ADDITIOMAL COMMENTS THE NEW YORK BOARD OF FIRE UNDERWRITERS 1 g~;~3607 BUREAU OF ELECTRICITY ~- 8E JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT onJy the electrlcaJ equipment ~ ~scribed below and intr~uced by the applicant ~med on the a~ve application ~uo~ber in ~he premises of thefotlowing location; ~ Basement ~ Is, FI. ~ 2nd FI. Oll~ Section BIm, g examined on ~ ~1~ ~ 17 ~ 1.9 ~ 2 and found to be n cot* pi ance u'ith the reqttirements qf this Board. Lot 2 1 FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE DRYERS SYSYEt~$ NO, OF FEET OTHER APPARATUS= E R V I C OF CC, COND, PER ,~' AWG OF CC COND OF HI-LEG NO, OF NEUTRALS GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE ,MUST NOT BE ALTERED IN ANY MANNER. 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING . ~' [~ REMARKS: ' /-~J'~'~ ~"" DATE INSPE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FO~JN~DATION ;ZND [ ] INSULATION [~]/FRAMING [ ] FINAL REMARKS: ~/~~ ~/~-~- DATE ~ INSPECTOR ' ~ FORM NO. 1 il, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 / Examined .......... 19 Approved . · -.. ..,, Permit No .......... Disapproved a/c ' (Bullring Inspa'ctor) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTll ......... 3 SETS OF PI.~V~,IS .......... SURVEY ................... CIIECK .<4 7.Z.-<. CALL .' . . · HAIL TO: ;' ' Date .......... 19... , INSTRUCTIONS a. -Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 ,r areas, and giving a detailed description of layout of property must be drawn on toe diagram which is part of this appli- ation. ' 'not be commenced before issuance of Building Permit. c. The work covered by this application ma d. Upon approval of this application; the Building Inspector will issued a Building Permit to the applicant. Such permit hall be kept on the premises available for inspfiction throughout the work. c. No bui/ding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy hall 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 --5*x~lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or :egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, liOusing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary insp~tions. (Signature of applicant, or name, if a corporation) ... (MaiLing address of applicant) ;tate whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber Or builder2 lame of owner of premises ............ (as on the t.ax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. · ' (N;~i~r~ri title of corporate officer) Builder's License No....~.~ .~..~. ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... OCCUPANcy OR USE JS UNLAWFUL ?¢JTHOUT CERTiFiCATE OF OCCUPANCY Location of land off which proposed work will be d'~ne. , ./.~'.-~.O...W.t.C. ow p..I>.., ~ II£7"-' .. ,./~../.7/-'0 llouse Number Street Hamlet · ., ~q .~=_~=V-~,°q County Tax Map No. 1000 Sect on ..:. ?.':. ............... · . Block ~ ..... Lot .......... Subdivision ./7//. P.~./..}~...~. ........................ F ed Map No C~/,; .j,'~...~./... Lot .............. (Name) ' ' ' ' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...~.4/. :g.~....f.----[-'~.. :?. < ? .7' 'Z'~Cdc~c-cCzrV,~= ' .': ..........."~'~ '") ' '~" '~'J~ ~ ~' ,~ ~5~'~ b. Intended use and occupancy .. . ..: '3. Nature of work (check which applicable): New Building ...... Addition .......... Alteration ... ....... Repair . RemOval Demolition Other W~rg 4 Estimated Cost (Dese p.on) ...... ~' · Fee i : (to be paid on filing this application) 5. If dwelling, number of dwelling lunits ............... Number of dwelling units on each floor. . If garage, number of cars .... ' ............... fi, If business, commercial or mixe occupancy, specify nature and extent o~ e~ch type of sse ................... 7. Dimensions ~sting stmcturts, ifany: Front ....... : ....... Rear /.~ ......... Depth ?.~ ....... :: Height .... t., ........ un her o~Stories. . ~ ...................................... D~ensions of same stmctur~ w th alterations or addit OhS Front ................. Rear .... Depth ............... Height 8. · ..................... Number of Stores ........ Dimensions of entire new constitution: Front Rear ...................· .... Siz~ of lot: Front ' · ..................... Rear ..................... Depth ............. t · · 10. Date ofP rch .... , . er ~ ........................... ~ _ · ................. ~aneofF O I I. ~one or use amtrlct m which pre~mses are mtuated ......................................... l~t g I ......... 12. Does proposed construct on rio e any zonin aw, ordinance or regulation: .... 13. W~llot beregraded . . ~ ................. ~q ...... ~ , ............ Will excess fill be removed from premises: Yes No 14. N~e of Owner of premises ...; ................ Address ..... Phone No. N~e of Architect .... ] ' ............................ ...... , ................ Address .......... Phone No. N~eofContractor . .. I ...... ~ ................. ....................... AddreSs ............. ; ·. :.. Phone No ............... . [5. Is this property within 3D0 feet of a tidal wetland? ~Yes ........ No ....... ;. ~.. *If yes, Southold Tbwn Trustees Permit may be required. ~, ~ PLOT DIAG~ . Locate clearly and distinctly ~1 ~uild~gs, Whether existing or proposed, ~d.;indic~ate M~ set-bac- prope~y ~nes. Give street ~d block dumber or desc~"~x .......... k dknensions from ~ .puu. accorumgto ~eea..ana snow street n~es and ~dicate whether inte~ororcomerlot.~ ~ . .. . ~p _.~-~[] ~. _ ,. /~ ' ' ' i~'~'~ ' ~o~oASnO~o . ~ ~ ~ , ~ '/ [,~" · NOTI~ 8 G DEPART 5 I- , [ ,, -- ~ . ~ . ~ ~ 2: 'ROUGF . FRAMING & pLUMBING - CODES. ~sPoNs~B~ :FO~ ~'ATE OF NI~'YO~/~,_ ~UNTy .OF ..N~.¥.~. k.5 .... ~ . ' . ..... ~?~X~..~ ~ ~<'r '~''' ~ ............ being duly sworn, deposes and says that he is the applicant (Name of individual signingfontract) ove named. '. is the .... ' · I ' ' ' : ~ ( ontr orporate officer, etc ) said owner or owners, and is duly a~tbonzed to p~ h . . ave performed the smd work and to m~e ~fl file this ~Hcafion; that all statements coatmne~ h~ tiffs application nrc true t0 the best of his knowledge and belief; and that the rk will be pcrfo~ed in the manner se( forth in the application filed therewith. om to before me this OD, i ......... .... ........., . " ~1~1~ In 8u~k ~.~ ¢~:: ,' ' ' , (Signature of applicant)