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Home My WebLink About20125-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20678 Date APRIL 27~ 1992 THIS CERTIFIES that the building. Location of Property 3950 STARS ROAD House No. County Tax Map No. Subdivision ADDITION EAST MARION~ N.Y. Street Hamlet 1000 Section 22 Block 2 Lot 14.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 3~ 1991 pursuant to which Building Permit No. 20125-Z dated SEPTEMBER 6~ 1991 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 FOUNDATION WITH DECK ADDITION ONLy TO EXISTING ONE FAMILY DWELLING. The certificate is issued to CLARA SARMOUSAKIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 / ~ild[ing Inspector I"OB, M NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20125 Z Permission is hereby granted to: .~- ...,.... ...... .~ ........ q....;. ...... .,. ................................ , at premises located et ,...~.el...~.'~...........~..~/.~ ........ ..~.....o?~...,,~.......~..~ ......... County Tax Map No. 1000 Section ...... ..C~......~/...~:.. .... Block .... ..~.....~r.. ........ Lot No ..... I...~.../ pursuant to application dated ....~...~.~.~L~.......~... ........... , 19.~..(.., and approved by the Building Inspector. ~,~"~ , ,-----~ Fee $ ........................ Building Insl:~:tor Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD 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 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. 4. 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 Complianca from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed, site plan r~quirements~ 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 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. C. Fees I. 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 - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50,00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 ~DD,~?eG-W~ ~o~,~D~ A7 ~/~ ~z_~ o~lJr~ Date ......................... New Construction ........... Old Or Pr~e-ex,~sti~n~ Building.~.5~.~. ........ i Location of Property ....... .~O .... ~. S / House Moo Street Hamlet Onwer or Owners of Property .... .~...~..~.i~.~...~. ~. ~.~..~..]~. . ......... County Tax Map No 1000, Section .~ .~. ~ ..... BI ~ ~, /~..~ ~ · · ck ...... Lot . .. Subdivision~ ............................... 7...Filed Map ............ Lot ........... Permit No .$.~f-.~....Date Of Permit..~.~ ~(.. A ]icant ~i~.'/~' ' · ..... ....... ........ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request f~r: Temporary Certificate ........ ... Final Cert'catez ........~ ... g37o Z.. ................ CO APpliCAnT INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek 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 MARCH 23, 1992 PHILIP FRUMENTI P. O. BOX 97 EAST MARION, NY 11939 RE: SARMOUSAKIS, CLARA & JAMES(DECEASED) To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed)FoR FOUNDATION WITH DECK ONLY No Underwriters Certificate on file. XXX The check is Y~~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT $ 20125-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. .' i~LD ~, FOUNDATION (1st) FOUNDATIO~ 2. f2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: . ,,~.~. - .~ .,~' . ....~ FORM NO. 1 ~ '1,3 i~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ._~'.-~J~....~-...[~., l~CJ..I. Approve~.~..-~'A~....~-....¢., 19~.1. Permit No..~...~. .J .~...~."..~- Disapproved a/c .... ........................ ......./~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ~]OT I FY ~ CALL . - : .',A~.. .- .~ 72 ~.~. 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 ~r 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 c~)mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ;hail 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 ;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 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. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections. ~ <~x ~ ~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, ge~.~neral c~ontracto,r, electrician, plumber or builder. Name of owner of premises .......... .-: ....................... ~ ........ ;~ ............................ · (as on the t,a~x roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ./.~..'. ?.?..3.~.-. ."/.~. ~ .... Plumber's License No ..... ~U~ , ';' Etectncmn s Lzcense No ................... Other Trade's License No. ~ t APPROVED AS NOTED DATE:~/b ! ~1 B.R# .;,D,~/,~.,,~' ~,~ N~IFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4. PM FOR THE FOLLOWING INSPECTIONS. I. FOUNDATtO~ TWO REQUI~ED FOR POURED CONCRETE 2, ROUGH ~ FRAMING & PLUM~ING 3. INSULATION 4. FINAL CONSTRUCTION MUST gE COMPLETE FOR C,O I. Location of land on which proposed work will be done ........ A.L.L CONSTRUCT{ON SHALL MEET TH EME S OF THE N.Y, ............. ........ House Number Street .... 'C'~ ~b'T' ' RESPONS][~I~ ' 'F'~' ' ' Coun, T xM p o. lO00Sect on .......... Block ..... ........... 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 .............. . . ......,~.{.-4~- ..... ? u. ~n~en,e~ ..e ~.a oo.upanc~ ....... .//.~ ?./~ .... . .......... 3. Nature of work (check which applicable): .. ~ / New Building ........ Addition .......... Alte'~ · '-rah0n .......... R ' · ........ ' val ........ ....... epmr · · ~ Rem~ Demolition .............. Other Worl~.,~.taag} ......... 4. Estimated Cost ~,(9..o.o, ~;~Ii~ (]~scription) (to be paid on filing this application) 5. If dwelling, number of dwelling hnits ...(Y.t4..~'~. ....... Number of dwelling units on each floor ................ If garage number of cars ! 6 If business co.mmercial or mixeq occupancy specify nature and extent of each type of use 7'. Dimension's of existing structures if an,,' FrOnt ).--¢ Rear ~'~ ' 'Depth .................... Height ............... Number of Stories ..... ~ ........ . ~Dimensions of same st ,m~ctture wi:th alterations or additions: Front ..... ~'~ .......... l~r ...... ~Qi ......... tJepth · . r ............................. 8. ~menmons o~ ennre new construction. Front . t t . ~. /~',~ ~. ' ,' ' ' )'O-' ;t ........ Hight Nun~be f Stori ' 11 Zone di trict in whi h premi itu ..... amc ormer wner ................ · or use s c sesares ated ..................................................... 12. D°es proposed construction violate any zoning law, ordimince or regulation: .................. , ............... 13. Will lot be regraded ......... ; .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ... i ................ Address ................... Phone No ................ Name of Architect .......... i ................ Address ................... Phone No ................ Name of Contractor ......... ~ ................ Address ................... Phorle N~o ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No.,.,~..... · If yes, Southold T~wn Trustees Permit may be required. Locate clearly ~nd &shnctly all ~u!ldin~s, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block n.umber..or descriptioh according to deed, and show street names and indicate whether interior ! [ ~ //'/- / / STATE OF NEW YORK, S.S COUNTY OF ................. ............................... , .................. being duly sworn, deposes and sayi'that he is the applicant (Name of mdw~du, al mgmn~ contract)' '' ' ' ' tbove named. te is the ........................ 1 ................................................................. .! (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner s~t forth in the application filed therewith. ;worn to before me this . HELES~.DEVOE · . . NO, 4707878,'~uffolk County~ Tefra Expires Ma~h 30, ~9 U1 ::? Im