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Home My WebLink About20189-zFORM TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20970 Date AUGUST 25, 1992 THIS CERTIFIES that the building Location of Property 1805 WILLOW DRIV~ House No. County Tax Map No. 1000 Section 22 Subdivision ADDITION Street Block 5 Filed Map No. EAST MARION~ N.Y. Hamlet Lot 2i Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 30¢ 1991 pursuant to which Building Permit No. 20189-Z dated OCTOBER 4, 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 FIREPLACE & CHIMNEY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & ZOE VARKARIS (owners) 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 TOWN OF $OUTHOLD BUILDING D~PARTMEHT TOWN HALL $OUTHOLD, N. Y. (THIS pERMIT MUST BE KEPT ON THE pREMISF. S UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 2 0 t 8 9 Z Do~, ,../..V.~-. ...................................... , ~9..~./.. Building Inspector, Fee $,,~,..~,..':*~'" Perm No. 6 TOW/q 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 Compliance from architect or engineer responsible for the 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 features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certifidate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 ycars- $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..................... New Construction~/~f.~.t~G'~/ Old Or Pre-exiatiog Building ............ House No. ~ Street Hamlet Onwer or Owners of Property. . . . - . ........................... County Tax Map No 1000, Section .............. Block .... ~ ........... Lot ...................... Subdivision .................................... Filsd Map ............ Lot ...................... Permit ,~o .............. Date al Permit. .Applicant . llealCh~.Dept. Approval .......................... Uudcrwriters Approval ......................... Plaoaing Board Approval .............. Request for: Temporary Certificate ........... Final%Certicate ........... Foe Submitted: $.....~....~... ....... .......... t, 3 ...................... o '71 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senio~ Building Impector Thomas Fisher Building inspector Gary Fish Building Inspector Vincent R. Wleczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supervisor' Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Tetephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 1992 STE~E MORAITIS 7995 MAIN ROAD EAST MARION, NY 11939 RE: JOHN VARKARIS & WF TO Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: x~x An application for Certificate of Occupancy is not on file. (Enclosed) 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 # 20189-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. JOHN VARI(~RIS & ~F 765-1802 BUILDING DEPT. INSPECTION [ (,~/FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS:. ~ ~, 'OUNDATION ( ~ st) 'OU~DATIO~ (2nd) OUGH FRAME & .PLUMBING NSULATION PER N. STATE ENERGY CODE FI]~AL 1661 0 . (guying In~ctor) APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTII ......... 3 SETS OF' PLANS .......... SURVEY ................... CIIECK .................... SEFTIC FORH .............. W-?'7- ? CALL . · ~ ......... /. ..... HAIL TO: D~t " 19 INSTRUCTIONS a, This 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 sfiowing location of lot and of buildings on premises, relationship to adjoining premises or pubhc streets )r areas, and giving a detziled description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by this applicat{on may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Buildi)ag Inspector will issued a Building Permit to the applicant. Such permit .hall 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 ]uilding 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. 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 in~.~ . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' Name of owner of premises~. ~ / (as on the t~ roll or latest deed) It' applicant is a corporation, signature of duly authorized officer. (Na, m9 and title of corporate officer) Bu der'g Llcense No /~b2/W ~'/7--- Plumber's Licens6 No ........ :... ~ ............ Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done. OCCU ¢,NC¥ OR USE UNLAWFUL ¢'ITHOUT CERTIFICATE OF OCCU?ANC'f .... ./.f. ............................. llouse Nunlber Street Hamlet County Tax Map No. 1000 Section. .~.~.'.~lock .. ..~ Lot. ~/. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Ex/sting use and occupancy/..~ .~,.i.~ ~ ................. ~ ......... ~ ~;',,~, "~"'~ ................... b. Intended use and occupancy ... ~ .~ t '-4z ~/- ,~ ...... ;;,' ~ ' ,C~£/t c C 3. Nature of work (check which apg licable): New Budding .......... Addition .~.~.~fi'.~.. Alteration .......... Repair ~. ............ Remm al .............. Demolition .............. Other Work ............... ' ' (Description) 4. Estimated Cost . ~2~.~.~.-~. ..... i ....................... Fee ...................................... ' to be paid on filing ' ( this application) 5. If dwelling, number of dwelling units . - , . ~. · .tO~..~ ....... Number of dwelling units on each floor · If garage, number of cars . .~,! ................ or mixed ,ioccupancy, specify ........................... 6. If business, commercial " ..... nature and extent of each type of use ..................... · HD~rigTl~sl.oTs et ex:sf~ng structures~ifany: Front ~ Rear Depth Number of Stories ............................................ Dimensions of same structure with alterations or additions: Front ............... Depth Height , ................. Rear .................. ..................... 1 ..................... Number of Stories 8. Dimensions of entire new constru'ction: Front ' ' ....................... ............... Rear ............... Depth ............... ~'gl N b fSt el It .......... ~.,~.. um er o eries ........ ,~,.. 9 ' ' /.6 ........................................... · S:zeoflot. Front ...... 1 .......... Rear .. : ............... Depth ,. .................. I0. Date ofPurchase . · r 'r' ~. ~-. 'i ................. Name of Former Owner ............. 1 I. Zone or use district in which prm~ises are situated. ' ............... 12. Does proposed construction violate any zoning law, or~inar!ce o'r regulation: .. i ............................. 13. Will lot be regraded ./V./,o ..... ' .............. ,,Wi]~xcess fill be removed from premises· Yes No .. re 4[ ess .. ' 14. NameofOwnerofpremises: ~F ~.0 ................. PhoneNo .............. Name of Architect ........... i ................ Address 9-/.. ~t¢ (~./'F.l~..~t~,t,:?7.. Phone No. Name of Contractor ~ ' - ............. ......... · ........ Address .~-~.~'~?.d"i,q.~a.o,it. . Phone No.. ... 15. Is this property within 3~) ...... of a ............ £eet tidal wetland? *Yes ........ No ......... · If yes, Southold Tiwn Trustees Permit may be required. , ,... i PLOT DIAGRAM Locate dearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n~mber or description according to deed, and show street names and indicate whether interior or comer lot. ' . TATE OF NEW YORk.. ~ . J OUNTY OF .... ~.¥..~.\V,. S:S ..-%-.. ..... g,Cg ...... .... ...~ ........ (Name of individual signin~ contract) ~ovc named. 765-'~802 9 AM TO ~ P~ FO~ THE FOLLOWING ~NSP~CTIONS; 1. FOUNDATION ~() REQUIRED FOR POURED CONCRETE 2, ROUGH -FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPL~E FOR C,O. ALL CONSTRU~ION 8HA~ ME~ THE REQUIREME~ OF ~E N.g STATE CON~U~ON & ENERGY CODES. N~ RERPON818~ FOR DESIGN OR C~U~ON ERRORS ...... being duly sworn, deposes and says that he is the applicant' · Contraotor agent corporate 'rfic ;,'et ' said owner or owners, and is duly ~uthorized to perform or have perfo~ed the said work and to m~e and file this 'plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that.the ~rk will be perfo~ed in the m~ner set forth in the application filed therewith. ~om to before me this ......... .... 'lgC~.L Uaw Public, .. ·/";'.- . ~Ounty k~ M ........ .. ........... (Signature of applicant) '~~ ~' '~;o~._,' ~ ~'~ .~ Lot 19 SURLY FOR ~FFOLK CouNTY DEPARTMENT OF ~AL~H S~V[CL~ JOHN R. VARKAR/S ~ ZOE VARKAR/S ~OF NO. ~/ , "H/GHPO/NF ~ EA~F ~AR/ON, SECF/ON ONE" ~ ~ SOUTHOLD ............ Sc~: ~ "~ ~0 ' ~A~ ~S ~F. NO._ ~ SUFFOLK COUNTY, NEW ~RK ~o, 85-~ . ~u~.~z~o ~no. o~ ~o~mo. HEALTH DEPARTMENT-DATA F~ APPRO~L TO C~STRUCT AND ~ HIS BEHALF m THE TITLE C~P~Y, o,...,,..,,. _.o,,..,...o,,o,,.,.....,..,,.. ~oo.~ss V~l I K I~NDER AVE~E .,, mm YOUNG ~o~E: a: .TAK, ~m ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUBDIVISION ~P ~D IN ~ 0~ OF TH~ ~K OF~ AND LAND SURVEYOR N.Y.S. MCENSE NO. l~845 EU~O~ C~N~Y ON ~ //~/9~ ~ F/~ N~ XE~O. HOWARD W. YOUNG~ LAND SURVEYOR