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HomeMy WebLinkAbout20246-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20626 Date APRIL 1, 1992 THIS CERTIFIES that the kuilding ALTERATION Location of Property 2170 THE STRAND EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 30 Block 2 Lot 53 Subdivision Filed Map No. Lat No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 30, 1991 pursuant to which Building Permit No. 2D246-Z dated OCTOBER 31 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 NEW ENTRANCE WAY TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to GEORGE & SUSAN TSAVARIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buil ing Inspector Rev. 1/81 rosac xo. s 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°- 2 0 2 4 6 Z Date 3.! 19.9.x. Permission is hereby grouted to: ~.........z~..-..:~. ~.o w~ ~..Q~,i.~.Ala ......C?.~:4::~:-~..!~.:.~.......1.!.x.5..? at premises locoted at P~ ~ 74~~w~...alN..` ° V..... ~ :d'Y.S.............. .....Q...~.~ County Tax Map No. 1000 Section ......~..~b..... Block Lot No..5.3 ' pursuant to oppiication doted .....~?~~..`~~r....!~ 19.`~~.., and approved by the Building Inspector. Fee 5...L.~...:.. ' Bui ng Inspector Rev. 6/30/80 i ~ rrj "3 Form No. 6 "y~~/ 1~'~Ii~ pv^,d3 tt TO[,iN OF SOUTIIOLD ~ /~/'J ~.,i-_,.~.:._.~'~ BUILDING DEPARTMENT Mn~ 3 i i~~a ~ ~ ~ TOWN HALL ~ _ 765-1802 P 1,~ ~ ~ •.,_.a...,...~....~_.,....~..... Y04'',~. ~ ~ -':,,~s t'.':,r.t~ 'APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspecY.or 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 Plauning Board Approval of completed site plan requirements. •B. 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 T 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 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential~~AA$15.00, Con¢nercial $15.00 Date ....:~1Q.1//~~.~Q,. ~ New Construction.......oo.SS... Old Or Pre-existing Building. .p~..lq........ , Location of Property...e:~.7© .............~.~~.~~hc~n.~0'l.k~~C......... ~~5~' ~o-ti~sti. ~.y. House No. ~ Street Hamlet ~ 113x'7 Onwer or Owners of Property.. ~.~.~~~'~..~;,~~.~'S!`)~,,,,IS~V~'(Z~~... . County Tax Map No 1000, Section.. j.~..:.....Block....s~..........Lot...°~~.~ Subdivision .Filed Map............Lot...................... Permit No.u~©.~~~.Z'....Date Of Permit..~o/.~~~9~....Applicant.. ~J~~~~.~i...~A:Y~Y'`.1,~„ Health Dept. Approval..... N~~ ................Underwriters Approval.... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..~!....... fee Submitted: 5 Q,,,,,,,,,,,,,,, „ ~ o~ao~a~ APPLICANT c1ELD I;:S:'~CTiU:J ~~Dr,:° I i;ONMGNT3 1 . m B ~ ~ M FOUtJDATION ~ ( 1st ) FOUNDATIOtJ (2nd) _ m 2. ~ z o ~ P,OUGH FRAME & J O PLUMBING N 3. y m IIJSULATION PER N. Y. ~ r H STATE ENERGY CODE d H FI;JAL o ADDITIOf1AL COMhfEflTS: m ' x~ r - ~ ~ • - , • I x ^a H _ ? H ~ O 2 `m a r • H t b~ m ^o ' H C C'~~V.1C_~55a BOARD OF HEALTH r r ~~~(a 3 SETS OFiPLANS ~~101991 t II FORMN0.7 SURVEY V 1.~ TOW V OF SOUTHOLD CxECK • • • • . ,m,~,-,,,,~r~,_,,,)L. p BUICDdNGDEPARTMENT SEPTIC FOR,i t3I GC tsrF f ...„1 TOWN HALL TO\r^J(~!O~SOtJ"ftlCri.i7..,- SOUTHOLD,N.Y.11971 NOTIFY h,....aw. , TEL.: 7G5.1802 CALL . MAIL T0:•C~~O°C~~ a03,S Examincd.0.?r,~;t;,,3~.,19q.), 8ne~1?), `)q~~ Approved .P.~'.o.-~a..~.. 31., 19`.1 .Permit Noc`~, , at}l~ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19 INSTRUCTIONS 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 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 issued a Building Permit [o 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 Re=tilations, for the construction of buildings, additions or alterations, or for removal, or demolition, as herein described. The applicant agrees to comply with all applicab]e laws, ordinances, building code, housing code, and regulations, and Yo admit authorized inspectors on premises and in building for necessary inspections. ~1..~.J . ~ L ie.V CS.~ . (Signatttre 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. ~,am~ of owner of remises ~ -1- `~US/},N, , , , S H ~',/~'(Zl ` - P .Ca~~~~G.~..... ~ (as on the tax roll or latest deed) It applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL COttTRACTOR'S MUST IIE SUFFOLK COUNTY LICENSED BuildeisLiccnseNo. ....~5~,,,,,,,,,,,,,,,, Plumber's License No . . . . Electrician's License No . . Other Trade's License No. .L:~O, . 12USS~ LL Iii F}SC3 N 1, Location of land on which proposed work will be done . . House Number Street Hamlet County ?ax lviap No. 1000 Section ......3 Block , , , , , , , , , , Lot , • , , • , , , , Subdivision . ~~g~-~ ~~:N , , , , , Filed Ma No. , , , , (Name] P .fin. ra.. Lot ...~.1.~.......... State existing use and occupancy of premises and intended use and occupancy of~aro~~s~t~,~ont~truction: 1 r'/}~ L L'~ p W ELLI N (~tn)r 4>> a,; ,,tx Yt,cY~39 a. Existing use and occupancy •:,~.r it. . b. Intended use and f . ~ ~ it;`I, , , E) USA, L~ ;-~~•taner ~ x~I ~:c;i3lt,~a-f,E • . • . . occu anC .~'cxl7t9x..;;,~t;?,.z,v~«bsr3r3**'~„irrera~~ P Y 3. Nature of work (check which applicable): New Building • Addition Alteration . , Repair RemoYal Demolition Other 15'ork , , , f 4. Estimated Cost ~ ©dO. o O . . Fee (D~scription) ` (to be paid on filing this application) 5. If dwelling, number of dwelling ul'nits ...C.: Fes; g ~ Number of dwelling units on each floor . If garage,numbcrofcars ~ 6. If business, commercial or mixedloccupancy, specify ~ture and extent of each type~of use . 7. Dimensions ofF}fisting structuresi, if any: Front ~.~.e~~ , t , , Rcar J`'.~~.m9...... Depth 4.1.• p` Hcigltt .NumtjerofStories.....iJ.-,S'io(~yes, Dimensions of same structure tvitlt alterations or additions: Front _L,~~ , , , , , , , , Rear :S~`®~,qq t Depth Q:........ , Height . Number of Stories ~~ctr4~a......... 8. Dimensions of entire new construction: Front Roar Depth Height Number of Stot9es . ~ ~ ~ ~ ~ ~ " ~ ~ ' ' ' ' ' ' 9. Size of lot: Front....$S,S5t. Rear...:-~.•.~P©~........ Depth ..a ta~~$~l;'............ 0. Date of Purchase,A~P,ch"P~;•, [q81, .Noma of Former Owner !-1'b?~A4~?. s:Av(NaS .:~.~'N~ . Zane or use district in which prerjtises are situated ....~.~~lF?~~,'l-I ~;lr, , , , , ~ ' 2. Does proposed construction violate any zoning law, ordinance or regulation: 3. \Vill lot be regraded N°. \Vill excess fill be removed frpm premises: Yes 4. Name of Owner of.Premises~:"rS~~s~ivF1i215 .Address~~.~~Y'QAtd.l?me G'NOMjO.~'ItoneNo..t'i7~"~3I Noma of rlrchitect :DICK, W,~~~D , ,~SSOe , , ,Address l'f3.N KOtJkt? $4t' U;~, Phone No..s~~~ , Noma of Contractor :DI.~aS . 2.~R11DS Address ~;.Qo6VZf~~s~~a1~NTj. phone No.. v 5z~r~?.. . 5. Is this property located within 300 feet of a tidal wetland? *Yes No .t/...`~ *If yes, Southold Town Trustees Permit may be reqyu~ired. PLOT DIAG1tAM Locate clearly and distinctly all ijuildings, whether existing or proposed, and. indicate a]] set-back dimensions Crom property lines. Give street and block n}tmber or descript~er~~eco~g to deed, and show street names and indicate whether ~terior or corner lot. I k~ ~ i Sao 6~t~© t m, , li - ~ I - tx~ t cJoRNt,~ ~ ' DoT --F1' ~ 51'~- • ~ n. ,Sy.o • ' ' ~ ~ t~.8' H:A r III o'~, 1 W F ~ 1 °to lv' ~ ~S'~ L~'rN~ rATE OF ' Y RI.~b . J/F S•S ~GA"fYOF.. U~Z~f.Y;(. (.'amc of individ~ si nir~ ~ ~ ~ ~ ' ' ' ' being duly sworn, deposes and says that he is the applicant ~ ~ contract) -ove named. :isthe (Contraclo ,agent, orporate officer, etc.) 'said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plica[ion; that all statements contained in this application are true to the best of his khowledge and belief; and that the irk will be performed in the manner s~[ forth in the application filed therewith. :orn to before me dti~ p ...da~,of..li. 191 :tart' Pubiic, ~ - ; ; ,County NouryP~ 8tete NewYak No. 48796 My q 1`1'~^'~~ ;t2JtS~•Q ~jp~ ~uq~pedetpmbWOtB,'19.L~' (Signature of applicant) • r, I O 0~`c / l J~~\9 ~P \v 6~ Q ~ c~ ° E ~t c~ ~ _ L 'N N W `O o NW A, N 1 tT_ N ~ ~ ' ~ ~o N J~F ~ c 0~ N v rn ~ 'n pF - v 3 ~Q z ~ a ~ T ~ it Z o G a p Z , C N A iY ip T i 11.20 Z O ~ ~o ~ 520 a N ~ ION O~ y.~. Z ~ ~ FAUN ~ )9 ~ ~ ~~E \l~ ni 111 NONgE FF 5po5~g5 - ~ x FAUN 18.8 1;1~ p~ ~V MAP OF 2Qa5„ c^w'ee p ~o~ ~~p~~~c 1a 5 a. m 0 LOT 1 1 1 W M ~ ~o o\~ P°~, MAP OF N 'o r7h Q PEBBLE BEACH FAkMS '.o h' y0 FILED 6.11.75 FILE NO 6266 ~ ~ AQ/ • AT EAST MAkION .,~1• ' ,`~f TOWN OF SOUTHOLD 09 0~ _ • ~ SUFFOLK CONY ~ o,~a ah~ ~ , a9 ~5-~~:~` z i ~~k• 9 00 ~°o- s woo ~ \ pro w_ 6`L ao `~s,, ~s, \A~' ~ 0~' v donack associates o \2a y.~ y 40 west main street N- g~ ~,o`N goy riverhead ,new york 11901 ~ ~ = (516) 369-1717 ~ ~ ~ JUNE 25x1984 JOB N0.84-549 F No y3 0~ 1000-030-02-53 SCALE ~ I~~=40~ FOUNOAT/ON LOCA7/ON ///e/e~ 2SF~ LgNp2SVR~~~