HomeMy WebLinkAbout18483-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N. Y.
CERTIFICATE OF OCCUPANCY
No Z-20996 Date SEPTEMBER 10, 1942
THIS CERTIFIES that the building ADDITION
Location of Property 1275 WILLOW DRIVE EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 22 Block 5 Lot 10
Subdivision Filed Map No. Lat No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 31, 1989 pursuant to which
Building Permit No. 18483-Z dated SEPTEMBER 13, 1489
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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to JOHN & MARCELLA VOLANDES
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. NIA
PLUMBERS CERTIFICATION DATED N/A
ui ding Inspector
Rev. 1/81
IPOBM NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(TH15 PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~ 18 4 8 3 Z Date 19~.
Permission is hereby,pranted to:
to .~~7~1r/SFT•d';.L1:~.IL(......4r7.~4r1.71.~" ..r~.t.........4/yA~`~.`:j..........,17.'"T.i..l...
~{/J (1
ct premises located at ......~°~7aJ .....11.~~~ /.F(,~/4~
County Tox Map No. 1000 Section ........G~...~:...,. Block Lot No............f O
gg
pursuant to application dat ...El.....yr~/ 19t~,Y.., and approved by the
Building Inspector. /`3~ / C~S
Fee $.ftl.l.
...~X~G
r
,,h.
uildin Insp for
Rev. 6/30/80
' ~ Form No. 6
TOWN OF SOUTHOLD D ~ ~ ~ ~ ~
BUILDING DEPARTMENT D
TOWN HALL
765-1802 ~ ~
APPLICATION FOR CERTIFICATE OF OCCUPANCY .roWN~-DG DEPL
OFSOUTHpI,~.
A. 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 Pire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 17 lead.
5, Commercial building, industrial building, multiple residences and similar buildings
and installations, a certificate of Code Compliance from architect or engineer
responsible fox the building.
6. Submit Planning 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
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 $15.0 Coccmmercial $1'5.00
Date ........~~I~~l.~
New Construction.../....... Old/0r/~ Pr)e-exists g Building./...... .
::arson of Property...~c,~.~J/.W.r/fdu~....~:ve :....v`.y.S.% ._~~lL/O~ ...~:..,r..........
House No. Street Hamlet
On:aer or Owners of Property.. ;hGL/!/p;.,
County Tax Map No 1000, Section.. - ...Block...... ~.....Lot.....~L7
/
Subdivision .c././.!'X~"~~~.4 ~....4~3.f...~.....Fi1ed Map............Lot....I~,,,,,,,,,,,,,,,
Permit No.~9:7 ~!!!13 ~~e Of Permit ................Applicant.............................
health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate...L'.......
Fee Submitted:
c~,~y
C 4 ~ dq~ b .........APPLICAIQT
INSPECTORS
PrincipaltBuilding Inspector o~OSOFFO(,~coG
Curtis Horton y~ SCOTT i" HARRIS, Supervisor
Senior Building Inspector o -
Thomas Fisher = Southold Town Hall
Building Inspector ~O ~ .fie P.O. Box 1179, 53095 Main Road
y p! Southold, New York 11971
Building Inspector ~~l ~ ~a Fax (516) 765-1823
Telephone (516) 765-1800
Vincent R. Wieczorelc
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR
Telephone (516) 765-1802 TOWN OF 50UTHOLD
August 4, 1992
John & Marcell Volander
Box 542
1275 Willow Drive
East Marion, N.Y. 11939
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. fEnclosed)
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 # 18483-Z (DECK)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
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SURVEY FOR
suFrolx couK~r oa~aa t F~r~itfrwl~ D.B.M. COMPANY
SIgICIIE,F&ALLY DWELLING LOT NO.IO, "HIGHPOINT A7 EAST MARION,SECT.I" Nov 7,re00
oarFlAN 3 - ~gg9. H.S. r~r. No. Ag;.~n-,c 3 AT EAST MARION DATE JULY 7,gea
The sewage di:por.a! and water supply be:didea M MB TOWN OF SOUTHOLO SeAt.E~ i so'
location have been insr7ected by this OeparllReMand/aF SUFFOLK COUNTY, NEW YORK No, ea-oe~
other age~jes dud~ourt&to pes~~sfa.
IJ LOQ.Yu Uy l.D'a , NYNAYTxaerz[D ALT[NTIdI OR ADDITIOx ro mlf
fURV[Y O A VNM.ATNW 01 ftCT10N )!09 OF TMt
F a( rasa d Wastewater MfnaBemaRt N[N YDRN fTATL tWCAT1oN LAV
N COCICf Ol TNIf fYRVEY NOT KMWf TM[ LAND tt OF NFW
J- fU11V[YDI1'f IMNEO f[AL OR [MLOfflO XY fNALL StiP }
NOT K COMf10LRt0 TO A VALID TRUE COFx O
T1K ARlNOd FOR
VMOY T11C fKUOMEY14ISLMVARCOY 10 -t~F'pD W. i *~h
HEALTH DEPARTMENT-DATA FOR APPROVU. TD CONSTRUCT °
AxD d xlf fcwtF TD Txt not cowwrc, fovtRx- ,r GZ
NMLAR[ST YIN ML~NfOURt[Of MATER~MIMIL_FUfLIC_ NCNTAL At[NCY AMD LtNOWL IxfTITUTION LIfTtO * G
NfYFF CO.TA%ME?OMT~PL.f[CTIONSLLIDOI~_LOT-~ NEREOM AND TO TNL Af/ItNQt DF TN[LENDIIN
M llltlt ARL MD DYI[LLNMf I[ITNIN 100 F[[T Of TNf MOFLRTY Wfiliufld. fUARANT[[f M[ NpT TRANfFEnAaI[
OT11U THAN TNOK fNOWI N[le[ON. TO NDW TIp1AL W[TIMMkIf OR [Utf[OU[1I1IT
NTN[WTLR fYFKY YUfEMN[gfFOtAL fYtTtN F011 TNIl R610[Ntt ORNLRf
ViLL CdIFORN 10 TNL 1TAMWRM OF TML fuFFttN COUNTY DVARTN[NT N 01snNt[f EHONM N[R[ON FROM FROfLRTY UMtf
OI NGLTN [tRY1CLf. TD [NIfTiNE fTRUCNnLf M[FOII AfILCIflt n
FYnFOf[ ANO AR[ NOT TO K USlO TO EfTNLIfN
ARUGWT' FR01[RTY LINES 011 FOR rllL [11LOTION OF FENC[f t`-
~O 4xD sna'1~~0- '
IODR[ff I,j .
m. YOUNG ~ YOUNG ~
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NOTE' ~ =STAKE ~
SUBDNISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTY DN JAN.H, 1909 AS FILE NO. 7680. ANO LINO SURYEYOR N.YS. LICENSE N0.12tH5 ~ ~ i
HOWARD W YOUNG, LAND SURVEYOR
NMLDfJiglOF al¢LMLflmCTANNIfTIt ttfMDOIlKf)fxONM NG[ON NYS IICFNSF N045R0't
V 1
INSPECTORS ~~gpFFO(,~Co
(516) 765-1802 hy4 G,y ~ SCOTT L.HARRIS,Supervisor
VICTOR LESSARD, Principal ~
CURTIS HORTON, Senior y Southold Town Hall
VINCENT R. WIECZOREK, Ordinance p T P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire ~ Southold, New York 11971
O,( ~0 Fax (516) 765-1823
Building Inspectors ~ Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 2, 1992
John & Marcella Volandes
P.O. Box 542
East Marion, N.Y. 11939
Re: Building Permit ~ 18225-Z (POOL) & 18483-Z (DECK)
Premises: 1275 Willow Drive, East Marion, N.Y.
Suff. Co. Tax Map #1000-22-5-10
Dear Mr. & Mrs. Volandes:
During a review of our files it was noted that the above
building permits have expired, and a Certificate of Occupancy
has never been issued.
According to the Code of the Town of Southold, Article
XXVIII 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Victor G. Lessard,
Principal Building Inspector
VGL:gar
INSPECTORS ti
~~~uFFOL~- ~ 4
(516) 765-1802 -
VICTOR LESSARD, Principal _ c~iy*'. SCOTT L.HARRIS,Supervisor
t.~ n
CURTIS HORTON, Senior r~ia ~ Southold Town Hall
VINCENT R. WIECZOREK Ordinance ~ ` ~ ~ ~ ~ P.O. Box 1179, 53095 Main Road
~,'r,; ''t ~ ,o' Southold, New York 11971
ROBERT FISHER, Assistant Fire .,•~3~ ~„a}r~ Fax (516) 765-1823
Buildin Ins ectors ~ ^ " ' ; " Telephone (516) 765-1800
THOMAS FISHER "
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 2, 1992
John & Marcella Volandes
P.O. Box 542
East Marion, N.Y. 11939
Re: Building Permit # 18225-Z (POOL) & 18483-Z (DECR)
Premises: 1275 Willow Drive, East Marion, N.Y.
Suff. Co. Tax Map #1000-22-5-10
Dear Mr. & Mrs. Volandes:
During a review of our files it was noted that the above
building permits have expired, and a Certificate of Occupancy
has never been issued.
According to the Code of the Town of Southold, Article
XXV222 100-281 and 100-284 a building permit is needed for any
construction of additions, accessory structures or new
dwellings, and it is unlawful to occupy or use said structure
until a Certificate of Occupancy has been issued.
Please contact this office as soon as possible so that we
may clear up this matter.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Victor G. Lessard,
Principal Building Inspector
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DfPAR ~ ~ SURVEY FOR
D. B.M. COMPANY
SINGiE FAMLLY DWELLINQ LOT N0. 10, HIGHPOINT AT EAST MARIONISECT.1'~
OATF IAN - 1~g~ N.5 REF. ND. f38^~[e-~ 3 Nov 7,ISa3
AT EAST MARION DATE JULY 7,1988
the sewage disposal and Water sucply !acHibga t[1 Y16 TOWN OF SOUTHOLD StALE~ i"=so'
IDCahon have been v~ec!ed by this DeemtlReM RI1d/w
other agetry$es ~o~d~oun$ to L~sjA~factar~., SUFFOLK COUNTY, NEW YORK No. 66-os3s
~~LL~~.~~D 1~,1 ~ U. ) ! MUIMUTNMR[0 pLTWTION OR IIODITION TO TIIf
Dry RI ferU 0( WdSteWd~f (V1f ItdQBRICIit NCY
YORK STATIC lWC~T ON l1
yON 120! M TNL
ti auRVtm~s IrTMiK1[D SLAIYOR trfofslD s[Y. SNADL 1PjE OF New t
MM
WAI AMTLLf °OIDICLT[D N[RLONI !MALL ERUN MLY IO S iµ0 W, r °'Pr
HEALTH DEPARTMENT-DATA FOR APPROMU- TO CONSTRUCT nr K^a0^ aoR rNOr rqL auRV[r N eRlrfn[o O~ O
AND a NN f[wv To rN[ nnL cornwY, oov2RN- G
R N[lR[fT rRO1 YIr NL ~ MfOUIItC 01 rRIIR~ NUyT[_NY[LIC _ NCNTAL AaCNCY AMD LFNONI[ INfTITUTION LISTLO ~ r y
NfI1 CD TAK W/OIfTT4Q0,f[CTION2L [LOCIl~~LOT_~ N[R[ON, AND TO THE AffIfN[Lf OF iN[LINOUN O
YTMLRf AR[ MD Dr[LLIMt WITHIN IOD YCR Ol TMf aR01[RTY ~ TAOd
T10~^II~LUW
iTITTUfgNf ORN3u~1EW[Mi !L[ * To
OTNLR iN4N TMOa[ fNOVN N[I1CON. -
RTN[MT[R fUaTLY AMDfL~la4l CillpAL fYftLN 2ql TNlf ROIO[MDI DrMlRS
rILL CDMIORK r0 TN[ fTAMMRO! OF TNC fVYT0.1f COUNTY OVARTN[MT R DI STANCLf aHOYIN X[MON FROM RRORCRTY LIRLf
OI NfLLTN R11Y1G[f. IDC%ILTMa fTRUCNRLa 1NL 1011 Af1•[01/IC
4NMJfJNT RIMrof[ AMD ?R[ MOT TO K UffD TO lfTNLIfN 5
AOM[q _ ^1KItf RTY LINCa 011 FOR TN[ IRLCTION OF E[NC[a NOD IRND SU!`It'~O~ ~ ~ 1
YOUNG al YOUNG ~~~"~wm~~=
NOTEI ~ =STAKE
SUBONISION MAP FILED IN THE OFFICE OF THE CLE RK OF ALDEN W. YOUNG, PROFESSIONAL ENGINEER
SUFFOLK COUNTYON JAN.II, 1984A3 FILE NO. 7660. ANO IAND SURVEYOR N.YS.UCENSE N0.12843
HOWARO WYOUNG. LAND SURYEY4R
r nr: ,,w[Tor>R6LMI.fEPfID NNt(iTILOLffe00Lf(PIaMOrN MGLON NYS LIT'FNSF Nf14^gp>.
BOARD OF HEALTH
3 SETS OF PLANS
FORM NO.1 SURVEY
TOWN OFSOUTHOLD CHECK
BUILDINGDEPARTMENT SEPTIC FORDS
TOWN HALL NOTIT•Y
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 CALL
q MAIL TO:C3•b" 1~i°Y SY.O- p
Examined /~.3~~~'.., 19 y~,/ R ~~,.,~fi 7r.~a..~.v>., 1) c~. x/93/ .
Approved .v/. ~'3 19 Permit No. f4 ~ ~ ~ 15 Q ~ ,5
Disapproved a/c
.
BLDG. DEPT `
. ,n //~ti TOWN OF >rtrirur~ ry
uilding Inspector)
APPLICATION FOR BUILDING PERMIT
_ Date f~!$f~~......,19~
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit.
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 stre
or azeas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap
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 to the applicant. Such per,
shall be kept on the premises available for inspection throughout the work.
e. No building shalt be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa,
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Depaztment for the issuance of a Building Permit pursuant to
Building Zone Ordin~tr~~.o):' S e.i'~pw~„ ff Southold, Suffolk County, New York, and other applicable Laws, Ordinances
Regulations, for the ddnsfruc~on` of ~'u~dings, additions or alterations, or for removal or demolifion, as herein describ
The applicant.agr~s xo~c~xri~tty wiih_all,applicable laws, ordinances, building code, hous' g
code/~~ ations, and
admit authorized inspectors orbpremises and in building for necessary in ections.
x
' (Signature of applicant, or name, if a corporation)
. 127 lcJ~ ll~~ l~r~~~
Etts7`- IY/(FJ-2~o~dr~s sapplic 3/
State whether applicant is owner, lessee; agent, architect, engineer, general contractor, elect1rician, plumber or build
~LJ~ ~
..........................r...........nn........................................................
Name ofowner'of.(~remises .:~Jo~~..~".;;!:.t!`~:GC-.4l-°`1..... ~~Lft?~J~G..~.
~ , (as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer) "
ALL CONTRACTOR'S MIiST BE SUFFOLK COUNTX LICENSED
Builder's License No . .
Plumber's Licensc No . .
Electrician's License No .
Other Trade's License No. ..~J.:J .~..3 ~
1. Location of Iand on which proposed work will be done . .
House Number Street Hamlet
~
County Tax Map No. 1000 Section Block Lot , 1 .
Subdivision Filed itlap No. Lot .
(Name)
2. State existing use and occupancy of premises and intended use and occup~an)cy of proposed construction:
a. Existing use and occupancy ........~e G ~ ~ { Ul/:.. ~..tl'G-^: c ~Jtt1e:~1.11t. S~
b. Intended use and occupancy ................r..C~....................................
3. Nature of work (check which applicable): New Building , , , , Addition • . • - • • Alteration , , ,
Repair Removal Demolition Other lVotk
(Description)
--a _ _
4. Estimated Cost
.~Qv.....Fea....f3~Cr:~
(to be paid on filing this application}
5. If dwelling, number of dwelling units Number of dwelling units on each floor .
If garage, number of cars ~ .
5. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front Rear Depth .
Height ...............NuntberofStories......................................................_
Dimensions of same structure with alterations or additions: Front Rear ,
Depth 1 .Height Number of Stories .
8. Dimensions of entire ne~constructton: Front Rear Depth , , , , , .
Height ...............NuntberofStories........................................................
9. Size of lot: Front Rear Dept't ,
10. Date of Purcftase..... .........................Name of Former Owner .
1 I. Zone or use district in which premises are situated .
12. Does proposed construction violate any zoning law, ordinance or regulation : .
13. R'i11 lot be regraded ............................will excess fill be removed from premises: Yes N~
14. I~'ame of Owner of,premises ....................Address ...................Phone No...............
Name of Architect ...........................Address ...................Phone No.............. .
Name of Contractor ..........................Address ....:..............Phone No.
15. Is this property located within 300 feet of a tidal wetland? *Yes No
*If yes, Southold Town Trustees Permit ma be re uired.
PLOxI' DIAGRAM
Locate cleazly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions iron
property lines. Give street and block number or description according to deed, and show street names and indicate whethe
interior or corner lot.
~ E ~s wa~o ~.J
DATE: ~ ~ S.P. 8 ~Y S' ~ /
~c~7 ov
FEE: S~' NT
NOTIFY UILD! G DEPARTME AT
765.1902 9 AM 7'O 4 PM FOR THE
FOLLOWING 1N ~ =CTIONS:
1. FOUNDATION TWt3 REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING ffi PLUMBING
3. INSULATION
4. FINAL CONSTRUCTION MUST
BE COMPLET., FOR GO.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS Of THE N,Y.
STATE CONSTRUCTION ~ ENERGY
CODES. NOT RESPONStBL7v FOR
DESIGN OR CONSTRUCTION ERRORS
STATE OF NE«' YORK, S.S
:'OGNTY OF .
being du]y sworn, deposes and says that he is the applicant
(Name of individual signing contract}
,Dove named.
icisthe
(Contractor, agent, corporate officer, etc.)
~f said owner or owners, and is duly authorized to perform or have performed ttte said work and to make and file this
pptication; that all statements contained in this application are true to the best of his knowledge and belief; and that the
:ork will be pcrCormed in the manner set forth in the application filed therewith.
.worn to before me this
day of....... 19 cP~
j~~....
votary Public, ~:~t-?!~ ..~.1 ~L. County
(Signature of applicant;
IIpTARY HFtISifLIC~SIDah
ai~tkw York
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