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HomeMy WebLinkAbout18650-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18667 Date DECEMBER 21, 1989 THIS CERTIFIES that the building ADDITION Location of Property 8680 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 7 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16, 1989 pursuant to which Building Permit No. 18650-Z dated NOVEMBER 16, 1989 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 ABOVE GRADE CONCRETE PATIO ADDITION & INSTALL NEW HEATING SYSTEM & REPAIR FOUNDATION ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DIMITRIOS THOMATOS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. PENDING - DECEMBER 21, 1989 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 soaai xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CgqOMPLETION OF THE WORK AUTHORIZED) N p J. g 6 J ~ Z Date ../.f~.~x 19.. Permission is hereby aronte to: ~ , o , ~ ~ ~ /y.......~.{G..~.. ~ ..........,,~,.~......~1. ~i County Tax Map No. 1000 Section Block Lot No...............~~....... pursuant to application dated ...........~y~~.~ 1., and opproved by the Building Inspector. Fee 5... s uildin 1 tor.. . spea Rev. 6/30/80 T ~ ~ TOt1N OF SOUTIIOLD BUILDING DCCART:fENT ~ # TONN HALL SOUTAOLD, NEH YORK 11971 i Ifi5 - 11302 i APPLICATION FOR CERTIFICATE OF OCCIIPANCY /DATE.. HEtJ CONSTRUCTION ...OLD OR PRE-E%ISTINC IIUILDING._:;..VACANT LAND........ Location o£ Property UOUSE NO_ ~ y-7-~//__ STREET UAMLET Ovaer or Owners of Property...~:....L.v`~/~ ~ ~ C.~ c~ ~ ~ County Taz Map No. 1000 Section 3.I. Block ....1.. Lot'.... Subdivision Filed Ma p~9........Lot_..._..._. l SU l(~! t`~~0 ~ Tl-lc+l~ od 1 GJ / Permit No. ..._._..Date of Permit ._Applicant .~~(..:1:~~`_.~`. ~~~ClG~G~ Health DepC. Approval Underwriters Approval..._._........ Planning Board Approval Request for Temporary Certificate Fiaal Certificate i~ Pee Submitted: $._~.5 2 cc- ~ APPLICANT.. rev. 10/14/88 Q~.3877~ . COQ, )6"66`7 ' ~ /W r'.~.rl ~ ~ FORM N0. 6 ~;C i . ~ TOWN OF SOUTNOLD t 3' e:~.4 ~ I BUILDING DEPARTMENT - ~ ~ TOWN iL1LL i~ 765 - 1802 i ' "'tR'.'•ri ln~'~ ~ f ' APPLICATION FOR iCERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must b'e filed in typewriter OR ink and submitted to the Building ' Inspector with the following; for new buildings or new use: i. Final survey of property with accurate location of all buildiogs, property lines, streets, and unusual natural or topographic features. ' 2. Final approval of Dealth 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 solder used in system contains les9' than 2/IO of IZ lead. 5. Commercial buildingsj, industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the ArchitecC ` or Engineer responsible for the buil"ding. 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, buildings and • unusual natural or topographic features. 2. A properly completedi application, a consent to inspect signed by the applicanC , and a certified abstract of title issued by a title company which shall show single and separate ownership of [he entire lot prior to April 9, 1957. • If a Certificate of Occupancy is denied, the Building Inspector shall state the ` reasons therefor in~',vriting to the applicant. 3. Date of any housing'~code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certifcate of Occupancy: I. Aa application for vacant land Certificate of Occupancy shall be submitted, and a certified absC~ract of title issued by a title company showing single and separate ownership f~the entire lot prior to April 9, 1957 shall also accompany the application. I~ a Certificate of Occupancy is denied, the Buildiog Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF QCCUPANCY ew Dwelling $25.00, Additions Co Dwelling $25.00, Alteration to Daellin $2 0 Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory u ings, $25.00 -'Husinesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5:00 - over 5 years - $10.00 . 4. Vacant Land Certificate of Occupancy - $20.00 ' 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $15.0,0 Residential Commercial . Cs.-~~'`~ art V~a-..N_.~c_ - ` ev, 10/14/S8 I COMMGNT° -1~LD iI:SP~CTiUt7 '~llATr. ~ ro 1. 3 H _ H r _ rGUNDATION (1st) n~~ FOUNDATI01d (2nd) \ 2. o ROUGH FRAME & PLUMBING H 3. y INSULATION PER N. Y. STATE ENERGY CODE m~ a r ~2~1' ~ to H 4 . FINAL L / ~caf 0 A ADDITI L COMMENTS: ~ x~ ~ ~ , ..L~ ~L~ ~ , x\ ` G ro '\1 H ~ ~ a~ H ' H O~ z ro • r - y x d -o H ~ ~ , 5 • ` - ~ ~ 'i ~ ~ o _lV` ~~v,~/~ ~P , ~ .5~ . ^ ~S ~ a ' k~o _ ~ ` : Stogy ~ ~ 9 s ~ op~ ,~,c E y 9? ~ p ~ 0~~ 8~ p = , m ~ ~ ia' ~ tM1bp A'E / ~ ~ ~ ' ~V 'o. Y. a O 2.~.. _ i'~• ~ Z N / K ~ 4 ,,,,AFGM"" ~ r: Z W~~3 ~Fl'p Z ~ Y,0 1r ® 0 B• ~ 5~{G 1. ~ A~ ~ O g o - - , Q - ~ FA~~a~~ ~ ~ off.,, o? ~ e re o~'E ~0~ o P 4 ~ ,3 A~ ~1~P, ~ S O~G ~ ~ ce _ ; q r~hfv ~Q~ v9 o o.4,w jp • ~ ~ ! • y gyp' 'x, ~ ~ 68 ~~p~F .Z o• + ~ ~ \ ~ c STIR V~ Y OF ~ _ PROPER T ~ ~ CERTIFIED TO*' . A T ~ EAST MARION COMMONWEALTH LAND TITLE l COMPANY TOWN OF SDUTHOL`C3 rrrLE No. Esa2-uses ~ DlMITRIOS THOAIATOS ^ SUFFOLK COUNTY, 'lV. Y. ~ ~ooo a1 - o~ - os ~ • . Scale 1" = 20' ~ Qct. 25, 1988. t ' 7 Prepared in accordance rllb fhs minlmum s/endords for tNls survsrc ai plab/krbed • by fbe L.LA.L.S, end'opproved and adopFs ~ T/ll~ AcsoelaNoya.Tbe Nor York Sla/e L ~y~ ~~Y~INa j,G~ BOe\RD OF HEALTH ' 3 SETS OF PLANS •FORMNO.1 SURVEY ....9/,~.,, TOWV OF SOUTHOLD CHECK • • - - • . • BUIL"D.ING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOCALL • . 9 TEL.: 765.1802 MAIL T0: Examined . 1/ 19~/. Approved ..l~~:~b......, I~~Pcrmit No.~P~:s.~~. D ~ Q Disapproved a/c ~ ~ TOWN OF SOUrHOlD (B~ding I ec or) ~ APPLICATION FOR BUILDING PERMIT r ~~/5 ~5 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 Petmit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occuoied 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 IvfADE 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 demoiition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp 'o ~ (Simon tre ofa~plicant, or name, if a corporation) A'><V!)#~1~1;~ (bfailing address of applicant) 9 3..i C State whether apQli~nt..is•o>~n~~,~li!isee" agent architect, engineer, genezal contractor, electrician, plumber or builder. flx}~`A.SyS,4otP elii}'Y lj Name''of owner of premises r.7. ~'~rdrJ, :~'GC ",M as ~~.1 . {t91g1tfO:aR tx>'` (as on the tax roll or latest deed) i. is ~ a~ a , [f applicant is a cor~~porpationyy~tp~na~tufe of duly-aUfhorized officer. *I~f'.~~, j u 9 Y" (\ame ar:itl fi'tl'~ o'tz~orporate ofliecr) ALL CONTRACTOR'S M~J~T, BB SUFPO~t.K COUNTY LICENSED Builder's Licerts~~l~.' i~" ...~a ~ V kt dt:~ ~ • . Plumber's Licc~~~J~f?!',;,,«..~:........:....... Q~ Electrician's Litb$fs~~~V~~`a1.~ r~~~ Other Trade's License No . "1 1. Location of land on which proposed work will be done . . House Number Strcct Hamlet County Tax Atap No. 1000 Section ~ ~ r....... Block ~,7.......... Lot ~ , , , , , , , , Subdivision Filed i\1ap No. Lot ..tNamcj . State existing use and occupancy of premises and intended/ use attd occupancy of proposed construction: a. Existing use and occupancy S~(Gc ~t ~~q ~z t(~... ~w ~GGr , ' . • . • , - • • • • • • • . • . b.lntended use and occupancy 3. Nature of work • . eck which applicable): New Building Addition Alteration ~ , . Repair , ..R~em'oval Demolition Other ~5'ork .t~.-.tP 1,K,~, t.(tt*~~ J ~ tl~ (Dcscripiion) . . 4. Estimated Cost...... !~'~0 Fee _ ~ ito be paid on tiling this application) 5. If dwellin=, number of dwellinglunits . . . Number of dwelling units on cacti floor . If garace, number of cars . 6. IC business, commercial or mine, ' d occupancy, specify nature and extent of each type of use , , , , , , , , , , , , , 7. Dimensions of existin; struchir~s, if any: Front Rear Depth , Height ..+Nun~berofStarics.........................................,.............. D' P~ sions of same sttvctur `with alterations or additions: Front Rear , , a ! Height Number of Stories 8. I)'tmensi e t ew c'onstauction: Front Rear Depth............... . Height 'T~IuniberofStoties 9. Size of ]ot: Front . .fit ~ Rear Depth . 0. Date of Purchase . , , ...I, Name of Former Owner . 1. Zone or use district in which premises are situated . . . 2. Does proposed construction viol'i~~tt~~ any zoning law, ordinance or regulation : . 3. Rill lot be regraded ilSl~ . . \Vill excess fill he removed from premises: Yes 4. Name of Owner af,premises ...............Address ...................Phone No............... . Name of Architect ................Address . ....Phone No. '~y , Name of Contractor , ..............Address . ~f4Z't`? X'"!:~''~ .....Phone No, `~:-4A : , ya~~ . 5. Is this property locate .within 300 feet of a tidal wetland? *Yes No ' *If yes, Southold Town Trustees Permit may be re uired, PLOT DIAGRAM Locate clearly and distinctly all (buildings, whether existing or proposed, and. indicate all setback dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether iterior or corner lot. ~ I ~ ~ f~~~ ~ p, J~ _ , _ ;n,~A~~ ~ LG ~ d~ ~ ~ ~ . . ~ ~ APP p ~ I, DATS:.il~~~~... e.R via ' FEE: NOTIFY SUI 6EPA AT • 786-1802 8 AM 1b ; PM 'moo FOLLOWING INSPECTIONS; 1. FOUNQATION TWO pEdU1gE0 FOR POURED CONCRETE j 2. ROUGW -FRAMING dr PLUMSINQ ' 3, INSULATION Q. FINAL CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONST RUCTI ON SHA THE REQUIREMENTS OR ~ MEET STATE CONSTRUCTION 8~1 N~Y "A7'E OF NEIti' 1'ORI~, CODES. NOT RESPONSIBgE ~V ][i\~~jf IS DcSIGN OR CONSTRUCTION ERROR8 . , ,'''6"'"' k ' G~~~. ~tl. being duly sworn, deposes and says that he is the applicant t• t (~amc of individual si=nmg contract) oec named. I ~isthc (Contractor, agen- t, corporate officer, etcJ said owner or owners, and is duly .puthorized to perform or have performed the said work and to make and file this alication: that all statements contained in this application are true to the best of his knowledge and belief; and that the rk wilt be pcriormcd in the manner set forth in the application filed therewith. om to before me this ~ .~~.G, .......day of..l~.~.~. G/.~.`.. . 19 tart' Public, ..1~:~ , ~ , A,J1.,(.,11~..~.... , . County HELEN K. DE VDE ' ' HDT~ypIIgLIC,SlxtuofN@w York (Signature of applicant) No. A107878, Su41o4kCuW~lrj/ Term Expires pAxceh 30,1,--"•-~ I