HomeMy WebLinkAbout18245-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18570 Date NOVEMBER 16, 1989
THIS CERTIFIES that the building ACCESSORY
Location of Property 8680 MAIN ROAD EAST MARION N.Y. _
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 07 Lot 06
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 19, 1989 pursuant to which
Building Permit No. 18245-Z dated JUNE 22, 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 ACCESSORY GARAGE 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. N/A
PLUMBERS CERTIFICATION DATED N/A
u~ Inspector
Rev. 1/S1
rosaec xa 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 8 2 4 5 Z Date ......io~a.~ 19~Y..
Permission is hereby granted to: ,
of premises located ot ......~~4...~.......5:~~~~y......`'~~.~
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County Tox Map No. 1000 Section -~f......... Block Lot No..:.4~t..................
pursuant to application doted 19.~~, and approved by the
Building Inspector.
o~ ` O e
Fee $..G7!.s.~
uildin for
Rev. 6/30/80
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Y TOF/N OF SOUTUOLD
IIUILDING DEPARTlIElIT
TOLlN DALL
SOUTIIOLD, l;EN YORK 11971
765 - 1802
• APPLICATION FOR CERTIFICATE OF OCCDPAttCY '
DATE..~Ve
NEt1 CO:;STRUCTZON _
-•---.OLD OR PRE-E$ZSTZl;G IIUILDING...,
Location •-DACAlJT LAUD...,-_
of Propcrty...._.
DOUSE l;O
STREET LET
Ovncr or Ovncr~ of UAM " '
Propcrty._.__-.....
County Tax .
Hap No_ 1000 Section ~1"? ~
Block Lot'~,`~•
Subdivi~ion......• _
Filed Map
Pcr~it :;o. IP~YJ~ .......Lot--
....Hate of Pcrmic 2 r
-~JL~~/•APPlicaat
Pt. APProval
" UndcrvriCCrs
Plannia~ ApProval._,
~ IIoard APProval
Rcquc,t for Temporary Certificate
Final Certificate
.Fcc Submitted: ~ ~
C~~ ~ 33 9~
APPLZCANT..?;~-~`~'.~7"`~~-a ,j ~l~/~~~~J
toilc~sa
Ca JB~s 7p
.r-~
~i FORM N0. 6 ~ '
! TOWN OF SOUT110LD
! BIIILDINC DEPARTfSENT
- TOWN HALL
! 765 - 1802
! d
APPLICATION FOR!'iCERTZFICATE OF OCCUPANCY INSTRUCTIONS
A, 'This application must be filed in typewriter OR ink and submitted to the Building
- Inspector with the fol}oving; for ?ev buildings or new use:
1. Final survey of property with accurate locatio? of all buildings, property lines,
streets, and unusualr natural or topographic features.
2. Final approval of IIe{alth Dept. of water supply and sewerage-disposal(S-9 form).
3. Approval of electrical installation from Hoard of Pirc Underwriters.
4_ Sworn statement front plumber certifying that solder used in system contains less
than 2/10 of 1Z lead,.
5. Co®ercial buildings'!, industrial buildings, multiple residcoces and similar,
buildings and instali~ations, a certificate of code compliance from the Architect
or Engineer responsible for the building.
6. Submit Plannivg Boarfl Approval of completed site plan requirements.
H- For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings
" re- x
and p e istiog" land', uses:
I- Accurate survey of property showing all property lines, streets, buildings and
unusual natural of topographic features.
2. A properly completed !,application, a consent to inspect signed by the applicant
and a certified abstfiact of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
. If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in !i±riting to the applicant.
3_ Date of any housing code or safety inspectio? of buildings or premises, or other
pertinent information, required to prepare a certificate.
C. For Vacant Land Certific!,ate of Occupancy:
1. An application for vaunt land Certificate of Occupancy shall be submitted,
and a certified abstrpct of title issued by a title company showing single and
separate ownership oflithe entire lot prior to April 9, 1957 shall also accompany
the application. If ~ Certificate of Occupancy is denied, the Building Inspector
shall state the reasons therefor in writing to the applicant.
D. FEES:
1. CERTIFICATE OF OC~UPANCY - New Dwelling $25.00, Additions to Duelling $25.00,
Alteration to Duelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Acces~ory buildings, $25.00 - Husinesses $50.00-
2• Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificat!,c of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certificate of Occupancy - $20.00
S. IIpdated Certificate of Occupancy - $50.00
6. Temporary Certific'~ate of Occupancy - $J.5.00 Residential
I $50.0(1 Commercial '
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BUILDING DEPT.
1 NSPECTION
[ ]FOUNDATION i5T [ } ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INSULATION
n
DATE ~l (IY INSPECTOR
[ ] FRAMING [ FINAL ~~
REMARKS: ~ ~.E.~1
'1cLD I.:SIE;.:iU:i ~~Dnic. ~I ~O:YMGNT°
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1. - ~ r9na
'OUtJDATION (1st) _
' ~
'OUNDATION (2nd)
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ZOUGH FRAME &
.PLUMBING
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3.
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IIISULATIOfI PER N. Y.
STATE ENERGY
COpE
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FI;JAL
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ADD IOPIAL COMMENTS:
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THE NEW YORK BOARD OF FIRE UNDERWRITERS rA1s 7
Rf)1 ti9'?.1 BUREAU OF ELECTRICITY
88 JOHN STREET. NEW YORK, NEW YORK 10038 i
Date Mi';BRUARY U] ,199CI APP/icotion No. on file fi6760$$9/$9 N G7 ;i966 E
THIS CERTIFIES THAT FRRl11T NO. lA(i50 C
only the electrical equipment at descrihed 6eba and introduced 6y the applicant nomad on the ahooe application numher in the premiaea of
UINTTR7:OS THt)ORAT>jS, $b$Cl HATN Rt)AA, KAST 14ARTOH, N.Y.
in thefollotring location; ®Baaement ? let Fl. ? Ynd Fl. Section Black lot
toes ezomined an JANUARY C)4, 149C) ondfound to 6e in cantpliancr with the reyuirementa of thu Berard.
RXTURE !C@TACl6 fwItCNK RXTURES RANGES COOKING DECKS .OVENS DISH WASHERS EXHAUST FANS
WTU3S INCANDESCENT RUOIIESCENT OTHER AMT. N. W. AMT. K. W. AMT.' t. W. NAT. ~ . W. AMT. N. P.
7
DRYERS FURNACE MOTORS NTURE AMBIANCE IEEDERS SFlOAL RK'YT TIME ClOCRS ppll WMT IMAtER4 tit
SLR ~ DIMUt1ERS
AMT. t. W. ql H, P. GAS N. I. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. N. P. 1tG ~ ($T AMT. WATni
4 Ir
- SlRVIC! DISCONNECT NO.Of S E R V 1 C E y/~C~~
AMT. AMP. TYPE pP 1 J TV t P [w 3 / TW ] X AW NO. O~RC~COND. ~ C
COND. Of IN'lEG OF~XI
~I G ~.OE NEU111AL5 OF ~NEU1RAl
OTHER ApARA7Uf:
i
~ G~~~~
llINITRi95 TBtJK)RA'Pt)S
C/0 JOHN N1CKL$5
NATN RU. ROK $77 OEIE~At EEANAOER ~
St)UTHOI,ll, NY, 71971
Psr-
This certificate must not be altered in any manner; return to the office of the Boord if incorrect. Inspectors ~moy be identified by Nair crsdentials. -
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. =
B0.1RD OF HEALTH ,
FORMN0.1 3 SETS OF PLANS „ dh.
SURVEY Q l~ , , ,
TOWN OF SOUTHOLD CHECK . ~K-:... _
, BUILDING DEPARTMENT SEPTIC FORM
TOL'VN HALL ~ ~ ~
• EOUTHOLD, N. Y. 11071 NOTIFY
/ TEL.: 765.1802 CALL ~7?~~~7~
Examined Y! ~ y... • • •
~ ~ • 19~!/, f P1AIL T0: ~`~i/ l
.\pproved .fP./. 19 ~Pcrmit No.~~! .~'.`S~ ~.j,~~r~ (~`"`..-'~S.a~
Disapproved a/e . 1 / ~j i`~~~~,,1,~
I ~ ~ ~I ( t't
€1
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,
o R~~°~~, r.; Jr
uil Inspector) UF' S ° 1. ~
°~».~.,OU7F,'C1Lb
APPLICATION FOR BUILDING PERMIT
Date . 15 .
INSTRUCTIONS
a. Tltis 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-
.:ation.
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 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
3uilding 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 demo]ition, as herein described.
iite applicant agrees to comply with all applicable laws, ordinances, buildin¢ code, housin; code, and regulations, and to
~dmit authorized inspectors on premi building for necessary inspections.
• q~19dd11 ffi!~
~ ~.~.N...„~.__~M... .
a....~.`..,«• (Signature of a I' ~ ~ ' " ' ' ' ' ' ' ' ' '
y PP name, if a corporation)
lf#4........«..._...
~`~t~;~~rriaF?;.ac't ;~t,Rt'I~tt~~; ~"1° . ....1~.~:.~~... ~ 'j~ ~ ~
~t A O~ N. 4:1.st;'r::t', ~.Y.~..`.,~.~,~,Il'1F1)~?q. .J
. r
~It'f $Ft1 A~ r ~ ti . ; , ~ (Mailing address ofapplicant) ~ .
~.~4.dt. ~~3 -~v-. , y .
State whether app](~~~~~~,~)z, Iess+CC;~~a°oen~f` afcliitect, engineer, general contractor, electrician, plumber or builder.
...............~}t~tlpl~ty.'txt.~.:?:f!:t':'i'J, is :z...
,1: .`i. .
Name of owner of p~(~~~'es..!t•:'o~~~.~~r?~~.! ®S , d s`~.......... .
.
(as on the tax roll or latest deed) ' '
IC applicant is a corp'Fr$~f5'~n~~'itu,~g~o~edulytaut+honi~led officer.
. y1~~3Tel R, Y.~/1~.]3.fi•fl~~x~p~
(Name an$It~~et~tQ~~i~tc
officer).
?NG
Builder's License No. ~ ~,d,JC, , , , , , , , , , ,
Plumber's Liccnsc No .
Electrician's License No .
OtltcrTradc's License No .
Location of land on which proposed work will be done.
~(~E7............ M~rl~ .~T1
house Number Street ~ ' ~ ~ ~ ~ ' "'~~~`.1• • ~~~1„~(o `17.....
Hamlet '
County Tax Map No. 1000 Section , Block , , , ,
Lot. ,
Subdivision F.ilcd Atap No. • .
Lot...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .....F~.O~C ~1~)
b. Intended use and occupancy
3. Nature of work check which
Repair , . • + apPlicable): New Building
• • •Addition ,Vtcration
Rvmova! Demolition
. OthcrR'orkG~J~~~
4. Estimztcd Cost . , ~?`®d' (Description)
Fee.....
5. If dwelling, number of dwelling units , , , , , (to be paid °n filing this application) • •
If gara,c, number of cars ' Number of dwelling units on each Moor,,,,, , , , , , , , , ,
6. If business. commercial or mi$ed occu anc " " ' • • • • • • • • • • • • • • • • . , , , , • , , , •
o P Y, specify nature and cstent of each type of use .
7. Dimensions of existin^ sttuctt~res, if any: Front .
Height . Number of Stories , • • Rear Depth • .
Dimensions of same structure'iwith alterations or additions: Front • • • .
Depth: .flcight. Rcar.............
' 8. Dimension~ao(erjtirc new construction: Front . ~ • • • •c9o • ' ' ' ' ' ' • • Number of Stories ~ • ~ • ~ ~ ~ " ~ ~ ~ ' '
Height Number of Stories • • • ~ • ~ " " " • Rcar • „010, , , , , , , , Depth ~'f •
9. Size of lot: Front ~ G ' ~ ~ • • . • .
10. Date of Purchase Rcar Depth l~J-.......... • • . .
P
••••'"""""••••••....NamcofPotmcrOwner
11. Zone or use district in ~ehidt 'remises are situated • . " • " '
1... Does proposed construction viplate any zoning law, ordinance or regulation: • • • ~ • • •
l3. Will lot be regraded • • • • ' ' '
l4. Name of Owner of premises~~'(~~,1,/Z.os• o ' • ~Vdl excess fill be removed from premises: Ycs • Nc
Name of Architect MAro'~Address ~I?~ jJ;~,?amry,~~,ltonc No~~,?~2~-,3/
Name of Contractor . _ • • • ~ • • ~ • • ~ • • • ' ' ' ' • • • Address ...................Phony, No.. _o_~~
IS.Is this property located within "Address.. Phone No. ~
*If yes, Southold Town Trustees Pe0
mite may bearequiredetland? *YES..,.t70....~~
_ PLOT DIAGRAM
Locate clearly and distinctly alb buildings, whether existing or proposed, and. indicate all set-back dimersions from
property lines. Gives eet and block' number or description according to deed, and show street names and indicate whether
interior or exl
Cf~ ~
i
AP AS ~
I CATF: R~lt N ~ ~
FEE: Sy,
• NOTIFY S LO 0 DLfI'ai
788.180 9 AM '10 4 711E
• i FOLLOWING INSPECTIONS: '
~ 1. FOUNDATION ~yyip RE4tl111lC
I 2. ROUG~N~.RFRAMI Q PI~IMbINd
8. INSULATION
A. FINAL - CONSTRUCTION Mt/8T
' BE COMPLETE FOR C.O,
ALL CONSTRUCTION SNAII MEET
THE REQUIREMENTS OF THE N.Y.
~ STATE CONS'I'RUCryON i y
CODES. NOT RESPONSiBL~ F+pR .
• , DpSIGN OR CONSTRUCTl01ylRRORB '
T'.1TEOF\ElVYORK,
OUNTY OF SaS
bcingdulysworn,dcposcsandsaysthatheistheapplicant
ovc nam (,amp of individual signing contract)
~ cd.
~i
is tltc '
(Contractor, agent, corporate officer, etc.) ~ • • • •
said owner or owners, and is duly authorized to perform or have performed tltc said work and to make and Glc this
~lication; that all statements containi:d in this application arc truu to the best of Itis knowledge and belief; and that the
rk wdl be pcrt'ortned in the manner sit forth in the application Glcd thcruwith.
om to before me thgis y
ary Public, t A:.~ I~ ~f"G_ County i
NELEN R DE VDE I •
~tAW~ID0,878S~klbtiwaly~( (Si- aPPlicant)
Term Ex fires Merch i0,1~ I ~
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4 A~I"I£IRras 7'HaA?~1ToS
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SURVEY OF 'a ~ Y
_ CERTIFIED ~ TO* ~ ~
PR OPER T ~ ~ ~ f ~ ~ ~
~ ~ COMMONWEALTH LAND ~ITLE INSURANCE ~ ' ,
- A T . EAST MARION
a ~ . TITLE NO. E942-7B8S'
TO INN OF SOUTHOLC~' ~ DIMITRIOS THOMATOS i • `
• a~,' ~ SUFFOLK G~OUNTY, '~1"l. Y. ~ i
~ooo ar - o~ - os ~ z
~Sca/e 1" = 2D' ~ ~ ~ .
Oct. 25, 1988. ~ ~ ~
~ Prep6rsq !n accordance W16 fbe minlmtan
i 6y
llaai LJ.A
LfS~~re~Yaeppioved~ond oQ
pls
tar sncA nss by TM New York Sfale L ~p LAN j. - a ,
~ TItJe Aeeoa/eflon. ~5 ~4a. A. tq,~ GqL
t., ~ ~ ~ t - Doti ~ ~~z
s ~ r o O
~ A
~ ~ ~ r - .Y. 4 LIC. NO. 49668
.
- ~ O ~ P.C.
1 61 7 -O ~
~ O. BO r
A1N ROAD
" c I SOUTHOLD, N Y. ll971
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