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HomeMy WebLinkAbout17921-z Y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18182 Date JULY 12, 1989 THIS CERTIFIES that the building ADDITION Location of Property 7400 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 06 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 13, 1989 pursuant to which Building Permit No. 17921-Z dated MARCH 16, 1989 was sssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate a issued is SECOND STORY ADDITIQN TO EXISTING ONE FAMIY DWELLING The certificate is issued to STEVE & EDITB PAPASTEFANOU (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTB APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - July 10, 1989 PLUMBERS CERTIFICATION DATED June 19 1989 - DINOS ZERVOS .l/.G~l/ Building Inspector Rev. 1/81 roans xo. a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Nfl17921 Z Date ....C.~.f:~:P.7.......r..iR............, 19..4.••1 Perm~ss~on is hereby grant''e~'d tw~o ..~.°..~.5 ....s~:°... 3:Sr~ 1~ . ~ ,....Q,-a . ct premises located at .7.`,~.~.....,~~+!rro....!~.•. ....~.~.°:-_.~...~Y1 County Tox Map No 1000 Section. 3~pp.. { Block .....~?.~....QQ.. Lot No. w~.~.. pursuant to apphcahon dared {.51.4-C.Y!1 19..A~., and approved by the Buildin(g~ Inspector. 111 Fee S.. l91 ` Building Inspector Rev 6/30/80 - a~ 3rd P ° ~ FORM NO.6 ~ ~---7~ TOWN OF S OUTHOLD t Building De artment ~1. Town Hall Southold, N.Y. 11971 Dt CC C ; 4...,-,, _,,.r~ 765 - 1802 TObY4'- F ~ APPLICATION FOR CERTIFICATE OF OCCUPANCY " ` Instructions A. This application must be filled in typewriter OR ink, and submitted ~~e to the Building Inspec- torwith the following; for new buildings or new use• 1. Final survey of property with accurate location of all buildings, property Imes, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(5-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- bons, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pYVperty showing all property Imes, streets, buildings and unusual natural or topographicfeatures. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00 2 Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ 10 . 0 10 4. Vacant Land C.O. $ 20.00 S.Updated C.O. $ 50.00 Date ~44~y.I. ~.I. +FSg........ NewConstruction,,,,, Old or Pre-existing Building Vacanta4Land LocaUOnofProperty ...~~©O.•.....µeuh ~oQt....~0.5~.. ~o-k"!m.vl House No, o ,fir Street r~ Hamlet Owner or Owners of Property .~$~:V~ '1:. ~ 4r.~.R h ~0,~0. S~e-~:°-!KW 13r . County Tax Map No. 1000 Section ...3.~....... Block Lot ....~Q........ . Subdivision . (.....Filed Map No. Lot No. . Permit No. .7Q .~~.!-Date of Permit ~~l ~.1$`~..Applicant .U.1.n14S...Z~'3-~QS . Health Dept. Approval ../.....Labor Dept. Approval . Underwriters Approval .......Planning Board Approval . Request for Temporary Certificate ........Final Certificate Fee Submitted $ ,.00..... Construction on above described building and permtt meets all applicable codes and regulations. Applicant ..Ca9.'~.A.~~.ti^~^.°. ).....74--. 5..... Rev 10-10 78 ~Lt. 3~ ~6~ cow 1B lg2- TEL. 765-1802 ~p~~F~~~p~ TOWN OF SOUTHOLD :c OFFICE OF BUILDING INSPECTOR _ P.O BO}C 728 ~ - ~ y~c TOWN HALL •~v "O~~ ~ SOUTHOLD, N.Y. 11971 ~ ~ O ~ of 1 4i a%„~ TOWN UP , „~_p C E R T I F I C A T I O N Date ~u~ 1 9 , i9 $9 Building Permit No. "7 q 21 Z Owner ~'}eV'~i- i~~ Qa,~QS~`~'~o.n~ov (please print] Plumber~INOS ~E)21/OS "Li C.}~~3'{~-P (please print} I certify that the solder used in the water supply system contains less than 2/10 of 18 lead. Zz~w~s-~, (pl` er's signature) Sworn to before me this /U day of /~-emu,- ~ n~ ' 19~. Notary Public Notary Public,~cc_ L~~,'County ~l N01ARY PUEE)C~StDet ~ Nenw~iyyY,,a,,k~ TornaExpre~s~Msrch 30 1e9..~L TEL. 7G5-180? ~p5~~~~ 0;~ To~~rr or sou~uo~,D ~ a ~ OI~i'ICl? O[' GUILDING INSPECTOR ['~A~"~1R~;' = P.O. i3OX 117 9 ~ TOMNIiALL ~ SOUT'IIOLD, N.Y. t 1975 ~~Ol ~i r~O June 20, 1989 Dinos Zervos Box 2035 Orient, New York 1]957 Re: STEVE & EDITH PAPASTEFANOU To Fihcm Tii2~ May Concern, 47e are unable ro complete your Certificate of- O/ccupancy because of the following reasons. /~j An application for Certificate of Occupancy is not nn file. CENCLOSED) DIO Underwriters Certificate on file. 'Che cl~r_c}: t:: (~I~XXXIfSt~l~/nut on file.) $25.00 No itca]th Dept. 1lpproval on file. ho final insl~ec:tton has been made. - Pease contact our office on this matter. - Thank you for your cooperation. Ikiilcltr,c) PcrntiY it i 7 9 2 I_ 2 Builc~3~tncf Dc:pt. *t"/V/ ilo Plumber ;;older Certificate on file. ' ( a]1 petmil:, involving plumbing being i~sucd aEL-cr ,1pr~1 1,1984 ) - ro n _a H _ y FOUJJDATIO"J ( 1st ) ~ - - - c~ FOUNDATIOtd (2nd) m- 2 . ''^.tce / - .t F~ `o ROUGH FRAi°IE PLUMBI;JG s. 3 9 m m IIJSULATIOP] PER fd. Y. STATE ENERGY ' CODE 4 . ~i/ r m H FI; AL o ADDITIOP7AL COMMEP7TS: m x~ x -a H 9 H H O Z • x m A r H v m ^o H THE NEW YORK BOARD OF FIRE UNDERWRITERS PALS 1 1001071 !URlAU OF ELECTRICITY Bb JOHN STREET. NEW YORK, NEW YORK f003B Date JULY a1, 1989 gpplicetionNo.onjiie 61450789/89 R 082095 TNIS CERTIR!>r8 THAT owiy the electriael egt[fptnent v deecr76ed 6eloro and inerodrtced hY the eppliatnt netned on thsehoos ytplicuttott num6sr in the promises of STEVE PAPASTBFANOU, MAIN ROAR C!0 CEDAR LANE, EAST MARION, N.Y. in the follotetnR krcation, ® went ? I K[ Fl. ©Snd FI. OUT Sertion Block Lot muse+amined un JUNE 29,-"'9 ondJound to 6e in cornplianre tciththereyuiremente a~'thG Board. AtYf SMIITtlIK % COORIN00lCKS VNIS gliK WA RXMAUfT MN4 OIITIlTS ntCAlipESCFM PIUQl/RM OTHEn AMT. K. W. AMI. K. W. NAT. K.W. AMT. K. W. AMT. N, P. 5 13 8 5 OIYM! RlRNAC! MOTOR! lUi11M AAl1ANp RiMt SMpAI RRC?T TMIlC10ClS ENl UIei 181178E trNAi4011TIRT OYAIARR! AMT.'• K. W, pl N. P. OAS X. P. AMT. NO. A. W.O. AMT. AMI. NAT. AAVS. TRANS. NAT. N. r. q ~T kla. WATtE 1 F flRVIC! DIlC01111tlCT ND. Ot S ! R V I C E AMT. AMI. Tn4 1J'tw 1/]W ]RTM 7AeN NO.OF CCECOND. ~'~C COND. p.~~O a~~~ NO.g NlunA15 «~~~Al 1 aoo CB 1 x 1 PN z/o 1 z/o oTtNR AnrARAruE: 5 TON A/C UNIT-1 G.F.C.I:-1 SMOKE DETiCTOR:-i i~ G & S CONTRACTOR LIC.#5?8 S BOx 215 SOUTBOLD, NY, 11971 ORTt~Uit#SANAONI 11 Ptr Thit arlificaA~.., not M alNred in any marxlar; rsturn to the offin of the Board if ineorrecf. lea be idemifiad by Moir crodsntialt. COPY FOR BUILDING DEPARTMENT. TNIS COPY OF CERTIFICATE ARIiT IMQT ALTERED IN ANY AMINER. 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. 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Q t N~ •.'Sali n r BOARD OF HEALTH 3 SETS OF PLANS FORM NO 1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL - SOUTHOLD, N Y 11971 NOTIFY n q TEL.. 765-1802 CALL ~c7~ : a 5 . , _ , Examined ~~ic;Gn ~ ~ , 19~ L MAIL T0: nC~f){~ Approved~~-4~'~ 19 Permtt No ~ .7 9'~'~ ~ ~ ~ I~ ~ LS Disapproved a(c t • ~ MAR M 3 ~ygg ~ BLDG DEPT. ,c~o-~- , , , - - , - TOWN OF SOUTHOLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . . 15 . INSTRUCTIONS a. Tlus application must be completely filled in by typewriter or m ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatron of lot and of buildings on premises, relationship to adjoining premises or public street or areas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this apple 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 perms shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupanc~ 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 th. Byilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and tr admit authorized inspectors on premises and m building for necessary inspections (Signature ot""applicant, or name, if a corporation) P,o...'Qox. ~?3S Ot;1~J,tT., ta,7....1495`i • (Mailing address of appli~ant) • State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder .............U' ~E~~~. GONTI2~CT0~... . . Name of owner of premises STEyE ~,--f='f~lj,~-4 -'~'1'}pASTE~i4N0~ . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer . (Name and title of corporate officer) Builder's License No 9$6 FIB - Plumber's License No .`~3`~~.P Electrician's License No. Other Trade's License No. I. Location of land on which proposed work will be done . - . . . - . M qti ~ IZ 9.. R c trt e ~S . . ~ ci:S~: Mo,,v--1 otia ~ Y.. U q 3~ . Iiouse Number Street Hamlet County Tax heap No 1000 Section )aD~'... ~ C. .Block , G. Lot -3.~ Subdivision _ .Filed hlap No Lot . . . (Name) 2 State existm~ use and occupancy of premises and intended use and occupancy of proposed construction 0 a Existing use and occupancy . )a4~^ :~4~ •,``P`^:`~ • 1 . b Intended use and occupancy ~ ~a-^~^•>> ~9~"~ ~ W h... ~ be`Qi"°°'°` - q~~Q1.~~451 . . - y.. - 3. Nature of work (check which applicable) New Building Addrtron . a/.... Alteration . . Repair Removal . , . Demolition Other Work . (Descnption) 4 Estimated Cost ~~g~ ~ 00 ~ ~ O Fee . . (to be paid on filing this apphcahon) 5. If dwelling, number of dwelling units . I :FP^u.~~ Number of dwelling units on each floor . If garage, number of cars ~A~t'. . 6. If business, commercial or mixed occupancy, specify r}ature and extent of each~t,Ype of use . . 7. Dimensions of existing structures, if any Front .~.Q Rear 7R .Depth .~7• ~ . . Height ...~.IG . Number of Stones ~ S~cc,aJ . . Dunensions of same structure with alterations or additions Front ....7 .Rear 1. . Depth .~~,(a . .Height ~.J.i Number of Stones . 8. Dimensions of entire new construction Front . Rear Depth . Height Number of Stones . . . . . 9. Size of lot Front 19 Rear ~1'~, `J.rJ. Depth ~-`~FS..I.£f.. . . IQ Date of Purchase . 1`1?~. .....Name of Pormer Owner Fc{ w.^. '~aw~a r,.S........ . 11. Zone or use distract m which premises are situated ......~~Si4(1.~iaV. ~ ~~..Lo.c,~.De4S.f~. . 12. Does proposed construction violate any zoning law, ordinance or regulation NC's . 13. Will lot be regraded ..No . . . Will excess fill ~ re~oved~om premises Yes 1 14 Name of Owner of premises S'tete P~~`F4f~cv.. Address u s; • e.~~uer ~~a."5. Phone No. ~a~ .93'1 : 9:fpis Name of Architect .........Address ..Phone No............. . Name of Contractor . ~i.N~S..:~.ER•V.QS... ....Address1'a,BeX~3,5 •Q¢1EtJj ~,,y, Phone No '3~:3.~Sd6.... IS.Is this property located within 100 feet of a Cidal wetland? *YES....NO.~L.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fry property fines Give street and block number or descnption according to deed, and show street names and indicate wheti intenor or corner lot. to o--t ~ CLc~ , 4 Garner I-Oi' K~ ' p ~ lac.lt}eP r ~ _ ~ ~ p b 1"i+ f r ~q~v I , a~ t < Illt v- ~ 3'~ ~ , ~ ~ • • is ~ '~PaiLC ~-~L~n ~i r ~ j { JI i I - '(T . 59 STATE OF NEW YORK, S S COUNTY OF . . being duly sworn, deposes and says that he is the applic. (Name of mdrvidual signing contract) above named lie is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file 1 application, that all statements contained m this application are true to the best of his knowledge and belief; and that work will be performed m the manner set forth m the application filed therewith Swom to before Lm/e this y ~ T .da~y/of f~... , 19 Notary Public, !1'+-~.~' . Il ~ . ~!:r:.v~- County /p v HELEN K DE YOE ~j vL~ ~ H ~ ~ NOTARY PUDiiG, State of Mew Yo©rk • . Tenn kxp+res Match 30, i~~ (Signature of apphcs