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HomeMy WebLinkAbout17512-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18010 Date MAY 9, 1989 THIS CERTIFIES that the building Location of Propert~ 3950 STARS ROAD House No. County Tax Map No. 1000 Section 022 Subdivision ADDITION Block 02 Filed Map No. EAST MARION Street Hamlet Lot 14.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 5~ 1988 pursuant to which Building Permit No. i7512Z dated OCT. 6, 1988 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. The certificate 'is issued to JAMES N. & CLARA SARMOUSAKIS (owner, ~Y~ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Building InSpector Rev. 1/81 I~OB~ NO. O TOWN OF $OUTHOLD 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~ 017512 Z Permission is hereby granted to: ~-~ , .................. at premises located at .~,~.~..~.~.......~9~r~?......~.TM ............. .~-,..arm.,.....~~ ........................... ...... ,.~ ............ Lot No. CounW Tox Mop No. 1000 Section ...... .(~...."~m,...~...... Block ~ ..... .J...~..:.../. ....... pursuant to application dated .... .(~..~~.......~.'~.. .............. , 19..~...~..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWH HALL SOUTHOLD, NEW YOHK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING .... VACANT LAND ........ Loea~o~ of Propert,.~C.~.©. .... ..:-r~.~.: .R. 0~:. ~ ..~.~.C, ~/~ IIOUSE NO. STREET HAMLET Owner or Owners of Property ..... ~X~.~:. ~'t~. f/~r~..~.~.~.,A,/.. CounC~ Tax ~ap No. 1000 SecEion~Block ....... LOE- . ..... Subdivision ....................... Filed Map ........ Lot .......... P~rmit No..I.~.~.!~.~..~ate of Permit -.-/..7....App,~an~ ?....~. ............. Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate rev. 10/14/88 FOUNDATION { 1st) FOUNDATION (2nd) ROUGH FRAME & ,PLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: OCCU~,~NCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY / 71~5 t802 .9 ~',M TO ~ F'~ FOR THE 1. FOUNDAflO~ TWO R~cQUIRED FOR POURED CONCRETE 2, ROUGH ~ FRAMING & PLUMBING 3. INSU~TION 4. FINAL CONSTRUCTION MUST 8E ~MPLETE FOR C.C. A~ CONSTRUCT/ON ~ALL ME~ TNE R~QUIR~E~ ~ ~E ~ ~~ & ENERGY //O 1989 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK, N,Y, 11971 DEAR SIR I HAVE JUST REALIZED THAT I AM OBLIGED TO GET A CERTIFICATE OF FORM OCCUPANCY/qFOR THE DECK BUIL~ BY PHILIP FRUMENTI FOR US AT OUR HOUSE AT 3950 STARS ROAD· IN EAST MARION, I THOUGHT THE PAPERS HE GAVE ME INCLUDED AN APPLICATION FORM, I REALIZE NOW THAT HE GAVE ME THE APPLICAT..T~I.Q.N_FOR THE BUILDIDLG PERMIT WHICH HE GOT IN HIS NAME AS BUILDER, WITH ALL THE DOCUMENTS THAT FOLLOWED: THE FILLED OUT FORM, AS ABOVE THE RED PERMIT SIGN THE BUILDING PERMIT [~HICH YOU MAILED TO H~M WITH THE RED SIGN How DO I GO ABOUT GETTING MY CERTIFICATE OF OCCUPANCY? I HAVE NEVER HANDLED THE FAMILY AFFAIRS, BUT MY HUSBAND HAS HAD A STROKE AND I AM NOT EXPERIENCED IN TAKING CARE OF PROPERTY AND OFFICIAL MATTERS, I HAD AN ILLNESS MYSELF WHEN I GOT BACK TO THE CITY AND HAD PUT THE PAPERS AWAY WITHOUT REMEMBERING TO DO ANYTHING ABOUT THEM, WOULD YOU PLEASE SEND ME ANSPPLICATION FORM FOR AN OCCUPANCY CERTIFICATE AND TELL ME WHICH OF THE DOCUMENTS PHIL GAVE ME THAT I SHOULD INCLUDE WITH MY APPLICATION AND HOW MUCH MONEY I SHOULD WRITE A CHECK FOR, THANK YOU FOR ALL YOUR PAST FAVORS, SINCERELY· CLARA SARMOUSAKIS AOT, 3G 140-30 ASH AVENUE FULUSHING, NEW YORK !!#%% 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ~'~iNAL DATE INSPECTOR//~/~ dC~..~A BUILDING DEPARTMENT . TOWN HALL DE~'T~BLDG. ~OOUTHOLD, N.Y. 11971 TOWN O~ SOU~OLD ' TEL.: 765-1802 Approved .~..~..., 19~. Pe~it No.~ .~ ~.~.~ BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ............ NOTIFY CALL Disapproved a/c ..... ...../ff-~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter orin 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 l/~yout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by tiffs 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 Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, a.d, ditions or alterations, or for/'emoval or demolition, 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 inspections./~TD ~,,_ ~-' .. / 1//2~ (S'~,nat ot app_lic~t, ~~ ~a~', ifa corporanon) · . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ~/...~..q... i ...... I.~t.O..~.4 ~..t.<'.t..~ .................................. . (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. I ~ q q ~ ~ 14 ~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .... ,~ ,~S'C . e:',o?:(O ........................... House Number Street Hamlet County Tax Map No. 1000 Sectiou ...... .Q)..~:...~ .... Block ..... .{~...~.,, ........Lot .... ~..~.~ .[. ......... Subdivision ..................................... Filed Map No .............. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... '~.t2 ..~t. ~-4.~-¢t .... [-/~.t~. ~} ...................................... b. Intended use and occupancy .................................................................... o o I0. 11. 12. 13. 14. 15. mIf yes, Nature of Xvork (check which applicable): New Building ..... ' ..... Additio: . ......... Alteration ... ............ emo al .............. emolition .... i . (Description) Estimate'd Cost ./go ~. (tO be paid on filing this application, ) If dweIling, nmnber of dwelling units ............... Nnmber of dwelling lunits on each floor .............. Ifg i~ . arage, number of cars ....... ~ ,,~.4 ..................... : ........................... ia, l ify h typ " If business, commerc or mixed occupancy, spec nature and extent ofeac e of use ...... "- i ....... Dimensions of exist ng structures, if any: Front ~,'ar 'gl ~r-.O/ ...... ' ' ' ,~[ ...... pth Hm it ...... Number of Stories ........................ ~ ................ Dimensions of same structure with alterations or additions: Front ......... ~ ........ Rear .................. igl Depth ...................... Itc it ............ ~ .......... Nu,nbe of Stories. Dimensions of entire new construction: Front~ [~. ...... Rear .... 6 ........... Depth ........... Height ............... Number of Stories t ......................... "' ............................ Size of lot: Fron O Rear ' f. ~..~. Date of Purchase .... ~ ...... ....... Name of Former Owner ...... V ..... Zone or use district in which premises are situated ...................... ~ ......... Does proposed construction violate any zoning law, ordinance or regulation: . i ?,.o. .................. Will lot be regraded .... Will excess fill be removed from premises: Yes No Name of Owner of premises .~.4 .~.. :~"~.~ .~.q~. ~.'~. g'l',l;. Address ~ F'~..O.. ,,-~'T'/~£. ~ ~.. Phone No. 5t.~ '1' :-..t~' ~... . Name of Architect . . dress'~ · ............ Phone No ................ · 12o m v' ' ..... Ad Name of Contractor ............ ~-lq.. ! ...... Address ,.2.g · ~.~.. Phone No tt2r/.--.q .x/.~. i .. Is this property located within 300 feet of a tidal wetland? *YES .... NO..~.' Southold Town Trustees Permit may he required. ... PLOT DIAGRAM - Locate clearly and distinctly all buildings, whether existing or proposed, andJindicate ail set-back dimensions from 'Property lines. Give street and block number or description according to deed, and show interior or comer lot. street names and indicate whether ¢ STATE OF NEWi'i~RK, .~, COUNTY OF~/~...,/,~.. S.S above named~',p~ame el mdividu',/l sign'm~g confr'~,t) . He s the ~ ~ ' ................ . ontr Corporate of~ic;r, ei~i; ................... ~;dati~a~r:,:~/~;;~s~;~r~;~; i~t~~ ~[[or~ed t~ ~a~d ,vor~ and to m~e and file this , me vest otnls Knowledge and belief; and that the work will be pe[fo~ned in the manner set forth in the application filed therewith. Sworn to before'me this · . 1.,. i,~:J:'~ ' of . '~2 ~:'~' · 'A' ':.: '~,, ~. 'l ..... ~~C'o~tv . he is the applicant