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HomeMy WebLinkAbout27925-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28148 Date: 01/07/02 THIS CERTIFIES that the building ADDITION Location of Property: 2360 MARLENE LA LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 144 Block 2 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 2001 pursuant to which Building Permit No. 27925-Z dated NOVEMBER 20, 2001 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PANAGIOTIS KANARAS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ""-4/ /-'Z� ro ed Si nature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 27925 Z Date NOVEMBER 20, 2001 Permission is hereby granted to: PANAGIOTIS KANARAS DIX HILLS,NY 11746 for CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 2360 MARLENE LA LAUREL County Tax Map No. 473889 Section 144 Block 0002 Lot No. 028 pursuant to application dated NOVEMBER 19, 2001 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 Form No.6 ;-� E` n� TOWN OF SOUTHOLD BUILDING DEPARTMENT i� "# � TOWN HALL L 765-1802 BLDG. T01r�N Q.F` LD APPLICATION APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1%0 lead. 5. Commercial building, industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial$15.00 Date. 0 2 New Construction: '� t Old or Pre-existing Building: (check one) Location of Property: _Z 3 b 0 r I gA La h e IM.h't rt 1 TV C� House No. Street Hamlet PAOwner or Owners of Property: jj a 0- -1 S KC( ✓1 a VA 's Suffolk County Tax Map No 1000, Section 473 Block d 00 Z Lot 0 2 Subdivision Filed Map. Lot: Permit No. Z -7 2 S Date of Permit. i 2 0 - O Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ -Z S' yU (\JJ Applicant pp Signature WT Applicant/ / Date Owners Name: tuna ;o ti s Reviewed: 60 p Architect/ / Date Engineer: Lo-ci S Sa�Foti-e, Submitted: SCTM : District: 1.000 Section: fJ/y Block: Lot:�$ Project —_ Subdivision Location: a3( d � _ Name: Sin&le& separate Required >� certification: (Yes/No) `/ Req. oc 0 Its _ Zoning District: Td (IAl S12c: (1�}� AduaC 7r�� 1 (Lot covera6 Prolxised i_ l Req. Req- Req. I (front Yard 7-- Proposed:yy. I (Side Yard !- _ Proposed (Rear Yard Sa I ropose�_ Project Description: d" N N ERM TM Permit . REQUIRED FOR REVIEW N.A. NO YES ber Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation??? Flood Zone: Notes: STATE OF NEW YORK ) ) ss: COUNTY OF SUFFOLK ) &ACQbelng duly sworn deposes and says: That deponent i over the age of 18 years and resides at That on the day of , 2001 deponent architect/engineer, licensed by the State of New York, hereby states that s/he accepts full responsibility for the accompanying plans compliance with the New York State Fire.Prevention and Building Code (9 NYCRR); said plans pertain to property located at S CTM# 1000- 1/4 4 o Z" 2?5 , street address 2360. 6 4.,�j M Architect/En i eer w Sv vornto-beforern this ARS+ day of IXV , 2001. NOTA PUBLIC SS e�New York No.01.CR5027WS Quelifled In Suffolk Cour�y Otary Public- Commission Expires May 23, qrF OF N�� cc: Applicant �►9nI1g� � r BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;71NAL SU ONFRAMING [ [ ] FIREPLACE & CHIMNEY � REMARKS: II Q II DATE INSPECTO ^"'/� �IBLD INSPECTION-RRPORT - DATE GOMMSNTS h ATION 1ST). !�' iNDQ,TION _ (21TD) ul -- ROUGH FRAHE O t�I PLUMBING ' ' S tl-snLMON PER N. T. ^ STATE ENERGY r CODE ADDITIONAL C MMENTS S o TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUIL,DING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802Survey PERMIT NO. 7 q(;L Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 01 Contact: Approved1 200) Mail to: Disapproved a/c Phone: Building 4ft9peetm PPLICATION FOR BUILDING PERMIT o , 20 �� av`Ho � Date 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupancy is issued 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, 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 to admit authorized inspectors on premises and in building for necessary inspection �J fct,4_ CA-4� (Signature of applicant or name,if a corporation) �2 riae PL- (Mailing address of applicant) 115 N`f- 1 1 -71 6 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ()w" er Name of owner of premises ?GLAa y '0+-( &` LCL Via Y,Cc (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 236a vhatr(Qvt'e LCtK2 ✓KAT 7 i rt, �� House Number Street Hamlet County Tax Map No. 1000 Section Block 0 2 Lot 2 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 1 Fg V+i1 v f r}� S , b. Intended use and occupancy 1 Fa-u l y a;A� S-�- 3. Nature of work(check which applicable): New Building Addition ✓ Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost S 00-V Fee (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 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 1 0 Rear Depth S Height Number of Stories - Dimensions of same structure with alterations or additions: Front L(c) Rear Depth i I Height Number�bf Storms 8. Dimensions of entire new construction: Front Y c� Rear Depth r^4- Height Number of Stories 9. Size of lot: Front ° `' Rear ( Y (- Depth 10. Date of Purchase q 4 Name of Former Owner Cvv S �- 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: /V U 13. Will lot be re-graded /lTU Will excess fill be removed from premises: YES NO oS 17- P( Ke Fci�ePL- 14. Names of Owner of premises A Ka 04 is kct N Q Address 0 t f 14(1 f f S /V`( Phone No. 2 V2 - ( o k r Name of Architect Address Phone No Name of Contractor Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO %,,- 0 • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) S: CO Y OF fc Vk 0, ,S Zk A &Y c&- S being duly sworn, deposes and says that(s)he is the applicant Name of i dividual signing contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn!tob ore me this of / 2001 Notary Public Signature 6f Applicant JANICE CRESCIULLO NOTARY PUBLIC State of New York NO. ICR5027908 Oualif tlin Suffolk Cour�ty Commission Expires May 23,1002 <� ZONE X 3 _ _ _ _ — _ _ Floodway go 9� Zone D Boundar Zones, P� sT ferent C \ Special 513— Base Flo Cross Se r Base Fl( (EL 987) Within RM7 X Elevatiol •M1.5 River M —Referenced to the National Geodetic y. MAP REPT 9L E LEGION RILEY & Refer to Repository U AVE i RM 83 WZ EFFECTIVE DATE CL FLOOD INSURAI N MAY Z O EFFECTIVE DATES)OF RE 25 �3•Y � ZONE Kk X `S y ag 3: 21,99( y' xN I Refer to the FLOOD INSURANCE RATE determine when actuarial rates apply o AFF "`E' tions or depths have been established + ALF To determine if flood insurance is at y insurance agent or call the National FI( G �Q APPROX ONE X s 500 ZONE X i -- I 0E.� Q IME F1F ALSO DR ■La 5� SU 1 NF (Al s� \ 5 : 5 PAI a�P 'r� f fi 93,E (SEI F9s 9 CON a C0� sou 5� f '. Sy 9L O� ' GREAT PECONIC BAY Q `Pu Not wh abc cot COASTAL BASE FLOOD ELEVATIONS ZONE APPLY ONLY LANDWARD OF 0.0 NGVD ;AE (EL 8) 40-58' 07.5" 72°31' 52.5" .+ 0 r T. 4, % RMO • 6 x 6'CEDAR POST W POST CP EX15TING HOUSE 44AM=AR TOP*0 exTam RALs*4D PVC DAU(S FWlMftft TMA7M. Jam 76 CZWK4 POSTS MN*0 SECURE TO OEM JOISTS ' LCC -CURE POSTS TO J01. 5%W W2 G&V OMT6 T WALL OUW,-IW 146LA$^ I�Lj*• an ON 4L _ll XRT.WOOD TRIM CiAI�V*Aw Tew TYPE P.T. LATTICE WaM TO POSTS*V jW JMT �IEAVY my 17 <1 / r tel[ I'' — _ _ fl. 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