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Home My WebLink About16744-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.1.6.6..5.5 ......... Date . .~ .e.b.r.u.a..r y..1.8.?..1.9.8..8 .......... THIS CERTIFIES that tl~e building ..... ~. 1..t .e.r.a.t..i .o.n. ............................... Location of Property 1830 Willow Drive East Marion House No. Street Hamlet County Tax Map No. 1000 Section . .2.2. ........ Blofk ...5 ............ Lot .... 2. ! ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated F e b. 1 1, I 9 8 8 pursuant to which Building Permit No. 1 6 7 4 4 z dated . . .F..e .b.... ! .7 .,.. 1. 9. .8.8 ........... 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 ......... The certificate is issued to JOHN VARKARI S fowner, ~e~FeYo~ ~ of the aforesaid building. Suffolk County Department of Health Approval ......... .N./.A. ............................. UNDERWRITERS CERTIFICATE NO.. N / A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 ~ NO. ~1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne16744 z Permission is hereby gran}ed to: ' '~o,""2;; ...... ~2'"' 7""-"-~'5:> ~"'"'""-'"';"4',4"' ............... ,.~ ............ :. .......................... ~ .......... ...~....~~....~./.~.~.. ...... ....... · ~.~.~ .... ~...~.... ......................................... :.. :2~X2';2~:':'"':":iii ...... :'i:~': ...... :'D~.':'":':::":::: ................................ County Tax Map No. 1000 Section ~ '~' Block '-~'-" Lot No .......... ..:~..../. ........ pursuant to application dated ..... .~..>~.. .................................... , 19.~....~., and approved by the Building Inspector, / B~ing Inspector Rev. 6~30~80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building In~ec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposa[--(S-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- tlons, 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 bui{dings (prior to April 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.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 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ....... 2./.~.8./.8.8. ........... NewConstz~uc tion..X.~... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ..... i830 Willow Drive East Marion House No. Street Hamlet Owner or Owners of Pr rty .... JOHN VARKARI S ope ............. : .......................................... County Tax Map No. 1000 Section . , 22 Block 5 2 ............................ Lot ........ . ..... .. Subdivision ................................. Filed Map No ........... Lot No 16744Z Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and~.~~s all applicable codes/land regulations. App icant ............ ~ . . ~- ...... ,,~ ~ ................... BLDG. DEFt, TOWN OF SOUTHOLD 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL.: 765-1803 Disapproved a/c ..................................... t Build'ing In~{,6 c t,6r) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLANS SURVEY .......... CHECK .......... SEPTIC FORM NOTIFY CALL MAIL TO: Date ................... 19... INSTRUCTIONS a. Tiffs 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 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, 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 inspections. (Signatnre of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant i§ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... .... !. .................................................. Name of owner of premises .......................................................................... (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CO'blTRA. CTOR'S HUST Blg SUFFOLK COU!~ITY LICI~I~ISEB Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .............. /. z..3 e. ........... ........... ........ House Number Street Hamlet County Tax Map No. 1000 Section c~ & Block ~-- Lot .~. [ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .............. O....rye-. .................. '~' ..... b. Intended use and occupancy ................... . .......... 3. Nature of work (check which applicable): New Building ' Addition .......... Alteration ........ Repair .............. Remoyal.. .............. Demolition .............. ~_.[ ~V~(~)~ ~ jr.i;ii~i . . 4. Estimated Cost .... .d. Q ............................. 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 ex~st~ng structures, if any: Front ............... Rear Depth Height ............... Number of Stories ........................................................ Dimensionsof same structure wi~h alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories Dimensions of entire new constrtiction: Front .......... ~ ..... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ........... 10. Date of Purchase ........... ~ ................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... ' ' l~t ' gl 12. Does proposed construction VlO e any zomn aw, ordinance or regulation: ................................ 13. Will lot be regraded ......... i .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ... ~ ...... Address . Phone No. Name of Architect .......... 4 ................ Address ................... Phone No ................ Name of Contractor ......... i ................ Address .... : .............. Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If. yes, Southold Town TruStees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-baak dimensions from umber or description according to deed, and show street names and indicate whether property lines. Give street and block interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. .............................. ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ...................... ~ ................................................. i (Contractor, agent, corporate officer, etc.) of said ownei"or owners, and is dulyI 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 to before me this /.]. day ' .'J.~ .~... 19 Notary Public ....... ' .... County NOTARY PUBLIC, ~ (d 14ew York No, 4707878, Suffolk Ceunty~/,~ Term [xp ~es March 30.19 .../ (Signature of applicant)