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Home My WebLink About16746-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-I6661 Date February 19, I988 THIS CERTIFIES that the building A L T ERA T I 0 N Location of Property 7995 Main Road East Marion, N.Y. h~d~s~ 'do; ....................... 's't/e~i ....................... h~r~iei County Tax Map No. 1000 Section 3 1 ...Block 2 .Lot 29 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated February 8, 1988 16746 Z ..................... pursuant to Milch Building Permit No ...................... dated...F ......... e b r u a r y . ....... 19, 19.8 ....... 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 ......... INSTALL BAY WINDOW IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to STEVE MORA IT I S ..................... ? o¥.'o;, X .................... of the aforesaid building. Suffolk County Department of Health Approval ........ ~ ~ ~ ............................... UNDERWRITERS CERTIFICATE NO. N / A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 1~0~ NO. Il TOWN OE $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Yo BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ 16746 Z Permission is hereby granted to: / / ,. .~.....~.~.~: ................................. ..~...~.~.~....z.~.~..~ _ .~.~...,...~:~.~,.: .......... ../../..~.? _ ~ ,o ,~, premises ,ocoted o, .....'~...~...~'...~........~.~;.....~...~.~.. .................................................................. ........................................ ~.~.......~..~...,....~:./...,. ......................................................... County Tax Mop No. 1000 Section ............ ..~..../. ..... Block ........ ...~... ........ Lot No ........ .~.....~.. ....... pursuant' to application dated . .~:-./~.. ................................. ~ .......... , 19.~...~., and approved by the Building Inspector. / e~ng Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ m..--.., to the Building Inspec- tor with the fo{[owing; 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 disposal--(S-9 form or equal). 3. Approva~ of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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 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.QO, Accessory tS10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $~0.00 4.Vacant Land C.O, $ 20,00 5.Updated C.O. $ 50.00 Date ...F..eb.:,!?.'.!.9,8,8 .......... NewConst~ruction., X OM or Pre-existing Bui{ding ......... VacantLand ..... 7995 Main Road East Marion, N.Y. Location of Property ................................................................... House No. Street Ham/et Owner or Owners of Property STEVE MORAITIS County Tax Map No. 1000 Section 31 ........ 81ock 2 29 ...................... Lot .......... ,..... Subdivision ................................. Filed Map No ........... Lot No .............. 16746Z 2/8/88 Steve Moraitis 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 $ 25.00 Construction on above described building an~;/d~ all appticable~lations. ~P .............. ¢'./. ~ .d_~,~%/J/y.,~wv~ ..................... Rev. 10-10-78 Co FOUNDATION Ilst) FOUNDATION 2. (2ndl ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Approved..~..//..~ .......... 19 .~..~ermit No../' .~. 7.f/..~'../ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY OUT,OLO, N.Y. ? .7. ?... TEL.: 765-1803 CALL -- MAIL TO: Disapproved a/c ..................................... (Buildin~spector) APPLICATION FOR BUILDING PERMIT Date....2:C ..Oc7. ......... 190..~o INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 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 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. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owne~ssee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... : ....... !. .............. . ..................................... Name of owner of premises 5~ C/' .~__,.~.... ,d~.~..~)/.~.-..~. t/ ..r~. ff~.. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No .......................... Plumber's License No. ~'{-'~/'~- Electrician's License No.: .~..~. ~ ............. LICENSED Other Trade's License No. /',l L~ 9~' ~ Location of land on which proposed work will be done ................................................. :. :. . . . ?. . . re o / ............... House Number Street Hamlet County Tax Map No. I000 Section ........ .~.../ ...... 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 .......... .0..</AP.-~... ~... ~ ....................... b Intende u ...... · d se and occupancy .............................. :~...w,.4c...~...~....r~m.. .................... 3. Nature of work (check which app,licable): New Building ' Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Descrip.tion) 4. Estimated Cost ...... .~.~..q O. Fee ...................................... , " (to be paid on filing this application) 5. If dwelling, number of dwelling u.nits ............... 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 structuresi if any: Front ............... Rear .............. Depth ............... Height .............. Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear Depth ' Height Number of Stories · 8. Dimensions of entire new constru~ction Front .......... ..... Rear Depth Height ............... Number of Stories ........................................................ 9. Size of lot: Front ............ : .......... Rear ...................... Depth ...................... 10. Date of Purchase .............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: 1 3. Will lot be regraded ............................ Will ~xcess fill be removed from premises: Yes No 14. Name of Owner of premises I Address Phone No ................ Name of Architect ........... I ................ Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGP, A.M Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block nhmber or description according to deed, and show street names and indicate whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 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 .................................................................. i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyl 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 ~et forth in the application filed therewith. Sworn to before me this : .............. · ~ .......... day of ..... .~.~- · .~. · .......... 19 Notary Public ..... ~...~'....~.~-/..~..~.....#01.ARV~htE[t('l)£v°E Count.~ "-- ...~~ ~ 4 t, State o! ['~ew Y~rk .......... . · 707878, Sul~011~ C0untyo.,~:2 (Signature of applicant) ~etm Expires March 30,19~7