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Home My WebLink About16788-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16709 Date March 15, 1988 THIS CERTIFIES that the building CONSTRUCT DECK ADDITION Location of Property 1830 Willow Drive East Marion, New York House No. Stree~ Hamlet County Tax Map No. 1000 Section 022 .Block .. 0.5. ........... Lot 2 ] Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated February 29, 1988 pursuant to which Building Permit No. 16788 Z dated..........March 10, .... 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 AS APPLIED FOR The certificate is issued to JOHN VARKARI S (owner, YgeY.,ffO':z~7.~h~X X of the aforesaid building. Suffolk County Department of Health Approval ...... N / A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 ~vOB,~ NO. ~ 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) Permission is hereby granted to: .~...o..~ ................ .~..~?~:..~.~....~... ....~.......~..~...~....~:..~.....~/...t.~.. ~o ..... ..~ ........ ' ...~:.......~ ....... ~ ...... ~.. -.~..~-~..~,o~..~.~..~.....~,~....~ ................................................ . ................. at premises--._~ .uv.._~,located at ....t.~....~........~.~....~...~.,. ....... -...~....e~e.-~......~~ ........... County Tax Map No. I000 Section ...... ..~....~'.....~.. .... Block ........ .~..~,','~ ...... Lot No....~..)~ '~' ............... pursuant to application dated ...~..~~ ...... ~,.~. ........... , 19.~..~.., and approved by the Building Inspector. Fee $..~. ................ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Halt Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions This application must be filled in typewriter OR ink, and submitted ~ ~=am.maa to the Building In~ec- tot 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 disposal-(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- 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses'. 1. Accurate survey of p~operty 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. Fees: Additions $25.00 POOLS $25.00 1. CeFdficate 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 $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.upa d c.o. 50.0o ate ............... NewConstt'uction ...... Old or Pre-existing Building ............ Vacant Land ........... Location of Property I830 Willow Dr. East Marion, N.Y. House No. Street Nam~et JOHN VARKARIS Owner or Owners of Property .......................................................... County Tax Map No. 1000 Section 022 Block .0,5 Lot 2 ! Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1.6.7.8.8..Z.... Date of Permit 3/10/88 .Applicant Steve Moraitis 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 and permit meets all applicable codes and regulations. Applicant STEVE MORAITIS Rev, 10-10-78 .3 q Co% FIELD~i~;ST~C?iON.,· ~ tlDATE ii COff~1£NT~ -~ FOUNDATION ~lst) FOUNDATION (2nd) ROUGH FRAME & ,FLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH pLBG. [ j FOUNDATION ZND [~ULATION [ ] FRAMING REMARKS: DATE BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIPY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................. MAIL TO: Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19... 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 c~mmenced 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 in building for necessary inspections. (Signature of applicant, or name, if a corporation) .... (., ......... (Mailing address of applicant) State whether Name of owner of premi: engineer, general contractor, electrician, plumber or builder. ............................. · A~ovm. ~s ~o.,.m... ~.~..,¢/% .G' ................. ,.,,.~:..~ ~ o~3_.,,,...~. ! ~ ~ ~ If applicant is a corporation, ~o f cLlY authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S HUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... (as on the tax roi1 or latest deed) ~__ Plumber's License No ............... Electrician's License No Other Trade's License Location of land on which proposed work will be done House Number Street Hamlet County Tax Map No. 1000 Section .... ~...~ ........... Block .... ,~ ............ Lot...q~.l. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing nse and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ........... . .~m~...~.,~.. ?..x~.~<-~. ~ 3. Nature of work (check which applicable): New Building .......... Addition ......... Alteration .......... Repa/r .............. Removal .............. Demolition .............. Other Work ............... (Description) 4 Estimated Cost ~ Fee ' (to beipaid 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 ............... Rear ...... ! ....... Depth ............... Height Number of Stories Dimensions'of same structure with alterations or additions: Front ........... i ..... Rear .................. Depth ...................... Height ...................... Number o~ Stories ...................... --8. Dimensions of entire new construction: Front .......... . ..... Rear ..... i Depth Height ............... Nmnbar of Stories ........................... ~ ............................ 9. Size of lot: Front ...................... Rear ...................... iDepth ...................... 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: .... ~ ............................ 13. Will lot be regraded ............................ Will excess fill be removeld from premises: Yes No 14. Name of Owner of premises .................... Address ............... i ....Phone No ................ Name of Architect ........................... Address .......... ! Phone No ......... Name of Contractor Address .... : · ·. ~ Phone No. 15. Is this property located within 300 feet of a tidal wetland? *Y~s ..... No ..... · If yes, Southold Town Trustees Permit maybe required, l PLO'r DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and sho v street names and indicate whether interior or corner lot. sr r O N W O r, s.s ......................... ........... being duly swo , deposes and says mat he is the applicant (Name of individual signing contract) above named. ', He is the ............................................................. I ............................ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfomed the s~id work and to m~e and file t~s application; that all statements contained ~ this application are true to the best of hid knowledge and belief; and that the work w~l be performed in the m~ner set for~ ~ the application filed therewith. Sworn to before me this $ota. Public, .~.~.. ~.~ ..... County ~'N~. 4~8~8, H[L[N ~IC, K Suffolk ~ 0E ~ 01 ~ ~w V~ : (S]~ature of apphcant)