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HomeMy WebLinkAbout30198-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30683 Date: 01/13/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 400 WILLOW DR EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 22 Block 5 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 23, 2004 pursuant to which Building Permit No. 30198-Z dated MARCH 26, 2004 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to THEMISOKLIS VOUMVOURAKIS & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 4056 05/13/04 PLUMBERS CERTIFICATION DATED N/A /1�10 zed Yignature 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. 30198 Z Date MARCH 26, 2004 Permission is hereby granted to: THEMISOKLIS VOUMVOURAKIS 8408 7TH AVE BROOKLYN,NY 11228 for INSTALLATION OF AN INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 400 WILLOW DR EAST MARION County Tax Map No. 473889 Section 022 Block 0005 Lot No. 031 pursuant to application dated MARCH 23 , 2004 and approved by the Building Inspector to expire on SEPTEMBER 26, 2005 . Fee $ 150 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 i� Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT JM TOWN HALL 765-1802 - 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%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 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial$15.00 Date. /211b) ' New Construction: X Old or Pre-existing Building: (check one) Location of Property: 4W willow-Dr-1k House No. Street Hamlet Owner or Owners of Property: fbCM 1!5+0Vb,5 4Wmypurakf s Suffolk County Tax Map No 1000, Section o2Q Block Jam— Lot 3/ Subdivision Filed Map. Lot: Permit No. 3O I 8' "2 Date of Permit. Z Applicant:&rnV©t/oeA1C j'S Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: X (check one) CO- Fee Submitted: $ �� 5l Applicant Signature Nassau Suffolk Electrical Inspections, Inc. SA Canal-Street. Center Moriches,New York 11,934 •Tel.631-878-3500 Fax; 631-878-3764 Application: 4056 Date: 5/13/04 Issuedto: 'Voumvourakis Address:. 400 Willow dr Village:ElVlazion Introduced By:B&R Mechanical Lic#: 2761-E wwexamined and approved up to the above date and was in compliance with,the NEC - �hG 1st Roor Fb§derthal 0 F'ooF� Det Geroge 2ndfloor Cambial HOt T� Eifion ' • S�rttcF�es Fixtures Rece go as G.F.I. R�ng'e Flood` 11 qfpoot f 2 2 1 :. � riven - Garf�an• � , Fates tTishrweasass heF W herlAm Dryer/Am g,• ," ,� pRangeiAmps; autotrgxide. `- Smoke Bell " Furnace oil Gas HeatZcnes- Detectors Transformers ` _- Meter Amps Phase Motors x a v ' r rt Er#uipment inground Pool 4 ui;,Re§ x This Gere � ��alterod s i., A �* ..�:; y , _•� ;e � ,� a �� �, � ,� ,r,�.'f;.'..;„�, � x.^,rr^,a :'xa�ie'$°t1 � .. ° � "s4k:'m' o`k," „;�«r '"° `''•"" 0) 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG LBG. [ ] FOUNDATION 2ND [ ] I ULATION� [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: &4441-7, Q n i DATE INSPECTOR '�^'� FIELD INSPECTION REPORT DATE COMMENTS t? FOUNDATION(1ST) _ Z � y ------------------------------------ C FOUNDATION(2ND) � z 0 d H ROUGH FRAMING& PLUMBING "3 tri? INSULATION PER N.Y. y STATE ENERGY CODE FINAL L ADDITIONAL COMMENTS d 0 -0 z m C� v -1 0 H °z x r x v b y BUILDING DEPARTMENT Do you have or need the following,b'efpre applying' TOWN HALL Board of Health SOUTHOLD, NY 11971 3 sets of Building Plans TEL:. (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Examined 3J_-1 -L 20 0Contact:Trustees Approved 20 o`I' Mail to: 11k& kkvle. Disapproved a/c Phone: 7 44 81043 1 Expiration-(o 20 O r Building Inspector MAR 2 APPLICATION FOR BUILDING PERMIT Date� q 20 �. W....... _._ 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the woikcauthorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from":uch date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, ode, an gulat' s, to a authoriz�edd ec and in building for necessary inspections. MEET THE REOUIREMENTS OF THE � COPES,10F NEW YORK STATE. (Sign e o plicant or name,if a corporation) CERTIFICATION OF "IMM E D IAMW I.6/c4aw d���,d2kv.,©� ENCLCS=. ° )0: -0 CODE (Mailing address of applicant) MA ING S CONNECTIONS UPON :,0VPLET1ON State whether apAEQjWjMer, lessee, agent, archit@&Fen jOnW# eral contractor, electrician, plumber or builder � ITERSCER'TIF�At� <116 A J V bu&AK--i,5 REQUIRED Name of owner of premises tOl L4-o A) MgAMOVEDASWU (As on the tax roll or latesD B.P.0-3s�' If applicant is a corporation, signature of duly authorized officer FEE: BY: NOTIFY 'BULDING DEPARneff- AT (Name and title of corporate + 70&ISM SAM TO 4 PM FOR THE USE IS UNLAWFUL FOLLOWING INSPECT' Builders License No. /� t. FOUNDATION • �REGUIRED Plumbers License No. TH ATE FOR POURED CONCRETE Electricians License No. 1= 2. ROUGH - FRAMING t PLUMBM Other Trade's License No. Vr '1�11QGT- 3. INSULATION 1 4. FIN& CONSTRUCTION MUST 1. Location of land on which proposed work will be done: BE COMPLETE FOR C.O. ALL CON UCTION SHALL MEET THE ©ca I l LOLL -DQ ' S OFTNECODESOPNEW House Number Street HAW STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. County Tax Map No. 1000 Section o2X Block Lot 3 J Subdivision 4k&Ny�o10-` C-_�_.E 0 Filed Map No. Lot (Name) 6Ee""I`'`,�2 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy \011J(SLE VAN 104 12W E LU 0 t - b. Intended use and occupancy Nature of work(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work lA ��QC tt&)D B601- AQX 4 (Description) Estimated Cost _/6 BBD Fee (To be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories Dimensions of entire new construction: Front ,Rear Depth Height Number of Stories Size of lot: Front Rear Depth 0. Date of Purchase Name of Former Owner 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 3. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO T►}G^)6OKL.)5 qov V3kLL&0 DP_ 4. Names of Owner of premises tuquMy awe Address Phone No.!j1 333 Name of Architect Ll-E uy�J �scZ —AddressK& y E Phone No Name of Contractor gmjby T &pEc Address ` ;,mayI r Y ,qnqNo.,Lpa - a F R4rtr+. .. ,a_} . 7. 5 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? * S,. N6 -r�, . * IF YES, SOUTHOLD TOWN TRUSTEES &.D.E.C. PERMITS MAY BE REQUIRED: b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQtARED. ' 6. Provide survey, to scale, with accurate foundation plan and distances to prop ert n 8'.:­','lI ' s4^ Y'I'+UiAt/° EAU7. If elevation at any point on p is at 10 feet or below,must provide topographical data on survey. TATE OF . �. .S M A %j!1 being duly sworn, deposes and says that(s)he is the applicant (N s >#. i�n"F� gove named, E sh5tttr� . c� rl iii } aA� y C , a r ;jF �)He is thele, c� .t. ,2t " ' �r Mr, Agent, rate"�ffirx~et+ .j 1 � n: t F!» fit .1 C : 1 ¢, 1 t i . �,. „ tit�t�tl�3 iJ .ts , f said owner or owners, and is A*xgtbohz, d to perform or hayo���c�Me )&and � and to make and file this application; ,at all staten�Cp r 90IR; aPAtAidn are true to the best of his owge belief; and that the work will be :rformed in the ma r e fw 10,, 6 4lication filed therewith. worn d� t Notary Public t Signature of Applicant NOREEN L MAGER NOTARY PUBLIC,STATE OF NEW TDR[ OUALIFIFD IN SUFFOLK COUNTY REG.NO.01HA4 COAN`gSSION EXPIRES z � LLJ � � z z 2"to 4"5Aw POMOM Z 49' G � C4 N O 42' SEMON Q ® z V lc— y 0 IL 10 E WAM LINA y ULM FOAM MfVtFN \ MP AN19 CONCWt g // �or;M-nFs \/ 3500 P51 POLM?CONmTE VINYL LIM 2" TO 411 5ANf7 7 a Mn%A[ALL. SECTION QED CONC.s7Eps NOTES 0 I. 5T,l. M 15 DESIGNED FOR 1,15E BELOW CVVE AND ONLY IN AP•EA5*M TIS GROUM7 t0 FUER FROM FUER WATER TADLE 15 A MINIMUM OF 4`6"BELOW TIS PWP05ED FIM51ED GPADE. FWM SUMER FILTER*v PUMP 2,DACKFI,L WITH CLEAN EA!?M,IM OF POof5 AND DE6RI5. DO NOf ALLOW TIS 1•EIGHf OF SECTION o 13ACKFLL T EXCEED THE f�IG7•tf OF TIS WAMI?IN THE POOL PY MOe MAN 8",OP M; WATEK fO EXCEED PACKPLI,EW MOPE THAN 8 t0 v AS c t0 RETl�NS 3,WALK5 t0 PE 5MOOM,NON SKID TYPE.`•LOPED AWAY PWM POOL 5-22-03 PLUMBRNG SCHEMATIC 4.WATER DI5'o5AL MALL of LIMITED-f0 OWNERS PRomm To SIAf LOCAL wGILATm m S.C.T.M. NO, DISTRICT, 1000 SECilON! 22 hoc A a LOT(S):$1 YRLL a VACANT 1 D WELLI!`,G ��. EL +e.$ LAND W20 MY OSMCAlp �n CORNER 'Ile Lr r ;,, v >1 Ll 9 1� ' IM IATELY" ' . Fool- ENCLOSE PMOL TO CODE , DWELLING UPON COMPLETION BEFORE TER - - LOT 29 WELLa LOOCA11ON VACANT CM• i0.3� rx.9 EL 45.0 t V,z WL 72* Et, 45.6 b$ b6L 45.1 � uf�Nt 5 3711 +s.0 a' CPO 41.0 N,3'N 6 41 10 RAO' dki 07 TC W160 C3ShC. c:u Rtx � CL 50.27 WILLOW 20 A9PA�t6 T P KVEiAENS tC �i� DV't�LLINO RVASSE otiNlfnRY LOCATION I)9Yf-L41NFOUNDATION LOCATION til-20-01 UNDER CONSTRUCTION THE w4T,ER 51A° y. WALLS AND GESSPOOL LOCAhgK$ "MY ARE PWON hELD 069PVA>YQNS AND OR DATA CBTAWEQ FROM CTHCR5' AREA; 4-2 326,70 S .ft. or 0.97 Ames &fVA PON ,Qui 7L4t• -...,A!ssumsd ■P1TM1r� 4WAV NOR1Zft7 ALTERAITON OR AM TION M rNIS, $UR19r 19 A PIOLAVcw dF 5�f1cw 7mv 0, THE NEW YORA' RTA 79 @0I1CAPL-W LAW. COPICS OF THIS SURItr MAP NOr ETEARWC THE LAND SURIIEYOR'C CAM0S.�'80 SrAL rSoML Har SC Ca ODERFO TO fE A VALM TRUE CORY GUARANTE49 UOCA= HEepEON SHALL 1l LIN ONLY TO Tri!$ ArMSON PVR L NDU THE S+JRyp:Y !S• AREIdARtO AAtQ ON HIS 9CHAL P rO ?Ht 10V CCIWANY, 60Vf#NMFNrAL AOrNCY ANb LEN&&,, INS77TU77ON LIST€P HEREMN. AND rQ W ASSIOWES Or I}IE L&D(NC MATU17001 !♦UARAN7$E9 ARC NOT 7RAN8rERA8L1:, . THE OFF4CTS OR 91MO VION.5 SHORN HSREM FNAW Mg FROPfiRTY UNCS FQ f1,rE` STRUCTURK4 AJT POP A SPEOFIC FURPOSE AND VEE TNFRLJ WE ?I1Y ARE Nor irVriNvED TO AOCWL iVT T►ff Ar%f0PtRrY UNITS OR TQ d0iff TPtf 0MI00 OF PENCVS, A0170" STRUC700 OR ANO OTHER / mQWMFkTS, EA5EMENrs ANDIG* MNSURF'ACf, SMUffURtS RCCOi2OEU OR UNRECORM ARE NOT QVARANTErtO t kss FHYSIGALky EWDE'NT ON THE P9RfAdISES At rHE RUE' 0P' AWJ CY SURVEY OF 40T 34 OERTFED T0- CEORCE VOLIMV0VRAKI!5; MAP OF, HIGHPOINI AT CAST MARION SECTION TWO FILED: JULY 13, 1084 No. M5 --- SITUAIED Ar. EAST MAR{ON 17OWN OF, SOUTHOLO SUFFOLK COUNT', NEW FORK Lend Surv�yluj: and Design F-01 Bax a, katutiack, Nvw York, i L9Sa FILE a2T48 S049: 1"=30' UAl�: APRIL 9. 2002 --- P1101% (630 SVO-108 )FTX (til) Sae.-Lbee K t, t u¢ kq WE;? imstntatatoff lit■ rtcard■ of Rab*PL i. !TUMMY