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HomeMy WebLinkAbout32012-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31667 Date: 07/12/06 THIS CERTIFIES that the building ADDITION Location of Property: 37295 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 85 PECONIC (STREET) (HAMLET) Block ~ Lot 13.1 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 2006 pursuant to which Building Permit No. 32012-Z dated MAY 18, 2006 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 "AS BUILT" DECK REPAIR & REPLACEMENT TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ALEXANDER DAMIANOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~ Authorized Signature Rev. 1/81 . I \ '\ Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r;:-.:---( JJNl60 ) , \ ~"'_.-.~ ,---- ,:Ji..__"'T. ',' "'-'F C,('ItJi":I,OLO j.2i~~~_:<-"" - PLICATION 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 I % 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. G . f}. , . () lJJ -.../ (check one) {n()d New Construction: Old or Pre-existing Building: Location of Property: 3/~q"'5 MJ). \ t"") House No. Strect ownerorownersofProperty:Cl\e.)<ar}de~ nO (yJ\ GnoS Suffolk County Tax Map No 1000, Section 085 Block Q('.C)d. Lot L2J3.oo \ p.ero(\ \'C Hamlet Subdivision Filed Map. Lot: Permit No. 2J9c\d 2- DateofPermit2hiLD\..O Applicant Q k"~Ord.pL 'J))m',Q()OS Health Dept. Approval: Planning Board Approval: Underwriters Approval: Final Certificate: LChe Request for: Temporary Certificate Fee Submitted: $ f:),.S, 0 0 ~ ]65515 Lo~31&G7 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. 32012 Z Date MAY 18, 2006 Permission is hereby granted to: ALEXANDER DAMIANOS 591 BICYCLE PATH- SUITE A PORT JEFFERSON STA,NY 11776 for "AS BUILT" DECK REPAIR AND REPLACEMENT AS APPLIED FOR. THIS PERMIT REPLACES BP29475. at premises located at 37295 MAIN RD PECONIC County Tax Map No. 473889 Section 085 Block 0002 Lot No. 013.001 pursuant to application dated MAY 18, 2006 and approved by the Building Inspector to expire on NOVEMBER Fee $ 300.00 ORIGINAL Rev. 5/8/02 ~?-ol;L'2- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULAT!9~ n\.. [ ] FRAMING I STRAPPING l;4 FINAL ~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: v ~ tA- J DATE S ~ 3/~ 0' INSPECTOR ~. ~ .. -. , '" .. FIELD. INSPECTION Rl!:PORT DATE COMMENTS- '. . .- . \ C\')!;g FOUNDATION (1ST) O~ ~~ ._- '\.l ------------------------------- ,- ,-7~;: FOUNDATION (2ND) ~ o-~ ,~~ --r~ -~ 2: - :u ~ a . . '" . .., ROUGH FR.AM:Il'iG & ~ r;.: PLUMBING ': t>l . .., ) . ~ CL . ~ . :~ i INSlJLATIONPERN. Y. STATE ENERGY CODE .., 5 '3/-'tJ ,., ".c. u .J( ~ ~jC~ Vtl FINAL , . . . ADDmONAL COMMENTs ~ '\ k - ~, ~ 0 :E . z. m ~ ;%J iJ . . ~ ~ -- -~ .. ~~ .., .. . 00 -12 . .", "., ~ I :i! .. I;J t>l _. ~ '-. -. -- -.. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ u~ 3 J. D I;)... <2-~ BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: PERMIT NO. ~~15:C: Expiration Examined Approved Disapproved ale 20 ~ :20~ r ,\ G (;C,-i1----~ , ""' "" APPLICATION FOR BUILDING PERMIT I . I', - 5 1(1f\1 \: . INSTRUCTIONS Date (./5 , 20~ \_.a.-J:his appHcation M:lJS;fb~ 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 ir.spection 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 work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such 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 ZoneOidinance 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 her~in 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. I Po. ~()'k 332. ~e(()F\ic., N.~, (Mailing 'address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Qwr'\e..f' Name of owner of premises -A 1e.'1.Q",,:le.r I)Cl'\'\ idnO S (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. 2.<tql~-"2- Plumbers License No. I'1IA Electricians License No. N \A Other Trade's License No.___~.J~ I. Location ofland on which prop'osed work will be done: 312'15 ~Qin ,\oa.d f>ecOnic. House NUr;ber Street County Tax Map No. 1000 Section Subdivision g~ Hamlet 1:7',3 ~)II1YflHTA)I )t1oV "S~11o :\1" Z ,:ll!~.'l '{'~"ld1 Block 2 - 13 V1ilUo&\I' 'o':"1'1,U.~ ,1 Filed Map"No. aOOll.t&1III~O 2~...jl'31101"",;..,.... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . b. Intendeduseandoccupancy replace e."'iS+i:J~orch 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work Alteration l f~p\cC.t ~"'is-ti~C~ (Descriptio 4 2()OO. 00 Fee 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specifY nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Height Number of Stories Rear Depth 9. Size oflot: Front 10. Date of Purchase ~W'll Rear Depth Name of Former Owner LClWHnCe. &h~jCl..Y"\ II. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO ../ 13. Will lot be re-graded? YES _ NO_Will excess fill be removed from premises? YES_NO_ 14. Names of Owner of premises .Mu<lnder ~~mia'}{'~dress 312 qs 1-\4." Rd f>eCOft?hone No. 134-. /, 200 Name of Architect ~e.f+r"~ 1b\.\+ler Address P.O. looq .sh()~e""", Phone No 208.8&50 Name of Contractor :rOlL CA.i \i..r.O Address P.O.I.Oq P:::rd'f Phone No. ~q, 2.011 &tCll-+io,", 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO ../' * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this prCj>perty within 300 feet of a tidal wetland? * YES_NO_ * IF YES, D.E.C. 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) COUNTY O~ )/c;)1:.. it \ e. ~Cll'\ d~ r t>c M icno S being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S )He is the Ow,,~ r (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. 20~ ~~ Si ure of Applicant EJ Notary Public. of New ltJrfr No. OfKR482351 "-Suffolk COUnty Commission Ellplres cemIlIra1,2008 v ,.r-'___ J k -10 I "--< .'. _ " "".,.,' 4 ..f " -;/3'JTOWN . OF SOUTHOLD PROPERTY RECORD CARo-- , , (}IJO - STREET "2. q 5 c., (~ f(/a d. NfJ.G. ~oYiOY~ S Ie; tJ 'KocLcL JWNER ~\ex ,. FORMER OWNER 1'(( nC!.c EJ,,/Z,42![?'"?'! G'. rfO;f'Tc:># E~/D lAND SEAS. VL. FARM IMP. TOTAL DATE ~ ~()O LY /) 0 ~oo Rl4 '1/ \ 1",00 AGE NEVv FARM 00 !C(,O /.0&'00 DOL) ~~co BUilDING CONDITION NORMAL BELOW ABOVE Acre Value Per Acre Value Tillable 1 Tillable 2 rillable 3 Haadland Swampland Brushland Hause Plot \ DO 0-0 - Total o 2:> DOCK VilLAGE 7 -<!..C.On j c.. E? G. ~o;tov\ W. siD '(Ln DIST. SUB. lOT 5 AC . :0J-. I~..M;" TYPE OF BUilDING ) ',P . }\ l~ v to l ~~l-' . COMM. CB. MISe. Mkt. Value REMARKS L. 7g'j3 r. ~'i''' . . ( ~ (,10 )'V I :h on +n l)nvll iol\os rY .f~ Ii 1'/.; ;!)ftRrd l' (>?tr'.".r.(, . . ~ \(&~\\J ~\~JS1 \ I ~\&~ \~ ) FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD - .l,/t5~ j?'''). "iJ- .4- V'J yo- i _~7f-~T. -.<, . . .. o. ...._ 0":.' '_~' '_." ;_. '.,. -. . _" 14 ------------ - -------- --- - -- --~ - ------------~ .----- - ~ - ,,~ . ". 0- I. ,. , " .-./.. COLOR I.... I" "-, . jC . . / :tJ?Owt{ . Ii i" ~ f) TRIM \ ~ -', '.<Jf-1/-rL( "-, ".I :I- , " ~-r.v /2 '\) . .., " ./;, Il> .- I? 1/ /E- ~. 1 ~ .. i -, ; ;I ~ , ~I"-f-.J .- '" - M. Bldg. I :2 .,"Ty. ~ M "'\ Foundation 73e'Ck Both I Dinette ..J.-'lxc-27 co ..e i. Exte"lsion ! I'I<.<.;!....))..O ( Basement p /'=f AJ. '1" . Floors K. "..."'-... I~Jj <c Extension ~ 'II( .3 '-I 0 5' It- 17&9 Xf I/$" .....Ext. Walls ~erior Finish 1"7~~ r ,~-r-'..::_ ,'~ .eo LR. 500 !./'/(JoD S/J.,,'vr~ UJl9t<C 3D / Extension '" ,t f'i ~ j I :t Fire Place y';( Heat S 7~;l::J/fr7 DR. jJ , t : ~y iJ ype Roof ! . ;<../ Jl3'2; "'J,i~ 3,~tJ /3 '1'-1 Rooms 1 st Floor BR. Porch 7 x:1 ~ / :;- </ ) Recreation Roan Rooms 2nd Floo FIN. B, " /'1 t J .3!)O . Porch 7"'2.8 S7> ; 'j s:- 1.9ormer c Breezeway . Driveway Garage JJ; k'3 if . ,jI,,t;)C / 0 0 t gO I" . . Patio O. B. Total ./ . . i 1/0,,",',/ b;= /, '?to' , <1m IJI", 1 --,'- /7 ,,' .yO' , , t/ 'In j ,; ,~ - ---_.p,-..--.- .---- ......,- ~....,,--..--- 'oot) - OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD 11-/ () IANtfe"vce STREET VILLAGE DIST. SUB. LOT 11111/1 RJ , :s-- e C a,v, C. N ;? /!()Rr!;"y E 1. .s7;i,i W' ACR. # 1t,/6 S W TYPE OF BUILDING AI/( Irti L, J'1i 'A-tl FORMER OWNER ~ES, SEAS. VL. 3/1 FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS k'l1o, A,/Jo , . . iIIabie FRONTAGE ON WATER . (oodland FRONT AGE ON ROAD leadowland DEPTH ouse Plot . BULKHEAD )tol r'^ . , ',.4.. ,;;....' ;.....' -".,.."' ,. -M.-Bldg.-... ExtensIon Extension Extension Porch Porch Breezewoy Garoge 'Patio 0; B. T-otol COLOR TRIM - r--- - . , .- L .. f-. ~ I- L .. .- - - . I . Foundotion Both Dinette Basement . Floors K. Ext. Walls Interior Finish LR. Fire Ploce Heat DR. Type Roof Rooms 1 st Floor SR. Recreation Room Rooms 2nd Floor FIN. B Dormer Driveway Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD MAY 2nd ,2006 Alexander Damianos 591 Bicycle Path Suite A Port Jefferson Station NY 11776 '3;:2Ql;) RE: 37295 Main Road S.C.T.M. # 085 0002 013.001 Dear Mr. Damianos, Please be advised that your Building Permit # 29475 issued June 9th 2003 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of$300.00 At that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. vI<~ f < K. Miller Clerk Typist I ~ I t>- O 'll .... I j -._-~----~--- ., I " f I '\ PM N) ,-,,-, " P. ._ - .~...-.~ N\~~"'ZO'OO"H~ -~r:J"j':'" -;.;....~--,' ./ " ~ It '" -0; II) \II 1'1 Ney, ~'" 1'.114 . 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