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
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Authorized Signature
Rev. 1/81
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Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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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
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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:
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FOUNDATION (1ST) O~
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STATE ENERGY CODE ..,
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
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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 ~
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, ""' "" APPLICATION FOR BUILDING PERMIT
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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
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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~
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Si ure of Applicant
EJ
Notary Public. of New ltJrfr
No. OfKR482351 "-Suffolk COUnty
Commission Ellplres cemIlIra1,2008
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-;/3'JTOWN . OF SOUTHOLD PROPERTY RECORD CARo--
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STREET "2. q 5
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FORMER OWNER
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BUilDING CONDITION
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ABOVE
Acre
Value Per
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Value
Tillable 1
Tillable 2
rillable 3
Haadland
Swampland
Brushland
Hause Plot
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lOT
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REMARKS
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Exte"lsion ! I'I<.<.;!....))..O ( Basement p /'=f AJ. '1" . Floors K.
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t : ~y iJ ype Roof ! .
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Porch 7 x:1 ~ / :;- </ ) Recreation Roan Rooms 2nd Floo FIN. B,
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OWNER
TOWN OF SOUTHOLD PROPERTY RECORD CARD
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STREET VILLAGE DIST. SUB. LOT
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FORMER OWNER
~ES, SEAS. VL. 3/1 FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
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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.
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K. Miller
Clerk Typist
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