HomeMy WebLinkAbout31961-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31844
Date: 09/25/06
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 4650 HORTON
(HOUSE NO.)
County Tax Map No. 473889 Section 54
LA.
(STREET)
Block 1--
SOUTHOLD
(HAMLET)
Lot 21.2
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
MAY 1, 2006 pursuant to which
Building pennit No. 31961-Z
dated
MAY 3, 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 ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to ELISEOS C VERVENIOTIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
N/A
PLUMBERS CERTIFICATION DATED
~ze~
Rev. 1/81
i
l--.li~____~_ c ^J: I) APrLICA TION FOR CERTIFICATE OF OCCUPANCY
This application must be fiiT;;;nn' by typewriter or ink and submitted to the Building Department with the following:
8
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
765- j/J1
s 3/ - J l(O /
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 2/1 0 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 $15.00
Date. --=W<2 { 0<0
New Construction: \f r;. s
Location of Property: 4.11' 5" u
House No.
Old or Pre-existing Building:
\-1.0 (2-t-<- ~
Street
(check one)
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$::"..;,,,,,, I ()
Hamlet
Suffolk County Tax Map No 1000, Section
S.L('5~os
L.-j13'R~1
\ ) e. R. V(" ,J I ('-,\ (. S
Block ODO 3 Lot 02-1, (p 'Z-
Owner or Owners of Property:
Subdivision
Filed Map.
Date of Permit. rJAiA-( '3 Db Applicant:
Underwriters Approval:
Lot:
Permit No. 3 \ 4 (p \
Health Dept. Approval:
Planning Board Approval:
Request for:
Temporary Certificate
Final Certificate:
(check one)
Fee Submitted: $
G2~
Applicant Signature
ex.. J.<.. . ) I 002 7.
CO~ '2;1%'1Y
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.
31961 Z
Date MAY
3, 2006
permission is hereby granted to:
ELISEOS C VERVENIOTIS
4960 HORTON LA
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS
APPLIED FOR
at premises located at
4650 HORTON LA
SOUTHOLD
County Tax Map No. 473889 Section 054
Block 0003
Lot No. 021.002
pursuant to application dated MAY
1, 2006 and approved by the
Fee $
270.60
re
Building Inspector to expire on NOVEMBER
ORIGINAL
Rev. 5/8/02
CONSPECT ENGINEERING
P.O. BOX 162
PEARL RIVER. NEW YORK 10965
845-300-0707
September 6, 2006
Southold Town Building Department
PO Box 1179
Southold,NY 11971
Re: Verveniotis Garage
Dear Sirs,IMadame
I inspected the concrete and strapping at the above location and it meets aU
Southold Town Building codes as per plans.
Your kind attention to this matter will be greatly appreciated.
3/~'l 7-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [,.J1: FINAL ~/ ~
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: N~ ~ ~
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FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST) ...o~
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INSULATION PER N. Y. i'<l
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STATE ENERGY CODE
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: 765-1802
PERMIT NO. ?/tJ6/Z;
BUILDING PERMIT APPLICA nON CHECKLIST
Do you have or need the following, before applying?
Board of Health .r
3 sets of~ing Plans ..,/'
Survey
Check~ 'i 1 J. J
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
L
,20_
, 20----/0
Examined
Approved
Disapproved alc
Mail to:
Phone: 7bS -11/ ~
BUl .
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~ \ APPLICATION FOR BUILDING PERMIT
~''l Date
~.,_.;,--~J
INSTRUCTIONS
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,
,20d6
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 oflot 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 jeept 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 a Certificate of Occupancy
is issued 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 South old, 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.
i e of aEPlicant or name, if a corporation)
p.o. oX 56
_p e<!on J (!,) Ny I/Q.5 <t
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
{!DnJr()d~_t-6R
Name of owner of premises E. L J S e 6 S ".} e r \J e.~ ,oT; 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.
Plumbers License No.
Electricians License No.
Other Trade's License No:::If 75 Lf /
I. ~~c,tion of land on w~roposed work will be done:S I Ld
m5l"1 HDr7~n'6 iAJ> t?, e>LL+n 0 ,
House Number Street ' Hamlet/
r""""'8~.~ '
NY
County Td~~~p}{(),. \900
SubdiVISion :....;. 1':[. ~':.'~';\-"'" ,-
(Name)
Section
/t- ~l
Block ~ 3
Filed Map No.
Lot
Lot
~ tN. 'L-
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy
b. Intended use and occupancy
r:;'A-~A6<-
/' ~ Addition
Other Work
Alteration
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
3? ,ne;O
I
...-
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
~
-z......
(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 30-
Height I{,...- IV r Number of Stories
Rear 3c;..
Depth
.::3L
Dimensions of same structure with alterations or additions: Front
Rear
Depth
Height
Number of Stories
8. Dimensions of entire new construction: Front '3'-
Height \ L- - t c... ~ Number of Stories
.
Rear
;,y
Depth
>~
9. Size oflot: Front
Rear
Depth
ro. Date of Purchase
Name of Former Owner
I I. Zone or use district in which premises are situated
,
12. Does proposed construction violate any zoning law, ordinance or regulation:
;1/D
13. Will lot be re-graded-A!()
Will excess fill be removed from premises: YES NO
14. Names of Owner of premises
Name of Architect
Name of Contractor
Address
Address
Address
Phone No.
Phone No
70.
15. Is this property within 100 feet of a tidal wetland? *YES NO
. IF YES, SOUTHOLD TOWN TRUSTEES 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)
SS:
being duly sworn, deposes and says that (s)he is the applicant
I signing contract) above named,
Co ".rt- PY\- 6-( ()"t
(Contractor, Agent, Corporate Officer, etc.)
(S)He is the
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:
Sworn to before me this{) ._
f rL day of ~(!<..u.d..L 20~
~<~_M~ ~
Notary blic
~~
19nature 0 pp lcant
LINDA J COOPER
OTARYPUBlIC SlaIeotNew\I
;10.01004822563, Suffolkeou:.
, .rm Explles December 31, ~
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~A!IoN8 ...............su TO All .ursuMD DATUM
ANY ALT[RA TlON OR ADDlfIC"i TO THIS SURVEY IS A VIOLA TlON
OF SEe T/()N 720Q OF TH( NF N 'fORK 5 T A Tf EDII( A r'0N (A W
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448.32
SURVEY OF PROPERTY
FOR ELISEOS VERVENIOTIS
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
t 000-64-D8-~ t.~
SCAU: t. -60'
JtA1tCII 10. ,_
APRIL 30, 1999 ( prQP. hse. )
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NOTE'
PROPOSED II BEDROOMS ~ 3
SEPTIC TANK ~ 1000 GALLONS
LEACHING POOL. 12' DE:EP, S'PIAMETER
300 sq. fl, SIDEWALL AREA ( MIN. )
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CERTIFIED TO'
EL/SEOS VERVENlOTlS
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I am famlDar with the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAM/L Y RESIDENCES
and will abIde by the eandl//ons set forth /hereln and on ti
perm/! /0 eons/rue/.
The loeallons of wells and cesspools
sho wn hereOn are from field observations
and or from dala obfaif/8d from olhers.
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ELEVATIONS REFERENCED TO
LOT _IIERS llEFER TO _011 SUIlDM!llON ON . _monument
WN' C1F PROPERTY SUft\/E'ltD rOIl ~R1STOS ..
CHRIS'ltNA \/ERVENlDllS. JAMES" paTA PlE""'l1S. AREA - 3 0250 ae
JOHN . MMY ytANOURAtClS. nLED IN tHE SUffOlK -.
C(JlJNTY ClERIC'S OffICE ON 8/18/92 AS FlLE NO. 9232.
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SURVEY OF PROPERTY
FOR ELISEOS VERVENIOTIS
AT SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
'000-&4-03-".'
SCAU: ,. -ISO'
IIUICII 10. "..
APRIL 30, 1999 ( prop. hse. I
FEB. 3,2000 (s(k hse I
MA Y 17, 2000 (cone. founda/lon I
OCT. 7, 2003 ( /lnall
JUNE 3o,2.0ce:; (GA'. ~INA-L)
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NOTE'
PROPOSED # BEDROOMS = 3
SEPTIC TANK = 1000 GALLONS
LEACHING POOL. 12' DEEP, 8'{)IAMETER
300 sq. f/. SIDEWALL AREA ( MIN. I
CERTIFIED TO'
ELlSEOS VERVENlOTlS
,
TI8T HOUl DATA
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I am familiar wilh Ihe STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIDENCES
and wIll abide by /he' condillons sel forlh /hereln and on ItTIl
perm/! 10 cons/ruel. .
P,'U 811O\f11NnN[ TO
COAA'5(S,lNO 5'\fI
8ftO'/I'N S1~TY lO~l.l Ol.
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The loca/lons of wells and cesspools
sho wn hereon are from field observolions
and or from do/a obfalned from o/hers.
ANY Al TERA nON OR ADDI:ION TO THIS SURVEY IS A VIOLA TION
OF SECTION 7209 OF THE NEW YORK STATE EDUCATION lAW
EXCEPT AS PER SECTION 7209-SUBDIVISION 2. All CERTIFICATIONS
HEREON ARE VALID FOR 7',IS MAP AND COPIES THEREOF ONl Y IF
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APPEAF'S HEREON
AN ASSUMED DATUM
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Top <hard 2.4 SPF il/12
Bot <hard 2.4 SPF lil2
webs ZX4 SPF tud :C8 ZX4 SPF ~1!fl:
Gtc.le end supportl Oil mIX fit! o".r-hang.
Platu. s1zed for I mlntnl:illl of 2.4.D lq.1'1l./p1ece.
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psf.
See OW&S A1203QECl10J I GBlLETIN0105 for more rtq~\remeftt'.
Daflect1aft meets L/240 I1ve and l/l80 total load.
TrU!5 d!S19De~ tor unbalat'ed snow lOld uS1ng 0.00 wlnd~lrd fa~tor 6~d
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Note; Ali PlatEs Ar2 214 E~capt As
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35.0 PSF
7.0 PSF
10.0 PSF
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51.0 PSF
1.15
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WlISS III c..,_a Villi 11'1, CII. '_OUI_. ,_um. JIIlJ111l1"C. M...,UIIII UKI'IG af t'luIH3.
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Scale .....2" ft.
RZ 19-- 34160
07/06/06
REF
DATE
DRW MOU'SR!l t 0G187GOt;i
MO.ENG
SEOII.
FROfol MA
JREf- lSYN219 l09
BAF /B:-.F
66479
....
N
N
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