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Home My WebLink About34007-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33175 Date: 07/25/08 mIS CERTIFIES that the bui1ding DECK ADDITION Location of Property: 580 (HOUSE NO.) COUnty Tax Map No. 473889 Section 30 THE CROSS WAY (STREET) B10ck 2 EAST MARION (HAMLET) Lot 104 SUbdivision FHed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 2008 pursuant to which Bui1ding Permit liIo. 34007-Z dated JUNE 24, 2008 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 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ARGIE STATHOPOULOS (OWNER) of the aforesaid building. SUFPOLK COOIIITY DBPARTMKRT OF HBALm APPROVAL N/A BLBCTRICAL CERTIFICATE RO. N/A N/A PLUMBBRS CERTIFICATIOliI DATIID Rev. 1/81 JI>o ^ .J( 'v .1(;" 'l" \"- Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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: I, Final sUlVey 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, Swom 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) nou-conforming nses, or bnildiugs aud "pre-existing" land uses: I, Accurate sUlVey 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 Cel1ificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant C. Fees I, Cel1ificate 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 Cel1ificate of Occupancy - Residential $15JJO, Conunercial $15,00 Date, 1'h (' jl) ~ . New Construction: Old or Pre-existing Building: v (check one) Location of Property: 5"60 aDS5wllf'1 House No, E1t$l M -t "" O/J Street /IF, Y. 11, !J~ Hamlet Owner or Owners of Property: ARGUE ~-rItTHtJj>()tJW~ Suffolk County Tax Map No 1000, Section ()~O Block f)~ Lot tDLI Subdivision Permit No, 3 LI OO:J- Date of Pennit . Filed Map, 6/2..'-1 / tl1 Applicant:--&}ZGI~ I Lot: ~~fI()l/lIVI&$ Health Dept Approval: Planning Board Approval: Underwriters Approval: Request for: Temporary Certificate Final Certificate: vi (check one) Fee Submitted: $ J5"~ " :rJ) Cb ('NL Z 1-Vc 3317 ; 7Y~J>i 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. 34007 Z Date JUNE 24, 2008 Permission is hereby granted to: ARGIE STATHOPOULOS 580 THE CROSSWAY EMARION,NY for : DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 580 THE CROSS WAY EAST MARION County Tax Map No. 473889 Section 030 Block 0002 Lot No. 104 pursuant to application dated JUNE 16, 2008 and approved by the Building Inspector to expire on DECEMBER 24, 2009. Fee $ 200.00 /~~~ I ~ Authorized Signature ORIGINAL Rev. 5/8/02 r PERMIT NO. 3tfoo 1 c-- f BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Flood Permit Storm-Water Assessment Form_ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net yl/f',20J1L f{df. 20X Examined Approved Disapproved alc Contact: Mail to: EXPira,m:]'" - .... is' n . .) II., ;,' i ~-. /:t{11r '.. ,_, In -- '-1,' I , , , 6 Ojl APPLICATION FOR BUILDING PERMIT II ~'~ II -.~'I Phone: ?'%1 ~d.b. ~~ ~ .~ BUlldmg Inspector Date b ~'J I ,2OQL INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 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 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 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. 7J.t.]) Wf\sh.Jo!-;o"" af ~OJ"'f(lioTl - (Signature of applicant or name, if a corporation) '3O;P OAK Me: Ftl/fJ])eRr. tJ Y /("'10/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder WYlt-n;lc)ro("' (Name ~+c.--~o~~o ( (As on the tax roll or latest deed) ~on, signature of duly authorized officer a title of corporate officer) A'rf) .. e., Name of owner of premises If applicant is a Builders License No. 4J.:J.~ 3 - H Plumbers License No. Electricians License No. Other Trade's License No. I. Location of land on which j;\roposed work will be done: . , J ',J 5~ 0 IH~ Gf(.Oy"S fA) Ai f:-CVa.J N..Wfr House Number Street Hamlet L 1.01---:1 0 - ,). County Tax Map No. 1000 Section....) 1~8~~-~~/Block Subdivision Filed Map No. AJl( ICY Lot Lot 1(<;3 <f 2. State existing use and occupancy of premises and intended use and.occup!!ncy of proposed construction: a. Existing use and occupancy ~ ~~ Q aA~ b. Intended use and occupancy ~ 9-AA Jt...vj\JL 3. Nature of work (check which applicable): New Building Repair Removal Demolition Addition \/' Other Work Alteration 4. Estimated Cost j 5.JJOO (Description) Fee 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 Rear Depth 10. Date of Purchase Name of Former Owner II. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO J 13. Will lot bere-graded? YES_ NO_Will excess fill be removed from premises? YES---X-NO_ 14. Names of Owner of premises !<fl.f:nG >Tl'tTijOpo.xPlddress5307JR:~O.ll w~ Phone No.~il(-'Oro 71(7 Name of Architect _f../tiC f!I<:_Q~~A___ ______Address~~~n~~l.IO(f!i"_tPhone No_~3/.q.l8- V'fH. NameofContractor~~~ ~rn<M ~'i.f\ Address:?o8 ~ar( 7i~~PhoneNo.'~I- "8~-ab\l":}' 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO L * 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---1E- * 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. 18. Are there any covenants and restrictions with respect to this property? * YES_NO.L * IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) A.~Cs-;G S'fr1f~ ~C S being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the DuJ"'I..IL./'- (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. -' ~~~Plicant WSKI OF NEW YORK 79 IN KINGS COUNTY F1L1lD IN NEW YORJ( COUNTY COMMISSION EXFIRESJULY 16 201.1. >'C 3Yw) TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] FOUNDATION 2ND [ ] FRAMING I STRAPPING [ ] FIREPLACE & CHIMNEY [ ] RRE RESlSTAN1' CONSTRUC'nON REMARKS: DATE [ ] ROUGH PLBG. [ ] I~ATION [v1FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT PENETRATION ~ INSPECTOR , ;too17- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION p<f FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION WRAMINY STRAPPING [] FINAL [ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: ~~~ -i<r ~ ~, / ~ ~.~okv -zf-~ ~ ~~ ~~') DATE 1-;0'" 0 ? INSPECTOR ~r ~ FIELD JNS~ECTION REPORT FocmbATION (1ST) , i -------- ---- - -,- - - -- - --- ----------- --- ; FOUNJPATION (2ND) ROUCR FRAMlNC & pr;UM&JNG . INSULATION PERN. Y. STATE ENERGY CODE ~INAL , . . . ; , I i I DATE I "" > COMMENTS ('"d ~to ~~ ~:;;; 7,{o-') r.. -r.1 aNL~ - -),"to/'J-;, L r) H. -t;..{l .0 ~J\ . - -n _ -T-. ~,j-/ 71 , .<<I/Ai -, -/ v J Ir ~ )\, c: " ~ \' ~2 ,. . . t 9 '7-'/1- ,"lF~~ ~ ~ f.... Dk (- v . - r" I. ~. , ~-f1_AJ<~Qa r~T'lJ'A+-":'" r-.I Ld .J~ '" II .,/ ./ " ..., 7/ (7~v .;' ~~ "1\ !;'j ~. ~ 1- ---. I -.... ~._--~= ===------- -- 7//J> bp ~ C/J II I /IA-6 ~/".., 77 // ADDmONAL COMMENTS . -A~/~./ 'i ./ ,,~ r ::r: " ?;;'. ~~ ~ ..., C "~I ~~ ~ , <:>. \ .~ \: '\ K, t- ~ ~ ?ii <:. ::0 \~ g' ",. '" ~~ \, ~ '.<\ 0 ~ Z ~ \ ~ ..., :I: o t'I "d ~ -- ~ ... -~~ )4-:J? 5. ., .01,;) FARM COMM. CB. MICS. Mkt. Value LAND ~ Ot) ~OO / IMP. TOTAL DATE REMARKS '3 So'b r \200 <0700 ~ Jble FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD xlland ldowlond lse Plot JI - COLOR +~ ~ TRIM ~ ,(U..U "'l ,rIa -- IIII IA III , l~ . ,; ,. 17' ,Jle III Xl I 'V I k. ~ -, . \5 \ \ ." I I, I" 11 9 1m \ tr tI. ,1< Q Ill: ,,-," n \.) .. ~ ~ 10 0 ~ 30-2-104 9/03 ::J r ,- 0 "'" M. Bldg. I- v -~ .~ r-- < <.;: " \ =iOh \0'10 ~ \ ::,.- SBB6 J Ext. \.J ens Ion \Lq 5q 3~ 4'52- \!.~ Extension d I",,-r 1._ Foundation P. c. . Both ,3 ~z..- Dinette Porch 170 So... I ,';0 @5' Basement tll Floors K. ./ )'....I'J;..... 'J):(l. '2.'2S~\ ,?~ 5 It, Ext. Walls V\l->-II.- CI.../l.-P Interior Finish e,je- LR. ./ Breezeway I... Fire Place 'It:;.... . Heat DR. J Garage Type Roof Raoms 1 st Floor BR. 4- Patio Recreation Room Rooms 2nd Floor if O. B. Donner Driveway ~ /2- h Total {k. ~~ IeOb ~~ / 4>(,,7'3 (j~) ~. -T- Erosion. Sedimentation and Storm-water Run-off Control Plan ASSESSMENT FORM Yes No EXEMPTIONS: A. Does this project meet the minimum standards for classification as an Agricultural Project. Note: If you answered Yes to any of the above, a Storm.water, Grading, Drainage & Erosion Control Plan is not required. ------------------------------------------------------------------- ACTIONS REOUIRlNG THE SUBMISSION OF A STORM-WATER. GRADING. DRAINAGE & EROSION CONTROL PLAN CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. Item Number: (A Check Mark (J) for each question is required for complete application) 1. Will this project retain all Storm-Water Run-off generated on Site? (This will include all run-off created by site clearing and/or coristruction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) Will this project require any land filling, grading or excavation where there is a change to the natural existing grade involving more than 200 cubic yards of material within any parcel? Yes No y[;] [dy gL [;]~ b]f' gL [;]fJ IdA Note: If any answer to questions one through eight is answered with a check mark in the Box, a Storm.water, Grading, Drainage & Erosion Control Plan is required and must be submitted for review prior to Issuance of any building permit. 2. 3. Will this application require land disturbing activities encompassing an area of five thousand (5,000) square feet of ground surface or more? ------------------------------------------------------------------- 4. Is there a Natural Water course running through the site or is this project within One hundred (100) feet of wetlands or a beach? STATE OF NEW YORK, COUNTY OF .............................................. ss lbat I. ............................................................................. being duly sworn, deposes and says that helshe is the applicant for Pennit, (Name of individual signing Document) Nota ~NI:lIE D. BUNCH . ryNo.~~~afNewYll1l And that HelShe IS the ..........................i~~:a;~;;;;.;;~;:.A~~~;:c~~~offi~;;;:~~:;.....COOi:~................. Owner andlor representative of the Owner or Owner's, and is duly authorized to perform or have perfonned the said wor{ ~d to make and file this application; that all statements contained in this application are true to the best of his knowledge and belier; and that the work sill be performed in the manner set forth in the application filed herewith. 5. Will there be site preparation on slopes which exceed fifteen (15) feet of vertical rise to One hundred (100) feet of horizontal distance? 6. Will driveways, parking areas or other impervious surfaces direct Storm-Water Run-off into and/or in the direction of a Town Right-of-Way? 7. Will this application require the placement of material, removal of vegetation and/or the .construction of any item within the Town Right-of-Way or road shoulder area? (This item does not include the Installation of driveway aprons.) 8. Will there be site preparation within the one hundred (100) year floodplain of any watercourse? Sworn to before me this: ...........I..~.~M.............da~ of ......%\J.I':-:(.............. 20..0~ Notary Public: ....~~.~.......~..~.~~............. ~~~m LOT AREA- 20....28 8q. ft. '"OP(H SPNr ,. 68'14'OO"E 75.00' Ji.. >> j z .4r '" UI , I- &'i ~ ~ &'i ,j 8 1 :rl g "f ri ) ~ J 5 6 :t- ... ... z z i I ~ '" 1II .. .... ".7' II . SlY '" '< IMBJ. r..... '" 14.7' IMR: '" ... '" ~ po OJ & ;., I '" I J . 1/~1I3o.00' L~75.75'.a. ___ THE CROSS IrAY -~......""-_.-- ", -. P"". .". __,........... tIlIIl:;. lOCATION OF WAn:R lIAINS AND HlJOINEIIS WATER SUPPLY !rr OTHERS AND ARE NOT OUAlWlTEED. _.......__.-. ~ltI[_._ ........ ~_,.;..-c ......__ _ ~__ _la.... __.. ~ _..........-. ~ ...... ..... YO ..... . IM'''' --. .-.-~ __lIO ........,..A....-.",__ 1D t:IF M _ _ ... ....... ..... _____~Mli.l,_..yl101tC~..__ ... . ...... _ .. .. ..., .. .. 1ftLI: ....... ~ __.-_....~_lD__._ ~____...~1ID____ ..-- __ ", 'MI .-.. .... _ 1Ml UIe ___ _... . _-.IMIiU......_1I.A.......... CER11FlED ONLY TO: ff".r.j F -r~ ~ N.Y. Lie. No. 048H2 HAROLD F. TRAI</CHON JR. I'ENN. LIC. No. 2111-E Non:: CESSPOOl. SEJ'l1C T_ " WAn:R SER\IICE LOCATIONS !rr OTHERS. 3-24-2003 F1IW. SIJRIIEY 12-18-2002 F'OUNOA11ON l...OCATlON JOB No. 02-424- ALE No. PEBBlE BEACH FARMS SUIM.'I'tIl FOR NlOIE STATHOPOULOS LOT NUllBER 37 _ OF PEB!Il.E BEACH FARllS smJATED AT EAST YARtQN TOWN OF SOUTHOLD - SUFfOLK COUNTY N."'. SCALE ," - <0' DAn: 9-17-2002 FlLED ..". No. 12M DATE 8-11-1975 TAX _ No.(REr aHl.V) 1000-30-2-'04 DISK 500 HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR P.O. BOX 616 11811 WADING RlVER-MllNOR RD. WADING RI\IER. NEW Y OR~, 11792 '631-929-4695