HomeMy WebLinkAbout34014-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Bo: Z-33203
Date: OS/OS/OS
THIS CERTIPIES that the building ACCESSORY SHED
Location of Property: 16S7 ROCKY
(HOUSE NO.)
County Tax Map Bo. 473SS9 Section 30
POINT RD
(STREET)
Block 3
EAST MARION
(HAMLET)
Lot 11
SUbdivision
piled MaP Bo.
Lot Bo.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 26, 200S pursuant to which
Building Permit Bo. 34014-Z
dated
JUNE 26, 200S
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 SHED IN THE REQUIRED REAR YARD AS APPLIED FOR.
The certificate is issued to NICHOLAS & KATERINA FILIPPIDES
(OWNER)
of the aforesaid building.
SUPl'OLK c.\Jwrr,r DBPARTMEH'1' OP HEALTH APPROVAL
N/A
N/A
BLBCTRICAL CERTIPICATE 110.
N/A
PLUMBERS CERTIPICATIOlII DATED
~i~
Rev. l/Sl
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1
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AI'PLICATION FOR CERTIFICATE OF OCCUPANCY
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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TC\', ~
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Jf,.:OLD
TIris 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 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 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:
I. 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
(I) 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
r \ l o..\O'&"
Date.
Location of Property:
V Old or Pre-existing Building: (check one)
\\q%1-- ~oc..l'>{ PoINr RD. CA'Si f{\A:i40~
House No. Street I
Hamlet
New Construction:
Owner or Owners of Property: N \ C. \*0 L-I\-s. ~ v( I\,E: 1'.1 NA
Suffolk County Tax Map No 1000, Section (:) ~O Block
FU_.lPPtDES
OOO~ Lot
0(\
Subdivision
Filed Map.
Date of Permit.~ Applicant-.Nt c110\.-AS
Underwriters Approval:
Lot
~ . / ~\L-\PPI pES
~ \><.A-'rGR../NA-
Permit No. 3<:\-0 \ 4 z..
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Final Certificate:
~check one)
Fee Submitted: $ 01.5.00
(? O. b c-{l?C8
;t,Ce.- ,P /1/ 7Cfl
,ft~ .~J:(1~
Applicant Signature
J
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.
34014 Z
Date JUNE
26, 2008
permission is hereby granted to:
NICHOLAS FILIPPIDES
1687 ROCKY POINT RD
EAST MARION,NY 11939
for :
CONSTRUCTION OF ACCESSORY SHED IN THE REQUIRED REAR YARD AS
APPLIED FOR.REPLACES EXPIRED BP # 31110
at premises located at
1687 ROCKY POINT RD
EAST MARION
County Tax Map No. 473889 Section 030
Block 0003
Lot No. 011
pursuant to application dated JUNE 26, 2008 and approved by the
Building Inspector to expire on DECEMBER 26, 2009.
Fee $
100.00
~~
Authorized Signature
ORIGINAL
Rev. 5/8/02
~lllot::-
BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board ofRealth
-4 sets of Building Plans
Planning Board approval
-Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/ PERMIT NO.
t;/~ ,20~
:.i S--:'20 tJ)"
Examined
Approved
Disapproved alc
Mail to:
Expiration
f/lS:20~
(
Ph,me:
t?! C:;S'J- ?;)G:,G
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-', ~ \lL~..".
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, .~ lli>- ~:..~. 'S '\t,.~PLlCATION FOR BUILDING PERMIT
"" . '?> (i\\ '\ \
'1,1 - , Date
u..l. ~.. I
.-. I)\:?'...O',,,,, ......., INSTRUCTIONS
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a, ~s3PpRtah~n r::1UST 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 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 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.
fC-JJ,"-
Building Inspector
,20_
(Signature of applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
OWNER
Nameofownerofpremises~ \C+-\Ol-A~
~
l- I L.\ PPIDES
(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.
1. Location of land on which proposed work will be done:
\(0'6'1 RocK.'! t=bINT ~j)'1 EAS'T N\1\i<.ION
House Number Street
Hamlet
~"...,,~~. ," '1 .',.. ,- ','
(Name)
Block 03.00
Filed Map No. ~15q
t~.""" . . "-""1
.' Lot 0 \ l .d00
\' Lo ~
.... t IT..;
-~,' "1.i"'-""'1~........)..!....,,;o;:;jli;..:,;J
County Tax Map No. 1000 Section 030. DD
Subdivision
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 S\-\Et, t:vR.. WWJN 6G)v\i"MEt'lT ~ \3\C"/CL6S
3. Nature of work (check which applicable): New Building V"
Repair Removal Demolition
Addition
Other Work
Alteration
4. Estimated Cost i to, 5DO. 00
(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 \ 'is 1
Height Number of Stories
Rear
\ 8'
Depth
\0'
9. Size oflot: Front \LlO \
\
Rear \ 40
\
Depth 304
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_
13. Will lot be re-graded? YES_ NO_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
Phone No.
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 property 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)
SS:
COUNTY OF) i~U... )
AJ/l!ho/If's h It ~f' cLe.s being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing (:0 tract) above named,
(S)He is the
OUJ /</e/l..
(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 \)c;
Not
lic
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Signature of Applicant
MELANIE DOROSIQ
NOTARY PUBLlC~ State of New~
No. 01Du4634B70
Qualrtied in Suffolk County ')/\f"J
Commission Elipires September 30. ~ 10
.~
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TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION
REMARKS: ~
~-
[ ] ROUGH PLBG.
[ ] INSULATION
t>< FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRATION
w- ole
c -cr(f 0,
DATE
7~7~o i
INSPECTOR ~ ~
FIELD INSPECTION REPORT DATE COMMENTS
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FOUNDATION (1ST) D ::
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FOUNDATION (2ND) ,,-'"
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ROUGH FRAMING & ~~
PLUMBING
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INSULATION PER N. Y. tol
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STATE ENERGY CODE
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FINAL
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ADDITIONAL COMMENTS /'
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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OWNER STREET VILLAGE DIST. SUB. LOT \ '1
'(!.holas~ k:'ri'(I'fla.. h'liCf?iAf5 ~oc'K\.i?o in\- ~ ~'S t '}I\Q\\DV", 2- 'Ec.ts+ MalloV1 '-0.106c\ ~
'1 ACR. ~qg REM~:l<:: $ ,{.y ~ .
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\/en't-u '\'<ICA'f\Of\ t\s'SOc. PROP. 9;A~ . 12h2/tJl-L /2../51/7755-/;"1.. .er, tv F;I~/L ~-~ -fS-&5
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LAND , IMP. TOTAL , . I I I I'
DATE
300 CoD -:2-'0 \ i l <: ::JO
\200 1:?@'" '2.00\ . t\ iG I( ()
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4- 4S~ ""'t.~ Co 4oc) / Z./27 O!)~
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FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT ~Ct4-_ -V
IV.I~::J,
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TOTAL
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'I. llo = \44 !~.!? 50 Lf- Basement CRAWL Floors Kit. ~
SLAB
2-~"'~O= !D<'tl 7SID 5~'F Ext. Walls ~\'" \d Interior Finish <~ L.R. ../
q X. I 4 ' '~fD Fire Place ........ Heat 'Ie':' D.R. ./
Woodstove BR. ri ~~t~
(p ""2.2." .5t' Dormer Fin. B. 'DO
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Rooms 1st Floor
'177 \ 1.S'" Rooms 2nd Floor '3B~ 2.'0
. Bldg.
Extension
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Extensio
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Extension
Patio
Porch
Deck
Breezeway
Garage
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foll"L
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S 76"54'10"W 140.00'
LOT 18
THE LOCATION OF WELLS, WATER SERVICE
LINES. SEPTIC TANKS AND CESSPOOLS
SHCNVN HEREON ARE RELD'OBSERVA.
TIONS AND OR DATA OBTAINED f'ROM
OTHERS.
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FILE MAP No. 8759 617/89
;Jnautha1leCl a~tl' MldltlOflto 11"115 00C\Ir'll!f1l-. a ",olatlC)r. 01 s.ctlon 1200
oIlhe Newvor\{SUNEducat.crol.....
~ 'rGICaI8d her.on stIaI 'UI":)rlly totrle penIOI'"forwf'lon't It '. preoared
aM'lCl on M Deharto tne TItle.COtnl:Iany Governmencal ~y dA1 Lpnd)J!O
Insfltul1Cl1'lS ~ hereon and to:r. ~ 01 the lenong 1,..a:1t\Jl"1(WI or
SlJ~,,*,,~
CopIes d m.s OOcumer1t rd oeaJlng m. pt~ IfOIced se.lI Of emOQMed
.,.snaflOOIl:le~aYllhlltf1JeCOO'(
The oIJIMM. t 01 0UneneIan51 showIn ""'1Of'I I'1Qm structures to \T'le PfOl)8l'!:y hnes are
lor a ececlflc PUrJXlIM and ute and ~..eo not nter>ded tn g\.OOOe !he erectooro Ql'
1eflc:eS. 11!laIl'ltnQ.... ~ _.. planIlnQ~. adcMoon 10 I)UllOtngs or If'tY Olhef
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The ....,.,.. d noht c:I..-.,. and/or eesements d record If atrf I'IDI: II/IaolIf\ are
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SURVEY OF:
LOT 17
MAP OF EAST MARIOIll WOODS
. EAST MARION, TOWN OF SOUTHOlD
SUFFOLK COUNTY, NEW YORK
SURVEY DATE 9124/01 SCAlE: 1"=50'
CERTIFIED ONLY TO:
NICHOLAS FIUPPIDES AND KATRINA FILlPPIDES
DESTIN G. GRAF
LAND SURVEYOR
COUNTRY WIDE HOME LOANS, INC.
LAWYERS TITLE INSURANCE CORPORATION
73W-. _
Rocky_._Vot1<.11778
631-321-3442
By DESTIN G. GRAF '" Y S Lie NO 50067