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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 .,lG 1 ...1 'IJ !i j' I AI'PLICATION FOR CERTIFICATE OF OCCUPANCY Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~~'IL .-. L TC\', ~ ''1 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 ~"'. -', ~ \lL~..". .-;, (" \7 ....-J.- \' , .~ lli>- ~:..~. 'S '\t,.~PLlCATION FOR BUILDING PERMIT "" . '?> (i\\ '\ \ '1,1 - , Date u..l. ~.. I .-. I)\:?'...O',,,,, ......., INSTRUCTIONS 0.,0, d"I!' 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 ~0~A Signature of Applicant MELANIE DOROSIQ NOTARY PUBLlC~ State of New~ No. 01Du4634B70 Qualrtied in Suffolk County ')/\f"J Commission Elipires September 30. ~ 10 .~ :3l(-o If:z 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 '(,h'" -t:::~ FOUNDATION (1ST) D :: . - , --t:.. · ._---------------.------------------ II'p_ rl')~ FOUNDATION (2ND) ,,-'" ~tol 2 -P <b r/} ,.J", .., ROUGH FRAMING & ~~ PLUMBING ~ f' -;? -' 4-~ f?l"" INSULATION PER N. Y. tol .., STATE ENERGY CODE (II . ~ 1'1".7--1 f ././. j " tJk ~O l..oz.- - t . FINAL - ' ~ -1\ ADDITIONAL COMMENTS /' - /" . ~. - 0 ~~ ;U L.,. ........ tol \(.,~ ,::5 Ii..> !:: ,.., " .... :'(\0 (J 2 = _ tol L~ .., :t:>~ tol ... ~ -- -- I \OOO-30-~-\\ TOWN OF SOUTHOLD PROPERTY RECORD CARD - 5 ~ - 1[,.,8,7 OWNER STREET VILLAGE DIST. SUB. LOT \ '1 '(!.holas~ k:'ri'(I'fla.. h'liCf?iAf5 ~oc'K\.i?o in\- ~ ~'S t '}I\Q\\DV", 2- 'Ec.ts+ MalloV1 '-0.106c\ ~ '1 ACR. ~qg REM~:l<:: $ ,{.y ~ . 2./2. 0/. L /L/Ob/l..5hC - >bl"/} 'Q~dYI-h .5c.hR",bn ./'fJ!j()s&t. 0h~r'\'\b(i -nONliS I f1c... TYPE OF BLD. . , , I ..s//('hJ 1/::Ji; &2r;ilq /~ ; ~ // . /. CO ~ <is\) s '\ \/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 ~1.zIO LAND , IMP. TOTAL , . I I I I' DATE 300 CoD -:2-'0 \ i l <: ::JO \200 1:?@'" '2.00\ . t\ iG I( () \\cO()~ (0\00 77GO ~ I~ Il ~I 4- 4S~ ""'t.~ Co 4oc) / Z./27 O!)~ I I oCO! FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT ~Ct4-_ -V IV.I~::J, ~'''.' 1600 TOTAL . Ni \ I I.<li I" "'too OVIJ'/ I Ii . 0 r - I ~ I.. \.) 2- q ! IV % " Il ,...u .~ COLOR C', ~"""'- -eJ- TRIM. I' S.\o.~ c ""I....\..J \ 30-3-11 9/01 -~-'-.......,-'~'"-- ~ V1 ,. "--rr ,." f'L ~s- III Foundation P.c Bath :s Di nelle I,\y. \~ " 6~ 0- '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 \~'-- Allie Rooms 1st Floor '177 \ 1.S'" Rooms 2nd Floor '3B~ 2.'0 . Bldg. Extension ><< Extensio 7. Extension Patio Porch Deck Breezeway Garage b.B. foll"L Pool \~ ~.\... ~.c. 0 (i~~ ) -,'Xl!b +elL l"l . lL JOB NoOO-{)6 z w o o '" ~ q ~ w o ",. b "1 . 2 ST FRAME OWELL1NG 21.g :;;!6 ~m ~Z I I \ ~/ !~ ~I ('/ &S~ WELL , 0" _m OPEN SPACE I F ARMl.AHO 1 N 76054'10"E 140.00' LP II> /\'" :r/ \-. ;" Q \ sePTIC .,":', \ J~~ \ \ ~.\ ., J> \\ 'F ',,- I , i '","'ll \ \\\ \ ~ \ 0, \ '\ \ \....\ 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. ) \ TAX 10. No 1000-30-03-11.0 en ~1Y , \ rLOT 15 \0 /' r/ 0':.-._~ ..>/ ......./ w o "" ~ /m ; / i "oJ LOT 16 ;:u o () ^ -< 1) o Z -I ;:u 0.". )> o 58" - 01 q ~ \; ~;ll 00 <:= ~~ I 25' RIGHT OF WAY ---- ~ LOT 19 I ~ "' ;:; m m ~ , \ S.ft. 2':> '\ "^""\tl flOp.!) 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 """"""'" The ....,.,.. d noht c:I..-.,. and/or eesements d record If atrf I'IDI: II/IaolIf\ are ""'- 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