HomeMy WebLinkAbout36332-ZTown of Southold Annex
54375 Main Road
Southold, New York 11971
7/27/2011
CERTIFICATE OF OCCUPANCY
No: 35087 Date: 7/27/2011
THIS CERTIFIES that the building DECK
3575 STARS ROAD, EAST MARION, N.Y. 11939, East Marion
Sec/Block/Lot: 22.-2-24
Filed Map No.
Location of Property:
SCTM #: 473889
Subdivision:
Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/6/2011 pursuant to which Building Permit No. 36332 dated 4/19/2011
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 one family dwelling as applied for.
The certificate is issued to
Caravanos, Emmanuel & Caravanos, Barbara
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
~ature
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit #: 36332
Permission is hereby granted to:
EMMANUEL & BARBARA CARAVANOS
38-28217TH STREET
BAYSlDE, N.Y. 11361
Date: 4/19/2011
To:
construct a deck addition to an existing dwelling as applied for
At premises located at:
3575 STARS ROAD, EAST MARION, N.Y. 11939
SCTM # 473889
Sec/Block/Lot # 22.-2-24
Pursuant to application dated
To expire on 10/1812012.
Fees:
416/2011 and approved by the Building Inspector.
SINGLE FAMILY DWELLING - ADDITION OR ALTERATION
CO - ADDITION TO DWELLiNG
Total:
$331.20
$50.OO
$381.20
Building Inspector
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: 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 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50~00, 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.
New Construction: t/// Old or Pre-existing Building:
Location of Property: '~, ~- 7 ~-- '~'.TLdL/~x ~ ~ t'~']/x'D
House No. Street
Owner or Owners of Property: ~ fl<'/L/]j., ,4_/_/yf~L-r:?
Suffolk County Tax Map No 1000, Sectiou ~. ~
Subdivision
PermitNo. ~ ~"?),~'-~fl~)----DateofPermit. Applicant:
Health Dept. Approval:
Block ,.7,
Filed Map.
Underwriters Approval:
(check one)
ttamlet
Lot ~ ~
Lot:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ -~--~- ~'~
Final Certificate: '~(check one
~' ./~ '~A~plic~a it ~ gn~i-u~Te
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
FOUNDATION 1ST [ ] ROU~H PLBG.
] F~DATION 2ND [,~J~INSULATION
FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY
REMARKS:
/
DATE
INSPECTOR~
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ .] INS~~ION
[ ] FRAMING/STRAPPING [/~'~FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH/)~] ELECTRICAL (FINAL)
REMARKS: //r~ ~
DATE ~~--~ ~/ INSPECTOR
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
SoutholdTown. NorthFork.net
Examined ,~. 20/~/
Approved ~/~/ . 20 //
Disapproved a/c
Expiration
la~Iq,
PERMIT NO.
! l~{~ilding Inspector
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 Assessmenl Form_
Contact: ~ ~W~
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date/ke~k. I / ,2011
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 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 fbr 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 pemfit shall expire if the work authorized bas not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If ao zoning amendments or other regulations aft~cting tbe
prope~y have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit lbr an
addition six months. Thereafter, a new pe~it shall be required.
~PLICATION IS HEREBY MADE to the Building Department tbr the issuance ora Building Pe~it pursuanl to the
Building Zone Ordinance of the Town of Southold, Sufiblk County, New York. and other applicable Laws, Ordinances m'
Regulations, Ibr the construction of buildings, additions, or alterations or lbr removal or demolition as herein described. The
applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admil
authorized inspectors on premises and in building lbr necessa~ inspections.
~gnature of apphcant or name, ~f a corporanon)
..... - ' {Ma'il~nk addressofapplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~-- ~/,~,k,NOt~ ~ ~/~O~P, ~.]k.,ff__~v,~/.d~_.~
(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 propo~sed work will be done:
House Number Street Hamlet
County Tax Map No. 1000 Section :2 Z- Block ~-
Subdivision Filed Map No. Lot
Lot ~ ~7~
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy e:>~,l~-~ t==p~.~L,"r' tv-~<~t~ktc~
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost -it '70,:::0 ,. Fee
5. If dwelling, number of dwelling units
If garage, number of cars
Addition
Other Work
Alteration
(Description)
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. rq/p.
Dimensions of existing structures, if any: Front ~ I'~e~u Rear 4-oL~'~ Depth Z3
Height [ 4-] Number of Stories [ ~, z. '--~,"
Dimensions of same structure with alterations or additions: Front .~' '--~" Rear ~',~
Depth. ~ z '-~'/ Height I ~ Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
9. Size of lot: Front 1'70. o~ Real' I 7~.O
Rear
.Depth
.Depth
10. Date of Purchase/,,/~ 2~,
Name of Fom~er Owner
1 1. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO X
13. Will lot be re-graded? YES NO )< Will excess fill be removed from premises? YES__ NO
. 7
14. Names of Owner of premisesc''~-~v'~'t'~°:~ Address ~,,x,t~]r,~ t~y tl~a! Phone ]'40.
Name of Architect Izz:r,~l~-t~q'
_. . ~, ] ,~ Phone No '~ ~ - zz.~ -q-lot
,=~,-,---,,~o~'c- ~, ~h~e" Address Phone No.
Name of Contractor ~'~2Cdd
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED.
b. is this property within 300 feet ora tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO X
16. Provide survey, to scale, with accurate Ibundation 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
· IF YES, PROVIDE A COPY.
NO X
STATE OF NEW YORK)
SS:
COUNTY OF
~_,~t~E~ 12--(' {]~:~.~'.'~t:5> t... ~/4 o being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(fl)He i5 t,,% d .,t~-~-bL IT~_-.(_. T- ~
:: ,. (Contractor, Agent, Corporate Officer, etc.)
el said owDeP or o'4a~rs and ~s duly authorized to pedorm or have performed the said work and to make and file this application;
that all statem, ents contained in this applica[ion are true to the best of his knowledge and belief; and that the work will be
pertbrmed m t~e rn'a~n~ set forth in the application filed therewith.
,. ' ~IM.~ UEI, calla.v.~o$ I
· ..~ Notary Public, State of New York [
Sworn.,kg before me this~ _, [ No. 01CA4866400 I
c.~/ dayof lBtqttcl'/ 20//l _°~- i~°~c°~r% I
Notary Public Signature of Applicant
SUFFOLK C~.
SUFFOLK COU~
H S.~[~.NO ~-~
SUFFOLK CO TAX
~ST. ~c~, 8L~K ~ .
RODE'RI K VAN TUY ~C ~
APPROVED AS NOTED
PM FOR THE
FOUNDATION - T~ REQUIRED
ROUGH- FRAMING, PLUMBING,
INSU~TIoNSTRAPPING'ELECTRICAL&CAULKING
FINAL - CONSTRUCTION & ELECTRICAL
~UST BE COMPLETE FOR C 0
,~ STATE RESPONSIBLE FOR