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28288-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28651 Date: 08/06/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1830 WILLOW DR EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 22 Block 5 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 2002 pursuant to which Building Permit No. 28288-Z dated APRIL 17, 2002 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 INGROUND SWIMMING POOL WITH FENCE TO CODE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to JOHN & & ZOE VARKARIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2785 05/13/02 PLUMBERS CERTIFICATION DATED N/A Authoriz'ecf Signa re Rev. 1/81 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. 28288 Z Date APRIL 17, 2002 Permission is hereby granted to: JOHN & WF VARKARIS 24-58 CRESCENT ST ASTORIA,NY 11102 for NEW 22 ' X 42 ' ACCESSORY INGROUND SWIMMING POOL IN THE REAR YARD AS APPLIED FOR at premises located at 1830 WILLOW DR EAST MARION County Tax Map No. 473889 Section 022 Block 0005 Lot No. 021 pursuant to application dated APRIL 12 , 2002 and approved by the Building Inspector. Fee $ 150 . 00 Authorized Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD ` - r; 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 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a 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- $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Commercial $15.00 4 l Date. ��t.. I 30 , New Construction: 22 Old or Pre-existing Building: /—/A (check one) l) 4w� e5 / J-r Location of Property: ' J( wla_ w U , ( House No. �I Street Hamlet T Owner or Owners of Property: To C ►1-� �(� �f 0� 1� S Su€folk-Ceunty-Tax vlapNb4000;Sectionm — �/ --Blos1F— - -- - — ot ---fes Subdivision r�/ ��/* T L- 7f ( 10A)FiledMap. 56_6710 Lot: Permit No. � — Date of Permit. Applicant: 3FJ/6t/ tt4et�els Health Dept. Approval: _ Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ bV Applicant Signature yc , &o2151 Co -Z a$65- Nassau Suffolk Electrical Inspections, Inc. 5A Canal Street • Center Moriches, New York 11934 • Tel:631-878-3500 • Fax: 631-878-3764 Application No: 2785 Date.-5/13/02 Issued to: Varkeris Address:1830 Willow Dr Village : East Marion Zip: 11939 Township:Southold Introduced By: Bethel Electric License#:2880-E was examined and found to be in compliance with the National Electrical Code laic 1st Floor Peadential fool D pat, Garage Basernert 2nd floor CcffVnwdal Hot Tub W Defects Switches Receptacles Fixtures G.F.I. Microwave Whirlpool 1 2 2-500Watt 2 Fans Dishwasher Washer/Amps Dryer/Amps Oven Carbon Range/Amps Monoxide Furnace Oil Gas Circulators Smoke Bell Detectors Transformers ther Equipment Meter Amps Phase Motors Inground Pool 1-11/2H Out,Res This certificate must not be altered Building Permit No.28288-Z in any manner TOWN OF SOUTHOLD PROPERTY'` REGORD�,LARD ^ -�- r OWNER STREET VILLAGE DIST. SUB. LOT 1t va � i � I, 1-1 FORMER OWNER N E ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS - -3 10 1 ,n t t O keu The0 ` vAls v 31 - t4a vi Jc-i Caja . 8 © #k 11 4° D a - i -; �F.. r �r>> n ` _F (Q "ZD '70p 7300 rt Zz io as p o2 �5 1000 5 Oa 7500 i 10150192- I I,t000 Z 5� `tt o o i t ?moo Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot } s f BULKHEAD Total 7 a tZA' ■■i■f■�A�■■�i�iiiiri=r>i■ ' ■■■■■■■L1!�■■I�■ice■■11■■ ■■■■■■■rel■■I 8■■■■■■■■ • •. r ' ��� Foundation , • ace ' • • moi! .Li� 4 - �/ & BUILDING PERMIT EXAMINER CHECK LIST DATE ISSUED: _11>/02 DATE REVIEWED: l.12/02 APPLICANT: VD- r ko.-NS DATE-SUBMITTED: 4 /02 SCTM# DISTRICT: 1,000, SECTION: ��, BLOCK: LOT: 2- STREET STREET ADDRESS: /S20 w, �O ! ri j c CITY: F_q- SUBDIVISION: f li Je„f PROJECT DESCRIPTION: ESTIMATED PROJECT COST: �_ARCHITECT /ENGINEER: FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? / NOTES: LOTS 40,000SF-100-24.Lot recognition(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/8. ZONING DISTRICT: P - 46 CONFORMING? -JI4 REQ. LOT SIZE: 4 p)( ACT. LOT SIZE: /20>REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE /0' ACT. SIDE REQ. REAR /- D PROP. REAR WATER FRONT? �jC) DESCRIPTION: PANEL #: 93 FLOOD ZONE:_, APPROVALS REQUIRED SUFFOLK COUNTY HEALTHVEC T: YES o(g (BED #): DTE:_/_/_ PERMIT #:RIO- TOWN SEPTIC RECEIPT: Y ot NEW YORK STATE DEC: PREni75 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YES OR EGRESS (18 H min.? 4 sq ota ) VENT (SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/o Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z_ NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( SF)- ( SF)= SFX $ _$ +$ +$ _ $ 2. ( SF)- ( SF)= SFX $ _$ +$ +$ _ $ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4VA6ej DATE 21141d,,Zf�lNSPECTOR ;`U 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ NAL [ ] FIREPLACE & CHIMNEY REMARKS DATE SPECT FIELD INSPECTION REPORT DATE COMMENT$ C� FOUNDATION (IST) y ------------------------------------ 1 FOUNDATION(2ND) �J z O ROUGH FRAMING& � PLUMBING l x INSULATION PER N.Y. STATE ENERGY CODE v '3 O �y r FINAL ADDITIONAL COMMENTS O Z m DC o O z I m r x d b y dL TOZd/FSOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need Ire following,before applying'? TOWN HA.0 Board of Health SOUTHOLD,NY 11971 3 acts of Building Plans TEL.:765-1802 survey PERMIT NO. �'%Z Check _. Septic Form N,Y,SMIEC. Examinad ez /7 2002, Contact:Trustees Approved o f/-//;7 20-eeg- Mail to: Dimpproved a/c Phone: Building Inspector APPLICATION FOR BUILDING PERMIT D ato I Z ,20 ,0 2 INSTRUCTIONS a.Thih 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 of lot and of buildings on premises,relationship to adjoining premises or public streets or arm.and waterways. c.The work covered by this application may not be commenced before issuance of Building Pemtit. d. Upon approval of this application,the Buildiug Inspector will issue a Building Permit to the applicant. Such a permit ab"be kept on the premises available for inspection throughout the work- No orkNo 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 Departme w for the issuance of a Building Pertnit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and uthcr applicable Laws, Ordnraaces or Regulations, for the construction of buildutgs, 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. :SuJ vh `-fps � �o6 ) Seg✓v-c (Signature of applicant orname,ifs corporalioa) tl Y' mtkIVP►� W I'C'< . (Mailing addrers of applicant) IQ 7 t9 4 State whether applicant is owner, leasee, agent, architect, engineer, general contractor, electrician, plumber or builder S W man Name of owner of premises -,D h h Q '(Z CD (as on the tax roll or latest deed) If l' licai/nc'At.ia1 ordn, si tutu ot'dul thorized officer � ea t d e vi: C NA et-h-cam 1 J (Nana and title of corporate officer) 1 Buiildeev License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of1 d on whtc roposed work will be done: Q30 u1y3LO r. L�,`1�► At2�o h House Number Strout Harwet County Tax Map No. 1000 Section 2-2— Block Lot �) Subdivision Filed Map No, Lot (Name) , . v.)L 0, .)1 :10 ILq Ull4 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ACrlj4vd �. b. Lrtended one and occupancy. �Z2�c 4 Z t hr J In U Si a Pu' w I 1 p ( 3. Nature ofwork(check which applicable): Now Building Addition Alteration Repair Removal Demolition Other Work9k tM O ( escription) 4. FAUMaled Cost � .1 , 0 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use. r 7. Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories R. Dimensions of entire new construction: Front Rear Deplh Height Number of Stories 9. Sipe of lot: Front Rear Depth 10.Date of Purchase Name of Former Owner s 11.Zoite or use district in which premisea are situated ?77 n , 12. Does proposed construction viol4te any zoning law, ordinance or regulation: __ N 13. Will lol he regraded OAAy Arvvj N4 Will excess fill be removed from premiscR.QP NO 14. Names of Owner of premisesjr�h��y r S Address L U xQ1d ,u V phone No._ Name of Architect Address Phone No Name of Contractorg t1u,nECa in Address yt,) M lir hone No. 21'&Lis 9 InItlr P104 Mf IS. is this property within 140 feet of a tidal wetland? *YES NO • 1F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17. 1 r elovat ion at any point on property is at 10 feet or below,must provide topographical da tt on survey. STATE OF NEW YORUC) SS. COUN'1"Y or.: ( l ) iCKc-c- lI)MC OU Cc, being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contrac:l)-above named, ` J� c n'- (S)He is the .. (Contractor,Agent,Corporate Officer,etc.) of sold owner or owners,Mini Is duly authorized to perform or have performed the said work and to make and file this application, Ihal all stalemenls contained in this application arc true to the beat of his lamowledge and belief; and Thal the work will be performed in the manner act forth in the application filed therewith. SWOrI to before me this tiny oC 20t Notary Public Signature of Applicant TINA M.WOO D Notary Public-State of New York No.01 WO5077029 Qualified in SuffolkCqunty My Commission Expires c t l2a/b 3 z � D 40 • mzoym m t`39 B S_ 1 90.22 1 s,��6 c_') 0 c F%5 90 ��f D orn RL:IG39 77 • LOt o eR t/ jI 4, � �ilk •��`y � 1+ Br'Ati' I � jo V I I i YY Q ' �eo ,o 02 N.83.33 o /90.78 5. G 0 To Lor d\ 1 - C 2 IA n SURVEY FOR WFFOLK COUNTY DEPARTMENT Or HEALTH SFBWCEa JGHNR. VARKARIS 8 ZO£ VARKARIS LOT NO. o/ , ",HIGHPOINT AT EAST MARION,SECTION ONE KM AW10VAL OF 4001 SWRUCnON ONLY AT EAST MARION DATE: AUG. 27, /985 TOWN OF SOUTNOLD SCALE' / "= 50 ' D,A NS RIF. SUFFOLK COUNTY, NEW YORK NO. 85-998 r 10TAUTMORIZED ALTERATION OR ADDITION TO THIS GUARANTEED TO; APPROVED NEWVEY YORK STATE EDUCATION ON or LAW M 7205 OF THE 11 111 ANCE CQ OF N.Y. *COPIES OF THIS SURVEY NOT SEARING THE LAND ✓QVN Ai1SR9 VARKARIS SURVEYORS INKED SEAL OR EMSOSSED SEAL SMALL f w' NOT K CONSIDERED TO BE A VALID TRUE COPY I 4,SA S'pG 4 *GUARANT[ES INDICATED MERLON SMALL RUN ONLY TO HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED p. AND ON INS BEHALF TO THE TITLE COMPANY,GOVERN- ^' ' • MENTAL AGENCY ANO LENDING INSTITUTION LISTED o N NEAREST WATER ■AI T.Z - K30UI1 CE OF WATER, PRI V►T[, 21 HEREON, (r• i. N*IIF CO. T=AP DIST 1B32iEC TION IASL KOOK�_LOT jL_ H[REOM,AMD TO THE Asf AGM[[6 Of THE LENDING > A THERE ARE 00 WELLING! WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFEIIABLE OTHER THAN-THOSE SHOWN HEREON. TO ADDITIONAL IMSTITUTWHS OR SUBSEQUENT u NTN WATER SUP/LY AND SEWAH DISPOSAL SYSTFJ POR TM1f RRIOENR OWNERS t0 WILL DONFORM 10 THE fiAMOMROt OF THE SUFFOLK COUNTY DEPARTMENT *DISTATO EXIST NG STRUCTURES DARE FOR A IPECIFICN FROM PROPERTY UN[f q 1 2 A, +p`� Of HEALTH SUNtOgf. PURPOSE AND ARE NOT TO K USEO TO ESTABLISH APPLICANT PROPERTY LINES OR FOR THE ERECTION OF FENCES ADID"SS "` YOUNG a .YOU N RIVERlEAOI NEWYORK AVENUE NOTE+ n= 5YAKI- SUBDIVISION APAP RLED /N THE OAFICE Nr THE az?x OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUFFO[X CQbVTY ON AAAI /I, /904 AS FILE NO 7600. AND LAND SURVEYOR N.Y.S.LICENSE NO.12845 - HOWARD W.YOUNG, LAND SURVEYOR ATHK LoCATIM OF w[LUwI.SERIC TAwtsnI CESVOOLSIOI SHOWN mcnicoN N.Y.S.LICENSE NO.45893 ME PROM FIELD IMI EAWATIONS AND OR DATA OBTAINED FROM OTHERS fRAN01S A SONS INC. 1046 — ;�"GvhIC.. I. w,T� U15Po5AL 51IN-L laE 1,11A DTO OL�NE(z5 < g �/ ': cc,pI1JG '?�i.•NIL I I:•^I�L.�I' ToSUR' LaALPLr_tILATiCtl�. 1 �� 2.hIAL1<sf� t_-6 U•-Ic�nII-rIoLI,kIDT`(Pr- • _ c �� Tr<eaT�� wenn SL-t';VEV ARIA`( f'IZGII FOUL ..LI C_ w aI:^; I G,— ANGIIc'I L" I fzOrv_rjI 3. w ( C — �' T ,M nh k-xCAVATI[, N NII ",_1 (5E ='iil NDIiTtTIZ�' FD ci01L. IFDi5TL1PPF_P1 SDILSNGLL �' ° P E PRopFRI Y GOM pA�TF D W�MEGNAN IGG -FAM PC-g. K�_P�ARg <{"FIO DIVINCI°LAP L�STO 5F PI-AGED A�'OUND SFIALLOLd END OF POOL IN ACGORDAIJCE WITH r LINEK NIp1`IUFAGTu2F5 II-tSTRI_IGTIOIJS. V 51-CPG S`L MAX MUM LFIJGTN OF DIvE bL D - 10 LF KOLLFuFOPM P��T6-IEEI`I i d " - 6.2GFER F Cl IT10N OFTHE RATIONAL- VL..00 A. LINGK � NDGGJGIz 7 ; a r �GRMTIG� COGC- FOR ALLCTHF9 POOL G0H6TR1JGfI0N AND SAFETY APPURTENAKICE5. VINYL LINGO �2) p."xlLllxB" GoNcRETE fel-OGK �I` v W jz' MoRTArz JOINT GOFIc. JV1,116- 1-1tifr- \ gl_ \ III= :11-1 131111= IIII@111111 I;: 1111-�Illsl'.I_= IIIc IRI — — 119_III1=1111 I —� 16"•16".�^ G,onlc. L..LocK nl�� I 12/2 INTEI-LCC-k�D PII"IN b.IALL 4' SAI\IP ` 'I sI pe UK END vYlclln!. L A, c��-(lolJ N, Is N foRM -rlGs v 1 n„ g'_ 13.. III=-111 PIGC F I„IAx �I N -1111'11 I WALL SEcjl�n�l In_ u1Li SECTION L- r�LAtJ /�— GaNG L oo�f�N L-S I pl D n ScoLe /I b'= 1 '-�" g"xIG" corJc, I.LuaK � -'Y 16AL, WALL_ 'IMMEDIATELY' ENCLOSE POOL TO CODE X, UPONCOMPLETION V BEFORE VATER• I _ul aTi_I - „I_ _L�- - r1 APPROVED AS NOTED UNDERWRITERS CERTIFICA �I vl�l II=111 L I l DATE: ° ,� 02 B.P. # 1�81/85"� REQUIRED lu- Ili 11j- — T _ T_ FEE: SO. °°m BV:.12� NOTIFY UILDING DEPARTMENT AT 766-180 9 AM TO 4 PM FOR THE ij ll'lIIII FOLLOW'NG INSPECTIONS: ` ,.P-III 1 FOUNDATION - TWO REQUIRED IIII - 42.. ROUGH FRAMING & PLUMBING OCCUPANCY OR IIT1�111T_^�Ill'IP �• - �I�I- C � r ;�';/ l�li V f li l Il nlh LFOR POURED CONCRETE11- 4. FINAL -ION USE IS UNLAWFUL 411 �.A�lo OI�ID�/aI- �P ' �' ee ,;�; ' .• CONSTRUCTION MUST 9 y" BE COMPLETE FORGO. ALL CONSTRUCTION SHALL MEET Br'UITHOUT CERTIFICATE smwmER5 / o THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY OF OCCUPANCY 5 GT OKI _ A — ,4 CODES. NOT RESPONSIBLE FOR DESIGN �JR CONSTRUCTION ERRORS 'j GgLF_ ESI= I'- c�" 074935 'V �OEESSI�NP SIZE A Eb c t� E-� F G R GAt'. To RETURNS SCALE: DRAWN6YW 6 H FT. r PT. FT. Fr Sct G-AL16 32 v 4 4 512 10,900 F WASTE 467 Pd]91 LSF% Fu"aI L C,[i. M9a EGA, P' /LCEz. N.Y. 1176 1(,' KBe" 1t, 36 12 S 12 A A 5762,0,00 PIPING (33I) 92S-2693, DRWINGNM9ER 20' x40' 20 40 12 Ic 12 6 6 Sm 24 oc --