HomeMy WebLinkAbout41842-Z �Q�gvFFoc,��oG Town of Southold 8/22/2017
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P.O.Box 1179
a° 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39153 Date: 8/22/2017
THIS CERTIFIES that the building AS BUILT ADDITION
Location of Property: 560 (aka 46) Sunset Ln, Greenport
SCTM#: 473889 Sec/Block/Lot: 33.-4-63
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/21/2017 pursuant to which Building Permit No. 41842 dated 7/27/2017
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:
FRONT STOOP TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Maragopoulos,Michael&Maria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
QAV X
Au ho0
d Signature
o�SOF0141- TOWN OF SOUTHOLD
4W BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
X01 � dao
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#: 41842 Date: 7/27/2017
Permission is hereby granted to:
Maragopoulos, Michael & Maria
43-17 221st St
Bayside, NY 11361
To: reconstruct front stoop to existing single-family dwelling as applied for.
At premises located at:
560 (aka 46) Sunset Ln, Greenport
SCTM # 473889
Sec/Block/Lot# 33.-4-63
Pursuant to application dated 7/21/2017 and approved by the Building Inspector.
To expire on 1/26/2019.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $207.20
CO -ADDITION TO DWELLING $50.00
Total: $257.20
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:
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 2/10 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$15.00
Date.
New Construction: Old or Pre-existing Building: pp '' (che(ok
ck one)
Location of Property: 4(a ����A� Qy
.House No. Street �(. Hamlet P
Owner or Owners of Property: VU d
P X
Suffolk County Tax Map No 1.000, Section Block 4 Lot
ja
Subdivision Filed Map. Lot:
Permit No. 9 Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: V (check onq)
Fee Submitted:$
i)lb
App icant Signature
ho��Of Sot;;%,o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
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DATE F(bl INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION(IST) y
---------------------------------
FOUNDATION (2ND) tvi
4
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ROUGH FRAMING& y ��
PLUMBING
Chi`
C/N r
INSULATION PER N.Y. y
STATE ENERGY CODE �.
FINAL
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICA'T'ION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALLBoard of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 6 Survey i
South oldTown.NorthFork.net PERMIT NO. Z5 L Check
Septic Form
N.Y.S.D.E.C. i
Trustees
C.O.Application
Flood Permit I
Examined �4 ,20 Single&Separate_!
Storm-Water Assessment Form
I
Contact:
Approved '2011 Mail to:
Disapproved a/c
h
Expiration ,20n— D
D
But '' Spector JUL 2 1
2017
APPLICATION FOR BUILDING PERMIT B1fJIY.D DEPT.
DaJe;� d GOLD , 20
INS RUCTIONS
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 9�r 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
'shal I 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 Insp�ctor may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be requied.
APPLICATION IS HEREBY MADE to the BuildingDepartment for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk ounty,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,a d regulations, and to admit
authorized inspectors on premises and in building for necessary inspections. .00
??Y4
(SignAre of applicant or name,if a corporation)
• 5 lz� saA u o v ; IZ a SA I
d
(Mailing address of applic n
I
I
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
(M of the tax roll or latest deed) !
If applicant is a corporation, gignature,o£�duly,,Authorized officer
(Name and title of corpprate off cer) "'
Builders License No. •• �' r t ;t,.rs;,,':
Plumbers License No.
Electricians License No.
Other Trade's License No. D
1. Loc tion of land on which roposeq wok will be done:
�. oe,Y) ®�
House Number Street Hamlet
\ u
County Tax Map No. 1600 Section �� Block ` Lot �3
Subdivision Filed Map No. Lot
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
3. Nature of work(check which applicable):New Building Addition Alteration
Repair laG Removal_ DemolitionOther1Work e S IW.
(D sc'ripti n)
4. Estimated Cost 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
i
6. If business, commercial or mixed occupancy, specify nature and extent ofj each type of use.
7. Dimensions'oi existing stractufe's,l'if-any: Front Rear Depth
Height; -`-= Nqje °` S`=° `--Nbmlb.'er of Stories
Dimensions of same structure witfi'alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of'enfir`e�new�coristfuction: Front ' Rear Depth
Height `!i<<'_>1 `°kis°"�"`'�� i`{' rNumber of Stories
9. Size of lot: Front ��, Rear 01 Depth 1057
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated &51&6q1
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO It
13. Will lot be re-graded? YES NO W Will excess fill be removed from premises? YES NOp
14. Names of Owner of premises Address I Phone No.
Name of Architect Address Phone No
Name of Contractor Address 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 typographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO A(
*JF YES, PROVIDE A COPY.
STATE OF NEW YORK) v jq1
SS:
COUNTY OF
Ay av- being duly sworn, deposes and says that(s he is the applicant
(Name of individual signing contract)above named, C6NNE C.SUN�H
Notary 140.01 SU61Q�of�Y®rk
(S)He is thean�aobfl
dalfa�
(Contractor,Agent, Corporate Officer, etc.bamm1s99on EXP1MS W 14,
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.
Sworn to before me this }
a 16-4- day of 20 1
Notary Public SiYnat re of Applicant
i
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W
Scott A. Russell ��°Su '� STO]KI��1 WA\T]EIK
SUPERVISOR � ( �
MCAD A\Gl]EAWIEI�T
SOUTHOLD TOWN HALL-P.O.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 ti Town of So u th o l d
CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET
( TO BE COMPLETED BY THE APPLICANT )
DOLES THIS PROJECT INVOLVE ANY OF THE FOLLOWING:
Yes No (CHECK ALL THAT APPLY)
❑ A. Clearing, grubbing, grading or stripping of land which affects more
than 5,000 square feet of ground surface.
❑� B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
❑® C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
❑ D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑� E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan
and a completed Check List Form to the Building Department with your Building Permit Application.
APPLICANT (Property Owner,Design Professional,Aoent,Con ctor,Other) S.C.T.M. #: 1000 Date:
DistfIL
NAME ria �i
3_ `
iP" t Section Block Lot
=_x,F=
FOR BUILDING DEPART'•IENT L,E ONLY ACCs
Contact Informational Ii/� �f Z I
i
-raoi,ia,.vumtco
Reviewed By
— — — — — — — — — — — — — — — — — —
Date:
Property Address / Location of Construction Work: — — — — — — — — — — — — — — — — —
4 q Avr ® Approved for processing Building Permit.
t Stormwater Management Control Plan Not Required.
❑ Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review)
FORM # SMCP-TOS MAY 2014
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SOUND DRIVE
N SURVEY OF PROPERTY
\ AT GREENPORT
\ TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-33-04-63
SCALE- 1'= 30'
OCTOBER 7, 2013
fEo o� Al pot
105 00s
�a Nlo� o`` Nlo �R
Wot7 Q o_
00. �.
GRE w9 O
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•= SPIKE Ab 4%1,,9 f
LAND S
■=MONUMENT LIC. NO. 49618
ANY ALTERATION OR A00177ON TO THIS SURVEY IS A 140LA77ONECONIC YOBS, P.C.
OF SEC77ON 7209OF THE NEW YORK STATE EDUCA77ON LAW.
EXCEPT AS PER SEC77ON 7209—SUBDINSION 2. ALL CER77RCA71ONS (631) 765-5020 FAX (631) 765-1797
AREA= 7875 SQ. FT. HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P.O. BOX 909
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER STREET
WHOSE SIGNATURE APPEARS HEREON, SOUTHOLD, N.
Y. 11971 [13-243
l
AP ROVED AS NOTED
DATE 7 B.P.#
qlq
FE O/yBY:
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 AM TO 4 PM FOR THE RETAIN STORM WATER RUNGFf
FOLLOWING INSPECTIONS: PURSUANT TO CHAPTER 236
1. FOUNDATION - TWO REQUIRED OF THE TOWN CODE.
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4. FINAL - CV :ION MUST
BE COMPL''' 0.0.
ALL CONSTRL';:!QN SHALL MEET THE
REQUIREMEN i S OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
T ll.I I 7pA
�36Uf ROCQTOG�'I�R�ZEES
OCCUPANCY OR
t
USE IS UNLAWFQk
WITHOUTCE FJ CAT E
Op OCCUPAIiICY
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