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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26333 Date: 03/18/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 2905 PRIVATE RD #1 EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 22 Block 3 Lot 8.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 1996 pursuant to which Building Permit No. 23885-Z dated JANUARY 7, 1996 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 TWO CAR GARAGE & STORAGE IN THE REQUIRED REAR YARD OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EFSTRATIOS PAPAZAHARIOU (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspecto Rev. 1/81 FORM NO. f TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. I BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23885 Z Date ................ . ............. ............, 19.)�o Permission is hereby granted ........ .... ...... .V... .... . .. /... . . ©s.. ........... :.-� ....... ............................. ......... .... .. ..... ... `..d.. ./r.. =1ocated tat .. ........ . ... ... . r at premise :.............. .. ............... ............:-....... . . ........ ....... ................... ............................................................ .-�..� ... ..... ...................... ., .1........... ............................................................... . .................. .......................................... County Tax Map No. 1000 Section ......... Block �........ Lot No. ..t t j.. .......... . ........ ......... pursuant to application dated .. � 2..- 19 wand approved by the .......... .. ... BuildingInspector. Fee $..1....f../....1 .......... .Building Inspector.. .... .......... Rev. 6/30/80 Form No. 6 11 TOWN OF SOUTHOLD �uf BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. 51 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 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 - : .25i�. 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. // . . . . . JL Location of Property. .. . ... .�`��.� . ... . .. . .. ? .IZC4 . . . . . .o,\, . . .0. . . . . . . House No. Street .• . • .Hamlet . . Onwer or Owners of Property.. . . . . . . . . . . . . .. . . . . . . . . . .. . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . a� . .. ..Block. .. .. . .3. . . . . . .Lot. . . . . . . .. !. . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �. . . . . . .Date Of Permit. .. .?. .�?. . . . . .Applicant. . ... . . . . . . . . . . . . . ... . . . . . . . . . . Health Dept. Approval. . . . . . . .. .. . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . ... . . . .. . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . .. . . . . . . .. . . . . . G� �59�`f . . . . . . . . t. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . Co ��� APPLIC ,65.1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE ��' INSPECTOR � M.1802 BUILDING DEFT. INSPECTION [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 71�Yl INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: col Goo, DATE 613'1f 9 INSPECTOR 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. � ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING I'NA L [ ] FIREPLACE & CHIMNEY RE MA S: �v DATE 1f l' INSPECTO __ Cut It)H HT.1; 1A F01111DAT I ON FOUNDAT MI-I (2tio) ------------ 44 I NO --------------- -------- - -- ----- ---------------- --------- C001". ------------ --- ----- ------ ----------------- ------- FMAI. ----------- - ------- ------------ - ----- -- ---------------- --------- ----- ------------------ -------- ------------------- ------ - - -- ----- ---- BOARD OF HEALTH . ... . . . . .i . . . . . . FORM NO- 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . DEG 0 1 :J0 TOWN HALL SEPTIC FORM . . . . . . ... . . . . . . . . . . . 2 9 SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIF� CALL . .j . . . . . . .4 19 MAIL TO: . . . . . . . . . _ . . . . . . . . Approved.. ig, Permit No. .. .................................... DisappI C .................................. ................................... ................................................. .... ed Ic .................. ...... . .... .. . ...... ilding Inspector) APP CATION FOR BUILDING PERMIT Date. .. .. . . INSTRUCTIONS a. This 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 areas, and giving a detailed description of layout of property mist be drawn on the diagram which is part of this application. 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 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 whatever until a Certificate of Occupancy shall have been granted-by the Building Inspector. 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 Southold, Suffolk County, New York, and other applicable Law.,;, 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 buildin for ne ssary inspections. ..... ... ......... .................... (Signature o applica�t, or name, ji a corporation) ...................... ........................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... ....................................... ......Name of owner of premise. R-ru' L'u-1 0 u/ .. ........ .......................... .................... (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. ......................... PlumbersLicense No. .......................... Electricians License No. ..................... Other'-Trade's License No. .................... 1. Location of land on uWdi proposed work will be done.............................................................. ..................................................................................L....N:'V.......................... House Nud)er Street Hadet lz� ? 1 County Tax Map No. 1000 Section ................ Block ....... ......... lot ...e., .. ... .... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2- State existing use and occupancy of premises and intended use and occu ncy of proposed construction: a. Existing use and occupancy ...... ..... .................. ........... ........... 0 b. Intended use and occupancy Malme of sA)ik Wlieck vhi(li allAicatile); ..... AM!t i Of k ........ .. At Leral.ion . . . .... . . . [?A!Ixt i r ............ Itailoval .............. Danol i L ion ............ Other Work .................................. 4- (Descr i lit ion) Est Uf.......iniated Cost ....... ......... fee (1-o be paid off filing this application) If (h4elling, ixilber of (knelling; %inits ............ timber of o%qelling units oil each floor :..... .......... Ifgarage, nolitiller of cars .......... ............................ 6. If. 1xisitsesa, ctinnercial or mbae(l oemipancy, specify ivictire aril extent of each type of use...................... 7. MillensicAis of existing stnwwres, if any, Front.......... ...... Hear ............... Depth ................. lklight: ...............:*........ Usiber of Stories ...................... DilleFlSi0o8 Of Billie sLnicLtjre with alterations or aildiCions: Front ............... Rear .... ........... Del)l h .................... fleiJit .................... Umber of Stories ............... 8. Dimensions of entire new cionstructic)II: Frrxil: 3P Bear lk-ijoit: ................... Uxiber of Stories ..... ............ - 9- S i Z& of lot:: Iiyrint .Y0 o Mar ............. Depth M. R'll e of Purchase ....... M-Niv-- of Former Owtier ... Zoi*! or Use district' in %JliLill premises are siLtiated ........112- 12. Does propm"I (x)glst:njction violate any z(xiing law, ordinance or regulation: ............... V) Will lot lie regrixied .................... Will excess fill lie relicyved f-roin I)rimiseh: YES Ill. ltalles of Omier of preinises MIress .... �.s`�S. . Mille of Ar(Jairect .................................... tuldress ........................ ...... 11 lone No. .............. Mule of Contractor ........... A.&.............. 157 — Aildress ...............................I'lione No. .............. 15. Is Ibis property within 300 feet of a tidal. weLland? YES. .......... *lF YE-9, RX1111(]i]) -ITMN 112USID-79 MAY 19?, -U11) . ........ PLOT DTAGIIA" [.(x,at:e clearly and distinctly all Ixii Idings, xAiether existing or, proposed, and iridicate all set-back dimensions Vroiti prolierty lines. Give street an(] block iliziber or descriptiori according to deed, and riliot4 street noiles sill infli(:al-e %ket1wr interior or corner lot.' 0F "W y0IW MINH (X? ...... ...... ,-0 k- ... C-- .. 0 01-Z-& a-V ..being (Itily sworn, (Ielx)ses and says that he is the applicant ..... ......... ....................... (K-11'K-- of ilklividtiol. signing c(ntract) -jlx)ve mlited, lke is the .........0. !-,..Vkf ............................................... .................................... (CoiiLracLor, agent, corIX)rate officer, eL(.-.) of said owner or owtx-rs, awl is duly authorized to lierforrn or have performed the said vxirlr aril to nvike arxi file this application; Lhal! all. stiat.einents contained in this alitfli(-ation are t'.n)e to the Ixisl: of his kotml.edge- awl 1>('fljef; ;jjxI (hat. the vA)ik will k- perfortiled in the inanner set fort.1i in Ole applicatIon filed therewith. -A)III to before fix- this ...... ... ...... day of t ....... . .................. 7 111A A. ZAHARIA PAPAZAHARIOU . ... ------ NOTARY PUBLIC,State of New Yolk (Sigowoi.e of API leant) No.41-4840522 Qualified in Queens County Commission Expires March 30,1997 C - T1L.'S•- - :-.- F ^ SUFFOLK CO HEALTH DE PT.. APPROVAL—; H. S. NO: 1 % J6• DEC 0 !� O Ap 0•, STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS htESIDENCE WILL _.__♦ � , CONFORM TO THE, STANDARDS OF THE �t/1' � • c� � � i� - y �r� = _ =— -_ —_---- _--- SUFFOLK CO. DEPT. OF HEALTH SERVICES. lsl SUFFOLK COUNTY DEPAfiTMENTOFiHEgLTHEAV SICES APPLICANT rtiort. eu^�:.�.P;. SINGI 1 ANiiLY DWELLING ONLY DATEF ' SUFFOLK C'3UNTY DEFT OF HEALTH • '- \ `':• •���. � _ ,;,,� H.S REF. N0. __8ur 5 O�8 j ' i SERVICES — FOR APPROVAL OF ' -�� i �' •�- �o � ,. - , 2n •���;'. - The sewage disposal and- P ,water-supply facilities for this location have been ins , CONSTRUCTIC3'I3ONLY Reefed by this Department and/or - _- •. ` other age ies d faun to'be sa6sfa,-tory• DATE: Chief of ureau of !H_ S. REF. NO. Wastewater r>ragement j APPROVED: Al ��fi o P, S::Tc?RY -.,'�- Cl f(�,., j, `.,_r•M _ i 36 SUFFOLK CO..TAX MAP DESIGNATION: DIST. SECT.. BLOCK PCL. Q i ! 6 000. 3 8.00 I O O' NERS ADDRESS: , 1 c � .. 1 o' S � �E�T#3 ` '�. LONG i=.►��i�i : 1'I `r , tvY : i i+✓. - � . �w - ,�' �zG 72�-06S2 au 'iz. 545- 8�9 J 1[- �9�� N r �.�__ c�jcy DEED: L., - -;' 0,�. TEST HOLE " STAMP z. " M _ C l O \ to' ya a yr otsaan aF S Sm`* 721WIer theNow,Xwt!'im LM c COOP-d*J.zwv-,tr nst}f"h�ft t,, •` A be �valid tr+ar oapynat M oorieirloPeti hemw _ ,•c:'S.f rlm._`7 ! N',.� t ' ,�, le tweprsd,a'nd er•his behsN to the `r i �•� A .T'��- �ma4no•,sew,rnrrbnoo�e�on�r Er- • —TY 1 ` ,'�-..` 7 rt i �!�+, . � ' �• r� i ... ` i.. ;� � cvANrD tr 1F`O ho►Oin ird...1 _ r �' 1 1.,) `r 1,t I_. `rl\V E L .oe�nm„te.s uo tranalirriia Y,P.)*.*cbr ine it iwa or n,b.olrsM SEAL MAP - _ ------ . — - F O NEW�- l T ODERICK VAN TUYL• P.C. LICENSED`LAND SURVEYORS tANDSJ - ) F _ F GREENPORT;• --, NEW YORK x TELEDYNE POST N32t77 UNDERWRITERS CERTIFICATE REQUIRED 811 02 EPA ��� of r tl �� 6 f at e ui- kx� 3 80" �.f" iNASPEC'TIONS. a -� kAiil 4 ap q�`�Q REQUIRED D I 3 .r.. c '@:�!;J -r". U v e cH; ' fG " ,� 1 1 - .,;u QED CONCRETE � C.M.U. F6A A t. PLU 0 . �N :!LATICN 1 RN AL " =4ST � ION MUST S Svc :OMPLET 1 1 ;,.L COS ISTG 91 `ilo�t SMALL WIEE� 1 f 1 E REQUIREMENT OF TMF- N.Y 1 , s i Et'�-RGy i 1 ;� �iTE ®NS' �81GTt®let $d �1 i #3 REBARS ,0CES. No RESPONSIBLE FOR i x a. DESIGN OR C®NSMgCMOlet ERRORS 6"CONCRETEw-21i -1 - 0 FLOOR W/WIRE MESH 9v Gasses -)"3- U N� #3 BARS AT 18" O.C. BOTH WAYS '0 3'1 Ij 1'-1" 0'-10" 1'-1" 3'-0" FOUNDATION DETAIL Efstratios Marion, i 2905 Private Rd 1,Eastt Marion,NY Ph(718)545-3869 Fax(718)545-6372 1 2X10-Ridge 12 6 2X10-16"O.C. 2X8-Hanger-16"O.C. 1/2"Plywood 2X10-16" O.C. 44'Long Steel Beam 1'-0" C.M.U. WALL 3 Columns 10'-0" O.C. 2'X2'-Footing For Columns yd ROOF SECTION IF-ftr';atpios Papazahariou 2905 Private Rd 1 East Marion,NY (718)545-3869 i LAYOUT PLAN 3'-0" DOOR �3 o x � - o o � Q q o o / M S _ �b0 O x i O� A WINDOW(TYP) 44'-0" Efstratios Papazahariou 2905 Private Rd 1,East Marion,NY 718/545-3869 t - CONCRETE NOTES: ALL CONCRETE TO BE 4000 PSI BLUESTONE 2X8 @ 16" stud 2"X12"Continuous 2-2"X8" Sill 1/2" � Anchor Bolt Embedded Continuous into concrete 6"-Locate 1'-0" From End&8'-0"max o.c.Along Wall 60 Perimeter #5 REBARS 6"CONCRETE Expansion Joint _ 0 FLOOR W I/6X6-6/6 i U ' A 0 V� AW, Fn 60 //� #5 REBARS EQ. el oo U 0'-10" 0'-10" 0'-10" 30" mA 17 (999 FOUNDATION DETAIL E.P8)545-3869 Ph(718)545-3869 Fax(718)545-6372 L /RIDGE VENT 3/4" ext plywood sheathing / 2X12 RIDGE BEAM Felt Underlayment GAF Timberline Ultra Roof Shingles / 12 2X6 @ ea Rafter 6 plywood she 2X10's @ 16"o.c. sheathing \- 2-2X8's 17-2X10-LAM-VL Provide Metal Diag CEILING JOISTS 18"soffit Bridging @ 8'-0"o.c.max. w/vents 5/8"plywood sheathing(interior of wall)4'-0"height 5/8"plywood sheathing 2X8's @ 16"ox. -10'0"lengths Interior finish ceiling height to be 11'-6" 2-2X8's CCA 2X12 nailed @ base of wall around entire garage Termite shield SECTION THRU ROOF E.Papazahariou Ph(718)545-3869 Fax(718)545-6372 N 3'X5'Windows(typ) 3'0 Door ti o � h 0 bq O (� 0 2X10's _ 2X10's o � �^ @ 16"o.c @ 16'0 60 � O O � � N 48'-0" E.Papazahariou Ph 718/545-3869 Fax 718/545-6372