HomeMy WebLinkAbout22938-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23879 Date SEPTEMBER 18, 1995
THIS CERTIFIES that the building ADDITION
Location of Property 295 WILLOW DRIVE EAST MARION NY
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 3 Lot 11.23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 25, 1995 pursuant to which
Building Permit No. 22938-Z dated JULY 25, 1995
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 A DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CONSTANTINE MAKRIS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
B ilding Inspector
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)
Date ................ ............................................ 19...........
WR 22938 Z
Permission Is hereby granted to:
?...... s�! ;i.� ............. ....
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D, S�.r..Sri` ..... ? s � .:...... . ...,.....lf/��
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..................................................................................................................................................................
.............................................................................................................................................I....................
.................................................... 1 ....... .......................................................
at premises located at...... ....... /fv�....... ...............................................
f .....
County Tax Map No. 1000 Section ..:; 1 ............. Block......0 .......... Lot No. .... !... ......
pursuant to application dated .......',! 1.. !?` .. ................ 19... ...., and approved by the
Building Inspector.
Fee$P .' -V.........
B ding Inspector
Rev. 6/30/80
Form No. 6
LOWN OF SOUTIiOLD
BUILDING DEPARTMENT
TOWN HALL
DEPT. 765-t 802
TOVYM OF SOUTHOLD
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.
�. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 1.7 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 $30.00.
2. Certificate of Occupancy on Pre-existing Buildine - $100.00
3. Copy of Certificate of Occupancy - $20.00
4 . Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential /$15.00•, Commercial S15.00
Date . . 1./l�
New Construction. G. . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
ja a� .
Location of Proper . . .�! l ... . ... ... . . . . . G� SI„ /`? i>oN .
House No. Street Hamlet
0nwer or Owners of Property. O: .S~�. :t/ .�.� >4!G�GPE. , .���!5. . . . . . . . I . . . . . . . . . . . .
:;ounty Tax Map No 1000, SCCtiOft. .3.�. . . . . . . . . .13.1(.)ck. .-3 . . . . . . . . .Lot . . . . . . . . . . . . . . .
Subdivisiont�'!ta�aw�iJy -t?AS\ t'�;pL!_iDt�/ -. 'GTu!dF:i I.cd Hop . ? Jr . . .Lot.3� . . . . . . . . . . . . . . . . .
77 g
Permit No;?A .3R.Z . . . .Date Of Permit. R/W`fJ App.tic:Int �!$v . •. . . . . . . .
ilea1Lh Dept. Approval . . . . . . . . . . . . . . . . . . . . . . . . . .UMlerwriLers Aphrovul . 77_777. • . . . . . . . . .
'lanning Board ipproval. . ... . . . . . . I . . . . . . . . . . .
?equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. �! . . . . • . • •
lee Submitted : $ . . . . . . .. . . . . . . . . . . . . . . . . .
Ro 7 .
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Town Hall, 53095 Main Road p • Fax (516)765-1823
P. 0. Box 1179 y� �� Telephone (516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 31, 1995
Liso Construction Corp.
P.O. Box 439'
Jamesport, NY 11947
Re: Constantine Makris
Prem: 295 Willow Drive, East Marion NY
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
xx An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
xx The check is not on file. $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits . involving plumbing being
issued after April 1, 1984) .
<� BUILDING PERMIT # 22938-Z'
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FIELD INSPECTION REPORT DATE
COMMENTS
FOUNDATION ( IST)
I
I
FOUNDATION (2ND) II ----
------------------------------------------------- ---
------------------------------------------------
II {{ �
ROUGH FRAME &
PLUMBING
I
INSULATION PER N. Y.
STATE ENERGY t i{
CODE
{I II
*V-�r-
II � --
II
FINAL
{{
-------------------------u--------------------_-----_------------------------ -----------
----ADDITIONAL COMMENTS: (
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765-1802
BUILDING DEFT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING [ INAL
[ ] FIREPLACE & CHIMNEY
REMARKS: � G�
DAT �� INSPECTO
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BOARD OF HEALTH
FORM NO.,1 3 SETS OF PL.I? y . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . .
JUL 25 BUILDING DEPARTMENT CIICCl: . 7 � - _ - - - - - - - . , , •
�995 TOWN HALL SEPTIC FOR.I . . . . . . . . . . . . . ..
SOUTHOLD, N.Y. 11971
/ TEL.: 765-1802 r:oTIFY ' 6z /
c CALL
Examined . . . .��t . . . 19 �✓ h1A I L TO : • .
Approved . . . ! �� 19� Permit No. '���d'. . . . . . . _ . . . . . . . . . . . . •
. . . . . . .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . - -. . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
u
�0i'n' I spector)
APPLICATION FOR BUILDING PERMIT `
Date / .. . . . . . . . . . 19
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 must be drawn on the diagram which is part of this appli-
cation.
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 issued 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 Buitding Permit pursuant to the
Building Zone Ordinance of the Town of Southold, 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,._ordinanc.es,.building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building'fo""r necessary inspections. 1
Kel
(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.
Name of owner of premises p' 'e . �{ . ,a P.�.. . ��:9•�• .�.�. . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
if applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate of cer)
Builder's License No. . • :��• •V% 1_ • • • • • . • • • .
Plumber's License No. . ! G�' • • • ,
Electrician's License No. . . !`.���! • . • • • ,
Other Trade's License No. . . . . • • • • . . . . . . . . . . . . . "
Location of land on which proposed work will be done. , . Pe.EH ,r1 •�=,qs! 1'?1jAi`�
. . . . . mot, . . . . . . . . . . . . . . . .W i LL��. ;�€L . . . . . . . /? ( • . ./�'�,4,��r,�t� •`/ . . . ... . .
House Number Street • • • '/ . . . . .• • • . • ' . • . '
Hamlet
County Tax Map No. 1000 Section . ,. I. . • • • . • • • • • • . • Block • • • • 3
.•cp o ��4f=-��1 reca ��r�i. �.j Filed Map No. 775� . . . . . . Lot . : 1•
Subdivision
(Name) . . . . . . . . . .
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 . .O. . . . s . !a. -• !. . � • ;�,. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Nature of work (check which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration
Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work pG •. ,
4. Estimated Cost . . . Q �?�D (Description)
:�'.�. . . . . . . . . . . . . . . . . . . . . . . . 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 ' ' • . ' . . • .
7. Dimensions of existing structures,if any: Front , each type of use . . . . . . . . . . . . . . . .
Height . . .
. . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth
. . . . . . . . . . . . . . .
. Number of Stories
Dimensions of same structure with alterations or additions: Front • . • ' ' . . • • • • • ' • • • • ' ' ' ' ' ' '
Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . umber . . . . . . . Rear . . . . . . . . . . . . . . . . . .
• • • • • • • . . Number of Stories . ,�
8. Dimensions of entire new construction: Front . .Rear . Depth. ' • ' . � • -it.
• ' ' • ' '
Height . . . . . . . . Number of Stories . . . . . . . . . . . ... . . ,
9. Size of lot: Front . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . 'Depth . . . . . . . . . . . . . . . . . . . . . . .
10. Date of Purchase . . . . Name of Former Owner
' • ' ' • • ' • • • '
I L Zone or use district in which.premises are situated • • ' • ' • • ' ' ' ' ' ' ' ' ' ' '
12. Does proposed construction violate any zoning law, ordinance•or•regulation: . . / ® • ' . ' . . . . . ' .
13. Will lot be regraded . . .Ale. . Will excess fill be remo ed from premises: . . ' .Yes ' • . ' . . '14. Name of Owner of premises Q-4 b f?4&t�� ' e> ' ' •� l�j. ���� No
• • •?• k-- �: . Address �d. O�L� �' Phone No.IV72
Name of Architect .Address . Phone No. • '
Name of Contractor �'SS - . . ' . . , AddressjR01"V.,3;�.�� • -+ ''i
15. Is this property within 300 feet of a tidal wetland? *Yes .No'Phone • o.
*If yes, Southold Town. Trustees Permit may be required, • • • " . "
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
r Y
r APPROVED AS NOTED
A//0,jDATE: B.P.#
�o ,
FEE: � ' •'� By-
NOTIFY BUILDING DEPART NT AT
765-1802 9 AM TO 4 PM FOR THE ,
FOLLOWING INSPECTIONS:
1. FOUNDATION - TWO REQUIRED
FOR.POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING
3. INSULATION
4.. FINAL - CONSTRUCTION MUST
BE COMPLETE:FOR,C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE .N.Y `
STATE CONSTRUCTION & ENERGY. `-
CODES. NOT RESPONSIBLE . FOR—.:
-
DESIGN OR CONS,TRUCTION',ERRORSez.
-
;TATE OF NEW YORK,
:OUNTY OF . . . . . . . . . . . . . . . . . S.S
' . . ...' . . . '.' ' �`•t• �• •`�. . • • • • • • • • •I• • . . . . . being duly sworn, deposes and says that he is the a(Name of individual signing contract) pplicant
bove named.
leis the . . ... . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
"plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the
ork will be performed in the manner set forth in the application filed therewith.
•vom to before me this
. . . . .... . . . . . . .day of. . 19 Q
otary Public . .✓!.. ..�d}�cc�. . . . County
HELENE D.HORNE . . . . . .
Notary Public,State of Now York ignature of applicant)
No.4951364
Qualified in Suffolk County .411 7
Commission Expires May 22, 19
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USE IS UNLAWFUL
WITHOUT CERTIFICATE:
OF OCCUPANCY
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JUL. 27, 1993
FEB.'23, 1993
JAN. 15 1993
SURVEY FOR
CALLIOPE R I SS IOTIS,CONSTANTINE MAKRIS aPENELOPE MAKRIS
LOT NO.31, "HIGHPOINT AT EAST MARION ,SECTION TWO,INC.00T. 23,1992
AT EAST MARION DATE: OCT. 12,1990
TOWN OF SOUTHOLD SCALE: I 50'
SUFFOLK COUNTY, NEW YORK NO. 90 -0788
M UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO:
SURVEY 15 A VIOLATION OF SECTION 7209 OF THE CALLIOPE RISSI )TIS
NEW YORK STATE EDUCATION LAW CONSTANTINE S10 NE�/
M COPIES OF THIS SURVEY NOT KARING THE LAND CONS AN ME M
• SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL tt��
NOT BE CONSIDERED TO BE A VALID TRUE COPY FIRST AMERICAN RAN Y
KGUARANTEES INDICATED HEREON SMALL RUN ONLY TO OF NEW PORK.
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED
AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERN-
M NEAREST WATER MAIN—MI. IISOURCE OF WATER' PRIIATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
M SIIfF CO. TAX MAP DIST 1000 SECTION 31 BLOCK 3 LOT II_23 HEREON, AND TO THE ASSIGNEES OF THE LENDING
*THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON TO ADOITIO IAL INSTITUTIONS OR SUBSEOUENTERS
T Q
N THE WATER SUPPLY Alp SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *OIIS ANCES SHOWN HEREON FROM PROPERTY LINES 4 g3
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC
OF WEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES
ADDRESS
TEL YOUNG � YOUNG R�IVOERF�ADNNEW YORKDER
NOTE ; ■= MONUMENT FOUND &=STAKE FOUND
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON JULY 13, 1984 AS FILE NO. 7755. AND LAND SURVEYOR N.Y-S.LICENSE NO.12845
HOWARD W.YOUNG, LAND SURVEYOR
m �ITIELOCATENOFWELL(W),SEPTIC TAMK(ST)BCESSPOOLS(CP)SHOWN HEREON 14) N.Y.S.LICENSE NO.45893
o ARE FROM FIELD OBSEF MTIONS AND OR DATA OBTAINED FROM OTHERS Z.B.
BRANDIS 3 SONS INC.