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Home My WebLink About22265-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23892 Date SEPTEMBER 19, 1995 THIS CERTIFIES that the building REPAIR Location of Property 3970 KENNYS ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 4 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DULY 28, 1994 pursuant to which Building Permit No. 22265-Z dated AUGUST 15, 1994 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 REPAIR EXISTING UPPER & LOWER REAR ATTACHED DECKS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ORESTES G. & EVELYN VARVITSIOTES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building 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...�.i 22265 Z Permission Is hereby granted to; Orestes G. Varvitsiotes .......................................................................................... 25 Irvington Place .......................................................................................... Brooklyn, N.Y. 11230 .......................................................................................... REPAIR EXISTING UPPER & LOWER REAR ATTACHED DECKS TO AN EXISTING to .............................................................................................................................................................. ONE FAMILY DWELLING AS APPLIED FOR. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. .................................................................................................................................................................. at premises located at......,,3970 KENNEYS ROAD SOUTHOLD, N.Y. .............. ....................................................... .................................................................................................................................................. County Tax Map No. 1000 Section .......5................ Block.......................... Lot No. ...36.................... pursuant to application dated .........J ULY.28 ............................... 19..94.......... and approved by the Building Inspector. A:fV Fee$ ......... �� .................... Building Inspect Rev. 6/30/80 Norm No. 6 TOWN OF SOUTHO LD BUILDING DEPARTMENT TOWN HALL 763-1802 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: 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. � . Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17. 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 I . 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 - $20.00 4 . Updated Certificate of Occupancy - $50. 00 5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial 315.00 D a t e 54. J�.f/f . . . . . . . . . . . . . . . . . . . . . . . . . . New OldOr Pre-existing Building. . . . �. . . . . . . . Location of Property.13..�.79. . . . . . .. '� . . . /C `7 ... . . . . . . . . . . . . . . . . . . . . . . . . ..54: . . . House No. Street Hamlet Onwer or Owners of Property . Q04-3 ,s. . // !�!! ;;ounty Tax Map No 1000, Scction . .QI. . . . . . . . . BI1.)Ck. . . . . , . . . . . . . .Lot . . . .3Z. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FJ led Nzip . . . . . . . . . . . . /Lot. . . ...f.(. . . . . . . . . . . . . . . . . Permit No. . 2Z2G� . .Date Of Permit . . �f� � . . . . . .App.lic;int .�� f-vv/7S/. . . . . . . . . . ilenlLh Dept. Approval . . . . . • • • .UjiderwriL"ers Approval . . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Bonrd Apnrovol . . . . . . . . . . . . . . . . . . . . . . . . , / '?equest for: Temporary Certificate. . . . . . . . . . . 4FinqCerticate. . `� . ee Submitted : £?-�. . . . . . . . �e �a3gy :_ .. . . . . . . . . . . . . . . . . . . . . . . . . . o��spFFO�,�coG c� y1 Go =. Town Hall, 53095 Main Road 15 • Fax(5.16)765-1823 New York 11971 ox 1179y��l � Telephone(516)765-1802 Southold OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 29, 1995 Mr. Orestes G. Varvitsiotes 25 Irvington Place Brooklyn, NY 11230 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 # 22265-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ INAL [ ] FIREPLAC & CHIMNEY REMARKS: oa Z DATE INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL REMARKS: 3� DATE O `rINSPECTOR 0 OHM ENT.S 1 t JNDATIOI y RV�1 _ •_ ( s ) ►NDATIOid 'GH FRAME y :�,...PLUMBING • I - y ULATION PER N. Y. II . y STATE ENERGY II CODE I I 1114w_&agK4--, &,lpcpT •FI;IAL •• I � � � ADDITI r1AL E1.1 �� x x • r a1.ti�-�.an`!_.irr.�Y�-irN!• _ _'.,.ti-'..mot l:y.3ili •+.:C• r .. .. .. � . � i BOARD OF HEALTH FORM NO. 1 PLANS L - . . . . . . 3 SETS OF- . -.�275- : : : : : : : : TOWN OF SOUTHOLD, SURVEY IUI, 2 8 1994 BUILDING DEPARTMENT CIIECK . . ... . . _ _ _ . , • . . • _ . TOWN HALL SEPTIC FOR:I _ _ . . . . . BLDG. SOUTHOLD, N.Y. 11971 PT.DE TEL.: 765-1802 Examined FSO OLD �/ ��-ALL� �516) 7�5�_s.322..?�Y�75� 19/•T 3 oNt 11AIL TO : Approved . . . ( � . . . 197Permit No.,;?;?- ., . . . � Disapproved,a/c . . . . . . . . . . . . . . . . . . . . . .. . . !. Z3 o. I I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Building Inspector). A 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 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 street 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 BuildingPermit. 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 Building 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, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ins /pection:/; �}t• .�. . .�._1 L'C . . . . . . . . . ... . . . . . . . (Signature of applicant, or name, if a corporation) 15 -1 h.✓i �616 (Mailing address of applicant)• State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of remises . . . • . . • . • . • • . . (as on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer. . ., . . ... ((Name and'title of corporate-officer). Builder's License'No: Plumber's License No. . . , , • , , , , Electrician's License No. . . . . , . Other Trade's License No. . , . . , , , , , . , . I, Location of land on 7 r' which proposed work will be done. � 7d liouse Number . . . . . . . . . . . . . . . . . ... . . . .Street . . . . . . . . . . . . . . . . . . . . . . .Hamlet . . . . . . . ... . . . . . . . . . . . . . ... County Tax Map No. 1000 Section . . . .1. . , , , , , , , ; Block . . . . . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. Lot (Name) . '. State exist1119 use and occupancy of premises and intended use and occupancy of.proposed construction: a. Existing use and occupancy ... . . . . . . . . . . . . . . . . . . .. . . . . . . b. lntende"d use and occupancy •3. Nature of work (check which applicable): New 13uilding . . . . . . . . . . . . . . . . . Alteriilon Repair- .,SEC�S . . . . . Removal Addition . :�. . . . . . . . Demolition . . Other Work . . , . , , , , , , . . 4. Estimated Cost I�,(o� (Description) Fee 5. If dwelling (to be paidien C)ting,t} , application) g,number of dwelling units , • _ r ,..�-t',,�`. ;ts �_;.-_,.,...r...- Ifgarage, number of cars . . . . . ' ' ' ' Tiurnbcr of dwelling units on each-Hoot" : . . , , _ • • • " " " " . . . . . . " . . • • • • • • • • • • • • . . . . 6. If business, commercial or mixed occupancy,of ex specify nature and extent of.eac}i type of use 7. Dimensions existing structures, if any: Front . Hcight r . . . . . .Rear . . . . . . . . . . Depth . . . . . . Number of Stories � p . . . . . . • • - Dimensions of same structure with alterations or additions: • . • . . • . . . ' ' ' ' . ' ' ' • • .' . Front • •Depth . . . . . . . . . . Height . . . . . . . . . . . . . . . . . Rear . . . . . . . • ' . . . . . . . 8. Dimensions of entire new construction: ' • : .. • Number of Stories . . . . . . . . . . , :..... . . . . . . . • . • Height . . . . . . . . . . . . . . . Nu Froes . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . . . Number of Stories . Depth 9. Size of lot: Front . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . : . :. . . : . . . . . . . . 10. Date of Purchase • • . . . ' . . . . . . Rear- . . . . :. . . . . . . . . . . . . . . . . Depth . . . . . . . . . . 11. Zone or use district in w}tich. r. . . . . . Name of Former Owner p emises are situated . 12• Does prop;;sd construction violate any zoning law, ordinance or re u • - • ' ' ' ' ' ' '13, Will lot be regraded , , ; g lation:._. . . . . . . . . . . . . . . . . . . . . . . . . . . 14. Name of Owner of premises . . . , • , • . . • • • • . . ' ' ' ' ' . • Will excess fill be iemoved-from premises: Yes No Name of Architect . . . • • • . ' ' . ' • ' ' . • • •Address . . . . . . . . . . . . . . . . . Phone No. . . . • Name of Contractor . . . . . • . • • . . • • • • . , " " ' • • • • Address . . . . . . . :. . . . . . . . . . . PhoneNo. . . . . . • • • � • � • • 15. Is this propertywithin ' ' ' ' ' • • • • • Address . . . . . . . . . . . :. . . . . . Phone No. . . .300 feet of a tidal wetland? *Yes, No. . *If. yes,- Southold Town Trustees Permit may, be required. • • �'• � " " . . . . . . . • •• • • PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or 41 property lines. Give street and block number or description according to deed, and howlst stcate reet lnamesa d indicate whethack dimension s er interior or corner lot. r ur. APPROVED AS NOTE® - DATE. �l B.a # FEE: BY NOTIFY SUILI�IPJG ITP1_A MEAT AT 765-1802 9 AM TO 4 PM FOR THE 2.o FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRE® Olt FOR POURED CONCRETE UJ1. ' 4 7. ROUGH .4 FRAMINGfl< PLUMBING3. INSULATION �r 4. FINAL CONSTRUCTION MUST r ` � � ' �� BE COMPLETE FOR C.O. Vr p r ALL CONSTRUCTION SHALL MEET �i r6"J" � .� � THE REQUIREMENTS OF THE' N.Y. L C �ty � r STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOFj C � DESIGN OR,CONSTRUCTIOWERRORS STATE OF NEW YO K,(Y� :OI,INTY Ol7 . . rf�D;?fit�?-C . . . .S.S . . . . . . �r being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named, dais the . .. . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) .• . • . ' ' ' ' ' ' ' said owner or owners, and is duly authorized to perform or have performed the said work and to make a fi 'plication; that all statements contained in this application are true to the best of his knowledge and belief;and that the ndle this ork will be performed in the manner set Torth in the application filed therewith. torn to before me this 2 gnu, • • . . . . . . . . . day Vim . . . . . . . . !E , 19� . :tary Public . S • . . County t ROBERT I.SCOTT,JR. NOTARY PUBLIC,State odf N.Y. No.4725089,Suffolk-Cou Term Expires May 31;19 (Signature•of applicant) j' tip:. A„i',w� g"• .r - �* 3..` ; {.'M. ." `v' ' -'' �. ' _ ...f, k t � 'i� 4g ry��Sz1+ � aY �e tr1 .- i.. a• r_•�.. 1� .:r }yy gb G µ i t t f i`R St.J Prnx Eati.k F .:;t j�:' �� #'" it y.. T '�r,x i�S��G.x+.�• 4� � `: { { �'- '� �x�.►�'•w'� ate - �,+�� `.�7r�i•*� r, 4ya4�"1. c.�._fi'i S`-'''�.,dly�:d'yr,�_� ',��,yi ,+��V�d'°'�'__ - .1.. 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