HomeMy WebLinkAbout38348-Z O�OfFpl,f�oG Town of Southold Annex 10/17/2013
y� P.O.Box 1179
y 54375 Main Road
o a Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36568 Date: 10/17/2013
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 7400 Route 25, East Marion,
SCTM#: 473889 Sec/Block/Lot: 31.-6-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
9/12/2013 pursuant to which Building Permit No. 38348 dated 9/23/2013
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:
"as built"deck and installation of a sliding glass door as applied for.
The certificate is issued to Papastefaneou, Steve&Edith
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
i
Aut d Signature
p�pS�FFot�co TOWN OF SOUTHOLD
BUILDING DEPARTMENT
' TOWN CLERK'S OFFICE
o • SOUTHOLD, NY
��01 Epp!J
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#: 38348 Date: 9/23/2013
Permission is hereby granted to:
Papastefaneou, Steve & Papastefaneou, Edith
112 Leeward Island
Clearwater Beach, FL 337672303
To: Construction of an "as built" deck and installation of a sliding glass door as applied for.
Additional certifications may be required.
At premises located at:
7400 Route 25, East Marion
SCTM # 473889
Sec/Block/Lot# 31.-6-30
Pursuant to application dated 9/12/2013 and approved by the Building Inspector.
To expire on 3/25/2015.
Fees:
AS BUILT - SINGLE FAMILY ADDITION/ALTERATION $633.60
CO -ADDITION TO DWELLING $50.00
$683.60
Building 1 sp r
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:
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 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(`C/Building: , (check one)
Location of Property: � O //rjj(r/y� oQcl j�U S f 1 lk/aA-' BAU\
House No. Street f Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section Block 069 Lot
Subdivision �9 u�Yt Y/�ess �Gu.� 6 o Filed Map. Lot:
Permit No. 3S 13gs, Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: (check one)
Fee Submitted: $ �0 • �Q'
Applicant Signature
OF SOUTyolo
* 'F
o�y00U Ni'1,�
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLB
[ ] FOUNDATION 2ND [ ] INS ION
[ ] FRAMING /STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
G �
DATE I® 4 ( INSPECTOR /iA-1
FIELD INWC N DATE CONIlVI = �
EQUND�I OPI(IST) -�
� MN . r����rNNNNNN
FOUNDATION(2NA)
z
ROUGH FR.�Q& �I
PLUMBING
MULATION PER N.Y.
STATE ENERGY CODE
F' IA*ET A ,
,
ADDITIONAL COMMNTS
O
i m
TOWN OF SOUTHOLD BUILDING PERMIT.APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631)765-9502 Survey
SoutholdTown.NorthFork.net PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
Trustees
Flood Perniit
Examined 20 Storm-Water Assessment Form
Contact:
Approved ,20 Mail to:
Disapproved a/c
Phone:
Expiration ,20
Building Inspector
a ,l
l LICATION FOR BUILDING PERMIT
SEP 12 2i l
Date / ,20/
BLDG.DEPT. INSTRUCTIONS'
TOW OF SOUTHOLD
n, a 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 or 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 pennit
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 puipose what so ever.until the Building Inspector
issues a Certificate of Occupancy.
f.Every building permit shall expire if the work authorized has not counnenced within 12 moriths after the date of
issuance or has not been completed within.18 months front such date, If.no zoning amendments or other regulations affecting the
property have been enacted in the interim,the Building'Inspector may.authorize,in writing,the extension of the permit for an
addition six months.Thereafter,a new peizmit shall be required.
APPLICATION IS HEREBY MADE to the Building:Departinent.for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold,Suffolk.Cotmty,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 c ulations,and to admit
authorized inspectors on.premises and in building for necessary inspections.
(Signature of applicant or nine,if a corporation)
ai address of applicant
od / l 7 /
State whether applicant is owner, lessee, agent, architect;engineer,general contractor, electrician,plumber or builder
Name of owner of premises Ae n!�
(As on the tax roll'or:latest deed)
If applicant is a corporation, signature of duly-authorized officer .
'f l
i
2. State existing use and occupancy of premises.and intended use and occupancy of oposed construction:
a. Existing use and occupancy e,
b. Intended use and occupancy, £, hGte�f �
3. Nature of work(check which applicable):New Building i k: Addition Alteration
Repair Removal Demolition ;1 Other Work
(Description)
4. Estimated Cost 0. Fee
(To be paid on filing.this application)
5. If dwelling,number of dwelling units f -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.
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
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: Front` 'f Rear 77 Depth a
i
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law,ordinance or regulation?YES NO. V CW
13. Will lot be re-graded?YES NO Will excess fill be removed from premises?.YES NO o0
14.Names of Owner of premises Address Phone No.
Name of Architect Address. Phone No
Name of Contractor Address Phone No.
1.5 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? YES NOX
* 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.
II ':
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 topographical data on survey.
18. Are there any covenants and reshictions with respect to this property? * YES NO
* IF YES,PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OFk f,
being duly sworn,deposes and says that(s)he&is.the applicant
(Name of idividual tigninQ c ntractl ahnve named.
Ahr sell UOissiwwoo
�ll�u Aloffng 1 pegllen0
BETSY PERKI g Is qq d %°N Notary Publi ,State o N ork
8N 'V JlSJ31a No. 1 PE6130636
Qualified in Suffolk Cou
Commission Expires July 1j
N •
SURVEY. OF PROPERTY
AT .LEAST MARION
TOWN. -OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000-31-06-30
AUGUST 21. 2013
o
a �
11
• O
y s�
yo a� �opt
i'v t tiwe 17
Y 1
CERTIFIED TO:
GEORGE PAPAMICHAEL
ALPHA' ABSTRACT — TITLE ALP14655
4UONTIC BANK �� Y
AREA-23,145 80. FT.
� 4s
ANY AL7ERA770H OR ADDI77ON 70 TMS SURVEY IS A VIOLATION P CONIC S
o.' re
OF SEC770H 72OXF THE NEW YORK SM7F EDUCA770N LAW. tC 765-5020 �' i�79 7
EXCEPT As,PER SEc77QV 72D9-SUBDIVISION z ALL CER71F7CAnONS
HEREON ARE VAUD FOR THIS MAP AND COPIES'THEREOF ONLY/F P.O. BOX 909 .
SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR 1230 TRAVELER SIRE `
3
Wi=S/cNA'7URE APPEARS HEREON. SOUTHOLD, N.Y. f 1971 .1 2t hG
ho�*pF SOUlyolo
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Cn tic
Southold,NY 11971-0959 Ol� �OQ
cou
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
October 15, 2013
Steve Papastefaneou
112 Leeward Island
Clearwater Beach, FL 33767
Re: 7400 Route 25, East Marion
TO WHOM IT MAY CONCERN:
The Following Items(if Checked)Are Needed To Complete Your Certificate of Occupancy:
"Note: Architect or Engineer required certifying construction of the deck; all covered footings and
frame.
Application for Certificate of Occupancy. (Enclosed)
Electrical Underwriters Certificate. (Contact your electrician)
A fee of$50.00.
Final Health Department Approval.
Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84)
Trustees Certificate of Compliance. (Town Trustees#765-1892)
Final Planning Board Approval. (Planning#765-1938)
Final Fire Inspection from Fire Marshall.
Final Landmark Preservation approval.
Final inspection by Building Dept
BUILDING PERMIT: 38348 — "As Built" Deck
ANGEL B. CHORNO
ARCHITECT
51020 MAIN ROAD. SOUTHOLD NY. 11971
(631) 765- 6530 FAX (631) 765- 4643
October 1 Vh, 2013
Town of Southold Building Department
Town of Southold NY
Re: Papastefanou Residence
East Marion NY
1000-31-06-30
By this letter, I affirm that the existing deck was built in accordance with
sound construction practices, with the appropriate frame and footings.
Sincerely,
D ARC
tom,¢ �jsl _ sV#A O• �`�Angel B. Chorno, AIA acp
C E
'
OF N t C7 0
r
,. F �
OCT 16 2013
--------------------------
BLDG. DFPT.
TOWN OF SOUTHOLD
-0 Q ED
0
APPRM ED AS VOTE
O �3
DATE: B•P -� --
6e
z I iFEEE E� BY: I _
NOTIFY BUILDiT Ca Lr�,RTP1iENT AT
765-1802 8 AM INTO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUP DATION:- TWO REQUIRED /
FOR POURE[ CONCRETE
2:•ROU H - FRAMING & PLUMBING p OMPLY Wl I H ALL CODES OF
3. INSULATION W YORK STATE & TOWN CODES
4. FINAL - CONSTRUCTION MUST. S REQUIRED '--
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALT_ T T STN$E9�8V � 3A
MENTS OF THE CO OF cW
_ S _ ARC
_ TE,,�QT RESP IBL OR
E IOR SOT _D ITBINS
w=*-BEE
OCCUPANCY OR
- -- USE IS UNLAWFUL
------ WITHOUT CERTIFIC � ol
OCCUPANCY °.I �
A*
o
�•
1000-31-06-30
p DATE: 9-.10-13
0
PAPASTEFANOU RESIDENC
ob EAST MARI®N NY SK ';
CHORNO ASI$OCIATES
(Vl� '3� emoI�T1, architects.
SOUTHOLD,NEW.YORK
PATRICIA C. MOORE, ATTORNEY AT LAW
51020 Main Road.-
Southold, NY 11971
LETTER
(631) 765-4330
email: pcmoore@mooreattys.com
Date.............'......_ ................
To....................................................................................................... ................................................................................................................... Su �ec ............................................................................................................................................
� c _ s....... ....... .. .......................... .
.........................................................................................................................................................................................................................................
....................................................: �
................................. ..,.\................... ............................................. ............................................ ...........
. ..... ..................................... .........................................................
..................................._ ........ ...( _ ...................0 -.......................:............. ........................................................ 1...................................................................................................................................
..
...................................................................................................................................................................................................................................................................................................................................................................................................................................
........................................................................................................................................................................................................................-....................................................................................................................................................
....................................................
................................................................................................................................ . ............ .............................................................................................................................................................................................................
......................................................................................................................................................................... -�5........... - i._5...........c �-T� .... ...4 ....................................................................
-
................................................................................................................................................................ c-�..........................................................._, -
) —�k-�
...................................................................................................................................................................................................................................................................................................................................................................................................................................
............................................................................-...............................................................................-...........................................................................................................................:....................................1` .... .�. z,.3....................................
.................................................................................................................................................................................................................................7......... .....................................................................................................................................................
i -
........................................................................................................................................................................................................................................................................ ....... .............................................................................................................................
❑ Please reply ❑ No reply necessary ( s D