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Home My WebLink About8483-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office $outhold, N. Y. Certificate Of Occupnncy N Z 7129 o ...... : ...... Date ............ .J.B~-Y..2.Q ......., 19.7.~.. THIS CERTIFIES that the building located at .D.a. ~..~.y..R..o~.d. ............... Street Map No.S.~V~.t. ~n..o.l~lock No. ,..][.~. ..... Lot No. ~0. ..... ~.a.t.~.i.~.l.e.k....N...Y.: ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......... ~'P~...~., 19.7.6. pursuant to which Building Permit No..S.~uS3.ff.,.. dated .......... ~?.i.~....8...., 19..7.6., was issued, and conforms to all o~ the require- ments of the applicable provisions of the law, The occupancy for which this certificate is issued is .P.r.i.¥.a~.e~ .o.D.e,..l~a..m~.~. ,d.~.e,.]~t~tng ........................................ The certificate is issued to .B.~.~.1. ..K..~, .A..~h~l~;~.a' .~.a.~.~.o~,o ........ Q~,.~ ....... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .J.u~..~. 2~...~. ~?.6... ~.oy..R.:..V.f~l. ~ .... UNDERWRITERS CERTIFICATE No.. Pelf.ding ................................... HOUSE NUMBER .... .~.&O. ...... Street Daisy Hoad Mattituek Building Inspector / FOR~ NO. ~' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) N? 8483 Z Date ........................................................ , 19...' ..... Permission is hereby granted to: M~,ttituck et premises located at ...~g.~...~..O. ........ ~...~....s.,e.~...2..~...o..~.~,9...].~ ............................................................. ................................................... @.a..~...:~.o..~.4 ........... .t:~.t.~.Lt.:..:..q~ .................................................... pursuant to application dated ..........................~.~.?.~.!,1. ........ ?. ......... , 19..?.~..., and approved by the Building Inspector. Fee $...8.~..:.~..0.. .......... FORM NO. 8 TOWN OF SOUTHOLD , Building Deportment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of oil buildings, property lines, streets, an6 unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Nan-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey.of property showing all property lines, streets, buildings end unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date ....... J...u..n. ?.,,, .2...8..~.,...Z. ,9...7. 6. .......... New BHilding . .. ..¥.?. ?. .... . Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ....D...~.i..s.2Z...~.~..`~.~d.~....~...~:.t...t..i...1:..u:.c.~.~....`N..~..Y..~ .................................... Owner Or Owners Of Property .......... ,B..i..~....K..,.....I4....e;.z'..~.s...o..~.~.$. .................................................................... Subdivision ................................................................ Lot No......3...0..... Block No ............. House No ............. Permit No......8..zL:.8...3. Z..... Date Of Permit ...~../..8./..7..6....AppJicant ...... .[..~..]_...~..~..¢.[...~.o.~s..;.....~.g.c..: .................. Health Dept. Approval .... ~Z~'~'--~''c-Z'''°''s''?'''d''''Z ............ Labor Dept. Approval ................................................ Underwr tars A rova ' ~- Pannn Board A ro PP ..... .~ ............................ .-J. ...... g pp va ........................................ Request For Temporary Certificate ........... ?..?. ........................ Final Certificate u ' 5.00 Fee S bm~tted $ .................................... Construction on above described building and permit meets all applicable codes and regulations. Sworn to before me th~ App cant .~....~.~..~~. ........ ~ day of ~ ...'~./~.~/.~Z.~.... (stomp or seal, ~ZT'~ Nota~ Public ....~ ~ TOWN OF SOUTHOLD BUI~IHG DEPARTMENT TOWN CLERK'S Disapproved a/c ........................... ~ ....................... ................................. APPLICATION FOR BUILDING PERMIT A~ril D i,.:3 ....... ate ................................................ , INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building ''( Inspector, with 3 sete 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 o~ areas, and giving a detailed description of layout ofproperty must 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 Lows, Ordinances or 09 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 lows, ordinances, building code, housing cede, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. INLAND H(F~.S, INC. (Signature of applicant, or name, if a corporation) Box 117, Mattituck, N.Y. 11952 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises Bill K. Kartsonis If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... = ......................... Plumber's License No ....... ~l. 7...-..P.....'~'. ........................ Electrician's License No...~.7..3...-..~.. ............................. Other Trade's License No ............................................... · . Sunset .Knolls Location of land on which proposed work will be done. Mop r~o.:........................................ Lot No...... ~. ............. Street and Number .D.a.~..s.Y.....~..°..~.~..~.....~..a..t.~%'.~..c..~..L...N.~.¥., .................................................................................. Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy V&cent b. Intended use and occupancy 1 - Family XXXX 3. Nature of work (check which applicable): New Building'. ................. Addition .................. Alteration ................ Repair ................. : Removal .................. Demolitior ..................... Other Work .................................................... .~...Z~ (Description) ooo oo 4. Estimated Cost .,.,.....M.......:..... .................................... Fee ...................................................................... (to be paid on filing this application) I 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars 1 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 ..~.9. ............................. Rear ..... .6.9. .................. Depth ..5.8. ................. Height ......1...8. .......... Number of Stories .......... ~. ......................................................................................................... 9. Size of lot: Front ..... %Q.5. ............................................ Rear .......... ~.5. .......................... Depth ...:,3,9. Q. ................... 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: ................. ..n..o. .................................. 13. Will lot be regraded . ......y..?..s. .............. Will excess fill be removed from premises: ( ) Yes ~ ) No 14. Name of Owner o~: premises .B...i..1.1....~.:.....~..a...r.~.s...o..n...i.~ ........... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor INLAND HOMES~ INC, Address ............................... :il~/~N~. ..................... ............................................................ Box 117~ Ma1;1:' .Y. 298-9696 PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimension~ from property lines. Give street and block number or description according to deed, and show street names and il//dicate whether interior or corner lot. I .... // qTATE OF NEW V~RK~./ ' (Nome of individual signing contract) above homed. Contractor He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) 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 ail statements contained in this application are true to the best of his knowledge and belief; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . ........... · ~.....~-~.....~ day of: ........ ~'~(,,~...~ ............. , 19.~...~..~ N~ 52-0344963 Suffolk County~ .~ / ~ [ - ~' ...... ~*~s~on ,Expires March 30, L9_~7 ~,-~'~J~ly 28, 1976 /O,.,,~,~io,-,No.o,J'~a' 856103 !~ r~i~ r'; ,¥.% " , ~'.~l~am Kartsonis, g~isey Roa~,Ma t tuck, L.I, "';~'~' :,' job 246 ,-, ,,,,~,,.,,,n,,,,~,,~,n,,.,~h,,,~ [~ ~.,,,m~,,,t ~ z~tFt. ~ ~ ~. outs ides,~c~,b 2~& ~o~ 30 ~:, ' ~ .~ ':". Walter Finger '~ Mattituck, L. I . I 1952 Lic 1845 sq.ff. TITLE NO, S-440781 THE WATER SUPPLY AND SEWA(~ OI$PO~AL SYSTEMS FOR TH~S ~SIDEN~ W~LL CONFORM TO ~E STANDARDS ~ ~E SU~OLK COUNTY DEPARTMENT OF HEALTH SERVICES APPLICANT .... 3~5 We~lpoa,; ~o~[16~o¢~Mattituck'~ ~ ~' N. y. ~952 SUFFOLK CO~NW DEPAR]MENT OF H~LTH SERVICES FOR APPROVAL OF CONSTRUCTION ONLY APPROVED -- 6 0 SUODIJlISIONtd~P F/LED IN TI4E OFF/CE OF TIlE CLEI~K OFSUFFOL K APRII g, 1970ASFILENO $ 4~8 1976 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YOR~ ALDEN W YOUNG SURVEY FOR: BILL K, KARTSONIS 8~ ATHANA LOTNO. 30," SUNSET KNOLL HOWARD W. YOUNG EYOR AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK CO., N.Y. )NIS ITY CO SCALE: t" = 40' I DATe: sEPT 22,1972 ]No. 72-753 DIETZGEN 135 il846 LOT '-' . 30 . ft. goT_ 000 sq. ~he s~we~e disposal.~n~ w~t~p~y facilities for this location h~v~ ln2pected~bis~e~rtmenand, fouaE. Chief-of ~eneral Engl] ~erlnll TITLE NO. S- 440781 APPLICANT ADDRESS TEL 04P\ REVISIONS ,4P,~ /°/975 MAY20, I9X6 YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN w. YOUNG HOWArd/3 W. YOUNG SURVEY FOR: BILL K. KARTSONIS 5 ATHANASIA KARTSONIS LOTNO. ;50;' SUNSET KNOLLS, SECT. TOWN o~ SOUTHOLD SUFFOLK CO., SCALE: TO: NASIA KARTSONIS SECURITY TITLE a GUARANTY CO. 5~OUTlYO£D SAVINGS .~4NK SEPT~ 22,1972 NO, 72-753 I t, I T !,