The URL can be used to link to this page

Home My WebLink About9216-zFORM NO o 4 TOWN OF SOUTHOLD BUILDING DBPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Nos Z-26343 Dates 03/25/99 THIS CERTIFIES that the building ADDITION Location of Propertys 1775 PRIVATE ROAD #21 MATTITUCK (HOUSE NO.} (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block I Lot 6 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29~ 1977 pursuant to which Building Permit No. 9216-Z dated APRIL 29, 1977 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 ADDITION TO EXISTING OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PETER~ JAMES~ & CHRIS MESKOURIS (O~ER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TH.E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9216 Z Date ............................... ~ ....... ~., ]9.~. Permission is hereby granted to: ................ ,,~.~.tJ,.t~ ...... : ................................ to ~.._m~Le~&.~&~l.:..-..,m~,.%~rm.~;I,.~e~ ...~ ..e~r~,m~..~m3,~L~ ................................. et premises located at .,l~1~ll~,..]13,~i~l~t~..(~)..l#lll~l .............................................................. ................................................. :....Ib.~tt~sak ................................................................................... pursuant to application dated .......................... ~..~,3,....~ ......., ]9~..., and approved by the Building Inspector. Fee $.~.~*,.{~. ........... 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 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. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '3pre-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 Buildinm - $i00.00 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 .~. ~.~.O. [ ~ .............................. New Construction ........... Ol__jd Or Pre-existing Building ................. Location of Property...I. 2 2 .~.. ...... ~..~.lJ.~ .%-....~.~ .~. 5.~..~.~ .... [.~. ~,. ...................... House No. Street Ham]et Onwer or Owners of Property. . ~5 ' $ ~%¥r-O(D~.gl% County Tax Map No I000, Section..i.l..~. ...... Block ...... ~ .......... Lot....~. ......... ' ........ Subdivision .................................... Filed Map ............ Lot~.., .................. Permit No...~..~.J.~.~...Date Of Permit ................ Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... ........................ ....... .................... APPLICANT Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 15, 1999 Peter Meskouris & Ors. 69-08 Ditmars Blvd. Jackson Heights, N.Y. 11372 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 # 9216-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~JLATION [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY / / INSPECTOR ~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ~NAL []FIREPLACE&CHIMNEY REMARKS: ~~ DATE / / I~OB, M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICB SOUTHOLD, lq. Y. Exomined .........~ .......... ~ 19...?.Z Approved .............. ~..!! ......... .?...Z..., 19..?Z. Permit No....~....~..../...~..,?,..~ .......... Disapproved a/c ............................................................................................ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ., ?z/ Application mo ................................... o. This application must be completely filled in by typewriter or' in ink and submitted in triplicate to the Buildinl~ 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 pub c streets o areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application.t~ 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 Laws, Ord nonces or4d Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as here n described. The applicant agrees to comply with all applicable laws, ordinances, bui~!4ing code, housing code, and regu arians, and to admit authorized inspectors on premises and in buildings for nece~r~/(nspectjons. ~ ........ '~( gr~ t~appJicar~, , r/~ , if a corporation) "~d c-/ v x~-~t'zl,,tJx ~.4 ;..~ t,_v-.,..-c ...... (Address of applicant) Sro e w pi,cant ~ow~ less.~..~ agentt archi~te~ct, en.~ne~er, general contractor, electrician, plumber or builderA~ ,/ owner of premises ................... ?.:~..~//- ~- ' ......... h/~,,~.,.~....~.~...~.~..:~.:..('.:?. .......................................................... Name of If applicant is a corporate, signature/o/f duly authorized officer. (Name and title of corporate officer) Builder's License No ................ ..~,..../..~....%./x~:.~'.. Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... I. Location of and on which proposed work w~ be dol:~ Map No.: ......... ./....c~..--..O..... Lot No ./..~....'~....~.E Street and Number ........... :':.2'.~-'~.....,XJ.~,L....~...-~.~'.~.~".~..~.~...~........~....~....~..~ Municipality 2. State existing use and occupancy of premises and intended use and occuparj~ of proposed construction: o. Exisit,ng use and occupancy ................... .~.........~/~.~.~....~/.~........~.~.':..~..~'../..b.~,...~...~.~ ...................... b Intended use and occupancy 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ..../-(........ . · Repair .................. Removal .................. Demolition .................... Other Work (Description) 4. Estimated Cost ... --./.~,..~ ................. Fee Z~'(4~ ..... (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 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 ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ....... ~...~..2.'.~. ................. Name of Former Owner ......... ..~'.../~..~....C~....~...~ ........................ 11. 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 . ............. ;~ ........... Will e~c, ess fill be removed from premises~( ) Yes ., (,) No 14. Name of ,Ov~,ner of prem ses ~...'/.~.~.'.~..~%~ ...... Address .~...~..~.~J~l~o.~....,~..~....7~:j~' Name m Architect .......... i...../~......~.. ....... : ........................ Address ........... : ................ .../~hone No ....................... ....... Phone No. Name of Contractor ............................................................ ....~ ................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from md~cate property lines. Give street and block number or description according to deed, and show street names and ' ' whether interior or corner lot. STATE OF NEW.~Y'OR)(/ . J l S S ii COUNty il .................. 'ii.~.~ .............................................. Ii .............. being ....(Name of individual signing contracf) jJ above named, jJ duly sworn, deposes and says that he is the ;icom 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 all statements contained in this application are' true to the best of his knowledge and belief; and ti,ar the work will be performed in the manner set forth in the application filed therewith. ...... '7 ...... ' JUDITH ~, TERRY (Signo plicant) Rotary Public~ ~;.'ate of New Yo~ No, 5,2-03¢4~63 Suf:otk Conlnl~ssJon Expires March 30, 19~/~