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FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12252 Date February 9 19 84 THIS CERTIFIES that the building --new dwelling Location of Property .... 5. .5.5 ................. .S..u2m. Ln...i.t' .D..r.i.v.e. ............. ~.a.t.t.. J: .t.u.qk. House No. Street Hamlet County Tax Map No. i000 Section .... ]:.0..6 ..... Block .... 0.[. ......... Lot .... 0.4..2...2. ....... Subdivision....C.a.t? .t.a.i.n., .K.i.d.d...E.s.t.a.t..e.s .... Fried Map No...5_.6.7..2..Lot No..1..1 .......... conforms substantially to the Application for Building Permit heretofore Fried in this office dated November 19 1982 pursuant to which Building Permit No. .1.205.8 .Z -dated ...D.e..c.c..mb.e..r..6 .............. 19..8.2, 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 ......... The certificate is issued to GEORGE DEMETROULES ............. (owner, Te~se~r Tenam) of the aforesaid building. Suffolk County Department of Health Approval . 1..2.-.S.Q7 .1.3.3. ~..1/.2.6../.8.4.,...Rg.b.~' :..A....V..$ .1.1.a., P. E UNDERWRITERS CERTIFICATE NO ......... N...6.2.q ~ ~.6 ................................ Rev. 1/81 TOWNe OUT% D BUILDING DEPARTM{NT TOWN H~ALL SOUTHOLD, N. Y. BUILDING' PERMIT (THIS PEPJVHT MUST BE KEPT ON THE PREMIS£S UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) ' Permission is hereby granted ~ , ~ '~ /' at premises Iocatea at .................................................. t .......... -..~ ............... ~,~ ............. ~ .................. / County Taxx Map No. I000 Section > ............. ,~..y.:. Bloc '"'",,t ............... ~ot .~ ........................ pursuant fo application dated ............................................. ~....,~ ..... I ....~.., approved by the BUilding I~spector. FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall 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 Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate ~ocation of al~ buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept, of water supply and sewerage disposal-iS-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 installa- tions, 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), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of peoperty showing alt property lines, streets, buildings and 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 informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling/, land use --?re-~;×±st,±n~ C. 0. $t5.00 3. Copy of certificate of occupancy $1.00 Vacant :Land C.O. $ 5.00 New Building /¢~5. ........ Old or Pre-existing Building ............ Vacant Land ............. ~ ., ~.~. .......... ,. ¢~ ..~/ Location of Property . ~. ~.~ · · · ~. ~, .vy~.v.~. ;' · .......... House No. Street Hamlet Owner or Owners of Property ...~..~g. (~.~...%.~ 4,~. ¢.~. ¥~?~./.e..c~ ............................... County Tax Map No, 1000 Section .... ],~, .~. ...... Block ... ~ .! ......... Lot.. ~ .~/~2.; ;~. ..... Subdivision. ~, ~,~. ~. ~;'.~.4~... ~.~ .~. · ~:~$ ...... Filed Map No../.(¢.~. :~...Lot No./~.. ~o.Z...//, · · Permit No. ], ~,O,~'~, ~,'~ate of Permit I/ .............. .. ,-.I.~';~,~.Applicant ,~,~.w, kq~.. %~ ,L,~.%~, .o~. Health Dept. Approval ...................... Labor Dept. Approval ........................ Underwriters Approval .......... Planning Board roval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... ,~,.: :, ,v~, · ·.~T. ·/.~. -~.~. ..... Construction on above described building and pe~rmit meets all a.pplicable codes and regulations. .... ... ................. Rev. ~o75o~6 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- n~ 8S JOHN STREET, NEW YORK, NEW YORK 1OO:38 THIS CERTIF~IES THAT Charles Fusaro, Summi~ Dr, inlet Dr, & Central Dr., Mattituck, N.Y. wasexa,ninedon December 8 ~ ][95~ and~oundtobeincompliat~cewitt~therequlrementsofthisBoard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DiSH WASHERS EXHAUST FAN~- 85 58 65 78 7 1 ~.85 i 9.6 I 1.2 7 F DRYERS ~CUR~-~- MOTORS FUTURE APPLIANCE FEEDERS SPECIALREC'PT TIMECLOCK$ BELL !UNITHEATER$ MULTI-OUTLETDIMMERSDIMMERS 1 z00 CB x 1 2/0 1 2/0 ~THER APPARATUS: i,-G,F. I~ 2-Smoke Detectors 1=4 ton A,C. Unit ].--20,0 KoW, Heat Pum~ 1-4.5 K.W Hot Water Heater Tracklighting: 8 ' -~ 0'~ COPY FO MANNER. FIELD INSPE~'£'I 0~( FOUNDATION ( 1 st DATE COMMENTS /I ~DDITIONAL COMMENTS: FOUNDATION (2nd 2. ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY qODE FINAL / ? 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/~] FINAL REMARKS: Lot Il v~cll : Lot II ~, ~' ,ft. NOTE', YOUNG & YOUNG' 400 O~TRANDER AVENUE, RIVERt'~, NEW YORK SU~ ~: NICK CYPRUS P~T ~ LOT II O~ ~C~PT~IN ~IB~ [~T~TE~" I GUARA TO: *T MATTITUCK TOWN ~ 50UTHOLD , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL~: 765-180:3 Examine~C.. ~ ....... 19~.~- ^pproved ~..<. ~ ....... , ~9~rm~ ~o. (Building Inspector) APPLICATION FOR BU'ILDING PERMIT Application No .................. 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 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, bufl~ling code, housing c~nd regular, and to admit authorized inspectom on premises and in building for necessary inactions. f/ .... .~.t. ~ .,,-.,,.o....~.-.)4.. zx ~.o/. ....... (Mailing address of-applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ~. ~...~..~..7'....~.o.~.....o. ~ .~..~ ................................................... (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 .......................... Pl.mbe~'s License No...(~. ~. Electrician's License No, .~~. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ..... 1..~...~. ...... Block ....... I .......... Lot .~.[_Z~..o ~°'~' Subdivision .~..~,..~.~..l~.t'.~...1~.1~.1~....~-..~..'~..~..'~...~.... Filed Map No... 1..(~.7..~. .... Lot .... ~ ~ ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... .A~...O..A/. ,~. ........................ : ........................... b. Intended use and occupancy ...'".~..|.NI...~. ~.~,, .... . .~../~...~% ~.k...~....-- 1[2~..~...~..k...L:. )..~..~. .............. # 3. Nature of work (check which ap icable): New Building ....... Addition .......... Alteration .......... Repair ~ .............. Remqval .............. Demolition .............. Other Work ............... i · .~ff. r..~. ~ (Description) 4. Estimated Cost .......... '~ I..I.~.,.~..o..o. ............... Fee .............................. (to be paid on filing this application) 5 If dwelling number of dwelling units ~ Number of dwelling units on each floor ' : 9,. If garage, number of cars ........................................................................ 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ...-:. ~..' ............. 7. Dimensions of existing structure~, if any: Front .... 7 7. '? ....... Rear ..... ~ ...... Depth Height ~ Num:ber of Stories Dimensions of same structure with alterations or additions: Front ...... :i..: ....... Rear .......~ .......... Depth '. ........ ~ ......... Height ..... ~ ~ .~. ~, ......... Number of Stories .... -: .......... t ...... 8. Dimensions of entire thew constrUction: Front ....... s[ ....... Rear .... .~..4 ....... Depth ....~ .7. ........ Height ~ro~X ~ Number of Stories ~. . . · ' ' ' '~'. ~; i t ' ............................... '~.~ .~ 9. S,ze of lot: Front .. [ ...... .$ ........... Rear .... I .O..O ............. Depth .. ¢~$,?ig. .... e.~...?t. 10. Date of Purchase ..... /..q. ~ ~. ............... .:.~Name.of Former .Owner . . ~(~. ~..~. 0..~.J...~t ............. 11. Zone Or use district in which pr~mises are situated..'.~.~.M~..~..~.~.~..I~,.~ .... .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... Nl.{} ................. 13. Will lot be regraded ......... i.~. ~..~.. ............ Will excess fill be removed froma>remis0a[** Yes (N$'~ 14. Name of Owner of premises .l~.l~...~. ,t~....~a.~...~.~. 9~..I,~ddress 7~: .$a'.O.~Ft~...~.It~... $..r~oro~e'a~.tt,~ ....... Name 9f Architect ~.$.~g~...~. g..~r..,~y~.~..~..~-.~.~..e~Address/[.~.t.~..~' .~..al..~ ~j~'-~Phone Not~5't~J .~.~. Name of Contractor lt4~*..T', .~·~.ffr.~.l'f~.e~cU~t.. . . Address ~.~ /ttlt~./. ~. ..*P~. .~. . Phone No~¢/.~. PLOT DIAGRAM Locate clearly and distinctly alii buildings, whether existing or proposed, and, indicate all set-back dimensions from property lir[es. Give street and block number or description according to deed, and show street names and indicate whether interior or dorner lot. STATE OF!NF~I~,hYO~RK, COUNTY OF .~.a; .~.,~..t.:..~. ...... (Name of individual sig~ above named. S.S ing contract) · being duly sworn, deposes and says that he is the applicant He is the .... {~>..o,~..~.~..~.... (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 applicationl that all statotfients contlained in this application are true to the best of his knowledge and belief; and that the work will be performed/In the manner set forth in the application filed therewith. ' Sworn to befor~,lZ~tJ~4s i ~ . ~ (S~gnature of apphcant) T/?£E NO B305 -087809 ~ Lot II I ....~ N. 52°00'007'~. /00.00' i 2~ ' ~z~ht of Way , / / // ~ / ~,~ ~ ~, ~9o / <~x' SU~FODK CouNTY ~EA~TM DEPART~g SU~Y FO~ J~2 ~ GEORG~ DEMET~OULES OCT. ~ ..... ~,,.~ ~, ~, ~F. ~ PA~T OF ~OTNO. II, "CAPTAIN KIDD ESTATES" ~. ~ , ~n~ ~,,r ,~.,~ '~ ,.'' ' ' ..... ~ ~p~l~ AT MATT/TUCK DatE: FEB. 23, 1983 · ...~ ~ ~ ~ ~ SOUTHO~D ~caue: I ' = 50' ' · ' ~o~ ~ ~ s~v~ ~o~ ~a~ ~ ua~ 'SOUTHO~D SAVINGS BANK HOT aE CONSlOEREDTO PEA VALID TRUE COPY HEALTH OEPARTMENT-DATA F~ APPRO~L TO C~STRUCT ~E ~R~ FOR WHOM THE SU~EY IS PREPAREO .LIC.T, PURPOS' AND ARE NOT TO '' US'D TO ESTA.~ISH P~PERTY LINES OR FOR THE ERECTION ~ FENCES YOUNG v~, i~1, AVE E ~L. ~ I ~~%:',d RIVERbed;NEW YORK NO,F, ~ = ~ONUMFNT SUBDIVISIONM~PF/~DINTHFOFFICFOFTHFCAFffKOF ALDEN W. YOUN~,P~OFESSIONAL ENGINEEr, ~ ~ ~, ANO LAND SURVEYOR N ~S UCENSE NO ~Zba5 ¥.~' SUFFOLK ~UNTY ON JAN. 19, 1~9 ~SFI&FNO. 16F~ ' * ' ~¥~,~].~ :t0 ~ H~~,LO APPROVAL SUFFOLK CO. HEALTH DEPT H.S. ~TATEMENT OF INTENT T OUL d '" THE WA~R ~LY AND ~WAGE DI~SAL ~E~ FOR THIS RESIDENCE WILL S~FF~K COUNTY . ~PT. OF HEALTH " ~T~: H. S. REF. ~.: ~ ,. ~OVED: ........ ~ ,.~,., , - ,,, -, ,,; x ~FF~K CO] TAX ~AP ~o~u~e~ "~; '_ "-,'. '', ~~ ~. ~. , //~/ ,,, , , . ' ,,,, ~o m,s ~v~ s ~'wo~ o~ LAND ~VEY~S MR RESIDENCE MRS DEMETRO ULES D~,WI klG PAGE FOUNDATION PLAN ,~ECOND FLOOR. PLAN FtRST FLOOR PLAN E LEV~,T ~O~4 S SECTION S E CT I O~ ~IR~T FLOOR ~L~CT~IC~L ,%-2. A,-7 E-~ II. GENER', A,L_ NOTES I. ALL FR,%hAINC~ LUM`~ER. TO ~SE HEM,/ f~ 75 ~/0 ~[ 1400 P.S.I. ~ Z5 ~/. (E 'l,5Oo,0OO FOR ~1 ~ I,~OO, OO0 FOReA) OK 5ETTE~, 4, ALL ~:ooTINc,'$ TO P~--%T ON VI~Gll4 SOiL O~ A~L Co~C~T~ 13 2000 ~5.~. ~ 28 ~ ~. ALL CONS~'P..L}CTION I% TO CONFORM. To N.¥,$. CODE. i~E ~U/~ENkEN~T%. CObE REqUIREmENTS. LOCAL OTHERWISE NO-i-ED, OCCU?ANCY OR USE IS UNLAWFUL. W[II.IOUT CERTIFICATE OF OCCUPANCY If copper lubing is u~ed for water distributing sys em; p~ping shall be of types K or L only ENERGY NOTES APP,~Y~D AS NOTED NO~/FV BUit. hlNG D~ 1. F~UM~Ami~N . ~g REQUIRED ALL CONSTRUCTION SHALL MEET THE REO~UPEMENTS OF THE N, Y, STATE CONSTRUCTION & ENERGy ~DES. NOT RESPONSIBLE FOR DBSIGN OR CONSTRUCTION ERRORS, ~-HE FOL. LO',NIMG DRAWINGS HAVE RL:::~.UIREi',AE. NT5 OF THE /~.LL("U') COE-,'F-F.-~C~.NTC~ O~- WINDOWS ~ ~KYDOP. N'k'~P..5 ~LLOW/~-~= STAND/A~D% O~ ENEP~Gy COD~.-. ENERGy CONISE~V/~,TJO~4 COHS-TR3JCTION COD~', EX C. EEC) A. LLOWA,~>L.~ r'/ SECTION DETAIL S E CT ION DET'/k/L 0 5CF--UE %/.~" - I SECTION DE-/'A/L ~ : '-:. N SECTION DETAIL 7 -z" 7 -t" ¸t' 0~ '0 O 7'0 .,.,- 5f,,'-4" 2-8 '-0" II '- (,," DRoP t DROP 17. 5Z '- 0' FOU N D &TI'ON,:,',' ", PL/X,I,,,i ~ DE-TK/LS GEORGE V, 4 M, KB, Y DEI, AE'T'~OULES ZXG 5T~JD5 y~" PLY WD t5 IE. FELT d.R.~ L~,TH S,ECTIONI DETAi,L t~ 5C/~,~-E: ~",,,"; ~ '-'0" GL, DEN /ARE'A, 2 8'-o" ,_:,' ~,,, Z (' 0", ~tO" 7'-O" If copper lu~tng is Used for water distributing~ sys em; plpin~ shaft be o[ types K or L onJ¥ (~0 '- 8 " E'CON D FLOOF[ 24'-Z" ' SHOP IZ'- I1" GEOE~GE~ FLOOR LEE, ' n is useC~ water distributing s'°remys ;piping shel| be of tYPes K or L onl_~ f' L ,'1 © C) ¢- HD~ (?--) 2. Xl2-. IZ '-0" IN DH · ,ZI(IO _.?'- 0" CL. ¢'.t L 0 .J, ~d ! ? i,,',1~- -,, ,- _ , c, it: I',,[ (//'~,E~INFZ-T LAYOUT' $C.b.L.~ ', ~/z": I L 0" d, v.[';~. ~ YK>L i~,._ ~:'<, 1Z. I? "Y ?-4" I "X' lO" GE Dfq~ fhq/h ~_ . E L E 'v'. ELEV t 2EI T-_ '7; 7/ --5 LOUVER, 4 E.L.E.V ~,~0. oo 70 545 ROOF SHINGLE% - t?~" X 24 LOL)VE~ 'I"X~O" CTL%I-T,: ~ ~-r'/,k,~ ELEV. ~ tO,O© I NOR¥'F-t E L,EVAT' I 0 N SC/~,L.E: V'¢ ~ v-.o' , ' ? ..(~ V GR©VE SIDING G I .a"X 12" 'i LOUVER $~NOOT~ STUCC, O FIN~%~ I "X IZ/~X ~2.;' LOUVBF,, I" X 10" C E D,'k~, ROOF 70 I"Y. ~O" CEDAR. F:'.&,CtA I'/XG'' V GROVE E-AS¥ E-LEV?xTI ON %r-/%L~,' V.~" = I '-. o" NOTED --__.Go %G6 ___G"EYz"X ¢'-II" ~PEACH%A~ tNSULK~ED A~T~L CLAD BOUBLE DOD& i~ 2° X ~sZ'-Z~"X ~'-10~' ~OLLOW CORE WOO~ FL-U5~ ~L~OLD DOO~5 .w~'N DOW, $CHEDUL~ ~u~ ~ As NO~EB Z~ X4" 2'-~/*"~4~" C~NDCO ~O~ CZOO GASligHT ~lNao~S ~lTh int, ~] 8~s " -- ;-~-~ ........... '"~ 2'- ~/e" 4s ~ 2 4'- ~, . . . ., 4eX4e t_~ 2"X4~ z'-%' x ~'-~" ,, ,, ,~ ,, ,, ,, ,, F5'I ~'x ~4 7'-,/~' x s'-s'~ ,, ,, ,, ,, ,, ,, ,, ~ q4X34 ~'-4~t~"X~'-5%'' ,, . ,, ~ ~ 2~XZ~ Z'-~Vz"XZ'-~w'' TRtK VENTED ~NEULK DO~E S~yL~GHTS VPEo3oC I 2~X5q'/z Z'-GVz"X 5'-IO" . . . , u VPEOADC ,_ ~% NOTED I'°X Z6 I'-IO'&"XZ-~¢,a " ,, ,, VP22,30C FU~ING IZ 'x G "X 6" QLiMR.~Y CL. R,R. IG" O.C. C,,J. lC" Z.×tO R.R I~." O,C. ZX ~ C..O. lC" O.C-. % IZ." C. EILIHG INSUL,NTIOI',I ~ ~'~." c, YP. ~D. 2. X~ 5TLJD5 DINING LIVING AREA, =,/8," T.G. PLY. VqD. 5U~ ~L. 2.:(YZ Ed. I&"O.C, / / / " klAkL ~ENYED sl,('y L I (,,HT FLOOR yz" pLY: WD. II ZY, to i~" o.c. ~/e." T. G. PLY. WE). - --zx8 (~) ZXIt HOP,'=---"' ~Z." CF-IMNf~ /NSULF,'FION C. 3, I¢-"O,C. 5'TUD% BLOCK~NC, ~U1E5. I=.L. 2-. X IZ. F-.d. G/' 'INSUL~TION ~.X/Z F,U, T~R¼/T~ 5,~tE LO FOUNIO/XT ION wALL 2." kAl'la, lC'IToH 18" X :~," F:OOkl~/~WloH WAk~k Wd. PLY WD. FbOt_T5 8/8z 6~OROE v. ~ O.V,b V E~'4T~D SKYLIGHT V~.~ PLY. WD. Z4 "OC QOI~T~qUOU 9 SO F~I'T VENT Q(.M F,J I 7.. '"'O. C. .~.k._ .z ..... I '.-0" DIA J M.I,,A,I~p t~,O0 ~ 'x ZX8 C.J. " ....... IZ" iH%ULA, TION '2. X G 2, X 4 %TUD~ G" IH%ULM-YtON "' ZXIZ FJ. t&," O.G, , ' ...... 2Xq STLJLL~ /&"0,O. GYp. ~D. - F c'-I Z×8 F.J.__ ~ , I6"O,Q b CT/ON PLY, !U. FELl- CODe 5~,-Ol ~ON ELECTRIC/NL ROTES F'*\ XT UR~ FL. UO~5 %C5 NT ~LECT~C~L ~ORK ~UST COFO~ lO ~LL %~k~ Coo~, LOCNL RM. ~5 L -- CL. 5 I F RST FN~OOR PLAN 5CA, LE : V~" = I'-O" 0 II '1 I CL. Ck. 0 bra4 r-, t- · 4© k .GROUND PLOOR PL&N 5C.kLE V'~" = I'-0" ELEC'T~ tCRk d.V.b. GEORGE