HomeMy WebLinkAbout11965-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26377
Date: 04/14/99
THIS CERTIFIES that the building ACCESSORY
Location of property: 705 SUNSET & 890 DAISY RD. MATTITUCK
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 106 Block 8 Lot 34
Subdivision Filed Map No. __ Lot No. ~
conforms substantially to the Application for Building Permit heretofore
filed in thie office dated OCTOBER 8, 1982 pursuant to which
Building Permit No. 11965-Z dated OCTOBER 15, 1982
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 ACCESSORY STORAGE BUILDING AS APPLIED FOR.
The certificate is issued to MICHAEL ZAHARIADIS
(OWNER)
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
No. t1965
TOWN :OF', $~UTHOLp.
BUILDING DEI)ARTMF-J'4~
TOWN HALL
SOUTH'OLD, N~ Y.
BUILDING' FE~iT
(THIS PE~IT MUST BE KE~ ON*HE PREglS~S UNTIL ~ULL
COMPLETION OF THE WORK AUTHORIZED)
~ ~te ' ~. ...... 19.
Permission is hereby granted to:
................................................................ ~,~ ........... i ............. ~,...: ............... : ~,~ ....... ...................
0t,_,'em-es ,ocote~ ot ~.W..~..:~.~..~.~... ':~-~ ............... :,, ...... , ..........................: .': .....
.~ ........................ , .......... :...,~.../.~~4..~...~,.
~~.~..~....Z~-.....~.~...z ......... ~. ~.~..~...~g........~..,~..:F~......~..2... .....
County T,X Mop No. '000 Section ..Z(-~?..~.~,...,.~ Bilk !~.~ ....... ..!iLot'No.:C~...~. ..........
pursuant io application dated ,,~,,~,,,,...,~ ,~,,,,..L.,' .......... J....i¢....., 19 and iapproved by the
Buil~ding Inspector.
Rev. 6/30/'80
Building, Inspector
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 existin~ buildings (prior to April 9, 1957) non-conforming uses, or buildings and
Vpre-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 ~o dwelling $25.0~
Alterations to dwelling $25.00, Swimming pool $25.00, ~Sor~.~uilding $25.~
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 -
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
/ Date ....~./.~/.l.~..~. ...........................
New Construction ....... j. Old Or Pre-existing Building .......
Location of P operty.i.i ....... ..... .iiii . 5
House No. Street Ha~et
Onwer O~ers of Property ~.!.~7~ fi~ ~.~.~ ~' ~ ·
County T~ Map No 1000, Section. ..Block ................ Lot .................
Subdivision .................................... Filed Map ............ Lot ......................
Permit No .. . Date Of Permit Applicant ....
Health Dept. Approval ......................... . Underwriters Approval .........................
Planning Board Approval ........................ /
Request for: Temporary Certificate.~_ [[Zii.'iii' ~~~~//./~. .. / / ~
Fee Submitted: $..~.' .............
....... ..... ...... ....................
~ =MONUMENT
OH THE CL£RI( OF SUFFOLK ¢OU~TYON ~ ~ ~
APRIL 9~ 1970ASFILE NO. 5~8 ~E~O~IOr¢~ ~. , ,
I ........ ......
.Ev~s*o.s YOUNG & YOUNG
M4~. /~,/~76 400 OST~A~DE~ AVENUE. RIVE~HEAD. NEW YORK
J APR, 28, I~7~ ALDEN W. YOUNG
SURVEY FOR:
t?ICHAt?D D HOUSTON
LOT NO 27, . SUNSET t(NO~IS
^ T MA T TI TUCK
TOWN OF
SOUTHO£D
SUFFOLK CO., N.Y.
SCALE: I o~ 40~ DATE:
OCT. t6~ 1~75
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
April 14, 1999
Michael gahariadis
7O5~l~Sunset Dr.
Mattituck, lfg 11952
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Fax (516) 765-1823
Telephone (516) 765-1802
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.
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 # 11965-Z
Please contact our office on this matter.
cooperation.
Thank you for
SOUTHOLD TOWN BUILDING DEPT.
FIELD INSPECTION
FOUNDATION (lstl
FOUNDATION
2.
(2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
~ODE
FINAL
COMMENTS
ADDITIONAL COMMENTS:
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] ~L~ATION
[ ,~'"FINAL
· FORM NO. 1
TOWN OF SOUTHOLD
BUILDINGTOWN DEPARTMENT HALL
SOUTHOLD, N.Y. 11971
TEL.: 765'1802
(BuUd~g ~ect~)
~PLICATION FOR ~ILDING PERMIT
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 premiss or public streets
or areas, and giving a detailed description of layout of property must be drawn on the disgmm 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 appliceat. 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 Dep~uh~ent for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other ~pplicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, ** hzrein described.
Thz applicant ~grees to comply with all applicable laws, ordinances, building code, housing cod~/~ndj~ulafions, and to
admit authorized inspectors on premises and in buildin~ for necessary inspections~/~ ~.
.........
(Signature of applicant, or name, if a corporation)
(~~ (Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, ele~wician, plumber or builder.
Name of owner of premises ...~.../.r_.. ?. /. .~. .~. .&/. ..... ...2~.../?..~..~-..,..~..0. ! .~. ...... .~...~. ~.1.~. ff..~.~ ......
(a~ on the tax roll or latest deed)
If applicant is a corporation, signature of duly anthori~ed officer.
(Name and title of corporate officer)
Builder's License No ...... .~.~...(< .~.. ...........
Plumber's License No. ff~
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done .......... .~..~..7. .... .z.~. ...........................
.... ..... ....... ................... ...............
House Number Street Hamlet
County TaxMapNo. 1000Section.../..~.~ ......... Block .......... O~ . ........ Lot...~..3..% .........
Subdivision .~..~.. ~11~,..~..P~.'. ~:~ .... Filed Map No..~..~...~'Y.~. ..... Lot .... .~..~. ......
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. £xist~g use and occupancy ..... .~O..~,-... ! .~..~ ................................................
b. Intended use and occupancy .......... .~ .~..c-~-..~..~..~C~...~ ... ~.... ........ ., ,~:~ ,,~, .................
3. Nature of work (check which applicable): New Building . . Addition .......... Alteration ...:;. ~.
Repair .............. Remgval .............. Demolitioff .............. Other Work ...............
. 7~-~._~ ~ ~ (Description)
4. kstimated Cost . . . -~.<~5~...: .................... Fee .... /~. ~
(to be paid on filing this application)
5. If dwelling number of dwelling iunits ............... Number of dwelling units on each floor ................
If garage, number of cars ........................................................................
6. If business, commercial or mixe~ occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing structuros, if any: Front ............... Rear .............. Depth ...............
Height ............... Number of Stories ........................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth. .................. ~.. Height ....... ~ ~._ ............ Num~?Fof Stories ......................
8. Dimensions of entire new construction: Front .... /. .......... Rear .../..'17. ......... Depth ...............
Height ............... Number of Stories ........................................................
9. Size of lot: Front ........... :. .......... Rear ...................... Depth ......................
10. Date of Purchase ........... .................. Name of Former Owner .............................
1 1. 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 excess fill be removed from premises: ~ Yes No
14. Name of Owner of premises . . . ................. Address ................... Phone No. ~.t~ .~._.~.ff. ~..~.
Name of Architect .......... i ................. Address ................... Phone No ................
Name of Contractor ......... , ................. Address ................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block :number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW~O'RK, . . m ~ ~
COUNTY ol~'~q~-~',. :~.~ ,
(N~[me ofindividua 'g ! g co t act)
above named.
He is the ...................... j ..........................................................
(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 am 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 before me this
.............. day of: ..... 19
Nota~ Public, ..: .~.../~. .... .~<'l,/~h . . ~ County ,
~o~v ~0suc. st~ o Si na~ re o~ anmicanO
~ No. !~-8125850, ~t~olk ~/