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Home My WebLink About12769-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12948 Date October 30 .., 1984 THIS CERTIFIES that the building ...... A,d, .d .~.t.~.o..n ................................. Location of Property 735 Sound Beach Dr. Mattituck House No. Street Hamlet County Tax Map No. 1000 Section . .0.9.9. ....... Block 01 . .Lot 02 6 Snbdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... .N.o.v.:..2.8 ........ , 198..3. pursuant to wtfich Building Permit No...q.2."( .69.g ............. dated . N o¥. 28 1983 , 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 ..... .~.~.d. ~..~.~.o.n...~9..~.x..~.s.tAn. s..qne...~.a.m. ~..~ y..d.~. ?.~.Z.~.n.S.. .......................... The certificate is issued to Larabros Ba3_~_as ................... ................... of the aforesaid building. Suffolk County Department of Health Approval N / A ..................... IJNDERWRITERS CERTIFICATE NO ........ #N660399 Building Inspector Rev. 1/81 FO~,M NO. 2 TOWN OF $OIJTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12~69 Z Date ..... . .~... ~ .~...c;~.... ~,. ~ ........... , 19..~..~.;~ Permission is hereby granted to: ~'~ , .... .......................................................................... *t.pr~m,~* I~tod ~t ....~.~ .......... ~..~....0.~.~....1..~~ ...................... County Tax Map No. 1000 Section .......~..~)~..~. ...... Block ...... ..O...l ......... Lot No .......O......D::..~.. ...... pursuant ,o application dated ...... ~).~.~..L~. ....... ..L~. ........... , 19..~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall · ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted--imd~F!~c;:; to the Building Inspec- tor with the following; for new buildings 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 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 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 all property 'lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owne~ as to u se, 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: I. Certificate of occupancy $5.00 ~ / 2. Certificate of occupancy on pre-existing dwelling ! land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 , g-. New Building ..... Old or Pre-existing Building ....... Vacant Land ............ Location of Property House No, Street Ham/et Owner or Owners of Property .. ~ ,~O.¢7~0~'.., i .~.. ~ .~..~...~.~,.: .......................... County Tax Map No. 1000 Section .... 0.4) .~. ...... Block ....OJ .......... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Perm it N o. [. '~. ~.Lo.~.--~. Date. of Permit .......... Applicant ~/~,~ ~,~z).~..... ~,~.~. ~ ,~. 5'.'. ........... ./ Health Dept. Approval .................. Labor Dept. Approval ..................... Unde r,ters Appr0va,. .q ...... P,ann,ng Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .~..'. ................... Fee Submitted $....~.'1~'~..~?. ............... Construction on above describedApplicantbUilding.~ .~',., ,and permit meets all apJ~ I i~e.~ ~.. codes~,:and regulations. ....... o oc/o THE NEW YORK BOARD OF FIRE UNDERWRITERS lOui~t BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~'~ l~ ~ t'~ Application No. on file '~l~ j~ TH,S CERT,~,ES T.AT N 660399 ~only ~he e~c~rlcal ~uip~nt ~ ~scrlbed be~ and ~ntr~uc~ by t~ applicant ~med on t~ a~ application number in t~ pr~mlses of w~ examined on ~ ~ ~ ~ and found to be in compliance wi~h the require~nents q this Board. FIXTURE OUTLETS ~ECEPTACLES SWITCNES FIXTURES RANGES OVENS EXHAUST FLUORESCENT VAPOR DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E OTHER APPARATUS: ~-~or~ ~ i-~t~i~. 1-~mo~e de~ec~or NO OF CC COND A W.G. NO. OF Hi-LEG PER ,~ OF CC. COND A W G. NO. OF NEU]rRAL$~ OF HI LEG / GENERAL MANAGER . This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their creden)(als. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER FIELD INSFECTION 1. COMMENTS FOUNDATION (~st) FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING e INSULATION FERN. Y. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~/.~ ROUGH PLBG. __~, , OUN REMARKS: ~0. 12. Nature of work (check which applicable): New 13uilding .......... Addition XXX Alteration ... Repair .............. Removal .............. D,;molitlon .............. Other Work ..... , ......... (Description) $6'0,0oq Estimated Cost Fee (to be paid on filing this application) If dwdlbg, number of dwelling units..QI':I..E..(.1. ). ..... Nnmber of dwelling units on each floor ............... If garage, number of cars ....................................................................... If business, COh~m~rclaI or mixed occupancy, specify ~atnre and extent of each type of use .................... Dimensions of existingstmctnres, ifany:Front. 52" 13" ' " · ..-: ....... Rear ...5¢. 7.2. ....... Depth . . .~.3.'.-:4.'.' ..... Height ...13' NumberofStories ONE (1) Dimensions of same structure with alterations or additions: Front .Slg.'.-:l~[' ..... ..... Rear .... 34' vQ" .......... Depth .... .4.(1: .............. Ilei~t ...2. Q [ .-.6.'[ ............ Number of Stories ...T.W.O.. ~ .2 .) .......... Dimensions of entire ne','/construction: Front Rear Depth Height Number of Stories ' Sizaoflot: Front 104' ' ' Rea~ 100' ~, -~ 135'-6" average ' ............................................. Date 6f Purchase . .1. Q ./¢.5.1.7.8. .................. Name of Former Owner i,' ~fi.fi~lifi. 'C~x~i~- Zone or use district in which premises are situated... ~ .............................. ~:.. ............... Does proposed construction violate any zoning law, ordiaance or regulation: ..... .N.O. ....................... WiU lot bc regraded ...I310 ..... - .................. Will excess fiI1 be removed from premises: Yes No Name of O,.vner of premises .L.t~J'n.b.r.o.s..B.a,l.l.a.s.... AddressB. ax.s.i.d.e.,..N.e.w. York .. Phone No.ele. v~:2.[I-:0.9.%7... Name of,-\rchi£ect Donald A. Denis AddressAquebowae, New York N~516-722-3511 .............................................. Phone ................ Name of Contractor NOT DETEP~INED Address .. Phone No. PLOT DIAGRAM Locate clearly and distinctly ~AI m fid~,gs, whether existing or proposed, and. indicate all set-back dimensions from property hnes. Gh'e street and block nun:her or description according to deed, and show street names and indicate whe, ther ;atcr/or or corner lot. PLEASE NOTE: Above dimensions do not include size of raised deck shown on Plans. ~ ~TATE OF NFx~>,~%K~,/~ S S (Nanie ofindMdual signiug contract) ahoy.: named. sworn, deposes and says that he is the applicant [4e is the ~ (Contractcr, agent, corporate officer, etc.) of said ~wner or owners, and is duly aufimrlzed to perform or have performed thc said work and to make and file this ~l>plication; flint all statements con mined in this application are tree to the best of bis knowledge and belief; and that the Work will be performed in the manner set forth 'bi the application filed tl,erewith. .-~Vorn to before me this FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, i~i.Y. 11971 TEL.: 765-1802 Application No .......... Disapproved a/c ' (Building Inspector), APPLICATION FOR BUILDING PERMIT Date .................. , ~9. " INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Bu.c 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 strew; or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part o~'this appl cation. , c. Thc work covered by this a~plication may not be commenced before issuance of Buiiding Permit. d. Upon apprcval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pem~ shall be kept on the premises available for inspection throughont the work. e. No buildJag shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan¢ shaIl have been granted by tbe Bu!lding Inspector, APPLICATION IS HEREBY M^DE to the Building Department for th~ issuance of a Building Permit pursuant to Building,Zone Ordinance of the Town bf Southold, Suffolk County, New York, and other applicable Laws, Ordinances~ Regulations, for the construction et~ buildings, additions or alterations, or for removal or demolition, as herein describe¢ The applicant agrees to comply with all appIicabIe laws, ordinances, building code, housing code, and regnlations, and admit ,uthorized inspectors on premises and in buildings for necessary inspections. 36-37 Clearview Expressway, Bayside,N¥ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde OWNER , N,'uneofownerofprcmiscs Mr. Lambros Belles (as on the tax roll or latest deed) If applicant is a corporation, sign:(ture of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~.O,T. DETERMINED . Plumber's License N,-_ ......................... El::ctrician's License No.' " " Other Trade's License No," " 1. Location of la.d on which proposed work will be done ...................................... . ........ House Number Street Hamlet County Tax Map No. 1000 Section ..... ~ .~.~ ...... Block .... ~ I Lot ~ Subdivision Captain K~dd ~states FileaMap No, 1672 Lot ..~¢. (Name) 2. State existing use and occupanc7 of premises and intended us~ and occupancy of proposed construction: 5i~le F~mSly 'Dwelling a. Existing use and occupancy .............. % · ~b. lntended u - ~ Family Room aBd Bedroom Addit'ion