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Home My WebLink About10635-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the bmlding ................................................ 270 St~.nley ~o~d, Mattituck, N.Y. Location of Property House No Street Hamlet County Tax Map No. 1000 Section . .'l. Q5.' ....... Block ...0.7 ......... Lot..0.~.6. ............ Sec. 2 Subdivision · $.urls¢.~..KlcolJ~$ ............ Filed Map No. 5./~/~...Lot No... 3 .......... conforms substantially to the Apphcatlon for Building Permit heretofore filed in this office dated ....~,p?~J:.l.. '1/4 19 .~.0. pursuant to which Building Permit No. 10655 Z dated ... ,Ap.r~.]:...P-~ .............. 19.8.0. ,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 ......... .... .P.r~..v.a~.. 9.n.~.- .F~.~.Z.y.. p~e.Z..X.~.n.~.: .......................................... ~,ndreas Charalambous The certificate is issued to .................... ~dt~r[e'r,'~:~q: .................... of the aforesaid building. Suffolk County Department of Health Approval .... 9../.27./.~..0..R.O.~..e?.~..A.:. ,~..~.~..1.a..'1:.0. ?~.0.-..~.~ VNDERWmTERS CERTW~CATE NO...~../!?¢75~: ...................................... Building Inspector- Rev 4/79 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10635 Z Permission is hereby granted to: .... /~z. ,~..... f-/~...../.,va ..... · .~ox..~./z7 ........................................... .... ~~4=.~,.~ ....... /z~ ,o .~.~<~...Ot~.....~z~...~z. Lz~ ................................ ............. ~o~ ...... ~~....~~~..~.o~ .................................. ~, ~,~. ,o=,~ ~,~Xa.....~z ~...~..... ................................................ ~~. .~/z~ ......... ~.. . . ~ ~ ......... ~. . ~ ~ ............ z~ ~ .... p~rs.~,t to ~pp~i~.tio. d.t~d ~~ ........ /.~ ................. , ~., ~.a ~pp,o~a by th. Building Inspector, Fee $. J.~..~.~ ........ / /" -'' ' ~ Buildin~ln~ector FORM NO. 6 TOWN OF SOUTHOLD 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 location of alt buildings, property lines, streets, and unusual natural or topographic featu res. 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. §. Submit Planning Board approval of completed site plan requirements where applicable. 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 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- t~on required to prepare a certificate. Fees: 1. Certificate of occupancy $§.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $I.00 $5.00 New Building ....x~. ........ Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~0..~.//,~,, ,S.t/t~, ,s.e. ~, . .K~.o. ,1.1.2.,,, .S.e,O.~.~9,D.' ,~,w.9 s. ,~,a. ~,1.~,~. 91.c.~..1~,, ~[ ......... House No, Street Hamlet Andreas Cha~e&ambous Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 10~. Block ? Lot,. Subdivision, .0.8,.?~:..~.J:. c]..,ct. ?~..t.~.~.e. 8. .......... Filed Map No,., .t .6.7. 2. , , .Lot No ..... .~ ........ Permit No.~.0.6..~.~. .~.. Date of Permit .4./. 2..4./,8.0. ,Applicant..Z.~.~..8~, .ct, .H.o.~.e.8.,..~.o., ............ Health Dept. ApprovalS./..2.2/.8.0.. , .1.O.-. ~,0.-.2.5. .... Labor Dept. Approval ...~,/.o ................... Underwriters Approval N~927~ 9/11/80 .Planning Board Approval Y~ no yes Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $......5'00 ....................... Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW yORK 10038 ~e~ C~~, 270 $~ley Rd~, ~ti~, N~Y~ inthefollowingloeat,on; ~ Basement ~xlstFI. ~ 2nd FI. Section Block Lot was examined on ~p~ ~tv ,Lg~O a~td found to be in compltance wtth the requirements of th~s Board. C E A W G NO OF NEUTRALS A W G OF HI LEG OF NEUTRAL 1 2,/0 g. icimrd Rel.ylm Yo~a~'$ Pt. ~mtti~uck P.O. ~ 37g This certificate must not be altered in any manner, return to the office of the Board If i COPY FOR BUILDING DEPARTMENT. THIS COPY OF GENERAL MANAGER Per_ Inspector.s may be Identified by their credentials. ALTERED IN ANY MANNER. POUNDATION { FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY C0~E 4. FINAL ADDITIONAL COMMENTS: FO~,~ NO. 1 [ TOWN OF SOUTHOLD BUILDING DEPARTMENT :' TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Exam,ned' ,..~**......~..~..., 19.~ ,9 ¢ ..... Approved .~, ......... ..E~.. ......... , 19...~..'.. Permit No..,../...~..~...~.~.76'~~. .... Disapproved o/c ............ZT..-..~ ........................................................................ (Building Inspector) Application NO..~.~'....~.~.~... ........... APPLICATION FOR BUILDING PERMIT Date April ] 4 19..~.0.. ..... INSTRUCTIONS o. This application must be completely filled in by typewriter o¢ in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing lecahon of lot and of buildings on premises, relationship to adjoining premises or public streets az areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which Js part of this application. c. The work covered by this opphcation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wdl 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, 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if o corporation) Bo>: 1_7~ Mat~i~uck~ ~'~ (Address of applicant) 298-9696 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricien, plumber or builder. Name of owner of p ises ................................................................................................ If applicant m a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's L,cense No ...........7 ......................................... Plumber's License No. Electrician's License No. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No ............................... ~ ......... Lot No. '3 Street and Number ...... ...... ......................... ~' Z-70 Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exisiting use and occupancy Vac'an~c 1 - fPamily Dwell~;.9 b. Intended use and occupancy ................................................................................................................................ 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................ Repair .................. Removal[ .................. Demolition .................... Other Work ................................................... I .~"~:~ F~ (Description) i (to be paid on filing this application) 5. If dwelling, number of dwell, lng 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 ex~stmg structures, if any: Front ............................ Rear ................................ Depth .................... Height 26' Num, ber of Stories ] ~L/.~ ID.-Ranch Dimensions of same structure with alterations or additions: Front ....................................Rear .......................... Depth ................................ ~teight ............................ Number of Stories ................................ 8. Dimensions of entire new cdnstruction: Front ........ :?..O. ....................... Rear ....~..0. ................... Depth ..~..~ .................. Height 2.,..6. ................ Number of Stories ..................................................................................................................... 10. Date of Purchase ............... ; ........................................ Name of Former Owner ........................................................ 11. Zone or use distr~ct in which, premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...... .n.o.. ............................................ 13. Will lot be regraded ........y...e:'.s. ............. Will excess fill be removed from premises: ( ) Yes ( 79 No Name of Architect .............L ................................................ Address ~t~,'"g:D.q' ............... .Phone No ....................... I 298-9696 i PLOT DIAGRAM Locate clearly and distinctly all 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 wheiher interior or corner lot i · -- , · ' - '/ STATE OF NEW,YOJ~ /~¢S \ Z bu~b] k , ~. COUN Y OF ................................ ;r ........................... ~P~.?.~...~.~...J~.~.~.~ ................................. being duly/sworn, deposesXand says that he is the applicam (Name of individual signing contrac~ above named He is the,, ...................................... ~ .......................................................................................................................................... i (Contractor, ~gent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or haw performed the said work and to make and file th s ~pplication; that all statements contained in this ~pplication ~re true to thebest of his know~dge and belief; and that the work will be performed in [the m~nn~r set fo~h in the application filed therewith. / Sworn to before me this , / ~ ~ ' ............ ...... ............ , ............ Nota~ P~blic, . ........... ~u~. :~'~ .............. Coun~ ...~...=....~..~A~]¢W~ .................. ~..~ ........ ~Term E~pir es ,, captain Kidd Sut)divi$ion ' FILF NO. 1672 sUFF. ¢0. 1~1,7; LOf Esfafes dXsposal and wa~r suppl~ for this ]ucati~n have been b~ %h~s d~par'tme~% and found Servi~s HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT W NEAREST W~ ER~J mAIN__MI -* N SOURCEOA~F WATER PRI~,~TE7 t-OT _~2-~ ~', ADDRESS TEL NOTE;·: MONUMENT SUBOIVISIONMAP FILE IN THE OFFICE OF THE CLERK 'OF SUFFOLK COUNTY ON APRIL 9~1970;AS FiLE NO 5448 ~ TtttE LO~ATION OF WIELL(W),SEPTIC TAHK(ST}a CESSPOOLS(CPI SHOWN HEREON SURVEY ~OR STAMATA CHARALAMBOUS & ANDR~A~ CHARA~AMBOU$ LOT 31 ~UNSET K~NOLLS, SECTION TWO AT M/~T!ITucK su [oC COU. TY, .tw 7209 OF THE TR~SFERABLE PROPERTY SEPT I0, 1980 DATE MAY 16~ :1979 SCALE I"= 4Q'~ , NO 79- 269 ' ~ 45 YOUNG YOUNG ALOEN~W, YOUNGI PROFESSIONAL ENGINEER ANO LA~D SURVEYOR N Y.S UCENSE NO 12845 HOWARD W YOUNG, LAND SURVEYOR N Y $ LICENSE NO 45893 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK subdivision ' FILE NO. sUFF. CO. E stoteS Lot SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICF~ FOR APPROVAL OF CONSTRUCTION ONLY , APPROVED HEALTH DEpARTMERT-DATA FOR APpRoVAL TO CONSTRUCT WILL C(~JFOR. TO THE STANDARDS OF TH, SUFFOLK COUNTY OEPARTME"T AOOBESS 3lb '~ asU~[la NOTE'II -~ MONUMENT SUBDIVISION MAP FILE IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON APRIL 9~ 197~0 AS FILE NO. 5448. ARE ~ FIELD O"~E~A~IONS ~D OR OAT&~ OBTAINED FeOM OTHE~ S suRVEy FOR STAI~IATA CHARALAMBOUS & ANDRE~S CHARALAMBOUS LOT $ "SUNSET 'KNOLLS, SECTION TWO" AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE MAY 16. /g79 SCALE I" = 40' NO 79 - 26~~ ~ RIVERHEAD~ NEW YORK ALDEN W YOUNG~ PROFESSION L ENG NEER AND LAND SURVEYOR N Y.S LICENSE NO 12845 HOWARO W, YOUNG~ LAND SURVEYOR N.YS LICENSE NO 45895 I x ~PI~ROVED AS :NOTED NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ,1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE '), ROUGH - FRAMING & PLUMBING 3. ~NSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C, O, ALL CONSTRUCTION SHALL MEBT THE REQUIREMENTS OF THE N, Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, 1 ~.~ L C?' b~uFL~ ~-LAB E~ TTP. ]~OOF D%TA/L I TV. R..OO- DETAIL. R 20. 54 7 -F , VYALt DET.A1~ ~, FiLM O. q 2. ...- .--- ,~ "'PL'rW:D O- o¢ ,06 7 0.~2. I.t4 I q.O0 o.q2. 'P-, = 22,76 O = '/r~ = .0,4 BODE U ,0~ , "qa 'tub 'PROd