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Home My WebLink About16723-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218806 Date FEBRUARY 16, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1977 BERGEN AVENUE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 112 Block Ol Lot 018 Subdivision KALAIJIAN PLAT Filed Map No. Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 21, 1988 pursuant to which Building Permit No. 167232 dated FEB. 2, 1988 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 ONE FAMILY DWELLING ATTACHED GARAGE, POOL AND DECKS. The certificate is issued to STEPHAN KALAIJIAN (owner, Xxxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-50-229 FEB. 8, 1990 N093821 SEPT. 26, 1989 PAGE 1 & 2 UNDERWRITERS CERTIFICATE NO. N090271 SEPT. 3, 1989 POOL PAGE 1 & 2 PLUMBERS CERTIFICATION DATED PERFECTION PLUMBING & HEATING 1/19/90 -~~--F~ uilding Inspector Rev. 1/81 ' FOHaI NO. D TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 16 7 2 3 Z Date ~~'-e,~...~ ,9~~ Permission is hereby granted to: , to .GJe.. ...,I.~::~~f.....~...... ct premises located at ......1.~..7..~ G~~......~.~~~:~,e...~,..~.,~. y, . Caunty Tox Map No. 1000 Section Block ..Cl....,~........... Lot No. J~~Q...Q..l..,~... pursuant to application doted ..~,~5!Xl...........~.1 19.Q~, and approved by the Building Ian-+spectjo'r~ a Fee $..l?....~,./.•+..~~ ^~......:.C~....... Building Inspector Rev. 6/30/80 ' TOUN OP SOUTAOLD ` BUILDING DCPART:IEttT T047N QALL SOUTIIOLD, NE41 YORK 11971 765 - III02 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE KEN CONSTRUCTION .OLD OR PRE-ESISTItiG BUILDING......VACAtiT LAND.,...... Location of Property.... ~Q.~~.......~~?~4£:/J_t~VC/JUR,_,__ MAT71TdfrlG . HOUSE NO. ~ STREET IIAMLET Ovner or Ovncrs of Propcrty._.~~~~~A:N..~A?':~:~S,1A?J___________ Coun[y Taz Map No. 1000 Section .1~2.... Block 0~.... Lo[' .S~L~.... Subdivision..-t...2.....~.._......... Filed Map ...7.4...LoQt._...K.1.._ Pcrmi[ No.~~.4~.d.Z...Date of Permit ..........AppLicant°YR_P,~/{y,11l~AlAf~~/~J~ Hea1Ch Dept. Approval ~~..~.~~.~:1~1.0..... Undetvriters Approvala~~Pt,.~l~l4$q.., Planning Board Approval Request for Temporary Certificate Final Certificate Fce Submi[tcd: 2 APPLICANT.... , _ „ w l~ 3~°~~ r~~- tD/i4/ss ,..ly,.., : FORM NO. 6 ' TOWN OF SOUTIIOLD BIIILDING DEPARTMENT TOWN HALL 765 - 1II02 APPLICATION FOR ,CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must he Eiled in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of propierty with accurate location of all buildings, property Lines, streets, and unusual' natural or topographic features. 2. Final approval of IIealth Dept, of water supply and sewerage-disposal(S-9 form). ' 3. Approval of electrical installation from Soard of Fire Uadervritcrs. 4. Sworn statement fro~q plumber certifying thaC solder used in system contains less' Chan 2/10 of IZ lead. 5. Commercial buildings, industrial buildings, multiple residences and similar, buildings and installations, a certificate of cndr rnmpl.9ance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildingsl(Prior to April 9, 1957] non-coaforwing uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and _ unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate ofl,Occupancy is denied, the Building Inspector shall state the reasons therefor in !writing Co the applicant. 3. Date of any housingilcade or safety inspection of buildings or premises, or other pertinent informatign required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. Aa application for vacant land Certificate of Occupancy shall be submitted, and a certified absCract of title issued by a title company showing single and separate ownership of~the entire lot prior to April 9, 1957 shall;-also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. ;>:vS: 1. CERTIFICATE OF OCCUPANCY - New Duelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Qccupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5:00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Dpdated Certificate of Occupancy - $50.00 6. Temporary Certi€icate of Occupancy - $15 00 Residential I Commercial i I, ~ ~"~,q.,'~, Ci1ti ~-0..~~2 ev, 10/14 /S8 1_ c'1cJ.D I~:SP°C;iU.d ~~llAin ~ COMMENTS ~a ~ - V 1 mid FOUtJDATION (1st) - ~=A, ~ °"r c~ ti FOUNDATIOIJ (2nd) p z . ~x z 0 4 P,OUGH FRAME & ~xi,. ~ PLUMBING v. 3. ItJSULATI0P1 PER N, Y, ~ STATE ENERGY 0 .Is I~ CODE a r 4 , ~ r- FINAL ? i " ~ ADDITIONAL COMMENTS: x v2 S e , ~ v 1 r I~4 A n ¢~o ' A 4~ ._«.a~- iii 2,~.010/~ H ,Qp .rn~ 1~ryjiAY~-Q~~ d r -f 0 ~ ~ ~`~G~ ~ O I~ ~ .y . . 1 ~ ~ ~ ~ 9 • r~ '3(~ - ~ d` LT7~ ~n H TEL. 765-1802 or~~FFOt/~ T01°?N OF SO'UTB(O~pJ ~f . 1, 's , ~c OFFICE OF BUILDI24G INSPECTOR , ~ ;T P.O. AOX 728 TOWN HALL "0~~ E~O~ SOUTHOLD, N.Y. 11971 ,.~„m„.w._~. 1 ~ ~ i ;~1.;~,~ C E R T I F I C A T I O N _ ~.~»ra~-' TG1W~, ~h aQJTi Date .J ~ ~ `9~ Building Permit No.//IIO~vZJ~ Owner Iy1.?- ~edN- ~ /RJ /qN (please print) Plumber~r~ecf o,U A/Uiyr ~/~~i (please print) I certify that the solder used in Che water supply system contains less than 2/10 of 1; lead. V ' (plumber's signature) Sworn to before me this day of 19rl U , (JB~ Notary Public Notary Public, County NEIEN K DE YOE ~P1~47078yg~g,~ INCou~Y ~ Term Expires hGrch 30.19... TEL. 7b5-18t"_ .~'6~~~F0(.,~CC<' T0~'N OZ' SoUTIZOI.D a r;;~~;;~~ y;. orrlcl, or• Bu1LDIi~c lNSrrcroa F',°"°, ~ I'.O.BOX 1579 , ,t ~ TOWNlTALL ' '~~0~, ~ ~`c~ SOI)TIIOLD, N.Y. 1 1971 ~~yol . <~~n.,.~,. December 19, 1989 STEPNAN KAJ.AJIAN 35-56 222ND STREET WAYSIDE, N.Y. 113b1 'Po Ylhom This, May Concern, n P,e arc unable co complete your Certificate of Occupancy because of the folloc•ring reasons. /~An application for Certificate of Occupancy is not nn fil.c. (ENCT.OSED) / *to Underwriters C~:rtificate on file. /('t'he chec}: in ~a'i<~7t~rdJnut on file.) $25.00 No Ileal.tll Dept. Approval on file. 1 I P:o final inst~~ect:ion has been made. Plea.>r. contact our office on this matter. - Thank you for your cooperation. Itu.ilcling Pcrm.i.t: it 1 b 7 2 3 Z Duildit ( DcpL-. +.k ~k/-/ ilo Plumber Solder Certificate on file. ( <-t?.1 permit:; involving plumbing briny iesucd afe.er .lpri.l 1,1964 ) t~llf - I ~ ` ~ . 7 SLOG. DEPT, ~~c~ TOWN OF SpUTHpkb ~2 BBL- ~'z'~~~` qtr// Gr-%t-~r_.P~ . , _ . Gl/ - G~id'G.-, .`~E~x_ """tom'.-t.-~"ZAL- ~ .%?y ~ ~ . ~ ~ / Jl ~ ,ti t _ - ' T llo7y3 765-1802 BUILDING DEPT. 1 NSPECTtC~N [ ]FOUNDATION 1ST [ ~ RO PLBG. C ]FOUNDATION 2ND [ INSULATION [ }FRAMING [ ]FINAL REMARKS: , 's s i f i I 1 DATE- t ~ INSPECTOR' ~v~"'~ 4 , 1~~z3 r~-isoz BUILDING DEPT. { INSPECTION ' [ ]FOUNDATION i5T [ ]ROUGH PLBG. [ J FO DAT10N ZND [ ]INSULATION FRAMING [ ]FINAL REMARKS: C.e-„~, r"~ .3 ~z"'L C /.y~~Q-~ ~ t CCC!!! r F ~ ~n i / ~ ,i DATE ~ l~~ INSPECTOR k Y k ' v . , ~ ~ ` . ~ ~ . .x 4r 765.1802 " BUILD~AIG DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~-~i~z.~l~ l,~e-. ~A DATE G ~ INSPECTOR ` - . _ ~ ~ ~~3 7f 5-1802 BUILDING DEPT. INSPECTION [ FOUNDATION i5T [ ] ROUGH PLBG. FOUNDATION 2ND INSULATION [l [ ]FRAMING ~Q [ ]FINAL M RKS: RE A ~ ~ DATE ~ ~ INSPECTOR ' N I~ / rn ~ ,/3 76S-18U2 ( t~ ` BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST f ) ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~INAL REMARKS: ~`""`°'L ~ t n-c-~-- DATE ~ INSPECTOR - _ .THE NEW YORK BOARD OF FIRE UNDERWRITERS ~A<;~ a ip4,ftf77) BUREAU OF ELECTRICITY 83 JOHN STREET, NEW YORK, NEW YORK 70038 Date 3~+1~"I'f'!'~Uf.~h' h, ~ Appldmtion No. on file ~~'~~~~8~~~''Fi (1~.'S {~GI Lw THIS CERTIFIES THAT only the electrical equipment as deacrihed 6elota and introduced 6y the applicant homed on the ohove application numher in the premiaea of S'P3~~'~SE~ NCfiaTrALi7SANr :L750 k~,R(a)Li~ AB1S., C4A'~"~'[TLrCIC, SLY. /st F'l. ®2nd F'l. Section Blork Lat in thefollowinq location; ? 8aaement {'A}~~f1Zt wns examined on ~}':}3`f~f'tFIH)1~f2 ~~l"I'y~~ andfound to 6e in cmnpliance with the reyuirentents q/'this Board. i1XTURE ECRPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OYENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FWORESCENi OTHER AMT. K W. AMT. K W PMT. K.W AMT. K W AMT. N.P - ~ T1 j, . ~u f] '~P DRYERS FURNACE MOTORS PUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL M. P. GAS H. P AMT. NO. A. W. G AMi AMP. AMT. AMPS. TRANS. AMT, P SYSTEMS AMT WAITS NO.OF FEET 't F ~ 19 SERVICE DISCONNECT NO.OF S E R V I C E w AMT. AMP rypE METER I 4W I R SW, 3 9 dW 3 4W NO. OF CC COND. A W G. NO. OF HI-LEG n. W. G. NO. OF NEUTRALS A. W. G. y~/~ L(~~ EQUIP. PER % gOF yCG COND Of HI~LEG 8 OryryF NEUTRAL OTHER APPARATUS: ~ TOFl' A(t; IINT1'°1 2 ~'ON A/C llN7:4`-1 3 x't?~t A./C CJNST--'k. ATR. NANl7ItFf'2> 4t/E'HAC;T HP-9 PAN~~trB6AR~iS:1.-36 t~SEi. 2t)0,'i.-'~;1 t3 R.. 5t)O,1-+3 C'ik. l~0 TRANSIPL7RM'iuR:Q~ ,Q75 StVta D35t'C)SAlr:1_.r IC, 4i. (<< C.on@~inur:d rStT pslr~tt ~ GENERAL MANAGER PEY Fr! This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ,THE NEW YORK BOARD OF FIRE UNDERWRITERS ~U~~Q /3 BUREAU OF ELECTRIGTY 85 JOHN STREET, NEW YORK, NEW YORK 70038 Date Sk"i~P1'1~I~S.t3x;R jft ,.~~}Q, ~3 Application No. on file rT~~~~~~t~f ~ ~~'~~~'1 i THIS CERTIFIES THAT ` only [he electrical equipment os described below and introduced 6y the applicant Homed on the aboae application number in the premiae~, of .e,'S'EPNIN KAI.AC177'AN, ;l7Kif) t1F,RC,Al`'I AVS:'„ i4A'PT:CTtIGK, Yi,Y. in the following location; ? Basement 0 1st FY. ®2nd Fl. GAR/i7UT .Section Block Lot was examined on ,S~~C~'~~ff3~N ill i) and found to 6e in compliance with the rerluiremenla of this Roard. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTUETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K W AMT. KW AMT. K'W AMT. H P i DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BEII UNIT HEATERS MULTI.OUTLET pIMMERS PMi K. W. Oll H. P. GAS N. P. AMT. NO A. W. G PMT. AMP NAT. AMPS TRANS. AMi H p SYSTEMS pMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TypE METER 1 YW 1 % 8W 3 % RW 3,0' 4W NO. OF CC. COND A. W G NO. OF HIAEG A' W' NO OF NEUTPAlS A' W' G' EQUIP. PER % OF CC.COND Of HbLEG OF NEUTRAI OTHER APPARATUS: TRACK ~,T.GH`C7.NG:-it UC014 T'IFRC'!'R1(' & i;Ut+lM_ 1~rIC.~.3'7b1°•R 9C STOKA."3 AVk;NCIN~ B~TBPAfrFlr PTY, ~1'71i! OENERAtMANAGER 1l. r,. Per f..-= t This certificate must not be altered in any manner; return`to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY F.OR BUILDING DEPARTMENT. THIS COPY OF CERTIF{CATE MUST NOT BE ALTERED iN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS z~a~xs ~1 OG50 r`.i BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date Sie,k'4'k:Ya914R Cli,tgS;9 APPlicotionNo.onfi(e (,7fb3'~~'iR9/!?+St !+7 t13Ci"d,"(. THIS CERTIFIES THAT only the electrical equipment as descrihed below and introduced 6y the applicant Homed on the shove opplicotion numher in the premises of Sfi~1F23r;F1 KAi,:~14'in~, JI~Ct Hfi.RGAN aV&:, fC7tYF, #i.1~h2~ p5~t`f,':f`f'i3CtTC, 1~i.Y. tail"!` in thefollowinq location] ? gar me t ? )st F'I. ? 2nd FL Sertion 8(ock Lot AYF(a(JS7~ ~a;;~; uvas examined on and fourzd to be in complionre with the reyuirements of this Board. iIXTURE ECEPTACLES SWI7CHE$ FIXTURES RANGES COOKING DECKS OVENS DIaH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FWORESCENT OTHEn bNi. K.W. AMi. K W AMt. K.W. AMi. K W pMT. H.P DRYERS FURNACE MOTORS FUTURE APPl1ANCE FEEDERS SPECIAL REC`PT i1ME ClOCK$ gEtl UNIT HEATERS MULTI.OUTLET DIMMERS AMi. K. W. Oll H. P. GAS H P. AMi. NO. A. W. G. AMT AMP. AMT AMPS. TRANS. AMi. N. P. SYSTEMS AMT WATiS NO.OF FEET L ~l} SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP TYPE METER 1 ]W 1 3W ~ $ 3W 3.F' dW NO. OF CC COND. A W. G. NO. OF HI-LEG A' W' G' NO. OF NEUTRALS A W' Q EQUIP. PER % Of CC.CON9 OF HIdEO OF NEUTgAt OTHER APPARATUS: 14t)"xt)R5c1-a H.'.,7-•~' I1. P. FaltlFlt,k3t)AItD~:.l-'°f C7.K. 3t? ra_~.r.xa--~ k ~5`1~1,L NIM LI•I(s FQ~1~) T~'17 :X r7i?X'4~1'C:'t CT~~:f etava~z carlllali~nt;e a4'. C1eFS tzata, e7Y inst»rt:.iol1 alaly. 1iPC~lt;;~ c~ Ilnur9ua"L e~tir-r>a~mcnCS :d. r. is sctrra.3a.P~a,as #c> haws Er~gll+r?IIC rest :In:111>r rcepla~its matte l~Y a Tllta'I,i~lrtt l,erscTrl. ~~C~%~-~•~/~~~~-t'~''l t t < t:ant~ ~i,rnled cYn ?'±tnas 2 > ~ s GENERAE MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. CO Y FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NGT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ "GAS ~ } BUREAU OF ELECTRICITY SS JOHN STREET, NEW YORK, NEW YORK 10038 ;511'"CA3~4f~%~;11 i43,9~89 f~~.il3i>1R31~4J F~ C}`3Qx/~ Date Application No. on file THIS CERTIFIES THAT only the electrico/ equipment as described below and introduced by the applicant named on the obove oppticotion number in the premises of S`d'F:YHN:S~ K1tbAt7ft?PI, 1`1f10 klk.RfaAl`Y ~t~7)a, ~'fiT,F ~13.`3Ta2. S+t~T4"T`~`i7GK, NaY, in the following loco ion' as e t ? lxt Fl. ? 2rvd F'l, l'1lr°.If Sertion Rfock Got ~11x.11s~~2~ , 9~sH~ was examined mt and found to be in cunepliance with the requirententx q(this Roard. ' FIXTURE ECEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DI'iH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLVORESCENi OTHER AMT. K W AMi K W. AMT. KW. AMi K.W. AMT. H.P DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS ggLL UNIT HEATERS MULTI.OUTLET DIMMERS AMT. K W. OIL M. P. GAS H P. PMi NO. A. W G AMi. AMP. AMi AMPS TRANS. AMi H. P $Y$TEMS pMi. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE METER ~ 4W 1 BW 3,9 3W 3,e 4W NO. OF CC. COND A W G. NO. Of HI-LEG A W G. NO OF NEUTRALS A. W. G. EQUIP. PER 9 OF CC. COND OF HPIFG Of NEUTRAL OTHER APPARATUS: f llCt{)I$ ~I,w;C4'H:Y{: & C{tMiS_ L'CC,~~iG3.~ j~'d~""` BF,~'Hi>AG'F,;, TdY, :C,7.7.1.h GENERAL MANAGER ~1. Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT`BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~~'~fa'. J, tl c{~it;'j ; BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date i1!,:'}'!iRi'i't ;;$r ~:.IYay APPlication No. on file J{1~'j"~~~"~~~~ 1~ S$"13'"Z~I THIS CERTIFIES THAT only the alectrtc¢l equipment as deacrihed 6ebw and introduced 6y the applicant Homed on the shove ¢pplication number in the premises of I 'd;?2')SY;fif ~sa~~7;i;}t~i~ t!t)I; I+;ti'°dz"tT7 rtur;r, P~A'C"~F327C'}zs ,V, ? Basement ~ Lst FI. 0 2nd Fl, Sertion Black Lot in thefollowinq Incntiong ht1 s was examined an SI<; C'I'~ti45F4 PaF, 7; 7,+P f~'~ ¢ndfound to 6e in coneplianre with the requirements q(this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANOES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT RUORESCENi OTHER AMi N W AMi K W. AMi K.W AMT. K.W. AMT. H P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS BELL UNIS HEATERS MULTLOUTLET DIMMERS SYSTEMS AMi K. W. Oll H. P. GAS H P. AMT NO A W. G. AMT. AMP. AMi AMPS TRANS. AMi H P. NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMT, AMP, TYPE METER I %]W 1 %3W 3 B 3W 3,e' dW NO. OF CG COND A W G. NO OF H4LEG A' w'r' NO OF NEUTRALS A W G. EQUIP. PE0.% OF CC.COND OF H4LEG OF NEUTRAL OTHER APPARATUS: 'I':l I1 C. i{ Llti ill"!M1l(i1 GOf'tPl Y~,t:ha'"3"k?+r, & Ct?CtlM= P,i;t,`,j{3`ikli-°H( !#tl a^:I'C~d{t:S 41?trl~f(I'P; 13I<`I`flF'~.G4;, iQ4', "I GENERAL MANAGER E Per ~~C This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. COPY F,OR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _._._T~ L_ THE NEW YORK BOARD OF FIRE UNDERWRITERS }'.arty: I.t~L'~e~rl 1 a BUREAU OF ELECTRICITY 85 SOHN STREET. NEW YORK, NEW YORK 10038 Date ;JL;9'UIV Gh 'i rii i'Rf"§ APPliration No. on file `'~''r3 ",''9£3 fi liL fi 3i O4aFE:~t THIS CERTIFIES THAT only the electrlcaL equipment as described below and introduced 6y the opplicont named on the above application number in thepremiaes of 7't'I;Yllii@d f+Aw,=vl;f'C AT~f, 3.'f t3t~ ;ti•;t@s;A~} ~p i7 t~, , T'f!1'L't'ti'I'ELt;~-;, d~_V, in theJollowing locotion; ? Bwement ~ lsc Fl. ®2nd /'1. ''~If fCJ3}fir Sertion Bloek Lot ''°''t~i=`'Lr"I`~ • r 9`4 ~5 and ourtd to 6e in cmrt lirnur with [he rer ufremeatso this/bard. wws examined on J p I FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT K.W M1i K.W PMi K W AMT. H P G DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CIOCK$ BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K. W. Oll H. P. GA$ H. P. AMT. NO. A. W. G. AMT. AMP AMT. AMPS TRANS, pMT. N. P. NO. OF FEET AMT. WAII$ i ~ + tI SERVICE DISCONNECT NO.OF $ E R V I C E AMT AMP TYPE METER I tW I % ~W ] ~W 3 A, <W NO.OF CC. COND. A W G. NO Of HI-LEG A W G' NO Of NEUTRALS A' W Q EQUIP. PER % Of CC.COND OF HbLEG OF NEUTFAL i ZdfP ^^rii F 1 .#f(3 T 3F 11 • OTHER APPARATUS: 11 `P:)}~! Ali- 3lFJ?:'!'- 1 '4'C~4i: ~/t' 4fYJ~~'a 2 ;.1'P fi9tltiii,i;hs ?f/t~r~i1C't' 'fi'P t: l-'hT•di';C~tii)FTt!)at7•-;d} (,lit. rll), i.~'?I t; I,', 1.1 r), i,. 'f' CA71" 7,1}dl 'a°~t.~~ra~tr••nfttnr•:w„r?- ..r,~t~, s;~tin frt:~ Lr;.r,> f~i, ~ a t, ~ > . L • ;;~t<;~ w 3'iliil'sSi "9't Tk . ~ ~~2~~/~~~-~~ {tr i;,'.t 11ti i_71TLC~a4 <"PL f~'S;)C' S>~ 6ENERAI MANAGER ~!,,y Per , r~ Thit certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS GDPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. n ~1 - ~ ` ' ` 1~ AAA l A ~J ~ ~ ~ O 1 M1 ~ W W ~ ~ ~ ~ x c ~W~~~~~ 0 U A r in m a n n b ~ ~ ~ ' 'A 04 ~ ~ . ~ ~ ~ ~ P ~ ~ ~ p Q M ~ U p ~ • •[y~ s 4./ ` { w w c„ a. ~ ~ C : a., D v n p O Q C~ ~ 0 0 0£ y ~ o ~ ~ w u` o a ~ P o ~ ~ o ~ y ~ ~ a tZ xro d O m ~ o s ~ o .o G 4 D r t % ~ m o 'b, w~ n ' ~ ~ ~ k ~ y pt tCt: N;• - p . ~ <; r,: f' , "/W t ,J ~~rn~ t *~i e U1 r 4; r0 QJ To-..,,.-w.....~..'~,~, ,~`.~t 3 , , C1A'~~ r~-"~M' IS u A U u I~' l I I': A I. I I I ~ . , . ~ 1 SI?'I'S OP' PLANS - , ~ y. • ~ ~FORMN0.1 SURVEY TOWN OFSOUTHOLD CHECK i BUILDING DEPARTMENT Sf;l>'I' I C I~OKM . . . . . . : TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL TEL.: 765-180 MAIL T0: Examined .~iA!~~~.~~.9, 19GG~~ / ,y Approved~.~..~..., 19L7~jo. Permit No. 6..',~3..,Z ~~~C~OM. Disapproved a/c q 4 l._. Vii.. ~ . "y sLOC. o~~r. • rowN of soun~oLo " (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 19 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 strc or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap; 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 pazt for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depaztment 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 i~ Regulations, for the construction of buildings, additions or alterations, or for removal or demol' 'on, as herein described. I The applicant agrees to comply with all applicable laws, ordinances, building cod , us' od and regulatiolts, and to admit authorized inspectors on premises and in building for necessary inspec s . .b. (Signature of appl ant, or name, if a corporation) 121 Eddy Drive Dix Hills, N.Y. (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Agent Name of owner of premises ,Steve Kalajian (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate'.offjcer) ALL CONTRACTOR'S MUST 13 E• SUFFOLK COUNTY LICENSED Builder's License No. . Plumber's License No. ~ . Electrician's License No. ~ . Other Trade's License No . 1. Locatiai of land on which proposed work will be done. . N/A Bergen Avenue Mattituck ...15.E Clouse Number Street Hamlet County Tax Map No. 1000 Section , ..112. , , , , . , . , Block ~1 Lo't . P/0 018.... , , Subdivision Filed Map No. Lot . (Name) ` State existing use and occupancy of premises and intended use and riccupanry n;' proposed construction: None a. Existing u,c and occupancy . New Residential Dwelling h. Intended use and occupancy . 1 Nature ofrvxgr}; (;'heck which app;licable): New $uilding , X , , , . Addition ...........ALtrrra8ion . Repair . RemoJal , Demolition tether t4ork . (Description) 200,000 ~ ~.~.7 i--, 4. Estimated Cost ..............j , Fee . ,r ' ` yto be paid on filing this application) 5. If dwelling, number of dwelling u If >ara e, number of cars 2'Inits Number of dwellin units on each floor . g b 8 ...........N~~ 6. If business, commercial or mixed ~ ' occupancy, specify nature and extent of each type of use . . 7. Dimen$ions of existing structures: if any: Front , .....Rear Depth ..,c........... . Height r........ Numl?er of Stories - . Dimensions'of same structure with alterations or additions: Front Rear . epth..... g .Height ` Number of Stories . $ Her htsiops 306~Gih•8 tt87~Cb~hs~~ction: Front , , 105 Rear 56........... Depth r'. 9.......... . er of Stories . $4 788.................. 9. Size of lot. Front . Rear • Depth 10. Date ofPur ase......:... I~ p ....Name of Former Owner . P. Graze . 1 1. Zone or use district itt which re~pises are situated . , . 12. Does proposed construction violate any zoning law, ordinance or regulation: ~4 . 13. Will lot be regraded . M~rii-lRa~.., • ..............Will excess fill be removed from premises: (Yes (No ) 14. Name of Owner of premises SteYe, Kalajian, , , , , .Address Ba side N. Y. (718) 767-9000 ...Y....7..........Phone No. Name of Architect . E•.• Scott teams, , , , , , . ,Address ,East Hampton phone No. Name of Contractor N/A 15. Is this ro ert located w " " " ••Address ....:..............Phone No. p p Y ithin 300 feet of a tiidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLU~ DIAG1tAMed. Locate clearly and distinctly al] ¢uildings, 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. ' See Attached Survey ~ _ I~ CONSTANCE PILNACEK NOTARY PUBLIC, Stota of New York No. 4907773 qualiffad In Suffolk County ' Commleclon expire October 13, 19 S'T'ATE OF NEW YORK, Si'S CUtiNTY~/F. / ~ _ • • • • • • ~,GI~2~S•`TO ~~~,e C being duly swont, deposes and says that he is the applicant (Name of individuai signir}g contract) ;xt7-.>ve ,lamed. f~ErE~l ~ Ilcis'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 are true to the best of his knowledge and belief• and that the work will be performed in tlLe manner set forth in the application filed therewith. 5wort to before me this ,lay of I ~......~....,(~T!'....... I!. ;~4NV,~~.........., 19~ 'Natary Public, ~-~`~t.A:'~~~S..X.!~4C~ . my ~i~ ~ ~ ~ (Signature of applica sa a ° y22°31' 10"E • I _ _ SCALE: 1"=60' - _ - _ _ - - - ~ ~r _ - _ _ zaoL - - _ _ _ _ - _ - 1 y` ~+251.9 ~ ~ S 22~31'1P=E ' ~ i36.1 GRAJeL. ~/ul - `p W ~ :252,9 ~ ~ 28 . 4' ~ .4e I b W z ~ O zw.o ~ m 1 0 ~ o Iq r / > ew.a ~ ~ ~ \ d, S .-1 ` •~`a ~ ~dy/D/ uar. \ ~ ~ s PARCEL Y I S J ~ 5 2231' SO"E vrr 251.E xeeJZ I ~ ,P - \ ~ ,tfl,. VACAr.i'f N ~ ,E -2 r I SIPp074a^g 52o°JO'la' O a 396.40' 1 a a`~ va~3 I ~ zun S 9 p O I_ _`22.72' 475.[Ar W V1 V 4 0 3 ~ N GR. W t{_ 1 I 9~ mV~ LO N J gyp"` ~ . - 120'! F. FL. 291.3 A O / \ E51.0 O ~ m 1 6 LL 1 ` / / / 6101 U Z 5 768.6 ; 2b3.m ~ ~ 245.2, 21fs.°lo Q ~ N 22'31'10"W AI N22°91't0'IN/ Z J ~ N ~ W PAP.[.EL. IMPRoVOp / P¢.IVATE VJATE:2 ~ °a ~ }i VENT aATEp cOFIxW g CAP wtTP LALe H OW6ll T I mWm ~f - ~ TEST HOLE DATA: ° Y ~ 9'd i 2'd crneomr PA etwr YAyI W ' O'U' fn" T09°A IL GRADE AWA uNDER4RauNP Z FROM WEU. 4LaN~ I NS oEPliLpbL S CONER Tb A¢1.DE O I bt~.~ E-L rP~ JAWn ,~y J v V ~ WuLT m I yAND d D r' I I I GAVEL I y uw'T rte' 1____ I FLAµpG 4 E VMAWE 1.11 4"PIPE I VANWE I ~ N~a, PN6u MhTIL TIJLIL TOWNLOF SOUTIIOLD „ ~ IT'!o" DIEED6E I INS=DE of ALD: Moron I ar,I E HEALTH DEPARTMENT AND GRADING PLAN g;Rw~ MAP OF LOT NO . Z REF. NUMBER 87-SO-229 AS SHOWN ON ~ I v[ov PIPE MAP OF "KALAIJIAN PLAT" " I PIE2.5YRFACE • SITUATED AT I MATTITUCK, TOWN CF SOUTHOLD "I AM FAMILIAR WITH THE STANDARDS FOR i nwwa yPEC~c cenArY, SUFFOLK COUNTY, NEW YORK APPROVAL AND CONSTRUCTION of ~ sELTIDN L 51-1.5.3 SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR I CERTIFIED TO NunRRxrEES On eexnE~cAnons lxo¢nreo ~ 9u6M 'A~ - BERNHARO H.HENN L.S. SINGLE FAMILY RESIDENCES AND WILL ABIDE PUMP HEpEON5N11LLRUNONIYYLOiN[[PcPSON FOR WNOM rHE 6UAVEY 1 PNEPAIIE f ON qIS STEPHAN KALAIJIAN 121 EDDY DRIVE ssxnLF ro rnErmc~uoMP xv vPtlv PNMEN raucexcv NLExolxc MS~lrmmxss usreR BY THE CONDITIONS SET FORTH THEREIN AND 35-5H1222ND ST. ?IX HILLS, N.Y. HERExx atornensslcxsescE rx~LEixoIxR $ iION.'1rAPE NOr IB~NSFEMBSEiO CUOI110flAi ON THE PERMIT TO CONSTRUCT" BAYSIDE NEW YORK 11361 N.Y.S. LIC. NO. 49175 lxsmurmxson suesecuexr ow~JERS PhutE4 (~[I~) v31-52[Mlo DATE 11/2/87 ~ OWNER:STEPHAN KALAIJIAN (G) COPYRIGHT mu^=mRer~:<emnra,o^or=aemonm. wrv=y FZr~H '"IATE¢ -'z' FOUNDATION LOCATION BII6 /88 vaPaoso"off:aiio~eieose uearo:'o~ie=ilin: oawE ~ goulaER, aruTUM REUNF ILED MAP xew gory smle feuLe11a0 Lawm'Onl o1~e ~n+oe S.C.D.H.S. FNAL 1122190 arem~kanl^=mlwasurvey rxeJ.IIR FINAL SU Y I/22/9~al of lea?a^e,:.mvore amben=a v>"I F =nnl De covNerea io De wlie Irve coplea" 402ESd cmw=.renemman^aner.nn=wmlrl^='UI= TAX MAP DESIGNATION 1000-112-01-016 tmvey was Rrepma In aocna=noe nm Ine w''RO TAX MAP DESIGNATION 1000-112-01- P/O OIPj ed.on cea. I Er.L'nu mr Laca s.r.er. ao uytl ^:iiioaes""wary sine .LSmuaxo~al M1 E1-1. AE4g11~. 2hh•a~9 2~aJy