The URL can be used to link to this page

Home My WebLink About15904-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y. Certificate Of Occupancy No . .Z l 6.736 .... Date Marci? .24:..198.8 .. THIS CERTIFIES that the buddmg 0t.~e fam.il.y..d.w.e.!l.~.n[: .......... Location of Property . 95,0 Ruth Rd. Mattxtuck I~ouse lye Street Ham/et County Tax Map No 1000 Section IQ 6 .... Block 5 Lot 28 Subdivision Filed Map No ·. Lot No .......... conforms substantially to the Apphcation for Building Permit heretofore filed in ttus office dated · ..Marc.h. 3.0, . 1'78.7 pursuant towtuchBufld~ngPerm~t No . .1.5.9.0.4.Z ........ dated A p r z 1 I 3., .,.I 987 was issued, and conforms to all of the reqmrements of the applicable provmlons of tlle law. The occupancy for wtuch this certificate is issued is . · . On.q .fam%ly.,dwell.z. ng.w~t.h.de.c.k a.nd. at~.a.c.h.ed..ga.ra.g.e: ....... The cemflcate is issued bo JOHN & KOULA EPIDY [owner, of the aforesaid bmlding. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO PLUMBERS CERTIFICATION .87-SO-59 ~rgb .%,..I.9.8~ ........ N854569 Feb 29, 1988 DATED: MICHAEL ALGOZZINO 2/29/88 Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-° 15904 Z Date Permtssion is hereby granted to' ..... ...................... ............................. ..... ~...o.. ~.../....o....q..../. .......................................... ...~.~....~..~..,...,u..~..~:..~.. ~~....~..-..:....~....~..__..:; ........... ~:......~.....~. ............... : ................. at premises located at ,~ .......... ~......1~... ............. !.](...~..c~ ........ .~.;.~ ............... County Tax Map No. '1000 Section .. ~..~)..~. ........ Block ...... .?..~.~.. ..... Lot No....~....~. .......... pursuant to application dated .......... !....~. ................ , 19..~....~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Thru apphcatmn must be filled ~n typewriter OR ink, and submitted ~..-~.---- to the Budding Inspec- tor with the following; for new buddings or new use' 1. Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographm 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 F~re Underwriters. 4. Commercml buildings, Industmal buddings, Mulnple Residences and mmdar buddings and installa* tlons, a certificate of Code comphance from the Architect or Engineer responmble for the buildmg. 5. Submit Planning Board approval of completed site plan requirements where apphcable B. For existmg buddmgs (pmor to Aprd 1957), Non-conforming uses, or buddmgs and "pre-ex~stmg" land uses: 1. Accurate survey of p~operty showing all property hnes, streets, buildings and unusual natural or topographic features 2. Sworn statement of owner or prewous owner as to use, occupancy and condition of buddings. 3 Date of any housing code or safety ~nspectlon of buildings or premises, or other pertment reforma- tion required to prepare a certificate. I Additions 825.00 POOLS $25.00 ALTERATION $25.00 C. Fees' 1. Certlflcate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Buszness $50.00 2. Certificate of occuppncy on pre-existing dwelhng $ 5 0.0 0 3. Copv of certlficate of occupancy $ 5.00, over 5 years $]0.00 / 4. Vacant Land C.O. $ 20.00 .~/.~.~/~.~. 5.Updated C.O. $ 50.00 Date ..................... NewConstructl°n ...... Old or Pre-ex~stmg 8u ddmg .......... Vacant Land ........... Owner or Owners of Prope~O ~ .'~// _..~.~. ............................................... County Tax Map No. 1000 SecVon ......... Block .............. Lot ........... Subd~wslon ...... , ............ ~. { . .Fded Map No ........ Lot No ............. Permit N°' '~'~fCf '~Oate °f Permit ~t~t~] ' 'Applicant///9~ .............................. Health Oept. Approval. ~;/?'~//~. ~. .......... Labor Dept Approval ....................... Underwmters Approval .................. Planmng Board Approval .................. Request for Temporaw Certificate ............ Final Certificate ....................... Fee Su m,tted ®..3. ......... C°nstruct'°n °n ab°ye des!r'bed bu dd mg a~nQd ~e~,~/?W/~r~,~/~.,~. a.y, pphcabie c°des and reguiat'°ns-. TOWN OF SOUTLIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 723 TOWN HALL SOUTIIOLD, N.Y. t 197[ TEL. 765-I 802 To whom This May Concern, We are unable ko complete your Certificate of OcCupancy because of the following reasons. /_~n applicatlon for Certificate of Occupancy ~_/ ~,s not on file. ~ ~N? Underwriters Certificate on fl e. ~The check ~s(outdated/not on file.)~o0 ~/~/~/N? Health Dept. Approval on file. /_/ Nb final inspectlon has been made. P~ease contact our office on this matter. Thank ~ou for your cooperation. nuildihg Permit tl ! -3-- ~ O ~ Z Bulldihg Dept. o Plumber solder Certificate on file. al%~%p, ermits involving plumbing being issued after April 1,1984 OUNDATION /(1st), OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND / iZ~NSULATiON [ ] FRAMING [ ] FINAL REMARKS: ~, ,/~ ~ . _/_..__, - 765-1802 BUILDING DEPT. INSPECTION ~ FOUNDATION ZST ~ ] ROUGH PLBG. FOUNDATION 2ND ~ ] INSULATION FRAMING ~ ] FINAL 765-1802 BUILDING DEPT. SPECTION FOUNDATION 1ST [/~UGH PLBG. FOUNDATION 2ND [ ] INSULATION [,¢~MING [ ] FINAL DATE 5¢~ INSPE~OR </~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [~UNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS iNSPECTO~/' 765-1802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000062 T~'1tCj BUREAU OF ELECTRICITY Apphcutmn No on/de 499360/87 N ~s exa~ned on February 2 ~ , [ 9~8 end found to be m comphanee u tth the retluirement~ of this Hoard FIXTUEE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS SWITCHES ~tUO~E~E~r SERVICE DISCONNECT S E R V I C E oTm%F~a~ app Lance 4-G.F.C.I. 1-Smoke detector NO OF CC COND Gustav Bartra ?27 E Breakwater Mattituck, NY 11%52 I tc4~1529E GENERAL MANAGER Th~s ¢erhficate must not be ~zJtered m any manner, return to the off~ce of the Board d incorrect Inspectors may be ~denhhed by thmr credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N Y. 11971 TEL. 765-1802 C E RT X F I CAT I ON Building Permit NO. Owner ~0 6/~ ~F/~/ (please Plumber ~,/~/~ ~please I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to befor~ me this ~/ day of~~ Notary" Public ,.~~ ( pl/r '~ lgnature ) J No t ~ j~b~ 1 c . %.L:/ County . ,~ ~a~a IUDITH T TERRY OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 23, 1987 Fown lla[l, 53095 Mare Road P O Box 1179 Southold, New York 11971 Mr. John Epid,y P. O. Box 1007 Mattituck, New York 11952 Dear Mr. Epldy. Transmit~cl herewith is a refund check in the amount of $147.67, which amount represents overpayment of Bulldm§ Department fee due to an error in,calculation. Very truly yours, Judith T. Terry Southold Town Clerk cc: Building D, epartment/~''/ FOR ,'O0~:[h~ ~.'O~,hO?q~,i~l.' a'OSt,,,,:;~8, gq TOWN OF $OUTHOLD OFFICE OF BUILDING iNSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N Y 11971 TEL 765-1802 April 20, 1987 TO: FROM: SUBJECT: Town Board Victor G. Lessard Exec. Admzn. Refund--John Epidy B.P. #15904Z Koula Epidy Please issue a refund check to John Epidy, in the amount of $147.67. The refund zs due to an error in the calculation of the amount due for the Building Permit. John Epidy P.O. Box 1007 Mattztuck, N.Y. 11952 TOWN OF SOUTHOLD EIFFIIGE OF BUILDING INSPEP,~OR sr]IJTHI~LDt N. Y. TEL. December 17, 1971 kr. John ~-.. hchulty 17~ Grilling ~ve niw rn~d ~ h.k. 11901 Dear Jif; ~0ur letter and enclos~ie of Dec 16th received. l'note th~ date on tL~ instrument is Dec. 1~ 15~7hle this woul¢, ~.ake the 100 ~ 125 lot described a usable lotunder ' present zoning ordinance~ k~ula Epidy or successor can get a building pen~it on this 1St. ~ours truly kuilding Inset ector ~ Examined _(~.X~.. ! ~. Approved~ [ .~ Disapproved a/c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL *,~DUTHOLD, N.Y. 11971 TEL,, 765-180:a ,19~7 Permit No.] ~'".~oq SURVEr .. , · CALL MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Buddmg Inspector, sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showmg location of lot and of buddmgs on premises, relationship to adjoining premises or pubhc sir or areas, and giving a detmled description of layout of property must be drawn on the diagram wluch is part of tins al cation. c The work covered by this application may not be commenced before issuance of Budding Permit d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the applicant Such pc, shall be kept on the premises available for inspection throughout the work. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupn shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldlng Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmancc Regulations, for the construction of bmldmgs, additions or alterations, or fo~.r.,removal or demolition, as herein descril The applicant agrees to comply with all apphcable laws, ordinances, buddfng ~gd~, ho~ codeyand regulations, an, admit authorized inspectors on premises and m budding for necessary lnspec~tlol~ (~{gn fi3~ re ~t~gl~g!cant, 9r~W3me, if a corporation) × o.7. e (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or bml. Name of owner of premises .~ C'4~[. ~-'.~/. ~ Y ...... (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authorized officer (Name and title of qorporate officer) ALL CONTRACTOR'S HUST BE SUFFOLK COUNTY LICENSED Plumber's L,cense No ' ~/ ~ ~f ffdV~/~d~ Other Trade's License No Location of land on which proposed work will be done House Number Street Hamlet County Tax Map No 1000 Section / .~ ~.. Block . . -~. ....... Lot ~ Subd~ws~on Filed Map No . Lot (Name) State ex~st~ng use and occupancy of premises and intended use and occupancy of proposed constructmn a Existing use and occupancy tA/~./5/~ ............ b. Intended use and occupancy ./ /',4 m,//..y . TO ......... 3. Nature of work (check which applicable) New Building ~. ,. Addition Alteration Repmr ...... Removal ...... Demolition .. Other Work .. ' (Descnphon) 4 EsnmatedCost ./--~./ I...ac' .°..(D.. . .. .. ., . Fee ........................ ' " (to be paid on fihng th~s apphcation) 5. If dwelling, number of dwelhng units .. ] Number of dwelhng umts on each floor If garage, number of cars . , .............................................. 6 If bumness, commercial or m~xed occupancy, specify nature and extent of each type of use ............ 7. Dlmenmons of exmtmg structures, if any Front .... Rear .......... Depth .... Hmght .......... Number of Stones .............................. Dnmensmns of same structure w~th alterations or addmons Front ....... Rear ............. Depth ................. ~.. Height ............... Number of Stones .............. 8. D~menmons of enhre new construction Front Rear Depth .. Height ......... Number of Stones ........................ '~ t ........... 9. S~zeoflot Front /~,t~.' ..... Rear, . /.~,D/. ........ Depth . I~..~ ............ 10. Date of Purchase .~//.~//.7.~ .... Name of FQrmer OwnerbaFJ'/L I 1 Zone or use district in whmh premmes are s~tuated . . . ~'A" ~g,~ ~.'I>~/~ .--+-.~l~.~.t.~tJT. q~. ~..Z-~.. ,, 12 Does proposed construction violate any zoning law, ordinance or regulatmn ~.Q .................. ~ 13 W~ll lot be regraded . . .,~.~,~ .,~.~ ~.:,. . Will exj~ess fill ~be remove_.d from premmes: ~,,Yes_ ./No) 14 NameofOwnerofprem~ses Fi0q*~. ~:'/f/~?f Address~o.Tfl' ~/./~.l.$.o~.~-PhoneNo .~..~t~.]~'~.., Name of Archltect~'~Q~-~ ~...7'~'7't..4..z:~. Address ........ Phone No ......... Name of Contractor ................. Address ........... Phone No... 15. Is this property located w~th~n 300 feet of a tidal wetland? *Yes ..... No.....~ ....... *If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and dlshnctly nll buddings, whether exmtmg or proposed, and indicate all set-back dnnenslons from oroperty hnes. Give street and btock'number or description according to deed, and show street tames and ~ndIcate whether ntenor or corner lot ~TATE OF NEW YORK, S S 2OUNTY OF ~...~ . ..... ~/O//~lf . ~--~'/.'-ff] ~) ' 7 ....... being duly sworn, deposes and says that he is the apphcant (Name of ~n&wdual s~gmng contract) ,bove nmncd l .................... . . . ...... is th~ , (Contracto~o~orate ~fl~e;,'e}~ ~ ~f said o~ner or owne~, ~d m duly authored to perfo~ or have pe~8~ed the sai~ ~[q~e and file t~s pphcaUon; that all statements contained m this apphcaUon are tree to the best oi~~~hef; and that the york wgl be perfo~ed m the m~ner set forth m the apphcahon filed ~erew~th. ;worn to before me thru ....... t t ~9~ERICK VAN T._UY_L.. P.C . V---..- LICENSED LAND SURVEYORS GREENPORT NEW YORK ' H S NO STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SY STEM~--f-/~R /T~llS ~IDENCE WILL CONFOI~M TO~/~S~ANDARDyOF THE {SI --~2~/~' -'~- SERVICES -- FOR ~OVAL OF CONSTRUCTION ONLY DATE APR ' n ,?_1 APPROVED -~ ~F l SUFFOLK CO TAX MAP~NATION DIST SECT BLOCK PCL OWNERS ADDRESS TEST HOLE I ' STAMP SEAL ! [tNC~LE FAMILY D'~q. LING DAT~ H $ REF NO 1-be se~'~age mspc, s:l ,...nd ,:,a'er location have been respected by ~t~ef . ~ , a~d i ~u,-ve~je~ A4,c~.4, /9~7 . ,~.I~'RICK VAN T...~Y..L, P C LICENSED LAND SU'RVEYORS GREENPORT H,E'W YORK SUFFOLK CO HEALTH DEPT. APPROVAL H S NO 8-7- ' I STAT~'MENT,. OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES. APVLmANT SUFFOLK COUNTY DEPT OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE ..... A~ROVED*, , SUFFOLK dO "TAX MAP DESIGNATION. DIST ~GT BLOCK ~L ~ 0. ~bx 1007 [i NOTIFY BUILDING C;EPARTMENT AT 76~-1~2 ~ A~ TO ~ PM FOR THE FOLLOWING IN~PEC~ONS: FOUNDATION ~O ~EQ[URED ~OVED ~ NoT~ ON ~AD Cu~cuPANCY ,~ ..... ~. usED ANNOT so~ svs~ ~ ~. OCCUPANCY OR ~xc~- USE IS UN~WFUL ROUGH ¢-qP,!tllklE, cS pLU[~BING GREENPOR F, N Y. 11944 INSULA1'~ ~ ,,,~ .~...~ ~,.,~-,..,~ ~,~ ~,~,..~ WITHOUT CERTIFICA~ 'N C'.E c ~,<.. F .: __ (__,? . C ! Phone 477-0400 Main Road --1[ ijI ~-z,~,r, cc~, -- ~ - '' [1 ......... CELLhl~ \ Pl~one 47%0,100 T E Pf ), :Il Phone477-0400 ~ Main Road GREENPORr NY. !1044