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HomeMy WebLinkAbout16017-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Braiding Inspector Town Hall 5outhold, N,Y, Certificate Of Occupancy No. .z ]6 .7.9 ..... Date ...F.e.br.u.a.ry 2.9,. 1.9..89 . .. THIS CERTIFIES that the bulldlng One f. am. ily d.w.e.l!½ng ............. Locatlon of Property . 500 Stanley Road Mattituck House No Street Hamlet County Tax Map No 1000 Section . 106 . .. Block ...7 ......... Lot . .2.9 ........ Subdlvislon.Map..of. Suns.et. Kn.ol.l.s. . .. FfledMapNo 5023 . .Lot No. .5. ....... conforms substantially to the Application for Building Permit heretofore filed ~n this office dated .Ma.y .15, 1987 pursuant to wtuch Bulldlng Permlt No. .16.017. .Z ........... dated M a ¥. 2.7, 1987 was issued, and conforms to all of the requirements of tile applicable provisions of the law. Tile occupancy for which tlus certificate m issued is .. One family dwelling,attached garage and attached wood decks. The certificate is issued to MR. & MRS. PETE DEMETRIOU (owner, Xc~oX~'X~trltOtbi X of the aforesaid bmld~ng Suffolk County Department of Health Approval .87- S 9-.8.4 . p e.c:. 2.3., I 9.8.7 ......... UNDERWRITERS CERTIFICATE NO. N850945 Jan. 22, 1988 PLUMBERS CERTIFICATION DATED: T. & G. Plumbing & Heating Jan. 29, 1988 Bmldlng Inspector Rev 1/81 FOB~ NO. ~ 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_ ]6017 Z ,o =t premises located at ..~......~..~ ..~... .......... ~.~....~. ........................... Coun~ Tox Map No. 1000 Sect,on ..... I..~.~ ..... Bilk ........~..~. ...... ~ No .... ~.~ ...... ,..=., ,o ~..,,=,,o. ~.,~ ....... ~.~..~..~ .......... . ,O~... =n.....o~ ~ ,h. Building Inspector. Rev. 6/30/80 BLI~G Dc, ~ - . TOWN OF $OUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 I OF SOUTHOLD hng Department Town Hall ,old, N.Y. 11971 '65- 1802 A. This apphcatmn must be fdled ~n typewmter OR ink, and submitted m ~ to the Building Inspec- tor with the followmg; for new buildmgs or new use' 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topograph ~c featu res. 2. F~nal approval of Health Dept of water supply and sewerage disposal--(S-9 form or equal). 3, Approval of electrical mstallat~on from Board of F~re Underwriters, 4. Commercial buddings, Industrml braidings, Multiple Residences and s~milar buddings and installa- tions, a certificate of Code comphance from the Architect or Engineer responmble for the building. 5. Submit PIanmng Board approval of completed rote plan reqmrements where apphcable. B. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p2'operty showing all property lines, streets, buildings and unusual natural or topographm 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 inspection of buddings or premises, or other pertment mforma- t~on required to prepare a cerbflcate. C. Fees' Additions $25.00 1. Certlhcate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Buszness $50.00 2 Certffmate of occupancy on pre-exmtmg dwelhng $ 50.00 3. Copy of cert~f~cate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ......................... NewConst~*uct ~on ..... Old or Pre-ex~sting Buildmg .......... Vacant Land ............ Locat,on of Property . 5.0.Q..S~..e~.~..ey..~.q .~¢ ,..~..~.'t;~.~.t .'¢,0.~. t..~.,. ~ t..~.~.9,~..2 .................. House No Street Hamlet Owner or Owners of Property ~.~.*...&-...M~.p:. ?.e. tp. D.e.~.e.tr~ .o.u .............................. County Tax Map No 1000 Section ....~.Q.6 ....... Block ..... .07. ....... Lot. 29 Subd~ws~on ~P .Q~'. ,~.~,ns,e.t..]~zgl,~,s ..... Filed Map No ..... Lot No . ..~ ........ Perm,t No. ],6Q,'L.~.~... Date of Permit .~../.2?~8.?.A0pphcant ZNI.~ND ~.O,M~_,S, ZNC, 12_/23~.87 App Health Dept. Approval ................. Labor Dept royal ........................ ~509/45 d App Underwriters Approval ................. Planmng Boar royal ..................... Request for Temporary Certificate ................ F~nal Certificate ...................... Fee Subm,tted $ 25,0.0 .................. Construcoon on above descmbed budding and perm, C.~'r~et~, alJ~pphcabl¢ ¢~.es%nd,~/ ~ ~L}/ o~regulat~°ns' Robert E. Hiltz, ~ HO~, ~C. Ju~e 15, 1988 Town of Southold Building Department Town Hall Main Road Southold, NY 11971 Attn: Mr. Gary Fish Re: Demetriou Fire Door 500 Stanley Road. Mattituck. NY Dear Mr. Fish: This will confirm ~hat the door between the house and garage at 509 Stanley Rgad is a solid core door manufactur~d by ~ ~f~'~6~--~ ~_ . The door's thickness is /-5~F~, with a fire rating of ~/j ~ . It i~ hy understanding that this is in compliance with all relevant codes. I would appreciate it if you would confirm this to Pete Demetriou. Very truly yours, Robert Hiltz, Presid~T~t Inland Homes, Inc. WICKHAM, WICKHANI & BRESSLEIR, p c MAIN ROAD, P 0 BOX 1424 516-298 8353 June 22, 1988 k",,['_~, &-:,'~ F,L ,,,,,, I,:.,lt ~, BLDG DEPT TOWN OF SOUTHOLD 516 298-5300 Town of Southold Building Department Town Hall - Main Road Southold, NY 11971 Attn: Mr. Gary Fish Re: Demetriou Fire Door 500 Stanley Road. Mattituck. NY Dear Mr. Fish: In our continuing effort to resolve this matter and pursuant to our previous telephone conversation we have obtained the enclosed correspondence from Mr. Hiltz to you dated June 15, 1988 setting forth the specifications on the door in question. Give me a call if you have any questions.. lO014bO - - -- BUREAU OF ELECTRICITY THIS CE~IFIES THAT ......... mXTU.~ t ~ ~ FIXTURES [ RANGES ~ OE~S ~ O~NS ~SH WA~HERS [ EXHAUST FANS ~.w~ OI~ONNECT ~ O~ ~ S E ~ V I C E OTHER APPARATUS ~otors: 1-1 Jacuzzi 5-G.F.C.I. 1-Smoke Detector Track I,ighti~ ltl' O' 0 Lites South Park Electzical 4 Park place Patcho~ue, N.Y. 11772 Lic. 275 I MANAGER Th~s certificate must not be altered ~n on), manner, return to the offtce of the Board ~f ~ncorrect Inspectors may be ~clenflf~ed by their credentials COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY I,'LANNER TO~VN OF SO--OLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date January 29, 1988 Building Permit No. 16017Z Owner Pete Demetriou R~.~l.y Road, Mattituck, N. Y. (please prints PlumberT. & G. Plumbing /Heating - Tom Azzera/Gale Kaske (please prznt) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber '~ signature) Sw_or./% to befor~e me this 19%% . Notary Public, ~%~H~o County Notary Public Notm'y Put~ic, State of Nmv Yo~ No, 4~g1481 Corem, Ion Exp~re~ ~y 4, ~9 _~2%_ CUSTOM BUILDERS MATTITUCK, N Y 11952 lugusg 1~, 1987 Town of Southold Building Department ~outhold, ~. Y. 11971 Dear Sir: I am enclosing ~erewith a survey for Pete Demetriou, ~ot ~5, Stanley Road, Mattituck, ~ew York. The Permit ~16017. Ve?y truly yours Inland Homes, Inc OUGH FRAME & ?LUMBING NSULATION FERN. Y. STATE ENERGY CODE FIliAL I0~AL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ I ISULATION FRAMING [ AL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION ZND [ ]INSULATION FRAMING [ ]FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL BUILDING DEPT. INSPECTION []FOUNDATION 1ST []ROUGH PLBG. []FOUNDATION 2ND []INSULATION []FRAMING []FINAL DATE ¢~(~ I NSPE~O' 765-1802 BUILDING DEPT. INSPECTION  ATION 1ST [ ] ROUGH PLBG. ATION 2ND [ ] INSULATION FRAMING [. ] FINAL DATE INSPECTOR 765-~.802 BUILDING DEPT, INSPECTION F~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION FRAMING 2ND [ ] INSULATION [ ] FINAL DAT~' ?/~/'~~7 ,NSP£CT~ -1802 ~BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION I* ] FRAMING FINAL DATE INSPECTION ] FOUNDATION 1ST [ H PLBG. FOUNDATION 2ND [ ] INSULATION z'~R~MING [ ] FINAL '/o: ~/7 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/FINAL DATE,,, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ I ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [Z,~INAL BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ~ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE Approved '~.~ Dmapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ,199] Permit No. I (o..°1 ."). :~-. (Building Inspector) APPLICATION FOR BUILDING PERMIT Jgl BLOG. DEPT. TOWN OF SOUTHOLD Received ........... ,19. Date l~ay 11 ..... ,198' INSTRUCTIONS a. This apphcahon must be completely filled m by typewriter or in ink and submitted to the Building Inspector, wltl sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showmg location of lot and of buildings on premises, relationship to adjoining premises or pubhc stre or areas, and g~vmg a detailed description of layout of property must be drawn on the diagram which is part of flus aP! catloi1. c. The work covered by flus application may not be commenced before ~ssuance of BuDding Permit d. Upon approval of ttus application, the Building Inspector will issued a Bmldmg Permit to the apphcant. Such pen shall be kept on the premises avarlable for inspection throughout the work. e. No buddmg shall be occupied or used m whole or m part for any purpose whatever untd a Certificate of Occupan shall have been granted by the Bmldmg Inspector. APPLICATION IS HEREBY MAbE to the Bmldmg Department for the ~ssuance of a Building Permit pursuant to t Bmld~ng Zone Ordmance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmances Regulahons, for the construchon of buddings, addlhous or alteratmns, or for removal or demohhon, as herein describ, The applicant agrees to comply .w~th all apphcable laws, ordmances, budding code, housmg code, and regulattons, and admit authomzed mspectors on premises and in budding for necessary inspections INT4.W . 0MES, INC. (S~gnature of applicant, or name, if a corporation) Box 117, Mattituck, N. Y. 11952 State whether apphcant is owner, lessee, agent, ~ch~tect, en~neer, general contractor, electrician, plumber or bmldc # ............. Bg~l~er ............ Name of owner of premises ~?et~ Demstriou ....... (as on the tax roll or latest deed) If apphcant is a corporation, s~gnature of duly authorized officer · .Robe~ E. Hiltm,. Pa~ea. (Name and htle of corporate officer) Builder's License No Plumber's Lmense No 517.-P. ...... Electrician's hcense No 2816 Other Trade's License No .......... Locatmn of land on which proposed work will be done ~a~ituck, N. Y. House Number Street n/s of Stanley. $15' w/o Lughems Road. Hamlet County Tax Map No I000 Secbon 1O~ ..... Block 07 ...... Lot 2.9 ..... Subd~wslon ".l~tlllse..t ~r-olls- Filed Map No 502-~ Lot .~. .. (Name) State existing use and occupancy of prem,ses and intended use and occupancy of proposed construction a Existing use and occupancy b Intended use and occupancy .... 1 F~m4 ly Ilwelling ......................... 3. Nature of work (check which applicable). New Budding .. ~ ..... Addition ..... :. Alteration Rep~ur ......... Removal . .. Demohtion ......... Other Work... ~ ' ['Description) 4 Estm~ated Cost .. $~.Q,00O.~00 ...................... Fee ............................... (to be prod on f'fling thru apphcation) 5. If dwelling, number of dwelhn,,g umts ......... Number of dwelhng umts 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. D~nenmons of ex~stmg stractures, ff any Front.. Rear .......... Depth ........... Height .......... Number of Stones Dimenmons of same structure with alterations or addltxons Front .......... Rear .......... Depth ........ Height . Number of Stones ................. 8. Dimenmons of entire new construction' Front . ?3. ....... Rear .... 71 ......... Depth .. 3.~ .... Height ......... Number of Stones ................. 9. S,zeo,ot Front. ....... Rear... ZQ ..... iii i ii ii . ..iiii i.ii ii 10. Date of Purchase ................ Name of Former Owner .................. 11 Zone or use dmtrict m which premises are mtuated .................................. 12 Does proposed construction wolate any zomng law, ordinance or regulation' .. :~ ......... 13 Wdl lot be regraded ...no ................. Wall excess fill be removed from premises Yes /~ 14. Name of Owner of premises ~e~;~ De~e'6z'io~. Address . ~a.¥c.:[.t;qeks. 1~.: .~':Phone No, .2~.8.-~8.~-2.2... Name of Architect ............. Address ............... Phone No .......... Name of ContractorT. n[~l .l~ome~, Thc .... Address 19~;~.~r~li:,. ~...~', Phone No...2~8.'~c).69.6... 15. Is thzs property located withinl00 feet of a t~da~ wetland? * Yes- .... No ~ If yes, Sou~hold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, whether exmt~ng or proposed, and. md~cate all set-back dimenmons fro property hnes. Give street and block number or descnphon according to deed, and show street names and red,cate wheth intenor or corner lot STATE OF NEW YORK, S.S COUNTY OF.. ~FFOLK .... .. . t~bert; (Name of mdiwdual slgnmg contract) above named. being duly sworn, deposes and says that he is the apphca He ~s the C.c~n~c~'&C~OI' ....... (Contractor, agent, corporate officer, etc.) of smd owner or owners, and m duly authorized to perform or have performed the said work and to make and file application, that ali statements contained in this application are true to the best of his knowledge and belief; and that work will be performed in the manner set forth in the apphcahon filed therewith Sworn to before me this Notary Pubhc, . ~ ldO~ NtLEN IL DEVoE PUBLIC, Stat~ of New York Ne. 4707~7& Suffolk Co~nt~, ~ Emr,~ M~ch 30, LOT 6 DEMETRI Ob LOT S EXCA /UIOll INSPECTION IElilIIREI) 5~ ' t HOU$E ~-I 5 00' '.~ so B~X./] 17 + ~attituck, N.¥, 11952 SINGLE FAMILY DWELLING ONLY EXPIRES TWO Y~RS F~OM DATE OF AP~Y OF CERTIFIED TO: CO. LOT 5 MAP OF "SUNSET KNOLLS" FILED d'AN 5, 1968 FILE NO ,5023 AT MATTI TUCK TOWN OF SOUTHOL D SUFFOLK COUNTY, N I000 106 O? - SCALE I"= 30' 29 FEB. 2.4, 1986 APRIL 9, 1987 Prepared in accordance with the mmlmu~ s~andards for title surveys as estabhshed the L I A.L S. and approved and adopte for such use by The New York State T~tle Association SECURITY TITLE & GUARANTY NORTH FORK BANK 81 TRUST ( VACANT ) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ~S P 0 BOX ~09 MAIN ROAD SOUTHOLD, N.Y 11.971 86 - LOT 6 HOUSE N/OIF ~E~ETR,Ou ° I1' E. IlO. 00' SUFFOLK, COUNT~ DEPARTMENT OF The sewage d~sposal and water sui~pfy facdrt~s for Ioc~bon bare been tnspected other of Bureau of Wastewater Management LOT 5 dASKOWIAK WELL LOT 4 STANLEY $0~ ST -- Ilo. oo' ROAD HOU$E 4ff 5,00' CERTIFIED TO SURVEY OF SECUR,T¥ T,T,E ~ GUARANTY CO. LOT 5 NORTH FORK BANK 8~ TRUST TITLE NO 870:533 MAP OF "SUN~ET KNOLLS" FILED J'AN. 5, 1968 FILE NO. 5023 AT MATTI TUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y_ Preparod [n accordance ~[t~ t~e minimum J~O0 106 07 ' standards for title su~eys as e~tablished by = ~0 t~e L.I A. LS. and ~pproved and adopted SCALE I" ~or such use by The New York Stat~ lan~ FEB 2~ NOV. I1~ 1987 ~ ri[, ~,~ ~;~ N.Y.S. LIC.NO, 49668 EC ~URV~ a ENGINEERS, P.C. P. O. B( ~~ ELEVATIONS ARE REFERENCED MAIN ROA~ ZO AN ASSU~ED DATUM SOUTHOLD, N Y 86 - 130 ~lob LOT 6 ,~S 8?eII'E ~o~__3 I9 /' DEMETRIOb LOT 5 87Oll'W ~IoIF I dASKOWIAK IlO. LOT 4. 99 5 tlo. oo' ~ STANLEy ROAD 415 00' WELL CERTIFIED TO: SECURITY TITLE ~ GUARANTY NORTH FORK BANK ~ TRUST TITLE NO, ~70333 Prepared in accordance with the mfmmqrn standards for title surveys as estabhshed the L I A. LS. and approved and ad.ute for such u~e by '~he New York State Title A~socmtion. P. 0 BOX 909 MAIN ROAD SOUTHOLD , N,Y. II.~?l CO, LIC NO. 49668, ENGINEERS ~ P,C. SURVEY OF ~ LOT 5 MAP OF "SUN~ET KNOLLS" FILED J'AN 5) 1968 FILE NO. 5023 AT MATTI TUCK TOWN OF SOUTHOL D SUFFOLK COUNTY, N.Y. lO00 - I06 07 - SCALE I"= 30' FEB. 24, i986 APRIL 9,1987 EL~ TO loc 7- Z T- 87 86 - 130 w/~t..m; plpln~ ~hall be PLUMBER CERTIFICATION ON LEAD cONTENT BEFORE CERTIFICATE OF OCCUPANCy SOLDER uSED IN WATER SUPPLY sYSTEM CANNOT EXCEED 2/10 of 1% LEAD. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED AS NOTED HOTI~ ~JLDIN6 OEPARTM~ AT ?~6:180~ 9 A~ ~O 4 PM ~R THE FOLLOWING INSPEC~GNS: ...................... FOUNDATION ~Q REQ~RED FO~ eOURED COHCR~TE ~OUG~ FRAMING & PLUMBING * ~NA~ C~dSTRIJCTON MUST C~ ~OT ~SWLE ~ o 0 i~hone 477-0400 ~ M~in Road ' I0L 0" Phc~ne 47%0400 1 Phone 477-0400 Main Road GREENPORT, N.y..I 1944 4d' Ci~Oss~ J