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