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HomeMy WebLinkAbout14776-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certi[icate O[ Occupancy THIS CERTIFIES that the building ....A.d.d. ~..~ 3P.R ................................... Location of Pro err 1700 Naugles Drive Mattituck House No. Street Hamlet County Tax Map No. 1000 Section ,..~.9. 9. ...... Block 0 5 .Lot 0 2 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... .M.a.r..c .h..2. ! .,..I.9.8. 6 pursuant to which Building Permit No..1.4. 7. .7.6.Z .............. dated . .A.p..r .i.~.. 2. .2 :.. 1.9. .8 .6 .......... 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 ......... Addition to one family dwelling. The certificate is issued to SPIRO PYLARINOS ' ' ) ~ 2t;l~' ............ of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. Iq 827388 8 / I 7 / 87 PLUMBERS CERTIFICATION DATED: lq/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTFIORIZED) 14776 7 Permission ~s herebf granted to: ....... ~z~ ......... ~:.~2~'/.~o. .......... ........ ~..-.../.o ......... ~0.£ ........... ~./: ......... ........ J~.z~.,%..,z,...~.... ......... ,o ...... ~. ~. ~. .~. ~. .~. .~. ~ .c T. . . . ~ ~ .~.~. . ~ ~ .~ ~u~ ~ ~ ~ ~ ~.o. . ~ ~ ~ ~ ~ ~. ~.~ ~ .~. ~. . . . c ~ ~ ......... pursuont to applicotion doted .... ...~..,J~,~../........~,.../ ................. , 190~., ond opproved by the Building Inspector. Building Insl~ector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC' Instructions This application must be filled in typewriter OR ink, and submitted m I~aa.~ to the Building inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic 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 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. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pm-existing" land uses: '1. Accurate survey of pZ"operty 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- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 . NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. '7.O0. o &L. P Location of Property ...... ./. ........ ~ ........................... House No, Street Hamlet , Owner or Owners of Property ......... .~ ~ ...... C.~ ~.~ .............. County lax Map ~o. 1000 Section ........... Block ..... ~ ........ kot ....... ~ .... Subdivision ................................. [iled Map No ........... kot ~o .............. .................................. Health Dept. Approval C~T(f~(~[C~ ~. ~7~abor Dept. Approval ............... Unde~riters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~ ........ Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. FIELD~ INSPECTION !DATE COMMENTS FOUNDATION (1st) FOUNDATION (2nd) _ .°x ROUGH FRAME & " PLUMBING 3. INSULATION PER N. Y. ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~[I~JL~E~ ],7~ [~7 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the eJectricq~ equip~n~ ~ ~scrJbed .~J~.~ ~jnt~uce~by t~ oppl~c~ ~ed ~ ~he a~ve applicotion number in the prem~es of in the following location; [] Basement ~ Ist FI. ~ 2nd FI. ~ectio. Block Lot teas exotnined on ~B~k;~ ~-0 # .~-~)~ 7 attd found to be in cotnpllatlce with tile reqttire,tettts of tbis Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 2 3 DRYERS SYSTEMS NO. OF FEET S E R V I C NO OF NEUTRALS 11361 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be COPY FOR BUILDING DEPARTMENT. THIS COPY OF CI NOT BE ALTERED IN ANY MANNER. VICTOR LESSARD EXECUTIVE ADMINISTRATOR (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 March 25, 1988 Mr. Spiro Sylarinos 39-10 208th Street Bayside, New York 11361 Dear Mr. Pylarinos: We are in receipt of your applications for Certificate of Ocupancy for building permits 14775Z & 14776Z. Please contact this office so that we may set up a time with you to inspect the construction. We tried to do a final inspection on March 24, 1988, but there was no one at home to let us in. Also be advised the total fee for the Certificates of Occupancies will be $35.00. $25.00 for Building Permit #14776Z Addition t,o existing house, and $10.00 for Building Permit #14775Z Accessory garage. Please send an additional check for $5.00. Thank you. SOUTHOLD TOWN BUILDING DEPT. GF:gar Gary Fish Building Inspector 7/g~- ~ ~,, ~ , + ,, r FORM NO. 1 "' ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 '. TEL.: 765-1802 Examined ~. ~. ( .~'...~..~..., 1 .~.. ^pproved/ / .. Disapproved a/c ....... ~ ................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date 3~1,1~..~-:....2.1, .).., 19~.. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 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 for necessary ~~ admit authorized inspectors on premises and in building inspections. (Signature of applicant; or name, it' i p ) /7'00 ..,. ..... 3.%:./o...:.. 5)r.l'O- ......... - ~ - - - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... S .~..'/.~ ...... ¢. / ~- .~.~..~- . .~. ~ .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ..... J.'7. O .o.,,, lqgq..~..~..~.... ~).~% .v~. ..................................................... House Number Street Hamlet County 'Fax Map No. 1000 Section ..... .~. · .~ .~. ......Block .... .e~.....~". ........ Lot .(2~ .~-.~ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .%....c~...'E...~....l..~....¢'~....%..C~.~ ................................. b. Intended use and occupancy ...~f'~....~...~.....~...~.~.~ .c~.~.~...q~..'...3~..,...'~..(3ff~.~ .(~O.. ? .............. of work (ch~ck which applicable): New Building ..... ' ..... Addition..[.x/r~<~.. Alteration 3. Nature ~ Repair .............. Removal .............. Demolition ........... i"' Other Work ............... ' (Description) 4. Estimated Cost ........ .~..~...\ .~ .~. ,.. ...... , ....... Fee .......... , ............................ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uniis on each floor ................ If garage, number of cars ............................................ i ................... : ........ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....... ;,. ;...~./, ...... 7. Dimensions of existing structures, if any: Front .~...~.~..~... Rear .~ .~. ....... Depth. ~-~., .?. ....... Height ............... Number of Stories ............................ ~ ............................ Dimensions of same structure with alterations or additions: Front ............ ! ..... Rear .................. Depth ...................... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front .......... . ..... Rear ........ i ....... Depth ............... , Height ............... Number of Stories ............................ ~ ............................ 9. Size of lot: Front ...................... Rear ...................... iDepth ...................... 10. Date of Purchase ............................. Name of Former Owner .! ............................ 11. Zone or use district in which premises are situated ......................... i ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .... i ............................ 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .~..~.~.~.~-.\.~.¢2.~....Address ./.~.9.O.../ff~.v~.~4~:.~,. Phone No. Nmne of Architect .......................... Add~ess ........."' ' ' ' ' · · .-. i'.... Phone No.Q.T./.~'.~?~g' l~.~...~'~.. Name of Contractor .......................... Address .... : .......... 1 ....Phone No. 7t~.&.~.q~,,yor[.. 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 whether interior or corner lot. STATE OF NEW YORK, COUNTY OF... S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) : above named. work will be performed in fhe manner set forth in the application filed therewith. Sworn to before me this He is the .......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the ~aid work and to make and file this application; that all. statements contained in this application are true to the best ofhi~ knowledge and belief; and that the . .... ;........ ' [a~gnarure o~ applicant) DR/yE NTI*-/9'-50"E IOQO0 Iq"N. BLDG. DEPT. O'6'~TOWN OF SOUTHOLD Dl~/~ LL/N~ I $10~y PR .... £1~,'IMI/ &fl Stfuqfcd q/ MATT'ITUGK , TOWN OF 60UTHOLD SUFFOLK COUNTY* NEW YORK SM/TH 'K UUNO 1000,0~9 05'0~2 NAUOLE~ DR/YE N71°.Ig'-50.E IOQO0 kit t, urb rd.o. I00.00 ~ :~- 671'-15'-50"W ~UR VE¥ OF PROPERTY $/fuafed of MATE/TUG/{ TOWN OF 60UTXOLD. SUFFOLK COUNTY NEW YORK OLD