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Home My WebLink About26349-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27531 Date: 01/25/0 THIS CERTIFIES that the building ACCESSORY Location of Property: 290 CENTRAL DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 3 Lot 15 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 4, 2000 pursuant to which Building Permit No. 26349-Z dated FEBRUARY 14, 2000 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 ACCESSORY GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to GEORGE & GEORGIA ENGLEOS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A tho zed ` ignature Rev. 1/81 FORM NO. 3 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) PERMIT NO. 26349 Z Date FEBRUARY 14 , 2000 Permission is hereby granted to: GEORGE & GEORGIA ENGLEOS 28 47 38TH ST ASTORIA,NY 11103 for CONSTRUCTION OF AN ACCESSORY GARAGE IN THE REQUIRED REAR YARD AREA MAINTAINING 5 ' MINIMUM SETBACK. at premises located at 290 CENTRAL DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0003 Lot No. 015 pursuant to application dated FEBRUARY 4, 2000 and approved by the Building Inspector. Fee $ 35 . 00 Authori d Signifture ORIGINAL Rev. 2/19/98 Form No. 6 7P S7- TOWN OF SOUTHOLD P „ BUILDING DEPARTMENT JAN 2 4 -Mol - K TOWN HALL „ 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board o� Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. for existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '.'pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and 7 unusual natural or topographic features. A properly completed application and a consent to inspect signed by the applicant. -If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. *Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.1 Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .2%,n 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . 2-. .( . .U. l. . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . Old Or Pre-existing Building. . . . . . . . . .�.`1. . . . . . . . . . . . . . . . ..'��. . .`.`. . . . . .P�t. . . . . . 1.: .l.i i i Tu m Location of Property. . . . . . . . . . . . . . . . . . . . House No. Street Hamlet l�Ubc c Onwer or Owners of Property. . . . . County Tax Map No 1000, Section. . f d.�. . . . . . .Block. .U� U . . . . . .Lot. . . . . . . j 5 . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .?.. . . . .Filed Map. . . . . . . . . . . ./Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. �. �. . . . .Date Of Permit. . Applicant. . HealtHealth h Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . ... . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . .':�. . . . . . . . . . . . . . . . f Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . 2 . . . . . . . . . . . . . . . . . . . . Q,P,C• S 9Q 3-3 1 APPLICANT . . . . . . . . . . . . . . . . . . . . . . cow 27-53/ o�,rgUFFO(�cOG y� Town Hall,53095 Main Road H Z Fax(631)765-1823 P.O. Box 1179 O Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD December 18, 2000 Clement Charnews P.O. Box 1229 Southold, NY 11971 RE : Englezos, 290 Central Dr, Mattituck To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX An application for Certificate of Occupancy is not on file . (Enclosed) No Underwriters Certificate on file . XX The check is (not on file . ) $25 . 00 No Health Department Approval on file . No final inspection has been made . No Plumber Solder Certificate on file . (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT ## 26349-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ii )ATiON ( IST) u ---- "-- - - -- h'-- '- _--ll- -- -- - - � n ii � II II n )ATION (2ND) II ii ii II II -- -------- -- - --- it FRAME S -- -------------- PLUMBING II II ------------------------ -1 �I CATION PER N. Y. 11 d y TATE ENERGY —� CODE i n N 11 N Ai- --4 i �I N a FINAL ADDITIONAL COMMENTS: (9� moo z� M-1802 BUILDING DEPT. INSPECTION [ ZIFOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE A15100 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS N [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: CO �' ,DATE INSPECTOR SURVEYED FOR: GEO e 6 E i 6ZOP61A LOCATEDAT /7A7-7'I7-L/CK , TOLJA/ Of SOLITNQLL, S.ZlfiF0LK Co ,AI.Y m LOT //b 1 //7 MAP OF 'CAPTA/AI Klh ,6 ES'TATE'SA FILEL] I- I9 - ;94-9 MAP �� ' N m SCALE 3"-- 3' h i ve s et 6 5icle aha rear m l D S $ra�60 30 IQO. 00 I 3 9® Q® :!--v- WQ F F6 Gl p m /Ye/ 6 y N e N s.".s 90 dg m ls9-9 N v � 0 1-07- //7 OT//7 n._ V a Si L . a / TY FRAME 3 ® � Q .OWL - h1 23 0 m w � a v o �� LS o0 0 IV 9000 /�/ �"Ql — CE Y ! /R. AL . 6LJAPAAfT!"ELT 7-o ti SURVEYED FEg 1 , 19 Q5 By ^' COor-E dBST.�ACT CoppCAC-3927 S WILLIAM I✓Y - t6 WOODLAND S7 YE C�)e It 4/ L-,4 Y,.".Q16 S8AAlt EAST ISLIP-! I-N Y ,e rva-- 52:b FILE NO /173 lAGE *;RR? t% cctr UN ER RITERS CERTIFICATE REQUIRED " C _ APP 0 D AS NOTED DATE: vo B.P.# ';;_6 % l ll 05 13 P FEE: 3.S7- - /.Z NOTIFY BUILDING DEPART lJ ` 'Sick Y✓C� 765.1502 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING O o-F K R d - 3. INSULATION 4. FINAL - CONSTRUCTION MUST 2 BE COMPLETE FOR C.O. os 3 l ALL CONSTRUCTION SHALL MEET f( THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY 0 Cc- p., 11 UISE IS UNLAWFUL b o t fs d,c- VVIT OUT CERTIFICATE Go It er ins � c ` v OF OCCUPANCY g � Y ) l (� Rra� � vuY 000 psi LoIAC L'-i+h do-- I-c 1/yl v-e 6at-. ( pe� ;w �l �� rlvi>oS-e4 t7L- Cy41- c� c�va� T—OvNctk-N()V\ I V-i,• ) �hS (-cis, C��-PS -e Side Profi (, � Flo Cenfra( 6�rive — l [aH fv� K ('lov�o � i it. C-r tp) �/a ik �ebaj-- att GC1r Sill Cjlott< � po � psi CoKG �� L I YL cap- e7-05 � � py�•�RhJC du�II ND Vyhal siclrwc� $,,�.� I X -o d� /44 /� a �yt-O tr r BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL(�1-t"A. . . . . . . . . . . . Er®uined .D: /�•• 20. MAIL TO: .[. L�2. q. . . . . . hold P Approved.. ..Grp/ :./( `� ' Permit No. 1.1.. V. ....... .......l%7.. Disapproveda/c .................................. ................................... ...................................................... .... (�p�... .. �S t (Building Inspector) ' APPLICATION FOR BUILDING PERMIT ..� Date . . . . . . . . . . , 20 q'. INSTRUCTIONS a. 'Ini ?ication asst"tie comple ely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 application. 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 issue 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 MALE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane 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 admit authorized inspectors on premises and in building for necessary inspections. s cll- (Signature of applicant, or name, if a co ration) ?0.P> 1)-.�-...1/..1...Sou.�ti.v.(.c/ ....... .. .. ...... ... . .. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engi r. general contractor, a ectrician, plumber or builder ...................................................... .... .. Name of owner of premises Y Uy J`.�.. o".fnt9 .....� . vF I e. Z d 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) Builders License No. .� �............ Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... ��(] I. Location of lard on which proposed work will be done.....................7....jj......C...........\...................... ............................................................I.................a..:...... 1�..................... House Rmber St � H�m1 et County Tax Map No. 1000 Sec ion ..�...... Block 3. ......... Lot ..... ......... ..... . . ... ... ............... Lot / Subdivision C I ptgJ.n..�!L... Sf r Filed Map No. //0 �•�- (Name) 2. State existing use and occupancy of premises a�nnd� interded use and occupancy of proposed construction: a. Existing use and occupancy ..Sa �.. 1 c[f�4„"l:I ................................................... b. Intended use and occupancy ... l �y / .......................... h. i•.tlute m W(k tt]WM w111kl1 "luable): New Building .. Addition .. . ... Alteration .......... Repair ............ Ramal .......... Demolition ,,. Otter Work .T.C.Q.t ..g?.l`t� .......... (Description)' 1. Estimated Cost q)�U o:. ......... fee .............................................. (to be paid on filing this application) i. If dwelling, number of dwellingunits ............ umber of duelling units on each floor ................ If garage, number of cars ... �..�'a rN ........................ If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... Dimensions of existing structurga, if any: Front................ Rear ............... Depth ................. Height ........................',. umber of Stories ...................... Dimensions of same structures with alterations or additions: Front ............... Rear ............... Depth ght ................../... Naber of Stories .. I. Dimensions of entire new construction: Front .A-(�P--- ... Rear ....�.�....... height ..�. ` .91/ .1. Number of Stories Size of lot: Front ...��.....L........ Rear ...,/,q............. Depth ....`a�.......... 0. Date of Purchase ....... ,...... Name of Former Owner ........................................ 1. Zane or use district in which premises are situated ...Y; . 2. Does proposed construction violate any zoning law, ordinance or regulation: .. ............... 3. .... M .. .......... Will excess fill be reamed from Premises: YES 4. WNames ill lof Owner of premises .. (lorf�...S�.NjI C�aS gess XO.Y7. 36 - r ...... Phone No. .............. Name of Architect .......... RSfO�iq N.`.- ll1�J... ...'....................... Address ...........�.. Phone No. .............. .... Name of Contractor � $iL .S.�C2141 ee ... Address .�� ..I}? %). Phone No.7� 7Ia 11 5. Is this property within 300 feet of a tidal wetland? * YM .......... NO�..... *IF YES, SQIiumn MM TRUSTEES PERNTT MAY WeREQUIUM. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions Tom property lines. Give street and block amber or description according to deed, and show street names and indicate tether interior or corner lot. i rA'(E OF NW Yom, SS JI1NlY (IF ....................... C lr\a -ems 2w •` ..g..............L--� ......................... duly sworn, deposes and says that he is the applicant ....��vh fi J run Name of individual signing contract) owe named, _ is the .................... ...................................................................... (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ppl.icatiw; that all statements contained in this application are true to the best of his knowledge and belief; and Ihat the work will be performed in the,'mmnier set forth in the 'application filed therewith. aorn to before me this ....... ....... of ... 20 176 Not Public .... . . ....V..:: �/." .1....... . J YCE M.WILKINS (Signature of Applicant) Nota Pubtic,State of Naw York No,4952246. Suffolk County AppliCan U Date Owners Name G (�UZ, L- f` Z�S Reviewed. Architec.0 (� Date. Engineer Submittel SCTM fl: I j - District: 1.000 section _`L Block 3 lot Project -_ �_ �ubdIVISlon location _ 1 () 1_e(1T,(0-k Asfe 1 V�- .�M t.{� Name Sin&le& separate Required certification (Yes/No RN q. f Zoning thsvicr -�_--z10 (Loi svc _.__ _- _— Actual _ � Il,or co�crahc � Pioposcd _-- - _� Req Req Req (Frons Yard Proposed J (Side Yard Proposes _- _ -) (Rear Yard Proposed Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: / Town Planning Board approval: y/ Flood Plane Elevation ??? Flood Zone: "K Notes: