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HomeMy WebLinkAbout25381-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26400 Date: 04/22/99 THIS CERTIFIES that the building ADDITION Location of Property: 200 SUNSET DR MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 7 Lot 45 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8, 1998 pursuant to which Building Permit No. 25381-Z dated DECEMBER 7, 1998 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL KOUTSOURAS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r' Building Inspector 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. 25381 Z Date DECEMBER 7, 1998 Permission is hereby granted to: MICHAEL KOUTSOURAS & WF PO BOX 800 MATTITUCK,NY 11952 for CONSTRUCTION OF AN ATTACHED DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 200 SUNSET DR MATTITUCK County Tax Map No. 473889 Section 106 Block 0007 Lot No. 045 pursuant to application dated OCTOBER 8 1998 and approved by the Building Inspector. Fee $ 75 . 00 Buil i.ng nspector ORIGINAL Rev. 2/19/98 Form No 6 TOWN OF SOUTHOLD AR 2 0 19N i BUILDING DEPARTMENT TOWN HALL Y o BLD .DEFT. 765-1802 T01 cl ( v0 SOUTHZ2 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 of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% 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 unusual natural or topographic features. 2. 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. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .25,c. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . u . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. .. . . . . . . . . Old Or Pre-existing BuildCing. . . . . . . . . . . . . . `. -{� .�.�,� � Location of Property. . . �U 0. . . . . . . . '�VNSt.'� .�h� . . . . . . . . . . . . . .l.L�.►. t �.'.:-" .,. . . . . . . . House No.f�, k L Street Hamlet Onwer or Owners of Property.t is a�. . }: VV 1 Spvecf's .f . .L-e! . . . . . . . . . . . . . .. . County Tax Map No 1000, Section. .R. . . . . . ..Block. . . . . . . . .Lot. . .©Lis. . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. .. .Filed Map. . . . . . . . . . . .Lots. .,. . . . . . . . . . . . . . . . . . . Permit Now-AwaB.� . . . . . . . .Date Of Permitl'?.?. . . . . . .ApplicantQ �" .� .�. . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . ." . . . . .. . . . .. . . . . . . .. / V Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .P- :(. . . . . . . . . . . :--.. . . . . . . . . . . . . . . . . . 61"K. 5413b APPLIC Co --2,- acy00 o�OS�FFO��-CQ cCOD � Gym Town Hall,53095 Main Road Fax(516)765-1823 P.O.Box 1179 Oy Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD February 24, 1999 Clement Charnews P.O. Box 1229 Southold, New York 11971 RE: Michael Koutsouras, 200 Sunset Drive, Mattituck 1000-106-7-45. 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 # 25381-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1CATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: fit/ DATE �' ��� INSPECTOR K LLA BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG. [ ] F0 NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS• DATE 1),1117 he INSPECTOR 1£LD 10 N, 1)A COMMENTS r H OUNDATION ( 1st) CA 'OUNDATION (2nd) m 0 r� TOUGH FRAME & -PLUMBING ' 7D 3. c� INSULATION PER N . Y. STATE ENERGY CODE r � �H 4 . FINAL a 'x: G ADDITIONAL COMMENTS: to a x 9 ' y H O . Z d C13 -v 6LD 5�� 3co 1le- APPROVED AS NOTED.. 0 irct DATE: B P # --) ,3 0 1 FEE: BY: J.RicMal- NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: U P 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION A'V kTHOUT CEk 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS tip co d-e� Lv i ctv, CA �-q 0 o p G*7r 5-0 -4f -qu 91 AV GYX -73 5-0 -chod (coufsccl�-4� m+-r,r. CC (0 LA IT bo V� De fq 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 . . . . . . . . Examined... 3 ... 19.... p ' MAIL TO: . . .. . . . . . . . . . . . . . . . . . Approved- 19 19.... Permit No. ..:............. .................................. Disapproved a/c .................................. .................................. ...................................... .... .......... .. . .... .... ............. (Building Inspector) ! LICATION FOR BUILDING PERMIT LJLiI rs hwV Date. �.v. . .v . . . . . . . , 19� B!-DG.DEPT. INSTRUCTIONS TOWN F SOUTHOLD a. 'Ibis application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector 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. AMICATICN 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 admit authorized inspectors on premises and in building for necessary, inspections. 14 (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build ..... ? :f: .............................................................................................. Name of owner of premises ...................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No A 3 A.y ............. Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.s Q v.... �NS�t. ..rl V.e......................... ....................... �!`.�.:..... House Amer Street Ham l et County Tax Map No. 1000 Section ....�b �0....... Block .......1........ Lot ...... :?...... 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 �. l/�.( .. !... t?..� .... J .................................................. b. intended use and occupancy .........1.w�.(�.. �.� �/� ................................................. t i, ►:011 +w, R.10 M113;1) .'�1r .. i',u-.a8ittf°Nh13 3. Nature of work (check whidh applicable): New Building .......... Addition ...... Al e a ion .......... C, r t Repair ............ Ranoval ............. Demolition ............ Other Work .... .'.���:�................. (Description) 4. Estimated Cost .1q ..................... fee .............................................. (to be paid on filing this application) 5. If dwelling, nuhber of dwelling units ............ Number of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, oamercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front.4 ...... Rear ............... Depth .. U.......... Height ......................... Number of Stories .....�.......... Dimensi°gs of same structure with alterations oi� additions: )?cont ..�.�^^�. Rear ......... Depth ..5?/}+^:-e-:........ Height ................r. ..INLvber of Stories .. ............ 1 ..... 8. Dimensions of entire new construction: Front .... ....... Rear ....�s .�....... Depth . Height ..�..�.... "'�A% ....... ..................... .. ........... Number of Stories � , r 1 � � fid, 8�- `•. 9. Size of lot: Front .) ".�.:9J .......... Rear ...�a:.....v....... Depth .....�.�.............. 10. Date of Purchase ..................... Name of Former Owner .....................` 11. Zone or use district in which premises are situated .... .P...�S . ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ../*�................ 13. Will lot be regraded ..f �............ Will excess fill be renarved from premises: YES 1 14. Names of Owner of premises t.'.��p{I . �iU�►'gS., Addresspd.$tlr�5 ".�✓�. Phone No. .............. Name of Architect ................((.��................... Address ............................... Phone No. .............. Name of Contractor ):Qr t...4:" ab U1-2:wJ..... Address f...1. l Z 1./.. .......Phone No.7 �.. � .. .... 15. Is this property within 300 feet of a tidal wetland? * YES .......... No ..... *IF YES, SUTI1M MM TMSIFES PM IIT MAY BE M¢JIRF.D. 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 minter or description according to deed, and show street names and indicate whether interior or corner lot. SfK1T Or N� , � .f SS COUNTY OF .... .being duly sworn, deposes and says that be is the applicant (Name of individual signing contract) above Waned, Heis .. ................................................................................ (contracto•?, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work aux) to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to Wqre me this Q� ........ .. day .. ._ .... 19... .0. Notary ..... ........ ......... / ��.. .. ........ NIS ftYork (Signature of Applicant) OomadMfoo 6p Dsc.8 ��� I Tl TLE NO. 76-5. %,7' 0 full • E�s 66 �� 56 18• �� v, � C Lot to Z C I - o service 140. rp %n I - � it S•6 c�a 't �Ot OF NE&.y P �PTItD W, yo o X. '1 G1 Ap ,I,,, 4,0. 4589 RD �f 4 j JET LAND SUR�E��� i REVISED: 5.2876 .JNAVTHOR,2EO ALTERATION OR ADD'TION TO THIS SURVEY 15 A VIOLATION OF NOTES •t MONUMENT 0:STAKE ' 1_ SECTION 1209 OF THE NEW YORK STATE EDUCATION LAW - COrIEOR E4 OF THIS SUBDIVISION MAP FILED IN THE OFFICE OF IHE CLERK OF SEAL SHRVEY ALL L AP OTTBEARING THE BE CONSIDEREDAND 0 BE SURVEYOR'S VAID TRUEKED COPYEALGUAPAHOTESEESD SUFFOLK COUNTY ON APR.9,1970 AS FILE NO.5448. - ;NDICATED HEREON SNAIL RUN ONLf TO THE PERSON FOR W�OM THE t IRyF r I$ 09EPIARED,AND ON HIS BEHALF TO I'IE TITI.� COMPANY, GOVERNMENTAL AGENCY WATER SUPPLY-PRIVATE WATER COMPANY AND LENDING INSTITUTION USTEO HEFEbN, AND TO THEASSIGNEES OF THF. I.FNDINft INSTITUTION qUARANTFFS ARE NOT TRANSFERABLE TO ADDITIONAt. °.J INS -TU FIONS OR SUBSNUENT DWNERS I i THE OCATION OF WE"S AND CESSPOOLS SHOWN HEPFON ARE FRIM FIEt!I SURVEY FOR GUARANTF qq TO OHtif.PvATIONS ANO/OR FROM DATA OBTAINED FROM OTHERS. USLIFE TI ,(I�'E INSURANCE _ _ ____. ____._________.__ _.___ ROYAL FERN, INC. COMPANY IRT E IN YORK TME *ATEPOPM#SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS pESIO` 'IF Wtt_l souTNOLO SAVINGS BM V- � CONFGpM�O THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT �r .!F L-., .H r SERVI.'ES` LOT 55. " 4FPLICAN7 - — -- - — SUNSET KNOLLS, n� TEL SECTION TWO" AT _ MATTITUCK TOWN OF ALDEN W YOUNG, PJFSIO L SOUTHOLD ENGINEER AND LAND SURVFYOR SUFFOLK COUNTY N Y. Y 5 LIc No 12845 HOWARD W Y6UNG, LANG SURVEYOR y w _ N Y.S.'LIC NO. 45893 _ y YOUNG a-YOUNG, LAND SURVEYORS �-•'"� ;/- 400 OSTRANDER AVENUE R I V E RHEAD NEW YORK M_ e . l DATE1. _ SCALE NO. j' 3.. MAR.31, 1976 1 .40 76-194 --