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Home My WebLink About24307-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25923 Date: 08/27/98 THIS CERTIFIES that the building NOT WATER HEATER Y. & Location of Property: 405 CAPTAIN KIDD DR. MATTITUCK, N. (HOUSE NO.) (STREET) (HAFiLET) County Tax Map No. 473889 Section 106 Block 5 Lot 5 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 22, 1997 pursuant to which Building Permit No. 24307-Z dated AUGUST 14~ 1997 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 INSTALL A HOT WATER HEATER AS APPLIED FOR. The certificate is issued to YIASSIMI APOSTOLIDES of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 07/22/97 N/A LAWRENCE TRAPASSO Rev. 1/81 FOII, M NO, ~ TOWN 01: $OLITHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N? BUILDING PERMIT PERMIT MUST BE KEPT O1'4 THE PREMISES UNTIL FULL CC~PLETION OF THE WORK AUTHORIZED) ~30' Z Date ............. ...~./(.~.~-/.. ......................... ,19...~..'/ Permission is hereby granted to: -.K.,. ...... ~ ........... ~....~ ................................. .~./..~.~..~....~..~........~ .F.~ .......... to..~.;....~../.. ......... ~! ........... ../,.~..m ........ ,..~...~.~... ....... ~:~ ........... .~...~ ..................... .............................. .,~'/./**~ ............. ~.** ............................................................................... Coun~ Tax Mop No. ,ooo Sect,on .... /~.& ........ B,~k ..... ~.....~... ....... Lot No.....0.....~... .......... pursuant to application dated .............. .~./.[ ,/~... ............................ , 19ZZ and ~pp~. ~ the Building Inspector. Fee $ ....................... Rev. 6~30/80 TOtSH OF SOUTIIOLI) BUILDING DEPAI!TIIEtlT TOUiI IIAI,L 765- [ 8O2 This application must bo filled it] by typewriter OR J..k and submitted to tim building inspector ,~'ith the following: for rm~¢ building or ~tc~ use: 1. Final survey of Froperty uith accurate location of all bu/ldiugs, pt-nperty lines, 2. Fiual Approw~[ from Ilehltb Dept. of xJater supply and seuerage-d[sposal(S-9 form). 3. Approval of electrics[ installation from Board of Fire Underwriters. 4. Sworn statement [rom¥1umber certifying that the solder used in system contai~'s less than 2/10 of i% lead. 5. Co,unercial buildiu~, industrial building, multiple resSdences and similar buildings a~d installatio~ s,~a certificate of Code Compliauce from architect or engineer rcopouslble for the building. 6. Submit Planning Board Approval ag completed site plan requirements. FOr existing buildings (prior to April 9, 1957) nou-couforming uses, or buildings and i. Accurate survey of property sho~iog all property lines, streets, building and unusual uatural or topographic features. 2. A properly completed application and a consent to i,s~ect sigued by the applicant. I[ a Certificate o[ Occupancy is denied, the Buildiag Inspector shall state the reasons therefor in writing to the applicont. C. Fees 1. Certificate of Occupancy - Neu dwelling $25.00, Additions to d~elling $25.00,-- Alterations to dwelling $25.00, S[aimming pool $25.00, Accessory building Addition, s to accessory buiidiug $25.00. gusiuesses $50.00. 2. Certificate of Occopancy on Pre-existing Buildiue - $1OO.O0 3. Copy of Certificate Of Occupancy - $20.00 4. Updated Certificata of Occupancy - $5Q.00 5. Temporary Certificate of Occupancy - Residential $15.00., Colmnercial $15,00' , ate ..... ....................... lieu Construction. ..~ O~d Or~tre-existi~m Buildixng .... d.~(~5 ......... I House No. . Street llamlet Subdivision .................................... Filed. i~hlp ........... .Lot ............. ... . .. ,.. Permit Ho ................ Date Of Permit ................ Applicant ................... liealtb Dept. Approval .......................... Uudcr~4riters Approval ......................... Planning Board Approval ........................ ~equest for: Temporary Certificate ........... Fiual ~ertlcate...~J¥. ...... ?ce Submi_t ted: $ ..................... 765-1802 BUILDING DEPT. ilNSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY ROUGH PLBG. ] INSU~IO. ~'~NAL REMARKSI: 8LDG DEPT. '~' ,~.,r.'~ ~.~.~. ~ ....... ,,,, TOW. o, SOUT~0~ ~ "".';,~:~'~ ~ ~ ' P O Box1179 ,% .... '..,~,} Southo[d. New Yo~ 11971 .., -~' -~ ~'~ '. ?~ ,. . ~>.~; Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this Notary Pub lic,~~~y ~'NNB'H A Mt0NE NOTARY pOBL C, ~te of New York N~ 01M~SM0174, Suflotk ~ ~e~ ~pkes March 6, 19~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTlt 3 SETS OF PLA~S SURV£Y ................ CIIECK ................. SEPTIC FORH ........... CALL ~ ............... flaiL TO: ate ... .... : .......... ,19~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wit~ 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 sti-¢ .or areas, and giving a detailed description of layout of property must be drawn on the diagram which is par of this ,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 iflsued a Building Permit to the applicant. Such peJi 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 Occupm shall have been granted l?y the Building Inspector. . . APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southbld, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspection. -- (Signatur~ of ap. plicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or build( .' ................... ~:~.~.~.. ........ , ...... . ....... ........ ..: .................. . ..... Nme of owner ofpremise,.../~'~.~-~. .... ~.~ .~.'.~ ...... ' .......... ' ........ (a§ onthe tax roll or latest deed) ' ' If applicant is a corporation, signature of duly authori£ed officer.' (Name and title of corporate officer) Builder's License No .......................... , · 3/.~¢-. ~.. Plumber s Lmense No ....... · .............. Other Trade's License No ...................... Location of land gin which proposed work will be done ............ ~ ................................. ............... ..: .... , ...... House Number f . Street . Hamlet ~ou~ty~a~MapNo. 100OSec~ion..:.~.~ .... :. B,ock ....... ~.C...:... Lo, ..... Subdivision ........ . ................... · ......... '. Filed Map No ............... Lot .............. (Name) . Stat~ existing use and occupancy of premjr~/s and intended use .and occupancy of proposed construction~ . a. Existing use and occupancy .... '.~...~- :.~.~7~.'~...'7 .... '. ..... , ...... i...; ....~.~/~"";~ . b.l. ntendeduse'andoccupancy i~~..,.. '~..~-"~..~'.~..f_~...'.~,.~... .3. Nature of work (check which applicable). New Building .......... ,~ddition ........ Altera~tiof. ~.....;. ?. Repair .............. Removal ... ' ......... Demolition : ........ Other Wo~k~. 4. Estimated Cost ............. : ...... e ...... ' ...................... (to b~ ~ai~ ~ ~ing thi~ 5. If dwelling, number of dwelling units ..... i .......... Number of dwelling unii~ 6n ~a~h floor...k. ~ ..V ..... : If garage, number of c~ ............................................................. ~ .... , .... 6. If business, commercial or mkxed occupancy, ~pec~y natur~ and ext~nt of.each type o[ use ............... ,... 7. Dimensions of existing st~cturos, if any: Front ............... Rea[ .............. Depth ............. Height ............... Num her of Stories ...................................................... D~ensions of iame structure with alterations or additions: Front ................. R~ar ................ D~pth ....................... HeiSt .......... : ........ ,. ~ Number of Stories .......... . ~ ........ 8. Dimensions of entire new construction: Front .............. ; Rear ............... Depth :Height ... ~ ........... Number of Stories ....................... t ..................... ; ........ 9. Size of lot: Front ......... , ......... ~.. Rear ...................... Depth .................... 10. Date of Purchas~ .................... - ......... Nam~ o[ Foyer Owner ........ ; .................. 11. Zone or use district in which premises are situated ....... . ............................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .............................. '13. Wm 10t be regraded ...... ,.~ ~: .... ~. ~. ~. ~: .... Will excess fill~e~dXrgm premises: Yes N~e of Architect .. ......... ~.. [ .......... Address .......... ( ......... Phone No ...... ~ 15.' 19 th~s proper~y ~htn 300 Eea~ ut a ~dal wet,and. *Yes ...... ... No ......... ~Zf yes~ Sou~ho/d Town Trustees Pe~tt may be · .-, P~OT DIAG~ Locate clearly ~d distinctly ~I bulldogs, whether ex,ting or proposed, ~d. indicate ~I set-back d~ensions fro prope~y ~nes. Give street ~d block number or description accord~g to deed, and show street n~es and ~dicate wheth ~tefior or corner lot. STATE OF' NEW YORK, S.S CO U/CITY OF ......... ~ ' H is th (Contractor, agent, corporate officer, etc.) . of said owner or owners, and is duly authorized to perform or have performed the said work and to make 'and file th application; that all statements contained ~n this'application are true tO the best of his 'knowledge and belief; and that tl' work will be performed in the manner set forth in the application filed therewith. · .. ..... .....day of" ' "! . Notary Public,~ . ~;£~4~EP~ A M{ONE "k , NOTARY PUBLIC, $~te of New Yor ~{hlk C~ t ' / '(Signature of applican , ' · Term Ex!ires March 6, 197Z.,//9' .- ' / - '