HomeMy WebLinkAbout23226-z s 's
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24582 Date August 20, 1996
THIS CERTIFIES that the building addition
Location of Property 1800 Captain Kidd Drive, Mattituck
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 2 Lot 40
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated January 2, 1996 pursuant to which
Building Permit No. 23226-Z dated January 24, 1996
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 an addition to an existing dwelling as applied for.
The certificate is issued to Costas and Mary Caviris
(owner, lessee or tenant)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-393386 - August 7, 1996
PLUMBERS CERTIFICATION DATED_ July 27, 1996 - Gale Kaske
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 RIZED)
Date ............ . .. .......�.�,/....................
NG 23226 Z
Permission Is hereby t/e//d//f}o: /�/f////JJfjypJ
.....`27. ... . . . 1° .:.....fa...:.
to ....
..................................................................................................................................................................
..................................._...............................................,.............................................................................
................................................................... .................. .. .................
at premises located at....../..(��i/..... .. . ... ../.G�. .-.........................................
.........................................L' % . . . . ........ ....... .. .,..l -.y�/.-.........................
County Tax Map No. '1000 Section ......(...®,�/.. Block.......�............ Lot No. r4G4.....................
pursuant to applicatlon dated ................... . ..., ..... ... ......7 ......... 19..��.Ig5:?.... and approved by the
Building Inspector.®
Fee $. �..
. ........ ................ .. ........ ........ ....,, ..............
Building Insp r
Rev. 6/30/80
` Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT .":f, P'•-'• ``;,,.LK Ei' i,'
TOWN HALL '-
765-1802 i' �`: AUG 15
APPLICATION FOR CERTIFICATE OF OCCUPANCY Bp'
A. This application must be filled in by typewriter OR ink and submitted to the"buildin_g
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 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
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 Building - $100.00
3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Eatention Date .$1NV96. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction.& . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . .
Location of Property. . .1',�1 . . . . Z pt.. . ML J)r.a. . . . . . . Mtt tmt. . . . . . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section.IC6 . . . . . . . . .Block. 2. . . . . . . . . . . . . .Lot. . . 40. . . . . . . . . . . . . . . .
Subdivision. .Captdan.KdAd.E&tatea . . . . . . . . . .Filed Map.#1677 . . . . .Lot. . . . .'131. . . . . . . . . . . . . .
Permit No. 2•Tj226. . . . . . . . .Date Of Permit. . 1,/.24/96 . . . . .App l icant.lplaud. Romeo. . . . . . . . . . . . . .
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval.1188. 996/95. . . . . . . . . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate A#. . . . . . . .
Fee Submitted: $, 25;00 . .
re 6, 6i LTO z��and .139pke.El .111P.. . . . . . . . . . . . . . . . . . . . . . . . .
L 9 z?- 50 G. APPLICANT
TEL. 765-1802
p��FFUtk�p TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
o ter+ P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
C E R T I F I C A T I O N
Date 1 v�t5
Building Permit No. Z 3 Z26 7__
Owner &0_% �eJQ✓Li S
(please 1pfrint)
Plumber G�\� T� OZ6—
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
x
(plumber' s signature)
Sworn to before me this
a{r T day of J t-/L� ,
19 '�(" . ry"�ce9��siccvriad?sof�s
"Notary Public
Notary Public, County
MARGARET C.RUTKOWSKI
Notary Prbflc.SW#of Naw York
No.4982528
Ouali6ed N SuBaRCK"
Commission E)ImJura3,19 9 7
c�a
00
w x
Town Haff,53095 Main Road p • Fax (516) 765-1823
9y0� Telephone(516) 765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Inland Homes Inc.
P.O. Boa 117
Mattituck, NY 11952
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons :
An application for Certificate of Occupancy is
not on file. (Enclosed)
No Underwriters Certificate on file.
The check is (outdated/not on file. ) ;25.00
No Health Department Approval on file.
No final inspection has been made.
%u% No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 23226-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT. ,
f IIi I.D IN:ATULMH RiMMI' DA't'Vi COMMGN'US
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STATE F.NKRCY
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO H PLBG.
[ ] FOUNDATION 2ND [ ] 1
ULA
[ ] FRAMING [ FINAL
[ ] FIREPLAC CHIMNEY
REMA St �-
�/ �---
- L
DATE INSPECTO
3 22 1--
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS: r
DATE / INSPECTO
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
s
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
�^ [ ] F UNDATION 1ST [ } ROUGH PLBG.
Lam! [ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
r
DATE �`� INSPECTO G'
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARK S: .__ J�
DATE AlAif INSPECTOR JIL44
T
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS.:
DATE`, �� INSPECTOR ✓� �
BOARD OF HEALTH . . . . . .
r 3 SETS OF PLANS . . . . . . .
'FORM NO. 1 SURVEY . . . . . . . . . .
TOWN OFSOUTHOLD CHECK . . . . . . . . . .
BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . :
TOWN HALL NOTIFY
SOUTHOLD, N.Y. 11971 298-9696
TEL.: 765-1802 CALL
MAIL TO :
lixamined
/ Z. . . . . . 1q/,(, Permit No. '
Approved ,fff . . . . .
Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .
(Building Inspector) .
[CATION FOR BUILDING PERMIT
Date . .12Z.IA . . . . . .. ., 199,
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with
scts 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 stree
or areas, and giving a detailed,description of layout of property must be drawn on the diagram which is part of this app
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 perm
sltall 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 Occupant
shall have been granted by the Building Inspector.
APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to ti
Building Zone Ordinance of the Town of Southold, 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 describe
I'Ite 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 inspections.
. . . . Inland. Romeo •IRe•.. . . . . . . . . . . . . . . . . . . . .
(Signature of applicant, or name, if a corporation)
PO Box 117,MAttituck.N.Y. 1��952 „ •
. . . . . . . . . . . . . . . . . . . . . . . . . .
(Mailing address of applicant)
State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
General Contractor
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of owner of premises .Cos:tas. & .Mary. .Cavioi.s. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
Robert E. Hiltz
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(Name and title of corporate officer) ----.
ALL CONTRACTOR' S MUST BE SUFFOLK COUNTY LICENSED
U Lr l4 t5 � U 15
Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . .
Plumber's License No. . .24rj 1-P .m — 2 iM
Electrician's License No. . . . . . . . . . . . . .
� 1
Other Trade's License No. . . . . . . . . . . . . . . I . . . . . .
I. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
131. . . . . . . . . . . . . . captain.Kidd Dr.. . . . . . . . . . . . . . . . . . . . . .MattitAG . . . . . . . . . . . . . . . . . . . . .
[louse Number Street Hamlet
County Tax Map No. 1000 Section . . . . . . . . . . . .
06 .Block . . . . . . . . . . . . . . . . Lot . . . . .4Q. . . . . . . . . . .
Subdivision . Captain Kidd EstAttes, , , , , , , , , , , , Filed Map No. . 167?. . . . . . . . Lot . A31. . . ` . . .
(Name)
_'. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
Sin le. Family .DweAlin. * Fk-.TT0')Z .ITR3 0FI . . . . . . . . . . . . .
a. Existing use and occupancy . . . . . . . . . . . . . . . ... . . . . . . . • • :Y.f�'Ib'®'tcf , ;
J��I6)4 l'fi,47O6!
b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., , , , , , , , , , , "tuo0 tivtYuO ,i�609SSA,V 4
. . . . . . . . . . . . ..,_8f',Il:yiW'�d�tirtirlrti�f . . . . . . . . . . . . . .
TITLE NO. 13950013
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L4wN LOt 127
NK eEN�6
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LOt 125 N 77026 00 EcoNcaeT��Qo�
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SOC W",1'eEO 6TOwe
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Ot 132 `oNcc P a
L LLoo pmop C1eIL t11 IIIf
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175-00
0 D 6p'20
dot I�1 577
Af U OOs.
y„RE fEN6E - � Dom/ E
02610'0 -" of?IV
5.71 �..._.."
KIDD
GAPTAIN
NE
W.o
AND S
NOTE ` SURVEY FOR
F/PE
SUBDIVISION MAP FILED INTHEOFF/CECOSTAS CAVlRIS Q MARY CAVlR1SOFrHMERK .� �� DEC. 5, 1995
OFSUFF01KCOUNTY ON✓AN.I9,I949ASRLENO./672 LOT NO. /3/, C,4PTA1N K/DD ESTATES DEC. 27, 1982
SUFFOLK COUNTY TAX MAP AT MA77'17'UCK DATE DEC 22, 1982
DIST. /000 SECT. /06 8LK. 2 LOT 40
TOWN OF SOUTHOLD SCALE: / 11 = 30�
SUFFOLK COUNTY, NEW YORK NO. 82-790
*UNAUTHORIZED ALTERATION OR ADDITION TO THIS 6U4R41VTE£DTO'
SURVEY IS A VIOLATION OF SECTION 7209 OF THE COSTAS B MARYCAVIRIS
NEW YORK STATE EDUCATION LAW
N COPIES OF THIS SURVEY NOT BEARING THE LAND FIRSTAMERICANTITLEINSURANCECO.OFN.Y.
SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL ATLANTIC BANK OF NEW YORK
NOT BE CONSIDERED TO BE A VALID TRUE COPY.
NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPARED,
AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN-
MENTAL AGENCYAND LENDING INSTITUTION LISTED
HEREON,AND TO THE ASSIGNEES OF THE LENDING
INSTITUTION.GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEDUENT
' OWNERS.
*DISTANCES SHOWN HEREON FROM PROPERTY LINES
TO EXISTING STRUCTURES ARE FOR A SPECIFIC
c—
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH
Z PROPERTY LINES OR FOR THE ERECTION OF FENCES
TG400 OSTRANDER
I
ji$ YOUNG a YOUNG RIIVERHEAD, NEW YORK AVENUE
o t�
d ALDEN W.YOUNG,PROFESSIONAL ENGINEER
AND LAND SURVEYOR N.Y.S.LICENSE NO.12845
HOWARD W.YOUNG,LAND SURVEYOR
N.Y.S. LICENSE NO.45893
BRANOIS A 50NS, INC. 1646
HNIi ILLY COOL; CALCULA'1'J.ONS
(For Noll-Electric Ilea L) Desiyu Cri Leria 6 , 000 Oeyree' Onys
O. A. 10"1' T . A. 70"F
/' /700
FOR! 1, o5j +� �r v� ✓�s tele: �Pnhy +l _
UL;51GN '1'IIEItMEL REMARKS
SUBSYS'T'EM ]11iL171 "U" MA'T'ING
Abe Lerlur Walls (Opaqus) 39V 077 _ rze
Glazing �S� 6 S' , 32
Boors
Cc Ll l.uy/RuoL (opaque) 6 0 o ,, 0
Gkyliq llLS A G , 3 �' F o� eWJ 4/
0
rouuditi.on Walls
Slab Insula Lion r
'TO'T'AL
tlo Les :
IlufldJuy Envelope SysLems Lo meet requiremen Ls of 7015 . 7.
IIVAC Equfpenicnt Lo meet requirements of 7015 . 11
IIVAC Sys LeMs to meet requiremen Ls of 7015 . r2
Lluct Syslemu Lo meet requirements of '7015 . 13
Ven LiJiLiuuu Systems Lo meet requirewenls of 7015 . 14
lulu LaLiuu of Pipilly Systems Lo weel r.equiremeu Ls of 7U15. 15
Service Water Ileatl.uy SysLems & Equipment Lo meet requi.remelts of '7115 . 21
ElecLrical & Ligh Liuy Systems 6 Equi.pmenL Lu meet requiremen Ls of 7015 . 31
'1'o the best of illy knowledge,
belief, & professional.
judgement, Cln=_se plans arc iu ay�,.+v =
Compliance with Lhe Code.
�r`'
L -
' I;tf F{ rx POrefH I-f �r
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3diSINK --i
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REQUIr1 'pI,
A `
PROVIDE OPENINGS FOR m
EMERGENCY ESCAPE AS
IRED RY PART. 714 OF
30 aao k S/0 N.Y. STATE BUILDING CODE.
I I ICQ
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I FOLLOWING INSPECTIONIS:
I 1. FQUta0+A76'-w _ 11,1i,T, REQUIRED —
II FOR Pour: rr.,
2. ROUGH -
'� 4, INSUL:a'
4. FINAt
ED
�— =-- _- NEVIE 222x „ —._� I
SE COh�eJ Ea F _tH gg 1
._- _ — (ILL COP�tar"Sl+7Sa.'Fels• $'+'+fra.i! Il -
-_ i yve RECIME'S+ NIS ON UIE WY, �p�11.i' Y� � � °�Y 9
L6�, 'S�D IT —_ �i AC ES.lw,w E� L.I V I RI G 'R_O Ct P1 USE'B`° � h �d � -
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PLUMBER CERITrFICATON
ON LEAD CONTENT BEFORE} If copper tUbmg is used - lly
CERTIFICATE OF for water distributing
PLUMBINGf!f-lA,rs' -n�LPT- eY�am`rnmntrn ,., _'. -_
ALL PLUMBING WASTE :SOLovIS� b
G WATERt1NES NEED SUPPLY SYSTEM CAf,,VOT of type r L onl
EXCEED 2/9Ct mf Y /o LEAD.
- TESTING BE ORE COVERING ° ' J^
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