HomeMy WebLinkAbout22387-zFORM NO. 4
TOM OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCuumANCY
No Z-24434 Date JUNE 14, 1996
THIS CERTIFIES that the buildin~ ADDITION
Location of Propert~ 1705 CAPTAIN KIDD DRIVE
House No. Street
County Tax Map NO. 1000 Section 106 Block 5
Subdivision Filed Map No.
MATTIT~CE, N.Y.
Hamlet
Lot 18.1
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTE~ER 28, 1994 ~ursuant to which
Building Permit No. 22387-Z dated (~TOBER 16, 1994
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 WITH INGROL~D POOL & FENCE ENCLOSUI~E TO
EXISTING ONE FAMILY DWELLING AD APPLIED FOR.
The certificate is issued to NELENE BULGARIS & SUZANNE FONDIT~R
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPART~ENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-334329 - NO~EMBER 22, 1994
N/A
FORM N0.3
TOWN OF BOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
22387 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission Is hereby granted tm .~ ,, / .~ ,~ .,~ / , //
.~...~...~..L~_, .......... ~ ......................................... ~
~~. ~ ~ ~. /1~
,, .~~~....~~....~/~~~.~ ...... _
.........
Counh/Tax Map No. 1000 Secfl/'on....Z/:.(~...,..~, .......... Block .......
pursuant to application date ........................................................ 19 .......
and approved by the
//~ ~Bullding Inspector
Rev, 6/30/80
TOWN OF SOUTHOLD
BUILDING D EPARTME~NT
TOWN HALL
765-1802
A~PLICATiON 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:
i. 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. Comz~ercial 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) ~on-conforming uses, or buildings and
?pre-existing" land uses:
1o 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 sit, led 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 dwelting $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-existinR Buitdinz - $100.00
3. Copy of Certificate of Occupancy - $20~00
4. Updated Certificate of Occupancy - $50.00
5. :Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00
~t !.0.~ !y~ ........
cons=triOn, u-.. ..... Old Or Pre- ist g Building ...... , ........
=ocation of Properry-..~.¥':7.¥......C~..~!r~...K. i4~..~ ~X..Z.'. ...... ,.*;~-'~ ............ ~~...
~ouse No. Street ~amlet
Subdivision Filed Map Lot .....
Health Dept. Approval .......................... Under~rriters Approval .........................
Planning Board Approval ........................
Request for: Temporary Cartificate ........... Final Cer=icata..~'~. .......
Fee Submitted: $ ...... ~ ......................
FOUNDAT%ON (1st)
FOUNDATION
2.
(2nd)
ROUGH FRAME &
;PLUMBING'
I~SULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COM~ENTS:
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
April 10,
1996
Ms. Helene Bulgaris
1575 Captain Kidd Drive
Mattituck, NY 11952
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 # 22387-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
FORM NO, 3
TOWN OF SOUTItOLD
BUILDING DEPARTMENT
ToWN CLERK'S OFFICE
SOUTIIOLD, N.Y.
NOTICE OF DISAPPROVAL
,,
To,~. .e~. . ..~. . .~. .~,;. . r . /~. .~.~. e ~,~ Z,./~ ~_ ~- ' ........
.~ ~. . ~.4 ~': ~~
' .......... ~. " · ·: ~.~:C~.: ....
Subd v s on . Fi ed Ma~ N~ ·
................ . ~. : ............. ~. cotNo..
is returned herewith and digappr~ved on the following grounds
~;~_. -'~ .. ~. -.: ......... ;.~. .......... . ......
"-~ ...... ~.~'~..-;-~...~~ ..... ~.~,,-~,~.~,
· ~. · . ~ ...... ~. ~~. ~.
~~~ ~z/~~~ -~- x .........
........... : .... (. ~ .Z/- -.~ ........
1/80
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 1, 1995
MS. Helene Bulgaris
26-12 24th Avenue
Astoria, NY 11102
Re:
Prem:
Building Permit #22381-Z
1575 Captain Kidd Drive,
SCTM#1000-106-5-18.1
(Deck addition with pool
and fence enclosure.)
Mattituck
Dear Ms. Bulgaris:
After a review of your pool installation, you are in
violation of your permit. The construction has not been done as
applied for. Your accessory pool is located in the front yard.
The Building Department must give you a Certificate of
Disapproval and charge a fee of $25.00 and then action must be
taken by the Zoning Board of Appeals.
If you have any questions, please feel free to call.
Our telephone number is 765-1802.
Thank you.
JMB:cmt
Respect fully,
~~ing Inspector
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 1, 1995
MS. ~elene Bulgaris
1575 Captain Kidd Drive
Mattituck, NY 11952
Re:
Building Permit #22381-Z (Deck addition with pool
and fence enclosure.)
1575 Captain Kidd Drive, Mattituck
SCTM#1000-106-5-18.1
Dear Ms. Bulgaris:
After a review of your pool installation, you are in
violation of your permit. The construction has not been done as
applied for. Your accessory pool is located in the front yard.
The Building Department must give you a Certificate of
Disapproval and charge a fee of $25.00 and then action must be
taken by the Zoning Board of Appeals.
If you have any questions, please feel free to call.
Our telephone number is 765-1802.
Thank you.
JMB:cmt
Respectfully,
John M. Boufis
Building Inspector
I~i'r, imum sta.qdords/or reside~rtial pools. I1 diving boards or slides ~re to be used
t)pa & Pool Insllttde's ml~hnum standards prior to ]nslallin[I diving boards or slides
o & Pool Insllluta, 2'11't Eleeehower Avenue, Alexandria, VA 22314 ,, 703f838.01183
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOgVN CLERK'S OFFICE
SOUTIIOLD, N.Y.
NOTICE OF DISAPPROVAL
<~. /~ ~'~"~-. ,
.... T .......... ~ ~ . ·
Subdb'ision ................. Filed Map No ................. Lot No ..................
"re~Twith~ ~p:oved on the following grounds .~~. ~ ......
· ..~~. , .... ~ .... ..~,. ~ ....
.~; .................. ~.~ .............. , ........ , ................
......... "/Z "'"'"", r --
~-.,~~..: ............
..............
RV 1/80
Suzar~no I.'oDdl 1 J.~r
26-] ~ 24th Avel'l~e
Asto~.~a, N Y 111~32
13osvd of Assessors
Town Ik~ I 1
Southold N ¥ 11971
Plc.~ise merge our re,il estate tax bill identified as tax map number
106,-5-17 ~]nd I06.-5-18 into ~e tax bill.
Thank you I'or your assi.~tancc!.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ]ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] INS...~TION
[/../]"'~AL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~/~~ ~'~
0
¥
¥
¥
~,.,\ SEP 2 81994
Approved .. J'.~.~./.(q,. ......
FORM NO. I
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Disapproved a/c .....................................
BOARD OF HEALTH '~X .....
3 SETS O~/PLANS ..........
SURVEY . ·
SEPTIC FORH .............. ~
NOTI ~Y ~
cA~.,- .-~ rS".-:. ,S. ¢0 ~, ........
HAIL TO:
, (Bui~ng n~9..MSector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This application must be completely filled'in'by typewriter or in ink and submitted to the Building Inspector, with 3
set~ 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 0ccupancy
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
admit authorized inspectors on premises and in building for necessary inspections.
... ~: .~z~.~..t .~...~o.~....-~c..... ...........
-- (Signature of applicant, or name, if a corporation)
.. AP... 0. .~. ~. ~./. . .~. .~.r..~. ./~cc: ~ g. . .
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ..... ~...b(.~/~...~.e7 .... .~.m..w.o.,.4¢.e~././~Z~vg6.... 0.~'~.~.c£ .....
(as on the tax roll/or latest deed)
If app~a ct~orat~//v~ si~re ~f duly auth~orized officer.
...... /.~l~x,~,4.l.: .............
(Name and tffie of corpo~tB officer)
Plumber's License No .........................
Electrician s License No ..... (C.~
Other Trade's License No ......................
1. Location of land on which proposed work will be' done .... ~]~.;...~.(~-~....~..~../..~..~./~....~.~.
.... /Y.~.. ............ C~. ~....- 1¢..~o.~ ..... . ~.m.~,~.:,..... ..~...mm,muc ...............
House Number Street Hamlet
County Tax Map No. 1000 Section .../..O.~ .......... Block .. ~ ............. Lot...]..~..~./.'~..
Snbdivision ...................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
.. ....... c~tOo~,z7 ,
a. Existing use and occupancy .~. ........... ~ ....
· Intended use and occupancy ............. .~...~..t..~...O? jrT'. (.4~.' .t~. j2~...' ~ . i '
3. Nature of work (check which applicable): New Building .......... Addition .......... ~fatlon ..........
Repair .............. Removal .............. Demolition .............. Other Work .... ,~ ........
/Of O'DO ,cO' (Description),, .
4. Estimated Cost ..... . ...... ~ ' 7 ....................... Fee ..................... ::..~....:., ........
(to be paid on filing this application)
5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ...............
If garage number of cars '
6 ' If busine'ss .... ' ..................................................................
· , commercial or mixed occupancy, specify nature and extent of each type of use
7 Dimensions of existing structurgs if any: Front Rear .....................
· ' ............................. Depth ...........
Height Number of Stories
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth .................... i' · Height ...................... Number of Stories ............... .......
8. Dimensions of entire new const~ction: Front ............... Rear ............... Depth ...............
Height ............... Nuinber of Stories ........................................................
9 Size of lot: Front ~ Rear
· · .......... , ................................. Depth ......................
10. Date of Purchase ........... : ......... . ......... Name of Former Owner .......
11. Zone or use district in which pr~mises are situated 2~ {r~l Y/n--, ~-/~t ......................
12.D ' · , ·
oes proposed construction wolate a,nX zomng law, ordinance or regulation: ,,~ . .
13. Will lot be regraded I /~...o... . ..........................
....... · ~ .............. Wltl excess fill be removed from premises: i~) No
14. Name of Owner of premises . . .~.a~..O..t~.~ .*qt/./).9.t-.~.q.~.~/Address .../0~. ~,,~/,~.. Phone No ................
Name of Architect ..... ; .... ................. Address ................... Phone No. ..
Name of Contractor ~.. /q.(:-7.{ .t~. ~T~.u.~'.,[ .. Address .. ,/P?.~.7IL-~/~ .... Phone No ........
15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ........
· If yes, Southold ~own Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all [buildings, whether existing or proposed, an& 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.
~ ' ~c, .> ,~. ~ /:'c ic ~ .,q m ~ 9 *:;6
STATE OF NEW y~RE
(Name of individual signing contract)
above named·
.................... ................................................
(Contractor, agent, corporate officer, etc.)
)f said owner or owners, ~d is duly authorized to perfom or have perfo~ed the said work and to m~e ~d file this
~pplication; that all statements contain&d N this application are true to the best of his knowledge and belief; and that the
.york will be parroted in the m~ner s~t forth in the application filed therewith)
gwom to before me this
~ota~ Public ' .... County
Ilion
Comm.
. . . _.. _