HomeMy WebLinkAbout22409-z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24661 Date SEPTEMBER 30, 1996
THIS CERTIFIES that the building ALTERATION & ADDITION
Location of Property 240 CAPTAIN KIDD DR. MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 3 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 7, 1994 pursuant to which
Building Permit No. 22409-Z dated OCTOBER 26, 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 ALTER GARAGE TO HABITABLE SPACE & DECK ADDITION TO EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to GEORGE NICHOLAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING - SEPTEMBER 18, 1996
PLUMBERS CERTIFICATION DATED N/A
i
Building Inspector
Rev. 1/81
i
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24662 Date SEPTEMBER 30, 1996
THIS CERTIFIES that the building ACCESSORY
Location of Property 240 CAPTAIN KID DRIVE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 3 Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 7, 1994 pursuant to which
Building Permit No. 22409-Z dated OCTOBER 26, 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR.
The certificate is issued to GEORGE NICHOLAS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
c
B ld g 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)
Date Cr.Sf! 19...G:
No 22409 Z
Permission Is hereby granted to:
407;.. " ! ctYc~ Cm~S
C.'7fU....... ~~P9.....~i ~/J/......l~i
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to ` f / .........1 T lit0
4f1~/ . ..........6fi xo-v' >
sr I.
oc o C~s:........................................................
at premises located at i:e : ~o /,r/,.44J
/......../~TT~I2~
j~..~.......... Block Lot No.
E County Tax Map No. 1000 Section rf~.
pursuant to application dated ...........L rL.9....' 19...... and approved by the
Building Inspector.
Fee $
l
ding Inspector
Rev. 6/30/80
k
70Cv1( 0: SOUTIMy
~ . I ^~.fla ~ L
SEP 191996 ;ss-lace
OC3 US `s'd..,, d UT is _pv •',R -77-CAT- OZ 'vt.rU?
701PJP1 C3F S17111 F-001.9? -
7:1- 3 A. aD oCa tion musc be t..__ad in by -roewr_t_r 01? 1h X. and 3uomiC-e-- co zhe but=d_ c_
_nsoecCJr :vi t.1 C.^.E =J110Win'; -or :!e'.c ]u1_d'_. g or new u52:
1. _hal su-7e`7 DroDer`7 wiC.1 aCCllrate location of all ou'LQ=ngs, grogerr7 -ynes,
sc_eecs, and unllsua_ naturai or CouograD nic _e-c Cures.
2. inal Aoorova_ from Healch Den C. o= "water suoull7 and sewerage-Cisoosal(S'form),
3. Aooroval of _aC CiC a1 r.SCalla Ci.oi1 crom Board OF 7f-a Underwr_t.._s.
Sworn Statame^.t from 7llimDer c2r_12,7_;g char. -he Solder used in sj>stam COn Ca_ZS'
iess chan 2%10 of 1' Lead.
0. Commercial bu'-'-ding, industrial bui'_ding, mu_tip_e res_dences anc ;im la, bui_diags
ana-installat'_ons, a cerricicace of Code Compliance from archic_cc or .ngineer
responsible for the building.
o. Submic Planning Board Approval of comnleten site plan requirement;.
3. ?or existing buildings (prior to April 9, 1957) aon-conformin.- hsas, or buildings and
• "pre-existing" land uses:
1. Accurate sur7ev or property showing all proper-? Lines, streets, build-..- and
r
1nll Silal Cla CU rat Jr tODOgrap nlC t_aC1ra5.
orCD erly CO?1D lilted ADD licatiJn anC a CORSenC CO LIISp eCC signed w _he spp Lcanc.
LC a Carti_icate of Occupan C;7 is denied, the 3uile-_ g inspeCCor shall state the
reaSOi15 therefor is writing co the =applicant.
C. fees
1. Carti`icata of Occupancy - New dweii_ng 525.00, Additions to dwelling 523.00,
-cerations to dwelling 325.00, Swimming pool 525.00, Accessory building 525.00,
Additions co accessor7 building 325.00. Businesses 350.00.
2. Carti_icate of Occupancy on Pre-esisciag 3uildine - 3100.00
3. Cony of Carti_icate of Occupancy - .25C
Updated Carti_icate of Occupancy - 550.u0
1. Temporary Cart- icate of Occupancv - ReSidencidl 315.00, Commercial 313.00
Date $EPT...t.~....1996 .
New Constriction........... Old Or Prz-existing Building
Location or Property 240 CAPTAIN AIDD DR.,........ MATTITUCA,, J
House No. Street Hamlet
Onwer or Owners or Property..... CxI:RJGX A'xCAQIAS
County Tax Map No 1000, Section 106....... 31oc1c....I........... Lot. 25
Subdivision ....................................Filed YaD............Loc......................
. GEORGE. NICHOLAS.
.
.
.
.
?ermic ...?2469-Z ..Date Of ?ern=c. OCT.. .26'.1994 .ApDlicent . . . .
No
Heal,- Depc. Approval .....index.-ricers =oproval........................
-
?'_anring Board Approval,
.
2ecuesc .:Jr: T.amvorar•7 Cer-i icacz........... .ai Car='_.:aca..........
_ 3. 25.00
C'~C tT g5
TOW7N OF SOUTHOLD
BUILDING DEPART` ENT
TOWN HAIL
'SEP 919~i 765-1802
a
finq p);p? APPLICATION FOR CERTIFICATE OF OCCUPANCY
TOV,6", of: i3ou 6,101n
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 or 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 10 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.
s. Submit Planning Board Approval of completed site plan requirements.
3. 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 525.00,
Alterations to dwelling $25.00, Swimming pool 525.00, Accessory building $25.00,
Additions to accessory building 525.00. Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Buiidine - 5100.00
3. Copy of Certificate of Occupancy - .25C
L. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential 515.00, Commercial 515.00
Date SE.PT....I.I., J 96 .
New Construction........... Old Or Pre-existing Building
Location of Property 240 CAPTAIN RIDD A MATTIT.OCR,, N. Y
House No. Street Hamlet
Onwer or Owners of Property GRQRGK XUAMM
County Tax Map No 1000, Section L06....... Block....3........... Lot.2-5
Subdivision. Filed Map............ Lot......................
Permit No...??469-Z......Date Of Permit. OCT. 26, 1994 Applicant 960RGE NICHOLAS
Health Dept. Approval ..........................Underwriters Approval.........................
Planning 3oard Approval
Request for: Temporary Certificate........... Final Cer_icate...........
Fee Submitted: S. 25.00 \
AP°T IC NT
Q.9.cr 519 ~
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Town Hall, 53095 Main Road p • Fax (516) 765-1823
Telephone (516) 765-1802
P. 0. Box New York 9 11971
Southold, N
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 11, 1996
Mr. George Nichols
240 Captain Kidd Dr. 3 Q» 03 ~ r av-Q,
Mattituck, N.Y. 11952 i~)u 04-
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)
XX No Underwriters Certificate on file.
XX The check is not on file. $50.00
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 # 22469-Z (2 CO'S REQUIRED)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
SIGN APPLICATION & RETURN WITH CHECK FOR $50.00 ALONG WITH
UNDERWRITERS CERTIFICATE & CO'S WILL BE ISSUED.
o~OgpFFO(,~-~O
H
Town Hall, 53095 Main Road p • Fax (516) 765-1823
P. 0. ox 1 Southold, New York 911971 y~O~ Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 11, 1996
Mr. George Nichols
240 Captain Kidd Dr.
Mattituck, N.Y. 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)
XX No Underwriters Certificate on file.
XX The check is not on file. $50.00
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 # 22469-Z (2 CO'S REQUIRED)
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
SIGN APPLICATION & RETURN WITH CHECK FOR $50.00 ALONG WITH
UNDERWRITERS CERTIFICATE & CO'S WILL BE ISSUED.
Town Hall, 53095 Main Road C2
Go Fax (516) 765-1823
P. 0. Box 1179 Telephone (516) 765-1802
Southold, NewYork 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
September 28, 1994
Mr. George Nicholas
30-30 Newton Avenue
Astoria, NY 11102
Re: Premises: 240 Captain Kidd Drive, Mattituck NY
Suff. Co. Tax Map #1000-106-3-25
Dear Mr. Nicholas
It has been brought to the attention of the Building
Department that an alteration is being conducted without first
obtaining a Building Permit.
According to the Code of the Town of Southold a Building
Permit is required before any alterations can be undertaken.
Please contact this office as soon as possible so this
matter can be resolved.
I thank you for your anticipated cooperation.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
6;" n
s h
Building Inspector
J S,.
CONMENTS
II
J1IDATION :•~(lst)
ji.
!17DATIOtI (2nd 1
'CN FRAME
11
m
UL„TI0:1 PER N. Y. m
STATE ENERGY I'
CODE I .v
z
FIVAL f
t
ADDITIONAL COMMENTS: m ~
• x
H
H
v•
•4~1.r^^.v~.•SK:r_~~•s.:.u~-.:.i a•..~~ ~vSt`•.•..:i . H ..../s.i.•y
M-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
( ] FO NDATION 2ND [ ] INSULATION
[ FRAMING l [ ] FINAL
REMARKS: dlxae~~
77
12 AW
DATE INSPECTO
~-a~ v
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS -AflkON
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE INSPECTOR /
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: Zefs ~YrC
4AAA
DATE _ INSPECTOR
per,
~o
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: C25-
DATE INSPECTOR d~ J
2 bfo.-
p Co
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE J
8061020 BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
k'oA' ',O m. gF4MM F 24,1996, _ AWicationNo.onfile 11975996/96 H 051953
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applica st nomad on the above application number in the promises of
COSTA NICHOLAS, 240 CAPT. KIDD DRIVE, HATTITUCK, N.Y.
in thefollowinE location; ? Besement ® Ist Fl. ? 2nd F1. Sertion Block Lot
Ives examined on SEPTEMBER 18,1996 and found to be in compliance with the National Electrical Code.
RXTURR ACUIS SWITCHES FIXTURES RANGES COOKING DICKS OVENS DISHWASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER NAT. K. W. NAT. K. W. AMT. K.W. AMT. K. W. AMT. H. I.
1 5 1 1
ON IRS FURNACE MOTORS FUTURE AMIIANCE M MM SPECIAL REC'FT TIME CLOCKS EEII UNIT HEATERS MUlil-OUTIli DUAMERS
NAT. K. W. pl N. F. OAS N.I. AMT. NO. A W. 0. AMT. AML. NAT. AMIS TRANS. AMT. H. I. O AMT. WAT75
NO, OF OF FEET
SERVICE DISCONNECT NO. OF S E R V I C E
ffM
AMT. AMP. 1'nE F 1 / tW 1 / SW t 1 t\V 7 / AW NO. PERCeCOND. OF CC COMD. NO. Of H1410 ' MI'LEO NO. OF NEUTRALS CIA HEAL`.
OTNIR AFFARATUS:
C. NICHOLAS
240 CAPT. KIDD DRIVE
MATTITUCK, NY, 11952 GEEERAL MANAGER
11
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspector may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
- 2 BOARD OF HEALTH t L'1g FORMN0.1 SETS OF PL.A. S
TOWN OF SOUTHOLDSURVEY
lli_ y OCT BUILDING DEPARTMENT ~Cllrcr . IIIIIIIIINII
TOWN HALL SEPTIC CORM g 5
~.,•m. SOUTHOLD, N.Y. 11971 .1,718)39-9QB0
TOWNtOF50UTKOLb(~ Q TEL.: 765-1802 ttOT i FY
Examined /QW 19 CALL . .
QQ MAIL TO:
Call....'....... .
APProved 19/I'ermit No.o~a? 2&
Disapproved a/c
ui] g Inspector)
art/
APPLICATION FOR BUILDING PERMIT
October 4th 9
Date 19.. 4
.
4 INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
;et-s 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
:)r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
:ation.
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 Occupancy
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
3uilding 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.
I-he 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 inspe tions.
(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 builder.
Owner
Name of owner of premises George Nicholas
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. , ,Owner
Plumber's License No. . N/A
Owner
Electrician's License No. .
N/A,
Other Trade's License No .
I. Location of land on which proposed work will be done. T.. , .
240<Captain Kidd. Drive Mattiztuck -r
House Number Street Hamlet
County Tax Map No. 1000 Section .1 .10.6 , , , Block Lot ...25
Subdivision Filed Map No. Lot .
(Name)
State existing use and occupancy of premises and intended use and oce upancy of p~rp q~p4t yc j~p Ion;
1 Family Dwelling ,;dyev,-yPi `tu3a•~~topt_
z
a. Existing use and occupancy .
' 6 ^ i~isr f•.
i\Alteration Access Bldg g" } ¢ ok l' -
b. Intended use and occupancy x 7W 6
s x s
3. Nature of work (check which aPtslicable): New Building . • . Addition Alteration X.. • . • , , , ,
Repair . . . . . . Removal . Demolition Other Work
~5 000.00 (Description)
4. Estimated Cost, , Fee . .
g, number of dwelling units (to be paid on tiling this application)
5. If If dwelling,
of cars , , ,ts Number of dwelling units on each floor , , , , , , , ,
garage,
6. If business commercial or mixed occupancy, specify nature and extent of each type of use . . .
Dimensions of existing structures, if any: Front . Rear Depth
Height
NUmbe` of Stories .
Dimensions of same structure with lalterations or additions: Front • • . • . • , . .
Depth.......... Rear
8. Dimensions of entire new construcoon: t . • , , Number of Stories . Depth .
ion: Front , , , , , , , , , Rear
Height 0. Date of Purchase of Stories Rear Depth , .
9.. Size of lot: Front • •
Rear...........,.......... Depth
. . . ' t' te" ' • • Name of Former Owner • • . • • „ • , , , , , • • • • , • • • .
1 . Zone proposed or use district in which premises are situated . . .
Does construction violate
!any zoning law, ordinance or regulation: • • ; • , , , ,
3. Will lot be regraded " " " " " " '
4. Name of Owner of premises , , , Will excess fill be removed from premises: Yes No
Name of Architect . 4 ' Address Phone No............... .
......••~••••••••......Address Phone No................
»
Name of Contractor . Address . . Phone No. .
i, Is this property within 30011feet of a tidal wetland? *Yes.. No..
If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing-or proposed, and, indicate all set-back dimensions from
-operty lines. Give street and block number or description according to deed, and show street names and indicate whether
.tenor or corner lot.
II
III
ATE OF NE RI
UNTY OF.
j/17, /S~•S~q p /
' . ' ' ' . • • • • ` ~S.... being duly sworn, deposes and says that he is the applicant
(Name of indivi al signing contract)
ve named.
is the
(Contractor, agent, corporate officer, etc.)
aid owner or owners, and is duly authorized to perform or have performed the said work and to make and file this
!ication; that all statements contained ' this application are truq; to the best of his knowledge and belief; and that the
k will be performed in the manner set f rth in the application filed therewith.
m to before me this
day of. . . , 19 .
iry Public, . , County
ate'of Now YptE j . 4r
I Otery Pub II4 St OC~`• • • • • . r
No 4879606 , x=r"
oualitied In Suffolk C unty
Commission Expires I)ecem sr8 (Signature of applicant)
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FOLLOWING INSPECTIONS:
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CODES. NOT RESPONSIBLE FOR I
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