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Home My WebLink About22252-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANC~ No Z-23821 Date AUGUST 16, 1995 THIS CERTIFIES that the buildin~ ALTERATION Location of Propert~ 1205 SU}~4IT DRIVE House No. Street County Tax Map No. 1000 Section 99 Block 2 Subdivision Filed Map No. MATTIT~CK, N.Y. Hamlet Lot 13 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29, 1994 pursuant to which Building Permit No. 22252-z dated AUGUST 12, 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 ATTA~"~ED G~28AGE OF EXISTING ONE F&MTT.V DWm.?~.TNG INT~) HABITABLE SPACE AS APPLIED FOR. The certificate is issued to OURANIARAUSEO of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-042092 - AUGUST 5, 1994 PLUMBERS CERTIFICATION DATED N/A '/~~~il~lldn/gi~nspector Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLE'flON OF IHE WORK AUTHORIZED) Date ......... .~ ..................................... 19..?~ 22252 Z Permission is hereby granted to: ....... c2...~..~ ....... ~~'~ .................. ....... /.x.:¢..~..~.,.'~....~..;,../-.. ................. _ .... zC..~z~,~..,.....~ .7..,. ....... ./../..7..~z.. ....... to,.., ,~....~--¢'..~.~ ..~.....,.., .~....~..........~...~..x'. ~...~.'...~........./....~...~./~.. ......... ..~...,.~./~.... .... ..... :~.......~<.,.'.~.....~....~....?.......~~ ........ ~: ................. ...................................................... ~~.4r..~ ./..~ ...................................................................... CountyTax Map No. 1000 Secflon........~...?.. ........... Block ~'~-- LotNo. ~'-'~ pursuant to application dated ............ ...~..~..Z~/~........~.,.~., ................. 19.....~..../~...., and approved bythe Building Inspector. Eee S....~ Rev, 6/80/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I § 199 APPLICATION FOIl CERTIFICATE OF OCCUPANCY 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site pian requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial $15.00 Date....7./~Z/.~?~7. ............................ New Construction ........... Old Or Pre-existing Building...~. ............ Location of Property .... ~RN~D ..... .~.~ ~ House No. Street Hamlet Onwer or Owners of Property ....... ~.~..~...~..t~.~%~-. [. .... .~...~..~...~.~? ............................ Connty Tax Map No 1000, Section ..... ~.~ ...... Block ....... 0-rT.,-. .... Lot ....... ~. .......... Subdivision .................................... Filed Mnp ............ Lot ...................... Permit No ................ Date Of Permit ................ Appl]cant..~.~..~..~.~.f.~...../~../~...;~.~. llealtb Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ / Request for: Temporary Certificate ........... Finul Certicate ..... . .~... Fee Submitted: $~C.. ~ ,,~. ..... ~'~. ~..¢..O. ............. ~~~ . ...c.0-L 3 g I ..... '. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 27, 1995 MS. Ourania Rauseo 1205 Summit Drive Mattituck, NY 11952 **** SECOND NOTICE **** 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 # 22252-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. - ACCORDING TO THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yo~k 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 26, 1994 Ms. Ourania Rauseo 1205 Summit Drive Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of because of Occupancy the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. 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 # 22252-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION 1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING IIDATE ~CONM£RT£ INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ! .;' ' ! RDgER ~K VAN.~UYL LAND ~U~V~YO~S SI~I~FOLK CO HEALTH DEPT APPROVAl.. ' / H. S NO. ~;~/'" [~'~ '~ ST.A_!.E._M._ENT _0.~. I__N_TEN_ ~T THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFOrm TO the STANDARDS OF THE SUFFOLK CO DEPT. OF HEALTH SERVICES. APPLICANT '--- ~UFFOLK COUNTY DEPT OF HEALTH SERVICES FOR A PPROV A L i~:'i OFJ ' '" CONSTRUCTION ONLY , ' ' ~''~? ~ ' r h. S. REV. NO APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST SECT BLOCK PCL. /('":'~ ~ OW~ ADD '.-- ...... ';/,~ [..,:,,.'.~ ? .......... t DEED. L.-?' .... P. , - ' TEST HOLE I STAMP SEAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION THE NEW YORK BOARD OF FIRE UNDERWRITERS AGE ! 8~49203 BUREAU OF ELECTRICITY 8B JOHN STREET, NEW YORK, NEW YORK 10038 r ~ .... Date /%..[}'GUST 05 ~ ~gt~ /lpplication ;Ye. o,file 0622359~/94 H ~42092 THIS CERTIFIES THAT OURANIA RAUSF~, 1205 SUMMIT DRIVE, ~[~TTITUCK, N.Y. ~as examined on AUGUST Ol, 1994 and found to be in compliance with the National Electrical Code. Lot FIXTURE FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS DIMMERS SYSTEMS NO. OF FEET E R V I C E NO. OF CC. COND. A,W,G, NO OF HI-LEG A W,G NO OF NEUTRALS A.W-G PER ~* OF CC, COND, OF HI-LEG OF NEUTRAL OTHER APPARATUS: *NO VISUAL DE~ECTS: "An electrical survey has been made of the exposed eleotrical equipment in the premises indicated." "No obvious unsatisfactory eondit±on was found. 1205 SUMMIT DRIV~ MATTITUCK, NY, 11952 GENERAL MANAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT SE ALTERED IN ANY MANNER. BLDG. DEPT. TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 ........ " ' TEL.: 765.1802 Exanined.... - ~.../--. ,.,' ~:.,197.~. Disapproved a/c ..................................... FORM ,NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL APPLICATION FOR BUILDING PERM IT SURVEY ClI:CK ....... SEPTIC FORH .~]~j~ CALL . . . ..... HAlL TO: 'INSTRUCTIONS This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 sti'eets or areas, and giving a detailed description of layout of property mu~t 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 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 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 demoliQon, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code~ousing co~le,~nd-O--regulations, and to admit authorized inspectors on premises and in building for necessary inspectio/l~/Y (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generaJ~contractor, electrician, plumber or builder· Name of owner of premises ..... .... (as on the tax roll or latest deed~[~[~[[}~ ~ If applicant is a corporation, signature of duly authorized officer·' ' DATE: 'l~//z~/~¢' BJM~ '.~.22~'~-- ; (Name and title of corporate officer) NOTIFY SUILDING DEPARTMENT AT. 78~-1B02 9 AM TO 4 PM FOR THE Budder s Lmense No .......................... FOLLOWING 1NSPECIIONS: 1. FOUNDATION - TWO REQUIRED u ' · FOR POURED CONCRETE P1 tuber s L~cense No ............... . .......... 2. ROUOH - FRAMING & ~.UMBING Electrician's License No. ' 3. INSULATION ............... . ....... 4. ~INAL - CONSTRUCTION MUST BE COMPLETE FOR c.o. Otber Trade's License No ...................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. Location of land on which proposed work will bc done ............ .STATE CONSTRUCTION & ENERGY ltouse Number Street Hamlet County Tax Map No. 1000 Section :... :..: .~..~. ...... Block ......... ~.... ' Lot../~.. ............ Subdivision ' Filed Map No ............... Lot ............... (Name) State cxisting use and occupancy of premises and intended use and occupancy of proposed construction: a. x s ng Use an occupancy ............. . .................................. b. Intended Use and occupancy ...... · ........;: ........ ...... · 3. ture of work (check whlch, applic .... . ....... ' Repair .... .~. ....... Rernn~, ame). New ~uuulng~ .... . ...... Addition ..... ~.' .... Alt~[ation .if.. ' .,.~. o/) ' ' : (Description) 4. Estimated Cost · .~ .... .~.L~ .c~. .......... Fee .................. V~. If dwelling, ri ling th:s application) 5. number of dwelli g units ............... . Number of dwelling units on each floor ............... · If garage number of cars ! . . 6 If business, commerci~ ~ ' "i' ', ................................................. · ,-~r ml.xeo occupancy, specify ature and extent or.each type of use .. · '. 7. Dimensions of existing structures, if any: Front .... ~H.eight ............... Nt!mber orStories ..... : .......... Rear .............. Depth· i. i .......... ta~mensions of shine structure with alterations or additions: Front ...................... D pth ' ~ R 8 D~mension f ........... 4... e ~t ................... ; · umber of Stories ...... ' ' . ' · s o entire new construction: Front ....... ' ......... Height Numb f Stori ........ Rear .............. Depth .. 9 Si of lot F .. ero es ............... · ...... · ze · ront ......... , ........... ar. 10. Date of Purchase ........ i ................... Depth · ' ' N off Ow ...................... 11 Zon ~e dist icti wlict p~ ................... amc ormer ncr ............ · raises situat d ..... eoru r n t i e are e .. ....... ' ...... . ..... 12 D sp opo dco structio vidl ' ' ................................... · y zoni g law dinan lati ...... ' 13 oe r se n n ate an n, or ce or regu on: ......................... · Will lot be r aded :i Will fill be 0 d fr mises: Yes ....... 14 Name egr ........................... excess rem ye om pre o · of Owner of premises. ~ ........ ; .... Address ..... N Name of A lit ' ' Pho No Nam ofC ntracto '. .................. Address .... Ph N ...... 15. ' thi ............... Address ............ Pho No ': .... ty ithi 300 f rid 1 ' d'? ..... ne ............. Is s proper w n i feet o a a wetlan *Yes ........ No ......... · If yes, Southoid iTown Trustees Permit may be required. .... : PLOT DIAGRA/VI Locate clearly and distinctly ail' buildings, Whether existing or proposed, and. indicate all set-hack dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. . , (N~e of. indiVidUal m~nmg contract) being duly sworn, deposes and says that he is the applicant ,?:~.:'..,. ~ ;. . ..,.. ,~.%~:~ :~.; . . ~ ~ , (Contractor, agent, cor'porate officer, etc.) ' · f said owner or owners, ~d is duly hutl~orized to perform or have erfo~ed ' . pp[ma[mn; that all statements contained ' ;s .... .... ?d work and to and fie this 'orr will be perfo~ed in the manne~ ~2, ~,t~l; ;[ ...... ,,y. are [rue to the vest oI ms knowledge and belief; and that the , . o? .~,,. m tae appucation hied therewith. ' ',worn to before ~ne this