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Home My WebLink About20681-zFORM NO. 4 TOWN OF SOU~{OLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-20797 Date JUNE 16~ 1992 THIS CERTIFIES that the building Location of Property 105 RHODA ROAD House No. County Tax Map No. 1000 Section 106 Subdivision ADDITION MATTITUCK~ N.Y. Street Hamlet Block 1 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 29~ 1992 pursuant to which Building Permit No. 20681-Z dated JUNE 2, 1992 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 TO EXISTING ONE FAMILY DWELLING ASAPPLIED FOR The certificate is issued to CHRIST KALLIAGAM (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Inspector ffOR,M NO. S TOWN OF SOU'FHOLD BUILDING DI*PARTMt~NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N99N? 20681Z Permission is hereby granted to: ..... ~/. ~...:....~../..,I..~. ~/ ....................... ..... ~ ........... .:.../......: ............. ~.. , __ ia, '~'~ ~""' ' '~i .............. at pram s s ocated at ......... ~ .......................................... ~.'i ............................................................. .. . ;4q'T ~ T~<_~_ .~.. ..~....'. , ..................... ..................................... ~...~ ...... ~; ....... ~ .......... .¥./... ....................................... ............................................. /.....5.~...'/.~..~.....~.~......t ....................................................................... County Tax Map No. 1000 Section .../.~..~. ........... Block. ...... ~..,/.. ......... Lot No....?....~.. .............. pursuant to application dated ........... ~/~......~...~.. ..................... , 19.~.~.., and approved by the Building Inspector. Re~ 6/30/80 Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 AI~PLICATION FOR 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. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% 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. 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 Certifidate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 ~ew Construction ..... O~d Or Pre-existing Building ........ · °cation Prope i .... ........... ...... . ........... ~.~.~. ~ . ~ ..... ~ ........ House No. [~J~- Street Hamlet swer or 0~sers of Property...(~g,C,C....~.a~!~'.~S .................................. ounty ~ ~p No ZO00, S~io~.~...ff~. .... ~o~ ....... ~ ........ ~o~..~ .................. uhdivision .................................... Filed Map ............ Lot ...................... armit No ................ Date Of Permit ...... '] ......... Applicant ............................. ~alth Dept. Approval .......................... Underwriters Approval ......................... fanning Board Approval ........................ ~quest for: Temporary Certificate ........... Final Certicate ........... ~e Submitted: ~ ~ ~ C~t~oo~7 ~ ~ ~ ~ ............................ ~OUNDA'TION ~ 1st) ?OUNDATION (2nd) :OUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FI;IAL ADDITIONA'L COMMENTS: 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL 0~0H ~00~~ Ot~08 ~00~~ T · $9,95 per View · *$19.95 Per View · '*$27.95 Per View All Movies $4~0 Per view 3pm Edward Scisoorhands §pm The Gritlers 7pm PeverooI el Foflune 9pm GoodF~lias 11:BOpm The Gdfters 3pm Look Who's 3p Tkiking Too Talking Too ~ The Gdfiers 4:30~m GoodS,las 71~m Edward 7pm Edward ] Scisoorhoods Scissorhahds 9~m Miser/ 11pm Look Who's Tkiking Too 4 J5 m Once Amood 4:30pm GoodFetlss ~ ?pm Misery gpm Oooe Amoo~ ~' 11pm Edward Sc~soomoods' 11pm ~ Around Spm Edward Scissorhands,, ' Tpm Once Around Spm L:A, Story Spm Look Who's 11pm The ussla Talking Too 11pm L.A. Story/ 18 ~:aOpm Lionheart 4:3apm Hamlet Tpm Lionheart 9pm The Russia 11:~pm Liooheart 25 26 TO ORDER, CALL: Yonkers, NY Yorktown, NY Port Chester, NY Dutchess, NY 3pm Edward Spm'~{isery m Look Who's, Sckioorhande Spm Edward Talking Too 51~m LookWho's ' Scissorhands 5pm Misery Talking Too 7pm Look Who's 7pm Edv~rd ' 71~m M~sery Talking Too Scissorhands,., gpm Edward 9pm GoodF~ilas Spm Look WPo's Sclssomands, 11 ~Opm Edward Talking Too 11pm Look Who's ' Sckioorhand~ 11pm Mkiery Tkiking TOO =; 6 7 8 Look Who's 3pm Once Amund 3pm Look Who's ~, TkikinoToo. :, , .SpmLookWho's Ta~kiegToo Spm Misery . ' ,,' '. T'~lkingToo §pm Edward Tpm Once Ar~ood ' '/'pm Edward Seisso~ha. nds . gpm LookWho's " Scisso~oods 7pn~ Misep/., Talking Too ' gpm Once Around 9pm Edward 11pm Edward 11pm Look Who's Sclssorhande Scissofnands Talking Too 11pm Misery 3pm Look Who's 3pm WBA World Talking Too Super 5pm Edward Middleweight Scissorhands Champlooehip: 7pm The Gnflers Cordow vs. 9pm Edward Narbiello (Live)' Scissofilands 5:30pm Misery 11pm Reversal et 7:30pm Look Who's Enlune Ta(klng Too ~e Gfifters . ~ 2:30pm Ed~a - ,S"cissorhands ~'.3Op~ Misery 7pn~ Look Who's gpm Edward 9 10 13 14 15 16 17 m Tl~e Gflfters 3pm Once Around 3pm L.A, Story 3pm Run Spm Run Spm L,A. Story 5pm Once Around 5pm L.A, Stop/ House 7pm L.A, Story 7pm Run ?pm L.A, Story 7pm Once Amund 5pm Look Who's gpm GoodRdtas Spin E~vmrd 9pm Run gpm Hamlet Talking Too 11:~Opm Look Who's Sckioorhoods 11pm L,A. Story 11:30pm Run S:3Oflm Ham,~t 9pm L.A, Story Talking Too 11pm The Russia 11pm Once Around House 20 21 22 23 24 Spin Lionheart 2:30pm L.A, Story 2pm The Russia 3:30pm Look Who's 2pm The Russia 8pm L,A. Story 4:~Opm The Russia House Talking Too House Tpm Lionheart House 4:30pm Hamlet 6pm Lionheart 4:30pm L,A, Story gpm The Russia 7pm L.A, Story 7pm Edward 7pm L,A. Story S:3Opm Hamlet House 9pm Hamlet Sclsoorhands 9pm Hamlet 9pm Lionheart 11:aOpm L.A. Story 11:30pm Llonhearl gpm L.A. Story 11:~lpm Run 11pm L,A, Story 11pm Hamlet 2ff'/~264 Ch. 38 9S2 4444 Ch. 15 93/.0T/4 Ch. 38 832-3352 Ch, 24 27 28 Riverhead, NY 727-6300 Ch, 42 Lowiston, ME 783.2023 Ch, 1 Hudson/Stow, MA 808.568-9414 Ch. 42 Norwood, MA 617.769-7231 Ch, 42 Peabody, MA 508.531-5725 Ch, 42 Braintree, MA 617-848-2353 Ch. 42 29 30 31 Acton/Maynard/ Sudbury, MA 508-897-2293 Ch. 42 Lexington, MA 617-862-6585 Ch. 26A Leominster, MA: Fitchburg Areas 508.534-3101 Ch, 42 Gardner Areas 508.632-8686 Ch, 42 A4 August 1991 FORM NO. 1 ttt_?~(!~,l~ ~' TOWN OF SOUTHOLD ~ ,A,,~ BUILDING DEPARTMENT TOWN HALL ,, ~ 1~'} 2 9 I:: '; SOUTHOLD, N.Y. 11971 j ~\/ ' TEL.: 765-1802 Examined[...~.2j/ ......... 19 .?.'~ Approved .... .~..~. , 19f.~:. Permit No..~..Sff'/ .~-. Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... .~'3 SETS OF PLANS . . /,c~l~cK .................... SEPTIC ~OR~ .............. a. This application must be completely filled in by Wpewriter 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 streets o} 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 tiffs 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 w6rk. 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 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 in.spcqetions. (Signature of applicant, or na~e, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... i,~'. ..... ~ ~ "W~~ Name of owner of premises ~ {~ f~ ~h ~/~. ~. ..~~' ~ .................................... r~:~: .... *' ~'BY:' ',~'/' ' (as on the tax roll or latest ~ 8~ LO NG DEPARTMENT AT If applicant is a corporation, signature of duly authorized officer. 765-1802 9"AM ~ 4 PM FOR THE OLLOW~NG NSPECT ONS. 1. FOUNDATION - "~O REQUIRED (Name and ................... 0CC~PANCY 0R ~o..ou.~a CO.C.UTE - title of co~orate officer) ~7~.' USE ~S ~JN[A~FU[ z ROUGH - FRA~IN¢,~, &, PLUMBING. Builder's License No. O ~¢~'b 3. ~,SU/Atff~N' ................... ~{~HOUT CERTIHCATE 4, ~ .. "c~s~'au~ ~UST Humber's License No. OF OCCUPANCY ~E co~L~*~'oR O.D. ........................ ALL CO~STEUGT. O~ THE REQUIREMENTS '~ Off Electrician's License No ....................... STATE CONSTRUCT ON Other Trade's License No ...................... CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be'done .......................................... ~.'. .......... ....................................... House Number Street Hamlet County Tax MapNo. 1000 Section ...~.~ ........ Black ...... ~ ........... Lot..~ ............... Subdivision ..................................... Filed Map No ............... Lot .. (Name) 2. State existing use and occupancy of premises and intended use anU occupancy of proposed construction: b. Intended use and occupancy ...... ' ......... ., ': 3. Nature of work (check which a~plicable): New Building .......... Addition ~. ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost l~/.~..~..0 ....~_ ~.~.~ .~.~? (Description) ~ (to be paid on filing this application) 5 If dwelling number of ' ' ' · , dwelling ~:mts ............... Number of dwelling units on each floor ................ If garage number of cars If bumness, commerc,al or m~xed occupancy; specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ............... Rear .............. Depth ............. Height ............... Numlber of Stories ........................................................ Dimensions of same structure wilth alterations or additions: Front Depth .' Height ................. Rear .................. .................................... Number of Stories ............. ~, ...... 8. Dm~ensmns of entire new construction: Front ............... Rear ............... Depth ............... Height Number of Stories 9. Sizeoflot: Front ........... i ........... Rear ...................... Depth ................... 10. Date of Purchase ' ' ' ' N of Form Owner 11 Zo ditri tin hichp mi sit ated .... · ne or use s c w re sesare u ................................................ 12. D°es proposed construction violate any zoning law, ordinance or regulation:' 13. Will lot be regraded i ................................ ............................ Will excess fill be removed from premises: Yes,oregaNo 14. Name of Owner of premises ... i .. ..........'... Address ~..-~cg, J ~f./F~..~..~. Phone No./,.7/~.~.~/f~. . Name of Architect ......... I .......... Address ....L~.~.~.~.. / ~..g'~ M.'/... Phone No. Name of Contractor ..... '... i!ii .... .............. Address ......... ././~.d.~.~.... Phone No ................ 15. Is this property within 3~0. feet of a tidal wetland? ~Yes ........ No ......... *If yes, Southold T~wn Trustees Permit may be required. ... i PLOT DIAGRAM' Locate clearly and distinctly 'all buildings, whether existing or proposed, and~ 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. - STATE Or couxyrv [rx. · ..Ch~'[~.. ~ [.[.~?~ ~q~. ............ being duly sworn, deposes and says that he is the applicant (Name of individual signing {ontract) ~bove named. Ie is the ................... ~~ ~ ........................................................ i (Contractor, agent, corporate officer, etc.) f smd owner or owners, ~d m duly a[uthorized to perform or have perfo~ed the said work and to m~e ~d file this :pplication; that all statements contained M this application are true to the best of his knowledge and belief; and that the york will be performed in the manner s~t forth in the application filed therewith. ;worn to before me thisc t ~ ' ~ ' ........... ~ ...... day ~..~ ~..~.~~..., 19 .~.~ 4°ta' PubliC~~ · .~ ~~ ~unty ~ - . tzJl,. ........... - Ou~l~l~ In 8u~k C0u~ ~D ~ ' --~(Sig~ture of applicant) ~mmi~lon ~lre~ D~m~r