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HomeMy WebLinkAbout20352-z~ORI~ NO. 4- TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southo]_d, N.Y. CERTIFICATE OF OCCUPANCY No Z-20432 Date DECEMBER 30, 1991 THIS CERTIFIES that the building ADDITION Location of Property 305 CAPTAIN KIDD DRIVE House No. Street County Tax Map No. 1000 Section 106 Block 5 Subdivision CAPTAIN KIDD ESTS. Filed Map No. I672 MATTITUCK~ N.Y. Hamlet Lot 4 Lot No. 192 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 29, 1988 pursuant to which Building Permit No. 20352-Z dated DECEMBER 27, 1991 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 (AS BUILT) The certificate is issued to VASILIOS LAMBIRIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~or Rev. 1/81 ~vO~V NO. ~ TOWN Of: $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-" 20352 Z Dote..~ ................ ~Z ~ ............... , ~9..~/ Permission is hereby granted ...... to~/~.~.~.., .~....~ ,o ..... ~..~.~..~.~.~~ ........... ~~ .......................... et premises located at ...,,,.,~:~~~ ...... ~~~~ ....... .................................... ~.......~....~~.~...~ ............................. ~..~ ~x ~ No. ,o0o ~.~,,o. ...... 4.~ ...... ~,~ ...... ~ ........ ~o, No ..... .~ ............. punuont to appllcotlon dot~ ............... Building Inspector. Re~ 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and Submitted m ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposel-(S-9 form or equal). . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar bui'ldings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. §. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3, Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25 . 00 ALTERATION $25.00 1. Certificate of occupanc¥ New Dwelling~$25:O0, Accessory.,,$10.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 ..00 5.Updated C.O. $ 50 O0 Date ''~ ' .... New C on s t r u c t i o n ~.~..~, . Old or Pre-ex Jsting 8u Hding ............ Vacant Land ............ · .~'0~ · -ocatonofProperW .~. ~F~iPTF{C~-~ k~lOO .~..ICtE Hou~ No. Street Ham/et Owner or Owners of Property . .. . .. County Tax Map No. 1000 Section .... /,0,~ Block -~ ............... Lot · .. C~.~,,~ ~,~ E~-r~r~ . Subdivision ................................. FHed Map No. · ~ ~2,-....Lot No .... ~ ....... Perm it N °'A~/'Z~"~/~te o f Perm it ~. ~.~.~p ~can, .... IZ...~..~: .... Health Dept. Approval ...... · -~. · · ~/,- ~... .Labor Dept Approval ..... ............ Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ..... ~ ........ eeSubm tted$.. i ...... Construction on above described building and permit me.ets all applicable codes and regulations. R,. 10.10.7, Applicant...¥A-~./~. J .~ 5...~~ ................ KOSTAS T. GOLFINOPOULOS AITORNEY AT LAW 34-26 STEINWAY STREET ASTORIA, NEW YORK '1 '1 '101 PHONE 7'18~472-1212 December 19, 1991 Mr. Curtis Hurton Building Department Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 RE: 235 CAPTAIN KIDD DR. MATTITUCK, N.Y. Dear Mr. Hurton: Pursuant to our telephone conversation of December 17, 1991, you stated that before a Certificate of Occupancy is issued for the above referenced premises, three checks payable to the order of "TOWN OF SOUTHOLD" must be received. Therefore, enclosed please find said checks. tf you have any questions with respect to the foregoing, please do not hesitate to contact me. Thanking you in advance for your kind cooperation in this matter, I remain, Very truly yours, ~OSTAS T. GOLFINOPOULOS KTG:mv Enclosures FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1302 Examined ................ , 19 ... Approved 7., 19 ?/Pcrmit No. Y. _7 Disapproved a/c ..................................... BOARD OF HEALTH 3 SETS OF PLANS SURVEY CHECK ''ORMF ' ' SEPTIC .. . .. NOTIFY CALL MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 2 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 street, or areas, and o' ' o ,,~vm~ a detailed description of 1/~yout of property must be drawn on the diagram which is part of tiffs appl5 cat,on. e. The work covered by tiffs application may not be commenced before issuance of Building Permit. d. Upon approval of this application the Building Inspector w/Il issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu~out the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc3 shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depm-tment for the issuance of a Building Permit pursuant to thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinances or Regulations, for the construction of buildings, a.d, ditions 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/ ~ (Si~,nature ot ap~pli~c_ a~nt, or ~?/~, ,/l,f~corpdr~tlc~n')' ' ' ...... :.. .......... · . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... 'V lS L..-tO.q L q .Cstr'ct. I ....... Name of owner o remises .... . .......................................... (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.. ~ ¢ ~- & 9- Plumber's License No ......................... E ectrician's License No.../v'?...2., .~. ?. ] ~. F... 7. ~ V ~, /~0 K. OS ~¢ Other Trade's License No ...................... Locatiq. n of land on which proposed work will be done ......................................... House Number Street Hamlet County Tax Map No. 1000 Section ......... [.0..~. ..... Block ..... 2.~ Lot.. Ql Subdivision ..................... .~.t~..OIW I<dOO 6SW~tq,.g~ ....... FiledMapNo [(9~Z Lot I ~2~ (Name) State existing use and occupancy of prenffses and intended use and occupancy o['proposed construction: a. Existing 3. Nature of xv. ork.(check ~vhich !applicable): New Building ~ YE,-q -' Repair .. ~ . Removal .......... °D;~ 'liti '2'' Addition .......... Alteratmn ..... ¢..ca. ca. '..,4' 4. Estimate'd Cost .. · .... · ..............Fee .............................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling Units on each floor.. If garage, nnmber of cars . i ............. 6 If business commercial or mixed occupancy specify .............................................. · ' , nature and extent of each type of use . 7 Dimensions ..... ~fany: F .................... · of exmt ~g stn~ctulres rent Rear Height Nt~mlJer of Stories ............... ......... ' ..... Depth .......... Dimensions of same structure Mth alterations (~r' ..................................................... . additions: Front Depth ! IIeight ................. Rear ................. ...................... . ....... Number of Stories · unenmons of ent,re new con,traction: Front Rear .............................. Depth Iteight Number of Stories Size ............... ~ ....................................................... oflot: Front ....... : ............ Rear Date of Purchase ...................... Depth . . .... Z di [ } ....... r ................... Name of Former Owner ........................ P it .... one or use stric n which remises are s Uated ..................................... Does proposed construction violate any zcmlnw ~ ........ , Will I t b d : . - ..... o ,aw, ormnance or regulanon ............................... o e regrade ..... ' ' ' ' i ................... Will excess fill be removed from premises' Yes fA hit ~ lone mo .............. Name o rc ect ........ ~ ......... Add " N f C ......... ress ................... Phone No ......... amc o ontractor ....... i ........ ' ...... Add Ph N · 15.Is this property loclated within 300 feet of a tidal wetland? ~¥ES .... 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 property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot.. 10. 11. "12. 13. 14. STATE OF NEWdr~RK~'~ COUNTY pI~'... ,~?,.,k.'~.. / .~. S.S ........ 3..c,. x. 5. .... (Name of individual signing contract) above named. ' ..v2._..ff.. ' fle is the ..................... i ............................... i (Contractor, agent, Corporate officer, etc.) of said owner or owners, and is duiy author/zed to perform or llave performed the said application; that all statements contiained in this application are true to tile best ofliis knm being duly sworn, deposes work will be perl'onned in tile manner set forth in the application filed therewith. Sworn to before me this I' Commission Expirs~ Decs~mber 8, 9 says that he is the applicant >rk and to make and file tliis zledge and belief; and that the