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