HomeMy WebLinkAbout20108-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22645
Date OCTOBER 8~ 1993
THIS CERTIFIES that the building
Location of Property 230 EAST ROAD
House No.
County Tax Map No. 1000 Section 106
Subdivision
ALTERATION
Block 3
Filed Map No.
MATTITUCK ~ N.Y.
Street
Lot 4
Lot No..
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 26~ 1991 pursuant to which
Building Permit No. 20108-Z dated AUGUST 26~ 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 ALTERATIONS TO EXISTING PORCH ADDITION (NON-HEATED)
AS APPLIED FOR.
The certificate is issued to
CLEO P. TSOUNIS
(owner}
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
I~OB, M NO. it
TOWN OF SOUTHOLD
BUILDING D£PABTM[NT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PEItMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N 20108 Z
............... ~, .... Block ...................... Lot No.
County Tax Map No. I000 Section ./...~.. ~ . .,.~... ................
/
pursuant to application dated ..... ~./.,....~. .................................... , 19..?.~..., and approved by the
/
Building Inspector.
Fee . ..~/~
Building ~,c¢or ''
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
' AiOPLICATION FOR CERTIFICATE OF OCCUPANCY
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 of all buildings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-dlsposal(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/lO.of 1% lead.
5. Commercial building, industrial building, mul'tipie 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..
B. 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 appii, cant.
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-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
New'Construction Old Or Pre existing Building
Location of Property.. .., ...............
House No, Street Hamlet
Onwer °r Owners °f Pr°perty-..&~.~......~.~..P..~..~C~ .....................................
county Tax Zap No I000, Section,../.CP..~...nlock ..... ~. ........ Lot..~,.~.. ..............
Subdivision. . .
· - Map ............ Lot ....
Permit No Date Of Permit
............... · ............. Applicant .............................
!{ealth Dept. Approval ....................... Uaderwriters Approval
?lanni g rd Appr al
%equest for: Temporary Certificate ........... Final Certicate ....
Fee Submitted: $..~.~ ....................... .
..... ... ....
APPLICANT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING
[ ] FINAL
REMARKS:
DATE ~ //// INSPECTOR
FOUNDATION (1st)
FOUNDATIOn,;
2.
ROUGH FRAME &
,PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
f2nd)
FI;;AL
ADDITIONA'L
COMMENTS:
· INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
SCOTT L. HARRIS, Supe~vis0~
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
Date: August 22, 1991
TO:
Cleo P. Tsounis
190 Central Drive
Mattituck, N.Y. 11952
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance - CHAP. i00
Other Applicable Laws, Ordinances or Regulations
at premises hereinafter described in that:
A PORCH IS BEING CONSTRUCED WITHOUT A BUILDING PERMIT
In violation of ARTICLE XXVIII CHAP. 100-281
YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the
law and remedy the conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers
are situated at:230 EAST ROAD, MATTITUCK, COUNTY OF
SUFFOLK, STATE OF NEW YORK
SUFFOLK COUNTY TAX MAP $1000-106-03-04
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
VINCEW~ R~ WIECZOREYJ
ORDINANCE INSPECTOR
FORM NO. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date
TO .............. C C'L¢'¢): ................ /O. ~l ~.,dq ........ .k...((:)...~. .....................
(owner or authorized agent of owner)
........ ~...¢r..~...L ~.u.....q..~.C:..~..,,k,.(:...Y..~..../.L.¢..~
· (address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance
Other Applicable Lows, Ordinances'or Regulations ............................................
/
at premises hereinafter described in that ..................
(state character of violation)
~..~..~..~.~..~.~...~ ....... ~..~....t...~L.~.~..L ........ ~......tS..~..L~.~)..L~..(2 ...... ~.~.~:.~..(...r .......
(State section or paragraph of applicable Iow, ordinance or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the Iow and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
~,~..~..~.Z..~..c.).~.~:)) ..~.~'~T I'q~.L.!.C/%'.~ ...... County of Suffolk, New York·
S~FOLK CO~ T~ ~ ~ /~ ~/~)~' ~) ~/
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of Iow
may constitute an offense punishable by fine or imprisonment or both·
..B,~.,I~ g Inspector
~ . ~INSPECTORS
Victor Lessard
Principal Building Inspector
Curtis Horton
Senior Building Inspector
Thomas Fisher
Building Inspector
Gary Fish
Building Inspector
Vincent R. Wieczorek
Ordinance Inspector
Robert Fisher
Assistant Fire Inspector
Telephone (516) 765-1802
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
SCOTT L. HARRIS, Supervisor
Southold Town Hall
P.O. Box 1179, 53095 Main Road
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
Date: August 22, 1991
TO:
Cleo P. Tsounis
190 Central Drive
Mattituck, N.Y. 11952
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance - CHAP. 100
Other Applicable Laws, Ordinances or Regulations
at premises hereinafter described in that:
A PORCH IS BEING CONSTRUCED WITHOUT A BUILDING PERMIT
In violation of ARTICLE ~2~VIII CHAP. 100-281
YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the
law and remedy the conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers
are situated at:230 EAST ROAD, MATTITUCK, COUNTY OF
SUFFOLK, STATE OF NEW YORK
SUFFOLK COUNTY TAX MAP #1000-106-03-04
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
VINCENT R. WIECZOREK
ORDINANCE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
765-~.802
LDING DEPT.
INSPEC TION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] F/OUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
DAT£ ~?/~~/// INSPECTOR ~~ ~~
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined .g//~.~. ....... ,19
.......
Disapproved a/c .....................................
BOARD OF HEALTH .........
3 SETS OF PLANS ..........
SURVEY ...................
CllECK ....................
SEPTIC FORH ..............
NOTIPY
HAIL TO:
6 99t ,
1661
APPLICATION FOR BUILDING PERMIT
Dhte ......... : ........ , 19...
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
;ets 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
3r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
aation.
c. The work covered by this application may not be cbmmenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
;hall 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
;hall 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.
Fhe applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to
~dmit authorized inspectors on premises and in building for necessary/i~/~ections..~, ~
-- (Signatu~re of applicant, or name, if a corporati, o.n) ,
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
...................... .o. .................................. - ........................
Name of owner of premises ..........................................................................
(as on the t,ax roll or latest deed)
If applicant is a corporafio~,,fignatur'~ of duly authorized officer.
(Name ar/d title of corporate officer)
Builder's License No.. ~..~).. ~.~.{.~ ............
Plumber's License No ...... ~.~) ...............
Electrician's License No .... ~..~ ................
Other Trade's License No...~..~ ................
Location of lan~ on which proposed work will be done...~.~..0 ......... ~' fl. ~q ~...~ ~. ) i., ..~...~./]~ ~2 t~ / .... ~./~.) ...............
House Nmnber Street Hamlet
County Tax Map No. 1000 Section .... ~.~ ......... Block ~ Lot...~..
Subdivision ..................................... Filed Map, No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ....~f/,/,/,/<<~.....~.~./..~.....~.~,.,p.-"~,~.. ..........................
b. Intended use and occupancy ... r~P-~.a~ ..... ', , ,~, :. ' 0 ........
__ % '~. , ,-.. ,.,;:,,~,,: ' .
3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ~
Repair .............. RemoVal .............. Demolition ............. ,: Other Work ..............
4 Estimated Cost /.~> i Fee ......................................
i (to be paid on filing this application)
5. If dwelhng, number of dwelling qnits ............... Number of dwelling units on each floor ................
If garage number of cars '
6. If business, commercial or mixed]occupancy, specify nature and extent of each type of use .....................
7. Dimensions of existing strncture ,if any: Front ............ Rear
, ''' · ............. Depth ...............
Height ............... Number of Stories ....................................................
Dimensions of same structure wi!h alterations or additions: Front ................. Rear ..................
Depth .... ;~ ~ ght ...................... Number of Stories ......................
8. Dimensions tire new constrqction: Front ............... Rear .............. Depth ..............
Height Number of Stories
9. Size of lot: Front ........... ii .......... Rear ...................... Deplh. ......................
I0. Date of Purchase ............ : ............... Name of Former Owner ...........................
.... hp ~f '
11. Zone or usedmtnctlnwhlc re lsesaresltuated....... ................ ............ :..'.,m>t..,~ · .........
12. Does proposed construction violalte any zoning law, ordinance or regulation: ......... J(.~,~5,
13. Will lot be regraded .......... ! .................. Will excess fill be removed from premises: Y~s No
14. Name of Owner of premises .... ! ................ Address ................... Phone No ..... ..
Name of Architect ........... I ................ Address ................... Phone No .......
Name of Contractor ~ Address Phone No
15. Is this property within 300 feet of a tidal wetland? *Yes ........ No .........
*If yes, Southold Tpwn Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all bu!ldings, whether existing or proposed, and. indicate all set-back dimen:
property lines. Give street and block n,umber or descriptioh according to deed, and show street names and indic
interior or corner lot.
¢,TATE OF NEW YORK,, ,-~ ,. ,,
.OUNTy OF ......... 'I
..................... ...........
(Name of individual signinl; contract)
bore named.
NOTIFY 8[/ILDI~G DEPAR~CA,d~I'~'T ,o
765-1802 9 AM TO 4 PM FOR TH
FOr. LOWING INSPECTIONS:
1. FOUNDATION TWO REQUIRE
FOR POURED CONCRETE '
2, ROUGH - FRAMING & PLUMBING
3, INSULATION
4. FINAL CONSTRUCTION MU~
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL ME
THE REQUIREMENTS OF THE N
STATE CONSTRUCTION & ENERI
CODES. NOT RESPONSIBLE
DESIGN OR CONSTRUCTION ERROI
~T
~T
Y.
iY
IS
:ions from
whether
being duly sworn, deposes and says that he is the applicant
{e is the .......................
(Contractor, agent, corporate officer, etc.)
f said owner or owners, and is duly uthorized to perform or have performed the said work and to make an,
pplication; that all statements contab ~d in this application are true to the best of his knowledge arid belief; an,
· 'ork will be performed, in the manner set forth in the application filed therewith.
.worn to before me this.< '~'~ ~.
..... . 19q
.... · ."
:otary Public ...... -: · · County /q/~ //~~"7~ '
I~. 4 (Signature of ~
file this
that the
pplicant)