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HomeMy WebLinkAbout19836-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20401 Date DECEMBER 10, 1991 THIS CERTIFIES that the building ADDITION Location of Property 50 LINDA RD. & 2225 CENTRAL DR. MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Biock 1 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1991 pursuant to which Rui.lding Permit No. 19836-Z dated MAY 3, 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 SCREENED PdRCH ADDITION TO E%ISTING ONE FAMILY DWELLING The certificate is issued to CHRISTOS KATOS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 FOEM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N° 1 9 8 3 Z Date ....:L:1,/...~ 19.~/ Permission is hereby anted to: _ J~ .~,....~1..% ~ l.~ . ~ ~XJw, r ...~.~t~ at premises located ot ........~.P.......~l~e/~9r........ ~.2...~.:~~~~~~.~~...<I..:................................................................. County Tox Map No. 1000 Section .........~Q...Ga.... Block ..........1......... Lot No......./...~......... pursuant to application dated 19. and approved by the Building I/nspector. Fee $>~~i~ sLG.r uildl Inspector Rev. 6/30/80 91~ ~w ~ ~ Forin No. 6 ~ ? ' • ' U ~n ti~d~/ TOWN OT SOUTIIOLD ~ Cl ~ ~ ~ 2G BUILDING DEPARTMENT (1~V` TOWN HALL ~ `r 765-1802 t~ APPLICATION POR 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 19 lead. S. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from arctii:ect 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: ° 1. 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to duelling $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 - Residentia/l~ $15/.00, Commercial $15.00 Date W..4~-t. 9~ ew Construction...Y/...... Old Or Pre-existing Building ocation of Property.....>~.C~ ..............~~..)n1l~A 1:EBr~.........'~~?:''H L~°2~Zr~w.. House No. Street Hamlet awer or Owners of Property...-; `!~;1;iS~vS... ~r~~(~.5 . . . • . aunty Tax Map No 1000, Section...~.4.~,,,,, ~ .Block..... .Lot.. ~bdivision...., qq ...Filed Map........ .`Lot...................... ermit No.l.l~~~~,,,,,,Date Of Permit..y~L~~9,),,,,Applicant.:~t~~t:!';f'~~1,!\~,,,,,,,.., :alth Dept. Approval....,,, //,,,,Underwriters Approval..., anning Board Appraval.......J^,~ quest for: Tempor ry Certificate........... Final Certicate........... e Submitted: $..~„S:P.:~ C~~c~ `Ind ~'L r~~~~i . ~C1 ~ aU~U ~ . • APPLICANT INSPECTORS Victor Lessard i~i;l, Principal Building Inspector ,'jp~~,~~ -A Curtis Horton ~ ff , L~~, SCOTT L. HARRIS, Supervisor Senior Building Inspector ~ a 1;M - ' r.t r' , 5,~',, , ~ Southold Town Hall Thomas Fisher . G n , P.O. Box 1179, 53095 Main Road Building Inspector ;Z is ~ Gar Fiah v `.~'?n ~ <J•''",~i~ Southold, New York 11971 Building Inspector ~ ='4 ~`'dy~ Fax (516) 765-1823 Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector ,~an~e_" Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR ~ ~ r{ Telephone (516) 765-1802 TOWN OF SOUTHOLD NOVEMBER 25, 1991 r ) a. ~~r., ROBERT BORN BO% 55 PECONIC, NY 11958 REe CHRISTOS KATOS S WF • To Whom This May Concern: We are unable to complete your Certificate of Occupancy ' because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xxx 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 plumhing being issued after April 1, 1984). BUILDING PERMIT # 19836-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: CHRISTOS KATOS 6 WF INSPECTORS Victor Lessard i'i?(,;• Principal Building Inspector -%o i~"., -s,, ~ SCOTT L. HARRIS, Supervisor Curtis Horton ~ ~ ti.,,,: Senior Building Inspector ~ < - „ as <<, i ~ ~ Southold Town Hall Thomas Fishec ~ , .^r ~ P.O. Box 1179, 53095 Main Road Building Inspector ~ i ° ,•?±~y„/. ~'C~ri Southold, New York 11971 Gary Fish t - Fax (516) 765-1823 Building Inspector ~ ~ ';,f~ Vincent R. Wieczorek ~"'"-=~F`' Telephone (516) ?65-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD NOVEMBER 25, 1991 ROBERT BORN BO% 55 PECONIC, NY 11958 RE: CflRISTOS RATOS S WF To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. %3[% 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 # 19836-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: CHRISTOS KATOS 6 WF =1::LD II:SPEC7ION ~~UATE ~ i:Oh1MENT° ~ \ 7 ~ ~ H _ _ y FOUNDATION ( t s t ) m a` FOUNDATION (2nd) - v~, 2 . ~ z~ u ROUGH FRAME & ~ ~ ~Q. PLUMBING A' ti~ 3. ISJSULATION PER N. Y. y STATE ENERGY CODE x a 4 . ~'y y FI;JAL o z ADDITIONAL COMMENTS: x co ' x ro H \ 9 r, O z p, 1 N . ~ [~7 9 • r ra ^o H 765-1802 BUILDING DEPT. 1 NSPECTION [ ) FOUNDATION i5T [ ] ROUGH PLBG. [ ] FO NDATION 2ND [ ]INSULATION FRAMING [ ] FIN-A4L REMARKS: 4~_ ~-~rn~,,,_,,,,~ C I C E I ' DATE INSPECTOR f H ~!laWlo~ o PuD uo}~u!!loa,9M ~uol~ s p~o!aal~ ~,ll09 'n ' tiEoZ~~N •M Off, m p0•~6 v ~ f-" pall o .~~•bs 9g 60~ ~}0'1 m. ~ o ~ N O. ~1 el l ~ Ch ~ O. ~ c0 Q ~ ~ ~ io i4 ~ _ O ,9'el N ~ O' A ~ aPu~o} N ~o~f H m .e . ~ h C y N i M .a 'o P J' O i a p q V. O, 1~ ~ L2 O ~ti \ ~ ~ i ~ ~ 3„ Obi"21:~ n 0~ 5 d t ~d - - o F~ ~jj m 3 'I ' W N = G . N. N . ~ v v v Z W W W N i N D -!1 0 -I ~ nnr r F f-"0 ~ 0~0 m ~ ORl m cNz z -n m z ~ _ I C m _~m ~ <of O - - -Tn O p O~ A o~0 a m r i~~ ~ O 00 zaiz ° ~C® / O n -i _ D ~ m 0 ° ~ v 3 ' - c- O~ D O n n Z c1) ~ °n z v ~N o° ° ~ ozm a~ ~a Z z ~ C Z n .-I ~ rj °u m Z ` ~ ~ Z1 c ~ A'TI •P O Z m Z r- p ~ (n ooy c~soc~ ~ V W w D ~ t00 i>oo_mA oz?~ cyoz ~ oxsx c fTl~ <'< ~$$T~oapi s°s~ ~oUS b C sT ~ <DZ n~ 3° m ono z = ~y-d > 2: m ~ms oAO _ ~ f ,s 3,2 mw o D ~ ~ooooa m~~ ~a~ -F7 ~ /{'~if~,, ~ to O o z T N z o ^ a i m> m t~`1 ~ SA ~ - i~~~ig~ F ?n= m gmm~~ :A Sons Toy 7~ O < !z0 rn N ~iR > E o ~v r-~erns~. r o Hof ~ mm ~>~..:fm o .I c~~ O~ CcA o ~cz,o>~3i oZ~ ~Ss w `yo nn * npo A O-rt zc~oT> doh _ Qo t ~ PA'C Nm ~ ~ ~ Z O m Z m ~ ~ I . - . -J ' 60,1RD OF HEALTH FORM NO. 1 } SETS OF PL lyS . TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CIIECI: . . . . TOwN HALL serrzc road SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ttDT ~FY ; . ~ J~ CALL Examined ..J.. 3........., 199./. CC,~ G P L TO Approved !~/i~ , 19~. Permit No. ~(,~J~~ . . Disapproved a/c/ ~ ~ (B ildi e I pector) APR 241991 ~ i 1 APPLICATION FOR BUILDING PERMIT TCiVUid C~~ t;e:~tr~'~-';,,.;~~ Date . 19 . ~,.,._...~..,.-...W.~_,,..,. 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 ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 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 ,3uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or tegulations, 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 dmit authorized inspectors on premises and in building for necess insp ctions. (Signature of applicant, or name, if a corporation) (Mailing a ress of applicant) hate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Jame of owner of premises \.1~'t :-1 Tess , '~yS , (as on the ta~X roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ..r~. 7, . , , , , , Plumber's License No. ~ , , , , - , , , - , , Electrician's License No. ~ . Other Trade's License No . . Location of land on which proposed work will be done. ~ ~ , , . ~".y:/~ . House Number St//reet / Hamlet County Tax Map No. 1000 Section ~ U........ Block 4 Lat.f.7 Subdivision . Filed Ma No. Lot . P (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~ ~y~ 1 a. Existing use and occupancy .....4<.:. ~,~7 ~!?',1,~/ , , . b. Intended use and occupancy _ ~ ~a i 1 3. Nature of work (check whiRemo~licable): New Building Addition Alter ion . . Repair . , al . Demolition ~ . , .Other Wo~16~s ./~.p~~/~ q~ (Description) 4. Estimated Cost ~ , 5. If dwellin number of dwel[m u (to paid on flung this application) g> g nits....... , . Number of dwelling units on each floor . If garage, number of cars ......~I...... . 6. If business, commercial or mixed ,occupancy, specify nature and extent of each t ype of use , . imenstons of existin structures; , B ' if any: Front . Rear Depth . g Num b Dimensions of same structure wit er of Stories , , , , , , , , , , , , , , , , , • • • alterations or additions: Front .Rear . g ...............Numb,. Height , Number of Stories . Hepht .....................ction:Front............... Rear.,............. Depth 8. Dimensions of entire new constru,er of Stories . . . . . . • , , , • , , , , , , , , , , , . 9. Size of lot: Front i " " " " " " " " • p Rear Depth 10. Data of Purchase ............'i Name of Former Owner f.~~,~:.: Si j(, . 1 1, Zone or use district in which realises are situated , , , , , , , , , • , , , , , • , . 12. Does proposed construction viola~e any zoning law, ordinance or regulation: . Name of Architect Q ' ' ' Will excess fill be removed from premises: Yes of be regraded ~tr3~S Address . ..................Phone No. Vii, .Address ...................Phone No...........:... . 4 Name of Contractopr~ise ~~/i'• • •~~~L~r~Address ..~osY.:r,~, , . , ne No..Z ~?J-: ,1/.~, p . . 15. Is thi* property within 30 . If yes, Southold Too feet of a tidal wetland? eyes...... No.. wn Trustees Permit may be required. j 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 n tuber or description according to deed, and show street names and indicate whether 'interior or corner lot. ~ ~~~G~~~~ ~ t ~l ~7~ , - ~s ~ ~ t~~. <<e ~ J ~ ~ ~ ~ ~ ~ ' , I, ;TATE OF NEW YO~I~ ' ~ ~ l7 ~ -OUNTY OF . • • S S ' ' ' ~ • • • • ~ • • • • • • • , . being duly sworn, deposes and says that he is the applicant (Name,of individual signing contract) hove named. e is the ~~.v,?;~Y;~ c~!'V, , , , . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~plication; that aH statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. Nom to beforegqme this ..........n5.'~"~'" . .day q~.. w~... 19 . t,/~... ' otary Public, s~~~ • .Count ROBERT 1. SCOTT, JR. . . NOiARIf P~UBLISte~ of N.. . ig47ExpIres~Y~~+P z (Signature of applicant) tloJ , i i i i i FEE. DATE: p gV: NOTIFY 8 IIL !NG DEPA NT AT 765-i£3C1 AM TO 4 PM FOR THE FOLLl~ti9~I~~C'!NSPcCTI ~REOUIRED V~` t. Fo_i;v~~aTtaN v FCt+< POURED CONCRETPLUMBING ~ ^~+~~~~0'y j 2. RO':4s,~ - fRAMIN(~ a ~ ~ `p@[~`„ 3.INSttiJ>TION NMUST ` ~ 4. BE COMPLETE FOR C•U'O ~ V ALL CONSTRUCTION SHALL MEET v THE N.Y. '(HE REOUIREMEIR ON & ENERGY t ~ i STATE CONSTR ~pONSIBLE FOR ~ ; "E . , ' 'P ` U~ ~~V i O~~ES. NOT VON ERRORS e ~4~~ DESIGN OR CONSTR ~l/ p) ~ ~ X772 / ~ ~ C, ~i i ~ i f t ~ i ' L~ ~ , . *4 Out'' ~r r i. _ \ ~ ' : ~ I ~Di} s} ~ ~ - r ~ i ~ y~ ~ _ ~ k~ ~ ` ~ Y ~g 3 _ ~ ru ~ - ~ t ~ Z fl~iw~ 2~~ f ' - i ~ -5 .,ate-.....- ~ r ~ \ ` _,y ~ 6{a_..:~.~- ~ ~ f { it ~ ~/~...S ~ I!{ fit'. ! a~ 1 ' y ' t : F. ~ ~ k' ~ C ~ v to G k° t.-`f ~1 ~ x' "r J c _____________~W~ _