HomeMy WebLinkAbout18169-z
~ ~ FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18076 Date JUNE 5, 1989
THIS CERTIFIES that the building ADDITION
Location of Property 395 INLET DRIVE MATTITUCK NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 2 Lot 21
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 19, 1989 pursuant to which
Building Permit No. 18169-Z dated JUNE 5, 1989
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 ON EXISTING ONE FAMILY DWELLING AS APFLrun FOR
The certificate is issued to EFEYENIA MATSIS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
UV'v'YL~ OC.- ~ d~-l~t~~tJ _
Building ~spector
Rev. 1/81
roan rta s
TOWN OF SOUTHOLD
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 ° g U ~ Z Date 19.~/..
Permission is hereby~granted to:
s-...~'.-.~a..-c....~.....~z.°~.....~~!~~~.~`. ~p~.~.-........tea: ....a.~:~......
~
at premises located at
County Tax Map No. 1000 Section ......!9..14....... Block Lot No........
pursuant to application doted .......:-:~~1~ 19.~.~ and approved by the
Building Inspector.
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Fee `.X
.
wilding 1 for
Rev. 6/30/80
A
' t D ¢i /i! TOWN OP SOUTHOLD
L5 UILDING DEPARTSIENT
TOWN HALL
SOUTIIOLD, NEW YORK 11971
TOWNO SOU7HOLD 765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY q./ cl~
DATE..6I~~4,Y..1.1~,L IO
NEW CONSTRUCTION _ ~".,/,OLD OR PRE-E%ISTING IIUILDING......VACANT LAND....._..
Location of Property.."Z.,~~,-F~~-;~F ~~jUF _ _~y~'~'~'~~-~~_~.~
ROUSE N0.
II~~ STREET HAMLET
Owner or Owners of Property.l;~~,~~~jd~ _,.~.j.bQ-TS4S,,,,..
County Taa Map No. 1000 Section f~~.. Block ...°2. a~f_
Lot....
Subdivision Filed MggaP ...._...Lot.........,
Permit No. ~O,~f~?~,~ ,Date of PermiC ~~5~,/,,,,A
/ ''nn PPlicant ..........p.~./.......
Health Dept. Approval Underwriters Approval... ~E(
Planning Board Approval
Request for Temporary Certificate
Final Certificate
Pee Submitted: ®c~.I%
~ ~ a ^
APPLICANT ;
!YVt°''~ _ _ .~f~I 1•J•' • . •
IT~.Y.~ • J 7 7 ~
Co ~i~a~G
rev, 10/14/88
Y
~F• '
FORM N0. 6
~ - p
;•h
I TOWN OF SOUTHOLD ~ ;
BIIILDING DEPARTMENT
TOWN HALL
' 765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS
A. 'This application must b~ filed in typewriter OR ink and submitted to Che Building
Inspector with the follgwing; for new buildings or new use:
1. Final survey of prop~rty with accurate location of all buildings, property lines,
streets, and unusual'Inatural or topographic features.
2. Final approval of Heglth 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 solder used in system contains less
than 2/10 of 1Z leadJ
5. Commercial buildings; industrial buildings, multiple residences and similar.
buildings and installations, a certificate of code compliance from the Architect'
or Engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For eaisting 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, buildings and
unusual natural or topographic features.
2. A properly completedlapplication, a consent Co inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Oiccupancy is denied, the Building Inspector shall state the
' reasons therefor in writing to the applicant.
3. Date of any housing code or safety inspection of. buildings or premises, or other
pertinent informatiod required to prepare a certificate.
C. For Vacant Land Certificate of Occupancy:
1. An application for vacant land Certificate of Occupancy shall be submitted,
and a certified abstract of title issued by a title company showing single and
separate ownership of~the entire lot prior to April 9, 1957 shall also accompany
the application. If a Certificate of Occupancy is denied, the Building Inspector
shall state the reasoj~s therefor in writing to the applicant.
D. FEES:
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00,
Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy on pre-existing dwelling - $100.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacant Land Certi€icate of Occupancy - $20.00
S. IIpdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy - $25.00 Residential
i $50.00 Commercial
I APPLICATION ON BACK
i
I
re°- 10/14 /S8 ~i
FORM 1V0. 5
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
ORDER TO REMEDY VIOLATION
Date ...FEB.:....~.~.~ 1989...
EFEYENIA MATSIS
9 STEPHEN CHIOTIS
TO °
(owner or authorized agent of owner)
2130 NE 32 Court
..........1+.i.gh.zh.o.us.e..R.k.,...F..l......3 x.0.6.4
(address of owner or authorized agent of owner)
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance CHAP 100
Other Applicable Laws, Ordinances~or Regulations
at premises hereinafter described in that A deck addition was constructed in
(state character of violation)
the front yard without first obtaining a Building Permit from
.........the„Bui,ld,i,nS...FnsB.€S.t.Rr
in violation of ..ART: XXVIII, ]00-281 .
(State section or paragraph of applicable law, ordinonce or regulation)
YOU ARE THEREFORE DIRECTED AND ORDERED to comply wish the law and to remedy the
conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers are situated at
435 Inlet Drive, attituck, County of Suffolk, New York.
SUFFOLR COUNTY TAX MAP 1000- 106-2-2 1
Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law
may constitute an offense punishable by fine or imprisonment or both.
..U..... ~
Building Inspec or
VINCENT R. WIECZOREK
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BOARD OF HEALTH
D ~ 3 SETS OF PLANS .
FORM NO. t RVE
OWN OF SOUTHOLD CE •
ILDING DEPARTMENT SEPTIC PORPf
TOWN HALL
~OF$p OUTHOLD, N.Y. 11D71 NOTIFY
- qq I1fMOld TEL.: 765-1802 CALL
C•xamincd .6~ ~1......., 19... MA~,JIL T0: • • • . -
/ q ~ ~~f
.\pProved 19 ...Permit No..~~~t?
Disapproved a/c ~G
(Boil g Inspector)
APPLICATION FOR BUILDING PERMIT
Date ...................15...
INSTRUCTIONS
a. Tltis application must be completely filled in by typewriter 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
or 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 this application may not be commenced before issuance of Building Permit.
d. Upon approval of t]tis 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 work.
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 Petmit pursuant to the
Building Zone Ordinance oft pin of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Rcculations, fo~~ 1Y@ buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees,~t~~ompl wit a~T~9:plicab'le laws, ordinances, building code, housing code, and regulations, and to
admit aut#eerixet2'f}i'S ors on premises a m building for necessary inspections.
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- "~Y G~}'glPJr~GS~ F'lt r~.`4~ . • • • •
ANY ~ , qit MA ~ SR3lt 4'j"" (Signature of applicant, or name, if a corporation)
r'',MC}IT.7~"~I'~~t;7WiY7{'4,SS~rI /'WL~ ~~/'Ifs
Nr:nYAUYltk.1~ c /h~Ti /'-4Crs(
• ~p~;tut(1~1!l3ti[.i<'f~~j~ (Mailing address of applicant)
t3c74tCyt~
Obtllld,3U,39, ib i~MtP
Stale whether applicant is'owtMv'P~ e~see' a4ent, architect, engineer, general contractor, electrician, plumber or builder.
r9I^ ,
73~r/t 1.f+\N2 ;nt)il tS'? =•V?il: r , .
Name of oy+lger~'4Pr%SltisrE'~41~~'.~i~Ei,l~~/~ y1~1,~~1s ...~...'~r
`7 ~"FI! a~l~' .
.f.~~~ul~f VfS~U'~:1PaT("^~'~' (as on the tax roll or latest deed)
If applicar~ is ~,c~~at~o~„stgaature of duly authorized officer.
;'Ni
(Name and title of corporate officer) ®CCUPANCY OR
Builder's License No. • • • • • • • • • U~E 1S UNLAWFUL
Plumber's License No. • iTHOUT CERTlF~CATE
Electrician's License No. f .
Other Trade's License No. • • • • • OF OCCUPANCY
1. Location of land on which proposed work will be done. .
l rv't•-~"5'_ 1~~ ...........1'V1 ~-'f'f'r 1
to CL~j.. : ~o.~ .
t{ouse Number / Street. Hamlet
County Tax flap No. 1000 SeCIIOn • BI'ock , • • • • • , , Lot • , , , • • , •
Subdivision Filed Alap No. Lot .
(Name)
State existing use and occupancy of prem[is~es~,an~d. iyn~tended use and occupancy of proposed construction:
a. Existing use and occupancy ........t-.'~...-r.` d• .....................................:.'.ry..........~,
b. Intended use and occupancy ~ •1• • • • • • • • • • '':'r`C
3• Ret yi of work check which' 1•' ~ ~a. , ,
( aPPlicable): New, Building •
P Removal . ~`d"ili'tion . t . tcration' .
, . Dcmolitiop, :i,(,i„~~ a.~thd~ rk .
I ; 4 ! .
4. Estimated Cost c,° , , (Description)
Free . Yrl°".'y
a~'TSY~ .
' , E 'l'ad ~an~` .
5. If dtvclling, umber of dwclli ~ ~..•(to hc'p`~d on fllrTg"' his application)
n r~g units ,
If garage, number of cars r---- ~ • ' ' ' ' • ' Number of Uwclling units on each floor , , , , • • • •
v~
6. if business, commercial or miffed occupancy, specify nat~ ar~d extent of each type of use ,
/ ~ d structu'
7. Dimensions of •cistin~ res, if any: Front , , t~`7Jw
Height !cr'........ Nu!mber of Stories , •G"". ' Rear Depth
Dimensions of s~mc structure }vith alterations or add' ~ ~ • ~ ~ ~ • • ' ' ' ' ' ' ' ' ' ' '
Depth tv , ! yttgrts: Front .....-~.~.Q . `r.... Rear . . .
. _ _ Flcight l~
••.7.•!`••t••..•.N r.........NumbcrofStorics...,,,C?+;';4„
8. H`mjt~stons of enttrc new construction: Front , ~ i r • • .
• ~ f Rear . /.d .Depth
9. Size of lo[: Front . 1"~D ,1~~~ r of Stories .........1%~+~;-~'r , • . • ~•,y ' ' ^ • • • • • • • • .
10. Date of Purchase ...~.~~'1 .L ' Rear ;a-...... Dep C .
1 ] . Zone or use district in which ~ ' ' ~ ' ' ' ' ' ' ' ' • •Namc of I'ormcr Owner ~ ~ • ~ • ~ '
~ r
pcmisesaresituated„
1... Does proposed construcUOn v' 'late any zonin law, ' ' ' ' ' ' ' ' • • • • '
g ordinance or regulation: ,
13. Nill lot be regraded ~ • • ,
' Will excess fill be rcmovrri frn_ • • • ~ • ' ~ • • ' '
14. Name of Owner of premises . ~',~.~y~f>~, Yr1 -m premt..e_. Ycs FJo
Name of Architect / • ' ' • • • A~Ic dress J it/L ,~i, , PRi t/s' . , • Phone No. .
Name of Contractor ~ .................Address ...................Phone No.............. .
15.Is this property located within X00 feetsof a tidal wetland?n*YES....NO....
*If yes, Southold Towp Trustees Permit may be required. r~ •
PLOT DIAGRAM
_ Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from
property Bnes. Give street and block!number or description according to decd, and show street names and indicate whether
interior ar corner lot. !
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GATIE: eN.R N ~6
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T~ ~ C~~M~~
!i, ~1VS ( r ~ 798.1 9 AM 'Ip 4 F+M FOR THE
/ INO IN8PECTNDNB:
• ~ '••~-o v. S' D 1. F NDATION fyyip R
I, POUREd CONCRE?E
' 2. RO GH FRAMING R F+L(IM~NQ
j J j ~'I 8, INS LATION
• CONSTR
~ p x K ' 4. FIN I. UCTFON MUSsT
~ 1 BE AMPIETE FOR C.O.
~ i NSTRUCTION SHALL MEET
1 ~ PO H 'THE REnU1REMENTS OF THE N.Y.
STATE CONSTRUCTION 8 ENERGY
1 DoT CQOES. NOT RESPONSISLtE FOR
~ r ?!'SIGN pR CONSTRUCTION ERROR$
1
F ~ ~ ,
ST.1TL•OF\ElVYOfZL,'• ~
COUNT ~
e~.a,.....~1 '.7.`S.i......... .
(Namc of individual sip " ~ • ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant
PP ~ contract)
'~,abovc named. 9
~ilc is ttte .
' .•,•.....'^•.^'.'•....•,•..•(Contractor,agent,corporatcofficcr,cfcj•~•~~~•~•~~•••••"""'
~f said otvner or owners, and is duly authorized to perform or have performed the said work and to make and file this
tPPlication; that all statements contained in this application arc true to Ute•bes[ of his knowledge and belief; and that the
work Will be perfotTncd in the manner se,t forth in the application filed therewith.
'~wom to before me this '
~ /9 •
_ / ...........day of ..~j~....... , 19 `.~l
~~otary~Public,/~~~G-~~.h ~.•.~~~~ap~e~9(/ `,J. County~/ •
~p~FAAF1~,'+'~'S~8cti.V'mdtf` % ~F~-C$ 1 S
Ne• ,r;t~.°''3~'t~ ! (Signature of applicanq
t,.