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HomeMy WebLinkAbout17352-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17385 Date OCTOBER 7, 1988 THIS CERTIFIES that the building ACCESSORY POOL Location of Property 295 RHODA ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block O1 Lot Il SubdivisionM/O CAPTAIN KIDD ESTFi1ed Map No. 1672 Lot No. I67 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15, 1988 pursuant to which Building Permit No. 17352-Z dated AUGUST 25, 1988 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 INGROUND SWIMMING POOL & FENCE AS.APPLIED_FOR. The certificate is issued to NICK & MARY KAVOURIAS (owner, } of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - SEPT. 22, 1988 PLUMBERS CERTIFICATION DATED _ __ N/A ~~ ~~ ~ W ~2'{l~~ Building Spector Rev. 1/81 FO&M NO. D TOWN OF SOU7HOLD 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 o 017 3 5 2 Z Dote ....~ ~.......~.°~..~....., 19. ~.~ Permission is hereby granted to; ro ..C,~:+.~-~sa,r.1~.'.....9c~t....!~.~.11..rt-:....J...cr.,t~..4~....Q`..~r4.t..~.....¢4 .................. at premises located ot.~9~.....~~'~!~.........~:.........~..~:r-!!!r~:~~ ............................. ........ ... ~ .......... ............................... ..................................Ill........................................................ ......... .. Caunty Tox Map No. 1000 Sectio ......... ....... Block ......Q.J......... Lot No........!!.~............. pursuant to application dated ...,4:crr~'..~~ ............... )9.r~.~., and approved by the Building Inspector. Fee $./.'~~..:....-_ u~.. ~t Building Inspector Rev. 6/30/80 ~•.1~~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ s~.~ to the Building Inspec- torwith 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 disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Cade compliance from the Architect or Engineer responsible for the building. 5. 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.OOALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accessory •$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 , over 5 years $ 1 .0 0 4.Vacant Land C.O. $ 20.00 p 5.Uodated C.O. $ 50.00 Date . ., ~~ i~$8.,,,, New Construction , , , , , , OId,oQrPre-existing Building Vacant Land Location of Property . ~.~~, , . ,q, i, ..~Ji:-ec-~....... ~ti~~F~~~, .. /~9Se7 House No. Street Hamlet Owner or Owners of Property `f , ;~C~; . Coun Tax Ma No. 1000 Section tl' P .~~.~...... Block .Ur.l.......... Lot...~~.......... Subdivision ............... . ........ , ,Filed Map No. .......Lot/N~o. j ~?~! . Permit No. ~?./,7J?.~~? Date of Permit .~ J"/,~~,gpplicant~~~~Q~. ~ .:. . Health Dept. Approval ........................Labor Dept. Approval ....................... , Underwriters Approval ........................Planning Board Approval ...................... Request for Temporary Certificate ............ . . . . . . . . .Final Certificate ...................... . Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .G . ~~ ..~~4-~r?c ~'-;4t;cra-~ . ................. . Rev. 70-te-78 Rte. ~ss~y ~ o '~ 1738'5 COPY POR BUILDING DEPARTMENT. TIRS COPY OF CERTIfICAT~ 1(~iT -1~ pE ALTERED IN A1~1F~1~. vACx t ~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ,~,(,,,~, BUREAU OF ELECTRICITY ()('TOf}N;Tt Q6; ]91~ JOHN STREET. NEW YORK, ry~~~V~~f~038 H U3RI44 Dote App/icotion No. on file THIS CERTIFIES THAT only the slectricol equipment as descrihed 6elom and Introduced hY the applicant Homed on the ohoce applicatbn numher in the premises q/ ARY f<AVOURTAS, RHGDA ROAD, MAT't'1'PtICK; H.Y. ` Y~ n(im , , in thefolbtrinq loet$IgFsYgp(~,@a~l~}eEtq„~^ let Fl. ^ Ynd Fl. .SerUon Blork Lot maa e:omined on and found to 6e in complionre with the reyuirementa of this Board. FIXTURE RXTURES RANOEf COOKING aiCKS OVlNS DISX WASHERS EXHAUST FANS ACIES SWITCHES OUTLETS INUNplaCEM FlgJI1FSCENT ~ AMT. K. W. AMT. N. W. AMT. K.W. AMT. K. W. AMi. N. P. DRYdtS NlRNACE MOTORS RlTUEE AKUANCE FIERNS EFIOAI REC'FT iGAE CLOCKS REII UNIT NEATieE MULT40UTllT dMMlRS AMT. K. W. ql N. P. OAS N. P. AMT. NO. A. W.O.. AMT. AMI. AMT. AMPa. TRANS. AMT. N. !. ~ ~y AMT. WAITa SMVH7 WSCONNKT NO.OF f E R V I C E AMT. AMr. TYPe METER WUN. I w ]W I w 3W t w 3W ] w Aw NO. O! CC. COND. A. W.O. A. W.O. A. W.O. P!K D OF CC. CONe. NO.OF M4ll0 « NI. NO.OP NFUTMALS q: NFU1Ml OTaBII AF-ARATUS: c.r.c.r:-? "!SVIMMIN(. i~bol,) ~'hiv certificate ravers rompli-anre at the d1tW of inspection only. Necauwe <st unusual Fuviranlnen?:s rt: ;g advraablP co hflve frequent t:estjand fir rer,itirn '. s _ [pdt1P by .] qudllfTf,'I pP.r90Cl, ,znnY p(IMZl,r,o ~~~'~ ~ ~~ !'AT t,ANPi - MAT'I'ITUCK, NY, 7 7.952 ~µ MANAWR Per This urtificaM moat not ba altered in alry manner; rMUrn to the office of the Board if incorrM. I rs may be idsMified by their credentials f ~7 ~s~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ~INAL r ~T DATE 1~ 3 ~8~ INSPECTOR A i `I 3S ~. ~ C~`p rss-iso2 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ~ ) ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING REMARKS ~~ ci DATE R G INSPECTOR ~I ` C f [~INAL .a 1ELDyii;S:'ECTiUIJ ~ ~DATr. ~ i;OrIMENT° a ~ 1 _ . H ~ _ ( ') ! (1st) POUIdDATION = ~~ .~ - ' I r'OUNDATIOtd ( 2nd ) cn~ ~. o . ~ ~ ROUGH FRAME & 1 PLUMBING P H 3. ~ m IIdSULATI017 PER N. Y. ' H STATE ENERGY ._ CODE m u `~ ~ ,D - .-1 3 4 . ~[o+-c-e p - _ ` Oar o~ FIidAL ~ ~~ - e ~~- . J .1 6a -~r~~ ~'.C~ ~,~ z ADDITIOIJAL COMMENTS: x { ' m x ^ c H 7] a ~ H H ~ O z c W [*J a r H 1. ~e l ~ . d [*7 b H ~ t 51998 Exami d .... ~~. ?:?~.., 19~.~ Approv ...n~9".?:5.., 19~~. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Permit No. ~ 1. ~.J~a,~ BOAKD OF HEALTH 3 SETS OF PLANS SURVEY .......... CHECK •••••••••- SEPTIC FORM .............: NOTIFY CALL ................ MAIL T0: Disapproved a/c ..................................... oy.... ...................... (Building Inspector) APPLICATION FOR BUILDING PERMIT I Date ....~. l.~........, 19~k INSTRUCTIONS a. This 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 this 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 pazt 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 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. 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 necessa~j inspections. (Signahire of apfp'licant, orn~a/"me, if a corporation) C~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ... ~!~c.K ....'~:.... ~.~ ~ ,y ....... ~~~!. QGt (/~.l.,4~:s ................. . (as on the tax roll or latest deed) If ap rc t is~a c~o~rpo~rati[onn/, sign re duly authorized officer. .........1'. ~ ~~.~-~~.! .. ....... .. ......... . (Name and title of corporat r) ALL CONTRACTOR'S MUST B SUFFOLK COUNTY LICENSED Builder's License No. ..... `.Z%.2.-../~,~'- ... . Plumber's License No . ....................... . Electrician's License No. .. f/G~Ot~ ...~~G-`.Z7~~ C Other Trade's License No . .................... . 1. Location of land on which proposed work will be done....../.~?~?~1.... ~t?~O /: !.~"~.~r~. . J... House Number Street Hamlet County Tax Map No. 1000 Section ........~l~. s~7.... Block .....~ ............ Lot .../. ~ ............. . Subdivision ..................................... Fi]ed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~:~~~`„~,~.T~iJ [ .. . . .........:..................... . ................ b. Intended use and occupancy ................ .~G~~/,~~'?!!T//~Z :. , , ~ ! ~f . _ . ~°(~ ~ L, , , , , , , , . S' LL ~ .-,-~.~ 7.r G ho a C. 3. Nature of work (check which applicable): Repair .............. Removal ..... 4. Estimated Cost .............~~ ^. ~~-~vc~' New Building .......... Addition .......... Alteration ......... . , ........ Demolition .............. Other \Vo ..~i . . ~~rnrn ~" t('D~~ion) ".V ............. Fee..............................,....... ` (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... 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 structuresi, if any: Front ...............Rear .............. Depth .............. . Height ...............NumberofStories........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear ................. . Depth .................... i .Height ......................Number of Stories ..................... . 8. Dimensions of entire new construction: Front ............... Rear ...............Depth .............. . Height ...............NumberofStories........................................................ 9. Size of lot: Front ...........!........... Rear ...................... Depth ..............,....... 10. Date of Purchase ........... ' . ............. . ...Name o,~' F_ormer Owner ........................... . 11. Zone or use district in which premises are situated .......... 1 /,'~~?!T. l f~~- .......................... . 12. Does proposed construction violate any zoning law, ordinance or regulation: .//~ ..... . ......... AVU .... ..... ...... 13. Will lot be regrade P ......................Will excess fill be removed from premises: es No 14. Name of Owner of remises ...~f`l ~.Q .t!~1 /}S ..Address .. ~'Lf~9:7.71?~P.e.'~ . , .Phone No..2s'd-. !. `Y.9'. . Name of Architect .. ~ :.~ . ! ................Address ... .~.............. Phone No... .. .. . . Name of Contractor . '7Lt, ~t'. P. ,T6?+~... Address ...Y.~?.~~/%~!C/.C.. Phone No. ~ ~~~~~. 15. Is this property located within 300 feet of a tidal wetlandl *Yes ..... No . *If yes, Southold Town Tru3tees Permit ma be re uired. PLOv'T DIAGRAM Locate clearly and distinctly all ,'buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block uumber or description according to deed, and show street names and indicate whether interior or corner lot. SLe~v~'~ STATE OF NEW YORK, S.S COliNTY OF ................. (Name of individual si nil ~ ~ ' ' ' ' ' ' ' ` • • • being duly sworn, deposes and says that he is the applicant g ~1g contract) above named. He is,the .............:................. ...... .................... .. ........................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~~ .................l.......day ofi .... / /~..........., 19 gg Notary Public, ........ ....... County ~2,~,M..:.1~!. p~~ NOTARY PUBLIC, State of Term ExHi~ MarchE30; ew York ....... .. ........................ ~ .... . No.4p 7878, Su9falk (#bunty~ (Signatur pplicant) r- 73 t(;TNEfiT Of HEALTH ' o iFa t't~!?HEl•C!.d.Y• SYOtlr}i31N0~ap ~z tl0! 11'N181yp~ ypEy •~ ~, ~ "~ SEP 19 Phi 2 : ~i 1f Nt > ~ ur a c i 133W 1'1ftry1N NOLL9Atl1SN0~ '171/ ~ m O'0 tlOi N1~W07 78 ~ ~ 15f1W NOIlOlitllSNt>,1 - 1VNii '- o m JN18Wf1'Id'JT QNEyyyy3 .- NfN10tl ' W . t 313tlUN00 03tlfi0d tlOi 2a .., 03alflp3a OM1 NOI1VONflOi 'L ~ 02" SNDI1~3dSNl ~jNIMp1'1Qj .W.1~ 3M1 and wd ~ D1 wd B aoe ~ •sst ~ u lt! 1N3Wlat/d~pR JN11]?1~18 AiLLON Qu; ~ 't~~' G l l1 d~e K& t~ R •311Y0 ~ zpk 0310N SV 03A BddU ~'-"~ Z>y ~ lrl W / 11 ~~ M UlU ~~~~ ~ / ~ O z SUFFOLK COUNTY HEAY+TH PEPAATME'+NT SFf l t~ 1973 RATE H. A. REF. #~' ~ -' Tho 9ewaCe dispoSfll and water Supply ?~~-i:1~t.Jcs fvr this location havq pecn., i:•^I•ar.inri r.~ th1S dgpSrtmgnt And Pqund .. tq,io~' ci CI,:r,,:1,..7 ,Fq'?^C:? •~li[; RpPp RNppA x O ~ o Z w .7 T >~ rc ~ ui a ~ z Z > `~ 4 w O~ ~- A z a rc N • O O 0 a z a ° °o. 3u°z ~°~~ <»a ;ori iSa ~o z /z v Y W ern r n ~~ ao " Q Y ~ N Z i F t11 H Y U A Z °a tl U ~ O ~2} a ~~ ~ ~ O U 2 ; Z O 1L O ~ ~ J o` a W ~~' Q ~ N Q ~ t0 O ~ z ~m~ ~ } Y l0 ~ ~ w~ia 40 ~ U F- O x 0 dsa N Q 0 ~~ ~ = to a ~~ ~a ~gr3<~bo;~ rU j ~ Ke y~i VF ~zz ~`~ ~O ~~ uFh ~S"J E:7 ~~~ O K u ' "C, v _ O ~'~.rti p i~ 1°~ ~ .fit ~ may- OO a r ,. (~ .p ~ ~ u .~ © ~1 ~ V 1 ..,) h ` M b $ `` to ~ ~, ~-a+n+ano~o 30 ~ ,~ ~1, ~ ~y °$ a~.~ar~i~a~~ ~noH11M .~~ ,,~ ~ ? •~ ~n~MV~Nn si ~sn 1 ~. 1 ~~ v t ~3 t• Lot X66 ~,, ~~ ~~ ~Q ti