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HomeMy WebLinkAbout17705-z~+ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18021 Date MAY 10, 1989 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property 5320 STILLWATER AVE. CUTCHOGUE, NEW YORR House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 02 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Building Permit No. 17705-Z DE[9?xaRU 15. 1988 to which dated DECEMBER 20, 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 ENCLOSE & WINTERIZE EXISTING PORCH & DECR ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE & KASSLANI CASSIMATIS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-067431 - APRIL 18, 1989 PLUMBERS CERTIFICATION DATED N/A ~~ Building Inspector Rev. 1/81 i !OFFS NO. ~ ~ TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT it TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETIbN OF THE WORK AUTHORIZED) No U1.~705 Z Date .~ I~ucr.-~x,~....~-c~ ............. i9~~..~. Perm~ssan is hereby gront~~~'Q~-~s!""' ~Pl '~ .... ...........1..N.:!!.Y.:~C ::::......... ..... ...... ~a.~ ...ln..1. ~- ........... ............... ..... (n~ q , t0 CL^"... c ~,sY..khfi-f,.th%'~,.4-... r~;r.G~...~!~~.. Q'.-0...~~d~ . .. v ......... ............................................. ...... ... ..:...... .................. ...................... ..... ........ .~. 3 ~ U..... 4uGklXit^!:~f~{P-tr ..!.r[.Y`? :.........S,.~L/.:cA R._ .... ct premises located at . Count Tox Ma No. 1000 Sect^ion~.. ~ 37. ... Block .... .Q.1.... Lot No ..~5 pursuant to application doted .I...?.-fl (.~'""k•"^'~•• ~ ~ •, 19••~ ~•, and approved by the Buiidmg Inspector. Fee $. ~~.:..~~.. ii ii /( ~Yy. ... ~.~............ Building Inspector Rev 6/30/80 ~ , ~. TOWN OF SOUTIIOLD BUILDING DEPARTMENT SOIITIIOLD, NEW YORK 11971 TOWN HALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY -- ~ MAR f 0 (989 i DATE. ~..~ -~~..... NEW CONSTRIICTION .......OLD OR PRE-E%ISTING BUYLDING~/....VACANT LAND..._.... Location of Property.. S. «.[ a~ ..... ..~~.G.~~ . ~...Cl~lT~~O(~jl~..... SOUSE NOa?. STREET HAMLET Ovner or Owners of Property~l.~d.~n'~ G. e~ssi~,~-T~s ~7 County Tax Map No. 1000 Section ..../. Block ..~~.... Lot ._ ~~ ... Subdivision ....................... Filed Map ........Lot.......... --7 ~ Permit No. ~' - l•7'-~ °6 //LC~/.f Cor!- 1..~...Date of Permit ..........Applicant ................... Health Dept_ Approval .................. Underwriters Approval.___..____.... Planning Board Approval ................ Request for Tempora//r~~y Certificate ....... Fee Submitted: $. 5:~~~. ~~.`.~~~.. . Final Certificate ..~...... i APPLICANT ..~~~ .... .. ............. ear ~~o~o ('77C'15 ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1?Ar,F; ' 1.1.'35112 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK. NEW YORK 10038 F'1760$A9/89 N Ot;743? A1'k1:T, l8,:19R4~ ~~ ApplicatienNo.onjile THIS CERTIFIES THAT only the alectrled equipment o. dsscrtbad 6sbKS and In[roduced by the appNcent named on the above opptication number in the premises of ~ 5'i`;i,L3iA't'E:N AVF., C,11'1'CN(H:Uh;, N.Y. .Ri1kGF; t;ASi1MA'P1;, 5320 in thefolbtcinq IncoLWls~H ~ B,pRetgent ~ 1st FI.. ^ Ynd Fl. Sertion Black Lot RNIt 1 `t t57 and found to 6e in complionce with the reyuirementa of thw Bwrd. uwa examined un gKTURR FIXTIMK RAN6RS COOKING RECKS OVENS DISN WASiNRf lXNAUST FANS OLITIETS VTACYf f1NpC11lS INCANDttClm tlUnEtLCENT OT'NEn AMT. K. W. AMT. K. W. NAT. K.W. NAT. K. W. AMi, N. P. 1 ~ 1 DRYRRS FURNAC! MOTORS NTIIN AMUANp tRNRRR fPRC1AL RRC'PT TIME CLOCKf NLI. UNIT [NATRRS IA11111.01(TIRT gMMRRf ` AMT. K. W. ql N. P. fM6 N. P. AMT. NO. A. W.O. AMT. AW. AMT. AMPb. TRAM{. AMT, N. P. ~ ~T AMT. WATfa f - n SRRVIt! DIECOIetgCT t10.OP S E R V 1 C _ E ~... - AMT. AAV. IVP! ~. I / 7W 1 R iM' 7 R iW 7 / 4W Nn. OI ~ sCONO. W. NO. OF NI•lt0 A. MI •• N0. q' mUTEM! ~j • W G' L OTNRR APPARATUS, ~. ~~ :iAGF; & 3,ADRHANN INl'. 41C.1)36.35F: Y.L).BGX 1'168 SCJU'PHOLD, NY, 119'11. OfNItAL RR ]3. Per This nrtificaN mlNf not be alNrod in any manmrl return ro tM offiu of the Board it incorrs~t. Inspectors may ba idsntified by their crodentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i r ,r, i~ lt.1 C+Z tl ~ ~ N -r1 ., ~ V1 ~- ~ ~' ~ L ~ ~ r ~ ,:~ ~ r r E7 ./ C ~ ~ R } ~{ ~ ~' 7 ~ ~ 1 i ~f 1 tom` -.. ~~ , . ~. °;~~ , •'~.' ~ ^.~ i V! ~ -+ U, ! N r ~ ~ c ~~ ~ -~ 1 ~~ ~' i ~r ., ~- { JE ~ S ~ y +" / i ~ ~ ,.~- ~ `` lit d ~ i a fC ~~U ~~ r e_ ~~ , D ~ _ ~ -- , -t ~, ,. ~~ `i .. N ~ ~' ~,~: -w ~-~ - - V~ '- ~ ~ ` ~ _ ~;~-~ i ~ ' ` t a ~ _ F ' ~_ i y ~ ~ > { { J r i k n y ,~ 7a c'f ,~ i'ti.... ., r-+ . J ~I .' ~~~F '~ ' Z ~ ~~ ~ r, rt jl7 '~ ; ~~ N 1 .~ .` ~ ~ f o i `` S } i` FFFF o t ~~ A "Y ,- ~ R /~ '~ ~ -1a ' S422{.gC,'c KOHCiYSk{ ~, ~~ Z L ~ ~C ~ ~ .?`~ (~'~~ ~~~_~ y h~ . ~ ~; ~~ ~ ~ ~~, 1. a i1 ---_ "'j FOUIIDATIO;I ( 1st ) - - - - - ~ -` =a FOUIJDATIO;I ( pnd ) _ _ m 2. ~ I 0 ~ POUCH FRAME & fr a PLUMBING ~ i . 1~' c H ~ 3. ~ ~ q q ~ t IIJSULATI0IJ PER 1J. '~ F ,( STATE ENERGY ~~ CODE s a 4 ~ c' ~ - . - e H FI;1AL o ADDITIOtIAL COithlEfJTS: x 0 O ' x ^a H ~ 9 H O i f ~ . ~ * ` [ 7 9 ,~ l , r _ r I i a m H ~O OG a ~< Frva~ ,rn ~~O f9- +"~i~J '~f/~1 ~ ~~~~ TOWN OF SOUTIIOLD Ob~iCL' OP BUiLD1NG INSPECTOR P.O. BOX 728 TO1VN FALL SOUTfiOLD, N.Y. (1971 To Whom This May Concern, TEL. 7G5-1802 3~~~$a We are unable to complete your Certificate of Occupancy because of the following reasons. /-e// nn application for Certificate of Occupancy i not on file. /~ No, Underwriters Certificate on file. J~/ The check is (outdated/ of on f .) ~lfa5`~ / / [do ticalth Dcpt. Approval on file. /_/ N~ifxnai inspection has been made. I Please contact our office on this matter. Thank ypu for your cooperation. Bui] dingy Permit 1( 1 `1 ]_ Q ~ z ~ G, ~ k, Cam:r~a~ ~\ F3uLldinq Dcpt. ***%_/ Iao Plumber Solder Certificate on file. all permits anvolvinq plumbing being Lssucd afLor April 1,1984 ) ,~~' ~ : (~.F,~.~ ~. ', ~ iq~5 t ~7©.s~ 765-1802 !~UlLDlNG DEPT. INSPECTION [ ]FOUNDATION 1ST ~ ) ROUGH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ a]~FRAMING [ ]FINAL DATE U/ I ~ INSPECTOR ~~~ REMARKS: ~.*-u-~.~1 ~` ~ O ~ i ` ~./ ;r, a ~'~} ~S~' iTl : , 1 ~ ~~ rJ ~ .; ~ ~ U, < y ~ { : o ~ ~ ~ ~ ; , v - ~ ~ ~ ~~ r i ~ f ~ ~ 't{ ~ ~ ~ 1 ~ r+~ v 7 ~ ~ I r Z } ,. ~ ; ~~ ~r ~,- ~ _ _ F ` ~. (~( ~! ~ , ~ ~ ~ ~Jr. ..\ -v ~ ~ , 1 ~ ; ~ ~ '~ ~ , ~ -- ~ ~ f L ' r, F ~_ i L } ~' 1 ., ~.~ n i~ N .. ~~. r it Vr i_ r ~~ ~7r /" Y•' P~ rt a. +.. ~ y " 'w ~~ ! ~~ µ! ~k~` ~ ~ urkr ~ .~ G ±'~ VJ ~ ,~~ LU y': ~ 'rf -i .~ r ~ n ~ J^ Z n tl7 ~ ., ~/ N 1 B ~ r• ~ ` t ~ <' a ~ ~ ~% S ~ ~ k '~;`` I~ ~_ ~-- FG.icC -t V.•la sM' ~y ~OYIUYS4(1 ~~~ Z~~ ~~ 2 c C ~ '~ c ~~ `~ ~ ~- ~ ~, ~ ~.~osi 765-1802 ~ BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST t l ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: DATE ~ INSPECTOR ~~ ~2~2an~; BOARD OF HEALTH ...... Lc' Lc+ v 3 SETS OF FLANS • • • . ~~ ~~~ ~ FORMNO t SURVEY . ~/....... . ~~ ~' (~` ~ 5 ~ ~~ TOWN OF SOUTHOLD CHECK -1# - • • - • - - - /,~,^ BUILDING DEPARTMENT SEPTIC FORM .............: ' ~ ~', ~ TOWN HALL ;OUTHOLD, N.Y 11971 NOTIFY TEL.. 765-1802 CALL •-•••- -•••---•- MAIL T0:(~~ ~~ Gl~ Exammed~4~~u..~-P. ,19~~ c~R~r~.-,'n~. J~93S Approved ~.~-4'^~^r.~-° ,19Y$ PennrtNo.~~.~a5~~- Disapproved aJc .... . . (Bin ing Ltspector) ~l~~ APPLICATION FOR BUILDING PERMIT /~ '~~ Date . INSTRUCTIONS 19= ~. This application must be completely filled m by typewnter or rn rnk and submitted to the Burldmg Inspector, wr sets of plans, accurate plot plan to scale Fee according to schedule b Plot plan showing location of lot and of burldmgs on premises, relatronshrp to adloinrng premises or public str or areas, and giving a detarled descnption of layout of property must be drawn on the dragram whrch rs part of this a; catron. c. The work covered by this application may not be commenced before issuance of Budding Permrt d. Upon approval of thrs application, the Burldmg Inspector will rssued a Burldmg Permrt to the applrcant Such peg shall be kept on the premrses av~rlable for inspection throughout the work. e No budding shall be ocpupred or used m whole or m part for any purpose whatever until a Certificate of Occupy shall have been granted by the $urldrng Inspector APPLICATION IS HEREB'Y' MADE to the Burldmg Department for the rssuance of a Burldmg Permrt pursuant to Burldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulatrons, for the construction of burldmgs, addrtrons or alteratrons, or for removal or demolition, as herein descni The applicant agrees to comply with all applicable laws, ordinances, budding cod housing code nil regulations, an~ admrt authonzed inspectors on premrses and in burldmg for necessary mspectio (Srgnat re o app r nam rf a corporation) ~o.,~©,~ 6 i~ c~,rH66~r~~ rrp ~l: • (Marling address of applicant) State w/h~ether applicant rs owner, lessee, agent, archrtect, engineer, general contractor, electruran, plumber or burp Name of owner of premrses v ~KC'~ . ~.l Grp 'S'S~~~~ ..~~~~1~.~"~S . (as on the tax roll or latest deed) If applicant ~s a corporatron, srgnature of duly authonzed officer _ i (Name and trtle of cprporata officer}' ALL CONT'RAC7.0I~'', S.~1~'LTJ~,$~ B.~ F~{I.K COUNTY LICENSED Builder's Lrcense ~Io. ~+ s ,j _ r , • ~~ .. H+ 'i"~ . Plumber's Lrcense No , . Electrrcran's Lrcense No Other Trade's Lrcense No .. 1 Locatron of land on whrch proposed work will be done . - .. .. .. . [louse Number Street Hamlet County Tax Map No 1000 $ectron / ~ ~ Block ~ .. Lot /~ .. Subdrvrsron Frled Map No Lot . . (Name) 2 State exrstmg use and occupancy of premrses and rntended use and occupancy of proposed constructron a Exrs4ng use and occupangy / !~~/~~ - p ey ~ ~~?/~;/ ... ..... . b Intended use and occu an J ... 3. Nature of work (check which applicable) New Building .Addition .. Alteratton .~. `. Repur Removal , . .... Demolition .. .. .Other Rork .. .... . p4~` ~; k ,"~escnpi~on} 4 Estimated Cost ~. ~~ ..... .. Fee .. . ` (to be paid on filing this application) 5. If dwelling, number of dwel~mg 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 structures, if any Front . .. .. Rear .. .. .. Depth . ....... Height .. .. Number of Stones .. ~.... .. ... ..... ... . .. . . .. .... Dunensions of same structure with alterations or additions Front .... .. Rear .. ... .. Depth .... .~ ~ .Height ... ... Number of Stones .. .... ..... . 8. Dimensions o en ire ne nstruction Front .. Rear .... .. ..... Depth ......... . Height .. .Number of Stones .. .. .. .. .. .. .... ..... .. .. .... . .. 9. Size of lot Front . .. ... Rear . .. .... .. Depth ..... ..... ..... . 10. Date of Purchase .. ..Name of Former Owner .... .. .. .. .. . 11. Zone or use district in which premises are situated .. .. .. .. ..... ..... . 12. Does proposed construction violate any zoning law, ordinance or regulation .. .. .. .. .... ........ .. . 13 Will lot be regraded .. .. .. .. .. .. Will excess fill be removed from premises Yes h 14 Name of Owner of premises . .. .. .Address ... .. .. .Phone No ..... . .. ..... .. Name of Architect .. .. .. .Address ... .. ....... Phone No.. .... .. . Name of Contractor . ... .. ....Address ..... .. ...Phone No ....... . 15. Is this property located within 300 feetyyof a tigidal wetlands *Yes ..... No ..... *If yes, Southold Town Trustees PermitPLOTDIAGRAMed. Locate cieazly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions fro property fines. Give street and block number or descnphon according to deed, and show street names and indicate wheth interior or corner lot. /` `/ ovG ~ S'GG-~T'G?ts urn- G:~~' /~~~°~ ~ ~~ ~fi x o>~~ ~ f/~`~ G ~ ~~/~ ~LStar~ a,,, /fir7e /1E191re~c ~l-~ 1 n/sV~~-~~ ~ ~~°'~/G APPROVED AS NOTED I LATE ~ io Ei,P# /7?Os'~ FEE =~ • "' _ I3Y ~I___~-_. NOTIFY BUILDING CEPARTMENT ,;T 765 1802 9 AM TCi 6 P;U FOR THE FOLLOWING lNSPECT',ONS C` QK t FOR POURED CONCRETE EOUIREC `.~Q~1~ W~V~, 2. ROUGH -FRAMING & PLUMBING . 0~ 1S ~N R,~,E1Cp~E. 4. F ~ ~LATIO CONSTRUCTION MUST __, _- ~,,[~QU~ C~~p~G~ 8E COMPLETE FOR C O ALL CONSTRUCTION SHALL MEET ©~ Q~ A~ EQUIREMENT$ OF THE N.Y. CONSTRUC'17ON 8 ENERGY ~~• N•n RESPONSIBLE FOR STATE OF NEW YORK, DESIGN ~ SUCTION ERRORS COUNTY OF ... . , • • S.S .. ... .. I ... .. being duly sworn, deposes and says that he is the apphca; (Name of individual tsignmg contract) above named He is the ........ .. .. ....... ....... .. .. I (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 th application, that all statements contained m this apphcaUon are true to the best of his knowledge and belief; and that t; work will be performed m the manner set forth m the application filed therewith Sworn to before me this .. .. ~ s ..,. n. .. d''~~ay//ofrr . /. ~~. '~ °.'c- . .. , 19~~ Notary Public, .. ~"~'~-- K1111' . ~tJ ¢ t1~-... County ~ ~ ~,///J EN E Y6E ~/~X• . ! ...... ... ... . NOTARY PUBttC, State of Pdew York (Signature of applicar. No 47678/8, Su iM 6ourA~ Tatos Expire: 0.4aich i36,1~