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Home My WebLink About16814-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16707 Date March 15, 1.988 THIS CERTIFIES that the building .. CONSTRUCT DECK ADDITION Location of Property 2095 Ruth Road Mattituck, N.Y. County Tax Map No. 1000 Section . . ! .0 .6 ....... Block ... 0..7 .......... Lot .... 9.6 ........... Subdivision..M./..o..S.u.n.s..e.t..K.n. 9.1.1. s' ......... Filed Map No ......... Lot No. 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated March 14, 1988 pursuant to which Building Permit No. 16814 z dated ....M.a.r.c.h...I.5. ,...I .9.8.8. ........ 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 TO EXISTING ONE FAMILY DWELLING The certificate is issued to . , KONSTANTINOS DIAKOVASILIS ................... ?oYn'o'r, .................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATBD: N/A Building Inspector Rev. 1/81 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) N916814 Z Permission is hereby granted to: , . . ~1-'1~ -- ' ........... ~ ......... ..,u_.~.,...m..~ ...... .~, ................. . ....................................................... at premises located at ..~.o...~1..~......~.~....1~ ............. .~.....~.(~t~[~,~...~ ....................... County Tax Map No. 1000 Section ....... L.~...~ ....... Block ....... ~....'/. ...... Lot No....~../0 .............. pursuant to application dated .... ~].~3~...L~.. ........................ , 19.~...~..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 BLDg. D F ~"T. TOWN OF SOUTHOLD AP FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~uthold, N.Y. 11971 ~LICATION FOR CERTIFICATE OF OCCUPANCY ~OWN OF' SOUTHOLD Bo Instructions This application must be filled in typewriter OR ink, and submitte~l;l[;c'.; to the Building Inspec- tor with 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, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date. ,~?.(f...'~. ~. .... .~.FJ ..... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...~-~ .~. F~..~...'~. ...... ~. ~..-/~....~;~,,~. ....... ~T~ T~¢.~ ..... L Owneror Ownersof Property .. ~ ~...' . .I.~.~Y.~ ~..[~ .............. County Tax Map No. 1000 Section . .~.0.~ . . .' ..... Block .... O.~ ....... Lot ..... ~ ~.~ .... Subdivision .~~.~ ......... Filed Map No ........... Lot No .... ~ ......... Permit No. ~¢.~.1~. ~ Date of Permit /~.~.~plicant .................................. Health Dept. Approval..~.~ ~..~ ~ ....... Labor Dept. Approval ........................ Unde~riters Approval .......... Planning Board Approval . . ~ ............ Request for Temporary Certificate ............ Final certificate . ~ ...... .e. ....................... Construction on above described building and permit meets all applicable codes and regulations. Applicant .................................................. Rev. 10-10~78 FIELD ,.s~,~Crz~N IIDATE it COM~£~T£ ~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 31971 TEL.:765-1803 CALL ................ MAIL TO: Examined..~qk~. ~t ./..~.., 19 .~ Approved .~2 .c¢&.c~../..~'.., 19~. y. Permit No..]..~.~..].q..~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERI~41T Date ................... 19... INSTRUCTIONS ~ a. This application must be completely filled in by Wpewriter 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 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 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 aiterations, 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 necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... KONSTANTINOS DIAKOVASILIS Name of owner of premises .......................................................................... (as on the tax roll or latest de.~O%~:~: If applicant is a corporation, signature of duly authorized officer. ..~ ~,r.?. }':OL~ Other Trade's License No ...................... ~, 1. Location of land on which proposed work will be done. b ,,. ................... .~/ , ..... .~ .............. 2095 Ruth Road Mattituck, N.Y. C..)D~:~ ......................... ~ ~hihlet House Number Street 106 7 6 County Tax Map No. I000 Section .................. Block .................. Lot... ................ Subdivision.. ~/P.. ~p.s.~[. 5P.q~ ~ 5 ............... Filed 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 ..................................................................... DECK b. Intended use and occupancy ................................... , .......... .. .................... ~ . X DECK 3. Nature of work (check which applicable): New Building Addition .......... Alteration .......... Repair .............. Remo9al .............. Demolition .............. Other Work ............... I (Description) 4. Estimated Cost, .' ', F .................... ...... t ........................ ee .... 5.0.00 ............. (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 mixedioccupancy, specify nature and extent of each type.of use ..................... 7. Dimensions of existing stmcturesi, if any: Front ............... Rear .............. Depth ............... Height Number'of Stories Dimenstons~of same structure wifh alterations or additions: Front ................. Rear .................. Depth .................... ... ~, --~. Height ...................... Number of Stories ...................... 8. Dimensions df: ~r~t[Fe ~o~v,C'Onstr~ction: Front .......... ' ..... Rear ............... Depth .............. Height Number of Stories 9 Size of lot: Front I Rea Depth 10. Date of Purchase ........... 4 ................. .Name of Former Owner ............................. 1 I. Zone or use district in which premises are situated . . 12. Does proposed construction violgte any zoning law ordinance or regulation: ................................ 13. Will lot be regraded ......... i .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ... i ................ Address .................... Phone No ................ Name of Architect i Address Phone No Name of Contractor ...... i. .. Address .... : .............. Phone No. 15. Is this property located Within 300 feet of a tidal wetland? *Yes ..... No ...... *If yes, Southold Town Trustees Permit maybe reouired. i PLO~r DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ffumber or description according to deed, and show street names and indicate whether interior or corner lot. EXISTIN8 DECK STATE OF NEW YORK, S!.S COUNTY OF ................. .............................. i ................... being duly sworn, deposes and says that he is the applicant (Name of individ ual signigg contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyiauthorized to perform or have performed the said work alnd to make and file this application; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth in the application filed therewith. Sworn to before me this ............. [. .~. ........ ...~ / .., _ ....~ / .~ i /day of .I .... ~///f ...,19 Notary Public ........ ~ . ./~. ~.. k./.ff . .{.f? County ........... ....... HB.£N NOTARY PUBUC, State o! ~w Yo~k (Signature of applicant) No. 47078'/8, Suffolk I Term Expires March 30,