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HomeMy WebLinkAbout17005-zFORM NO. 4 TO%tN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hull Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17900 Date MARCH 29~ 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 825 DAISY RD. & 915 SUNSET DR. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 08 Lot 39 SubdivisionSUNSET KNOLLS.SEC.2 Filed Map No. 5448 Lot No. 49 conforms substuntiully to the Applicution for Building Permit heretofore filed in this office dated MAY 2, 1988 pursuant to which Building Permit No. 17005-Z dated MAY 17, 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 ONE FAMILY DWELLING WITH DECK AS APPLIED FOR The certificate is issued to KONSTANTINOS DELARDAS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL Mar. 22, 1989-88-S0-25 UNDERWRITERS CERTIFICATE NO. N-060440-FEBRUARY 27, 1989 PLUMBERS CERTIFICATION DATED FEB. 4~ 1989-PECONIC PLUMBING & HEATING Building Inspector Rev. 1/81 FO~I,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILD)NG PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017005 Z Permission is hereby granted to: .~ .V..L.~.:...a.....~.~ ............................ · ~ '~... .;~ ~-....~ ........... II o ~.:...~.....= ....... . ,o ........ at premises located at ~./..~....~...~....~...~........~...~....~.... .......... ~...C~.: County Tax Mop No. 1000 Section ....... l..~.b....... Block ..... .(~3 ......... Lot No....'~.~ ............... pursuant to application dated ....................... ~ ..................... , 19..~J.~., and approved by the Building Inspector. ~ ~ Building Inspector Rev. 6/30/80 TO~N OF sou~on~ ~Inn~¢ DnPART~NT TO~N HALL SOUTHOLD, NE~ YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION -.~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location O~ Property...~...5 ..... ~..~ ....... HOHSE NO. '~ STREET HAMLET Owoer or O~nera of Froperty....~O.~~. ~...~.~\.~...~.., .............. Subdivision ....................... Filed Map ........ Lot Permit No. . ... Health Dept. Approval ..TX.~.~..C)..~ ..... Underwriters Approval..~..~.~).~. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ..X ............ Fee Submitted: $ . . ?. ?.~.'~. ............ APPLICANT.~~..~...... rev. 10/14/88 ~:~:~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ?~:: ~' BUREAU OF ELECTRICITY , ,, 85 JOHN STREET, NEW YORK, NEW YORK 10038 Bate /Ipplicatiot~ No. on file THIS CERTIFIES THAT only the electrical equipment as d~scribed below and introduced by th~ applicant named on the above application number in the premises of ttkns examined on and found to be in cootplia~lce tt'ith the reqttlrements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH OUTLETS SWITCHES DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS EXHAUST FANS TIME CLOCKS MULTI*OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E R OF CC, COND V I C E NO OF HI-LEG AWG. OF HI-LEG OFNEUTRALS A W G. OF NEUTRAL GENERAL MANAGER Per_ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit NO. 0 Owner ~ (please print) P 1 umb e r ~<3/~/(~' ~,/~7~/x/~/~/~/~//~/~ (please print) / ' / I certify that'the solder used in the water Supply system contains less than 2/10 of 1% lead. ~plu~b~r~ s s ~gnature) Swan to before me this clay O f ~/~)~( / BARBARA STEPNOWSKI Notary Public, State of New York No, 4844752 Qualified in Suffolk County Commission Expiros"~, Notary Public FOUNDATI N ?OUNDATION 2. ROUGH FRAME ~ ,PLUMBING (lst) (2nd) INSULATION PER N. Y. STATE ENERGY CQDE F I 'N A~ ,ITION~L COMMENTS: 765.180~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH,PLBG, FOUNDATION ZND [ ] INSULATION FRAMING REMARKS: ~~ ~ I/ -- DATE ~/~2 ~/~ ,?. INSPECTOR ~L~f ~'~ 7~.~8o, ~r'~_~ INSPECTION [ ] FOUNDATION 1ST ~ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~F'~NAL 765.t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOU,~TION 1ST [ ] ROUGH PLBG. [ ]~/DATION 2ND [ ] INSULATION [//]' FRAMING [ ] FINAL 7GS-3L802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION [ ] FOUNDATION ZND [ [ ] FRAMING [ ROUGH PLBG. INSULATION FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FRAMING [ ] FINAL REMARKS: TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ttALL SOUTItOLD, N.Y. 11971 TEL. 765-I 802 To Whom This May Co~cern, We are unable to complete your Certificate of Occupancy because ,of the foil, owing reasons. ~/_// An alpllcation) . . is not on file. /_--// NO Underwriters Certificate on file. /_~/The_/ check is(outdated/~t on file~?~~-- /~// No IIealth Dept. Approval on file. /--/ No final ins.pection has been made. for Certificate of Occupancy Please contact our office on this matter. Thank you for your cooperation. Dui]ding Permit II L q -~ ~___ ~,~ Z Buil~Dept. ***/~ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,198~ ) 0~' / tl6.32' Ii :~m~ o, ~,, ~. ~ o, so, se~ KNOLLS SECTION II StTUAreO AT ~TTITUCK, toWN OF SOUTHOLO. SUF~LK LOFTY, II_. SlN~[Z FAMILY DWELLiN~ n~,, v ARS FROM DAle OF .APP[4OVA/ ..... ........... - , ,:,,,' ...... ~ ..... - DAISY ( '50' WIDE ) 7'4 ~'4 ~ 7.0.3 N. 71°39'~0'' E. CONC. YON. POLE Z ROAD CONC, CURB 103.65' CONC '~ LOT # 48 SURVEY OF LOT # 49, MAP OF SUNSET KNOLLS SECTION 2 FILED': APRIL 9, 1970 - FILE # 5448 SITUATED AT MATTI'FUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. SUFFOLK COUNTY DEPf~RTMENT OF HEALTH SERVICES SIHGLE FA~IL b ,.LI...i~- ONLY The s~w~'~ d~spos~~, ,, ?'er s~" ~,, "~;hbas for this Iocabon have L,, n .~ ,~ .... 'v U)i, U~,.o:~: .nent and/or Chief of 6[freau o[ W~stewater Manageme'ht SUFFOLK COUNTY TAX MAP DISTRICT SECTION BLOCK LOT 'lO00 106 8 SURVEYED JAN, '27. 1988 ~.C. AUG. il r', = ~o' LAND SURVEYOR II cHURCHILL' CA., ~ITHT~ ,,, TEL ,543-5139 DAISY ROAD ( 50' WID£ ) 7','~ ~c ~7.o~ CONC. CURB V, At,.Ai. a T LOT # 49 S. 71°39'20'' W. SURVEY OF LOT # 49, MAP OF SUNSET KNOLLS SECTION 2 FILED: APRIL 9. 1970 - FILE # 5448 SITUATED AT MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. SUFFOLK COUNTY TAX MAP DISTRICT SECTION BLOCK LOT I000 106 8 39 SURVEYED JAN. 27, 1988 $CAL£ · r' ~ $O' HARRY P. HILLEBRAND LAND SURVEYOR II CHURCHILL LA., SMITHTOWN, NY TEL. 543-5139 FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TOW!. ( TEL.: 7654802 No. ). .'7.~. ?. %. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT NOT T F,~/~.a , m CALL -7~-.~-7-/? ...... MAlL TO: INSTRUCTIONS a. Tiffs 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 shail be kept on the Ipre'~ises 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 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 necessary~.. · ..............'zw'...'~_ . . . . . . . ~)o 1.,-~ _-J .,-~ J (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 of owner of premises....Q ~'-~'~...%4~ .... .~ J.~.,~A~..~...0~.... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST_BE SUFFO.LK COUNTY LICENSED Builder's License No..~.. ~.~.. · ,~...~e~,..~ Plumber's License No. : ....................... Electrician's License No. 2. ...................... Other Trade s License No ...................... Location of land on which proposed work will be done ......... .O.q< ............................. House Number Street 6' Hamlet County Tax Map No. 1000 Section ...[.C?.~. .......... Block ....q ............. Lot..3.~ .............. Subdivision..~...O~.. 9.~..~.d.~...h~. ~,.~.~).[[~ ..... Filed Map No. ~.-.q ./~.~. ...... Lot..L~..~ .... ....... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......... .~.~ ................... , .... i ......................... b. lntended use and occupancy ............... ,~, ....-- .~....... ~.....].._ ......................... 3. Nature of work (check which applicable): New Building .......... Addition . ~! ........ Alteration . i ....... ~.. Repair .............. Removal .............. Demolition..... .... ,....I Other Work ............. .. (Descrip,tion) 4. Estimated Cost ........................... Fee .......... , ............................ ' (to be.ipaid on filing this application) - 5. If dwelling, number of dwelling uni_J)s ............... Number of dwelling uniis on each floor .... If garage number of cars e% ........... ! ................. -, 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 ...-w ........... Height *--- Number of Stories Dimensions'of same structure with alterations or additions: Front ~ .~ Rear , ~ ............. Depth ...... -,-,-. .............. Height ... ~ ..... . ..... Number o~ Stories ...-7 .................. -* 8. Dimensions of entire new construction: Front....~.~.~..'~ )!ii ' Rear ...~."~. ,~ ...... Depth ............... Height . . ~l,~ ! ........ N~um~er of Stories ........ ~.... i .............. 10. Date of Purchase ..... O. t~.,.~, iq ~. (a .......... Name of Former Owner ~.~O~. O),k 11. Zone or use district in which premises are situated ......................... I ............. 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ii'.~.~ ........................ 13. Will lot be regraded .............................. Will excess fill be removed from premises ~ No Name of Architect ~. Address 15. Is this property located within 300 feet of a tidal wetland? *Yds ..... No ~... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and~ indicate all set-back dimensions from v street names and indicate whether property lines. Give street and block number or description according to deed, and she' interior or corner lot. ,~TATE OF NEW YORK,, S S COUNTY OF .V-, ...... · .... ~],,O.~,~S~-'s~.~ vO:~. ~:¢ ~ ......... being duly sworn, depqses and says that (Name of individual signing contract) above nalned. he is the applicant (Contractor, agent, corporate officer, etc.)i 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 hi: 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 NO~4 PUBLIC, State d N~ Y~I ..... _ _ 70787[ SdfelkCouldo;,.~t~ I (Signature of applicant) 2) ~F-ATIN6 CONTROLS TO MEST 7813.13 ¢'.': BELIEF, AND PROFESSIONAL RANGE 45 TO 75 DEGREES FAHRENHEIT. JUDGEF~NT THESE pLANS 3) WATER BEATING PER 7813.31 THRU .38. IN COMPEIANCE WITH THE CODE. 5 ) WINDOWS - DOUBLE GLASS. __ L__L_.J OCCUPANCY OR APPROVED AS NOTED ~ ~1~ ~ ON~D CONTE~ BEFORE eE COMPLETE FOR C,O ~ P~ ~11 ~ ' ' I I r ~ Phone 477-040,0 GREENpoRIF NY, 11944 ,I bELM~bI S,, ~ GREENPORT, N Y. 11944 Phone 477-0400 Main Road GREENPORT, N Y. 11944 ,F © ,U CWZ~ t' Phone 477-0400 ~ Main Road GREENPORT, N.Y. 1 ] 944- ,, Ci~LLAv4. Phone 477,0400 ~ GREENPORT NY 11944 Main Road