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Home My WebLink About29013-ZPORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29913 Date: 12/15/03 T~IS CERTIFIES that the building ALTERATION Location of Property: 1240 INLET DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 99 Block 2 Lot 6 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 9, 2002 pursuant to which Building permit No. 29013-Z dated DECEMBER 17, 2002 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 KITCHEN ALTERATION ~%rD INSTALLATION OF CENTRAL AIR CONDITIONING TO AN ONE F~-MILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & EMILY KAVOURIAS (OWNER) of the aforesaid building. SL~FFOI~COZ~%~YDEPART~OF}~]~{i~PPROVAL N/A EI~C~IC~ CERTIFICA~ NO. 1165565 09/16/03 PLUMBERS CERTIFICATION DAT~U N/A //~u~ori~zed Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES tTNTIL COMPLETION OF THE WORK AUTHORIZED) FULL PERMIT NO. 29013 Z Date DECEMBER 17, 2002 Permission is hereby granted to: MICHAEL & EMILY KAVOURIAS 154-28 17TH ROAD WHITESTONE,NY 11357 for : KITCHEN ALTERATION AND CENTP~AL AC UNIT AS APPLIED FOR at premises located at 1240 INLET DR County Tax Map No. 473889 Section 099 Block pursuant to application dated DECEMBER 9, 2002 Building Inspector to expire on JUNE 17, MATTITUCK 0002 Lot No. 006 and approved by the 2004. Fee $ 150.00 ~uthoriz~ Signature COPY Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 from Health 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 the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing 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, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Subdivision L/~7~ Permit No. Health Dept. Approval: Planning Board Approval: C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: _ Old or Pre-existing Building: ~ (check one) Location of Property: //~.~' .~F--O~ .~ff~;,~,A Nf House No. Street Hamlet Owner or Owners of Property: ~,~ Suffolk County Tax Map No 1000, Section Block Lot /~' ~/-/ ~ ~ FiledMap. Lot: Date of Permit. Applicant: · ~ ¢~. Underwriters Approval: Request for: Temporary Certificate Fee Submitted: $ Final Certificate: ~-- (check one) App lic~i~ Signature '. g_. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY r~ 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT r~ Upon the application of upon premises owned by PECONIC ELECTRIC CORP MICHAEL KOVOURIAS 2195 STANLEY ROAD 1240 INLET DR g__ MATTITUCK, NY 11952, MATTITUCK, NY 11952 Located at 1240 INLET DR MATTITUCK, NY 11952 Application Number: 1165565 Certificate Number: 1165565 Section: 099 Block: 0002 Lot: 006 Building Permit: BDC: NS11 BP29013 ra Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside' was inspected in accordance with the National [lectrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 16th Day of September, 2003. Nine QTY Rate Rating _Circuit Type Appliances aaa Accessories I Air Conditioner 1 0 36.000 BTU Wiring and Devices Disconnect 1 0 60 amp Air Conditioner seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~e .~. ~ TOWN OF SOUTHOLD I~OPERTY RECORD CARD OWNER VILLAGE ~ STRE Z-' 'Ct'O FORMER OWNER - -- N S RES. ~/~ VL. FARM LAND IMP. TOTAL -~ 30o ~ DATE E DISTRICT SUB. ACREAGE TYPE OF BUILDING REMARKS NEW Farm Fillable 'illable 2 '/liable 3 Vc~,d~and .wampland rushland louse Plot 0fa I NORMAL Acre BELOW Value Per Acre )N DITION,~/"Tr/TK ABOVE os FRONTAGE ON WATER Value FRONTAGE ON ROAD DOCK BY THIS CERTIFICATE OF C~MPLIANGE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUR/All OF £LEC~TRIClTY 40 FULTON STREET ~ NEWIYORK, NY 10038 Locate~ at Sectio~ 099 Block: 00~2 O~,Cr I~185 a Resideat/~l CERTIFIES TI' Upon the application of PECONIC ELECTRIC CORP 2195 STANLEY' ROAD ~UCK, NY 1195Z 1240 INLET DR ~ITUCK. ~ 11~2 Lot: ~AT upon prem,Ses owned by MICHAEL KOVOURIAS 1240 INLET DR MATTITUCK. NY f 1952 C~tllk:a~e Numbe~. 11~5565 006 Buildin§ Permit: 8F,29013 BDO: N$11 occupancy. ~herei~ the premises electr loal system consisting of e~ricel devices and wirim:J, descr~oed below, located i~on the prelmises was ir~oecte0 in &ccorder~e with the Natio~el Elect, icat Code and lhe detail of the instagatm~, as se~ Io~-,tt be/ow, was found to be in compliance therew~h o~ the t6~. Day of Scp/cmt~r, 2003. Nmm~ OTY Rrna ~ [~itcuit Tvoe ~cdh'nc~ and ACe~ WIU~ a~ ~vlcfl D~ct I ~ 60 ~ Air ~i~ner seal Tills certificate may not be altered in am/way aM is vafidated o~ly by Ihe ~esence o/a raise~ seal at the Iocati~t i~dic~ted. TOVCN OF SOUTHOLD BUILDIN~J DEPARTMENT ri Ef. SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined 72/(2 ,20 0.2.. Approved_ 72-/~.-. ,20 o~L- Disapproved a/c Expiration~//J ,20 O ~ PERMIT NO. BUILDING PERMIT APP. blCATION CHECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans. planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: .;. ~ ~ 9 Lt~d'~ ~0~; ~lA ' ~ APPLICATION FOR BUILDING PERMIT L ..~, Date ., 20 ~-~-~- ' INSTRUCTIONS a. This applicatiun MUST be completely filled ni 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 pranfises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this applicatiun, the BuildLng Inspector will issue a Bnilding Permit to the applicant. Such a perrait 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 what so ever tmti! the Bnilding Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work autho~zed has not commenced within 12 months afXer the date of issuance or has not been completed within 18 months ~rom such date. If no zoning amendments or other regulations affecting the property have been enacted in the interLm, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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, Ordfl~nces or Regulations, for the construction o£buildings, additions, or alterations or for removal or demolition as here~n described. The applicant agrees to comply with all applicable laws, ordinances, build~ng code, housing code, and regulations, and to admit authorized inspectors on premises and in bnildmg for necessary inspections~ (Signature of al~4~caat or name, ifa corporation) (Mail~g address of ap~',~ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises--~'~-'-~.~' / (As on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work willJ>e do/~e: / /ws/° House Number Street County Tax Ma~No. 1000 Sectior~ ¢2 Block Subdivision (_ -/~o,- /~.~_d E;~,/~, (Name) Hamlet Filed Map No. Lot Lot 2. State existing use and occupancy of premises and intended use an .d occupancy of proposed construetioa: ..' a. Existing use and occupancy -~'.. b. Intended use and occupancy_ 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated Cost ':F'/0, aaa" 5. If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear _Depth Dimensions of same structure with alterations or additions: Front Depth Height. Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 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? YES NO 13. Will lot be re-graded? YES__ NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) ...--~__ ~ "'"ff~' ~"¢ ~/"'"-- ,~9/t''~'~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual ~iLming contract) above named, (S)He is the ~(Contract'or, 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 __ d~ ~_ ,day of ~0~,~_. 20 ~ ~ Signattrfe of Applicant APPROVED AS NOTED DATE: ~ B.E # ,2 ?~/:]~_~ FEE' '~/(d ~. BY /! ~ .. - :, NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPE~IONS: 1 FOUNDATION . ~0 REQUIRED FOR POURED CONCR~E 2. ROUGH - FRAMING & PLUMBING 3, INSULATION 4, FINAL . CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES. NOT RESPDNSIBLE FOR DESIGN OR CONSTRUCTION ERRORS If copper tubing is used for water distributing system; piping shall be of types K or L._only_. UNDERWRITERS CERTIFICATE REQUIRED PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING DEVICES AS TO PART. 902.6(K) N.Y. STATE BUILDING CODE. PLUMBING ALL PLUMBING WASTE & ¥~,":~,TER LINES NEED 12/12/2002 10:5~ B31-298-8S14 CHRISTINE D ~IVER~ P~GE 03 .% .3 002 CHRISTINE D RIVERA CHRIS RIVERA