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Home My WebLink About28305-ZFORM N0. 4 TO~ OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29385 Date: 04/23/03 T~IS CERTIFIES that the building ADDITION Location of Property: 345 INLET DRIVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 2 Lot 22 Sutx~ivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 22, 2002 pursuant to which Building Permit No. 28305-Z dated APRIL 22, 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 COVERED PORCH ADDITION AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HELEN ZOGRAFAKIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPART~4ENT OF ~EALT~ APPROVAL ELEC~RICAL CERTIFICATE NO. PLUMBEP~g CERTIFICATION DA'r~3 N/A N/A N/A ~/o~r i z~d~S igna t u r e Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28305 Z Date APRIL 22, 2002 Permission is hereby granted to: HELEN ZOGRAFAKIS 32 TWIXT HILL RD ST JA~4ES,NY 11780 for : CONSTRUCT AN OPEN PORCH AND P~AISED DECK TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#20174. at premises located at 345 INLET DRIVE MATTITUCK County Tax Map No. 473889 Section 106 Block 0002 Lot No. 022 pursuant to application dated APRIL 22, 2002 and approved by the Building Inspector. Fee $ 150.00 ~-.?-~ ~- Aut hori zed~'S ignat u~ COPY Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2 01 7 4 Z ,,-,to ........~....~.~./u~.....~.? .......... ,,..~./.. Permission is hereby granted,~ , ....~.~....~.~ ............................................... · ...... ,o at premises located at ~.~..~.~.....l~........I..~..~...~ ........... ....r~...~ ..................... County Tax Map No. 1000 Section ..... ~...~....~. ......... Block ..... ..O......L. ........ Lot No..,.~-e....'~... .......... pursuant to application dated ............ ~..~..,~,~(~, ~..,,~ ........ , 19..c[!..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY F~i-- ' This application must be filled in by typewriter or ink and submitted to the Building Department {vith the fbllowing: A. For new' building or new use: , l. Final survey of property with accurate location of all buildings, property lines, streets, anal unusual natural or topographic features. L._ 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 fora0. 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 I% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible lbr the building. 6. Submit Planning Board Approval of completed site plan requirements. 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 aud consent to inspect signed by the applicant. If a Certificate of Occupancy is deuied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - Ne,,,,' dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swinuning 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 Date. ~/- /6 . o...~ Ne,,;, Construction: kocati(m of Property: House No. Owner or Owners of Property: /7/ Suffolk Count)' Tax Map No 1000, Section Old or Pre-existing Building: ~ (check one) Street / ? Hamlet Block ~ Lot ~ ~ SubdMsion Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: ~i~ c_~,.~' Od Filed Map. Date of Permit. L/~,~_ ~'O ~ Applicant: Undenvriters Approval: Final Certificate: bYql,. Lot: t'"'"'/ (check one) A~plicant Si~m'~ature 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. F~UNDATION ZND [ ]INSULATION [~FRAMING [ ]FINAL DATE BUILDING DEPT. INSPEI TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I~ATION [ ] FRAMING [r//] FINAL FOUNDATION ( ls t ) FOUNDATIOU (2nd) 2. ROUGH FRAME & -?LUMBING 3. INSULATION PER N. STATE ENERGY CODE FI;;AL ADDITIO~L COMMEi'~TS: d 130A~D OF HEALTH ......... 3 SETg OF PLA~tS .......... SURVEY ...--. ............... CIIECK - . ................... SEPTIC FORH .............. TOWN'BLDG.oF ~;OUT~OL--" OE~. ~-- Examincd~..'~..~., 19~.i. Approve~. ~...~..&'..~., 19~.l. Permit No.~. } ~ ~ .~ Disapproved a/c ..................................... ................. . ............... ... (Building Inspector) APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 CALL ' HAIL TO: Date ......... ': ........ , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets 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 ~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appH- atio~ c.. The work covered by this applicaiion may Rot be cbmmenced before issuance of Building Permit. - ' d: Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hallrbe 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 hall 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 ;uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors or[,premises and in building for necessary inspection~ ~_ ~>~ ~ ' ~IEI3lC/~I EXTERIORS - ~ ..... . ........ .- · .. .... - ' Box 667 (Stgnatffre of applicant, or name, ti a corporatton) ~ ,~ MATTITUCK, NY 11952 .... (516) 298-4625 (Mailing address of applicant) ~.? ' ;tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... ........................ . .............. . ........................ :ame of owner of premises ................................................. (as on the taxx roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No... ~".~'. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... -- llouse Number Street Hamlet .~., State existing use and occupancy of premises and mtended use and occupancy of proposed construchon: - 'X~ 3. Nature of work (check which applicable): New Building .... Addition .......... Alteration · · ~Repair ....... 'C '//?' ' ' Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost..~.~..,a~ ~.~..O..~. .... ~.'.' .............. Fee ......................... f~t.i~.. (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 c~s ......................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dfmensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Sto~es ........................................................ D~ensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... HeiSt ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Sto~es .... .' ................................................... 9. Size'of lot: Front ...................... Rear ..................... Depth ...................... 10.' Date of Purchase ............................. Name of Foyer Owner ............................. I I. 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 exce~l/b~moved from premises: Yes No 14. N~e of Owner of premises Z~ ~R~ .5.. Address~Z~.~t/~ ~. Phone No. ~T.7~. ,... Nme of Architect . ~.~; ..... Address Phone No. '"' ' 'N~e of Contractor ~ ~&~ ~ . . . Address ~ ~ ~ ~ ~ ~ ~ Phone No. ~¢~ '~ ~ :15. Is th~s property w~th~n 300 feet of a t~dal wetland? *Yes ........ ~ ....... ~If yes, Souchold To~ Trustees Permit may be required. PLOT DIAG~{ Locate clearly ~d distinctly ~1 build~, whether existing or proposed, ~d. indicate ~1 set-back d~ensions f~m prope~y ~nes. Give street ~d block number or descfiptioa accord~g to deed, and show street nines and ~dicate whether interior or comer lot. i ;TATE OF NEW~YO~Pt~ ~ T/ S S ' ............. ~.~: Oo~..~-~. $ ~ ........... being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) bore named. , (Contractor, agent, corporate officer, etc.) ' f said owner or owners, ~d is duly ~uthofized to perfo~ or have perfo~ed the said work and to m~e and file this ;~plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the :ork }v.ill be perfomed in the m~ner set forth in the application filed tt~erewith. worn to before ~e this ~ ·