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HomeMy WebLinkAbout26139-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26812 Date: 12/02/99 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 425 MIRIAM RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 99 Block 1 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 30, 1999 pursuant to which Building Permit No. 26139-Z dated NOVEMBER 8, 1999 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 ADDITIONS & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to STEVE & MARY IOANNOU (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A '11-L � V&, ui ing I spector Rev. 1/81 + TOWN OF �OUTHOLD II BUILDING EPARTMENT *0'- TOWN)HALL / O NOV `L- 9 s- 802 61,,.re--- A41111,-1FI0N FOR ERTI ICATE OF OCCUPANCY A. This application mus e filled in by typewriter OR ink and submitted to the build inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lin, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-9 fore 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contain less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buil 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 "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 a consent to inspect signed by the applic. If a Certificate of Occupancy is denied, the Building Inspector shall state th reasons therefor in writing to the applicant. 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 $25.0 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .2.5V. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Com mercial $15.00 Date . . . . . I. 3�. . ./ !. . . . . . . . . . . . . . . . . . New Construction. . . . . . . . OOld9r Pre-existing Building. . . . . . . . . . . . . . . V ,,2 Location of Property. . . . .... . . . . . . . . . . . . . . . . M 1r � c!M. . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . . . . . . . .q. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . !. .!. . . . . .Block. . . . . / . . . . .. . . .Lot. ..../. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filled Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . Permit No. .�� �.4 . � .qj�] .Date Of Permit. . !/. . . /J. . .Applicant. . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT VC o'riCC.+ FORM NO. 3 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) PERMIT NO. 26139 Z Date NOVEMBER 8 99 Permission is hereby granted to: STEVE & MARY IOANNOU 57 MORRIS AVE LAKE GROVE,NY 11755 for CONSTRUCTION OF DECK ADDITIONS & ALTERATIONS TO A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 425 MIRIAM RD MATTITUCK County Tax Map No. 473889 Section 099 Block 0001 Lot No. 031 pursuant to application dated SEPTEMBER 30 99 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN SU ON [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: c /r DATE ll INSPECTOR . t � SII II b II H iDATION ( IST) II II I ll _- IDATION (2ND) a -- �� — — � II II it u � I�— "---HI---- ------"--'—_-- — ------- — rJ H ;H FRAME b o II PLUMBING II n II II it II jl � ULATION PER N. Y. u, cya STATE ENERGY II „ CODE It u ---it II p //' y -- u FINAL p Q� N ADDITIONAL COMMENTS: Cd rl -,n to 0 H � O x rl ea BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL . . . . . . . . . . . . . . . . . . Examined.........yy........, 19.... gg MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.....I�:..4......, 19..$ Permit No. 6/dy 4. -: .................................... Disapproveda/c .................................. / .................................... ( ilding Inspector) A CATION FOR BUILDING PERMIT � Date.9.- . . . . . . . . .. 19.q 1 .iQ . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wid 3 sets of plans, anisate 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 application. c. Tae work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of ibis application, the Building Inspector will issue 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. AP$.ICAT(ON ISBEC®SY MALE to the liuildinug Deparhsent for the issuance of a Building PernuC pursuant to the . Building Zone Ordinance of the Town of Southold, Suffolk Canty, 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_cpquly.with. all applicable lawsprdinances, building code, housing code, and iced inspectors on premises and in buil 'rng for niece i''neespectionS. regulations, and to admit autho# ................ (Signua[ure of licant, or nesse, if a corporation) x. ..k (Mailing aM as of applicant) State whether app [nl�icant i carer' lessee, agent, architects engineerk general contractor, electrician, plumber or builder. QSN�S.FS................ .............................................:...................................... Nesse of sonar of premises S- �I:J.�� ...�Ir.1.1`J J11�Y.......................... ............_.............. ' 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. .................... f p p^ I. Location of land on which proposed work will be done....7. 1.r�(r!!;{.�................................ ......�.5......MaA House Number Streettq �HHaslet County Tax Map No. 1000 Section .Q.1.Ix.00.. Block ...1.-.0 0 L..... Lot . 2:F,....J..).. Subdivision CP ..K1a..EXSM S.......... Filed Map ND. I Aa7.o�...... Lot ..o;..(........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy o/f� proposed construction: a. Existing use and occupant' .... �r....�SFi...J?r IN y ..Q. 1 L r l �. .......... b. Intended use and occupffiucy ....... .��...............................}WA'T;�r,....................... antl' .. Repair ............ Removal Demolition .......... R IT-. ts.s-t w` bek. ......... .. Other Work 1': � .. f r� (Descnp( ,on) f7�c 4. Estimated Cost .(Q�. ............. fee ..( . � iTR 4 .. SI�I�IIts.. 1Hf ;kst (to be paid on filing this applica( �.on) 5. If dwelling, number of dwelling units ... .... timber of dwelling units on eadm floor 1fgarage, number of cars .......... /......................... 6. If business, c®ercial or mixed occupancy, specify nature and extent of each type of use. . . . . 7. Dimensions of existing structures, if any: Front................ Rear .......... ..... Dept-h . ...... .. . ... Ileight ......................... Nimber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear . ....-.-. . . Depth .................... Height .................... Number of Stories ... / r ............. Dimensions of entire new construction: Front , ,S.a....-.. Reara,�33....... Depth Height ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Rmrdhase ..... Nam of Former Owner .. ......... ......... .......... . ....... II. Znre or use district i� which premises are situated ..................................................... ......... 12. Does proposed constructi ooK violate acry zoning law, ordinance or regulation: ........................ 13. Will lot be regraded ...1.Y©.........F... Willem jexces}s fill be removed from premises: YRS NO 7 14. Names of Owner of premises , ...1 QA%,Y Q Q.. Lddres �r(... n(��r JQ- I � / �y� 467j 3 Name of Architect .................................... Address .............................. Phone No. .............. Name of Contractor ................................... Address ........ ....,,..11. Rhone No. .............. 15. Is this property within 300 feet of a tidal wetland? * YRS .......... � ...IV�... *IF YES, SQIMD IM 1iab1M PERlDT MAY RE REQUIRED. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block saber or description according to deed, and show street names and indicate corner lot. VDIC14 — m FA,Di)kTJs FVoo� d' � • RcAR- l7Ecx.. �� .': '�� n 3 �o� RA«,b r►.«��. ec�T�rz �+�! SC%%%Q.jS To f t PI RAL STNI se To PQttcH rAIE of N3W Y(n, -- �V X ..: .MLY OF .........t13........... .3a .__.._ — — (Nene of individt4signing contract) above nand, ' 1 (� Ileis the ......0 U�-hl�.Ei 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 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 m user set forth in the application filed therewith. Sworn to before me this 3�..... day of Qq.r1.:.. Notary ....::`.................. .......... /per Sr Lure of A I�C=L) ❑LLIAN EAMIS Notary Public-Steta olNMVgk No.4986W Qualified in Suffolk Cou"llf My Commission Expires$qy,7a OCT 13 199.9 EVOOT- �x __r_.... srt R0 C35 CtNcNT- �Rovti - � / lzv05 APPROVED AS NOTED OCCUPANCY OR �.. DATE: �' 49 CALL RIIFIGA-riD9 ©F ALJ- USE IS UNLAWFUL FEE: s"-' BY: �rwrBw- a��T��,�L �RAm(wc� WITHOUT CERTIFICATE ;s 18 BUILDING AM TO 4 PM FOR E MAY �� Rti;QuIRE� OF OCCUPANCY FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE fowr(N65 f. E.X15'(INLa SIDE; YARDS 2• ROUGH - FRAMING & PLUMBNO .r 3. INSULATION ANIMIM oK 3-O BF.(OW �RgpE TO 6E. MAI NTA 1 NPD. 4. FINAL - CONSTRUCTION MUST C'f,R-f11'rIGATION/.]UAv&r ( BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET RECLUIRtz To S!i'OW THE REQUIREMENTS OF THE N.Y. ALL FWAL LOGF)flogS . STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS � 1 S�IlE utGW_ Ir rn I' r qj v JAS ,. � I r` j + i l- _ , , - -- itS a h % _ , ` X48 �� --,�- h Cl951. ' --- 49 1�� 47 i i' 1'01 11 7/7 3 - r �u TIE `3/ ; A ?LAIhov-'A L I ae M G� r-7 a t' t 6 ►=Ror�1 _ Dc�. _ SIX i 33 i 20 �PIRA�_�tRiQ CASA �— 01=AfA fro Pe1G o � , I a I,. c W 19 28 U') o N 0 LE shrub If east S 38°00 E sIab10'east 210.0 Ir It. Q W D 0 ce. 7.0- wood planter 0.5 eat - `i- 58.4 J 38.2' 3 L0 I story R porch NO.29 2.1' I!STORY I fe.8.south Q 1 8Lirr0wo.odfe2' h,gh 29 2 " It W 120 FRAME 3 RESIDENCE 0 g N 24.2 a Z 9.8LL _ ��— ------- --- — ii N 38000'W wood ret.wall I'-5'highl 7 = wa1106' _IC.O west S 17 3a I 0 J I .r SURVEY TO BE USED S^:_EI_y FCR TFi,G MAP OF CAPTAIN KICC _ES AT_ ES _ PURPOSE OF THE CO�IVE`rANCE OF TITLE V OFFSETS iliObVN NOT TO BE USED FOR ;UTHORI ED SIGNATURE FRES. 0 BLOCK --- - - - THE REMOVAL OR LAYOUT OF FENCES, �l /� LOT 2 _ HEDGES, CURBS, WALLS OR ANY STRUG n D, r P. /i LOCATION MATTITUC K . SU FFOLK COUNTY, N .Y_ TURES. / / /� V L! SED CERTIFIED ONLY TO IOANNOU 8 MARY IOANNOU — ^I� Tfi LL- USA INSURANCE CO OF NEW YORK_ LAND SURVEYOR 0 n i o SMITH -HAVEN SERVICING CORP. — h NOV - 410 i GARDEN CITY PARK, N. Y. Z DATE--L-- 1=1-- 86 N. Y. S. LIC. NO. 45017 yQ NOT RESPONSIBLE FOR EASEMENTS AND SUB SURFACE CONDITIONS OTHER THAN SHOW n � BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: 0'(A . ssf e" e. Reviewed: Architect/ Date Engineer: Submitted: SCTM District: mob Section: Block: Lot: Project /� .-I Subdivision Location: f `J f R I da 1 PO A l �G� Name: Sinle&separate R u r certification 1Ye/(Nol) 6A 157'/&s�rc) Req. Req. Zoning District: [Lot size: Actual: ° [Lot coverage Proposed: Req. RReq. (Front Yard 3�—Proposed: [S d Yard Proposed: [R A and Proposed: J 5-riN AjC6Ajf09V"i- t� E YHv--PP Ext Gl 7�{cs- s � € 9$� 7"a N Project Description: D(-,z K- D Crl�"� �T� A i AGENCY PERMITS Permit SQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees _ Town Zoning Board approval: Town Planning Board approval: _ Flood Plane Elevation ??? ' Flood Zone: IUB Notes: U veV we 1 V eoc. 1t -4 • 0