HomeMy WebLinkAbout33270-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32549 Date: 08/22/07
THIS CERTIFIES that the building ALTERATION
Location of Property: 295 CENTRAL
(HOUSE NO.)
County Tax Map No. 473889 Section 106
DR
(STREET)
Block 3
MATT I TUCK
(HAMLET)
Lot 20
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JULY 18, 1988 pursuant to which
Building Permit No. 33270-Z
dated
JULY 24, 2007
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 ENCLOSE AN EXISTING OPEN PORCH AS APPLIED FOR.
The certificate is issued to ANDREAS & ATHENA PAPADOPOULOS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
N/A
-4z:,,~
Rev. 1/81
Form No.6
TOWN OF 80UTHOLD
BUILDING DEPARTMENT
. TOWN HAl"L
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:
I. 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 (8-9 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 2/1 0 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 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:
I. 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.
C. Fees
I. Cel1ificate 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, Connnercial $15.00
New Construction:
/'
Date. ~ J J 31([7
Old or Pre-existing Building:
(check one)
Location of Property:
J.Cf3
.~
~~..L s;:v,
House No. Street
Owner or Owners of Property: (Jh'{i.l'lO.A{) -+- a:::t1lP./11A..... ~~~
Suffolk County Tax Map No 1000, Section _I Dc:, Block.5 . _ Lot ~ 0
Haml et
Subdivision _ Filed Map. Lot:
Permit No. 3~"Q 7 a --C Date of Permit. 7 bl{ 10 7 Applicant: () v..~
I
Health Dept. Approval: ______ ..___ Underwriters Approval:
Planning Boord Approval: __'.~
Request for:
Temporary Certificate ___
Final Certificate:
(check one)
Fee Submitted: $ a.s, QI)
&u:..IJrJ~
co~325ir
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.
33270 Z
Date JULY
24, 2007
permission is hereby granted to:
ANDREAS PAPADOPOULOS
PO BOX 950
MATTITUCK,NY 11952
for :
ENCLOSE AN EXISTING OPEN PORCH AS APPLIED FOR. THIS PERMIT REPLACES
EXPIRED BP # 17681
at premises located at
295 CENTRAL DR
MATTI TUCK
County Tax Map No. 473889 Section 106
Block 0003
Lot No. 020
pursuant to application dated JULY 18, 1988 and approved by the
Building Inspector to expire on JANUARY 24, 2009.
Fee $
50.00
~
Q/L
Authorized Signature
ORIGINAL
Rev. 5/8/02
1'0101 NO. J
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)
",,0
.~?;~
N! LJ17681 Z
Date ~.~.~....L~.........., 19.~.3
Permission is hereby gr~..t...~':':7:..:.I.V'~'~~
~Q.k:...c:t..~Q...................................................
..~~...N..:.v......I.1.'1.~.b... 1 .
to ..~.~....9:-:r.?..~....~~...p..~.~.......~..:vr~..~..
~':'~:~~;~~~';:~~~~"~:':a:;:s:::::c~:~~::~~:~;~::::::::::::@&;I:::::::::::::::::::
................................................................................................................................................................
................................................................................................................................................................
County Tox Mop No. 1000 Section .....I...?I..lR....... Block ......Q...a..... Lot No. .~Q................
pursuant to application dated ~.CP.:!xIk...].............., 19.11.J., ond approved by the
Building Inspector.
Fee $..s.D.:....~..
... ..:Il.....c)/,........~....~.... /J
..........~..............
Ing Inspector
Rev. 6/30/80
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lJNAlJTHOItIZED ALTERATION OR ADOITION TO
THIS SUIWEY IS ... ....IOLATION OF SEcnOlf
7209 Of THE HE:W YOfl'K STATE EOUCATlON
LAW
NOT E .'
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SUBDIVISION MAP FILED IN THE OFFICF
OF THE CLERK OF SUFFOLK COUNTY ON
JAN.19,1949 AS FILE NO. 1672
Ka.&: 17 515' 8-73 04Q67h
COPIES Of" THIS SlJIlVEY MAP NOT IEARING
THE LAND Sl./fIlVEYOII:'S INKED SEAL Oft
fMsosnD SEAL SHALL. NOT BE COH$lDE"ED
TO IE ... VALID nUl! c(Py.
6UARANTEU INOltATED HEMON SHAlL RUN
ONLY TO THI! PERSON FOR WHOM THE
SUft'Io'E'f IS PREPARED, AND ON HI' IEHALF
TO THE TITL.E COMPAIilY, GOVERNMENTAL
AOENCY AND LENDING INSTITUT!ON LISTED
HfREON, ANO TO THE ASSltNEES Of TijE
l.ENDING INSTITUTION. GUARANTEES ARE
NOT TRANSFERASLE TO ADDITIONAL
INSTITUTIONS OR SU8SEQU(NT OWNEftS.
REVISIONS
JUNE 10,1974
~
..........~...........
YOUNG & YOUNG
400 OSTRANDER AVENUE, RIVERHEAO, NEW YORK
ALDEN W. YOUNG
PROFESSIONAL ENGINEER AND
LAND SURVEYOR. N.Y... Lie. NO, 12845
SURVEY FOR:
GEORGE NICHOLAS 8 COSTAS
LOT NO.163
"CAPTAIN KIDD ESTATES"
AT
MATTITUCK
TOWN OF
SOUTHOLD
SUFFOLK CO., N. y,
SCALE: II I
1 =40
DATE:
MAR.14.1974
HOWARD W. YOUNG
LAND SURVIIYOR
N. Y... LIC. NO. .U1883
33?-7o ;?-
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PlBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING p(FINAl
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS:
~..:..A 4'~ Vk'
~ ~~~~
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DATE '1 ~ 3 - 0 7
INSPECTOR ~~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
~RAMING [ ] FINAL
REMARKS: tJ I ij'" ~ + t-d-
DATE 10. jot
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Town Hall, 53095 Main Road
P.O. Box I 179
Southold. New York 1 1971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 10'\ 2007
Andreas Papadopoulos
P.O. Box 950
Mattituck, N.Y. 11952
RE: 295 Central Drive (enclose existing porch)
SCTM # 106 3 20
Dear Mr. Papadopoulos,
Please be advised that your Building Permit # 17681 issued December 13th, 1988 has
expired. According to the Code of the Town of South old, a Certificate of Occupancy
must be issued prior to use ofthe structure.
To renew your Building Permit, please submit a fee of $50.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTHOLD TOWN BUILDING DEPT.
07/17/2007 12:37
171884271'.38
DAIRYLAND
PAGE 01/01
Town ~laJl. 53095 Main Road
P.O. Bo, 1179
Southotd. New York 11971-0959
Pax (63 \) 765-9502
Telephone (631) 765-1 ROZ
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
July 10th, 2007
Andreas Papadopoulos
P.O. Box 950
Mattituck, N.Y. 11952
RE: 295 Central Drive (enclose existing porch)
SCTM # 106 3 20
Dear Mr. Papadopoulos,
Please be advised that your Building Pemut # 17681 issued December 13th, 1988 has
expired. According to the Code of the Town of South old, a Certificate of Occupancy
must be issued prior to use of the structure.
To renew your Building Pennit, please submit a fee of $50.00; at that time we can
schedule an inspection by one of our Building Inspector's.
If you have any questions, please call us at 631-765-1802.
Respectfully,
SOUTH OLD TOWN BUILDING DEPT.
R 2 A 01 Me AI
G 3)- t.f 810- 83 ~ ~
(,)R.
geNS Ce l\ dt
b3/- 91./-'111/
4~M A tJ)
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Examino~~.! ~., 19?t
APprov~~. .I.~., 19~~. Pennit No. ./l.&.v .~.
FORM NO.1
TOWN OF SOUTHOlD
BUilDING DEPARTMENT
TOWN HAll
~OUTHOlD. N.Y. 11971
TEl.: 765-1802
BOARD OF HEALTH ............
3 SETS OF PLANS ............
SURVEY .....................
CHECK ......................
SEPTIC FORM................
NOTIFY
CALL
MAIL
.................... .
TO:
................................Vy............
...~~~.. .................
(Building Inspector)
tJ<< /0 d/~
J2-;h / d! -ro ""'t
Disapproved alc ......... . . . . . . . . . . . . . . . . . . . . . . . . . . . .
APPLICATION FOR BUilDING PERMIT
Date . ./.:~ /7......., I!i~
INSTRUCTIONS
a. This application must be completely filled in 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 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 Pennit to the applicant. Such pennit
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.
APPLlCA nON IS HEREBY MADE to the Building Department for the issuance of a Building Pennit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appticable 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 applicab1e laws, ordinances, bUilding code ou ing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary inspections / -r;
,
. .1...:.... . . . . . . . . . .
(Sia me, if a corporation)
1.2.(qy~.. Fila t;!(J(. ./1//;)---:';- ./.>>/17.7/ J:<<CfJ:.
(Mailing lctci;ess of applicant) ,
State whether applicant is owner,~ agent, architect, engineer, general contractor, electrician, plumber or builder.
................ ....... ..... ............... ........... ............... .0. ..... ...................
,
Name of owner of premises /JJ/. f:11~.S. . . . (l-fJlO/ZEIlt;. . . . .'. fJ!PlftJr;.l?o.?{ f.: ~S. . . . . . . . . . . . . . . . . . . . ,
(as on the tax roll or latest deedAPPROVED AS NOTED
If applicant is a corporation, signature of duly authorized officer. DATE: / :4/1 &ii i B.P 1/ / 7 &''i / .:e
FEE: ~A', -- BY y. G;:L.
NOTIFY BUILDING DEPARTMENT AT
(Name and title of corporate officer) ~ ,765.1802 9 AM TO 4 PM FOR THE
BUI'lder's License No. I ")L./flr\HI .s"t,"'o..c..\\' <to FOLLOWING INSPECTIONS.
... v.:-r.~... ....... p". ,:,v ~'" 1. FOUNDATION . TWO REQUIRED
, ' ~t~ ~"v:c..\fc\t FOR POURED CONCRETE
Plum ber s LIcense No. ........,........ ~ ~ ,C!t !f,,'" ~t'" 2. ROUGH. FRAMING & PLUMBING
Electrician's License No. .............. 'l~~~~~~~ :: ~:~~T~ONCONSTRUCTION MUST
h T d ' L' N " ", 810 COMPLETE FOR C.O.
Ot er ra e S !cense o. .................. ~ . ALL CONSTRUCT1ON SHAll MEET
. . d !lC{5 C.C/1'J.';-j? AI'. ~EMEN1S OF THE N.Y.
I. Location of land on wll1ch proposod work Will be onl9."~.. Ct'.V 1f...(.I.'- . . '8'fliWI:'. CONsTIIUCTlON ... .flNERGY. . .
...... .... ..... ............, ........... ...... ........ ........~I~R~:...
House Number, Stree\" Hamlet
County Tax Map No. 1000 Soction .,. j if;!.G.. .'... ..Blpck ..J....... .,.... Lot.. .,;,10...........
SUbdivision .c:ff.ilr/I/ ./rlfll . . r~l;i./. v.''5.. . . . . J\!hl Map No. .............. Lot............... .
(Name) I
State oXisting use and occup"ncy of premises and intendod use "nd occupancy of proposed construction:
a. Existing use and occupancy ..... 8J{5. ~ fJ.tlYfli.L . . . . . . . . . . . '. . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . .
....... ...... ..................... ..... .......
b. Intended use and occupancy ...................................................::................
3. Nature of work (check which applicable): New Building........... Addition /..... Alteration ..........
Repair .............. Removal.....,...... .. Demolition .............. Other Work .f<<~:L0.5C:-:- iC..G4-
",'0 t . 'e. (Description)
4. Estimated Cost. . . q,QC~().. . . .. . .. . . . . . . . . . .. . .. . . . .. Fee.. .... ;..f:~ /'. . . . . . . . . . .. . . . . .. . . .. . .. ..
(to be paid on filing this ~lication)
5. If dwelling, number of dwelling units. . . . :;;2.. .. . . . .. Number of dwelling units on each floor. ..0<. . . ~ . .... ..
If garage. number of cars ........................................................................
6. If business. commercial or mixed occupancy. specify nature and extent of each type of use. . . . . . . . . . . . . . . . . . . . .
7. Dimensions of e;sisting structures, if any: Front. .. . . . . . . . . ': . . . Rear ............... Depth...............
Height " V. (:.i. . . . . . . . . . Number of Stories. . . . . /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dimensions of same structure with alterations or additions: Front ................. Rear..................
Depth. . . . . . . . . . . . . . . . . . . . . . Height. . . . . . . . . . . . . . . . . . . . . . Number of Stories. . . . . . . . . . . .
8. Dimensions of entire new construction: Front. . . . . . . . . . . . . .. Rear............... Depth .....::::::::::
~.eigh~ I . . . F' .. .. .. . qJ:!?~ber of Stories. . .. . . .. . . 'C:lr"); ;"" . . . .. . . . . . . . . . . . . . '/. .. './j;"" :; . .-. . . . . . . .
9. Ize 0 ot: ront.... q- .,)............ Rear......' l-.. . .. .. .. .... Depth ... . ri L-'... .... .......
10. Date of Purchase '" /. . k,~. . . . . . . . . . . . . . . . . . . Name of Former Owner .............................
II Z d' t' . h'l . 'd .
. one or use IS nct In w IC I premises are sItuate ...........................;,;/ C/ . . . . . . . . . . . . , . . . . . . . .
12. Does proposed construction vioJate any zoning law, ordinance or regulation: ..... /.v. . . .,. .. .. . . .... .'. ... .
13. Will lot be regraded ...... /.1:. t:? . . ..... . . . . . .. . . i/ \VjIl excess fiB be removed.r~m premises: nrY Yes . ~
14. Name of Owner of premlsesll11.t/l1t~ . . .tJ;I.'t?/VllI/'(~diess . .C61fr~ . . OA.I Phone No. a.7.ff.,lN /. f~~
Name of Architect ........................... Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . .
Name of Contractor . . . . . . . . . . . . . . . . ... . . . . . . . . Address ................... Phone No. ................
15.Is this property located within 300 feet of a tidal wetland? *YES... . NOp:.
*If yes, Southold Town Trustees Permit may be 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 number or description according to deed, and show street names and indicate whether
interior or corner lot.
-----
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STA TE OF N~W PI"., .' ".I,S.S .. 'Ii/1ft ''r'1 <. ;'.10
COUNTY OF.,. ;., ... : r\))I "":JJ 'I.J:h
5 rL:J!,-.I'L'TV)" ';A.IC' "'.f9.'IJ. l:~.....
. . . . . . . . . . '. ,a ,e,;. f,{' . .[;:;../--::.1t.<~/{s.... . . . . . . . . .. ~~ uly sworn, deposes and says that he is the applicant
(N~e ,<:,{in.divi;lual si~lll1g contract) '0 11') :~.
above named. ., I _, h... ~ : r j) 'M.n-,l.! f,
';; ,'./' IJJ\Ha ~O;iT:) ~T.?I'IO'l J.H. ,
.',01 ,IT '10 all''! ~T '
He IS t.De :~. . .... "'........ T!>" ......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
--";-.'A~~3 . rtVH t.n .:I: l'.,,'t- .
RC,; 3J8l<M0'12J1ll JOI4 .!'lOO:' (Contractor, agent, corporate officer, etc.)
of sai!l;(Q\~~~ct1s'dllq.la1Jthorized to pl\rform or have performed the said work and to make and file this
application; that all statements contained in this appliqtion arc 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 .
.. .. .. .. . .. 2 .. ..~. .. day of . . rJ.t:C;67t1Itd.. . . .,19 .~f!
~ _..~~
. 'vL - ~~
Notary Publtc . .~14"1J ~~.... ...~ounty
J '18 at New Yo,k (/"'.-
Notll'i Public. S~963 4'
~~ ~~-suttolk coum~ .
Qullllf. ~.. MaY 31. _
eomllllsSiOI\ ..
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