HomeMy WebLinkAbout32494-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32562
Date: 08/27/07
THIS CERTIFIES that the building
ADDITION
Location of Property: 605 CAPTAIN
(HOUSE NO.)
County Tax Map No. 473889 Section 106
KIDD DR.
(STREET)
Block 2--
MATTI TUCK
(HAMLET)
Lot 7
SUbdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
NOVEMBER 15, 2006 pursuant to which
Building Permit No. 32494-Z
dated
NOVEMBER 15, 2006
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 STORY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to ANTONIA THEOFANIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
N-454973
06/02/98
PLUMBERS CERTIFICATION DATED
N/A
~ze~
Rev. 1/81
'1m ~ rel ~ ~ \'tI ~ r.,~
u G--....---, IlII
U '.!]G 21 20Q7 ,~
.. I
~<cw~L8F;S~~~1o!L-'
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HAI,L
765.1802
~- <J/.~/J
& 0 5 ~ /'V...I4 If).
)n~n.lf'
/)q52-
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 (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 2/1 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. 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
Date.
~ ~1 )0'1
New Constroction: __ Old or Pre-existing Building: (check one)
Location of Property c..OS C""'-Pl-QIlI hicld \Jrlye
~use No. Street Hamlet
Owner or Owners of Property: A \', --b I)' Q.. \1, -Pi"'-h:U-' I ~
Suffolk County Tax Map No 1000, Section \ Oeo Block ~ '5 _ Lot __.00-'
Subdivision
Filed Map.
Date of Permit. \ \ \ I'S 1'CXo Applicant:
Lot:
PemLit No. ~~_~
Health Dept: Approval: ____..
Underwriters Approval:
Plmming Bo,nd Approval: _.._.
Request for:
Temporary Certificate _.
Final Certificate:
(check one)
Fee Submitted: $
d.C) . CO
(J...M:,.. ) :J..J.-D7
C.O~ 3~5~2.
J .. r"\o~IlU\LS
~Signature
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.
32494 Z
Date NOVEMBER 15, 2006
Permission is hereby granted to:
ANTONIA THEOFANIS
605 CAPTAIN KIDD DRIVE
MATTITUCK,NY 11952
for :
CONSTRUCT ONE STORY ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP 24577.
at premises located at
605 CAPT KIDD DR
MATTI TUCK
County Tax Map No. 473889 Section 106
Block 0005
Lot No. 007
pursuant to application dated NOVEMBER 15, 2006 and approved by the
Building Inspector to expire on MAY 15, 2008.
Fee $
75.00
zed Signature
ORIGINAL
Rev. 5/8/02
0C d'-\ 5 "1,/
1131313314
I
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET, NEW YORK, NY 10038
Application No. on file 15805598/98
P},GE 1
Date JUNE 02,1998
THIS CERTIFIES THAT
N 454973
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
A THOFANIS, 605 CAPTAIN KID
in the following location; r[] Basement
was examined on H.l\Y 26,1998
RO.l\.D, HATTITUcr:, NY
'VI D O"T
t::..J 1st Fl. 2nd Fl. ,W
Section
Block
Lot
and found to be in compliance with the National Electrical Code.
FIXTURE
OUTLETS
RECEPTACLES SWITCHES FIXTURES
INCANDESCENT fLUORESCENT
OTHER
RANGES
AMY. K.W.
COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
AMY. K.W. AMY. K.W. AMY. K.W. AMY. H.P.
1
9
DRYERS
FURNACE MOTORS
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
AMY. K.W.
OIL
H.P. GAS
H.P.
AMY.
NO.
A. W. G. AMY. AMP. AMY. AMPS.
BELL
TRANS.
UNIT HEATERS MULTI.OUTLET
SYSTEMS
AMY. H.P. NO. OF FEET
DIMMERS
AMT. WATTS
AMY.
AMP.
TYPE
NO. OF
METER
EQUIP. 1 l/l 2W 1 l/l 3W 3 l/l 3W 3 l/l 4W
S E
NO. OF CC CONDo
PER8
R
A.W.G.
OF CC. CONDo
V
SERVICE DISCONNECT
NO.OFHI.LEG
C
A.W.G.
OF HI-LEG
E
NO. OF NEUTRALS
A.W.G.
OF NEUTRAL
OTHER APPARATUS:
G.F.C'.I:-]
B.J.ELEC. CO.
BOX lE, STILLHATER ,I,VE.
CUTCHOGUE, NY, 11935
LIC.#2670E
LL2~
GENERAL MANAGER
11
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.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
3 ';)-Jf9 fz.-.
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING I STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRucnON [ ] FIRE RESISTANT PENETRATION
REMARKS: ~.~ ._
p~ . ,RC~
I .--
I .-A- b/~.(
EAtki -~ . Cf2~ ~~ .
~~/Ij<)
DATE 0-/7-07 INSPECTOR ~.~
3;.:)-~c) ~
;? '/ <)- -.'
(
765-1802
BUilDING DEPT.
SPECTION
FOUNDATION 2ND
] FRAMING
[ ] ROUGH PlBG.
[ ] INSULATION
[ ] FINAL
DATE
1-L/517v 2>J~ C) Ly
{~
765-1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [vrr;;SULATION
[ ~RAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS. ;1~ CJk.. ~ 4.cx,
~ ~ - ..2;1" 8 d7~ ~ ~t:d lttl.,
/ ,
DAn :? )~~fJ INSPECTOR ~4
- ~---- -------'------ -
~-d-Ll ~~
~ 765.1802
..........- /SUILDING DEPT.
_ INSPECTION
[ ~~DATION 1ST
[ ~OUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS:
[ ] ROUGH PLBG.
[ ] INSULATION
[ ] FINAL
~
DATE
I
f
INSPECTOR
~
7-45(-10
3~'-ICJ'-1
re/)
----.--
765-1802
BUilDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST
[ ] JOUNDATION 2ND
[vl FRAMING
[ ] FIREPLACE & CHIMNEY
REMARKS: LL/~ .~.
? :2J(Jd
[ ] ROUGH PlBG.
[ ] INSULATION
[ ] FINAL
~
?
~
DATE ~/zt;ftf
I /
INSPECTOR ~~
':in~:".:J.
".....-...'-..
'IN
\J
''''''!!!!'",,"''',"'a''Ljl~ ~m!iiH, . ":-:";:fJ>? ill 1
.."",,,^,,,,,, """ =~___d~~-~~ :, ~
'''''!!''U''',..,lJ""L".. !PIi gJr~~::=7)--:;;:ei n':~
"",.." ':':',::'":",,, =:..:~~---, .. . - " f
--r;:k''''8'P&_~-af;- e" ~
~_..u ~..-...~..~,~.~,~~5:,~.,....... . ,--'" .. i:\~'
,:.u...._. __._________..__ _ _ _ y
1 lI:lllI.,.,1' I 1111
1"'.1\ II, Y.
!ITA 1"1'. 1'.lIl'.IIIlY
1:11111'.
_-"---"................._...............-..-....u.~.'-".,...>-....-o.................. ~
~f.Ft-=f, 7"" _....~._..._..-._.-u-;;;;oF:.--I---~.-_u.... \~ ~
'- ~_.._-~ ~ "'-,I~
I .u~uL.~' ~~ '. ,
_ l~_.______.._____~____
-I
I
~
o~
~I}
i:l~
"'.
.,
I" ll^t.
'------ ---_._.__.~_._._---,_._._----_..__.__._---------
., _.- _ _.._.. ~._~~ ..c .:_ _ .,_...._ __._.~
^lllltTIIl""1. Clllnll~llTlIl ,
._....-..-._...._-_.__._...._-----~-~----~_._..__.---~-_..._-......-~..~...._..--------.._----------------------..-.
--'T'-'--~--'--
-~--~ -------~--- ----~-~----
~
~
u
P
1.
.?~
.__..~__.__....__.____~.___u.._.._...__.~. ..... ....--...-.-.-..----u.-.u------.....-.....----.--.r:I..~
____________w..u__ \,1 ~
------------.. '-j
I"
,
. -- --"._.__._---~.,..~---------..----~._---_.--_.-----_.._-_._-_._.__.. _.._-~-~-,_._._... .._....-.~...,. ->---,.'--.....~_.---..._....~_._~----~-----_._._-.-_._---~ -. . ,
--L_.__~___~__...____
I
. .. ~,
-._._-~--~---
8 W ~
rn
FORM NO. I
TOWN 01' SOllTlIOl.D
1I111UJING DIlPMtlMIlNT
TOWN 1ThLL
SOllTIIOLlJ, N.Y. 11971
Till.: 765- 1 n02
. -";,,.t:'L::'(~'E"~:':-; ',':" l ;. _ ' .
. IIdhRD" OF'UEhT.T1I . /' . . . . . . . . .
3. SETS ~J.hNS ...............
SURVEy,,;':;............ :..:.1.....
CIIECR~1 .'6351.-:-.,. )5..~J/......
SEPTIC FORM...................
NOV? ,.
'.',.-,;
'.,
BLDG. DEPT.
N f 19'.97' .~.. ';). '--I ~ L(
I'.""'nined.... ...I. ...:!}..,
^1~Jr(NC~I..../;./l..J....., 19.77 l'ennit No. .~.~
niSBPflftl'Ve<1 ole..................................
'j
NOTIFY, .
CA~I":-:)lFi~ .7.Jb ~ Yt.a.~.
Mhll. TO'....... .. .. .. .... .. . .
,
\ '. ';"; ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
........................................::::~Q.. .q.....
(I~lllel~; .tor)
hPPI.lChT10N FOR lltlll.IJIN!; l'IlIlMlT
. Da t e . .1.l. ~ .7. \ . . . . . . , 19 ~ l
INSTIl\JCTlONS
a. 'Ihis application ....st heco1{lletely fllled In hy typi"orlter or In Ink nnel mllmltted to the ~llIeling Innl","'nr wi
J sets of plalL', ACcurate plot plan to scale. Fee acco('{llng 1:0 achedule. . .
h. rIot plAn showing location of lot nod of huildillgo on pTemi~9, relationship .to adjoining premisen or (luhl ic
RlTeetn or nrenA, nnd r,ivir18 A detnlled description of lnyout of pro{'Je....ty ntlAt he d...~ 00 the dlAgTTftI ~lich in 1)'1rt of
thiR npplic:1tion. . ,.
c. '111e work covered by thla nl"llcntion ".,y not 1", comenced before Ism",oce of &111dln8 Penalt.
e1. IIpon nPlJrCNnl of Uila nl~,llcntion, the J~li ldlng Inaflector ,,111 ia",,,, R nullrling Pennit to lhe nflflllenlll:. s.,'h
l'letmit slmll he.kept on tiN! IrrE'lnises avatlallle (or JnRpectlon tl'roltgl~Jt tilE! l-K.1rk.
e. No huilding mL:111 be occupied or 11Ae<1 In ~K)le or in part for flit)' purpose loIhatever \nttil 0 r..eTtificnt~ of
'OcmpmlCY shnll have heen granted hy lhe nllllding Inapector. ''':
. "'",.'.
hrpl.IChTlO'l IS IEREIlY mil to the lluilding f)"port..,nt for lhe ia8Ulloce of 8 lluitdlng' l'ennit pura"Rnt to lhe
Building 7..one Ordinance of. the TtM1 of Southohl, Suffolk County, New York, 800 otl-er,'uppllcable Lawa, Ordinances or
Hegulntions, for the coustnlCtion of huil<iings, 9(kHtiono or alteTBtionn. or for'~~81':or: dermlltlon, 89 herein
<!eacrl'",,\, tnMi nppllcant agreea to eol{lly "IU, nll applicahle I""", onllnnncea, 1;..l1iH~g; code, 'iKl\lalng C(){!e, nnd
ref~lIntion9, nnd to tkbit Ol)tJ)()rb..ed inRpeclor9 on pTemineo noo in buildi11A ror. nece988ry.' lnspectionn.
A YV:T-tJ. ;;( .t4~ . :J: ~ L2 . f.. Q(../{y/V.
'(;;r~""t..re of nppllcant, ~r Mne, If a co<pornti~
.20.:.y.3...~A~~..~~.:q'-~..;,
(H.,llInll ""'lre.a of oppllcID,t) \ \Iv.:..
J . I ..~. '
Stllte whether npplicant in owile'r, lenRCe, "gent, nn:hitect, engineer,' genernl contractor. electriciun, flhl1her or bd Illei
..... .Q~):~.C.... ..........................................,...............,; .:;~'~.;..........;.................
~O~\CL ~"\EOL()\~ "i,: . .',
tt.:'"I'Tl! of QItoIller of premlses...........'<-...-! .:........ _.......... ~ lQ........... _....... ~.~..~ l'l~...~..........................
(aa on Ihe tox roll or Inteat deed) .'.:
'.' ,
If applicont is a corporation, nign....ture of duly Ol..ll.hori1'.ed officer.
"
(N.....re and title of corporate officer)
. J "
.'
~Illdera I.icen."" No. .>.~~g~-!.C':', "<'" d.
Plud",ra I.icenae No. . .to.be...0.eh0:"<Ied
E1ectrlclana LlcetL"" No.1D.I:e.de-f:l':,-r.w--ed
Other Trnde'a T.icenae No. tD.b:?..6f?:eu'f'v<d ..:' ;.',. . ~d .r.
I. location of land on ~lidl proposed work "ill I", <k'""...\'~=?...~.<fit..ct~D;..;(.\'"::.'.~.....Q.:::~.I.....
, , ,..:,'..',.-,, . .
~ (\ \:'\\ \',\(''0. . U l \ ~~ ~ . . ',\:,';"r;'i",'. '.'
.........................................................................................44.................................
lbuse lbd>er Street . . ..:~;'\'.lla1i1et
Comly Tax K'lJl No. 1(XXJ. Section .I0Co/..Q0... llIock .Q~.:.Cx::L. IDt'.d.i;jJ:7Ji~~~
. ... . \'c\~ .,....:\ <;;.-9
S.,lxhvISlon ...................................... FIled Hap No. .....~....yL.. IDt........l.:>......,
(tbre) . ..',.:'.
:<i'.';'''
.j..<
" .
, , ~
2. St"te existing use and oc",,,,,,ocy of premiaes nt,1 inlerx!ed ...."" ",xl occupancy of ProPoaed constrtlction,'
.' . ( *,Si ~ C':.E::-- . ,..:.,<,......... .
a. EXlstlr~ \Lo:;e and ocC\J{l<JtlCy ............................................... .,' ....:.~ ~.~...... .......... ".....
. ,pc:: \ cX2", ce . ..' ....,;;>.i,: ',' .::. .
b. lntended use B11d .occupnOC)' ...... .-..::<..................................................0...... ..........0..................
. ,,;{"(;',I:
t,"
..' ';r l
.'.:~~;.s...~
, ,,"".:
,.t. ,.,
K
If (".Jelling. IUlher of 'dwelling IUlits
~:( .
^,Id i t ion ... :..-.-t!:. Ai te~~t.i~~ij '~"('~' ,
Olher lJOIk ............._......~-..-::~~:-:...:':.:~..,
~I~8Cri p.. ' . '1 '
fee .. (~~ 'i~' ;":i.i';.',' fiii~~' ~,;i~;~;';'i~~t~;" '~-J
i -'. l ''1 ''1
f'1'''.,..
Ihlher of (k..relling lUlits ou each f1nor'~..~..........-~'r"T'
~_..
~l.
",,,III'. IIf hO,k (check "hlch applicable); :Nl.-w I~dlding ..........
llep"ir .........;..""'"''''al....:.;.,.;...... llenolitlOll ............
, '. ,,~.,' ,,'~...:., c;
Esl i"'''led Cost:3G\ ,~: bb... ...
I..
) t Uoroge. IUIUer of C~rt~'
_9'.:.:..............................
~ If husil.eBS. coUlerc"ial or u'~l(ed occupancy. specify natur-c lAlMl exteut of each type of u&e................ ~.....
7. Dimensious of exiuting utt:uctures, if uuy; Front.............. q Heur ............... Depth.................
lie ight ................: 4 ~."'!: a.lber of Slodea .............. _. .. . " .
Uillension~ of stJ1)e 8tnlCl1~re with alLeratiollu or i,M:ItJitiolls: Y["oot ............... neur ...............
neplll ..........., ~.....,'~ lleight ..................... tl'l{~r of Stories ...............
. , ,
'to
niUClltiions of entire new CoostnlCtlc.l:
L'ront ................ lle"r ............... Deplh
Ill.
Ikdl~lt .............. u.. ~ ~..:. 4 tl..her ot Sl:odes ................... _.
Si..e of IoU l'rOfll ..La.Q..f+.... llear ....\DiO~+..... Ilepth ...\.O).f-:r......
l~lIe of L\lCch"se ....C);>.t-t~~.~... Ikrlle nf VOllller ()"ner ..:.t\c;l~.:o:-:r~~>'...\::-COcD--S
. .' II' . .' .. Id I . I \-,--,c i d~-\-i
Zone Ol U8e<< strIct In _I 1 pr-e.n ues are SItuate< .... ~.::?.. -.--.... _. ..........................................
noes p..-opoued constnaction violate any zoning hw. onlinanc.e 01' ."egulation: .... O. (;;...... _......
Wi II lot be regraded... ~ ;\;':\0:......... Will excess fill be rell<>vet! fec," p.."uises, YES G0 ('J\S.)
Ikrllea of ().mer of pre.lses .tj-0:\cDla..~c.)fu~)^'klress ..?/~~Y.~:.-y~......... l1,on. tb. .J~\!?~~~1o
NiJI'" of Arddtect ,Ci,~::TrSD)Q...... Mlress \k.o~'~~I'G.-&. l1,one tb. ~T1.-.Q-\c,l.D
Ikrlle ~f r.()ntracto~ .L:\t ,6.<z.., .cW;\f.<{:,-:1i0Ed).. .~M:~ess .............. ~.... .l1lOOO tb. ...........:..
Is lhlS property wiLhln 3CXl feet of a ud.1 ,,,,,t1arxl1 ms.......... Ill..........
~H' YES, IlIIlUID 'JO.tl11l11S1EIlS I'Il1lMIT MAY IYl IlI!.(}.lIIam.
J.
10.
II.
12.
n.
15.
. 1'1.0'1' III AGItAH
locale cLeady and distinctly all buildings, IAlelher exisllng or l'co(lOsed, ar>d
frnll prope.-l:y 1 ioes. Give streetl8nd block rUiner or description acconling to deed,
,.,lheLlter illl:el"ior or COOler 10t~ . ~ .
indicate all set-llaCk dimensions
or'" show street IWlres and indicate
~('L~~.
,."
;rA'I1\ lX' /'I~I YIXlK,
C' {f SS
UlNIY ()I,' ..,~L...-p.\\").....
P. . --\-'-'-'\~t(\,
..... \.. ~ ~. ~~.. \ ~ ~.......... .-~-9.. ::..').\.~........ ..heillU (July b'-AUIl. deposes Hud saya that he iN the applieullt
:N<m:~ of ilMlividuill sigllillg (~<.M'ltracl)
IlxJVc Il<J'I(.-'tI,
Ie i,; Ihe ............ Q-AJ.(g. C............................................. __... ......................
(Colltraclor. ngellt. corporute offh:c.r. ele.)
JI: naitl OWUCl' or ONUCl-S. wid is duly uuthod;a."{1 to 1~I~foUll or haY~ perl'OllllccJ the said 'work and tu lITake and file this
Ippl killiolli thut all Sl:Ult.1llenta conlaiu(..->tl in this upplkilliuJ) lire l1UG to the IKlot of hiu klx)Wh.>tlge uud I,cUcfi and
lIat the Wlnk \.IilL be perfOlI1~1 in"tI.~ manner Het furth'ill lhe npplicatioll filed therewith.
..<\.
4)[n to hefore II"'~ this
.....'0.>.\.~.....d"y of .\:l.~M~.19.:n..
tlllmy l\d)liC~'>>j.~..
, . J:,l,},:;.,',~;!,,:,' .
HEU~~;E D ~~:'l'-;':': ",:"
Not...fY ru~)ljc, St(;I~e'.~t,_N~y"i~rL(.'
No. 49613$4". ;. ,.
.,:. QUH!i-f!ed in, Sul:tolk,C6UhtV'" ()'q .
l..OIi)nH;:iJionC~;:pl.rp$ M~l?2;'.1:9'4 ' ,
]2(JP./.fp.0':.. .J1~o.;i.a A/ f S
(Sigllilture of ^ppUcunt). . 7-'
.
TOWN OF SOUTHOLD ~OPERTY RECORD CARD
.,...)
/'1
/ () (J 0 - / ,1 t, - J- - 7 - - 3?
OWNER STREET 005 VILLAGE DISTRICT SUB. LOT t:t /."1" 1
;/ -;;;eo~nis CJ.^ it !('-d ri ])...1 ~ e maJAj 71-;-" )c.. cr ~ ell f T. f(, D'; s. [) iii.
FORMER OWNER N I E ACREAGE t~U<(
/-l,.,J"n,;-p"'lJ /05 ....... , --
S W TYPE OF BUILDING 't .'>r'JI-Y
7?J G- rdS->6 - 'lOll e.-z f;......... e.
RES. cJ / tJ SEAS. VL. FARM COMM. I IND. I CB. I MISe. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
~()() lioO ;ZEOC> 11$ .j;.u J .37,..54 0 Grosr;:d -it AJ1/~hlJd(J!o< Iv-;t "t.. j'y,r
}J JcS
bOD JIl()() 2c.. 61:/ V 3/:11/61 %'/fI,. J'..<... /ll..{'7I..J~J\f-l1,;,~i,!pH;';~- f() I f.. <? .:U /
7l1e.I.." i.s ,P $'2-~
600 ? S-rJO 3100 J IlliJ/1Y [,-
I - \
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
- '@ " &~ ~ .....C(j 6
Farm Acre Value Per Acre Value FRONTAGE ON ROAD J 00
Tillable 1 ElULKIIC"D fJ v. D'<! 'P 711 I
---. /2.0
,lllable 2 DOCK
Tillable 3
Woodland
Swampland i
"rush land
--
Hause Plat
-atal
"
r
Extension
Extension
Breezeway
Garage
O. B.
I
Foundation I CJJ Both
Basement FC//I Floors
Ext. Walls tv. 6 J .... Interior Finish
__. ~jjLL1-;f.,
Fire Place __,_~;I'<- Heat
Porch Roof Type &-cJ6tf
- -- -_.~--_..
Porch Rooms 1 st Floor
---"---"--
2'1 X l..d ~ 36 cI
6 :: /Y"
22 --I' IS-':'JJD
I
i /.OtJ
Driveway
Patio
330
.1
,........"
,
I
,
,I
r
,
,
~
tR-L..J. :, ,I
, i 'L_LL
I I I
! I I I -r ,I I
;--1'--;-- '-/-,1" --r--H
~ i :"-t-H--'---1---i--+--f-
LJli i I I; I I I!
,
I
,
I
!
~~
i~
r!.oLol'f'
Wt1
iff //11 "
fJ/a.c
I
r-'---
Rooms 2nd Floor
'!i"'h ",,(
Dormer
<)7- 993Lf 9
, 'r'
"'ut'/ ~
r-
\1
~.-
'J,.,
~-
l/"--"i
CAPTA/N
1(/00
0, R/ VE
"';! S86"00'30'''E:
()
g
~
I Sly (r"",~
Ii tI'$Jf,~,
N
I
/
I
"I
til
I
I
___ u.,..! tLl.'....~"
Y
,,,,t-
'0 $/4.43'
() . .
g,
....
,
/
I
,/
~I
I
I
I
/
/
///
I /
~6..:.E.'__
C:l
"<
~
'1'" C~I1~
l 'p"fi.
<l:l
<l:l
--
'..1
'.t
;;
..
<::l
0)
lI)
~
~
.:::,
--J
.,;.
f-.
<::l
0)
<l:l
--
--_.
-~-_.-
-~~'-' -,-- +-.' --.. --_.. -- -'. -.-- .----. ---."".
.:;.--.
1$.1
C> .f-.
..., <::l
....,
J,t
...
.
()
">
<II
'"
.
">11.
~ ~I
7 N.86.00'30"~.
Vr-.
c;."r"1~
N
<<
N
COile.
I'AUD
H. V. 8.
DARL/NTON
~
.
g
..
OJ
.
"l
'"
100.00'r",
ti O"?-?
,
Unaulhorl:tod oll.rolioo or addilion 10 this .urvey I, a vlolallon 01
taelion 7209 of 'h. Ne\ll' YOf~ Slale Education Law.
Copies of Ihl, survey map nol bearing tho land lurveyor"s Inked
seol or emboued soal shall nol be considered to b. a valid copy.
Guolunl'"u o,t certifications Indicated hOleon .holl run' only 10 Ill.
ptl150n ror whom the swvey " prepared, and on his behalf 10 Ih.
lill. company, governmental agency and IOllding Inslilullon IIstod
hereon. and, to tho auignHs of tho lending inslllullon. Guaranlee. .
or cortiflcallont are nol tronsfofOble 10 oddllional InstlluliolU Of
subsequent ownor..
{l) (
C:>. '\-0; 1,10 .
\ IF,. ,... .........
." . '~~\f' r;fc;) \ ~>
",'
SURVEY FOR
THOMAS 8 VAS/UK/
AT MATT/TUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N. Y.
,
SCALE: /" =20'
JULY 29, /980
REFEItEHCE'
},I/O CAPTIUN KIDD. f.STAfE.S
FILED JAN, /9,/949 'AS. MAP .;16iz<";,,..'
,\ .' .; '}t' ::' ~,; ;'; "
',':-.
8UARAHTEf:Q TI>', . ,., ,
AMERICAN' TiTLE. INSURANCE COIIPANY.'"
, . , . . ", - , ":," '. . ",' ,.i' ~ . -
THO},l.AS a VAS/UKI . ANTONOPOULOS
.' .
. ?? '. ../
. ^ ;L.,;z-. a. . Ai <JJ..:i:
. LAHD SUIIVf:YOII
N.'i:S. LJC.HO.;"Tl.IJ.'
IIIV!IIHUO N, Y.
- .
,
ENI~ItGY CODE C1\LCUL1\'l'IONS
~-OH:
--i'h eo fOhf~
Design criteria G, 000 Degree',Dars
0.1\. 100F l.n. 700F
P i j, (I" >:>u.&
PER: enl7'7 '"'n., ~ v r
(For Non-Electric lIeat)
1"
flfC? f 11;',d
D1\'l'ED:
K(v
/cj;v/r;'7
I
DESIGN 'l'lIERMEL ,
SUUSYS'l'EM l\.IlE1\ "Un lU\ 'n N G IlEMI\RKS
~~xteriot: Walls (Opaque) 3z...~ 05 t3':>
, /l > A"d (~t1-:. p. ..fSr:;C
Glazillg 2.-/, L 'Ii C)'r 31- --I )
e, ~l'C J
4' v
Doors , '10 e
2. () "
Ceil.iny/ Hoof (Opaque) ( /
3i 0) 0
, (,-i p~r+~,r"'F--
Skyliyhts 'i [3 'Ii J t 3 'f l' A" "jh~."
- a. f....~ (
, ",.
Floor /
'.;.31. t>} 0
Founuation Walls
Slab InsulatIon
'l'O'l'J\L .... :J
Notes:
lJuiltliny Envelope Systems to meet requlr.ements of 7015.2
lIVl\C Equipement to meet requIrements of 7015.11
lIVI\C Systems to meet requirements of 7015.I'2
Duct Systems to meet requirements of 7015.13
Ventilations Systems to meet requirements of 7015.11
Insulatiun of l'iping Systems tu meet requiremcnts of 7015.15
Service Water Heating Systcms " Equipmcnt to mect requirements
I>lectrical " Lighting Systems " Equipment to meet requirements
~
~~'t. t\r NEW y
If./'. . - 0"
ficA., ',~,\,~(.E r&.... 1-
I ;) p '.,- ,-
. f '
I ~~..
. '~'~;,l. <;.
'~;~~r
03225401 l~
()" "v
Ii'OFESS\\)~~
of 7015.21
of 7015.31
'l'o the best of lIlY knowledge,
belief, " professional
judyement, the!3e plans are in
compliance with the coue.
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENI
TOWN HAll
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
3 d- '.1"1 Lj
~7
z
Date ......R~.~s('!.J?~~.....?~........................., 19...~.?...
Permission Is hereby granted to:
ANTONIA THEOFANIS
::::::::;:~;:;;:::;:;,~:~:::;,;::::::::::::::::::::::::::(;'P.:~:::~ l~ Dv
.. ... ...~.!2!.~~.~.~... !':J.Y....f. ,l;.~ !??.................... ...................... VvtJdt--
to ......1;; q.~~.T. fi.~(:;.T....r:;.,.. .Q.!':l.I;:....$. r 9,fi.Y....r:;., PP.~.T..~ .Q.!':l... IQ... .r:;.,!':l... r;:.\<..~.$.!. r. !':l.9....$. ~ N(il.1,., r;:... f..r:;.,t11\....Y......
......'.. .'?\'!.sh.l,.. ~ .I)!~.. .~2,.. f:\.~!7.hI~P.. F.:m~...... ........... ........ ...... ,........,........................................... ...........
..................................................................................................................................................................
..................................................................................................................................................................
...................................................................................................................................................................
at premises located at.... ...............~.'?~..... .1;;f.\~!...~.U?9....9.fi..... .............................. .~f.l.nJ. I~(:;.I,<;........
..................................................................................................................................................................
C9\JnlyTax Map No. .....~?~~.~.?..... Section ...J9.~............. Block .....9.9.9.?........ Lot No. .9.9.7................
pursuant to application dated ....~,qy.s!'1.?r;:.~.....:?.L...................... 19......':1.7....., and approved bylhe
Building Inspector.
Fee $........?:'?:.~9.....
~f~~m
Rev. 6{30{80