HomeMy WebLinkAbout32600-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33069
Date: 06/02/08
THIS CERTIFIES that the building ACCESSORY
Location of Property: 345 INLET
(HOUSE NO.)
County Tax Map No. 473889 Section 106
DR
(STREET)
Block 2
MATTI TUCK
(HAMLET)
Lot 22
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
DECEMBER 15, 2006 pursuant to which
Building Permit No. 32600-Z
dated
DECEMBER 27, 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR.
The certificate is issued to HELEN ZOGRAFAKIS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPAR'l'MElIIT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
4280
02/03/07
PLUMBERS CERTIFICATION DATED
N/A
~~
uthor1zed S1gnature
Rev. 1/81
SUFFOLK
BUREAUof
ELECTRICAL
INSPECTORS,inc.
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 6314958136. Fax: 631 9806455. E-Mail: SBEIGS@gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant: Raymond Electric
Rough In Inspection Date: 2/3/2007
Application NO: 4280
Suffolk County Tax Map NO: 106 2
22
Final Inspection Date: 2/3/2007
Certificate NO: 4280
Building Permit NO: 326002
This Certificate of Electrical Compliance is limited to the inspection and compliance of electrical equipment
and/or work described below, installed by the applicant named above, located at the premise of and not
after the final inspection date above:
Owner: Zogrofakis
Address: 345 Inlet Drive, Mattituck, NY 11952
Address of Inspection Site: 345 Inlet Drive, Mattituck, NY 11952
X Residential Indoors Basement Service Shed
Commercial X Outdoors 1st Floor X Pool Other:
New Renovation 2nd Floor Hot tub
Addition Survey Attic Garage
Inventory
Service 10 Heat Duplex Recpt Ceiling Fix HID Fix
Service 30 1 Time Clock 2 Switches Wall Fix Smoke Det
Main Panel Hot Water 1 GFCI Recpt Recessed Fix Co Det
8 Ckt Sub- Panel GFCI Breaker 1 Single Recpt Fluorescent Fix Pump
Disconnects Dryer Recpt Range Recpt AlC Blower Emergency Fix
Transformers Exhaust Fan Appliance AlC Cond Exit Fix
Twist Lock lVSS 1 Heat Pump Electric Heat 1 Pool Luminaire
Other Equipment: 1- Auto Chlorine Generator (Pool and pump winterized at time of
inspection)
The electrical work and/or equipment described above were inspected and appear to be in compliance with
local, state and national electrical code requirements and this office.
Applicant: RaymondifjriC i
Inspected by: e ;.. Surdi
Signature: _
License No: 5141-ME
Date of Certificate: 2/2512007
. .
.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN 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 2/1 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
New Construction:
'J'
Old or Pre-existing Building:
Date. M I'r~ 3D~ 1..00<{
( check one)
Subdivision
.r.MLET OR.'vi:: MATTI\UCK.
Street Hamlet
ZO<-:.er"l-FI\t' J <;
'"/7,889 ,O(;z.2ZBlock Lot~
Filed Map. 10'- -2- 22. Lot:
Date of Permit. \ Z - 2 7-61, Applicant:~1feU5<J /t"Jc;.I2.",,: ilK l~
. fP ~11L
LocatIOn 0 roperty: d::J ::.J
House No.
Owner or Owners of Property: 1\ E:LE Ai
Suffolk County Tax Map No 1000, Section
Permit No. ;] ~ ra 00
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
/0"
Fee Submitted: $ :l.5.
Qo Z 33bf.t,CJ
{l, ~ '143. CJ S
Underwriters Approval:
Final Certificate:
,/ (check one)
6~~~
/, AP~ Si ure
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.
32600 Z
Date DECEMBER 27, 2006
Permission is hereby granted to:
HELEN ZOGRAFAKIS
345 INLET DR
MATTITUCK,NY 11952
for :
CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD AS
APPLIED FOR
at premises located at
345 INLET DR
MATTITUCK
County Tax Map No. 473889 Section 106
Block 0002
Lot No. 022
pursuant to application dated DECEMBER 15, 2006 and approved by the
Building Inspector to expire on JUNE 27, 2008.
Fee $
150.00
~ ..J rL
. 'ftL~
/ Aut orized Signature
ORIGINAL
Rev. 5/8/02
.V"l~ V.l'..... ',j..L.LV:a...,LJ
BUILDING D 'ARTMENT
TOWN HALL
SOUTHOLD, rl1l971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/
.7.l."OOb
Do you have or need the following, before applying';)
Board of Health
4 sets of Building Plans
PlaIUling Board approval
Survey
Check
Septic Fom1
N.Y.S.D.E.C.
Trustees
Contact:
PERMIT NO.
Approved
Disapproved ale
/>(J.l ,20~
r~1,20 Of
Expiration
~ ( Y7 ' 20 d
Examined
Phone:
iJr;.J/~
, Building Inspector
nEe I 5 ~
APPLICATION FOR BUILDING PERMIT
Dat~cem(;e.y 16
,20~
INSTRUCTIONS
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location ofIot and of buildings on premises, relationship to adjoining premises 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 application, the Building Inspector will issue a Building Permit to the applicant. Such a penni!
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 until the Building Inspector
issues a Certificate of Occupancy.
f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the
property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
APPLlCA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance ofthe Town of Southold, Suffolk County, 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 comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
\.
OCCUPANCY OR
USE IS UNLAWFUL Lt,l 1<*< ;~;;;I:gadd~;;~L~r ~~18
WITHOUT CERTIFICATE .
State whether applicant is owner, le5'F' (J~cef9A~Cfineer, general contractor, electrician, plumber or builder
A,",onOl/c!') ~" ,.vI";;:D
~(fl" VL..~. .\.... ~;.vl~..
en 2.D fa. -P-llt \'S DATE:~
(As on the tax roll orfJ.\i~' f
If appltcant is a corporation, signature of duly authorized officer N~T:;~Y BUlL",
760" c.02 c'
ALL CONSTRUCTION SHALL 0'1' ' -
(Name and title of corporate otMElllTHE REQUIREME~HS Or: THE ;.~--
CODES OF NEW fCi,l; 3TATE. Co'
"IMMEDIATELY"
ENCLOSE POOL TO CODE
UPON COMPLETION
BEFORE 'WATER"
Name of owner of premises
/ - -
...:..:;--
.i
...-.... "....
:~ j I hi
")[~ -jHE
,)'S: .)
Builders License No.~I.}IJ.- r+
Plumbers License No.
Electricians License No.-.J...lo 1 f> 8
Other Trade's License No.
2. hU~.:OH
3. H~:~',;:_,~:
,S
tlNDERIVRI I ERS CERTIFICATE
REQUIRED
1. Location of land on which proposed work will be done:
-r; (.
House Num er Street
4. FL,J,",L
BE ('r" ", ;
ALL C.ic _' THE
RE1),U:h" ,:';' ',J~: r:EW
YOI1I\~TATL: h:,. " '.:,.E FOR
t..ICDE~1\f OR CC;;S;:';UCnvN IF,RORS.
Hamlet
"
County Tax Map No. 1000 I ~ection
Subdivision rfl ~l'() ......,o..d
Name)
10 J ': ....Jill\)~.' '3 ~"." '^. ....
..II' 1"'1,,~QCK . V~
~-t.e :s..'~~=!I,e.dMaRNo.
..-_',~,a;,}'" ,',',,'1.';'
Lot .:2 ;)....
Lot~O
,~ .
2. State existing use and occupancy of premises and r!tended use and occupancy of proposed c.mstIlftion:
a. Existing use and occupancy 51l)~\e ~ I/lf (!SId.en u..
b. Intended use and occupancy in&-ttlll InB'DulI.1. pOD I
1143~
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
Addition
Other Work
Alteration
(Description)
4. Estimated Cost
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. Ifbusiness, 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 Rear
Depth Height Number of Stories
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear
Depth
9. Size of lot: Front
Rear
Depth
] O. Date of Purchase
Name of Former Owner
II. Zone or use district in which premises are situated
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO v-'
13. Will lot be re-graded? YES /' NO_Will excess fill be removed from premises? YES_ NO v'
Phone No. ;J, q 8- 5,;1"37
Phone No
Phone No,
14. Names ofOwnerofpremises~Address 34'5 .1fl\et (y.
Name of Architect Address
Name of Contractor Address
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO V
* IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. "\s ,-,._
b. Is this property within 300 feet ofa tidal wetland? * YES~ NO~ r ;.: 1 A. lMM1"
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
'.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
] 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
ST ATE OF NEW YORK)
SS:
COUNTY OF )
rv.anay l' ~Dcta:.-k::e-Y' being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
w~ o..o\tl f
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed thesaic\ work and to make and file this application:
that all statements contained in this application are true to the best of his knowledgeand belief; and that the work will be
performed in the manner set forth in the application filed therewith.
Swom to before me this
-J!:L day of \
~ 'I ~d>>-
KATHU!eN ~ Signature of Applicant
NOll:A.RY PI:IIll=,..,YOlll
NQ.O
~ '
CornnllIatotl EJlIllNII_~~
3 t--k, 00 7
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRucnON
[ ] ROUGH PLBG.
[ ] INSULATION
[)(FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
~
DATE 5-?-;). - 6 .~ INSPECTOR ~ ~
,
FIELD INSPECTION REPORT DATE i COMMENTS \.).I
9J ...
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FOUNDATION (1ST) 0
0 "'
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TOWN OF SbtJTHOLD P'ltOPERTY "ICORD CARD
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UNAUTHORIZED ALTERATION OR ADDITION
TO THIS SURVEY IS A V10LATlON OF
SECTION 7209 OF mE NEW YORK STATE
EDUCATION LAW
COPIES OF THIS SURVEY MAP NOT BE.A.RING
THE LAND SURVEYOR'S INKED SEAL OR
EMBOSSED SEAL SHALL NOT BE CONS1DERED
TO BE A VAUD TRUE copy
CERTIF1CAT10NS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND
LENDING INSTlTUTlm~ LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTi-
SURVEY OF
LOT 90
BLOCK 6'
MAP OF
CAPTAIN KIDD ESTATES
FilE No. 1672
FilED JANUARY 19, 1949
SITUA TED AT
MATT'TTUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No.1 000-1 06-02-22
SCALE 1 "=20'
SEPTEMBER 23, 2003
AREA
12,889.77 sq, fL
0,296 ac.
PREPARED IN ACCORDANCE WITH THE MINIMUM
STANDARDS FOR niLE SURVEYS AS ESTABLISHED
BY TliE UA.LS, AND PROVED AND ADOPTED
FOR SUCH USE BY TH NEW YORK STATE LAND
TITLE ASSOC1ATIQN.
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/';s"f.E/,1
10. .(/.\
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N.Y,S Lie. No. 49668
Josep A. Ingegno
Land Surveyor
Title Surveys -. Subdivisions
Site Pions Construclion Loyout
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