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Home My WebLink About8940-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Occupnncy PLUMBERS CERTIFICATION DATED: No. Z-16645 Date February 11, I988 THIS CERTIFIES that the building BUILD AN ADDITION L ~' ~-- ~. 3065 County Road #48 Mattituck, N Y ocauon o, rroper~y .............................. -.. . .... HOU~ NO. 'S't/eet Hamlet County Tax Map No. 1000 Section 14 1 ·Block 2 .Lot 14.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...N..o.v.e.m.l~ .e .r.. ! ,...1.9.7.6 pursuant to wh/ch Building Permit No. 8940 z dated ............................ Novemb e r 1 , I 976 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to ANTHONY & DENISE ANTONGEORGI rowner, I~Ji fo~tiiti~'~ ~ .................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N00 276 - Dec 8~ 987 N/A · ~pector ..... Rev. 1/81 IPOuu NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 8940 Z Date ......................... ~q~l~ll~ll~ll....~$...., 19.~1~.. Permission is hereby granted to: ......... 1~. ....... 1~4~1~..~l~1~ ......... to ...Jl~.~..m~clltioz~..o,~..~z~L~t.~,. 4z~:.l.i~ ............................................................ at premises located at .~[~.]/~[l~4.].&~,]l~l~e.l~ ...................................................................................... ................................................... ~:t~:ll~mk....I.*~ ......................... ~ .............................................. pursuant to application dated .......................~[~.....~ .................. , 19..1~.~ and approved by the Building Inspector. Fee $2g,~ ............ FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. t~ For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3.Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwelling $25 O0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.. $ 50.00 Date .......................... New C on s t z~ ~ c t i c :. Id or Pre-existing Building ............ Vacant Land ............. Location of Property ~/-f.'..-~.. ~.~. ~ .¥. Ho,,,, No. Owner or Owners of Property CountyTax Map No. 1000Sectio/n' . .~...~/. ~'~ii .... Block.. ~.' .' i~.~"i ii . .~.~L~i'i'/."~.~.'i .~... i .... Subdivis on ........ Filed Map No ........... Lot No .............. Permit ..... Date of Permit . .//~//..~. ~.Applicant .................................. No. Health Dept. Approv,~-- ........................ Labor Dept. Approval .... Underwriters Approval j~..~. /. ~...?..~. ....... Panning Board Approval~-~¢_~..../.~/l/V~'~7.~. Request for Temporary Certificate ..................... Final Certificate ............... //~-' Fee Submitted $...~.%, .... /.. ?..~.~ ............ Construction on above described building and.~/~rmit meets al.~/' plicable co~es and regulations. Applicant../~ ./~:.. ~,-~,~.~. ~ Rev. 10-10-78 ;o~,,~,(~ THE NEW YORK BOARD OF FIRE UNDERWRITERS SURIEAU OF ELECTRICITY ~-~ D{~¢J~}~[~{~R { ~* ] ~OHN STREET. NEW YORK, N~)~38 ~ 00{ ~te ~pplka~ion No. on ~le THIS CE~IFIES THAT ANTON GEOROI, ~T. 48, ~A~ITUCK, N,Y. ~ exami~ on a~ound to ~e in ~m~ian~ ~{th the ~ui~me~lm oJ th~ ~. RXTUll SWIT(:~S FIXTUIIL~ lANCeS OVENS IXIMUST FANS ~{Y{IS FURNAC~ MOTOIIS FUTUe{ AF{'UANC~ ~ TIMI GOCKS UNIT HiATIIS {MMM~S SIRVICE DJSCOKNECT S ! R V I C A.W.O. No.o~ ~o. M~CC, CO~D. O~ CC. COND. O~ (;LENN R. BRADLEY BOX 6(2 5A{~L, NY, 1194~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. identified by their COPY FQi~ BUILDMG DEP&RTMENT. THIS ~ OF CERTIFICATE 765-~.802 BUILDING DEPT. INSPECTION I' ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE INSPECTOR TOWN OF SOUTHOLD ~/~----~//~ '~(~-~'--~','~.~ ~_~, ~ BUILDING DEPARTMENT (~_~ ~ ~ , ~ ~ TOWN CLERK'S OFFICE ~' ~ ~/~' /a/~/~ ~UTHOLD, N.Y. . ~ ~ ........ Disapproved ............. a/c,. ....................................... ~,--- ~ ............. '~"'"'"'""'"']z~:~'"'j'" / ~..(T~_~-~- _~_~.~_~7 ....... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building.,~ Inspector, with 3 sete of plans, accurate plot plan to scale. Fee according to schedule. -,q 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 ofproperty must be drawn on the diagram which is port of this application. 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 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the~j Building Zone Ordinance of the 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 buildings for necessary inspections. (Signatur~f'f applicant, or na~, if O~orporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) _ Plumber's License Na ................................................. Electrician's License No ............................................. Other Zrade's License No ............................................... 1. Location of land on which.proposed work~ll~be do~e. Map/No.: ......... /....~ .~.~ -- ~ot No Municipality 2. State existing use and occupancy of premises..l/_,~,/an,d int~ended?se and occupancy of proposed construction: b. Intended use and occupancy ............. ~,.....'.~ ................. ~ .............. ~,:~,..~......~'.....~ ........ :~ ................. / 3. ature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ..................................................... (Description) 4. Estimated Cost ..~.....~ ~ (~ O Fee ........................................................................................... (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 cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nqture and extent of each type of use ............................ 7. D mensions of ex)~ting structures, if any: Front ........../..~ ............ Rear ~.~... ...................... Depth ~,..~ .......... Height .~..~. .............Number of Stories ..... i...~ .......................... ;~;..../.7/~'.../. ................................... ./. ........ ~,?... Dimensions of same structure with alteratio/os or additions: Front ...... ~.....'~. ................ Rear ,~ ....................... De th ~ .~. / Height c~ 6 Number of Star es cZ~ ' j Z ' ~ R '~ l/ 8. Dimensions of entire new construction: Front ....'~../..?..~. .................... ear ..~..._.z..~7 ............ Depth-~.~ ............... / ' / / Height ..~.~ ......... Number/of Stories ............... ~ .................... -! ........................................................................... Size of lot' Front /~ 0 ~ tyZ .~_,~ Rear -~....~..~ ~'(~ De~th .x/.~:.. 10. Date of Purcha~.'~.V/..~--~...~..~....~. ............................ Name of Former Owner .~-~..~... 11. Zone or usedis~tct'/ ' /~in which premises are situated ..................................................................................................... 12. Does proposed construc.ti~n violate any zoning law, ordinance or regulation: .....'7~..~ .......................................... 13. Will lot be regraded ...(..:/x~('J ..................... ~/'~'~/'z~Will ex/~,s_,~be removed from premises: ( ).Y,e,s./ , ~--]bNo Address~....~:~/~.F,~..~ ' /~-'~Phone ./~.~.~.:.~..~.~.. 14. Name of Owner of premises ..~~/~~: ...... No,. Name of Architect-x~ c,~/ // ~ -~~'""~'""4 ....... ~// --,~ .................. Addre~,~_/~,/Z~ r, ~¥'7~ ................. Phone No ........................ Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dirqensions from property lines. Give street and block number or description according to deed, and show street names/and indicate whether interior or corner lot STATE OF NEW '~ORI~,, - [ ¢ S COUNT.¥ o F r , .... ~.~LZ.Z~.}ZZ~Z.~. ~.~.~ .......................... be ing (Na~e of individu~signi~contracO above named, duly sworn, deposes and soys that he is the ~licont He is the ............................................... 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?C0 the best of his knowledge and belief; and thor the work will be performed Lo the manner set forth in the application filed therewith. Sworn to before me this~ ....... · /.-,.~ ..... day aL..~.~..~..~ .......... , 19.,~..~ /~i Notary Public, .~~ ............. County ..... ~..,~-.-~ ........................ , ............ NOTARY"~BNC, S~e+e ~f New York N~ 52.4522326 ' s,Jr;o;k County._ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Disapproved :c ...................................................... / ' (Building Inspector)/ APPLICATION FOR BUILDING PERMIT ....... INSTRUCTIONS o. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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, end giving o detailed description of layout ofpropertT must be drown on the diagram which is part of this application. 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 o 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 port for any purpose whatever until a Certificate of Occupancy shall hove been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the 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 buildings for necessary inspections. (Signotu~e'of applicant, ~f nom~ if a corporation) ...... ...... ........ (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of of premises .~..~./....~.. z2,4~ ~..~/...-~.~ owner y ..................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of co~_o_rate officer) Builder's License Nih /~ ( Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Locatonof and onwhchpro osed~ kw ',e ' e M ' ' , ,~' ' Lot No Street and Number ..... :~ ........ ~.~...~...L.~C/.~::.~....i~...~.I.?...'.i.J:[ilJJi'Z:>iZ~.'..i'-.iiiii'.ii ............ Municipality State existing use and occupancy of premises and i~ntended use anckoccup, qncy of proposed construction: o Ex stng use and occupancy ~../..L..c..C.....~..~.:~.h~:~', ,~L~-~'(]~'-~ ...... .;', ................... ........................................... b. Intended use and occupancy .................................................... .C..~.;./.......L......(.?(.....~...~...~, ....................................... 3. Nature of work (check which applicable): New Building'. ................. Addition ..~'f~ ..... Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work ................................................... -- .d~ (Description) 4. Estimated Cost ..'~...~.....~...~....~.,...¥..¥. .............................. Fee ........ (../......' ...................................................................... (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 cars ............................................................................................................................................ 6. If business, commercial or mixed occupancy, specj, fy nature and extent of each type of use ........................... ' Front .4~.. ' Rear ~.~¢.:..,~... 7. Dimensions of. existing structures, if any: .................... .................... ............... Height~~-~_ ~.'/ ....... Number of Star es ~ ................. ~: ............................................... r- ............... Dimensions of same structure with alterations or additions: Front ..~....'. ............................ Rear ...~...x.........~. ........ Death ~....~..../.'. .............. Height ..~.....~.. ....... Number of Stories ....... ~ ................. · . ~.~ / - - _ ~.~.. ~ 8. D,mens,ons of ent re new construct on: Front ................. ~, ................ Rear ...~../.......~.. ........ Depth ........................ Height~_..~...r. ........ Number of Stories ............~ .......................... ,, ................................................ ./ ................. /... ..... /..'Z t~x, ..~.~.. - Rear ~5-: f' 0 DeDt~.~'~., 9. 3i~: :Lf'°;::kr°~n-r* '(.~,~ ....... : ................................................................................ Name of Former Owner~..~.~r.~:'~-V~ .~.......~. ............... : ........... ]0. t u r,, ,,~ ,~///.. - .y..;-~...t...../...~ ..'?:: ................... ....................... 1 I. Zone or use dist~ct in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......... :-~...¥~.?.. ................................... 13. Will lot be regraded .~.~ ....... ~....//Will exc~r~ ,fill be removed from premises: ( ).Yes, ~ No 14.~ ~-'~'~-~'-~-./~ ' 30¥/~,~?./~';/ ' /~ No. ' .ame of Owner of prem,ses ^ddre Name of Architect .............. ~ .............. ! ............................... Address .............. ,~,,.,/, .......... Pho e No ....................... Name of Contracto~~~~./~..~'.?-2 ....... AddresS...., '.~..~..~:~'Phone N~.....t..~..~.....~'..~...g PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frarn property lines· Give street and block number or description according to deed, and shaw street names and indicate whether interior or corner lot. ./ STATE OF NEW y.~RK. ------ .~--,.., , - .- ~.. ~/~.~.~.Z/.~:..~.~-;~..~t~Z;,...~.. ............. being duly sworn, deposes and says that he is the applicarn ' (Name~indiviaual sig~ con~cr) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and fib: this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ......... ....................... , ._ ~ t~,gnature o~app,,~nrl MU~IEL NOTARY pUBLIC, Slate of How Yor~ MINUTES $outhold Town Housing Board of Appeals December 11, 1976 At the request of Anthony Antongeorgi, 3165 County Road 27, Mattituck, New York, pursuant to notice of violation found in addition being constructed under Building Permit #8940Z, the Board met on Saturday, December 11, 1976. There were present: Kenneth Tabor, Chairman; Frank Lekich; John Talbot. Also present: Edward Hindermann, Building Inspector; Anthony Antongeorgi, owner of premises. The Board visited the site and made a visual inspection of the second floor ceiling height (7'0", violation, State Building Construction Code, January 1, 1973, Section A 202.4 B.) In view of the pre-existing construction, the Board grants this variance to permit construction to be completed with a seven foot ceiling height in the second floor bedrooms being constructed under this permit. Respectfully ~t~ed, ~enneth Tabor Chairman med Kenneth Tabor, Chairman Frank Lekich John Talbot Anthony Antongeorgi Building Department Town Clerk RECEIVED AND FILED BY TH~ ~O~'*'~:u~D TO~71~ CLERK DATE/-2 ~:P/' 7~ HOUR f~ 'IP~ Memorandum from .... BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, SOU?HOLD, N. Y. 11971 765-1802 February 6, 1987 Dear Denise Antongeorgi, We have tried to contact you at 298-5566 and were unable to reach you. Would you please contact our office as soon as possible. There is some problem with paper work and also getting an Underwriters Certificate on the addition. Very trul~y yours, Robin Martin, Clerk TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLD. N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /Z/ An application for Certificate of Occupancy is not on file. /~ No Underwriters Certificate on file. /~/ The check is(outdated/not on file.) /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~, _~ ~ ~ ~ __ Z Building Dept. ***/5/ No Plumber Solder Certificate on ~ile. ( all permits involving plumbing being issued after April 1,1984 ) -ow. o~ so-,-~~~ S~s- DATE ON ROAD Woodl(~nd Meadowlond House plot