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Home My WebLink About28820-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPARCY No: Z-29020 Date: 10/28/02 T~IS CERTIFIES that the building Location of Property: 2195 RUTH RD (HOUSE NO.) County Tax Map No. 473889 Section 106 ADDITION MATTITUCK (STREET) (HAMLET) Block 7 Lot 5 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 10, 2002 pursuant to which Building Permit No. 28820-Z dated OCTOBER 10, 2002 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 SECOND STORY ADDITION AND RENOVATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE ZACHARIADIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF MRALTH APPROVAL ELECTRIC~J~ CERTIFICATE NO. PLL~BER~ CERTIFICATION DA'£E~3 Rev. 1/81 N/A 1084280 10/02/02 09/13/02 HOWARD E WOLBERT Authorize~Sign~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. 28820 Z Date OCTOBER 10, 2002 Permission is hereby granted to: for : GEORGE ZACHARIADIS 26-01 25 ROAD ASTORIA,NY 11102 CONSTRUCTION OF A SECOND STORY ADDITION AND RENOVATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. THIS PERMIT REPLACES BP#25666. at premises located at 2195 County Tax Map No. 473889 Section 106 pursuant to application dated OCTOBER Building Inspector to expire on APRIL RUTH RD MATTITUCK Block 0007 Lot No. 005 10, 2002 and approved by the 10, 2004. Fee $ 150.00 Rev. 5/8/02 ORIGINAL 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. 25666 Z Date APRIL 6t 1999 Permission is hereby granted to: GEORGE ZACHARIADIS 26-01 25 ROAD ASTORIArNY 11102 for : CONSTRUCTION OF A SECOND STORY ADDITION AND RENOVATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 2195 County Tax Map No. 473889 Section 106 pursuant to application dated FEBRUARY Building Inspector. RUTH RD MATTITUCK Block 0007 Lot No. 005 23 1999 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTItOLD 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 Departm .e?t'with the folrowitr~:~- 1. Final survey of property with accurate location of all buildings, properly lines, streets, an~-d-'fffiiasual natural 6r ~..., 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 2/10 of 1% 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. Bo For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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 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. 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 $25.00, 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 - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location ofPropertyi'~ -- O~X~ ~...k)'~ ~.,o~C~ !'.) ~ ~ ~ ~ ~ House No. Street Hamlet OwnerorOwnersofPropeny:_q~~ ~C~~ ~ Suffolk County Tax Map So l000~ectio~ ~ ,~ t~ Block ~ Lot ~ Subdivision Filed Map. PermitNo.~5'~"c),~ ~' Dateofeermit. ]LD//]~/O,:~ Applicant: Lot: Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Underwriters Approval: Final Certificate: (check one) Applicant Signature Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1[ BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION ~I~A.12Ag~(~ ~, Date: Building Permit No. ~ (please print) Plumber: ~/~t~J? ~ ~lease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this day of 5~>'/- Notary Public, Q~ f--?~/--~ ,2009 County IANETV. STEV;A~T NOTARY PUBLIC Strife of l~w York No, 52~63~85 . BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 1OO38 CERTIFIES THAT Upon the application of upon premises owned by B.J. ELEC. CO. GEORGE ZACHARIADIS I'~ BOX 16 2195 RUTH ROAD STILLWATER AVENUE MATTITUCK, NY 11952 CUTCHOGUE, NY 11935, Located at 2195 RUTH ROAD MATTITUCK, NY 11952 Application Number: 1084280 Certificate Number: 1084280 mm- Section: Block: Lot: Building Permit:25666 BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, Second Floor, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 2nd Day of October, 2002. Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 4 Smoke Appliances and Accessories Exhaust Fan 1 F.H.P. Wiring and Devices ~ v.t,~ 4 Fixture l Receptacle 17 General Purpose Switch 15 General Purpose Paddle Fan 3 Receptacle 1 GFCI Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 CB ~ Meters: 1 I'~ seal i 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I MI I T Applicant/ Date Owners Name: Z~t~Cl~/al~lT~'~/ ff--~E~6~ Reviewed: Architect/ ~ Engineer: ~glL¢ "~ ~ ,t,, ~.~ Date · Submitted: SCTM #: ! District: 1,000 Section: /06 Block: q Lot: ~ Project ~tg~" ~O~ ~19/~. Location: Single&separate Requir~l.~ ~X~l~) cemfication: (Yes / ~¢ Req. Zoning Dis~ict:~ [~t s~e: Req Project Description: Subdivision Name: Req. Actual: ] [Lot coverage __ Proposed: Permit N.A. NO YES Number AGENCY PERMITS REQUIRED FOR REVIEW 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: 765-1802 BUILDING DEPT. INSPECTION [. ] FOUNDATION 1ST [~ROUGH PLBG. [ ] FOUNDATION 2ND [ [ ~FRAMING [ ] INSULATION ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: -~/-~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONlST [ ] FOUNDATION 2ND [ ] FRAMING [//~/INSULATION [ ] FINAL []FIREPLACE&CHIMNEY DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/N~ULATION / [ ] FRAMING [~/J FINAL [ ] FIREPLACE & CHIMNEY /' % INSPECTION RKFORT DATE . .....--~,---. CC~ElqTS ~ ONDAT~ON (IST) # # # FORId NO. I TOIJN OF SOUTHOLD BUILDING DEPAR'rI~NT TOI~ IL~LL SOUTBOLD, N.Y. i 197 I TEL: 765-1802 BOARD OF HEALTH ...... : ........ 3 SETS OF PLANS ............ '... SURVEY ........................ CHECK ......................... SEPTIC FOR~ ................... NOTIFY: ~i~d ................. , 19 .... I~AIL TO: .................... ~ ..... .~.:..c.. ..... ,9..*.~ Fe~t ~o. ~¢.~¢.~ ................................... Di~ a/c ............................ ~ ..................................... ..................... .... ..... _ ~' ' ' '~ " ~' ''~APPLICATION FOR BUILDING PE~IT '~ ~ ~ : ~-'"-~~ INSTRUCTIONS 3 ~Cs off pl~, ~a~e plo~ pl~ ~o ~ale. F~ ~i~ to ~le. b. Plo~ pl~ ~ l=~im of lot ~ of ~ildi~ m ~i~s, ~la~i~ip m ~joini~ ~i~s or ~lic struts or ~, a~ givi~ a &ail~ &~ri~i~ of last of pm~ re,ut ~ ~ ~ ~ di~ ~i~ is ~ of ~is a~li~ti~. c. ~m ~ ~r~ ~ ~is ~li~i~ ~ ~C ~ ~l~ ~fo~ is~ of ~ildi~ ~t. d. U~ ~ of ~is a~li~ti~, ~ ~ildi~ ~a~Cor ~11 i~ a ~ildi~ ~ ~11 ~pt ~ ~ ~s ~ail~le ~r i~ci~ ~t ~ ~. e. ~ ~ildi~ ~11 ~ ~i~ or -~ in ~le or in ~rt for ~ ~ ~t~r ~til a ~rcifi~e of ~m~ ~11 ~ ~ ~ ~ ~ ~ldi~ ~tor. ~I~ IS ~Y ~ m t~ ~ildi~ ~ut for ~ is~ of a ~ildi~ ~ildi~ ~ ~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~lie~hle ~, ~i~s or ~lati~, for r~ ~t~ti~ of ~ildi~, ~iti~ or al~era~i~, or for ~,~al or ~li~i~, ~ ~rein ~ri~. ~ ~lie~n~ ~s to ~.,~,ly ~ ~1 ~lic~le 1~, o~i~s, ~ildi~ ~lati~, ~ m ~it ~ri~ i~tora ~ ~i~s ~ in ~ildi~ for ~s~ (Signature of applicant, or nam, if a corporation) (Nan~ and title of corporate officer) Plm~bers License No .......................... Electriciarm License No ...................... OCher Tr~'s License No ..................... !. Locatio~ of la~d ~n ~hida proposed ~,~rk ~dll be dc~ .............................................................. ...... .................. ...................... ................... B~me ~he_r St~reet It~l et ......... ........ ?. .... .......... 2. Sate vxisti~ ,-~ a ~~f ~i~s ~ int~ ~ ~ ~ of pm~ ~t=ti~: ' L ~ature of ~ork (check ~hich applicable): lt~ Building .......... ~iri~ .......... Mrerati~ ~ir ............ ~1 ............. ~,oliti~ ............ Orlmr ~ .................................. . ~rip~i~) ~.~i~ ~ ~.~:.~ ......... f~ .............................................. (to ~ ~id ~ [ili~ this a~li~ti~) 3. If ~lli~, ~r of ~lli~ onits.... ...... [ .. ~r of ~lling mits ~ ea~ fl~r ................ If ~, ~r of ~rs ...................................... 5. If ~i~ss, ~ial or ~ ~, ~i~ ~e ~ ~t~t of ea& ~ of ~ ...................... ~. ~imnsi~s of ~sti~ stems, if ~: ~,~,t..~:t ........ ~ ...~(:.( ...... ~ptl, .~.~ ........ l~i~t ......................... ~r of Stories .... ~: ............. Oimmi~ of ~ stem ~th alterati~ or ~iti~s: ~ia,t ....~]:.( ..... ~ar . .~: ~ ....... ~pth ...~C~ .......... ~i~t ..... ~. ......... ~r of Stories ...~ ........ 8. Dimnsi~ of entire ~ ~st~tim: ~t .~('.( .......... ~ar .~;( ........ ~ ..~k~ ..... ................... ~r of Stories 9. Si~ of lot: ~,ait ..l~[ ............ ~ar ..Lq.q/ ............ ~pth I0. ~te of ~O,a~ .~ ................... ~ of Foi.~r ~r ~ {{~....~ ~Y~,.. ~.~ ..... I I. ~ or m district in ~i~ p~i~a am si~tM . .~ ...................................................... 12. ~s ~ ~t~tim violate ~ ~i~ 1~, o~i~ or r~latim: . 13. ~ill lot ~ ~ ...~ ........... ~ill ~ss fill ~ 14. ~s of ~r of pia,,!~ ~¢~..~~(q~ress ..:..: ........................ ~ ~ ............... ~ o~ ~,~o, 6t~e.. ~m~ ........ ~re,, P~..~ ..... I.~.~ ........ ~ ~.Te.r.-/~ (... 15. Is this ~ ~in ~ f~t of a ti~l ~tl~7 ~ ~ .......... ~ .......... PLOT DIAGRAH b0cate clearly and distinctly all lmildings, whether existing or proposed, and indicate all sat-back dimensions property lines, gi~ street and block ~mber or description according to deed, and sho~ street nares a~d indicate ~t~etber interior or corner lot. ~I'A1E BF Ixl.~/ ~UNIY (I~ ....................... ..................... duly s~orn, deposas and .~ays that be is tie applicaut Ile is the ................................................................................................... (Contractor, agent, corporate officer, etc.) of said ~a~er or owners, and is duly authorized to perform or have performed tl'~ said work a~l to make ~ file this applicatitm; that ail stat~nts contained in this application are true to the best of bis koowledse And betiefi and that the work will be perfotu,ed in tim manner sat fx~rth in the application filed therewith. ~qw~m to before hie this . / ..... Notary Public, State of Now York No. 4951364 Ouelified in Suffolk County ~C~ Commission Fvni,,,- ~* ..... (Signature of Appti. caut) ~ D \\ Lot L. ot DEC.~, /.97! YOUNG & YOUNG 400 t")~TRANDFR AVFNtJF ~lVl~DIdl:'An ~ul:-,.A/ v~.~, ALDEN W- YOUNG HOWARD W. YOUNG SURVEY FOR: INLAND HOMES, INC. LOT 9 " SUNSET KNOLLS," SECTION TWO AT MATTITUCK TOWNO~ SOUTHOLD GUARANTEED TO: [ s£cumrr r/~,~,, a suz~A~rr co. I ~?~VEt?HEAD SAI IIVGS BANK SUFFOLK C0., N.Y. [ ~: ~,~..*. ~'/~..~?' . SCALE: ',.= 40',lDATE:, "~Y, 7, ',~,r' ,,,,'lNO ~1-2'~