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Home My WebLink About40506-Z ��11FF0(,fcoG� Town of Southold 6/14/2017 0 P.O.Box 1179 53095 Main Rd dap Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39015 Date: 6/14/2017 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 1200 Central Dr, Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-2-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/29/2016 pursuant to which Building Permit No. 40506 dated 3/3/2016 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: COVERED ENTRY TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kalogeras,Demetrios&Argiroula of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A tho ed Signature aLlf TOWN OF SOUTHOLD BUILDING DEPARTMENT o TOWN CLERK'S OFFICE o . SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 40506 Date: 3/3/2016 Permission is hereby granted to: Kalogeras, Demetrios 1200 Central Dr Mattituck, NY 11952 To: construct a portico/enrty addition to a sigle family dwelling. At premises located at: 1200 Central Dr, Mattituck SCTM # 473889 Sec/Block/Lot# 106.-2-14 Pursuant to application dated 2/29/2016 and approved by the Building Inspector. To expire on 9/2/2017. Fees: SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $214.00 CO -ADDITION TO DWELLING $50.00 $264.00 Building Inspector 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 2/10 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. B. 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. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,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. New Construction: Old or Pre-existing Buildingg:, [� �, 4 (check one) Location of Property: f [� D C&'I ►' CA@ lJ ' House No. Street Hamlet I�nnQ� yjc , ( f�S l r��orb a Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Block Lot Subdivision ,�/ Filed Map. Lot: Permit No. q D S0b Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: / Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ pplicant Signature ,to TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] SULATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: h"Zo av DWS D 9 /_ IFAA AO✓ � Trtaw 4,) — I inn �o DATE L INSPECTOR oho BOE SOUTy y O i 0 m,� TOWN, OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] I SOLATION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL FINAL) REMARKS: 0-Molvo, DATE /Y INSPECTOR I I • I: f f ENERGYSTATE • r ME . . , • iJ aA r, �r 1 TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 4 sets of Budding Plans TEL:(631)765-1802 Planning Board approval FAX:(631)765-950214 25Z6//��// Surve SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form NYSD.EC Trustees C O Application Flood Permit Examined -20 Single&Separate T14 Storm-Water Assessment Form ontact: Approved ,20 Mail to Disapproved a/c MA-n T-t V44LrN° y�1 Phone 5 1 - 2-;6 $4 C D 19C 20 Dg-I p ctor FEB , 9APPLICATION FOR B LDING PERMIT an Date_ )AIvV `( 20 BUILDING DEPT. INSTRUCTIONS TDVM OF$® on MUST be completely filled in by typewriter or in ink and submitted to the urlding Inspector with 4 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 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 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 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 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 emolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code,hou ' code,and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. y/Q (Signature of applicant or name,if a corporation) (Mailing address of applicant) State whether applicant is owner,lessee,agent,architect,engineer,general contractor,electrician,plumber or builder ow"EK Nam e o f o w ner o f prem i s e s 0CML11it-(-O OfLvL-)C V-4� 4 A-t1V4.?-vVLA teALoL,.E � (As on the tax roll or latest deed) If applicant is a corporation,signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. It 1. Location of land on which propo�d work will be do e: House Number Street f C� Hamlet County Tax Map No. 1000 Section v `i' Block Lot �cf Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy / 3. Nature of work(check which applicable):New Building Addition I�/ Alteration Repair Removal Demolition Other Work 3,o c (Description) 4. Estimated Cost Fee 5. If dwelling,number of dwelling units (To be paid on filing this application) If garage, number of cars _7--� Number of dwelling units on each floor 6. If business,commercial or mixed occupancy,specify nature and extent of each type of use. 7. Dimensions of existing structures,if any:Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 1 8. Dimensions of entire new construction:Front 6 Rear o Depth Height od 6 Number of Stories p1 9. Size of lot:Front ® Rear 11 -01 Depth 10.Date of Purchase t� ( 0 "1'4 Name of Former Owner 11.Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law,ordinance or regulation?YES NO 13.Will lot be re-graded?YES_NO V"W' ill excess fill be removed from premises?YES NO 14.Names of Owner of premisesX140n VWOU'OgAddress 1104,CLKWL) 'IW Phone No. Name of Architect Address Phone No Name of Contractor AV-7-S OATS To Address Phone No. oL' 15 a.Is this property within 100 feet of a tidal wetland or a freshwater wetland?*YES NO ✓ *IF YES,SOUTHOLD TOWN TRUSTEES&D.E.C.PERMITS MAY BE REQUIRED. b.Is this property within 300 feet of a tidal wetland?*YES NO *IF YES,D.E.C.PERMITS MAY BE REQUIRED. 16.Provide survey,to scale,with accurate foundation plan and distances to property lines. 17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. 18.Are there any covenants and restrictions with respect to this property?*YES NO V-*O' *IF YES,PROVIDE A COPY. STATE OF NEW YORK) SS. COUNTY OF t� -QP,r -A,i C)S ICG 1 Of t^s being duly sworn,deposes and says that(s)he is the applicant (Name of individual signing contract)above named, (S)He is the C) +J Vl ey— (Contractor, gent,Corporate Officer,etc.) 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 to the best of his knowledge and belief;and th th w k a ill e performed in the manner set forth in the application filed therewith. YI=YOONOONSworn to before me this Notary Pf New York20 N327QualifCountyMy CommiMar 31,2018 otary PAC Signature of Applicant 1 V ° �� ST�O�R�1��1 WATER � Scott A. Russell . SUPERVISOR 0 � AMIA.-NAG]EAMUENT SOUTHOLD TOWN HALL-P.O.Box 1179 53095 Main Road,-SOUTHOLD,NEW YORK 11971 Town of So u th o l d .CHAPTER 236 - STORMWATER MANAGEMENT WORK SHEET ( TO BE COMPLETED BY THE APPLICANT ) ]DOES THIS PROJECT INVOLVE ANY ®1F ")('IH[lE FOLLOWING: Yes No (CHECK ALL THAT APPLY) ❑ffA. Clearing, grubbing, grading or stripping of land which affects more than 5,000 square feet of ground surface. ❑[(B. Excavation or filling involving more than 200 cubic yards of material within any parcel or any contiguous-area. ❑LI C. Site preparation on slopes which exceed 10 feet vertical rise to 100 feet of horizontal distance. ❑dD. Site preparation within 100 feet of wetlands, beach, bluff or coastal ❑E� erosion hazard area. E. Site preparation within the one-hundred-year f loodplain as depicted - - - on--1~'IRM-Map-"of-any watercourse.- - ❑ F. Installation of new or resurfaced impervious surfaces of 1,000 square feet or more, unless prior approval of a Stormwater Management Control Plan was received by the Town and the proposal includes in-kind replacement of impervious surfaces. If.you answered NO to all of the questions above, STOP! Complete the Applicant section below with your Name, Signature, Contact Information, Date & County Tax Map Number! Chapter 236 does not apply to your project. If you answered YES to one or more of the above, please submit Two copies of a Stormwater Management Control Plan and a completed Check List Form to the Building Department with your Building Permit Application. APPLICANT (Property Owner,Design Professional,Agent,Contractor,Other) S.C.T.M. #: 1000 Date. Disu ict NAME Wnm Section Block Lot Up-MM-_ `�` LPTMENT 1,SE. ()NL1, . x Contact Information` `J� ` `V f Telephone uu,nnxa Reviewed By- - — — — — — — — — — — — — — — — — — I Date. Property Address / Location of Construction Work: Nl::Approved — — — — — — — — — — — — — r �,,, i ^�� for processing Building Permit. �V 1 (JLT ormwater Management Control Plan Not Required - 1 � - - - - - - - - - - - - - - - - ❑ Stormwater Management Control Plan is Required (Forward to Engineering Department for Review.) FORM # SMCP-TOS MAY 2014 TOWN OF SOUTHOLD ftOPERTY RECORD CARD T� m OV+IN R ' irewla STREET -Zoo VILLAGE DISTRICT SUB. LOT FORMEk NER N E ACREAGE W TYPE OF BUILDING RES. SEAS. VL, s FARM COMM. f IND. f CB. MISC. Est. Mkt. Value Lo LAND I M R. TOTAL DATE REMARKS 0 Lo wr -2--to0In �L o �!rO <J / �.,3 �s �t.v JP.�G c 1 flh l 3 v d / l 17 d �+L ` ea leo Ur-eas 4 s - n -`-706AGE Y 7 u ! G Ca �� 3 � — . s v� a o a r - es-f�c NEW NORMAL BE•L.OW AB klovrles Cw, � 7 Farm Acre Value Per Acre Value FRONTAGE ON R AD C�8 _. - � ""� �� d A14-4 Lo Tillable t I-iF D !?55t 5 (/FS /V r Tillable 2 DOCK LD Tillable, 3 160 Lo_ Woodland M Swampland m _ CD Brushlarnd Lo NHous�'� 00 m Total l r, N t9 . CL foi'locn �^ r uaLn " - UJ co •I I �^ f r•�- , -- __j Bldg• 13f i Foundation Both xtension + _ f for �� I Basement Floors LO xtension 2 Z F ct. Wails interior Finish :xtension �. Fire Place �t+ 2 HeatLO -- r Porch Roof Type _-- w Parch Rooms Ist Floor I M Ireezeway Patio Rooms 2nd Floor m ;aroge CG4".6 ovP-r4ed iv Liv,;, ��a� .�,�i Driveway Dormer LO N 7T Ch m BLOCK 6, LOT 96 MAP OF W/RET 5 WOOD RETAINING WALL "CAPTAIN KIDD ESTATES" AT MATTITUCK INLET FILED 19 JAN, 1949 AS MAP NO. 1672 LOT$� AT MATTITUCK, TOWN OF SOUTHOLD SUFFOLK CO., N.Y. "' F�2S 82°0000"E 92.01 WOOD RET•WALL Vy/RET0.2S W CLF0.8SCHAIN LINK FENCE )�v SCALE. 1"=20' a►W. � V ' WOOD RET.WALL Via ! 5.0 V 8.3 W M O ^ ti ! a Q p 3 'WELL CAP b h. O L07-96 v 4 e a a CONC. N � 38.1 22.1 tp W L ° rn Z co Wci11 M 14.0 1 STORYFR44fE LOT 95 c RESIDENCE NO 1200 v 2 I o N co 0 M O O 14.7 0 ^ 122 23 4 e°+q W 14.8 ch C PLANTER FLAMER 23.0 y W , " 1 1 A I . •y. cnl J O uj cy Al 86000'30"W90.00 Z 659.71 -- GUAR. TO: CENTRAI_ FIDELITY NATIONAL TITLE INSURANCE COMPANY RAVE NATIONSTAR MORTGAGE LLC DEMETRIOS KALOGERAS AND ARGIROULA KALOGERAS SURVEYED:22 OCT, 2013 THE OFFSETS OR DIMENSIONS SHOWN HERON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE&USE.THEREFORE,THEYARE OF N E(iji Y NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES,ADDITIONAL STRUCTURES OR ANY OTHER IMPROVEMENT. 1 �CG9- GR0 OiFj' UNAUTHORIZED ALTERATIONS OR ADDITIONS TO THIS SURVEY IS A VIOLATION OF SECTION 7209 SUBDIVISON 20 OF THE NEW YORK STATE EDUCATION LAW. COPIES i OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED SEAL OR NYTB . EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. E CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM V LI r 69 THE SURVEY IS PREPARED, AND ON THEIR BEHALF TO THE TME COMPANY,GOV- ERNMENT AGENCY AND LENDING INSTITUTION LISTED HERE ON. CERTIFICATIONS P.O. a@ 61 ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. �CQ4 � �� NO RESPONSIBILITY IS ASSUMED BY THE UNDERSIGNED FOR ANY SURFACE, SUB- S1 SURFACE,AERIAL EASEMENTS,SUB-SURFACE UTILITIES AND/ OR STRUCTURES IN OR OUT OF EASEMENTS IF SO PROVIDED. SCTM 1000- 106-02- 14 A NOTED'pED `�::Y�Y;':+ i"%ter i. i�'d. —• P ;Y 1d' t1 Lt DATE- B.P.# FE BY: I NOTIFY! BUILDING DEPARTMENT AT 765-1802 8 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ' 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING _7_-.0 _ . ------___-- -----___--- 3. INSULATION 4. FINAL - CONSTRUCTION MUST "..;° t BE COMP ETE F Fra. -ALL CON E REQUIREMENTS OF THE CODES OF NEW / YORK , TATE. DISI N OR C NSTHUCTION E�RRRORS mx. ' ' ` "°``' ` °`' k''51, =. ..{..;::': �• � �� %i,.':''`;'.r..x;'=a t• .tea e. � \\ RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE, Fri Ly Vi I'`i s A L s C )-;I; STf� E e{ TOWN CODES S REQLPED " i ff) OF iu luvyir^l PR l Rr`A { SOUTH,0L1)TOIN P9-N G BOARD e i Qc5 1 C 5 � HOLDT()A, F �TRUSTEES ��t t-.tc�i�l> ? .�*�4• y.4®o►a r- s .A =z .�; m NYS-r)� f Ocd 01PANCY OR - USE 1,9S UNLAWFUL 9TOUT GER HCATE bC- f i I LE �1 ft 1 # cj" sv,.�� 1�nt=D . OCCUPANCY ms. v