HomeMy WebLinkAboutZ-25485No Z-25485
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
FICATE OF OCCUPANCY
Date JANUARY 13, 1998
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1445 RUTH ROAD 14ATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 7 Lot 12
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-25485 dated JANUARY 13. 1998
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 FAMILY DWELLING WITH ACCESSORY GARAGE*
The certificate is issued to ZACHARIAS PERTSINIDES
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Rev. 1/81
111111AMIC DETAIMIE111'
IOWN OF NO11,11101.1)
11011SHM COOK INSPECTION RX1,04T
1-0CA'r I ON: 1445 Ruth Road Mattituck
—
i -ii I -r I -pnT - T
VAIM OF OWNER (n)Zacharias Pertsinides
OCCUPANCY- Single Family
ADNITTVID ny-Zaharias Pertsinides A(:(:OtO1AH1V'D IlYt SAM
KKY AVAILABLE !'M;VTij.-"TAX HAV NO]
SOURCH OF IMOUILST. Zaharias Pertsinides 0A'1'ISt 12/18/97
TYIT OF CONSTRUCTION Wood Frame/ w1olurs I I It x 11*9 3
.......... ..
V()UNDATION Cinder Block CII.T.I.Alt CRANI. IRIACK ----
TOVAL 110OHN. IST pl. it 6 JIM Fill.
HATIMOON (f;) ONE H(1off (11) --- 11TILITY )MON - - - -
-- --------
11ORCN TY11M NO NICK, TYP17 REAR PA'r i u
IME'E.UWAY 11 1 MU'LACK NO CARMM NO
DOMRSTIC. 110AWATRIt TYIT 11F.ATER Atu(:o"Oj,riomN()
TYIT 11RAT OIL WARM AIR 1101WATIM X
CARAGE, TYPE 01? (:ON!-,'I',Wood frame - I car !,TINIMM, 'I Y1,17 CONST.
IMMMINQ POOL cum"I., -1.v1% cotm.l..
0
---------------------------------------
---------------------------------- ----------------
VIOLATION jC11APTIM 45 N.Y. STATIt IN111"OHN P11M 111MVENTION F. 111111.01fir CONI!
1.0(:A'1 ION MISCH I VT I Off
Altl'. URC.
----------
TOWN OF SOUT'HOLD
3liT-LDItiG DE?LRTM*EVT
TOIWN HALL
7o=-1Sol
-'VT 4--:ONT FOR C ?--=IC '_'L• 07 OC"77A_' `
be filled i^_ by OR ink and submitted to the building
iispeczor wick the folloc. ne: for new bui'_ding or new use:
'_. Final survey of .property w-_=4 accurate location cr all buildings, DrODerrV L'nes,
streets, and unusual mar -ural or topographic features.
2. Final ADDroval from Health DeDc. oz 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 1Z lead.
5. Commercial binding, industrial building, multiple residences and similar buildings
and installations, a cerzi_icate of Code Compliance from architect or engineer
responsible for the building.
o. Submit -Planning Board ?pproval of completed site plan reduiremeIIts.
B. For existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and
"pre-existing" land uses:
_. accurate survey of property showing all property lines, streets, bu ding and
rt
unusual natural or conoeratinac 'eatures.
_. properly completed application and a consent to inspect signed by tine applicaat.
_= a Cartificace of Occ::pancy is denied, .he 3u; l ding L.spector sz.all state the
reasons therefor i .__cog to tae applicant.
C fees
1. Cert__=caLe of OccnDnncy - New dwelling 525.00, Additions to dwel-Ting 535.00,
]iterations to dcel_l g :23.00, Sc7-i^^'Tg pool 525.00, dccessor.7 build g 525.00,
Additions .o accessory building 525.00. 3us'—esses 550.00.
3. Carzificace of Occupant:, on ?re -existing 3u;?d�e - 5100.00
3. Copy of Cert<_icaca Of Occupancy - .25e.
L. UDdated Car_i=Kate CS OcClpancy - 550.00
5. Tempora^! Cartificace of Occupancy - Residential 315.00, Commercial 515.00
Date .... Pec.Mber .1.7.,..1.9.9L7 ................... .
New Construction........... Old O. Dre- ciscing 3uilding..... X..........
Location of 9roperzy.1445.............Ruth tt
Road Maituck.............
........
House No. Street Hamlet
Onwer or Owners of Property , Zacharias Perts..........................i..nides..........
County Tax Map No 1000, Sect_ou... 106 ........ 31ock..... ..........Lot..... 14 ...............
Subdivision..Captain Kidd Estates :;led 'IaD._1672 Loc_..199 199
................
?emit No ................Data Of ?erm_:�t................ Zacharias Pertsin �t@$_,_..
3eaith Debt. Approval..........................under.rricersADprovai.........................
Tan -=n-, 3oard dDDroval ........................
X
Z2C1e5t .Dr: Ta:1DCrar;7 C2r=__-CaLe........... fine_ O2rt'_Cat?........ Certificate of Occupancy on
Pre -Existing Building
fee Submitt>-d: S.. 100.00
�3S 73
j h CJ
...�' 4 2- . .......................
::-PLIC_ v�
Zacharias Pertsinides
THE NEW YORK BOARD OF FIRE UNDERWRITERS PACE 1
8069464 BUREAU OF EL.ECTRICTTY
F_ • 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210
Date JANUARY 14 ,1998 Application No. on file 15308898/98 H 058430
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by Elsa applicant named on the above application number in the premises of
ZAHARIAS/PEGGY PERTSINIDE, 1445 RUTH ROAD, MATTI'PUCK, NY
in thefollowinK location; ® Basement ® lat Ft. ❑ Ynd Fl. OUT Section Block Lot
was examined on JANUARY 07 ,1998 and found to be in compliance with the National Electrical Code.
NKTM
OUTLETS 111CWTACUIS
SWITCHES
NXTURES RAMM I COOKING DECKS OVENS DISH WASHERS
EXHAUST FANS
INCANDESCENT
FLUORESCENT
GTWFk AMT. K. W. AMT.
K. W. AMT.
K.W. AMT. K. W.
AMT.
M. P.
DRYERS
FURNACE MOTORS FUTURE
AKUANCE FMDERS
SMAt RECrT
TW CLOCKS
NU UNIT
TRANS.
HEATERS
STI.OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
AMT.
K. W.
OIL
M. P.
GAS
H. P.
AMT.
NO. A. W. 0.
AMT.
AM►.
AMT.
AMPS.
AMT.
M. P.
AMT.
WATTS
SERVICE DISCONNECT
NO. OF
S E R V 1 C E
AMT.
Am.
TMP!
WIPER
1 / TN
1 ,1 ZM/
7 / ,11M
A' AW
NO- OFPRC&CONO.
OF CC..M.
NO. OF NI•LE0
NO. OF NEUTRALS
Of NWEUTaRAI
OTHER AMARATM.
*NO VISUAL DEFWMi "An electrical
survey has been made of the exposed
electrical equipment in the
premises indicated." "No obvious
unsatisfactory condition was found.
ZAHARIAS PERTSINIDES l.. L
100 SUNSET DRIVE
MATTITUCK, NY, 11952 ODOM MANiu;O
11
Per
"Thiscortifkate not be,ii red in any manner; return to the office of the Board if-Llcarred. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1@85@85 BUREAU OF ELECTRICITY
F 40 FULTON STREET, NEW YORK, NY 10038
APRIL 30, 1999 18114399/99 N 487334
Date Application No. on file
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
STEVEN PONTINO, 1445 RUTH ROAD, MATTITUCK, NY
in the following location• n Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot
was examined on APRIL 27,1999 and found to be in compliance with the National Electrical Code. .
FIXTURE
RECEPTACLES
SWITCHES
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS
EXHAUST FANS
OUTLETS
INCANDESCENT
FLUORESCENT I OTHER AMT. I K.W. I AMT. K.W. AMT. I K.W. AMT. K.W.
AMT. H.P.
1
1
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS
BELL
TRANS.
UNIT HEATERS
MULTI -OUTLET
SYSTEMS
NO. OF FEET
DIMMERS
AMT.
K.W. OIL
H.P.
GAS
H.P. AMT.
NO.
A. W. G. AMT.
AMP. AMT.
AMPS.
AMT.
H.P.
AMT. WATTS
SERVICE DISCONNECT
NO. OF
METERNO.OF
EQUIP.
S E R V I C E
AMT.
AMP.
TYPE
1 0 2W
1 0 3W
3 0 3W
3 0 4W
CC COND.
p 0
A. W.
Of A. OND...
A. G.
NO. OF HI -LEG W. ` OF W. LEG
NO. OF NEUTRALS
A. W. G.
OF NEUTRAL
1
200
CB
1
X
1
2/0
1
2/0
OTHER APPARATUS:
ALAN HUBBARD, ELECTRICIAN LIC.#4285- l (•,L
P. O. BOX 2241
AQUEBOGUE, NY, 11931 GENERAL MANAGER
11
Per
his cerNflcate 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 8E ALTERED IN ANY MANNER.
—"� IV s " .. �od
Q. uo
SURVEY OF
LOT 199
Dp ESTATES
:APTA SE N4. 16
FU "a. 1672 FILED JMWARr t9, 1949
SITUATED AT
mATrITUCK INLET
TOW,g OF SOUT O DYORK
;UF FOLK COUNTY. N
S.C. TAX No. 1000-106-07-12
SCALE Y -?1997 /
DECEMBER 3.
AREA = 13,998.81 sq. It,
0.321 ac.
1 �w aw
0
o,
/� ae► `: 1 1 th
LO'r 199
E � �
o »"
�.
S10R USE V:�.
PEON K COUNTY NATIONAL BANK - -� rpRPGE +jp0
T14E SUFiOLK YORK MORTAGE AGENCY (1 { /'
STATE OF NEW v
PONTINO
STE�/EN ,ij gl•,
lam' wa.
T� l
VOW
KYS Lie. No. ♦9888 >� ar �� .. * 1
or VO K SIAV
,,. mw WAMM
5 eZ� 50~
JO /� tnge9 �� R
Sur y
or M,�, LOT
.. fm (51s)>?� onxm w a FY
�su)>n ° _mac"noocss �,onsMa��s;
j=rarfim u ra gTM?n'
cnsot .la. ,os s�
.wa'M
0000
11131
goo
100.42'
Lor
OF
C. err
IL
U
ti
CONSENT
TO
INSPPCT1ON
Zacharias Pertsinides the undersigned,
Owner(s) Name(s)
do(es) hereby state:
That the undersigned (is) (are) the owner(s) of the premises in the Town
of Southold located at 1445 Ruth Road, Mattituck, NY 11952
which is shown and designated on the Suffolk
County tax map as District 1000, Section 106 —, Block 7 Lot 12
That the undersigned (has) (have) filed, 'or caused to be filed, an applica-
tion in the Southold Town Building lnspector�s Office for the following:
Certificate of Occupancy on Pre-existing Building
That the undersigned do(es) hereby give consent to the Building Inspectors
of the 'Town of Southold to enter upon the above described property, including
any and all buildings located thereon, to conduct such inspections as they may
deem necessary with respect to the aforesaid application, including inspections
to determine that said premises comply with all of the laws, ordinances, It rules
and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the
knowledge and understanding that any information obtained in the conduct of
such inspections may be used as evidence in subsequent prosecutions for vio-
lations of the laws, ordinances, rules or regulations of the Town of Southold.
Dated:_
(signature)
Zacharias Pertsinides
(print name)
CS1[f,lA��lrc�l
7