The URL can be used to link to this page

Home My WebLink About22252-z FORM'NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23821 Date AUGUST 16, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 1205 SUMMIT DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 99 Block 2 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29, 1994 pursuant .to which Building Permit No. 22252-Z dated AUGUST 12, 1994 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 ALTER ATTACHED GARAGE OF EXISTING ONE FAMILY DWELLING INTO HABITABLE SPACE AS APPLIED FOR. The certificate is issued to OURANIA RAUSEO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-042092 - AUGUST 5, 1994 PLUMBERS CERTIFICATION DATED N/A ild ng Inspector Rev. 1/81 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) N222252 Z Date ............ ................................................. 19....1 Permission Is hereby granted to: �....... � .................. .=T.... ir ................. ! q to ..... ..... yf�"......, � /.;� r ....... 'l,�i /�......... �l.4 .... ...... r ; .........J. .............. . .... .........................��.................... .................................................................................................................................................................. .................................................................................................................................................................. .......................................................... Q................... ......................................................... at premises located at........... .t'y�JT ................................................ ................................................................ ....................... . ..................:......... ...................................................................... 93 County Tax Map No. 1000 Section ..... �........... Block.....d-Z........... Lot No. .......... ............... I� / q pursuant to application dated .............�+.k./V..... ./................... 19..... .. ., and approved by the Building Inspector. Fee $....;.75..'. ..... --�' '� Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL AUG t 51995 765-1.802 APPLICATION FOR CERTIFICATE OF OCCUPANCY --- A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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. Appr,Dval 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 Mess than 2/10 of 1.7 lead. ti 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 a 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 $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 - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00 Date . . . 7/,R//f . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. .(" . . . . . . . . . . . . Location of Property. . . . . �1�:c7�. . . . . f�✓h�w�. . . . . ./"t. . . . . f�„�1i '` —. . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . .QlJ !�� :. . , • ,�; T�'??„ • . . . „ . . . . . . . . . . . . . . . . . . . . G County Tax Map No 1000, Section. . . . .�. �. . . . . .Bluek. . . . . . . . . . . . .Lot. . . . . . . /. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fil.ed Map. . . . . . . . ... . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. ,p •!L '< : . � ??s Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: T'empbrary Certificate. . . . . . . . . . . .Final Certicate. . . . . . . . . Fee Submitted: $. . . . . , • „ • , . . . . . . • 0 k 'L99s,5 . . . . . . . . . . . . .; • • . APPLIC . T t ' �oS�FFO(�c O o�O Gym y 2 Town Hall, 53095 Main Road p • Fax(516)765-1823 P. 0. Box 1179 �� 0� Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD July 27, 1995 Ms . Ourania Rauseo 1205 Summit 'Drive Mattituck, NY 11952 **** SECOND NOTICE **** To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application ,for Certificate of Occupancy is not on file. (Enclosed) ** No Underwriters Certificate on file. -xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22252-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING. DEPT. ** - ACCORDING TO THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. o� �1 Town Hall,53095 Main Road y = Fax(516)765-1823 P. 0. Box 1179 - • Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 26, 1994 Ms . Ourania Rauseo 1205 Summit Drive Mattituck, NY 11952 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 22252-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE a. 8049203 BUREAU OF ELECTRICITY F_ 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date_ AUGUST 05 a 1994 Application No.on file 06223594/94 H 042092 THIS CERTIFIES THAT ',only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of OURANIA RAUSEO, 1205 SUMMIT DRIVE, MATTITUCK, N.Y. in thefollowing location; ® Basement ® 1st Ft. ❑ 2nd Ft. OUT Section Block Lot was examined on AUGUST 01,1994: and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES 1COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. � GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V 1 C E - METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G. fAMi,,j AMP. TYPE EQUIP. 1,e•4W 1,B'3W 3,�3W 3,e'4W PER% OF CC.COND. NO.OF HI-LEG OF W.HI-G. NO. NEUTRALS OF NEUTRAL OTHER APPARATUS: 'ENO VISUAL DEFECTS: "An electrical survey has been Made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. OURANIA RAUSEO 1205 SUMMIT DRIVE MATTITUCK, NY, 11952 GENERAL MANAGER_. 11 Per This certificate 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 BE ALTERED IN ANY MANNER. 76 5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION t - [ -,,FRAMING [ ] FINAL REMARKS:_ DATE f ! INSPECTOR ;.J.,D }Ii.S1".ECT10"1 IDATE COMMENTS F OU14DATION ( 1st ) �N cn (A -( FOUNDATION ( 2nd ) _ m W 2 . o ROUGH FRAME & -PLUMBING r.0 3 H 3 . r� INSULATION PER N . Y. STATE ENERGY CODE 4 . _ y FINAL _ G Q� ADDITIONAL COMMENTS : x 1. A It 1-3 a N H 1 r� a y D y BOARD OF 'HEALTH . 1 I FORM NO. 1 3 SETS OF PLAUS JUL'121 TOWN OFSOUTHOLD SURVEY . _ _ _ _ . . . . , , , , CHECK _ • BUILDING DEPARTMENT • • • - • • - - - . . . . . . . . . . BLDG.DEPT. TOWN HALL SEPTIC FOR:1 _ . . . . . . . . , , TOWN OFSOUTHOLD SOUTHOLD, N.Y. 11971 TEL.. 765-1802 l:DiIF1F , . . • �� CALL Examined Q LCl�Examined . . • . 19 MAIL TO : - CR Approved . . . . . . . ��/y . ., 19/ Permit No. 1�1�L�"'• . . . . . - • - • . . . . . .. Disapproved.a/c . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . a . . . . . . _ _ . . . . . . . . . . . ( 1 g Inspector) APPLICATION FOR BUILDING PERMIT Date . . . :�. : . /. . . . . .. 19 l INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 issued 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 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, nd ,ulations, and to admit authorized inspectors on premises and in building for necessary inspectio (Sig/na ure of applican , or name, if a corporation)* .l (Mailing address of applicant)• State whether applicant is owner, lessee, 'agent, architect, engineer, generalFcontractor, electrician, plumber or builder. a s r�fix Name of owner of premises . . . �L•, GY< . . . . . . 5c'Z�.. . . . . . . . . . . (as on the tax roll or latest deedApp •OVER AS NOTED' • - If applicant is a corporation, signature of duly authorized officer. DATE: G,P.0 L1 y� FEE: - (Name and title of corporate officer) NOTIFY BUILDING DEPARTMENT AT. 765-1802 9 AAA TO 4 PM FOR THE Builder's License No. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED Plum ber's License No. . . . . . . FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Electrician's License No. . . . . . . . . . 3: INSULATION ' ' ' . ' ' . • . ' ' • 4. FINAL - CONSTRUCTION MUST Other Trade's License No. BE COMPLETE FOR G.O. ' • • • • • • • ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. 1. Location of land on which proposed work will be done. . . . . . STATE .CONSTRUCTION & ENERGY RORS House Number Street . Ha mlet County Tax Map No. 1000 Section . . . :. . . �. . . . . . Block . . . . . . . . .�.—• • , ; • . . Lot . . • • • , • • • , • , • • I Subdivision . . . . . . . Filed Map No. (Name) . . . . . . . . . . . . . . . . Lot . . . . . . : . . . . . . . . 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 heck which applicable): ° . New Building Repair . . . . . . . . . Removal Demolition ' . ' . • • • Addition . . . Alteration • , ?; ; Otl eNAVork . . . . . .. . . . . . . . 4. Estimated Cost . r (Description) . . . . . . . . . . . . . . f a4foL2.Q . . . . . . . . . . . Fee . . . . . . . . . . . . . . 'fi ^ application) S. If dwelling,number of dwelling units . . , . . ; (to be paid on ling this If garage, number of cars ' ' • • • • • • . Number of dwelling units on each floor . . . . ... . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify • • h y p • • • • . . . ' ' ' ' ' . ' ' ' ' ' . • • • • • • 7. Dimensions of existing structures, if any: Front , y nature and extent of.eacli type of use . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number Y ' ' . . . . . . . . . Rear. . . .... . . . . . . . . . . Depth . . . . . . . . . . . . . . . of Stories Dimensions of same structure with alterations or additions: Front . . . . . . ` ' ' ' ' Depth . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . Rear . . . . ..... . . . . . . . . . . . . 8. Dimensions of entire new construction: . . . . ' ' . . . ' ' ' . • . • • Number of Stories . . . . . . . . . . . : . . . . Height Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rear Depth 9. Size . . Number of Stories . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . of lot: Front . . . . . . . . Rear. " " " . . . • 10. Date of Purchase Depth . . . . . . . 11. Zone or use district in which premises • • . Name of Former Owner . . premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: . • . • . . . . . . . . . . . . . '13. Will lot be regraded . WilI excess fill be removed from premises: • . . . •yes . . 14. Name of Owner of premises . . . . . . . . . . . . . . . . • • .Address No Name of Architect . . Address . . • • ` • ' ' ' ' ' • Phone No. . . . • . , , , , , . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . s . . . . . . . .. . . . . . . . . . . Phone No. . . . . . . . . . . . 15. ' Is this propertywithin " ' • • • • • •Address . . . , , , , • ., , , . . . Phone No. . . . . . . . . . . • .300. feet of a tidal wetland?• *Yes. , No. . *If yes,, Southold Town Trustees Permit may be required. � � �'� � PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. :.Vtf:��r 2'•��.��;:.`sS G'-"'i',r:i� STATE �pO�F NE1W''Y .OUNT'`7'-OF�t. ''aJ �`a fS.S •�:. '�1`` S • • • • • . . . . . . . . being duly sworn, deposes and says that he is the a (Name -sign ng contract of intl vici`isa'I ) a applicant le is fhe' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , a (Contractor, agent, corporate officer, etc.) • • • • • ` • ' ' f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this aplication; that all statements contained ; this application are true to the best of his knowledge and belief;and that the :ork will be performed in the manner set forth in the application filed therewith. worn to before me this . . . . . . . . . . . . . . . y ofv�Y. . . . . . . ., ]9 4 otary Public, . . . . . . . . . . . . . . . . Sn Yet ROBERT I. ,1R. . :. : . . . . . . . . . . . . . . . . . . . . . . NOTARY PUB C. to of N.Y. (Signature of applicant) No.4725 uflolk Cou� ' Term Expi Nlav 31,19 ,�-sr w-g ,rq«3' r Fr `+/Xraa +t r ,x„ -� sa„'e..-..,, n� vss '•�x�, /�`+tkr3' �rr� _ - - • t' t,'n �/ /�i; ,, ' fir.;(�. (�• Y ^l�% IN. r - r �� N 4 IN ` �[ f�S•* ._ ...�_ 1�Ir>��.�.'Ji+. j _ '.� J� .b.�'j11 RN'i 1?'� n'_e A-In/ :`�. `. is �• �, F/. . f i '�'.�.• .'�`, / l % �•' r, •/►.ii%f� /.. - - 'n .. �� / •,7, } '' .�,. ��., f / .�,./, �—r ,fir fi - - � J s '�';.' „i/g.r'v- xe..•..,-F "* s,{r.,- -° '"'. , — ,,:,r a, .fi .��-, sa. rth� £t"- 5...� '} ' z- "F,ti'R�. .• - SUFFOLK.CO HEALTH DEPT. APPROVAL~ H. S. NO. I i • i i STATEMENT OF INTENT_ THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR. , THIS RESIDENCE WILL �r- -J/ CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT. OF HEALTH SERVICES. (S) APPLICANT -- -r I ` SUFFOLK — COUNTY DEPT OF HEALTH S E R V ICES FOR APPROVAL OF• CONSTRUCTION ONLY DATES.. H. S. REF. NO - APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT, BLOCK PCL. OWNERS ADDRESS: 1 ~. r- _ t 1 y` ., DEED: P. •I !� TEST HOLE STAMP n!tarntion or ed litiofl ' to th!s Sum—y Is a vloIntion Of ' f section 72^,f±of the New Park Stab+ Irducation Paw. cm. 1cs oP this'.rervsty Imp not bararinQ 1, t I--y ehn tend sanallorts 1nkr�1 seat oe ( e emby:sr d smi shag not be Consie'ered � - �•'• ., _ - to be a valid true • r•i r;,-,r Guarsntesa irvjie>:ted hereon shall tun . eniy to ttm M.rson for whom the ctxvq. is nreoamd,and on his behalf to the I 'Ile comnsny.gomrnmonml agency and i ,`''•f -- c�' ','i c{:f len�3ins!ins to thtitution 110,!horcon rztd e c�mignosa of the landing Insti- ' tution,esucantoes are not trcnsforable t Z ; / i to ecditionsl Institutions or subsequent -7 i1-& !"Jc, - r'1 - - ,'' --SEAL 1l Jr'!'I'rYr r rC_'r:•� l!� ''�tr'� ;'r'1" .J.. �t,hr'-ir�t7�T 1 f �la (1t i rf^'Yrr'.:a ! .�~ Irf.,yl ,; � 1.',,,� •i ��f�F I�� ELK ��A O ct,rd /r l•-lr�� alr �rJr; ��I ',�i�t?; f''.:rlr( co O RQC?ER K VAN Tl1YL, P.0 rr �Cr LICENSED LAND SURVEYORS i GREENPORT NEW YORK Form 33 Final a previous examina Adjustmen s tion Reclassifi- Per book cations Final 1 j I J � 1 GG a �L o e' Pr pared