HomeMy WebLinkAbout37366-Z Town of Southold Annex
7/17/2012
y P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35822 Date: 7/17/2012
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 405 Capt Kidd Dr,Mattituck,
SCTM#: 473889 Sec/Block/Lot: 106.-5-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/16/1974 pursuant to which Building Permit No. 37366 dated 7/17/2012
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:
build an addition and make alterations on existing dwelling. permit replaces BP 7476.
The certificate is issued to Apostolides,William
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATEDV A
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t rued ignat e
O�gUfrat/r TOWN OF SOUTHOLD
BUILDING DEPARTMENT
s TOWN CLERK'S OFFICE
"oy SOUTHOLD, NY
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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#: 37366 Date: 7/17/2012
Permission is hereby granted to:
Apostolides, William
121 Stratford Ave
Garden City, NY 11530
To: build an addition and make alterations on existing dwelling. This permit replaces BP
7476.
At premises located at:
405 Capt Kidd Dr, Mattituck
SCTM # 473889
Sec/Block/Lot# 106.-5-5
Pursuant to application dated 1/1/1900 and approved by the Building Inspector.
To expire on 1/16/2014.
Fees:
PERMIT RENEWAL $7.50
Total: $7.50
Building Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH'OLD, N;. V.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 7476 Z Date ............................:......:`' `........ � 19 ►:...
Permission is hereby granted to:
J.C-:7.n.....G1 r.�;J:^�7iV'i a�.�........................................ 1.
......... : .,{:.lt'.to1[:r:+..................................................
................................................................................
to ...'.v.il .. :A?.. ......�. c.n.. :..bnt �...t'3r � , c ;.. �.. i ...............
................................................................................................................................................................
at premises located at .30t.....1.0?0........ tz.n:r. .KJ.d d- Ea.t:a,C,)—F.. ......................................................
.................. r^' �... � ? E ZP� .. it . .i. . : ,1Ja '
................... . }.�. 4 . ................................................. f
r
pursuant to application dated ...................P. j. ............., 19.�:!.}..., and approved by the
Building Inspector.
Fee ViA^90.............
.......................................................... ....................
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 neiv-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.2J10 of 1% lead.
5. Commercial building,industrial building,midtiple residences and similar buildings and installations,a certificate
of Code Compliauce•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"Iand'uses:
1_ Accurate survey of prooperty 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$50.09-
,
E Swimming pool$50.00,Accessory building$50.0% Additions to accessory building$50.00,Businesses$50.00.
2_ Certificate of Occupancy on Pre-existing Building- $100..00
3- Copy of Certificate o€.Occupaicy-$25
4. Updated Certificate of Occupancy- $50.00
5_ Temporary Certificate of Occupancy -Residential$1. .00,Commercial$15.00
Date.
vew Cotistruction: Old or Pre=existirg Building: (check one)
L.oeation of property: ' c� -T/7VG tj
Housd No. Street
• Hamlet -
)wnir or Owners of Property: ./R//I'
iuffolk County Tax Map No'1000, Section_ V� Block_ L40t
►ubdivision �— ,, Jn/ �4..� Filed Map. Lot:
'unit No.- _-- - - Date of Permit-_,__ Applicant:
lEeaitYt Dept.Approval: &,/J Underwriters Approval:�/;g
tanning Board Approval:
request for: Temporary Certificate Final Certificate: �_ (check one)
ee Submitted: $
Applicant ignatalre
No J_ eA�� g souryo
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coUN1Y,�
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS TION
[ ] FRAMING/STRAPPING [ ' INAL
[ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
c
DATE �d/ INSPECTOR
OF SOUr�ol s �
0
cOUNT'1,�
TOWN OF SOUTHOLD BUILDING DEPT.'
765-1802
.INSPECTION - .
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSU
[ ] FRAMING/STRAPPING
[ ] FIREPLACE & CHIMNEY [ ] FIRES TY INSPECTION
[. ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
v�
REMARKS: CO
DATE INSPECTOR
b
Al 0
_ FORM NO. Y \
J TOWN OF SOUTHOLD 5' 76
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
z �r ( _ (/,/ r r
Examined 10 J� JlO 4� Application No. C/ 7
19.3 Permit No. .................. ...�'..... / 7
Approved .............:� G
Disapproveda/c, ... ...... .............. ...... .................... ......................... ....
............:.................................................................. ....... .......... .............
17,
........... .............................
� (Building Inspector r J/2'2-
APPLICATION FOR BUILDING PERMIT
�i Date ...................�........................ ., 192.......
0),INSTRUCTIONS
a. 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. --I
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 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 (�
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.I
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.
; .......................
`'
(Signature ofaIplicant, or name, if a Lrp ration)
. ............................../J ..............................
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................................................. .j.. ...................................... i. .
Name of owner of premises ... .fi : .. ..a.. "..�... .. .5................ .. ` .................................................................
If applicant is a corporate, signature of duly authorized officer.
................. ... ................. .. ........
(Name and title of corporate officer)
Builder's License No.
Plumber's License No. ................................................
Electrician's License No. C ^-c�'..................
!9 /
Other Trade's License No. .............................................. ^'
1. Location of land on which pr posed work ill 1&ne..V No.: . :...... .......` "`., of No. � �.............
Streetand Number .......... ....> ... ..... ...... .......... ............. .. ... ....... ..........
Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy .......... ..........J `"` . .... ...........................................
..::'..... .........................
LA
b. Intended use and occupancy ........................................... ................................................................................
0
3. Nature of work (check which applicable): New BuildingAddition Alteration
Repair .................. Removal .................. Demolition................... Other Work ..........................................A.... ...
(Description)
4. Estimated Cost .............3;O e.�:.............................Fee ......6-. .........^..................................................................
(to 'be paid on filing this application)
5. If dwelling, number of dwelling units ...............Number of dwelling units on each floor ...........................,.
Ifgarage, number of cars .............................................................. .. ........ .......... , ............................................
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 some structure with alterations or additions: Front .................................... Rear ............................
Depth ................................ Height .............. ..........Number of Stories ................................
8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................
Height .................... Number of Stories ..........................................................
............................................................
9. Size of lot: Front .........................................:............... Rear .........................:............::.. Depth ..........'.:.:::.................
10. Date of Purchase .......................................................,\.Name f For er Owner ........................................................
It --
11. Zone or use district in which premises are situated .. .. ....•• •...........................................••••• ••••••........... ..................
12. Does proposed construction violate any zoning law, ordinance or regulation: ..............f. .. ...............................
13. Will lot"be. regraded. ...............��... Will excess fill be removed from premises: ( ) Yes ( " ). No
14. Name of Owner of premises ..................................................... Address ................................ Phone No. ......................
Nameof Architect .............................................................. Address ................................ Phor;e No. ......................
Name of Contractor ............0 ........................................ Address ............................. Phone-No. ......................
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.
{9 6 19
ti
D
G
STATE OF N 0 I S.S
COUNTY OF .. ...........:....1
.............................. . .................:.::..........................................being duly sworn, deposes a d says that he is the applicant
(Name individual signing contract)
above named.
He is the ......................... ':.4........... -......... ..................................... ..................................................
.... . ...... .
(Contractor, agent, 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
than the work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
.................. ..� y of ..... .1 `' ...... ..............., 197.•Y
Notary Public . ... —County ............ ... ,4 . . .e o
JUDITH T. B0Kc�v (Signo re of .......................pplicant)
y���. it 4
Notay. ubli,c, State of New York
No.gi-03d'4963 Suffolk Count -'
Commission Expires March 30, 19
Page 1 of 5
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Monday, July 16, 2012 AOL: CDROnTheBeach